conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: I am currently taking 10mgs of strattera per day in addition to 80mgs of fluoxetine in an effort to control my depression. In the past, I have been prescribed cymbalta for cronic pain do to fibromyalgia. I experienced side effects including night sweats so bad I would have to change my pjs in the middle of the night as well as increased thoughts of suicide. I have been taking strattera for 3 weeks now and began with night sweats after only 1 week. I spend nearly everyday thinking about suicide and have cut off most of my communication with family and friends. I am currently taking a number of medications including lyrica (150mgs 3 x/day), vicodin, baclofen, trazadone (100mgs) and topamax (50mgs 3 x/day). I have also recently tried abilify and nuvigil. I have been diagnosed with major depression, anxiety, PTSD, fibromyalgia and sleep apnea. Most recently I have had a hysterectomy and two spinal fusions. My doctor has been very cautious about what he prescribes because of past side affects. Is there a similarity in cymbalta and strattera that I should be aware of? Should I be asking my doctor to try something different and if so can you give me any recommendations? My doctor is on vacation this week and I will be seeing him first thing Monday morning. Doctor: HIThanks for using healthcare magicI think, you are too many drugs. There is no need of stratterain your case. It is atomoxetine and normally used in ADHD. You can continue with cymbalta, lyrica, trazodone, topamax,nuvigil and one sleeping pills. There is no need of abilify. It is a antipsychotic and you have no psychotic symptoms. Better to consult your psychiatrist for medication review.Thanks"
},
{
"from": "gpt",
"value": "Target: How to treat the major depression, anxiety and sleep apnea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...hi myself Anjali yadav my son was burn before 5 month ago now he has a scare on nack and also on left hand docter said that he should wear pressure garment atlast one year with using gel. His age is three years Doctor: Hi...I understand your concern. Usually skin conditions are best diagnosed and treated only o direct visualization. I suggest you upload the image here on this website and i will try to guide you further.You can approach me at the following link. Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What is your opinion about child wearing pressure garment and using gel after getting burnt?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 6 weeks pregnant. Mild intermittent asthmatic. I have a cold for a week. Had coughed up some mucus the first 5 days. Last two days the cough is unproductive and somewhat persistent. i have a 99 fever and am having to use my inhaler every 4 hours round the clock. which is uncharacteristic with a cold. Doctor: Hello, You may be suffering from lower respiratory tract infection. You have to avoid cool drinks and refrigerated water. Use water vapor inhalation and salt water gargling thrice a day for five days. If symptoms don't improve, it is better to consult your physician rather than prescribing medicine online. He will examine how severe it is then treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough, cold and fever during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a sore on the side of my tonque for many months..two doctors have looked one biopised it..not cancer But still there and painful .there is a tooth on that side that I just found out needs to be pulled...how do.I know What else causes it? Doctor: Hello, Thank you for consulting with HCM.There are many causes of sore on the tongue it can be aphthous ulcer or a traumatic ulcer.Apthous ulcer does not occur at the same place , they keep on changing the area and they are recurrent.If the ulcer is situated at the same area on the tongue and even you are mentioning that you have a decayed tooth then it can be a traumatic ulcer only which is caused by it.Better you visit a good dentist and get it extracted.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes sores on either side of tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 24 years old, female from the Philippines. For three weeks now, I have been experiencing diarrhoea, and that is everyday for 3 weeks straight. At least twice a day. And that's always in liquid form. Before that started, I got a high fever due to my Tonsilitis and I took an antibiotic for that as prescribed by my doctor . So back to my current state. Today, I have gone to the bathroom 5 times already. And earlier, I had to be checked into the mall clinic because I felt nauseated and experienced severe abdominal pain . That is the case usually when I enter into a building or room where it is airconditioned/cold. I don't know why I kept on experiencing this but I'm not liking it anymore. I'm worried about my health already. Doctor: get your stool examination and butter fat test done you may require colonoscopy"
},
{
"from": "gpt",
"value": "Target: I felt nauseated and experienced severe abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is John I'm from London I went Africa went too a barber shop too cut my hair within a few days I have this very serious rash on my forehead which has been on my forehead for some time now I've used everything but nuffin abouslty is working don't know wat too Do now can u help me? Doctor: Hi, Rash on forehead could be due to a fungal infection or an allergic reaction. In my opinion, you must visit your Dermatologist as he would examine the rash and come to a final diagnosis. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes rash on forehead after hair cut?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom died from Multiple System Atrophy. She lived in R.I. My neurologist believes that I have msa. I am 58 years old. My symptoms include; nerve damage in both legs, clumsiness, loss of balance, and frequent falls, light headedness due to orthostatic hypotension, bladder control problems, a sudden urge to urinate and difficulty emptying the bladder completely. I have had symptoms for 4 years now and they are getting worse. I also have a leaky Aortic and metro valve. I have had 3 mri’s (head, spine, neck), nerve conduction study, 2 inclusive blood tests, eeg, ekg, heart ultrasound, muscle test, ct scan, chest x-ray. I have lived in Las Vegas for the last 35 years. My neurologist believes that msa is genetic. Everything I read, and many doctors I have talked to, say msa is not genetic. Since it is such a rare disease, could something else be going on here like a similar disease that can be genetic? Doctor: MSA is not genetic. Your symptoms are suggestive of MSA - C, but in view of family history it will be prudent to rule out SCA3 ( Machado Josephdisease).Also rule out paraneoplastic syndrome. SCA genetics is available everywhere ( CAA repaats."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of multiple system atrophy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.my 7 yr ok daughter run in high fever since last 6 days.102f is on mental p and augmentine dds for tonsillitis. Fever still spiking twice a day. TLC:4300,esr:31,vidal-ve,mp--ve,urine Microscopy fine,chest xray shows prominent vascular n hilar markings.wat more can I get done?plz help me.wat is she having? Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Why is my daughter having high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i took my son to the emergency room yesterday and he was diganosed with bronchilits and was sent home with the nebulizer treatment but i feel like it is getting harder for him to breathe he is still active but now u can hear him wheeze and he is coughing alot more should i bring him back to the er we have done 3 breathing treatments or should i just keep doing the breathing treatments and see if it gets better Doctor: Hello.Thank you for asking at HCM.I went through your son's history. I would like to know more details about him like - What is his age? Is this his first episode of wheezing? If this is not his first episode, what is the frequency of his episodes? Does he have any other allergies? Does he have any other symptoms? etc.From your history, I would like to make suggestions for him as follows:1. Were I treating him, I would add montelukast to his treatment as well as levocetirizine/cetirizine if he has nose symptoms also.2. When he has wheezing, nebulizing with salbutamol/levosalbutamol is the best treatment. If he has persistent symptoms during day, I would suggest him frequent nebulization (3-6 times a day, depending upon his severity) till his symptoms improve.So, I would agree that he may require frequent nebulization till recovery.Hope above suggestions will be helpful to you.Wish your son a very quick recovery and the best of the health.Should you have any further query, please feel free to ask at HCM.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Is nebuliser treatment enough for a bronchitis patient ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My five year daughter is sick every 4-5 weeks with the same symptoms. It starts with a cough and a fever and complains of a stomach ache. Her peditrician keeps just saying she s young and its normal. Why is it always the same symptoms? This has been going on for over a year Doctor: mild vague abdominal pain can be there during the sickness period due to multiple factors like inadequate intake ,gastritis and due to infections perse...usually subsides with medications."
},
{
"from": "gpt",
"value": "Target: What causes cough, fever and stomach pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 18. Diagnosed with Ewing Sarcoma in April. 14 weeks of chemo. Right below the knew amputation on 8/24/17. Seven weeks of healing. 4 weeks into the next 22 weeks of chemo. Her ANC has been 0 since last Wednesday. She developed some type of infection in the unsanitary hospital she had been in. Including her amputation site. She as had bloody liquid stools....bright red (yesterday). Today her ANC finally went up to 60. She has thrown up 4 times (anytime she tries to eat. Her stool went from solid to soft, and then 4 bright yellow stools that burn her bottom. All within 2 1/2 hours. She has bowl problems often, but this seems different. No fever, but sweaty to chills. Severe stomach pain. Abdomen hurts to touch the skin. Any advice? Doctor: HiVomiting and defecation are due to the side effects of chemotherapy.Vomiting can be treated by OndansetronIn regard to the dosing of ondansetron at a dose of 16–24 mg orally and 8–12 mg (maximum, 32 mg)Palonosetron at a dose of 0.25 mg i.v. Oral palonosetron is not yet available. Palonosetron has a significantly longer half-life and a higher binding activity than the other 5-HT3RAs.Defecation can be treated by drinking clear liquids. As soon as your diarrhea starts, switch to a diet of clear liquids, such as water, apple juice, clear broth and ice pops. Avoid milk products, as lactose intolerance may be part of your diarrhea. When you have diarrhea, you may need to drink eight to 12 cups of liquid a day.Eat low-fiber foods. As your diarrhea starts to improve, add foods low in fiber to your diet, such as bananas, rice, applesauce and toast.Eat frequent small meals.Eat foods that are high in potassium. Potassium is an important mineral that you can lose through diarrhea. Try eating bananas, potatoes and apricots to boost your potassium levels. If you have kidney problems, consult with your doctor before eating foods that are high in potassium.Avoid foods that can irritate your digestive tract. These include dairy products, spicy foods, alcohol, foods and beverages that contain caffeine, orange or prune juice, and foods high in fiber and fat.Try probiotics. Found in yogurt and dietary supplements, probiotics are beneficial bacteria that may help restore normal digestion. Lactobacillus and bifidobacterium are two examples of probiotics. If you've had a bone marrow transplant, check with your doctor before using probiotics.RegardsDr DE"
},
{
"from": "gpt",
"value": "Target: What causes vomiting and defecation difficulty post chemotherapy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my 22 month old son had a very large non communicating hydrocele and had surgery in March of this year. The Dr. said that he had a very thick hydrocele sack and there was lots of bleeding seeping out. He just had a ultrasound and it looks like his epididymis is now inflamed and thicken. The Dr. says that we will just watch it, but my concern is if it could be due to something else or if something else is going on. Any thoughts? Doctor: Inflammation of epididymis is due to surgery and inflammation will subside without any complications how ever if the scrotal sac is thickened and no pain there is no acute inflammation if there is any swelling of scrotum then it is scrotal abscess and testis may shrink in size and chronic epididymis may occur which in ur case is may be the reason"
},
{
"from": "gpt",
"value": "Target: Suggest complications with epididymis in infants"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am taking Voltaren for arthritis, Allopurinol for gout, and Crestor for high cholesterol. Right now I think I am getting a flareup -gout- in my left toe, quite a bit of pain, have trouble getting to sleep because of the pain. What non prescription pain med could I take right now? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes for acute attack of gout you should take over the counter drugs like acetaminophen or ibuprofen. But ibuprofen or any other NSAID drug like diclofenac if available over the counter can be taken in acute attack and is the drug of choice for that. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Imran Zeb"
},
{
"from": "gpt",
"value": "Target: Suggest an OTC medicine for the treatment of gout on the toe"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor. Im 25. I have been feeling weak and i feel i have no energy to do anything. I had chest pain and i felt i could not fill myself up enough with oxygen. My throat feels blocked the whole time. I did gastroscopy and they diagnosed me with Gerd( acid reflux) cos my stomach doesnt close properly. Im since 2 years on nexium and lansoprazol. Still feeling pain in the chest and i have a bit of breathing problems. I went to specialist, xray and all breathing tests came back normal. I know these symptoms feel like i have anxiety problems or i might sound depressed but i feel past 4-5 months my body changed and something doesnt feel right. My doctor did all blood tests and are all normal except my kolesterol is a bit high . I dont know what to do else. Can you give me an idea of what it might be please? Thank you Doctor: Thanks for your question on HCM. I can understand your situation and problem. Since your all reports are normal, I think your chest pain is mostly related to GERD only. GERD is chronic disease. You need lifestyle modifications along with drugs for complete control of symptoms. So try to follow these steps along with proton pump inhibitor. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in the bed. 6. Quit habits like smoking and alcohol if you have."
