conversations
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[
{
"from": "human",
"value": "Source: Patient: Hi, 20 year old male who is worried about a number of problems regarding my sexual health. I think I m suffering from chronic masturbation and it s affecting my sexual arousal. I tried cold turkey once for 2 weeks straight and I was able to retain a very strong and firm erection. But after I saw these great results I just kept at my old habits and now I m back to square one. I also noticed a small hard lump and at the base of my penile shaft that s feels internal. I did some research and I found out it is probably a lymphocele. I m seeing my girlfriend in 6 days and I don t wanna disappoint. I bought some Panax Ginseng and Zinc tablets to alleviate this ED . I just want some advice to combat this horrible habit Doctor: DearWe understand your concernsI went through your details. Erectyle dysfunction is basically caused by psychological problems rather than physical problems. Instead of worrying unnecessarily and being anxious about your sexual problems and doing self treatment, please consult a physician and psychological counselor for treatment. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to cure addiction to masturbation and erectile dysfunction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father-in-law was recently diagnosed with dementia. I believe he is 75 years old. His father had alzheimers disease. My question is simply does someone start out with the diagnosis of dementia and then it possibly turn into alzheimers. I know that alzheimers is one of the most common forms of dementia. Just curious. Doctor: Hello,As you know, Alzheimer's is the most common form of dementia, but there is no definite test to diagnose Alzheimer. It is diagnosed on post-mortem study. There is no definitive curable treatment for dementia.All medication helps in reducing the progression of disease. So doctor diagnosing dementia or Alzheimer's treatment will be same.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rohit Kothari"
},
{
"from": "gpt",
"value": "Target: Does dementia progress to Alzheimer s disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: tiny bump on way upper part of front left tooth. almost like it needs to be \"explored\" & flushed with water. had root canal on this same tooth & it is crowned. this lump doesn't really hurt at all, but it has subtly changed the smell of my breath & just doesn't feel normal. what is it? Doctor: Hi,Thanks for asking the query,Bump on the tooth can be because of infection, this could also result in bad breath.I would suggest you to consult to an Dentist and get a checkup done take an IOPA radiograph.Take lukewarm saline rinses and antiseptic mouthwash rinses.Take care!"
},
{
"from": "gpt",
"value": "Target: What is the cause of bump on tooth and change in smell of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year daughter has recently been diagnosed with epilepsy. She is on regular medication and has not had a seizure since. However, she is very keen for us to go to Universal Studios in Florida (particularly Harry Potter World ). Would the rides be safe for her to go on? I am worried in case they trigger a fit. Doctor: Hello. I just read through your question.As long as the seizures are controlled on the medication, there is nothing to be concerned about. She may go on the rides."
},
{
"from": "gpt",
"value": "Target: Is it safe for epileptic children to go on fun rides?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am a 27 year old women and I am deciding wether I need to go to emergency room or if I can wait until Monday (today friday). I went to GP on Thursday with pain right under my right breast being there for 2 days at that point ,also having cough for 6weeks now.Doctor is getting myself a chest xray (was meant to be today but no answer). Last night around 5pm my pain within 10minutes dramatically doubled having me curling over in tears. I am taking 30mg codiene with ibroprofen and paracetamol (only taking edge off the pain). I am just wondering if I shall go to the emergency room or if my situation can wait till next week. Thankyou for your time Stacey Doctor: Hello,As per my clinical experience, the severe pain here narrates possible spasm of bronchi from underlying respiratory infection.I suggest to get an injection at ER to relieve the situation immediately rather than waiting in agony of pain till further 3 days.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 causes intense pain under the right breast despite taking Paracetamol for cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I am aged 35 and weight is 106. I had been to doctor on 20/11/13. My USG SCAN Diagnosed as GRADE 1 FATTY LIVER. My blood levels SGOT & all related are very high. Almost the double of the maximum prescribed limits. After endoscopy the diagnosis was LAX CARDIA & DIFFUSE EROSIVE GASTRITIS. Is it something serious. They have advised me Heptral 400 , UDILIV tablets. Doctor: Hi thank you for using HCM. i had gone through your query. SGOT and SGPT are the liver enzymes that indicate the liver cell injury. fatty liver is the abnormal accumulation of fat in the liver cells.I would suggest you to continue the medication prescribed by your doctor and follow the instructions given below to lower sgot levels and to get rid off fatty liver as it is a reversible condition. This can be achieved by simple lifestyle modifications for weight loss.I would advise you to follow these instructions given below. Try losing 1 or 2 pounds per week not more than that, as it would lead to health problems. Go for cardiovascular exercises like brisk walking, running, swimming for 45min a day, 6 times a week. Strength training 4times a week.Avoid alcohol , quit from smoking.Avoid fatty foods, junk foods, deep fried foods, simple sugars, pizzas, chocolates, ice creams, soft drinks. Have a balanced and healthy diet that should include complex carbohydrates like brown rice, oats, brown bread. High protein foods like egg white, pulses, beans, sprouts, soya beans, milk, cottage cheese. Low fat foods. Use olive oil. Have 4 to 5 servings of green leafy vegetables along with all mixed vegetables. 5 to 6 servings of all fruits except banana, mango, chickoo.Drinky 3 litres of water per day.If you have diabetes keep your blood sugars under control.Get regular check ups for cholesterol and triglycerides from your doctor. Hope i have answered your question, if you have further questions i will be happy to help."
},
{
"from": "gpt",
"value": "Target: What does fatty liver and high SGOT levels indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: SIR GM MY AGE IS 40Y, MY PROBLEM IS SIZE OF MY PENIS IS 4 INCH WHILE ERECTION WITH A DIA OF ONE AND HALF INCH ONLYN SUFFERING FM P.E. WITH IN A MINUTE WHICH IS NOT SATISFYING ME OR MY PARTNERHER AGE IS 35 SHE REQUIRES MORE TIME NOW PSE GIVE SOME GOOD SUGGESSIONS Doctor: Hi,From history it seems that your problem is more psychological than physical.Length of penis is genetically build up.And having this size of penis is quite normal as initial few centimeters of vagina is sensitive so there is no problem to satisfy your partner. Initially before intercourse go for some foreplay like kissing, pushing, verbal talking, fantasy etc by which your partner will be sexually excited and will go for orgasm speedily.With this foreplay you too get more sexually excited and will get strong erection.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to increase my penis size?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a question. if someone were having a very strange sensation in their chest, behind the sternum where the heart would be....the sensation feels like blood gushing through. it s just to weird to describe very well. no pain. no shortness of breath, no lightheadedness.... but the beat of the heart feels a little bit off, like it s missing and this gushy feeling almost like when you have chest congestion but in the heart instead. weird I know. not sure what to do. it s probably nothing, but thought I would ask. lasts only about a minute or less. but comes back. does anybody know what this might be? Thank you Doctor: Hello, Anyway, before coming to this conclusion, I would recommend performing some tests, in order to investigate the possible underlying causes: - a chest X-ray study - a cardiac ultrasound and resting ECG - thyroid hormone levels for thyroid gland dysfunction - blood electrolytes. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes the feeling of blood gush through the heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A friend of mine had surgery on her left foot yesterday morning. For the last few hours she says her left leg feels hot . No swelling, no redness, but it feels hot. She s been advised to go back to the ER if she feels worse. What could this be? DVT? Doctor: Hi, As your friend underwent surgery for the foot, post surgery there might be some fresh burning sensation which is common. Still your friend can have a word with a surgeon who has operated. As you mentioned surgery was done just yesterday. With simple medications things will be fine. It is for sure not a DVT. DVT might not occur suddenly after the surgery, and this might be just because of tight bandage. Getting it showed it always recommended Rather avoiding it. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes hot feeling in leg after foot surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I fell off my bike yesterday quite badly and was shaken up, but didnt feel much pain other than a cut on my shoulder and a sore hand. Today I woke feeling very stiff from the neck, legs, arms etc. I m also experiencing bad stomach pains to the point where I cannot lift my knees while standing without causing discomfort. Any ideas what I should do? Thank you Doctor: i understand your concern, its traumatic event while you fall from bike all your muscles got contracted its a normal physiology,then they get spasm it needsrest and taking muscle relaxant"
},
{
"from": "gpt",
"value": "Target: Feeling very stiff from neck,arm & leg after a cut on shoulder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor my daughter ( 5years old) is suffering from cold and fever since yesterday. We gave her crocin and citrizin 3 times a day but it doesn t work. So we have to give her meftagesic plus.it works but the fever came again after 5 hours what should I do? Should we continue meftagesic or stop it. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I will suggest you to continue using Meftagesic regularly in temperature and Crocin and Cetirizine. You can help your child with healthy diet and plenty of water during this period. Also use warm baths and wet clothes to help him with in case of temperature. In case your child have more than 3 days with temperature then I will suggest to see a doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Elona Dashi"
},
{
"from": "gpt",
"value": "Target: Can Meftagesic be given for cold and fever while on Crocin and Cetirizine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has a rash that will not go away. Hydrocortisone cream does not help. At first we thought this was contact dermatitis from soap, but all that has been eliminated as a cause. Her doctor wants her to take a blood test for Pancreatic Cancer. I do not find a site that shows rashes as a symptom of pancreatic cancer. How worried should I be? Doctor: Hello, Skin rash is not a symptom of pancreatic cancer. Don’t worry about it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Is skin rash a symptom of pancreatic cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, i have grade 1 fatty liver i am 23yrs old and i weigh 110kgs .i am not diabetic , thyroid reports also show normal behaviour, i have this fullness in my chest area which makes me feel more heavier and i hate this feeling . i am taking dompan and with it gelvel. i want to know in how much time will my liver recover and what to do about this fullness in my chest? Doctor: Dear sir, Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia) and i hope so that alcohol isnt the cause in your case. You should definitely lose some weight(at least 10-15 kg). This is probably the main cause of your liver disorder. You need to change your lifestyle, diet and sport habbits. The treatment of fatty liver depends on its cause, and generally, treating the underlying cause will reverse the process of steatosis if implemented at an early stage. It usually last for 4-6months if u do what i ve advised. Fullness can also be symptom of obesity, liver enlargement, gastritis or colon disorders. You need to see if your dietary changes would affect on your fullness feeling. If not u should do gastroscopy and colonoscopy to rule out some other diseases. Wish you good health.Dr. Ivan Romich"
},
{
"from": "gpt",
"value": "Target: Have grade 1 fatty liver. Fullness in chest. Taking Dompan and Gelvel. How long to recover?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello so I have wisdom teeth that have been coming in for over a year and I m not sure if I need to get them removed. However I always have sharp pains comig from where my wisdom teeth are and recently my ears have been feeling pressure and when I touch under my jaw and by my lymph nodes on the outside it feels tender could this be due to my wisdom teeth being impacted? Doctor: Hi, Thank you for the query. Presence of radiating pain in the ear and under the jaw is because of infection in the teeth or surrounding gingival flap infection i.e. development of pericornitis, and tender lymph nodes. An x-ray should be taken to know whether the teeth is impacted or can erupt into occlusion normally. If impacted it has to be removed surgically or operculectomy should be performed if only the gingival flap is infected this should be followed by a course of antibiotics and analgesics . Hope this information helps you."
