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[
{
"from": "human",
"value": "Source: Patient: I have what I believe to be a ringworm since the beginning of July. Its a circle but its huge...a little bigger then a silver dollar. It use to itch and was red...it is no longer red. I started using Lotrim beginning of August and its already September. It is very very dry but doesnt itch anymore....but I wanted to know when will the color come back? Its on my arm...a huuuuuge white circle...very noticeable. It actually is very dry OUTSIDE of the area as well (I think because I used the Lotrim in that area as well to be on the safe side). I just want my complection back =(. Also, (how embarrasing), how do you prevent getting pimples on your butt? I am pretty - 27 yrs old - but scared to be intimate because I get 3-4 new pimples everytime the other ones FINALLY disappear. It takes FOREVER FOR THEM TO HEAL when you mess with them (I JUST WANT A CLEAR REAR ! ! ! !) HEEEELLLPPP please! Doctor: HiThank you for asking HCMI have gone through your query.Your problem is most likely Fungal infection Tenia corporis (ring worm). It is better to rule out that by showing a dermatologist.If you send a picture of it i can comment on it more.For such cases i advise ointments with combination of antifungal miconazole , antibacterial gentamycin and corticosteroid clobetasol. Clotrimazole is resistant in some but miconazole is more effective.I also give fluconazole tab weekly once for oral intake to stop recurrence.Getting pimples on butt can be due to constant accumulation of sweat and dirt for long time.You should clean properly and use dry clothes everytime.Using vitamin C also will be helpful in preventing such pimples on butt.Hope this may help you.Let me know if anything not clear.Thanks."
},
{
"from": "gpt",
"value": "Target: Need treatment for ringworm infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got all 4 of my wisdom teeth out on Monday. I was feeling pretty good until about 2 to 3 days ago. I began throwing up and couldn't really keep anything but water down. Now I am starting to run fever and i can barely get out of bed from being so weak. My dentist will not return my calls and I was wondering if this is normal or should I go to the hospital? Doctor: Hello and Welcome to HCM, Thanks for writing to us. Extraction of wisdom teeth is often associated with post complications like fever ,nausea and vomiting After extraction , the healing process starts and there is increased salivation due to which you may feel nausea and vomiting. Due to reduced apetite and low intake of diet you may feel hyperacidity and vomiting . Fever can be reactionary symptoms or sometimes infection of the extraction socket may lead to pain and fever. Continue with the course of antibiotic and analgesics prescribed to you along with paracetamol . If the symptoms do not subside in 3 to 5 days you need to consult your dentist Hope this helps you. Wishing you good health... Regards."
},
{
"from": "gpt",
"value": "Target: Had wisdom tooth removed, vomiting, weakness, fever. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell in the shower, the hospital said cracked rib, very bad bruising internal liver e.t.c. been nearly 2 weeks ,still very bad to cough ,laugh or especially sneeze, how long will this take to heal please? I keep taking a big breath, and not aware of it coming ,is that normal? Thank you . Doctor: Hi thanks for asking question.The healing will take still few weeks as injury seems to be serious according to history given by you.First rule out diabetes by doing random blood sugar.If diabetes present healing might delayed.Second do your blood examination also, it may reveal high count suggestive of infection.it also reveal anemia that also delay healing.Malnutrition may delay healing.So Take healthy nutritional diet with vitamin c reach fruit also like orange.Take enough rest and avoid heavy weight lifting.Avoid smoking.If inflammation more at site brufen can be taken.Wish you fast recovery with good health"
},
{
"from": "gpt",
"value": "Target: How much time do liver bruising and crack rib take to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iget nigglin pains in my chest in the middle and throughot my chest only at night and in.the mornings it feels.like.pressure and light stinging mainly on the left side it feels.like it sits there and then.eases.away I m very active play sport 24/7 but I eat a lot.I over eat and eat cheesemelts? Doctor: Thanks for your question on HCM. In my opinion you are having GERD ( Gastro Esophageal Reflux Disease ) mostly. But better to rule out cardiac cause first. So get done ECG. If this is normal than no need to worry much. It is due to GERD only. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Loose weight if you are obese."
},
{
"from": "gpt",
"value": "Target: What could cause pain in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor today i had severe lower back pain on the right side which was there for more than 3-4 hrs...it was very acute sever pain. 2 days back i felt bit pain but it went off after sometime again yesterday it came and then again it went off.. but today it last for more time.i get this during the morning after sometime i got up from the bed.. Doctor: Hi praveen ! At present if pain take diclofenac and bloating take dicyclomine. Then! we don't know the reason so need stool examination for occult blood for ulcer. If it is clear then need abdomen ultrasound. These check up needed just to secure from future disease. Take care be healthy. Bye."
},
{
"from": "gpt",
"value": "Target: Have severe lower back pain. What should I do to get relief?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am experiencing a ppain and a hard lump in my left beast since the past month.My mammography reports and ultrasound suggest 'features appear consistent with fibroadenosis left breast'.Kindly let me know if I am at a risk of cancer or how should this be treated Doctor: HI.Just to sedate your worries.Cancers are never painful in the beginning stage.Fibroadenosis is never to get transformed into cancer.The best way to get disease diagnosed is FNAC- fine needle aspiration cytology / Biopsy.Biopsy is of few types and you decide which one you want to undergo;Part of the lump removed from the most suspicious area.OR- the whole lump is removed - you get two benefits-1-The painful disease is removed and you get rid of the disease for ever.2- Your Pathologist gets the whole lump - so that he can declare for sure whether you have got a cancer or not.THE ONLY problem is a scar and may be volumetric reduction in size. So it is upto you to decide. Most important is histological diagnosis. Te only sure way to know thew diagnosis."
},
{
"from": "gpt",
"value": "Target: What does fibroadenosis of breast suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 24 year old son has been prescribed trazadone for chronic amsomia , now he wants to quit his P.A. program after finally getting in praying that he would!!He says he unhappy in medical field, even after excelling in a big hospital emergency for two years before. Very worried about depression never drank or did drugs however, he does have an annurisum behind his eye,which they are leaving alone.I want him to be happy of course, no job training is without stress HELP!!! Doctor: HiThanks for using healthcare magicTrazodone is sedative antidepressant and it would help in your son's case. I think, he has underline depression and if he tries to leave trazodone, his depressive symptoms could increase. Try to consult a psychiatrist for proper help and evaluation. He needs CBT also, so consult a psychologist.Thanks"
},
{
"from": "gpt",
"value": "Target: Is it safe to take trazadone ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My feet and ankles swell and I have lately noticed that I have these sores on my legs that itch and weep a clear fluid. I have also been getting dizzy and lightheaded. I have some leg pain by my knees and thighs. Some numbness in my toes. Any idea what all these symptoms could point to? Doctor: Hi, As due to pain in the knee there will be postural changes in the lumbosacral spine leading to nerve root entrapment and the numbness of the toes. I will advice to do first correct the posture, next follow the exercises like - core stability, hip muscle strengthening, static hamstring, static Quadriceps, straight leg raise and ankle toe movements. By this the posture will be good , sufficient strength in muscles to be strong to hold the body, improve gait and reduce the pain symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes numbness in the toes and itchy sores in the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just read results of a blood examination and my ALT is 80. My bilirubin was 44 and AST was 25. I currently take blood pressure medicine (atenolol) and (lysinopril). I also have a total cholesterol level of 202 which I know isnt good. But, I'm kinda freakin out about the ALT and the GGTP Serum being at 101. I will definately consult my doctor, but can I somewhat relax until then or am I at serious risk of some sort of liver disease? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have read your lab reports and understand your concerns. First I would say to not worry so much. Having these levels of ALT, GGT doesn't always mean a bad or a serious condition. The normal range of values for ALT (SGPT) is from 7 to 56 units depending from the kits that laboratories use and the range for GGT is 0-45 U/LALT/GGT can be slightly elevated in a lot of healthy patients and here are some of the main reasons:- use of alcohol- fatty liver (since your cholesterol level is 202 it might cause the changes in the liver enzymes)- excessive amount of exercise- stress- use of medication that can damage cells of the liver like ibuprofen, paracetamol, and some types of antibioticsRight now, don't worry too much. Wait to talk with your doctor and if needed he will do other tests. I would recommend an ultrasound of your abdomen to see if you have gallstones and put you on a healthy low fat diet to help your liver heal itself and it's enzymes to get back at normal range. The low fat diet, will help with your cholesterol also. Have plenty of water, don't use alcohol, and have fresh fruits and vegetables. For liver enzymes to get back at normal range, we need to wait usually from 30 to 60 days or even more. Hope I have answered your query. If you have any other questions, feel free to ask me.Regards,Dr. Endri Katro"
},
{
"from": "gpt",
"value": "Target: Does high levels of ALT and GGPT indicates serious liver disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is 65 years old, he had diagnosed with renal calculus measuring 23mm, he undergone for PSWL (Lithotripsy), we scanned after 1 week the stone halved into two pieces measuring 7mm and 16mm. scanning report say that his gall bladder is collapsed.help me in treating condition as he is heart failure patient having 30% EF Doctor: 1) gall bladder collapse generally after intake of food as bile is released from gall bladder to duodenum.2) gall bladder is evaluated in fasting state as it is distended which provides better evaluation in CT scan or USG abdomen"
},
{
"from": "gpt",
"value": "Target: What causes the condition of gall bladder collapsing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a ganglion cyst on top of my foot my dr gave me acortison shot and I have been soaking twice day in Epsom salt followed by ice packs then roll on frozen bottle and putting on anti inflammatory cream . it is helping some . Shouldn t youe just pop it. it is hard Doctor: Hello, I have studied your case with diligence.As per your symptoms I would like to keep differential diagnosis of ganglion cyst, rheumatoid arthritis,Large cyst may need excision.Rheumatoid arthritis may involve small joints and early morning stiffness in joints,When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27.I will advise to consult doctor and do clinical examination.Till time take analgesic and physiotherapy like ultrasound or tens.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Is popping ganglion cysts on the feet safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby (f) is 5 months 2 weeks old. She is formula fed as well as breast fed. for last two weeks she is being fed with cerelac wheet. for last 5 days she is poopoing 4-5 times a day. the color of the stool is greenish/ yellowish. the stool is liquid with sticky in nature. please advice me Doctor: Hello,You have recently changed the diet pattern of your child, so it's perfectly normal. Children require time to adapt to new things introduced to their diet. I would advise you to start with rice-based cereal first and give wheat at around one year to prevent the chances of having a wheat allergy.The color of the stool is alarming when it is either jet black like coal or white or it has blood in it. I would recommend to start with rice pudding and then proceed to boiled vegetables like potato, carrot, peas etcetera at around seven to eight months. Give egg white at nine months of age and complete egg at one year.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Musfirah Tahir"
