conversations
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[
{
"from": "human",
"value": "Source: Patient: I have some questions about cancer..my brother was just diagnosed with squamous cell cancer of the tonsil and at least one lymph node that they can see from the ct scan. they say that is 90% curable. I was just reading on here some info. about it.. what do you say? Doctor: Hello;Squamous cell carcinoma of tonsil is staged according to size of lesion in tonsil and number and size of lymph nodes. Stage can be from 1 to 4. Since you said he has lymph node, he has at least stage 3 cancer.Regarding treatment , best treatment modality for your brother is concurrent radio-chemotherapy in which radiation is given to tonsil and neck node along with chemotherapy. Radiation is usually administered 5 days a week for around seven weeks. Results are pretty good for this treatment however cure rates depend on exact stage of diseas and response of disease to treatment."
},
{
"from": "gpt",
"value": "Target: Is squamous cell cancer of tonsils and lymph node completely curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have been having pains in my abdomen that seem to be problems with my gallbladder . However, I went to see a stomach specialist and the doctor seemed to think it was my gallbladder also until they read that I have had my appendix out. I had my appendix out nine years ago. Why would they instantly rule our gallbladder because of that? Doctor: Hi, Welcome to health care magic, You have not mentioned the site of pain without site it is difficult to conclude. Abdomen is a magic box,you think some thing and turned out something else ! so without having extra ideas,you go for ultra sond and find the answer."
},
{
"from": "gpt",
"value": "Target: I had my appendix out still getting abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello! From past few days i am feeling restless, uneasy, breathless and not able to sleep properly. Due to some mishappening at home i am tensed and now BP shoots up at night. May be i have cough and sometimes feeling of acidity problem may be the reason. On last saturday my BP was 102/142/98 and got ECG done it was ok. The doctor prescribed Alprax 0.25mg. What do you suggest shall i continue taking this medicine everyday as yesterday i was not able to sleep Doctor: Hello, welcome to Healthcare Magic. From your history, it appear that you have anxiety symptoms. These symptoms can occur in anxiety disorders and in adjustment disorder due to severe stress in life. It is better to take help from friends and family members to resolve tension in family environment. Same time problem solving and supportive counseling from psychologist will be helpful. To de-stress yourself do relaxation exercise like daily morning brisk walk, yoga and meditation. As you have sleep disturbance you can use alprax (for few days only) as advised by your physician. Also monitor BP daily to rule out hypertension in your case. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com"
},
{
"from": "gpt",
"value": "Target: Feeling restless, breathless and disturbed sleep. High BP at night. Alprax prescribed. Should I continue medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 8 Year bladder cancer survivor. Mayo Clinic patient. Last visit August 2013, last month. No cancer detected. Last PSA exam 1.0 - doctor checked prostate, no concerns, urine came back no cancer cells floating around, ETC ... doctor entered bladder, took biopsy of one very small area, and reported negative returns. A few days ago .... while going to the bathroom to defecate, I noticed blood on some seminal fluid that dripped out of the tip of my penis due to borderline constipation and apparently the force to relieve myself caused this fluid. I have ordered another PSA test for this Monday. The last PSA test was 3 months ago. Any opinions? Thank you so much. Doctor: Hello and welcome to HCM,Appearance of blood at penile tip could be due to blood in urine rather than blood in semen.Since there is history of bladder cancer in the past, there could be due to re-appearance of cancerous growth in bladder.At PSA levels of 1.0 ng/ml, prostatic cancer is unlikely.You need to get urine examined for malignant cells and bladder cystoscopy to see the inner part of the bladder.If there is any growth in the bladder, a biopsy can be taken for microscopic examination.If there is presence of tumor, chemotherapy and BCG treatment needs to be given.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Bladder cancer survivor, noticed blood and seminal fluid. PSA exam done, checked prostate and had biopsy. What does it mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Some nights when i am about to fall asleep i fell like my heart skips a beat and i have to open my eyes and catch my breath a little. it started one time a took this medicine and it made my heart act weird. so now when i am about to fall asleep when i over think about it my heart fells like it is skipping a beat. do you think this is anxiety i have had alot of anxiety problems in the past please tell me if you think its related to it Doctor: HiI understand your concern.Heart pounding, palpitation, rapid heart rate, sweating, tremor. all are the symptoms of anxiety.If you have anxiety problem then may be it is exagerated anxiety that produce all symptoms.You have to go for routine check up for heart.2nd start medicines that helpful to reduce anxiety.medicinesThis condition can be treated with mild dose of benzodiazapine and mild dose of SSRIin SSRI mild dose of escitalopram, sertraline and paroxetine like drug is very useful.some natural ways to treat anxiety and daily stress are exercise ,meditationdeep breathing and hyperventilationproper sleep and healthy diet.Stress free activity,do pleasurable activity,music and hobbiesDiscuss with friendsConfidence all this will help you to counter daily stressIf require then consult psychiatrist and get help.Thank you."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have developed a blood clot after hernia operation on the rightside and looking for medication to dissolve it. Also looking for medication for reducing weight from waist line. Homeopathy/aryuvedic medicines preferred. Swelling and hardening of left leg calf with extreme pain. Medicines for the same Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. You do not have a blood clot. A blood clot would dissolve within a week.2. For reducing weight, you need to cut down on fat, and carbohydrates and increase proteins. Also aerobic exercises is necessary. Avoid any sort of medication as everything is harmful.3. Swelling of left calf along with hardening appears to be cramps. Take plenty of water and also take potassium rich foods like banana, avocada, potato, nuts etc.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: How to dissolve a blood clot after hernia operation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My foreskin on my penis has been bothering me and i have been keeping my skin moist with petroluem jelly. The Pain has decrease but i must have some irritated skin on the tip because i experience a burning sensation during uranation Doctor: Ho burning sensation during urination indicates there is acute infection .rule out balanitis .rule out diabetes first.Treat the condition with azithyromycin 1 gm on day one followed by 500 mg daily once for four to five days and application of fucidin ointment along with moisteriser can cure the condition"
},
{
"from": "gpt",
"value": "Target: Using cream to keep foreskin moist, burning sensation during urination"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother is suffering from back pain for the last 2 months...doctor told he has Ankylosing Spondylitis (AS)...he gave medicines for 1 month such as Folitrax 7.5mg TAB, Salazar, HCQS TAB, Premisol 6mg, Rekool-D, Vorth-TP 50mg... I want to know about the disease and whether it can be cured or not?also indicate the use of above medicines and side effects...?thanks.....! Doctor: this treatment looks fine except that he shall discontinue either folitrax or HCQS. both decrease blood counts. this problems is cured with time once the patient crosses teen age. good physiotherapy and regular exercise shall keep the problems at bay."
},
{
"from": "gpt",
"value": "Target: Back pain, ankylosing spondylitis. Taking folitrax, salazar, rekool-d. Side effects of medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Im 37weeks tomorrow ... very excited but feeling very unwell. for the last 5days ive had lower back pain and started to lose what i believe is my plug. Only little amounts of clear jelly when i go to the toilet. Also im losing alot of creamy discharge that i feel trickle out. since yesterday i feel very sick and cant stop sleeping. Also my throat is very sore to swallow and i barley have an appitite for food. Is labour close? and should i see my doctor about feeling unwell... Laura x Doctor: welcome to Health care magic.1.You are having general symptoms as seen normally in the late pregnancy period.2.Now concern is what discharges you are experiencing, for which you have to get an ultrasound scan done , and find out the conniption of the AFI (water level) and the fetal wellbeing.3.At this time nothing much one can do for back pain, only painkillers which are allowed in pregnancy.4.You need to visits your treating doctor and get some antibiotics for the throat infection which you are experiencing ( as a remedy salt water gargling would help to some extent)Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had numbness and tingling in my left hand. Last week my left arm had the same sensation. This morning the whole left side of my body did. Symptoms never last long. I went to the doctor this morning. The EKG came back ok and they are sending me for a nerve conductivity test on Thursday. What could be the cause of this? Doctor: Welcome to HCM.Complete body profile investigations are necessary to diagnose the condition.Go for regular check up of blood pressure, cervical x-ray and if symptoms persist then ct-scan brain is also required.Start therapeutic dose of B12,folic acid,calcium,d3,minerals and other supplementsIntramuscular injections of B12,folic acid will be helpful to get fast recovery.Keep in touch with your doctor."
