conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: does leukorrhea usually happen before implantation bleeding occurs? Reason I Question/History:I had my copper IUD taken out on Oct 23rd. Had sex 3 days prior, 2 pull out methods the day it was removed, pull out x 3 the day after. 26th pull out method (with some that may have gotten inside). 28th TTC x 2. 29th TTC. 30th Pull out x 2. then Nov 2,3,5th sex with pull out method. I had what I thought was leukorrhea on oct 31st and nov 1st. then on 5th (today) Spotting slight around 1200 brown in colorspotting slightly more around 330 heavier brown in colorspotting slight pink/red in color after sex (some on penis) around 500heavier spotting around 7pm pink/red in color (all seen on underwear/liners)Questions:1) does leukorrhea happen before or after implantation?2) does this sound like pregnancy?3) could it be a possible implantation bleeding? Thank you! Doctor: Hello and welcome.1. Leucorrhea commonly takes place after implantation bleed2. There does exist a chance of pregnancy, although I fell an infection is more likely especially as you are trying to conceive3. As mentioned, it could be an implantation bleed, but this can only be confirmed with thorough investigations as there are numerous possibilities with your current given presentationHope this helps.Best wishes."
},
{
"from": "gpt",
"value": "Target: Does leukorrhea happen before implantation bleeding? Brown spotting after removal of copper IUD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an xray done today for a cough that has lasted for 6+ weeks. I was diagnosed with laryngitis and bronchitis after no illness on December 26th. Cough has persisted, short of breath, wheezing and taste of blood in mouth.I am an ex smoker who smoked for 21 years and quit 7 years ago.I grew up in a house of 2nd hand smoke.I am nervous of what my xray may find.Dr put me on Levaquin now too. Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* Levaquin has excellent results for laryngitis and bronchitis .* Along with that take other precautions for better recovery - Avoid oily , spicy , excess sugar , chilled beverages - Gargles with salted lukewarm water and added peppermint oil 3 times a day- Basil leaves with turmeric in boiled milk give additional excellent herbal support for speedy recovery .Hope to clarify your query Thanks for using Healthcaremagic.com Wishing fine recovery Regards dear take care"
},
{
"from": "gpt",
"value": "Target: Is Levaquin advisable for persistent cough while having laryngitis and bronchitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My baby is completed 6months by today. i have started giving nestum twice a day with my milk and afternoon iam giving rice and dal paste. As my milk is not sufficient for her nowadays.Can i use lactogen2 to mix nestum? And also Please suggest me healthy food for baby and how much amount of lactogen2 i need to give instead of my milk. Doctor: Hi...At this age you can start giving Cerelac stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Lactogen 2 can be used, no problem. Quantity has to be decided by the baby and give the baby as much as she can consume.Other home-made food options will be - 1. Daal and rice well cooked and made into a porridge along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal porridge preparation with additional ghee added.Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhoea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhoea.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest diet plan for babies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my age is 54 yrs, 82kgs and my height 5.6 ,recently i underwent angioblast and i went for review after three months doctor advised me to undergo TMT the report revealed that it is positive again the doctor advised me to undergo angiogram im hesiatating to undergo angiogram . Kindly advice me the futurte course of action Doctor: Hi,In case you have positive TMT test, coronary angiography is indicated. If TMT test is positive you have 80% chances of having blocked artery, during angiography the artery may be found and treated with stent, otherwise it may lead to a heart attack if left untreated.If you are worried much, I would like to tell you that usually coronary is a safe procedure in 97% of cases.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: Is angiogram right step after TMT revealed positive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi for the past 2 months I've had pain in the left kidney area going down to my bladder, I have gone to my GP and had a ultrasound and a CT scan and upon discoveries my left kidney is smaller then my right I have scarring and calcification in the left kidney and I also have 2 ureters. 1 going from the left kidney to the bladder and 1 going from the left kidney to nothing, this one is also dilated. They have also found a 22mm stone in my gall bladder. My GP has said to me to just leave it and see what happens. Should I be asking for a referral to a urologist? As a child I had several operations for duplex kidneys that was at the age of 2 I'm 29 now and haven't had any previous problems. Doctor: Hi ! It is clear from your history that you are asymptomatic despite the abnormality. If in the near future you develop symptoms of pain during urination, fever with chills then you can consider consultation with an urologist.As per your stone in your gall bladder it is better to get it removed by surgery."
},
{
"from": "gpt",
"value": "Target: Left kidney pain. Ultrasound done. Left kidney smaller, 2 ureters, 22mm stone. History operations duplex kidneys. Consult urologist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My 17 yr. old son has slightly raised billirubin and a slightly enlarged spleen . Through blood tests we ve ruled out hep a, b, c, mono and liver problems. He s been on 100mg amoxicillan for over 4 mos. for acne treatment . One of the side effects for long term use in males is yellowing of eyes (which is what we noticed that got all of this started). The drs. do not put much stock in the amox. being the reason. I read a study, too, that said tall healthy athletes (which he is all of those) have spleen sizes that are a bit larger than others. The study said up to 13 cm. My sons is 9x9x13cm. Could it be that this size is normal for my son? Or is the amox. causing this? He has absolutely no pain associated with the spleen. Thanks. Doctor: he should probably stop amoxicillin before longterm injury to the liver occurs. Amoxicillin is well known to cause jaundice (high bilirrubin). Amoxicillin should not cause an enlarged spleen, and your son's spleen is within the limit of the normal range. Spleen would enlarge if he had liver cirrhosis, but this will not happen due to amoxicillin so quickly."
},
{
"from": "gpt",
"value": "Target: Raised bilirubin levels, enlarged spleen. On amoxicillin for acne. Elevated levels side effect of amoxicillin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My lil girl was bitten on the face by a dog it got a bad infection took to hospital and treated it with antibiotics seems to be healing but still feels like bumps under her scars where she was bitten do I need to take her to see a doctor I have been putting cocoa butter on it Doctor: Hello,Welcome to HCM,Dog bite on the face for which you have given adequate and proper treatment to your daughter. For the bite on the face which was infected for which your treating doctor has given a course of antibiotics.The wound on the face after healing as left some scar on the biting site. The face has a very rich blood supply which will fasten the process of healing and the bump will shrink in a due course of time.For the swelling, I would suggest you to apply MOMENTASONE cream over the bumps for 7-10 days it will regress the wound.Thank you."
},
{
"from": "gpt",
"value": "Target: How to cure bumps under the scar caused due to dog bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im really depressed and I believe I need to leave my house like away from my mother to help. I don't know what to do but im starting to hurt myself and I want to kill myself. my mother is making this worse on me and I don't know if I should try to stay with another family member. please help bc it is getting really bad. I know that if I say this in front of my mother she will preach the gospel and I don't want to hear it so please help me. I don't want to hurt myself anymore and I don't want to be depressed anymore. Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy "
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe depression and suicidal tendencies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dental hygenist and dentist had to decline my regular six-month cleaning because my blood pressure exceeded their guidelines. He said he could premedicate with amoxicillin if I was unable to get the BP down. What exactly is the danger of having HBP during a deep cleaning. Is it the possibility of the plaque bacteria getting to the heart and causing damage? Doctor: HiThanks for writing in.I would like to tell you that hypertensive patients are more prone for bleeding.In procedures where bleeding occurs like extraction or scaling we give some medications prior to treatment for better compliance.Its difficult to control bleeding in hypertensive patients so we give antibiotic prophylactically.Its nothing like plaque may progress to heart & cause any damage.Just follow his guidelines & go for proper treatment.RegardsDr.Neha"
},
{
"from": "gpt",
"value": "Target: What is the danger of having HBP during a deep cleaning? Any possibility of plaque bacteria?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr KrugerI was diagnosed with anal cancer in January 2006. I had six weeks of radiation and two full weeks of chemotherapy. I was given all the clear in June 2006. They then found a growth in my liver and I had 3 more rounds of chemotherapy. There was no change in the growth but the doctors decided to do a liver resection. The growth turned out to be non cancerous. As I am 43 and because of the treatment I have had I have done into menopause. I been prescribed Livial one tablet a day, Provera one tablet for 14 days and Ovestin twice a week. I have reservations about taking this medication. Do you think my reservations are warranted? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can continue Livial and Provera. In case of further menstrual abnormalities you can consult a gynecologist and get evaluated. As of now continue all your routine drugs. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a liver condition"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 5 weeks post op from an appendectomy. I took two weeks off from work and was cleared after that time to resume normal activity. I drive truck and deliver car batteries occasionally. My surgeon also cleared me to resume weight training after those two weeks just telling me to start slow. I felt great with no pain. After being back at work for two weeks and training, I started feeling a slight pain in my testicles and in my stomach. After this occurred I decided to cease weight training for at least another two weeks and ask for lifting assistance at my job. Since I slowed down the pain has decreased dramatically and isn't constant. I am taking ibuprofen when I get the ache. I have no lumps or hardness to suggest a hernia and also when I take it easy the pain is virtually gone. Are these things normal 5 weeks post op? Thankyou. Doctor: HiPain in the testicles has no relation to appendicectomy surgery.Due to lifting of weights,the muscles covering the spermatic cord which connects the testis might got strained and lead to pain.Do simple exercises like walkingTestis has connection to the stomach.So pain in the testis can radiate to stomachPlease take anti inflammatory drug when there is pain.Nothing to worryRegards"
},
{
"from": "gpt",
"value": "Target: Slight pain in testicles, stomach. Taking ibuprofen. Appendectomy done. Is this normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 34 weeks pregnant and have had a few issues with skin tags near my genitals, and i recently noticed a larger what seemed to be a skin tag near my anus, and thought nothing of it, but it just tore while i was in the shower and now i am bleeding quite a bit, what should i do? Doctor: Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) apply pressure with clean cloth or cotton swab at the bleeding point. Once bleeding stops after 3 to 4 minutes , you can apply local antiseptic ointment. 3 ) Skin tag near vaginal opening is normally seen in many women, but please get it confirmed from your doctor if tag near anal area is not a thrombosed pile Please take care not to pull out these ski. Tags.I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bleeding anal tags during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: age 32 my semen report is azoospermia doctor suggested ben q tablet is it possible to produce sperm with this medicine.is it possible that in normal way we get children.iam HBs possitive my wife vacinated.recently one year back i got lymphoma(NHL). chemo and rediation was donr one and half year back.rediation given on right femur .pls tell me i have any chances to get children with normal way. Doctor: After chemo/radiotherapy sperm can return in semen upto 5-10 years. Its difficult to predict in which case the sperm will return earlier. Also its difficult to predict whether sperm will return in suffifient quantity to allow natural conception. Its better to go for some advanced treatment rather than waiting for sperm to return in semen."
