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PranavHarshan

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sharegpt_formatted_med_dialog_convo

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[ { "from": "human", "value": "Source: Patient: is it safe to take emergency contraceptive pill today like ipill? and do I get my periods after 3 days of stopping femilon? I took femilon to have periods on 1st nov as suggested by the gynaecologist and had started it from 11 th oct and was about to stop on 28th oct . hope, emergency contraceptive will not have adverse effect if it is taken along with femilon. please clarify Doctor: Thanks for query on hcm.Usually withdrawal bleeding occurs after 3 to 7 days but it depends up on individual.If you are taking femilon regularly than there is no need to take any emergency pill because femilon will work for that.Otherwise there is no any any significant adverse effect to take simultaneously.Keep in touch with your gynecologist." }, { "from": "gpt", "value": "Target: When periods will start after stopping femilon? Can take emergency contraceptive along with femilon?" } ]

[ { "from": "human", "value": "Source: Patient: ive been told i have arthritis neopathy fibromyalgia and lupus . now theyve added chronic fateque,most of my symptoms have been around since 16 iam now 45...iget pain and swelling in hands and feet and all joints worse with weather and use. very sensetive to sunlight constant dry mouth.. dry eyes ..i dont sweat..have a body temp one degree below normal..do you know anything that fits besides the ones theyve given Doctor: seems to be fibromyalgia, tests may help to rule out other causes." }, { "from": "gpt", "value": "Target: Diagnosed with arthritis, neopathy fibromyalgia and lupus. Pain and swelling in hands, feet and joints. Dry mouth and dry eyes. Treatment?" } ]

[ { "from": "human", "value": "Source: Patient: When laying down in bed last night I had some discomfort in my neck and back of the head, eyes felt strained. Woke up this morning and had a knot on the back of my head on right side that was very sore to touch and burning when not touching. My head hurt on the whole right side with just my right eye feeling strained. I also noticed my spine is really sore to the touch about the middle of my back. I have had back/neck pain for years but usually just take ibprophin and carry on. Should I be worried? What might this be? Doctor: Take ibuprofen 400 mg tds after meals along with methacarbamol 750 mg bd and do fomentation, relaxyl ointment to pain areas. It should help otherwise get Xray spine and consult orthopedician Sometime stress also aggravates neck and headache and relaxation by rest in bed for a day or two will also be beneficial along with medicines" }, { "from": "gpt", "value": "Target: Discomfort in neck, back of head, strained eyes, sore to touch head. Taking Ibuprofen. Should I be worried?" } ]

[ { "from": "human", "value": "Source: Patient: my son is 18 months old and from 12 days he is passing a loose stool sometimes watery and sometimes not very watery. I have used zincat syrup also but not effective yet.He does not take ORS but drink simple oiled water lots of time.sir suggest some medicines for recovery of motion and also suggest taht his weight is 12 Kg. Is it ok for this age? if not tell me some effective diet Doctor: hi sir.....nothing to worry much as his weight is normal for his age.....better try him ORS juices like electrobion apple .....Also use him bifilac sachet to improve gut flora......" }, { "from": "gpt", "value": "Target: Suggest treatment for severe loose stools in a 18 month old baby" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doctor, i was smoking ofr the past 5 yrs.daily 2 to 3 cigarettes.I had a pain near my left cheat before 3 months & i stopped smoking completely.I checked whether any heart problem but i was given a healthy heart report & nothing to worry.But i still expericec pain on left chest, back side & some time on left arm. Doctor: thanks for your question I completely understand your question chest pain on left side may be due to variety of reasons loke heart ailments , lung ailments , or a simple gastrirtis or peptic ulcer in young age group heart diseases are less common and as you said your heart is clean.you need to visit a pulmonologist who can get a chest xray done to rule out any lung diseases, as for now you can take a proton pump inhibitors like pantoprazole once a day after consulting a pulmonologist.dont panicthanksfeel free to ask more questions may god bless you with good health" }, { "from": "gpt", "value": "Target: What causes pain in the left side of chest?" } ]

[ { "from": "human", "value": "Source: Patient: hi doctor i am female ,38, 72 kilo weight, and 161 cm height , i have some pain around my left scapula , shoulders , my left hand , a part of my Abdomen and my left chest from 4 month ago . i visited many doctors but they cannot recognize that. a pain from that do not permit me too sleep at night . some doctors said, it is Muscle spasms from stress and gave me some Nerve pills . and i began to eat them from 3 days later and i am better in night now . but i guess it is Angina . please guide me Doctor: Hello, The pain that you have can be related to muscle spasms or due to angina. Only proper investigations like ECG, stress Echo, etc can help in ruling out angina. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon" }, { "from": "gpt", "value": "Target: What causes pain in left scapula, shoulders, abdomen and chest?" } ]

[ { "from": "human", "value": "Source: Patient: My father was diagnosed with Cirrhosis a year back. He had rupture in esophagal varcies and banding was done. After few months we took endoscopy once again there is very small varcies and doctor said no need to worry now. He said he is in child pugh stage A - Compensated, No ascites, No encephalopathy. He has perscribed lot of vitamin supplements. My father never consumes alcohol. The problem is he is not taking vitamin supplements. However he completly switched his life style. Eating healthy foods, fruits and 40 mins walking. His Haemoglobin went down to 5.5 when he had the rupture of varcies and now it recovered back to 12. He said he is feeling more healthy now. We are taking LFT ever 2 months . Docotor has suggested beta blockers to reduce portal hyper tension but whenever he takes the medicine he is having bleeding piles. We took necessary tests and confirmed that it's just piles and not the rectal varcies. After stop taking the medications and switching his life style 70% of the piles are cured .Please suggest whether change in life style would alone enough to manage Cirrhosis ? Doctor: Hi,Thanks for using Healthcaremagic,After going through all the details, your father is suffering from cirrhosis of liver with portal hypertension with esophageal varices.He should continue his healthy lifestyle but as he has already developed disease he must be in supervision of Gastroenterologist or physician and take necessary vitamin supplements and drugs to keep pressure under control beta blocker do not cause bleeding piles but they will protect from bleeding.There are other alternative medicines and surgical option o reduce portal pressure.He should avoid constipation take enough water and fibres in diet and if necessary mild laxative may be helpful.If Piles are bleeding and require surgical intervention it must be done.Hope this heps.Take care.Good LuckDr.Akhilesh Dubey M.D." }, { "from": "gpt", "value": "Target: Diagnosed with Cirrhosis. Endoscopy showed small varcies. Perscribed lot of vitamin supplements. Suggested beta blockers. Guide?" } ]

[ { "from": "human", "value": "Source: Patient: I have been suffering from heel heel and ankle pains with swelling for the last one month. For the last ten days multiple joint pains developed, without any swelling, but swelling at ankle continuing and suffering from fever and chillness in the evenings. For the last one month, I have been using Dolokind & Pentakind tablets. For fever I am taking Lenol as prescribed by Doctor. Now, on 29 th I have consulted Rheumotologist in one of the famous Hospitals in Mumbai. They have prescribed HLA B27 test(reort yet to come) and medicines of :T.Etoshine90,T.Omnacortil5,T.Saaz,T.Folvite,T.Pan. I need ur sincere opinion. I was diagnosed for Reactive Artheritis ( without HLA B27 test). Doctor: hi,thank you for providing the brief history of youA thorough musculoskeletal assessment is advised.As you have been diagnosed with reactive arthirits a little knowledge about it is requiredReactive arthritis is a painful form of inflammatory arthritis (joint disease due to inflammation). It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomatis) or the bowel (Campylobacter, Salmonella, Shigella and Yersinia).Now, as you have multiple join pain and aches along with swelling at the ankle, I will advice you further to visit a physiotherapist who can help you with your pain and aches.Since the pain and aches are possibly due to the infection I am sure the physician will guide you with antibiotics for the same. Undergoing a thorough urine examination is advised as to check the possible bacterial infection present also.For the pain and swelling management the physiotherapy will help you with therapeutic ultrasound therapy and TENS therapy by which the inflammation and pain will subside.Also, performing regular exercises are guided here to understand that the body's metabolism and immune system are slowed down which lead the bacterial infection to go higher and lead to reactivate arthirits. Exercise will help improve the metabolism, immune system and strength in the muscles as in the reactive arthirits the bacterial infection directly attacks the soft tissues of the joint. So exercises will play an important role.Also while performing the Strengthening of the core and pelvic floor along with special exercise will help improve the bladder to empty completely and avoid any bacterial infection to persist due to UTIIn my clinical practice I recommend patients with similar complaints to physical therapy as it will help them to recover better and avoid future complications.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: Suggest remedy for heel and ankle pains" } ]

[ { "from": "human", "value": "Source: Patient: Hello Doctor, I would like to know about the side effects of the drug Lansoprazole. I have been taking this medicine orally for the last 17 years appx and I take this tablet every morning on an empty stomach....The dose which I take is 15mg. I take this drug for my reflux...Plz advise...Thank you Doctor: Hi,Lansoprazole is a proton pump inhibitor commonly prescribed to suppress the stomach acid production in the treatment of stomach ulcer, reflux disease, and other conditions. Its common side effects include diarrhea, osteoporosis (thinning of the bones), vitamin-B12 deficiency and increased risk of infections. I advise you to take vitamin-B12 and calcium supplements to prevent vitamin-B12 deficiency and osteoporosis.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician" }, { "from": "gpt", "value": "Target: What are the side effects of the drug Lansoprazole?" } ]

[ { "from": "human", "value": "Source: Patient: Hi! I am facing the problem of urinary tract infection . I have consult doctor and taking medicine from three days but not so much improvement . please suggest me any home remedy . I dring lot of water then what is the reason behind this. Please help me. Doctor: HIWell come to HCMIf this is urinary tract infection then you need to take the medicine for this, as long as the home remedy is concern drinking more water is the only way, better to get done the urine culture sensitivity test for better option of drug, hope this information helps, take care." }, { "from": "gpt", "value": "Target: Suggest home remedy for urinary tract infection" } ]

[ { "from": "human", "value": "Source: Patient: I've been told that my son has gallbladder polyp, he is non verbal and also has cerebral palsy with epileptic seizures. he can not tell us how he feels and in the last 3 weeks he has lost his appetite , squeezes his mouth shut. we have been kind of just giving him boost energy drink. does loss of appetite have anything to do with gallbladder polyp Doctor: HIThank for asking to HCMI really appreciate your concern and sorry for your son's medical condition, the gallbladder polyp and appetite are not directly related but of course polyp may disturb function of lever and this may be the cause of loss of appetite and that is to be ruled out, take a great care of your son bye." }, { "from": "gpt", "value": "Target: Can gall bladder polyp be the reason for loss of apetite in a patient suffering from cerebral palsy with epileptic seizures?" } ]

[ { "from": "human", "value": "Source: Patient: I have a wierd zit right on my lower back. It s been really painful when I ve tried popping it. After I got home from school about 20 minutes ago I noticed my boxers felt wet so I took them off and looked. In my boxers was some blood , way more then I ve ever seen come out of a zit. Anyways the blood looked like it was stringy. Doctor: Hello,The blood was from the boil.Boil(Zit) is highly vascular due to the presence of inflammation." }, { "from": "gpt", "value": "Target: Zit on the lower back, pains on popping, had stringy blood on boxers. Cause?" } ]