},
{
"from": "gpt",
"value": "Target: What could numbness and tingling in left hand followed by similar sensation in whole left side body indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For a 25 yo male with history of post micturation syncope -- fainted in the theatre bathroom shortly during or after urinating on a full bladder (tried to hold in his urine while watching a movie). What further evaluation will he need? There is no history of other syncopal episodes except in college once due to sleep deprivation involving fraternity hazing. He is otherwise healthy except new onset of feeling intermittent episodes of light headedness and palpitations. He was seen in the emergency room with a normal ekg, normal labs, and an incidental finding of a corpus callosum lipoma which was felt to be a developmental anomalie. Doctor: Hi, Thank you for posting your query. Micturition syncope is fairly common and often not of any serious clinical consequences. For further evaluation in a young person, HUTT (head up tilt test) may be useful. Please consult a cardiac electrophysiologist for the same. Holter test may also be useful. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: History of post micturition syncope. What further evaluation will be needed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have very tender gums that at times brings me to tears, they appear pink closer to the teeth line and redder elsewhere. It's only my left side mostly my lower jaw. I also have intense sensitivity to my last molars on the top and bottom left side .I have had cavities there as a child and young adult too. I describe it as cavities gone real bad . I've used ambesol but that's just temporary relief. I've rinsed with warm salt water which seems to get little pieces of food particules out I brush 2 to 3 times daily with sensodyne toothpaste which both brushing and rinsing and ambesol all give very temporary relief . Sometimes massaging my lower left gums feels good it's hard for me to tell if they are swollen . They, my gums appear to be receeding, as more teeth are showing on my lower jaw. I've tried Aleve and ibuprofen and nothing helps the pain . I use a soft toothbrush. I've put Cossacks on my cheeks as a precaution and minor relief, used tea bags on my gums,, I've tried all suggestions given to me. Even tried prescription meds like Percocet that weren't prescribed to me as a desperate measure which does take the edge off. I have no insurance but I still made an appointment to see a dentist but they insist on me seeing a hygienist for a cleaning before referring me to a dentist which they do go on a sliding scale based on income. Even still I don't have hundreds of dollars to spare on dental work nor do I have it to spare for insurance either this appt is a month away. Desperately in pain please help with suggestions that won't break me.. THANK YOU KINDLY Doctor: hello thanks for consulting at hcm..u may be having infected teeth due to abscess either periapical or periodontal,,u could do massage the gums using the pulp of the fingers,,use gargle with salt water or betadine gargle,,u could also get scaling and polishing done by consulting with periodontist ..hp it helps,, tc"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful tender gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir i have a sensorineural hering loss in both ears, left more than rt is there any treatment available. i want to recover in almost 5-6 months, as i hav to appear for medicals in aviation cadre losses r like right ear 30db at 3k, 45db at 4k, 30db at 6k, 35db at 8k left ear 45db at 3k, 55db at 4k, 70db at 6k, 55db at 8k weather ayurveda treatment is available for this i hav a history of being exposed to sudden loud noise of guns, now as i m away for last one month i had an improvement in audiogram as rt ear 30 db at 4k, instead of 45 earlier left ear 35 db at4k against 55 db earlier and 45 at 8k against 55 Doctor: Hello,There is effective, assured treatment for sensorineural hearing loss in Ayurveda. There are procedures (panchakarma treatments) which are done to strengthen inner ear and vestibulococlear nerve. So its helpful even in the case of degeneration.You can use medicated oil (karna taila) which has to be put into ears. But you have to consult an Ayurvedic physician for complete treatment.To avoid these type of problems, as a preventive care, Ayurvedic 'daily regimens' (dinacharya) suggest putting oils into ears (karna poorana) daily. This is the best method to keep your ears healthy and sharp even in old age.Wishing you good healthDr. Vinayak Hebbar"
},
{
"from": "gpt",
"value": "Target: Sensorineural hearing loss in ears. Any treatment available?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: six years ago my parents were a young looking young acting 68 year old couple my dad has asthma and was allergic to cats so my mother could never have one then my dad started taking advair his asthma symptoms disappeared and cats didn't bother him anymore. so they started adopting abandoned cats they come and go as they please I mean a lot of cats about a year later both my parents have bad memory loss they are both sick the doctors say its alzhimers I think its the cats but no one will listen to me is it possible the cats are causing there sudden rapid deterioration Doctor: thaese are not alalergies as the age increases the brain tissue and nerves get atrophies as wear and tear and it is not conncted with the cats and asthma"
},
{
"from": "gpt",
"value": "Target: Taken advair for asthma. Can cats cause rapid memory loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir my father is 57 years old.he is suffering from paralysis since 6 Month old.he is also patient of high blood pressure. He recives attack of paralysis due to blood pressure every time.his left side is effected by paralysis he can't moved his left side.Please guide me what to do for the body movment as soon as possible. Doctor: Hi,Thank you for posting your query.I have read your father's symptoms in detail, and I think he has suffered a brain stroke, affecting the right side of brain. As the right side of brain controls the movements on the left side of body, he is unable to move the affected side (left side).MRI scan of brain wold confirm the diagnosis- ischemia (lack of blood flow) or haemorrhage (bleeding into brain tissue).If it is ischemic stroke, he would require aspirin tablet to prevent strokes in the future. In addition, he would require intensive physiotherapy and rehabilitation to speed up the recovery.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: How to treat left sided paralysis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Sir, My mother eosinophils count has gone to 53 and what shall i do to control this and from more than month she is using medicine for this problem but from 48 ,it goes to 50 and now 53 so what shall we do to control this.regards aayush kcnepal Doctor: Eosinophilia may be due to many reasons. Normal count is 2 to 4%. it increases in conditions like allergy, asthma, hypersensitivity, parasitic infection, pulmonary eosinophilia or may be idiopathic sometimes so first of all search for the exact cause of that and take treatment accordingly. steroid and DEC are helpful in this condition, but consult doctors and take medicine according to his advise."
},
{
"from": "gpt",
"value": "Target: How can i control eosinophil count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can you please explain my x-ray of cervical spine as follows: There is a straightening of the normal cervical lordosis . There is spondylotic change with marginal osteophyte formation from C3 down and there is disc space narrowing at C5/6 and more markedly C6/7. There is moderately pronounced osteophytic narrowing of the left 6/7 foramen and milder osteophytes on the right at 5/6 and 6/7. There is degenerative change in the lower uncovertebral joints . Female age 50 Doctor: Welcome to Healthcare Magic Good Day This appears to be degenerative arthritis of her cervical spine, some of the bony pieces pressing on the nerves of her right upper limb. She needs physiotherapy for relief from neck symptoms and possibly surgery to relieve the pressure on the nerves. Kindly discuss with the Orthopaedician in this regard."
},
{
"from": "gpt",
"value": "Target: What does degenerative change in the lower uncovertebral joints ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my blood pressure right now is 155/108. Every night after I wake up about 4 hours after I go to sleep with high blood pressure like this. It always goes down during to normal during the day. I wake up usually suddenly because I don't feel good. I don't feel good right now and it is 3:22 in the morning. Is there anything I can do to lower it and also get an answer as to why this happens every night. Doctor: Blood pressure elevations can occur at anytime, for some patients this can happen at night time. I would advise for ambulatory blood pressure monitoring, meanwhile decrease your salt intake to under 2 grams in 24 hour period. Good luck."
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure in nights and how to reduce it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 35, no history of ovarian cancer in my family but I have bad abdominal pains (not related to my periods), severe fatigue, bloated, bad lower back pain and on an ultrascan of my 4th child in the womb a cyst was picked up on my ovary. Should I be worried? Doctor: HI . You have to worry till your diagnosis has not been established by further sonography or CT scan of abdomen and related blood / urine/ stool tests as may be felt important by your Doctor."
},
{
"from": "gpt",
"value": "Target: Have severe abdominal pain, severe fatigue, bloating and back painn"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After being unable to get answers in the states and months of pain I went to Mexico 2 weeks ago for testing due to severe dibilitating back pain, shaking and tremors uncontrollable spasms,nausea pain and vomiting as various MRIs, ultrasounds with no apparent organic cause. Results showed: tiempo parcial de tromboplastina 23.7*, reacciones febriles- Tífico “o” positivo 1:320**, Brucella Abortus positivo 1:320**, Proteus OX-19 positivo 1:320**, albumina 5.1*, globulina 2.7* I don’t know what this means, and my doctor did not want to accept these test results and did not even want to see them to help me. I am now in the process of switching doctors. Is there any way you can help tell me what this means? Doctor: Hi, I am very familiar with the meanings of these results, The parcial De tormboplastina or PTT in English is a measure of coagulation factor activity (i.e. how fast the blood clots) and your case appears roughly normal though you did not provide the laboratory normal values to know for sure. It could possibly be slightly low but I don't believe it's clinically significant since it is so close to the \"textbook normal\" numbers. The albumin and globulin are measures of protein content in your body. They appear to be within normal limits. The positive Typhoid O protein of 1:320 is part of what is referred to as a WIDAL agglutination test used to diagnose typhoid fever. However, though it was widely used as clinical evidence to treat people with typhoid fever it is no longer recognized as acceptable because of the very low sensitivity and specificity of the test. What is considered the gold standard for diagnosing a patient with typhoid fever is the isolation and culturing of the organism which means that blood, urine, and other secretions, as well as bone marrow biopsies, are obtained if clinical suspicion for this infection is high. I suspect this is the likely explanation as to why your doctor didn't want to look at the test results. However, under the circumstances, if I were involved in the care of a patient with your symptoms and all tests were negative to explain your symptoms and if the patient did have a recent history of travel to a 3rd world country or may have been contaminated by food or water supplies where they live then, I would consider the possibility of an enteric or other type of infectious process and either culture the patient myself or send them to an infectious disease specialist who is known for working with patients with these sorts of traveler's infections. However, the test for brucellosis you present does appear to peak my attention a bit since it is in a significant range of 1:320. If your blood, stool, or urine were to be cultured positive for the Brucellosis organism then, together with the titer results you would more likely than not have a case of HUMAN Brucellosis which could be treated successfully with an antibiotic. Once again, I understand why your doctor may be hesitant to accept the results of the Typhoid O titers but I think attention could be paid to the Brucellosis titers since lab studies detecting antibodies are still considered to be quite valid to make a diagnosis, even more so when combined with positive culture results. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist"
},
{
"from": "gpt",
"value": "Target: What could cause severe debilitating back pain, tremors, uncontrollable spasms, nausea and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 46. Almost six months back I noticed small rounded bumps of the size of a coin on my groin. These were very itchy. I consulted a doctor , who over the period gave me medicines like AF 400, Gris O.D, terbiforce and zinafate etc., changing medicines every time I visited him. I also applied creams like Ciprolar, HHZOLE etc. and permarid over whole my body. Medication lasted for almost 4-5 months and I was never sure whether I have been treated fully. Now, I have started feeling itchy once again. Though I am applying abzorb power once a day on the affected areas, can I repeat the medicines? Doctor: hi welcome to health care magic !you should take care that this part should not be wet. try to avoid pespiration.apply calendula lotion its homoeopathic preparation over there.and go for homoeopathy which should be best for skin problem.you mail me full history like how the complaints start on my id [email protected]"
},
{
"from": "gpt",
"value": "Target: What medicines can I take for severe itching due to small round bumps on my groin ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had an MRI on my cervical spine 8 months ago. Findings were, mild effacement of the ventral aspect of the subarachnoid space with mild bilateral neural foraminal stenosis secondary to disc osteophyte complex. c5- c6 Evidence of cervical spondylosis with mild bilateral neural foraminal stenosis. My pain has gotten worse ove this 8 months....neck and base of skull pain chronic...and dizziness and the feeling of shifting when I turn my neck at certain times....I can no longer get comfortable at all. Numbness and burning in left hand and elbow and even nerve shocks in left leg and foot. I would also like to know if throat problems can be a symptom as, lately I have felt like I have an object in my throat. (No pain) just the feeling of something abnormal there. Doctor: Hiyour leg pain and throat symptoms unlikely to be due to the the problem from the cervical spine.if your symptoms are getting worse, then it may be worth seeing a spinal surgeon who can examine you and review your scan.try to engage yourself with some activity to take your brain away from your spine condition (if you are unemployed for example), you might surprisingly notice improvementkind regards"
},
{
"from": "gpt",
"value": "Target: Did MRI on spine. Results were mild effacement of the ventral aspect of the subarachnoid space. Increased pain. Numbness. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My right knee makes a squishy sound when I crouch/squat, but so far with no pain present. I even do weighted squats at the gym and hamstring exercises with no pain issues. My right knee also has slight puffiness from a bursa sac? I had at one point back in September injured my knee playing tennis. I never got it checked out, and it eventually heeled on its own, with me no longer feeling any pain while climbing stairs. Any ideas what the sound could be? Doctor: Your age please?The 'squishy sound'IN THE KNEE COULD BE DUE TO SNAPPING TENDONS.This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out Hypertension, Diabetes or any other metabolic disorder.Any way you may try---. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--.Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for Knee & Legs. --.(Take help of a physiotherapist or visit www.drncgupta.com). Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health."