},
{
"from": "gpt",
"value": "Target: Sharp pain from wisdom tooth, pressure on ears, tender jaws. Should I remove it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: DEAR Dr. I have been operated on 6th of Sept.at St.Johan Hospital ,Bangalore(india) after the fallowing diagnosis. Benign prostatic Hypertrophy+ B/L inguinal hernia+ Paraumbilical hernia with hypertention. Operative Procedure:TURP+B/L Inguinal+PUH mesh repair on 6/9/11. Finding:PUH-Content is omentum,defect 4-4cm,B/Linguinal hernia-direct,B/L Lipoma of card(+),no indirect component,cord structers normal,meautas and uretra-normal,Prostate-GradeII inlargmentwith median lobe,urinary blader-GradeIII trabeculations. Discussion: Paraumbilical hernia,Benign Prostatic Hypertrophy andB/L inguinal hernia and was operated for the same.Initally few drops of blood was passing with urine and feeling of burning while urinating was their.I was advised to take Nifran(100mg)capsule(t.d.s).Today is the 6th day and now the urologist have prescribed DUTOS.though the burning is minimised and since today morning blood is not coming with urine.However feeling of burning still exists and ihave to urinate almost every hour. I would like to know that whether ishall lead normal life & what precaution needs to be taken Doctor: HelloThanks for query .You have undergone endoscopic surgery for resection of enlarged prostate and repair of Bilateral Inguinal Hernia and Para Umbilical Hernis very recently and getting burning while passing urine /Burning while passing urine after TURP is common due to following factors 1) Trauma to urethral passage caused by equipments used for resection 2) Irritation of a raw area created after removal of prostate 3) Infection due to organisms being liberated from interior of after resection of prostate .Normally it takes 3 weeks for complete healing and to subside infection and inflammation Till then continue taking antibiotics Ensure to drink more water .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest medication for burning sensation during urination"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My baby girl is 5 months old and she suffering from loose motions from 5 days. We met doctor and he has given Colicaid, Gestozyme, and Sachronorm-Z, but the situation is the same. Kindly tell me the remedies for this loose motion, day by day she is becoming weak. Doctor: hi thank you for asking question on HCM.please maintain hydration of baby by frequent breast feeding, you can give zinc supplements syrup zincolife(5 ml=20mg zinc) 2.5 ml once a day for 14 days, continue sachronorm z, and look for danger signs of dehydration,like lethargy, unconsciousness, not taking feeds, decrease in urine, refer urgently to your consultant if danger signs are present.thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for loose motion in 5 months old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am currently taking Lutera birthcontrol pills. I am very god about taking them every day. I always go two months before having a period because I tend to get very bad cramps. Im on my last week of pills before my period and Im experiencing brown discharge. My boyfriend and I are very careful and we always use a condom on top of my normal birth control. Should I be worried this spotting is a sign of pregnancy or is it just from taking the birth control pills? Doctor: NamastheWelcome to Healthcare-MagicGreetings of the dayFrom your history of religiously using pills and other form of contraceptive like condom, its unlikely to be Pregnancy. Its likely pill induced hormonal bleeding.It does not call for any alarmIn case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH"
},
{
"from": "gpt",
"value": "Target: Taking birth control pills. Always have protected sex. Having brown discharge. Should I be concerned about pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir I have used Aceclorite Plus medicine for fever+body pain.But after the effect of medicine is over I have fever again.Also i suffer loose motion as a side effect of Aceclorite Plus medicine. So, sir kindly suggest proper medicine for my recovery so that i can resume my job. Thanking You. Anil Kumar Doctor: Hi,Aceclorite is a combination of non-steroidal anti-inflammatory drug aceclofenac and pain reliever paracetamol commonly prescribed to treat painful conditions and fever. Its common side effects include heartburn, stomach ulcer, bleeding and kidney dysfunction. It is unlikely to cause loose motions. Loose motions could be due to stomach infection for which you should consult your doctor for proper assessment and treatment.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of aceclorite plus medicine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have taking below dose and i have regularly meet my family doctor but now he is out of station and i feel very bad i could not concentrate in my work and study and not enjoying my life and whole day opposite sex desired for sex,love ship with girl and mainly i would like to mention that i have loss my memory power,thinking power so is it a serious problem? ple hlep me sir. cap. proep 1-1-0 Tab. ocifril-xr(75mg) 0-0-1 Tab colfranil (25mg) 1-0-0 Tab busiron (10mg) 1-1-1 cap selip 0-0-2 Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are suppose to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span of below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. Concentration comes only when you are interested in what you do. So please be passionate towards what you are doing or do only those things which you are interested in. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes poor concentration and poor memory power?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell on some ice, smashed my left shin juuuuust below my knee. It doesn t hurt to walk, but if I crouch, I feel a burning pins and needles sensation down the outside of my bone. I also have a numb area to the side of where I hit, and an excruciatingly painful spot/huge dent where I fell. Could I have chipped my bone or done nerve damage? Doctor: Hi going by your description , it looks that you have damaged soft tissues just below the knee. In my opinion such smashing of the soft tissues also causes damage to nerves and subsequent sensation of pins and needles along the compressed nerves.Chipped bone will give you lot of pain on walking.The painful spot / dent is there because of collection of blood in the region. Do cold compression , take anti inflammatory pain killers for few days."
},
{
"from": "gpt",
"value": "Target: Could burning pins and needles near the bone below knee with numbness and severe pain after fall be chipped bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I was diagnosed with pv in February 2013 whic is so hard to accept my blood count has went down below 45 at that time no asprin was offer. I just changed hemotogist he just put me on asprin my platelets are always high will the asprin help my platelets. Please advise YYYY@YYYY is email address Doctor: aspirin is an antiplatelet agent,but only in actionit reduces the activity of plateletsit will not reduce the actual number of plateletsof course few cases are known where even the platelet count is reducedbut such cases cannot be predictedif u r on regular aspirinwatch for risk of gastritis and gastric ulcersbest of luck"
},
{
"from": "gpt",
"value": "Target: Blood count below 45, platelets always high. Will the aspirin help platelets?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: \"I have had severe hiccups throughout the day lasting about 20 mind and at least 11 times since this morning. And now, for the past housr Ive had a sever sharp pain on my lower left side. Almost breathtaking.... Have no idea what it could possibly be..? Thinking about going to the Er..?\" Doctor: Hi! Good morning. I am Dr Shareef answering your query.I would advise you to seek help in the ER of your nearest hospital, as it won't be possible to opine on your condition without a physical examination and related investigations. Take care and good luck.Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Cause for pain in the lower left side?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, I m a heart patient, and now im having shortness of breath when taking little steps or getting up or showing, I have a pacemaker and i m not sure if I should go to the hospital. I was there is february with congestive heart failure so I m not sure what is going on now. Doctor: Hello and welcome to ask a doctor service. I reviewed your query and here is my answer.As you said you have a pacemaker and congestive heart failure. So getting shortness of breath of this severity is not a good sign. It means either you ade not taking your medication properly or your medicationa are no more sufficient for your congestive heart failure or there may be lungs problem. You need to go to a hospital and see a cardiologists for this.Hope i answered your question. Feel free to ask more if you need further assistance. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ia am a 35 yr old woman who crave lots of water after eating meat (i ues to eat chicken ,turkey and fish only) i stop eat them for 2 months and this even i ate fish and the craving return i don have debitic nor do i have high blood pressure and chlestrol ia normal however i am 180 lba and i am 5ft 5inches can u tel me what the problen is (i am eating vrgeritain meat ) help craving water in the british virgin islands thanks Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that two spicy and fried food can make you crave for water, so it’s recommended for you to avoid spicy and fried food and also get done CBC, KFT and HbA1C. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high BP and cholesterol"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have lower back pain x 1 week. PCP prescribed muscle relaxant, antiinflammatory. Bedrest. First few days unable to walk without pain. Currently walking with minimal pain. However, lower back sore to touch. Can now bend a little further and twist. Couldn't do that at first. What is the difference between herniated disc and muscle strain/tear? Doctor: Hi, thanks for posting your concern in the HCM. Muscle sprain and herniated disc are completely different problems. Herniated disc is a vertebral problem in which the soft central substance ( disc) between the vertebral body, which acts as shock absorber and also prevents friction, herniates out through a tear in annulus fibrosus. On the other hand musle sprain in simple injury to the muscle fibres. MRI of the spine can well illustrate a herniated disc. Although the local symptoms are similar, disc herniation may produce radicular pain, numbness, tingling in the supplied dermatome which is absent in muscle injury. Surgical management is often required for back pain due to herniated disc while in case of back muscle sprain it is usually managed conservatively. The initial treatment prescribed to you for your symptoms is appropriate. However, further examination and possibly imaging will be required after consulting an orthopaedic surgeon to rule out a herniated disc. For any further questions please write back to us. Regards. Dr. Kaushik"
},
{
"from": "gpt",
"value": "Target: What is the difference between herniated disc and muscle strain/tear ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a dry patch on my breast that is circular and is surrounded by a red ring and is oval shaped. What can that be? It was extremely dry in the center until I started putting cream on it, not it is not so dry but is still there. My email is YYYY@YYYY . The circle is on top of my right breast. Doctor: Hello,Thank you for posting on HCM.It seems you are suffering from Tinea corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link:http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169If you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: What could the dry patch on breast be significant of?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I take alchole every day after 8 pm (180 ml) now i have pain on the lever side a slite pain, when i am standing my tooes have pain asif they cannot bear my body weight (82) kg, Age 43 years also while i work with my laptop my hands pain, my stool is semiliquid and sticky,but I feel hungry and have my breakfast lunch and dinner very well and like to have testy food, I am going to take Ursocol 300 mg tablets 2 times daily, please sujjest me what to do Doctor: Hello,Get your liver function test and one ultrasound of abdomen for lower status. You might also have pancreatic problems and may need to undergo CT/MRI. Consult some physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B.dinesh"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for liver sided pain and painful toes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother is 16years old and he has got a cut in spinalcord near neck,and his lower limbs are not responding.can u do a surgery for it Doctor: Hi,palla, this surgery is to be done by spine surgeon or neurosurgeon.Please get in touch with one who can help you.You need to take fast decision for this.Do not waste time.bye and all the best."