},
{
"from": "gpt",
"value": "Target: What is causing the pain in my chest and breathing problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is almost 9 years old she has been complaining of her stomach hurting on and off for a couple of days. Last night she finally started getting sick and it was thick cottage cheese type vomit she didn t have any milk since the morning before. I gave her a anti nausea suppisotory which seemed to help (she is on the autism specturm and is a poor eater to begin with and has a history of getting dehydrated the reason I gave her the meds) but is that vomit normal for a child that doesn t get much dairy first time she ever had this kind thanks for any help Doctor: hi, any type of vomiting is not normal in a 9 year old child. Since there is a history of pain abdomen also, there are chances of stomach infection. Child needs to be given antibiotic for stomach infection. an examination by doctor should also be done so that we may not miss any important finding. Take care."
},
{
"from": "gpt",
"value": "Target: Is thick cottage cheese type vomit normal for child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor, im suffering with chicken pox scars all over my face, body & palms also. now one & half month has passed. doctor gave me vitamin E tablets to take. but it doesn t show better results. im very afraid of applying any cream. so can you please recommend me any effective food or beverage to dissapear these marks very fastly? thanks alot. Doctor: hello and welcome to HCM forum dilusreni, I am glad you wrote in , first of all, i would like to inform you that chicken pox scars usually fade away on its own, but only the ones which get infected leave a scars but ,as you mentioned your scars are atleast 45 days old , therefore i will recommend you a few home remedies for you to follow, vitamin K & E are very important for maintaining a smooth skin texture and lightening scars, 1.Consume more of vit.K rich foods(dairy products, cabbage,broccoli, tomato,spinach,etc.), 2.Apply Vit.E oil over the scars (twice/day), 3. drink atleast 10 glasses of water daily, 4. Honey + lemon application will lighten the scars, 5. coconut oil/ sandalwood oil or even lavander oil application will help. these are a few measures for you to follow, i hope i answered your query, i wish you good health, take care."
},
{
"from": "gpt",
"value": "Target: Chicken pox scars on face, body. Taking Vitamin E tablets. Diet recommendations to cure marks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 72, 170 pd. Tremors are at times over the whole body, but are most bothersome when they effect my hands, and therefore my typing – even though my keyboard has a device to help steady my hands. Tremors have been with me since my stroke in September 1990. Since 93 they have been treated by Neurontin. which seemed to ease matters a bit. They seem worse of late. This may be because the medication is less effective after all these years. Also since moving to this group home – after a major operation (which left me minus some cancer, and plus a colostomy bag) and three months-plus recovery, I ve been fed here rather than feeding myself, as I ve been doing for years. That lack of activity (though seemingly slight) may heighten my tremor sensitivity. Anyway I wish that they were less bothersome. Any recommendations? Pete Donhowe Doctor: Hi, The commonest cause of tremors are essential tremors, which seem to be the cause in you. Propranolol is the drug of choice, to be taken in mornings. The usual starting dose is 40 mg once daily. For patients who do not improve, deep brain stimulation (DBS) can help a lot. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist"
},
{
"from": "gpt",
"value": "Target: What causes tremors in the hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have severe inflamation and pain with my polymyalgia rheumatica and have been doing methatrexate injections. The injections have been making me feel worse. My internist is sending me to see Dr. Kelsall for more help. Do you think I should quit the methatrexate? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If methotrexate is ineffective, you can try analgesics like Gabapentin which shows good results with patients with polymyalgia. You can also try drugs like Tramadol which shows promising results in similar patients. If symptoms persist, you can consult a rheumatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe inflammation and pain due to polymyalgia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hallo dr kumaresh - Gd evening I am basically a sinus prone person who is very much less immune to dust allergy and many other pollutants. I hd consulted a local ENT who has given me Glemont-F to take for 1 month and asked me to go in for a review. Now my problem is in the course of time....I am exposed to various life scenarios where we are directly or indirectly having interface with allergic/dusty environments as result we fall prey to throat ache, congestion and finally sneesing n influenza and again a bunch of antibioitics...further medication till its subsided to normal. What is a permanent solution for this Sir ....to have a focused life style to fight allergy and make life comfortable... Doctor: YOU HAE CHRONIC SINUSES ALLERGYCHANGE STYLE OD LIFE2 GLASSES OF WARM WATER IN MORNING EMPTY STOMACH AND VEFIRE SLEEPNON OILY GRSY NON FAT AND NON SPICY FOODCOMPLETELY WITHDRAW MILK AND DIARY PROTEINS FROM DIET AS THEY ARE ANIMAL PROTEINSTAKE ANTIALLERGIC EBASTINE 10 MG NIGHT MAY BE DAILY LONG YIME NO SIDE EFFECTSAPPLY NEOMYCIN H OINTMENT IN NOSE BDSEA WATER DROPS NIGHT EACH NOSE 2 DROPS WILL ACT PREVENTORS OFSINUSESNO USE OF PCM BRUFEN DIET SUPPLIMENTS VITAMINS AND CALCIU IRON AND MULTIVITAMINS"
},
{
"from": "gpt",
"value": "Target: Have dust allergy, sinusitis, throat pain. Glemont F prescribed. Had taken antibiotics for influenza. Permanent cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: FINDINGS OF MY LEFT LEG MRI REPORT ARE; EVIDENCE OF STIR HYPERSENSITIVITY SEEN INVOLVING THE POSTERIOR HORN OF MEDIAL MENISCUS. MODERATE JOINT EFFUSION IS SEEN WITH EXTENTION ITO SUPRA -PETELLAR RECESS,PARA-CODYLAR,INTERCODYLAR REGIONS AND TIBIO-FEMORAL JOINT SPACE. THERE IS EVIDENCE OF MILD PATCHY STIR HYPERSENSITIVITY SEEN INVOLVING THE LATERAL FEMORAL CONDYLE -LIKELY MILD MARROW EDEMA/CONTUSION. THERE IS EVEDINCE OF MILD FLUID SEEN INNSUPERFICIAL TO THE MEDIAL COLLATERAL LIAMENT-LIKELY GRADE 1 SPRAIN. SUBTLE PATCHY STIR HYPERSENSITIVITY SEEN INVOLVING THE SUBARTICULAR ASPECT PATELLA-LIKELY GRADE 1 CHONDROMALACIC CHANGES. IMPRESSION 1.GRADE 2 HORIZONTAL TEAR POSTERIOR HORN OF MEDIAL MENISCSU. 2.MODERATE JOINT EFFUSION. GRADE1 CHONDROMALACIC CHANGES INVOLVING PATELLA. Doctor: hiCareful history of onset and reason has to be evaluated,whether any trauma or sudden jerk during movement occurred or is there no history of precceeding trauma.Is effusion gradual ad swelling increasing?All this to differentiate tear of posterior horn or synovitis due to insiduous onset of arthritis aaaaaaaaa/rheumatoid?you must meet an orthopedic doctor to evaluate these points co-relating history,clinical findings and MRI.Additional information about collateral ligament if trauma occurred and to rule out bursitis in and around knee.Treatment usually is knee support in brace,rest,aspiration cytology and therapeutic draining, and repair of horn,if necessary, by arthroscopic tecknique.Pain medicines,anti-inflammatory meds and local infilteration with steroid,if necessary, after complete evaluation.thanks"
},
{
"from": "gpt",
"value": "Target: What does Stir hypersensitivity involving posterior horn of medical meniscus of left leg suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. good day!!! I would like to ask what will be the prognosis of having a Intrapancreatic pseudo cyst .this is the empression after having MRI. and because of my history of having epigastric pain and because of that there will be a possibility that is pancreatitis . there is a recommendation to do ERCP for further investigation. but untill now i did not do it yet. doctor this is the finding of MRI Pancreas: it was done last feb 2009 .The study was tailored for the evaluation of pancreas.The common bile duct appears to be unremarkable. The distal end of common bile duct is not clearly seen and it seems that the pancreatic duct and the common bile duct are U type and opening separately in different ampulla. In the middle of the pancreatic duct . there is evedince of a cyst noted which is 11 x 12mm in size and the cyst shown connection with the pancreatic duct (arrow). The tail of the pancreas appears to be little bulky with 16 mm in anterior diameter againts 11.7mm at the region of the body and 20mm at the region of the head however, no evidence of any abnormal areas of enhancement noted. The signal intensity doesn t show any significant difference. No evidence of any peripancreatic collections noted. The gallbladder appears to be unremarkable.No other significant identified.so is this alarming doctoc? actually I am 49 years old female single parent with 2 kids known case of hypothyroidism ontreatment 75 mcgwith hypertension with maintenance of approvel 75 mg. so pls i need ur second openion about my case...to feel me better and at ease..thank you and looking forward to hear from you soon... Vivian Sabucdalao E-mail add YYYY@YYYY Doctor: Hi Vivian Sabucdalao, Good day! The MRI findings are very clear. You have a cyst casing obstruction of he pancreatic duct causing he secondary changes. This causes pain in the upper abdomen. ERCP helps to delineate the exact course and cause so it is advisable to undergo one. This can help to put in stent if the Doctor feels is as a must. Thanks God for the biliary system is unaffected."
},
{
"from": "gpt",
"value": "Target: Have intrapancreatic cyst. History of epigastric pain. Is this alarming?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank you. I have surgery scheduled for removal of a tumor in my brain. my doctor says 90% chance it is Not malignant. Called it a menginoma and says it is about 2 inches in size. I'm 66 years old and have pretty good health but have been sedatary for a few years. Do you think my chances of survivial are good? From what I read, this surgery is ok for younger people but more risky for those older. Doctor: HIThank for asking to HCMI can understand your worry, I would say that if you do not have any symptoms then why to think about the surgery medical management equally gives the same results and not bad if go for it, surgery have some risk and in my opinion it should be matter of concern, take care and have nice life."
},
{
"from": "gpt",
"value": "Target: What are the chances of survival from a meningioma removal surgery ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 25 and generally quite healthy except for having very bad skin. For approximately the past two years I have a constant dull ache in my lower left abdomen. If I press on my side I can feel a hard bump about 3 inches long with is very sensitive but it does momentarily relieve the pain. It makes having sex very uncomfortable and painful and it also affects me constantly as it gets worse the more active I am. I have had a scan for ovarian cysts, a kidney x ray, an std test and been given a course of HRT (which I didnt believe I needed) None of the above showed anything wrong and I still have the paid. Would you have any advice what this is or what I should do? Doctor: hi , what is your weight? somtimes flatulance may cause the pains if all your report shows nothing.Clear your bowel with castor oil 1 tsf with warm water at bed time.Avoid oily, spicy, junk food.Eat fruits vegetables."