},
{
"from": "gpt",
"value": "Target: What could squishy sound from right knee when crouching or squating be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has not eaten garlic, but his breath and his body smells just like he has eaten it. It even consumes the complete room. He brushes his teeth but it only takes it away for a few minutes.I have searched the internet and I can't find anything. Please help Doctor: Hello, Garlic breath is attributed to allyl methyl sulfide, a product of the breakdown of garlic, which unsurprisingly has an odor described as garlic-like. Eating meat & fish can also lend your breath a formidable scent. This could be a reason. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: What causes garlic smell on body and mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have 4 years daughter and she has seizure when she was 8 months without fever and again on 9 month it came twice... Then doctor suggested tegrital and later velparin.Now she is taking velparin 7.5 ml twice a day and its been 3years she has no seizure.But she is not able to run or jump properly and hyperactive..Her blood and sgpt levels are ok.. I want to know is there any serious side effect of velparin on behavioural as well as child's growth? Doctor: Hi,Thank you for posting your query.I have noted the symptoms of your daughter.I am glad to note that she is seizure free for three years on valparin syrup. Valparin (valproate) is a safe and effective medication for controlling seizures.Behavioural changes and growth delay are not the side effects of valparin.Weight gain, tremors and hair loos may occur in some children on valparin treatment. Please discuss these issues with her neurologist. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: What are the side effects of velparin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a chronic cough for 3 weeks. My GP put me on a steroid for 10 days. It helped some. My chiropractor told me to take acidophilus to build my immune system. He said it was a virus. It s somewhat better, but I cough constantly, and it keeps me up at night. At what point should I be checked for pneumonia? Doctor: Hello,There are cough and fever and breathlessness is present in pneumonia. You should go for the chest x-ray posterior-anterior view and also antibiotics therapy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar"
},
{
"from": "gpt",
"value": "Target: What causes chronic cough despite taking steroid and Acidophilus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive had a chesty cough & breathing dificulties for 2-3 weeks & I stutter & have speaking diffculties & see & hear things that are not actually there I went to the doctor & they gave me amoxicilian bt my body didnt like it and I had Diarrhoa what is wrong? thankyou Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Diarrhoea is mostly due to side effect of amoxicillin. Your other symptoms (cough, breathing difficulty) are more suggestive of bronchitis or pneumonia.So get done chest x ray and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators and inhaled corticosteroid.If pneumonia is there then you will need higher antibiotics.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes chesty cough and breathing difficulties?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir iam supposed to suffering from cpod so having variable hypertension. when my wheezing comes to control by the inhalers the bp lowers down without any ht drugs .if i take ht drugs when iam free of wheezing the bp dips low and i feel very depressed and exhausted jegadeesh madurai t.nadu. Doctor: Hi, After going through your medical query I understand your concern and I would like to tell you that stop taking any antihypertensive drugs as for now and monitor your blood pressure around for a week and get an Echocardiograpy done to rule out any heart dysfunction to decide line if treatment. Get back to me or your family physician with your BP chart then we will decide if you need treatment for HTN or not. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Could COPD be the cause for high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a mother of an 11 year old girl who was taken to ER per suggestion of pediatrician. She had severe right sided pain for past 24 And after several dosage of the old pain just wouldn t stop. They did blood and urine labs witch were all fine. However a CT scan revealed a trace of free fluid in her pelvis . ER Doctor ref us to surgeon while pediatrician ref us to obgyn Doctor. A ultrasound has been ordered I know that this is common in women during menstrual cycle but my daughter has not started hers at this time. She continues.to suffer with pain and discomfort even with pain meds. Do you have some suggestions? Doctor: at this age, severe pain in the right side can be acute appendicitis or appendicular perforation. Ultrasound abdomen will help to rule out these conditions. Menstrual condition can also lead to such attack but they are controlled by NSAIDS.i suggest get the ultrasound done asap and treat the cause if any. Till that time, admit the child in a hospital if the pain is unbearable."
},
{
"from": "gpt",
"value": "Target: What does pain and discomfort in right abdomen with diagnosed trace of free fluid in pelvis mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Sarah and m havng pblms in my follicular growth i ve been having treatments for 5months my follicle sizes are ok after having pulls but still unable to conceive.3 months back i had my tubes tested through HSG test both were blocked but during the test my left tube opened but still no résults can u suggest some diet plan for the follicle growth and what should i do next Doctor: Hello. Thanks for writing to us. If the follicle size is good and one of your tubes is patent then the chances of pregnancy are there if you time a regular intercourse at the time of ovulation. You need to take diet rich in antioxidants and L- arginine for conception. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Trying to conceive, follicle size good, one blocked tube cleared after treatment, done hsg test. Diet plan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am currently taking vancomycin iv 1x per day and am having really bad kidney pain at this time....they say my blood work comes back ok and the vanco is clearing normally.....i was taking it 2x per day then they said to cut back to 1 however the pain is coming on strong..they really dont know what to say...help Doctor: Hello and welcome to HCM.As an Urologist, let me advise you, that \" really bad kidney pain \", needs clarifications:1.What are the tests done so far.2.What is the diagnosis, with duration of Vancomycin treatment.4.If you want an expert opinion from me, kindly direct your reports here, in my name.Wish you a speedy recovery."
},
{
"from": "gpt",
"value": "Target: How to treat severe kidney pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just took my last hcg shot today for weight loss . Today I also noticed I am 3 days late for my period, will the shot interfere with my cycle? Exactly 4 weeks ago today is the last time me and my husband were intimate and I was ovulating. How long will my last 3ml shot stay in my body and how long should I wait to take a pregnancy test? Doctor: Hello,Thanks for the query,yes it can interfere.meet gynecLet me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link.http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818Wishing you a good health.Thank you"
},
{
"from": "gpt",
"value": "Target: Took last HCG shot for weight loss, having delayed periods. Does it interfere with cycles ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My cardiovascular doctor had me wear a monitor for 4-5 days; the results were that my heart was stopping for up to 3 seconds. My symptoms are sporadic beginning in the breast area a quick rush through my throat into my head, causing me to be lightheaded- not enough to feel faint. This rush seems to occur when inactive. I m 79 years of age, do not take any medication at all; very active physically lifting light weights 2 days a week and racewalk 3 days a week( racewalking is an activity similar to running). I ve was a former competitive racewalker! I m not over-weigh (6 1 - 175 lbs); eat very well and take vitamin & mineral supplements. I ve always had average blood pressure with a resting heart rate of high 40 s /low 50 s. I had the flu 3-4 months age and experienced as one of the symptoms as previously explained. My doctor says that he cannot rule out that the flu caused the problem. This symptom has increased in frequency since I got over the flu. He wants me to have a pacemaker inserted. I would appreciate comments. Doctor: Hi,Thank you for your question.Some times flu can be associated with inflammation of the sac around the heart but that goes away with time.As you have mentioned that you had a monitor for 4 to 5 days which showed that your heart was stopping this means that you have a problem in the electrical conduction of your heart. With pacemaker the electrical conduction of your heart will be optimal and you will not have the symptoms that you have described. If I was your treating physician I would have also advised you the same as pause in heart beat can result in light-headedness and even loss of consciousness which can be life threatening. I recommend you to follow the advise of your physician.Wishing you good health.If you have any further questions please feel free to contact me.Best regards."