},
{
"from": "gpt",
"value": "Target: Is it possible to do spinal cord surgery ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell sat night and landed on my right elbow and its swollen and bruised and I can not extend my arm without my 2fungers start tingling and the pain gets more intense.. if I keep it bent its not as bad but I still do have the tingling and pain. What should I do? I've been icing and taking ibuprofen Doctor: Hello,I think you should have an elbow x-ray in 2 views to rule out any fracture that may have occurred then if the x-ray is normal, you can keep using Ibuprofen and ice and elastic wrapping and give more time for the soft tissues to heal for 2 more weeks.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani"
},
{
"from": "gpt",
"value": "Target: Having noticed a swelling & bruise on the right elbow"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 18 year old female and for the past couple months i have been experiencing chest pains on the right side of my heart. At first the pain will be sharp and it ll hurt to take a deep breath and feel like someone is squeezing my heart which will last a few seconds. Then there will be a dull aching pain afterwards that drags out. I m not an athlete but my health and diet is very well and I rarely get stressed out plus I m pretty good at relieving stress. I m not sure what is wrong with my heart please help. Doctor: Thanks for your question on HCM.Chest pain on breathing can be due to pleurisy ( inflammation of pleura). The common causes for pleurisy are1. Pneumonia2. Pleural effusion.3. TuberculosisSo get done chest x ray to rule out all these.If chest x ray is normal, then get done ECG to rule out cardiac cause.If both are normal then you must be having muscle pull and muscular pain.So try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting.2. Avoid strenuous exercise.3. Avoid movements causing pain.4. Take good painkiller and muscle relaxant.5. Apply warm water pad on affected site."
},
{
"from": "gpt",
"value": "Target: What causes chest pain while taking deep breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I used to wear rings/studs in my left ear and I think one of them reacted and caused a swelling at the back of my ear. Now it looks like a lump, Can you please tell how much this will cost , to get it removed? I am trying to get NHS but I am fed up with them, its been 2.5 months they kept on giving appointments and did nothing. Doctor: Hi,Earlobe lump correction is a plastic surgery and in Uk it could be 350-1000 GBP,depending upon the type of procedure used.Hope this helps you.Dr.Savaskar M.N.Senior Surgical Specialist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on ear"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started off with a bad cold about a month ago. I seemed to get better about a week or so after I first initially started to feel ill. After a few days it came back and was worse than before. Now 4 weeks later, the only symptom I still have is the severe coughing spells that will sometimes lead to vomiting. Doctor: Hi there,Welcome to healthcaremagic.I understand your situation.Your symptom might also accompany a runny or stuffy nose,a feeling of liquid running down the back of your throat,frequent throat clearing and sore throat,hoarseness,wheezing and shortness of breath.You might be having allergic rhinits or Gastroesophageal reflux disease.Try taking tablet containing monteleukast + levocetirizine,cough suppressant syrup before bed at night and pantoprazole 40mg empty stomach in the morning.If your cough doesnot subside by this you should see a doctor and get a chest xray done to get a confirmed diagnosis.In the meantime stop smoking,avoid allergens and reduce acid reflux.This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night.Hope this helps you.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe cold and coughing spells leading to vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY SON HAD CELLULITIS IN HIS GROIN AREA. ON THE WAY TO THE ER BECAUSE IT WAS BURNING INSIDE THE AREA BURST AND LET OUT BLOOD AND PUS. THE DOCTOR MADE A SMALL INCISION AND DRAINED AND PACKED THE AREA. THE PACKING CAME OUT IN ONE DAY AND NOW ITS STILL DRAINING AND SWELLED AND HARED IN THAT AREA. IS THIS NORMAL? Doctor: Hi XXXXThanks for your query at HCM!I am Dr. Sheetal Verma an Infectious Disease Specialist answering to your query! I went through your query and understand your concern.Cellulitis is an acute inflammatory condition of the skin that is characterized by localized pain, erythema, swelling, and heat. It may be caused by indigenous flora colonizing the skin and appendages (e.g., S. aureus and S. pyogenes) or by a wide variety of exogenous bacteria.Treatment is antibiotics based on culture and sensitivity results.Apply the dressing with antibiotics and get tested. Maintain hygiene.Hope I have answered your question. If you would like some more information I will be happy to provide. You can also write a review for me. Wish you good healthTake care! Wish you best of Health.Dr. Sheetal VermaInfectious Disease Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling and cellulitis in groin area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have pain in my leg doctor proscribed me medication Nucoxia 60 two tab and PAN 40 one tab daily for 15 days.But after 4 and 5 day i am feeling heart pain in my right side chest. This is side effect of medications or another thing. please give me advise. Doctor: Hello,Nucoxia in few patients may cause allergic reactions like swelling of lips, breathing difficulty and palpitations etc. But as such it may not directly cause chest pain. It may be due to allergy or acid reflux may cause chest pain. Anyway don't neglect chest pain please consult with your physician he will do ECG and chest X-ray then treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Is chest pain a side effect of Nucoxia & PAN intake?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 45 year, with diabetes. I have recurrent ulcers in the mouth.. Can some one suggest what might be the cause ? How to treat it? Doctor: DEAR welcome to Hcm You should keep your Blood sugar level with in normal limit by Ahar vihar and Aushadhi [ diet , daily routine and medicine] try taking some Liver tonic in tab form at least for one month for local application irimedai tail this measures will bring recovery completely"
},
{
"from": "gpt",
"value": "Target: I have recurrent ulcers in the mouth, How to treat it ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was just treated in the hospital for celitus that was caused by a missed Iv shot of meth. It was swapping, red, and extreamly painful. They treated me with Iv antibiotic for about 8 hours and sent me home with 2types of antibiotics. Can I still use meth or will this affect the antibiotics? Doctor: Hello,It may interact with linezolid and metronidazole may cause allergic reactions. Please mention which antibiotics your taking then will discuss weather it interact or not.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Is it safe to use meth with antibiotics?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash on my face and neck for last 5 days. not really getting any better. I have been unwell, chronic fatigue etc but am feeling better in myself but now have this rash, it feels hot/warm to the touch. not really itchy nut i know its there, irritates, what could it be? Doctor: Hi,You said you have rash on face and neck and you feel fatigue and the rash is warm on touch. There is no itching, but you feel irritation. This much history might suggest viral exanthem. You consult dermatologist for firm diagnosis.The rash may be erythematous. Temperature may be raised on the affected parts. There may be bodyache or headache. Flu like symptoms may be found.Investigations may be done.Broad spectrum antibiotics like azithromycine, analgesic like nimesulide and antihistaminics for irritation sensation may be cosidered. Soothing lotion like calamine with aloevera may be applied to have good feeling. Follow your consulting doctor.I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: What causes warm rash on my face and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my nephew has 7 year old, symptoms is severe pain in back lower portion, he didn't stand or even to sit, doctor say in his abdomen there is some pus formation near to kidney. what is it?this also infect his kidney, what precaution is used. plz suggest me urgently.. Doctor: Hello and welcome to HCM. As an Urologist,i can understand your anxiety.He must've a surgical opinion.If there's kidney infection,it needs urgent treatment. Do the following tests:1. urine routine and culture.2. blood routine,creatinine,RBS,LFT,and platelets.3. ultrasound-KUB or a CT-IVU is a must.After reports are seen,treatment of kidney infection,if present,is started.If you've any doubts,send the reports to me,as a direct question.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pus formation in kidney causing back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hye doctor my period was very late this month. this month its 21 days already late. i already went to clinic yesterday..but i m not pregnant. actually before this my period also not regular where its was very spoting.. yesterday i start eat the medicine (NORCUTIN). i really want to get pregnant actually.. help me.. Doctor: For pregnancy to happen healthy sperm of your partner and a healthy ovum of your own required basically. The path should be patent secondly. Do your husband semen analysis test. For seeing whether you are ovulating or not do ovulation study starting after 12th or 14th day of your cycle. You may require clomephene citrate tablets for induction of ovulation. The tablets helps in ovulation process. Do TSH, prolactin test., do one Sonography to find out the cause of irregular menses. If your weight is more than try to reduce it and it will help in ovulation. And one time do consult nearby Gynecologist with your husband. If want more detail or have any confusion than you can ask us anytime."
},
{
"from": "gpt",
"value": "Target: How will i get pregnant as i have irregular periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dr,today is my 15th day and follicle is 30*27 (left) , 14*16 (right) on 12th day i had hcg 2000iu injuction but not ruptured yet . is any chance of concieving this month ? my dr didn t prescribed any medicine after ssing this ? will any medicine help to rupture within 16-17 of cycle Doctor: Hi, Thanks for the query under HCM platform. I understand your concern. You have been already given HCG injection for follicular rupture.ON an average rupture is achieved by 24-36 hours of injection.. as your follicle has grown sufficiently.Giving second dose in the same cycle is not advocated. You will be observed till 16- 18 days for probable rupture.There is no chance of conception without follicular rupture & discharge mature ovum in tubes/ abdomen.So, better luck next time. IN the next cycle you would be given altered dosage of HCG for better results. thanks."
},
{
"from": "gpt",
"value": "Target: What are my chances of conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is paul, and my daughter had her adenoids taken out when she was 4 and ever since then shes had nose bleeds quite severe ones and she is now 9 years old. Me and my wife have seen doctors about this but they seem not to be concerned can you shedd some answers? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The most common cause of nosebleeds in children comes from the area about a half inch to one inch within the nose on the septum (the barrier that divides the nostrils) above the nasal floor. Here, on both sides of the septum, are tiny blood vessels that can easily rupture with nose picking, when the inside of the nose is dry, or nose is blown too hard. Other reasons include: -high blood pressure -hay fever -foreign object (e.g. piece of toy, nut) Does your daughter bleed from any other site? Is she of normal weight? Does she have good appetite? Is there a family history of bleeding disorders? You might wish to have her seen by a pediatric ENT specialist for a second opinion. I hope I have been able to help you. Please return if you have additional questions."