[ { "from": "human", "value": "Source: Patient: hi my husband recently went to a physcologist due to his gambling and compulsive lying, he was apparently diagnosed with APD on the first visit and was told they would try physcotherapy, i looked up who he was seeing on internet and it says child physcologist, can they do adults too?? and could he be diagnosed that quick?? im worried hes lying again Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. In one sense you are right. For mental disorders you should consult a clinical psychologist / psychiatrist so that proper diagnosis is made in order to provide perfect treatment and thus a cure. . But even a behavioral psychologist / counseling psychologist can provide ill-habit counseling. Psychologists, including child psychologists, learn psychopathology and mental disorders. Still I shall advise you to consult a clinical psychologist / psychiatrist. 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: How to diagnose compulsive lying in a person?" } ]

[ { "from": "human", "value": "Source: Patient: I was at work and felt all of a sudden shaky, anxious, rapid heart beat, tingly on arm and left side of face...stopped working came home tested BP and it was 174 over 110 checked again several times readings were 162 106 p 111, 155 106 p 111, 153 110 p 129 So I decided to go to the ER just in case, when I got there the doctor said it was normal 121 over 80 I am about to get my period could this be a cause of the spikes on my bp??? I still felt kinda shaky and tingly even after I got home, could my blood sugar levels be affected as well??? I am not a diabetic tho my mom is, I felt similar symptoms back in september had a general check up my MAP was max sistolic 164mpg min 87mg diastolic max 98mmHg minimum 43mmHH according to findings negative for hypertension. The lab work showed glycemia 89 mg/dl ...thyroid t4 total 8.47ug/dl, tsh 2.756 mUI/mL and t3 Total 1.17 ng/mL... could these symptoms be caused by stress and anxiety or do your recommend I do further testing? Doctor: Hello,Is your BP machine accurate? This tachycardia is leading the BP up. The cause of this tachycardia seems anxiety. It is better to visit a psychiatrist. Pre-menstrual anxiety is one of explanation, if it is always before menses. Your previous testing of BP is also negative for hypertension. You can also go for 24 hour urinary vma (vinylmendalic acid) levels, serum metanephrine levels, serum electrolytes and renin aldoserone ratio (if that's covered by your insurance) to have a look at other possibilities like conn's disease, pheochromocytoma.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist" }, { "from": "gpt", "value": "Target: What could cause shaky and tingly feelings?" } ]

[ { "from": "human", "value": "Source: Patient: I have two questions I have an unexplained bruise right under and kind of on the side of my left breast that I noticed about two months ago is it something I should worry about? And my second question is I went to the doctor for a physical last year around June? My blood came back and I was told I have fatty liver disease my AST was 71 and my ALT was 161 I haven't gotten called back should I seek a doctor and what do those numbers mean? Is my liver failing? Am I to late to fix my liver? Doctor: Hello,I have gone through your query and understand your concern.First thing you have to do is to differentiate whether the lesion under your breasts are either rash or bruise.Because if it is a rash, it may be a Intertrigo.It is a inflammatory skin rash that shows up between the folds of skin. It is a very common skin rash that can crop up throughout life.Intertrigo is most commonly caused by loss of air circulation, moisture and it is further enhanced by yeast infections.if it is not a rash, then it can be due to inflammatory breast cancer, coagulation disorders provided no history of any local injury or trauma.Some time wearing ill fitted bras can cause the similar bruise under breast.Thus you need thorough breast examination and ultrasound breast to rule out any breast cancer.2. Your blood reports shows that Abnormal liver function.The results just indicate that you have liver damage but the cause could be many.Some common causes are Fatty liver, Hepatitis from any cause such as alcohol, virus, drugs.Thus without proper clinical history and examination, it is not easy to diagnose the exact cause.Further you can rule out any fatty liver of cirrhosis by ultrasound abdomen.You may need to check viral hepatitis by viral antigens for Hepatitis viruses commonly B and C virus.Hope this helps.Please write back for further queries.Wishing you good health." }, { "from": "gpt", "value": "Target: What does an ALT level of 161 and AST level of 71 indicate and what could an unexplaind bruise under the left breast be?" } ]

[ { "from": "human", "value": "Source: Patient: About one month ago i bang my kneecap on the door frame, one week later the mussel at the back of my knee went numb and felt heavy , one week later I started with sharp pain down my left leg more so in the morning when getting out of bed so I took ibrufen to control it two weeks later the pain came to a head when suddenly I had pain that went off the scale followed by a very hot and very painful flow down the whole of my leg it was like somebody had poured red hot water down the inside of the leg, I then started to swet instantly and my temp went off the scale, One hour after that when all settled down the pain had gone. Now I am left with a prickly kneecap and the inside of the leg opposite the kneecap is feeling dull to the touch . My name is Steve I am 64, no history of medical issues, my weight is 13 stone and 5ft 8 height. Thanks Steve. Doctor: Hello, As a first line management, you can take drugs like Tramadol for symptomatic relief. If symptoms persist better to consult a physician to rule out possible neuropathic causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: How can prickling sensation in the knee cap be treated?" } ]

[ { "from": "human", "value": "Source: Patient: hi i have been diagnosed with bronchitis and have inhalers to help treat it as well as keep my asthma under control. I have been passing out (blacking out) a lot lately and was wondering is this normal ? I'm a 16 year old girl and its my first time passing out this often. it's scaring me a little too and its been over a week now since diagnosed. Doctor: passing out is not normalas you are having asthma, I presume you have some allergies as well, some times you can pass out after exercising as in exercise induced anaphylaxis or abortive episodes of food induced anaphylaxis, your description of symptoms are inadequate as of now to make a complete diagnosis" }, { "from": "gpt", "value": "Target: Frequent black outs, diagnosed with bronchitis. Using inhalers. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: My back hurts and in the last few days I get a spidery feeing like hitting your funny bone. Then my legs start feeling like they are very weak and may collapse and can t support me. Passes after about 10 minutes. I exercise 3 to 4 days a week between yoga and cardio. Am 69 and weigh 145 at 5 3 . Doctor: Hi,Thanks for your query.Low back ache may be due to many reasons like musculoskeletal reasons,pelvic pathology etc.You need proper clinical examination and routine investigations.Investigations include routine hemogram,random blood sugar,liver function test,renal function test,urine RE/ME,ultrasound of abdomen,X-ray L/S spine (AP/Lateral view),Thyroid profile,serum calcium and vitamin D level.MRI of L/S spine can be done after evaluation.Pain may be due to intervertebral disc prolapse in lumbo-scaral region.Proper treatment depend upon findings.You may need to take few medicines and physiotherapy.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: Suggest treatment for back pain" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is 2 1/2 years old. She has a fever. It was 103.2. We gave tylenol and 3 hours later is was the same. It peaked at 104. We gave motrin at 3 1/2 hours post-tylenol and the fever is coming down. Her abdomen is very bloated looking. I'm concerned. . . Doctor: Bloated abdomen may be due to gasses, constipation, accumulation of fluid (ascites), intestinal obstruction etc.High fever with bloated abdomen warrants that you get your baby examined by a pediatrian to rule out some serious causes." }, { "from": "gpt", "value": "Target: What causes fever and abdominal distension in a child?" } ]

[ { "from": "human", "value": "Source: Patient: My 16 month granddaughter is still suffering from food allergies and her skin is always broken out and itchy. My daughter has taken her to an allergist and eggs and milk are the main culprits but we ve found out through trial and error that she s allergic to avacado, banana, strawberry pears etc. Her pediatrician said she is only in the 5th percentile now She s still eating baby food. What can we give her to make her that will have more caloric intake and more fatty foods. This was recommended by her pediatrician. Thank you for any feed back Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.Healthy Tips:-• Breast-feeding exclusively for the first four to six months, or using a hypoallergenic formula, may strengthen the immune system while delaying or preventing atopic dermatitis and milk allergy.• Restricting a mother's diet during pregnancy or while breast-feeding has not been shown to help prevent the development of allergies.• Solid foods should be introduced gradually between four to six months of age. Egg, dairy, peanut, tree nuts, fish and shellfish can be gradually introduced after less allergenic foods have been tolerated. In fact, delaying the introduction of these foods may increase your baby’s risk of developing allergies.• Reducing exposure to some allergens, such as dust mites, may delay or prevent allergy or asthma symptoms.• Exposure to tobacco smoke before and after birth increases your infant's risk of developing wheezing and asthma.Hope this info was helpful.stay healthy,stay safe." }, { "from": "gpt", "value": "Target: How can food allergy be prevented?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I slipped on the stairs Sunday morning and fell on my back pretty hard. It hurt in my abdomen at impact and a minute later felt fine. Went to work yesterday a little sore. I just woke up with sharp pains in my abdomen, and am not sure if i should get checked out or not. Doctor: Hi! Good afternoon. I am Dr Shareef answering your query.Pain abdomen following trauma needs to get investigated and watched carefully. If I were your doctor, I would advise you for an ultrasound of abdomen to know the exact affairs in your abdomen. Also you need to be examined physically to rule out associated intra-abdominal visceral injury, and so you should fix an appointment with a general surgeon of your area and report to him at your earliest.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: Experiencing abdomen pain after an injury" } ]

[ { "from": "human", "value": "Source: Patient: I think I just had a panic attack. My surfboard fell off of the wall, scared the dog, woke me up. I thought the wall was caving in. I had a delayed reaction that spread from my stomach to my back and legs. Numbness and difficulty breathing. Is this a delayed panic attack? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely do not think that you had a panic attack. Panic attack is usually happens to those with anxiety disorders. For you, the incident was just fear and after. We do not call it panic attack. Even though the symptoms are same. Panic attack is for anxiety disorders. That means panic attack where there is no inherent fear inducing objects and still we fear. Actual fear is caused by physical objects which causes fear. In your case, you encountered just a fear. Don't worry.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: Could delayed sudden reaction spreading from stomach to back and leg, numbness and difficulty breathing mean panic attack?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I'm 32 year old female, lately I have been experiencing very fast heart beats and the feeling that my heart is sinking. This symptom has only occurred during in the past 2 months. I'm unable to walk straight or sit still. Its just like I'm floating around all the time. Doctor: Hi,It can be caused by arrhythmia. I would advise you to have an ECG done. If it doesn't show anything then you will need a holter monitoring, it is an examination, when 24 hour ECG is registered. It will show what is happening during your complaints.Take careCome back if you have any further questions" }, { "from": "gpt", "value": "Target: What causes rapid heart rate with the feeling of sinking?" } ]

[ { "from": "human", "value": "Source: Patient: lump in my scrotum sackjust at the base of my penis i have a lump which is painful but the lump isnt in my penis or testicle it feels like its in the sack its about the size of a pea, im male 21 years old 5' 11\" and currently on tramadol, co codamol and solpadol. Doctor: HI.Most probably this must a cyst of a cord, but this is usually painless. Another possibility is this is a sebaceous cyst .It is better to go for ultrasonography to confirm what it is and get this operated to get rid of the swelling and confirm the diagnosis." }, { "from": "gpt", "value": "Target: What causes lump in scrotum sack?" } ]