},
{
"from": "gpt",
"value": "Target: Does flu cause rapid heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.I m currently in 14week of my pregnancy but still i have vomitings and doctor has suggested for vomkind twice a day. I am taking this since my second month of my pregnancy. Coz if i dont take it i will have continuous vomitings and even water doesnt stay. Plz suggesr Doctor: Hi, I think you can continue vomikind 2 times per day. It will not have any side effects. Just check your TSH levels because sometimes thyroid problem can lead to excess vomiting in pregnancy.Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: How often should one take Vomikind to treat vomiting during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking citalopram for about 1 year now. I ve been seeing a counselor for depression. I d like to gradually come off the drug. I ve had no prior history of depression nor is it in my family. I don t want to take it the rest of my life. I am 49 years old. How can I safely come off the drug? Doctor: hello,If you are feeling fine and able to carry on with life like before illness, then you may try to gradually reduce the drug by 5 mg at a time. Wait for 3-4 weeks and then if everything is normalv, reduce it further by 5 mg and continue doing so if you are ok.Now the last stopping of 5 mg is done if you are feeling normal. Continue taking your sessions.Dr. Manisha GopalMD Psychiatry"
},
{
"from": "gpt",
"value": "Target: How can I safely come off the citalopram drug for depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son age 5.4year . he is very poor in writing & speach .after consolation with child specialist & neyro psychiatric it is known by E.E.G. test that he has appelapsy in brain . he is takingwo times a day medicine volparin 200mg 5ml two times a day ,vernace 500mg 01 tablate a day .please suggest is it curable and any other suggestion for better treatment . Doctor: Hi,Welcome to Hcm,I understand your concern. If eeg test done and neurologist suggested possibility of epilepsy then the treatment he is on now is good enough. His symptoms should show improvement in due course of time and dont worry, it can be durable, however, it usually takes a duration of 6 months to 2 yrs of therapy. So have belief and continue the best that is possible for the child. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for brain epilepsy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my kid aged 2 yrs 10 months is suffering from loose motions. Infact all in my family had this prob since yesterday morning after we had a chicken biryani prepared at home. My kid started suffering from loose motions since afternoon today. I tried to give him gramogyl suspension but he is continuosly vomiting the syrup.we tried close to five times but he vomits it everytime we give him. can u suggest some tablets instead of gramogyl Doctor: Hi,He got a food poisoning / acute gastro enteritis. If he don't have fever and stool is not blood stained, no need of gramogyl, which is combination antibiotics that is not at all recommended routinely for childhood diarrhea.Instead you can give ondansetron syrup 5ml (or half of 4 mg tab) now, and then 2-3 times a day for 3 days. This will control vomiting. Wait 1 hour after first dose before giving food / drink. Also give ORS solution or salted rice water after each stools in small frequent sips. This will prevent dehydration. Mostly he will be fine in 2-3 days.If he develops high grade fever, stool becomes blood stained, he becomes lethargic with poor oral intake, kindly take him to doctor.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for loose motions in kids"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir , i am really disturbed with my face skin initially i was have daane all over ma face after that someone told me of betnovate n cream and i used it for a long period of 6 months and now when i left it my face is having small red daane all over my face and i hv tried all medicines and visited doctor for months and now using homeopathic medicine but no difference and now i am suffering from low self esteem Doctor: hello i suggest you taking herbal Ayurvedic preparation for the fair skin and treatment of all skin disorders. heal by the natural way of leaving and herbs. u should get some skin purification drugs and local ointment with some tablet medicines i hope to solve your problem succefully contact your nearest ayurvedic physicians or write me detail [email protected] Thanks"
},
{
"from": "gpt",
"value": "Target: What is the side effects of taking long term of betnovate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just started with an addiction to Downy Unstoppables (laundry freshener) about 2 months ago. I don't know what triggered it. I have to get a \"fix\" by sniffing the washing machine that has them in it ready for the next load.I also have to inhale through my mouth to get the taste of it. When I wash clothes with it, I have to sniff the freshly washed clothes while they are still wet as they have more of a scent then. I have cancer and I am worried that this could have an adverse affect on me, but I don't know how to stop. Doctor: Hi, it has no effect on the occurance of cancer, both are entirely different. If you want to stop this habbit, you can consult a physician for treatment called deaddiction. Even that much is also not necessory, you will be all right with usual medicines. Don't neglect the treatment of cancer.Thank you."
},
{
"from": "gpt",
"value": "Target: Have addiction to Downy Unstoppables. Have cancer, will it have an adverse effect on health?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a male, 32 years old, 170 pound, and have had no medical problems in my life. I recently contracted gonorrhea(tested negative for chlamydia) and was given a shot and 2 pills. That was on Monday (noticed that I had it the wednsday before but was unable to see a doctor due to the holidays). It is now friday and I am still burning when I pee and have excuriating pain when I get an erection. What should I do? Doctor: Hello, Welcome to HCM,Gonorrhea is a highly contagious sexually transmitted bacterial infection and is characterized by thick discharge from the penis.Ciprofloxacin 500 mg a single dose. You have to wait at least 7 days after taking the dose before having any sexual contact. To avoid re-infection sexual partners should be treated too.It's important not to have unprotected vaginal, oral or anal sex until treatment is completed & the infection has cleared up.Certain strains of gonorrhea bacteria have become resistant to antibiotics like quinolones and sulfa drugs. When bacteria become resistant to an antibiotic, they no longer can be killed by that medicine.If you have been treated for gonorrhea and don't get better, you may be re-tested by gonorrhea culture to see if there is bacterial resistance to the antibiotic you were taking.Based on this we can give antibiotic which you are sensitive.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Gonorrhea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi had Pneumonia two years ago full blown that nearly killed me now last month i got diagnosed with the onset of Pneumonia got antibio tabs then felt fine again but this weekend i took myself to a&e as i had sharp pain in chest and the usual ecg bloods xray got given antibiotics again but they have found something on my left lung and i need to go back for a urgent xray agen tomorrow please tell me what this cud be if poss Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having recurrence of pneumonia. Pneumonia likely to recur in same part of lung. You were improved with pneumonia and again develop chest pain. Your current chest x ray is also suggestive of lesion. So this lesion is mostly due to recurrent pneumonia. And treatment in such case should be directed on causative organism. So you may need sputum culture and sensitivity report. If sputum is not available then Bronchoscopy with BAL (bronchoalveolar lavage) analysis is needed. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. Don't worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes sharp chest pain after pneumonia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Kindly I have two questions regarding my disease Please guide me in my this problem Firstly If I go for the surgery of these bumps (neurofibromas), is there any chance that they return with bigger size? I mean can surgery have bad affects on these bumps? Secondly what’s the expected time period they can return back after the surgery? Doctor: Hi sana, Thanks for writing in. To answer your questions. 1)When removed properly neurofibromas will not return with bigger size . 2)Surgery will not have any bad effects over the bumps. 3)They can slowly grow back .NO fix time period can be predicted .It may take any where between 1-10 years. A visit to dermatologist will help to confirm diagnosis and allow prescription medications and surgery if needed. Take care. DrSudarshan MD Dermatologist"
},
{
"from": "gpt",
"value": "Target: Will neurofibromas grow bigger after surgery to remove them?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is suffering from :1. Ascites due to Liver Cirrhosis2. Surgical pain as his gall bladder was removed surgically due to gall stone in last 48 hours. Doctor suggested him TRAMADOL ( opioid) for pain management.3. He is suffering from constipation for almost 48 hours. Is it an sign of impending attack of Hepatic Encephalopathy ?His cognitive functions are all ok. Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Constipation is not a sign of impending attack of encephalopathy. But it is a risk factor for it.Tramadol he has taken could have caused it.Give him lactulose or lactitol to relieve constipation and to prevent hepatic encephalopathy.I hope that answers your question.Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ascites and constipation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When my brother was five he had Aplastic anemia and had get Chemotherapy and a bone marrow transplant. He is now 24 and after lower abdomen pains the doctors found out he had fluid around his gallbladder, lungs, and heart. On top of that the sack around his heart is inflamed, Pericarditis. Because of that his heart rate is high and blood pressure low. They drained the fluids. They ruled out many viral infections, bacterial infections, and cancers. It may or may not be connected to his past condition, but they still don’t know. They tried to treat the heart sack with steroids but it looks like they are going to have to do open heart surgery to remove the heart sack. We are looking for another opinion if you have any thoughts? Doctor: Hi, as it is it is difficult to find the cause, if he has chacolate coloured sputum, it may be the amoebic hepatitis, migrated to the pericardium, and lungs. There could be possibility of tuberculosis or recurance of aplastic anemia, but openion of the treating doctor will be the final, because from here we cant give the final diagnosis. So i advise you to allow the doctor to do his work. In the mean while give him nourishing food to with stand the surgery. Thank you."
},
{
"from": "gpt",
"value": "Target: Lower abdominal pains, fluid around gallbladder, lungs, heart, pericarditis. Had bone marrow transplant, aplastic anemia. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: wHEN i'M SLEEPING i WAKE UP TO HORRIBLE PAINS IN THE CENTER OF MY LOWER ABDOMINE. I AM 58 YR OLD MALE IN GOOD HEALTH ALTHOUGH I DO SMOKE. IT STARTED A MONTH AGO. ONLY HAPPENS WHEN I'M SLEEPING AND IT WAKES ME UP. THERE ARE UNBEARABLE AND I HAVE TO LAY ON MY STOMACH TO STOP THE PAIN AND BE ABLE TO GO BACK TO SLEEP. I DON'T EAT BEFORE BED TIME. Doctor: Hello,There are many reasons behind such pain while sleeping like- 1) Muscle spasm 2) Tendon issues 3) Intestine colic 4) Altered motility, and gut flora disturbances 5) Others. 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 causes severe pain in the lower abdomen while sleeping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Since having my daughter 5mths ago, which i got a spinal block, from an epidural, having to push while numb may have caused lots of strain or may not be linked, iv suffered an acute dull ache in my abdomin, which spreads to my ribs, back, chest and stomach and gradualy gets severe, and sore to touch, feels like a band around me getting tighter, its very frightening, and takes my breath away, lasts around 30mins i need 4 painkillers to help ease the pain or else i am curled over in agony, happens in the evenings, and lately i have started to wake during night sleep with this agony pain, im going for test next week, but what couldit be? Doctor: HI.Thanks for your query and history in a proper manner This is self-explanatory. While you strained for the delivery the normal protective mechanism without numbing got disturbed. We have seen cases where similar problems - classical symptoms as you have explained. These are usually due to slipped discs at thoracic level. Get an evaluation done by a Neurorologist / Neurosurgeon.Get an MRI of the thoraco-lumbar region and you will get a diagnosis. According to your symptoms , I have a feeling that you will require surgery, be prepared."
