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[
{
"from": "human",
"value": "Source: Patient: I went to the dentist to get a crown last year and he told me that I was going to need some complete work done with my teeth. My two upper front teeth and some that are next to it are decaying, recently I was playing with my dog and he was running towards me and slammed me right in the face which made my upper front tooth break in half no pain whatsoever which I assume is because it was decayed. I was just wondering when I go into the dentist is he going to tell me that other teeth have to come out first before I can get this tooth fixed? My parents 30th anniversary is in one month and I really don't want to be absent from there weekend in Vegas, but at the same time I don't like having to speak with my lips closed because I don't anyone to notice my missing half tooth Doctor: Hello there , Thanks for writing your query, As you have mentioned you have encountered impact injury in the upper front teeth which got broken. such broken teeth needs x ray examination and pulp vitality test to rule out the vitality of the teeth. If the tooth is non vital , it needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist. If the teeth are vital and pain less , broken teeth can be restored with prosthetic crown coverage. other decayed teeth can be restored with simple fillings or root canal procedure if needed. please consider getting the treatment done approaching a dentist. i hope this helps , take care."
},
{
"from": "gpt",
"value": "Target: Had been to get crown, advised complete rehabilitation. Have upper front teeth broken after hit, some decayed"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir, I went for blood test and I got Widal test as below, S.TYPHI O 1:160 (postive) S.TYPHI H 1:80(Negative) S. PARATYPHI :AH And BH are Negative Doctor told to take TAXIM-o 200 MG daily 2 tablets morning and night, TAXIM-O is for typhoid tablet ?? Is that fine, Please tel me, Thanks Regard s XXXX Doctor: Hi,Taxim-O Tablet is an antibiotic (third generation cephalosporin) commonly prescribed to treat infections caused by susceptible bacteria including typhoid. Continue to take it as prescribed by your doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is Taxim-O a tablet for typhoid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 26 weeks pregnant and have been having some problems. I have had a headache for 2 weeks with no relief and i have had an abnormal amount of discharge that is an odd yellowish color also i have had blood in my breastmilk and severe cramping followed by diarhea... Doctor: Hi.You seem to be having numerous issues; well first of all please get your hormone panel conducted and speak to your doctor about correction if there are any abnormalities.The headaches could be related to a hormonal cause, and it should subside as your pregnancy progresses.Yellowish discharge vaginally? That can happen during pregnancy, but either way report it to your doctor so we can rule out infections.As for the blood discharge from your nipples, I would recommend a mammogram and a physical examination to be conducted by your doctor.Best wishes."
},
{
"from": "gpt",
"value": "Target: What causes yellowish discharge and blood in breast milk during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have lower abdominal pain on both sides. It started out on the right side and only hurt when I would run quickly, like when I played softball and ran the bases. I thought it was a hip flexor, but now I have some pain on the left side as well. It doesn't bother me to lift weights or run on the tredmill, but hurts when I make sudden movements (sprinting, jumping, running the bases). I'm 43 years old and in excellent shape. Thanks, Jeff Doctor: Hi Jeff.Thanks for your query and an elucidate history.The probable causes I can think of are:Colitis - mild form , painful only on exertions as you explained. And can be - Muscle problems as you have rightly noted. The spasms or over-actions causing the spasm and causing the pain.CT scan would be of a great help for both the conditions to be diagnosed or rule out."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain on both sides?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, When i went to donate blood to my sister on 20-12-2006,Blood screening found that the HBSAg is Positive in it.After that i consulted doctor for monitoring and general check up and the complete tests were done. The HBsAg is positive and the HBeAg was negative as on 27 -12-2008. Since then the doctor advised me to get checked every 6 months. I fear about this illness. Also now i want to go to us due to work ... any problem coming about this ..plz answer me Doctor: Hi,HBsAg can not be completely eradicated in a patient suffering from HepB. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised if AST and ALT are > ULN and HBV DNA count on PCR is very high. Liver enzymes and HBsAg status and HBV DNA PCR maybe done regularly every 6 to 12 months, even if HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers may be checked every 6 to 12 months.Hope to answer your concern. Let me know if I can assist you further.Wish you good and sound health.Regards,Dr. Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential hepatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 15 year old daughter has been complaining about chest pain for about a week now. Today, it got worse and she said it felt like a stabbing pain on the left side of her chest. They last about 20-30 minutes every 8 hours or so. What should we do? Thank you for your help. Doctor: Thanks for your question on Health Care Magic. I can understand your daughter's situation and problem. Possibility of stress and anxiety related symptoms is more in her case because at the age of 15 years, heart diseases are not common. But better to get done ecg and 2d echo to rule out cardiac diseases first. If both are normal then no need to worry for heart diseases. She is mostly having stress and anxiety. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic drugs too. Don't worry, she will be happy. Ask her to avoid stress and tension, be relax and calm. Hope I have solved your query. Wishing good health to your daughter. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp chest pain in a 15 year old girl"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i am mr.sharif age-32,height-1.70 meter. I am carring Hbs+ last six years. I stopped taking madecine from last two years. i lost my all perscription.so i have to need your suggesion to remove or control this virous. Doctor: Hello Mr.Sharif ; Welcome to HealthcareMagic Many people carry Hbs+ & can maintain proper health with a controlled diet & lifestyle.Nowadays even treatment is available to control & trails are on of newdrugs to remove it .As you lost the prescription I would advise you to contact & consult your doctor again & he will prescribe the required medicines for you.On line consultation will not help as you left medicine 2 yrs ago so it will be better to get physically examined;if required investigated then you can be treated by your doctor. Thanks"
},
{
"from": "gpt",
"value": "Target: Can you suggest the medicines to cure or control Hbs+"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing spotting since my last period. I have a pituitary tumor and have been trying to get pregnant for 3 years. I am currently on bromocriptine and my periods started to become regular until 2 months ago. Mid way between my last period, I had bright red bleeding when I would wipe. That only lasted for about 3 days but now for the last week I have had really light spotting when I wipe. I m scheduled to go to the doctor in 2 weeks but I m worried. Any suggestions? Doctor: dearwhich type of pituatory tumour you have??size & site of tumour ?your prolactin level?dr. Mira butani"
},
{
"from": "gpt",
"value": "Target: Does pituitary tumor have an effect on pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had mirena put in 2 weeks ago. About a week ago I started having constant diarrhea stomach pains and complete loss of appetite. I had mirena remove earlier today about 8 hour ago an still I have the stomach pains an diarrhea. I don't know what's wrong with me and am starting to freak out. I have lost 10 lbs in a week. Can you tell me what may be going on? Doctor: Hi,Hormones can effect several systems and can cause gastro-intestinal symptoms like diarrhea, constipation, vomiting etc. Cramping is also a common finding. Yet, in the current scenario, you should also rule out any infection of the gastro-intestinal system. Please see a physician for further appraisal of the situation and appropriate management. Liver function should also be assessed. Blood counts, stool test, urinalysis and a sonogram of the abdomen and the pelvis are needed. Hope you find this information useful. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Can mirena be cause for stomach pain and diarrhea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend is going through liver failure and has retained alot of water in his legs. I was moving a pillow under them to elevate his leg and accidently scratched it. It is seeping water, it is not a major amount but is steadily leaking, he sees the doctor tomorrow but i am wondering if this is serious and i should take him to a hospital now? Doctor: Hello, apotts6869, Sorry to hear about your friend's condition. If he has retained a lot of fluids , probably he has distended belly with fluid as well. I am not sure if he has been on any water pills or diuretics. Elaevation of the legs will help some but if he has massive ascites (Fluid in the abdomen) this may not be enough. Seeping of fluid indicates advanced condition. He has to be hospitalized, get a complete blood work up , including kidney tests to make sure he is not going into kidney failure also. He needs intravenous diuretics , nutritional support and careful medical supervision to take care of any complications of cirrhosis like bleeding or liver coma. In answer to your question , yes, take him as soon as you can. I wish him well."
},
{
"from": "gpt",
"value": "Target: Edema in legs due to liver failure. Fluid discharge on getting the leg scratched. Need to go to emergency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i m 37 weeks pregnant at the moment, and i started taking evening primrose oil, last night, cause i read lots of information about it and many pregnant woman take it after 34 weeks, because its benefits. But this morning my stomach has been making really weird noises, and goes on for about 10 seconds, ive never experienced this before, should be be worried? :S Doctor: Hi,Evening primrose oil is not supported by enough evidence that it really supports cervical repining and starts labour. I would not advise you to take it. Moreover women will have crossed the due date are known to use it. At 37 weeks you are too early.The symptoms could be due to the primrose oil. So, do not take any medication especially in the last few days of pregnancy without the doctors advice.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: What causes weird stomach noises during a pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 37 and have joint pain and muscle pain when its extremely cold (15 or below). It bothers mostly my upper body. I feel like I have the flu. It seems to mostly happen when its very cold outside. Its warm in our house 64 and I am bundled up but my hands, arms, neck, back, chest , hips and feet are sore all day long. What can be causing this? Doctor: Hi, I am dr. Ramez Mohammed.I had gone through your question and understood your concerns. I think you are suffering from stiff muscles and pain in the joints as a result of colder weather outside and also as a result of climate change out of the house. So I advise you to be careful of the cold weather so as not to lead to inflammation of the nerves as complications. Taking anti-inflammatory and painkiller when the need with complete comfort The home and it might make you feel for comfort.Hope above information helps you, and if you have additional or follow up questions then please don't hesitate in writing to us. I'll be happy to answer your questions."