[ { "from": "human", "value": "Source: Patient: My son is 5 and has horrible allergies very frequent nose bleeds and congestion. He takes claritan daily. But lately I have noticed that when he is sleeping after he exhales he has a clicking sound after each breath he exhales. Any idea if this has to do with his adnoids? Doctor: Hi... this could be upper airway resistance syndrome which can be very effectively tackled by intranasal steroids.Please discuss this with his pediatrician.Best regards - Dr Sumanth Amperayani" }, { "from": "gpt", "value": "Target: How safe is taking Claritan for nose bleed and congestion?" } ]

[ { "from": "human", "value": "Source: Patient: hi docs, Heres a quick background for you. Im a 6 foot 2 inch white male, i use to work out pretty regularly. I work out about 2 times a week now, mostly lifting weights. Im 26 years old and weigh around 265lbs. My question is that when i drink i sometimes get these red blotchy looking spots mostly on my neck/ chest area and my head and it becomes a bit harder to breathe. I am wondering if this is an allergic reaction to alcohol? Doctor: Hello ewolms, Allergic reaction to alcohol is a hypothesis that has been going around for a long time, and there are two explanations for these kind of reactions 1. Alcohol dehydrogenase is an enzyme that breaks down alcohol (something that your body naturally produces for cellular function!) and the alcohol that you drink also needs to be converted by the same enzyme, and therefore deficiency will cause adverse effects in the form of allergic reactions. however, this has not been proven and this test (alc deh levels) is not available routinely. 2. The more likely explanation with your breathing difficulty especially is a form of sulphite intolerance, and therefore you need to see your Allergist to get a list of sulphite-free foods and avoid the foods 'very high' and 'high' in sulphites (this includes wine!). Only then this will be clear. Patients with underlying asthma do present with shortness of breath when they also have suphite intolerance, and if you have asthma this needs to be discussed with your physician as well. Thanks." }, { "from": "gpt", "value": "Target: Red blotchy looking spots on the neck, chest and head, breathing difficulty post drinking. Allergic reaction to alcohol?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, for some time now I have been unable to chew on the right side of my mouth. I have not been brushing my teeth and I understand that is my fault, but I am 18 now, I remember back in elementary school, the top of my gums swelled up and I couldn t chew when they did. But today I noticed that on the side I am unable to chew on, also where I had swollen gums too, there is like an indent in the back with my molars. Is that gum recession? Thank you for any info you could provide. -Jacob Doctor: Thanks for your query, I have gone through your query.The pain in the tooth and difficulty in chewing can be because of the tooth infection (acute apical periodontitis). Nothing to be panic, Consult a oral physician and get the tooth treated with root canal treatment or extraction of the tooth. Get a radiograph done to see the extent of the infection and suitability of the tooth for the treatment. If i am your treating doctor, i would have prescribed, a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). Along with antibiotics, you can an analgesics like diclofenac. But these medicines will provide a temporary relief. Once you complete the course, try to get the tooth treated as early as possible.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: What causes inability to chew food on one side of the mouth?" } ]

[ { "from": "human", "value": "Source: Patient: I have had unprotected sex and I'm on the birth control pill where I get my period every three months, He did cum inside of me. I still have a month to go before I'm suppose to get my period. However today I have had cramps and like bloody clumps coming out. It's a darker and browner then usual blood. What could this mean? Doctor: Hi, I went through your query. Birth control pills generally regularise your menstrual cycle and you should have your periods every month. So it is possible that you are having your periods. However you have to rule out the possibility of an abortion. I would advise you to have an urine pregnancy test done and a transvaginal ultrasound to confirm. Hope this helps." }, { "from": "gpt", "value": "Target: Why the cramps with dark brown bloody clumps after unprotected sex while on birth control pill ?" } ]

[ { "from": "human", "value": "Source: Patient: hi am 22 years girl since 2003 to 2007 the ceratinin was 1.5 to 1.6 but my Dr didnt told me anything becuse he think that wasnt dangerus at 4/2012 i had headick ( i eat so salty food) and visit the same Dr my BP was 190/95 and the ceratinine was 6.5 and Urea is 140 he sent me to hospital and they told me i had kidny faliure final stage and if i didnt find kidny i must do dilylisa after 4 months my mother do all test and she can give me kidny but at 8/2012 my blood was 8 and the Dr said i must take 10 Arnesab in two month but at 9/2012 ceratinin jump to 12 and at 10/2012 to 15.8 and my blood 8 he told me to be ready for diaylis for two weeks couse i cant take kidny from my mother now i feel my Dr didnt do anything since 8/2012 to 10/2012 he didnt even tell me what test i must do what i do?? Doctor: Your doctor did not explain to you in detail it looks. Get an Av-Fistula first if you are not already on dialysis. Enlist for a cadaver transplant program in your state once you start dialysis. Speak to your doctor more about your plan of management. transplant is the best form of treatment as of now." }, { "from": "gpt", "value": "Target: Kidney failure. Low hemoglobin. Prescribed Arnesab. Had high creatinine levels. What do I do?" } ]

[ { "from": "human", "value": "Source: Patient: I have varicose veins in my left leg and today while at the gym I hit the inside of my left leg right next to my knee on a weight machine. Immediately a hard, lump formed and it is slightly bruised and it runs right over the top of one of my varicose veins. Should I be concerned? Doctor: Hi.Thanks for your query.The lump must be a hematoma if it has formed immediately on a hit.You should have pressed hard on it for 5 to 7 minutes.Have a compression bandage. Per se no need of any medicines. Review after a few days And do not worry unless there is increase in swelling , pain or redness." }, { "from": "gpt", "value": "Target: Is a lump on top of the varicose veins a cause for concern?" } ]

[ { "from": "human", "value": "Source: Patient: After having felt a kind of pinch in my right side of the upper thorax which I expected to disappear as it had done in previous years, I felt a lump growing at that place which has started to be felt. I had an x-ray and ecography made but nothing malicious revealed. I am curious to know when and how this lump can go off. Can you help me please on this score. Thank you. Victor 23.Feb.2011 Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,the cause of the recurring pinch with lump lately needs further clinical evaluation from your Surgeon by a Second Opinion,who would physically testify the cause of the lump in your case, as X-ry and USG is inconclusive. In my opinion you seems to be having -Costo-chondritis and needs to talk with your doctor and get it ruled out.Hope you got the answer for your query.Hope this would help you.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS" }, { "from": "gpt", "value": "Target: Suggest treatment to remove lump in the upper thorax region" } ]

[ { "from": "human", "value": "Source: Patient: hi my baby is 2 year s old, he fall down in a wooden door and got a small injured in head.and after one week only i noticed that he had blood clot in his head.i consulted the Doctor he gave an ointment for one week but it results nothing. he dint feel a pain on wounded area but I m afraid what can i do please help me Doctor: dear madam, sorry to hear this.it is common for toddlers to have minor injuries.the blood clot will take 4 to 6 weeks to disappear completely provided we dont manipulate them. dont be afraid .have a good day" }, { "from": "gpt", "value": "Target: Suggest remedy for blood clot in head due to injury" } ]

[ { "from": "human", "value": "Source: Patient: hi doc ...m havin dark underarms...tried almst evrythng....bt its nt lighting up.....cant wear sleevless jst bcoz f it...plz help me Doctor: Hi welcome to H.C.M.Forum. thse days lightening creams are available. in addition you should use anti fungal medicines and steroides locally, with the advise of a dermatologist.best of luck. don't go on using self medication which some times may worsen the condition.thank you." }, { "from": "gpt", "value": "Target: Dark underarms, have tried various lotions but in vain. How can I get rid of this?" } ]

[ { "from": "human", "value": "Source: Patient: I had an brain anurism 6 years ago and sence then I been in and out the emergency room like crazy. It seems like I be trying to have panic attacks.it be feeling like I can t breath to well and my bloodpressue be high and it be feeling like I m about to have an heart attack.I go to the hospital and they find nothing wrong with me all the time and it s driving me crazy.I got high bloodpressue after the anurism and I m on medication.and I be having heartburn and can t sleep well at night and when my bloodpressure high it s kind of hard getting it down and it be making me want to freak out I m so tired of going through this an don t know what s wrong. Doctor: Hello, First of all, the long-standing blood pressure causes a brain aneurysm. Because the high pressure puts a severe strain on the blood vessel wall resulting in weakening the blood vessel wall. Moreover, the high lipid and cholesterol in the blood deposit on the blood vessel wall leading to losing its elasticity. In this case, the blood vessel wall becomes weaker and more liable to develop an aneurysm. Second, the drug cannot control high blood pressure without reducing the salt and fat intake. Third, you should do Kidney function test and lipid profile in the blood. The woman who take oral contraceptive pills or a hormonal replacement therapy needs to ask a gynacologist to adjust the dose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist" }, { "from": "gpt", "value": "Target: Could a brain aneurysm cause high blood pressure?" } ]

[ { "from": "human", "value": "Source: Patient: I have not been feeling good the last few days. I have been on my period for 10 days. I am taking birth control. The last three days I have had diarrhea and feel a little sick to my stomach. When every I try and stand up from laying down. I have severe cramps. The only way to describe it is by saying it feels like my lower insides are hard and stiff and when I am trying to stand up I am bending them a way that they should not. I may not be explaining it correctly. I am not sure if is just a bad period or if I should be worried Doctor: Hi.Thanks for your query.Read and understood your history.You have explained this nicely. You have a problem of gastroenteritis , the intestinal component is so much that you are loosing precious fluids and electrolytes through the loose stools. This may help the periods to extend as your hormones go into imbalance. I would advise you the following:First of all get the blood tests for : CBC, PCV, electrolytes, Urine and stool tests.Ultrasonography for the abdomen and pelvis, also helps for knowing the probable reasons for the extended periodsGet a course of an antibiotic, Metronidazole, probiotic, symptomatic and supportive like Electral powder id there is no vomiting. If the vomiting starts or is the dehydration and electrolyte balance are too much you may need an admission to the hospital for a few days and get intravenous therapy." }, { "from": "gpt", "value": "Target: What causes abdominal cramps and diarrhea?" } ]

[ { "from": "human", "value": "Source: Patient: Hi , My wife is 37 years old and we are trying to have a second baby through IVF . Last two times she had tubular preganancy and our doctor is doubting she may have TB. But in culture check no Tb found. Still the doctor is insisting for AKT3 tablets and my wife is taking the same from last one month. Now we are going to do IVF next month and doctor is telling to countinue the AKT 3 also along with other medicines. Is this will affect the health of the baby ? We are really worried. Kindly advice. Our doctor is telling AKT 3 doesnt have any side effects. Doctor: TB isnt easy to diagnose, but strong clinical suspicion may help start some therapy. TB is important cause of infertility, if not treated properly, risk of TB even to baby may be much more than risk with antibiotics. The patient may need to continue on folic acid and pyridoxine supplements while on AKT3 and also keep a close watch on the list of side effects on a monthly basis. It does have side effects but they may not be in your case, to a significant seriousness to stop the medicines." }, { "from": "gpt", "value": "Target: IVF, tubular pregnancy, TB, AKT3 tablets" } ]

[ { "from": "human", "value": "Source: Patient: I have had my left arm hurting all the to my hand and I feel like I ve got a lump in my throat... I ve had acid reflux and I m taking Prilosec for that... But I also have been belching a lot... When I woke this morning my left arm was very cold and hurting bad... I heated a towel and put on it, it did help some but has been very uncomfortable all day... I don t have high blood but it runs in my family.. I do have 2 brothers that have already had strokes.... My dad died of a heart attach.. Doctor: please meet a physician urgently and get ecg done there are chances of heart attack in you presently as these all features suggest heart attack" }, { "from": "gpt", "value": "Target: What causes pain and cold sensation in left arm?" } ]