},
{
"from": "gpt",
"value": "Target: What causes dull abdominal ache and back ache after spinal block?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had pneomonia approximately 5 weeks ago. He was hospitalized due to also having COPD. He was released and then ended back in the hospital again due to symptoms not going away. He was treated with steroids and antibiotics. He is home again but still suffering from \"hot sweats\". Is this normal and what causes this to continue? He is 66 years old with only a history of COPD. He quit smoking two months ago. Doctor: Hi thanks for contacting HCM...Let me know you what was x ray chest finding???If pneumonia not responding to antibiotic it might be atypical pneumonia by mycoplasma or chlamydia like organism.Viral pneumonia also not antibiotic sensitive.And finally if x ray shows fungus ball then antifungal drug might needed...Here sputum culture can done if in CBC high count not decreasing....As you have COPD also you have uneasiness..Maintain healthy and balanced diet....Repeat x ray to look for resolution of consolidation...Your respiratory examination also has to be done....Take care..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pneumonia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband recently noticed enlarged lymph nodes around his neck and ears, one of which is so large you can see it out of his neck. He was doing construction work in our basement this weekend and came in contact with a lot of sawdust...can that cause a reaction and make the lymph nodes go crazy? Doctor: Hi,Welcome to health care magic,This swollen neck could be due to infection or allergy of the neck lymph nodes to this dust exposure.Lymph node swelling could be due to viral infection (EB virus,adenovirus) or bacterial infection or parasitic infestation (toxoplasmosis) or allergic etc.He must be evaluated for routine blood counts and lymph node biopsy with thoroughly ENT examination by specialist.Treatment is required like antibiotics (macrolides,quinolones or cephalosporins) with analgesics,antiinflammatory and antihistamines with other supportive treatment.You must see an ENT specialist or surgeon for further advise.Thanks and regards,"
},
{
"from": "gpt",
"value": "Target: Could exposure to sawdust cause enlarged lymph nodes around neck/ears?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had heart surgery on march twenty second of this year. it was for a valve leak repair and mitral valve prolapse. both were done minervally invesive. i had an echo and treadmill stress test done yesterday. it showed a heartrate of 115. the nurse said she thinks she sees fluid around the heart, but the echo is okay. they sent me for blood tests . what will this show and what if they find something with the blood tests. why is this happening. i am really scared. Doctor: Don't worry about it,it's called as pericardial effusion...which sometimes happens after surgery.sometimes, It will resolve by its own."
},
{
"from": "gpt",
"value": "Target: Cause and cure for fluid around heart"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i keep getting what feels like severe indigestion from about 3pm each for the last few days.even if i eat very little and plain foods.i have gone gone to the doctor about my heart skipping and giving me a pain in my chest. could the both be related or what would be causing this indigestion? Doctor: Hello, This is likely an acidity and gastritis. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking ryest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts."
},
{
"from": "gpt",
"value": "Target: How can severe indigestion, chest pain and heart palpitations be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , Im 21 years old and for the last 5 - 6 years every now and again i would get this sharp stabbing pain on the left side of my chest just below the chest muscle . I almost feels like my heart stops it can last from 1-10 secs and its gone . I went to my doctors when it 1st started and he listen to my heart and said it sounded fine and it may just be a muscle spaz. But i still get them every now and again . Over the last 3 weeks i have noticed i have been getting the pain more often 2-3 times a day sometime its not a nice feeling there is no pains in my arms just in the left side of my chest can you help in away to what it may be and put my mind at rest ? Doctor: Hello, If pain is not due to any obvious musculoskeletal lesion in the chest or thoracic spine, it could be chest pain related to gastro-esophageal reflux disorder (?esophageal spasm intermittent )which is more common. Empirical treatment with Proton pump inhibitors (PPIs) e.g oral Pantoprazole may be initiated as side effects are generally minimal. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes stabbing pain on left side of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my father is in his 70 s and is quite an active man in general. Yesterday he was reaching down to pick up something very light and must have done something to his lower back. He is in such excrutiating pain. The pain came on all of a sudden...He said he was not lifting anything heavy at all. We found a pair of crutches for him but even to walk around he is in so much pain, I have put him in a chair with a hot water bottle on his lower back and given him some paracetamol . I cannot give him aspirin because he is alergic to it. He also has asthma . He can hardly move from the chair. He describes the pain as sudden spasms and it is extremely painful. He has no incontinence , no fever etc..Any other advice you can give me in order to reduce his agony? Thanking you very much in advance Doctor: hello achamier, you should go for x ray for confirmation and you can use muscle relaxant medicine like chlorozoxazone plus diclofenac combination thrice daily for 3-5 days with omeprazole 2o mg twicw daily. Use of hot water bottle is very good continue it ,this also helps in reducing muscle spasms."
},
{
"from": "gpt",
"value": "Target: Lower back pain, taken paracetamol. Have asthma. How to reduce pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby is 2 months old and doesn t pass the stool. After 2nd day onwards he cries a lot and on consultation with pedidatrician suggested to use 1/4 of Dulcoflex for children. He will settle down after passing the stool. Is it advised to use it for longer period of time, we are using it from last 20 days for every 3 days ? He is currently under breast feeding and occassionally on bottle feed. Any suggestions to pass the stool normally without using Dulcoflex? Doctor: Hi....it is pretty common for breast food infants to be having some amount of constipation. If your kid is passing motion once in 3 days that means it is normal for him and it is his regular cycle to pass stools. I advice you not to use Dulcolax for a longer time as it is not the natural way to make stools come. This hard stools I'd quite common especially when formula feeding is also initiated. Try giving your kid exclusive breast feeds till 6 months of age.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to pass stools without help of Dulcoflex"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 8 years ago my husband admitted in a mental assliam for 1 and 1 8 years ago my husband was admitted in a mental asilam for 1 and 1/2 months his age was 23 years. Then he continued medicine for 2 years. Now his behaviour is changed. If some noise arised he tempted and shouting in slung language and even sometime he torchered me. Doctor: hi he has mental illness dont wait he need urgent psychiatric treatment. do not make him irritant. keep him in dark ,cool place. keep sharp object out of his reach"
},
{
"from": "gpt",
"value": "Target: What treatment should be given to the person for this behaviour ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a bump on my gum line in the back by my molars and it notices today that it oozed a little so i went home and brushed my teeth with hyrogen proxcide and water and then it started oozing again i think i may have got ever thing out cuz its alot smaller .. but i dont know what to do becides call the dentist and its sunday none are open ..is this some thing i should be concerned about right now or is it something that can wait till the normal hrs or opperation??? Doctor: dear friend. thanks for sharing your concern. gingival abscess could be due to any of these. 1.more commonly dental caries leads to periapical infection which then develops into abscess and forms the bumps on gingiva.(gum). 2.improper oral hygiene,accumulation of plaque and calculus also leads to bacterial pocket upon infection. also some times systemic condition predispose to gingival abscess,like pregnancy,diabes,etc. therefore i would say go for clinical evaluation once. it requires drainage followed by antibiotic and analgesic. meanwhile an xray would help to understand any pathology underneath. .thanks. take care"
},
{
"from": "gpt",
"value": "Target: Discharge from a bump on the gum. Need surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been sick for the last couple days. He went to the doctor, they swabbed for strep-that's not it. He has body aches, his throat hurts and he says it feels like there's a ball in his throat, he had a fever but it's pretty much gone now. He was having cold sweats and chills and he says that every time he swallows he gets this awful taste in his mouth that kind of tastes like burnt popcorn! What could he have and how can I help him? Doctor: Hi, It can be due to dental carries, tonsillitis and infection. Check for complete blood count.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 sickness, body aches, sore throat with a bad mouth taste?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir, I am from south delhi. My Son is 7 years old. He is active child. but he is not gaining weight and height at par with childs with his age group. when he play much or runs, his heart beats inicreases and afterresting for 1-2 minutes it ok, is there any problem with his heart, or what diagnostic test to be done. please advise i am very stress Doctor: Hi,Increasing heart rate while running or playing much is normal as rate becomes alright within 2-3 minutes.But as he is not gaining weight, requires doctor examination.Consult your doctor and get examined clinically.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes faster heart beat after playing and running?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How likely is it to become pregnant when having unprotected sexual intercourse on the first day of a menstrual cycle ? Is it a sign when the menstrual cycle (unlike being the usual 3-4 days time period) to only last one day and the bleeding stops completely the next day after intercourse and have no cramps ? Doctor: Hi, Thanks for asking. I understand your concern. Conception is impossible without ovulation.&ovulation can not take place during menstruation (it is 14 days prior to expected date of next period) -so ni chance of pregnancy with unprotected sex on 1st day of menses. But you had scanty bleeding in following day of sex....in case you don't get normal bleeding in comming few days... please remember.. conception due to previous sex in last month is possible &it would be followed by scanty bleeding due to implantation bleeding. Pregnancy test should follow scanty bleeding...Aafter a week to exclude pregnancy. Thanks."