},
{
"from": "gpt",
"value": "Target: Constant pain in lower left abdomen, what I should do ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, was wondering what the odds are that i got my girlfriend pregnant. I masturbated at home and cleaned with tissue, about three hours later my gf arrived and we had penetrative sex without a condom at the beginning then i put one on. any help is greatly appreciated thanks, Doctor: Hello sir and thank you for posting your query here.... I will definitely help you out.. Welcome to HCM.. I being a surgeon, we encounter so many such cases such cases day in and day out.. I read your question completely and have understood it well.. I will analyze all your points.. And provide the possible explanations.. 1. Masturbated 3 hours before sex will definitely reduce the chance of pregnancy but does not rule it out. Yes, post ejaculation it is advised that it takes about 24 hours for normal sperm concentration in semen. So there are definitely, less chances of pregnancy.. 2. You say, you had sex without condom initially and then you put on one.. Well, again, the main question is did you ejaculate inside of the vagina or no, becomes important. Two scenarios arise here.. A. In case you haven't ejaculated, then I can say with certainty that there's no chance of pregnancy. B. In case you are sure that you ejaculated inside of vagina then, there is a reduction in chance of pregnancy taking into consideration the 3 hour before masturbation. 3. We have to wait.. And hope that she's not pregnant.. And you didn't have post coital tablets, so chances are there.. Hope this helps you, in case you need any further assistance, please let me know.. Take care and God bless.."
},
{
"from": "gpt",
"value": "Target: Can pregnancy happen after having unprotected sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having constipation problems. is there a specific medicine recommended for the same. Doctor: Hi.. there are few laxatives available over the counter which can treat constipation... However the use of such laxatives are not recommended for a longer period of time.. You need modification in dietary patern... consume plenty of water with increased fibres in your diet.. Consuming a banana after dinner also help.. Try these for long time benefits than commercial products..."
},
{
"from": "gpt",
"value": "Target: I have been having constipation problems"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife has persistant lower back and buttock pain and pain left lower abdomenShe had MRI on lower back and hips which was clear except for bursitis in right hip for which she had an ultrasound guided injection The pain is still present.Could she have ovarian cancer.She is 64 Doctor: Back pain is most probably due to back muscle weakness. If MRI is normal that means there is no nerve compression . I would suggest you to start her on calcium and vitamin B 12 therapy. She should also take muscle relaxant, and apply diclofenec ointment. Also warm water on back during shower will also help."
},
{
"from": "gpt",
"value": "Target: What is the cause of pain in back,buttock and abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I am 25 year old lady, from 3years I don t get proper motion in the morning, I also drink lots of water in the morning after waking up. I have to go 2-3 times in a day for complete removal of motion, in morning , in afternoon and in evening. I have also habit of Bed tea from...and I will eat fruits. Please do advice a proper solution, if there any Ayurveda medicine or allopath?waiting your reply.i I have smell from my mouth.,is related to my non proper motion? thanks Doctor: Hi, thanks for using healthcare magicConstipation is defined as straining on using the bathroom, hard stool or going less than 3 times a week.It is related to different causes such as : the use of some medications, excessive use of laxatives, low fiber diet, using excess dairy, stress, neurological conditions affecting the bowel, low levels of thyroid hormone, irritable bowel syndrome.Treatment would involve : (1)the continued use of fluids as you are presently doing,(2) you can consider using fruit such as prunes along with your other fruits. Make sure that you use at least 5 servings of fruits and vegetables a day(3) use other high fiber products such as barley, oats, whole grain, flax seeds, bran cerealIf your problem continues then you may need to visit your doctor to make sure there are no specific causes for your bowel issues.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Not getting proper motion in morning, drink lots of water. Is there any Ayurveda medicine or allopath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been sick for about 9months, im a 16 year old girl who was healthy until the day i donated blood...my symptoms consist of :very extreme tired, weak, dizzy, pale, or short of breath,Easy bleeding or bruising, fever, very bad joint and bone pain, bad lower back and neck, dazing out, throwing up, trouble breathing, headache, my eyes and head get very heavy ad pressured where it hurts to open them, and the doctors i went to said my red blood count is low. do you think it could be leukemia ? Doctor: Hi, dearI have gone through your question. I can understand your concern. Low red blood cell count means anemia. Its not leukemia. Your symptoms are of some viral infection and anemia. No need to worry about leukemia. Consult your doctor and take treatment of your anemia. 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 causes extreme body muscle pain and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have noticed a purple, bruise looking, perfect ring shape circle with a slightly raised white center (no pimple or pus or infection noted) on my back right arm, and three smaller circles on my left mid-back. It does not itch nor does it look like a rash no redness.I can find no fang marks such as a spider bite would leave. what could this be? Doctor: Hi, It could be either ecchymosis or erythema multiforme. I would recommend you to consult a doctor and get it evaluated. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest medication for purple bruise like rash o arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 32 years old and for the last two years I have had strange random heart palpatations. I have had multiple EKGs, stress tests, blood tests etc. Other than a few low results from iron and vitamins B and D everything has been normal. I am over weight and have diabetes, however my diabetes is extremely well controlled (my a1c is 5.3) and my cholesterol and blood pressure is good and my triglycerides are great. Because they couldn't find anything they said it must be anxiety, even though the episodes only last mere seconds and I am fine until the next time it happens which could be hours, days, or weeks away. Lately I have had a new \"sensation\" of what feels like vibrating actually in the upper section of my left breast but with no pain. last night it was so intense it actually scared me. My doctor already thinks I am a hypochondriac and each time I go in with these syptoms I am told it is just anxiety...so do I ignore it or not? Doctor: thanks for asking your queryprobably you may be suffering from anxiety if ecg and echo and all stress tests are normal .next test you can consult a cardiologist regarding 24 hrs holter ecg.you can try an antianxiety medication like fluoxitine or others after disscussing with a physician or a psychiatrist hope your problem will be resolvedthanksmay God bless you with good health"
},
{
"from": "gpt",
"value": "Target: Are rapid heartbeats for a few seconds normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Three weeks ago I began experiencing severe pain in my lower back. Since starting it seemed to happen 4-5 days per week. It usually occurs in the morning but does occur other times of day. The pain is severe and difficult to move at its worst. The pain makes me wence and nauseated. The pain is relieved with a bowl movement that can vary from constipation to liquid. Heat helps some. Help? Doctor: Hello. I have been though your question and understand your concern.Back pain is a common symptom. It is reported than one out of four people experience back pain in their lifetime. It is not associated with bowel movement generally. If the pain persist, you should have at least a CT scan of the lumbosacral spine, just to rule out any spinal problem, which is the most significant concern in back pain.Hope this helps, please feel free for further questions."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 53 year old woman and had gall bladder removal in 1998. For about 8 years now I have suffered from right abdominal pain. First diagnosed with cyclic vomiting syndrome then right rectus sheath strain. The pain is horrible and puts me in bed. Have seen 5 gastros and a nuerologist. No one seems to be able to help me and now have been told I just need to go to a pain clinic. I can t imagine living with this for the rest of my life. If it is indeed the rectus sheath, what can I do to minimize the pain if anything at all other than hot showers and heating pad? So need someones help. I have not been able to work for 2 years now. Doctor: Thanks for keeping trust with us. ..I m very sorry about your disease ...but if it is rectus sheath causing trouble just relax ..take a tab dicyclomin in combination with mefenamic acid sos....Once acute phase subsides go for rectus strengthing exercise. ..."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to relieve pain due to rectus sheath strain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 54 years old female with a history of back pain.microdiscectomy december 2008 L5 area which was a success. in the last 2 weeks have had severe back pain down rhs leg and buttock, unable to stand sit or walk, chiroprctor states its a flare up, I cant afford to be off work as dont get paid or the chiroprctor fees, on full pain relief and cold compresses but no relief-have gp appt on friday for unrelated medical problem should I see gp sooner as have type 2 diabetes and right foot numb? Doctor: Dear patient Severe pain in whole leg with numbness in foot indicates significant disc prolapse either at same level (L5 ) or higher level. So its a serious conditions and you need to consult expert spine surgeon asap. MRI of lumbosacral spine with screening of whole spine is required to ascertain level of disc prolapse and amount of nerve compression. Please do that and visit spine surgeon asap and do not neglect your health."
},
{
"from": "gpt",
"value": "Target: What causes severe back pain ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend began having stomach problems in 2007. The first time I took him to the emergency room they said it was a virus little did we know that 3 years later and countless visits to the ER would we still be getting the same diagnosis. He has had an endoscopy, XRays, CAT scans, blood tests all showing nothing yet every few weeks he gets sick to the point that he has to go to the ER for IV and whatever prescriptions they give. He is now on a diet of pretty much clear liquid stuff because he is afraid of his stomach acting up again, but that doesn't help anyway he will still get sick. What else could this be? I've told him to have them look at his gall bladder, but no one (ER nor his PCM) does anything Doctor: Hi there,It's possible his symptoms could be due to his gallbladder, especially if he has pain after eating. Sometimes CT scan doesn't pick up on stones in the gallbladder. I'd recommend he have an ultrasound to look at his gallbladder, which is a quick and non-invasive test. Other rare causes of abdominal pain and how to diagnose them - median arcuate ligament syndrome - this is when the median arcuate ligament (one of the ligaments that holds the diaphragm in place) compresses the celiac artery and this causes pain after eating due to the lack of blood flow from compression. MRI is the most accurate way to diagnose this.Hiatal hernia is usually seen on endoscopy, but not always. This is when the lower esophageal sphincter is in the wrong position, and causes food to reflux from the stomach to the esophagus. Usually people will complain of heartburn, but this sometimes can cause pain as well. I'd recommend he start taking an acid reducing medication like prilosec (can be bought over the counter) and see if this helps. A good test to start looking for this is called an upper GI, which is a test where the patient drinks some contrast and a series of X-rays are taken.I would recommend he stop going to the ER and save it for a true emergency. ER doctors are good at dealing with real emergencies, but not very good at dealing with specific problems such as these. Tt sounds like he's been having these problems for a very long time, and I'd recommend he start by seeing an experience gastroenterologist.I hope I have answered your questions. Please feel free to contact me should you have any further questions."