},
{
"from": "gpt",
"value": "Target: What does greenish yellow stools imply in infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Swollen feet/ankles, calves started with plasma donation. I had low protein one visit & could not donate. The last visit has been a out 2 months ago & my edema is still just as bad. ER visit was unremarkable....EKG, chest XR, BP WNL....NO pain in my LEs.....NO swelling anywhere else & my weight is average. Doctor: dear sir/ madam i would like to know your age group, do you have breathing difficulties or any urinary problems if not so the ankle swelling might be due to low protien in serum. i recommend keeping your limb elevated under pillow and high protein diet."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling in the ankles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Sahana, I have been suffering with morning sneezing problem since 2-3 years. The symptom is early morning when I wake up before 7am anytime I start getting this sneezing and it goes non stop till almost 9am, But later like after 9am, I will be fine no nose block or any irritation. But this has become a daily routine and its very annoying. Please suggest Doctor: these are initial allergies which is due to irritation by some allergenyou can consult doctor to find out cause of allergiesmean time you can take anti allergic tab and apply neomycin h ointment in nose bd to control the symptomps"
},
{
"from": "gpt",
"value": "Target: Seen suffering with morning sneezes, no nose block. What could be the reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a patient with osteoarthritis who now presents with severe hip and knee flexion ( full) which developed quickly after a fall. Films (-) for fx, dislocation. Lower extremity now unyielding to movement with intermittent spasm as well as constant excruciating pain. Cause?, suggestions? Doctor: Hi, With the picture you have described, it could have been due to cerebral injury or spinal cord injury resulting in upper motor neuron type lesion in lower extremity with flexion deformity. I suggest a neurological examination of the patient and then relevant investigation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes unyielding lower extremities with spasm and pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has had a cough for at least a week. He’s a pharmacist, so I ought him an expectorant because his cough sounded dry. It is now loose and he’s able to cough up that phlegm, however he’s still coughing. He’s tired and we’ve tried Mucenex DM. We tried hot tea with o drop of thieves oil, etc. any other suggestion would be appreciated. Never mind. Just read about your fee! Good night! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Severe cough should be evaluated for lung diseases like lung infection and bronchitis. So better to take him to pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is must for the diagnosis of lung infection. PFT is needed for the diagnosis of bronchitis. He may need inhaled bronchodilators, inhaled corticosteroid (ICS), antibiotics etc based on the reports. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can severe cough be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A family member was diagnosed in the year of 2000 with having esophageal cancer,lympho sarcoma and squamous cell carcinoma.....now has jerking motions of the head with his eyes looking as though they are buldging and his hands shake....does this mean he s getting worse ?Is this information free ?If not...I must stopright now...have no funds for this information.Sorry to have bothered you with my question.I said I have no funds to pay for answers...so I will sign off now.Thank you so very much for your quick response. Doctor: HiThe patient is in the 4th stage of his cancer.Aim of treatment now is palliative chemotherapy and basic supportive care.RegardsDr de"
},
{
"from": "gpt",
"value": "Target: How to treat esophageal cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi , my name is Rachel im 22 years old . iv been having very bad lower back pain for 2 days already. i have a 2 year old son, that i am constantly picking up. id.k if thats why my back hurts. even when im laying down i have pain and it hurts getting up.what do u think the problem is? Doctor: Hello,I had gone through the case and found that it might be due to osteoporosis with Vitamin D3 deficiency. It normally happen after delivery and long time lactation causes calcium deficiency.It also happen if there is cesarean delivery.So go for X-ray and Vitamin D3 blood test and take calcium rich diet with stretching exercise.Hope my answer will be effective for you.Thanks;"
},
{
"from": "gpt",
"value": "Target: What is the cause of back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I have found a pea size lump between the bottom of my vagina and my anus. It's has a dull ache and I have just noticed tonight after a hot shower some small amounts of puss coming out. It hurts to sit, but is bearable. I am worried about what it is. Thanks Doctor: Hi,This could be a Bartholins cyst. This is not serious and they are easily treatable. I suggest you see your doctor for confirmation of the diagnosis. I advise antibiotics for the infection and keep the area clean with regular showers.Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: What could painful lump between vagina and anus oozing puss be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father having rectal cancer treated with palliative radiation. Now having mucocytis as side effects or due to cancer. Applying hydrocortisone foam and xylocaine gel but discomfort and discomfort continues. Pease advice what shall we do to ease this discomfort. Home remedies or oral pills. Please advice fast . Doctor: hello thanks for the quiery,, is it oral mucositis u r mentioning abt, u r applying hc foam, and xylocaine, r good medicines,,either ways plz consult with ur oncologist for review and treatment,, baking soda dissolved in water for oral rinse will help in oral mucositis,,topical anesthetics will also helps,,hope it helps,,tc"
},
{
"from": "gpt",
"value": "Target: What should be done for mucositis due to cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a friend who was diagnosed with Epstein Barr in mid Nov. He has been getting blood tests every other week. He says his blood antigen is suppose to be around 49 but this last time it was 499 !! He is seeing an infectious disease doctor this week. What would be causing his count to go so high? Didn t know there was a cost to this. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. During the acute phase do EBV (Ebstein Barr Virus) infection there is rapid rise of antigens and is a normal response and nothing to worry in it. It will revert to normal in couple of weeks. Nothing to worry in it. As of now take bed rest and drink plenty of water. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: What causes elevated antigen levels while suffering from Epstein Barr virus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: toddler, 22 month old grand daughter, head is sweating profusley while she sleeps.... no fever... room temp between 72 - 75... will get cooler as night progresses... cold water humidifier in use... is this normal or should I be concerned about anything? Doctor: Hi.... some times excessive sweating could be a manifestation of sympathetic over activity. Some times this can be a forerunner off hyper reactive Airway disease otherwise a wheezng disorder. If she is not coughing continuously and if she is not Breathless you need not worry about it. But if any of these symptoms develop I suggest you consult your pediatrician regarding this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes night sweats during room temperatures?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: findings of my MRI LS SPINE REPORT a. 1. Clinical history. Backache , radiating to right leg 2. Technique. Sagittal and axial images obtained at T1 and T2 weighted imaging protocol MR Myelographic images are also obtained. 3. Posterior central and right paracentral herniation of L4-5 IV disc with the compression of thecal sae and nerve roots. Doctor: Your problems and MR report both seem significant. Consult a spine surgeon. After clinical examination you may be suggested a conservative trial or intervention."
},
{
"from": "gpt",
"value": "Target: MRI shows herniation of disc with compression of thecal sac. Back pain radiating to leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey. i am 16 weeks of amenorea and a lot of contraction. i take natural progesterone utrogestan but I am living in Kenya and my doctor in kenya asked me to get an injection of primolut 250mg, I have called my doctor from my country in Belgium who said not to take that injection because its useless in my case and not good for baby and forbidden since many years in pregnancy in belgium, my cervix is closed but long of 2cm only and many contractions. primolut injection or not? thxs a lot Doctor: Hi there,,Both Primolut and Utrogeston are forms of progesterone and given safely in pregnancy. They are given in women whom we suspect to have threatened abortion to prevent from losing the pregnancy.Any one form of the progesterone is fine, you need not take both. They both have similar effectiveness and since you are taking utrogestan you should continue it. And more so if your cervix is long and closed the likely hood of you losing this pregnancy is very small.You need to relax and be positive, once reached 16 weeks and with cervix closed and no prior history of miscarriage, you are very unlikely to miscarry.Please continue the utrogestan till 24 weeks and relax. Also continue the Folic acid and other vitamins you may be taking.Anxiety and stress will only make matters worse, continue the utrogestan.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: Is Primolut injection advisable during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am a 50 y/o male who was wrestling with son 3 weeks ago and fell onto left side. I think I fractured a rib. Never got an X-ray. Pain is getting better slowly, but now I feel an annoying clicking feeling on deep inspiration, mid axilla at 7 / 8 rib. Is this normal in the healing process?Thanks Doctor: Hi, Thanks for your query Popping sound can occur post rib injury. You need an xray to rule out any bony injury. Meanwhile you can take antiinflammatory drug like ibuprofen to reduce pain and inflammation. Doing hot fomentation will be helpful. Hope this helps you. Warm regards"
},
{
"from": "gpt",
"value": "Target: Is it normal to have popping sounds during inhalation post rib injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was walking and a friend said hi so I turned around and not know that there was a brick post in front of me I slammed into it with my forehead there is now a very large bump with a red line down it on my fore head how long will it take for this to go away and why is there a red line in it and how can I make the bump go away Doctor: Hello and welcome...No need to worry about.Its a kind of normal body response to the injury called inflammation... It is characterised by pain, redness,swelling,hottness if the effected area..This bump is due to accumulation of extracellular fluid which contain useful products for maintain the normal structure...You can say that your body immune system is fighting for down there in the bump..It will disappear in one week...For pain you can take ibuprofen 400mg twice a day...Hope you'd understand...See you back in good health...bye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for large bump with red line on forehead after injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my lower left 3ird tooth from the back. I have been to the dentist. They want to do root canal on the lower left side furthest back tooth. Doctor: Pain in the tooth can be due to pulpitis as in your case.The pain can be radiated and show up on another area of the mouth at times. The dentist will check the X-ray of your tooth and suggest root canal. Root canal will relieve you of any pain in the tooth. Go ahead for the treatment :) hope this helps."