[ { "from": "human", "value": "Source: Patient: I have a soft but pain full lump on my anus. And my dog has worms and I don't know if it's possible for me to get it but I went to the bathroom bowel movements and I poop out some jelly mucus smelly stuff. I would like to know if that is a sign if any thing Doctor: Hi ! Good evening. I am Dr Shareef answering your query.From your history, it seems that you have got either a perianal absecess, or a fistula. This needs to be assessed by a general surgeon and so I would advise you to get an appointment with a general surgeon at the earliest to avoid further complications. Till then you can have some kind of anti inflammatory drug for the pain along with a proton pump inhibitor.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: What could be the soft painful lump in anus?" } ]

[ { "from": "human", "value": "Source: Patient: hello, for the last two days I have gotten a leg cramp in the front of my leg, when I woke up I stepped out of bed but when I picked my foot up it turned in and I had no control of it. I have been getting cramps in my calves for a few weeks but now it is in both and now the front, am i lacking a vitamin or is something crazy going on?? Doctor: HiLeg cramps can be due to deficiency or idiopathic in which no cause can be found. You should test your serum calcium, potassium and vit.D3. If all tests are normal than get alkaline phosphatase and liver function tests done, this excludes muscle pathology. Start muscle relaxant and multivitamin in the mean time to get relief. Kindly consult after all tests are done.Thanks." }, { "from": "gpt", "value": "Target: Suggest remedy for cramps in the legs" } ]

[ { "from": "human", "value": "Source: Patient: I have been on the same birth control for over 2 years now but the past couple of days my breasts have been very tender. My period should be starting on June 27 so I m not sure if it is from pms or my birth control. In the past I don t really get sore breasts before my period, or with this birth control. Could this side effect start after over 2 years on the birth control? Doctor: sore breasts can be a side effect of birth control, even two years after you started, however, it is still unusual for you to suddenly have aide wedge at hat you didn't have before of the same pills. if you have had other medications recently, such as antibiotics, this might have affected how your body reacts to the birth control and it should resolve after you stop the other medications.however, if the symptoms persist, you might want to see your doctor to make sure there isn't another problem such as a prolactin hormone problem or maybe you can try a different birth control.I hope this helps, please let me know if you have any more questions." }, { "from": "gpt", "value": "Target: On birth control. Having tender breast. Is this side effect of birth control or due to periods?" } ]

[ { "from": "human", "value": "Source: Patient: 12 year old daughter, has had low grade fever 99.9 dizziness lower belly pain headaches and blood presure any where between 164/104 to 98/88 heart rate well sitting 98 standing 140 have been to primary 8 times ent once neuroly once.worked up for renal results normal cbc shows viral had ekg normal Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of mild fever , headache and dizziness which is because you are suffering from viral infection. It could be due to co-infection bacterial infection / upper respiratory tract infection as well. Need not to worry. I would suggest you to take antipyretics for fever relief such as calpol, paracetamol or adol suppositories acetaminophen.If fever increases do tepid sponging as well with cold water. Take throat lozenges as well. I would suggest you to consult ENT specialist without any delay . Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics along with decongestants. Give child multivitamin tablets. Gargle with saline water. take steam inhalation. Use mist humidifiers in room. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What is the treatment for mild fever , headache and dizziness?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doc, My father is a patient of COPD since 2006 and recently he was admitted for the same. He also suffers diabetes and has been taking insulin for the same. He is currently having high fever (103 F) and also facing issues of constipation. He has been consuming luke warm water as it is winter here since 18th Nov 2011. Kindly advice what medicine can be given. Age: 72 yesrs Height: 160 cms Weight: 63 kgs Doctor: Hi thanks for contacting HCM...You have fever ...So there could be acute inflammation or infection...You are also more prone for infection as you have diabetis...Take antibiotic like levofloxacin for 5 days.Maintain hydration with more water.Over the counter laxative can be taken for constipation....Fruit juice taken more like orange juice , apple juice with low glycemic index fruits.Take fiber foods more like wheat bran , whole grain etc which suits in diabetic case.Ginger tea also helpful herbal remedy...If cough and other congestive symptoms present then chest x ray needed to rule out bronchitis like condition....Healthy and balanced diet needed....If bronchi constriction occurs then bronchodilator given....If inflammation and congestive symptom occurs benadryl like drug needed .Take care.Dr.Parth" }, { "from": "gpt", "value": "Target: What causes high fever and constipation in COPD patient?" } ]

[ { "from": "human", "value": "Source: Patient: Hi. I am a 31 year old female who just had a kidney ultrasound done this past Tuesday morning. A nurse from my family doctors office called me yesterday and said that the wall lining of both of my kidneys are very thin. I had blood test done less than a week ago and they said that my kidneys are functioning properly. I have to go see a specialist in a couple weeks. This is driving me crazy and I have been crying ever since they told me this. Could you please tell me...is it possible that I couldve just been born with thin walls and its nothing or does this mean that I definately will have CKD? Doctor: Hi, Thin wall of kidney can be seen in chronic inflammation condition or chronic nephropathy. If kidney functioning normally then don't worry dear. I suggest following investigations to assess your kidney injury... _serum urea, creatinine estimation _eGFR estimation _serum potassium estimation _serum bicarbonate assay _serum fasting blood sugar _your blood pressure measurement. You can provide me reports to guide you further. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Is CKD, suggestive with thin kidney wall lining?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Dr, my boyfriend is having chronic discomfort in the scrotum area. We just came back from a long road trip, and from driving back and forth to work today he noticed this discomfort. He feels multiple knots inside the scrotum area. What could this be? Doctor: Hello,These could be scrotal cysts which includes hydroceles and spermatoceles. Not all lumps are cancerous. Still I advise you to get a proper consultation for a certified urologist to be examined properly and tested as well in order to get proper treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician" }, { "from": "gpt", "value": "Target: What is the treatment for discomfort scrotum?" } ]

[ { "from": "human", "value": "Source: Patient: hi sir, This is Ajay,24 years old,I from past4 days i am suffering with breathless problem,i went to a hospital and taken ECG ,in that report Normal sinus rythm, Borderline right axis deviation, Late precordialr/s transition, could u please give me the suggestion sir. since last 8 months i am taking smoking but i stopped smoking from last 7 days. Doctor: Sometimes the automated ECG machine report normal range changes as abnormal..... apparently these findings are within normal limits." }, { "from": "gpt", "value": "Target: What does this ECG report regarding breathlessness indicate?" } ]

[ { "from": "human", "value": "Source: Patient: My right foot has a sharp pain that s located in the area of one of the main vein. I ve been jump roping bare foot for about 4 months and this problem occurred recently. On top of that, my feet started feeling hot a few days after the pain came. What is this? Doctor: Hello, What I feel is this will be related to muscle spasm and nothing else. as there will be a pressure applied onto the joints because of heavy weight impact during skipping. Using hot water fermentation and keeping the leg elevated over a pillow in a lying position should give relief. If you are having too much-burning sensation this could be due to either of the reasons. Either a nerve entrapment anywhere in its course or may be elevated levels of uric acid. Checking firstly the uric acid levels should help decide the next course of action for diagnostic procedure or treatment. 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 sharp pain in right foot?" } ]

[ { "from": "human", "value": "Source: Patient: i am g.chandu vardhan i am doing hastha prayogam since a year,my age is 18 now. my head is filled with gum like.i have a problem in thinking and didn t concentrate what others said to me.so give me a suggestions for living with good concentration Doctor: at age of 18 yr there less chance of memory loss. so common causes at this age are depression,anxiety, metabolic cause as alcohol addiction, hypothyroidism, vitamin b 12 defieciency. first rule out these condition by test as thyroid profile, bitamin b12 test. take antidepressent as escitalopram 10 mg night" }, { "from": "gpt", "value": "Target: Suggest treatment for poor concentration" } ]

[ { "from": "human", "value": "Source: Patient: Hello, My two year and two month old son has just started sticking his tongue out all the time and drooling. He also is pulling his lips back(upper and lower)as he sticks his tongue out. I know he is teething. Is this normal behavior? I am concerned because it looks strange. Thanks, Brian Doctor: Hello Brian,I can understand your concern. As your son is starting erupt teeth, he might be producing excessive saliva as a body's response to a new development in mouth. This is completely normal and nothing to worry about. As the mouth will grow with advancing age of the kid and more teeth will start to develop, you will not find excessive saliva and drooling a problem. You can clean the excess saliva with a thin cotton cloth time to time with little pressure so that rashes do not appear with repeatedly rubbing cloth over the area. Sticking tongue out is also a response to developing new teeth and growing tongue size, which will stop eventually.I hope this information helps you. Thank you for choosing HCM. Take care.Best,Dr. Viraj Shah" }, { "from": "gpt", "value": "Target: What causes my two year old son sticking his tongue out?" } ]

[ { "from": "human", "value": "Source: Patient: hi my daughter is 15 yrs old she got one seizure attack due to heavy periods . .. she has iron deffieciency doctor gave iron pills and anticon500 ... she take this medicine 2 times daily.. How much time it will take to recover... now she is not getting seizure but her eyes sometimes roles upwards due epiepsy Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!The time of recovery depends on the degree of anemia. It may take some days up to some weeks. Anyway, the roles upwards are signs of small seizures. So, it seems that her situation is still not improved. Hope you will find this answer helpful!Best regards!" }, { "from": "gpt", "value": "Target: What is retrieval period for seizures in children?" } ]

[ { "from": "human", "value": "Source: Patient: MY HUSBAND AGE IS 31.HE IS HAVING SEISURE DISORDER IT WAS STARTED AT 27 YRS.6MONTH INTERVAL PERIOD ONLY FITS CAME . HE IS TAKING TAB.FRIZUM 10 MG AND TAB. EPILEX CHRONO MY QESTION. LIFE LONG CONTINU FOR THIS TAB! .WHAT CAN I DO FOR STOP THE FITS PROBLEM! Doctor: Hello, I cannot answer your question because I don't have sufficient information about his specific epileptic disorder. You must speak to the doctor about the REASON he is having such problems. Sometimes it is possible to retire the medications if he has been seizure-free for a period of at least 2-3 years. It doesn't sound like this is happening. Stopping the fits means your doctor should be able to tell you EITHER the underlying cause to his episodes OR the doctor needs to find another combination or another DOSING regimen of medications that can control his episodes. Also, you can help your husband by making sure he is well HYDRATED at all times, DOESN'T skip meals, TAKES his medications as ordered by the doctor every time and ON TIME. You should also make sure with the pharmacist that your husband is not taking any other medications or EATING certain foods or beverages that can NEGATE the effects of his medications to control the seizures. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist" }, { "from": "gpt", "value": "Target: Should frizum and epilex chrono be taken life long for seizure disorder?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, the following started last year but has become very frequent recently..... when I lie down flat on my back my eyes cross and i go dizzy and a tightness appears in my head. When i sit up and shake my head it goes away. My blood pressure has been controlled for 14yrs now and i have been on meds for that time. I am 48. I have developed a ringing in my ears. thanks Cat Doctor: Hi Dear ,As per your query you have dizziness and tightness in the head when lying down flat . Well there can be many reasons for vertigo , bu the most common is anxiety and the other Benign paroxysmal positional vertigo (BPPV) are ear infection , hypoglycemia , anemia , meniere's disease , migraine and alteration in he blood circulation . I would suggest you to consult ENT specialist for proper examination . Doctor may order test like rotatory chair test , head movement test , posturography and CT scan . Doctor may prescribe antiemetic drug , sedatives , antibiotics like gentamycin and recommend balance therapy , vestibular or physiotherapy . For now do not bend forward and drink green tea thrice a day . Doctor may also refer you to neurologist for head problem . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What causes dizziness and tightness in the head when lying down flat?" } ]