},
{
"from": "gpt",
"value": "Target: Suffering from joint pain, muscle pain and extreme cold"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My brother is 20 yrs old but he is mentally retarded child.When he was 3 yrs old Doctors told he is suffering from adeniod tonsilitis and it ll get cure with age and due that brain doesnot receive enough oxygen.But it will heal with time.But he physically grew up but mentally he is 6-7 years.help me out to cure my brother Doctor: Unfortunately here is no specific treatment that can treat mental retardation. Other than this it seems that you are too late for major intervention in mentally retarted child.At this moment he can be helped out so that he can take care of his stuff at maximum. If any abnormal behavior is associated with retardation that can also be treated to the great extent. Thanks"
},
{
"from": "gpt",
"value": "Target: How to cure a mentally retarded male?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is a gay young man he has tumor on chest he went through treatment this year for his tumor one it has large red like blood poison circle around tumor right over his heart he does not want to go to hospital he is 36 I m a scared mom what could this be. he had syphliss please help me help him I m a ver nonjudgmental mom I do not want him to die Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Bacterial infection. It is treatable in the early stages. Without treatment, it can lead to disability, neurological disorders, and death. It is possible to develop tumor or lymph node enlargement in secondary syphilis which may appear tumor. If it is syphilis them possibility of HIV also please check him out which may prone to develop many lymphomas etc. Until examination is done it is difficult to say what it is. You have taken him to doctor otherwise he may develop tertiary syphyllis lead to cognitive and cardiac valve involvement. Please consult your doctor, he will examine and treat you accordingly. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tumour in a syphilis patient"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I have a brown bump on my back. It appeared as if a balckhead was in the bump so I squeezed it. Brown (what I assume to be puss) came out and it seemed to be quite a bit. The bump did flatten some once I squeezed some of the puss out. I squeezed it and more brown puss came out but no bleeding. Seems to be a lot of puss. The bump is about the size of a dime. What is this? Doctor: Thanks for your question on HCM. By your history and description, you are mostly having infected sebaceous cyst. Back is the most common site for sebaceous cyst. It is skin swelling in which sebaceous cyst are enlarged due to obstruction in the sebum flow. So sebum accumulates in the cyst and enlarge. This sebum can get infected and cause pus formation. The most common association is diabetes and poor skin hygiene. So better to get done sugar level to rule out diabetes. You need surgical dressing to prevent recurrence. You also need antibiotics and anti inflammatory drugs. So consult surgeon for all these."
},
{
"from": "gpt",
"value": "Target: What causes a brown bump on the back with pus formation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a tooth infection for quite some time ( 6 months) I do not have a tooth ache but my gum is slightly inflamed and i can feel pain when I touch i. I have twice taken antibiotics for 5 days at a tine but it only gets worse. Is this dangerous? Doctor: Hi,It seems that you might be having deposition of tarter between bottom of teeth and gums might caused some infection on gums giving rise gingivitis.consult dentist and get examined.If there are tarter ed teeth then go for scaling.Do antiseptic gargles daily.Avoid more sweets and junk food.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes inflammation on the gum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rfriend who has servived cancer unfotunally he loss a foot and had to get a part of his tyroid taken out. this was in 2008. i would like to knw if im safe to kiss him, eat food from his dishes , or even if its cool for me to give hime oral sex? Doctor: It is safe to eat, drink, live and to have sexual inter-course (of all sorts) with a cancer survivor."
},
{
"from": "gpt",
"value": "Target: Is it safe to consume food from the dish of a cancer survivor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 38 and I put on 40 lbs in 4 months. I am 6'2\" at 284lbs. My cal. Intake is under 1200 daily but sometimes under 600. I am active but tired all the time. My blood test came back and was of concern. Glucose at 103 and sgpt (alt) at 133. I have no meds curent. I don't drink. Any idea Doctor: hi. thank for posting query at HCMi went through your query.however, you did not mention if glucose 103 was fasting or random. fasting 103 is normal.ALT 133 is elevated.what about other liver enzymes?have you tested for HBV and HCV serology?lipid profile?avoid alcohol and junk food,avoid beveragesyou may post the blood results here or visit treating physician.wish you good and sound healthregardsDR Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: What causes elevation in sugar levels and liver enzymes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Here are my symptoms. After very stressful argument, Severe abdominal pain, tissue tender to touch on left side of body, numbness and tingling on left side of body, severe pain in upper jaw and into temple on left side of head, tightness in chest with heaviness with breathing. Parents suffered from stroke, hbp, chf and uncle from cranial aneurysm. Doctor: Hi. thanks for posting your query on HCM.From your symptoms it seems that you are having symptoms related to anxiety. At the same time, history of stroke in parents warrants that you should get your complete medical examination done at least once including routine blood reports like Complete blood count, kidney function tests, liver function tests, Lipid profile, blood sugar levels, ECG, and if possible,get an MRI of brain also.You should also change your living and working style.Keep yourself calm, do some regular physical exercise daily and do some meditation.hope, I answered your queries. If you have any further question, you can contact."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain and tingling sensation in body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor, I got rheumatic arthritis after 5-6 months of my delivery in 2004. I was advised to take penidure 12 laks every 21 days life long. After 2 yrs from then, I simultaneously took homeo treatment for more than 2 yrs n fortunately got it cured. So I took pencillin for more than 4 yrs. I ve been losing lot of hair from the time I started taking pencillin injection. I stopped pencillin in 2008 approx. now, my scalp is almost bald. I request u to kindly suggest me the best options. I ve consulted many docs but none of them cld show me a solution. Is pencillin the actual cause of my baldness or is it androgenetic alopaecia as told by one homeo doc?? Doctor: Hi, Penicillin won’t cause baldness. It could occur due to hormonal changes associated with androgenetic alopecia or chronic hair loss due to rheumatoid arthritis. 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: Is penicillin the actual cause of my baldness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am already 38 and have low spem mobility, what diet should I follow to increase the sperm mobility? People here in Bangalore say to avoid Papaya & almonds and nuts to increase sperm mobility..Are they right?It's almost 2 years we have been married and my wife is not pregnant still Thanksfrom:-Manu Doctor: HelloYou are taking right food.Mentioned foods are rich in anti oxidants and these are helpful in increasing sperm motility.Besides clinical evaluation you may need few investigations like routine hemogram,random blood sugar,ultrasound of scrotum,hormone assay.Avoid wearing tight undergarments.Avoid alcohol,cigarettes if you take it.Go for brisk walk regularly and take nutritious,balanced diet.Your partner also need proper evaluation for infertility.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest diet to increase sperm mobility"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had some sort of allergy since my childhood now iam 35, coming in contact with harsh smell like turpentine etc or saw dust would create irritation in the upper side in my mouth and then running nose shortness in breathing cough everything followed, it would take around 15 days to recover using some antibiotics, a couple of years ago i consulted a ayurvedic doctor who digged my past with his questions and come to a conclusion that the whole digestive system has to be treated starting from my liver he gave me few powders and tablets after taking that for few days i starting have sudden cough attack everyday which would exhaust me out and pure white cough came out, the ayurvedic doctor did not have any solution for it, i consulted a physician and he prescribed allegra tablet which was god send i was feeling fine for few months missing a days dose would create the same problem so nearly after six months i consulted a md who prescribed montair lc that too worked very well i was asked to take this tablet for six months but even after six months the problem remained i think iam treating the symptoms not the root cause nowadays i used to burp a lot and have minor heartburn , found when i fast for a day the problem is very low and after eatting rice the problem begins so i minimised having rice and tried chappatis but still i have to take a pill atleast once in two days pls help Doctor: if it is since child hood it can be due to milk,wheat YOU START TAKING MONTAIR FX TWICE A DAY TAB RHINITIDINE 150 MGM MORNING SYP TOSSEX 1/2 TSF NIGHT AND VENTROLIN 1/2 TSF TDS STOP ALL MILK AND DIARY PROUCTS GET BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR MILK,WHEAT,POTATO,CHANA,RICE AND EGG YOU ARE SURE TPO GT ANSWER AND THN GO FR SUBLINGUAL LOW DOSE IMMUNOTHERAPY FOR PERMANENT CURE"
},
{
"from": "gpt",
"value": "Target: Allergic to turpentine, sawdust, irritation in the mouth, shortness of breath, cough, took medicines, some relief, problem persists after stopping medicines. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: abc Doctor: Hi friend, Welcome to Health Care Magic In this situation, only the examining doctor can give a proper diagnosis. Otherwise, it is just guesswork! Probably you are having recurrent furuncles (boils) / you may have to exclude Diabetes...some forms of immune deficiency and so on... Take care Wishing speedy recovery God bless Good luck"
},
{
"from": "gpt",
"value": "Target: xyz"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi2 days back skin on my penis swollen and the dried towards the end of the day. the next day i took a normal bath and cleaned well. the skin was dry even at that time... then it started to pain after 5 hrs.. i rushed to wash room and then i found that skin got stuck to my inners and then got pealed off. Doctor: Thanks for query.The symptoms you mention correlate with balanoposthitis(inflammation of the foreskin and glans in uncircumcised males).consult a dermatologist at the earliest.he may prescribe you antibacterial and antifungal ointment for that.hygiene is most important.regards"
},
{
"from": "gpt",
"value": "Target: What is the cause of dry skin on my penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi...I ve become a little concerned with how some parts of my face seem to be losing pigment, or other parts have become darker possibly. It is primarily around my eyes and my forehead . I have no moles , or anything else, and have been spending an inordinate amount of time indoors lately as a result of school, so I m no longer outside in the sun like I used to be for most of my life up until about two years ago. Doctor: Hi , Thanks for writing in. The problem can be vitiligo ,IGH,polymorhic light eruption etc. Without actual visualisation of the skin it is not possible to comment on nature of pigmentation. Sun protection is most important for any cosmetic treatment. Use good quality sunscreen. Avoid sun exposure. Use brevoxyl face wash. Apply Kojivit cream at night over dark spots. Take lot of vitamin C in diet. Visit a dermatologist for proper examination and diagnosis who can also provide you some clinic based procedure like surgery and laser. Visit a dermatologist for some clinic based procedure like chemical peeling and laser. Hope this helps. Regards DrSudarshan MD Dermatology."
