conversations
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{
"from": "human",
"value": "Source: Patient: hi, just now i had my semen test and got result that out of 2ml volume i got the following - Total count - 90 million, active motile - 80%, pus cells - 1-2HPF, RBC - Nil, Epithelial cells - Occasional - My question is my semen analysis is good or need to improve Doctor: Hello, Your mentioned semen analysis report is absolutely normal. There is no need to worry about it. The sperm count and motility are absolutely within range, so your report is good. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What does this semen analysis report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For quite a while now, my blood pressure has been a bit high. I currently have something going on with my throat. It is swollen inside and out, and the most painful sore throat I have ever had, hands down. The pain (I assume) is making my blood pressure higher. At what point should I seek medical attention? It is currently 149/111, pulse 109. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Those values ( especially diastolic blood pressure ) require medical attention and treatment, so, you should not wait for further increase of blood pressure because of associated risk of stroke, miocardial infarction. Swollen throat also may require antibiotics treatment, and, if mastoid air cells are affected too, an infection of the middle ear should be considered and treated too with antibiotics. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What does abnormality in mastoid air cells indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My understanding is that for most healthy adults body temperature drops when sleeping reaching it s lowest point for the day a couple hours before waking. I have been told recently that for babies/children this is not the case...that temperature actually rises while they sleep so I should wait at least 30 minutes after they wake up to take their temperature. I am very skeptical that this is actually the case. I would appreciate some education from an expert. Thanks! Doctor: dear parent one should be concerned regarding children's well being but not be obsessed.if the child is eating, passing urine and motion normally for age, playing, happy, sleeping well and gaining weight and height then there is no need to measure temperature on routine basis. if there is any alterations from normal then watch and check not only temperature but other parameters too."
},
{
"from": "gpt",
"value": "Target: When should body temperature be recorded in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the doctor yesterday and for an infected hang nail. It is my left ring finger and it is all swollen at the top of the finger and purple and red, however close to the nail it is green. She put me on an antibiotic called cephalexin 500mg two in the morning and two at night. Ive had two doses so far and ive soaked my finger in warm water, warm epsome salt water, and made a past of baking soda and epsome salt and let it sit for about an hour. It is still huge and hot ive tried to pop it and nothing will come out. The nail is starting to pull away from the finger now. Also starting to lose feeling in the finger. What should I do? Doctor: Hello!I have been through your question.Related your concern I think this is an infected hang nail and usually should be treated as soon as possible. You should start antibiotic and apply some home treatments as you have done, but you have to wait for 3-4 days to see the first local improvement.What I suggest for this situation (lose feeling in the finger) is to meet your doctor and may need to drain the infected area and to take a sample of pus ( lab examination).I hope my answer help you.I wish you a quick recovery."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for infected hangnail of the left ring finger that is swollen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash that started small on the outside of one of my thighs and a few small patches under both breasts now its spread all over upper body my back by my crouch hips arms pits inner part of both elbows and my buttocks its growing and spreading please help me as to what this might be I ve had this problem for a month steroids made it worse please help me Doctor: hi, according to your description there is possibility of, -fungal infection, -seborrheic dermatitis, -atopic dermatitis, so you better visit local dermatologist and get examined to find out the actual cause and nature of the rash, depending on that treatment can be taken, usage of steroids with out doctor's advice will decrease the immunity and make problem more severe, so don't do that. take care."
},
{
"from": "gpt",
"value": "Target: Rashes on thighs, patches under breasts, spreading to upper body. Taking steroids, became worse. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a guy who found a hard lump on lower part of my stomach. It appeared about a week ago and just increased in size ever since. Last night it was irritating me so i squeezed it and unexpectedly, lots of gooey pus came out and popped just wanted to have some idea as to what it may be? Doctor: Hi,This is likely to have been a simple abscess resulting from a staph skin infection. Perhaps from an infected hair follicle. It is not serious and is likely to resolve now the pus is out. If you find that it does not improve over the next 24 hours, I suggest you go to the ED as you may need a course of antibiotics. Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: How can lump be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well, occasionally when I m at school or home parts of my body will shake violently. I kinda forgot about them and have realized i do it because people see me do it. There are two shakes that I get: The first is where my whole upper torso contorts left and right violently for a second or two then stops. The second is where I ll be reading or drawing or somethings and my eyes will shake and i can t see anything for a second. Am i epileptic or something? Doctor: Hi, Thank you for posting your query. It is possible that you have epilepsy. Involuntary movements of parts of body can occur in partial seizures. However, since you are losing consciousness too for a short period, the seizures are getting generalised. You require evaluation by a neurologist to confirm the diagnosis and start treatment. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Parts of body shake violently, can't see anything for a second. Am I epileptic ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After doin any large amount of walking my lower legs will be red and blotchy. It doesn t hurt, per say, but does feel tight like swelling. Usually by morning it has mostly cleared up , but not this time. It s been 2 days and it s still there. What should I do? Doctor: Hello, The red and blotchy legs can be due to pooling of blood in the legs. You can rest and keep the legs elevated on two pillows to help these subside. 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 legs to be blotchy and red after walking a lot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, i'm a conic kidney patient and i wanna transplant. but no one is there in my family who can donate. so my cousin ( Son of my Bua) is interested to donate. here in PGI they told me that they cant accept this type of doers. is there any facility to transplant. if yes then what should i do. Doctor: law of transplantation is that donor should be a voluntary donor and no transaction of money should take place in the process."
},
{
"from": "gpt",
"value": "Target: What is the procedure for a kidney transplant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... dear doctor my left kidney is delayed functional since 1998. i was operated for enlarged prostrate in 2007. I am a patient of high blood pressure too since 1988 but with medication have normal blood pressure. about six months back i passed blood while passing urine about two or three times only.now recently about 10 days back this incidence has repeated. please suggest further course of action Doctor: Passing of blood in urine is nothing to do with delayed left kidney function. Probably it is related to prostrate or bladder problem or it could be due to stones. If your age is above 60yrs your doctor will look for malignancy also. All the best."
},
{
"from": "gpt",
"value": "Target: What causes blood in urine having delayed function in left kidney?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I ve recently been recovering from back surgery and it seems to be slowly improving until a few days a go when my hip started to bother me, today, as I have been told repeatedly that I should walk so I took a walk down the driveway to the mailbox and back and later took out the garbage(all with the aid of a cane) later, after lunch, I was tired and took some ice and laydown for an hour and now when I got up, the pain in the hip is much worse. Is this a severe injury or am I falling apart a little at a time. I am 86 years old? Doctor: Hello,I have studied your case and I think pain in back of hip joint is most probably due to compression in nerves. Since you have gone through a spine surgery some time there can be nerve irritation during surgery or after surgery due to scarring. I would suggest you to wait for three to four days.Taking NSAID like Brufen and if that pain continues after that then you need to visit your doctor and may need a repeat MRI to confirm the diagnosis.If there is any nerve compression then you might need re exploration. I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks"
},
{
"from": "gpt",
"value": "Target: What causes hip pain post a back surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having a fuzzy/dizzy feeling in my head. I also hear a sand noise when i turn my neck. I took blood test and they were ok, I had a cat scan and it was fine. I normally try to stay away feom the Dr because when I told them they dont believe me.They think I am making it up. However Ive never missed a day of work nor had anything more than sinus problems. Doctor: HIThank for asking to HCMI really appreciate your concern, your symptoms could be due to the less blood supply to the tympanic membrane this is the near possibility can be granted, and for that I would suggest you to take the following drug,1) Tab Betahistine three times in dayI hope this information helps you take care and have nice day."
},
{
"from": "gpt",
"value": "Target: What causes fuzzy feeling in head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i would just like to ask for your advice and what you think,my question today is about fertility, I am 19 years old, and I have always had regular periods since I can remember, when I was 15 I fell pregnant and sadly I had a termination at 10 weeks I had a surgical termination, from then I was on contreception I was the implan as I bleed pretty much all the time with it I had it removed a year and a half later from then I went on the injection nd I bleed all the way through out that aswell so the doctors took me off contreception so they could run blood tests just to make sure everything was alright, everything came back negative so that was good. I have not been on contraception for just over two years now, I use the with drawel method with my partner, nd I no this isn't a effective method but surely it must be for us if pregnancy hasn't occured,I am curious weather I could be infertile and would like your opinion, does everyone get pregnant this way, tho I hav gota say for the first year with out contaception we did have sex quite regulary but now it must b about 3 or 4 times a month. And I do chart my ovulation days only til recently, my concern is do you think I could be infertile or am I just lucky it hasn't occured yet. I have also had a ultrasound and a transvaginal done recently just to make sure everythings ok up there, if that comes back ok, does it mean I'm perfectly ok to have children in the future when I actually try, or could this b a sign that I could be infertile, please help, and also u have never had a std I get checked regulary and I'm perfectly healthy and no problems if that helps. Doctor: as ur usg is ok...now go for serum tsh and serum prolactin den do hsg on day 8th den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui for early results ......u can get pregnant. ..don't wry"
},
{
"from": "gpt",
"value": "Target: What causes difficulty in getting pregnant after having unprotected sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My father who is 80 yrs old had stomache cancer, tumor was removed but now, 5 mos. later his stomache cancer returned. Now, he has two small dots on his liver. He wants no treatment. What is life expectency for him? We are truly devestated. Doctor: Hi,Thanks for writing in.It appears that your father has stage 4 cancer of stomach. After cancer was operated in the stomach the disease appeared in the lever to cause metastasis. The survival of stage 4 cancer patients is 2 years after detection. This is not a fixed duration but if aggressive chemotherapy is given then he might survive longer.To extend his survival he must be counseled to take chemotherapy and this can slow the disease progression and keep him comfortable. There are new techniques like chemoembolization and radiofrequency ablation which has successfully delayed the disease in many patients. He should also be given enough pain relief because cancer patients have lot of pain and this causes their general condition to worsen. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What would be life expectancy for stomach cancer patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2yr old waz referred to a gi recently for poor weight gain ( falling off the chart )...x-ray showed poo build up, i waz told to give her a glycerin enema 2x a wk for 4 wkz....seemz pretty harsh! gave her one today...movement waz successful BUT concerned w/ a mucousy discharge following a toot on the potty hourz after i gave her the heartwrenching enema, iz this a normal side effect? Doctor: enema causes the gut wall to b smooth and as a effect of this gut contents slide over it and this leads to spotting. this will disappear after stopping the drug. so dont worry."