},
{
"from": "gpt",
"value": "Target: What causes severe and frequent nose bleeds after removal of adenoids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Why do I have a very sore / stiff neck and shoulder pain? I woke up this morning with right sided shoulder pain, and it is very incapacitating! The pain is worse when I turn my neck in the direction of the pain! There is only stiffness when I turn my head away from the sore side. Initially, I was a bit nauseated. I am a 72 year old female. Yesterday, I was in the Emergency Dept with chest pain, diagnosed as Artial Fib! I was given Procainamide and the med. worked and my heart is now, good! (No previous heart problems!) However, I have had neck problems for years after a car accident when I was 31 years old, and 8 & 3/4 months pregnant. My car was rear ended and my baby in utero was and is just fine! I have not taken any painkillers. Should I be heading back to the Emerg. Dept for a checkup? Doctor: Instead of heading to ER, better head for an ortho. It is clear case of cervical disc syndrome or intervertebral disc prolapse of cervical region. IVD space reduced, reason may be trauma, degeneration etc, emanating nerves compressed and pain radiates to shoulder.Some traction may be given for few days. Cervical collar for support may be given. Few physiotherapy exercises after pain subsides. Some pain killer 1 sos may be necessary some times.After you recover from acute phase, learn Yoga postures, for few minutes practice a day and live comfortably after.Hope it helps you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sore and stiff neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandson had leukemia but it has been in recession for 5 years His recent blood test reported higher than usual amounts of iron Are they any particular reasons why his levels are at these levels? And could it have anything to do with the leukemia He was diagnosed at 7yrs old and is now 24 Would appreciate hearing from you ? What is the charge for answering this question ? I would like to know the charge beforehand Doctor: hihow many times blood transfussion were made?iron load in your case may be due to repeatedly done blood transfussions.iron is relesed after RBC destruction in body. relesed iron used for reproduction of RBC.after that is store in form of serum feritin even after that if iron persist it leads to iron overload.iron over load may lead to deposition of iron in various body organs depending upon total level and chronicity of problemtreatment- there are iron chelator available which remove extra iron form body. dose is desided based on how much iron is deposted sofar."
},
{
"from": "gpt",
"value": "Target: What causes elevated serum iron levels while treating leukemia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey i had unprotected sex 6 days ago, and recently i felt a little lump on my penis and when i pulled my foreskin back, i found a little red dot, sometimes it feels like it burns then it goes away then comes back, then goes away, do you have any idea what this is? i pulled out from having sex within about a minute, could it be a std? Doctor: HelloThanks for query .Based on history of unprotected sex the symptoms , lump and red dot over glans penis that you have developed strongly suggest infection of the genitals The possibility of STD can not be ruled out .Get following tests doen to establish diagnosis 1) Urine routine and culture 2) Swab test and culture of secretions from the lesion3) Blood tests for STD and basic screening test for HIV.In the mean while start taking Althrocin twice daily with topical antibiotic ointment for local application Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes lump on penis after having unprotected sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: H, I'm a thirteen year old girl. I'm currently in the eighth grade. I'm here because I don't want to be taken to the doctor's or anything by my dad. I feel like I may be depressed but I'm not sure. I feel as if my dad were to know that I'm depressed(If I am) he might think I'm stupid for thinking such a thing. So point is, I think I might be depressed. I've been feeling really uninspired lately, and this would be like the fourth time in my life. I've been thinking about suicide a lot lately. Like I said, this wouldn't be the first time. The first time I felt like this I was in the fifth grade, and I was just really depressed for some reason. It may have been because my family was having a lot of problems, and my parents were fighting a lot. I started pinching myself a lot (I was in fifth grade I didn't know about anything, I was just hurting myself because it made me feel better). My family was in California at the time. We moved back to New Jersey and my parent's got divorced here, which wasn't a problem for me at all, I was completely fine with it, and I moved in with my dad. The next time was for no particular reason at all. I was just really bored with life, and I felt nothing, and like nothing. My dad is really overprotective so I'm not allowed to do anything. I just walk home from the bus stop which is two blocks away, and then I stay home all day. I only go to my friend's house on the weekends, and I never go outside during the week unless it's for school. I got over that depression because I liked this kid and I went out with him and yeah. He made me happy so I guess I got better. But I didn't like him anymore so I broke up with him or whatever. The next time was when I had a LOT of feelings for this one guy. I'm not sure if you could say I was \"in love\" with him because, well, I'm only 13 but it really felt like it. He had a girlfriend though but we had a really, really strong relationship. Something happened where we couldn't really talk and we started drifting apart. Like REALLY apart. I began getting all depressed and listening to all this depressing music, yada yada. And after that I felt like nothing and so unwanted and everything and I started hurting myself again. No one knows and I don't want to tell anyone 'cause I feel like they won't care, or they'll think I'm weak and stupid for hurting myself. But then I just started getting over it and I got better. But now it's happening again. I feel so trapped and I can't do anything and I really want to go out and chill with some friends or something. I'm not saying every day, but every once in a while. But my dad is so strict and it's really not fair. Okay now I'm just complaining and I know it's not necessary. But yeah. I just want to know, and I want help. Sorry if I wasted a lot of time with this really long thing. But can I have an opinion? Like, what do you think is wrong with me? Is it normal to feel like this? Doctor: I think you might be having some depressive symptoms , as you though, which is not something you should feel ashamed of, or even feel sad about.What needs to be addressed in here with some caution is your suicidal thoughts. A specialized psychiatrist will do u a lot of help. Telling your father- as challenging- as it seems; is a good idea.He wont think you are stupid, WE all feel sad for some reason, that doesnt make us stupid at all!!!"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to overcome depression and suicidal tendency"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having pains in my stomach for the past few weeks..I went for my yearly checkup last week..my Dr.. did a pelvic exam as I have had a total hysterectomy, he said everything looked good...However, the last few days I have had a yellow discharge on the tissue after wiping.. today my stomach has been hurting as well as the lower right side of my back.. I have also had several bowel movements today as well Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You had stomach pain,yellow discharge, since few weeks.today you had pain on lower right side of stomach, and several motions. Your previous pain could be different, and depends upon the place of the pain. If in the upper abdomen may be gastric irritation due to peptic ulcer, or irritant foods, gallbladder or pancreas pain. If in the middle kidney pain or upper ureter pain, due to infection or stone in that part,or due to worms in the intestine. If in the lower part, may be due to lower ureter, or bladder pain due to infection or stone in that part. Trichomoniasis or bacterial pelvic infection. Present pain is different and is due to gastroenteritis infection, and needs to be treated immediately, other wise you may go into dehydration. So i advise you to consult a doctor for diagnosis and treatment, and infusions. Wishing for a quick and complete recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Severe pain in the stomach and right back, yellow discharge. History of complete hysterectomy. Advice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been getting red bumps that hurt on my forehead that start to bring forth smaller bumps that look like mucus is in them and it stay there for two to three weeks and then leaving a black spot on my forehead. This has happened four times now. I first noticed it in the summer then it disappeared and now it came back.What is it and how can I prevent it and get rid of the dark spots? Doctor: Hello red and painful bumps leaving black spots in summer are called periporitis.it is due to excessive heat.use a antibiotic and mupirocin ointment to decreasr bumps.and momate to decrease black spots"
},
{
"from": "gpt",
"value": "Target: Red and painful bumps on forehead. Leaving black spots. What is it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor i have taken this unwanted 72 pill once somtime in last month and now i am afraid where it might cause cancer . i am really in a position where i may have to take this pill again within tomorrow but i have a fear of cancer. Does this Pill cause cancer is that true and how safe is it to take this pill for the 2nd time. Doctor: Hi, welcome to HCM i am Dr Das No, by taking it twice you will not have any cancer but if you take it regularly, for many earthen you may have that."