},
{
"from": "gpt",
"value": "Target: Azoospermia in semen report. Prescribed with ben q tablet. Is it effective? History of getting treated for lymphoma. Radiation given on the femur"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , i got my tooth taken out while it was still swollen (gum swollen) they took out my tooth. So after that , they prescribed us to buy antibiotics and pain reliever. I've been drinking the antibiotics for about 5 days now. Im supposed to drink it 3 times a day but after taking the first one im already dizzy like super dizzy and feel like puking. Doctor: Hi..Thanks for the query..As per your complain dizziness and nausea after taking antibiotics seems to be a side effect antibiotics and temporary and will resolve once you stop taking the medication..As you have already taken antibiotics for 5 days, it is enough and you can stop taking antibiotics after consulting your treating dentist, however you can continue painkillers if there is pain..In case if you are dizzy it will also be advisable to avoid driving of using any other forms of machinaries to prevent any injuries or accidental episodes due to dizziness..Take appropriate rest and a nutritious light diet..Drink plenty of water to remove toxins from the body..Hope this helps..Regards."
},
{
"from": "gpt",
"value": "Target: What causes dizziness while on an antibiotic for swollen gum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i have affected by polio at the age of 1.5 year. Now my age is 31ys. I can walk without any help but my gait is not proper.Is stem cell therapy proved strength and provide muscle mass to improve my life style.My email address is YYYY@YYYY Doctor: Dear patient Polio virus affects anterior horn cells of spinal cord and leads to permanent damage to them and as a result there is atrophy of lower limb muscles. This wasting and atrophy is permanent. As patient grows he learns to walk with hand to knee gait and can walk without support. This damage to lower limb muscles is permanent and cannot be reversed. Although strength of muscles can be increased with excersise. If you want to make your leg straight it can be done but then you have to use calliper and support may be required. You should visit expert orthopaedic surgeon nearby you and get yourself examined and opined. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for polio"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pulsating throb going up my spine. Starting at the bottom of spine and my stomach up to my head. It s been going on for years now . but seems to be getting more frequent and intense. Then 3 days ago I started having pain in my left shoulder blade. Doctor: Hi welcome to HCm I can understand your concern for your pulsating sensations in spine radiating from lower region to head or any where you feel ,since . All your pains have a cause to happen . Most prominant cause is found to be accumulation of toxins in our system due to many facors as , constipation , environmental polution , anxiety etc.Dear , According to Ayurveda mostly pulsating pains are caused by the aggravation of vata dosha , or imbalance of all 3 doshas - vat - pitt - kaph Arthritis is a condition which is caused by accumulation of ama and aggravation of vata. (Ama is a toxic by-product of improper digestion) This ama circulates in the whole body and deposits or gets collected at the sites which are weaker. When it deposits in the joints and at the same time there is aggravation of vata, it results in a disease called amavata ( arthritis and mostly pains rediate to different parts . Pain radiates to shoulders and arms, tingling sensation in the fingers etc.,as a matter of fact ,any where in your body .Most prominant cause is found to be accumulation of toxins in our system due to many facors as, Constipation , Environmental Polution ,Anxiety etc .Inadequate fiber and water intake are common culprits, and hectic lifestyle is also often leads to this nagging health problem. The condition results due to derangement of digestive fire followed by vitiation of Apana Vayu. Lifestyle modifications such as scheduling regular meal times, responding to natural urges timely, high fluid and high fiber intake, help strengthening immunity .And for proper blood circulation oxygenise blood , do exercises as yoga - Bhujangasan ,Pashchimotaanassan Pavanmuktasan , Agnisaar ,Kapalbhati to stimulate and strengthen the muscles of the intestinal removing toxins.Deep Breathing - Inhale - hold- Exhale - hold 10-15 times , meditation help alley adverse feelings and boost immune system and asure healthy life ahead .Avoid fried fast foods too much of sugar, tea, coffee ,alcohol , smoking ,stress ,constipation , sleeplessness ,dehyderation Hope this helps solves your query .Take care , All the best .Don't hesitate to get back if have any further query"
},
{
"from": "gpt",
"value": "Target: What causes pulsating sensations in spine radiating from lower region to head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Iv been having heart issues for a few years palpitations chest arm back pain ect I have a job that involves a lot of lifting when I lift something that is heavy my heart skips a beat and makes me out of breath it s also happening when I have sexual intorcorse I have to force a cough to get the heart back in to rythum I m 24 I do smoke and have a drink now and then I do my blood prusure at home it s normally 146 or higher over 75 80. Iv had a few heart test nothing was ever caught in the act ie skiped beat or palpitation I would be gratefully for you input Kind regards Haydon Doctor: hi, taking into cosideration of your overall problem the first advice that comes to my mind is that you should go for holter monitoring of your heart rhythem which will give a 24 hour analysis of your heart beats during rest and during exercise,after that we can plan a treatment for you,also along with it few lab reports such as cbc thyroid function would help."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for heart palpitations , back pain and chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Mother recently had Paget's breast cancer and after radiotherapy treatment was told that everything was fine. After three months she had a routine scan to check that the cancer had not spread elsewhere. She was told that she had a \"shadow\" on her liver, but there was no cause for concern. What does this mean? Doctor: A darker area on the scan that may indicate a mass. The scan should be repeated in 3-6 months for comparison and to ensure that no growth has taken place."
},
{
"from": "gpt",
"value": "Target: What does \"shadow on liver\" mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 14 years old and I have been experiencing some pains on my second molar tooth. It has recently started growing and the gum around it was inflamed. Also the inflamed gum covers most of the tooth. It hurts when i close my mouth, eat food, and when I spit out water while brushing my teeth. I have been brushing,flossing, and rinsing my mouth with mouth wash, but that doesn't seem to make the problem any better. I would like to know what I can to help the gum less inflamed. Thank You. Doctor: Hello,Thanks for writing to us.Initially,cause of inflammation has to be evaluated clinically by a dentist.Get thorough scaling done.If there is deep caries,get root canal treatment done.Pus has to be drained and curetted.Take amoxycillin along with analgesics.If there is periodontal infection,root planning has to be done.Meanwhile,brush and floss your teeth daily.Maintain oral hygiene well.Hope this suffices."
},
{
"from": "gpt",
"value": "Target: Painful molar tooth, inflammation in gum. Tried flossing and rinsing. What is the reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, a year ago , i had this sympthom like herpes ulcers around the shaft . It also looks like the inner wall from glan look some time very reddish . Now i'm seeing my glan is turning dark ( red) and probably black . Is this related to herpes ? There is no pain but sometimes i find that the ejacculation is not there . Any mediacation to be suggested Doctor: Hi,Herpes genitalis is usually treated with acyclovir 400 MG THRICE DAILY for 7 days. turning black after herpes outbreak is due to post inflammatory hyperpigmentation. Please note that herpes genitalis is an incurable infection and please do not attempt unprotected intercourse while having an outbreak. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia"
},
{
"from": "gpt",
"value": "Target: Suggest medication for herpes ulcers"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I found out that I am going to be having surgery to remove my fibroids and some polyps. I don't now if they are removing the access mucus that is blocking my tubes also. Once I am healed after surgery will I be able to get pregnant cause this is the reason for my infertility? Doctor: hi healthcare magic user, if you remove fibroid and polyp properly then you can conceive naturally also. provided that semen analysis is normal and good ovarian volume."
},
{
"from": "gpt",
"value": "Target: Will i conceive after the surgery for removing fibroids and polyps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby has 2 bites on her right calf and inner ankle. They appeared yesterday and today they seem bigger and more inflamed. They itch and the larger welt type one on her ankle looks like a big mesqito bite. The one on the back of her calf was a small red dot yesterday today its swollen, red, and itchy with a slight yellowing around it. I m wondering if I should watch them til tomorrow or take her now to have them checked. Doctor: Hi,From history it seems that there might be having some poisonous insect bite producing allergic rash on the part.Nothing to worry, give her syrup benadryl 2-3 times a day.Apply Vaseline or triple action cream.If there is no improvement then consult your doctor and get examined."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for itchy swollen red bites on leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My 13 year old son was in pe wrestling and was kicked very hard in solar plexus in middle of chest. His chest was also sat on by a larger kid helping the first boy trying to pin my son. He had a red/bluish mark shortly after that is now totally gone. However, he has a noticeable bump on right side near center of chest. It has been approx 4 hrs and he just showed me. We are now icing it. He has no pain to the touch but hurts when he inhales deeply only. Should I take to er? Doctor: Hi dear thanks for the query on HCMYou need to take your child to a physician.There may be injury to the ribs or muscle contusionHe will do a clinical examination and may suggest a chest xray pa/ ap view to see if any internal organ injury(lungs) or the musculoskeletal involvement.Based on the above he needs treatment.Better to take at the earliest.Or else he may have a lump permanently in the region Thank you"
},
{
"from": "gpt",
"value": "Target: Is bump in the center of chest after being kicked serious ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Lower abdominal pain (right side). Started a week ago (to 1 1/2 weeks) after intercourse and has not gotten any better. This happened once before about a month ago after intercourse but went away within a day. I seem to feel more pressure with a full stomach/bladder. Have had my pap smear - normal results, have had an internal and external ultra sound - normal results. No blood work has been done. My doctor said that since all the tests came back normal he has no idea what is causing my pain and to give it two weeks and if it s not any better or if it gets worse then he ll order a CT scan. I am 52 and going through menopause and have had minor cramping when my menstrual cycle is normally about to start. Have not had a menstrual cycle in about 5 months. Tonight I m having some pain not only in my lower abdomen but it s going up some and I have felt pain in my lower back on and off. I m concerned this could be something more serious and I m not sure if waiting 2 weeks is the best idea. Any suggestions? What other tests do you feel should be given to rule out something more serious or life threatening? Doctor: hithanks for askingthe picture you have given like( on off pain lower abdomen radiating to lower back) is typical of ureteric stone (kidney stone) but i would like to advise you some basic tests like urine RE, full blood count,ultrasound abdomen and pelvis...........meanwhile you can take painkillers and anti spasmodic drugs and drink plenty of water.........."