},
{
"from": "gpt",
"value": "Target: What causes mucoid anal discharge after enema in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve just started dating again after close to two years. I m 60 years old. I can feel stimulation, but I m having trouble getting a sustaining a full erection. A friend of mine is using trimix, but I m not sure I want to go that route. Also, a few years ago my testosterone level was low I started taking shots, but I was advised to quite taking them. It was nothing about a medical issue, my doctor just said he was glad that I stopped taking them. Can you give me any advice as far as any pills or what I should do? Thanks. Doctor: Hi, thank you for trusting Healthcare Magic.I understand your concern.Erectile dysfunction (ED) is one type of sexual disorder in men. By definition ED is the lack of ability to maintain the erection process to perform sexual activity well. While an erection is the ability of the penis to tighten with the process of draining blood because of stimulation as part of the process to have sex.Erectile disorders can be caused many things, including:1. Blood vessel disorders2. Abnormalities of the nerve3. Drugs4. Abnormalities in the penis5. Psychic problems that affect sexual arousal.In order to be erected, the penis requires adequate blood flow. Therefore, blood flow disorders can cause erectile disorders. Nerve damage due to diabetes mellitus, alcohol, drugs, can also be the cause of erectile dysfunction. Cigarette chemicals also affect blood flow, so it can also contribute to this erection disorder. Approximately 25% of cases of impotence are caused by drugs that is the type of antihypertensive drugs, anti depression, anti psychosis, sedatives, cimetidine, and lithium.Complete evaluation is required with additional required investigations on suspicion of cause. Nutrition that can help overcome your erection problems is zinc and calcium. Do not take any potent medication without a doctor's supervision to avoid side effects that can harm your health.Thank you,dr. Nurul"
},
{
"from": "gpt",
"value": "Target: How can erectile dysfunction in a 60-year-old man after overcoming low testosterone levels be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 28yrs old male,my weight is 65Kg. I have fungal infection in private part january. i had taken a fole-150 tab for 2month, then it clears but again it has been come back. i have some itches and fungal infection. also i had done various report like herpes and HIV all are normal. what will be the cause for the this infection? Doctor: HiI understand you concern.Fungal infection require proper cleanliness and care specially in private parts.If a patient come in my clinics with fungal infection i prefer local trebenafin cream for local application and tab fluconazole 150 mg every weekly for 3 one month.Itching can be reduce by antihistamine like cetrizine twice in a day for 15 days.Wash that part with warm water and do not scratch it.If no improvement then consult dermatologist if require.Still have query then feel free to ask.Happy to help you.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes itching and fungal infection in private parts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor My husband is having high sgpt/sgot since 1 year. He get it checked 2 days back and again he got sgpt-120 and sgot -75. He is non-drinker, non-smoker and having lot fat vegetarian diet. He also does not like junk food much. His height is 5�?�¢??8�?�¢??�?�¢?? and weight is 80 kg. he drinks lots of water. Rite now, he is taking sysfol and sylbostin as a medicine along with homeopathic medicine. Could you please tell me what is the reason for this increase. What kind of diet he can take. And why it is not reducing? Doctor: Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of liver disease BUT HepB and C should also be ruled out by testing Hepb and C serology.advice :- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: What causes rise in SGOT and SGPT levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am trying to inquire about several things: As a child, 8-9 years of age...I was in a car accident.. the car turning end over end 5 times.We were pushed off the road. I received a concussion and was kept out of school to recover. I remember headaches, and a lump on my forehead that felt like oil having been set on fire where the concussion was I was wondering if I could have some damage that showed up in later years. ( I am 69). I have had several knots on my head my bumping into open cabinets during the years with some large knots resulting and lasting a few days.... At one point I had severe headaches and had a brain scan done. All I remember from that was a horn on one side was larger than the other. .aybe a sign of pkssible epilepsy. I have never had an epileptic attack so that doesn t concern me too much. The other finding was in the bottom of the acm of my bead where two ( glands.l hang a litte lower on o e side. ( Possible chia 1?) I have djscovered a dent above my left temple and a bit back from my forehead. I was wonderi g if that could e the deason I have some personality disorder.... ocd and obsessive compulsive problems. My biological mother had anxiety panic attacks.. so I feel some of my problem is ge etic. My question is: could that concussion cause me to bave personality disorder, ad krva izational skills, difficulty with math, ocd, and some of the mental issues I have. Could that be checked? The dent in my head bothers me. Would a scar move to the back of my head as like a scar moves from it s original site as people ave?... I have been doing lots of reading on the brain but haven t found my answer yet... can you help??? 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.Concussion of Frontal lobes can cause Anxiety and Panic disorders. Please do MRI brain to know the areas involved Hope 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: Can concussion cause anxiety and panic disorder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 20 years old mum of 2 and i have noticed a soft lump just to the top left of my belly button it soesent hurt to touch and i can move it i can slightly see it when im standing and i can feel it when i lay down iv been to see the doctor today and been booked for a scan but she diddent say much on what it could be can you please tell me thankyou jodie Doctor: it is possibly a midline hernia or could be a lipoma/neurofibroma like benign condition ; not to worry much!just do USG of the region and if any mass is noted then go for an FNAC test for confirmation.all the best!"
},
{
"from": "gpt",
"value": "Target: What is the cause of an abdominal lump?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have shortness of breath and pain in lower right side of my back when breathing in while sitting or lying down in the evening. I also am having a problem with a. Pinched nerve in my neck that is causing pain in my neck and shoulder. Unfortunately I am traveling. Doctor: take Ayurvedic medicine it will correct both breathing problems and backachetab punarnavadi mandoora 1tds tab dhanvantari gutika 1tdstab mahayogaraj gugglu 1tds.you will get good result."
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath and pain in the lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My wife did scan to check the follicle size. The HCG injection was given when the follicle size was 19. How much time (hrs) does it take for follicles to get ruptured after HCG injection?Also, once the follicle is ruptured, what is the maximum time within which the intercourse should happen to conceive? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.After HCG injection, it takes 36 hours for the follicles to get ruptured. After follicle rupture the egg remains alive for 24 hours. So you should have intercourse within 24 hours of ovulation. Please note that the sperms remain alive in the female body for up to 6 days. So you can have intercourse even before the follicle ruptures. Your wife should take 1 tablet of folic acid daily.To increase the chances of conception you both should maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least 3 times in a week.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ramadevi Wani"
},
{
"from": "gpt",
"value": "Target: When will the follicles get ruptured after HCG injection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hye Doctor, i am sadia from pakistan i want to concieve from last one year but no positive results obtained. i am using cerophen from my last cycle and also have ovarian ultrasound results showed that right ovary have one mature follocle of 21mm and lafet ovary have small ones but there is no apparant abnormaility.. i am usning neodepar 500 mg twicw a day to lower down my insuline level as per doctor s advise, though i am not diabatic but have serum insuline level high... plzzzzzzzz advise me what i need to do should i need to continue neodepar and cerophen cycle again. as i want to concieve as early as possible.i am so much depressed on having periods again today. Doctor: Hi, you need to continue with your drugs. Thes drugs are hormones and have roles in the growth of the follicules. Its all but normal."
},
{
"from": "gpt",
"value": "Target: Taking Cerophen to conceive. Ultrasound shows mature follicle. Should I continue Neodepar for high serum insulin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my granddaughter is having severe pain on her right side starting at her waist and going up.the doctor took an exray and it showed ablockage in her colon on the right side , he said it would probably take care of itself. her pain has gotten worse over the last few days. her urine also showed that there might be an infection, they are doing further testing on that. what can I do to help her pain ? Doctor: Thanks for keeping faith ..as your grand daughter has been diagnosed with obstruction of gut with pain with suspected urine infection, just relax things will be all right ...just give her liquid diets ....plenty of fluid. ..for urine infection u can start a antibiotic like levoflox and with a antispasmodic like meftal spas bd...It will really help. ..If symptoms get worse u should consult your physcion. ..."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe pain on right side of waist going upwards"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 6 month old daughter has just developed a rash-maybe eczema-in the last week and she has just started having some formula and pureed fruit and vegetables causing her to not have a bowel movement for nearly 5 days. she is back to going regularly again now but i just wondered if the lack of bowel movement could cause the spots/rash or if she is likely to be allergic to formula or some food? Doctor: Dear friend,What you are asking is if the lack of stooling for 4-5 days could have caused the rash. The simple answer is no. As to whether she might be allergic to some food or formula ingredient - I cannot say yes or no with confidence. You can try eliminating one food after another and see if the rash goes away. The only other way is a hi-tech method to check the blood for antibodies of the IgE class to different foods. I would not recommend this at present, but if the problem does not go away for, say, 2-3 months, you can approach her pediatrician for advice on allergy testing. First, though, you need to confirm that this is an allergic rash, because it might well be just a viral rash!Dr. Taher"
},
{
"from": "gpt",
"value": "Target: What causes skin rash with constipation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently discovered two patches of yellow-ish skin on my chest that were non-existent the day before. I m also experiencing some mid-lower back achiness as well if this helps matters any. Are the two possibly related and, more importantly, is there a cause for concern with these symptoms? Doctor: hello,I can see you have asked three questions. Let me answer them one by one. I do not think your back pain is related to any skin lesion. Are you having any itching in these lesion or burning sensation. As herpes zoster lesion can be associated with back and side pain but lesion are not patch but small blister. I would ask you to wait if patches increase or diminish. if number or size of partches increases, you should see to a skin specialist."
