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{
"from": "human",
"value": "Source: Patient: my grand-son is 21 has gullstones and has been in and out of emergency , last night they gave morphine but he was in so much pain he cried so was given a stronger dose pain subsided and he was sent home.what can we do? please help hate seeing him in so much pain . I m sorry I don t have any money thank you anyway Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. At some point someone is going to have to treat the gallstones or he is (1) going to have more serious problems and (2) cost the medical institutions even more money. Luckily it is July. Any hospital with a medical school is looking to train their new surgeons in July and would welcome someone with gallstones to practice on. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain in abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im 26 and i have had asthma since i was 6 month old asthma has become better over lazt 10 years. but for the last yr or so i keep getting chest infections every month or so. today om coughing up phlem my voice is going and my chest hurts when i breath and my throat hurts a little. i also work in a bakery for the last 12 years and flour and stuff has never bothered me. i go to the doctors every time and they just give me the same antibiotics / amoxycillin,prednisolone etc but they cant pin piont why it keeps happening. im going back today to see them can you help?? thank you Doctor: Hello.Thank you for asking at HCM.I went through your history and from your history I would like to suggest you as follows:1. Were I treating you, I would suggest tablet montelukast and levocetirizine daily at least for 2-3 months.2. I would also start inhaler formoterol and budesonide in low dose daily for at least 2-3 months.3. Simultaneously, I would suggest you regular steam inhalation and warm saline gargles to hasten the healing process.4. Once you have no longer episodes of cough & chest complaints, I would plan to reduce your medications gradually.5. As you are working in a bakery, I would specially suggest you to cover your nose and mouth with a mask while working. If possible, you could take steps (like keeping window open) to improve ventilation in the area where you work.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Regular breathing exercises and a healthy diet rich in vitamins and minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will definitely help you in a long run.7. I would suggest you allergy testing, which will help you identifying substances causing troubles to you and also measures to avoid them.8. If above measures do not help, personally I would suggest you spirometry to know your lung capacity and identify type of lung problem you have.Hope above suggestions will help you.Regarding your main question, I would say, Asthma, if cannot be cured, can be very well controlled by regular medications without affecting your daily life. If allergy testing identifies some allergen, you may be prescribed specific allergen immunotherapy, which can change your immune system to improve your asthma. Also, if daily exposure to bakery dust (including yeast, wheat flour, egg, other dusts) is the cause of your symptoms, avoiding bakery dust will help you a lot.I must also mention that it takes long time to develop allergies and asthma. So no matter you have tolerated bakery dusts so far, may be it is now increasing your symptoms (it's known as Baker's asthma, you can read on internet).Should you have any further query, please fell free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: What is the permanent cure for asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have a lump behind my two front teeth. It just got there this morning but yesterday it was just a sore area. It is quite hard but not movable. It gets air behind my front teeth a lot. Could it Mabey be moth cancer? I don t know what to do. Please help. Doctor: hello there thanks fr consulting at hcm. did u have a fall hurting the front teeth, it could be due to periapical r periodontal abscess, u shd take a iopa radiograph and take antibiotics and analgesics and do warm saline gargle,, if prblm persists plz take an opine at ur nearest local dntist... hope it helps..."
},
{
"from": "gpt",
"value": "Target: How to treat lump behind two front teeth? Can it be mouth cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A fine line crack on my penis everytime i masturbate or having after a blow job is done on my penis. What will i do, i'm ashamed to tell this to my female family doctor. I am already 50 yrs old, 180lbs, non-smoker and also non-alcohol drinker. Did i lost the skin elasticity of my penis? What medicine do i have to put on the crack on the head of my penis. Is this a kind of std or venerial disease? I need your expertise and help. thank you......Jimmy N Doctor: Hi,Fissuring on prepuce after masturbation may be due to candidal infection of prepuce and glans penis..called candidal balanoposthitis. Avoid masturbation and blow job for few months. Take antifungal like ketoconazole tab for few weeks. Apply antifungal cream like clotrimazole. Avoid soap bath. Take Sitz bath in dettol mixed water to improve genital hygiene. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What causes penis cracks after masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just noticed this morning, a pea-sized lump about 1 1/2 in. below mt left-side rib cage. I had a Gastro check on Wednesday and nothing unusual was noticed. This just appeared this morning. I didn't even notice it when I was doing crunches yesterday. I am 64-years old and I also am having a left-ear problem where it feels like I have \"water blocking it. Doctor: Hi,Dear,Thanks for the query to my HCM clinic.I studied your query indepth .In my opinion- this morning lump is mostly a begbug bite /insect bite.Treatment-to take-Ice -compresses,Tb-NSAIDs,this would re-solve the acute symptoms and may even lead to resolve the lump totally.dont worry of the left ear problem as it would recede on its own,as its water-logging.Hope you have cleared your worry.Would wellcome you you to HCM for any more queries on it or on other health-problem."
},
{
"from": "gpt",
"value": "Target: How to get rid of lump below the left side of rib cage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is Amit Kumar, age-29 , Sex-male. I am suffering from abnormal skin and body behavior. This problem is persisting from last 8 years. Front part of body is Ok. But back part(which includes from head to buttock area, foot soul also) behave abnormal. It starts pinching , minor itching and sweating abnormally and heavily and due to this I lost so much hair on scalp , Foot also sweats, Buttock also itch and I face so much difficulty in sitting on chair as it remains wet. I do not know it is infection, allergy or some other thing? I never feel any problem except this . I consult to some doctors also and they prescribe some Antibiotic but it does not help. Since my back area always remains wet(specially buttock area) so feel very embarrashing and it affects my daily life also. The skin is also very dry in my back part of body. Please advise me what to do ......... Doctor: SEEMS TO BE FUNGAL INFECTION RELATED WITH WETNESS NO ANTIBIOTICS KEEP AREAS DRY TAKE TAB FLUCONAZOLE 150 MGM ONCE A WEEL APPLY CALAMINE LOTION AFTER BATH MYCODERM POWDER IN AFTER NOON CANDID OINTMENT LOCALLY AT NIGHT IF ITCHING USE TAB ALLEGRA 120 MGM SOS COURSE 3 MONTHS"
},
{
"from": "gpt",
"value": "Target: Itching and sweating on buttocks and feet, hair loss. Infection or allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have had strong metallic taste in my mouth, mainly in evening/night time. Got worse recently. I tried reading on the internet all I can about this problem, and still cannot identify the reason and possible answer as to what I can do to solve this problem. Doctor: HelloThe metallic taste that you have in your mouth can be associated with a variety of factors that can range from cancer, allergies to diseases such as kidney failure, pregnancy, dental problems, deficiency in certain vitamins, and more. Disorders of the nervous system can also cause you to have an altered sense of taste. Nervous system disorders affect how your nerves send messages to the rest of your body.How to treat this?1. Most often, lifestyle changes are all you need to improve your sense of taste. If you are a smoker, quit smoking to taste your food fully.2. Proper dental hygiene can also reverse impaired sense of taste.3. Through brushing and flossing, you can eliminate plaque from your mouth, protect your teeth from disease and decay, and help regain your full sense of taste.Bacterial sinusitis, salivary glands, and throat infections can be treated with antibiotics.Symptoms of colds, flu, and allergic rhinitis that impact taste may be relieved with decongestants or antihistamines.Once you are feeling better, your taste will most likely return quickly.Hope this helps.Please write back for further queries.Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What is the remedy for metallic taste in mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my daughter as got a viral infection I just wanted to know if she can pass it on to others ? Doctor: Hi david, The viral infections which cause upper respiratory tract infection can be transmitted to others easily with cough or sneeze and it is difficult to prevent the transmission, but these are less severe infection so need not worry. Take care"
},
{
"from": "gpt",
"value": "Target: My daughter has got a viral infection. can it be spread by her ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband has TB. he started anti-TB drug from last 2 months and he finished intensive phase now he started conyinuation phase with the drug rifampicine, isoniazide,pyridoxine. but now he developed some problems like nausea vomiting ,mild fever,constipation.my question is why this occur and is this serious problems for TB treatment and continue this deugs? Doctor: HiWelcome to HCMI appreciate your concern for your husband.Glad to know that the first phase the intensive phase of Anti TB treatment is over.The problems your husband having are due to the side effects of drugs like Rifampcine or Isoniazide. Nothing to worry about them,These problems are self limiting.If vomiting becomes severe, you may give him Omeprazole once daily this will prevent nauseating sensation as well.For constipation he may take some laxative like Bisacodyl or latulose at bed time or give him fresh fruits or leafy vegetables. Ask him to drink a lot of water.He has to continue the treatment for continuation phase.Hope your query is being answered.Wishing your husband a quick recovery.Regards"
},
{
"from": "gpt",
"value": "Target: What causes nausea vomiting ,mild fever,constipation while treatment of TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr., I was suffering from nightfall ( from last 4 years) but now I am suffering from sperm or pus cell in urine about 6 months plz tell me how we can cure these dise plz sent the answer on my e-mail [email protected] Doctor: hello first thing you get urin test R/M , culture and USG ..KUB. Drink plenty of water , citrakal .. 2 tsp mix it in 1/2 cup of water twice a day. consult DR . regards DR namrata"
},
{
"from": "gpt",
"value": "Target: I have leakage of pus cell in urine. Suggest me"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband suffers terribly for many years from restless leg syndrome. It is excruciating for me to watch him go through such torment. He has used Requip for years (says it does give him some relief) - gave up on Gabapentin which he tried recently. I believe that he should try Marijuana but he is against it. Do you have any suggestions? He is 76 and otherwise healthy. kar Doctor: HIWell come to HCMI really appreciate your concern, the symptom that your husband has got could be due to fibromyalgia or it could be psycho neurotic syndrome what the medicine is going on (Gabapentin) is okay and no need to try any narcotic drug for that he has to come out of the stress, and anxiety, hope this information helps."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for restless leg syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have lower back pain , sore testicals and a cough . The best way to describe my soreness is that it feels like I have been wearing very tight pants. This discomfort started a few days ago but is worse today. My back pain is intermittent and I think in my kidney area. This started yesterday and was just one side, but both sides are sore today. My cough started yesterday Doctor: Hi, Thanks for posting your query. You are most likely suffering from acute viral upper respiratory tract infection with epididymo-orchitis. Presence of cough along with painful testicles suggest the diagnosis. You should consult with internal medicine specialist and should go for thorough check up. You should also go for ultrasound imaging of scrotum & urine routine & microscopy examination. Although these infections are viral in origin, yet you should take antibiotics for prevention of secondary bacterial infection. You should also take cough suppressants, analgesics. You should perform gargles three times in a day with lukewarm water & pinch of salt. You should wear loose pants. Take care, Dr. Mayank Bhargava"
},
{
"from": "gpt",