[ { "from": "human", "value": "Source: Patient: my 6 yr old son started complaining about stomach pain near or above the belly button the other day (Saturday). Sharp enough pain for him to feel it. He is lethargic, no energy, no appetite . Today (Tuesday) he continues to have the off and on stomach pain. At times he states the pain moves up to the lower chest area. Visited his dr. Xrays show nothing irregular, strept test came back negative. He woke sveral times last night due to the pain. Dr suggested tums or prevacid. Any thoughts? Doctor: Hi, the pain most probably may be due to intestinal colic In this age round worm infestation is quite common giving rise to pain,malnutrition leading to weakness,lethargy . X-ray will not show any thing usually please get a check up with pediatrician and take treatment . Tb.mebendazole 1 tab 2 times daily for 3 day may be given Fpt pain antispasmodics like decoloic may be given ,1/2 tab may be given , HOPE YOUR BOY BECOME WELL SOON ." }, { "from": "gpt", "value": "Target: Having sharp stomach pain, feels lethargic, weak, pain moving to lower chest area. Suggested tums and prevacid?" } ]

[ { "from": "human", "value": "Source: Patient: I had all four widsom teeth removed the friday that just passed so its been four daysand today I went to the doctor cause I had a throbbing pain in one of the holes. He said I had a dry socket so he oit medicine in it and it feels amzing now. But I jist reakized theres a lump underneath that tooth below my jaw line and I can move it when I touch it ... is it something bad? Doctor: HiThanks for writing in.Wisdom tooth extraction is complicated surgical procedure & there is some swelling post extraction.If your dentist has checked it & he diagnosed it as dry socket then go for alveogyl dressing.Do warm saline rinses.Complete your course of medication.Take Rest.Visit you dentist for check-up.RegardsDr.Neha" }, { "from": "gpt", "value": "Target: Throbbing pain in one of the holes after getting all the wisdom teeth removed. Prescribed medicine. Can feel a lump below that tooth. Matter of concern?" } ]

[ { "from": "human", "value": "Source: Patient: I have constant throbbing, ache and sharp pains in the lower right abdomen , I had cysts on the overy removed in November which seemed to ease the plain for a while, now it s back even worse. They thought for a long time it was ibs , until that was ruled out when no medication worked, it s a constant pain that doesn t go away? I m considering asking for an X-ray of the full area to see it there is anything untoward? Doctor: Hello! Thank you for the query. Abdominal X-ray (if this is what you are thinking about) is good for bowels obstruction and perforation diagnostic. Urinary tract stones are sometimes also visible on it. In other cases it is completely useless. As you have had ovarian cyst before, another one can appear. Especially if the symptoms you have are very similar to those caused by ovarian cyst. If the laparoscopy have been performed, adhesions caused bowels obstruction is possible. However it usually gives nausea, vomiting, diarrhea or constipation, abdominal cramping. Lower right abdominal pain can be also caused by urinary tract infection, stones, appendicitis (only if the pain has appeared recently), inguinal hernia. If you are 50 or older, large intestine polyps or cancer should be always ruled out. I suggest you to have some diagnostics. You should start with blood work, CRP and abdominal ultrasound. Gynecologist consult and transvaginal ultrasound should be also done. Hope this will help. Regards." }, { "from": "gpt", "value": "Target: Constant throbbing, sharp pain in lower abdomen. No medication working. X-ray required?" } ]

[ { "from": "human", "value": "Source: Patient: I had an occiptal nerve block approximately 3 weeks ago. Well Saturday I developed these nodules on my neck and base of my head. The one on my head was very tender and the one on my neck was without pain. Well.I began Keflex after 3 dosage I noted another one on the left side of neck. The nurse told me its common after the block and it will go away. I m concerned because my head is tender and it feel like their is a nodule on the scalp as well. Any answers before I go back to Mdoctor and they think I m freaking out for nothing. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.This seems reactionary lymph node enlargement in the drainage area of the occipital nerve block, which may indicate underlying infection.You should immediately report to your doctor for further guidance.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel" }, { "from": "gpt", "value": "Target: What do lumps on the base of the head indicate?" } ]

[ { "from": "human", "value": "Source: Patient: Hello dr. My 10 yrs old doughter is suffering from tb. Dr. Priscribed her 6 month akt course. Cobutol 1000 macox zh and solonax and benadon. But she is also had ring worm problem since last 1 years.dr. priscribed N itiza 200 allegra in night. Is it ok to take this medication at same time. And what is the best remedy for ring worm.Also its been 1 month she is having medication for tb. But she is coughing very badly with a loud echo sound. May god bless her. Doctor: Hello, You can give both TB treatment and ring worm treatment at same time. OTC anti-fungal topical remedies are available and effective for mild cases of ringworm. Look for the active ingredients Clotrimazole and Terbinafine. You can apply these ointments twice per day. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: How can ring worm infection in a child be treated?" } ]

[ { "from": "human", "value": "Source: Patient: Myelodysplastic syndrome diagnosed. I have an employee who receives blood transfusion treatment (outpatient) once every 4 weeks. The employee reports feeling fatigue and breathlessness prior to blood transfusions. What risk strategies need to be considered to ensure the workplace does not have a detrimental effect on the employee s medical condition. Employee works as an educator in a secondary school setting - partially performing administrative duties and teaching responsibilities. Any advice on appropriate reasonable adjustments to enable the employee perform her duties and remain at work is appreciated. Doctor: hello there! Myelodysplastic syndrome is a bone marrow eating condition with all blood counts to the minimum. And the fatigue and breathlessness before transfusion is due to all that anaemic status. The only thing you can do in your work place environment is to reassure the work place environments hygiene and make sure that the infections are early and aggressively treated as defense systems of MDS are fried and it needs external care,. Plus care for bleeding tendencies, simple task not heavy and demanding, rest and compliant medicine use with constant surveillance of blood profile.Good LuckS khan" }, { "from": "gpt", "value": "Target: Can receiving blood transfusion due to myelodysplastic syndrome cause fatigue or breathlessness?" } ]

[ { "from": "human", "value": "Source: Patient: I've had a bad tooth abscess, tooth was enventually pulled after three courses of antibiotics difficult extraction, which has left me with numb chin lip with nerve pain running through it also ringing in my ear !! X-ray done today showed a shadow which the dentist mentioned could poss be a cyst! Could the cyst be causing the nerve pain ? And is there any medication to relieve the nerve pain ? Doctor: Thanks for your query, I have gone through your query.The pain can be because of the nerve injury while removing the tooth or by the pressure applied over the nerve by the cyst. It can be a cyst. The other possible cause can be a neuralgia following extraction. Nothing to be panic, consult a oral physician and get it evaluated. If it is a nerve injury it can be treated with nerve regenerating drugs like multivitamins. If it is a neuralgia, then it can be treated with carbamazepine.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: What causes nerve pain after tooth extraction?" } ]

[ { "from": "human", "value": "Source: Patient: I am 20 years old, 5'10\", 200 lbs. I have recently been suffering from recurring blood clots in my urine after masturbation. This first happened two years ago. I had urine and blood tests, an aultrasound and even a cystoscopy but nothing was found (2 years ago). The urologist that performed the cystoscopy told me that it could have possibly been a vein that was ruptured. Any suggestions on proper steps to take? Doctor: Hope I have answered your query. Let me know if I can assist you further. Blood clots in urine after masturbation may be due to trauma of veins in the urethra or prostate lead to bleeding. It may also due to infection or semen may be mixing with high colour urine retained in the urethral ridge etc. First confirm that you have blood in semen by microscopic examination the seek for medical advice. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes blood clots in urine after masturbation?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, My son (4 years old) has been throwing up once or twice a day for 7 days. He had one day (Sunday) that he did not. Our family doctor has assumed it is probably a virus. He shows no other symptoms and doesn t lose appetite or show dangers of dehydration. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son have symptoms of persistent vomiting which seems to be due to food poisoning which caused electrolyte imbalance in body leading to acute gastritis. Sometimes it is due to underlying systemic pathology. I would suggest you not to panic at all. You should start treatment with combination of fluoroquinolones and ornidazole. Avoid hot, sharp and spicy food. Visit gastroenterologist once and get it examined and start treatment after complete examination. Drink plenty of fluids to rehydrate yourself. You should get intravenous fluid administration as well. You can take banana on daily basis and light food. You should avoid taking dairy products in excess.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What causes persistent vomiting in a child?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I am a 31 year old married lady we have been marriied since 4 yrs, we are trying to conceive through IUI and the doctor has prescribed Gestofit 400 SR 3 times a day along with progynova as my endometrium was thin But i feel very drowsy these days could it be because of the tablets effect? Should i stop the dosage? Doctor: HiDizziness or fatigue can occur with Hormonal pills.Watch the pattern for the next few days and if the dizziness continues,it could be because of the drug.The body requires some time to adjust to the medications. Side effects may reduce in the subsequent days and cycles and hence continue the drug for few more days. Incase of severe allergy to the drug such as rashes or swelling of face or lips or difficulty in swallowing ,the drug should be stopped.Hope I have answered your query. Let me know if I can assist you further.RegardsDr.Saranya Ramadoss, General and Family Physician" }, { "from": "gpt", "value": "Target: Could drowsiness be side effects of prognova and gestofit tablets?" } ]

[ { "from": "human", "value": "Source: Patient: I'm a 33 year old healthy women with the exception of bouts of anxiety. my heartbeat becomes irregular and pounding in the evening hours I've had an ultrasound on my heart and was told it was perfect. The Doc gave me 5 mg beta blocker and i was told to take when it starts to be irregular. I don't feel good about taking the pills everyday what should i do and am i in danger Doctor: anxiety leads to irregular heart rate ..and standard treatment for this is low dose beta blockers and antianxiety drug ...usually antianxiety drugs are habit forming ..if you donot want to take these drugs please cut down on coffee ...go for walk ...busy yourself in some hobby or social cause ..practice deep breathing ...relaxation exercises and meditation ...if no effect with these ..meet a psychiatrist ...he may do counselling" }, { "from": "gpt", "value": "Target: Suggest remedy for anxiety and irregular heartbeat" } ]

[ { "from": "human", "value": "Source: Patient: I have what looks like blisters on my tongue, some of them towards the back are very large, it is painful. I have had an over grown tastebud on my tongue before that they sniped off. I have brushed my tongue with my toothbrush, and gargled with mouth wash. I have had this for 3 days Doctor: Hi! Welcome to Healthcaremagic.I read your query. Tongue blisters can be due to number of reasons. Stress, vitamin deficiency, infections, burns from food or liquids.I suggest you to stop using store purchased mouthwash till you have blisters. Use baking soda plus water or normal saline mouthwash.Take multivitamins. Avoid stress. Take lots of fluids. Keep urself well hydrated as dry tongue increases pain. Avoid hot spicy and acidic foods and liquids. Use lidocaine gel on blisters before eating to reduce burning. Do not brush on blisters.Usually blisters go in a week or two. Hope the answer helps you. Thank you." }, { "from": "gpt", "value": "Target: Suggest treatment for blisters on tongue" } ]