},
{
"from": "gpt",
"value": "Target: Need medication for pain in the lower left tooth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend experiences severe cramping on his left side and especially his abdomen when he ejaculates. If he takes a muscle relaxant about 30 minutes before intercourse the pain is not nearly as intense. Is there any over the counter drug that can help him since his doc won't prescribe any more for him. Doctor: HiGREETINGS Let him get a check up with an urologist to rule out any infection in genital system .Hope my answer helps you. Regards"
},
{
"from": "gpt",
"value": "Target: Suggest medication for abdominal cramp during ejaculation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor ! I am monisa and my father has undergone kidney transplant . But his creatinine level always increases. Will ragi ,barley , maize reduce creatinine levels and what foods should be taken to reduce urea levels sir ? Kindly plz answer me sir and I m waiting Doctor: Hi,Thanks for writing in.Diet is an important part of maintaining creatinine levels in kidney patients.Vegetable that are to be taken includes Bottlegourd/white pumpkin, cabbage , cauliflower, green peas, potatoes, carrot, spinach, french beans, brinjal / egg plant , ladyfinger, pumpkin yellow, mushroom, fenugreek leaves, capsicum, ridge gourd.Fruits which can be taken are Apple, red grapes, cranberries, blueberries, raspberries, strawberries, cherries, pineapple, pomegranate.Please give vegetables and fruits in required quantities and cooked with less oil and salt. Making it spicy should also be avoided.Please discuss daily water and fluids intake with the doctors."
},
{
"from": "gpt",
"value": "Target: Suggest foods to control urea levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 29 years old female and was diagnosed with a bulging disk early this year through an MRI, i was on therapy for three months but did not see any change improvement wise. i am always in pain and my right leg becomes weak and it gets so cold and there is this tingling feeling from the hip down to my leg and it is uncomfortable. Is there any exercise that can help to reduce the pain Doctor: Dear Sir , exercises are permanent solution to this, start with spinal extension exercises with physiotherapy like IFT and IPT after 7 days go with spinal strengthening exercises with Surya namaskar from yoga."
},
{
"from": "gpt",
"value": "Target: I am 29 and diagnosed with bulging disc. Any exercise to reduce the leg pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ive started to get a rash it started nr waist but now spead to buttocks armpit side body legs it get very itchy when touched and bright red after bath i had it a week now parts look better other parts spread ive stayed in house with 3 dogs wot all over me any idear? Doctor: hi there. your concern may be either acute urticaria or pseudo scabies.1. you can try teczine 10 mg tab daily one after dinner for 10 days.2. apply linical lotion to relieve the itch.3. meanwhile get examined by a dermatologist for physical examination and also have your pets examined by a veterinarian to treat the pets if they are infected.hope this may help you."
},
{
"from": "gpt",
"value": "Target: What are the causes for red rahses on all parts of the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Dr. Robert. recently my hematologist told me i have thalassemia trait. my hgb is always in range 110 - 118. i am a pipe welder and i really worked full hours as in 12 hrs everyday. my question is, can excessive tiredness/fatigue play a role in lowering my hgb? thanks in advance Doctor: Hi, dearI have gone through your question.I can understand your concern.No need to treat thalassemia trait. A person can live healthy life with it. Slight fatigue is common. Excessive tiredness is not responsible for lowering hemoglobin. But low hemoglobin leads to tiredness and fatigue.Hope I have answered your question. Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: How can thalassemia be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Shoulder pain when reaching high or reaching way across chest (fastening seatbelt, managing beltloops on trousers, etc). No particular sudden injury, but possible overuse in awkward heavy tasks lately could be the reason. Would like to aid healing by introducing stretches and push my range routines but concerned that might do more harm. Please advise, thanks. Curt Doctor: Hello, I have studied your case.It can be rotator cuff injury which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav"
},
{
"from": "gpt",
"value": "Target: What causes shoulder pain on specific movements?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for prostate cancer is a 6 month shot better or not then the monthly shot? my husband is currently on the monthly shot. he is undecided which to do.he has been on monthly for 6 months now. his total treatment will last for 18 months. he was told his cancer was very early stage. and mild . Doctor: monthly shot is better. there are no 6 month shots but once in 3 months shots are there. none is superior one over the other."
},
{
"from": "gpt",
"value": "Target: Is a 6 month shot or a monthly shot better for a prostate cancer patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a history of DVT and I am under anti coagulant till now, does this make any problem with zotreem plus ? Doctor: 1. Zotreem plus are slimming capsules made by Nutramax (mtco) company as food supplement. 2. Zotreem plus capsules are not recommended for people under 16 years and above 65 years of age, please mention your age? 3. It is Contraindicated in people with high blood pressure, so please mention about your BP limits?? and women who are pregnant and/or breast feeding. 4. company claims it to be 100% safe and natural herbal supplement, but if you want to continue with it,ask your healthcare professional about the same, probably it won't effect your health situation."
},
{
"from": "gpt",
"value": "Target: Anti coagulant with zotreem plus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir, My mother is 52 years old, she got a cytika pain in her left leg (waist to toes) from last 1 week...she has been continuously taking medicines as per adviced by the doctors, but she couldnt get relief from this pain. she is screaming from this pain, she copuld have nt sleep due to this pain, Kindly advice on this. Doctor: Get MRI of LS Spine. if any abnormality is found, consult spine surgeon. if it is normal go for physiotherapy & she will be alright."
},
{
"from": "gpt",
"value": "Target: How to get rid of cytica pain of legs ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 36 years old and my case is primary infertility after 8 years of marriage My USG report is:\\ Uterus with multiple fibroids in anterior and posterior walls measuring 20*14mm and 14.3*9.4mm and one is 23.6*16.4mm is submucous and ovaries have a cystic lesion occupying right adnexa and pelvis meauring 85.2*80.2*63.1mm in size displacing the uterus towards left. Endometrial echo is thickened hyperechoic measuring 16.8mm in size. Doctor: Hello. Thanks for writing to us. Multiple fibroids are usually responsible for difficulty in implantation. The persistent cysts in the ovary also need to be investigated. These may also be related to non functional ovaries. You need a detailed hormonal assay to know the extent of your ovarian function. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Primary infertility. Ultrasound done, multiple fibroids, ovarian cysts, thickened endometrial echo. Advise?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY FRIEND HAS ETOH CIRRHOSIS AND NOW IS IN THE HOSPITAL WITH CELLULITIS AND WHAT I UNDERSTAND TO BE AIR SIPHLIS. UNSURE OF THE SPELLING - HE IS ON IV VANCOMYCIN AND THE DOCTOR S PLAN IS TO CONTINUE THIS ANTIBIOTIC FOR 6-10 DAYS POST DISCHARGE FROM HOSPITAL - IS THIS INFECTION DANGEROUS TO A 5 YEAR OLD IN THE HOUSEHOLD? Doctor: Hello, Your question is not clear but I'm will answer from what I got. He is suffering from cirrhosis with cellulitis thats why they are giving antibiotics. Yes cellulitis is a infection it is infectious to children so keep away. Continue to take vancomycin as per your doctor advice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu"
},
{
"from": "gpt",
"value": "Target: What is the treatment for etoh cirrhosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc :) Can you interpret the semen analysis of my boyfriend... Thanks in advance:)) Appearance - transparent Viscosity - +1 pH - 8.5 Concentration. - 11.2 Motility - 18 Progressive. - 8 Non-progressive - 10 Total Sperm count - 16.8 Total motile sperm count - 3.0 Vitality - 30 Morphology Normal. - 1 Immature - Few Roun cells - 1.0 Debris - +1 Doctor: Hello and welcome to HCM The interpretation of the semen report is as follows: Appearance: Transparent- Normal Viscosity: +1- Normal pH: 8.5, alkaline- Normal Volume: Not mentioned- It should be atleast 2 ml/ejaculate Concentration of sperms: 11.2 million/ml- Low, normal concentration should be atleast 20 million/ml of semen Total sperm count: 16.8 million- Low, normally it should be atleast 40 million/ml Motility: 18 % out of which only 8% show progressive motility and 10 % show non-progressive motility, normally 50% sperms should show progressive rapid motility Morphology: Normal- Atleast 50% sperms should show normal morphology 1 immature cell and few rounded cells are a normal finding Interpretation of the semen report is that the sperm count is low and motility of the sperms is also low. These findings can lead to infertility. Thanks and take care Dr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Can you interpret semen analysis results?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have had a rash that starred when I was pregnant with my twins. It started on my right thigh and has then spread to both arms stomach and pubic area. When I was pregnant my Dr insisted that it was pupps. My twins are now 11 weeks old and the rash is still there and itchy. The odd thing is that my children are getting this rash as well. I m waiting on insurance so that I can go to a Dr or dermatologist so that I can find a solution to this. It is absolutely horrible and embarrasing. Doctor: Hi, There are two common possible diagnoses as per your complaint, one is Pruritic urticarial papules and plaques of pregnancy (PUPPP) which is non-contagious and remits after pregnancy. Secondly, your rash could be Scabies which is contagious and associated with severe itching at night. As your children are also having the rash, the chances for the rash being scabies is high. So, I recommend you to consult your Dermatologist to arrive at the final diagnosis and to manage accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for itchy rashes during and post pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: severe stomach pains in the upper right side under ripcage, had ulrasound done ,bloodwork etc, doctor thought it couldbe scartissue from a gallbladder surery 19 years ago but pancreas looked fine took antibiotics for 5 days and it feels like sandspurs raveling around and poking my insides ,also sometimes area feels warm to the touch what could that be? Doctor: HI.Thanks for your query, Read the history and understood your problem. You had gall bladder removal 19 years ago and in no way can create problems now. Your problem looks to be Costo-Chondritis. :: This is so much suggestive of a condition called costo-chondritis., although the reason here is known to be a trauma. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. I would suggest the following treatment.-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Lasix to reduced the edema.This sort of a treatment helps all my patients. and should help you too."