"value": "Target: Have lower back pain, sore testicle and cough. How to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I stepped on a broken beer bottle in the lake 24 hours ago. It was a large very pointy piece that entered the ball of my foot. It feels very deep and is extremely painful still. I am not able to put any pressure on my foot not even to wrap it. It is red around the wond and white right at the wond opening. Do I need to go to the er so it doesnt get infected due to the lake water and since my primary doctor isnt open till monday? Doctor: go to the ER to undergo a wound debridment if needed and wrapping. antibiotics as amoxi-clav (if you are not allergic) or doxycyclin, adding metronidazole covering (for clostridium perfringens/tetani) are mandatory. ER doctors will decide if giving to you them orally or through intravenous/intramuscular injection. if you didn't receive a antitetanic vaccine, ask for antitetanic immunoglobulins, that are fundamental."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful injury on ball of the feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is Danny.Around three weeks ago, I injured my calf muscle. I was only able to go to the hospital week later. When I did, I had an Ultrasound done. The doctor told me that it was just a pulled muscle and wasn t anything serious. Another week past and now I have a few other concerns.The first is the duration, it s almost three weeks now and my injury still don t feel like it s getting better. The second is the tightness, the muscles opposite of the knee caps feels tight and it s difficult to fully extend my leg straight. I m worried that if I don t try, my leg will tightened in this slight bent positing even after I fully heal. As such I ve tried to straighten it out from time to time, but now the upper connecting part of the calf(the part opposite of the side of knee cap) muscle has some slight pain. What should I do? Doctor: Hi, Consult a general surgeon and get a Doppler scan done. As of now, analgesics like Aceclofenac or Tramadol can be taken for pain relief. 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: How can pain and tightness in the calf muscle and leg be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is having myasthenia gravis..he wants to know if azoran and calcium tablets can be taken together....he is having this doubt since earlier he was told not to have calcium tablets with mmf (other immunosuppressant he used to have earlier) as the calcium tablet would reduce the effect of mmf Doctor: H, Indeed taking calcium tablet along with immunosuppressant mychophenolate mofetil ('mmf') may decrease the effects of mycophenolate mofetil. However, there is no documented such interaction between calcium tablets and azoran hence they may be taken together safely. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is it safe to take azoran and calcium tablets together?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently there is an above normal esinophil count. The normal range is up to 6 and I have 8.5. My doctor said nothing about this. I checked previous blood tests and they were normal, about 2.9. There are recent symptoms. In the past 10 months I have had more itchy rashes which are appearing more in various areas around the body. There was a weird smell in the rash under my arms. Could this be related to an undetected STD or is it the emergence of chronic leukemia? Doctor: Why think of the worst-it is always better to trust a dermatologist instead of deriving own conclusions.Eosinophils count has more value if absolute count is considered for eosinophils.skin allergy or infections may show some eosinophils in blood .it is common in allergies.some more tests may be advised by a skin doctor for diagnosing rashes which come in hundreds of different diseases.To be aware is good but to apply on self or others is a doctors job.it will be all right with proper treatment.it is no leukemia."
},
{
"from": "gpt",
"value": "Target: What causes increased eosinophil count and itchy smelly rash on the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 36 years old and have been diagnosed with typhoid 2 days ago, i m taking the medication given by the doctor, i want to know is it contagious? and what precautions do i need to take for myself and my family as i have 2 young kids 10 and 6 years. please advise what and what not to eat. Doctor: Hello,Welcome to HCM,Typhoid fever is a disease which is transmitted by drinking or eating contaminated food. It is a disease caused by the bacteria Salmonella typhi.It is communicable to your family members if there is any contamination of food and water otherwise it is not transmitted to your family members.I would suggest you to adopt good hygiene practices like washing the hand before and after the food and defecation. The housefly can transmit the disease so avoid the fly nuisance.Eat and drink hot food and beverages. Thank you."
},
{
"from": "gpt",
"value": "Target: Is typhoid contagious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my daughter(9) has been having an enlarged tonsil for the last year. Recently I discovered a blister on her tonsil. She has been compaining of a sore throat as well. When she was 17 months old she was diagnosed with Langerhan Cell Histiocytosis, both tumors in her head. She was treated with IMRT, and Chemo therapy for six months and all resolved. She has been in remission since she was three. Could this be related to histiocytosis? Does histiocytosis attack the throat? Doctor: Histiocytosis can attack any organ in the body at any time once it invades the body of a person. Tonsils are from the lymphoid tissue of the body, hence they can be affected with this condition. Please see his previous oncologist or treating pediatrician urgently.Dr. Taher"
},
{
"from": "gpt",
"value": "Target: Could enlarged tonsil in child be related to histriocytosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m pregnant. 11 weeks. I ve been getting colds quite regularity over the last few weeks. Monday I woke up feeling quite terrible. Rough cough lots of nauseau, runny nose and very sore all over my body. Sore throat as well. My symptoms have not gotten any better through the week and now when I go to sleep I wake up with huge nasty eye boogers and today my eyes are very red and mildly itchy. I m sure with all my sickness and constant nausea with this pregnancy I am at least a certain amount dehydrated. But I am starting to get worried. Before wasting the money I m wondering if this seems like so,etching that will pass or something I should have looked at soon. Doctor: Hi, I think you are having some bacterial infection in throat. Take some antibiotics after consulting your doctor. Do warm saline gargle atleast 3 times per day. Take steam inhalation also. You can take some antihistaminics and cough syrup also."
},
{
"from": "gpt",
"value": "Target: How to treat persistent nausea, cough and cold during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had kidney stone removal and insertion of a stent 48 hours ago. I ve had minimal discomfort until tonight. After my shower I noticed blood when wiping and am experiencing severe pain in the stent area. I ve also begun to feel an almost constant need to urinate. I m wondering if a trip to the ER is called for or, if this is normal and I should contact my doctor during office hours. Doctor: Hello and welcome to HCM.As an Urologist, let me assure you, that the pain keeps decreasing each day.If the pain is very severe, you should go and get a pain killer injection in ER.Usually, after stent placement, an analgesic is prescribed for a few days.When the stent moves in bladder, one feels the urge to pass urine.Also, in some people, bleeding may occur with stent movement, especially, if the stone was large in size, and present for some time, before treatment. If you've any other doubt, you may contact me by name.Wish you well."
},
{
"from": "gpt",
"value": "Target: Is it normal to see blood on wiping and pain at stent insertion site?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife is suffering from low back pain since two months. She is using painkiller (analgasik) . On blood test MPV is Increased. What are the causes of increase in mean platelet volume ( MPV ) ? How their volume be normalised? Doctor: dear sir, please mention your wife's age and other details. what you need is to take an ayurvedic treatment which will give you a cure for the low back ache. please understand that when you use pain killers for any degenerative dissorders you are actually making it worse because if you do not feel the pain you will work more. the analgesics that you use gives you only a temporary relief from the pain it dose not cure the low back ache. i hope i was help ful thankyou."
},
{
"from": "gpt",
"value": "Target: What is the reason of increasing of mean platelet volume ( MPV ) ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I broke out in a rash today on my stomach and thighs...I heard drinking red bull can cause this (as I drink 3-4 per day) I also heard stress can cause this (as I have an interview later this week) and I also heard insect bites can cause this (as I was knocking down cobwebs earlier today) Which of these are most likely??? Doctor: Hi, You seem to have developed an urticarial rash. It seems to be most likely due to insect bites followed by a red bull drink. Take antihistaminic like tablet Cetirizine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Can stress or food allergies cause rashes on the stomach and thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i am a 23 year old woman. I have an unidentified problem with reoccuring kidney and urine infections, i have had scans and nothing had shown up. I have recently been getting really bad headaches and i am extremely tired, i had blood tests and they came back and said i had low calcium. I have now noticed a lump under the skin on the back of my neck under my hairline... what could this be? and could all these syptoms be connected? Doctor: Hi,It seems that you might be having chronic recurrent urinary tract infection giving rise this problem.Go for urine test and culture sensitivity test which will give regarding type of bacteria and antibiotic affecting against these organisms.After report go for long specific antibiotic medicine course.Take plenty of water.Keep local part clean and healthy.Having lump in back of your head might be different entity and nothing to do with urinary problem.This might be due to some local infection on the scalp like dandruff, fungal infection or ingrowing hair follicle infection.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Recurring kidney and urine infections, headaches, lump under skin. Low calcium. Are all symptoms connected?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello! I have a question last night I was going to bed and when I put my head on the pillow I got this very sharp pain in the right side of my head. It almost felt electric and my right arm went numb. I got very scared I have never experienced this before Doctor: Hello dear,I understand your concern.What was the duration of your symptoms in this episode?For single episode of sudden onset headache with numbness in right arm ,the organic causes can be some seizure activity, a transient ischemic attack or a rare variety of migraine.However,it needs to be observed, whether you have any such episode in future,before getting extensive investigations.A neurologist opinion may be sought,so that he may examine you and advise further.I hope it helped."
},
{
"from": "gpt",
"value": "Target: What causes sharp pain on right side of head and numbness on right arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Im a 22 year old male and ive noticed over the past 2 years now that my face starts to swell up terribly after masturbation. The swelling appears mostly in the face and neck region and can last for hours, or even days respectively. People have told me i look swollen which is why im now turning to you for medical advice. Thank you. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, it is a false belief that you are having problem because of the masturbation.Masturbation never affects ones health adversely.Many people has many complaints pertaining to masturbation. But the fact it never affects any bodies health .Masturbation is very safe act and never affects any bodies health. You can perform it as many time you want.Do not forget to do it with clean hands.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: What causes swollen face post masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is 4 yrs and 9 months..through eeg, she was diagnosied with absence seizuires on 22.11.2010..and put on epilim syrup 10ml per day(divided into two) immediately..the seizuires disappeared 5 days after the onset of the treatment..what are the chances of being cured completely...when can the doctor stop the treatment..she has skin boils and the doc has put her on some ointment...is it a side effect....am from kenya Doctor: HiI understand your concern.I had gone through your query.Usually absence seizure has good prognosis and it will decrease as age progress.If you will stick on treatment properly and absence seizure usually require 3 years of seizure free interval after taking medicines.I hope you will do it and it will get up to almost totally absent for a lifetime.Still have a query then feel free to ask.Happy to help you.Thank you.Take care."