},
{
"from": "gpt",
"value": "Target: Is mid-lower back pain and yellowish skin patch on chest related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im 35 weeks pregant and have been having really bad lower back pain and stomach pain. My ribs hurt alot aswell to breathe. Been having alot of trouble sleeping i cant lie on either of my sides or back without it hurting. Also get really bad leg cramps. Doctor: Hi,This type of pain,backache, discomfort and leg cramps are likely due to change of posture and having pressure nerves and blood supply at this stage of pregnancy.Change the position frequently while lying down position.Go for normal walking exercises daily.Avoid sedentary life style.Go for deep breathing exercises.Just relax and avoid stress.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes lower back pain and abdominal cramps during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey so three years I ago I had a outbreak of herpes simplex one for the first time, and I recently just had another outbreak on my lip and I was very cautious about touching my penis without washing my hands, I masturbated, but washed my hands before and after and I washed my penis in soap afterwards. Just a day ago I started getting this pain kind of like a cold sore in the left side of my shaft but I m wondering if it could be my antibodies fighting off the infection or the infection coming on, I have no signs of blister or anything in that matter. Can someone help me please! Doctor: Hhello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is not herepes it is likely to be something else.There are two types of hepres virus causing herpes simplex infection. HSV 1 and HSV 2.Infection caused above the waist is caused by HSV 1 and below the waist is HSV 2.As both the virus are different there is minimum chance of infection at penis.But it can be different infection. Visual examination can help for further diagnosis and management. You can either investigate yourself at nearby doctor or you can send me photograph to help you further.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: Could penis shaft pain with soreness be due to returning infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my right arm just flopped. not numb, it just flopped a few times. epidural 5 days ago for severe pain in legs from spinal nerve impingement. still in much pain, particularlny rt leg. took a total of 5mg oxycodone since noon today. the flopping arm scares me Doctor: HiNothing to worry..you should be on pregabelin,and methycobalamin ,and accelofenac tablets after obtaining prescription from orthopedic surgeon.Try physiotherapy for arm.Wear a lumbo sacral brace, avoid bending ,twisting spine or lifting any object from ground Consult your orthopedistBest wishes"
},
{
"from": "gpt",
"value": "Target: Suggest medications for pain & flopping of arms"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Im due to start IUI. Took 50mg clomid day1-5. Scan on day12 showed 4 follicles on each ovary measuring between 5 & 9mm. Lining was between 5.4 & 6.1mm. I've to have another scan before nurse decides if i have to take pregnyl injection and then do IUI. Is my lining too thin? What is 'normal'? HSG showed no blockage. My progesterone averages around 3.3, my lutal phase is 9/10days. Im 31. Doctor: Hi, I think before pregnyl injection, the size of follicles should reach atleast 17 mm and endometrial thickness should be more than 8 mm. So, you will have to wait for that. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: What should be the thickness of endometrium before undergoing IUI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My mom aged 52 Yrs is suffering from Parkinson disease for past 3 years and she is under medication . She is having 3 syndopa 110 tablets daily at equal intervals as prescribed by the doctor,due to which her postural activities are abnormal and she faints sometimes, why is this happening? What are the solutions for these side effects? Please clarify. Doctor: Hi, Thank you for posting your query. Parkinson's disease (PD) is a degenerative disease of the brain, and it requires medications lifelong. Despite medications, the disease continues to get worse in severity leading to disability. Syndopa (levodopa) is the main medication used for treating PD, as it provides dopamine (which is deficient in brain of PD patients). Postural giddiness- giddiness that occurs on standing- is a common side effect of syndopa. To avoid this, she should be sitting up slowly, from a sleeping posture, and then try to get up slowly and walk. If she still has side effects, the dose of syndopa may be reduced. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Suffering from Parkinson, under medication, postrual activities abnormal. Reason? What are solution of side effect?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In heat about 95 degrees, if I am sweating, can low salt in my blood cause me to feel slightly nauseated and have rumbly feeling in my lower intestines? I m really healthy , not on any medications and was working at the growers market under shade. I was drinking lots of water and stopped for some French fries which made me feel better. I came home and took a nap and feel pretty good right now. How do I prevent this in the future? Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you yes loss of salt can do this. You can take ORS for future use. It will give you salt and make you stand by your self. I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease."
},
{
"from": "gpt",
"value": "Target: Can low salt in blood cause nausea and rumbling in intestine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my baby girl is 7 months old. 2 days back she passed little watery stool with blood . after that today she has passed the stool twice which is little watery. im giving her nan-2 milk, banana, dal water. what is teh problem. what precautions should i take ? Doctor: Hi... By what you quote it seems that your child has dysentry. I suggest you to do stool routine microscopy test. Probably the child will require antibiotics. The dose of antibiotics in child is given according to weight. I advice you to meet the local doctor or revert back with exact weight of child. Regards - Dr Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: What causes watery stool in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had prostate cancer in 1999 and had the brachy therepy seed implant. After this time, he first had problems he could not pee and than after he had a procedure, scraping, done, he had incontinence. At this time, he has to catherize at least three times daily. He had the scraping done twice and is now scheduled to have it again on June 5. How long will this scraping last and for how long would he have to use the cather. My husband is 80 yrs but is in very good health and was very active until this has brought him down. Doctor: Hi,Thanks for writing in.Brachytherapy might cause side effects that include difficult urination. Your husband might have got this problem as a side effect to the brachytherapy which was given to him. Catheterisation is a method to empty the bladder at regular intervals to avoid bladder outlet obstruction complications.He can try without the catheter for some time after he gets the scraping done June 5. Some people might have use the catheter for a long time because the bladder is not able to expel the urine by itself. It is understandable that this is a discomfort which is influencing his active daily life. It is difficult to predict for how long he might require to do regular catheterisation to help empty the bladder. Please do not worry."
},
{
"from": "gpt",
"value": "Target: How long would i have to use a catheter for incontinence?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have 25 6-day old chicks for 4-H project. Got chilled last night (temp under light fell to 75 fahrenheit) for only a few hours. This morning the seem congested (not sneezing and no mucous coming out nasal cavities or eyes). They make a strange noise (not sneezing...kinda like bronchitis or coming from lungs) then the shake their head. About half of the flock has these symptoms. Any thoughts? Doctor: Welcome to HCM.It looks to be lower respiratory tract infection.It usually due to exposure to cold weather.Start proper antibiotic like amoxy/clavulinic or moxifloxacin.Bronchodilator with ambroxol syrup will be helpful.Nsaid with anti histaminic is required to control the symptoms.Consult your family physician for further guidance and medications."