},
{
"from": "gpt",
"value": "Target: What causes right sided lower abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am Hema living in US and delivered a baby 6 months ago. i had one leg swelling during my doctor visit and she asked me to take a ultrasound for my leg to check nothing is wrong. I did go to ultrasound after a week and my swelling was also little reduced. But they found some blood clot on my right leg and they said its a DVT and its highly dangerous it may move to my brain or lungs and can cause stroke or PE and may cause death. So they asked me to be on blood thinners(lovenox and heperin during pregnancy and coumadin after delivery) throughout my pregnancy and 3 months after that. i did follow the medication as directed and nothing happened to me or my baby untill now. Now i came to know that blood will dissolve by its own the blood thinners are highly dangerous ,the doctors unnecessarily scared me and put me on medication for a very long time. my swelling went off in 2 days but still unnecessarily they asked me to continue the medicine they took me so many blood tests. now my worries are whether it will give any health issues to my baby or me in future. Please advise me now in on depression because of this. i hate myself for getting such worst treatment during my pregnancy. Doctor: dearblood thinners as such don't harm the baby.you should be thankful that you have an uneventful pregnancy.your swelling which has gone away it was because of treatment .come out of depression and enjoy your motherhood .take care of yourself and your bundle of joy Dr. Mira Butani"
},
{
"from": "gpt",
"value": "Target: Does taking blood thinners during pregnancy affect the baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have a read scaly patches in my face near my nose rigft and left and in between my forhead and my nose bridge and also under my ear for about 9 months already it will disappear when i will take celestamine but after a month it will come back again is it a psoriasis Doctor: Hi, Thanks for query, You might have dermatitis,teneasis,or allergy to cosmetics. Take celestamine as and when required. Apply triple action cream. If there is no improvement then consult dermatologist. Ok and bye."
},
{
"from": "gpt",
"value": "Target: I have reoccurring scaly patches in my face,nose and forehead. Is it a psoriasis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Two days ago I lay down on the edge of my bed with my feet on the floor (not a usual position for me) and when I looked down along my midriff/abdomen I notice a hump a few inches higher than the rest of my abdomen It appears to be as long as my hand (appx 5 -6 in long). I did not press really hard. There is no pain and it is firm but not HARD. I can not find the hump/lump when I am either standing or lying flat on my back -- only when I am in the position I described. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of hernia is more. Hernia is out pouching of abdominal organs through weakened abdominal muscles. So the position you have described gives more weakening to the abdominal muscles and so hernia is more prominent in that position. So better to consult doctor and get done clinical examination of abdomen. Also get done ultrasound examination of abdomen to rule out wall defect and diagnosis of hernia. If it is hernia then you will need surgical repair. Quit smoking and Alcohol if you have these habits. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could long, hard lump along the abdomen be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my 6month old daugther has a pimple on her vagina, and it is a bit red around it. last night there was no sign of such and she was fine. this morning my husband drop her off at daymother and daughter is crampy and crying with this. please advise what it could be. Doctor: Hello,Your baby needs antibiotic to apply the Fucidin cream on pimple 3 to 4 times a day.Give half TSF of syrup Softin twice if a pimple reduces, and then continue for five days. If not, then oral antibiotic need to start.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed"
},
{
"from": "gpt",
"value": "Target: What causes sore pimple on the vagina of infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: age 50, my son, schizoaffective, diagnosed 10 yrs ago diabetes and after yrs of intermittent noncompliance now finally stabilized thanks to shelter home life. He is not a good informant re: symptoms. He visits me once a month, 5-plus days at a time. We never discuss his meds or his health. I know he s on injections of insulin I have concerns (due to ignorance) about his ongoing extreme thirst and extreme urine frequency. I don t know if those two symptoms are a precursor to a worsening of condition or further organ problems. Any information you offer will certainly help with my knowing what possible expectations lie ahead and my ability to assist him if needed. Thank you Doctor: Hello, The symptoms you described are suggestive for high glucose levels, he needs to increase the insulin dose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mirjeta Guni, Endocrinologist"
},
{
"from": "gpt",
"value": "Target: How can I help my diabetic son who is suffering with frequent urine infection and extreme thirst?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I did go to a doctor this morning with serious chest pains...there was lots of pressure...and every few min I experienced very, very sharp pains (stabbing pains) 8 on a 1-10 scale of pain. I'm only 28...I have been involved in a work-out class the last 10 weeks....they did an ekg, said normal - and they took blood and labwork came back fine (it doesn't appera that I have any blood clots), no family history of heart problems in my family - what could be wrong with me? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There are different diseases that can cause these pain, and they are very serious diseases.A doctor should rule out these diseases before saying that it might be just a muscular random problem. You are a young patient and your doctor has ruled out an acute myocardial infarction and blood clots in your lungs.I suggest you to do a chest x-ray to rule out a possible pneumothorax, and possibly an angio CT scan of the aorta to exclude aortic dissection. Take care of yourself until doctors say you are OK. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Anila Skenderi"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and pressure in chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Almost constant discomfort in my lower-back and left leg. Sometimes it goes away - and sometimes it returns with excruciating shooting pains which keep me from being able to stand or walk.I am 55 and in fair health, though I don t exercise much. I was riding a bicycle the other day fairly strenuously - and then retired to a small restaurant with short stools to sit on. After about 20 minutes I stood and felt a little pain - then got into a taxi for a short drive to my apartment - and by time I reached there I was almost incapable of getting out of the cab. This was a month ago.I ve done chiropractic before and so went to a trusted practitioner, had several treatments with varying degrees of temporary relief but the pain keeps returning daily.I have also noticed a lump along the ridge of my left hip just off-center from my spine... and that I didn t have one on the right side (my initial pain was on my left side). I ve tried massage with heat and oils to reduce or eliminate the pain with no success.I m tired of putting up with the consistent pain, and also the worry of sitting wrong or for too long and not being able to walk when I stand up.If I experience pain when I stand I can get some relief if I sit back down and bend over stretching the area... I can at least stand up and walk even though there s still residual pain.Realizing it s impossible to diagnose accurately online - I d like recommendations. Doctor: Hi there, thanks for your question at HCM Most commonly Low back ache can be attributed to bad posture or muscle pull/ strain due to abnormal stress on back like sudden twisting movements or lifting weights etc. But I think it needs further work up since. 1. you have back pain for after sitting for 20 minutes( not expected at your age). 2. you have start up pain( pain on getting up form sitting position- indicates some form of instability in the back , muscular or bone)3. new onset pain like sensation in one of your legs( might suggest pinching of nerves in back) 4. no significant improvement in pain after several treatments, heat and medicine( suggests severity of underlying etiology) and 5. you have relief of pain on bending forwards( can suggest arthritis of facet joints - joints in your back). The most basic work up will include a thorough physical exam and X Ray of your spine. Further course of action will be decided based on them. Online solutions might help you in muscular strains and postural pain , but not if there is some pathology in your back.The lump like feeling in your back can be due to muscle spasm or bony instability, which further calls for a visit to your physician to be more sure. In the mean time,I would suggest you to go through websites on ergonomics. Ergonomics is branch of science which deals with posture adjustments according your livelihood. It will help you choose a posture most suited for your daily routine. Also core stabilisation and back strengthening exercises wil help support your back in the long run.Hope this helps. All the best. Regards.Dr.SBK"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for persistent pain and discomfort in lower back and left leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Leanne Lonesborough and I have a question ? I have Anxiety Bipolar and my doctor has not been able to assist me with my needs as a mental health patient. I have 5 Children that need me to be well aware and he has put me on seriquel and they make me very dopey. Id like to know if there is a mood stabliser that can assist me to be aware as a drive and work around heavy machinery please help me I want to still be sane instead of feeling like im not normal and don't fit in this world I don't go outside because im forever goin off my head over the smallest things im losing control please I beg you for help :'( Doctor: Hi there ~ You need to decrease the dose of seroquel after you call and inform your doctors' office that you are feeling very dopey. I think the office would understand and make an appointment for you to see a doctor as soon as possible. I would also advise you to avoid drinking on the medication and taking the medication around 8 pm so as to avoid feeling dopey at night. I hope this helps. Take care and have a lovely day! I hope you get that physician's/psychiatrist's appointment as soon as you can!"
},
{
"from": "gpt",
"value": "Target: Anxiety bipolar. Prescribed seriquel. Any other mood stabiliser?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir,I am 26 yrs of age, I have been masturbating for last 15 yrs or so. For past 7 yrs now, I am suffering from a sweet continuous back pain on the right side of my body. I thought that I might have picked something heavy which caused it. I found my right shoulder is drooping in comparison to the left one. That made me feel that muscles from the right side might have concentrated at the right side and its causing pain. I got x-ray, ultrasound, even MRI, but couldnt find anything. Finally, the doctor gave me pills, saying I dont have any pain and you are mentally ill. I knew he was wrong to the part of the pain. But, yes he was right that I was mentally disturbed that I kept on masturbating.Now, I am so disturbed with this trouble, that I am facing all the problems that are mentioned on net such as-mental disorder, annoying or shouting at times, over thinking, digestive problems, weakness, eyelids flapping frequently, restlessness, back pain, knee pain at times, and so on.I never could imagine this was such a big problem. And it cost many things in my life.I have suffered from this back pain for 7 yrs now. The pain in the exact area is still to be discovered by the doctor. But, according to my location and compared to the image of net, I figured its around right kidney. I have stopped masturbating from yesterday and have planned to do it twice a week.I want to know sir please-1. If the pain is in kidney, how serious can it be, if its having a continuous soft / sweet pain 24 hrs for 7 yrs?2. Can it be cured without taking medicines / doctors, and just by reducing masturbation to twice a week and once a week later?Thank you!I would be thankful if the reply be sent to YYYY@YYYY also. Doctor: Hi Welcome to HCM The regular masturbation can cause weakness especially calcium deficiency which can cause such pains and symptoms. The recommendations are to reduce masturbation and take some multivitamins and calcium supplements. Thanks Regards"
},
{
"from": "gpt",
"value": "Target: Regular masturbation. Have back pain. MRI normal. Can it be cured by less masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,iam male not married yet age 29,ht 5.3inch,my penis is small,when i masterbuting its size will inc upto 4 inch.my worry is how much size should i need the intercourse,my sexual feeling is also very hi please suggest if any medicine available for increase my penis,i would be highly thankful to u,my mail id is YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Four inch penis size is enough and don't worry about that. In sexual intercourse female get sensation and got pleasure by friction of penis in initial two to three inch ares only where g spot is present. So you do not need to increase your penis size and don't take any medicine or oil as per my opinion. Masturbation is safe and pleasure Giving technique and during high sexual desire it can be tried. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is there a treatment for the penis enlargement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently noticed a twitch in my face just up from the corner of my mouth . Once in a while I have a twitch on my face just out side the corner of my eye . What is causing this? Doctor: Dear Friend, Your Description suggest that you have the initial episodes of hyper-sensitive facial nerve. This can be a precursor of hemi-facial spams. You are required to take diets rich in multivitamins especially that contains Vit B-12. Consult a neurologist if the condition persists for longer duration."