},
{
"from": "gpt",
"value": "Target: Unprotected sex twice. Taken unwanted 72 contraceptive, need to take it again. Can it cause cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have suffered an injury through my brain in the right piece of it wich resulted in hemiparesis in my left side. 3 months passed the injury, i am getting better but not like before . i still find my self a little bit heavier and still have neurological problems but what u need to know is that everyday is passing by i feel a little bit better than before but i am progressing so slowly. may i know when i will be 100 % back normal ?? thank you Doctor: Hi there. Thanks for the query. Since after the injury you are not getting worse but progressively better, it is a good sign of only temporary neuron loss. This means recovery will take place. Regarding 100% recovery, it is highly difficult t comment because this depends very much on your original disability stats. If the grade of disability is lesser the chance of full recovery is excellent. It is best to stay positive and do daily exercise to increase the strength of your muscles very gradually and not forcefully. Wishing speedy recovery. Regards,"
},
{
"from": "gpt",
"value": "Target: Hemiparesis post injury, feel a bit heavy with persisting neurological problems, progressing day by day but slowly. When will I recover fully?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello DR. i am pooja yadav age 21 years. in my skin the problem is different what type of this i do not understand. i have try all types of skin cream. but the problem is not going they are still like that. the dullness, wounds, patchy skin, whiteheads or blackheads on nose. all types of problem i am facing the pollution & sun rays etc. u should please recomend a medicine or should i meet u. Doctor: hi pooja your skin first to be examine by dermetologist.u can send ur snap. normal cream dont help u ,they just pamper you. solution of every skin problem is there ,so dont panic,all is well do you have pimple right now? what u apply routinely on your face? which face wash u use? have a happy face. dr gaurav patel,ahmedabad [email protected]"
},
{
"from": "gpt",
"value": "Target: What cream should I apply to get rid of dullness, patchy skin and blackheads on nose ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: is there any new thinking on treatment of canker sores? i have another one (though i don't get them as often as i used to, since i switched to toothpaste which does not contain SLS), this time behind my upper jaw between my cheek and soft palate, tucked away. my jaw muscles are very sore now, and opening my mouth is a painful struggle. i'd love to get rid of this thing ASAP. Doctor: Thanks for your query, i have gone through your query. the reccurent apthous ulcer can be treated by using topical steroids like triamcinolone acetonide 0.1%, apply 3-4times daily after food. use topical analgesics and anesthetics like anabel gel 3-4times daily before food. i hope my answer will help you take care. consult your oral physician to rule out this aphthous ulcer from allergic stomatitis since you are giving history of changing tooth paste."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for canker sores"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been non stop sneezing all night and I to the second day now. I have been helping a friend remodel their home. During the cleaning stages, bleach was used and ALOT of it. What can I do to get relief from this after I suppose was inhaling the bleach fumes. I'm miserable, please help! Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.As per Ayurveda, Allergic rhinitis is compared with Vata- Kaphaja pratishaya. The concept of Ama, Asatmya and virudh aahara also predict the allergic conditions.Ama is the product of impaired digestion and metabolism. It affects Rasa and Rakta Dhatu leading to manifestation of Pratishyaya. Wrong food combinations (Virudh aahar) having antagonist properties like fish with milk, fruit juice with milk, clarified butter with honey, ice cream after night meals, etc. leads to allergy.Ayurvedic line of treatment:-If the symptoms are severe and in chronic conditions, Vamana Panchakarma treatment, followed by Virechana is administered. This helps to relieve Ama and balance Tridosha.In some cases, where the patient has normal digestion strength, Nasya treatment (nasal drops therapy) is administered with herbal oils such as Anu taila or Shadbindu Taila. After the above Panchakarma treatments, Ayurvedic medicines are administered to improve respiratory immunity and strength of upper respiratory tract.The medicines given for allergic rhinitis are:-1. Nimbarajanyadi tablet – Contains neem and turmeric as main ingredients.1-0-1 after food.2. Chavikasavam – Fermented Ayurvedic liquid, also used in urinary tract disorders.10 to 15ml with water 3. Mahalaxmi Vilas Ras – Also useful in the treatment of skin diseases, diabetes, Sinus, non healing wounds, etc.1-0-1 after food.Diet to be followed are:-1. Take Light food, lukewarm water, Kapha nashaka foods like little spicy food, saindhav salt, legumes, soups etc.2. Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non vegetarian food, sweets, banana, curd, yogurt, ice creams, deserts, cakes, yellow grams, etc.3. Avoid Alcohol and cold beverages.Lifestyle improvement:-Use mask while driving vehicle or going through public places.Always take warm water bath.Do not expose to hot sunrays.Regularly take inhalation of steam.Regularly go for morning walk in warm weather.Do sufficient exercise.Do not reside in dark or dump places. Get fresh air.Do not get sleep at day time or immediate after dinner.Take sufficient rest.Yoga for rhinitis:-1.Ardha chandrasana2.Veerabhadrasana3.Salamba sarwangasana4.Setu bandhasanaHome remedies:-1.Take half liter water, add 20 gm salt, one teaspoon turmeric, boil it for 10 minutes and take it repeatedly.2.Take six cloves add six black pepper and one teaspoon of turmeric make powder and take it with honey.3.Take half cut lemon, spread a pinch of turmeric and salt on its inner surface, heat the lemon for one minute, and choose it.4.Take tea of basil leaf and mint leaf.5.Chew a piece of garlic and ginger.6.Take roasted horse gram – one teaspoon once or twice a day.7.Take extract off ajwain, black pepper, poppy seeds.8.Chew clove and black pepper through a day.9.Try coriander and cumin boiled in water.Hope i was useful helping you.Have a healthy day."
},
{
"from": "gpt",
"value": "Target: How can allergic rhinitis be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think I have ADD but I'm not sure. I have always had a hard time studying all my life, and I've had a super tough time in social situations. My parents and I thought I had anxiety issues, which I do, but It seems like my medicine doesn't help. I am taking 40mg a day of fluoxetine, and while it certainly has helped with my mood (i don't get mood swings), I still have an incredibly tough time in social situations and around people. It gets so bad that my face gets beat red because I am embarrassed to even talk in front of people. I took 1 20mg pill of Ritalin and all of a sudden I could focus, I didn't have a hard time in social situations. My face no longer would flush. Should I be on Ritalin daily? Doctor: Hi dear,retalin is stimulant drug and you have not described any features which suggest you have hyperactive disorder.so first of all diagnosis of your illness is necessary.if you have social phobia with anxiety disorder than many medication available which helps you like SNRI (Serotonin and epinephrine re uptake inhibitor) which helps you best and for immediate action many benzodiazepins available.so discuss with your treating doctor and consult psychiatrist .Thank you"
},
{
"from": "gpt",
"value": "Target: What causes anxiety attacks and ADD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My uncle had triple bypass surgery about a 2 months ago. Today, he had chest pain and he is really dizzy. The doctor told us to take him to the emergency room. What could be causing this chest pain and dizziness? He was not doing anything that would cause a problem and he has been taking the medication prescribed. Doctor: Hello, I understand your concern and would explain that his symptoms could be related to different possible causes: - gastritis or gastric ulcer - coronary artery disease (blockage of the grafts) - pulmonary embolism, etc. For this reason, it is important going to the ER for a physical exam and some tests: - a resting ECG and cardiac enzymes - a chest X-ray study - complete blood count, PCR, ESR - D-dimer plasma levels for pulmonary embolism. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes chest pain and dizziness after triple bypass surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi here isthe fecalysis result of my 7 month old son: Color-yellowish green Consistency-mushy Wbc- 0-1 Rbc- 0-1 Parasite/amoeba- no intestinal parasite seen Bacteria- moderate Fat globules- many He s having diarrhea for a week now. No vomiting, no fever and very much active. Is the result alright? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The result of stool analysis are more or less normal. How is your child? Whether diarrhoea subsided or is still persisting. Keep giving ORS solution and Zinc. If it doesn't improve then you should visit again to your doctor. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What does this fecalysis report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Grief Today I had a catherder tube inserted into my penis to inject BGC into my bladder. The Dr. had difficulty inserting the tubing and I am experiencing burning when urinating. I have some meds left over Hydrocodone dated 2/2014. Can I take one even though out of date to help me sleep. Doctor: HelloThanks for query.Burning while passing urine is mainly due to inhjury to urethra while passing catheter .Do not take any out dated medication instead take Brufen which is freely available on the counter of medical store.Get your routine urine test done to rule out UTI and consult Urologist for evaluation and further treatment. Ensure to drink more water.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes burning while urination after the catheter tube insertion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning, I have been having some sensation on my teeth for over five weeks now, and just recently I discovered some blood coming out of my mouth whenever I brush my teeth. I could feel the taste of blood in my mouth sometimes. Even when I spit, blood comes out but not often though. Please I need your professional advice on what to do to fix this. Thanks.Francis W. Doctor: Sensitive gums is a common problem. For starters, you should make sure you are using a soft bristle toothbrush. If this doesn't resolve the problem, you should consult with your dentist."
},
{
"from": "gpt",
"value": "Target: What is the remedy for the bleeding in the gums?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last night I got the sudden urge to rearrange my room. I later started feeling back pain but thought it d be gone by the morning. It s still there and extremely uncomfortable. I got up to use the restroom and when I stood up from the toilet it hurt my lower back a lot. Not only this but all of a sudden I got light headed and thought I had gotten up too quickly but it kept on getting worse. My vision started tks blur and I got off balanced.when I was holding on to the towel rack I couldn t stay up and I kept on swaying back and forth. And hit my head on the wall I felt like I was going to faint but managed to get out of the restroom and get to my bed. It slowly went away and when it did I noticed I was sweating and there was a ringing in my ear. I m not sure what happened or what to do about this back pain. Doctor: Hello, from your description, it was likely that your back muscles got strained that resulted in severe cramps resulting in severe pain and light headedness. How are you now? Get back to me for any further clarifications thanks"
},
{
"from": "gpt",
"value": "Target: Back pain, light headed, blurring vision, ringing ear, sweating"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 19-year-old daughter is experiencing pain in both her shoulders. She has not suffered an injury and does not participate in sports. This has been going on for several months now. The pain started in one shoulder then graduated to both shoulders. It seems to be especially bad at night. What could it be? Doctor: Hello, As mentioned there is shoulder pain we need to know what type of pain it is? Is it dull aching? is it sharp shooting? also is the pain in the shoulder or around the shoulder? Or is the pain present in between the neckline and the tip of the shoulder or just the shoulder? Just with a brief history what you provided I feel she needs to do regular exercise for strengthening the shoulder girdle muscles and also the trapezius muscle. As with most female using the accessories tight which may become one of the cause too. but as history is too less it's difficult to give you an accurate reason for the pain. But with exercise, she will definitely perform well. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes shoulder pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a friend who has what is believed to be a pulled chest or pectoral muscle. He went to the emergency room and they took an x-ray and basically rushed him out of the door due to his lack of insurance. His symptoms are extreme pain, with no bruising or swelling. It hurts when he lays down and even when he swallows. He was prescribed Ibuprofin 800 as well as a muscle relaxer but the pain does not let up. Is there anything else he can do? Doctor: Thanks for your question on Health Care Magic. I can understand your friend's situation and problem. He is having chest pain on swallowing and lying down, and not improving with painkiller (ibuprofen) so possibility of GERD related pain is more. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Lying down position makes reflux more easy. So better to keep 2-3 pillows under head in the bed to prevent reflux. Ask him to avoid painkiller drugs. Start proton pump inhibitors (antacid). Ask him to avoid stress and tension, avoid hot and spicy food, avoid large meals, instead take frequent small meals. Ask him to quit smoking and alcohol if he has these habits. He will mostly improve with all these.. If not improving than consult gastroenterologist and get done upper GI (gastrointestinal) scopy. Hope I have solved your query. Wishing good health to your friend. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest pain while swallowing and lying down"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother has been diagnosed with gall bladder carcinoma. She had stones in her gall bladder, which were removed after a surgery in Novemeber 22 2010. She also had Janudice before the surgery. Also some part of her liver was also removed as stones had prenterated liver. Now the carcinoma has become active again. She also has ajaundice and water in her stomach. Thoygh she doenot feel any pain. Please advice if we can help her get rid of jaunidce and water in stomach and also cancer in total. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.This is very serious disease and I am afraid that cure is not possible since this is spread malignant disease now and surgery can be performed just for relieving jaundice by doing bypass of bile duct into intestines. For other things, only chemotherapy can be done to prolong life for some time.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein"
},
{
"from": "gpt",
"value": "Target: How can jaundice caused by gallbladder carcinoma be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, I am suffering from Hair fall, it has increased from last one year.One of my doctor prescribed me Keraglo and fenepecia but i got to know that fenepicia is not good as it decreases testosterone and increases Estrogen levels.Please help me with what medicine should i take.As one of my friend suggested to go for Follihair and Hair4u solution.thanks. Doctor: hi there.1. finasteride is a type 2 blocker, it mainly acts on the hair follicle.2. it won't convert testosterone to estrogen.3. it only works for 24 hours in the day, that's the reason doctors usually suggest daily dosage.4. if you notice any sort of side effects, stop using it and you will become normal.5. so continue using keraglo and fenepecia with out any doubt.they will help you, don't worry."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to reduce hair fall problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive had lower right side abdominal pain for 17 hour now it has kept me up all night i saw my doctor 4 hours ago he prescribed Buscopan he said i had a little wind no bowel rumbles or could be a grumbling appendix, the pain isnt easing ive read info on appendicitis but i dont feel sick or have a loss of appetite. Should i visit the A&E department or give it more time ? the doctor said if it got worse go there Doctor: Good evening. Well 17 hours is quite a long time for abdominal pain. If it it still not relieved, then you should visit the A and E department. Rule out appendix or intestine inflammation."
