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[ { "from": "human", "value": "Source: Patient: On 27th July I fell over Henry the Hoover at home, I put my arm out to stop my fall against the wall in front of me of course my hand and lower arm could not hold the force of me and then my hand flipped back in a second and my elbow took all the weight. I really thought I had broken it so went to have a xray. xray was clear but the doctor said he thought I did jarr my arm quite badly. I have tried to move it each day but the muscle has decreased and it is very painfull in certain positions. and over night it becomes very sore and stiff. what damage do you think i have done. Thank you. I am a very young and fit 56 year old Doctor: Hello, You might have injured some tendon or ligament in the arm. X-ray can not detect soft tissue injuries like tendon and ligament. Consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain" }, { "from": "gpt", "value": "Target: Suggest treatment for sore and stiff elbow after injury" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I've been having back pain for over a year. I cannot sleep for more than 5 hours and can only sleep on my sides. my stomach always feel bloated, I have irregular period. I skipped my period for over 2 months, then I have some kind of blood for over 3 weeks (brownish blood) and it smells Doctor: Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to done MRI to rule uot other causes.Back exercises, neurotropics such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily.You are also having bleeding problem .You may require iron preparation as blood loss may cause iron deficiency.You also has foul smelling discharge indicating infection , so you may need antibiotics to control it after culture and sensitivity.You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care." }, { "from": "gpt", "value": "Target: What causes chronic back pain, bloated stomach and irregular period?" } ]
[ { "from": "human", "value": "Source: Patient: My doctor did a checkup of my vagina and i got bllod spot.. after that it was not stopping so she advised to take premoult n for 21 days. I have already taken it for 14 days. but i get backache now and feel like stopping it. i am not sure why my doctor gave it? i am plaaning for baby, would it be harmful? Doctor: Hi,Norethisterone is given to regularise the periods. Hormonal pills have to be taken regularly everyday at the same time. After finishing your course, you can plan for pregnancy.Although Norethisterone is not used as a contraceptive,it is better avoided in pregnancy and lactation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician" }, { "from": "gpt", "value": "Target: Can Premoult be taken when trying to conceive?" } ]
[ { "from": "human", "value": "Source: Patient: I am a 47 year old caucasian male. 5\"10\", 190 lbs. I jog 3-4 miles 4x a week, I am experiencing random sharp, intense pain in my inner left thigh. I also cannot cross my legs due to the pain on my left side. Noo pain when I run or walk or regular day to day activities. Just sudden sharp pains and inability to cross legs due to pain. Any ideas? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain pain in inner thigh that is occurring on crossing the legs can be most probably due to strained or stretched Adductor muscle that is an inner thigh muscle..It might have gut injured during running, stretching etc..Other causes can be Inguinal hernia,Pubic dysfunction,Osteoarthritis, kidney stones etc.I would suggest you to consult an Orthopedician and get evaluated and a thorough clinical evaluation and investigations like Palpation tests, x ray, MRI Scan, Electromyogram, blood tests etc can help in diagnosis and treatment can be planned accordingly..In case if it is due to muscle strain you can be advised to take anti-inflammatory painkillers, muscle relaxants, warm compresses, physiotherapy under trained Physiotherapist, massage therapy etc can be advised to relieve.Avoiding strenuous exercises can help in faster healing.In case if it is due to other causes treating the underlying cause can relieve..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora." }, { "from": "gpt", "value": "Target: What causes pain in inner thigh?" } ]
[ { "from": "human", "value": "Source: Patient: dear dr my father has bypass surgery last year at baroda heart institute at baroda. but he has no relief at all . he has experience pain in heart which is gradually increasing . now dr suggest him angiography . my queries is that if in angiography there is a blockage and drs said that go through angioplasty then what is the guaranty that he got relief Doctor: Angioplasty results after bypass surgery varies from patient to patient. but in general several studies revealed that there is 65-80% success rate of angioplasty in post-CABG (Bypass) patients. When these patients were followed over a period of next 30 months then about 70% of them were pain-free and had an improvement in angina. However around 27% required repeat angioplasty with about 80% success rate while 15-20% were complicated by re-infarction and only 4-6% with cardiac death. In my opinion proceed with angiography to help determine the extent of blockage and to decide about the options available. Make sure the medications compliance post-procedure as this is crucial. Stay blessed." }, { "from": "gpt", "value": "Target: Will increasing heart pain be relieved with angioplasty?" } ]
[ { "from": "human", "value": "Source: Patient: Yesterday I put rested my chin on my hand and it hurt. I felt a hard bump there. It does not move, I have never noticed it before. It starts right on my chin bone in and goes back toward throat about ½” wide until the soft part of my chin and then ends. It is sensitive to touch, but otherwise painless. Doctor: Welcome to health care magic. 1.The history suggest the possible reason could be - sailo-adenitis when dilated ducts in the salivary glands, next possible cause will be submandibular lesion, finally lymph nodal enlargement. 2.For confirmation ultrasound will help.3.Ultrasound tells us about the nature of the lump, its source and where all its extending.4.If its a mass - a needle sample might be taken for histology to know what type of cells they are.5.The treatment depend on the results of the scan and lab report. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you." }, { "from": "gpt", "value": "Target: What is the sensitive and painful lump on my chin?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, My Kid is suffering from Typhoid fever then I have given test CBC, CRP, Urine R/E for him. result of TH-320 CRP- 48mg/dl epethelial cell 10-12 hpf He has given 1500mg/Daily for 7day ceftraxone. Can you please is there any other complexity in his body?? Please let me know. Regards, Mustafiz Doctor: I think your baby is on right treatment. If fever continues than add another antibiotic lik azithromycin" }, { "from": "gpt", "value": "Target: How to treat typhoid fever based on the results?" } ]
[ { "from": "human", "value": "Source: Patient: I've been going to the doctor for a few years now dealing with elevated liver enzymes. Whenever my liver enzymes go up, I am in extreme pain and I vomit until there is bile. I am usually admitted in the hospital. My liver enzymes (ALT and AST) sometimes reach over 1000. All of my scans come back normal. My hair also falls out, I itch really bad and I've starting to lose weight way too fast. I have been to a hepatologist and a gastro doctor. I'm frustrated and scared because there is no way to tell whe my liver enzymes will go up again. Doctor: Hello .... I really understand ur anxiety but firstly the reason for your elevated liver enzymes should be evaluated, can u please tell us what is your age? Since how many days do you have elevated liver enzymes? Do they normalise and then raise up? How is the pattern of your liver enzymes , do u have a history of blood transfusions ? History of jaundice in the family? (Or similar hiatory on the family) What are the colour of your stools?(Are they pale)If you can provide us with this history I can tell you wat can be done to evaluate the problem. Thank you." }, { "from": "gpt", "value": "Target: Please suggest treatment for elevated liver enzymes" } ]
[ { "from": "human", "value": "Source: Patient: Hi when i was getting off the bus, about 4 days ago, i fell and twisted my ankle. Afterwards i couldn t walk on it and it got very swollen. Yesterday I went to the hospital for an x-ray and they said it was not broken. They didn t tell me anything else. My ankle is still very swollen, even though i have been icing it and taking ibuprofen as well as elevating it. It also tingles and feels stiff around my ankle and upper foot as well as black and blue in those areas. I cannot walk on it as it is stiff and hurts when i put pressure. My doctor said to come back in two weeks to see if there is a hairline fracture. I don t know what to do my dad says not to baby it and just walk but it hurts. What do you think? Doctor: Hello . First of all as you are telling you are still having swelling so please dont try to walk and put weight on injured tissue . It will make the condition worsen . as there was twist in your ankle , in these type of injury sprain occurs . now you should not icing on it now you should dip your foot in a bearable hot saline water . and when you lie on bed you should do only ankle ytoe movements in a pain free range of motion . This will make you free from this sprain condition . Thanks" }, { "from": "gpt", "value": "Target: What are the symptoms of a hairline fracture?" } ]
[ { "from": "human", "value": "Source: Patient: hello doctors since three days i am experiencing pain in my clitoris...i am not been able to sit neither walk nor could sleep well..it hurts when being touched in this area...please doctors what can i do to minimize this pain...i am really scared..is there any cream or medecines? Doctor: Hello,The symptoms seem to be related to Bartholin's cyst which is an infection of a cyst in the vaginal area. I suggest using anti inflammatory medication such as Ibuprofen 400 mg three times a day. I also suggest soaking for several minutes in warm water for relieve. If the symptoms continue, you should take a cycle of antibiotics to treat the infection.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest remedy to relieve pain in clitoris" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my name is manpreet kaur and I'm 28 years old,as this is my right age of marriage so i want to consult with u that my parents chooses one boy for me to get married his age is 45 and he's divorced and have 2 children, daughter is 19 years old and son 13 years and they are born and bought up in u.s.a, my problem is that my parents like him but i don't and my family striclky want me to get married with that guy.any how i got ready for marriage but one side its is acceptable but one side its not easy to accept this for me ,now I'm going through mental stress,i think lot of things so many thoughts comes in my mind negative and positive both but i don't understand what to do? i really think i should go to psychiatrist and consult what to do. thanks and regards manpreet kaur Doctor: Hi,Thanks for using healthcare magic.I have gone through your history.It seems that you have adjustment disorder as you have difficulty in doing adjustment with current situation.You should consult psychiatrist for detailed evaluation and management. Doctor may give 2 options as treatment depending upon your evaluation.1- Counseling2- anti depressant Drugs.You may go for stress management and self relaxation therapy like yoga, meditation and breathing exercise for better control over stress.Thanks." }, { "from": "gpt", "value": "Target: Negative thoughts, pressure and tension in family, mental stress. Psychiatric consultancy advised?" } ]
[ { "from": "human", "value": "Source: Patient: I was fine till about 3 o clock in the morning I woke up to a pain in the tip of my penis( it feels like i have to pee but very little comes out. i am a 53 year old virgin and have not had sex with a woman yet. the last time i masterbated was 2 weeks ago. what should i do? Doctor: Hi, You can have acute urinary tract infection like problem. For that urine routine microscopic examination is advisable. Underlying prostate enlargement like cause also has to be ruled out by pelvic ultrasonography. If urinary retention present then also it will be clear by sonography. I suggest you to consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: How can one alleviate pain at the penis tip?" } ]
[ { "from": "human", "value": "Source: Patient: hi, I have a lump on the right side of my head/neck area, and a very sore neck on the left side, the lump is the size of a coin, I had my thyroid removed 12mnths ago, but have found another lump where my thyroid use to be. can you help with some answers please Doctor: hi.i suggest you follow-up with your surgeon for consult and clinical evaluation. based from your description, it could be cervical lymphadenopathy, or a recurrence of your previous lesion especially if malignancy was considered. diagnostics such as neck ultrasound or ct-scan and tissue biopsy will be recommended as needed. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye" }, { "from": "gpt", "value": "Target: What causes sore lump on removed thyroid area?" } ]