},
{
"from": "gpt",
"value": "Target: What is the cause of twitching on the face ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 86 year old mother in law just called me saying she just woke up from a nap but felt cold inside her body...strange feeling....she has atria fib and a weakened heart muscle working at about 1/3 capacity is this feeling cold inside something that is real and should I be concerned about it? Doctor: Hello, thank you for putting your trust in our site, my name is Dr.Soliman and I will be glad to answer your question.this feeling of cold inside her body considered a common symptom of atrial fibrillation for females above 60 years old like your mother in low and it happens due to decreased cardiac output to the whole body, so you should not worry about this complaint and assure her that this feeling is normal with her condition and she should be covered while sleeping and wear more clothes.I hope this answer fulfill your query and if you are satisfied with the answer please consider giving 5 star rating,wish you a good health with regards,Dr.Soliman"
},
{
"from": "gpt",
"value": "Target: What causes body chill when suffering from heart disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 16 years old, female. I have very sharp pains in my chest, but they go very quickly after. Then, my throat starts feeling numb and like there's something stuck inside of it, which makes me choke sometimes up to the point that my eyes are puffy. I also have a sharp tingly feeling in my feet, if that counts as anything to do with my problem.Afterwards, it feels like there's something sitting on my chest. I also have shortness of breath. :( Doctor: Respected user, HiThanks for using Healthcaremagic.comI have gone through your concern in depth .* This seems more of psychosomatic manifestation of underlying stress and anxiety disorder however one time EKG evaluation is suggested to rule out other abnormality .* Suggestions at present - Drink plenty of liquids and maintain your hydration .- Consume balanced nutritious diet .- Regular walking in fresh air , deep breathing exercises , YOGA are of immense importance for your recovery .- Avoid stress , anxiety .- Manage to have regular , sound sleep of 8 hours .- Avoid smoking or alcohol if using .Welcome for any further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp pain and numbness in chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor, my kid (2year 11 months, weight 15) having fever, 100 to 102. yesterday i went to doctor. he prescribed medicine. it is mid-night. yesterday i gave 4 doses of paracetamal (4pm-rupar junior, mefast-11am, meftal p-3.25pm, and 7.30pm. now i want to give meftal-p 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: Suggest treatment for high temperature in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is a diabetic patient since 15 years . Now his kidney also affected . Creatinine Ievel is 5.1 and urea is 90. Kidney size reduced to 88& 89 cm. The doctor said the kidney almost 75% not working . Kindly advice , do we need to start dialysis ? If yes when? Is it risky procedure? And how long the life expectancy except? Doctor: Hi, Thanks for query, Your father is now to under go for dialysis. You consult Nephrologist for information and investigations. It is not risky procedure. With frequent dialysis expectancy of life is good. Ok and bye."
},
{
"from": "gpt",
"value": "Target: When should a kidney dialysis be started after an infection ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been dating a guy for 6 weeks. We live far apart and see each other usually every weekend. Within the 6 weeks of dating, he has urinated in the bed twice. We are not physically intimate, but will hold eacdh other prior to sleeping. The first instance he tried to get it up with a towel, and told me that he did not want to talk about it. He later explained that it hadn't happened in a while and he was sorry and embrassed. Three weeks later he did it again and simply put a towel on it and didn't bother waking me to get out the bed. I was upset since his reaction was to me calm and he was not trying to get it up, plus the room was in my name and any damage to the bed was 250 dollars. For 2 days we scrubbed and he was angry with me. Although he later apologized and again told me how embrassed he was, I can't help to lose respect for him and now don't really want him. Its disgusting and he is way too calm afterwards. He also smells like urine after and won't keep up with his apperance well. He has a weight issue and told him to go to the doctor to see if he has a medical issue like diabeties but I fell like its pschological. Could it be? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. bed wetting or as is called in medical science enuresis, is not necessarily due to psychological causes. Adult Onset Secondary Enuresis is defined as nocturnal enuresis in which nighttime dryness is achieved at some point in life and, for some, dryness may have occurred for years, but nighttime wetting begins at an older age.Nocturnal enuresis can occur due to genetic linkage, nocturnal polyuria (the excessive production of urine during sleep), ADH, or antidiuretic hormone insufficiency, “smaller” bladder size and so many other factors. Please ask your friend to consult a physician to have a proper diagnosis.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Is bedwetting in adults sign of psychological problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good day dr, today im in day day 8 of 3days embryo transfer. 11 days po. i got a positive pregnancy test , my beta is 21. i start having very light brown discharge with tiny black piece of blood. since an hour im feeling a very sharp pain in the uterus which is on and off but its still there. is that pain normal during early pregnancy or something to warry about. Doctor: Hallow Dear,At 8+ weeks of pregnancy, light brown discharge with pain in uterus is not a good sign. Brown discharge at any stage of pregnancy indicates the risk to the life of baby - most of the times non-viable baby. Moreover, pain in uterus is due to the efforts of the uterus to expel such non-viable baby out of the uterus. Hence, such in condition with pain in uterus, it is almost not possible to save such pregnancy. To confirm the status of baby, best option is to undergo ultrasonography. It will reveal following important information:1. Whether heart activity of the baby is visualized; i.e. whether the baby is viable2. Where from the bleeding is coming - from the chorionic tissue attachment site or elsewhere. Pregnancy test of urine may not be conclusive since it requires about a week or more for the pregnancy test to become negative after the baby has become non-viable. If bleeding is from the base of the chorionic tissue, it indicates impending danger to the baby. If baby heart activity is seen with chorionic bleeding, then you will have to take strict bed rest. Injection hCG or Progesterone preparations with Folic acid may be prescribed to you. Progesterone or hCG help stabilizing the pregnancy while Folic acid will help the regeneration of the damaged tissue. However, if the baby's heart activity is not visualized, it means the baby is non-viable. This is known as missed abortion. Brown bleeding is always stale old bleeding. Hence the chances of missed abortion seem to be very high. If it is missed abortion and you do not abort naturally, you will have to undergo termination of pregnancy without delay lest the risk of alarming bleeding due to clotting disorders (DIC), infection, kidney failure, etc. So please report to your Gynaecologist ASAP for further action. I hope this gives you required message.Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What causes pain in uterus during early pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister has this bizarre behaviour, she isolates herself when everyone is around, behaves arrogantly, she keeps on saying she doesnt want my aunty and her kids who are living with us now at home because they annoy her and are not her relatives. she's mean to my kids too and brothers as well saying they are not her relatives. she is very good academically until recently when she was dismissed from school due to drinking. my dad is so hurt about it he doesnt even speak to her any longer. they used to be very close though before the incident from school. could this be the cause? is she frustrated? some people think it could be high fever? Doctor: HIThanks for using healthcare magicI think, she has underline psychosis and due to psychosis, she is behaving odd. Sometime due to some incident, patient get mental break down and same may be with her after expulsion from school. You should consult a psychiatrist to get her mental balance properly evaluated. In think, she needs low dose of antipsychotic, that would help her.Thanks"
},
{
"from": "gpt",
"value": "Target: How to treat arrogant and bizarre behavior?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes Doctor: i m a two time throat cancer survivor and now my voicebox is dead due to radiation,this is causing my food and liquids from entering my epiglottis backing into my windpipe I choke so bad sometime that I puke now i m worried it my be going into my lungs? Doctor: Hello,Primolute N is a hormonal preparation and given in cases of delayed periods with confirmed absence of pregnancy.After withdrawal of Primolut, bleeding starts within 8-10 days. Please wait till then for the menses.In case there is no bleeding after 10 days of withdrawal, it can be Pregnancy (confirmed by pregnancy test of urine)/blighted ovum or some problem with thyroid or ovaries (needs to be investigated) and treated with gynecologist's advice.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vasudha Jayant Athavale"
},
{
"from": "gpt",
"value": "Target: What causes delay in periods despite taking Primolut-N?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My blood pressure was 154 over 76 2 hours after lunch time, and was 146 over 72 this morning after waking up. I have pain on my left kidney area, some pain in my left rib cage, and sometimes dizziness. My mom had a history of Diabetes, high BP, CHF, and I am 44 years old, 188 lbs and 5 ft 11 inches. Doctor: hi,your blood pressure is certainly high and you need to monitor blood pressure frequently. Have low salt diet, low fat, sugar, diet. regular exercises and get your lipid profile and sugars tested once.you need to start on medicine and I usually start my patient on tab Telmisartan 40 mg once a day. you can discuss this issue with local doctor.Still you need to keep track of bp so that it's should be controlled and will not affect kidney and heart.Regarding your pain it can be gastritis and kidney problem is less likely. however you avoid spicy, oily food, avoid alcohol, smoking if any, and try tab pantoprazole 40 beforebreakfast once a day.you can do one ultrasound abdomen done which can make picture Clear."
},
{
"from": "gpt",
"value": "Target: What causes high BP and pain in kidney area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had abdominal pain, like a dull pain where my ovaries are located and my lower back for the past few days. My period is not due for at least another 10 days. I ve also been very emotional recently. Starting to tear up from minor things and unable to control my mood. Doctor: HI.Thanks for your query. The pain in lower abdomen along with lower back can be due to the following resons:Enteritis ColitisSalpingitisOvarian cyst or its torsionIBSYou have not mentioned any other symptoms either related to intestinal or bowel habits.Consult a Doctor to get examined and get ultrasonography done just to rule out some of the reasons known to cause problems as mentioned and get treated accordingly, May be for the emotional upset or so."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my mom just had a surgery about a week ago. today she had went to the er because she was bleeding from the vaginal area. they said she was an acute infection of female upper reproductive tract and postoperative vaginal bleeding. can this be cause by a dog? Doctor: HIThanks for posting your query. Actually your question is not clear . Are you asking whether you mom's genital infection be caused by a dog ? Where is the relation between genital infection and a dog ? Your ER doctor is right , it's post operative infection and she requires an antibiotic for that. Kindly consult her operating surgeon and request for antibiotic prescription. Hope this information was useful to you. Any clarifications feel free to ask."