},
{
"from": "gpt",
"value": "Target: Loss of pigment in face, around eyes, forehead. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an Ultra Sound of my abdomen and at showed that I had a blister on my Kidney and one one my Liver. Should I be concerned about this and what causes them? Do I need to change anything in my diet? I m an 80 year old woman that has usually had good health. I have no Gall Blatter (in case you needed to know that) e- Doctor: HelloBlister in kidneys and liver may indicate simple cyst.Generally these simple cysts are age related developmental findings.Cysts may require treatment if there is increase in size or infection inside the cysts which is causing symptoms.These cysts usually doesn't require any treatment.You may only need follow up ultrasound. Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What causes abnormality in liver on an ultrasound?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, Can I travel with my 3 months old baby in train A/C compartment? I m from India. Usually in train they keep temperature comparatively low. Another option is non-AC first class coach. This coach is divided into cubicles and only 4 persons are accommodated in one cubicle. in AC coach there is no cubicles. baby will be exposed to more people. Which one is better ac or no-ac? Doctor: Hello,I think the non-AC first class has been removed now. If it is available, it will be a better option. Otherwise AC 2 tier is the 2nd best option.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani"
},
{
"from": "gpt",
"value": "Target: Can AC cause any harm to the babies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HiI have felt 'not right for a week now...sore throat, headaches, fever, feeling sick, dizzy and upper stomachpain, loss of appetite. I wen to my doctors and was prescribed antibiotics for the throat and advised I have a viral infection however I seem to feeling worse not better? I took a pregnancy test to rule that out and it came back negativeCan you help?? Many thanks Doctor: Hi, Thanks for posting in HCM. I have read your description and understand your concern. The symptoms what you have been describing appears that you have been down with upper respiratory tract infection caused by virus. Generally, viral infections are self-limiting and needs supportive care. Kindly do the following to overcome them. 1. Do salt water gargling with warm water thrice a day. 2. Use steam inhalation to liquefy the mucous for easy drainage. 3. Take mucolytic-decongestant medications in the form of syrup containing Ambroxyl/Bromhexine, Guaifenesin and Chlorpheniramine maleate as ingredients. 4. In case you feel feverish and body aches, you need to take Tablet. Paracetamol with Ibuprofen combination after food. 5. Complete the course of prescribed antibiotics. 6. Take medicated lozenges for throat soothening effect when necessary. Strictly avoid consumption of cold items like cold drinks and ice cream. Your symptoms should getter soon by adopting to above measures. Hope the information provided would be helpful. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for viral infection and sore throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been prescribed Gabapentin - dosage to be weened up to 2700 mg for severe nerve/muscular pain. I am concerned that I have had periodontal gum disease which is now stable after 2 years of periodontal treatment. Could this medication cause the gum disease to flare up?Sue Doctor: Hello, Thank you for consulting with HCMNo gabapentin does not causes any periodontal problem. even it is used in trigeminal neuralgia also in that case also it does not cause any gum problem. You just have to maintain your oral hygiene.But if you are diabetic also then you have to take proper care of your gums.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: Could the medication for muscular pain cause the gum disease to flare up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m suffering from pain at the back of my head at a point....and it is causing me pain in my neck too at the right side.....my right eye is too burning....this pain is frm the past 2 days....??? what is it??? i have a low vision too of -6 of both the eyes... Doctor: Dear- thanks for using our service and understand your concern. You need to check your eye pressure with ophtalmologist to make sure it is not glaucoma what is giving you this complaint. However, you can have cervical stenosis or bulging disc in the neck area that can cause the pain in the back of the head.It is advisable to have a complete evaluation by ophtalmologist and if negative, then a MRI of the cervical area .I hope that my advise has been helpfulDr.Sara"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain along with irritation in eyes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 32 years old, preparing for getting conceive for second baby , also taking treatment for last one year. The abdomen scan report says ever thing is normal. I have a 7 year old son. This month my doctor suggested me M2 tone, clofert tab & Fertisure tab. Usually my menstrual cycle used to be very regular. But this month the bleeding was only 1% comparatively. I got a negative urine test in my 35 day of missed menstrual. Is this the symptoms of getting conceived? Doctor: Hi, I think you can be pregnant. It can happen due to delayed implantation. Do a urine pregnancy test after one week if you don't get your periods. If positive consult a doctor. If negative, go for a ultrasound. You ma6 need some medicines for inducing periods. It can also happen due to stress and infection also. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Is the missed periods symptoms of getting conceived?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I M a boy of 16 years , in Kolkata,India. Over the past couple of years I have been having problems like inferiority complex , attitude problem etc etc. Now for the last few months I am really having trouble regarding frustration. I am a part of middle class family and evrything around I see frustrates me. I am never happy. My parents do care a lot for me. But I still feel I want to share my thoughts,feelings with someone. I need serious amount of attention,love and care from someone. Can some1 help me ? I am good looking I feel but my height is a bit short compared to my friends[5 6]. Even this creates complexity in me. Can any1 help me please!!! Doctor: Hi, Thanks for query, it seems you are having depression.This is common at this age due to hormonal changes. Develop self confidence,think positive, Leave negative thinking and develop courage. Mix up with your friends and your parents they are always ready to give you love and are ready to share your feelings and thoughts. You can take advice of psychiatrist and psychologist to overcome your problem. ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes inferiority complex and how can it be treated ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son fell and hit a hard tile floor yesterday, hit his head and a knot the size of a nicked formed and a bruise about the size of a quarter around/on top of the knot. Today I guess the knot is gone because day care just called an is concerned that he does not have a goose egg and I guess is afraid that his injury is more \"concaved\". If it is \"concaved' should this be a concern? He had no neurological concerns yesterday or today. Doctor: Hello,Lump on the head (because of trauma) is usually a hematoma (collection of blood).Eventually with in days, it will resolve on its own. For that, no treatment is required. Nothing to worry.If you are still worried about the lump, please visit your family doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha"
},
{
"from": "gpt",
"value": "Target: How can a lump on the head be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Small pea sized lump on Mastoid Bone that is as hard as a bone and I cannot tell if it moves, if it does it isn t moving much. Little to no pain when I press on it, more pressure than anything. Should I feel alarmed? Is this something worth going into the doctors office for? Thanks! Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged lymphnode due to reactive hyperplasia or mastoiditis. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Are lumps on mastoid bone abnormal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My recent blood work showed an alt of 91 and the ast as 71. Total bilirium 0.4, creatin .69, s. sod. 138. I am a very moderate drinker of wine and only have been doing that for the last year, I am 69 female. I have hypothryoidism and elevated gluclose levels and have had for sometime. Are my liver enzymes worrisome? Doctor: Hi, Your liver enzymes are elevated. Not worrisome but you have to find the cause. Alcohol is one of them. You must quite it and repeat liver enzymes after 6-8 weeks. Meantime you should do : HBsAg, Anti HCV and to rule out viral hepatitis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Klerida Shehu, Gastroenterologist"
},
{
"from": "gpt",
"value": "Target: Are elevated liver enzymes a matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am really worried about my son he thinks people are watching him and keeps his curtains closed and a knife under the chair and his bed, he finds it hard to make friends and keep them including relationships, he thinks they are seeing someone else or are planning on how to leave him, he was diagnosed with tourettes when younger and has stopped taking meds approx 18mth ago every time i try to give him a solution to a problem he just puts another problem in front of it, he has a flat but is not coping with living on his own what can i do and were can i go Doctor: DearWe understand your concernsI went through your desciption. I suggest you not to worry too much. From the symptoms you provided, it seems that your son is troubled with schizophrenia with paranoid ideation. Proper assessment is required to have proper diagnosis and treatment. Please consult a psychologist for psychometric assessment and advise on further treatment methodology. Psychiatric treatment also is necessary for such a condition. Consult a psychiatrist according to the advise given by your psychologist. Do not delay please. Delay may make cure difficult. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Why do I feel people are interfering in my life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a constant back and neckache from the bottom of my back to my skull, numbness and tingling in my left arm along with sharp pain in wrists. i also have indigestion, snapping, grinding and popping sensation in neck. I am recovering from biceps tendonesis and snappin scapula surgery and have had 2 discs fused at c4-c6 region, i am a 43 year old woman Doctor: hi,you seem to have a long history of conditions troubling you, you must be fed up by it i can imagine.what i sense is that all your problems have been tackled as individual conditions and are being treated like that for eg, your back, neck pain is one, your wrist is another, your biceps (tendinitis?/tenodesis?) is another, your scapula is another and your cervical spinal fusion.still your problems didnt seem to go away, even after a cervical spine surgery. you do qualify as a complicated case and may need rethinking as to the approach of your treatment.your indigestion may be most likely due to the gastritis that is a result of long long term pain medications. they damage the stomach lining!you may be having a chronic disease that leads to degeneration (ie destruction) of most of your joints (eg your whole spine) and other areas of your body, like tendons (wrists etc)i suggest you ask yourself if you have other symptoms in your body that you may deem not connected but may be part of a whole syndrome of disease.i also suggest you get examined by an internal medicine specialist and/or an endocrinologist and/or a rheumatologist so that someone looks into you as a whole rather than treating each problem as a unique entity as it is clearly not working.regards/"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for back & neck pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: gd mor sir, sir my husband sperm count is 40mill, motility; progessive motility 60%, non progessive 20%, immotile20%,morphology:normal forms 75%, abnormal forms 25%,other findings: pus cells 2-3/hpf, epithelial cells:1-2/hpf, spermatogenic cells :1-2/hpf is there any problem ,husband is using paterina tablets , can i get pregnant ?please reply sir Doctor: HI, thanks for using healthcare magicSemen analysis provides a general idea of male fertility.The sperm count is normal at 40 million, it should be at least 20 million.The motility or movement of the sperm would also be considered acceptable at 60%. It should be at least 50%.Morphology refers to the appearance of the sperm, this should be at least 50%. Your husband morphology is within normal range.In essence, this result is normal.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Husband using paterine tablets. Semen analysis done. Few pus, epithelial cells found. Can become pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, well, first of all, it has been pretty rainy today, and I was wearing shorts to play soccer. As I was turning with the ball, I slipped and fell on a concrete thing (where the shed used to be) and my hip has been really painful ever since. Is there any quick relief techniques? Doctor: hi,thank you for providing the brief history of you.A thorough neuromuscular assessment and musculoskeletal assessment is advised.As you had a fall on the concrete on your hip, there can be a possible of muscle injury at hip or a soft tissue injury in the spine. After a thorough assessment the diagnostic may be advised. Post which with simple medicine and physical therapy you should perform well.Also, since the pain is more, you can use icing for the region. but post which the very next day you need to get assessed as prevention is always better than cure. Never take any sports injury as smaller one. It can affect the sport performance later.In my clinical practice I see sports injury cases and with precise assessment and use of best diagnostic procedure we come to the root cause and plan the rehabilitation. We are able to make 99% of output on field. RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What relieves the pain in the hip caused due to a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A small swelling look my neck in the right side and Doctor me advised for FNAC test. In the FNAC test, there is pus in my neck and diagnosis as T.B. My doctor prescribed my three tablet (Macox Plus 600 (Empty stomach in the morning) Macrozide 1500 (After meal at 3.00 P.M.) and Mycobutal 1000 (at Night). Whether these medicine is cure my TB and how much time this will take. B.P., Karnal Doctor: If the fnac done is positive for tb and your compliance with the medications is good.. cure to TB is likely.. the course of medications is 6 months if it's for the first time.. the cure requires the tablets to be taken without fail for that duration of time.. frequent follow ups are essential to monitor the improvement and look for side effects. ."