},
{
"from": "gpt",
"value": "Target: Can absence seizures be cured completely?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have atrial fibrilation and have had it since 1996, i also had a heart attack 3 years ago, a stent put in and am on meds for both heart issues and high blood pressure. my question surrounds the afib, why isnt an ablation reccomended since my Dr. whom I had for almost 20 years, retired before my heart attack and told me that as I age my afib attacks will most likely increase and they have. I have heard about heart ablation, yet it has not been reccomended by my cardioligist, and I know the chances of another heart attack or stroke are eminent. I am not over weight, don t smoke, use little salt, eat well, in other words i am basically healthy and 62 years old, thanks for any help you can give, it is appreciated. Doctor: Hello,Atrial fibrillation of more than three years can’t be treated by ablation. Just take drugs to keep your heart rate under 100 per minutes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. RS Gulati"
},
{
"from": "gpt",
"value": "Target: Is cardiac ablation advisable while having atrial fibrillation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 16. My chest has been feeling fluttery whenever I am at rest for the past week or so. It s really starting to bother me. My mom said we would give it another week since my diet has been extremely messed up since Christmas Eve. But it s not like every once in a while like a heart murmur. It almost feels like a shortness of breath or something. I have accidentally stopped taking an acne medication that I have been on for many months just because my routine since Christmas has been weird. I don t know if my body is reacting to that? I have never even tasted alcohol, drugs, or cigarettes. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No stopping of acne medicines can not cause fluttering sensation in chest. Fluttering sensation in chest is commonly seen in arrhythmia (rhythm disturbances in heart). So better to first rule out heart diseases in your case. So get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg). If all these are normal then no need to worry for arrhythmia. Sometimes stress and tension can also cause similar symptoms. So avoid stress and tension, be relax and calm. Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Can stopping acne medicine cause fluttering in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 28 yrs. old and trying to conceive since 2 yrs. I consulted the dosctor and was told that I am suffering from PCOD . After few months I changed the doctor and she made a test, the result was endrometrium tuberclosis. I took the medicine for 6 months and after a test it resulted that it has been cured. Now I am clofert 50 mg for 3 cycles but still not conceived. My peiod cycle has also reduced. every onth my period occures 6 days before and the flow is also less.. Please advise on this and can you suggest that it happens that someone donot realise any early pregnency symtoms and conceives. Doctor: hi, better you recheck once for presence of PCOD as it can cause anovulation and scanty flow during periods, if in ultrasound PCOD is detected you can take treatment for it which will possibly cure your symptoms. some women may not realize the features of early pregnancy, so if you have doubt, you can go for blood test for pregnancy which will rule out the possibility. take care."
},
{
"from": "gpt",
"value": "Target: Difficulty in conceiving, irregular periods. Had endometrial tuberculosis. Taking clofert"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was told a while back that i have cysts , i did not see the results though. now i m listening to my stomach growl but on my left side only. did the cysts, push it to the left and is ocupying that space to the right? i find that when i lay down i always feel mor comfortable on my left. even though i try to sleep on my right, i always end up on my left. i also have chronic back pains. of course no insurance at this time. Doctor: u have not mentioned about the kind of cyst u were diagnosed with . probably anxiety is the cause of your stomach growls"
},
{
"from": "gpt",
"value": "Target: Chronic back pain with stomach growling. Diagnosed with cyst. Is there a chance that it changed the position?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What would cause me pain in my lower right side mostly below the ribs and not close to the spine? Usually when I wake up in the mornings and roll on my back that spot hurts. it feels like a knot a little smaller than a baseball there but when i feel for it there is nothing. Doctor: Hi, It can be due to costochondritis. You can take analgesics like paracetamol or Diclofenac for pain relief. Nothing much to worry as the symptoms will settle in few days. If symptoms persist better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the lower right side below the ribs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there I have been experiencing the following symptoms for the past few days or weeks: nose bleeds (when i blow my nose) dizziness, cramps, brown discharge, slightly queazy and skin itches. Is this a sign of pregnancy as i am trying to get pregnant at the moment. And my period is late. Doctor: Hi, I think you should do a urine pregnancy test at home to confirm that you are pregnant or not. These are not symptoms of pregnancy. Consult a doctor for your other symptoms. You mahmood need some antihistamines for the itching. Nose bleed can be due to trauma if you are having cold. Dizziness can be due to low hemoglobin level. Get your hemoglobin level checked. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: What causes nose bleeds,dizziness and skin itchiness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, myname is christina. ihave had a tooth ,rootcanel done several years ago, A year ago it broke, i couldnt afford the dentist ( the check up cost 197 dollars..for 10 minutes make another appointment.. ) two days ago my right ear started to go numb and now my ride side of my face is numb/tingly. i HAVE made an appointment with the dentis ( i been saving up) andmy apponintment is in TWO days . This morning my face was o.k but ,now its numb again.my Question is. should i wait till thursday ( today is tuesday - adelaide time). also have i done some premanent damage?...... the numb ness has spread .slow ly across my face.... and my ear feels od best wishes worried christina S.A Adelaide Doctor: Hello Christina, Greetings from India, As I understand you got a root canal done several years ago and the tooth fractured a year ago and now you are having some indifferent sensation on the right side of face. well whether this is related to your tooth is very difficult to to say without a proper examination. you have not mentioned whether this tooth is present on the right side or not? so can not correlate. but numbness isnt a good sign and it requires immediate attention so you are advised to immediately see a dentist. Take Care"
},
{
"from": "gpt",
"value": "Target: What is the cause of facial and ear numbness post cracking the root canal cap ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son 19 month old is passing stool after meals. the stool consistency is neither formed nor watery nor pasty, colour is yellowish. he passes 3-4 times a day since last three days. no foul smell, no abd. pain.its little sticky and only once there was little mucus i am unable to understandant if it is a giardis infection or anyother Doctor: Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.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: Is it normal for a baby passing stool after eating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir - my son who is 14 years old and in 10th std, has got small bumps/lumps with extreme pain only in his left chest under his areola. we consulted his childhood doctor but he said it may be due to his attaining puberty. He has just started having small hair growth around his personal parts. However, we are very much worried. Does he need a second opinion Doctor: Hi, dearI have gone through your question. I can understand your concern.He may have gynecomastia. It is enlargement of male breast commonly seen at pubertal age. However it should be confirmed by FNAC or biopsy.In many cases surgery is not needed. But still you should confirm that. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Are hair growth on genitals, with lumps on chest a part of puberty in boys?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE HEADACHAES EVERY MORNING WHEN I AWAKE. I HAD A MRI OF THE BRAIN AND RESULTS WERE NEGATIVE. IT IS BEGINNING TO EFFECT MY ENERGY LEVEL, I AM IRRITABLE, INPATIENT, AND MOST OF ALL DO NOT FEEL GOOD. MY OTHER HEALTH ISSUES INCLUDE TYPE 2 DIABETIC; MY THYROID WAS REMOVED IN JUNE. THE PATHOLOGY REPORT SHOW CANCER CELLS IN STAGE 1. MY DIABETIC CIA IS 6.7. I HAVE TRIED DIFFERENT PLLOWS AND THAT DID NOT HELP. I AM AFRAID THE DOCTORS ARE OVERLOOKING SOMETHING. I HAVE ALSO HAD BREAST CANCER (23 YEARS AGO). I KNOW THAT I AM MORE PRONE TO BRAIN AND COLON CANCER DUE TO THE FACT THAT I HAD BREAST CANCER. I JUST WANT TO WAKE UP WITHOUT HEADACHES. Doctor: Hello, Since you've had CT and MRI, you can't say that your doctors have overlooked something, MRI is the most sensitive exam to detect brain lesions (including cancer, whether primary or metastases). So they seem to have done, all in their power to make sure there isn't any lesion responsible for the headaches. So I think medication for headache prevention is necessary. Amitriptyline would be the more obvious choice. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist"
},
{
"from": "gpt",
"value": "Target: Will morning headaches after a history of breast cancer lead to brain cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have Lupus and fybro. Every now and then I get a cluster of bumps on different places of my body,not at the same time though. The feel warm to the touch. No color to speak of. When I have these I will sometimes get a real real tiny wart like spots on my palms. Maybe two or three. So tiny hubby cant see them but he can feel them a bit. By the time I get to see my Doctor....gone lol Doctor: hi does not seem like much. may be an allergy of sorts. try taking an anti allergic for a few days."
},
{
"from": "gpt",
"value": "Target: Have Lupus and fybro. What are the warts on body? What can help them?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 1 year old baby boy has cough and colds i gave him nasatapp drops before going to sleep. He woke up in the middle of the night and he seemed restless even though he was very tired and sleepy. When he finally fell asleep i noticed that his hands and feet shake while asleep. Is there something wrong with him? Doctor: No. There is nothing wrong... Limbs sometimes shakes while dreaming... Syrups containing salbutamol can cause shaking."