[ { "from": "human", "value": "Source: Patient: my mum is 55 and has pressure like feeling in her back since 2 months now ... her doctor told her she has lumbosacral nerve compression by examining her back, xray doesnt show anything apart from ossification of cartilage. ..her vit d was 4 ...n now on vit d oral injection and physiotherapy ....but physio is actually maming her pain in back n pressure more after couple of visits with the physiotherapist. could it b sth else??? she doesntnwanna go for mri because shes claustrophobic! !!! I dont want her health to deteriorate more What shud I do?? Doctor: Welcome to healthcare magic.After going through your query in my opinion it is degenerative spine with compressive symptoms.Rest in position of relief, diacerine, glucasamine sulfate and analgesics (diclofenac). Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation can be taken.You can discuss with your treating Doctor.Does not want MRI. I think your query answered.Welcome to any follow up query." }, { "from": "gpt", "value": "Target: What is the pressure like feeling on my mother s back?" } ]

[ { "from": "human", "value": "Source: Patient: me and my boy frnd had sex without taking precausion. i am scared about pregnency as i missed my period this month. 12 and i already check pregnancy test test is negative i want to come my period as soon as possible days over still period not happend. so please tell me which tablet i can take to avoid this. please reply me ASAP. Doctor: Hello,I have gone through the query and understood your concern. If you have always been regular with your cycles and missed this one, you should perform a home pregnancy test with a fresh early morning sample 3-7 days after the missed period. Else, you can also go for the estimation of the serum beta-hCG titres for an earlier and better clarification. If positive, please see a specialist for further management. After a trans-vaginal sonogram to locate the gestation sac, if you do not wish to retain the pregnancy, you may be induced to have an abortion. Hope this helps." }, { "from": "gpt", "value": "Target: Need medication for birth control" } ]

[ { "from": "human", "value": "Source: Patient: my 5 year old female daughter developed a fever on day 1. 0n day 2 she started itchyness on her feet...which later developed into a rash...raised bumps. Day 3(today) feet rash continues plus she more itchyness but mild on her arms and mouth. we presently have a dengue outbreak locally so i am suspecting that....but the bumps should not raised for dengue. Someone also told me about a new strain of foot and mouth disease however i read that there should be no itching for this. fever continues and being treated with panadol. treating rash with piriton for 2 days now...no difference. what are your thoughts? Doctor: yes it could be hand foot mouth disease. it is caused by a virus. it is a self limiting condition. vesicular rash develops and severe itching is also there. oral ulcers also develop.treatment is symptomatic fever is controlled with paracetamol. itching can b controlled by calamine lotion and itching medicine" }, { "from": "gpt", "value": "Target: What causes fever and itchy rash on feet in a child?" } ]

[ { "from": "human", "value": "Source: Patient: I have severe and constant pain in both elbows, I cant even touch them. The pain radiates into both for arms and my wrist and on the right side. I cant straighten either arm out. Could this be tennis elbow. I have never played sports or done anything repetitively other than typing for work. Doctor: Prolonged duration work like typing can cause tannins elbow. .give adequate rest and consult a joint surgeon" }, { "from": "gpt", "value": "Target: Suggest treatment for pain in elbows" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I recently began to feel a mild discomfort in my groin in the left inguinal region. Palpation revealed what appeared to be a dumdbell or bean shaped nodual of about 1x2 cm. No other masses or swellings of any kind, and no systemic symptoms. I saw my G.P. who felt it was most probably a lymph node. A CT scan with IV contrast revealed only a non-specific thickening of the left spermatic cord along with some fatty components. no other masses or adenopathies. any thoughts on what this might be and what may have caused it. How should I follow up from here? Thank You. Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You need not bother about this non-specific thickening of spermatic cord. One possibility is that it might have existed without your knowledge as well since long. Just keep observing if the size is increasing or else just see if it become painful. Unless that you need not worry.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy" }, { "from": "gpt", "value": "Target: Nodule in the groin, scan shows thickening of spermatic cord with fatty components. Cause?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I gave my daughter vermox two days ago and Im seeing some worms in her anal region. should I give her more vermox or should I wait. She has no itching, I guess my question is are they dying and coming out of her butt or are they still alive. I did hear that vermox could take 3 days to to take affect. Doctor: Hi,After de-worming medicine it will take some time to clear worms, ova and cyst of worms from gastro-intestinal tract.Worms might be dead or alive.For few days you may see these worms near anal region, it is normal process.Usually one course is enough for de-worming.If require you can repeat the dose after 10-15 days.Ok and take care." }, { "from": "gpt", "value": "Target: What causes worms in anus after taking Vermox?" } ]

[ { "from": "human", "value": "Source: Patient: Hello doctor, my son(he is a preemie) is 5 months old and weighs 5.9kgs.I missed first shot of HiB vaccine i.e at 6th week. I opted for combination vaccines(DTP+HiB+HBV) at 10th and 14th week. Is it fine if I skip his 3rd shot of HiB or is it mandatory to go for it, lest the effect of two HiB shots get nullified. Doctor: Hi, Welcome to HCM. It's better to give doses of hib as it will affect the titer level of vaccine in baby. If titers are low, then child is more prone to infection. Hib vaccine doesn't have 100 percent efficacy so it's better to give all 3 doses of vaccine. If you don't give 3rd dose then the effect of earlier two doses is lower. I suggest you to give 3rd dose of vaccine. I hope this will help you. Take care." }, { "from": "gpt", "value": "Target: Is it safe to skip 3rd HIB vaccine for child?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I am 35 year old mother of 2. Am having major hair fall and grey hair problem. I do use l'oreal color as it has become a need now. I also have have blemishes and small spots like pigmentation on my cheeks. Kindly help with some solution for both my problem. Doctor: Hello, I would recommend you to apply kojic acid-based cream on the blemishes twice daily along with the frequent and regular application of a sunscreen lotion on the entire face during the daytime. For hair, fall take hair supplements like tablet follihair once daily fitness 2-3 months. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist" }, { "from": "gpt", "value": "Target: Suggest treatment for hair fall and spots on the face" } ]

[ { "from": "human", "value": "Source: Patient: My 4 month old baby girl has a red, itchy rash on her lower and upper eyelids. The doctor prescribed a cream that seems to be making it worse. I tried calling the doctor, but the nurse has been unable to answer my call. Should I discontinue the use of the cream or keep using it? Doctor: dicontinue cream if its worseninggive her hydroxizine dropsfor three days otherwise nothing to worry" }, { "from": "gpt", "value": "Target: What causes red itchy rash on an infant s eyelid?" } ]

[ { "from": "human", "value": "Source: Patient: RESPECTED SIR, FROM LAST 2 MONTHS , I AM IN JAIL ( AS A UNDER TRIAL PRISONER), THERE , I M CAUGHT WITH COUGH, NOW , I M RELEASED, BUT AT THE TIME OF NIGHT, WHEN I M GOING TO SLEEP , AT THAT TIME , I M DOING WORST COUGH, AND AFTER 15 MINUTES OF CONTINOUS COUGHING, VOMITING IS STARTED, PLEASE TELL ME WHAT IS PROBLEM WITH ME, I AM THINKING THAT MAY I CAUGHT WITH TB. BECAUSE WORSTLY I M COUGHING AND ALSO MY WEIGHT IS LOOSE, BUT WHEN I M COUGHING, AT THAT TIME BLOOD IS COMING AND I M NOT CAUGHT WITH FEVER ALSO, BUT I M CAUGHT WITH COUGH FROM LAST 1 MONTH. MY EMAIL ADRESS IS: YYYY@YYYY Doctor: Thanks for your question on HCM.I can understand your problem and situation.Yes, you are right about tuberculosis. Possibility of tuberculosis is high in your case because of following reasons.1. Chronic cough for atleast 2 months.2. Blood in phlegm (hemoptysis)3. Weight loss.4. Jail is a closed space. And TB infection is common in closed area due to poor ventilation.So I advice you to consult pulmonologist and get done1. Chest x ray2. Sputum examination for AFB to rule out tuberculosis.If both are negative than get done PFT (pulmonary function test) to rule out bronchitis.As bronchitis can also cause hemoptysis and cough.So consult pulmonologist and discuss all these." }, { "from": "gpt", "value": "Target: What could be the severe chronic cough followed by vomiting?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Doc, my wife is pregnant (week 27week) , everything is going normal till now , but today evening suddenly she is suffering from abdominal trauma(pain) , and the pain is moving from back to upwards . I have DUVDILAN RETARD(Isoxsuprine cap S.R.) , should I give her the medicine in case of emergency , and what should be the correct dose of this medicine . Doctor: HAIABDOMINAL TRAUMA with severe pain should be of separation of placenta.it need urgent ultrasound abdomen to see the well being of baby.duvadilon can be given after consultation of obstetrician." }, { "from": "gpt", "value": "Target: Can Duvadilan Retard be given for severe abdominal pain?" } ]

[ { "from": "human", "value": "Source: Patient: Hi,just a query. Im currently using Lady Pillsand I have 2 days remaining for the pack.I was planning to shift to Althea, because I heared alot of good things about it. Will it be fine if I'll startusing the pack when I finish the LADY pack. In the prescription it says that I need to take the pill for 21days and 7days pill free.For the 7days pill free will these means the I dont need to take a pill,and start taking it again on the 8th dayfor the new pack.But on the 7days free pill i had sexual intercourse with my husband what wil be the effect will I get pregnant.Hope for your fast response. Doctor: Hello, Thanks for the query to H.C.M. Forum. As 21 days are advised , so that no pregnancy could not occurs due to intercourse. 7 days pill free are advised ( iron or folic acid tablets) , so no chances of pregnancy irrespective of sexual intercourse. Next round of tablet starts on the 8th day of menstruation & so on. So in your case pregnancy , not at all , don't worry , tension free life. Good luck. Dr. HET" }, { "from": "gpt", "value": "Target: Using Lady Pills, intercourse during pill free days. Pregnancy chances? When to start taking pills again?" } ]

[ { "from": "human", "value": "Source: Patient: I am 37 weeks pregnant, just had a cerclage removed today, and I am 1 cm dialated. Having back pains, menstral like cramps and a terrible headache. Havent lost my mucus plug but inconsistant contractions. My Dr. seems to think labor is coming soon, what are the odds? Doctor: HI, thanks for using healthcare magicIt is quite possible that labour would start soon. The time frame in which labour starts after the mucus plug is passed varies from soon after to 1 to 2 weeks.The presence of cramps and back pains however, may also indicate that you may be in labour sooner rather than later.I hope this helps" }, { "from": "gpt", "value": "Target: Why there is back pain, menstrual like cramps and headache?" } ]