},
{
"from": "gpt",
"value": "Target: Will taking macox plus, macrozide and mycobutal cure TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been off work with stress for 6 months, but have now gone back to work. While i have been off I have experienced stiffness in my neck and have found it hard to turn my head, my head wants to turn to the left and has got worse as it now happens when turning it right. It is very upsetting my Doctor has said it is neck spasms and to take pain killers. This has gone on for many months. Any ideas!!!! Mandy Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The neck spasm, as your doctor correctly said, could definitely come due to stress. Prolonged stress naturally brings stiffness to the neck muscles. Then we start twisting and turning the head so as to alleviate the pain and stretch the neck muscles. That is a bad practice. Instead of releiving you off from pain, the actions give you more pain and results in spasm. Just ignore the soreness and do not move your neck muscles for three days or so. Then the spasm should be released.If you want more of my help in this aspect, please post a direct query to me with every details possible. I shall try to address it in a psychotherapy point of view.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What is the treatment for stress and stiffness in the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i often suffer from cold or better to say every 3 months i catch cold with thick bulgum formation.In childhood also i used to suffer from cold very often.One of my friend advised it may be due to sinus and you should do upper back exercise to get permanently traeted.Please advice. Doctor: Hi Dear !! Thanks for your query to HCM.Read and Reviewed your query in context to your health issues.In the given scenario and history facts,You seem to suffer from-hyper-responsive upper respiratory system, which includes Nasal and para-nasal sinuses along with pharynx / bronchi and its tree.You need to rule out- Allergy to pollens and dust and others with Allergen testing with chest / allergic Specialist.Also other causes of recurrent cold- could be gastric and upper GI problems, aggravating sinus and upper respiratory hyper-responsive mucosa.Plan Suggested for your treatment-Beside infection with bacteria/ allergens / worms/ protozoal eosinophilia, the gastric infections / acidity also needs to be ruled out while treatment of your recurring cold with phlegm.So treating these causes is needed with proper drugs after proper tests, which would need Consults with team of doctors as -Chest /Allergy Specialist / ENT /GI specialist.Proper Hydration with plenty of fluids/ Proper antibiotics / and vitamins / ruling out subclinical TB infection by IGRA blood and Sputum AFB tests, would be needed in managing your case.Treating ACute on chronic Sinusitis / Acute on Chronic Tonsillitis and pharyngitis is a must for treating the recurring cold case like you.Other cause of , need to be ruled out, by examination with team of Chest/Allergy doctors/ Ent Doctor and others if need be.Do's to find out the Cause-X-ray Maxillary/Frontal / Ethmoid Sinuses-would fix the diagnostic issues with you.Consults with Chest /Allergy specialist doctors or if, would resolve this health issue.Hope this reply would help you to resolve the health issues with help of doctors attending on you.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229Dear, Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for frequent cold with thick phlegm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc. i am 28 y/o, 5 5 in height and 54 weight. I had sex with my boyfriend on April 1 and my last menstruation is March 16, is it possible to get pregnant even i take contraceptive belara pill name but only 1 pill after having sex? It has tendency to get pregnant? Thank you and looking forward for your response. Doctor: HI, Belara is a contraceptive preparation which needs to be taken regularly. You had an unprotected sex on 15-16th day of your cycle. That comes to be possible ovulation phase of menstrual cycle. - If ovulation had already ocured, it won't prevent conception,but it will have a bad effect on the embryo. - If ovulation process was yet to start, the pill may possibly postpone the ovulation for a couple of days & prevent pregnancy. If you are not pregnant, you will get your periods a few days later, BUT,if you have conceived,the risk of abnormality in fetus DEMANDs termination of pregnancy. Thanks."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible after having sex followed by intake of belara pill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...my husband had an mri scan and it revealed the c6 and c7 disks compressing against his spinal cord....he has had pain that has been progressing over a year now.his pain is continueous and its a dull pain all the time he also has had black outs and now in the last few days vomitting and severe headaches...we are waiting to see a consultant but could you shed any light on this for me? Doctor: Hellowelcome to hcmwell the pain in back is due to the MUSCLE SPASM in the involved area n this pain can be releived by taking analgesic medicines n doing physiotherapy....the other symptoms u have mentioned r not related to the back problem n u can visit a physician who will do certain tests n clinical evaluation to find out the cause of these other symptomsregardsdr rahul"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to relieve back pain due to disc compression against spinal cord"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having severe lower abdominal pain with nausea/vomiting. I have been in the hospital with it for nearly a week, and my labs are all pretty normal. I ve had a consult with a Urologist, OBGYN, GI doctor, and now with a general surgeon.I m really frustrated because of the severity of pain and nothing is being diagnosed---The surgeon did mention that he could possibly do a laparscopic procedure to see if anything is visible. Is this reasonable? Doctor: hi,thank you for providing the brief history of you.As you have done all the possible tests and consulting the specialist which turned out to be a normal reports than what I feel is a muscular pain only.Kindly try doing physical therapy and strengthening exercise for the pelvic floor muscles as this may help to reduce the pain.If this doesn't help much then laprosocpy is performed. Also, in my clinic practice most cases recover well with physcial therapy.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe lower abdominal pain with nausea and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im 15 weeks pregnant and ive been suffering with a furry tongue, ive had morning sickness up till 2 weeks ago and my nausa feeling has stop but due to my furry tongue and the taste in my mouth i am still reaching and being sick and im finding hard to eat and drink. pls help, many thanks... lian. Doctor: Hello dear,i understand your concern.In my opinion furry tongue might be due to vitamin deficiency.Take healthy nutritional diet like fruits and veggies daily along with egg,meat,milk and fish.Also take vitamin Bcomplex supplements.Consider getting HB done to rule out anaemia.Dont worry.It will subside with adequate nutrition and apt treatment.Take adequate fluids upto 3 litres per day to prevent urinary tract infection which are common in pregnancy.Hope this helps.Best regards..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for furry tongue and retching during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Lately I have had small light red bumps around my nose and in the area of my glasses on my nose and on one eyelid, occasionally it is itchy then it just looks like itpeeled of. Now im expexperiencing what seems like really dry flaky skin in between the crease of my inner thighs..what could this be..im 34 never experienced this before Doctor: Hello,Thank you for posting on HCM.It seems you are suffering from Tinea, 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 is the cause of dry flaky skin in between the crease of inner thighs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the hospital last night with shortness of breath, chest pain on my left side, pain that came and went on my lower left part of my stomach. I could not feel my hands or my legs they were so numb. There is still a constant tightness in my left chest. I had a ekg that was normal all blood test were normal and mri on my chest was normal. The doctor did say that I had an enlarged heart. Should I be worried?? Doctor: Hello,I don't know exactly if the heart itself is enlarged that mean it's a serious problem (heart failure) or you may have a normal heart surrounded by liquid that is called pericarditis. Both are serious heart disease and require specific treatment. If I were you, I would go to a cardiologist and do an ECG, echocardiography , some blood tests including BNP and take the right treatment.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi"
},
{
"from": "gpt",
"value": "Target: What are the ill effects of an enlarged heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife have miscarraiged 2 babies earlier and 3rd one born but her husband(before) has gone for abortion but due to this situation an ectopic occurs and one blind nursing home aborted someway and sutured it. But after second marraige with mine I got the knowledge and during first pregnency it first hitted the blockade portion and make a severe liferisk, I told the treating doctors all and they ultimately aborted and rescued as the blood with ovum clotted in the same location. The second tube is not febrile. May I got a baby in future.......@Rabindraranjan ghosh Doctor: as per ur history. ..in one tube..due to ectopic pregnancy probably tubectomy is done,other tube u can check wid hsg d potency. ..if intact...ur wife can conceive"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for difficulty in getting pregnant with history of miscarriages"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: morning doctor, what can i treat my joint pains, its a nightmare, starting from the fingers, toes, knees, back every part of my body where there are bones and joins are very painful, its worse in the night when I wake up for me to stand up from the bed I have to struggle. My knees they swell and I have been told to exercise but it becomes worse not helping me at all, what medication should I take? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Considering your complaints, might be related to rheumatoid arthritis.This is a type of arthritis that affects finger, toes joints and gradually other joints of the body and it is accompanied with difficulty moving these joints.You should consult a rheumatologist, perform X-ray of joints, rheumatoid factor blood analysis.Meanwhile, you can use Naproxen 1 tablet once daily, for pain relief and anti inflammatory effect.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can joint pain in the fingers, toes and knees be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My ENT doctor did the endoscopy because I am having chronic sinusitis and he saw something abnormal in my neck. He asked for a CT scan by writing: chronic sinusitis, right cervical adenopathy, asymetry sinus plus nasopharynx. I read a lot on the internet and I am close to see that I am having a nasopharynx cancer Doctor: These findings can be due to infection as well but high index of suspicion should be kept for malignancy (cancer).If any growth or swelling is visible on endoscopy in nasopharynx, it should be biopsied. Otherwise, a fine needle aspiration for cytology (FNAC) of cervical lymphadenopathy (neck node) should be done to get to a diagnosis. Please discuss it with your doctor."