},
{
"from": "gpt",
"value": "Target: Has prolonged stomach problems anything to do with gall bladder function?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: So...my fiancee and I had sex. She had just started taking birth control on the fifth day of her period a week before. So technically by the time we had sex she has taken tri spintec 8 times. Even with me ejaculating inside of her, is it likely she s pregnant? Doctor: Hello dearUnderstand your concernIf you are on regular dose of birth control pill then chance of pregnancy is less as birth control pill is highly effective in preventing pregnancy. Failure rate is only 0.5-1 %. If you are no birth control pill then no matter ejaculation was inside or outside the vagina.But take the remaining pill in the pack on same time regularly to maintain contraception effect of birth control pill.Hope this may help youBest regardsDr. Sagar"
},
{
"from": "gpt",
"value": "Target: Would unprotected intercourse result in a pregnancy despite being on birth control?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is: is any possibility this could be cancer related? thank you Doctor: Hello david.lee,, high feritin level- seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyyria or chronic disease process, alcoholic liver disease , adult onset still's disease, hemophagocytic lymphohistiocytosis, hemolytic anaemia,sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver- increase risk of diabetes, hypertension,obesity, dyslipedemia, with reduce echogeniccity- may be seen in so many disease, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metastic carcinoma of liver diffuse foci present in liver from breast cancer, colorectal cancer, advice- CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest,or cancer investigation-D-dimer test,CTpulmonary angiography, your history is not proper,you wants to rule out which cancer, can you mention, hope my advice is useful yo you, thank you."
},
{
"from": "gpt",
"value": "Target: Low ferritin level, high meat intake, overweight, bad life style. Liver ultrasound shows fatty infiltration. All other tests normal. Any possibility of cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father has stage 4 liver cancer. He had done the TACE chemo ONCE but is not doing well especially when the cancer growth is progressive. Right now doctors are just giving him pain management because theres not much they can suggest. Is there anymore hope? Doctor: Hi,Thanks for writing in.TACE is transarterial chemoembolization and a method used to treat liver tumors from a closer distance. In TACE, a single or more than one cancer medicines are given into the hepatic artery and this causes the drug to be delivered with precision. However it is unfortunate that your father has a tumor which did not respond to treatment.There is a new procedure called SIRT(Selective internal radiation therapy) that can be given to patients who do not respond to TACE as a second line of treatment. This is not available in every hospital and you can discuss with his doctor if this treatment is made available to patients in your place.Please note that stage 4 cancer might have an expected survival of up to two years with recommended treatment and good supportive care. Hope your father responds to treatment. Please do not worry."
},
{
"from": "gpt",
"value": "Target: How to treat painful progressive cancer growth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an upper wisdom tooth pulled last week everything is healing but I have a hard swollen spot on the side of my cheek where he gave me the shot,I went back to him yesterday and he said not to worry time will heal just keep massaging it and use heat is that correct as its been one week since the tooth was pulled,I am on blood thinners and talked to cardiologist and he said that because of that it will take longer to heal Doctor: welcome to HCMits my pleasure to help youyou dentist is right with time every thing will be normal . extraction wound takes 3-4 weeks to heal. a hard swollen spot that you say is may be due to you had cheek bite. it will be relieved with time. you just follow your dentist... i will be happy to receive your follow up regards"
},
{
"from": "gpt",
"value": "Target: Hard swollen spot on cheek where shot given while upper wisdom tooth pulled. On blood thinners. How long to heal ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have to go for iui whats the sucess rate for the first time and is there any complication in that Doctor: Intrauterine insemination success rates vary considerably and depend on: age of the woman,type of ovarian stimulation used (if any),duration of infertility ,cause of infertility,number and quality of motile sperm. Intrauterine insemination has very little chance of working in women over 40 years old. IUI has also been shown to have a reduced success rate in younger women with a significantly elevated day 3 FSH level, or other indications of significantly reduced ovarian reserve. With significant male factor issues, IVF with ICSI is indicated and has high success rates for women under age 40. The risk for complications with intrauterine insemination is very low. The woman could develop an infection in the uterus and tubes from bacterial contamination that originated either in the semen sample, or through a contamination of the sterile catheter in the vagina or cervical area during the procedure. Careful cleaning of the cervix and cautious technique make this a rarity."
},
{
"from": "gpt",
"value": "Target: whats the sucess rate for the first time of IUI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Experiencing arrhythmia where heart beats very rapidly and carotid throb and get very sore. Have to lie down and then treat like hyperventilating to get it to \"skip\" a beat to get back into synch. Was diagnosed with mitral valve prolapse when 16. Is there, or should I be on, medication? Doctor: Brief:This would need proper checkup and diagnosis.Detailed:Hello,Thanks for Writing to Health Care Magic and putting trust in us regarding your Health related query.I am Dr. Saleha and I have read your message in detail, I understand your concern and will try to help you in this.I am sorry to know about the symptoms you are having, increased heart rate and throbbing is very non specific symptom, it is not necessary that you are having any actual arrhythmia or Cardiac problem it might just be anxious tachycardia or may have any other reason.So to rule in or rule out any cardiac involvement this will need a proper checkup and few tests like ECG , Holters(if needed) etc. I would suggest you to visit your doctor and discuss problem with him.Your problem will involve checking of your B.p, Pulse rate, Pulse rhythm (regular or irregular?) and ECG, if all these things are normal then you might be asked to take a simple inderal or any other rate control tablet to control heart rate when it gets rapid.If they find an arrhythmia then the treatment depends upon arrhymia type and severity.I would suggest you not to panic and visit your doctor as soon as possible to get a check-up investigations and proper diagnosis to see why is this problem cause.It seems to be quite a simple case though.I hope this answers your question.If you have more questions, I am happy to answer.Wish you lasting health.Regards.Dr.Saleha Saeed."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for arrhythmia and rapid heart rate"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi im Andy. I have had a reacurrance of the pain in my chest over the past week or so. I would like to know if it could possibly be Angina. I thought it might be Dyspepsia as I have pretty bad acid reflux, but i get it even if i havent eaten or drunk anything. I also have a numbness under my heart and pain accross from that. Doctor: Hi, thank you for asking Healthcare magic.With this presentation, I think it is a case of peptic ulcer disease. The pain results from irritation of the stomach walls by acid secretions. I would suggest you try an antacid and some other drug like cimetidine, ranitidine or omeprazole for at least two weeks.I hope that helps.I wish you well"
},
{
"from": "gpt",
"value": "Target: Can pain in chest be the reason for angina?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter in Law is Sterile. Wanted to have a baby & had an In vitro Fertilization with my son sperm & got Pregnant. Dr. gave her Injectable Hormones all throughout her pregnancy. I need to know the side effects of that Treatment because she has become Irritable & Materially Obsess to the Point that her marriage is now destroyed ! Baby is only 3 Months Old. She refuses to admit that her behavior is improper & that she needs help. Doctor: Those injections definitely have side effects but they can NEVER lead to irritability and behavior problems. These are likely to be related to some psychiatric problems."
},
{
"from": "gpt",
"value": "Target: What are the side effects of In vitro fertilization process?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have pain at the base of my tongue where it attaches to the front of the lower jaw. the soft tissue there. as if i had stuck my tongue out too far. which i didn't do. it just started out as a simple soreness to now it bothers me all the time. it's been several days now. i thought it might be a canker sore but i don't see it. Doctor: Thanks fro writing to Health Care Magic...!I would firstly recommend to perform a radio graph (IOPA / OPG) to understand the underlying pathology. Instead of providing you with various simple to complicated reasons and confusing you more."
},
{
"from": "gpt",
"value": "Target: What could be the reason for having pain at the base of my tongue where it attaches to the front of lower jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My niece has a lump on her left side below her rib cage. She is 10 months old. She s been having fever on and off for the past week. My brother was told to get her an ultrasound, MRI or CT scan. What would be the possible causes for the lump? Isn t MRI and CT scan too risky for babies? Doctor: Hi,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns.I would suggest you to consult a ER Pediatrician or Pediatric-Surgeon or ER Pediatric Oncologist if need be ,before doing CT scan(avoiding unwanted radiation exposure) or MRI-as the baby is very small for her age and may need sedation which would risk her body.So on mere brother's non-medical advise you should avoid CT/MRI scans for a painful lump with 1 weeks fever off and on.As there are many causes of a painful lump under the left rib cage,without the first hand information I would not be able to advise you for your baby niece.I would advise therefore to consult a Er Pediatrician before doing this test,who would rule out the other causes as Lymphoma/or other neonatal tumors besides infective skin/subcutaneous lumps with fever and would treat it accordingly with-Sponging for the control of fever if need be, Antipyretic drops / antibiotic drop and needful medicines as need be.Remedy-So till the time you consult ER Pediatrician and get his definitive opinion ,DON'T WORRY AT ALL about it being tumor,but you need to be worried as it would complicate into other problem associated with it.And act fast on the above suggestions,which helps you to plan treatment with your ER Surgeon. Hope this would resolve your query with full satisfaction.Welcome for any further query in this regard to ME by direct question at HCM.Write excellent review and hit thanks, to narrate your experience ,which would improve my rating for many other visitor's to HCM.Wishing you fast recovery.Have a good day.Dr.Savaskar M.N.Senior Surgical Consultant.M.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a painful lump on the left side of the ribcage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doc, My baby is 2.5 months old. he has gas problem from the day he was born. He always streches ,make noise and sometimes cry while passing stool. Now from 5 days he is passing green stool. And sometimes little bit of watery stool while passing gas. Paedratian has prescribed ' Walmycin' drops. but i ahve heard that infants should not be given antibiotics. I am highly confused. Please Help. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Antibiotics are safe for infants. However, I am not convinced that they are needed here. Green stool does not mean there is an infection. If your doctor suspects bacterial infection, a stool sample should be sent to the lab for analysis. Otherwise, I do not recommend taking an antibiotic. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What can cause green colored stool in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is studying in sighagad Institute of technology Lonawada. He is having always breath problem, throat infected, cold & subsequently cough. From last 6 years he has been treated many times by aliopathic treatment for tonsils. More than 6th month he has taken treatment for homeopathy for tonsils. One of the homeopathy doctor said his nose bone has just started growing. He is very fed up & can not conern treat in his Engineering study.We got your adress & want your advice whether there is any quick relief Ayurvedic treatment available for this type of problem. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, your son is mostly having allergic rhinitis and asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose asthma but it will also tell you about severity of the disease and treatment is based on severity only. He will definitely improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Intranasal spray containing steroid (fluticasone) should also started in his case. Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) is also beneficial. Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the treatment of breathing problem and throat infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am 37 weeks now.This week i had a USG scan.Everything about the fetal is very normal and my health conditions also normal in the report.It is mentioned \"Cord loops are seen in the vicinity of the fetal neck\".I was shocked after seeing this.My doctor din put much stress on this.She is saying that \"we can handle this\".This is my first delivery and i don have much knowledge about this.Many of them are saying the cord will get loosened by the time of delivery. I am not happy with a C-section.What should i do for normal delivery???I will be more thankful to u if u advise me on this. Doctor: HI, I understand your concern. Cord loops near neck suggest possibility of cord loop around neck at time of delivery & this condition needs a careful vigilance & decision of LSCS in case of problem of tightening the loop around fetal head.Actually you can not do anything for normal delivery in such case.. every thing depends on the situation. - In case the loop does not surround head.. normal delivery is possible. - If the loop surrounding the cord is loose.. normal delivery can be still possible with care during delivery of fetal head. - but if the loop is tightly fitting around neck while head is high in pelvis, doctor will advise fir LSCS( to help safe delivery/ avoid risk to the baby ). Please make it a point to agree with your doctor & co operate, for it's ultimately for your & your baby's betterment. Thanks."