},
{
"from": "gpt",
"value": "Target: What is the severe pain and warmth in the upper abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with Psoriatic Arthritis. I started taking Stella shots every about 3 months ago. I have been breaking out with a rash in various places, my hands fall asleep and I ache all over. Today I have been completely drained and slept most of the day. I am usually extremely active and able to ignore the soreness. My eyes are also puffy and blurry. Doctor: Hi,Psoriasis is an autoimmune disease charactrised by silvery scaly plaques.Joints might be involved in psoriasis, as you have.Mental and physical stress may exacerbate , so you avoid tension and worries.Methotraxate 15 mg in devided dose in a week may be helpful.Aceclofenace may reduce arthralgia.In some patients of psoriatic arthritis, hydroxychloroquin might be helpful.You must consult dermatologist for proper treatment.I think, you may be improved.I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Rashes throughout body, body pain, puffy eyes. Suffering from psoriatic arthritis. Taking stella shots. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi There, my best friend who is 34 yrs old have a severe asthma attack, quick led to a heart attack and stopped breathing for 13 min before being resuscitated. After being in ICU for 6 days, doctors removed her breathing apparatus at 8pm last night and has been able to breathe independently for 11 hours since. I realize she most likely sustained some brain damage , but do you think she mte be able to continue breathing for long and survive (despite her vegetative state)? Doctor: HiI am sorry about your friends conditionthe brain damage may be cause of decreased supply of blood at the time of the attack.and the recovery of this takes time.and as you said, if he is breathing back after extubation, that is a good sign of quick recovery.and the asthma and the damage to the brain has very less relation. because the asthma is more of a defect in airway, whereas the brain damage is more of the nerve stimulus to take breathing.so we can assure his recovery soon.Happy Recovery."
},
{
"from": "gpt",
"value": "Target: What are the chances of survival after sustaining brain damage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What a mechanism giving rise to ischamia of the kidney and what is the example ? Doctor: mechanis is thromboembolism. example is renal cell carcinoma"
},
{
"from": "gpt",
"value": "Target: What does it mean by Ischaemic Of the Kidney ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is 58 years old, 5-ft 10-in tall and weights 185 pounds. He is active. He has taught 4th grade for over 30 years and this past year was especially difficult (troubled kids, families...) Starting about March of this year he has slowly grown more fatigued, forgetful, and indecisive. I don't even \"know\" this new guy. He went to his doctor and was said to be \"fine\". He is not fine. Ideas? Recommended tests? Depression?Thank you for your thoughts.Patricia Baer Doctor: Hello Patricia.I have gone through you post. From what i could gather, your husband has been a teacher for last 30 years and was fine until about 4 months back when he started getting more fatigued, forgetful and indecisive. At this age, after family troubles, he might develop reactive depression, which might manifest as low mood, poor attention and concentration resulting in forgetfulness, a deterioration in sleep and appetite with occasionally expressed sadness. A more sinister development at this age might be some organic lesion of the brain like cerebro-vascular disorders or dementia, though 58 is a little early for dementia, which at the initial stages might present like this.At the initial stages, these findings might be missed by a physician who is not sufficiently trained in eliciting these disorders, particularly the subtle signs. Therefore i suggest you visit a qualified psychiatrist and get him evaluated, clinically and using both neuroimaging as well as neuropsychological tools, to get to the problem and then follow the management plan as prescribed.Hope this helpsRegardsDr A Rao Kavoor"
},
{
"from": "gpt",
"value": "Target: 58 year old, slowly grown fatigued, forgetful, indecisive. What could be this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i am 26 year old. my abdomen hurting on bottom right side. it hurts when i breathe in and sneeze and when cough .pain is not too much i can bear it. even i am going office with it. but i am afraid that it could be some serious problem. i have no fever, no vomiting, appetite is normal. no difference on stool and urine. but sometime my neck hurts. but it might be because i use much pillows when i watch tv. Please help me if i have any serious problem. Doctor: Hi, Thanks for posting your query. With the available described symptoms, there appears to be possibility of Acute viral upper respiratory tract infection with muscle ache. Myalgia is an integral prodromal symptom of viral infection. You should consult with internal medicine specialist and should go for thorough check up. You should also go for complete blood count, erythrocyte sedimentation rate, chest x ray. You should take complete antibiotic course, decongestants, mucolytics and muscle relaxants. You should avoid cold drinks and oily food. Perform gargles three times in day; a glass of lukewarm water with a pinch of salt. Take care, Dr. Mayank Bhargava"
},
{
"from": "gpt",
"value": "Target: Having abdominal pain, sneezing, breathing, coughing causes pain, neck pain. Serious problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a query related tooth decay.I saw black colour on my teeth then I went for treatment and then at the time of drilling for filling bleeding started. then she said I have to go for RCT. she just did temporary filling there then I thought to consult another doctor then he said wait for 1.5 month ,if no pain persist then come they will go for permanent filling I went there after 1.5 month and having no pain so they did permanent filling,after 4 days of permanent filling I am just seeing that my tooth colour is again changing to black and iI feel pain during chewing the food. Doctor: Hello, thank you for consulting with healthcaremagic. Actually when the decay of tooth is deep it involves the pulp and there is need for root canal treatment of the tooth, as pulp is a vital part of tooth which maintain its white and trancelucent color, so if your tooth is becoming black you have to go for root canal treatment. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What could cause tooth decay and turning black after permanent filling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I never had a problem of lower back pain, suddenly since last week the pains come in the morning but goes away when I hit the gym. My weight is 95 kg and height is 5 feet 9inches.I do sit long hrs in the front of laptop in my office and I have corrected my sitting posture also .What should be line of action? should I consult a orthopedic or wait this pain to subside.with regardsvijendra rawat Doctor: Dear patient It seems you are getting morning stiffness of spine which may be early symptom of inflammation due to arthritis.please consult orthopaedic surgeon nearby you and get yourself examined. I would like to advise radiograph of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. All the best"
},
{
"from": "gpt",
"value": "Target: What is the treatment for lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: pain and worry i have had for 3 weeks now my shoulder and my back and my shoulder and my back all over and down my spine i have had severe pain and burning like its got hot needles in it it is tender to lay on or have anything touching it. i woke up 5 days ago with a noticeable bump on my shoulder and it was bruised all the way around the mass and white bulls eye and some of the skin was scratch. i went to the doctor and the medication hasn t worked it looks like its getting worse and spreading . Doctor: Hello, Thanks for your query.The symptoms that you are having are likely to be due to a nerve root compression at spine. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment. The initial management for this problem is conservative by following means : - Bed rest - analgesics and ocassional muscle relaxants - Methylcobalamine preparations which helps to alleviate your \"pins & needles\" sensations - Back support while sitting for longer periods I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Why do I have pain in my back and shoulder down upto my spine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi a year half ago I had an operation in my back most likely in my hear because of my veins being tangled and I was really badly I had to get an energy operation. Now that it almost been a year half ago I been having the same symptom I had before the operation like vomiting,headache , back and neck hurting.does this have to do with the exercising I been doing? Doctor: Hello, With these symptoms and previous health issues subarachnoidal hemorrhage should be considered and evaluated further.I think that you should get evaluated by your Neurologist and by brain MRI for a correct diagnosis.These symptoms seem not related to exercise. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical"
},
{
"from": "gpt",
"value": "Target: What could cause vomiting,headache,back and neck hurting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small hard lump in my mouth at the jawline on bottom left side. I have a crown on the tooth that the small hard lump is under. About 2 months ago I had a filling done on the tooth in front of the crown. I will tell you she gave ma alot of shots to stop the pain (about 5) She said at the time \"I have given you enough for an elephant\". Well now I am nervious because, it has a lump under that area. It is a bit sore, not horrible but noticeable. What do you think it is Doctor: Hello There, Painful hard lump under the tooth in which you had pain and infection indicates infection still persist in the same.So i would like to suggest you visit back to your dentist as soon as possible and get the thorough clinical examination done and x-ray of the same tooth for confirm diagnosis and take a proper treatment accordingly.Meanwhile you can perform warm saline gargles 3-4 times a day.Nothing to get worried.Take Care.Dr.Gunjan Gupta"
},
{
"from": "gpt",
"value": "Target: Small, hard lump in mouth under the crown of tooth. History of filling done on tooth in front of crown with multiple shots given. Thoughts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please tell me the solution of left kidney is all right and stone is not shown in but right kidney have a problem result shown right kidney size upper limit of normal with fullness seen in the collecting system ? infection normal left kidney and urinary bladder. Doctor: this can be congenital PUJ obstruction. this may require surgical correction depending on the severity of obstruction, split renal function. before hand do a diuretic IVP or renogram"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for enlarged right kidney"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. On March 3rd I went to the hospital to have 2 hernias repaired. They gave me Propofol to put me under and immediately woke me back up. Said my heart rate jumped to 150 when it had been 49. They then called in a heart doctor who has given me every heart test he can think of to see what is wrong with my heart. I have clean arteries, and low blood pressure but my doctor is giving me 2 blood pressure medications to mend the electrolytes in my heart and now wants to have me get a pacemaker, when he knows it was caused by the Propofol. Even the nurse told me that is what caused the problem. I do not want a pacemaker if it isn t necessary for one thing, and do want to quite the blood pressure meds. They are: COREG carvedilol 3.125 mg. 2 a day, and ramipril (Altace) 5mg once a day. They make my stomach hurt. Doctor: Hello ..do not fall suddenly in conclusion...most probably Ur doctor done holter in Ur case ...some rhythm abnormalities he might have found which needs pacemaker ...if u can send Ur ecg echo holter reports then I may help u for second opinion... take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rapid heart rate"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is 81. ha enlarged prostate[benign].given Veltam plus and taking for almost 25 days. 25 days prior he could not urine and had to use catheter for the first time to drain urine.now he is passing good amount of urine but sometimes feels a burning sensation while passing urine which goes the moment he passes urine. his urologist has asked him to see him after a month.is the burning sensation because of veltam plus. he doesnot have any other problem.no medicines expect supradin(vitamin) once a day.kindly please guide me. Doctor: Hi,There might be mild burning urination because of the fact that he had an indwelling catheter for some time, but this should not be a problem and will disappear with time usually. Veltam is a reasonably good rug in that it will help your father avoid retention of urine, especially if it has been combined with Dutasteride. Importantly, your father might be feeling he is voiding urine well, but the correct estimate of how well he is voiding is to get a test called Uroflowmetry done, followed by an estimate of post-void residue in bladder. If the flow is poor or if the residue is very high,he could still benefit from endoscopic prostate surgery which is, under normal circumstances, a very simple procedure."