},
{
"from": "gpt",
"value": "Target: Am I having nasopharynx cancer according to this report?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 22, female, 2 kids, last child was 7 months ago via c section as with my oldest. For the past couple of months I've had excruciating tailbone pain. I haven't had any trauma to that area. When I had a Pap smear done after I had my daughter 7 months ago, my cells came back abnormal. I just read, and I know in shouldn't google everything, that cervical cancer and tailbone pain is associated with each other. I hope you can ease my mind a little. Doctor: Hi,Thanks for consulting us.All abnormal cells on pap smear do not indicate cervical cancer. These cells only indicate that you need to have some further testing to exclude any pre cancerous or cancerous condition. Aim of doing pap smear is to diagnose & treat cervical disease at an early stage before it becomes cancer. So, don't be so scared just report back to your Gynecologist. Doctor will either call you after some time for a repeat smear or recommend you further testing like Colposcopy +_ biopsy.Take care."
},
{
"from": "gpt",
"value": "Target: After the second child through c section, now have tailbone pain. Pap smear test shows abnormal cells. Cervical cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my child has a small 3mm vsd supracrystal with a very slithly or mildy valve prolaps . now some doctors are suggesting me to operate him to save his valve. because in future it may be leak or more prolaps which is not in bad condition now . and some others suggest to wait and follow up . so 1. what u suggest to me 2. is the surgery of small vsd 3mm is possible. 3. the child has no symtoms so far and he is doing wel plz answer me know Doctor: Now I will let you know the standard guidelines, If VsD with aortic valve prolapse with even slightest aortic regurgitation, surgery at the time of detection is recommended If there is VsD with prolapse with no regurgitation, surgery at 2-3 years irrespective of the hemodynamic s is suggested If VsD with no prolapse, 2-3 year follow up The above are recommendations for small, 3mm VsD. Regards"
},
{
"from": "gpt",
"value": "Target: What is the procedure for a child having vsd 3mm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was prescribed norethisterone 2x5mg, twice daily for two weeks as I was spotting for 2 weeks after my last menses. However, another doctor scanned my ovaries and said I will most likely ovulate this weekend. But I will be stopping my norethisterone this Thursday and there will be withdrawal bleeding. Does that mean I cannot conceive since the lining would have collapsed around the same time I will be ovulating? What s the best option for me now? Thanks! Doctor: Hi, I think you can switch over to some other progesterone after discussing with your doctor. Sometimes progesterone like duphaston and susten are there to support the implantation. So, you can stop norethisterone and start those after your ovulation occurs. Be in contact with your husband around the ovulation time. Hope this can give you a chance to get pregnant this cycle also.Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Can i able to conceive immediately after finishing Norethisterone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 6 months old. His mother has ADHD and requires narcotics medication to treat. She claims to be breast feeding. Is there a way to visually tell if what she is giving me on my visitation days is in fact breast milk or formula. Also are there labs where I can pay to see if it is breas tmilk does it contain narcotics. Doctor: can always check with your docter to confirm if the drugs can be transmitted through breast milk. and yes you can check with lab near you if they will test the milk for any narcotics"
},
{
"from": "gpt",
"value": "Target: How can breast or formula milk be tested for narcotics?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 27 yr old daughter went to ER last Thursday after hitting her head at work the day before. When I took her to ER she had a headache and was nauseous, walked very slow, sensitive to light, and it took her awhile to answer questions and her speech was slurred. Dr. Told her she had mild concussion, get test and lots of fluids. She seems to have been getting better, but this evening I noticed that her speech was slurring again and it seemed as though it was taking her awhile to put her thoughts together. She s been sleeping and drinking fluids. Is this normal? Should I be worried? How long will this last? Doctor: Hello!Welcome and thank you for asking on HCM!I would like to explain that it is normal for up to a month to feel this way after a head concussion, because of a temporary brain dysfunction. But I recommend to closely monitor her and avoid possible repeated head trauma, which can be devastating in this period ( the second impact syndrome). A good dehydration and a lot of rest is necessary for her during these days. If you notice that her symptoms (confusion, sleepiness, headache, dizziness, slurred speach) are worsening in stead of getting better, or other symptoms like limb numbness occur, I recommend bringing her to ER for a physical examination and a brain CT scan to exclude possible delayed intracranial hemorrhage, which can occur even months after a head trauma.Hope to have been of help!Best wishes, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nausea , headache and mild concussion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have sharp needle pains right below rib cage. Also get sharp sudden pains on both right side and left . More on the right side. Have not been able to eat like normal . Getting nausea and feel like i am full after just a couple of bites of food . What could it be Doctor: Hi thanks for asking question.Here are few possibility.1.First if cough and fever present respiratory cause has to be ruled out like bronchitis or pneumonitis by chest x ray.Antibiotic might needed.2.Second it could be as part of viral respiratory infection like rhinitis or sore throat.symptomatic management done with more water and fruits.3.Third your pain could be reffered pain by acid reflux or ulcer like stomach condition.Take omeprazole for few days for treating it.4.Fourth it could be muscular strain related pain.analgesic is helpful.If still cause not clear pulmonary function test or bronchoscopy may needed.I hope my suggestion will helpful to you"
},
{
"from": "gpt",
"value": "Target: How to treat sharp pains right below the rib cage ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have back pain, it comes on quickly, no triggers. just suddenly its aching a little, then within a half hour it hurts so bad i can barely walk, im vomiting and crying, i get dizzy because it hurts so bad. the vomiting usually stops within an hour or two, but the pain lasts for days, the only thing that makes it easier to handle is a heating pad, but im burning my skin with it. Doctor: Hi,Welcome to healthcare magic.After going through your query I think You are suffering from acute backache. It may be due to slip disc . Treatment of it is rest and analgesics . Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics .Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation(Bon DK 60K weekly with milk) can be taken.To further investigate MRI of the region is advised. I think your query answered.Welcome to any follow up query"
},
{
"from": "gpt",
"value": "Target: How to get rid of severe back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: WWW.WWWW.WW thnx for the answer - but her temp was normal but as i saw her yesterday it was very awful - hands tied + oxygen mask and a tube in her mouth + her mouth wide open and we also cannot give her sleeping medicine as the doc says she will forget to breathe then , any suggestions? :) Doctor: Hello,As per the description, she is not able to breathe on her own due to terminally ill condition; and she is on ventilator support.Prognosis is very questionable depending upon the underlying cause of it. I will suggest you to consult with MRI and other reports for better evaluation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: Why is one under an oxygen mask?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr,My age 29 years old is 37 weeks pregnancy. no medical history but I have dust allergy because of allery I had cold. past few days I am very much suffer with cold and cough, and sever throat infection due to these conditions, especially over nigh times cough with watery saliva is coming out even in the morning also, so I can t sleep properly.I took antibiotics and levocitrizine but it not yet curried, could u plz suggest me I am very much fear in this period.Thank you. Doctor: No need to worry. Take care of your pregnancy. I ll tell you very safe and effective remedy. Pure Ayurvedic. First of all do warm water gargles by mixing turmeric powder in it at least thrice day. Get Shadbindu oil which should be poured in each nostril ( 2 drops initially) in the early morning. It's pungent. Tolerate a bit. All blockages of nasal cavity will open. Even secretions will come out. Keep on blowing nose slowly. It may last for 2-3 days.Chitrak Haritaki ( its bitter) avaleha 2 tsp morning and evening empty stomach. Follow warm milk or warm water. No food for one hr at least.No harm in pregnancy. Safe. No side effects. There will be no need of antibiotic or levocetirizine. It will create immunity against Kapha ailments. Continue for 4-6 weeks.Dont's: No cold drinks, no ice cream, no curd ( esp at night). No refrigerated water.Do's : Try to drink warm water with food and otherwise too.Hope it helps you"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for dust allergy symptoms"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi .. am 27 yr old .. i had a C section delivery on 21/03/09 .. labour induction method was used .. as i wanted to deliver before my husband goes abroad .. now m expecting .. due date is given on 15th of August 2010 .. Can i deliver normally this time .. coz my 1st delivery was C section .. will it be a problem for me to deliver normally ?? Doctor: Hello dear,I understand your concern.In my opinion normal delivery with previous history of caesarian might be possible in a few cases like:-1)When the previous indication was non recurrent like breech presentation of fetus,any complication like high BP or any leading to emergency termination etc.As per your information the cause for ceasarian appears to be failure of induction leading to failure of progress of labour.In this type of condition the normal delivery can be tried but there are many other factors which can be taken into consideration.They are :-1)Atleast 2-3 years of gap from last pregnancy.2)Was the surgery done in emergency or not.3)Any signs of infection during healing.So all the above factors are considered to know the scar integrity.If the scar integrity is poor then it might lead to scar rupture during the labor process.So I suggest you to get examined to know the scar integrity and follow your doctors advise basing on that.Nothing to worry as such.Avoid stress.Hope this helps.Best regards..."