},
{
"from": "gpt",
"value": "Target: What causes infection on upper reproductive track?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my baby girl is only one and half month...Last night she had foamy stool with some blood mixed with stool and foul order...I contact to dr. immediately, he prescribed walamycin and reflora kid...but after 1 hour same episode occure...but she seems healthy and happy...need to worry sir.. Doctor: Hi...I went through the history points you have provided - I was expecting that there should have been a history of cow's milk and formula feed (this too contains cow's milk protein) given to the baby. I feel that your baby is having cow's milk protein allergy. Usually babies grow out of this sort of allergy by 1 year of age. My suggestions for you - 1. Mother should go off cow's milk protein completely. This means that you should avoid consumption of anything and everything related to cow's milk - like - milk/ curds/ ghee/ butter milk/ chocolates/ biscuits/ ice creams etc. Even while buying commercial food products, you need to see the ingredients and if they contain milk - do not consume them.2. Feed you baby only exclusive breast feeds till 6 months of age and then start rice based feeds. 3. If this is followed scrupulously - the baby will stop having diarrhoea in another 3-4 days and then start gaining weight too.4. If you feel your feeds alone are inadequate for the baby, then Zerolac is the only option till 6 months age. I request you to keep me posted about the recovery of the baby and follow of the case.Regards – Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for blood in stool of a one month old child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Having discomfort pain on left side hip from a 1984 gun shot wound. The area where pain seams to come from is in the socket of the hip and thigh bone. I walk a lot to ease the pain, but still bothers me. Should I get an mri or could it be from the scar tissue causing the symtoms? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As of now, you can take analgesics liken Acetaminophen or Diclofenac. If pain persist, it is better to go for an MRI scan to look for any residual material or nerve impingement. Most often symptomatic management only required. Wishing you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Can a scar tissue of an old gun shot wound cause pain in the hips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my wisdom teeth removed last monday, so i am still recovering with a sore jaw. however my throat hurts and its red and i have white and red spots and it hurts for me to swallow and i have pain in my neck that goes back to my ear. I was on a strong antibiotic a week before i had my wisdom teeth removed so i dont understand why this is happening. can you help? Doctor: Hello,As per your query, you have symptoms of throat pain post wisdom tooth removal which is very normal as pain and swelling usually occurs when extraction site is nearby.Need not to worry. I would suggest you to take care of surgical site in proper way. You should take proper course of antibiotics along with anti-inflammatory medications.You should visit oral physician once and get it examined and start treatment after thorough examination if symptoms keeps on persisting.Maintain oral hygiene. Do warm saline gargles 3 to 4 times a day. Suck on throat lozenges and take painkiller such as Ibuprofen.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for throat pain post wisdom tooth removal"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, my child(4 months,6.5kg) is vomiting whenever he is eating the food(similac from abbott). smells are emerging out from the vomit.And then he is crying for hunger. Most probably there are some stomach ache also. may i use Ondem. Pleas give me proper guidence .Thank you. Doctor: hi YOUR BABY WHO IS JUST 4 MONTHS OLD WITH VOMITING IS ABNORMAL. The cause may be a GASTROENTERITIS- MOSTLY VIRAL IN THIS AGE GROUP/FEED INTOLERANCE.Please visit a child specialist who will examine and do the needful tests to rule out any RELUX ALSO AS IT IS COMMON IN THIS AGE GROUP. WE WILL NOT ADVISE ONDEM FOR SMALL KIDS.HOPE IT ANSWERS YOUR QUERY AND READY TO OFFER FURTHER HELP"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stomach ache and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Male, 17-I have a small, slightly painful lump between my inner thigh and groin area, under the scrotum, to the right and slightly beneath my right testicle. It is not visible to the naked eye and I sometimes have trouble finding it but i can definitely feel it below the skin. It was definitely not there before and I'm not sure as to what I should do, as there appears to be nothing visibly wrong. Doctor: Hi,If it is a small lesion, it could be secondary to sweat. It is called as a carbuncle. It slowly increases in size, might become painful and ruptures. Keeping the area dry, washing well and improved nutrition could help you.Whenever it ruptures, wash it cleanly as it could spread to surrounding areas. Take NSAID painkillers if you have pain. An antibiotic cream can be used for local application.If you have any further queries, happy to help again"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lumps in thigh & groin area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i went for test and this is my results,pleaase can you tell me what exactly it means and if its good or bad,can you interprete this results for me please total bilirubin SI 53 direct bilirubin Si 11 indirect bilirubin 42 SGOT (AST) 75 SGPT (ALT) 67 alkaline phosphatase 70 ggt 16.72 total protein (SI) 76 albumin (SI) 44 globulin 32 hepatitis B surface Antibody (elisa method) 5.8 mlu/mI hepatitis B surface antigen positive hepatitis B e antigen (elisa method) negative hepatitis B e antibody (elisa method) positive hepatitis B core IgM (elisa method) negative hepatitis B core IgG (elisa method) positive Doctor: Hi,If hepatitis B core antigen is positive and anti HBe is positive with altered LFT,then its confirmed that you are infected with hepatitis B virus for which you need to consider for treatment.There are particular criteria to start on treatment for the same ,please kindly meet you gastroenterologist for further management because the treatment remains for very long .And please get HBV DNA and ultrasound abdomen to look for any chronic liver disease.Thank you"
},
{
"from": "gpt",
"value": "Target: What does it mean if the blood test say hepatitis B core IgG postive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes I have been seen by 4 doctors but they feel I should go to pain management. I am in pain beoynd what I can bare, now try to get help.C 3/4 Bulging disc C4/5 Bulging Disc. C5/6 Fibrosis/ surgical scar . C6/7 Fibrosis/ surgical scar.Thats just one area L 2/3 Bulging Disc L3/4 Arthritis Disease, Bulging Disc L 4/5 Arthritis , Bulging Disc. My Question is the 4 Specailests sais I should just go to pain manament , stop worring, I have a slideing Disc in C3 on my spine feel its nothing to be concerned about.As well as I had A 2 dics C5/6 C6/7 slipped needed to be frused in 2001. I cant take the pain or pain medacations, I am afraried the one disc will slip and cant walk for 100 ft with out awfull pain.I am a Mom of a Autsic child MR Deaf , I am 54 of this month can any one help me, Mrs Fran Woy Doctor: hi,thank you for providing the brief History of you.As mentioned in the history by you that you are having cervical disc degenerative disease I will be more concerned as the levels mentioned by you are painful and you are right on your part that the pain is excruciating.Since the pain killers are not possible due to various factors of which you have not mentioned I will advice you to undergo physical therapy.As you are 54 , you may have degenerative changes in the body as this might be leading to weakness of muscles and also reducing the inter vertebral space. By the reduction in the inter vertebral disc space there will be compression on the disc which is a jelly substance in the inter vertebral disc to provide act as a shock absorber. Also when muscles fail to hold the vertebral body in place the pressure applied to disc may in turn compress the exiting nerve roots and leads to pain and weakness.As in my clinical practice such patients with high level of disc injuries we refer to physical therapy and MRI. With physical therapy like therapeutic ultrasound therapy and TENS therapy the pain can be controlled for a limited period of time and in that duration strenthening the muscle groups of the neck is important. Also, the therapist can provide manual traction and release the pressure from nerves to provide good relief.Most cases in my practice respond well to physical therapy .RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for excruciating pain due to bulges on back bone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 21 male, about 320 lbs. I get a sudden thump in my chest with a small squeeze, and I get out of breath. It usually lasts 1-3 seconds but its really scary, I usually reach for my chest when it happens. It can occur at any time, but I noticed when I am more active it happens more frequent. It occurs often when I bend down to pick up something.It can happen twice a day, or once a month. I went to the doctor and he took a echo cardiograph of my heart, and it came out good. I do suffer from anxiety and have been under a lot of stress lately. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for heart diseases as your echo cardiography of the heart is normal. In my opinion, your symptoms are mostly due to uncontrolled stress, anxiety and panic disorder. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Counselling along with anxiolytic drugs play very important role in control of stress and panic. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. 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 thumping pain in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I ve come to a dead end with my doctor and would really appreciate some help. Let me give you some background: I am asthmatic, but please don t let that occupy your thoughts too much. In 2006 I had Pneumonia and was admitted to Leeds GI for a week. In 2008 I seperated from my wife and moved into a small flat. I wasn t aware for 12 months that there was a wall of mould behind the chest of draws! I had and continue to have a Chest Infection every 2 months since! My main symptoms are the obvious taste and colour of the infection when it comes up. Also a tightness of my chest, making breathing hard, and leading to coughing and choking, now until dizzy, getting a buzzing sentation and disorientation. My doctor goes in circles unsure what the problem is and why the reoccurance of the chest infections. I have had chest xrays (usually by the time they are booked, the infection is gone and xray clear), and have seen a specialist who jumped to the same conclusion of mismanaging my inhalers. This is not the case. The nurse is happy with my meds and how I use them, and how I up the dosage when I have a chest infection. But because the doctor is at a loss, I only get amoxicillen and steroids (the latter are bad for me long term). All I do is go in circles, The chest infections take two courses of antibiotics, and still they do not make me completely better. The infections remain underlying, and the next cold I catch ultimately turns into the next chest infection. This has been my life for over 6 years now, and only since the initial Phenmonia. As a child I had a very weak chest. My mother would walk me to nursery only for me to get there and need to go home as my chest was so tight. I grew out of this with the help of inhalers, and my asthma wasn t much of a problem growing up. These chest infections have only become so frequent since the Phemonia in 2006. I am now at a stage where I feel desperate for someone with fresh eyes and an open mind to look into this, and not just make the wrong assumptions that I don t eat well enough, or know how to take my inhalers... I am 33 (DOB 25/07/80) and know in my heart that if this is allowed to continue without adequate treatment, I face an early death when my chest is older and even weaker. I don t think I can add much more; only that I do take my inhalers correctly, and to make you aware that ALWAYS when I have a chest infection and my chest is tight and breathing difficult, the inhalers DO NOT relieve my chest in any way, but it does feel like it is Asthma - but clearly it isn t. Also when I take a test and breathe into the measure thing to see my lung capacity, it is always remarkably high, which also throws the doctor. With a chest infection I will still score 600 plus. Your help is desperately appreciated. Kind regards, Jamie M Hinton, Reading, Berks. Doctor: It looks like you have pulmonary aspergillosis.you need to get following tests done:Bronchoscopy and transbronchial biopsyCBC with peripheral eosinophil countChest x-rayCT scan - chestSerum aspergillus antibodiesSerum IgG and IgE antibodiesSputum stain and culture for fungusBack to TopTreatmentAllergic aspergillosis is treated with steroids such as prednisone. The antifungal antibiotic itraconazole can also be helpful. Continue with ur usual treatment for asthma."