},
{
"from": "gpt",
"value": "Target: What treatment is suggested for symptoms of bronchitis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a soreness in my left lower abdominal after playing softball. I didn t do anything that I can remember to injure it. It s also not the first time I felt this pain. Usually after a few days or about week it s gone. Is it something I should be concern about? Doctor: Hi welcome to HCMYour pain is most likely related to muscular strain,Athletic pubalgia.It is related to overusage of your muscles while playing leading to sudden tear..If you have symptoms related to urination go to an emergency.Also get an ultrasound abdomen to confirm the diagnosis.Meanwhile use analgesics like tab.voveron and antacids like tab.pantop..Drink plenty of fluids and fruits..take electrobion sachets.Consult you doctor for expert management.Thankyou"
},
{
"from": "gpt",
"value": "Target: What causes pain in left lower abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i amm 52 and suffering from essential hypertension from 33years onwards .for 16 years taking listril 5mg and suffered from hallucinations .so my physician changed my drug to stamlo beta now my bp is 95/130 anjd showing erectile dysfuction. kindly advise me . YYYY@YYYY Doctor: Hello, Stamlo beta contains Atenolol which is a betablocker. It may cause erectile disorder as it is a recognised side effect. Your blood pressure also needs to come down further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Noble Zachariah, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Can stamlo beta causes erectile dysfunction and BP 130/95?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have infection in where the sputum comes from since few years,yesterday some blood came out looks to me as if because of some strong coughs it starded bleeding. cough ut no tuberclosis, so what kind of doctor i need ? i am 62 years old , 5feet 8 inches, 66 kg. Doctor: HelloThere are many underlying disorders that can cause hemoptysis (coughing up blood), ranging from heart problems to trauma to infections to lung disease. Worldwide, tuberculosis is the most common cause of hemoptysis. In industrialized countries, the most common causes are bronchitis, bronchiectasis, and bronchogenic carcinoma.In patients with AIDS, the most common cause of hemoptysis is pneumonia. In about 15% to 30% of cases, the underlying problem is never found—undiagnosed hemoptysis is commonly referred to as idiopathic hemoptysis.Haemoptysis may also be due to any of the followings Endobrochial lesions Arterio venous malformation High blood pressure Bleeding disorders For that check ur BP Consult a Pulmonologist and do following investigations BT, CT, APTT, PT CT Angiography to rule out any AV malfomations Fiberoptic Bronchoscopy to rule out any endobronchial lesions At last hemoptysis can be idiopathic without any cause.Discuss this with your doctor and then decideHope this helpsTake Care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for sputum infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My Nephew had typhoid ,while looking after him my sister did not care about her own health,She s hypertensive & has thyroid ,had ear infection as well.Later even she fell ill and had fever and was under treatment for ear & throat ,she started talking abnormally ,later after ct scan doctor is telling that she has got a hairline clot in brain ,Kindly let me know whether it is curable and whiuch is the best doctor in Bangalore ? Doctor: Hi, Your sister should see a neurologist to further evaluate what the CT scan image may have shown. An MRI of the brain would be a much better scan to obtain and if she is still having trouble speaking then, a speech therapist may be a good type of person to get your sister involved with since what you're describing may have been a stroke that affected speech and language. If she is hypertensive and has a thyroid disorder then, she should be very careful to take her medications as directed and to check her blood pressures frequently to know whether the medicine is actually controlling her well or not. If she also has a thyroid problem this could also contribute to some of her pictures so may wish to get some laboratory studies such as a free T4 and a TSH to check on the status of that particular problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist"
},
{
"from": "gpt",
"value": "Target: Is hairline clot in brain curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: getting ready for a total radical hysterectomy for endometrial cancer. I am wondering if the accuracy of the stage/grade determined from uterine biopsy pre hysteroscopy is confirmed post hysteroscopy ? Or does none of that count until the post hysterectomy pathology report? Doctor: Endometrial cancer is best staged surgically .Its more aacurate than hysteroscope / biopsy.Surgery for ebdometrial cancer is both therapeutic and diagnostic.The biopsy is just to confirm the canceRegarda"
},
{
"from": "gpt",
"value": "Target: How can one find the accuracy of the stage whether it is pre or post hysterectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had the shingles 12 months ago, im still so tired all the time, i am also suffering from stress sweats which are taking over my life, im at my wits end, its dreadful in work, as soon as i start to thing about what i have to do and where i have to go i break out in a cold sweat, the skin from my lower back to under my shoulder blades is a pain i cannot describe and the more tired i become the worse it becomes, Doctor: Hello Shingles or Zoster is long term sequel of Varicella Zoster infection. Some times after episode of zoster pain may continue to persist which is also called as Postherpetic Neuralgia. The pain in shoulder blades and lower back, you are having is because of this neuralgia. You are also having complaints of stress, sweats, inability to work, cold sweats etc. symptoms. These symptoms may occur due to depression. Mild form of depression may be a sequel of viral infection. I will advise you to visit a Psychiatrist for expert opinion. Thanks Dr. Seikhoo Bishnoi, MD"
},
{
"from": "gpt",
"value": "Target: Have tiredness, stress sweats, skin lower back to shoulder is paining, had shingles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For 10 years now I have had Uric Kidney Stones and Gout. But this Year alone I have had 5 UTI that have gone to the kidneys due to the fact I always have burning urine because of high uric acid and do not know I have UTI until to late. The one I am currently dealing with is going away however I have constant pain in my left flank more intense burning while urinating as well as external burn on penis glands. ER doc says today the UA showed clear but i m still in quite a bit of pain in the flank , abdomen and very nauseous. Multiple times I have been told Kidneys don t hurt. Well I know for a fact they do because I suffer from that pain. Is there anything else that might be causing this kidney pain that gives clean UA result? And How do I deal with pain that won t let me sleep because doctors tell me the pain doesn t exist. I am trying to get a referral to nephrologist thru my primary tomorrow but I cant deal with this pain while Im waiting for someone to believe me. Any help or answers appreciated Doctor: HelloThanks for query .You have severe pain in flan with your urine analysis not showing infection .Please note that one can have severe pain in flanks due to kidney stone without having any positive evidence of infection in routine urine analysis .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis to rule out presence of stone in kidney .Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes flank pain along with nausea with history of UTI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. A few days ago i heard a pop on the back of my neck and felt sore there. Half hour later i felt really dizzy and weak and had a huge panic attack for two hour. The symptomes reoccur lightly every few hours since then and i have problems breathing. What s wrong with me? I m 27, healthy, blood tests fine, anual check-up very good, i work out, i am reasonably fit. I can t get out of the house, i m affraid i ll faint! Doctor: Hello,It seems you have anxiety issue. That is what is causing all the symptoms. The pop may have been a muscle catch that gets released with a pop.Sometimes it gives a brief pain for seconds to minutes. However, the subsequent dizziness does not sound like a cervical problem.I think this is all panic and anxiety. So, I would suggest you to relax. Whenever possible, do visit a neurologist for your possible cervical issues.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Saumya Mittal"
},
{
"from": "gpt",
"value": "Target: What causes dizziness and panic attack after a pop up sound at the back of neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I have a 4 yr 11 month (almost 5yr) old son that has a irritated penis. When I was bathing him earlier I pulled the skin back to clean and I noticed the skin around the tip of his penis was really raw,red,and looked a bit swollen and irritated. He said it hurt a little and since then I have been watching and lstening when he urinates and I noticed he jerks a little as he beings to urinate. Can you please help me? Doctor: looks like ur boy has got balanitis. It might be due to local infection, ur boy might have got hurtGive him syp Ibugesic plus (paracetomol+brufen) 5ml twice daily for 3days"
},
{
"from": "gpt",
"value": "Target: What causes redness and swelling around penis in a 5 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can the mirena coil cause gum infections? I have been suffering with gum problems from about a month after I had mine fitted. Had xrays done at the dentist with no results. I know some women get gum problems during pregnancy because of hormone changes. Can this be the case for the mirena coil as well? Doctor: Hello,I understand your concern. Hormone fluctuations often do affect the gums and may require additional attention to oral hygiene habits. Make sure your home care routine includes brushing multiple times per day, daily flossing and vigorous rinsing. Interdental cleaners may help and come in many varieties. Motorized toothbrushes often can help patient's with removal of sticky, resistant daily plaque formation. Gums often have an exaggerated response to plaque. Gums can be a very reactive tissue and respond to any stress or change you are experiencing. Please give your body time to adjust. If your symptoms are mainly bleeding gums, work on daily care and plan on returning to the dentist for a cleaning in 3 months. An increased cleaning schedule may reduce inflammation and prevent severe periodontal problems. I recommend an increased cleaning schedule for pregnant patients seen in my office.If you are having other symptoms, please discuss this with your dentist and physician. I, also, would be glad to answer additional questions. I hope this will assist you and that you feel more comfortable with my recommendations."
},
{
"from": "gpt",
"value": "Target: Can the mirena coil cause gum infections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I noticed some pain in my right nipple yesterday. It is painful to the touch around the nipple itself, but not further out towards the breast area. The area is swollen and puffy with some redness around the nipple. It seemed to appear out of the blue. There was no chaffing from clothing or trauma that would have caused this. I am aware that, although rare, men can also get breast cancer, but it sounds like it involves a painless lump and some discharge. I am hoping I can get some insight here. I am a 34 year-old white male in average shape. Help!! Doctor: Hi.I would in such a scenario recommend 2 things:1. Check with your doctor all the medications you have taken or been taking, as some can cause increased sensitivity or even gynecomastia (e.g. cimetidine)2. Check on your hormone levelsBest wishes."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful nipple"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a knot on top of both feet. THE OCCASIONAL PAIN SEEMS TO BE AT THAT AREA. gETS BETTER AFTER I WEAR SUPPORTIVE SHOES. I AM OVERWEIGHT . I DO, MOST OF THE TIME, GO BAREFOOTED OR WEAR SLIPPERS.(I TELL PEOPLE THAT I WAS BORN WITHOUT SHOES....I AM JUST A GOOD OLD(70)COUNTRY GIRL. help! Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per my surgical experience, the lumps on feet with overweight condition narrates callus formation.In our clinic, after diagnostic confirmation, we advise management guidelines in terms of local care, supportive medicines, weight management as well as surgery in some of the cases.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 feet indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello. I just started taking the birth control pill called Lutera..this is my first month.. I normally come on my period by this time..But hasn't. Well I notice this dark brownish fluid yesterday..what is that from and why do i have that..and what can i do to fix it Doctor: delayed period can b due to stress,pcod,hormonal imbalance,overweight etc...nothing to worry..u just take pills regularly on time during d course of 21 days n giv a gap of 7 days...or placebo pills during that 7 days.."
},
{
"from": "gpt",
"value": "Target: What causes delayed period with brown discharge when on birth control pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On the inside of my butt crack I have what started out as a small lump under the skin. It also had a head on it sort of like a zit. Of course I popped it but it never fully went away. I have been watching and as I was bathing today it feels like it has grown a bit and is sensitive to touch. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some external piles, fissures or fistula. You should go for examination. Then you need to go for surgery accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the cause and remedy of lump on butt crack ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son aged 14 years(42Kgs)was diagnosed with beginning of typhoid and was given antibiotics myfexm and mexafile. Eventhough there was some rashes on the first day, the same disappeared. After the course is over, rashes are seen again on neck, chest, back and even face . Is this measles or allergy to antibiotics? If it is measles wil the above antibiotics cause any harm? Doctor: Hi and welcome to HCM.I appreciate your concern for your son's illness in particular the rash following the course of antibiotic for the treatment of typhoid.It appears to me that the rash that has developed is due to antibiotic induced drug allergy. It will subside by its own in a course of time. You may give him Levocetrizine tablet along with Calamine lotion or low potency steroid (hydrocortisone) cream if he develops itching, redness, etc.If it happens to be due to measles the antibiotics used will not cause any harm as such."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for typhoid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank you, doctor. I just again took my blood pressure on a home monitoring device. Today was 171 over 100, then 189 over 108. Yesterday was 150 over 93 and then 149 over 100. I was told when I went ER last Sunday to watch it since (under pain then due to rib inflammation it was 172 over 116 then 158 over 104...so I bought home monitor and todays 189 over 108 concerns me...I have a doctor appt. scheduled for Thursday, I have no other symtoms, do you feel it is well for me to wait until Thursday with the already scheduled appt. I have....again no other symtoms, is it safe for me to wait till Thursday in your opinion? Doctor: HIThank for asking to HCMI really appreciate your concern, let me tell you something you can not measure your own blood pressure even if are a doctor, because this procedure makes you little conscious and this wont give accurate result moreover the sphygmomanometer is also matter if you are using electronic device then this is not authentic, the accurate reading is only possible with Hg instrument, in my opinion you should go to see the doctor, and stop worrying about this, have a nice day."