[ { "from": "human", "value": "Source: Patient: hi, my problem is that I have these little knobs that are a bit sore, and then because i cant help it I scratch them and they turn into wounds and they bleed. I have a contraceptive implant in my arm so i wonder weather it could have something to do with that. all the best Anne Doctor: HIWell come to HCMI really appreciate your concern, site of the wound is not given here, it may be infective boil and it may not be due to implantation of contraceptive device, I would advice to use Povidone Iodine ointment for this if this is the inflammation then Tab Ibuprofen 200 mg three times in day can be taken hope this information helps." }, { "from": "gpt", "value": "Target: Can sore knobs, be related with contraceptive implants?" } ]

[ { "from": "human", "value": "Source: Patient: my 5 year old daughter woke up in the night 2 nights ago with a stabbing pain in her urethra and needing to pee frequently. When taking a sample in the middle of the night I saw 2 little white wiggly things. I took her to docs who prescibed antibiotics and said it was a UTI, he ignored the white things! The next day she is fine and I take samples of her pee throughout the day which show NO white wiggly things. However she woke last night needing a pee but not in much pain and when I made her pee in a pot again I saw a ehite wiggly thing?? She not complaining during the day only at night and is not complaining of any itching!! Can you suggest what it could be? Doctor: HI...by what you quote I feel that she is having worm infestation. While the kid sleeps the worms come out of the anus and travel forward lodging themselves in the urethral region. I feel that this is what you are seeing there. Without fever I do not feel that this is urinary tract infection. I suggest you de-worm her. If I were your pediatrician I suggest giving Tablet Albendazole 400mg once today and another after 10 days.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes stabbing pain in the urethra of a 5 year old?" } ]

[ { "from": "human", "value": "Source: Patient: Every time I sit for a period of time, My back is stiff and I cant stand up straight right away without pain. I CAN NOT lay on my stomach and watch t.v.. It is too painful on my lower back. Most of the time I feel a naggy throb ache in my lower back. WHen I massage or rub ben gay on the lower back it eases it for just a little while. What could this be. I am a 42 year old female 5'6\" and 158lbs. I am raising my 14 month grandson and picking him up sometimes brings tears to my eyes, The pain is that bad. Doctor: All your symptoms indicate that back muscles need strenghthening exercises. spinal exercises should be learnt under care of physiotherapists.there should be no strenuous efforts ,just enough to give gentle exercises to muscles of back.Relaxation from stress is also important by changing life style,meditation etc.hot fomentation is also helpful.assessment of serum calcium,vitaminD.Diet management with more of fruits, vegetables and proteins instead of fats." }, { "from": "gpt", "value": "Target: What causes stiffness and pain on the lower back?" } ]

[ { "from": "human", "value": "Source: Patient: I was tested positive for hsv1 and 2 but I have never had a outbreak and no one that I have been with has ever had a outbreak do I need to be retested to make sure of my resulted and the s aid week I took 3 different type of antibiotics could not cause a false positive Doctor: Hi,As per your complain HSV-1 or Herpes Simplex Virus 1 infection is a viral infection that is commonly sexually transmitted via oral and genital contact. It is generally confirmed by investigations like antigen antibody reaction [IgG and IgM antibodies], Polymerase chain reaction, and viral culture. As it is a viral infection, taking antibiotics will not alter the test results.You did not have any outbreak as your body's immunity might be good to resist infection and not letting the virus particles to multiply. But for re-confirmation you can repeat your tests and consult an Infectious Medicine Specialist for further diagnosis and treatment.Hope this information helps. Let me know if I can assist you further. Thanks and regards,Dr. Honey Nandwani Arora" }, { "from": "gpt", "value": "Target: Suggest ways to rule out HSV-1 infections" } ]

[ { "from": "human", "value": "Source: Patient: I recently had my gallbladder removed, it will be a month on friday since my surgery. for the first two weeks I was fine and didn t have any digestion problems. But then I started getting horrible diarrhea for a few days straight. After then it hasn t been as bad but my bowl movements are not normal. I generally have excess blood and mucus in it, and sometimes all that comes out is pure mucus with blood mixed in. Usually very fresh bright red blood. Today I ve had it really bad and actually had stool that looked extremely dark, almost black and had a watery consistency. My surgeon told me to take some extra fiber but it doesn t seem to be working. I haven t had any pain since the gallbladder was removed but during the time when I had the problem with my gallbladder I lost about fifteen pounds due to nausea so I did not want to eat anything, not sure if its relevant. I ve tried to avoid things like dairy and meat as they have caused some problems for me. Do you have any idea what it could mean? Doctor: Dear sir, it could mean many things, but i think that there shouldnt be any relation between your gallbladder removal and these symptom. it sounds for me more like typical colon disorder; IBD, Crohn or ulcerose colitis, infective colitis etc. The best way to rule it out is to do colonosopy. After that you can plan further tests. Blood in stool can also be serious sign of some benign(polyps,haemorrhoids,fissuea) as well as malignant diseases so dont be very concerned but do colonosocopy definitely. Wish you good health,Dr. Ivan Romich" }, { "from": "gpt", "value": "Target: Severe diarrhea with blood and mucus, weight loss since surgery for gall bladder removal. What does this indicate?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Sir, I am suffering Varicocele grade 1, since 3 months i went lot of doctors every one said it is not big one. but in my side its coming very pain when ever sit long time. so please help me any suggestion about this Thanks & Regards, Shivaganeshgupta 0000 YYYY@YYYY Doctor: Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to varicocelle.There are no drugs to treat or prevent varicoceles. But pain killers such as acetaminophen may help with pain.When needed, surgery is the main form of treatment.Hope my answer was helpful.If you have further queries feel free to contappct me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician" }, { "from": "gpt", "value": "Target: What causes varicocele grade 1 on the side?" } ]

[ { "from": "human", "value": "Source: Patient: My 15 month old son has had a fever for a few days now. Long story short after we took him To the e.r they said it is just a fever and nothing serious to worry about. Well he woke up laughing hysterically earlier. I have heard him giggle or laugh in his sleep before. But this time it was enough to actually wake him up. Since then he has been randomly laughing even when there is nothing to laugh about. Should i be worried that something may be wrong? Or is this just him being silly ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.This is called Febrile delirium. It is very common during the height of fever in some kids. However, it does not cause any neurological damage to the brain.It is a self-limiting problem so, do not worry about it.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani" }, { "from": "gpt", "value": "Target: Is giggling of an infant while sleeping a concern?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, 3 days ago i got all 4 wisdom teeth removed as 3/4 of them where impacted. If it matters i am 18 and the surgeon stitched the sickets with dissovable stitches. They are healing well but since yesterday i noticed a small flap of gum on 3 of the areas where my wisdom teeth where removed. Each flap has gotten bigger today (its possible that theyre just swollen though). The problem with this is each flap has grown over the tooth next to them, so im basically chewing on them throughout the day. Will this cause any problems? What should i do? And why are those flaps there? They seem to be mostly secured by the stitches Doctor: Hi,Thanks for aksing the query,A complete healing after wisdom tooth removal occurs upto 3 months, whereas pain swelling subside in 10-15 days.According to your symptoms i suppose that you hve developed inflammation and swelling around the healing socket.You just follow the post operative instructions given by the Dentist properly.Take complete course of antibiotics and analgesics.Take lukewarm saline and antiseptic mouthwash rinses.Avoid eating of hot and spicy foodstuffs.Avoid smoking and alcohol consumption as this may worsen the condition.Hope this helps out,Regards.." }, { "from": "gpt", "value": "Target: Got wisdom teeth removed and stitched sickets. Healing well but flap on gums has got bigger. Normal?" } ]

[ { "from": "human", "value": "Source: Patient: about a year ago I was lifting weights, overhead military press, the next few days my shoulder hurt like crazy and couldn t hardly move it, since then I cant hardly do pushups and I have pain all the time that wont go away, I have full range of motion but if I try to throw a ball it hurts like crazy, and it hurts to touch the top of my shoulder. Doctor: hi,thanks for providing the brief history of you. As you mentioned the mechanism of injury us directly related to gymming exercises. I think you should strengthen the muscles of the shoulder girdle. Usually the gym injuries are common and treated slowly and gradually to avoid any further injuries. As you need to take a small visit to a physical therapist who can actually guide you to perform some special test to check what injury it might be. Also you will be directed mild static exercises for the shoulder girdle muscles. It will progress to moderate and then Strengthening the shoulder girdle muscles. The muscles to focus on are the, pectoralis, triceps, biceps, deltoid, shoudler girdle, trapezius etc.Strenthening the muscles of the shoulder girdle will help you in further to avoid any sorts of pain. Also perform exercises for both sides to balance the strength in them.On a safer side an MRI will be of help to see any soft tissue Injury.Usually with proper exercises 99% of shoulder cases get benefit and avoid future injuries.With the grace of God I wish you a good health." }, { "from": "gpt", "value": "Target: What to do for the pain in the shoulders due to weight lifting?" } ]

[ { "from": "human", "value": "Source: Patient: My son suffered hypogycimia ,hypoxia at third day of bearth Doctor: hello, hypoxia can be due to inability to breath. It can be due to lack of surfactant to difficulty in breathing. It can also be due to ischemia at birth. Hypoglycemia can be due to various reasons like high insulin etc. Since it was on the third day it is a late reaction and hence considerably harmless. I would advise you to consult a pediatrician in this regard and get a complete work up. Continue regular immunisation as per pediatric prescription. I hope i have answered your query. Take care" }, { "from": "gpt", "value": "Target: Effect of hypoglycimia and hypoxia in neonates, please suggest" } ]

[ { "from": "human", "value": "Source: Patient: I'm 37, 62kgs, no real history of medical problems. Cholesterol was normal last check (Sept), exercise regularly. Used to smoke but quit last year. I have a constant pain in my chest and have been really tired for the last week or so. I also have some much milder soreness in my back, shoulders and neck, but have attributed that to longer hours spent working at a computer recently. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since your cholesterol is normal and you do regular exercise, possibility of heart related chest pain is less. But as you are past smoker, better to get done ecg to rule out cardiac chest pain. If ecg is normal then no need to worry for heart diseases. You are mostly having musculoskeletal pain due to prolonged sitting against computer. This can cause stiffness of back, neck and intercostal muscles. So better to avoid prolonged sitting. Sit for 1-2 hours and then stand up, move around for 5-10 minutes and then again sit. This will be very helpful in your case. Also sit with proper back support. Avoid awkward movements like bending or stretching while sitting. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Don't worry, you will be alright with all these. 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 constant pain in chest and tiredness?" } ]

[ { "from": "human", "value": "Source: Patient: I was diagnosed with concussion a week ago- from dancing. I did not hit my head but jerked it. I began to feel better but am now feeling nausea again, diarrhea and dizzy. ( It comes and goes in waves)The side of my head is slightly swollen and feels foggy and numb still. I cannot return to work yet. I have been trying to rest, sleep and listen to audiobooks as I notice watching television increases my headaches. Please can you give me any advice? Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.The following symptoms following Head injury require evaluation by a Neurosurgeon1. Loss of Consciousness2. Fits 3. Headache 4. Vomiting 5. Dizziness6. Giddiness7. Double Vision 8. Blurring of Vision 9. Numbness10. Weakness 11. Bleeding from Nose 12. Bleeding from Ears13. Bleeding from throatIn this, you have Headache, Dizziness and Nausea. So You need to consult a Neurosurgeon at the earliestHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care." }, { "from": "gpt", "value": "Target: What causes nausea, diarrhea and dizziness diagnosed with concussion?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I m 25 years I had a miscarriage in February 2012 and I got again in July during period I had sex and got pregnant and in march 2013 I had the at 8 months by c section the baby had abnormal heart kidney and liver problems baby stayed in nicu for a month died on April 12 2013 and 9 months later I m having trouble getting pregnant help please Doctor: Don't be in a hurry to conceive so doon after cesarean. ...you need ample of time for your body as well as uterus to be capable to handle a new pregnancy. ....the scar of cesarean takes 1 year minimum to be able to carry a next pregnancy safely...since you had a baby with birth defects....get your tests for congenital anomalies done and start taking folic acid 5mg along with multivitamin to cover up for any internal deficiencies for at least 3 months" }, { "from": "gpt", "value": "Target: TTC. History of miscarriage followed by giving birth to a baby with abnormal internal organs. Help" } ]