},
{
"from": "gpt",
"value": "Target: Why the hands and feet shake when sleeping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have never had heartburn in my life besides my last peegnancy. However, since Monday I have had constant heartburn. I took a pregnancy test tuesday and it said no. According to my calender, I am not due for my period until the 13th. I should be ovulating around now. Would that cause this? Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read facts of your query and reviewed it in context to your query health issues.I understood your health concerns and feel Concerned about them.Based on the facts of your query the reply of your query is-This mostly is from -High Progesterone Post-Ovulation,as your preg test is negative.So the answer is YES, ovulation at this stage may be causing this.The high Progesterone relaxes the LES(Lower Esophageal Sphincter) and is accompanied with lowered Folic acid levels, due to Post-Ovulation high needs of Folic acid and Vit B12 .Get your preg test checked after 2 weeks time also.This could give you the exact cause for this Constant heartburn in your case from the pregnancy with high HCG and high progesteron levels.If need be have Second opinion from Obstetric and investigate .But in the absence of other information,I would suggest you to go for Obstertric Consults.As the facts could be different from what you submitted.So looking in to the sensitive complaint of yours,I would suggest you to rule out abnormal Progesterone and Estrogen levels by Consulting and investigating with Obstetric doctor.It would be prudent to have physical Check from Consulting Obstetric first- before planning further investigations and treatment for it.Other causes need to be ruled out in any case.Do's -suggested for your case-Check with Family Physician and thereafter with Consulting Obstetric.Don't miss to have checks for high progesteron levels.Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.Need to Check with Consulting Obstetric-specialist if need be, if things don't recover.-Other causes need to be verified with your family GP /Consulting Obstetric -Specialist doctors, as the facts may be different what you submitted.-For this Second opinion with Consulting Obstetric- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above do's which would resolve your complex health issues.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard.Good Day!! Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for constant heartburns"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir for my son 7 year old, he is suffering in cold with cough heavy for more than 3 week we took allot of treatment, and we now check by take a x ray in that they mensioned haziness of the right side of rib so i want to know the meaning of haziness Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Hazziness on chest x ray is suggestive of pneumonia (lung infection) more.He is having chronic cough and cold (more than 2 weeks) which is not improving with medications.So possibility of pneumonia is more likely. He will need higher antibiotic and other supportive treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
},
{
"from": "gpt",
"value": "Target: What does haziness of the rib in the x-ray report suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 72 yearold. Yesterday I notced that red rashes appeared on gland of penis though I do wash every day with soap and lukewarm water during my bath. I have no sexual relation ship since last 15 years. Would you please help me. I applied betnavite when I noticed yesterday and I think it aggrevated . It is become red and there is no pain or swelling only irritation. UK Nayar, email: nayaru @gmail.com Doctor: HelloLooking at your history and age it could a local inflammatory cyst or penile carcinoma please visit your doctor for.detailed examinationYou can apply antiseptic ointmentMaintain a good hygieneHope i have answered your questionthanks.for.your questionWish you good health take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for red colored rashes on the penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is two and she has vomited one time on tuesday in pool, and one time at daycare on wednesday and this mornign at 630 am she woke up vomiting everywhere, she hasnt ate since lastnite at supper and she has a bad ear infection........ do you think this is just a virus? Doctor: AS per your concern there is an infection lingering in the body which we cannot presume to be viral as it can be bacterial superimposed on a viral fever and whenever there is infection in children they vomit.As you have mentioned it is ear infection she must be given proper antibiotic to control ear infection and there is medicine to control vomiting if it is not relieved. Loss of appetite is also due to infection . your confirmed statement that there is ear infection means you have already seen your doctor.I suggest you review with him to reassess. YOu must take care to prevent dehydration by giving water frequently. I wish him to get well soon,"
},
{
"from": "gpt",
"value": "Target: Is vomiting,appetite loss and ear infection symptoms of viral infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 33 y/o female diagnosed with a bacterial vaginitis diagnosis from my obgyn. Antibiotic treatment in the form of flagyl and clindamycin tablets and creams do not work. They relieve the symptoms but as soon as the prescription runs out, returns. Just looking for another opinion. Any other things I can try? I am already taking a probiotic, wear cotton underwear and drink apple cider vinegar diluted with water. I ve also been told to douche 1x / month with vinegar and water, but I m waiting until the latest course of antibiotics runs out ( they are not working). Doctor: Hello,Welcome to HCM,Bacterial vaginosis is not caused by a single bacteria there will be overgrowth of various bacterias in the vagina. Normally, there are different types of harmless bacteria in the vagina. These bacteria help in the defense against harmful germs, whenever there is a change in the balance of the normal bacteria in the vagina,certain bacteria multiply produce the symptoms of bacterial vaginosis.Metronidazole vaginal cream placed inside the vagina can be used and it has the same ability of oral metronidazole to clear Bacterial vaginosis. It should be used for 5-7 days for effective treatment.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bacterial vaginitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 2 month ago i was told my uric acid level was 10.5 they gave me colcrys 0.6 and allopurinol 100 mg but i never took the meds.so last week i went in got my liver function test and uric test and my liver was lightly elevated and my uric acid was 8.8 so my question is should i take the meds with those results for my recent test.... Doctor: normal level is 6. a disease which may be produced is called GOUT (painful joint), however in certain cases even in 10 level gout may not develop. As far as you are symptom free no need to take medicine after all medicine have its side effect also. But if you notice any pain or swelling over the joint then consult the doctor and start the medicine."
},
{
"from": "gpt",
"value": "Target: Elevated liver function test values. Should I take medicine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: halo im very helthy sports man 60 years old i like to now one thing im on trt meny years but throw time of meny flebotomys my feritin levels when low i reduse my trt dosege end i take iron tablets to bring back my feritin levels but but after 8 weeks of iron pils my hemoglobin levels when to hige now i stop iron pils my question is how loong time take to com down the hemoglobin levels natruly without flebotomy thenk you Doctor: HiTreatment of elevated hemoglobin levels is phlebotomy (blood letting). The goal of phlebotomy is to keep the hematocrit around 45% in men and 42% in women. Initially, it may be necessary to do phlebotomy every 2 to 3 days and remove 250 to 500 milliliters of blood each session. Once the goal is reached, maintenance phlebotomy can be performed less frequently.A commonly recommended medication for the treatment of polycythemia is called hydroxyurea (Hydrea). This is especially advised in people at risk of clot formation. At age greater than 70, having both an elevated platelet count (thrombocytosis) greater than 1.5 million and cardiovascular disease makes the use of hydroxyurea more favorable. Hydroxyurea is also recommended in patients who are unable to tolerate phlebotomy. Hydroxyurea can lower all elevated blood counts (WBC, red blood cells, and platelets), whereas phlebotomy only lowers the HCT.RegardsDr De"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for elevated hemoglobin levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have a question regarding my friend who i believe may be suffering from depression. She is very emotional, and cries alot nearly every other day and feels that she worthless. She is very tired and drained all the time and her sleep patterns are irregular. i know that she has self harmed in past and i don't know if she is feeling like she may do it again. i'm not sure what i should do to help here, i feel like she should tell someone other than me that she feels depressed but i don't think she wants her parents to know. thanks. Doctor: Hi,I do appreciate your concern for your friend. from the symptoms that you have mentioned, I would agree with you that she might be suffering from depressive episode. The symptoms of sleep disturbance, crying, feeling worthless and lethargic are all symptoms of depression. Since she has a history of self harm, I would be alert this time around too and would really consider getting her into treatment at the earliest.As a friend, you should really motivate her to seek a psychiatric consultation as well as open herself up to her parents. Delaying it can only worsen the condition. Treatment with anti-depressant drugs like escitalopram would enable her to come out of this misery. In addition, she would be needing to express her emotions constantly which as a friend you can help her do. You will need to be a patient listener and hear out her and provide emotional support.I do hope I was able to help with your query.Best wishes.Dr. Sunil Gupta"
},
{
"from": "gpt",
"value": "Target: How to treat depression with excessive crying?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my wife is having this problem of random pain in her heart she use to get this pains before as well, the pains comes for a sec and goes but now the intensity has increases and every time she get this pain I have press her heart then she is normal, she is 25 pls suggest Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that her symptoms are not typical of any cardiac disorders. The pain which is modulated by touching is not related to the heart, as you can not touch your heart. It seems to be just a musculo-skeletal pain. Anxiety can not be excluded either. Coming to this point, I would recommend trying ibuprofen for the pain. If the pain persists, I would recommend consulting with her doctor for a physical exam and some tests: -a chest X ray study-complete blood count, PCR, ESR for inflammation- a resting ECG and cardiac ultrasound. You should discuss with her doctor on the above issues. Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What is causing my wife's recurring chest pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 32 years mother of 3 children. I had normal deliveries for all my children, but the first one with 4 degree tear, the second one with Elective Episotomy and third one with 2 degree tear. I am having Umbilical Hernia soon after my third delivery which was on 8th march,2007, i don t feel any pain during my normal life. I have checked with a surgeon, he said that there is no need of correction as of now as it is small and advised for weight reduction as i am weighing around 85 kgs and my height is 151 cm. we are thinking to have 4th pregnancy after reducing some weight like 10 kgs, it may be after 10 more months. Will this hernia create complication to pregnancy and normal delivery. Should there be only c-section and hernia correction. please advise us. Doctor: No, an uncomplicated umbilical hernia should not necessarily create problems with your next pregnancy and delivery. Your history of 4th degree tear is much more concerning than the hernia, and you have already overcome that issue. If your umbilical hernia becomes more problematic (stuck out or painful), you could potentially require surgery. Hernia surgery in pregnancy is generally low risk and most patients tolerate it well. Overall, I wouldn't worry about your umbilical hernia until it becomes an issue. Many women have uncomplicated pregnancies and deliveries with these. The only time I would be potentially worried about your hernia is during pushing. The abdominal pressure could force intestines or other tissues out through the hernia, which would make your hernia more concerning. Good luck!"
},
{
"from": "gpt",
"value": "Target: Will my hernia create complication during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I sneezed and now have a sore chest. It's not a sharp pain, more of a soreness. Between the neck and the above the breast. It hurts to cough and take a deep breathe. But other than that it doesnt hurt to move around. What do you think it could be thats making it sore? Doctor: Hello dear, thanks for your question on HCM. Pleurisy ( inflammation of pleura ) can cause soreness in chest after sneezing and coughing. Pneumonia, tuberculosis and pleural effusion etc are common causes for pleurisy. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. If chest x ray is normal then no need to worry much. You might be having muscular pain. So better to start painkiller and muscle relaxant. Apply warm water pad on affected site. Don't worry, you will be alright."