},
{
"from": "gpt",
"value": "Target: What causes lower right side abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing continuous bruising right below my right collarbone but above my breast. Seems to happen in the morning after I have consumed alcohol but appeared again today and I did not consume alcohol last night. The visibility of the bruising is very fair however it is VERY tender to touch. What could this be? Doctor: Hello, I have studied your case. Most common cause of pain and tenderness with bruising in this region is due to enlarge cervical lymphnode. This is no way related to that alcohol consumption. I would recommend you to see a doctor. He might advised you to go for needle test. This will confirm the diagnosis.You might need to take Brufen and antibiotics along with this.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 continuous bruising right below the collar bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 8 yr old daughter gets rashes( she gets two kinds of eruptions on her body and face, palms, sole) during high fever. she is sensitive to dust, and gets nose block and sometimes wheezing after play. shes allergic to brufen. we are planning to do the allergic test for her. please advice. Doctor: Hello.Thank you for asking at HCM.I went through your daughter's history and I would like to make following suggestions for her:1. If she gets frequent eruptions with fever, I would first think of drug allergy. Common drugs causing allergies are analgesics like ibuprofen (Brufen), nimesulide, diclofenac, etc as well as antibiotics like penicillins, cephalosporins, etc.Hoever, practically any drug can cause allergy, so were I treating her, I would review her medicines in great detail.2. As she is allergic to brufen, personally I suggest to use only paracetamol for fever and pains. Paracetamol is the safest analgesic for patients with drug allergies in my opinion.3. For drug allergy, unfortunately most of the allergy tests are not reliable to diagnose/rule out drug allergies with exception of penicillin allergy. In my clinic, if I suspect allergy to drugs other than penicillins, I have to eview each and every drug used by the child in great detail and then can make suggestion regarding avoidance.4. As she also gets nose block and sometimes wheezing, I would suggest her testing for air-borne allergens (specifically house dust mites, common molds in your area, common pollens in your area, cockroach proteins, animal dander if she has contact with animals, etc). Were I treating her, I would take her history of symptoms as well as her environment in a great detail to select the allergens to be tested. This is very important because testing for number of substances without knowing child's symptoms many times yield results which are falsely positive causing unnecessary restrictions on the child.Hope above measures will be useful to you.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: What causes rashes on body during high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband Mr PK Sinha suffered from Dengue and was admitted in your hospital from the 31st Aug and was relieved from the hospital on the 5/9 with platelet count(PC) on 7/9 as 2.78 lacs.He again got high fever (104 F) on 28/9 eve.The fever subsided by medication on 30/9 night. On 1/10 we visited your OPD. PC on 1/10 was 0.94, today its 0.81. What shall I do now ? Doctor: Hi, Thanks for posting in HCM. I have read the description you have posted understand your concern for your husband. Since your husband is having high fever and following it there is a drop in the platelet count due to dengue, it suggests that his platelet count is showing decreasing trend. He needs to be hospitalised at the earliest and seen to it his fluid homeostasis is maintained to keep his vital signs normal. If there is further decrease in platelets, he might require a couple of platelet transfusion as well. Kindly consult Physician and get him treated under medical supervision in a hospital set up by getting admitted. Hope the information provided would be helpful. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dengue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had intercourse with my girlfriend and had oral sex with her and put them in her vagina .I had preejaculatory semen on the tip and rubbed it between my fingers and possibly in my mouth.I do not recall ejaculating recently before and what Previn that may have been on my fingers was a very Lizzie amount. It has been since January thirteenth and she is now saying her breasts are tender along with back pain and nausea .Could she be pregnant or is she worrying herself to the Point of these symptoms? Doctor: Hello Jack, To be pregnant, 2 criteria should be fulfilled: 1. Fusion of sperm with ovum to form a fertilized ovum. 2. Implantation of the fertilized ovum in the Uterus. So, the involvement of sperm is needed. If sperm has not entered inside her genital tract, then there is no chance of pregnancy. However, the pre cum (pre ejaculatory fluid) also has low levels of sperm. So, even if this pre ejaculatory fluid (pre cum) enters into the genital tract, the sperms present in it can fertilize the ovum. Hence, resulting in pregnancy. There is no need to worry, you can wait till she gets her periods. If they are delayed, a Pregnancy test can be done to confirm it. In case of pregnancy, it will give a positive result within one week. Wishing a Good Health. Thanks & take care."
},
{
"from": "gpt",
"value": "Target: Had intercourse, oral sex. Having tender breast, back pain, nausea. Chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am fused L2-S1 I lead a fairly active life but with increased pain have been told not to walk long distances or to exercise in the pool. I am going to need a surgeon to look at me. I have had 4 su Rgeries to this area since age 19. I am now 47. Who will take me? I am in TX and my last surgeon was in FL. Can you recommend course of action or doctor? Doctor: HiThank you for your question.The symptoms you have described are typical of adjacent segment degeneration. This, I am sure is not new for you as you have already had 4 surgeries. If you are willing to travel you can see a spine surgeon at University of Alabama Birmingham AL. They perform a lot many revision spine surgeries over there.Wish you the best."
},
{
"from": "gpt",
"value": "Target: Had fusion L2-S1. Having increased pain. Further course of treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor ! I have been married for 4 yrs now and myself and my husband are trying to start a family for the last 3 yrs now. I have been diagnosed with pcos . We have tried IUI thrice but all attempts to conceive failed. We will go for another iui this month.My husband insists that we do a laproscopy and get the cysts treated as one of his friends wife conceived after having a laproscopy done. I wanted to know if there are any other methods that we can try or we must try going for laproscopy in case this iui fails. my doc says there is not need for it as of now. Also we both suffer from low libido...may be because of the stress, is there any way/ medicines that we can cure it. I would also like to know if i can get cervical cancer vaccination done for myself as I am 28 yrs of age now and how does it help. Thanks Doctor: Hi Mamta Laproscopic ovarian drilling done,when,there is unovulation in case of PCOS. If,you are ovulating properly,then,there is no need of this surgery. Today's busy lifestyle,stress is equally responsible for low libido, Just get relaxed& enjoy your life Cervical cancer vaccination is most helpful,when,it is received at 10-12 yrs of age. At your age group,its effectiveness decreases,but,you can take it. Thank You"
},
{
"from": "gpt",
"value": "Target: Diagnosed with PCOS. Trying for conception. History of failed IUI treatments. Will cyst removal help in conceiving? Any cervical cancer vaccination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I believe I am anemic. I am always freezing, even wen the heater is on, I need more blankets put on me. I take 2 Aleve and dose off and start sweating wit all the blankets. Do I need vitamins? why am I all of sudden wake up freezing, have no energy, don t want to eat or even drink coffee in the mornings like I use to; now coffee taste awful. What do you suppose it might be?? Doctor: HiAfter hearing your history i would say chills and weakness are caused byLack of exercise is a common cause of fatigue, weight gain, and muscle weakness.Hypocalcemia is a blood condition marked by tingling, muscle spasms and aches, and confusion.Viral syndrome is an unidentified cause of typical virus symptoms sore throat, stuffy nose, aches and more.Exercise is vital for good health, but overdoing it can lead to muscle aches, dehydration, headache, and more.Lyme disease is a bacterial infection spread through tick bites; symptoms include rash, fever chills, and more.Multiple sclerosis is a disease of the nervous system causing difficulties with balance, speech, and movement.Hypothyroidism your body functions slow down, making you gain weight and feel tired all the time.Medication side effects include nausea, vomiting, stomach upset, weakness, dizziness, seizures, and more.I would advise you to do blood test for haemoglobin, calcium and thyroid stimulating hormone test.RegardsDR DE"
},
{
"from": "gpt",
"value": "Target: What causes chills and weakness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir/ Doctor,For past 2 years I am suffering from red rash/ pimples on penis forehead and swelling of foreskin. I am nearing 72 years of age and have all good hygiene, no sex etc. I had been to Dermatologist took Allegra 120/180 tablets and applied creams. I have also taken Homeopathy Sulhur-30 and BC-20 tablets.However they are not effective and it has become recurring phenomena. Dermatologist says I may have to go for circumcision.Please advise the RIGHT SOLUTION for this recurring nagging issue. Regards,Deshmukh Doctor: Hi, I have gone through your complaints and according to your complaints it seems to be yeast infection. I would recommend you to apply Sertaconazole cream on the affected areas twice daily and take antihistaminic like tablet Levocetirizine once daily at bedtime. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for recurring rashes on the penis forehead"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a weird feeling inside my cheek. It started about a month and a half ago with a slight soreness in throat. My jaw has had a slight pain from time to time as well. I have dipped smokeless tobacco for about 4 years after quiting for 3 years. I usually dip twice a day. The feeling inside cheek doesnt hurt, just comes and goes and feels different than the other side. Havn t had any different things show up in my mouth except a small white bump 2 weeks ago that went away. I went to doctor about throat, said they thought it was allergies. Should I be concerned or visit my dentist, who I saw about 2 months ago before this started happening? Doctor: Hello and welcome.Thanks for sharing your concern.As per the history posted here it appears that there could be a lesion developed in relation to your cheek.This could be leukoplakia.What is the color and extent?Did you notice it carefully?In my view you must get it examined once so that any kind of developing lesion can be detected and controlled.Since there is no pain please do not ignore it.Also tobacco is not good for health.So please discontinue this habit.Hope it helps.Thanks.Take care."