},
{
"from": "gpt",
"value": "Target: Why is my blood pressure fluctuating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My child has been having fever since Wednesday, and he had fever of 102.8, and I got it down in around 2 hrs and after that he started complaining about tickling in toes and fingers and a couple hours after in his sleep is all wet by excesive sweating but his body is very cold, and his tempeture is 83.7, is this normal after the fever? Doctor: HelloWelcome to Health care Magic.I reviewed your history.These symptoms indicate flu and requires treatment by the use of antibiotics and anti-inflammatory drugs. Hence I advice you to consult your doctor for examination and treatment accordingly.Thank you"
},
{
"from": "gpt",
"value": "Target: What is the treatment for high fever and tingling in the toes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i thought this was about ayurvedic medicine helping a tooth abscess. Can I treat my tooth abscess with ayurvedic medicine to get rid of the infection instead of antibiotics. If not, then what kind of antibiotic is the least harmful to the gut flora YYYY@YYYY Doctor: Hello,you need to treat the source of the infection. When the source of the infection or abscess is a tooth, it can be treated with a root canal or removal. If the tooth has a gum infection or bone loss causing a periodontal abscess, it can be evaluated by a dentist for possible periodontal treatment or removal. Antibiotics are used to control the spread of the active infection, not a cure for a tooth abscess. You can use Antiinflammatory reducing means to help decrease symptoms, but you can not ignore the source. I prescribe the antibiotic amoxicillin as my first choice. Taking Acidopholus or probiotics help reduce gastric disturbances. Yogurt can be beneficial as well. Not all tooth abscesses require taking an antibiotic. Inquire if your abscess needs antibiotic or can be treated in a timely manner without the need of antibiotics.Thank you for your inquiry. I hope that you can complete treatment with your dentist soon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tooth abscess"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am wondering if it is safe for me , my wife , my 9 and 30 months kids to visit for 3 weeks family who 1 of them have active tuberculosis and is currently having a treatment for a year and 3 of them are diagnosed with none active tuberculosis and are without treatment. Doctor: Hello,Welcome to HCM,Tuberculosis is caused by a acid fast bacilli called mycobaterium tuberculi, this is a communicable disease which is transmitted to others by droplet infection and droplet nuclei during the act of sneezing, coughing and talking.As the patient is on treatment for last one year, by this time all the TB bacilli will be destroyed by the effective anti TB drugs like rifampicin, so by this time they will be non infectious and will not transmit TB to other individuals.I would suggest you to follow personal protection measures to avoid any contact with the TB bacilli.Thank you."
},
{
"from": "gpt",
"value": "Target: Is tuberculosis transmittable while on treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my daughter just had a thoracic peritoneal shunt inserted in her spine due to a spinal cord tumor she was diagnosed back in 2011. she now does not after any feeling to her left leg although she can move her toes she has no feeling whatsoever. Is this a common symptom and is this just temporary? Doctor: hi,thank you for providing a brief history of your daughter.since you mentioned about the spinal cord tumor as the history I feel you should get self assessed once by the neurologist and also a fresh scan which has to be compared with the previous one will provide some input. the use of EMG and NCV will reveal the nerve involved.also to not delay such things as each day a brain develops and records all happening in human body.taking a proper guidance at a proper time will be of surely importance. even you mentioned about the sensory and motor thing. looks like the sensory part of the nerve is malfunctioning but the nerve as a whole is good.may be you can discuss with the Neurologist about the physical therapy as it is non invasive and physical therapist knows the sensory integration technique which can help get sensory system function again.with the grace of God I wish to see your daughter in future dancing and jumping.god bless her and please take the wise decision."
},
{
"from": "gpt",
"value": "Target: What causes numbness in left leg and toes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in a car accident rear ended. I have pain in my spine even after a few cortizone shots, which helped the sharp pain down both arms. however still have heavy pain in spine of neck to upper back. could this be a ligament?The MRI showed a protruded disc, numbing in both hand. Doctor: A protruded disc if does not settle withvstetoid shots, & is causing constant pain requires cervical collar, neck muscle toninng exercises and if nothing works out a surgery"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am a girl of 22years i hav been infected badly in my vagina after having sex with a guy, then onwards am having excruciating pain there inside n outside n it is almost closed that i cant even put my finger n i hav pain around clit wen its touched before i had sex. i get white discharge also. Doctor: Hello,Welcome to HCM,The history and symptoms suggest me that you had infection before you had sex. The act of sex has injured the vaginal epithelium. The physical injury to the vagina and the area surrounding has led to all these symptoms. I would suggest you to consult your gynecologist at the earliest for the physical examination to assess the extent of injury.For your symptoms, I would suggest you to follow1. Avoid sex until the symptoms comes down.2. Tab Azithromycin for three days to control the infection. 3. Oral Ibuprofen to reduce the pain.4. Give hot fermentation. Thank you."
},
{
"from": "gpt",
"value": "Target: How can vaginal infection be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my grandson is coughing continuously, he has temp and runny nose, what will they do for him? He is 3 yrs old and is allergic to amoxicillin, have been giving him cough syrup and that s isn t doing it. He has had this in the past, which they gave him neb? treatments but he will not sit long enough to benefit at home, what should we do? Thank you, concerned grandma Doctor: If the cough is distressing and not being relieved with oral medicines you require to give him nebulisation with levolin 4 times daily. A short course of Syr Omnacortil 4ml twice daily will also help. But if he is repeatedly acquiring these cough you need to put him on regular medications like Montair LC 4mg daily for 3 months."
},
{
"from": "gpt",
"value": "Target: Need treatment for cough and runny nose with temperature"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm having some serious dental problems and haven't seen a dentist in seven years. I have no dental insurance I'm on disability and the dental help I need they won''t supply. Because of this dental problem I'm having, I find myself in a situation where I can't chew food without being in serious pain. I have lost so much weight because my body isn't getting the nourishment it needs. In the last year so many of my teeth have broken off and left the rest of the tooth up in the gum. I need help desperately. l Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you have toothache , dont worry you should consult dentist and get Investigations and go for Oral prophylaxis, as you have decayed tooth go for Extraction of those tooth, For home remedy you are asking Only you can do is Do warm Salt water Gargle 4-5 times a day For toothache you can take Analgesic , One Tablet Paracetamol twice daily for pain , Visit dentist as early as possible, Hope this will help you. Wishing you good healthRegards Dr. Priyanka tiwari"
},
{
"from": "gpt",
"value": "Target: What are the remedies for chronic toothache which hurts to chew food?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had stone in my right kidney and had a laser surgery through my penis. However, the doctor told me that out of 7.mm he could take out 2.5mm fragrance out and the rest approx 5mm is still in your kidney and because my urine pipe is so small he could only have 1 chance to enter. However, he has put JJ Stent in my body and advices for drinking 3-4 liter water per day. I m worried if the stone gets out throughout urine or how. Please advice. Doctor: Welcome to HCM!If your stone comes out through urine, instead of worrying you should celebrate, because that is what we want.Double J (DJ) stent is put to relieve strain on kidney caused by obstruction, so that urine comes out via stent into bladder. This gives time to ureter, so that its inflammation/edema is reduced, giving better access to stone next time if needed.This stent may cause pain when after urination bladder is empty causing mechanical irritation to bladder mucosa, need not worry, for that we give pain killers. Also, this stent may harbour bacteria, so you have to take antibiotics, if fever is there, then higher antibiotics are needed.Yes, you should drink that amount of water so that at least 2-3 liters of urine is voided in 24 hrs & not more than that.Take antispasmodics, analgesics, antibiotics with your Urologist's opinion.Follow up with him for stent removal & further management.Wish you a good health.Take care.Regards."
},
{
"from": "gpt",
"value": "Target: Done surgery to remove kidney stone. Placed JJ stent. Worried"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor, I have this pimple or bump i dont lnow what it is near my anus about a inch or two away from my anus and it stings an aticks out quite a bit when i rub over it ! It burns and i wonder if i shoukd take a shower or not ? Could it be from lack of hygeine ? Please help doctor! Doctor: hi.it could be any of these perianal lesions - an abscess formation, a fistula-in-ano, fissure, anal polyp or a hemorrhoid. it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. diagnostics such as proctoscopy and management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a painful lump on the anus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey, er, it's not of too great a concern to me, but I have a fairly volatile temper, and when I fly into a rage, particularly if I do something violent, I often forget either what I've done or what order these things happen in. Sometimes it just happens that I know what I've done, but don't feel like it's me that actually did it, almost like an out of body experience. Is this anything you've ever heard of? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations and you can be better yourself.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: Suggest treatment for aggressive behavior with short temper"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Pain in left shoulder area but pain going down left arm unbearable. Already been to an ER. Not a heart attack. Been going on for about 3 weeks. The more I move my left arm around, the better it feels but after a nights sleep the pain is horrible. Like the worst cramps ever. Doctor: Hi, The location and movement of a pain give clues as to what is going on. Pain that shoots in the direction of a nerve often is due to a local injury of the nerve. In particular, the spine in the neck often produces pain going out from the neck, down the shoulder, and to the hand. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes pain in left shoulder and arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This is a case of 8/M child from India with Ewings Sarcoma of left pelvic bone. Patient was operated and was given 6 cycles of chemotherapy in January 2011. Recent bone scan report shows metastases involving the frontal bone, right pelvic bone, thoracic vertebra and ribs. Are there any more treatment options available for him? Is there hope with stem cell therapy? Doctor: hi you are from India as my concern now the choice for sarcoma mainly supportive therapy but stem cell replacement mainly for hematological malignancy and I think that is a growing method and still in research category"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Ewings Sarcoma of left pelvic bone in 8 month baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor.Due to falling into a drain, my right shin was hurt, seems to be just abrasion about 0.5 x 3 inches, but as there are a few puss, just clean with spirit and put neomycin sulphate oinment and take ampilclox (500 mg x times) orally about two days. I think there is no problem with the bone due to external signs. According to the present treatment, it seems to be improved. In such a situation, I would like to have a few suggestion as follows: 1) Is the present treatment (my own prescription) sufficient and safe? 2) If not sufficient or correct, what shall I do or change? 3) How long should I take ampilclox? By the way, my two children are medical doctors, one at Servier and another at Dumex. This is their life in Myanmar. Great thanks, Raphael Supoon Doctor: cannot say in your particular case. it might not be infected. but if it were, those are reasonable treatments, but they can fail. If the infection is deep in. If there is material stuck in the wound, if the germs happen to be resistant, then in these instances, the treatment won't work. Mostly it would."