},
{
"from": "gpt",
"value": "Target: Is a normal delivery possible with a previous C section?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother (50 yr) is suffering from back pain . MRI detected a slight change in D12 vertebra but no injury happened. She was advised a Novartis Nasal Spray and been taking it from past 45 days but their is no relief. Now some doctor want to do a Bio scan and one doctor have advised some blood test like TC/DC, ESR , TB PCR. Please advise the necessary test required to detect BONE TB and what all disease can occur as per symptoms defined above. Doctor: Hi, . Dorsal spine involvement is a common association of spinal tuberculosis or Pott's spine. If there is associated ongoing fever, reduced appetite, loss of weight or previous tuberculosis/tuberculosis exposure, tuberculosis is most likely. Blood counts, erythrocyte sedimentation rate, DNA PCR and montoux test are the initial set of investigations that would be needed. Other causes could be degenerative osteoporosis / tumour / secondary metastatic lesions. Bone scans will be able to differentiate and rule them out. Hope this information is helpful. Regards"
},
{
"from": "gpt",
"value": "Target: Back pain. MRI shows change in vertebra. Taking novartis nasal spray. Advice the necessary test to be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 13 yo niece has just started speaking quickly and is making a gasping sound just before she starts speaking. She is also having trouble sleeping. There is a family history of bi polar and no history of asthma etc. I m not sure if this is something physiological or phycological. Any help would be much appreciated. I am very worried about her. Thanks. Doctor: Hello and thanks for your query.I understand that you are concerned about your niece's speech difficulty. From your brief description, this symptom of speaking fast with gasps in between could be suggestive of anxiety. Some children may get anxious when they are in the midst of other people - this is called social anxiety. Also, underlying stress (due to problems in the family or at school) could also be a possible reason for her speech problems.If this has happened recently and it is severe and distressing the child, then you can take her to a child psychiatrist for a detailed evaluation. It would also be a good idea to speak to the child privately and confidentially, to see if she is stressed out or anxious about anything. You can also gently suggest her to speak slowly by taking sufficient pauses between words and phrases. Speech therapy from a professional therapist may also be quite helpful.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: What causes fast speaking and a gasping sound before speaking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, A friend of mine is an alcoholic and his GGT level is 370 and the range goes from 0-60 on the blood work. He does not have an appetite anymore and drinks about 30 glasses a wine a day. He has.no feeling in his legs and they are swollen. He is on 800 mg of Gabapentin 5 pills a day.. What else can he do? He has been to a dr and they said he has to stop drinking and get help .. but he refuses to Doctor: Hello, Liver enzymes can get elevated due to bad diet (fatty foods, spicy foods), alcohol intake, some medicine use (most of the painkillers), gallbladder diseases (like gallstones), liver viral infection (HBV, HCV infection). As your GGT level has raised again, you should rule out other than diet possible reasons for its elevation. GGTP, AP, amylase, lipase, urine amylase, HBsAg, Anti-HCV levels should be checked. An abdominal ultrasound should be also done. You should avoid fatty foods, fried foods, spicy foods, alcohol, medicines. Liver improving supplements available without prescription can be also helpful in its regeneration. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for elevated GGT levels in an alcoholic"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering from severe tiredness for the last 3/4 days, am getting very short of breath just doing things like making a cup of tea or just walking about the house,my ankles are swollen and I am having trouble sleeping due to my chest wheezing, I do have Asthma although I usually have no wheezing. I had a heart attack 2 years ago and have AF although I don t have any chest pain I am feeling a bit anxious about my other symptoms. Doctor: Thanks for your question on HCM.In your case we need to rule out both cardiac and pulmonary causes, as you are having both diseases in past, asthma and heart attacks. In my opinion it seems cardiac more as you are having AF, Ankle edema and 2-3 days history. All favours congestive cardiac failure. So better to get done ECG and 2D Echo to evaluate heart function.You should also get done chest x ray and PFT (Pulmonary Function Test) to evaluate asthma.So go to emergency room as soon as possible and start the treatment."
},
{
"from": "gpt",
"value": "Target: What causes severe tiredness and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi! my age is 26 and recently i started facing some sexual problem.before i use to get a good erection n now a days from inside my body is gettin heat up but i m nt getting the erection and i need to use my hand and shake to get eriction.i am afraid of that i am loosing my sexual power very fast.please can you help me out from this...thank you. Doctor: hi.welcome to healthcare magic.i understand your problem.my opinion is that,1.avoid stress.2.sleep for about 8 hours a day.3.take nutritious foods.4.avoid junk foods.5.avoid masturbating more than twice in a week.6.himcolin application before sex will help you to get good erection.thank you.hope my answer will help you."
},
{
"from": "gpt",
"value": "Target: What is the treatment for erectile dysfunction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I AM A 43 YEAR OLD MAN. I HAVE DONE CLOSE TO 10 LAB TESTS THIS YEAR ALONE WITH EACH TEST SHOWING MALARIA PARASITES AND LITTLE DOSE OF TYPHOID. I HAVE TAKEN DIFFERENT ARTESUNATE DRUGS BOTH RECOMMENDED AND UNRECOMMENDED BUT THE MALARIA REFUSED TO GO. A FRIEND WHO HAD SIMILAR EXPERIENCE ADVISED THAT I TAKE PARIETAL INJECTION. IS THIS INJECTION APPROPRIATE IN MY CASE? MY HEIGHT IS 1.75METERS AND I WEIGH AROUND 75KG Doctor: Thanks for asking in healthcaremagic forumIn short: There is no injection like pareital injection for treatment of malaria and typhoid combined.Explanation: Please do not ask friends suggestion. meet a good doctor and get yourself investigated for your disease."
},
{
"from": "gpt",
"value": "Target: Is parietal injection good for malaria and typhoid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Me and my girlfriend were engaged in an amorous session, I fingered her virgin geiinital and never inserted my penis into her but ejaculated on her stomach. now that she has missed her period by 2 weeks I am really worried ....please suggest something Doctor: Hello, without actual deposition of semen inside the vagina, there is no chance of pregnacy. If you ejaculated on the abdomen, and the semen didnt reach the genital area, pregnancy can be ruled out. If your partner is late, its probably due to stress or hormomal imbalance."
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy after fingering vagina and ejaculating on stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been having stabbing pain in my shoulders and upper back. There s also been super unusual weakness in my upper arms. I m feeling severely fatigued as well, I thought maybe that was Thyroid related, but my primary care physician checked all basic labs and says Thyroid is normal. I do have neck and spine problems if that helps. Doctor: hi.noted history of stabbing pain in shoulders, upper back and weakness in arms along with history of neck and spine problems. it is best if you consult with a doctor, preferably a neurologist or an orthopedic/spine surgeon, for physical examination and clinical evaluation. nerve impingement of different etiopathogenesis must be ruled-out. diagnostics (such as MRI, x-ray, ct-scan) and management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: What causes stabbing pain in shoulders, upper back and weakness in arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last night I got a severe chest pain - mainly on my right side. The pain is slightly to my back and across my chest. I have a cough and when I cough it really hurts. I was able to sleep through the night but was slightly conscious of the pain. If I take a deep breath it hurts. I am also coughing up some phlem Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, you are mostly having pleuritic pain. Chest pain on coughing and deep breathing is mostly due to pleurisy (inflammation of the pleura). And lung infection is the most common cause for this. You are also having cough and phlegm. So this also suggest lung infection more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out lung infection. You may need antibiotics and antihistamine drugs. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes chest pain and coughing of phlegm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m swallowing dubagest200 mg daily as ad used by doc from last 3 days but after couple of hrs I swallowed tablet feel dizzy n can t stand for long time n feel like my eyes spins.pls advise is it advisable to still continue ? Mail: YYYY@YYYY Thanks Doctor: Hello, Dubagest is an active Progesterone. It can cause dizziness as a side effect. If this side effect will not go way I suggest to stop the medication and consult your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes dizziness after taking Dubagest200?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A few weeks ago I was treated for thrush that was brought on by another antibiotic. Now for the last week or so, I can feel with my tongue that the roof of my mouth feels very rough, almost the texture of sandpaper minus the dryness. Any answers. There is no pain or discomfort, although it feels as if the area is getting bigger & spreading. Doctor: Hello,Thanks for posting your query.Initially,cause of thrush has to be evaluated.Discontinue the use of antibiotics causing allergy.Take plenty of fluids as well as nutritious diet.Vitamin becosules as well as folic acid supplements has to be administered.Discontinue use of dentures or appliances causing allergy.Antifungal drugs has to be administered after consulting with your dentist or physician.Take care."
},
{
"from": "gpt",
"value": "Target: Treated for thrush. Roughness in roof of mouth, no pain or discomfort"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a daughter who is 24 yrs old with a 18 month old son . She's on 100 mg of Zoloft a day she's slightly mentally slow. She use to be fantastic with her son. Now she's become very low energy, she acts like she just don't care about nothing. She use to be very neat! Was very attentive with him and now I don't know what's wrong with her. Help concerned grandmother !!!! Does this cost anything ? I'm helping raise my grandson I just need some guidance please ! Doctor: DearWe understand your concernsI went through your problem description. For how many days your daughter is using the Zoloft 100 mg. It is an anti depressant. One of its side effects include becoming more depressed and talk about suicide. In that case, consult your psychiatrist for a change in medication. If these symptoms are not available, then your daughter needs constant motivation and needs to understand what is her illness. Awareness along with the urge to live better gives energy. Hope this answers your query. Available for further clarification.Good luck."
},
{
"from": "gpt",
"value": "Target: On zoloft. Mentally slow, less energy, no care about child. Was very active. How to raise child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I received my MRI back and its states I have anterolisthesis of L5 on S1 without signifciant spinal canal stenois and moderate bilateral neuroforaminal narrowing. Can you explain this? I thought neuroforaminal narrowing was considered stenosis. So do I have stenosis (narrowing) or not? Note the MRI also states I have spondylolysis grade 1. Doctor: Hello,Stenosis in your case refers to a narrowing of the spinal cord, it is a good thing that you don't have it. The term may be applied to neuroforamina, but narrowing is more appropriate. Listhesis refers to slipped vertebrae.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical"
},
{
"from": "gpt",
"value": "Target: What does this MRI report of back indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The CT Scan shows that I have a 6mm Calculus in mower poly calyx of my Right Kidney. The physician says that it would pass out naturally through urine, if I take plenty of water (of about 4 liters a day) henceforth. Just wanted to double check with Nephrologists whether is it correct... Doctor: Hi!I read carefully your query!You have a problem that is not heavy but it may be serious when the calculus move and fixed i a narrow calyx or pyelon there may cause stasis hidronefrosis and so pain but it may pass without problem but you should drink so much water and so movement sports like basketball are important for calculus movement.Furthermore I think that every thing will go well because calculus is only 6 mm.Wishing fast recovery.Dr Ilirian"
},
{
"from": "gpt",
"value": "Target: Will 6 mm calculus in lower poly calyx of right kidney pass out naturally through urine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Age: 37 Gender: Male CECT Neck report: Enlarged Rt lobe of thyroid with heterogeneous CT attenuation and post contrast enhancement of the core. The imaging findings are corroborative with Possiblity Of Large Thyroid Nodular Goitre with Colloid Degeneration Affecting The RT Lobe of the Thyroid. Ancillairy findlings are: Multiple subcentimetre cervical Lymphnodes along the posterior triangle of neck on either side. The lymphnodes are discrete with no perinodal stranding. What is the treatment is Ayurveda? Doctor: 1. Thyroid nodules are commonly benign and rarely cancerous, unless your Physician thinks differently. 2. you haven't mentioned about any symptoms related to the pathology?? 3. are there any symptoms of weight loss,insomnia,palpitations, anxiety,tremors,fatigue. or depression? TFT reports 4. Is the pathology causing any pain or pressure in the neck, hoarseness of voice or neck tenderness? 5. possibly goitre in question is non-toxic so iodine containing drugs can be given and surgery can be opted from cosmetic point of view. 6. Ayurveda herbs shigru and jalkumbhi can be given/advised"
},
{
"from": "gpt",
"value": "Target: Neck report shows enlarged lobe of thyroid. Ayurvedic treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 43yrs old and i was in a car accident 1/8/11 and my mri says l5-s1 there is bilateral facet arthrosis with ligamentum flavum hypertrophy. there is a small cyst posterior to the left side of the facet joint and there is anterior angulation of the visualized distal coccyx and is this why i have alot of back pain Doctor: HiThank you for asking HCM. I have gone through your query. Your pain is most likely due to arthrosis. For such condition I treat with muscle relaxants like cyclobenzaprine NSAIDs like aceclofenac or opioids and neurotropics. I also send them to physiotherapy and muscle strengthening exercises along with this. If there is no improvement then you can go for surgical correction. Hope this may help you. Let me know if you have any further queries."