},
{
"from": "gpt",
"value": "Target: How safe is Veltam plus for enlarged prostate ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my wife was diagnosed with typhoid with kidney infection & UTI . Blood cells were numerous and fever was 105...She was then hospitalized. Fever came down and Blood cells were reduced to 40-45. Kidney functions were normal . All the tests were done. After hospitalization , She was treated with 15 days course of Ofloxacin and then 30 days of course of NIFTAS-SR. Blood cells are in the range of 10-12 for last 1 month with serum cretinine as 0.8. It s not going away...Can you suggest what should be next course of action ? Doctor: Hi, Thank you for your query on Healthcare Magic. Your wife seems having urinary tract infection due to which she developed high grade fever and high count of pus cells in the urine. The information you provided of reports is insufficient and depending on this information it is difficult to give advise. What about the widal test report? What are the results of the other reports ? Your wife received antibiotics for urinary tract infection with oflaxacin and this antibiotic will work in Typhoid fever also. NIFTAS-SR contains the drug nitrofurantoin which was kept as a prophylactic antibiotic to prevent the further urinary tract infections. I advise you to meet a general physician for the interpretation of the results and for further advise. Hope I have answered your query. Regards."
},
{
"from": "gpt",
"value": "Target: Diagnosed with typhoid with kidney infection & UTI, taking cap. What should be next course of action ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well, im 12 and half years old. i weigh 98 lbs. And i am extremely gassy and eating more than usual. and i m moody. I m also very lazy. and im feeling weird in my lower stomach. oh, and also i have been having discharge for a while. like a year. And it suddenly got extremely heavy. Could my first period be coming soon? Doctor: Hi, yes these are signs of puberty. Mood swings are usually seen at the start of menses. Take care."
},
{
"from": "gpt",
"value": "Target: Are mood swings, increased appetite and discharge signs of arriving puberty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been suffering chronic neck back pain for over a year now with no out come.i have seen drs.but just turn me away, i also have siatica.my own dr is brilliant.he even doesnt know why .i havent had treatment.so where do i get treatment from.i feel let down .my pain is 24/7.chronic pain. Doctor: Hello, I had gone through the case and found that you must go for MRI to know the exact cause of pain. Also do vitamin D3 and Vitamin B12 blood test.It might be cervical and lumbo sacral spondylitis.Meanwhile take mild painkiller and apply muscle relaxant gel.After diagnosis go for physiotherapy, it will help to subside the pain.If vitamin D3 and Vitamin B12 deficient then take Vitamin D3 once a week and meganeuron od once a day.Hope my answer will be effective for you.Thanks"
},
{
"from": "gpt",
"value": "Target: How to treat chronic neck and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been surfing the net to find treatments for keloids and most of the treatment include creams, surgery, radiation etc, and I was wondering if keloids can be treated as an autoimmune response with allergy type medications to curb the itchiness and medications like neprinol to control the scar tissue? Doctor: SRT SUPERFICIAL EXT BEAM RADIOTHERAPY IS THE MOST AFFECTIVE TREATMENT. THE REMEDIES U DESCRIBED HAVE MUCH LOWER EFFICACIES. THEY CAN BE OF ADJUNCT SUPPLEMENTAL VALUE BUT NOT THE TREAMENT ITSELF. THANX"
},
{
"from": "gpt",
"value": "Target: How to cure keloids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on varying strengths of Prednisolone for three years and am concerned about side-effects I had to come off Alendronic Acid six months ago due to a heavy bleed from my rectum . This was investigated but was inconclusive- hospital thought it was from the Diverticulitis of which I was aware, having been diagnosed twenty odd years ago. I Also have a Hiatus Hernia which is troubling me at the present time, especially when taking tablets last thing at night. Due you think I should contact my GP about my concerns ? The blood was like black tar. Thasnk you. Doctor: Hi and welcome to HCM. Diverticulitis wouldnt actually cause bleeding per rectum. THis isnt something usualy. Most common are rectal lesions such as hemorrhoids,fisurae,angiodislypasie or polyps, and less common but possible are malignancies. If bleeding happens again colonoscopy or irigography should be performed.Prednisolon has many side efects, its dosage should be adjusted if these sideeffects are intensive. Hiatal hernia causes swallowing dificulties especially whenn tablets are taken. Also it may cause stomach damage due to raised acid secretion. It can be surgically repaired if necessary.DO gastroscopy at least 1 in 3-4 year to evaluate it. WIsh you good health."