},
{
"from": "gpt",
"value": "Target: What is the cause of soreness in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a friend who is having a lot of health problems. She experiences stomach cramps, abdomen pain, and shivers. Right now, shes sitting in a bed, unable to move. She has been to doctors before about it but they all said it was stress. I think its something more. What do you think? Doctor: Hi,Thanks for writing to HCM.It can be either due to stress induced gastritis or pancreatitis or urinary tract infection or if all test results are normal then can be even due to irritable bowel syndrome (ibs).Get an ultrasound abdomen, if not taken already, as it will help rule out many conditions, also get a complete blood count and a urine routine test to look for any infection. If they show something, then consult a physician.If normal, start on a high fiber diet with lots of fruits.Dr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: Could abdominal cramps be a result of stress?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: aoa dr. i am 22 i have hair fall since a long time but i used to shave my head in summer vacations twice so my hairs are healthy and thick now but there are little blank spaces on my scalp as compared to normal person s hairs. and if i go for long hairs falling rate increase rapidly. Doctor: Hi, I would recommend you to apply minoxidil 5 per cent lotion on the affected areas of the scalp twice daily and take hair supplements like tablet follihair A once daily for 3-4 months. This will resolve your problem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: How can hair fall with scalp patches be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can scalp psoriasis or long term post nasal drip with ear pain and sore throat cause painless enlarged lymph nodes? I have a couple on each side of my neck and two left supraclavicular. All are painless, movable and under 1cm. Had CBC and CMP blood work done and both came back normal. Doctor: Hi..thanks for using Health care magic. According to the symptoms you say, they are probably only reactive lymph nodes.Anyway you can do a Fine Needle Aspiration Cytology of lymph node to confirm. Its a basic but very useful test which will help you to proceed further. Thank you"
},
{
"from": "gpt",
"value": "Target: Can scalp psoriasis, post-nasal drip, sore throat cause painless enlarged lymph nodes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Feeling fatigged dry mouth pain in right abdomen and loose stool for over 8 months It all started with nausea back in may 2010, went to doctor after few days and he gaveme motillium tablets, took them as directed for a week then seemed ok, after 3 days the nausea came back big time with extreme fatigue and dry mouth and pain in the right abdomen, my stool is loose as well as shiny so went back to the doctors who ordered some blood test, the result come back with elevated bilirubin (all of them direct, indirect and total) roughly about double the normal figures so decided to tell me that there is nothing wrong with me it will all go away after a while, I have been suffering this for the last 8 months and can t understand what s wrong with me, even the doctor is saying that there is nothing wrong with me. Looked up on the internet about gilbert s syndrome and found out it s not a desease and can t be even noticed and it involves inderect bilirubin because lack of liver enzymes little bit won t be processed and gets back into the blood, in my case all the bilirubin are elevated and my bowel movement has not been normal for more than 8 months loose stool with bad smells, could this be liver failure? is my liver not diggesting food properly? what s wrong with me? am I the only person in the world with these symptoms? lately i have been feeling stomach empty all the time even after eating please help Doctor: Hi,Thanks, welcometoHCM.Some people will have congenital partial absence of the liver enzyme UDPG phosphatase.The enzyme is present in a very little quantity and presents with mild jaundice and a few gastric symptoms.There is no treatment and is compatible with normal life.hope this reply will serve your purpose.Please feel free to ask any more queries.take careDr.M.V.Subrahmanyam."
},
{
"from": "gpt",
"value": "Target: Suffering from gilbert s syndrome with lack of liver enzyme"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The right side of my jaw hurts. I can open my mouth and close it without too much pain but on the right side when I try to close it I'm not able to have the back of my teeth touch. Left side is fine. What could cause this and it's been like this for about a week? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain pain in jaw along with difficulty in occluding the teeth can be due related to jaw joint also known as Temporomandibular joint..There can be dislocation of the mandible leading to disturbed occlusion [relation between upper and lower teeth] leading to difficulty in touching the teeth..I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation can be diagnostic and treatment can be planned accordingly..The phyician can advise you occlusal splints, mouth guards and also muscle relaxants, painkillers and physiotherapy for improvement..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: What causes pain in right side of the jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having dark color to my semen for about two days now. I had hernia surgery about 6 months ago, last several weeks been having some abdomen discomfort nothing terrible. Nothing in my urine. I am thinking this is just a UTI or prostate infection??? Doctor: HelloThanks for query .You have undergne surgery for hernia repair 6 months back and noticed your semen to be of dark colour since 2 days .which you have doubt to be related to hernia surgery .Please note that this is not due to hernia surgery but most likely to be due infection of Prostate (Prostatitis) Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture It should get cured with antibiotics like Doxicycline along with anti inflammatory medication like Diclofenac for 2 weeks .Further specific treatment if required will depend upon result of these tests and final diagnosis.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes dark semen after a hernia surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir i am age of 30 years my height is 7,5 i hv ulcer and also crystal i mastbate sometimes when i feel like but sir i dont no rid of this and becid my genital i hv feeling pain but is d sign of ulcer or crystal i want to no the treatment.thanks sir Doctor: Hi, If you had unprotected sex - need to rule out sexually transmitted infection. I can't get what do you mean by crystal - if you are talking related to fungal growth - it can be due to papillomavirus. Do a panel of sexually transmitted infection tests if you had unprotected sex. Share a picture for confirmation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in genitals"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left leg bothers me at night. I try not to sleep on left side because that seems to make it ache more. There is no redness and pain on touch. Doctor thought it was bursitis and put an injection in. It was much better for a month. Now after riding for awhile in car and touring factory walking on cement, pain is back. After sitting for awhile I have trouble and limp for a few steps when starting to walk. What else can I try? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Where is the exact pain? Left leg pain may be due to bursitis or arthritis or tendinitis, etc. You may need to take X-ray of left leg concerning part of involvement. You may use pain killer medication, antioxidant, and cold and warm compression are also useful. Take rest, if symptoms not improved please consult your orthopedician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu"
},
{
"from": "gpt",
"value": "Target: How can leg ache at night be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 34 yr old male. I have been having severe pain in my abdomen on the left side of my belly button. I noticed the pain about 3 days ago after lifting a hot water heater. Now every time I cough or sneeze it feels like a hot knife is stabbing me. If I cough I have to hold my hand and push in the area and the pain is not as severe. Could this be a hernia even though I dont have any thing bulding out? Doctor: dear p't welcome to\"HealthcareMagic\"forum Its muscular spasm.so keep rest,and intake papaya every night. compleetly rest 1to 3 days. thanks..........................."
},
{
"from": "gpt",
"value": "Target: Pain in stomache left side of belly button"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an upset stomach. I had a tooth extracted Tuesday and was prescribed penicillin, ibuprofen (600 mg) and hydro codone. I only took hydro codone a couple of days, and have used ibuprofen only as needed (about 9 - 12 hours apart). Can the penicillin be causing an upset stomach? Doctor: Hello Dear,Thanks for reaching us.Penicillin is an antibiotic and it can cause stomach upset, nausea or diarrhea in some people. Taking antibiotics after tooth extraction is essential. So, I would suggest consulting your dentist for an alternative antibiotic.Ibuprofen can cause stomach upset. Hydrocodone sometimes causes nausea and vomiting.I hope my answer is helpful.Thanks"
},
{
"from": "gpt",
"value": "Target: Can Penicillin cause stomach upset?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am Sabapathy aged 68 having MItral valve prolopse from birth. More that 25 Years i have taken Betablocker. During 2006 Valve repair surgery done and the leakeage minimized from moderate-severe. In mid Nov 2013 i had giddines, palpitation,sweating and breathlessness. Immediatly cardio version done. Further Electro Physiologist consulted and studied. Study revealed the reason is becase of scar in the heart mustles caused by Mitral valve repair.(Cutting the heart) in 2006 . Then RF ablation done and ICD was implanted on precautionary for VT and not to reduce the pulse less than 60. Now iam feeling dizzines at times and pinning pain (Very much tolerable) discomfort. Some time mild giddiness also experienced. Please suggest me appropriate to do for eliminating pinning pain discomfort. Medicines taken Selcon 25 mg (Metoprolal tratrate) one per day Warfaring 3 mg.ONE PER DAY cARDARONE 100MG-ONE PER DAY Regards, Sabapathy Doctor: You have been treated for your problem perfectly well. But as you still have pain, if muscular in origin pain killers will suffice. At times the icd implanted may be the cause for pain. Just get checked with ur cardiologist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain after mitral valve repair"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having flank and back pain on my right side. I had both an abdomen MRI and ultrasound done last week. The MRI showed a 1.8cm complex cyst mass with hemmorrhage and proteinaceous debris. It also said unspecified congential polycystic disease. What should be my next steps? I have had this cyst for almost two years now. In March of 2010 it was said to be an irregular renal mass. I also have from ultrasound, a 5mm polyp on gallbladder. Is this causing the pain? Thank you, Doctor: further evaluation of these are essential with corelation to clinical symptoms, confirmation with FNAC/biopsy.The specialist surgeon might then treat accordingly-Depending on pathology surgical removal may be asked for.some more tests like upper gi endoscopy,urine, stool examination for any blood may also be needed.So get appoint with surgeons"
},
{
"from": "gpt",
"value": "Target: What cause congential polycystic disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About two months ago i was seen in the hospital for i thought was the flu and sever abdonable pain to which they found lesions all over my spleen . Have had the work up from A to Z!!! CT, Pet Scan , blood work you name it! Went two weeks ago to the Rhumatoligist and had all my blood work taken again by him! Still we have no idea why I have these lesions on my spleen. From general Doctor, Surgeon, Oncologist and IR who did my biopsy . This past Thursday I went to the hospital for the same thing sever stomach pain. They did a complete work up of blood and the CT, the CT showed no changes to the spleen and blood work all normal!!! But I still have this intense pain in my lower left side and in the middle of my abdomen. I have had this issue for years now since I was 25 after the gallbladder was taken out, and now 33 in the last 2 months I am having more and more worse pain then I have ever had before!!! Please help thank you. Doctor: Hi There are many causes of splenic lesions.You did not mention the complete diagnosis. In case of multiple hydatid cysts of spleen,Spleen should be removed. So,you can ask your doctor about Spleen removal. As spleen is present in left upper part of abdomen,lesions over it may cause pain there. Wish you good health Regards"
},
{
"from": "gpt",