},
{
"from": "gpt",
"value": "Target: What does \"cord loops are seen in vicinity of fetal neck\" indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: montsh. Started with hp infection, then night sweating, and chills. Now warm and joints pain. I did...montsh. Started with hp infection, then night sweating, and chills. Now warm and joints pain. I did...montsh. Started with hp infection, then night sweating, and chills. Now warm and joints pain. I did... Doctor: Hello, The joint pains that you are having are suggestive of polyarthritis. This can be post-infection arthritis also. Proper anti-inflammatory medicines and regular exercise can help in reducing these pains. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Why am i having joint pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi!my daughter is 5 yrs and 7 mnths old,she has been suffering from acute cough and cold since past 3 weeks,she coughs a lot at night but during daytime coughing is not as much.she has cold too,running nose through the day and blocked nose at night so she is unable to breath n sleep,her medication was asthalinsyrup 2.5 ml every 6 hrs,taxim-o syrup 50 mg5-10 ml twice daily fr 5 days.romilast tab 5 mg one once daily for 3 mnths.then again we took her after9 days and the dr. changed the medication,it was mucolide for 3 timed a day and citrazine syrup twice daily fr a week.now he has prescribed budecort,livolin and omnacortil,xylomist-pfr a weekfor allergic bronchitis,what should i do,budecort has a long list of sideeffects,is it safe to giv her? Doctor: Hi....by what you quote I feel that your kid might be having a hyper reactive airways disease or wheezing. Budecort is the apt medicine as this has been going on for the past 3 weeks. Don't get scared seeing the side effect alone. In medicine its always risk benefit ratio. Your dr would have prescribed it after assessing properly. I suggest you go ahead with Budecort inhaler.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Are the below suggested medicines cause side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i was eating some porridge n i put it down n my little boy put his hands in it. i didnt notice anythin in his hands but when i took another spoonful i swallowed a nail' it is about 1 inch long cos he had the other one in his hand. it felt sharp goin down but thats all; it was about 5 hours ago now what should i do Doctor: HelloThank You for contacting HCM.Main problem occurs during swallowing. It may get obstruct all the way to stomach or cause erosion. As nothing such occurred so you should not worry. It will itself be excreted via feces but if you feel severe pain in abdomen or feel any unusual symptom then do report to hospitalHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: How can a swallowed nail be removed safely?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have balck spots around my mouth i have used natural treatmets like using lemon juice,honey all it's showing good result but the problem when i stop using agn it will become black i fed up to use all these things can u give permant natural solution to my problem Doctor: HIThank for asking to HCMThe steroid containing cream can be used and the best cream would be \"Beclomethasone\" apply this three times in day, the black spots will come around take care have nice day."
},
{
"from": "gpt",
"value": "Target: What are the natural remedies for black spots around mouth besides lemon juice and honey?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor.Am married man.Every time i will taken semon test.In this test live 68%,dead 25% and motility only 10 or 15 %.Why the motility is not increase?Any tablet or any fruits for improve motility?Pls give me solution for me.How to improve my motility?My wife told vegetables are only improve motility.I like some vegetables.So,what i will do?pls give me solution?regards,navanee....... Doctor: Hello, Exercise and a balanced diet with adequate sleep will improve this. Wearing loose underwear and avoiding hot tubs and showers may also help. There are multiple studies showing the intake of antioxidants like vitamin c and vitamin e and zinc may improve sperm quality. You may also need a scrotal ultrasound with Doppler to rule out varicocele. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manuel C See IV, Urologist"
},
{
"from": "gpt",
"value": "Target: Suggest methods to improve sperm count levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: So I fell of a four wheeler yesturday and hit my head pretty hard and blacked out for a second. Now part of my jaw under my ear is a little swollen and hurts when touched. Also my neck is really sore when I turn my head. What can I take to ease the pain or should I just rest? Doctor: Hello, I hope I can answer your question.I'm sorry to hear about your accident as it sounds like you hit yourself pretty hard.A few things that you tell me concern me.1. You blacked out. Any \"blacking out\" means that you have minor brain damage and in the very least a concussion.2. Your neck pain. Falling can hurt you neck and even though you may not feel pain now, your neck may be in spasm and you may have an underlying injury.3. Your jaw pain under your ear. This may represent anything from a bone bruise, to a cracked jaw to a skull fractue.As such, you probably should be evaluated to determine the extent of your injury.I hope this helps."
},
{
"from": "gpt",
"value": "Target: Suggest medication for sore neck and jaw pain after an accident"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.. I got aborted(6 weeks pregnancy) in oct. Since pregnancy i am getting small pimples on my forhead and still now its not cleared. I had taken medicine as per dermatologist as well but no improvement. I have started taking femilon from last month as per the doc but its increasing now. Please let me know if birthcontrol pill will increase acne on forehead Doctor: Hi thanks for the query.Oral contraceptives can cause acne but depends on the type of progesterone in it. You can try other low dose oral contraceptive pills containing levonorgesterol or drosperinoneHope this information is helpful and informative to you.If you have further queries you can directly reach out to me on the following URL:http://doctor.healthcaremagic.com/doctors/dr-deepti-goyal/65111"
},
{
"from": "gpt",
"value": "Target: Had abortion causing acne on face, taking Femilon with no results. Will birth control increase acne?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get lower back pain which finds it way down my legs as a numbness feeling. This only happens between two and three daytime and is gone by 6- 6.30. This condition happens every two to three days. When the back pain starts generally I will feel freezing cold but in fact my skin is warm to touch. I have had Chiropractors/ Physios/ Doctors and even an MRI which showed othing conclusive other than to say I have a spine of a fifty year old but very normal? Please help David A Doctor: David, u have lumbago wth rediculopathy, wch is inshort pain lower back , radiating, and tingling numbness legs, cud b coz of disc bulge . U r advised to start nerve tonics in form of tabs for atlest a month or so, and injectables too for 5 days..painkillers to relieve pain for s.o.s.muscle relaxants like thiocolchicoside for a period of 10 to 15 days or till u r fine..wud recomend u to get ur lab investigation for vit b12, and d3 also.."
},
{
"from": "gpt",
"value": "Target: How to treat the lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello you see I just had an intercourse with my hubby last night but then after, we discovered that the condom which he used was broken.. I just bought a 21 bedded pill of nordette a while ago but don't know what to do with it.. we don't want to have another baby for now because my son is to young and we can't support another child in our family... please tell me how to use it as an ECP and how many times should I take it.... and is it really effective? cause I've reAd good comments about it.. Doctor: Hi,Nordette 28 contains both estrogen and progestrone, in case of an emergency a dosage should be taken right away (4 light orange pills), a second dose should be taken 12 hours later, no sooner (also 4 pills).If taken the right way and in the right way, you shouldnt get pregnant. But if you show any symptoms that you are worried about, call a health care provider right away.I hope this answered your question."
},
{
"from": "gpt",
"value": "Target: Took emergency contraceptive pill after unprotected intercourse. What should be the dosage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter XXXXX 3yrs is suffering from bronchial asthma according to doctors, from past 18 months , she iS having cough ,productive in nature. Every month she is having three weeks illness n one week ok. Doctors had prescribed tab predicort, nebulize diolin, budecort. I am afraid now of giving her so much steroids and antibiotics like augmentin , cefedroxil. PLEASE SUGGEST ME SOME TESTS TO SEE WETHER IT IS ASTHMA OR ELSE..... AND HOW IT CAN BE TREATED Doctor: IT IS ALLERGIC ONLY NORMALLY IN MY XPERIENCE IF I STOP GIVING ANIMAL PROTEINS LIKE MILK AND MILK PRODUCTS, STRICTLY THE CHILD STARTS TO IMPROVE IN SYMPTOMPS I USUALLY PRESRIBE MONTELUCAST AND FEXOFENADINE YOU CAN GIVE STEROIDS IN BAD CONDITION GIVE LESS STRONG ANTIBIOTICS ,NO BRUFEN,PARACETAMOL OR VITAMINS AND MULTIVITAMINS OF ANIMAL SOURCE TESTS BLOOD SERUM TESTS FOR MILK SPECIFIC ANTIBODIES YOU CAN ALSO GET TEST FOR OTHER PRODUCTS YOU GIVE YOU CAN ALSO DIAGNOSE FROM TLC TOTAL EOSINOPHIL COUNT AND TOTAL IGE LEVEL OF BLOOD"
},
{
"from": "gpt",
"value": "Target: Bronchial asthma, chronic condition, productive cough. Prescribed augmentin, cefedroxil, predicort. Medication safe to use?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband had part of his tongue removed with a flap placed in 2007 due to squamous cell cancer of the tongue. He has followed up with his ENT MD every six months.....but on his last visit they decided to biopsy a small area close to the original site...due to small \"white\" growths. The biopsy revealed keratosis with moderate dysplagia. Is this cause for concern? Doctor: Thanks for your question on HCM. Tongue cancer is very notorious for local recurrence. The biopsy report you have mentioned is suggestive of malignant recurrence. The cells in histopathology termes as dysplastic when they are malignant. When morphology of cells is not normal, they have high nucleo cytoplasmic ratio with irregular borders and granules in cytoplasm tgan they are termed as dysplastic cells. So keratosis is not cancer but keratosis with dysplasia is cancer."
},
{
"from": "gpt",
"value": "Target: Can keratosis be the symptoms of cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A friend of mine was diagnosed with pancreatic cancer about 4 months ago she has been through 5 chemo treatments and is starting to have a very hardy appetite gaining some weight and and bowel movements seem to be getting back to normal. I was wanting to know if these are signs that her tumor my be shrinking? Doctor: An improvement in apetite and gain in weight are indirect indicators of shrinkage of tumor. However, a repeat CT scan will provide exact change in tumor size.I hope it answers your query."