[ { "from": "human", "value": "Source: Patient: I am a generally healthy 66 year old male without any major sicknesses.I feel hunger in a generally healthy and normal way, but most times food tastes bland or downright tasteless.Is this a sickness?By the way, I am retired for the past 10 years and miss the active usefulness of a productive life, although I keep myself busy with subsidiary activities.I do miss the dynamic administrative work I indulged in for a major part of my adult life.My wife is diagnosed with borderline personality disorder which could be stressful to me at times.Could you please give me some feedback? Doctor: Hello, Welcome to the forum. I can understand your concern for the symptoms from which you are suffering. It is good to learn that you are aware of your condition and interested to get well. You are unable to detect the taste of food since a few days, this is a medical condition called ageusia. It can be due to some problem in your olfactory organ. Most of the time people suffering from ageusia have associated smell problems. If you are unable to smell your food properly automatically the food will taste bland. You need to be examined by an Otolaryngologist or ENT specialist and get a general clinical examination done to diagnose your problem if any. Maintain a good oral hygiene. Use an antiseptic mouth wash after and before each meal. Change your brush buy a new brush with soft bristles, do not forget to floss your teeth. Get your dental problems treated if any. Be cautious if food tastes bland you will slowly start losing health. Change your lifestyle. Eat what you like. Make food colourful, presentation should be good. Use spices, visit restaurants for a change, visit supermarkets to chose your own food, you can consult a doctor and take some enzymes to trigger your taste and appetite. You should also eat papayas they will help your liver function well and trigger your taste buds. Sugarcane juice is equally good. You should have a few blood tests done to rule out any diseased state of your liver. Liver is the main organ of your body. Take fiber rich food, keep bowels clean. Stay well hydrated with soups, juice, water and re-hydrating fluids. Take dietary supplements and vitamin E after consulting your doctor. You are already acquainted with your wife's problem, it should not affect you. Visit libraries, friends, coffee shops, brisk walk in the mornings. Eat well and stay fit. Have a nice day, take care. Regards." }, { "from": "gpt", "value": "Target: Food tastes bland, tasteless, retired, wife has personality disorder. Causes for symptoms?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I was wondering if there was anything I could do to ease the pain on my soft palate? I was eating some chips earlier and didn't chew them all the way, so as it was going down it scratched my palate so now i cant really enjoy my food because of the soreness. Doctor: thanks for your query, i have gone through your question, the pain could be because of the ulcer secondary to trauma...you can just use topical anesthetic and analgesic like anabel gel or mucopain gel....apply 3-4times daily leavE it for 1 minute after application and then rinSe your mouth...i hope my answer will help you..with regardsDr. Mahesh kumar T.S" }, { "from": "gpt", "value": "Target: What could be done to ease the pain in soft palate?" } ]
[ { "from": "human", "value": "Source: Patient: My 22 month old son has a strange rash. He started out with what looked like a traditional diaper rash this morning in the crease where his legs meet his groin. Looked like a typical diaper rash -- red patchy rash. But when I changed his diaper a couple of hours later, I noticed that he developed these red, pin prick type bumps around his privates. So I put lots of aquaphor. Next diaper change I noticed that he had more red bumps and they were spread all over his groin and making their way up to his belly and tops of his legs/hips. Shortly after is when I discovered it s all over his neck, chest, back, his underarms and on his forehead. It looks like it s slowly spreading down his back to his buttocks. No fever, although his temp was 99 degrees earlier, but has been normal since. He s a little fussy and has green mucuous coming from his nose. He s had the green mucuous for the past two days. Doctor: Hi...Thank you for consulting in Health Care magic. It could be any viral exanthematous illness. But as you quote them as itchy blisters - the possibilities are Hand Foot Mouth disease/ Chicken pox/ any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like Hydroxyziine or Cetrizine.But.....skin conditions are best diagnosed after seeing them directly. I suggest you upload images of your child's skin lesions.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What are the red bumps and fever in a child?" } ]
[ { "from": "human", "value": "Source: Patient: almost 10 days ago I fell on my hip. The pain hasn t let up at all, I can walk, with a limp. too much time on my feet and sitting really hurt bad on the side and bottom of my left hip. I just finished 38 treatments of radiation for prostate cancer about 7 months ago and had nerves burned in my lower spine only a few days before the fall. any advice? Doctor: A hip fracture can occur and someone can still walk on it. This is far more likely with age and cancer. so, an x ray and evaluation is recommended for someone whose hip pain stays more than a few hours after a fall. Can be a bruised muscle other structure outside of the joint (warm soaks best) or something broken internally. Unfortunately on the hip it isn't that guaranteed you can tell which spot the pain is from. Most other spots you can tell inside from outside but not hip." }, { "from": "gpt", "value": "Target: Suggest cure for pain in hip due to falling down" } ]
[ { "from": "human", "value": "Source: Patient: I sometimes have a cramping feeling in the upper part of my abdomen. Usually comes on after I eat. I already take 300 mg of Ranitidine. Can you tell me what it might be? I just noticed that if I eat coconut it bring it on quickly.Thank you very much!Edwina KirkpatrickI'm sorry, I am broke right now. I will come back when my SS check comes in. Doctor: welcomeContinue Tablet Ranitidine half an hour before meal for 2 to 3 weeks . Change in life style.Avoid Alcohol,Junk food,Smoking,Colas.You can take Ant acids.If not relieved ,Consult Gastro Enterologist for Gastric Endoscopy.Thanks." }, { "from": "gpt", "value": "Target: What causes upper abdominal cramps?" } ]
[ { "from": "human", "value": "Source: Patient: Hello my name is Brandi. I have a question my tooth on the bottom in front has a pus filled place its located on the inside were I can push it with my tounge. When I push it with my finger pus comes out of my gum at the bottom center of my tooth it doesn t hurt I ve been to the dentist but they have no idea what it is. Doctor: Hello and thank you for your question. Based on what you have described you have either a perio or a dental abscess. This is causes either by a severe infection below the gum line associated with the gingiva around the tooth or due to a tooth that has has the nerve die and is now necrotic. Since the nerve is dead, you don't have any feeling in it and you won't experience pain. The reason why it doesn't hurt is because the abscess is draining and there isn't a build up of pressure. You need to go to a dentist to get it evaluated and determine the origin of the infection to have it treated. If you went to a dentist and they have no idea what it is, then I strongly encourage you to find another dentist and get evaluated. Most dentist know what this is right off the bat. This is normally treated by root canal on the tooth, extraction or periodontal surgery with scaling, debridement and antibiotics. Best wishes and good health Dr. Ward" }, { "from": "gpt", "value": "Target: Pus filled bump below teeth, no pain, pus oozes on pushing with finger. What could this be?" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor, I am undergoing IUI (had one IUI today and will have a second IUI tomorrow). I currently have a cold and am wondering if it is safe for me to take Dayquil/Nyquil to treat the symptoms. Is is safe, or is it better to stay away from the medicine until I know whether the IUI was successful? Thank you! Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Below is my reply:1) Yes, you can take.2) These medicines will not reduce IUI chances.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahesh Koregol" }, { "from": "gpt", "value": "Target: Can i take 'dayquil/nyquil' for cold while undergoing IUI?" } ]
[ { "from": "human", "value": "Source: Patient: I have cervical polyp removed 2 weeks ago, and biopsy done. I received a call from mt oby-gyne that this polyp is positive for cancer cells. My pop smear is normal and cervical biopsy is normal too. What is this and where this cancer cells originated? Doctor: Thanks for your question on HCM. I can understand your situation and problem. But cervical polyp can be malignant too.Mpstly cervical polyps are benign and hyper plastic in nature.But can behave as early malignancy. And to have normal PAP smear with normal cervical biopsy and malignant polyp is possible. So better to consult oncologist and get done PET scan to rule out distal metastases. And you may need enblock removal of uterus as you are having early stage malignancy. The prognosis is excellent. So no need to worry much." }, { "from": "gpt", "value": "Target: Does cervical polyp cause cancerous cells ?" } ]
[ { "from": "human", "value": "Source: Patient: Hello, I went to the Dr today for depression and anxiety and he prescribed Celexa 20mg 1 tab daily. I realized after reading the information on this drug that I forgot to mention to him that I had a small hole in my heart as a young child. I don't go to the doctor very often at all and have not had this checked on in many years yet I tend to get chest pains occasionally. Can Celexa effect this issue? Doctor: HI, thanks for using healthcare magicCelexa can cause problems with the heart's ' electrical activity' in some persons. Its use is not recommended in persons with underlying heart issues or those persons with abnormal levels of potassium or magnesium in the blood.It is possible that since you do not have regular follow up for your heart that your history of heart disease would not have a significant impact but it would be best to inform your doctor prior to starting the medication.I hope this helps" }, { "from": "gpt", "value": "Target: Does celexia for depression and anxiety cause chest pain?" } ]
[ { "from": "human", "value": "Source: Patient: I am about 5weeks along and was melting several styrofoam cups in my oven at 250 degrees for 3-4min at a time for about a hr total for a class project. I started noticing the smell was upsetting my stomach so I went outside and got fresh air and drank some water, but I m worried if it has affected my baby? Doctor: Hi, thanks for the query. I understand your concern. Melted plastic ( from Styrofoam ) releases hazardous fumes for growing baby. You are running 5th week of pregnancy, which is the period of basic development of fetus... specially the plastic fumes should be avoided. Though you need not worry with a single exposure for few minutes... ( thank god you shifted out in fresh air.)Be convinced about it while anomoly scan usually done in 5th month. But keep in mind not to expose yourself to the risky job.. in pregnancy period. Thanks." }, { "from": "gpt", "value": "Target: Is inhalation of melted plastic fumes safe during pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: I have a 3 year old daughter that is complaining of stomach pain every time she eats or drinks ANYTHING, even water. We went to the pediatrician and they found blood in her urine and are treating her with antibiotics, but we still do not have an answer for the pain. Doctor: Hi... I do not feel that this is an infection to treat with antibiotics. It could be GER - Gastro Oesophageal Reflux.Suggestins - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make her lie down in a propped up position - as in the care seat. She should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small aliquots.She needs expert gastroenterology consultation.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes stomach pain?" } ]