},
{
"from": "gpt",
"value": "Target: How safe is using Neomycin sulphate ointment and Ampilclox tablet for pain in shin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother has had ms for almost 15ys she has the least progressive kind she just had an mri and was told they found white spots on her skull but her brain looks fine ( no changes from last one) and want her to have a bone scan she is very upset and i couldn t ask her many questions but was wondering what this can mean Doctor: These 'white spots' on the MRI are areas where the myelin (coating of the nerve cells) are lost. That is how MS develops actually. These a called demyelinations and they are seen as white lesions on an MRI brain."
},
{
"from": "gpt",
"value": "Target: What causes white spots on the skull?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: wat r the side effects of deriva cms when i first used it on my fore head all the pimples were gone but after many months the pimples started again but this time it also started on my cheeks again wen i used that cream it didn t get cured but it became more Doctor: Hi,Skin irritation, burning or tingling sensation of skin, redness of skin, peeling and blistering of skin, patchy appearance of skin, photosensitivity of skin, darkening of skin and scaly skin are the side effects of deriva cms gel.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of deriva cms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son who just turned three I noticed last night had a swollen yellow nipple. not cracked or pussing. just hard and sore. He has had some exema though not extensive these last few months and a stubborn cold. I ve been looking online for answers but find none. If you do have any theories I would really appreciate your thoughts. Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Such swelling of nipple occurs usually around the onset of puberty due to some hormonal changes.If the swelling is not painful without visible signs of infection then nothing to worry. It will probably resolve in 1 or 2 months.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: What causes hardness and soreness in the nipple?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 49 years old male with diabetes2 high bp and high cholestrol. I worked very hard, two weeks back , I have dumped clear rocks with dust from my drive way to my back yard, its very hard job. After that I am not feeling well , I had dry cough , no energy in my legs and arms, I went to see my family doctor , he gave me Cetrizine HCL 20 mg and nasal spray, he said I have allergy but after taking pills I get sleep and no energy again, just sleep and sleep and constipation too. I have no energy in my legs. A little yellow stuff comes out only in the morning otherwise whole day no yellow stuff , there is no throat infection, no fever, I am so upset. I am very active and energetic person but not feek=ling well. Please help me. Thanks Doctor: Hi,thanks for query.Your doctor is right you have allergy.The drug that you are taking sometimes causes sedation in some patients,so you should talk to your doctor about this to change the drug or reduce the dose.Please make sure your diabetes is in control.You can also take vitamin supplements like b complex and vit e for your weakness,please discuss this with your doctor and you will be fine. wishing you good health."
},
{
"from": "gpt",
"value": "Target: After taking cetrizine HCL 20 mg and nasal spray feel sleepy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Me and my husband started trying t concieve this past Friday it is now Sunday and my period is not due for another three days but I am experiancing light bleeding not like a regular period and I normally have severely cramps but not really having any now what could be the explanation Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] It's good idea to be parents.2] Once you cross your dates please get urine test done. That only can help to know about your pregnancy status.3] I will suggest you to take B 12 , folic acid, omega 3 supplements. that helps avoid many problems during pregnancy. 3] Slight bleeding and no symptoms that you regularly get before cycles can be just occurrence. I hope my answer helps you.Thanks."
},
{
"from": "gpt",
"value": "Target: What are the early signs and symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 11weeks old and we started him on enfamil newborn and he was really gassy and in discomfort, even with the gas relief drops he was still in discomfort. So then I switched him to the enfamil gentlease and it was even worse and would have screaming episodes, and he would only eat 2-3oz per feeding and refused to eat anymore. After 3 weeks I switched him to the enfamil prosobee and that has made him constipated and still in the discomfort from gas.. Any advice on which formula would be best for him? Thank you, Kristin Doctor: Thanks for follow up.I really surprised that you started from soybeen\"s formula.He can not tolerate dairy?If he doesn\"t have problems and lacose insuficiency You can change gradually to NAN 1, start from 30 ml , then add every day more , for example: 1 day 1 feeding=30 ml NAN +60-70ml Enfamil2 day 1 feeding=60 ml NAN+30-40 Enfamil3 day 1 feeding=90-100 ml NAN, other feedings-Enfamil4 day 2 feedings NAN, other Enfamil5 day 3 feedings NAN and etc.Continue to give gas relief drops- colicaid better 10 drops 4 times daily. Add econorm(saccharomyces) -1/2 sashe 2 times 5 daysGrow qucklierDr.Svetlana Shrivastva"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stomach bloating in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 66-year-old sister was diagnosed with aplastic anemia in June 2012 and has had blood and platelet transfusions since then (usually 4 units of blood and platelet transfusion only when necessary, at a frequency of every 2-3 months, depending on how low her numbers get). Bone marrow has not been considered an option owing to her age. During the latter part of March until the entire month of April this year, she took pain medications for abdominal spasms (Tramadol) which never really went away. On May 1, 2013, she was admitted to the hospital owing to blood in her stool, persistent abdominal pain and the onset of fever as night approached. She had undergone an endoscopy and a colonoscopy, an MRI and the usual blood tests. One of her attending physicians suspected that her abdominal pains were symptoms of Crohn s diseas. However, just last week, she was diagnosed with tuberculosis of the intestines. She is presently taking anti-tuberculosis medication (Rifampicin and one other drug that escapes from my mind at the moment). Just the other night, she was wheeled to the ICU to monitor her rapid heart rate--she stayed for 24 hours and was transferred back to her regular room to avoid possible infection from the other ICU patients. I am alarmed that her health has deteriorated in less than a year and that she not only is plagued with aplastic anemia but also TB of the intestines. What condition next? Is TB of the intestines a result or a complication of aplastic anemia, or is it due to the pain medication that she took? I would appreciate being enlightened. Thank you very much. Doctor: Hi thanks for query tuberculosis is not due to what your sister taking pain medication and tuberculosis can occur due she was suffering with aplastic anaemia because immunity of body will be low compare to her normal prevous health status so already physician are treating you go head according to their advise if you have any more doubts please get back to me thank you with regadrs"
},
{
"from": "gpt",
"value": "Target: Diagnosed with aplastic anaemia, tuberculosis of the intestines. Caused by pain medications?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 28 weeks pregnant. I Woke up in the morning feeling bloated but hungry. By the evening, I was having severe upper stomach pains. They are not contractions as they do no lt come and go and get progressively worse, this is a constant pain that sometimes radiates to my back. It gets worse when I lay down. I tried passing stool and that briefly gave me relief for about 15 minutes. It was small, hard, and smelled like a perm solution. This has been going on for about 4-5 hours with no relief. Doctor: in pregnancy ur body release progesterone which relax ur digestive system...which slows down bowel movements so gastritis.. pain constipation occurs..u should consume lot of fluids...fiber diet"
},
{
"from": "gpt",
"value": "Target: What causes upper stomach pain and constipation during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... my 3 year old had mri done on the brain the diagonosis is small bilateral parietal centrum semiovale cystic spaces, likely virchow robins spaces otherwise normal brain mri what dose this mean Doctor: Hello, This is suggestive of leukoencephalopathy which is a very uncommon disease manifestation. It is also called labrum syndrome and it may be associated with seizures and developmental delay. The progression and clinical features can be variable and aggressive. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What does bilateral parietal centrum semiovale cystic spaces in MRI of child indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year daughters WIDAL test report TEST DONE OBSERVED VALUE SALMONELLA TYPHI O P o s i tive Titre 1:40 (serum) SALMONELLA TYPHI H N e g a t i v e (serum) SALMONELLA PARATYPHI A N e g a t i v e (serum) SALMONELLA PARATYPHI B N e gative She has been having fever since last 7 odd days on and off- No fever during the daytime, but late evenings temperature starts to rise and goes upto 102.5 F. She is constantly coughing(Dry) for the last 2-3 days. Doctor: Widal test is negative in this case. Probably a viral infection. Coughing due to viral infection. Get blood counts checked."
},
{
"from": "gpt",
"value": "Target: What does this widal test indicate in terms of fever and coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor , i am 19 year old female suffering from acne problem..i have recently started with a daily intake of 400mg vitamin e capsule(evion), 1 bicasule capsule and one limcee...is it okay? Doctor: Acne problem is due to oily skin or dandruff in hair , frequently wash your face with any soap or acnelak soap , neem soap , apply clindamycin cream locally , evion and vitamin C are for general health not for acne , there is no harm in taking them."