},
{
"from": "gpt",
"value": "Target: Are steroids sufficient to treat chest infection, pneumonia and asthma with disorientation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What causes swelling on left side of waist? Hi I have a swelling my left side of my waist. I almost always feel like I need a poo but don t struggle going when I actually do need one. It is not painful just uncomfortable. I can feel the swelling if I run my fingers over my waist. Any suggestions? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Where is the swelling exactly?? since when you're suffering from this?? Until examination is done it is difficult to say what it is. Please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes swelling on the left side of the waist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been having a throbbing, swelling, and sharp pain on my left back to mid back part of my head. The head will not stop pulsating and hurting. It has been there for almost 1 and 1/2 months and it annoys me to pieces It feels like a bump on the left and bump in the nape of neck. I take fluvoxamine , respiridone, provigil,and anti anxiety medication. I have also found that my brain has been a bit fuzzy lately and I often have a pain in my chest. When I wake up I feel nauseous and I remember throwing up for almost 2 weeks in a row I wake up almost every morning now feeling nauseus. I have been diagnosed with anxiety, depression , aspergers, ADD, and OCD . So please tell me what I have thank you! Doctor: Hi, With these complex problems sometime diagnosis become difficult. In that case physician used to make differential diagnosis to manage case. These complaints can occur in anxiety and depression. OCD is also a type of anxiety disorder. But if we see your treatment it appear to right and cover all your differential diagnosis. So, continue your treatment as some time treatment may take 2-3 months to show response. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com"
},
{
"from": "gpt",
"value": "Target: Have head pain, bump in nape of neck, chest pain, fuzzy brain, nausea. What do I have?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had been dignosed with peri anal abscess last year June and was suffering from regular pus formation and discharge from the same area. The length as per sinogram was 7 cm. By Oct the discharges stopped but I was feeling a lump. Slowly it also reduced in frequency and I took another sinogram yesterday and the length was 2.5 cm and without any pus formation observed. My doctor is still insisting on a surgical procedure. Is it advisable or I let it heal on its own. Doctor: Hi! my short answer is 'YES'!Hello, welcome to HCM and thanks for your queries!In fact, as per your description, your problem of a perianal abscess is complicated by the formation of a sinus tract; this means a blind tunnel through your normal tissue spaces where there is recurrent infections as the other end is open to the environment; the intensity depends upon local hygiene and your immunity power both of which are highly varable...Therefore, it all needs to be obliterated so that no space of infection is left meaning surgical excision is the final cure for this!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: Is surgery required if peri anal abscess is decreasing in size?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, there, I am 60 year s old male and just had my BMD which says T score for spine 0.7, femur -0.7, my question to you is why there is that big different between spine and femur in my one body, seem to me the Calcium I take only go to my spine not femur. is there possible to increase T score on femur? Thanks a lot worrysome.ca Doctor: Hello, I have studied your case with diligence.You need to start supplement of calcium with vitamin D, vit B12, and if osteoporosis is severe then bisphophonates can be started.teriparatide injection may also help you .I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.Hip and thigh exercises will increase T score.You need to take diet rich in calcium and vitamin D.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to increase T score on femur"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir/Ma'am,I have Avascular Necrosis on both my hip joints. Stage 2 and Stage 3 respectively. I April 2010 it was diagnosed in MRI. Since then i am asking homeopathy medicines. Now the recent MRI report showed that there is an advance in disease. I want to know will will cow urine therapy actually works for AVN on hip joint and are there any other alternative treatment for AVN apart from surgery.Regards, Doctor: Hello.. The general treatment protocol acc to modern med for Avascular necrosis is surgical management. There r many time tested Ayurvedic medicines which i can assure would give u symptomatic relief if not full cure. In order to advice u a good treatment schedule i would need to know more about the symptoms and signs you r having along with duration and severity. Also the details of the investigations done by you."
},
{
"from": "gpt",
"value": "Target: Is there any treatment for AVN apart from surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am in my 8th week of pregnancy.I have been given Duvadilan retard 40 mg 2 times daily due to my previous history of miscarriage.I had a miscarriage at 17th week when the fetus was only showing 10 weeks one and a half years back.I am concerned regarding the negative impacts this medicine might have on the current fetus.At present the growth delay is 5 days as per ultrasound scans.Any suggestions and information regarding the safety of use of this medicine is highly appreciated. Doctor: Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Sorry to know about your previous pregnancy loss. Duvadilan is a drug for uterine relaxation. It has no effect on growth and support to pregnancy. I will suggest you to indulge in a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in the diet. Use of oral or vaginal tablets of micronized progesterone and Injection HCG 5000 I U once a week till 14 weeks of the pregnancy is shown to have beneficial effects on the baby growth. Please start on these medicines with your doctor's consultation. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: Is poor foetal growth during 8th week of pregnancy a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an 8yr that complained of a stomache ache all of yesterday and this morning she felt like she had to vomit but, only salivated. Her stomache still hurts but not as intense as yesterday. Her tongue has raised bumps on the sides. Her tongue looks a little whiter than usual but, nothing outrageous. The bumps don't hurt and they are the same color as the tongue. Doctor: Hello,It happens with children commonly, only give syrup Spasler 1 teaspoon (tsf) thrice a day with syrup Polypep for 3 days. She will be settled, also syrup Panadol can be given for pain.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed"
},
{
"from": "gpt",
"value": "Target: What causes stomach pain and painful bumps on the tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had what I thought was a cold but may have been allergies. it started with a sore throat, scratchy and tickleish cough, yellow mucus, runny nose. This has been going on for over two weeks and now I'm developing hives, which I can control by taking Benedryl. It doesn't appear to be subsiding. Is there something else I should be taking? Doctor: Hello Thanks for posting here. Your symptoms like runny nose, sore throat, cough, hives all point out that you may have allergic rhinitis. The upper airways i.e. your nose, throat are reacting unusually to some substance which can be present in the air, in your surroundings. Usually most common allergens are smoke, dust, pollen, pet hairs and some food products also etc. So get your house vaccuum cleaned, stay away from pets and gardens. It can also be worsened due to climatic conditions. There are blood allergen tests and skin prick allergen tests which can determine what are you allergic to, so that you can take necessary precautions. For your symptoms you can take tablet montelukast FX 10MG once in the night for about 14 days. This tablet is a combination of montelukast and fexofenadine which will definitely take care of your hives, runny nose and other symptoms. Also do a spirometry which shows functional capacity of the lungs. Allergies can also involve the lower airways causing asthma. It is a test in which you are required to blow into a machine to test your lungs functional capacity. If spirometry shows reversible obstruction then you must be started on inhalers also. Widhing you good healthRegards"
},
{
"from": "gpt",
"value": "Target: How can persistent cough, sore throat, runny nose and hives be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had blood test with a high white blood cell count and have been taking prednisone for 2yrs ..i also have a white tongue all over not patchy and blood in my stool and severe bloating and swollen stomach have been taking lozengers for thrush for a a bit over a week and tongue is not itchy now but still white what can all this be? Doctor: Hello, Thrush is a possible cause. You can opt for a scrape biopsy for confirmation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Are there any side effects of taking Lozerngers for thrush?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good morning sir, is it Gliosis treatable ? My sister son 10yrs old suffering from gliosis involovin ... by his MRI report ......he is not talk clearly with eye contact he is very naughty....he is playing with his younger brother but we not belived on him which type of activity he will do at the playing time ...we are very fear about his activity ...please suggest me whats the tretment and where..... Doctor: Hi, Thank you for posting your query. Just to explain, gliosis refers to an old scar in brain. It is not an active disease, so, this does not require any treatment as such. However, looking at the description, it seems to me that the child is suffering from attention deficit hyperactivity disorder (ADHD). You can take him to a psychologist/Neurologist/pediatrician for evaluation for the same, as good medications are available to treat this. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad"
},
{
"from": "gpt",
"value": "Target: Have Gliosis. No eye to eye contact. What may be wrong? Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? My left testicel is tender and painfal after linguinal hernia sugery to my right groin area. Is this something to be concerned about -surgery was about a month ago but it has been painful the last 10 days or so. Doctor: Hello, You have to rule out Orchitis like testis inflammation if the pain is feeling in testis as per history. For that, you need to investigate with ultrasound testis. The anti-inflammatory drug can be prescribed to get relief from pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes tenderness and pain in testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has a hard mass left side of neck under the ear. He had prostate cancer 6 years ago and had the prostate removed. Two years later, the cancer re-occured and he had 33 radiation treatments. He has suffered form radiation proctitis since. He underwent alot of different treatments to treat the rectal bleeding namely had 5 argon plasma coagulation treatments and 60 hyperbaric oxygen treatments. He has noticed this lump about 3 weeks ago. Its not painful. Measures 1 inch. Is hard and not movable? He has a medical apointment in another week. Doctor: Hi, Thanks for writing in. The clinical picture that you have described is suggestive of an enlarged lymph node. This lymph node could be enlarged either during an infection or cancer itself. Only a fine needle aspiration cytology ( an investigation where we put in a small needle into the mass and take a small aspirate from the mass) can confirm the cause of the enlargement. Please see his physician for the same. Hope this helps. Regards"
},
{
"from": "gpt",
"value": "Target: What could be the cause of hard mass on the left side of neck in one suffering from radiation proctitis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir,i m suffering from IBS from past 4 years all blood tests including colonoscopy,endoscopy is done.now after som mor tests it is concluded i hav B12 deficiency and given injection VITCOFOL 10ML AND RIFAGUT 400MG FOR 10 days.will these drug really work out and solve my problem.i m very tired suffering.plz answer me Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that vitcofol injection is given in vitamin B12 and folic acid deficiency. So your treatment is in right way. Rifamycin will treat the infection if any you have in the gastro intestinal tract. I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: Will Vitcofol injection and Rifagut 400 mg cure B12 deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been advised to use Flonida in the night and Propysalic NF6 in the morning to erase a big patch of Keratosis.on my scalp..Black colour has lightly changed to my normal skin colour but it seems to have spread. Am I on the right track? Will this have any side effect? J.Venkataraman Doctor: Hello, Burning, redness, and peeling skin near the treated area may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does Propysalic NF6 for scalp keratosis have any side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I have a history of PVC's, that led to severe anxiety and depression. Structurally healthy heart, doctor's have no ideas what trigers these extra beats. Anyway, my psychiatrist thinks that i shold start take antidepressant (Citalopram) at low doses (10 mg daily) and I'd like to try also, but I am scared of the side effects - is it a safe drug to take with PVC's, or can it made them worse? Doctor: Hello, Thanks for using health care magic for posting your query. I have gone through your given history in detail. From your description it appears that you are an anxious personality and that you already have symptoms of anxiety and depression, you certainly need treatment for them. Now the treatment can be of two types - by medications and by talk therapy. When it comes to medicines citalopram is quite a safe drug at 10 mg and can be taken when you have a PVC. but before you start on the medications, it would be preferable to consider talk therapy before. if it doesn't help then medications should be sought. you should ask your psychiatrist to consider you for cognitive behavioural therapy. Do exercise regularly and eat a proper diet. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
},
{
"from": "gpt",
"value": "Target: Have history of PVC's, severe anxiety, depression. Should i start antidepressant. Safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have 4 stage lung cancer and it's in my bones and a big mass in my chest and also have three turmor a in the brain the doc said after 6 sets of chemo iam done with chemo he won't do ration anymore iam finishing my 6 set now so what do I expect now just to wait to die Doctor: Since you have finished 6 sets of chemotherapy now we have to see what your response is to chemotherapy by doing CT scan of chest with upper abdomen, Bone Scan and MRI brain.If u have a good response or stable disease and if ur EGFR mutation test report is positive then now u can be put to maintenance oral chemotherapy tablets called erlotinib.Side effects of erlotinib are diarrhea and rash.Since u are in stage 4 of your disease the intent of treatment is palliation and improving quality of life and not cure.RegardsDR De."