[ { "from": "human", "value": "Source: Patient: My right knee starting to hurt this eve, it felt like my interior ligament was \"rolling\" over something & it hurt quite a bit. Then, after icing it, I felt a small pea size limp that I could manipulate to move it around. Any ideas? I didn't doing anything out of ordinary today , but I do have osteo arthritis and Lupus. Doctor: Hi...The interior ligament rolling inside your knee could be a tendon rolling over the bone. This is possible because your muscle tightness can tighten up the tendon rubbing onto the underlying bone... The spea sized ball what you feel is the inflammed tendon...I recommend you to..Continue icing frequently...5-6 times in a day on the pea sized lump area and area on the front of the thigh..keep it compressed with compression bandage...If you have a analgesic gel/ointment apply it on painful area...Gently knead on the muscles above the knee...Gently stretch the front thigh...back thigh...inner thigh and outer thigh muscles...Once pain gets relieved then start rehabilitation for your knee...keeping a rolled towel under your knee and pressing...Exercises like Bridging...leg extension...leg curls..calf raises helps to maintain strength around knee joint...and gentle stretch helps you to maintain your knee pain-free...Hope this is helpful for you...Kindly revert back in case you need any further information regarding this...." }, { "from": "gpt", "value": "Target: What causes pain in the knee with lump?" } ]
[ { "from": "human", "value": "Source: Patient: I have a pin prick sensation in the scrotum, it comes and goes but is quite the most uncomfortable thing I have ever felt. It continues over the penius and is only slated by sudacream twice a day. what could be causing it? I have had the same partner for 6 years with no exceptions and it started 2 weeks ago Doctor: Thanks for asking in healthcaremagic forum May be because of allergy/irritation to the cream you started using recently. So, please stop using the cream and visit a doctor for examination and further management. All the best." }, { "from": "gpt", "value": "Target: What causes pin prick sensation in the scrotum?" } ]
[ { "from": "human", "value": "Source: Patient: My skin got a bit tanned ....so i used melacare cream having hydroquinone to reduce the tan....used it for 3-4 days and one day in the morning washed my face with warm water and applied sun-block cream (for the 1st time).....it caused a burning feeling on my face and now after one day there are red-dark spots on the face similar to burning spots.....please help Doctor: Hello and welcome to healthcaremagicYou seem to have developed irritant dermatitis to melacare cream. Melacare cream is a combination of 3 active ingredients tretinoin, hydroquinone and mometasone. Tretinoin as well as hydroquinone have inherent irritant properties and may cause irritation when applied on to face, specially in those who have sensitive skin.I would suggest a moderately potent topical steroid e.g fluticasone propionate cream, to be applied twice daily over the affected area for a few days. That would take care of the irritant dermatitis.Thereafter, you may use a kojic acid based cream to fade away the tan.Always use a broad spectrum sunscreen, throughout the day to prevent further sun induced darkening.Regards" }, { "from": "gpt", "value": "Target: Does use of melacare cream for tanned skin cause rash/burns like side effect?" } ]
[ { "from": "human", "value": "Source: Patient: My 22 year old daughter was diagnost with mercer . She went to doctor got medicine , she has been on medicine for 3 weeks she thought is was gone but a not came up on her leg again, so she is going back to doctor, my question is she has a 3 year old I m scared for him Idont want him getting it or the rest of the family, can he catch it being around her? Doctor: Welcome dear !Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.MRSA is spread by contact. So, you could get MRSA by touching another person who has it on the skin. Or you could get it by touching objects that have the bacteria on them. Babies have weak immune system so they are more at risk in the first place.Treatment which I usually prescribe to my patients is Clindamycin 450mg per oral 3times for 10days.If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures with direct question.May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at 'I Find This Answer Helpful.' Please, write a review about your experience with me. Regards!DR. HANIFPHILADELPHIA, USA" }, { "from": "gpt", "value": "Target: Suggest treatment for methicillin-resistant Staphylococcus aureus (MRSA) infection" } ]
[ { "from": "human", "value": "Source: Patient: my age is 20 yrs ... my lips are very dark ..how can i make them pink and also there are scars on my face i want to remove those scars and also want to make my skin tone more fair which cream should i use to make my lips pink ... and also suggest me cream for my face Doctor: Hi,Thre are certain biochemical to be used under dermatological supervision.I suggest my patients to use a Kojic acid cream or glycolic acid cream or licorice extract or arbutine creams.These are to be used at night time in guidance of dermatologist. Other than that applying sunscreen daily half an hour before you are going out and reapplication in 3-4 hours if you are continuously in sun for long hours is quite helpful. Most importantly have a good diet with fruits and vitamins.In between you can use good concealers which can mask the acute effect of pigmentation.All the best." }, { "from": "gpt", "value": "Target: How to remove the scars on the face and get pink lips?" } ]
[ { "from": "human", "value": "Source: Patient: I fell backwards on hockey skates and landed on my tailbone which whipped my head back to the ice. I had a helmet on so no head injury but my lower back is very stiff and sore. Surprisingly my tailbone is not sore to the touch, and I can t tell if there is swelling. The pain in my back goes from middle down to the end of my buttocks. Should I be going to see a doctor about this? Doctor: In my opinion you should stop worrying. For immediate relief have some pain killer along with a muscle relaxant for 3-5 days depending upon the pain and symptoms and have proper bed rest for a week. Do not lie down on soft mattress use hard one instead, Do not strain your self or over exert. U can also apply some good anti inflammatory pain killer gel on your back. If the pain increases do some hot fermentation locally" }, { "from": "gpt", "value": "Target: What relieves the stiffness and soreness in the lower back?" } ]
[ { "from": "human", "value": "Source: Patient: I have a wart on my small finger on my left hand and I keep knocking it. It has become quite big and bleeds profusely when i knock it. Can i treat it whilst it is like this? I have put a non-adhesive dressing on it to protect it. Should i just wait for a couple of days to let the healing process take place before trying treatment? Thank you Doctor: Hi thanks for asking question HCM.It can be treated to home or at clinic by doctor.the various options are available.The concentrated cold air can sprayed over wart and then wart scrapped away called freezing treatement.The patches containing salicylic acid can also be helpful.The duct tape can be applied over wart for several days and then wart soked and removed with rubbing.Your wart is bleeding .so better to go to surgeon for its removal.The liquid nitrogen today is mostly used which is very helpful and take only 5 to 10 minute for removal.It can also be surgically excised.After wart removed take following preventive measures.cover wart with bandage.regular hand washing done.keep hand dry.I hope i have solved your query and it will be helpful to you.thanks." }, { "from": "gpt", "value": "Target: Suggest treatment for wart on finger" } ]
[ { "from": "human", "value": "Source: Patient: Hello Dr. Good morning. My name is farhana and my husband name is Rajesh kumar. am from Chennai.we both working in infosys.We married on 26/10/2010.but still now we dnt have baby am very much logging for baby Dr. once i checked With Dr. Sulockchana in chennai, she took pelvis sacn she said that no problem to me i can give a baby and my husband also good in wealth and i also think that he dnt have any problem in his sperm. so i dnt knw what to do now.please advice me about the baby. thanks & Regards, Farhana.R Doctor: Hello dearI understand your concernAs you both failed, I would suggest you both to consult infertility specialist.Infertility could be due to Hormonal imbalance, poor quality of egg, ovulatory dysfunction, problem in fallopian tube, poor quality of egg.I would suggests to undergo following investigations and complete clinical evaluation.For you: reproductive and thyroid hormone analysis, ovarian follicle study, HSG testFor your partner: full semen analysis, USG if neededSpecific treatment depend on cause.You can start ovacre plus: it provide essential nutrient for maintaining reproductive healthClomifene citrate: if problem in maturation and rupture of follicleProgesterone pill in second half: if there is hoormonal imbalanceTablet metformin: to regularze glucose homeostasis and maintain weightTablet gonadil F your your partner if problem in semen parameter.Avoid stress, take healthy diet, drink plenty of water, do regular exercise and maintain body weightHope this may help youContact further if follow up neededBest regardsDr. Sagar" }, { "from": "gpt", "value": "Target: How to conceive fast?" } ]
[ { "from": "human", "value": "Source: Patient: hi doc my wife is 7 weeks pregnant, she is observing continuous vomiting, she is feeling too much weakness. Doctor has suggested her Duphaston tablet twice a day. My wife believes that due to Duphaston her vomiting has been increased. It is worth-mentioning here that scan report shows only pouch not baby. please tell me either she continue duphaston or not...???? Doctor: Hi.Duphaston is given to prevent a possible miscarriage or spontaneous abortion. As only the sac is observed and not the fetus inside, there is a risk present of a possible abortion. To avoid this, duphaston has been prescribed. The nausea or vomiting is due to a hormonal surge, and is expected. But please do not discontinue the duphaston at any cost, it could very well save your babys life.Best wishes." }, { "from": "gpt", "value": "Target: Should Duphaston be taken during pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: my baby boy is 12 months and 3 days now.from last 3 days he is having loose motions.and very red and light skin pealed.i was giving him cocunut water for drinking and hydrozole for nape rash,,,but still did not work ,,please help my kid ,how to stop loose mostions and napy rash....and how many days it will cure hopefully ....please help mu kid.only bottle feeding ,he is active, not eating much food . Doctor: Hi thanks for writing to Healthcare magic.I understand that your baby is having acute gastroenteritis. Please give him 1/4 the glass ORS after each loose motions. May be baby might vomit while taking ORS you can use a anti vomiting medicine . For nappy rash , avoid using pampers while child has loose motions. The gel that forms in nappy itself can cause the nappy rash by irritating the skin. If I were your treating doctor I would have kept baby pamper free and used fusidic acid 3 times a day to heal the rash. In case babues activity decreased , blood in motions or fever in baby kindly visit pediatrician.In case any more query I am happy to answer, else rate this answer and close the discussion.Below is the link of my article on loose motions, you may find it helpful" }, { "from": "gpt", "value": "Target: Suggest treatment for loose motion and nappy rash" } ]
[ { "from": "human", "value": "Source: Patient: hai I am jayshree .I m a pcos and thyroid patient but my tsh levels are under control from past 4 months on 25 mg thyromorm.Am planning for a follicular study this week.my husbands semen reports are all normal.I am getting my periods in a span of 28-35 days regularly on metformin.will i ever get pregnant? Doctor: Hi I am aware of your concern and happy to guide you through this. Becausr your tsh levels are under control and also yoy have been on regular medication for pcos so it is very likely that your cycles would have been regularly ovulatory by now so it is very likely you can conceive. Also your follicular study would give you status regarding your ovulation" }, { "from": "gpt", "value": "Target: How to ascertain that one can attain pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: My 9 y/o granddaughter showed me a small area on her edge of lip and onto her chin area as a small patch and another 2 much smaller areas that were slightly raised, slightly reddened and I was not sure if this was from out in the cold day before and got wet and windburned or if this is ezema or something else? she did not ppar to be scratching it but she was very uncomfortable with it going to school today any thoughts? Thank you Patti Doctor: Hi...this could be an eczema or a pyoderma (skin and subcutaneous tissue infection) starting. I suggest you see a dermatologist or upload images here. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes raised red patches on chin area?" } ]