},
{
"from": "gpt",
"value": "Target: Diverticulitis, hiatus hernia. Taking Alendronic acid. What can I do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a severe pain in my outside forearm when i try to rotate my arm or twist my wrist such as opening a door knob. I can move my arm up and down with no pain and flex my arm with no pain, only the twisting motion causes it. I noticed the pain almost immediately after lifting weights. What is causing this horrible pain? Doctor: Hi there, thanks for your question. Pain on the outer aspect of your forearm specifically on rotatory movements, suggest a pattern of pain similar to that seen in tennis elbow. Due to repetitive stress of such rotatory movements , suttle micro damage happens to the flexor muscle attachments in outer apsexy of firearm.Test, Ice and analgesics help relive the pain. I would suggest you to strictly avoid rotatory or screwing movements of your forearm. You can use a band similar to tennis elbow band, applied about 2 inches below your elbow, where you can see the main muscle mass. Doing this over 4 weeks , you il have significant relief. If the pain still persists or the pattern changes. you need to see your physician for further tests.Hope this helps.All the best.Regards. Dr.SBK"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe arm pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: FIRST OF ALL IM 41 YEAR OLD FEMALE ..I HAD A TOOTH TAKEN OUT 2 YEARS AGO I HAD A FALSE TOOTH PUT THERE ,IT CAME OUT I WENT TO THE DENTIST WHOM TOLD ME THAT A NEED ANOTHER TOOTH OUT AND TO HAVE A DENTAL BRIDGE FITTED FOR 2 MISSING TEETH ,THIS HAS BEEN PLAYING ON MY MIND ,THE TOOTH THAT NEEDS TO COME OUT IS MORE THAN BROKEN OFF AT THE GUMLINE ..I AM TERRIFED OF THE DENTIST ..ITS THE THOUGHT OF MT TOOTH BEING TAKEN OUT AND WAITING FOR MY BRIDGE TO BE FIITED PLEASE HELP THANKS Doctor: Hello and thank you for your question. Yes I trust the treatment plan that your dentist is providing based on the information given to me by you. The tooth that is broken off at the gum line is serving no purpose and would be better removed than retained. You are at an increased risk of infection and abscess formation leaving the broken tooth in. when you get a bridge you need to have strong abutment teeth to hold the bridge in place. If the teeth are mobile then they are not good candidates for bridge support. Best wishes and good health Dr. Ward"
},
{
"from": "gpt",
"value": "Target: Loose false tooth, advised removal of adjacent tooth, fitting a dental bridge for missing teeth. Is it advisable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i ve had alot of symptoms that point to pregnancy like headache, back ache, dizziness, nausea, tiredness and weight gain plus it feels like fluttering movements and my periods have been light in colour and only lasted for 4 days not 5. Can you help? Doctor: dearsymptoms described by you is present in other conditions also.headache is not common in pregnancy .as you have light period, would advice you to go for urine for pregnancy test.do it with morning sample of urine.dr. Mira Butani"
},
{
"from": "gpt",
"value": "Target: Does very light menstrual discharge with dizziness and nausea indicate pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I used nair for my bikini area and got some on my genitals as well.I have a stinging and burning sensation especially when i urinate.Uncomfortable feeling all around,sitting,walking.How and when will I have any relief? What can I do to help myself heal and what should i steer clear of (obviously razors and depilatories) till i heal?Thank you. Doctor: HI, thanks for using healthcare magicIt can take 2 to 3 days for the symptoms to decrease.You can use sitz baths to see if it helps. This would involve sitting in a sitz bath with warm (not hot) water for 10 to 15 minutes , 2 to 3 times daily.Normally table salt or epsom salt is added to the water.The use of anti inflammatory pain killers would also help eg naproxen, ibuprofen or cataflamI hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stinging and burning sensation when urinating"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m 49 year old female, witha history of gerd 15 years, have had upper right quadrent pain for 2 weeks,I also have a hiatus hernia for 10 years. Now the pain is in and under my sternum, excruitiating chest and upper back pain between my shoulder blades. When I eat feels like food is stuck in my esophagus , very painful. after i eat my stomach just kills me. Had a ultrasound on friday, they said i had a distended gallbladder. Doctor: hello thanks for ur query u have gerd for 15 years with hiatus hernia for 10 years distended gall bladder is a vague term is there any pathology...stone something like that???? u need to consult a gastrosurgeon, need to have a proper evauluation of hiatus hernia and if needed surgery should be done to correct it...otherwise u should not have relief of ur gerd symptoms i think ur all problem regarding ur complaint ll be releived in the mean time u may try pantoprazole, itopride combination u need to have atleast an ECG done thank u"
},
{
"from": "gpt",
"value": "Target: Having distended gallbladder. Pain under sternum, chest and back. Food gets stuck in esophagus and painful. Having history of GERD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 7 weeks ago I had my gallbladder removed laparoscopically and an umbilical hernia repair. Although all was normal with my belly button (which is once again an \"innie\" since the hernia repair, I have a swollen lump inside my belly button. It does not hurt and feels kind of soft. I was treated a few weeks ago with antibiotics for an infection from the surgery. Could this new lump be another infection? What is it? Doctor: Hi and welcome.This may be small hernia at site of port placement or just postoperative fibrosis or fibroma at area of scarring. This is nothing to be worried It wont cause any permanent difficulties.. Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: What could this new lump be post gallbladder removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i am kalva and i have a son of 4 and a half months old and he weighs 6:7 kg.He drinks mother milk at night 4 to 5 times in between his sleep.I need some help in regard to feeding during his sleep, because i am lacking sleep because of feeding him during nights. Doctor: DearWelcome to HCMWe understand your concernsI went through your details. Please understand that is not an excuse. Babies require mothers milk at least up to 12 months. Their stomach is small and because the food is liquid, the digestion system acts fast. Naturally child want to refill his stomach. It becomes mothers duty to feed the child when the child is hungry. You can talk to elders, how they managed the same scenario. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest diet plan for a 4 1/2 months old child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doctor i get angry very soon and will shout at every one forgetting the surrounding ,because of that i am suffering a lot especially in my family life,but when the next moment i realise my mistake i regret for that, my husband and kid is suffering a lot because of me ,after each incident i regret and decide not to repeat but then i couldn't control, i doubt whether i have some mental problem , Doctor: It is really nice that you are aware of what you are going through. I think that you are experiencing intermittent explosive disorder. Aggression is a part of the nature of human beings. It seems reasonable to be angry when things don’t go the right way. However looks like you have a tendency to be upset and irritated with minimal provocation and do not know how to express your frustration rightly.Everything that anybody thinks, feels and does is controlled by the chemical activity in our brain. Certain neurotransmitter (brain chemical) alterations in the brain are known to generate belligerent behavior. Also, aggression and frustration may attributed to hormone changes. have you noticed that this happens more at specific times in the month?. Certain external factors like hot sultry climate, crowded and unclean surroundings, too much crowd, exacting demands at work, interpersonal stressors, financial constraints, excessive noise, pollution etc. all can contribute to aggression.I would really suggest that you meet with an expert to get this assessed. There are structured behavior modification techniques, tips for self-change and improvement, relaxation, visual imagery, as well as biofeedback mechanisms which help people cope with their aggressive impulses. Cognitive tasks facilitate introspection into your aggressive outbursts and their antecedent events so that triggers can be identified and dealt with well in time. The important step is insight into your aggressive behavior, and cognizance of the ill effects these can have on your life in general. Self-change can only be initiated by the self. After all it is the stepping-stone for self-growth. Do get help so that you may improve your life and your relationships."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for short temper and aggressive behavior"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a strange feeling in my left side near my abdomen and sometimes round towards the back. My bowel habbits have been a lot looser than normal could these be signs of bowel cancer. Im waiting to have blood tests done for anemia.I am 37, female, factor viii clotting and on warfarin to prevent more pulmonary embolsm. I went to the docs today about feeling rubbish, and am waiting to have bloods done for anemia, diabetes. Doctor: Hi,Thanks for writing in.Cancer symptoms of bowel includes sudden change in bowel habits like constipation or diarrhea. Some people also experience bleeding in stools. Unexplained loss of weight can also be seen in bowel cancer.Since you have recent onset diarrhea then you should get a detailed cancer screening examination done. I suggest you get your stools tested for occult blood till the time you have to wait to see your surgeon. If there is occult blood in stools and as you have strong family history therefore you should get a colonoscopy done. It will locate any abnormal areas of polyps which are precursors to colon cancer.Doing colonoscopy and ultrasound scan of abdomen might highlight any suspicious area causing you the strange feeling whether inside the bowel or anything on the outside. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of bowel cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I know this sounds nuts but I think I have hair growing on my tongue, I know I have read about it on medication before but I wasn't taking anything when this started, what do I do and is it possible or could it bee that the follicles on one area of my tongue just so happen to be a lot longer then the others and brown ? Doctor: Thanks for Using Health Care Magic.Read your query.Hairy tongue would be most possible diagnosis for the symptoms described ,which is usually harmless.It is due to the dead cells of the papillae on the surface of your tongue which has the taste buds.Usually resolves on its own.I would advice you to continue practicing good oral hygiene and stop using products like tobacco if you use. Brush your tongue with a soft bristled brush to remove dead cells, bacteria and food debris. Rinse your mouth regularly before and after eating with water or a mild mouth wash. Visit your local dentist and have it evaluated.Hope this was helpful.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: Can hairs on tongue be related to follicle growth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam 25, male,having burning sensation in my stomach, have been diagnosed for acidity a few months back. It was cured on a 3 month medication. After fasting for the month of ramadan, i suspect the dawn of acidity again and has been taking histac 150 and moxal plus ( self medication) . Can i continue with the same Doctor: Hi,Thanks for writing to HCM.Now we have much better drugs for acidity like ppis which include omeprazole, pantaprazole, etc.Try something from these for better results.RegardsDr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for burning sensation in stomach"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is Jason I am 19 years old, I have been in a little fight with my mate and he had basically punched the left side of my face, on my cheek and temple and eye felt touched mostly, and now there is a swelling on the left temple, my left eye feels a bit heavy, and my jaw hurts when I open it to eat something, the temple hurts, also a slight pull in the ear, even when I raise my eyebrows. I feel tired, but maybe the reason is because I slept late because I heard you should not sleep for a few hours if you get hit in the head. What do I do? it has given me a slight headache also. This happened last night and after 2-3 hrs I fell asleep. this happened at around 4.30am. Thank You. Doctor: There is no reason to worry However i recommend using anti inflamatory for 3 days , if you do not improve then i recommend seeing a neurologist to check your facial nerve (it is highly unlikely )Good Luck"
},
{
"from": "gpt",
"value": "Target: How to treat hit mediated left sided facial swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For about 9 months or so,I have had slightly swollen lymph node in my right armpit...and it continues to slightly swell a little more and it's getting painful to even put deodorant on.for about the same amount of time,I keep having recurring itchy small sores on the top of my scalp. Not sure if I'm allergic to shampoo or if these 2 things are related? Doctor: Hello,I do not think that your scalp problem is related to lymph node enlargement in axilla. It seems that you are having any infection in your breast part that is causing such lymph node enlargement. I would suggest you to get needle examination of the lymphnode.(FNAC) it will confirm the diagnosis. Scalp problem is more likely due to some allergy and you need to discuss that with your skin specialist. I hope these steps will be helpful for you.Let me know if there is any other followup questions.thanks"
},
{
"from": "gpt",
"value": "Target: What causes painful and swollen lymph node in the armpit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a spot above my penis in my pubic area. Its only 1 spot and 15 months ago i had unprotected sex and i think its herpes or genital warts . But i dont know how long it takes as its been over a year and i just got 1 spot now? It might just be a spot its small and its red around the outside and has a small white pimple bit in the middle. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have what is termed as Sebaceous Cyst over pubic area.The skin around the genitals and scrotum is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac).Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Red spots on pubic area, had unprotected sex. Herpes or genital warts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 59 yo, 6 0 , about 170 lbs. Played drumset for about 35 years. Was athletic in younger years. History of Cardiac bypass in 2001. Currently experiencing soreness and pain on inside portion of left kneecap. Discomfort is intermittent. Should I be concerned or chalk it up to simply ageing? Doctor: Hello,Your symptoms could be suggestive of chronic degeneration of the knee joint. I recommend consulting with an orthopedist and performing an X ray of the joint. Performing a knee joint MRI may be needed.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for soreness in kneecap"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a 40 year old female with avascular necrosis of the femoral head. I had a free vascularized fibular graft at Duke University Medical Center 10 years ago and am now again beginning to experience symptoms of AVN. I live in Northern Colorado and my follow up doctor moved away several years ago. I am trying to do a search to find a specialist in my area who has experience with AVN and am not coming up with much. Do you have any suggestions for my search- and if you know of any surgeons (top surgeons- anywhere in the U.S. ) who are known for doing THP on patients after a free vascularized fibular graft that would be extremely helpful. Thanks. Brandi b Doctor: Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.I think Dr. Joseph Ciotola MD in Baltimore is very good specialist for your problem.Dr. Selmani"
},
{
"from": "gpt",
"value": "Target: Who can do THP on patients after a free vascularized fibular graft?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hiii i m gettin certain electric shock kinda sensations only on my left arm starting from my shoulder joint till mayb mid of upper arm.its sudden lasts less den a second..i m 24 yrs old right handed and weigh 49 kgs approx 5.2 feet tall...its happening since almost 2 years on and off...smetyms twice a day..smetyms once a month..oflate experiencing almost evry alternate day..history of fracture of both left and right humerus wen i was 8 and 9 yrs old respectively.bt no complaint as such from right hand or shoulder...my left shoulder joint and my entire arm aches randomly bt almost evryday since two years..also experience dull neck and back ache and mild anxiety at times Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to:1. Compression of nerve fibers at the shoulder region or upper arm due to maintaining inappropriate posture.2. Inadequate hydration status & electrolyte imbalance of the body.3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.Physiotherapy & postural exercise will also be helpful.If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.Wishing you a Good Health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes electric shock sensations on arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had rib surgery to remove a lump, they took out a small portion front left side just under breast, sorry don t know the rib number the surgery was a year ago. Now I have tenderness below and to the side of where surgery was, not at the sight of the surgery. The area that is painful I can cover with my entire hand it is quite a large area that is tender and if I apply slight pressure it is very painful, I keep looking for a bruise but there is none I never hurt this side. Prior breast cancer on the same side , left breast. What could this pain be from? Doctor: as you already had breast cancer on the same side with the removal of the rib, which may be suggestive of involvement of the bone(rib) on same side by the cacner. The pain due to infiltration by malignancy is a continous type with local tenderness.i need to know the histopathology of your operated breast speciman for bone involvement. Malignant pains should be treated according to WHO ladder based drugs, starts with NSAIDS like voveran etc. you can also consult palliative care specialist for the same."