},
{
"from": "gpt",
"value": "Target: Can pregnancy happen after having intercourse during a period?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc my baby is 2 year old. He have a amoeba. The pediatrician gave him metronidazole 6ml 3x a day and e-zinc for 1week. Is it normal to poop with a little blood? How many days before his poop back to normal? I gave him metronidazole monday. Now it s his 4th day. But his poop still not good. I m worried can u answer me? Thank you Doctor: Hi,Thank you for asking question on health care magic.For Amoebic dysentery, Metronidazole 35 mg/kg body weight in 2-3 divided doses for 7-10 days.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for blood in stool"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter did a leap in dance yesterday and landed hard on a flat foot. At the time, she experienced a pain that went up her body. Today she has pain up the right side of her body going up her leg to her lower back. Should I continue to rest her and alternate ice/heat for a day or two or does she need to go to a doctor now? Doctor: Hi, It could be due to contusion or sprain. Fracture is unlikely. As of now you can use analgesics/anti-inflammatory combination like aceclofenac/seratiopeptdase for symptomatic relief. You can continue ice packs also. If symptoms persists better to consult an orthopaedician and get evaluated. In that case you might require an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in leg and back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have just read read about the 1o signs of liver damage and i have about 5 of them and now begin to worry. the biggest sign is that after being slim all my life and after my 3rd child i am now 44 and have looked 6 months pregnant now for about 2 years, regards reta. Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have liver damage. You should go for complete liver function test and ultrasound abdomen. Increase in AST & ALT level is suggestive of liver damage. There are many causes of liver damage. Viral hepatitis, alcohol, toxin, drugs all can leads to liver damage. You should investigate first. Search the cause and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for liver damage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 36 year old male patient with CHF and Meditronic ICD implanted 6 months ago. My blood urea has shot to 53 mg/dl and Sodium dropped to 136 mmol/l. The Serum Creatinine (1.3mg/dl), Potassium (4.9 mmol/L) are within normal levels. Is there a chance of serious kidney problems? Doctor: Hi, dearYour blood urea level is slightly high. Your creatinine level is normal. So it doesn't suggest serious kidney problems. Don't worry about that.Thanks for using health care magic."
},
{
"from": "gpt",
"value": "Target: Can increase in blood urea level cause serious kidney problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Hi My father is struggling with severe low back pain that is at the end where spinal gets over for the above past 5 days and he had Taken the tablet of HIFENAC-MR but still no improvement , still same prob continues Doctor: hiI may suggest an x ray of lower spine and consultation with orthopedic doctorHe may take Tramadol or vicodin tab for pain.Also make him sit in tub filed with hot water (sitz bath) for 10 minutes twice a day.Tail end of spine called coccyx may be inflamed called coccidynia-its a painful conditon.short course of prednisone will also help., otherwise local infilteration with injection depomedrol plus xylocain 2%.But for above, an examination by a orthopedic doctor for confirmation of diagnosis is a must. The above stated suggestions are only a guideline which may be kept in mindHis history for prostate, bowel habits,urinary functions have to be simultaneously assessed forRegards,"
},
{
"from": "gpt",
"value": "Target: Suggest cure for severe back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In the small of my back (close to buttocks) there are two small pockets to the right and left of spine. The one one the right now has a growing lump. I am pregnant (over 40) and receiving progesterone shots on buttocks muscle weekly, but far to the the right of the location of this bump. What could this be? It itches at times, which is how I found it. Doctor: Hi,Dear,Good Mornig.Thanks for your query to my HCM-virtual clinic.AFter indepth study of your query,I understand your concerns.In my opinion-diagnosis -is -Post-Injection cellulitis with itching-mostly caused by Foreing body reaction to the oil base of the depot progesterone you are taking. I would advise to check for the blood sugar profile and rule out Diabetes,as you are in 40's and pregnant.Hope this would relieve your worrysome query.Wellcome to HCM for more queries."
},
{
"from": "gpt",
"value": "Target: What do itchy bumps near buttocks while taking Progesterone shots suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am ASthmatic patient.my grand mother carrrying same problem. now my age is 29 .but from last 4 years i am having more problem. Initially doctors prescribed FOROCORT 200 . but because of that my weight get incresed and body pain is occured. Now i am taking HOMIOPATHy treatment form 1 year so that doctor suggest me to take ASTHELLIN rotacap. NOW plz TEL me which one is the better option Doctor: Hi,I had gone through your query and understand your concern.If I were in your situation(not as a medical graduate),I might have done the same.Being a graduate in modern medicine (allopathic),it is tough to comment on Homeopathy.But I can give you a clarification about why you should rely on modern medicine for the proper treatment of asthma.Modern medicine has improved to such level that one can have good asthma control if he /she follows physician's/specialist' advice properly and follow up at regular interval.Even he/she may remain symptoms free without medicine.Asthelin inhaler relieves your acute attack where as Forocort(steroid preparation) 200 inhaler prevents as well as control further attack of asthma.Since you took forocort via inhalation, only a very small amount of drug (less than 1 mg) enters into your body.So the change of developing adverse effects like weight gain,gastric ulcer pain etc are very unlikely.You might have other associated causes for weight gain like food habit,sedentary work etc.Moreover,steroid is sometimes used as pain reliever.So my suggestion is : consult with a respiratory medicine specialist to confirm the step of asthma control and get treated accordingly.Hope this helps you.Now the decision is your.Wish you good health."
},
{
"from": "gpt",
"value": "Target: Is Asthellin rotacap effective for asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband is facing lung surgery (to remove a mass in the middle section of the right lung) a general surgeon has been recommended by the oncologist, however, I raised the question would it not be better to have an oncology surgeon for this type surgery. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query completely .* Ideally onco surgeon is the best person to handle the mass in the lung .Hope this will help you for sure .Wishing him fine recovery .Regards ."
},
{
"from": "gpt",
"value": "Target: Does lung surgery due to mass in lung need oncologist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 36 year old female with scoliosis and my back hurts all the time especially the lower. I have recently become more active and started taking karate, i have been pushing hard and jog etc. several days ago I woke up with a kinda bad pain in my right, well sort of my hip butt sort of my leg kinda around my butt, my leg felt a bit funny ass well like it was kinda asleep, its been 5 days, the pain in my hip seems to be gone but my leg is heavy feeling and around my knee is numb, and has felt like this for days. im actually getting scared cause its not getting better.. Doctor: Hi, It is due to nerve impingement by a deformed spine. As of now, you can take analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes heaviness in the legs and knee numbness while having scoliosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my girlfriend is a virgin, besides she has PCOS, and is on medication. yest, that is 8th feb, we were making out, an there was precum on my boxers, i touched it through the outside an proceeded to finger my girl. today we realised about the horrific mistake, an she took the pill, UNWANTED72, now she is really freaked out on whether she should continue her PCOS medication, she is taking ovral g tablet, she is confused whether she should continue that or no. she goes for a regular check up an is really tensed if the doctor will find out an her mom will come to know about it, please help!!!!! her last period ended on january 29th!!!!! what she should do now, that she has taken the contraceptive pill, please advise. Doctor: HiThe chances of pregnancy is very less with the history given and also due to the effective contraceptive that has been taken.Urine pregnancy test should be done after 10 days of missed period to rule out pregnancy.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of unwanted72 over ovral g?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter was at the ER last night with severe stomach pain and vomiting only when standing. Ultrasound looked okay, white blood count 13000 but she has a uti. She has a brown spot in her blue eye that she was born with and was constantly fighting constipation and fecal impactions when she was little.......could any of this be the result of hershberger (?) syndrome? Doctor: Hi.Thanks for your query .This is called Hurshprung Syndrome.This can be confirmed only by biopsy of the colon on colonoscopy of the suspected area. Get tests for UTI like CBC , urine culture and sensitivity and get started for 3 week course of the antibiotic,; Getting ultrasonography and IVP is needed to see if there is another organic / somatic problem.The constipation can be tackled well by suitable laxative."