[ { "from": "human", "value": "Source: Patient: This is Mohammed from Morocco, I am 34 years old with no sexual relationships (my sexual life is limited to masturbation). It is 5 months since I started to suffer from a severe inflammation in the prostate area. I went to 4 urologists (to each new one I show the drugs suggested by the others) , I consumed all kind of antibiotics and anti inflammatory drugs without success, and I'll be infinitely thankful is you provide me with some feed-back. The problem started thus:-during masturbation I felt a sudden and severe pain in the right area bellow the right testicle (mid way to the anus), and after ejaculation I found some little blood in the semen. I didn't give too much heed to the case; however the pain in that area persisted.-after 3 days I masturbated again and found the semen color brown.1/ doctor: I went to see doctor (a generalist because there is no urologists in the little town I dwell in) who after examining me with echography told me that I have inflammation in the prostate. He gave two drugs (anti-inflammatory+ antibacterial), I completed the treatment without any bettering.2/ urologist:then I went to see the first urologist I a neighboring city who after a thorough examination (echography+ external examination+ \"toucher rectal\") said there is an inflammation in the prostate and gave me some drugs (anti-inflammatory+ antibiotics). But after 20 days of treatment there was no bettering, I returned to see him again, and he give me other drugs. Again after completing the treatment without success I went to see him again, he then re examined me and said there is nothing wrong with the prostate and give me another anti-inflammatory. But again with no success.3/urologist:By that time I started to feel some strange sensations in the prostate itself, so I went to see another urologist who after examinations (echography+ external examination+ \"toucher rectal\"+blood and urine analysis ) said there is nothing wrong and give me no drugs at all!!4/ urologist:I went to see another urologist in the capital Rabat, who after examination (echography+ external examination+ \"toucher rectal\") said there is an inflammation and give two new drugs (anti-inflammatory+ antibiotic). But after 20 days of treatment there was no bettering, so went to see him again, and he give me another antibiotic which I consumed for 20 days without success.5/ urologist:Two weeks ago I went to another doctor who, like the others, after examination (echography+ external examination) said there seem nothing serious and give me two drugs I am still consuming….without bettering.So as you expect, I am in a miss…I still feel pain the area bellow the right testicle + a kind congestion and perturbation in the prostate itself ( I urinate normally)…I don't know what to do..and the problem started to cause me depression… ??????????????? Doctor: Hello,You should consult your doctor for physical investigation on testicle pain. Blood during masturbation is normal and nothing to worry about it. Therefore, I suggest consulting a urologist for physical examination, diagnosis and treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" }, { "from": "gpt", "value": "Target: How to treat pain in right testicles also noticed blood from penis after masturbation?" } ]
[ { "from": "human", "value": "Source: Patient: my husbands blood pressure is 206/93 and I am trying to persuade him to meet me at the er. He saw his family dr today and she gave him a bp med but it is still over 200. He is taking suboxone and thinks It may be related to this. Should he go to the er? What should I watch for tonight if he won't go.Tarah Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.With this blood pressure he should visit the ER he needs his med to be changed and possibly the work up should be done to see the cause of the problem, he should also keep a check on his weight and salt intake, I would suggest you to take him to ER ..this Blood pressure can be dangerous.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad" }, { "from": "gpt", "value": "Target: What causes high blood pressure?" } ]
[ { "from": "human", "value": "Source: Patient: Hello, i am 47 and was diogonoses with lupus 2 years ago, i have regular blood work done and every one shows High on the wbc ,hgb,hct,mcv,mch,neut% auto and abs segs. and they never talk to me about them, This has been going on now for over a year with these levels all classified as high, i just want to know what this means, Should it be addressed or are these levels just high for no reason? Please help me with this. Thank you. Doctor: lupus generally does not produce this type of blood work." }, { "from": "gpt", "value": "Target: Diagnosed with lupus, blood work shows high on WBC, HGB, MCH. What does it mean ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I just had unprotected sex. & I finished my period yesterday, so I m not protected as I haven t used my contraceptive pills for a week. (Millinette 30/75) What shall I do??!! Am I able to use my birth control pills as emergency contraception?! I m really embarrassed to go and get emergency contraception from a pharmacy! Doctor: hello dear.understand your concern.you have no worries because u had sex in safe period of your menstruation cycle,so you already have no chance to take emergency contraception.so you can continue your birth control pills as you used earlier.& yes ,you used your contraceptive pills as emergency contraceptives.if u sex in unsafe period means in ovaulatory time,then you want higher dose of contraception.you hv to take 4 contraceptive pills as early as possible ,then another 4 pills after 12 hours.its only applicable if u take it within 72 hours after intercourse.hope this will help you.best regards.dr.sagar" }, { "from": "gpt", "value": "Target: Can birth control pills act as an emergency contraception?" } ]
[ { "from": "human", "value": "Source: Patient: was recently put on meds for panic attacks/depression, I was also suicidal. The meds are - wellbutrin, vistaril, Valium, remeron and another I think celexa?? I m hallucinating right now, hearing talking, shadows all around me. I just ran to bathroom with diarrhea full of blood now deep in my stomach hurts so bad. What is happening to me. I was also very suicidal today, more so than ever because I actually had it planned out, I even made up will to ensure my kids were taken care of. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The medications you are currently​ using are included in polypharmacy, three different anti depressants. It may affect your body in general. You are hallucinating, so antipsychotics should be started. Consult your Psychiatrist as early as possible and tell him about your experience of hallucinations. Medications need to changed if you are truly hallucinating. Take help of your family members or friends. I hope I have answered your query. Feel free to ask further questions." }, { "from": "gpt", "value": "Target: What causes hallucinations and bloody diarrhea while on Wellbutrin, Vistaril, Remeron and Celexa?" } ]
[ { "from": "human", "value": "Source: Patient: I was recently diagnosed w/a seizure disorder, (focal seizures). I am currently taking Levetiraceta 250 mg - 2 tabs. twice daily. However, I continue to experience symptoms, ie, headaches, numbness on lft. side of face, confusion, disorientation, fatigue. Is this normal? If so, am I still having seizures eventhough I'm taking meds.? I have an appt. with a new neurologist but I don't have an appt. until April. Can my primary physican address my concerns or should I try to get an appt. w/the neurologist sooner? Doctor: helloNo,this is not normal. Either your medicine is not effective for your problem. I would suggest to start on Depakote , after consultation with your doctor. This can be done even by primary care physician. Levetiraceta is an add on medicine and monotherapy is seldom effective.DR SAATIISH JHUNTRRAA" }, { "from": "gpt", "value": "Target: What is the treatment for headache and numbness on left side of my face when suffering from seizure disorder?" } ]
[ { "from": "human", "value": "Source: Patient: I have a pain in my left side small of my back...also left side just above my hip boneat the front. Sometimes my urine smells of bad fish...I feel tired and irritable. This morning I had a thin watery brownish discharge, dont think it is associated with aperiod Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Possible cervical infection or urinary tract infection.2. Get a pap smear and urine microscopy done to identify the cause.3. Based on findings, culture and sensitivity, appropriate antibiotics can be started.Hope it helps.Any further queries, happy to help again." }, { "from": "gpt", "value": "Target: What causes left back pain with brown vaginal discharge?" } ]
[ { "from": "human", "value": "Source: Patient: hi, last week my mom had a pain right below her chest on both sides and had nausea/vomitting. she has experienced the same symptoms three times already usually every other week. i'm concerned that it could be gallstones because it's in the family. what should i do? am i worrying too much about it? Doctor: Hi,Further evaluation is recommended. Your mom need to have an ultrasound of abdomen that may help to rule out presence of any gall stones. Wish her good and sound health.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr Tayyab Malik" }, { "from": "gpt", "value": "Target: Can presence of gall stones cause pain below chest,nausea and vomiting?" } ]
[ { "from": "human", "value": "Source: Patient: i had an open wound on my hand and i got into the er and they put only one stitch inside , it wasnt big or something like that but it still needed that one it was more than 3 weeks ago and the first night after stitching my fingers were swelling and i couldnt write but after few days it got much better i took out the stitch by myself 9 days after and since than scar is redish pinkish color and my thumb is quite numb and it kinda feels like stretcing when i put my hand in a particular way im just wondering if this is ok :) Doctor: Hello,During healing in such area like the palm, there is contraction of soft tissues. This may lead to such a feeling. The numb sensation is although not a normal part but it signifies that there can be either mild compression or injury to a nerve supplying to the thumb.But as all this is improving, there is no need to worry. You may wait for more 8-10 days. Meanwhile do not put excessive stress over your hand, start doing light work. You may do warm water fomentation to increase flexibility of your hand.Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Mukesh Tiwari, Orthopedic Surgeon" }, { "from": "gpt", "value": "Target: Does the red scar need looking?" } ]
[ { "from": "human", "value": "Source: Patient: I was recently told that my liver enzymes are 10 times what they should be, resulting in \"liver damage.\" I dont drink, dont smoke, dont have hepititas, and dont think I would have a FATTY LIVER. Im 35yrs old, 5ft 1 and weigh 130lbs. What would cause liver damage in a healthy person??? I am a hairstylist and perform the Brazilian Blowouts in the salon. Its a treatment with controversy surrounding levels of formaldahyde. Could breathing in the air in the salon have damaged my liver? Doctor: Hello,It is possible that inhaled formaldehyde can damage the liver. But do also rule out metabolic syndrome -- abnormal lipids, obesity, high insulin levels in blood, and later diabetes and hypertension. Ask your doctor about metabolic syndrome.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Geeta Sundar" }, { "from": "gpt", "value": "Target: Could constant breathing of formaldehyde cause liver damage?" } ]
[ { "from": "human", "value": "Source: Patient: I had a miscarriage three weeks ago (at 8 weeks pregnancy), after a lot of back pain and cramps for weeks before the bleeding started. Anyway, since the past week, I have been experiencing similar back pain and cramps again. What could be the reason? Doctor: post misscarriage cause pain due to streching of inner pelvic muscles.it will be normal soon.take some medicines if lots.and make sure misscarriage is perfect.if there is reminants might be cause of abdominal as Well as back pain" }, { "from": "gpt", "value": "Target: Suggest treatment for severe back pain post miscarriage" } ]