"value": "Target: Lesions on spleen, abdomen pain. Where can I find more information?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi..me and my girlfrnd were angaged in oral sex..she was not undressed..and wearing penty and shorts..and holding my penis in her hands..i dont remember if i had precum on my hands or not..i put my hand inside her penty but just touched her small part of her upper hairs of vagina..can she get pregnant Doctor: Hello dearI understand your concernDo not worryPregnancy is not possible in your case.To become pregnant, penetrative sexual intercourse or penetration up to vaginal opening with or without ejaculation is required in fertile phase of period.Just touching upper part of vagina by hand does not cause pregnancy.If precum will be there then it will depend on amount of precum and fertile phase of period.Avoid stress, take healthy diet, drink plenty of water, do regular exercier, maintain proper pelvic hygieneHope this may help youContact HCM for the further health queryBest regardsDr. Sagar"
},
{
"from": "gpt",
"value": "Target: Are there pregnancy chances with non penetrative sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had this tightness in my throst for about 6 months now. My primary and a doctor at a walk both said nothing seems a miss so I have an appointment with an ear, nose, throat specialist in a week. The feeling is very uncomfortable and now I have a feeling in my chest as if I just ran in the cold. NOt sure if this requires immediate attention or I can wait til my appointment. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No need to worry much at present or rush to the hospital for immediate medical attention. You are mostly having chronic pharyngitis. So better to consult ENT doctor and get done clinical examination and endoscopic examination of throat. You may require throat swab for the detection of causative organism. Antibiotics, antihistamines and anti inflammatory drugs are useful in your case. Chest tightness in your case can be due to bronchitis. So if doctor hear abnormal sounds on chest auscultation you may need PFT (Pulmonary Function Test) for the diagnosis of bronchitis. So consult ENT doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Is tightness in throat with feeling of running in cold in the chest concerning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife just had an arteriorgram via the wrist. She had chest pain and received relief with a nitro spray. She has been diagnosed with Atrial Fib. The cardiologist found a 30 percent blockage. He said this was not sufficient to cause her chest pain. Where do we go from here to determine what causes her chest pain? Doctor: Hello and welcome to 'Ask a Doctor' service.I have reviewed your query and here is my advice. It's unlikely to have chest pain with 30%, now there are two possibilities, one is gastritis which mimic heart disease and do respond to nitroglycerin spray. For that try tab pantoprazole once a day before breakfast. Also avoid hot, spicy, oily food. Avoid heavy meals instead have multiple small meals and don't lie down immediately after meals instead have walk for sometime. Second possibility is blockages small vessel disease which is difficult to pick on angiography which will also respond to nitroglycerin spray. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: What causes chest pain with 30% of blockage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter passed out two hours after donating blood. witnesses say she had some seizure like activity when she passed out. before she passed out she felt hot, couldn t hear well, then blacked out at her desk. She came to and then apparently did it again for a slightly longer period which was only a minute at the most. After her class was over she went to the health service, they checked her BP which was normal, although she was stll shaky and pale, The doctor told her that it was probably from the blood donation , although she said she drank and ate after the donation, She donates blood a couple of times a year and . She has never had this problem before, although she has experienced dizziness in the past if she get up quickly. She s 23,not pregnant and her only med is proczac for the last year. She complained of a headache when she saw the doctor who told her it was probably from an adrenaline rush after fainting and maybe some hypoglycemia . She feels okay now except for the frontal headache which has persisted despite OTC motrin for the last 6 hours. Is this a side effect from the fainting? should she see a neurologist? How long should this headache last? Is this normal after fainting from a drop in blood volume. Some guidance please . I live 1500 miles away from her. Doctor: Hi there,Thanks for your query.The fainting attacks with headache, may have been due to postural hypotension after blood donation. However, since your daughter has never had any problems in the past after blood donation, two episodes of seizure-like fainting attacks, followed by prolonged headache (could have be post-ictal headache) warrants a neurologist's opinion.An MRI of the brain along with EEG-if required- may be done to rule out an underlying, asymptomatic seizure disorder. Seizure disorder would be ruled out conclusively if both : MRI and EEG are negative.Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take careDr. Rakesh Karanwal"
},
{
"from": "gpt",
"value": "Target: Frontal headache, taken Motrin. Side effect of fainting after blood donation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well, my friend got her bloodtest results back, and asked me if i could see if there are any iregularities... as a med student, i aint acctualy allowed to give her any medical related responce, so i told her to go to her doctor for it. she gave me the results anyway. I havent heared from her for a 4 days so im a little concerned.. i looked at the results... but i dont have enough knowledge for this research level.. so could someone tell me whats wrong with her? theres been alot of underlined it means that its not good Hemoglobin - 11.4 g/dl - ref. range 12.3 till 15.3 Red cell count 5.2mil/mm3 - ref.range 4.1-5.1 Differential leukocyte count : Neutrophils 47% - ref. range 50-70 Lymphocytes 43% - ref. range 25-40 Blood indices : M.C.V 70 fl - ref. range 81-99 M.C.H 22.1 pg - ref. range 27-34 M.C.H.C. 31.5 g/dl - ref. range 32-36 R.D.W. 14.7% ref. range <=14 all of the blood indices are underlined Serology report: CRP ultra sensitive Resulrs: negative Normal Negative <5.o mg/L Doctor: Welcome to H.C.M.I had gone through your question and understand your concerns.I see similar cases amongst people who visit my clinic.Your friend is anemic and this reports is going in favor of iron deficiency anemia because of Low hemoglobin , Low MCV with slightly increased RDW.I will suggest you for peripheral blood film examination and iron profile.This will confirm diagnosis and help for further management.Thanx.Hope this answers your question. If you have any query then please do not hesitate . I will be happy to answer your questions. http://doctor.healthcaremagic.com/doctors/dr-krishna-dubey/67560"
},
{
"from": "gpt",
"value": "Target: What does the blood test with hemoglobin 11.4 g/dl indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am bipolar and had chemo starting jan and finished treatments April. After a month I startied feeling anxiety and went to my psychatrist and he gave me all kinds of antidepressant/anxiety pills. Along with I was already taking (Lamictal, remeron, and lorazapem i still feel very bad in the morning and don't get any sleep. I take lorazapem 3xaday 0.5, lamictal at bedtime and nighttime and remeron. are these safe together Doctor: Overall, such combination is not unsafeYour sleeplessness could be because of multiple reason: diagnosis of cancer and its psychological impact, chemotherapy and its side effect related consequences etcSleeplessness is also a symptom of bipolarI presume that with continuation of the drugs that you are prescribed by your doctor, over 1 month period, you should be O.K"
},
{
"from": "gpt",
"value": "Target: Anxiety after chemo treatments. Sleeplessness and depression after taking lamictal, remeron , lorazapem, and anxiety pills. Safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I broke my collarbone when I was in middle school, I can t remember the exact age. I have always lived an active life, with ski racing, horseback riding, soccer among other sports. I know it s normal that your collarbone can cause pain years after the fracture. In my case I can feel the pain when I m doing something active I.e running, skiing or playing soccer. I m 21 years old. Is this normal or do I need to seek medical attention? Thanks Charlie Doctor: hi,thank you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As the pain is activity induced I will feel due to muscle weakness these symptom of pain arises. For which with simple exercises things can be solved. Also, due to the past injury there will be weakness in the muscles which is not holding the SC joint and AC joint at proper place leading to additional amount of pressure to the muscles in that region. By simple exercise your problem can be solved.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for persisting pain caused by a clavicle fracture"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai doctor.i am lakshmi.29 years old. i want to check up my whole body. i have frequently facing leg pains fatigue pain in chest (not severe)and some small problems.like head ache flum etc.but i dont know what tests i need.some diagnostics offering master health check up like that. plz suggest me sir for my husband and me.plz. Doctor: Hello Thanks for consulting Healthcaremagic I have read your query and understand your concern. As far as pain in legs , chest and headache is concerned i will suggest you to consult good Physician or Cardiologist for general examination and investigations like complete blood count or ECG to get proper diagnosis .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Suggest reedy for pain in legs,chest and headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I bloated quite often and have constant gas. I also have to urinate 3-6 times during the night. I have blly pain mostly in the morning. I also get back pain if I stand for more than 5 minutes. Also I have a collapsed bladder. Should I be concerned about Ovarian or Uterus cancer? Brigitte Arp Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Uterine cancer presents with bleeding from vagina and pain lower abdomen. Ovarian cancer is associated with weight loss and distension of abdomen due to fluid. I don't think your symptoms fit in either category. If you are worried, then an ultrasonogram of abdomen can be done to rule out the cause and allay anxiety. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Are flatulence, frequent urination and abdominal pain symptoms of ovarian or uterus cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi 37 yr old husband admitted for acute renal failure, presented with severe back pain complaining of pain radiating to abdomen and down to testicles. Kidney function was a 3.5 in 2 days of iv has dropped only to a 3.2. ultrasound of abdomen, kidneys, CT, and ultrasound of renal artery all negative no blockage. chest xray noted small non obstructive stone. Urinalysis no blood or proteinHistory.... Was taking 750mg of motrin each day for back pain (possible cause) and also protein workout supplements otherwise healthy. Why is function not improving when all tests appear normal and what is causing pain Doctor: Hello. Thanks for writing to us. The back pasin that your husband is having could be related to the renal calculus or may be related to a nerve root compression at the level of spinal cord due to a degenerative disc disease. An MRI scan can help to detect the cause. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Back pain, acute renal failure, abdominal pain, testicular pain, non obstructive stone found in X ray. On motrin. Further?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Weil, My husband has Parkinson s disease which started 6 years ago, now but doing quite well, he only has a slight twitch in his lip and sometimes a weakness in his feet and his memory is not as sharp as it used to be. He also has prostate cancer, but in great remission for the last 3 years. Dr. told him he may be a borderline diabetic, he does not take any prescription for it, he just takes good care of his diet. Can he take your Juvenon pills, would they help him, especially with his memory? Thank you, Doctor: Hello,If this is the Parkinson disease then it may sometime affects the memory but it is not always moral support, self-confidence, practical and positive attitude plays bigger role as long as the memory and Parkinson disease is concerned you can discuss this with his physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Akhtarhusain"
},
{
"from": "gpt",
"value": "Target: What causes Parkinson disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was just hospitolized after my doctor gave me Dapsone without running blood work first. After my oxigen dropped to 84% and tight chested , with my lips blue. My diagnoses after nunning blood gases was that I am G6PD deficient. My questions are. what can I take for headaches since Tylenol, and Ibprofin are low risk. What foods can I eat Is there a free diet I can download online? Doctor: Hi, dear. I have gone through your question. I can understand your concern. G6PD deficiency is a cause of hemolytic anemia. There is no treatment. You should avoid certain drugs like primaquine, chloroquine, dapson etc. No diet restrictions are there. List of drugs are available online. Just avoid that drugs. Thanks for using health care magic. Don't forget to click thank you."