},
{
"from": "gpt",
"value": "Target: What is the chances of living after 6 sets of chemotherapy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband was misdiagnosed in A&E in November with Malaria. His test was negative and he was told he had a virus. Five days later he was hallucinating and collapsed as he had cerebal malaria. A month later he got. Post infection encephalitis. He was in a coma and it has took 7 months for him to return to work. The hospital admitted they didn't follow correct protocol of three blood tests 12 hours apart before giving a negative or positive diagnosis. Should we sue the hospital for original mis diagnosis? This could have resulted in his death. Doctor: Hi,Thank you for posting your query.We need to see the entire case details to establish whether there was negligence on the part of doctor or hospital. However, in the light of information you have provided, it could be a case of medical negligence. So, you can contemplate a legal action.I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Misdiagnosed with Malaria. Was hallucinating and collapsed as he had cerebral malaria. Got Encephalitis and went to coma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good evening doctor, my son is two year old. he is passing stool three -four times a day of brown colour with stickness. Is this related with diet, what diet i have to give him. Thank u very much Doctor: Hi as per your query,passing brownish colored stools which are sticky indicates usually bacterial infection - Dysentery, if associated with abdominal pain.Give him soft diet mostly rice based by avoiding milk based products.If stools are continuing further, show your kid to a child specialist for starting antimicrobials. Please give ORS fluids to prevent dehydration"
},
{
"from": "gpt",
"value": "Target: What causes brown sticky stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can I be pregnant even having tubes tied..im suppose to start this weekend but my husband said I act like im pregnant. I gained 5lbs this month. look like im 5months bloated..lower back pain..cravings. very tired and he said moody. should I wait til after weekend or get checked..i was told since tied I can be pregnant and still pms. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, after succesful tubectomy operation there is no chance of pregnancy, but in case of missed periods, kindly do UPT test and ultrasound abdomen and pelvis to rule out pregnancy. Only symptoms are not confirmatory. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale"
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible after having tubes tied?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently after getting out of the shower I slipped and fell. I ended up falling on my mouth, I chipped one of my front tooth and busting my lip. It's been 3 weeks since that happened, I noticed a week after I fell that I had developed a bump or ball in the upper front side of my gum of where my chipped tooth is located. Doctor: Hi,Thanks for asking the query,Visit to Dentist and get an x-ray done.Root canal treatment can be performed on the broken tooth.Antibiotics and analgesics course is required.Take lukewarm saline rinses at home.Take care!"
},
{
"from": "gpt",
"value": "Target: Fell down and mouth hurt and developed a lump in upper front of gum next to the chipped tooth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter has had 2 different antibiotics in past 3 weeks for chest infections and she is 1 year old when she was 6 months she had bronculitus she also has ashma she bad wiv chest and doc said she cnt have antibiotics as her body will be ammune to them is that true Doctor: Hello.Thank you for asking at HCM.I went through your query and would like to make suggestions as follows:1. I would agree with your doctor's advice of not giving her many antibiotics because - a. Most of the infections in children including bronchiolitis are viral (caused by virus) and antibiotics do not work on viruses.b. Unnecessary and frequent use of antibiotics affects immune system adversely and may increase allergies.c. Asthma is a disease relater to allergies and immune system, it is not caused by infections, hence unless there is a bacterial infection associated, a child with asthma does not require antibiotics.2. Were I treating her, I would suggest her allergy testing. Avoiding the substances she may be allergic to is the best strategy for allergies.3. For symptoms of asthma, she may require medications. I usually prescribe montelukast and levocetirizine for symptoms and salbutamol inhaler for breathing difficulties and wheezing.4. Please keep her away from dusts, smokes and air pollution.5. A balanced diet rich in vitamins & minerals will help her building a good immune system.Hope above suggestions will be helpful to you and solves your query.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for asthma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi for a week now I have suffered from an itchy rash which is situated wherever my glands are i.e around the neck, armpits, groin and then the stomach area; and as the week has gone by it has become worse, spread and become painful. Only my gland on my neck is swollen but that has improved. I don t have a fever and I feel fine... so this is what is confusing. The past month I did have the flu, dont know if that has anything to do with it as I did take antibiotics, can you maybe help me? Doctor: Hi, It may be allergic dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take antihistaminics like levocetirizine and oral steroid in tapering doses. Apply mild steroid cream on the affected areas. Avoid the contact with suspected allergens. Avoid the foodstuffs which might trigger the allergy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What causes itchy rashes around the glands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi.i have a 4 month old son born on 20/11/2010,bein formula fed since birth due to unavoidable reasons.he is now on 180 ml feed every 3 hrs but now he has started demanding milk very freq and he spilts lil milk after every feed mostly in evening,its not vomit just keep taking out lil torn milk.doctor here asked me to start him nestum rice cereal with water,he has alwys been very gassy nd is troubled a lot because of it,also past few days he is at times doing while stools.pls advice what could be iits reason nd wht can i do for his gas and feeds Doctor: Hi there,I'd like to know more about how you prepare formula milk, number of teaspoons and the volume of water.What about the child's growth parameters? height and weight.I believe that you know the burping technique, if not please go to one of the nearest midwifery or regional clinic to get advised about it.for the current situation, I can suggest simethicone drops for his gaseous trouble you encounter.Thank you!"
},
{
"from": "gpt",
"value": "Target: What causes child to demand more milk and have white stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sister states her MD diagnosed her with plasamcytoma of the coccyx. she presented with pain during walking, excercising, and nothing else. no other deformity was present. also states that the oncologist recommended radiation, no chemo, as txmt. Female, 62 yo, retired educator, three (3) adult children, no other issues other than OA. Doctor: Symptoms of coccyx plasmocytoma is bone pain. The pain can be severe . Pain may occur when at rest or at night and tends to progressively worsen. Sometimes a tumor, especially if cancerous, weakens a bone, causing it to fracture with little or no stress .RegardsDR DE"
},
{
"from": "gpt",
"value": "Target: What are symptoms of coccyx plasmacytoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir, I am only 23 yr old and I am suffering from male pattern baldness for last 7 yrs. I used every thing(homeopathy to alopathy also Ayurveda )But the result was for certain time and not very useful to. Now I going to lose all my remaining hair from middle of my scalp. what Should I do? Doctor: HIWell come to HCI really appreciate your concern, if this is pure form of Male patron Baldness then it can be prevented for some time with the medicine called \"Minoxidil 5 %\" for local application on scalp, let me tell you it is better to see the dermatologist for better result, here the Minoxidil is the prime medicine but nowadays there are some newer medicines available for Alopecia, but you need to see the dermatologist for this, hope this information helps, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After I masturbate for a long time and ejaculate, I get an intense cramp on the right side in my abdomen. The cramp is about 3 inches below my belly button and 4 inches to my right. The cramp goes away in about a minute. It feels just like a leg cramp, but it is in my groin. It is on about the same level as the top of my hip. It feels like it is just a couple of inches below the skin, not very deep down. This happens about once a week. I masturbate at least twice a day. I am a male, 60 years old, have diabetes and high blood pressure. Doctor: DearWe understand your concernsI went through your details. Please understand you are already 60. I sincerely suggest you to reduce your masturbation frequency from twice daily to twice weekly. Though masturbation do not have any negative health effect, it does consume lot of energy. At your age your body may not be able to manage such loss of energy which is resulting into muscular cramps. Please do consult your physician for second opinion.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain post masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iam 32 year old male that has a gulfball size lump on my inter side of my right knee. I had it looked at with orthopedic doctor that took x rays. I believe I may have Done it doing leg presses and now the lump is back again. Any solution on what it could be. Doctor: Hi, this is either a bursa, ganglion or some kind of arthritis. Not to worry much about this!Please go for an FNAC test for confirmation and get back to us!all the best....."
},
{
"from": "gpt",
"value": "Target: What causes lumps in the knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 58 year male, caucasian. I have better that average medical knowledge as I am a veterinarian. I have had two creatine tests done the last month. The first value was 1.28. The second value 3 weeks later was 1.24. Normal value from Emory university lab is .7 to 1.2. Associated with the creatinine of 1.28 my BUN was 15, normal value is 8 to 25. The GFR was calculated to be 58. Do I have kidney disease? Doctor: HI there, as you have rightly stated both your creatinine levels are beyond the normal range. Along with it your GFR is reduced, the normal level being between 90-120ml/min. The decreased GRF along with rinsing creatinine does indicate that you are going into chronic renal failure. Tho' it is not absolute but you do need to get a renal profile done and visit your general physician who should be able to guide you to the next course of action. Do take care."
},
{
"from": "gpt",
"value": "Target: Can you tell me if I have kidney disease? Creatine reports are high"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi..my four month old son has just been diagnosed with inflammatory airway disease. His chest xray apparently showed that his airway is inflammed. Our doctor had already put him on ventilin as he suspects asthma. He just called and said that he has seen the xrays and he now wants our son to take prednisone in the form of an inhaler to reduce the inflammation. He did say that prednisone is usually not prescribed in babies under the age of 6mths. We don't know what to do. Is it safe for our son to take the prednisone this young? Doctor: Prednisolone may b given in this age group also if the diagnosis of inflammatory airway disease is made. You should not b worried about it."
},
{
"from": "gpt",
"value": "Target: Is Prednisone safe for babies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 20 and her heart was racing very fast sunday while just sitting there, we went to her primary and they did an ekg and said the left side of her heart is enlarged and she needs to see. Cardiologist, should I be freaking out because I m very worried Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely consult cardiologist for your daughter. Her symptoms like sudden racing of heart and enlarged heart on ecg can be due to Dilated cardiomyopathy (DCM) or valvular heart disease. So better to consult gynecologist and get done 1. Fresh ecg 2. 2d echo 3. Holter monitoring (24 hours continuous recording of ecg). She may need surgical correction and other cardiac supportive drugs on the basis of above reports. Don't worry, she 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 daughter. Thanks."