},
{
"from": "gpt",
"value": "Target: Does bilateral facet arthrosis in l5-s1 cause back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, for 10months now I ve had bad tailbone pain whenever I was sitting or worse from sitting to standing. After a month I went to dr and had ct scan done which showed bony erosion 4th & 5th sacral segements with anterior cortex soft tissue thickening my doctor followed up with a bone scan but that was fine so nothing else was done, it has now been 8-9months now and the pain is extreme. My feet often go dumb when I am able to sit, and my bowel movements are thinning. Pain is now radiating both up and down and feels like my whole pelvis is aching. I am a 30 year old dance teacher. No falls. 1 child. 1 operation of full hysterectomy with ovary removal during labour complications plus blood transfusions. Currently take 1mg oestridiol ( HRT) daily. I have a mri booked for next week, I am in a lot of pain though and considering going to hospital, should I be concerned or not? Doctor: dear user, dont worry of it it is nothing but lumbar spondylosis. you just take inferential and ultrasonic therapy for 20 - 25 days. with some regular back muscle strengthening excercises you will improve.but you need to correct your sitting posture, as it may be the cause of pain in back. sit straight always dont bend forward while sitting, avoid lifting heavy objects for few days. wear LS belt.within a month your pain will reduce."
},
{
"from": "gpt",
"value": "Target: What could cause tail bone pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have tooth pain.Yesterday, i have consulted doctor. Dcotor advised the teeth will go root canal. Is it possible not to got root canal. If posssible, please advice us what actions need to be taken. Doctor: Hello and welcome to HCM forum,I would like you to know that a root cala treatment is prescribed when the tooth decay has infected the deeper parts of the tooth.As a preventive measure to infection and inflammation we advise root canal treatment to avoid loss of tooth in future.Root canal treatment can take single to a maximum of3-4 dental visits, depends on each case.Dentist first removes the infected tissue from the tooth, cleans it and then fills the tooth with a filling material.After completion of root canal treatment dentiat might advise you for a crown on the tooth to make tooth stronger .I hope this answer was useful.I wish you good healthTake care."
},
{
"from": "gpt",
"value": "Target: What is the procedure of root canal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, My father is 71 years old and diabetic. He was diagnosed with multiple myloma. After taking the medication for that, I believe thalidomide , his liver stopped functioning and due to that his sodium level went down drastically. Doctor advised us to stop the cancer treatment and get the sodium level up. He is currently better but is not eating any food and is drastically reducing his weight. I am concerned once we restart the treatment will his liver again gives him problem. He has liver sclerosis. Is there a ayurvedic treatment for this which can help my dad. Please help us. Thanks, Raj Doctor: THERE IS LOT OF RESEARCH GOING ON BUT STILL NOT YET COME OUT, BUT I SUGGEST TURMERIC POWDER EATING 10 SPOONS / DAY ALONG WITH FOOD AND GARLIC ADDED AS SPICES IN FOOD FOR 1YEAR - CAN RELIEVE ? TO SOME EXTENT"
},
{
"from": "gpt",
"value": "Target: Suffering from Multiple myeloma. Taking Thalidomide, sodium level decreased. Has liver sclerosis. Any ayurvedic treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A brain anuerysm was repaired by the coil method but during the procedure a mild stroke was caused which resulted in a seizure. Patient is on the road to recovery. Is there supplements to help the brain heal and restore memory, retrieval, and motor skills? Doctor: during coiling procedure, developing stroke is a known complication. the symptoms depend on which areas of brain got affacted by stroke.there is not much effective supplement to restore menory/brain heal. Still few studies suggest use of tab piracetam , tab citicholine to boost the recovery."
},
{
"from": "gpt",
"value": "Target: Are there any supplements to help the brain heal and to restore memory?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a high fever for two days (100-103.8) without keeping it down with Tylenol and Advil alternating every 4 hours, I have a rash on my forehead that is spreading and I have swelling on both sides of my face near and around my ears. I am achy and miserable. I have been tot the ER and to the Dr and no one can figure out what is going on other than I have an infection. Doctor: Sir it would be very easy for me to diagnose your condition if you could send me a picture of the rash u r having on your face....waiting for ur reply...regards....dr rahul"
},
{
"from": "gpt",
"value": "Target: What causes rash on forehead and swelling near ears?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 41 years old male, weight 83 kg. Exercised on Bruce Protocol upto 6:15 minutes (7.30 METS). Resting heart rate 77 bpm, rose to max 136 bpm which repsesents 75 % of the maximal age predicted heart rate. Developed significant ST depression in leads I, II, aVF, V2 to V6 ( -1.6, -2.3, -1.4, -2.7, -1.8, -2.8, -3.1, -2.8 mm horizontal and downsloping ), maximal at peak exercise, whitch reverted to baseline after 6 minutes in recovery. Test was terminated due to sinificanmt ST depression. Baseline ECG within normal limits. Functional capacity : NORMAL, HR response to exercise : appropriate, BP response to exercise : normal, chest pain : none, Arryhythmias : none. Two years back got cardiac echo test and stress thellium test done which were normal. Please advise on further course of action. Is it possible to have abnormal TMT but no heart problem and normal TMT reports in future. Thanx. Doctor: Hello , The uploaded TMT reports suggest a positive test for ischaemia and hence should be evaluated further . If you say that stress thallium was normal and if you don't have risk factors and symptoms ,than there might be a chance that this test was false positive . Repeating a stress thallium would be the best way forward, if normal no need for further investigation and let it be the modality of screening for future . If positive consider going for a conventional Coronary angiography along with optimum medical therapy . Regards"
},
{
"from": "gpt",
"value": "Target: What causes pain in the chest and arrhythmia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have noticed pain in the lower gums for about a week and now have noticed that there is gum thinning in the lower teeth as well with whites of teeth exposed in thinned areas. I floss once a day regularly and brush 2-3 times a day. Any suggestions? Last checkup was 3 months prior no problems, no dental history problems.Thanks, Doctor: Hi manshaem, The pain in lower gums can be due to- Vigorous brushing resulting in gingival recession as well as attrition of teeth. periodontal diseases. Vitamin deficiencies. I would advice you to visit your dentist and get scaling and root planning done. Exposed tooth or root portions of teeth has to be restored using tooth coloured filling materials. Use soft-bristled toothbrush and clean your teeth involving all aspects of teeth. Use chlohexidine mouthrinse to gargle. Take vitamin rich diet. Hope this suffices."
},
{
"from": "gpt",
"value": "Target: Pain in lower gums, gum thinning in lower teeth. No history of dental problems. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 year old daughter has had spells of feeling light headed reccently, has not passed out, but become dizzy and had to sit down immediately. She had blood test last week. Results came today Thyroid ok, complete bloodwork good, liver enzymes good, but bilirubin high. Doctor has ordered an ultrasound of the abdomen. I am worried, not knowing any possible causes of this. I would like to go in a little informed of what possible reasons could be. Doctor: Hi...by what you quote I feel that it could be Vertigo. This occurs when there is a problem in the middle ear which serves not only as an organ of listening but also as an organ of balancing. If I were your pediatrician I would consider doing an MRI brain and ears and also refer you to an ENT surgeon trained in pediatric ENT problems. Tablet Vertin might help.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes dizziness in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I just discovered a hard pea-sized lump at the base of my skull on the right side. I have had 2 brain surgeries--one for a brain tumor and the other for trigeminal neuralgia. In the last month or so I have had some numbness and then tingling on the right side of my face and sometimes the numbness has lasted a while. This is the side of the trigeminal neuralgia. What is your recommendation? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your tingling and numbness may be due to trigeminal neuralgia. Your lump has no relation with that. Your lump may be enlarged lymphnode or soft tissue tumor or cyst. Consult your doctor and go for examination. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the treatment of lump on skull ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a 41 year-old female with mild, uncontrolled hypertension. I have an irregular heartbeat and heart disease runs in my family. Yesterday I was sitting down being quiet and I felt a very faint \"fluttery\" pain in the center of my chest then I felt what I can only describe as a profusion feeling starting in the center of my back outward and up my neck and back of my head. The area then felt icy. This all only lasted a few seconds and I immediately took 2 baby aspirin and went to the ER. All my tests were normal but I can't help feel terrified that something is wrong with my cardiovascular system. I have an appointment with a heart rhythm specialist this week. Are there any specific tests I should be asking for to determine what that sensation could have been? Doctor: Hello! Do not worry, because your pain is not typical for a heart attack. It can be explicated as rhythm disorders (Arytmia) which can be determined by making some examinations. If the electrocardiogram is ok, then I recommend you to monitor the rhythm for 24 hours (holter rhythm 24-hours), also a cardiac ultrasound. According to the answers of thase examination, you should receive the adequate therapy from your cardiologist. Please do not hesitate to write again if you have more questions. I wish you good health! All the best,Dr. P.Cerri"
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations with chest fluttering pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have old age spot ,,,,,,,I've been told twice but it is definitely more now have been photo it since may have been told by family dr it is cancer she thinks and made a referral but no apt until end of nov which is a few mths away how do I get to someone quicker Doctor: Hi and welcome to HCM. Thanks for the query.well this can be some skin lesion but I wouldnt say it is cancer without further examination. if there is any doubt about cancer, you should remove it as soon as possible. if not,then it can also be removed under local anasthesiaWish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: How to deal with an age old spot that is growing bigger?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had coumadin induced necrosis, they called it fat ncrosis..i so longer have any open wounds,but i am getting lumps in my breasts as well as my arms,hands legs etc and i am frightened they too will open like the others did..what can i do? i haven t found a dr. that knows about this, got any ideas, i m so freaked out by a reoccurance of this nightmare Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have fat necrosis or lipoma or other soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lumps in breasts,arms,hands and legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 13 months after hip pins still feel the tendons or muscles catching on either pin heads or scar tissue always when standing to sitting and the reverse and any movement when lying down rolling over x rays show no abnormal growth being told it will disappear in time is there more to this Doctor: Dear patient reason for pain may be bursitis over the pina or screws. It is quite common. Diagnosis can be confirmed by doing Ultrasound of local part. other less common possibility Is infection. blood tests for Esr and CRP levels will help in diagnosis of infection. Start tab zerodol sp twice a day for pain relief. for infection take tab cefixime 200 mg twice a day for 5 days. If ultrasound report is abnormal consult your operating surgeon."