},
{
"from": "gpt",
"value": "Target: What is the treatment for glucose-6-phosphate dehydrogenase deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been having yellow, orange gel like pieces in his semen. It is painful when he ejaculates when they are there. We thought at first that it was because of a short time period in between intercourse. But this last time it had happened it had not even been a day since our last intercourse. We do not have any health ins at the moment but this is very concerning to both of us and any input would help. Of course he can go to a dr if it may be something serious. I had read about maybe dehydration but I do not think that would have been an issue this past time. Also this does not occur every time. Just sporadic? Any info would be greatly appreciated. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It looks like some what wiered, we have not seen any such cases.In my opinion you should go for the semen analysis. This will tell you about the exact content of the crystals.This report will also give you idea about the spem count and other parameters.Once we cone to know the nature of the coloured substances we can manage it accordingly.Usually except blood all the coloured thing can be managed medically , only blood in the semen can be because of the cancer and requires a treatment like malignancies.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM"
},
{
"from": "gpt",
"value": "Target: What causes painful ejaculation along with yellow pieces in semen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have pain in the stomach and having diarrhea for 2 days now. Slight fever on the first day. Last night, I had fecalysis and result shows everything is normal. I had blood test as well and showed my white blood cells is low than normal range. It was 3.4 as of last night. He asked me to take another blood test tomorrow morning to ensure that I am not having dengue . Another thing, the doctor said stomach pain might be because of hyperacidity . Pain in the stomach is coming from top area of the navel going up. He just asked me to take hydrite for now. I want another opinion please. Doctor: Hi and thanks for the query, Abdominal pain , especially as you describe above the navel (epigastric pain) is generally associated, but not exclusively to gastritis. I think his suggestion for you to take hydrite, an anti acid for the moment was good. However, low white blood cell count associated with a fever are all indications of an infectious process. A dengue is quite possible but other possibilities like typhoid fever should not be underrated. I advise a proper reevaluation be done, and other tests like stool cultures, acute phase reactants in inflammation (Erythrocyte sedimentation rate and C reactive protein), detailed evaluation of the epigastric pain carried out. thanks and best regards, Luchuo, MD. Thanks and"
},
{
"from": "gpt",
"value": "Target: Suffer from abdominal pain and diarrhea with fever. WBC high. Due to hyperacidity?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have small red flat spots on my both inner ankles and do not itch. they are not fluid filled, have not gotten new socks, laundry soap, no new lotion, do have a dog (worried they are flea bites even though have looked her over and no fleas), I woke up with them this am and did not walk around barefoot outside or even walk around with shoes outside last night Doctor: Hi, Possible causes are hives or impetigo or leukocytoclastic vasculitis etc. Leukocytoclastic vasculitis an inflammation of small blood vessels in the skin. The typical red spots that appear on the feet, ankles and lower legs may sometimes spread up to the thighs and even to the trunk. This type of reaction is usually caused by a previous infection or new medication. Until examination is done it is difficult to say what it is. Apply moisturizer cream and use antihistamine in case of itching. Please consult your dermatologist, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for red spots on the inner ankles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been taking tab.Deanxit since 3 months since I had lot of exam stress.My doctor asked me to abruptly discontinue the medicine now but i am experiencing strange withdrawal symptoms and crying spells.its 6 days since i ve stopped the medicine.How long would it take for the withdrawal effects to subside? Doctor: For most users, withdrawal symptoms begin on the first day after quitting and peak within 48 to 72 hours.During the first day of withdrawal, feelings such as irritability, anxiety and insomnia are commonSymptoms generally last two to three weeks and dissipate over time."
},
{
"from": "gpt",
"value": "Target: How long does Deanxit withdrawal effects take to subside?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had my gallbladder removed Tuesday because I had gall stones. I have not had a bow movement yet but I have had gas is this normal what should I do ? Doctor: Hi.. It would take a few days for the intestinal movements to normalise.. Passing flatus is a sign that there is no obstruction of the bowel.. The other symptoms of obstruction include pain, vomiting. Report to the doctor if such symptoms develop. You may also have to report, if you develop fever.. Your present symptoms is not of concern and bowel movements would improve after a few days.."
},
{
"from": "gpt",
"value": "Target: I had my gallbladder removed, I have had gas, what should I do ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a mass in my lower right groin area where my ovaries are. It throbs and I can feel it when I lay on my stomach or when i lay on my back. I also have to urinate a lot as well as not having a normal bowel movement . This has been going on for months about 7 now and it has got bigger. The doctor said it was a herna BUT has not given me an ultrasound yet. I am tired all the time and I have had a rough scratchy voice since Oct with a cough . Doctor: Hi Hernia is one of the most common causes of swelling in the groin.Sometimes,intestine may enter into the hernial sac and get blocked leading to pain,vomiting etc.So,you have to get it operated as there is no role of drugs for hernia.It is better diagnosed by clinical examination than ultrasound. Your rough voice with cough suggests that you are having chronic infection of larynx and respiratory tract.Please take Antibiotic like Azithromycin,anti inflammatory agent.Mouth gargles will help you.You should give VOICE REST. Wish you good health and speedy recovery Regards"
},
{
"from": "gpt",
"value": "Target: Throbbing mass in lower groin. Frequent urination. Tired, scratchy voice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE SEVERE NEUROPATHIC PAIN THOUGHOUT MY T SPINE WHICH IS CONTROLLED AS LONG AS I TAKE KADIAN AND GABAPENTIN AND AM CAREFILL NOT TO OVERDO,INS CO. IS NOT WANTING TO PAY FOR KADIAN , WHAT CHEAPER MEDS IS SIMILAR ? I CANT TAKE NSAIDS DUE TO AB. BLEEDS, AND NOT TOO MUCH TYLENOL DUE TO LIVER DAMAGE ? Doctor: Tylenol (like water, and nearly all other medicines) is toxic only if a lot is taken at one time. The effect on the liver requires a certain amt. at one time or there isn't any damage at all and it doesn't accumulate over time.Kadian is morphine extended release and the generic of it is cheaper."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe neuropathic pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i recently have had gall stone problems, still waiting for a scan to confirm, my doc the other day told me i have liver damage she says thru alcohol use although i dont drink much at all, huge none explained weight gain , and today i am feeling very drained lathagic and just had very bright yellow orange poo, is this gall probs or liver probs please ? Doctor: Get your liver function tests and ultrasound of abdomen.Stop alcohol intake.Star on hepatoprotectives.Visit a gastroentrologist."
},
{
"from": "gpt",
"value": "Target: Suspicion of gall stones, alcohol addiction, have weight gain, lethargy, bright yellow stools. Is it due to gall or liver problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a fever almost a month and now i have sore throat, what kind of sick symptoms is this doctor???4 moths ago i have gononrhea and after i taken the medicine from my doctor i started fever, then i went back my doctor again and she give another drugs and i still have a fever..those medicine for gonorhea..but until not i still have a fever and 3 days i got sore throat until now. bout my gononrhea i stop discharge now but i dnt feel better coz i still feel burning of fever..i was worried now.. thanks Doctor: Hi, Thanks for posting in HCM. I have read your description and understand your concern. The symptoms what you have been describing appears that you are having repeated upper respiratory tract infection. Kindly do the following to overcome them. 1. Do salt water gargling with warm water thrice a day. 2. Use steam inhalation to liquefy the mucous for easy drainage. 3. Take mucolytic-decongestant medications in the form of syrup containing Ambroxyl/Bromhexine, Guaifenesin and Chlorpheniramine maleate as ingredients. 4. Take medicated lozenges for throat soothening effect when necessary. 5. In case you feel feverish and body aches, you need to take Tablet. Paracetamol with Ibuprofen combination after food. Strictly avoid consumption of cold items like cold drinks and ice cream. Your symptoms should getter soon by adopting to above measures. Hope the information provided would be helpful. All the best."
},
{
"from": "gpt",
"value": "Target: What is the treatment for sore throat and fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a son of 6 yrs old and he has contituing this syrup sicne from 2 yrs but now i can t found any satisfactory result from his side. He has suffer speach problem and docter suggest for speechtheray training and also continuing this syrup with others two syrup (e.i nerofeet and nestbest). So pls advice........... Doctor: Hi... I do not think any medication or syrup or food supplement can help in speech therapy. I personally suggest only speech therapy and hearing evaluation for language delay.Suggestions:1. I suggest you are doing great by singing rhymes to him.2. Do not use tablet or computer or TV or laptop for doing that.3. Do not force him too much comparing him with others.4. He might get benefited by speech therapy, but before that kindly get back with the answers to my above questions.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: What are the long term effects of Nerofeet and nestbest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there , i had a circumcision the day before yesterday . However , the second morning i got up , i found some congestion and edema in my glans and my dick body ! i have been very worried about it . I wanna ask how i can mitigate that problem and just recover as well as before . pls help me ！ PLS Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here if you have operated for circumcision then on second day of this operation the selling is the common complain and this is nothing to worry because with the proper medication and care this subsides soon and I guessed such medicine must be given to you, hope this information helps you, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: Found congestion & edema in glans"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 7.5 months old. He is mostly breastfed, but he does get formula for nap and bed time. He also eats some baby food. The past few days he has thrown up and spit up after nursing. Today I found a mucus blood clot in his diaper. I want to make sure he is okay Doctor: He dearWhat about his general condition? Is he feeling restless or lethargic? Is there ant decrease in oral acceptance? Or any other symptoms like fever?These features may indicate a systemic insult like infection which need evaluation.Take care.Thank you."
},
{
"from": "gpt",
"value": "Target: Should I be concerned about the vomiting and blood in stool of baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there. For a while now I ve been having a strange sensation on my tongue? It feels quite heavy along one side and I have to scrape my tongue against my teeth to get rid of the sensation? I have had my fiancée check it and she says there doesn t seem to be any lumps or bumps or marks of any kind? I take codeine phosphate for a bad back but this has been going on before taking the medication. Any ideas? Doctor: THERE ARE MANY REASONS FOR THAT...BUT MOST COMMONEST BEING BALD TONGUE THAT HAPPENS OWING TO THE LOSS OF TONGUE PAPILLA...THIS HAPPENS IN VITAMIN DEFICIENCY OR IRON DEFICIENCY. CONSULT UR DENTAL SURGEON AS IT REQUIRES CLINICAL EVALUATION"
},
{
"from": "gpt",
"value": "Target: Strange sensation on tongue, no lumps. Taking codeine phosphate for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is rukshana I am 38 weeks pregnant.today at ultrasound they just found that baby has some fluid in his kidneys. is that means he will have any downsyndrome or any kind of abnormalities?thanks. rukshana Doctor: Hi Rukshana, I have gone through your question. Fluid collection in the kidneys is known as hydronephrosis and is found in many conditions like:1. Urinary tract malformation2. Chromosomal anomalies, especially Down syndrome3. Idiopathic( no cause found)I would suggest you to consult a fetal medicine specialist so that a detailed anomaly ultrasound can be done. I would further suggest you to get a ultrasound of your newborn and get proper management of the baby by a paediatric urologist. Karyotype of the baby should be done.Hope you found the answer helpful.Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What causes antenatal hydronephrosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: CAN GALLBLADDER CAUSE YOU TO FEEL WEAKNESS N YOUR BODY...I HAVE HAD STOMACH PROBLEMS WITH HEARTBURN, NAUSEA AT TIMES AT NIGHT....LAST NIGHT I GOT NAUSEA AND WENT TO BED,,,FELT VERY WARM WHEN LAYING THERE LIKE A HOT FLASH...WHEN I GOT UP THIS MORNING FELT LIKE MY SUGAR WAS LOW...I ATE AND SYSTOMS DIDNT GO AWAY AND FELT VERY WEAK IN BY BODY...NOT FATQUIED, JUST WEAKNESS Doctor: Hi,Welcome to Health care magic forum. The symptoms appear to be due to the infection, and fever. The heart burn must be secondary to the infection. I advise you to consult a gastroenterologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms omeprazole, domperidone,and and antacid gel.Antibiotic and paracetamol for fever. Avoid taking spices, junk foods, and oily foods, and also avoid untimely foods Wishing for a quick and complete recovery. Thank you."