},
{
"from": "gpt",
"value": "Target: Had breast cancer, had rib surgery to remove lump, painful, tenderness in the area. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fractured my ribs two weeks ago and also have bruising to my sternum. I have a couph ever since and very Flemish and low grade temperature. I have diabetes and high blood pressure. No medication because my doctor says flen not dark green,has been light green. Just rest for 8-10 weeks. Doctor: Thanks for your question o HCM.Rib fracture causes pleural breach and pulmonary contusion on lungs.So due to this inflammation is present in that part of lung which gives you phlegm and chest pain on coughing.Better to start anti inflammatory and broad spectrum antibiotic to prevent infection.Also wear chest belt for minimal mobilization and thus rapid healing of fractured ribs.Avoid heavy weight lifting and strenuous exercise."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for cough with phlegm after I fractured my ribs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 5 days i went to a barbar shop to have shaving. he used another razor than he kept the blade in a diluted solution may be a dettol or phenyl solution but he again took the blade amd shaved a little hair left, i remember i didnt got any cut. it should be noted that after completion of previous customer shave he kept his blade in the same solution. eventhough he used new blade for my shaving but i m concerned. can i be infected with hiv virus. plz rply soon. Doctor: HI Thanks for posting your query. No there is no chance that you can get infected . He has used a new blade but kept it in the same solution right , the virus will not stay alive in the antiseptic solution so there is no way that the solution is contaminated and in turn you getting infected. So just relax . Regards."
},
{
"from": "gpt",
"value": "Target: Is hiv infection possible if shaving blade is kept in same solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i take test today mrng it became 2 lines one is thick pink and another one is light one it shows me i am pregnant .am i right if s i am so happy.i take this after 2 days when my period stops. is it right??and one more thing is i have go to journey for 4 days ,is it harmful for my pregnancy if s pls tell me the precautions which will i take????????? my journey on tomorrow. from escaping from bleeding can i take tablets which can stop periods Doctor: congrats you are pregnant. yes you did the test in right way. You can go for journey but take care it should not be long and exhaustive. start folic acid tablets daily."
},
{
"from": "gpt",
"value": "Target: What precautions should be taken during an early pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I pulled my chest muscles on Thursday june14 is when they started hurting,, Friday wasn t a good day today when I wok up it felt better I did a little bit more today now they are acting up, my question is what is the feeling I have like something rolling over my ribs and hurts when I breath hard? Doctor: Thanks for your question on HCM.I can understand your situation and problem.In my opinion you are having musculoskeletal pain due to muscle pull and related chest pain and difficulty in breathing.But better to get done chest x ray and PFT (pulmonary function test) to rule out lung causes.If both are normal then no need to worry much.You ate having musculoskeletal pain mostly.So try to follow these steps for better symptomatic relief.1. Avoid strenuous exercise.2. Avoid heavyweight lifting.3. Avoid bad postures in sleep and movements causing pain.4. Start painkiller and muscle relaxant.5. Apply warm water pad on affected site.Don't worry you will be alright."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in chest and difficulty during breathing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is about 77 yrs. he is suffering from psoriasis , he has red patches in the scalp and almost the whole body . is psoriasis causes any spine problem?his doctor prescribed some medicines . pls. suggest me whether these medicines are correct MEDICATIONS1. AZITARUL2. OCTAMOP3. TOPISAL OINTMENT4. EMODERM5. ATARAX6 . IONAX TSOLUTE Doctor: Welcome to H.C.M. I am Dr Krishna Dubey.Medicines prescribed by doctor are good but this is only symptomatic treatment.Psoriasis can also affect spine and nearly 20 to 22 percent people affect from spondylitis(spine involvement)Dear friend, in allopathy there are not any complete treatment of Psoriasis.In allopathy treatment for psoriasis is only symptomatic.In Ayurveda (but at rare places in india) complete treatment is possible.I was also suffering from palmar plantar psoriasis and but i completely cured 7 year ago by ayurvedic treatment . Thanx for query."
},
{
"from": "gpt",
"value": "Target: Does psoriasis cause spine problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my left arm all the time. It s a throbbing type of pain, primarily between my wrist and bicep. Sometime feels like pins and needles. I am 54 years old, female, don t smoke, blood pressure runs low, and I am not over weight. Possible causes? Doctor: Hello, As the symptoms of pins and needles indicate nerve entrapment. It can be at the cervical spine level but we need an assessment to advise for MRI. Doing exercises like static neck exercises, shoulder stabilization exercises, upper limb strengthening exercises should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes pain in left arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffering from an ulcer (small cavity)in my tongue at the right side edge causing from teeth sharpness.So many times I have visited dentists and finally removed 2 teeths No 6 and 7.But still it has not been cured and now a days No 5 tooth and the no 8 tooth are disturbing during chewing anything.It is paining very much.What s your suggession? Doctor: hello & welcome ma'am removal of tooth is not a solution of your problem at all. you have to visit to your dentist for a permanent cure. if there will any sharp edges teeth than selective grinding of teeth may be done. some occlusion problem may be there & reason may be tongue thrusting, collapsed arch etc. for that you have to opt for orthodontic treatment. till than start up with multivitamin capsules & topical anesthetics."
},
{
"from": "gpt",
"value": "Target: Tongue ulcers caused by sharp teeth, pain on chewing. Teeth removed. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, I am married for 2 yrs and we decided to plsn for a baby now .Went to a Gyn for a regular check up .My hubby will be out of town for few months ..hence told the doc bout it ..she told me to take clomid from day 2 for 5 days ...i had three folilles developed o day 13 ..we had sex during that time..from Day 13 she has given me Ovigyn d tablet and antioxidant supplements to be taken daily..i am taking these even now ....also she gave me an Injection (HCG) on day 13..I am ..My last period date was 17th to 20th August'11 Doctor: you are taking good drugs. so don't worry. you will be mother of a baby soon. take care. and if possible go for ultrasound."