},
{
"from": "gpt",
"value": "Target: Is hershberger syndrome associated with brown eyes & constipation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m Ramandeep, recently we have tested our father Blood Urea and haemoglobin report, it shows Blood Urea 157 and normal comes in range 1-47 and haemoglobin shows 4.5 and serum creatinine is not normal. My Father is suffering from Liver Cirrhosis problem.Please suggest remedies Doctor: Welcome at HCM.... I have gone through your query and being your doctor I completely understand your health concerns.... Based upon the data you have provided it seems he has got liver cirrhosis along with deranged kidney functions.... For his long he has cirrhosis? What about serum albumin levels? Serum bilrubin? Any ascites on ultrasound?? What is cause of cirrhosis?? Any other co morbidity like diabetes or hypertension!!! As far as cirrhosis is concerned you cannot reverse it... You can treat it conservatively with diuretics and other supportive medications....try to avoid meat and salt intake..... Use fresh vegetables fruits and fish once a week....consult hepatologist... For kidney function meet nephrologist for proper workup and management.. Sometime kidney failure occur secondary to liver cirrhosis... You need to meet hepatoligist and nephrologists .. His HB us too low he should be transfused whole blood Till his GB vecine more than 10..... May he get well soon...if you still have any query feel free to ask Regards Dr saad sultan"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for liver cirrhosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes I had neck surgery 8 days ago. C 6 C 7 no sore throat no problem swallowing. Off the pain meds in two days. I really feel good. I m wearing the collar. Do some heal faster than others. Plus he put in cadvaer & clamp. Curious about my recovery time,,,? Doctor: Hello, Generally, it takes around a couple of weeks for complete recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How long does it take to recover from a neck surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was recently diagnosed with peripheral neuropathy. They have not been able to figured out why I would have this. I am not a diabetic. Sugar levels have always been good. I was reading about the drug Levaquin that can cause this problem. I went back in my records and found I have had this drug at least 4 times in the last several years. Do you think that could be the cause? Doctor: Hi,Levofloxacin (Levaquin) a fluoroquinolone, has a strong anti bacterial property. It is used to treat various bacterial infections (susceptible to it). However, it is unlikely to be the cause for precipitating the peripheral neuropathy. Other than diabetes, nerve trauma, alcohol and toxins and autoimmune conditions can cause this condition. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Prabhakar Laxman Jathar"
},
{
"from": "gpt",
"value": "Target: Can Levaquin cause peripheral neuropathy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My kid 7 months old s eye is red/pink on one side of his eye ( corner near to nose to black part of the eye). Doctor said it is due to allergy and has give cromal eye drops. it looks like it goes away in the morning and comes back again in the afternoon. is there anything we need to worry about or is it common and goes away after some days ?? Thanks in advance. Doctor: it is allergychildren in infancy have no immunity to adjustto enviromental sudden changes usually it occurs and goes down when child get immunitychromal forte eye drops are best and you can add syp piriton 1/3 tsf nightthis is safest and can be given below 2 years of ageyou can continue it long or can give off and on many times"
},
{
"from": "gpt",
"value": "Target: Redness in eye, nose. On cromal eye drops. Is it an allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear doctor..I had LFT test on 30th march 14 and found shocking results. Total bilirubun - 6.4 mg/dl Direct bilirubun - 5.3 mg/dl SGPT (ALT) - 2363 U/L SGOT (AST) - 1342 U/L I HAVE CONSULTED GENERAL PHYSICIAN WHO HAS PRESCRIBED ME ULYSES -300 (URSODIOL TABLET). MY AGE IS 33-MALE Pls guide me. Doctor: Hi, dearI have gone through your question. I can understand your concern. Your liver enzymes level are highly increased. Most common cause is hepatitis. You also have jaundice. You should go for hepatitis test to know exact type of hepatitis. You should take urcosol tablets. Liv 52 tablets are also helpful. Avoid fatty food completely till you get recovery. Take high protein diet and multivitamin. Take adequate rest. Avoid alcohol completely. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What does my LFT report suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: is psoriasis curable? i underwent consultation and each doctor gave a simple answer that its a long time taking treatment but doesnt tell me the approx time. can anyone tell approx time? He said that mine is very low staged psoriasis and can be cured. pls suggest me and solution and reasons for this kind of skin problems. Doctor: Hi, Thanks for posting your query I understand your concern regarding psoriasis . I will try to answer your query Psoriasis is autoimmune disorder , which means body's immune system starts working against ones own cells instead of foreign substances in particular areas . In psoriais this results in increased formation and shedding of skin in the form of scales. psoriasis is not curable but symptom free period can be achieved with medication and supressive therapy In your case since it is mild you might remain symptom free for longer duration. The following may help: Keep your skin hydrated throughout the year . Avoid cold, dry climates. Avoid scratching and picking skin, and avoid skin injuries (cuts or scrapes). Avoid stress and anxiety. Infection like sore throat may cause guttate psoriasis so try to avoid, take early treatment if infection occurs Aviod Alcohol and smoking Certain medicines can cause flaring of lesions , so inform your doctor about psoriasis Hope this solves your query"
},
{
"from": "gpt",
"value": "Target: Suffering from low staged psoriasis. Solution and reason for this kind of skin problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife (Age - 31) is reported with Bipolar Disorder by local doctors. As a medical history , she didn t have any disease earlier. Four year ago, she had headache. At that time initially doctors (Local Neuro Psychiatrist) said that she has Migraine and given medicine. After 4 months, doctors said that she has depression and changed medicines accordingly. After 2 years of depression medicines, doctors said that she has Bipolar Disorder for which they are giving medicines for last one year. But my wife s health isn t improving even it s detoriating. In MRI , CT Scan , reports were normal. I am confused with the doctor s treatment here. Pl advice. Doctor: Hi, Thanks for query, Case of your wife requires evaluation. Consult expert psychiatrist in your town and bring all reports and treatment prescriptions. After deep clinical examination and interview he will go for diagnosis and then treatment. Ok and bye."
},
{
"from": "gpt",
"value": "Target: My wife is reported with Bipolar Disorder by local doctors. I am confused with the doctor's treatment here. Can I get any online treatment ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am only 14 and i had a normal cough but by the end of the day i had trouble breathing and when i took a deep breath my lungs would hurt.then i would start coughing realy hard until my neck started hurting.the next day ihad this weired spongy feeling under my neck and upper chest kind of felt like little bubbles popping like air bubbles or something.every time i cough it would hurt realy bador if i laughed too.i went to the docter and he said i had asma and a lung infection. he gave me medication to help me breath better and amoxillin [250mg] but my lungs still hurt when i take a deep breath and the spongy felling wont go away....pleasse help me out because im nearvouse of what i might have Doctor: Hi, You go for x ray chest pa view and blood testing for TC,DC,ESR, so that nature of your problem can be concluded and then go for specific treatment."
},
{
"from": "gpt",
"value": "Target: I had a normal cough but by the end of the day I had trouble breathing and when I took a deep breath my lungs would hurt"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i found a long bullet shape lump at my throat just beside my thyroid. i went to my gp and got a blood test. ishe said i will need to goto hospital to get an ultrasound. but ive just got a letter in asking me to goback to doctors for a scr test- im a wee bit worried. please help, a x Doctor: Hi! thanks for your query on HCM!Well, if I were your family physician and had you presented to me with this elongate lateral neck nodule, I would like to examine the whole neck region including thyroid, regional lymph nodes, inner throat/larynx as well because I generally see following possibilities in such cases:1. lymph nodes due to infection in the throat, mouth, ears or thyroid or tuberculosis and in worse case could be cancerous2. benign cyst-like conditions like branchial cyst, colloid cyst or lymphatic cystTherefore, you must get the ultrasound and if possible a simple needle biopsy for confirmation and to relieve your concerns.Wishing you good health,"
},
{
"from": "gpt",
"value": "Target: What causes a lump in the throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In the past 3 years I have had lung cancer, prostrate radition & bladder cancer surgery . I just completed 5 0f 6 bcp treatments. I have lost 35 pounds in the last few years, not planned. For the past few months I have a dry mouth and loss of appetite Is there a specialist I could go to to look at all these issues. Ilive in Buffalo, New York Doctor: Go to a cancer specialist. get your complete staging work up done so as to diagnose any kind of recurrence of cancer or progression"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lung cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a piece of hair on the tip of my penis and it has created a lump because it’s tightened the skin, it’s like a circle and the hair is around it like a rope. It’s hurts really bad and I can’t take it off cause I risk ripping the sling. What do I do? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per my clinical experience, this indicates possible sebaceous cyst or other.Kindly post a photo picture of the lump in the follow-up conversation to figure out the detailed advice of management.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: How can a lump on the penis be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My (75 year old) mother in law had a partial knee replacement in July 2014, and her would still has an opening and is not healing. She was place back in the hospital for six week to be treated for infection. She was going to a wound care physical for treatment. He told her in December that he had done all that he could do. He referred us back to her physician. Her physician went back in and clean out the wound on February 2, 2015 and it is still not healing. What should we do? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is likely that this infection is because of the resistant organisms.So it is not responding to the routine antibiotics.I advice you to do culture and sensitivity from the wound. Once the result is available we can take the drug from the report available.It will cure the infection readily and fast.Please maintain good hygiene by frequent cleaning and dressing. It will equally helpful in treatment.Please do follow good hand washing practice it will prevent other bacterial infection in future.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for persistent infection in knee after knee replacement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im experiencing dry mouth but my doctor says i have no medical problems is there any medicine iover the counter i can take to help stimulate my saliva cause biotene helps for a little while but doesn t last. Doctor: Hi, For dry mouth you need to get to the cause. Mostly the cause in a healthy person with no systemic complications can be dehydration. Thyroid conditions or other autoimmune diseases needs to be ruled out before taking any medication. If you would have been my patient I would like to recommend you Pilocarpine, which is a salivary stimulant, if you are not allergic to it and you also don't have any associated systemic disease. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is there OTC medication that can be taken for dry mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had trigeminal neuralgia for the past 7 years. My neurologist is presently treating me with amitriptyline l50mg at night and hydrocodone 7.5 as needed. I usually take 1/2 hydrocodone at night only but have to take ibuprofen in the daytime to keep the pain down. This time the pain has been constant since Oct 2016, and I would really like to find an alternative treatment as I do not like to take so much medicine. I just purchased the herb lnositol powder to mix with B-12 liquid. What do you think about Cannnibis oil for treating this? Jane Hines, Benton, KY Doctor: Hello, Cannabis oil can provide symptomatic relief, however prolonged use is not recommended. You can opt for other analgesics like gabapentin or tramadol for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is cannabis oil an effective alternative for chronic pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi its me samra my problem is i have pain in left side with left arm and also back of neck .i went to many doctors they sad when u r depressed ur pain is gaining i m helpless bec when i think it happened strongly what should i do bec my mind is not divert.and also doctors said that i have transform migrane. Doctor: It could be cervical spondylosis which can impinge on the nerves supplying back of neck and arm. The more likely cause though is fibromyalgia which is a nerve pain. Doctors have a hard time diagnosing this condition and there is no blood test that is done. Symptoms: 1.Pain in legs arms thighs and back. 2. Pain while pressing similar points on both sides of the body. 3.Waking up tired inspite of sleeping long Gabapentin, Pregabalin and fluoxetine are some medicines used to treat this conditions. If you have these symptoms mentioned above, it could be fibromyalgia. Please consult your doctor who might provide you with the required medications."
},
{
"from": "gpt",
"value": "Target: Pain in left body, do i have transform migrane ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My niece was in the ICU for 7days with liver failure during her pregnancy. They delivered the baby and baby is doing fine. The hospital tryed dialysis-bloodtransfusion. She continues to have a high fever and at times going down to 93temp and back up to 102-103. Yesterday they took her out of ICU. Is that common to be removed from ICU even if your still so sick? what are her options? She also is very confused and can t make a sentence. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Generally the liver dysfunction associated with pregnancy resolves ones the baby is delivered. He has transferred out of ICU because she had improved and liver function might have returned to normal. Nothing much to be done and she will be fine soon. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How complicated is liver failure during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A person who was infected from cancer disease in 2007 The effected part was below part of knee ,a doctor remove his leg to prevent from spreading of viruses.he was suffering from the problem of Malignant tumor .Is there any possibility to spread viruses in other parts of his body in future? Doctor: Mallignant tumour spreads through by means of local spread, blood borne spread and or by lymphatic spread.. If the surgery and the removal is performed before spread, then metastasis prevented. But in an more advanced form of the conditon, when metastasis has already occured before surgical removal, the chances are high and cause spread of malignancy..."