},
{
"from": "gpt",
"value": "Target: What causes soreness in throat and weird feeling inside cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 37 weeks pregnant with a 11mm kidney stone currently in my bladder. I just went to the toilet and felt a small sting when I urinated, then when I wiped there was a slight amount of blood on the toilet paper. Unsure whether it was the stone passing or pregnancy related as I didn t hear a ting or see a stone after I finished. Any ideas? Doctor: Even if it is due to stone nothing to worry and most of the nephrologists won't advice surgery till you delivered. you have to take plenty of water around 6ltrs/day. Take care of any urinary tract infections which could be the reason for your stones"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for kidney stones during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ,am a type 2 diabetic patient.Recently dr prescribed istamet 50/1000.1-0-1.am also taking pioz 7.5mg o-1-0.My fasting b.sugar was144.6&post lunch 184.9.&HbA1c was8.8.I started taking Istamet from 16 th Nov. DR .please advise me when should i take istamet ?before or after food.Then when hould i do my next blood test. My other problem is Hypocalcemia.i was on tab.shell cal 500mg od.NOw my ser.calium level is10.9. What should i do now ,should i stop taking shell cal ? Doctor: Hello, You should take your anti diabetic medication istamet before food, or withen 15 mins of starting your meal at the most for optimum action. Your hba1c is still higher and after the change in medication, do repeat the test after 3 months. However you may do a fast and post lunch sugar after 2 weeks or so to know the trend. Your calcium levels are , yes you may stop supplement and rather concentrate of acquiring adequate calcium and vitamin D from . Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: When should I take Istamet for diabetes treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: myself a eng student.i used my friend`s nailcutter.she is a nurse& she has doubt that she had used the same nailcutter for some cancer or hiv/aids patient some one month back in the hospital.Sir can you please give me a answer, is it a thing to take tension. Doctor: hi thanks for asking on HCM, there i no need to worry dear cause cancer cant be transmitted like this and if the patient had been infected with HIV even then if the nail cutter was not exposed to his/her blood or secretions there is no need to worry take care.."
},
{
"from": "gpt",
"value": "Target: Will using nail cutter which is used by a cancer/HIV patient makes trouble?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got over bronchitis a few weeks ago.The cough had subsided but I m noticing that I am randomly having these coughing spells that last a few minutes that causes me to gag as if I m going to throw up, but with nothing coming up. I m also feeling like I can t breath and gasping for air. These episodes usually last for a few minutes then go away ending with me trying to catch my breath and clear my throat.What could this be? Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having bronchitis and the acute episodes you are having are due to bronchospasm because of bronchitis. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. 3. PFT ( pulmonary function test ). Chest x ray is needed to rule out lung infection. PFT is needed to diagnose bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So consult pulmonologist and discuss all these and start appropriate treatment. You may need inhaled bronchodilators and antihistamine drug."
},
{
"from": "gpt",
"value": "Target: What causes coughing with vomiting sensations and breathlessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother was born with a deformed heart she is now 80 has had 2 heart attacks one stroke and several stints put in she has a leaking heart valve which is getting worse we go to the er 4to5 times a year she is always commited to much fluid around heart. they told us a time frame of inside a year and she will be gone does this sound normal Doctor: Hello , most probably what you are referring to is mitral regurgitation, where there is back leak to the upper chamber of the heart causing symptoms of congestion in lungs , breathlessness and increase in fluid in the body leading to swellings the legs , decrease in appetite because of liver congestion and fatigue. Mostly it can be well managed with medication , There are newer ways depending on the exact nature of leak and other echocardiography parameters . At 80 , surgery to repair or replace the valve may be risky if she is otherwise not healthy , um you may consider the option of mitra clip and discuss it out with your doctor. Till than optimisation of her medicine should do the trick . Send us detailed medication and reports ( ecg and echocardiography), so I can guide you more objective . Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: What is the treatment for the leaky heart valve?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... This is a difficut case, I have gradually been losing hair on the left and right side of my head at the hairline. I don't know if it will have any relationship, but I also have devoped some type of red rash on the insides of a couple fingers, as will as on top of the hand. It is itchy and sore. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is important to find out the cause for hair fall which is mostly multi-factorial: diet/ lifestyle/ stress/ dandruff/ hereditary/ weather change/ hormonal changes to name a few. For the itchy sore which looks like an allergic spot, you could start taking an anti allergic medication along with applying steroidal cream twice a day.None the less, I reckon get it reviewed by the concerned doctor for proper evaluation and further guidance. Hope that helps!"
},
{
"from": "gpt",
"value": "Target: Has red rashes on inside of fingers concerned with hair fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started Depo Provera when it was a clinical study in the US. I was on it for twenty years and stopped when I began menopause. I've already gone through one hip replacement, and need the other done. My lower spine is what hurts if I stand or walk over 10 minutes at a time. I've tried taking Vitamin D & calcium supplements, but get extreme muscle cramps that even wake me up at night. The only thing I take for pain relief is 2 Aleve a day. What else can I do? Doctor: HIThank for asking to HCMYou can add the muscle relaxant along with the present line of treatment, if you have taken hormone for any purpose for longer than enough time then this might causes disturbances in every system of body including nerve conduction system which is highly related with pain sensation, another agents remains is opioid you can try this, have nice day."
},
{
"from": "gpt",
"value": "Target: Had hip replacement previously. Having pain in lower spine while walking, standing. On painkillers. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had had allergies reaction since coming back from Mexico 2 years ago...little,red itchy bumps that come and go...it constant itching...and also developed alley to shrimp , but I m ok to eat crab and lobster,,,,my dermatologist says I have hives and there is nothing to,do...right now taking reactin 2 times daily to reduce itching....but it always comes back. And my eosinophils is 0.60 reading ...how do I lower that??? Raf Doctor: hello welcome to HCM as per the details u have submitted u were having a condition called ALLERGIC URTICARIA DUE TO FOOD ..that means you are sensitive to shrimp. unfortunately only the remedy avaialable for any food allergy is avoidance of food that causing the hives...i advise you to use anti-histamines with combination of FEXOFENADINE+MONTELEUKAST and try to avoid the allergans as much as possible... regarding your eosiniphil count, when ever the body exposes to allergans , the eosinophil count increases., so there is no seperated medicine for increased eosinophil count as in ur case. hope this will help u .."
},
{
"from": "gpt",
"value": "Target: Taking reactin for allergies. Itchy bumps. High eosinophil levels. How to lower it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter has sickle cell and i am looking to get a boob job however they have said they will not operate if i have sickle cell, i haven't been diagnosed with it but i am still worried i may have it. i don't suffer from pain, what are the chances i have it? Doctor: Hello,Based on your query, my opinion is as follows.1. Sickle cell anemia transferred from mother to daughter, and you have a possible chance.2. It is autosomal inheritance, and there is a 50% possibility.3. Sickle cell anemia can lead to sickle cell crisis and could complicate during treatment.4. Get a sickling test done. Hemoglobin electrophoresis can also help in confirmation of sickle cell anemia.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prakash H Muddegowda"
},
{
"from": "gpt",
"value": "Target: What are chances of having sickle cell if daughter suffers from it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi..can mx3 can help my father s problem. He is 55 yrs. old who has fatty liver and stone bladder according to his whole abdominal ultrasound . And he is suffering from frequent pain in his stomach area.. Just want to be sure if there will be no problem before he takes mx3 capsule Doctor: Hello.welcome.If this medicine has been prescribed by your doctor after seeing his reports and clinically examining him then there should be no reason why not to give it to him.Good luck."
},
{
"from": "gpt",
"value": "Target: 55 yrs old who has fatty liver and stone bladder. Can mx3 help ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7year old daughter has been having a high fever for the last three days and today I noticed that her gums are purple. She also has been complaining of a headache and had diahrrea the first day. Is this something I should take her to the E.R For? Or let it run its course? Doctor: HI,SORRY TO HEAR ABOUT YOUR DAUGHTER,she may be having a viral infection.do check her blood counts if she has any bleeds or rashes anywhere in body.till then give analgesics and plenty of oral fluids and adequate rest.any worsening noted take to pediatrician.have a good day"
},
{
"from": "gpt",
"value": "Target: What causes purple gums when suffering from high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My 15 months old baby girl started to have this leg pain and she wouldn t put her foot on the floor at first then a little after she would try and would start crying and limping when trying to walk. It bothered her more when I tried to stretch her knee or when she puts wait on it. I gave motrin and it seems to get just a little better but a am worried. What do you think it might be? I would appreciate any advice. Doctor: Since when is she having this problem? Rule out trauma first and get an X-ray done. If that is normal she will need to be evaluated for Vit. C deficiencyVit. D deficiencyand a muscular disorder"
},
{
"from": "gpt",
"value": "Target: What causes leg pain in a 15 month baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 1 yr old wakes up with green-yellow expectorant in his nose and eyes almost every morning and obstructed breathing wakes him a few times a week. he was on antibiotics which help when he is on them but a few days later the symptoms return. does he need an adenoidectomy or could it be simple allergies? Doctor: Hi.... Please do not even think about adenoidectomy at this age. By what you say I feel that it is only a simple allergy or common viral cold. He will get better soon and in due course the frequency also reduces. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes green yellow mucus in nose of a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I accidentally inhaled latex primer vapors a week ago and it irritated my lungs. I know it is very bad for you but was wondering how long will the soreness in my chest will last ? is there anything a doctor can do for me or do I just need some more time for it to pass? Doctor: HIWell come to HCMIt is all depends the exposure time or the amount of gas that is being inhaled if this is not too much then this is nothing to worry actually this could cause throat irritation and not the lungs at the most this could cause breathing difficulty if the lungs are affected but this is only happens in severe condition, here you need not to worry, everything would be fine soon, have a nice day, bye."
},
{
"from": "gpt",
"value": "Target: How long will the soreness in chest last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ok so saturday i went swimming with my niece, sunday i woke up with some itching on the top of my right foot, all day it had been slightly itchy and red, monday and today it was a little swollen and mild pain. would it be a spider bite or something i might need my doctor to see Doctor: HIWell come to HCMIf you could see some focus there then this could be insect bite else this may be some kind of hypersensitive reaction, although this may not need any treatment, if this does not come around on its own then this can be treated with the medicine given below1) Tab Levocetrizine 10 mg three times in daytake care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes itchiness of feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend is low and on 5 different drugs. I shall list them for you. I took his blood pressure 1/2 hour taking 2 Epilum EC200 sodium val prate. It was 107/57 and I was concerned. I asked him to do some exercising immediately and it rose to normal heights. His doctor has given him: 1) Epilum EC200. 2 tablets per day with food. This is for depression ... but he was already taking: For High Blood Pressure Doxazosin Mesylate TA 2 mg x 1 per night Felodipine Tablets 2.5 mg x 1 in the morning AFT - Metoprotol CR 47.5 x 1 in the morning Also Zopiclone 7.5 1/2 - 1 per night. He says he takes 1/2 tablet before bed and wakes up at 2am and then takes the other 1/2. It would be good to see whether his doctor is correct in giving him all of these. A former 1st year professional general nurse I was concerned and asked him not to take the Doxazosin Mesylate which he takes for prostrate and high blood pressure. A took his blood pressure at 1/2 hr after the low one and again 1 hour later and it was 135/75 pulse about 70. cheers j Doctor: dear,as most of your drugs is related to hypertension only one drug epilum ec 200mg which is sodium valproate is psychiatric medication but you did not mention why your friend is on such drug what are the signs and symptoms your friend having and since when your friend is on treatment? for blood pressure you must consult good physician and for depression you must consult psychiatrist as for psychiatric condition to rule out one should take proper history from patient himself and also close relatives."