},
{
"from": "gpt",
"value": "Target: Is it OK to take vitamin e capsule for acne ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m trying to have baby for around a year after I delivered a still born child of nine months on 9th July of 2016...recently for the last two months I am taking Goodova50 during the first few days of menstrual cycle(as per my doc s advice).me n my husband is doing the deed every alternate day till 18th day of my menses...In the last few menses of mine(after I lost my baby)I have checked that the menses date is preponing 3-5days of the last month s...(n my cycle lasts every month for only 3days) Please n please help me in advising me whether I can become mom following the above said ritual... Me broken into pieces n shattered... PLEASE HELP... PLEASE.. Doctor: Hi, I think you should go for evaluation first. Get a thyroid profile and prolactin level done. You can try with goodova for 3 to 6 cycles. It is given to induce ovulation. Get repeated ultrasound done to see the growth of the follicles and take injection hcg for rupture when follicle reaches a size more than 18 mm. Be in contact with your husband for next 2 days. are progesterone for 2 weeks after rupture is confirmed on ultrasound. Talk to your doctor regarding these things. Hope it helps."
},
{
"from": "gpt",
"value": "Target: What causes difficulty in conceiving despite taking Goodova?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 40 year old male - having cold since 4 days (I stay in Bangalore, India). I started taking Sinarest twice a day for the past two days. Now, the running nose is OK but I have a sinus pain - on the left cheek (just above my upper teeth). Is it recommended to continue taking Sinarest? I have a history of Sinusitis. Requesting suggestion. Doctor: HI, thanks for using healthcare magicYes, the sinarest can be continued, it contains a mixture of a decongestant, antihistamine and pain killer.In addition the use of warm compresses to the face may help to reduce drainage and reduce your pain.Fluids and rest are also important.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Is taking Sinarest safe while having sinus pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Rash on right inner arm for 4 weeks since trimming agapanthus. Got a small scratch and lots of sticky sap. Eyes and right breast were involved but antibiotics from my doctor cleared it all for a few days. Steroid creams and antihistamines did not seem to help. Now it has spread again around inner elbow - red welts, itching, burning, slight stinging and sometimes crawling of the skin. Difficulty sleeping. I always get allergic reactions on inner forearms when I garden and suffer from continual sinus allergies. Need some anti-itching remedies use or suggest to my doctor. It may not be agapanthus and our cat now coincidentally has stomach discomfort every evening. Thanks Doctor: Allergies when not controlled properly can spread to other systems after long duration your allergies of sinuses has extended to skin. You have to treat alleries and you will be fine few tips ------- Stop all milk and diary products Dont use mustard coconut walnut groundnut and soya oil apply olive oil use olive for cooking Take Montair Fx(Montelucast and fexofenadine combinatio) twice a day Apply neosporin H eye ointment In side nose for sinuses You can Apply Dipovate ointment in affected area and calamine can be applied once a day Get blood serum tested for specific antibodies for food and environmental allergens and go for elimination diet"
},
{
"from": "gpt",
"value": "Target: Having rash on right arm, allergic reaction on inner forearms, itching and burning sensation. Prescribed steroid creams and antihistamines. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a small lump on my hand which is on the bone. It was caused by an impact which resulted in a bruise all across my hand. I went to the hospital as i was worried that it was broke, the doctor said it was only bruising. I still have concerns as the lump has not gone and hurts a lot when it is knocked. What do i do to get rid of it? Doctor: Hi,DEAR,Good Evening,Thanks for the query.I studied it in details and understood your health concerns regarding it.Lump caused on your wrist bone-is a Resolving Heamatoma with infection or a fibrosing Hematoma- with crack fracture?as its painful.I would advise xray wrist-to fix the diagnosis--Non-Surgical Treatment of the bony lesion with hematoma- by NSAIDs and antibiotics,if needed is tried to start with.If it does not go away then Surgical tratment would be needed from ER Surgeon as follows-Treatment would depend on the cause-a-Your ER Surgeon would -i- Aspirate it and treat it by antibiotic cover to wait for the healing .ii-If it does not heal and grows in size-Hematoma-? or the fibrosed hematoma-could be drained / or Surgical Excision done.Hope this would help you to plan the treatment with your doctor.Wellcome for any further query in this regard.Wishing you good health.Good Night.Dr.Savaskar M.N.From INDIA."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to get rid of painful lump on hand"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a tooth extracted on Wednesday. I needed some stitches. Since Wednesday my tooth has been bleeding, less and less but still bleeding. I went back to the doctoer today and it seems that the bleeding is coming from the side of the gum and not where the stitches are. I am diabetic and concerned. Doctoer prescribed a mothwash with antibiotics, ples I am taking an oral antibiotic every 8 hours. Anything else I could do? Doctor: Hi...bleeding gums can due to your poor oral hygenc so have proper oral prophylaxis and root planing. Use mouth wash and oral gel like metrogyl- DG . so gradually it will solve your problem.take care ..as you are diabetic healing will be little slow."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for gum bleeding with diabetes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife had been seeing doctors about her body pain, she has diabetic 2, taking numerous pain prescriptions but relief has not been felt. Just like this morning. She had long troubled sleep, she went toned at 9:00pm and got up at 7:00 am with body pain. We had attended mass at 8:00 and went back home to bed with bodily paid. What do you think is wrong with her and suggestion best possible treatment? How about Professional body massage clinics. Doctor: Hello, There can be several causes for body pain. For pain you can take tablet acetaminophen. For further assessment, you may require complete hemogram, nerve conduction studies after physician consultation. You may require physical therapy after physiotherapist consultation. Further treatment mainly depends upon the underlying condition. Avoid over exertion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam Kale Family and general physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for body pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Since 2009 I have been seeing one neurologist after another for several symptoms that have presented themselves over the years. I finally learned that on an MRI that was done in 2009 that Microvascular Brain Disease was noted in the written report, but nothing was ever said to me. Finally three months ago, I was told that I indeed had Microvascular Brain Disease. I was experiencing dizzy spells, falling down, lack of balance, dropping things, and extreme fatigue. Are these typical symptoms of Microvascular Brain Disease or should I keep pushing for more answers? Doctor: Hi, . The answer to your question is yes, these symptoms may be justified by microvascular brain disease and probabe ministrokes. The main cause of this condition is high blood pressure. Other factors include diabetes, atrial fibrillation, high cholesterol, etc. So, you should be checked and treated for these possible causes of the microvascular brain disease in order to prevent progression. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Are having dizziness and fainting suggestive of having microvasular brain disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI DR.STEPHEN CHRISTENSEN I AM SANT SINGH 61 YEARS OLD I HAD AN MRI ON 12/12/2012 RECURRENT THORACIC INTRADURAL EXTRAMEDULLARY MENINGIOMA AT T12 HAD IT REMOVED 7 YEARS AGO ITS A TUMOUR IS THERE ANY THING ELSE A PART FROM ANOTHER OPERATIONPLEASE HELP ME THANKS Doctor: Hello Thank you for trusting HCM When you undergone surgery??? 7years ago means when??? Is it count from 2012??? Your having a benign tumor in the spinal cord, it is slow growing but it cause spinal compression please consult your neuro surgeon. He will guide you in right way."
},
{
"from": "gpt",
"value": "Target: What does my MRI suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have several proplems...nerves, anious, everthing seems to deal with my nerves, my first experinces was when I was 15 yrs old, taken to hospital (Was Chocking, Couldn t Breath, Shaking) Was given a nerve meds and told to breath in& out Of a brown bag when this happen, I m 62 yrs old and still have problems like this, I m on Xana (been for 30+ yrs), what e up with me? Thank You, Cathy Williams (PS Sometimes I think I want To put An End To it All) Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Most important lesson is what we learn from our experience. You are suffering from anxiety disorder for the last 45 years and you have learned nothing from your experience. When we indulge our self in some continuous activity it becomes easy. If we suffer from some problem continuously, we learn how to tackle it. It is that simple. Know more about anxiety and it is very easy to overcome it. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to reduce nervousness and anxiety which is causing breathing problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I cut my forehead a about two days ago and the skin around the cut turned a scab colored red too. Today it peeled off and there's raw pink flesh underneath that's ringed with the scab colored stuff. Is there something I should do to prevent infection other than rinse it with soap and water? Doctor: Hello,Dress the wound with betadine after cleaning it with SAVLON.You must take a course of antibiotic to prevent infection.Consult your doctor for prescription of the antibiotic.In case you are having pain,you can take ibuprofen 400 mg three times a day for 3-4 days.Thanks"
},
{
"from": "gpt",
"value": "Target: How should i prevent from infection due to cut in my forehead?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,I got married in November 2012. I was pregnant at December start. I got abortion in January through pills medications. Everything went well. I also went for the follow up and I wasn't pregnant.Now, that everything is settled down. We are trying to conceive for months but could not.My periods are normal. My husband is no taking me to doctor. I really wanna know what could be wrong? Doctor: Hello,Your present condition is secondary infertility. Some basic investigation are advisable like husband semen analysis, pelvic USG, complete hormone assay, ovarian follicular study, test for tubal blockage etc. For proper guidance, you need to consult with gynecologist.Do unprotected sex around ovulation time to maximize the chance of pregnancy. Use ovulation prediction kit to predict ovulation time in mid cycle.Take healthy diet with folic acid supplements, control body wt by regular exercise, avoid stress, maintain genital hygiene and take sound sleep.Hope it helps."