[ { "from": "human", "value": "Source: Patient: i used to be a very good person i wouldnt talk back to my parents and now i just very lazy and ignore 70% of what they say to me. it is sad because i wasnt this kid that i dont even recognize myself. i just wish i could show them that i have changed back to how i was. It is all my laptops fault i am ADICTED to it. How can i stop being adicted to the laptop? i just got my laptop in march. I NEED HELP!!!!!!!!! i love my parents a TON and i dont want a stupid computer to get in the way. please help me Doctor: Hi,Thanks for writing.Internet addiction should not be diagnozed loosely, and should be done only by a trained person. In case you feel so, visit a psychiatrist. She/He can both confirm and help you with Internet addiction.Hope this helps,Dr A Rao" }, { "from": "gpt", "value": "Target: Suggest treatment to overcome internet addiction" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my father is on peritoneal dialysis he feels very weak no much appetite all of a sudden from last week and his fluid his comiing out as dark yellow Doctor: Hi, Welcome to HealthcareMagic Forum. Chronic kidney Disease (CKD) is the gradual loss of kidney function. Since how long is he on Peritoneal Dialysis (PD)? You should be taking to his NEphrologist so that he can examine him and suggest any rescheduling in PD. It is common for a CKD patient to have loss of appetite, not to worry. He will require few blood tests to see for the amount of wastes in his blood and also the hemoglobin level. If the test results show that the dialysis schedule is not removing enough wastes, your doctor may change the dialysis routine. This might involve changing the number of exchanges, increasing the amount of solution used for each exchange or using a dialysis solution with a higher concentration of dextrose. In addition to this, he should be eating right amount of food, low in sodium and phosphorus. Kindly consult a dietitian for this so that he/she can develop a diet plan suiting his weight, personal preferences, remaining kidney function and other medical conditions, such as diabetes or high blood pressure. Finally, he should be taking his medications as directed by his Doctor for achieving the best possible results and go for regular follow up. I Wish him Good Health, Take Care." }, { "from": "gpt", "value": "Target: Along with peritoneal dialysis what can give relief to a patient with kidney disease ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I was diagnosed with genital warts/Hpv over a year ago...recently I noticed the glans on my penis have dark track marks & the upper portion of my shaft (circumcised) has also seemed to change to a darker color more so on the sides then anywhere else. Any ideas? Doctor: Hi...thank you for the query. With which medications you were treated for genital herpes?were you declared cured? because these dark marks may be due to after effect of medications or due to recurrence of herpes. Secondly..are you sexually active now & whether you practice safe sex? My advice is you should meet your doctor & get yourself evaluated for all sexually transmitted diseases including HIV. Good luck" }, { "from": "gpt", "value": "Target: What are the causes of dark marks on penis and shaft ?" } ]
[ { "from": "human", "value": "Source: Patient: I checked my 5 year olds blood sugar this morning for the first time and it was 97. I know it is suppose to be between 70 & 100, as a diabetic myself 97 seems a bit high for a 5 year old. Is this an ok number or should i continue to monitor it and call the pediatrician. Doctor: Hi,I has gone through your query and understand your concern. But you should not worry, because it is normal sugar for child. Norm is same as for adult.If you have more questions ,then i will happy to answer.Wish you and your baby good health" }, { "from": "gpt", "value": "Target: Is it normal to have sugar level 97 for children?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, if I had a gum infection affecting my throat, ears and sinus is it possible that after I feel better it has affected my eyes and top of my eyes? I wake up with very dry eyes, heavy head and like I have mucus around my eyes and inside my head. I really appreciate your answer. Thank you Doctor: Hi Dear,Welcome to Health Care Magic Team.Understanding your concern.As per your query infection in gums which is affecting throat, ears , sinuses is because of periodontal problem means abscess in gums these are symptoms of periodontal abscess. Pus formation in the gums occurs secondary to the deposits over the teeth. I would suggest you to visit dentist once and get it examined. Visit Periodontist for scaling and root planning quadrant wise. Maintain proper oral hygiene by brushing and flossing daily. Do Listerine mouth wash gargles. Take combination of Metronidazole and Amoxicillin for 5 days. Keep maintaining hygiene to prevent further food debris and bacterial accumulation. Gargle with warm saline rinses. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: Suggest treatment for infection in gums" } ]
[ { "from": "human", "value": "Source: Patient: A few months ago my father (76) who was diagnosed with the brain cancer and was adviced by one doctor to take sallaki (bigger dosage) and liv.52. His his walking and speaking capacitiy has improved a lot but recently his right hand and feet are swollen. Is it possible that toxins started going out of the body? My father doesn t take much water and could it be the reason for swelling. What would you recommend? Thank you (I apologize for my poor English) Doctor: I am sure that shallaki is the cause of swelling of the right hand and the feet.I recommend you to go to the doctor( reumatolog) and make some lab analysis to exclude reumatic origin." }, { "from": "gpt", "value": "Target: What causes swollen hand and feet after taking shallaki for brain cancer?" } ]
[ { "from": "human", "value": "Source: Patient: On 6th Sept 2012 around 6.30pm I was at a restaurant and the whole room was spinning before the food arrived, vision became blurred and had double vision and has severe nausea and was rushed to emergency. My platelet count had gone up to 670, my INR was higher than usual at 3.0. By midnight all symptoms disappeared. MRI did not show anything. The same thing happened yesterday as I woke up. I opened my eyes to see the room was spinning like mad. Vision was also blurred. Got out of my waterbed to find I had no balance and was falling all over the place. I did not go to ER and lay in bed all day and the symptoms were gone. I am taking it easy today but find I am drained of all energy. I had blood tests done this morning and am waiting for the results. I am on 8mg of Warfarin and 75 mg of Plavix besides avapro and diabex. I suffered a Brain stem stroke in 2000 caused by a vertebral artery Dissection/Occlusion with wallenberg syndrome and Horners syndrome and made a miraculous recovery. Ram Doctor: Hi Mr Ram, Thank you for posting your query. Your symptoms are suggestive of transient ischemic attacks (TIA) of posterior circulation (vertebro-basilar circulation). This is more so, as you have suffered a stroke earlier of the same territory. Since you are on adequate doses of warfarin and plavix, I would advise you to look at the risk factors in detail- such as sugar, BP, cholesterol, homocysteine, etc. A heart check up would also be useful. Otherwise, your current medications are sufficient to prevent a major stroke. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Apollo Hospitals, Hyderabad" }, { "from": "gpt", "value": "Target: Vision blurred, had double vision, severe nausea, platelet count went up, imbalance. Why? Related to brain stem stroke?" } ]
[ { "from": "human", "value": "Source: Patient: I had my period on 24th June 2011. Only I could sense my ovulation by 12th July(I had some white stuffs coming out of vagina). Is it correct that my ovulation is on 12th July? I am desperately want to be pregnant by this time. We are having sex daily for last 3 months. I took letrozole from 4thday to 8th day . till yesterday I had sex with my husband. Will I get pregnant for sure? Pls advise. Doctor: Hello As you mentioned that you are trying for conception and you are trying everyday sex for getting pregnant. Now you have ovulation on 11th or 12th July.. and you want to conceive this month.. As per Ayurveda infertility ... daily sex causes for low sperm count, In classical method described in Ayurveda that have to follow brahmcharya for three months when you want to conceive. So, that it is advisable that have to sex at before days and that day of ovulation. but have to avoid daily sex for trying of conception." }, { "from": "gpt", "value": "Target: Will I get pregnant if I have sex everyday ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi I did a wisdom tooth extraction 12 days back, and I took almost 25-30 antibiotics Amoxillin and pain killers. But my head and the area near ear is paining severely. The tooth site doesn t seem to be infected neither there is any swelling or inflammation. Pls let me know your views. Thanks! Doctor: Thanks for your query, I have gone through your query.The pain in the head, ear, can be because of the trauma cause dduring tooth removal to the disc in the temporomandibular joint leading to disc displacement in the Temporomandibular joint. Nothing to be panic, You can take anti inflammatory drugs like piroxicam 20mg twice daily on first day and twice daily on next 6 days. You can also take muscle relaxants like chlorzoxazone. You can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. take soft diet.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: What causes head and ear area pain after a wisdom tooth extraction?" } ]
[ { "from": "human", "value": "Source: Patient: Hello my name is Terrance Wilfred Mack and have had a bad history with tylenol and have been feeling like my throat has an lump in the middle center,have had an diaria off and on.my doctor mulenburg in port alberni is on vacation but I also have Been getting tight at sertin spots in my body like the back and front Doctor: Hello,There are various reasons for lump in the throat as tonsillitis, adenoid enlargement or others.Primary relief with gargles from salted lukewarm water, added peppermint oil and later consult your ENT doctor after vacation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel" }, { "from": "gpt", "value": "Target: What does a lump in the throat indicate?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my 8 yo son has developed a skin rash on his hands (including palms) and feet (including bottom). He had a couple of spots last Friday, but has many more today. Also, he complains of pain in the throat when swallowing and has an enlarged gland under his jaw. He has also had cold symptoms for the past few days. Should I worry? Doctor: HI...this seems like a hand foot mouth disease. You need not worry. It will be extremely itchy and if it is you can use some over the counter antihistaminics to control itching. Do not use any topical or emollient lotions - they will aggravate the situation.In another 4-6 weeks there might even be some skin peeling and even then you need not worry.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes skin rash and sore throat?" } ]
[ { "from": "human", "value": "Source: Patient: I may need to have a colonostopy and am very concerned about the prep. I have read that the phosphate based prep can cause kidney damage. I have also read that there is a magnesium based prep that is much safer. Also is there a reliable alternative to the procedure itself. Your thoughts. Doctor: Hi. Both preparations are safe as we have never seen any reaction or side effects as mentioned by you. Yes, there are alternative procedures for colonoscopy. One is called Virtual colonoscopy , done with the help of more modern fast multislice CT Scans where only air is insufflated, no actual tube is passed. Another is camera endoscopy , wherein you have to ingest a capsule camera and stay in the hospital. Only problem with both the alternative procedure is no biopsy can be taken. I hope my answer has satisfied your query." }, { "from": "gpt", "value": "Target: Which method is more safe for a colonostopy, phosphate based prep or magnesium based prep?" } ]
[ { "from": "human", "value": "Source: Patient: whatever i eat i feel like the food no salt and nth but my parents and family say got taste? my body also always paining and my legs get numb almost everytime! and i start to eat alot nw. like everytime i wanna eat. My head hurts alot everyday. everyday i get headaches. I m 18 years old, height is 162cm weight is 65kg. my dad got diabetes and my mum and brother got high blood pressure. Doctor: Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes body pain with leg numbness?" } ]
[ { "from": "human", "value": "Source: Patient: I am 6 weeks pregnant. I followed the directions for stouffers lasagna to keep the plastic film on until the last 10 minutes, but after the first 10 minutes I realized the smell of plastic in the apartment. I took off the film and put foil over it instead and opened the doors/window. Does this type of plastic cause birth defects if inhaled. Will my baby be okay? Doctor: Hello, and I hope I can help you today.A general guideline that is useful about pregnancy is to think of it as if regarding certain products fumes and other accidental exposures, if it doesn't harm you, it will not harm the baby. If you ventilated the area and you did not have any symptoms of headache dizziness or blurry vision is most likely that these fumes did not get inhaled by you significantly and therefore they cannot do damage either to you or to the baby.There is also no evidence that exposure to fumes from plastics, aerosol cleaning products, or similar items causes birth defects.So certainly your exposure to burning plastic in that context is nothing to worry about regarding your pregnancy.I hope that the information was reassuring, and that my advice was helpful.Best wishes, Dr. Brown." }, { "from": "gpt", "value": "Target: Does the plastic fumes cause birth defects to baby during pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: I am facing a food allergy problem from last two year , after taking whole caution , still every day i face swelling problem of face and itchy rash on skin. On taking medicine like olopat in start my allergy got supress but from last 9 days I an facing continuity of swelling till three days at a place .. From last two days i am facing a new problem .. on washing after stool my hand got swell .. this instant swelling was observe last two time. Doctor: get blood serum tested for major foods like milk wheat egg potato rice nuts chana after getting repoort eliminate the cuprit foods from diet and then go for desensitisation therapy for food allergies it is the newest treatment of food allergies and is giving excellent results" }, { "from": "gpt", "value": "Target: Have food allergy. Rashes, itching and swelling. Treatment?" } ]