},
{
"from": "gpt",
"value": "Target: Is my friend's pancreatic tumour shrinking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor ! I m 19 years old. I am having so many chicken pox scares on my face which looks like a hole on the skin . To reduce this I m taking laser treatment ( taken 2 times till now). But problem is that after laser treatment the spots became darker then previous. What should i do ? should i continue or should i stop ? Thank You Sagar Jaiswal Doctor: Hi!Sagar , Welcome To HealthcareMagic forum, What you have developed after the laser is called POST INFLAMMATORY PIGMENTATION(PIH), a condition which is common after laser .But this doesn't happen in all the patient .This would happen if the right amount of energy is not used(if the doctor is not experienced) or if you have not used a good sun protection after the laser.At time when the patients skin color is wheatish then this may happen. But fortunately this is a temporary condition ,it will go off after few weeks on its own. But if you want a faster recovery then you can use any mild steroid cream in combination with a hydroquionone cream at night over the spot.In the morning don't forget to use a good sunscreen three times a day. Hope this would help you understand your problem. regards, Dr.chawda"
},
{
"from": "gpt",
"value": "Target: Shall I go with laser treatement for scars due to chicken pox ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 53yr female. Generally in good health. I fell down the stairs 2 months ago. Severely bruised my left butt cheek. Now, the bruise is gone, but I have a lump that is sensitive to touch on my butt. Went to Dr., took x-ray, and there was nothing broken. Lump is still there. What can I do to make it go away? Doctor: Hi, It could be intra/inter musecular hematoma. This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried: - Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. - Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) - Fomentation with warm water. Let the part not be exposed to cold air. - Sleep on a hard bed with soft bedding. - Use no pillow under the head. - Avoid painful acts & activities. - Do mild exercises for neck and shoulders and hips and knees and ankles. (Take help of a physiotherapist.) - Do not ignore, let it not become beginning of a major problem. - Do ask for a detailed treatment plan. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What could lump on butt after fall suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Left Ovary burning like icy hot, not painful. Today is OV day of 24 day cycle. Im a 3rd generation Pcos. Is this Ovulation or cyst rupturing? First time getting a burning senstaion. Taking Vitex, D chiro inositol , Pre-natals then progesterone . Dec 17 cycle start. Left fallopian tube removed. Both ovarys cleaned up last year. 32 and ttc over 10 yrs now. All fertility treatments failed so trying natural herbs . Doctor: Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: The ovulation pain is not so bad. It must be UTI or something else which needs to be evaluated. If your tubes are removed why are you not going for IVF? If there is no tube, IVF is the only way to conceive. Natural herbs are a waste of time. Please see an IVF consultant in your town. I hope I answered your query. I will be available for any follow up queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Burning in the ovary. Have PCOS. Is it due to ovulation or cyst rupturing? History of fallopian tube removed"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a 35 year old male. A week ago I noticed a hard bony type mass in the upper middle of my stomach in the location of my zyphoid process. It is not painful. I have had an xray and ultrasound but all was said to be normal. I am worried and the doctors don't seem concerned. No one can tell me what it is. Any suggestions? Doctor: its may be bony over growth of xiphoid process...u need not worry if usg study is normal...swelling might be superficial...consult a surgeon and u might get the swelling excised if u r concerned"
},
{
"from": "gpt",
"value": "Target: What causes a bony mass on the upper abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my LMP on 14th may 2014. We have been ttc for nearly 6 years. On 19th of May 2014, my doc performed hsg x ray test and everything was fine.no blocked tube. My periods are always regular and they last anywhere between 2 to 3 days. My cycle is 28/29 days every month. My husband s sperm count and motility are sufficient. I am on cycle day 41 and there is no sign of my period.i haven t had any pregnancy symptoms viz a viz nausea,breast pain. I am 29 years old and a teetotaler. Could I still be pregnant.desperate for an answer Doctor: Hi,I think if you have missed your periods you can be pregnant. Get a urine pregnancy test done. If it is positive, then you are pregnant and should consult a doctor. If it is negative, you have to take some medicines for your periods to come. You can try for ovulation induction with natural trying for 3 to 6 months if you are not pregnant. Talk to your doctor about this.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: What is the reason for not getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam 45 healthy and normal build on saturday morning i went to pick something up and felt apain in my left wrist later that day i had swelling then bruissing the swelling has gone down but the bruissing has spreed slightly is this dagerous or life thretning Doctor: Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to the wrist sprain.I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application.I recommend to use a brace to maintain the wrist immobilized.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes wrist swelling and bruising?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI my baby is just 5 months old, he is having constipation problemNow since 9 days he has no Poo/shit and felt more Irritated, cryingHe has been using nubon baby drops, decolic , TAXIM-O , robopeptin since 3 days,Now todAY, HE gone poop as WATERY.. Is it ok? or any issues?I think as he is using medicine, he started poop and his shit become deluted with medice?Or any think \"Diarrhea and dehydration\"?He is active now, no Irritatation and NO crying? Doctor: No need to give antibiotics for constipation..the watery stool could be aost effect of taxim antibiotic...pls stop it if u are using for not passing stools..give him more liquids..one and half time more than what he drinks..continue feeding...if constipation persists ,check his thyroid profile for hypothyroidism presents with constipation sometimes...give him lactulose 10 ml night dose for temporary relief of constipation instead of antibiotics."
},
{
"from": "gpt",
"value": "Target: Can I give robo peptin for constipation to an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I fell down stairs last night and had excruciating pain in my right shoulder area just below scapula. I have a stabbing pain when breathing in deeply but not as bad as when I cough. I am able to move both arms around freely and whilst sitting down in an upright position all syptoms ease. Been taking Neurofen express every four hours. I also got hematoma on my right hip with friction burn from the stair carpet. I can raise my arms above my head and there is no problem. Would you suggest it is a muscular injury as opposed to ribs or lungs? Doctor: Hello, In my opinion, the symptoms can be related to a muscle injury. I suggest to do an X-ray to exclude a rib fracture. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also recommend cold compresses for local application. Rest is necessary for fast recovery. 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 pain in shoulder area while breathing in after a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How long is recovery for a woman 71years old who is having a d&c and a biopsy of her uterus becaus she has very thickening wall (which I understand is unusual in the elderly). The Pap smear said needed biopsy because was abnormal reading. Biopsy was tried and doctor couldn t get enough tissue for biopsy. Therefore, d&c is scheduled. What s the percentage chance of it being cancerous ? Doctor: Hi, dearI have gone through your question. I can understand your concern. If pap smear test suggest abnormal result and advised biopsy then there is high chance of cancer in d & c. Just wait for the report of d & c 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: What are the chances of recovery after D&C and biopsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY GUMS AROUND ONE CERTAIN TOOTH JUST STARTED BLEEDING PROFUSELY OUT OF NOWHERE. THIS HAPPENED YESTERDAY WHILE I WAS JUST SITTING WATCHING TV. IT WAS ONLY FOR A FEW MINUTES THEN TODAY THE SAME THING HAPPENED INVOLVING A DIFFERENT TOOTH. WHAT MAY HAVE CAUSED THIS? Doctor: Brief answer:Gingivitis or Periodontitis.Hi..Can understand your concern..As per your complain it seems you have gingivitis that is infection and inflammation of gums or Periodontitis that is inflammation and infection when involves deeper tissues like underlying bone.In case of gingivitis there is inflammation of gums causing swelling, redness and bleeding from gums.At times when any one area of gums gets more inflammation bleeding can initiate from it.Or different areas may be inflamed and any region can bleed at any point of time.It can occur commonly in case of poor oral hygiene leading to deposits over the teeth which creates a constant source of infection leading to gum problems.There can be other underlying medical conditions which can cause gum bleeding are Diabetes, Pregnancy.Oral contraceptives intake can also cause gum bleeding in women.If the gum infection is long standing and ignored can lead to bacterial multiplication in the pockets which are formed between the gums on one side and jaw bone on other leading to damage to the bone and further infection goes deeper with bleeding and loosening of teeth..I would suggest you to see a dentist soon and get evaluated for the cause of bleeding and treatment can be based on the diagnosis.In case of gingivitis scaling followed by gum paint can be helpful.Hope your query is solved..Thanks and regards..Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: What causes bleeding from tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Suffering from severe sinus pressure n congestion , blocked nose stuffy nose can t breath from nose , difficulty in breathing as well chest congestion n phylum when cough . Tried antibiotics for 5 days and antihistamine telfast D and nasal spray as well . No relieve . Just tried nebulizing as well no relieve . Is it allergies or what n what is the best medicine for allergies n best nasal spray . Doctor: Antibiotics,decongestats,synthetic vitamins aracetamol fuel the sickness. +All you have to stop Take metrogyl BD Take montelucast 10 mg bd take fexofenadine 120 mg bd syp tossex 1/2 tsf bd sptrogyllergics for 3 week apply neosporin H e ointment e bd 'Sea water drops 2 drops in each nostyril at night Diclofenic as pain killer sos"
},
{
"from": "gpt",
"value": "Target: Severe sinus pressure, congestion, blocked and stuffy nose. No relief with medicines. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor. Please help me to get a sustained relief from Spine pain (Cervical Disc Prolapse C4/5, C5/6, C6/7: C5/6 being herniated and indentation is noticed through 3T MRI report). The patient is on continuous treatment since last 3 months and the 2nd MRI report last week has not revealed any considerable change in the status. Current medicines: Pregalin 75, Etoshine 60, Elliwel 10, Myotop DSR and Rablet. Need your precious advice. Thanks. Brad, New Bombay. Doctor: Hi there, Thanks for your question at HCM At first the kindof spine pain needs to be differentiated. Scenario 1-only neck pain(axial pain) with no radiation to the arms and no tingling or numbness in the upper limbs. Such a scenario suggests age related degenrative changes or muscle strain or pull. Muslce strain or pull usually gets better with rest, medicines and physiotherapy over 2 to 4 weeks. If its degenrative problem, neck pain can linger on for longer duration. can get better with exercises, PT and postural adjustments with supplementary analgesics for pain. Scenario 2 neck pain associated with arm pain or numbness and tingling, with unsteadyness in gait, walking disturbance( all suggest compression of neural structures) etc- here if the pain does not respond over 8 to 12 weeks, will requuire interventions like epidural. nerve root steroid injections or surgery ( last resort) to relieve compression. Sine in your case , the MRI shows multiple level spine degeneration ( in form disc herniation) sustained relief cannot be promised. As of today we have no medical treatment which can reverse age related changes) like disc degeration) Hence some amount of neck pain is bound to persist over time. If evdinece of compression is present , surgery can provide relief of compression related pain and symptoms, Hope this answers your question All the best regards Dr.SBK"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for relief from spine pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son got severe pnemonia last year and was hospitalized after that whenever there is a weather change he gets wheezing sound frm his chest. does that indicate he has bronchities?? or any allergy? doctor told me to start myteka course for six months. will it eliminate his problem?? Doctor: Hi, thank you for posting.Wheezing sound from chest is caused by brochial secretion. Pneumonia, in general in children lows immune system.When the weather change, respiratory viruses are activated.It is the possibility that your son suffer from bronchitis, because his immunity system is lowered.Myteka use in your son's case is questionable.To determine the right diagnosis you should take your son to a pediatric pulmonologist.Take Care.Dr. Behar."
},
{
"from": "gpt",
"value": "Target: What causes wheezing sound from chest during weather change with pneumonia history?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m a mother of an 11 months old girl. She had two huge vomitings in da morning,which had an egg and porridge in it so I gave her 1/2 tsp of gravanite 60ml for the first time, And now she ends up having temperature of 100. I fed her my milk after 4 hrs of vomit... Haven t given her any solid yet... I don t understand if this is indigestion, or food poisoning... Plz help... And letme know what she can eat.. Doctor: This may neither be food poisoning nor an episode of indigestion. It is more likely to be a stomach flu - a virus. You should give paracetamol for fever and continue to give her the vomiting medicine before her food three times a day. If this is a virus, it will settle in a few days. If, however, she has high fever or uncontrolled vomiting, please take her to A & E for an urgent consult.Dr. TaherP.S. Give her Peditral or some other form of rehydrating oral formula to prevent dehydration."
},
{
"from": "gpt",
"value": "Target: What causes vomiting and fever?Suggest remedy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, I keep having pain in my lower back. I had a lumbar laminectomy years back due to a fall. Lately though I am getting pain in my knee and now it has moved to my right side and I feel it coming from the area that was affected. I also am experiencing stiffness and pain in my hands like my knuckles and my left thumb but don t remember banging it. Doctor: Hello - I would ask your doctor for a MRI of the lumbar spine. Pain in the knees coming from the back can be an issue with the L4 level in your lumbar spine, and given your history of previous laminectomy, it would be best to get this area evaluated.Hand and thumb issues can be related to carpal tunnel, issues with arthritis in the hands, or potentially an issue with \"pinched\" nerves in your neck."