},
{
"from": "gpt",
"value": "Target: Can cancer spread after operation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My father had a cardiac arrest about 8 years ago. His heart stopped beating for about 10 minutes. He was in a coma for 20 or 30 days and he got better slowly. Now he is physically fine, I mean that if you look at him you can not recognize he has any problem. But he can not control his piss and pee. He can feel everything, he can see and hear and even he can count and memorize something for a short time. He sometimes say poems but his learning is very weak. Can I do anything for him ? Sincerely yours - Omid Ghasemi Doctor: Hi... Brain damages are most often irreversible.. The chances of reversibility is only be therapies.. Though it has been too long to expect improvement, continue with the therapies if any.. Your care and love is very important in helping him improve.. So continue with it.. All the best..."
},
{
"from": "gpt",
"value": "Target: My father have had Heart problem, please suggest him"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last year I was treated for an gnat bite that was infected. I have been bittne again and ma having the same reaction....I am right in saying that last year I had Anti-boitics and steroids to cure this and stop the heat and widespread itch in surrounding areas, swelling too? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.This time your therapy remains the same. But the mode of delivery we have to change. This attributes to the allergic reaction you are going to receive. Every times you got bite reaction is severe and mode of treatment severity increases thereafter.As if you have taken prednisolone orally there is need of injectable therapy now. Please take antibiotic as you have taken previously. It will prevent further infection.Please maintain good hygiene by frequent washing and cleaning. Dressing with the dettol and betadine followed by polysporin application is important in oreventing the infection.Avoid injury to the bite site otherwise infection will accentuates.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: What is the treatment for gnat bites?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son suddenly has two slightly raised round brown spots by his ear. A few days later several brown dots appeared on his left cheek. Im sure they are sun spots but it alarming and I wonder if I should be concerned. We live in Kansas and the sun is much more intense than were I grew up in Minnesota. Doctor: Hi.... I understand your concern. But skin conditions all are always diagnosed and treated only after directly seeing them. So I suggest that you upload an image of the same on this website so that we will be guiding you in a better and scientific way. The other suggestion is to get in touch with a paediatric Dermatologist regarding this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Are slightly raised brown spots on ear a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: depressed with anxiety and other unknown issues. Some days I feel useless and alone and can t seem to communicate my thoughts and Ideas to others that they would understand. How can I turn down these feelings so I can function better among others and not freeze up or feel out of place? Doctor: in my opinion have a complete check up check hemoglobin, thyroid function there are other ways to improve depressive feelingsactivity scheduling spend a certain amount of time doing exercise"
},
{
"from": "gpt",
"value": "Target: How to overcome depressed feelings?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was wondering i was walking my dog and she decided to chase a squirrel i started running and accidently missed my step and slipped off the sidewalk and fell on the cement and hit the side of my leg rolled down a little hill and rolled into a prickle bush. the top side of my right leg is badly bruised it is a size of a salad plate even a little bit bigger and very swollen anything i could do to help with the bruising. please email me back at YYYY@YYYY Thank you Doctor: Hello, It is quite common after a fall.Nothing much to worry and it will settle by itself.As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. You can also apply icepacks for faster recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to treat severe bruising and swelling in legs following an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I had 1/3 of my left kidney removed about 6 weeks ago and I keep getting infections the kidney is leaking into abdomen I now have a Cath in my lung too the doctor gave me another type of antibiotic I ve had so many because I keep getting infections I don t think the kidney will stop leaking do you and what do I do Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The basic reason there is the infection at the operative site with secondary involvement in the form of Pleural effusion.I recommend its evaluation with MRI of the abdomen and pelvis for further management guidelines.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purva Patel"
},
{
"from": "gpt",
"value": "Target: What causes recurrent infections after kidney removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my circumvallate papilla on my tonuge are very large and white. It s hard to eat anything salty or sharp, or battered. Can this be from percocet reaction / allergy? I am taking them for a week now, recovering from hernia repair surgery, they make me itchy all over when I take them. Just wondered if they could affect my tongue in this way?? Doctor: hello and welcome to hcm forum, i am glad you posted your query, according to the dental history i would like to inform you that papillae over the tongue are rarely affected by a allergic reaction, during prolonged illness, it may enlarge a little but usually revert back to normal following recovery from the illness and with a healthy diet. kindly maintain proper oral hygiene, you can use an antibacterial mouth wash(twice/day). i hope i answered your query, wish you good health."
},
{
"from": "gpt",
"value": "Target: Large and white circumvallate papillae on tongue, difficulty in eating salty or sharp food. Could this be due to percocet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor,I recently discovered that if I apply pressure to a certain spot on my left ribcage, something moves; it does not happen to my right. Even if I look in a mirror my left ribcage sticks out more than my right. I asked a phychiatrist and he said a swollen organ may be pressing against my ribcage. Should I be worried? Doctor: Hi and welcome.Thanks for asking here at the website.@ The unusual movement in rib cage indicates possible inflammatory of rib or intercostal muscle , which requires to be evaluated with x-ray chest with or without MRI as per clinical concern.Regards."
},
{
"from": "gpt",
"value": "Target: What causes unusual movement in the left rib cage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The bottom of my feet hurt if I am standing or sitting with them on the floor. I also get a sharp pain that runs up through them sometimes for about 5 - 10 seconds. When I put them up they are pretty good except when I first put them up I get a few sharp pains through them. Verna Doctor: Hello your pains are mostly heel pains from a tight plantar fascia which is a flat band under the heel and the sole.Though not a serious condition this can cause disturbing pains esp on walking first in the morning.Please do regular ankle stretching exercises by lifting the forefoot up as much as it will go when.This can be done while sitting or standing.Physical therapy by shock wave give good relief. A local steroid injection at the site of the pain is another option if this persists.Meanwhile check your uric acid level in blood and if diabetic make sure its wll controlled"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for throbbing pain in the foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bulge with sporadic pain & tenderness (worsens as my day progresses) in my upper right quadrant. I'm waiting results of blood work but wondering what it might be. I have a history of constipation, diverticulitis, am a smoker & history of alcoholism. I'm 58 y.o. Thanks for any feedback what it might be. Jack Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* The bulge with tenderness in upper right quadrant seems inflammatory issue in form of developing abscess likely .* Needs confirmation with clinical examination .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care ."
},
{
"from": "gpt",
"value": "Target: What causes bulge with sporadic pain and tenderness in upper right quadrant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, recently my lips have been extremely dry, so i have been using medicated lip glosses that have helped in the past with only slightly chapped lips. I have had problems with severely dry lips in the past, but i cannot remember how i dealt with the problem. This time i believe the problem is worse, because my lips have become dark in color, almost a black, and they have been throbbing slightly. What can i do to restore them to their natural/ healthy state? Could the cause of this be an allergic reaction or severely sensitive skin? p.s. I have had problems with sensitive skin; I got eczema last summer. Doctor: Hi,You seem to have chronic cheilitis. There may be erythema,dryness,mild scaling, fissuring and crusting. You might have mild pain,burning and itching. There may be some cause. Lip licking might exacerbate the disease. Sunrays exposure, cosmetics,lipstiks tooth paste, dusts...etc might be resposible. Vitamin B complex deficiencies,anaemia or nutritional inadequacy might cause the disease...You consult dermatologist for firm diagnosis and treatment of its cause.Have blood tests to rule out any internal disease or vitamin deficiencies.You may take folic acid 5 mg thrice a day with iron tab. Antibiotics may be needed if there is secondary bacterial infection. Apply antibitic cream with mild steroid like mometasone. You avoid soap,cosmetics and lipstik for good and fast result. Avoid bad habit of lip licking,if it is there. Do not injure the lip skin with your nails.You might get good result after few weeks. I hope this would help you in your treatment.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: How to treat dry lips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 46 year old female. I weigh 145 and am 5 2 tall. My nurse called to tell me I have a slightly elevated bilirubin and that needs to be retested. Also, I recently started having serere hearburn and lower back pain on my right hand side under my rib cage. In 2004 while I was 7 months pregnant, I had my gallbladder removed since I had gallbladder disease/pancreatits. I was told that I could still have stones, which were ore like seeds, left inside of me. Could my bilibrubin be related to my hearburn and back pain? Doctor: Hi Stones sometimes recur - in the duct, after the gall bladder is removed A pain on right back (scapula) is highly suggestive of gall-stone. Elevated bilirubin may suggest early obstruction and/or pancreatitis Heart burns seems to be a different issue Plan for ultrasonography to see the bile duct and pancreas / heartburns may improve with simple treatment - if not, you may need upper GI endoscopy for proper assessment and assistance Good luck"
},
{
"from": "gpt",
"value": "Target: Elevated bilirubin, heartburn, lower back pain. Related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yesterday, i felt dizzy and very cold all of a sudden at work. I had jelly legs and headache. I felt like I would throw up or faint. I went home and slept for hours and hours, and I sweated a lot... I still have headache and feel weak today, but pain in my legs are gone. What is going on with my body? Doctor: Hi, You have not mentioned your age so it is difficult to diagnose. But commenly these symptoms are seen in low blood pressure conditions.So meet a cardialogtst and find out whether it is secondary to some cardiac problem."
},
{
"from": "gpt",
"value": "Target: What causes pain in legs, head and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i used to smoke but have reduced to almost 1 cig/day. I get pain on both sides of chest- a mild pain that stays for 5-10 seconds and then goes off. At times, i get sensation in hands or legs too but very rare. My x ray showed pre-bronchities symotions but doctor said it is nothing to worry. Please adivce Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, bronchitis can cause chest pain. Bronchitis can cause pleurisy (inflammation of pleura) and this pleurisy can cause chest pain. And honestly speaking, bronchitis is not diagnosed by chest x ray. You have to get done PFT (pulmonary function test) for the diagnosis of bronchitis. PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids. And please quit smoking as soon as possible. Don't worry, you will be alright with. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Can bronchitis symptoms cause mild chest pain?"
}
]
|
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