[ { "from": "human", "value": "Source: Patient: I m having lower abdominal pain around the right side of my waist, sometimes the pain is sharp and radiating down the right side of my leg towards my right testicle. I feel some pressure when I urinate on that particular side but no fever no nausea of vomiting. Also have pain with some movement. Doctor: Hi.The pain you explained which radiated to the testicle and the leg is suggestive of a stone in the right ureter. The stone and the hydroureter can cause a mild pain on movement. Ultrasonography after preparation of the abdomen with Duclolax and Gases will give a proper diagnosis. The treatment will depend upon the location-of the stone and other findings." }, { "from": "gpt", "value": "Target: What could it be if having lower abdominal pain radiating to groin, pressure during urination?" } ]
[ { "from": "human", "value": "Source: Patient: I m 25 years old and have been having terrible anxiety for the past month. I recently quit smoking about 3 weeks ago and I feel this may be the underlying cause. My symptoms include pain and discomfort in my arm, pain between my shoulder blades, periods of increased panic and anxiety for seemingly reason at all. In addition to this I have had an odd pain near my liver or possibly gall bladder off and on for the past year. It is usually dull, sometimes worsened when I drink. I went to the doctor for both of these problems recently and he checked my heart and said it seemed fine and prescribed me anti-anxiety meds which I really don t want to take. He felt my liver and said there was no swelling. ...Quite honestly I am at a loss, I have been browsing google and I feel it is just doing me no good. Last piece of information.. whether it is helpful or not is I had Mono when I was 17. Doctor: after chronic tobacco use body produces withdrawal symptoms. you are having anxiety and somatization. take bupropion 150 mg twice a day and levosulpiride 25 mg in night..." }, { "from": "gpt", "value": "Target: Pain in the arm and liver after quitting smoking. Suffering from anxiety and panic attacks. Need help" } ]
[ { "from": "human", "value": "Source: Patient: Respected sir, My brother is in army & he is been +ve in hepatatis b before 8 months.He countinue his treatment for 6 months with Lamivir,Adfovir,Polybion czs & Livfit.But after complition of this treatment he remains +ve . Before a month he has given DNA test & in report it state that their are 53,000 virus. & the army DRs says that their is nothing to worry in his futur life. So i need your suggession.... Kindly post your suggession on [email protected] Thanku.... Doctor: Thanks for the query I dot understand why he has stopped taking these medications. In our set up we continue treatment until it becomes negative. I suggest u take another opinion, sero neg cannot be predicted Have a healthy living" }, { "from": "gpt", "value": "Target: What can be done to cure my brother who is testing positive for hepatitis b after 6 months of treatment with his DNA report claiming 53,000 virus ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I m 18 years old and I ve had this soft, moveable lump on the floor of my mouth behind my front teeth for about 6 months now. I don t believe it has grown in size and I kind of forgot about it until recently and now I ve started worrying about it. I also have this hard lump on the gums at the top of my mouth after a bad ulcer that is now painless. I m a non-smoker, never even smoked a toke of a cigarette in my life, and am not a particularly heavy drinker. I was wondering if there s anyway you could put my mind at rest until I manage to get to the dentist next week. Thanks. Doctor: Thanks for your query, I have gone through your query.The soft movable lump behind the front is because of the irritational fibroma or pyogenic granuloma or a inflamed duct opening.Consult a oral physician and get it evaluated. If it a irritaional fibroma or pyogenic granuloma,then get it excised surgically. If it is a inflamed duct opening take a course of antibiotics and check for any stones in the duct.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: What does soft, movable lump behind front teeth mean?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... hi.. my wife had started hvng blood clot like marks internally.. visible inside the skin.. shes admitted since 24 hours docs r unable to gv diagnosis.. all the blood tests n related tests r done.. it is said that it might be dengue and typhoid fever together... though her temperature is fime.. but her platelets are major concern.. they are at 30.000 wen the minimum normal shuld be 150,000... plzz advise.. m very worried.. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have low platelet count due to dengue. Low platelet count is common in all viral fever. Your red marks are due to low platelet count. If you find any symptoms of bleeding then consult your doctor urgently. If platelet count decreased further then platelet transfusion may be required. Your platelet count will be increased gradually as your viral infection goes away. Drink plenty of water and take rest. No need to worry. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: Can low platelets cause blood clot like marks inside the skin?" } ]
[ { "from": "human", "value": "Source: Patient: I have been suffering from some kind of allergy for the last 4 years. It will happen once in a while. I get sneezing and running nose from the moment i get up from the bed. It lasts till the night. I dont know what i am allergic to. Its not dust, because i am the cleaner in my house and i dont get sneezing when i deal with dust. Its not any season specific. I am kind of confused.. When i get this allergy, thats a spoiled day.. i sneeze continuously... and by the middle of the day i will be very tired.. Could you please put some light on my allergy and suggest me what kind of medicine i should take to stop this sneezing Doctor: Hello,Welcome to HCM,As you are prone for allergic reaction, you should be very careful otherwise it may be dangerous to the life. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition.I would suggest you to undergo skin prick test (SPT) for different allergens like pollen, mite,food and dust causing these symptoms and you can identify them and protect yourself from exposing to these allergens. Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SCIT) or sublingual immunotherapy (SLIT).For the present symptoms you can take Tab Montek LC which helps to control the symptoms, but it is temporary. You need to avoid these dust allergens to protect yourself from getting these allergy symptoms.Thank you." }, { "from": "gpt", "value": "Target: Suggest treatment for allergic infection" } ]
[ { "from": "human", "value": "Source: Patient: Sir I feel weight less in my brain and pain when I concentrate and try to solve my daily life problems..as I am a student of 22 year old I am very much worrid about this problem..some time I also feel pain in the part of my behind the neck(spinal cord)..what I do I think should consult to doctor regarding..and this is happing since more than year ago..help me out sir what I do thanking you anticipation.. reply as soon as possible Doctor: Hello dear Light headedness with headache and neck pain may be a feature of migraine at young age and aggravating with stress. Other features like vomiting, nausea, photophobia, phonophobia may be present along with the above complains. You need to consult neurologist for proper examination. Hope you recover early God bless you" }, { "from": "gpt", "value": "Target: What causes weight less in brain?" } ]
[ { "from": "human", "value": "Source: Patient: I went to get my teeth clean today and when they did the x ray it shows that i have a lump on the back of my bottom tooth, the doctor touched the back of my bottom tooth and she could feel it. What does this mean? She send me to see an oral surgean , I am worry. Doctor: Hi,Thanks for posting the query, This could be in relation to the infected tooth, any beningn lesion.A thorough clinical and radiological examination is required.What are the other symptoms associated with it?I would suggest you to get the examination done by a Oral Surgeon and take an OPG radiograph to determine the cause and plan the treatment.Take care!" }, { "from": "gpt", "value": "Target: What causes a lump on the bottom of the tooth?" } ]
[ { "from": "human", "value": "Source: Patient: hi, i am a 29 year old healthy female. Very active. Healthy body weight, low to normal bp. Today I noticed a dull ache on my right side near my upper chest kind of below my deltoid. It takes my breath away but it isnt a sharp pain. Should i be worried? Doctor: thanks for asking your question I completely understand your problem chest pain can be due to many causes starting from a muscle pull , wrong sleep postures to malignanciesin ur case it looks like a pull or an injuryhave a analgesic for one or two days and if it does not get relieved you can consult a pulmonologist who can get a chest xray done and rule out any organic diseasedont panic short duration chest pain hardly have complex reasonsthanks / regards feel free to ask more questions may god bless you with good health" }, { "from": "gpt", "value": "Target: What is causing dull ache in upper chest?" } ]
[ { "from": "human", "value": "Source: Patient: Hey I have been getting sharp pains in my stomach for a few weeks now and tongue the last two days my stomach has gone really hard and earlier I had a cramping pain for about half an hour and then started to calm down and with it I also got lower back pain . It went off slowly after about 4 hours. I was also due on 2 days ago but I haven t came on yet. These pains are definitely not period pains! Could you advise me on what it may be! Doctor: hi , i have gone through your problems and i feel the pain is because of acid peptic disease(acidity) or because of biliary colic (due to gall bladder stones.please consult your doctor for anti acidity medications(PPIs) and for ultrsound scan which will tell about gall bladder stones, pancreas,kidney stones and other organs like uterus & bladder take care, bye." }, { "from": "gpt", "value": "Target: Sharp cramping pains in stomach, tongue hardened, low back pain. Reasons ?" } ]
[ { "from": "human", "value": "Source: Patient: Height: 5'7Weight: 150lbsI'm a 19 year male. I have overnight developed a dark blackish spot on my scrotum. there's a constant burning sensation around the region and a colourless secretion. I assumed it was because of the awkward position i slept in. which did put a lot of pressure but the burning has persisted for over 16 hours now. I am otherwise very fit and active and have cleared the army medicals in my country. (India) Doctor: Hi, If you had unprotected sex, can be due to sexually transmitted infection. It can be due to infection, fungal there is itching. Bacterial infection if there is any smell. Share a picture for better understanding. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" }, { "from": "gpt", "value": "Target: What causes black spot and burning sensation on scrotum?" } ]
[ { "from": "human", "value": "Source: Patient: I had UTI infection in feb 2013 and treated with 1g daily dose of ciproflxacin for 15 days. At that time ESR was 50 after one month of treatment ESG was 27 and now (20/05/13) it is 34. Though I feel everything normal but I am worried is there anything to check out. What are the possible reasons for high ESR and how can we keep it in normal change. Doctor: Hello dear,Erythrocyte Sedimentation Rate (ESR) is more of prognostic value rather than diagnostic one.And in absence of any specific symptom, only rise in ESR has no clinical significance.Though increase in ESR is seen in many conditions like anemia, chronic diseases, tuberculosis, etc. any disease cannot be diagnosed only on the presence of increased ESR.In your post you have mentioned the decrease in values of ESR on subsequent testings. It indicates a good prognosis that the treatment against UTI has been effective.Please let me know if you have any further queries.You can ask me a direct query on this website using the below link: http://www.healthcaremagic.com/doctors/dr-polash-sannigrahi/64925Wishing you a good health.Take care." }, { "from": "gpt", "value": "Target: Had UTI. Took Ciproflaxin. ESR is 34. Reason for high ESR?" } ]