},
{
"from": "gpt",
"value": "Target: Could you check the medications for depression and high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 31 years old. i had taken test of Semen Analysis in its sperm count is 54.0million /ml, and grade III 60%, grade II 10%, Grade I 20% , Grade 0 10% and cellular elements is 1-2 WBCs/hpf. and Impression NORMOSPERMIA shows. what does it mean. can i able to marrie please give me advoice Doctor: HelloYour semen analysis report is in normal limit. Morphology, character and appearance are normal. Definitely you will have a normal sex life and you can marry. You are potent enough to have your child.So I would suggest you to not to worry with your semen analysis report, it is normal. Thank you."
},
{
"from": "gpt",
"value": "Target: What should be the normal values for semen analyses to get a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small lump under the skin on my left outer thigh about 6 inches above the knee to the right. During the day i have no real issues with this area however at night if i lay on that side it has a burning sensation and it will make me change positions during the night cause it gets to burning. What could this be? I am 46 and 5'5\" weight now is 295 because I just had gastric bypass surgery and gall bladder surgery on 11/28/11 which i was at my highest weight of 398. Doctor: Hello!Thank you for the query.This bump can be a varicose vein. Obesity is a risk factor of varicose veins. It is also very common for varicose veins to give pain or burning after whole day (especially when standing for a long time). It the lump is hard in touch, blood clot might be inside.I suggest you to consult your doctor with this issue. Dopplers veins ultrasound should be done to rule out veins thrombosis.Compression stockings should be used in case of confirmed varices.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: What could it be if having lump under the skin on the thigh which burns?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife was given streptoquin on holiday saying this was used for tummy bug but just wanted to no what there used for ?? It has come to our attention throught our local dr that she caught samonella poisoning on our holiday we just wonderd why the gave her this ? Doctor: Hi,Streptokinase is a thrombolytic medication used to dissolve blood clots that are formed in the blood vessels of the heart, lungs or in the legs causing myocardial infarction (heart attack), pulmonary embolism and deep venous thrombosis respectively. Whereas streptoquin contains clioquinol, homatropine, sulfathiazole and streptomycin as active ingredients and is commonly prescribed to treat infections like diarrhea and intestinal amebiasis, caused by susceptible bacteria and protozoa.Based on the history your wife seems to be suffering from diarrhea caused by intestinal infections for which her doctor prescribed streptoquin. Let her continue to take the prescribed treatment along with oral rehydration solution like electral to prevent dehydration.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What streptokinase is used for?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is having tightness in his chest and finding it hard to breathe. He has diaherreah and having problems creating saliva. Any position he lays in is giving him the tightness in his chest. He's been up all night. Took him to the ER this morning and had a chest xray and it was fine. He also has no appetite. This has been going on for two days. Doctor: Hi thanks for asking question.Chest x ray normal so pneumonia like condition mostly less likely.Here it could be simple generalised viral infection as you have diarrhea also.Treat it symptomatically .Take more water.For nasal blockage decongestant can be taken.Anxiety can lead such chest muscular spasm.Avoid anxiety and stress.Sometime gastric problem might lead such chest pain.Muscle relaxant drug can be taken for relieving spasm.ECG also done if chest pain refer to shoulder and arm also.You will mostly will OK in few days.Wish you good health"
},
{
"from": "gpt",
"value": "Target: What causes tightness in his chest along with diarrhoea and lack of saliva?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes im 47, have very bad cognitive issues, lesions on the brain, white mater loss that is significant, memory loss, leg n arm weakness, extreme leg pain, balance issues, trouble getting my words that I want to say out. I m sure I m forgetting things. The onlyi had was a negative lp. I was told this mean I don t have ms but from what I m reading, tells me different. I have an emg on the 30th. Any advice reg the LP? Doctor: It may be ms, proper in estigation is required.for the problem withenia som ifera& ginkgo biloba are the best homeopathic medicines."
},
{
"from": "gpt",
"value": "Target: What causes memory loss, leg pain and loss of balance with slurred speech?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, Iam suffering with fileria for past 12 years. I have taken once course of Hetrogen and DEC tablets in the intial stage of the effect.Doctor told the swelling is not possible to reduce,but it wont grow furthur, but currently it started swelling more. Can you please suggest the hospitals for treatment in bangalore. Please help me...it looks very obious . Due to this my friends hesitate to come close to me.Some times i feel ike to die. I am not able to go any whre due to this complex. My No: 99861 95697 and Mail ID: YYYY@YYYY . Please please help me to solve this problem and suggest me a hospital for the permenent cure. Please call me or share your contact No: through my mail ID i will call you please............ Doctor: hello ,i can understand your concern.The swelling that you now have may be due to chronic filariasis.When lymphatic filariasis develops into chronic conditions it leads to lympoedema(tissue swelling) or elephantiasis(skin/tissue swellng)of limbs.Classically , treatment for Filariasis is Diethylcarbamazepine. But since you have lymphoedema, DEC treatment is not recommended for you since you may not be actively infected wih filarial parasite.So to prevent the lymphoedema from getting worse you should visit a lymphoedema therapist who can inform you about the basic principles of cae such as hygeine, exercise and treatment of wounds.Bst of luck I am available for follow up questionsThanking you,Dr.Pallavi jain"
},
{
"from": "gpt",
"value": "Target: What is the treatment for filaria?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I too have and have had for a few years a localized rash on the top part of my butt crack either one side or the other....itchy, painful, seems to enlarge and then turns crusty and goes away. Always comes back. I do,not know if i I had chicken pox as a child. Never had a shingles vaccine ? ls it easy to see if this in in fact shingles? Or are skin tests done? Doctor: Hi,From history it seems that you might be having fungal infection giving rise to this problem.Go for oral anti-fungal tablet like Flucanozole 150 mg once in a week for 4 weeks.Apply anti-fungal cream locally.Keep local part clean, dry and airy.If there is some bacterial infection due to itching, go for short course of antibiotic medicine.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Rashes, had chicken pox, itching, painful, turns crusty. Is it because never had shingles vaccine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 60 yr female, history of grave's disease, off medication for 8 yrs. While at work felt light headed and on taking b.p. heart rate up to 194 per min. This did not go down, had to go to hospital and after medication rate went to normal. What apart from thyroid, could be causing this. I have never had this before. Doctor: Dear Mrs,People with grave's disease are tend to develop some arrhythmias.If they are very fast, as in your case, it can cause lightheadedness and low blood pressure.Just don't panic, in majority of cases, arrhythmias may be controlled with medications. See your doctor to do another ECG, 24 hour ambulatory ECG and to prescribe a treatment.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: What causes sudden lightheadedness and high heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I slammed my hand into a mechanism at work and my friend is convinced it is a wart now, even though I am convinced it is merely an recovering injury, I took a big chunk out of my finger. My friend also says it means that I have HPV inside me. The injury has old skin around the edge, new red skin around the outside of what I believe is a scab but I'm being told by my friend (who is not a doctor) that it could possibly be a wart. I didn't think plantars warts grew in injuries. Doctor: Hello,First of all, I will suggest you calm down. I do not really think, you got HIV but to be sure you should take an appointment with your doctor which will prescribe you some analysis to be sure about it.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Dashi"
},
{
"from": "gpt",
"value": "Target: How can HPV infection be diagnosed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor,I have liver infection, my BIOCHEMISTRY Lab report as under:AGE: 31 yrs, SEX: FSGOT (AST) 24.53 U/LSGPT(ALT) 38.39 U/LHAEMATOLOGYERYTHROCYTE SED.RATE (AUTOMATED) 16 mm after 1st hrPlease let me know how to get treatment for this.RegardsPriyanka Kashyap Doctor: The result you have given is normal.all the lab tests in ur scenario is normal.Even if you suspect liver infection then repeat all the liver function test and do ultrasound abdomen."
},
{
"from": "gpt",
"value": "Target: What is the treatment for liver infection with abnormal SGOT results?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Age 20 female.i had a problem in left knee two year ago.but now severe pain in right knee. Done mri..doc told its knee effusion.had medicines.having vitamin d as doc sugested.going through exercises ...still it pains after walking fr a long distance. What are the chances of complete recovery? Doctor: HelloPain in knee need proper clinical evaluation and investigations.Besides routine blood investigations,most important is MRI(right knee).Pain may be due to many causes like ligament,meniscus injury etc.MRI can evaluate soft tissue like ligament,cartilage very well.It can also assess knee effusion nicely.You may need surgical intervention after evaluation.You will be fine with proper diagnosis and treatment.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i have a question a friend has a lot of pain in his back just like my husband and both has had surgeries and they both have been to the doctors to see why the have so much pain but all was given to both was a few shots and meds for the pain but my friend say he has done and taken everything for the pain and still hurts i feel he has pain but not as much pain as my husband and feel like he is lying to just get high off a high dose of meds what do you think? Doctor: Im sorry to hear about your friend and husbands pain issues. unfortunately it is true that following back surgery, up to 50% of patients will have worsened pain. This is a syndrome known as failed back surgery syndrome or more appropriately post-laminectomy syndrome. The best options for these gentlemen would be to see a interventional pain physician. Most times opioid medications are not the best option to treat their pain as these medications have long term side effects such as : medication tolernace, addiction, abuse, opioid induced hyperalgesia, hormonal dysfunction and many more. the best option would be to obatin an MRI and see where the patients pain correlates with MRI findings and then to make a targeted plan of care. Sometimes when patients do not respond to procedures or medications and excellent option can be a device known as aspinal cord stimulator. These devices have been shown to help up to 70% of patients with post laminectomy syndrome. I hope this helps and good luck to your husband and friend. If you happen to live in Michigan I would be glad to care for either of them."
},
{
"from": "gpt",
"value": "Target: Suggest opinion on back pain management"
}
]
|
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