},
{
"from": "gpt",
"value": "Target: Wha causes discomfort in the hip muscles after hip pinning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, I am 26 yrs old. Have mild PCOS. have concieved before. Due to lack of growth in pregnancy, I had to do D&C. Now again ttc. Doctor gave me duphaston to have from day 24 for 4 days (1-0-1). Is it okay in taking this. Wil it have any side effect in pregnancy? and on stopping the pill after 4 days, will the pregnancy have any issue if I am pregnant? i.e. will the hormone level fall or something? Doctor: Hi, I think you can take duphaston from day 16 itself for 10 days. It helps in supporting the implantation. There are no side effects. You can do a pregnancy test after completing duphaston tablets. If positive you can continue taking it. Discuss with your doctor regarding this. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Will taking Duphaston have any side effects in a pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, There is blood in my urine. Checked the prostate and it was fine, have an ultrasound in a couple of days for kidneys, and bladder . Since I have been told I have blood in my urine, sometimes, I have a burning sensation after urination , what is the percentage that I might have bladder or kidney cancer , knowing that since I was a kid, I suffered from kidney stones? Doctor: hi tom, burning sensation and blood in your urine may be caused by many disease such as kidney stone and infection, postatitis,rhabdomylosis and also kidney cancer.but most of our patients with that symptoms cause by infection and kidney stone. For kidney cancer, statistically about 1.2 % men and woman born today will be diagnosed with kidnye cancer, These statistics are called \"the lifetime risk of developing kidney cancer as you can see at http://cancer.emedtv.com/kidney-cancer/kidney-cancer-statistics-p3.html. so you must be aware but not to be panic. What you should check is beside burning sensation and blood in your urine, is there any other symptom like you may feel back pain, weight lose more than 5%, flank pain, and swelling or enlargement of the abdomen. if you had symptom above or want to do health screening, go to consult with urologist to do MRI, blood and urine test for more accurate diagnosis. hopefully this will answer your question. thank you"
},
{
"from": "gpt",
"value": "Target: Presence of blood in urine, burning sensation. Kidney stones since childhood. Chances of bladder or kidney cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir i m 25 years old n having 5.5inch height n of 64kgs....i m hvn baby of one n half month she is passin stool yellowish curdy watery for 4 to5 times from mornin till nw which she usally dont...even i m havin loose motion is it because of it... Doctor: Hi, i think that your child is normally passing stools, a neonate can pass 5 to 6 stools in a day, this is a normal thing. I think that you should not worry about this. Breastfeed the child well. There is no relation of your diarrhea with child. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for loose stools"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2yr got a tick two weeks ago and I removed it before it started feeding but now has a pimple where it was and today some pus came out with a little blood and now it's dark red what should I do I've read no Lyme disease can be transmitted until the tick it almost or done feeding I'm freaking out Doctor: Hi Please show your child to a child specialist as Sometimes Tick borne diseases are dangerous which will present with fever, rash,joint pains and involve other organs also.YOU should get symptomatic treatment immediately and do not manipulate it further"
},
{
"from": "gpt",
"value": "Target: What causes a pimple in the tick area that excretes puss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife had clomid for 5 days two capsules daily from 3rd day of the cycle and was asked to attend a screening test on 11th day of the cycle- the screening revealed that she has 2 matured follicles of 20 and 21 size in her left ovary and she was injected with fertigyn 5000. we are to have a IUI on 13th day of the cycle. Kindly advice with dos and don ts and also the use of fertigyn in this case? Doctor: Hi Welcome to HealthcareMagic Fertigyn is human chorionic gonadotropin ( HCG). It is given for rupture and maturity of egg. IUI can be done 36 hours after this injection. You can also have sexual contact on the day of injection to increase chances of conception. No special instructions. Follow your routine and take the medicines as instructed by your doctor. Try to be stress free and positive. Take care All the best."
},
{
"from": "gpt",
"value": "Target: Going for IUI. Prescribed clomid, matured follicles present in ovary, injected fertigyn. Precaution to be taken?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I heads CT scan. The doctor said I was showing signs of early emphysema. I m in the process of quitting. Everything I find on the Internet is scary/negative. If I quit now, I was wondering if I could live a normal life. I wasn t sure what the prognosis was since I didn t have to schedule an appointment with the pulmonary doctor. Just looking for Hope or good news I guess. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Chronic smokers are tend to have emphysema. It is actually structural and functional disease of lung. Cigarette smoke causes constant inflammatory reaction and damages lung. So better to quit smoking as soon as possible. You need to quantify the damage in you. For this you need to get done PFT (Pulmonary Function Test). This will diagnose emphysema. It will also tell you about severity of the disease And treatment of emphysema is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So quit smoking as soon as possible, consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What are the symptoms and treatment for emphysema?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On the left side of my gums, towards the back between the two back teeth, I have this bump that has formed. It started probably 5 days ago it hurt to chew on that side but I thought maybe something got stuck there or possibly a cavity. Yesterday I noticed my cheek was starting to swell and it was in pain even when not eating. If I touch the bottom of my jaw it is very sensitive and hurts. It even feels like the left tonsil or lymph node is swollen. My whole neck is sore now and I'm experiencing headaches. Today I noticed a bump starting to form in the back and it is constant pain and it feels like my cheek has grown. I am hoping to get into the dentist tomorrow but I'm not sure what it is and if I should worry about waiting. Doctor: Hello, Thank you for consulting with HCM.According to your symptoms it looks that one of your tooth is infected and the infection is forming an abscess in the apex of the tooth, so it was forming a bump 5 days ago and now the infection is spreading towards the soft tissue that is cheek and even in the jaw.In this condition you should visit your dentist earliest and get the root canal treatment of the tooth done.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes bumps in mouth which leads to swelling of cheek and sore throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I just found out I have general brain atrophy and specific atrophy in the right temporal lobe. I am a diabetic who is non insulin dependent. I am a 35y/o male. 6 0 , 235lbs. I also have hypertension that is controlled well by medication and am an ex-smoker. I have noticed a severe lack of short term memory and am having severe daily headaches. Do you have any ideas on the headaches? My neurologist doesn t think the headaches are because of any atrophy, and the medicine I have at home (aleve/tylenol) don t help. Is there anything you could recommend? Thank you in advance. Doctor: Hi,Thank you for posting your query.I have noted your symptoms and brain scan findings.You have two distinct problems- atrophy (shrinkage of brain) as well as headaches, and they are not related.Headaches could be because of migraine, and it would be useful for you to take preventive medications such as topiramate or divalproex.You need to be further investigated to exclude mild dementia, in view of memory loss and brain atrophy.Memantine and donepezil could help in dementia.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Diabetes, non-insulin dependent, hypertension under control, diagnosed with general brain atrophy, have intense headaches regularly with short term memory loss. Which medicine can I take?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr. I am 25 years old male and I am suffring with rectal pain along with all the day i have diagnose with anal fissuers and also general sergon have don examination under anesthesia and stated post a rectal dialation fter that they advise me g t n 0.2% local application cream for six week.after using this for six week course and despite of surgery i feel pain continiously mainly after defecation .plz kindly guide me i am too much worried about it .can it be convert in cancer? how can it improve ? Doctor: First of al.1 shud know al signs n symptoms.the major cause of annal fisr is constipation.in unani system we call constpn 'ummul amraaz' that means mother of al diseases.so dont wory about cancer.it can be cured by unani herbal medicines.u have to take lots of roughage like spinach,bananas,cabbage,or any veg except brinjal n cauliflower.lots of water.avoide sitting 4 too long.do regular morning n aftemeal walk.use olive oil for cooking.n u can also lubricate anal canal with olive oil. Drugs recommnd 4 u.Take 1.neem seeds,2.kalonji(black seeds) and 3.mustard seeds,all equal in measure.grind it dry in a mixi.take 1 tsp 3 to 4 tms a day. U can apply oint.pilex(Himalaya). In addition take 2 tabs pilex 3 times.!! Let me inform abt the result. my blog helpfromherbs.blogspot.com or follom on twitter @noorinsaba."
},
{
"from": "gpt",
"value": "Target: I am suffering from rectal pain along with all the day. can it be convert in cancer ? how can it improve ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 years old. the NP in my drs office told me a couple of years ago that I had a heart murmur. nothing was done about it. My dr. never noticed even tho I wore a holter monitor one night until the np said something about it. He gave me adipex last thurs. the past couple of days ive been really tired, kind of lightheaded, and a little bit of pain in my chest. when i just walk say to the kitchen at a normal pace my legs hurt kind of like ive been walking on them all day nonstop...I guess they just feel tired. I have been walking a mile a day since last friday..I didnt walk today tho cause I have felt so bad. Could it be from the adipex? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. These can be due to adipex but are you obese. It is prescribed for obesity. You also mentioned you had heart murmur and this drug should be avoided in patients with heart murmur. Better option to have low calorie and low fat diet and regular exercises rather than using a drug.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for heart ailments"
}
]
|
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