[ { "from": "human", "value": "Source: Patient: Hello, My baby is facing a problem of stomach problem with increase temp specially in Palm & lower foot area. It might be because of hot climate. we have given him Nutrolin b syrup. Please let me know what could be problem and treatment. Thanks Doctor: Hi...it could be a viral illness. Please do not think it is fever unless you have checked the body temperature and the thermometer is showing more then 100 degrees Fahrenheit. Regarding Nutrolin-B, it is a pro-biotic and you need not give it unless the kid is having diarrhea.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Can taking Nutrolin be safe for increased temperature and stomach discomfort?" } ]
[ { "from": "human", "value": "Source: Patient: I am 16, female, no medical history, and on no medication or treatment.Please help! Today i started vomiting after feeling sick since sunday, at first it was purple with food in it, about an hour later it was clear but coloured purple with yellow foam in it, an hour later it was the same and the same an hour after that, but there now it was a black grey colour with yellow foam in it, it wasnt cloudy but more clear, after the first time i threw up it didnt taste like vomit but weird like somthing i hadnt tasted before ? I also have the runs and a very very sore back and head, please advise me! Oh and i am really thirsty but if i drink water i just throw it back up? I throw up almost every hour. Doctor: Hi, and welcome to Health care Magic, vomiting have many causes such as Central Vomiting -pregnancy -Uremia -Diabeticketoacidosis Reflex Vomiting -Appendicitis -Cholecystitis -Peptic Ulcer -Biliary Colic -Obstruction of the Bowel -Gasterointestinal irritants -Raised intracranial pressures from the color of your vomit (Blackish) it could be bleeding ulcer, please go to your nearest Emergency room ASAP. Regards." }, { "from": "gpt", "value": "Target: Purple vomit then black vomit,please advise me" } ]
[ { "from": "human", "value": "Source: Patient: female 29. I had right jaw pain a couple of days ago that I thought must have been one of my back teeth that caused some mild swelling in my jaw, this has now subsided but i have small lump just behind the lower part of my right ear, it is sore if i push on it and seems to becausing some pressure in my ear any ideas? Doctor: Hi,Dear,thanks for the query to HCM. I studied your query in full details.I understood the concerns you have.Cause for lump besides your ear-Mostly this lump seems to be from lymph-adenitis,the inflammation and cellulitis around it is causing pressure on your ear,which you must attend to.I would advise to consult ER Surgeon,who would treat the infection of the last tooth and you need ER Dental Surgeon for tooth problem.Don't worry and things will be right after this check up.Plz don't self medicate and increase risks and costs of your illness.Just ask query to HCM and to me.Hope this would help your query to satisfaction.Write excellent review and hit thanks if this reply helps you out.Welcome for any further query to HCM and to me in this regard.Have a Good Day.Dr.Savaskar M.N." }, { "from": "gpt", "value": "Target: What is the sore lump beside my ear causing pressure?" } ]
[ { "from": "human", "value": "Source: Patient: Yesterday I noticed a couple of really small red pimple type spots on my son, I would even say they looked like mini blisters. I thought it may have been down to sun exposure. But this morning he now has them all around the bottoms of his legs and ankles. I don t think they are chicken pox as he doesn t have them anywhere else and they don t seem to bother him. He s 21 months old. Doctor: hi this may be due to mosquito bites, or due to allergy or if he is having these on his palms or mouth hand foot and mouth disease. so just apply a calamine lotion. if these are mosquito bites take precautions. hope this is helpful to you, rate it if you like it. take care" }, { "from": "gpt", "value": "Target: What causes red pimples on the bottoms of legs and ankles?" } ]
[ { "from": "human", "value": "Source: Patient: I had a dizzy feeling, my right foot wouldn't act properly, it was as if it wasn't cooperating with my brain, I couldn't walk, also felt strange. I know I have an acoustic neuroma in the right ear canal on my balance nerve, would that cause it. Effects lasted about 1/2 hour. Doctor: I doubt that your acoustic neuroma could cause the problem you're indicating. Your symptoms are more consistent with what could be referred to as a transient ischemic attack or TIA. Some people may use \"ministroke\" which I find very misleading since this is very inaccurate and not standardized. I think that you should make an appointment to either see your primary doctor or a neurologist as soon as possible and discuss what happened. It will be to their discretion as to how you should proceed but a warning like this (if it was a TIA) should not be ignored. It's a heads up to something more dramatic which could be avoided if you could know more information. Immediately stop smoking cigarettes or engaging in lifestyle habits of risk, keep yourself well hydrated at all times, if you are diabetic make sure your control is optimum and don't be lax about following the strictest instructions by your doctor regarding fingersticks, sliding scale insulin injections, diet, and exercise. All the best." }, { "from": "gpt", "value": "Target: What causes dizziness and numbness in right foot?" } ]
[ { "from": "human", "value": "Source: Patient: My tubes will be tied a year on june 17th and last month my period was a week late and lasted 4 days and light and normally they last a week and very heavy. Well this month so far my period is 2 days late and when I wiped earlier I had a brownish discharge so I thought my period was about to come on. Well nothing and for the past 4 days I ve been having diarrhea and for the past 2 weeks I ve been nauseous and even had some vomiting. I also have gained 15 pounds in the last 2 weeks. Could I be pregnant? Or whats the chances with my tubes being tied? Doctor: Hi I think you should do a urine pregnancy test at home. Chances of pregnancy after tying of tubes is 0.5 percent. So it is rare. Urine pregnancy test will definitely tell you if you are pregnant or not. Hope I have answered your question." }, { "from": "gpt", "value": "Target: Could i be pregnant as i have only brownish discharge instead of periods?" } ]
[ { "from": "human", "value": "Source: Patient: i have been sick for four weeks now at first i was just throwing up whenever i eat and then it started to change where i was throwing up a white thick foamy stuff and i wasn't going to the bathroom and my stomach hurt everywhere and i couldn't eat anything except bread and now im not throwing up but i still can't go and i still have the pain in my lower stomach? Doctor: Hi.Thanks for your query. Read and understood the history. You have a problem for the last 4 weeks, that you have been suffering from Vomiting of White thick foamy stuff, and pain in abdomen; can not eat anything else other than bread. Noe, vomiting stopped but it looks from your history that you are constipated and still have pain in abdomen. This can be just due to constipation, blockage of the colon by fecoliths or cancer or any other pathology like stricture and so on. I would advise you the following:Investigations first as treatment can cause more problems if the diagnosis has not been done. -X-ray of the abdomen in standing position.-CT scan of the abdomen to understand the pathology. -Once clinical evaluation is done, cleaning of the colon by enema, oral peglac like osmotic cathartic and then colonoscopy.-Barium studies if no acute obstruction-Once the diagnosis has been made, the treatment can be planned according to the findings and can be a surgery." }, { "from": "gpt", "value": "Target: What causes pain in lower abdomen with vomiting?" } ]
[ { "from": "human", "value": "Source: Patient: Recently my scrotum has been very itchy. I have also noticed several spots that at first looked like the beginning of a mole but actually seemed to be an open sore. Painful to touch yet still itches. I put some neosporen on it and eventually it healed up but has come back again. Any idea what it could be? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Scrotal dermatitis may be there to lead to such condition of scrotum. Cause may be excessive wetness, perspiration, excessive bath, soap, poor hygiene, poor immunity, anxiety and tension, etc. Consult the dermatologist for the perfect diagnosis and proper treatment. Antibiotic, oral steroid and antihistaminics would improve the condition along with taking care of precipitating factors. Keep the area dry. Do not use soap. Thanks." }, { "from": "gpt", "value": "Target: What is the treatment for itchy and painful scrotum?" } ]
[ { "from": "human", "value": "Source: Patient: I went to the doctor wit a water infection. Peeing every 10 minutes. couldnt sleep because I had to pee so often. He gave me some pills for 5 days. took them, within a week it was back again. So he gave me a 7 day lot of pills. I got two days left and I am still peeing a lot and pain in the bottom of my stomach. Doctor: If you are a male, it could be aproblem with your prostate. A medicine to relax the prostate is a solution that could help." }, { "from": "gpt", "value": "Target: Suggest treatment for frequent urination" } ]
[ { "from": "human", "value": "Source: Patient: My skin is itchy all over, I have a lump in my throat and the artery on the left side of my neck seems slightly swollen, and i am burping frequently. I recently had a nuclear stress test and was OK - but this seems like potentially either stroke or heart-related symptoms? Doctor: Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-GERD with Globus Pharyngeus- with Idiopathic Urticaria with itching all over body-Mostly from Giardiasis with Worm Infestatation,as far as My expertise and experience tells Me.Many other causes need to be ruled out.But for this Second Opinion from Physician and Ent Surgeon if need be is required with OEsopahgo-Gastro-duodenoscopy(OGD)AS your Nuclear Stress Test has come OK No risk of heart related symptoms.SO ALSO possibility of stroke is also NIL.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist" }, { "from": "gpt", "value": "Target: What causes itching all over my body and lump in my throat?" } ]
[ { "from": "human", "value": "Source: Patient: my uncle s daughter is 3 and she suffers from neck lumps quite often. she already went 5-6 times surgery to get it removed. it get resolves that time but again get occurs inside the neck. what could be the root cause and what is the best medication for that . kindly help. Many Thanks Sumit Doctor: Hi,From history it seems that she might be having chronic lymphadenitis in the neck.Main cause might be having primary complex.She might require some investigation to come to diagnosis.Go for Complete blood checking like TC, DC, ESR.Go for x-ray chest.Montoux test.If going for surgery then take biopsy of tissue.Consult pediatrician and get investigated.Ok and take care." }, { "from": "gpt", "value": "Target: Suggest treatment for lump in the neck" } ]
[ { "from": "human", "value": "Source: Patient: I am 57 years old. My S. Creatinine is 2.63.I have pressure & diabetics. CMC Hospital doctors think that is for longtime pressure. I took medicine of pressure. Is there any medicine for S. Creatinine. Regards Dr. Saleh (Not Physician ) Doctor: hi saleh; welcome to healthcare magic Your s.creatinine is higher than normal.You also have blood pressure & diabetes.The doctors are probably correct in pointing out as long term diabetes causes diabetic nephropathy (weakness of kidneys so they don't filter & produce urine properly).It gets further compounded by long term high BP.The doctors will give you necessary medicine or you can consult a Urologist who will guide you with the diet;medicines to reduce creatinine. wish you good health thanks" }, { "from": "gpt", "value": "Target: Is there any medicine for s creatinine ?" } ]
[ { "from": "human", "value": "Source: Patient: Symptons for the last 2 days. Taking doxacycline for 12 days. Aching in all joints, fatigue, shakes, chills, headaches, fever for first three days. Still fatigued, aching. Was bitten by tick approx three weeks ago. No redness around bite. Two blood samples taken; negative for Lyme and rocky mountain spotted fever. Doctor: Hi, the reports can come negative as these are only antibody tests and not 100% sure. Good sign that fever has gone with doxycycline. You will get better in a few days. Take rest and eat healthy diet with proper hydration." }, { "from": "gpt", "value": "Target: What causes fever, fatigue, chills and headaches?" } ]