},
{
"from": "gpt",
"value": "Target: What are the chances of conception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is it ok to fly with having type 1 Chiari? Doctor: Thanks for the query The cabin in a plane is pressurised so that normal atmospheric pressures are maintained even at heights. IT is safe to travel by plane but make sure his vitals are stable before the flight Have a healthy living"
},
{
"from": "gpt",
"value": "Target: Is it ok to fly with having type 1 Chiari?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm a 16 year old female and have got a couple of light bruises on my knees and one that hurts on my elbow. I have had a cough for about 3 weeks that has gradually got better, but i just coughed and had a metallic taste in my mouth. I also have mild chest pain when breathing in deeply. I felt sick a few times and had like a bruised pain in my knee and achilles that came for a day then went, do you think I might have leukemia? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. No need to worry for leukemia. In my opinion, you should get done chest x ray to rule out lung infection (pneumonia). You are having cough, chest pain on breathing (pleuritic pain) and metallic taste in mouth, all these can be seen in pneumonia. Pneumonia is caused by infection (bacteria or virus). Some of them can cause knee pain and rashes. So better to get done chest x ray. If pneumonia is there than start antibiotics. If still your knee pain and rashes are there than consult dermatologist for skin lesions. No need to worry for leukemia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes metallic taste in mouth after coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have brown, dry, rough, flaky skin in my armpits, on the back of my neck and on my chest. I've been to several doctors and each gave my some sort of cream, but it has never completely gone away. Its gotten worst lately, is there anything to sooth it until i can go to the doctor again? Doctor: Hivthanks for using Healthcaremagic The causes could be1.Acanthosis --When we develop insulin resistance there will be darkish discolouration of the skin occurs especially neck.Usually this is seen in obese individuals.Othwrwise also when the insulin resistance occurs you can have this...2.Thickening of the skin also can cause these problem..You can apply moisturising cream 3.Fungal infection is another cause.But you will have itching around the area..Please do a blood sugar check up including HbA1C,Thyroid profile,Complete blood count with ESR.....please consult your doctor with these results...."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for brown/dry/flaky skin in armpits, neck and chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m mehnaz, there always a question in mind that can i become pregnant after marraige or not ,i m so confused,somebody told me that i should consult a gyny, i am so insecure about this,plz help me i think its something psychy thinking ,is there is som good solution to get rid of this,plz and plz answer me Doctor: hiits quite common to have anxieties of future.first thing why you are thinking this.if you are getting your periods regularly definitely you can become pregnant.if your periods are irregular consult the Dr to know cause of irregular periods like thyroid problems, polycystic ovaries, severe anemias . its also important to know your general status.dont worry there are so much advances in medicine which helps you depending upon your problem.if everything is fine with your periods and only this thought bothers you, meet the Dr for councilling. get rid of that thought from you now.Thank youRegardsDR Vasundhara"
},
{
"from": "gpt",
"value": "Target: What creates an element of doubt in the mind regarding pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 39. I go through spurts of low energy and low motivation. I can get lightheaded, and find it hard to focus. Over the past 2 years I have had 3 episodes where I lost equalibrium for a few seconds, and remained lightheaded for a day or so. Very strange, and I had great health and energy my whole life. Nonsmoker, in shape...What s going on? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are 39 and you are healthy. Very good. Have good healthy habits. Very good. The symptoms you are providing may not be of losing equilibrium. Could be more of cold related. We do have all these symptoms throughout our life. During our young age, we just ignore. When we get aged, we notice these. Any way to be sure, please visit a physician.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes spurts of low energy with dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is ben I smoked weed for 5 years and recently give it up as when I smoke I get panicky but worst of all when I am falling asleep my breathing pauses and stops for like 5-10 secs in between inhale /exhale .. And because I am aware of this it s like I had to manually tell my brain to breath then I get scared and won t sleep all night thinking I will die in sleep can u help Doctor: It seems u might have sleep apnea. Do u have excessive day time sleepiness and snoring. You should undergo a sleep study test it will be helpful"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for irregular breathing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am a 33 year old male. A little overweight(about 30 pounds) I ve noticed lately that I get these little flurry feeling in my left chest when I sing or clear my throat. They also seem to happen if I am reaching out for something, but not as often. It doesn t feel like its my heart. It feels like it the muscles just under the surface, and if my hand is there why it happens I can feel it. Doesn t hurt at all, but feels really odd. Doctor: Thanks for your question on HCM.In my opinion it is nothing but muscle twiches, as you feel on movements mainly.But still we need to rule out cardiac cause first as palpitations can also give similar flurry feelings. So get done ECG to rule out this.If ECG is normal than it is mostly muscle twitch and probably pectoralis muscle.So try to follow these to prevent muscle twitches.1. Avoid movements causing these.2. Avoid heavy weight lifting and strenuous exercise. 3. Take good muscle relaxant. 4. Apply warm water pad to the affected muscle."
},
{
"from": "gpt",
"value": "Target: What could cause a flurry feeling in the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son had a mri of the brain. cause he had a siezure a week ago. he is 16. the results came back normal but there was a air pocket by his left ear. what does this mean the doc asked if he had ear infections? that one ear is weaker than the other/ but she is a neroligist doesnt study the ear. should i get more info on this. what do you think it means Doctor: HiI would recommend you to visit an ENT surgeon for proper clinical evaluation of your child. This will be useful to rule out whether the air pockets are just normal air cells of mastoid or require treatment.Take care"
},
{
"from": "gpt",
"value": "Target: What causes air pocket in ear of boy having seizure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: mild dextroscoliosis is seen of the lumbar spine. The osseous structures have decreased density. There is a 7mm anterolisthesis of L4 relative to L5. Narrowing of the L4-L5 disc space is noted. Mild anterior spurring is seen of the upper lumbar spine. The vertebral body heights are fairly well-maintained. My question is, does this qualify a person for social security disability benefits?? Doctor: HelloYour findings may suggests degenerative changes in lumbar spine.There is mild dextroscoliosis in lumbar spine,it means lumbar spine is mildly deviated towards right side.There is also mild osteopenia(decreased calcium in bone).There is 7 mm anterolisthesis of L4 relative to L5 means L4 vertebra is moved forward by 7 mm.There is also decreased inter vertebral disc space at L4-5 level.There are also mild osteophytes in upper lumbar vertebra.Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy,analgesics and muscle relaxants.Physiotherapy helps in strengthening of paraspinal muscles and it prevents further changes.Since you have mild findings ,I expect you may require physiotherapy only.You need proper evaluation by a neurologist.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for mild scoliosis in the lumbar spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my girlfriend and I had unprotected sex on the 16th day of her cycle, should she take an I pill, she has a 29 day cycle. She is concerned that taking an ipill can affect her chances to concieve in future when she wants a child and she thinks the back pain / nausea will be unbearable after taking an ipill. Please advise ? Doctor: Hi,Taking an ipill once in a while. Taking ipill only once will not harm her chance of pregnancy in future in anyway. Dont worry just relax. Regards"
},
{
"from": "gpt",
"value": "Target: Will taking ipill after unprotected sex reduce the chances of conceiving in future?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, i am 38 years about 120 pls with a constant yeast infection. I just treated with gyno travogen cream in november and it's back again, what can i use..it is so uncomfortable, my marriage is suffering.. i ave seen countless doctors and tests always say it is a yeast infection Doctor: HI, thanks for using healthcare magicSome women may have frequent recurrences of yeast infections. This is defined as at least 4 infections a year.When this occurs there are medications that can be used to reduce the frequency of infection.Medication is used for a 6 month period. Examples of those used are fluconazole, clotrimazole pessary, itraconazole, ketoconazole.The dose and frequency of use varies.You may want to speak to your doctor about this option.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for yeast infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, My son is 5 and a half month old is suffering from cold and severe cough. I am giving him otrivin drops and Bricanyl syrup. But he is stuggling a lot because the cold is coming back to his throat and he does not know how to spit. Please advice. Regards, Lalitha. Doctor: Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.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: Suggest treatment for child suffering from cold and cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After sitting for a long time in my tight Capri jeans my feet went really numb. Next morning I woke up with a sensation in my soles like after a frost bite. Then the numbness moved up my calves. The feeling of tightness is strong under my knee on back side. I don t have any pain I m my back neither my legs. Both legs are affected. It has been three weeks already and symptoms are about the same ... I think that I really compressed some nerves in my legs. How long can it last? Doctor: hi,thank-you for providing the brief history of you.Now as the numbness hasn't gone for a long and all started by use of leggings, it can be due to two factors for which am assessment is needed.the first can be compression of vasuclar system as due to which to which the blood supply gets restricted and the numbness occurs. But since you didn't mention of swelling this could be a less possibility.The second factor could be a strain in muscles which must have lead to nerve pinch and the symptoms arise. and you do have mentioned about numbness which is gradually increased and not gone since 3 weeks.Post thorough neuromuscular assessment the exercises will be implemented to release the muscle strain and improve the strength in the muscles.Also, trying the McKenzie maneuver which you can find on net give you release of numbness symptom that it will be related to spine. As post use of leggings the muscle do not have a freedom of movement and can lead to spine problems. Which is common injuries we find in our clinical experience now a days.As exercise can help regain the strength and flexibility later stages you may not face similar problems.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What are the causes & remedy for numbness in feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having an odd issue. over past few days I periodically will feel welts develop in my mouth in both cheek areas. It will subside after a short time. Tonight it also occurred inside lip. It has almost subsided. There s no pain or lesions. I have.t changed diet. I am exercising more but that s only change. I otherwise feel fine and had physical last week and blood work normal. Doctor: Small trauma keep occurring in side The mouth and when they heal it forms welts. If you have a habit of lio and chek biting then you may have welts more."
},
{
"from": "gpt",
"value": "Target: What causes welts inside mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I just yesterday had a Lithotripsy procedure done on my right side to help remove kidney stones. I had General Anastasia done and am experiencing a little shortness in breath and it hurts some if I take a real big deep breath. And kinda feels like I have a cold is this normal. Doctor: Thanks for your question on Health Care Magic.I can understand your concern. Yes, this is normal to have mild degree of breathing difficulty after general anaesthesia. General anaesthesia actually cause passive atelectesis (partial collapse) of lower lobes. So you need to do chest physiotherapy and deep breathing exercises. This will expand your lungs and atelectesis will be cleared. If you still feel similar breathing difficulty after 2-3 days of chest physiotherapy than consult pulmonologist to rule out bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could cause breath shortness?"
}
]
|
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