},
{
"from": "gpt",
"value": "Target: What does enlarged heart mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have severe back pain, shoulder pain, & also have left side from neck to leg pain,, so my docotr gives me tablet buta proxyvon but after taking that i am feeling very energyless, acidity, hedache & I have backpain which is tolerable but it is there, what to do? Doctor: Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the treatment of full body muscle and bones pain ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I almost always feel like i cant catch my breath and that im not getting enough air. Even if i amnot doing any physical activites. I could be sitting on my couch watching tv, and i would get this feeling. It also does happen when i am doing physical activities too. I also noticed that it gets a little worse after i consume caffine. I also experience a pain in my chest too. It feels like pressure and like my airways are closed. I am starting to become more and more alarmed every day. I have been to the ER for this problem and i was told that it may be asthma or anxiety . I feel as if it is not anxiety though. I am not really anxious that often. I also have some stomach problems too. After any type of food i eat, my stomach hurts. I also constantly feel fatigued a lot of the time. Doctor: Hi friend Welcome to Health Care Magic You have enumerated too many complaints , but have not said anything else! - you did not mention even your age, or gender; habits or family history and so on.... The complaint also needs further descriptions to suggest the line of approach. From you say, only wild guess is possible! You have to investigate your heart, lungs, stomach and nervousness. ECG, routine and exercise / X-ray chest and spirometry (lung function test) / endoscopy - are some of the things to be done - to exclude or confirm the suspicion. Instead of Emergency, you should see an Internist. He will be able to guide you with the best approach and treatment. Take care Wishing you speedy recovery God bless Good luck"
},
{
"from": "gpt",
"value": "Target: Breathlessness, worsens after consuming caffeine, chest pain. Asthma or anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor,Please I want to knoW how effective postinor 2 is and also I had sex with my boyfriend on monday nite and I took postinor on tuesday afternoon den had sex again that same tuesday evening and wednesday night which I also took another dose of postinor yesterday afternoon. My question now is, is there possibility of getting pregnant? Because m scared And what would you advice. Thnk you! Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You should take tablet misoprostol. Remember whenever you are going to do sex you should take tablet levonorgestrel plus estrogen in combination within 48 hours of after sex because this is an emergency contraceptive pill. If you have any problem regarding this then you should go to near doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Muhammad Israr Khan"
},
{
"from": "gpt",
"value": "Target: Possibility of getting pregnant after taking Postinor 2?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my son has taken a spot on his side, its just the one spot, but it went quite septic and we out cream on it, there was abit of puss coming out, but now it looks like there is a hole in the middle of the spot and im just concerned as its the only one. What could this be and why has he taken it? A worried mum, thanks Doctor: Welcome to HCMi appreciate your concern about your son's healthThe symptom you are telling points that are your son is having a boil which has eroded and pus has come out.Dont worry pus oozing out is a good sign.just take care of cleanliness so that it does not turn into an abcess.keep cleaning it with methyl spirit.let it dry.dont apply creams.if it persist for two or three days give him a 5 days course of antibiotic like amoxicillin and see a physician."
},
{
"from": "gpt",
"value": "Target: What causes spot with pus and hole in middle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the past two weeks I have felt queasy, tired, and run a low fever (99.9). I also have discomfort in my left lower abdomen which my doctor thought was due to a twisted pelvis. He is an internist/osteopath so he adjusted it a week ago. I had a CBC run and all was good. I have an insect bite under my breast but did not think to tell him about it. Could it be related? Doctor: I dont think your symptoms are necessarily because of insect bite. Low grade fever with malaise can occur in any infection - bacterial or viral in origin. Depending upon the geography of your area, further investigations for malaria, dengue, typhoid, influenza etc may be required. Undiagnosed fever for more than 2 weeks is not a good sign. A mere CBC will not be helpful. Depending upon your ESR and CRP levels, your treating physician should be planning further."
},
{
"from": "gpt",
"value": "Target: Are fever and tiredness related to insect bite under breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i got all four of my wisdom teeth our yesterday morning. My bottom two were already out so he just pulled them out. I have no pain and no stitches. I do ice my face and take antibiotics. I was wondering how long i need to wait until i can smoke hookah again. Thank you. Doctor: HiThanks for writing in.Its better to wait for at least a week.Otherwise smoking will lead to dry socket.Maintain good oral hygiene.Visit your dentist for regular check up.RegardsDr. Neha Sumra"
},
{
"from": "gpt",
"value": "Target: How long should I wait to smoke hookah after removal of wisdom tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been getting pain in my feet for about 4 months (can t walk or stand for more than about half an hour), but it s got worse over the past couple of weeks and has now spread to my legs. It s like the muscles are almost cramped, but not quite. The only medication I m on is cerazette, and have been for about 9 months now. Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to muscle cramps. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. 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: Suggest remedy for pain in feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 6 week old baby has had an index finger which has been swollen from the nail and a bit beyond and it has now turned red. Our doctor examined it and said it might be an infection, and if not, it might require surgery. What condition would require surgery? Doctor: Hello, Possible causes like abscess or terminal pulp space infection must be ruled out. Consult a paediatrician and get evaluated. If there is pus collection, it must be drained and antibiotics must be started. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician"
},
{
"from": "gpt",
"value": "Target: Suggest cure for swelling in the index finger"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there me and my husband had anal sex last night, after I went to the bathroom to clean my self up and had a speck of blood on the tissue paper. I've recently opened my bowels and there's no blood but I've got back ache and abdominal achy pain. I feel abit dizzy but I don't know it's that's because I'm worrying my self sick about it. Please help me Doctor: Hello There can be injury to rectal mucosa due to anal sex.As you may not be doing it routinely ,so that lead to mucosa tear.You can use anaesthetic gelly for pain ,and use laxative or stool softener.If bleed persist you may need to consult doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Back pain, abdominal pain, dizziness, blood in tissue after anal sex. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good Morning, My baby is 11 months old , he has fever and he has pink spots on his skin, the fever started three days back , and he had diarie , I took him to doctor , he recommended Hymox Forte , but yesturday , he didnt pass any stoll.and the red spots are even worse,his temp is 37.5 not going down, I m brest feeding and he didnt lose any wieght. Doctor: i read your question and understand your concern i would like to ask that your child is having either of these also *runny nose*cough*sore red swollen eyes*small white spots in his mouthif these things also present then this is to be worried about as these all are alarming sign of MEASLES i would also want to know the pattern of these spots i mean from where they begin to appearso i would suggest to take him back to his pediatrician to have a good check upon himi hope my answer will satisfy yougood luck & tc"
},
{
"from": "gpt",
"value": "Target: What causes fever with pink spots in infants?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I had a lumbar fusion cause of numbness and pain in left leg, now have worse pain and numbness in left leg and also right leg hurts and back. had a nerve block and for a week I felt a lot better. but then the pain came back. I would do a nerve block every week if it would always help but had another one and no good. is there something else to try? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.You are having nerve pain involving involving your left leg following spinal fusion. You got relief by nerve block but last time you does got relief by nerve block. You wanted to get alternate treatment. Radiofrequency ablation is alternative to this. You can try this. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain and numbness in the leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m looking to start taking biotin supplements that also contain a lot of added vitamins, in the ingredients it states that the supplement contains fish, I have a mild seafood allergy do you think the supplement has enough fish to trigger an allergic reaction? Doctor: Hello,Thank you for asking at HCM.I went through your history and understand your concern.I would like to mention here that allergy to seafood does not necessarily mean allergy to fish. It is possible to have allergy to crabs but not to fish, etc. Also, all fish are no same. So, it is difficult to predict whether you would react to the supplement. But if you have allergy to fish, of course you should be cautious while consuming the supplement. You may or may not have reaction depending upon type of allergy you have and the type of fish protein used in the supplement.Hope above answer helps you.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Can taking biotin supplements containing fish trigger allergic reaction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Trying to find what could be wrong with my eight year old son. These are his symptoms: 6+month symptoms Recurring nose infection/bleeds goes away only with topical antibiotics Acid reflux (was on prescription 6mo prior now infrequent 2-3x mo treated tums) 3+ month symptoms Headache- usually @evenings 3-4x wk Audio hallucinations 1x wk (not threatening) Visual hallucinations 1-2x day 4-7x wk (shadow people only) Light headed spells last under 1 min 2-4x day (Usually when sitting down. Not occurring in a transaction from sitting to standing etc) he says spinning and he looks pale History: South Carolina east coast No travel out of country He is fit muscle/tone not overweight but bad diet with take-out and sweets Hit head 2 bad occasion- diagnosed concussion age 3 (bunkbed) / nothing found age 8 (trampoline) hallucinations seem to begin after this incident? Hand and foot disease Nov 2017-antibiotics Feb 2018 Lost all lunula s (half moons were just holes in nailbeds) @ all 20 fingernails and toenails half moons were all holes where lunula should be. had blood work done to rule out iron deficiency. Test results iron good Just had MRI was clear (rule out tumor @ hallucinations/injury from trampoline) Doctor sends him to psychologist. psychologist thinks I should continue to seek medical advice to rule out other medical conditions. Sorry to muddy the waters but want to show all history in case one has to do something with the other. Doctor: Hi, If MRI brain turned out to be normal then medical cause is unlikely, a metabolic profile can be done for degenerative brain disease and Wilson disease but it still has findings on MRI. Psychiatric consultation is also a good option because it will help in both ways. Recurrent nose infection and bleed are recent symptoms that should be investigated with full blood count and coagulation profile. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shehla Usman, Pediatrician"
},
{
"from": "gpt",
"value": "Target: What causes recurring nose infections and bleeds along with acid reflux in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my husband had a really bad reaction to something last night. His face, neck, chest and parts of his arms and back turned a bright red, almost purple. He had shortness of breath, coughing, rapid heart beat and vomitting. It lasted about an hour. This isnt the first time its happened. He also had about 6 - 7 beers as well. He wont go see a doctor. What could this be? As far as he knows he's not allergic to anything.... Doctor: Hello,All these symptoms are relating to anaphylactic reaction. Symptoms come in minutes to hours and one can go into shock as well. I suggest you to visit a doctor and get proper testing for allergen and treatment if needed, and some prophylactic medicines to prevent future attack. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes reddish color on face and neck with cough and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I put new batteries in my wii yesterday and it didn't work so I took them out again and did the old tounge test without looking properly. It tasted foul and I quickly wiped my tongue but this morning I have some ulcers in my mouth. OK so I deserve it for massive stupidity but my question is how serious is it, and will I get away with just mouth ulcers? Doctor: Thanks for your query, I have gone through your query.Nothing to be panic, it is an allergic reaction or contact stomatitis in response to the batteries. Consult a oral physician and get it evaluated. Meanwhile you can take topical anesthetic and analgesics like anabel gel, apply 3-4 times daily for 5 days. The lesion should heal in 3-5days. If the lesion does not heal then consult the physician immediately and take topical steroids like triamcinolone acetonide 0.1% 4-5times daily after food.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Is mouth ulcers serious after taking tongue test on batteries?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.