},
{
"from": "gpt",
"value": "Target: Can gallbladder problems cause weakness in body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband woke up yesterday morning and could not put his right foot on the floor the pain was so bad. He had been crushing drink cans with his heal the night before, and dose that everyday. Today his heal, ankle and just above his ankle on the back part of his right leg is a little swollen and very red. I felt of it to see if it felt hot but it dose not really feel like it has a fever. What do you think this may be? Doctor: The symptoms are most likely due to an overuse with an overload of the heel tissue and the Achilles tendon right behind the heel at its insertion.The treatment suggested at first for this would be to use an ice pack for 10 minutes 4 times a day with an anti-inflammatory agent which he is used to(,i.e not allergic to) for 3 days and if it continue to remain inflamed then consult your GP.However before beginning this treatment as advised above make sure that there is no wound or cuts or gash is there on the skin surface due to the sharp edge of the can."
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling above the ankle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir/madam,my son 6 years old ,is chronic asthma patent . We leave a dusty area - but try to protect him from dust. Our family doctor advice for montair -4 once in a day And asthalin inhaler 3 pup as required . Doctor told me this degases is unquerable . Please suggest how i cure my son , i feel helpless. Doctor: Hi, you should not be this much depressed as this disease can be managed in such a way that your boy can live a prouctive life although you need to take more precaution then others. avoid cold and dust exposure , try to prevent any respiratory tract infection and if this happen then get it managed by a physician as early you can, avoid home dust exposure also.consult a chest specialist for proper use of all the anti allergic drug available and mantain a regular follow up for dose adjustment of these drugs which is needed regularly according to the status of the patient to prevent any side effect of these medicines.few years of symptom free life can revert back hyperresponsive lung pathology to normal healthy lung , you can also get a list of all allergen to which your boy is hypersensitive by complete pannel allergen test. thanks for consulting HCM , take care."
},
{
"from": "gpt",
"value": "Target: How to cure chronic asthma in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 42 5:3 150 good medical history. I have had pain in my left heal for 3 weeks now. I ice it twice a day. It hurts all the time. When I sit down I get a burning feeling. My toes also tingle. I don't have insurance so I want to know how to get this to stop hurting? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain the most common cause of pain in heel along with burning and tingling toes can be due to causes like Planter Fascitis, Achilles Tendonitis, Bursitis,Tarsal Tunnel syndrome, Rheumatoid arthritis, traumatic injury to heel pad etc..I would suggest you to consult an Orthopedician and get evaluated and a thorough clinical evaluation and investigations like x ray, MRI Scan, Nerve conduction studies and bone scan CA help in diagnosis and treatment can be planned accordingly..You can be advised to take anti-inflammatory painkillers like Ibuprofen..Apply a combination of analgesic and muscle relaxant gels..You can take anti-inflammatory painkillers like Ibuprofen and muscle relaxant like Chlorzoxasone..You can also be advised Steroid injection.You can be advised Physiotherapy and stretching exercises..Orthoses can be advised that can be placed inside your shoes that can help in providing extra support to heels..Avoid wearing high heals and excess exertion..You can also be advised night splints that can help in keeping your heels pointing upwards..Certain surgical procedures can be advised if conservative therapy does not work..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: Why do I have pain in left heel?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 47 yrs female 78 kgs muscle pain in back right upper side. was having difficulty raising arms above head. been to physio.had muscle pain there before. he didn't seem to find anything. now have difficulty catching breath. I suspect lung infection. high acidity indigestion. temporarily fixed with food or water. Have had problem for 10 days. I'm generally healthy with no allergies. I eat healthily although am slightly overweight. Doctor: Hello, Thanks for your query.The fact that your pain is occuring with movements indicates a muscle strain. Any strained muscle when stretched gives severe pain.I advice you to follow the below mentioned guidelines -* Give adequate rest to the involved muscle group and avoid any movement that causes pain* Ice packing once in every 2 hours over the affected area* Moist heat application to relax the muscles* Local application of muscle relaxant gel* Analgesic medications as neededI do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What causes sever pain in the upper back with difficulty in catching breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , my boyfriend has had this scratch like wounds on his penis that he thought was because of allergic to the lubricant he uses.this was about 3 or 4 months ago.now the scratches are gone but the skin of those parts are a bit swolen and red .the area of the redness is more than the area of the scratches.may it be a desease that may need a cure?do i need to see a doctor, too? Doctor: Hello. I have reviewed your query and here is my advice. From the given symptoms it seems that the penis skin has some infection. It will be better to consult a skin specialist or urologist.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand"
},
{
"from": "gpt",
"value": "Target: What causes rashes on the penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor !I am having a bulge at the bottom end of my Penis (Near the testicle end). I noticed it couple of days ago. It does not pain much but a little. The bulge is about a black eyed peas size and shape.Can you help me understand what it is? Doctor: HIThank for asking to HCMI really appreciate your concern if the swelling is not painful and not increasing in size or does not increased in the size then no need to worry about this right now you have to keep an eye on it, if this start hurting you and increasing in size then this need to be seen clinically, if nothing like this happening then just forget about this, take care and have a good day."
},
{
"from": "gpt",
"value": "Target: What causes bulge at the bottom end of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am pregnant and been having constant lower abdominal pain and constatly vomiting/nausia, constant dizzyness..for the past 2 weeks should i be consern and worried. i vomited one morning and there was a small trace of blood too. i havent gotten money to go get checked so am worried. what might i have and can it be dangerous.... am 18, female, my medical history that involves with this is: i have h-palorie virus(stomach virus) and ive had irregular menstrual periods and bad craps during my menstrual period. thats all i know about my medical history Doctor: Hello, Nausea,vomiting and dizziness is commonly seen in the first trimester.You may even have some cramps but you also need to be careful that you dont miscarry.You need to rest as much as possible,dont do heavy lifting.Any cramps increasing in intensity,you need to get an ultrasound asap.The H Pylori can cause some gastric irritation and you may have some flecks of blood in your vomit.But you need to see a doctor immediately if this occurs again.Any bleeding see a doctor immediately.You should get a full ante natal check up done if you havent already."
},
{
"from": "gpt",
"value": "Target: Suffering from abdominal pain, vomiting and dizziness during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dr. i have undergone ovulation sonography after taking fertyl 50 mg,from d 3rd day of my periods i e 5th feb to 9th feb. on d 10th day of sonography, the follicle grew to 15x16 with endometrium 3 mm and today on 12th day d follicle size is 18x20 but endometrim is only 5mm my gynac has asked me to take progynova 1 mg 2tabs 3 times today and 2 tabs 1 time tomorrow and undergo sonography again .What r d chances of the growth and most importantly chances of concieving? Doctor: Hi there ~ There is a high chance of you conceiving. Please follow the instructions of your gynecologist. I wish you all the very best. I hope this helped. Take care and have a lovely day !"
},
{
"from": "gpt",
"value": "Target: Done ovulation sonography after taking Fertyl. Chances of growth and conception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 37 year old female weighing 170lbs and 5'5\" tall. I have recently been having high blood pressure and my Doc asked me to get a home blood pressure monitor and to keep a journal of my readings for a few weeks. But I just took it twice and have gotten the highest reading yet. 165/120. i am wondering at what point it gets to be an emergency that I should go to the ER for. Doctor: hello, Normally, bp remains below 140/90 mmhg. If you high bp and symptoms like headache, giddiness, fainting, chest pain etc or bp is going above 170-180 then you should visit er to get immediate treatment. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.."
},
{
"from": "gpt",
"value": "Target: What is the normal and safe range of BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have had a stomach problem for a week now. It feels like burning in my upper abdomen. Worse at night. I am worried because 2 years ago I had an operation where I had a 2 inch mass removed from my intestine. It was embryonic remnants that caused my intestines to go inside themselves. The doc who did the surgery said it would never happen again. But this pain feels like it did before the operation. Sort of like acid reflux? Doctor: Hi, Welcome to Healthcare magic forum. As you describe the sort of pain appears to be the gastric hyper acidity, may be due to irritant foods, irregular food habits, alcohol, drugs, or peptic ulcer. The surgery is for the hernia, usually it should never recur. I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastroscopy, for confirmation. Avoid taking spices, junk foods, and oily foods. Wishing for a quick and complete recovery. thank you."
},
{
"from": "gpt",
"value": "Target: Burning in upper abdomen. History of mass removal operation from intestine. Could this be acid reflux?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A month ago, I had a scan that showed a small kidney store on the right ureter , and I have been drinking lots of water (3 litres a day) to flush it out. Over the past three days, I have been seeing some blood in my urine (in the first flow ). I also have some burning sensation in the urethra when I urinate as well as on the sole of my right foot. What could be wrong? Kidney or bladder stones? Doctor: Hi, The stone in the ureter could have come down to the lower part of the ureter or the urinary bladder. You need to check with your doctor and do the appropriate tests ( plain radiograph/ scan) to know what is happening. You could also have urinary tract infection as well. All these will be answered by the tests to be given by your consultant. Get well soon. Dr G Srinivasan, urologist."
},
{
"from": "gpt",
"value": "Target: Kidney stone on right ureter,blood in urine,burning sensation in urethra while urinating,burning on sole of right foot"
}
]
|
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