[ { "from": "human", "value": "Source: Patient: hi i have got a lump in my stomache and sometimes it swells up and it feels like someone is just squeezing it and i also have bleeding in my back passage which i have nearly everyday for the last few years ,i also have sharp pains in the back of my ribs to the lower part of my back and its like it everyday is there anyway you could help me by giving me an idea of what it could be as i went to my gp and he didnt really pay any attention thankyou susan Doctor: Hi,Susan.Dear,Good Afternoon.I am Dr.Savaskar from India,attending your health query to online HCM Clinic.-I studied your query in-depth and Understood your health concerns.-To Start with-I would advise you NOT to worry for what you are suffering from.For every problem there is a solution with Me.-Cause of swollen -painful lump in STOMACH-a-In my opinion-you are suffering from -Constipation with Bloated Abdomen with -painless bleeding from your back-passage -the anus -which indicates -you have haemorrhoids as the basic cause of all this and is a old story since few last years -as noted by you.b-Pains in back of your ribs to lower back-are due to the bloated colon with colicks due to the Constipation from haemorrhoids/piles you have.b-Basically You suffer from Colonic Obstruction with bloated colon in STOMACH area and needs thourough check up by a ER-Surgeon.AS its not the CAKE of your GP.c-Proctoscopy/ Colono-scopy SOS, to rule out the Cause of the-anal bleeding and heamorrhoids -?rectal or ?rect-sigmoidal cancer-growth needs to be ruled -as the symptoms are for last few yrs as told by you.d-Dont worry if you act fast with your Surgeon , who do all that is needed as above and you would be alright soon.d-AS you are still worried I would advise-Xry Abd/ MRI-to remove the fear and anxiety you have for your lump-which is wrongly sensed by you.e-A Surgeon would be right doctor to guide you as above.-Hope this advise and reply would help to plan Surgeons Treatment meeting and would help you for early recovery of this lump-event with you.-Hope this elaborate advise on your most complex issue would help you to recover fast.Wish you recovery ASAP.Wellcome and ThanksWith Best of Regards Dr.Savaskar M.N. M.B.B.S;M.S.(Genl-Thorasic-CVTS) i)Senior Surgical Consultant /Thorasic Super-specialist-CVTS, ii)Expert for -Non-Curable Diseases like Cancer/Asthma/psoriasis/auto-immune disorders- etc and rejuvenation therapy." }, { "from": "gpt", "value": "Target: What causes swollen lump on stomach?" } ]
[ { "from": "human", "value": "Source: Patient: hello!last year in october i got scratched by a cat and got 5 antirabies injections!now i got scratched again ,a superficial wound,just a little blood!am i still safe?what is the valability of the vaccin?i am on vacation and is expensive to take the antirabies shot again!is it neccessary?thank you a lot Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that each rabies vaccine has its period of action. And it all depends on the type of vaccine use and manufacturing company which has provided you. But usually a rabies whole cell virus vaccine lasts for long duration approximately a year. There after it is necessary to take shot again.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you." }, { "from": "gpt", "value": "Target: Is anti rabies vaccine required again if previously vaccinated?" } ]
[ { "from": "human", "value": "Source: Patient: I have a disk between L5 and S1 that was destroyed by a spinal infection in April. I was hospitalized for 10 days during which they performed a CT scan, MRI and a PET scan. After being released I was put on 56 days of broad spectrum antibiotics. Another MRI was conducted in June and it was determined the infection had destroyed the disk. A spinal biopsy was performed and it concluded the infection was gone. Another MRI was performed in July and I was told the body seems to be absorbing the disk. My question is: How long will this pain continue. I have sciatica pain running down my leg and cannot stand more than 15 minutes at a time without having to sit down. It has affected every aspect of my life and I see no end in site. There doesn t seem to be much improvement over the last 3 months. I am not taking any medications. Will any type of exercise help with the pain? Doctor: I went through your explanation and I realize you have done a lot treatment but you have never visit a physiotherapist for your pain. In general we can not suggest exercise because your case is not general back pain or sciatica. Since it is a result of spinal infection and later the disc degeneration. I suggest visit a good physiotherapist with all your report. Explain your history and then show the report. I believe based on this physiotherapist will guide you for some treatment (therapy) as well will also suggest a specific exercise therapy. And I am sure this will be helpful to you for getting relief from your pain.At home you can also use hot and cold pack to have temporary relief by reducing inflammation and giving sothinga effect at affected area.Take care." }, { "from": "gpt", "value": "Target: Will any type of exercise reduce the sciatica pain?" } ]
[ { "from": "human", "value": "Source: Patient: is there a charge for thisbut i do have a question and need a note to keep my small dogmy apartment complex told me if i get a note,prescription,recommendation from a doctor saying my dog is good for me and i should have one i could keep it. i am very stressed from a recent divorce and have troubles sleeping. the small dog relieves my stress daily and i find myself much happier at work, home and sleeping well. Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Yes, and in many countries you can get a dog by doctors permission. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy                                        Wish you good health,Kind regardsDr. Srikanth Reddy M.D" }, { "from": "gpt", "value": "Target: Can having a pet dog improve one's mood?" } ]
[ { "from": "human", "value": "Source: Patient: yes I had surgery done to my right tibia back in 2000 ; 14 screws left me never ending pain, whenever i ask doctor for pain medicine. He offers me generic advice. I grown since then and so has the pain, I am in of a referral. The primary care doctor that I have Will not give me the kind of pain medicine that I feel I need.Can you help me? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your situation completely.If you are suffering with chronic severe pain which is rare you need to evaluate the cause of that pain.If it's due to malunion or non union you may have to re-operate for the affected leg.Also rule out infection.If everything is fine then go for physiotherapy and rehabilitation exercises which will reduce your symptoms.If you need further assistance from me I'm happy to help you. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest medicines for pain after having tibia surgery" } ]
[ { "from": "human", "value": "Source: Patient: Hi so I have a 17 year old son and about 8 years ago he had a heatstroke. It took a long while for him to recover . So now the symptoms are coming back. He is having light headedness, dizziness, feeling like he is going to black out. I'm trying to keep him cool and drinking lots if fluids. He is going through a break up and has been a little depressed so it might be a part of this sudden reoccurrence? Wht do you suggest? Doctor: hi thee, thanks for asking. Depression and heat stroke are not related to each other. The only thing which may be a factor is that depression causes less appetite and feeling of thirst, so the people who are depressed, may drink less water. It makes them more vulnerable to heat stroke. I wish him and the family a good health." }, { "from": "gpt", "value": "Target: Reoccurrence of head stroke. Having light headedness and dizziness. Suggest" } ]
[ { "from": "human", "value": "Source: Patient: My 2 year old grandson was running and fell, we did not see him twist anything, however he will not walk on his foot. He has been scooting, crawling for 4 days now. X-rays showed nothing wrong. He says he has a boo-boo but we can move the foot, leg, hip, etc. No punctures, no bites, no pickers, nothing. They want us to see an Pediatric Ortho Surgeon...could this possibly be muscular/ligaments YYYY@YYYY ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If X-ray shows nothing, no dislocation or fracture. Hope we ruled out scurvy and rickets. It could be muscle or joint pain. also limp can indicate electrolyte abnormalities. Better to show to a specialist. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for restricted movement in the leg despite a normal X-ray report" } ]
[ { "from": "human", "value": "Source: Patient: my son who is 18 years old suffering from pancreatic since last 2006. His treatment is going on. His report was normal in 2008. After two years, he is again suffering from the same before one week. My economical condition is not good. Kindly give me advice to permanent cure from this desease now. Doctor: Hi and welcome ot HCM.if you re talking about pancreatitis then you need to evaluate his condition and find the exact cause of it. it can be biliary stone, lcohol or some primary pancreatic condition . Wish you good health. Regards" }, { "from": "gpt", "value": "Target: What is the remedy for the Pancreatic condition?" } ]
[ { "from": "human", "value": "Source: Patient: is letsi tab helps in concieving baby soon.i want to get pregnant soon dr prescribe me letsi2.5mg tab. my age is 25yrs, wt-51kg,i had d n c on oct 15 now i am trying to concieve my reports are normal.after intercourse sperm comes out from me is it means i am not concieving.plz help me Doctor: Hi, I think it is normal for the semen to come out of vagina after contact. This will not prevent pregnancy, because sperms can swim up into the uterus even if it is in contact with your vagina for few minutes. Lie down after contact for 10 to 15 minutes. Letsi tablets help in the growth of your follicles and induce ovulation. So, it increases the chance of pregnancy. You can track your ovulation by repeated ultrasound or ovulation detection kits. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question." }, { "from": "gpt", "value": "Target: Suggest remedy for getting pregnant" } ]
[ { "from": "human", "value": "Source: Patient: hi i m 36...i have gonorrhea then i started taking inoflox 400 mg twice a day every 12hrs...i didn t visit for a doctor because i feel ashamed...is it safe taking such antibiotic?how long should i take this medicine?because my friend told me that i have to take it for 7 days...please advise ASAP...thank you.. Doctor: Hello,Welcome to HCM and thank you for the query.I understand your concern. A doctor is a professional who does not judge you and you do not have to be ashamed to see him/her. A single dose of 400mg of ofloxacin used to be considered sufficient for gonorrhea. In 2007, the CDC changed their gonorrhea treatment guidelines to remove single-dose fluoroquinolones from the recommended list. Fluoroquinolone-resistant strains have been identified around the world, including in many areas of the U.S. The prevalence of fluoroquinolone-resistant gonorrhea in California went from less than one percent of infections in 1999 to over 20 percent in 2003. It would be much more now. I do not use quinolones in gonorrhea management. The most effective medicine I have found in my practice is a single injection of Ceftriaxone. This is combined with azithromycin to overcome resistance, if any, to a single drug.Take Care and learn to practice safe sex.Dr Noble Zachariah" }, { "from": "gpt", "value": "Target: Can Inoflox treat gonorrhea?" } ]
[ { "from": "human", "value": "Source: Patient: yes i have butt bone pain, very painful when i stand up i have to put all my weight on my hands and push up, it hurt sitting but worsens when i stand. it has been going on for a few several months, should i be worried, and what should i do. its not back pain it is the butt bone. thanks Tim Doctor: Hello, The pain in the buttocks could be because of nerve pain or it could be due to sacroiliac joint or it could be inflammation of ischial tuberosity. You need to get yourself properly examined to reach a particular diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anuj Gupta, Spine Surgeon" }, { "from": "gpt", "value": "Target: How can severe pain in the buttocks be treated?" } ]
[ { "from": "human", "value": "Source: Patient: I have a painful bony lump on the back right side of my skull. It is near the bottom of my skull (bottom right of my occipital bone) where the occipital vein runs. It feels like a bony lump, and causes numbing dull pain. When I touch it the pain is not extreme but it does feel like a bruise would. I have not hit my head on anything, it just came out of nowhere. What could this be? Doctor: Hello! Welcome to HealthCareMagic.From history & as you said it is bony hard, it is more likely an osteoid osteoma i.e. a benign lesion.In my clinic, I advise X-ray skull to know if any intracranial extension is there or not.Usually no surgical intervention is required.Pain killers can be taken, if pain increases.Look for sudden increase in size.Local examination once by your doctor is advisable.Hope this information is useful to you.Wish you good health.Thanks. Regards." }, { "from": "gpt", "value": "Target: What causes a lump with dull pain on the right side of the skull?" } ]
[ { "from": "human", "value": "Source: Patient: My son is 13 yrs old and was hit by a baseball pitcher directly on his posterior ankle (Achilles tendon area). This happened 3 hrs ago and he has been using the rice method. However, there is significant swelling and bruising in the effected area. I was wondering if this needs medical attention or not? Doctor: HIHe needs to be seen since with the bruising there could be either a fracture or a tear of the Achilles' tendon" }, { "from": "gpt", "value": "Target: Suggest treatment for swollen ankle after hitting" } ]