},
{
"from": "gpt",
"value": "Target: Planning for baby. Had abortion through pills. Periods normal. Not able top conceive. What could be wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having chest pain in the middle of my chest for three days. The episodes of heaviness, tightening, and squeezing in the center of my chest are becoming more frequent (every five hours) and lasting between five minutes to an hour. I had a severe allergic reaction to something unknown five days ago that resulted in hives and was prescribed prednisone, Atarax, Pepcid, and received a steroid injection. I ve never had this feeling before and I m determined it s not heartburn or indigestion. It wakes me up at night and doesn t get better by lying down. It makes no difference what I eat or drink. I also don t believe it s panic attacks, as I have no stress right now- other than this unknown pain in my chest. What else can it be? It feels like my esophagus is closing and it s hard to swallow. Doctor: Thanks for your question on HCM.I can understand your situation and problem.In my opinion we should first rule out cardiac cause for your symptoms.So get done ECG. If ECG is normal than no need to worry much for cardiac cause.Since you are having central chest pain with difficulty in swallowing and feeling of closing esophagus, we need to rule out esophageal spasm and motility disorders.So get done upper GI Scopy by gastroenterologist. Also get done esophageal mannometry to rule out motility disorders.If all are normal than your symptoms are mostly due to anxiety.So avoid stress and tension. Be relax and calm."
},
{
"from": "gpt",
"value": "Target: What causes pain and tightness in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, 23 year old female.about 5'6 and 178 lbs Having cheast pain, that goes though to my back. Hard to breathe, kinda feels like i could voimt. It been going on for about 5 hours off and on. Had something like this when i was Pregnant with my daughter. About 23 weeks ago, After i had her everything was fine. Now its back. Doctor: Hi welcome to HCM...You are complaining chest pain and dyspnea both ....So cardiac causes like angina (ischemic cardiac disease ) or any other disease has to be ruled out ...Investigate with ....1.Blood pressure measurement 2.ECG 3.ECHO 4.stress test 5.If above investigation needs angiography than done ...According to cause treatment guided ..Here no respi symptoms present so respi causes seems less likely ...But if cardiac cause not there chest x ray and spirometry done .If still cause not clear HB level checked and stress avoided for that ...Consult pulmonologist with keeping these in mind. .Take care ...."
},
{
"from": "gpt",
"value": "Target: What causes chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir, i am uttam kumar das, age 25, i am suffering skin deasese problem, i have consulted doctor one doctor say it is psoriasis, and another doctor say it is seborrhoeic dermatits, deasese is more high in my body, always dendruff on my head and when my ishonfulia is high that time dendruff is more and when i remove my hair that time my head is like eczema white colour, yellow colour. some black sport and white sport create, red pimple,sir i have been suffering 10years but till now i have not cure, i m using more medicine such as konaz-ct lotion, sternon-s lotion, ceedox dt tablet, this medicne take relife me some time and using protar-k,sclap sampoo, sebowash and more oral medicine but these medicine are recation on my body pls help me for right medicine Doctor: Hello,I can understand your concern for possibility of either psoriasis or seborrheic dermatitis on scalp region.As per the description both of the above can be the possibility of your condition. In such kind of situation I generally go for Skin biopsy of the affected area. It is the best of approach to diagnose the exact entity. SO ask your dermatologist to do a skin biopsy where the histopathology can reveal the exact etiology of your problem.In case if it is psoriasis then the mainstay of treatment is methotrexate under dermatological supervision.All the best."
},
{
"from": "gpt",
"value": "Target: How to confirm psoriasis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 year olds butt is raw, and the skin is cracking with a little blood. She has been straining a lot to go poo, and her doc said to give miralax, and put diaper rash cream on her bottom. I have been smearing cream for a few days, changing her diaper often, and letting her butt air. Is there anything that you would recommend? Doctor: HI... this will settle completely only if the underlying problem of constipation is treated. Meanwhile you can use the diaper rash creams and Siloderm as such works wonders. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cracked skin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have few papules with whitish scale in form of the ring on the mons pubis and inner thighs areas. I have this problem since a week ago and I just noticed that its getting bigger than before. Its very itchy, no bleeding, no pus , its just the ring whitish bumps who grows bigger by the day. I never had this before. I wanna know what is it cause it doesnt seems like folliculitis to me. And I really wanna know if it is STD or just fungal infection . Please help me how to treat this infection. Doctor: Hi dear u r correct. It is a fungal infection only. So dont worry much. Here are my suggestions. Take tab fluconazole 150 mg single tab. Apply oint clotrimazole twice daily for 1 month, most important point is that u must apply this oint for 1 month even after cure else there ll be recurrance. Hope u get well soon. Thank u"
},
{
"from": "gpt",
"value": "Target: Itchy whitish scale on the mons pubis and on inner thighs. STD or fungal infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries? Please type your query here...my daughter 3 months old diagnosed by ostium secundum 7mm she will go by its own or she will need surgerymy doctor describe lasix with potassium syrup thats enough or notplz help Doctor: The lasix and potassium are to prevent her heart from malfunctioning due to the abnormal circulation causing stress on the heart. The defect may either stay the same and keep causing problems or may become free from symptoms over years. It is impossible to say at this stage whether she has to have surgery. I would probably say she might need it later, once she is a bit heavier and bigger."
},
{
"from": "gpt",
"value": "Target: Will my child need surgery for ostium secundum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 36, 97kg. i have just been diagnosed with stable angina. i have a high serum cholesterol i.e. LDL -170, total cholesterol-237, HDL -49. my kidneys and liver function tests were okay. is it true that i may have a life expectancy of 5-7 years? what can i do to improve my life expectancy? John. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, it is not true that your life expectancy is 5-7 years only. If you reduce weight and cholesterol level, your angina will definitely improve and so as your life expectancy. Follow these to achieve low cholesterol level. 1. Do regular aerobic exercise like running, cycling, swimming etc. 2. Avoid oily and fatty food. 3. Avoid junk food. Avoid fast food. 4. Take high fiber diet like green leafy vegetables, fruits etc. 5. Use sunflower oil for cooking. 6. Start lipid lowering drug like rozuvastatin or atorvastatin. Your cholesterol level willing definitely reduce 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: How to reduce the cholesterol level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc im feeling pain on my knees. i had alot of fat around them.but now the fat has gone and im feeling bone around it.this has happened due to masterbating could you help me.i cant hardly feel my legs when i walk. is there any way i can put weight back on my thigh and knee area. Doctor: Hello, The symptoms seem to be related to knee stiffness due to a prolonged posture. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. In case the the symptoms continue, I recommend physical therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I have sinus, wheezing and lot of green thick mucous from throat, and vomit frequently due to more mucous.Taking telecast daily night. Is there any medicine to remove mucous and is it advisable to take daily for more than a month to take telecast Thanks,sirisha Doctor: Hello and welcome to HCM,The symptoms of wheezing, thick green mucus from throat suggest infection of the sinuses.Green mucus discharge suggest Pseudomonas infection.The discharge from the sinus drains from the throat thus you are feeling the discharge in the throat.You need to consult your ENT specialist for culture of the mucus discharge to exactly identify the organism causing the infection.A drug sensitivity needs to be done for the most appropriate antibiotic.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: What is the treatment for sinus, wheezing, thick mucus discharge from throat and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently(past 3months) been cleaning my body internally. 3 weeks ago I stopped using deodorant. I use an organic baking soda w/out aluminum with a bit of water. It works so much better for me. A few days ago I felt a bump that felt bruised under each armpit. I continued to use the baking soda as I feel it s not going to cause a dangerous reaction. Yesterday when I was drying off out of the shower I noticed a faint brown smear from each armpit. I noticed the same today and the bruised feeling and the bump is disappearing. I didn t see any scabbing. My question would be are my armpits excreting a substance that may have built up and deposited from using a deodorant with aluminum? (I used Dove deodorant in the past). Thank you Doctor: Hii appreciate your concerni would like further details to help you betteris it on both the sidesis it painful or tenderDoes it come and goes or remain thereany recent difference in sizeIf you can update me all these details I will be happy to help youHope I have answered your questionFeel free to ask for follow up thanks for using our sitegood luck"
},
{
"from": "gpt",
"value": "Target: What causes bruise and lump under the armpit after using baking soda?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son 23 has a , malignant tumor in his brain had testing done in london ontario. he told me they gave him an enzyme intraveiniously and would see him again in 6 months, they told him it was inoperable, what is his prognosis he wont tell me anything Please help Doctor: Unfortunately, if the only information you have is that he has a \"malignant tumor\" and that it is inoperable I'm afraid the prognosis would not be what you would be hoping for. Of course, since he is of age he has the legal right to restrict or withhold medical information. Has he told you that he does not want you to speak to his doctors? is there anybody else in the family that you know of with a history of malignancy or cancer even if it were not of the brain? if you do get more information on either the tumor itself or the medication he is being treated with please come back and let us know. All the very best to you and your son and the family."
},
{
"from": "gpt",
"value": "Target: How serious is an inoperable malignant tumor which needs enzyme intraveiniously?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am taking currently starting to take Percocet. I have had back surgery 2 yrs ago on my L4-5. 8 months after my surgery, my 3-4 disc was herreniated. So I have back pain & nerve pain in my legs. Is there any laxative or stool softener I can take if I need to to stay regular? And I also have 5-500s, is there much difference between the 325 s vs 500 s? Looking for advise. Thank you. vjp Doctor: Dear-thanks for using our service and will give you my medical advise.First of all, the composition of Percocet is narcotic and acetaminophen. The 5mg is the narcotic part and 500mg is acetaminophen. The component that gives you constipation is the narcotic part (5mg) for which an increase in acetaminophen dose will give you risk of liver damage but not constipation. I will advise you to try physical or massage therapy and epidural block if no improvement. It depends of the level of damage that you will improve fast or not. If you have not had MRI of lumbosacral in more than 2 years, it is advisable to have it.Dr.Sara"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back and neck pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir, i am idaya, how men became bueaty?? Doctor: hi, welcome to the health care magic forum,men dont become beauty,they become handsome by having reular exercise, good nutritious fruits and food ,"
},
{
"from": "gpt",
"value": "Target: What beauty products can be used by men ?"
}
]
|
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