},
{
"from": "gpt",
"value": "Target: What does pain in the lower back indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I have had dull neck/ shoulder discomfort for the past few months. This seemed to start when I noticed a small bump in the back of my mouth . I went to a dentist and they told me I have a impacted wisdom tooth . They referred me to a oral surgeon. They then told me that if it started to hurt and cause pain to let them know and they d remove it. My question is this... can a impacted wisdom tooth cause what I am experiencing? Thanks. Doctor: hi Impacted wisdom tooth along with infection if present can lead to the symptoms as described by you. infection in such cases spread to the path of lowest resistance and it can either progress to neck spaces or spaces around inferior of the mouth or aroud shoulder. so pain in these areas. its better to get it removed as soon as you can. in the meanwhile take amoxycillin 500mg three times a day along with voveran three times a day. do warm saline rinses 3 times a day. wishing you healthy life with best regards Dr Ankit"
},
{
"from": "gpt",
"value": "Target: Bump in mouth, impacted wisdom tooth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having episodes where my heart feels like it stops...cutting off my breath for a second. i have to cough a few times to get any feeling back. right afterwards the beats are hard and very slow for maybe 5-6 beats then it goes back to normal. i have a history of afib. Doctor: Hi ! I had gone through your question and I understand your concern .I would say that these symptoms are caused from arrhythmia ( heart rhythm disorders ).Since you have a history of Atrial fibrillation this may cause your heart rhythm problem . When the symptoms comes and after the heart goes back to normal , we call it Paroxysmal atrial fibrillation ..If you have any chest pain call the hospital .I would advise to ask for an appointment with your local doctor , He will monitor your heart rate , (do an ECG) check the condition OF the heart (if there is a main cause of your atrial fibrilation ) , He may prescribe you Aspirin or other drugs to prevent th blood to clot .or drugs to control your heart rhythm according to the results of the examinationsWish you good health!If you have any additional questions please feel free to ask me ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breathing problem and discomfort in heart"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is barakat suleiman from nigeria. my dr.advice i lose weight with metformin. I heard chemical pregnancies twice,although my doctor sais i had a clean medical record and advice i take dostinex for 2 months and alsoloss weight my weight is 108,height1.67,he also dicovered i have high pro-lactin about 39,am 36yrs old trying to convience i have been married for 2years now Doctor: hi and thanks for the query,I would suggest you stick to the advice of your doctor, hoping he is an infertility specialist. Reason being that most drugs prescribed for infertility or trial to conceive, could present with some interactions, resulting in modifications of some blood measures or hormones measured in blood., A knowledge of the drugs the patients are taken are important for the interpretation of these results.Secondly, high prolactin level deserve to exclude that you do not have any problem with your small or your sight. In case you do have any of these symptoms, including chronic headaches, a possibility of a brain tumor called a prolactinoma should be raised and excluded. A brain CT scan and MRI could be necessary under these conditions. Using metformin to lose weight to me does not look very healthy. Diet and exercise remain the most effective long term, safe and effective weight losing strategies.I suggest you consult an infertility specialist and a nutritionist for a complete clinical review and management. Thanks and kind regards,Bain LE, MD"
},
{
"from": "gpt",
"value": "Target: TTC. Suggested weightloss with metformin, and taking dostinex. Have high prolactin of 39. Advice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there, i m 29 years old and i have the excessive saliva problem for the past 5, 6 years. I brush and floss every morning and night and rinse my mouth everytime after i eat. when i am awake every morning, the saliva will start to gather in my mouth, it usually has a very stinky smell too. the only way to get rid of it is to get up and brush my teeth . some time if i am really tired, i would try to keep my mouth shut to prevent it dropping onto my pillow, but usually it will eventually builds up and i am forced to get up to brush my teeth. have been trying very hard to look for a solution. thanks in advance. Doctor: siallorhoea or excessive salivation is common in neurological problems. factors which may cause it are hypersecretion of saliva, dental malocclusion and inability to recognise the spill of saliva. treatment includes anticholinergic medicines such as glycopyrrolate and scopolamine however the side effects of less saliva must be aniticipated. injection of botulinum toxin a into the parotid and submandibular glands is a good option. other methods include radiotherapy or surgery. so the approach is team wise ehre a dentist a neurologist and surgeon work in tandem thanks"
},
{
"from": "gpt",
"value": "Target: Excessive salivation with stinky smell on waking up, have good oral hygiene. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr,after 2 yrs of infertility gone through 1st iui.medicines taking :susten 400 (3 times daily vaginal insert)DHEA preg(2 tablets daily)MyEstra2 (2 tablets daily)last period date :11th janIUI done on :26th jan 2014took 1st HCG 5000iu on 31st jan 2014then 2nd HCG 5000iu on 3rd feb'2014Now,since last 2 days am getting period like cramp.Can i be pregnent?when i can take HPT? Doctor: Hi there,,If its 14 days since the IUI, then you should do the urine pregnancy test and see the result.If the urine pregnancy test/ home pregnancy is negative discontinue the susten and the estra, you will get your period immediately.If the home pregnancy test is positive do a blood/serum HCG test and repeat it after 48 hours to see the rise in values, and contact your gynecologist immediately.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my heart beats between 80 - 100 beats a minute. i m 19, i smoke around 7 cigarettes a day and my body has been out of routine the past 2 years. is my heart rate very bad ?oh, and i m currently having digestive problems but i m getting slight heaviness in the centre and sometimes just on the left side of my chest. i ve also been dry reaching a little bit, but not too much. i m stressed that i m going to have a heart attack and it s causing me great anxiety. my doctor says i m find but i m not too sure Doctor: Hi, You have nicotine use in the form of smoking. Smoking directly affects the lung and food pipe and stomach by irritating them. This causes dryness, reflux, and acidity. Smoking can predispose to a heart attack at a young age too. My suggestion is if your pain increases on walking up stairs then you need to consult Chest pain unit. If not, it is only because of the acidity. The best treatment for it is to quit smoking and to take antacids temporarily. That will work magic on your lung, heart, and stomach. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ebenezer Rajadurai, Internist / Hospitalist"
},
{
"from": "gpt",
"value": "Target: What does 80 - 100 heart beats a minute indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went through menopause in 2000. For months now my lower abdominal area is uncomfortable to very painful. All tests were ok except my ultrasound which shows my uterine wall thickening and blood is forming in the area. My Dr. says not sure why but no concern but this really is so uncomfortable I can t stand it. why would this happen so long after menopause and what can be done? Doctor: Hi.Thanks for your query. Uterine wall thicken so long after menopause with blood forming is suggestive of an Uterine cancer unless proved otherwise.I would advise you to go for Laparoscopic Hysterectomy and exploration of the abdomen.Prior CT scan or MRI helps much more. Hysterectomy will also may help you to get rid of teh symptoms. This achieves few more thing:1 you get rid of the diseased part of the body2. you get a confirmed diagnosis on Histo-pathology examination. 3. Symptoms may go away and life becomes comfortable.4. You get to see the whole abdomen from within with the help of Laparoscopy and a chance to rule out any other problems. So go ahead with Hysterectomy."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is 53 and has been in the hospital for a week. They can't get his blood pressure down. They have tried all different typs of med. and it only get higher. This AM it was 217/96. He went to the hospital because he had a bad headache and pain in his back and chest on the right side. He also has numbness under his ritht arm. With testing they ruled out anything with his heart but so far have just tried med. to lower his blood pressure. To me it is not working and I feel they should be looking for another reason not just try to treat it with med. I worry that it has been so high for so long that major damage could result but I don't know what type of question I should be asking. He also has diabetes and is overweight. We have changed our diet at home and he has lost 22 lbs. in the last month. Can you help! Doctor: Hello!Welcome and thank you for asking on HCM!I carefully passed through your question and would explain that it is important investigating for possible secondary causes of high blood pressure (like kidney or liver disease, adrenal gland dysfunction, metabolic syndrome, diabetes, thyroid dysfunction, pheochromocytoma, etc.).For this reason, I would recommend performing some tests to investigate for possible underlying causes: - a chest X ray study- complete blood count for anemia- inflammation tests (PCR, sedimentation rate)- thyroid hormone levels- cortisol and aldosterone plasma levels- fasting glucose and HbA1C- urinary metanephrines- kindney and liver function tests. If all the above tests result normal, I would recommend making some changes to his antihypertensive therapy (add new drugs).Some lifestyle modifications will also help control his blood pressure: - reduce salt and caffeine intake- avoid smoking contacts- perform a lot of physical activity- try to lose some other pounds. Hope to have been helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for constant high pressure in spite of medication"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a brown area in my mouth on my left cheek. No pain or odor & it has been there for at least two years. I had braces for 3 years and have had then off for 4 years, i wear a removable retainee at nifht that is metal. What is causing the color there? Doctor: Hello, Thanks for your query.Pigmented entities may arise from intrinsic and extrinsic sources. The color may range from light brown to blue-black. The color depends on the source of the pigment and the depth of the pigment from which the color is derived.Visit the dentist and get it examined.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What causes brown patch in mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir, I am 28 years old. soon to be married. but i have dark complexion , oily skin and pimples all over my face.. so when i googled, I found that, Nafia fairness cream.. when I called them, they suggested use betnovate fairness cream for 14 days. once the cource of 14 days, use Nafia fairness cream. Plese guide/suggest me on this issue.. as my fiancee is upset with skin colour.. thanks and regards Mustafa.A.Y. Doctor: Hi..Mustafa..., Thanks for choosing HCM..., Don't go for Betnovate fairness cream..., Because....it has steroid..,it will give drasting problems.., when U withdrawn this.., So for fairness....use morning SUNSCREEN LOTION.., Night times KOJIC CREAM and vit C..., thanQ"
},
{
"from": "gpt",
"value": "Target: Dark complexion,oily skin and pimples, suggested betnovate followed by nafia fairness cream. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started Nucynta Er this AM. Have been on Hydrocodone Acetamenaphin 10/325 for several years for severe bck problems. My pain management doctor suggested trying Nucynta ER to smooth the peaks and valleys experienced with taking the Hydrocodone. I have not noticed an evening out . Does it take more time to see a change? Doctor: Hello, Any drug takes some time for it to be absorbed (hours). If the drug is still in the bloodstream at the time of the next dose, then the doses increase over time and don't have their full effect until it reaches its highest accumulation. This is rarely over a week. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: How long does Nucynta take to be effective?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have noticeable swelling on the left side of my rib cage and my left front rib cage is sticking out further than the right. Chest and rib X-ray normal, MRI shows nothing. An abdominal ultrasound showed only multiple benign liver cysts. All my labs are normal. I have abdominal discomfort but not pain. I don't understand why my left side is swollen. Doctor: Namaste Welcome to Healthcare-Magic Greetings of the day Your left side may be swollen because of gastric distension, and your symptoms could also be related to it. No intervention is required for your liver cyst, if they are small and regular. I hope Ur tumor marker like alpha fetoprotein are also normal. Wishing you a healthy life. Take care Regards"
},
{
"from": "gpt",
"value": "Target: Swelling in left side of rib cage. Normal x ray, MRI shows multiple benign liver cysts. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is Michael Young, I am 20 years old and nearly 2 weeks ago I was taken into hospital with alcoholic hepatitis of the liver, which quickly caused my kidneys to fail. I was in intensive care for a week on dialysis and have since been recovering on the regular ward. I understand what has happened so far due to internet research. I am living in Spain so there is a bit of a language barrier; don't get me wrong the Spanish health car system is amazing and I owe my life to them! But I am struggling to get information on the future for myself, such as diet, exercise, life expectancy and such. I'm under no illusion this will change my life completely but would like a bit more information on how. Thank you. Doctor: Hifirstly alcoholic liver disease to be diagnosed at 20 yrs is not good prognosis if alcohol consumption is not stopped. The dialysis done was for the acute kidney failure9which I am asuming as no investigations are mentioned in your question) which is a supportive treatment till the kidneys recover from injury due to your illness. Plese folow up with your doctor without fail"
},
{
"from": "gpt",
"value": "Target: Alcoholic hepatitis of the liver, on dialysis. Any advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My asthma was controlled over 2-3 years ago, but then it came back recently. This week I had two asthma attacks already, and my symptoms are difficulty breathing, extreme numbness/ tingly hands and I felt lightheaded and dizzy. I never had an attack like this years before when I was first diagnosed, before it was like I had asthma but never really had an attack, i just took medications to control and maintain. But now it's a different story... I've notice even just carrying my bag makes me want to catch my breath. My doctor prescribed me to take sertide (salmeterol + fluticasone) and asmalin/ventolin (albuterol/ salbutamol)... But I think the dose is low because my asthma isnt controlled.. I took prednisone 20mg when I had an attack and it got better really fast, however with seretide, not so much, even with my asmalin/ ventolin.. whats really wrong with me?? is this asthma? or what is this? :( i hate the attacks! I cant concentrate in school.. Doctor: Hi and welcome in HCM. I have gone through your concern. According to the history your asthma is not well controlled. You have had several attacks in a short period.In this situation the treatment should be one step up.It means aerosols with corticosteroids + long acting bronchodilatators, corticosteroids orally for a maximum of two weeks and after that to switch in Seretide again twice per day and Ventoline for the urgency.If you have alergic asthma you can try montelucast for approximately 2 months but please consult with your doctor for the treatment. I wish you a fast recovery. Dr. Jolanda Pulmonologist"
},
{
"from": "gpt",
"value": "Target: What causes breathing difficulty with tingling in hands and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I applied significant pressure to a small pimple on my upper lip , at one of the peaks in the middle. It hurt / tingled and made me sneeze repeatedly. Next morning I had red blotchiness in two spots on my nose. Next day it is more pronounced, with a red line about 1/2 inch long, and another splotch beside it. (the splotch looks like mild sunburn ) but the straight line is quite dark and hard to cover up. Is a direct case and effect that will be absorbed by the body in time. Doctor: Hi,do not touch or rub your pimples now.Do not apply anything on it except ice cold water .If not improved over 24 hours visit to a dermatologist."