[ { "from": "human", "value": "Source: Patient: Hi I had a tkr of my right knee 3 yrs ago and my hip started to hurt. I have now narrowed the source of the pain to a small muscle at the bottom of my gluteus, maybe obturator internus? I have been working with pt to strengthen the quads & doing clamshell rotator type exercises massively aggravates that area. What should I do to get some relief? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.I think you may be having osteoarthritic of hip joint. It can be confirmed by x ray of hip joint. Glucosamine is helpful in osteoarthritis. You can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care." }, { "from": "gpt", "value": "Target: How can gluteus muscle pain be relieved?" } ]

[ { "from": "human", "value": "Source: Patient: I been having unprotected with my boyfriend. My cycle isn't due until round the 21st of this month. For the last week and a half I just been feeling sick and have frequent headaches. I also been having a white milky discharge. I also caught a cold last week. Just trying to figure out if I could be pregnant. I also been have mild cramps which comes and goes. I eat and still feela little sick afters like I'm going to throw but I don't . Doctor: Hi welcome to Health care magic forum. Thanks for asking a question to H.C.M.F. You had unprotected sex with boy friend, period is due on 21 st of may, for the last week and half had headache, milky white discharge, cough and cold, and vomiting sensation. the symptoms with cough and cold suggest that it is not due to pregnancy. they could be due to some feverish symptoms. I advise you to consult a physician for diagnosis and treatment. To be on safe side you can have a pregnancy test, to exclude the pregnancy, and some tests for confirming the type of fever . Wishing for a quick and complete recovery. Best regards." }, { "from": "gpt", "value": "Target: Due for periods in 2 weeks. Frequent headache, white milky discharge, cramps, feeling of throwing up. Had unprotected sex. Possible pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: I think I have a pinched nerve in my right arm shoulder area. It s been coming on for 4 days, and is so bad, I can t lift my arm. I found Robaxin in my medicine cabinet, and am wondering if this will help. I hate to go to a urgent care place on the weekend Doctor: hai if pain severe you take roboxin or tab.ultarcet two times for 5 days,with tab.pregaba -m once for 20 days.try to do hot fomentation.take rest" }, { "from": "gpt", "value": "Target: Suggest treatment for nerve pain in shoulder" } ]

[ { "from": "human", "value": "Source: Patient: We had sex last evening with an expired condom will my wife be pregnant ?? The condom didnt break niether my sperms entered her !! I am in tension pls let me knw asap !! She's telling me to wait till she gets her periods !And what shuold i do after she misses her periods?? Doctor: Hi,The use of an expired intact condom is not likely to make your wife pregnant but it may lead to an allergy after use. So it is better to avoid using an expired condom. If you are worried then your wife should take a plan B pill which will prevent the occurrence of pregnancy.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" }, { "from": "gpt", "value": "Target: Does sex with an expired condom lead to pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: vanakkam, i am pasupathilingam, aged 61, suffering asthma for the past 40 years. it was so acute during the last 3 years. i am taking allopathic medicines regularly during the past. i took Betnelan Tabs during 1975 to 1986 regularly during every night. i was ok then. After that i took medicine from Navshathi Aushathalaya Bangalore. for about 6-7 years and due to that my skin became black. Then i stopped that medicine. After that I was taking Theo Asthalin Tabs regularly and taking Asthalin Inhaler for 3 to 4 times daily. During acute attacks i used to take Decadran and Deriphilline injections. Then I took Acupuncture treatment from Dr. Fazlurman at Chennai. during 1996 to 1996 and felt some improvement. Due to my office pressure i was not able to continue. Even I am taking Theo Asthalin Tabs thrise a day with inhaler puffs and taking Decadran and Deriphilline injections at heavy wheezing. And now I am taking Homoeopathic medicines for the past two years. Now i feel the attacks are so reduced The intensity of the wheezing is very low. However, i have become addict to the use of inhalers. My homoeopathist advises to control my self the usage of inhalers so that the medicine should act fast within me. But I am unable to follow eventhough my wheezing is very very mild one. But except that i do not have heart, uriniery pressure problems Even my vision is so normal. I request you to give me suggestions as to whether(1) i can fully recover from the asthma. (2) is there siddha medicines which can improve me, (3) shall i take supportive products during the progress of alternative therapy(homoeo) (4) and further, i am now residing at Chidambaram, Tamilnadu and whereas i have to shift myself to Bangalore where it so cold. It is my annoyance whether i can survive there with my asthma. Kindly reply me doctor. with regardspasupathilingam, YYYY@YYYY Doctor: Hi,I had gone through your query and understand your concern.For query 1:Asthma is a chronic airway disease which has no permanent cure but if you take modern medicine (allopathy) as advised by respiratory medicine specialist,the chance of having good asthma control is greater than any other of treatment methods.Query 2: This is not wise to comment over herbal medications since I am a physician of modern medicine. But I can assure you that modern medicine is the most scientific method of treatment in which sometime raw materials are also processed from herbs.Query 3: No, you will not require to take alternative medications if you follow physician's advise properly.Query 4: If cold is a trigger of your asthma, then you better think once more before shifting to cold region.For asthma management, we follow step care management according to patient’s disease status.So my suggestion is: Please consult with a respiratory medicine specialist to confirm the diagnosis (by clinical features, physical examinations, objective test etc) and get treated accordingly.Hope this answers your query. Wish you good health." }, { "from": "gpt", "value": "Target: How to treat asthma ?" } ]

[ { "from": "human", "value": "Source: Patient: I went to a Redi Clinic and they diagnosed me with sever allergies. I had to call them back in a week and get an antibiotic. The day after taking the last of my Zpack I was in pain again. I now have an ear drop and that does not seem to be working either. I don t know what to do. I can t stand this pain. My throat hurts on the side of the infection too. Doctor: Hi, I understand your concern. Your symptoms of throat pain persisting after taking Zpack is suggestive of viral infection. Zpack is an antibiotic, fighting bacterial infection, but unfortunately not fighting viral infection. You can go back to the clinic and get another visit to check your throat again. To speed up recovery:- gargle with warm water and salt- keep icy cubes in the mouth- oral antiseptic spray can help- take anti-inflammatory meds like ibuprofen, or paracetamol- drink plenty of fluids (water, tea, etc). Wish fast recovery." }, { "from": "gpt", "value": "Target: Suggest medication to replace Zpack for allergies" } ]

[ { "from": "human", "value": "Source: Patient: I have hypo thyroidism and i take eltroxin 50 mg, on and off. since past one year. my hair is falling a lot, and my left upper eye lid twitches a lot since past 4 months. i don't know what to do. can u suggest a good doctor in bangalore. and what should i do? Doctor: Hello, You seem to have telogen effluvium and thyroid is one of the causes of it. I suggest you use minoxidil and procapil solution for hair fall. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist" }, { "from": "gpt", "value": "Target: What to do for the hair fall and twitches in eye lid?" } ]

[ { "from": "human", "value": "Source: Patient: I have wheezing/shortness of breath. Echocardiogram, chest X-rays showed normal. Doctor ruled out COPD, asthma, pulmonary fibrosis. O2 intake/lung capacity outstanding. Non smoker. Very fit. However, 282 pounds, but more importantly, I am taking cypionate ( prescribed by doctor) and anobolic steroid, which respiratory doctor doesn t know about. Getting sleep apnea test tomorrow. Doctor can t figure it out. My question: can steroids cause shortness of breath? Doctor: Thanks for your quetion on HCM.Steroids directly does not cause breathlessness. But steroids can cause weight gain and due to this breathing difficulty can occur.Steroids can also cause buffalo hump and this can be the cause for obstructive sleep apnea. So sleep study is adviced in your cause. Another possibility is steroid induced myopathy. Though it is rare possibility but can happen. So if myopathy affect respiratory muscles than it may cause respiratory difficulty." }, { "from": "gpt", "value": "Target: can steroids cause shortness of breath?" } ]

[ { "from": "human", "value": "Source: Patient: We have an 11 year-old daughter who was diagnosed with galactosemia 2 days after birth. Dr, Heindenreich was her doctor, and we were never able to find out if she is classical or has the duarte gene. She is 61 lbs and cannot gain weight. We fill her up on high carb meals, snacks, etc.. Her pediatrician is worried, as she lost 1 lb over the past year, instead of gaining weight. As she heads into puberty she needs to gain weight. She is developing underarm hair and showing good signs. What would you suggest to help her gain weight? Doctor: Hi,I understand your concerns but carbohydrates alone are not enough to gain weight you need to offer her complex meals. Such as French fries with mayonnaise or ketchup, pasta with white or red sauce and fried chicken, energy bars also can help, nuts, desserts. Also you should have a stool analysis done for her to exclude the presence of any maldigestion or parasitic infection.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" }, { "from": "gpt", "value": "Target: What diet should be followed to increase the body mass?" } ]

[ { "from": "human", "value": "Source: Patient: I have been lifting 3 to 5 pound weights with my workout My shoulder and upper arm hurt. I have put mineral ice on it and it helps overnight but hurts a little the next day. This has been going on for 4 weeks. I want to workout but my arm bothers me when I lift weights. I didn t workout for a week and it still hurts. What do I do?marynethery Doctor: You could be having Rotator cuff tendinitis. Apply heat or ice. Avoid overhead activities. Get an MRI Shoulder to look for tendinitis or tear. Take pain killers for 5 days. Do physiotherapy for shoulder muscles strengthening." }, { "from": "gpt", "value": "Target: Suggest treatment for severe shoulder and upper arm pain" } ]

[ { "from": "human", "value": "Source: Patient: My husband is a 78 yr. Old type 1 diabetic. He was diagnosed with double pnemonia 8 days ago. He was given amixi clav and one lung has cleared up. the left lower lobe is still not getting air. He was given 4 additional days of antibiotics totally 2 weeks. Is it normal that one could still be filled. How long is normal for this to get the pnemonia out. Ineed peace of mind. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Complete clearance of pneumonia usually takes upto 6 weeks.2. Yes, it is normal, especially with diabetes for infection to be persistent and one lung will heal faster than another.3. Improved diet and deep breathing exercises with spirometer will be helpful. Later, need to get vaccination with Hemophilus influenzae to avoid recurrent infection.4. Even after going back from hospital, regular breathing exercises along with physiotherapy will be required for upto 6 months, to heal all fibrous septae. Diabetes mellitus, being under control is important as it will hasten healing.Hope it helps.Any further queries, happy to help again." }, { "from": "gpt", "value": "Target: How long does pneumonia take to heal?" } ]