},
{
"from": "gpt",
"value": "Target: Pressure applied on pimple in upper lip, red patches on nose, red lines. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good evening Dr. Grief, are you for real? I have been having pain and tenderness on the back. Approximately 3-6 inches from the side. It is tender to the touch and I notice it even when I am simply sitting or standing, primarily when sitting. When I touch it feels tender and possibly hard and lumpyish.Waist level. I am a female, 51 years old. Unaware if this is significant I believe I am perimenopausal. Without a period for 50 days and no worry about being pregnant. Doctor: Hello Good Evening,According to your description, you seems to have a Lipoma at that site, which is a benign tumor composed of adipose tissue (body fat) and common in your age group. It is the most common form of soft tissue tumor.Lipomas are soft to the touch, usually movable, and are generally painless. But you find tender, possibly because of it's site.In the management part you should go for Excision and Biopsy to confirm diagnosis and definitive treatment.Regards."
},
{
"from": "gpt",
"value": "Target: Having pain and tenderness on the back possibly hard and lumpyish. What could it be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc...I am Rashmi..I have been diagonesd PCOD..but now my periods are regular and I have lost weight too...Now my gyneac has suggested Fertyl 50 mg from day 5 to 9 and she has asked for a ovulation study from day 10....please tell me doc wht are the implications of this tablet and study Doctor: HelloFertyl is CLOMIFENE 50 mg and note down the indication of this drug.Anovulatory infertility ;50 mg daily for 5 days starting on the 5th day ( as in your case 5th to 9th days ) of menstrual cycle or at any time if there is amenoorhea ( no bleeding ,but in your case period is regular so your treating doctor prescribed this drug from 5th day on wards).If ovulation ( no pregnancy ) does not occur, a 2nd course of 100 mg for 5 days may be used ( 5th day to )commencing as early as 30 days after the previous therapy.Further treatment may not be recommended if pregnancy has not occurred after a total of 6 treatment cycles.Clomifene develop stimulation of ovarian follicle and one or more than one follicle mature ( known as dominant follicle ) and rupture or burst and liberate ovum i.e. ovulation occurs.The size of follicle should be around 19-20 mm on day 14-15 at least to rupture and endometrium thickness must be around 11 mm to conceive.Follicle study is necessary so that doctor can find out the size of follicle ( dominant ) which rupture and liberate OVUM for conception.Hope this will be helpful for you."
},
{
"from": "gpt",
"value": "Target: How is Fertyl with an ovulation study used to treat PCOS?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good Afternoon, A few months ago I was diagnosed with lupus. Before the diagnoses I was being treated by a chiropractor whom thought I had back problems. Since the lupus diagnoses I quit seeing the chiropractor but I am having another joint melt down. I can hardly walk because of my hips or pelvis not sure which. My body feels twisted and I look lopsided. In addition my knees, elbows and ankles are swollen and ache severely. I'm very upset I keep crying even though I know it won't help. I don't know what to do to ease my pain. Any suggestions? Doctor: Hi, Nothing is impossible, you can have another door opened if one is closed. i advise you to consult a physician for pain manage ment. Avoid taking potato, oyher tubers tomato, egg, chicken, and sea foods, as far as possible. Practice meditation, reading books of your interest, and hearing music. thank you."
},
{
"from": "gpt",
"value": "Target: Have lupus. Joint pain, swollen knees, elbows, ankles. Any suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I cut my pinky toe slightly when cutting my toenails. It looked as if it got infected a couple of days later. I then went to the doctor and she prescribed an antibiotic called ciprofloxacin. She tried to release the swelling that was causing me pain, by pricking the toe with a needle and squeezing the toe. But no puss would and little blood came out. I hurt it a little over a week ago and it is still hurting, a little swollen and somewhat blue. Not sure what to do next - other than return back to the doctor. I was told that if I hadn't had blood work done recently (which I had) that I should have myself checked for diabetes. Doctor: Hello,Welcome to HCMYes, your doctor has advised you correctly.Check your blood sugars once,to rule out diabetes.As you have not mentioned your age, Type 2 diabetes most commonly affects people>40 years of age.It is usually diagnosed incidentally.Diabetes is one of the common causes for delayed wound healing.Also take analgesics like ibuprofen and serratiopeptidase containing tablets.That will help you to decrease then pain and swelling.Hope you are happy with the answer.Thank you"
},
{
"from": "gpt",
"value": "Target: What causes swollen toe after cutting the toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 53 year-old female, and I worked at an Elementary school as an Instructional Assistant in another city, and played kick ball with our students, fell and hurt my foot two years ago in May. My heel has had quite a noticeable bump on it since then. It hurt for quite a while, and does not bother me as much as it used did at one time. However, I would like to know if I might have problems with it in the future, if I don t see a doctor? Doctor: well this lump could be due to an old hematoma due to injury,a sebaceous cyst or just a ganglion cyst; anyway not to worry much and see your doctor if this one worries you too much!all the best!........"
},
{
"from": "gpt",
"value": "Target: What causes painful bump on heel?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am very lightheaded and dizzy. I am having difficuly standing up without holding onto a wall. I have uncontrolable gripping and shaking in my hands, I was in a car wreck in June and I have damage in my lumbar and sacral spine area. Why do I feel this way Doctor: Yr symptoms are suggesyive of a problem in cervical spine or brain. Kindly meet a neurologist for evaluation. U may need MRI of yr neck and brain."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and shaking in hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife is experiencing some pain and swelling in the right leg. She has had polio when younger . And has some problems with Fibromyalgia. She is trying to help with the pain with salon pas. The pain is more on the right side near the bone below the knee. Should we worry about a DVT? Doctor: hiif she has swelling n painful hardened calf muscles.. u should think of DVT.. otherwise it shud get cured spontaneously with rest thanks Take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and swelling in leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Small very hard with a small horn like growth in it's centre very painful if touched.I treated it with Efudix Iwas prescribed for a small skin cancer on my left foot & it was successful for that but so far not for this one has notresponded . Could otocomb ointment be tried ? Doctor: HIThank for asking to HCMI can understand your concern if this is really skin cancer then chemotherapy and radiation therapy would be needed and this all depends upon the type of skin malignancy, I don't think so that Otocomb will work here, hope this information helps you have good day"
},
{
"from": "gpt",
"value": "Target: Is otocomb ointment effective for skin cancer on the left foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am missionary in Guinea Bissau, therefore, i cannot go to the doctor. I have been having mild chest pain for about 3 days...what could be the cause..I am 37, and work out everyday of my life, am very physically active, am not over weight, and have never had health problems. I do not drink, have never smoked, never done drugs of any kind... Our diet here is very basic. Fish and rice and root vegitables every day. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having simple musculoskeletal pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. 6. Sit with proper back and chest support. Don't worry, you will be alright with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes mild chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, My son has had a fever of 100 - 102 off and on for about 3 days. Not much of an appetite, fighting allergies a little, active at times but extremely drained at times. Completely unlike him, he is normally very very active. At times just wants to lay on couch or bed. Went to Dr to day said ears and throat looks fine and at the time no fever. Since the visit he hasn't eaten much, played some but same as past few days. He just told me \"don't touch my back that hurts\". I was shocked. I finally narrowed it down that it hurts all the way down his spine. I asked if he hurt anywhere else he said no except my throat. Fever of 101.3....... Please help, don't want to sound like a crazy mom, but I am concerned because I have never seen him act like this. Doctor: Hi,From history it seems that he might be having viral infection producing generalized bodyache, backache, fatigue and weakness.Give him complete rest and plenty of water.Give him paracetamol or ibuprofen for fever and backache as and when require.Give him light food for 2-3 days.Within 2-3 days he will be alright.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes fever, throat and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In July of 2010 I was diagnosed with MRSA in two areas (the left hip and right side of my penile shaft). I had surgery which included lancing and draining both sites. In my hip area pre surgery, the area was very necrotic. I have sites on both ankles (inside of each ankle) that feels necrotic. How can I treat? What measures can I take? Doctor: Hello and welcome to HCM,Necrotic tissue on both ankles suggests cellulitisof the tissue.Debridement of the necrotic tissue is required followed by antibiotic course.A culture sensitivity is also required to look for the specific organism causng the infection and the most appropriate antibiotic effective against the causative bacteria.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Why does one feel necrotic in the ankles?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.