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{
"from": "human",
"value": "Source: Patient: my wife has ankle pain she has injured it severely when she was 16 playing softball she is now 25 the pain came on acutely and seems to be getting worse she is able to walk no problem but pain is releved temporarily with icy hot but comes back after about 10min Doctor: we need more details of the prior injury to determine if it's related. if the injury when she was younger involved just the bone and not the articular cartilage of the joint, and the bone was in good alignment then the bone would have healed 100% with no residual problems. if the cartilage was involved in the original injury then she may have arthritis causing her pain at this time, or if the bones didn't set correctly she may have a new problem brought on by the old one. if the old injury was a purely soft tissue injury, such as tendon or ligament, and surgery was not done, the healing was done by fibrosing and scar tissue which is not as strong as prior to injury, thus more likely to re injure something. you're best bet at this point is rest , ice, compression, elevation, anti inflammatories, and take an xray. if the xray fails to reveal anything, an MRI would be warranted. if this is an arthritic inflammatory problem, a steriod injection may be attempted by a foot and ankle specialist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ankle pain after an injury"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a red bump on my right hip bone, I have tried to open it up, but nothing comes out, no blood, puss, or any liquid at all. It s very tender to the touch, about the size of a nickel, and is a deep red, nearly the color of a strawberry. What is this? Doctor: Hi,First I would like to know that have you history of fall before appearing this bump, or do you have complaint of fever also as it can be becauses of infection ,which may need antibiotics.Also as per your say (red strawberry colour) I doubt about Haemangioma,it can be because arterial dysfuntion.My suggestion would be that you should get checked by doctor and evaluate further.Regards,Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes solid red bump on right hip bone?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing recurring pain in my upper left abdomen - this is my 3rd attach in 7 weeks. Usually the pain will be severe for the first 2 - 3 days and then will mainly become troublesome when yawning / coughing / deep breathing. There are times when the pain can be bad it prevents me from breathing properly - mainly shallow breathing . Any suggestions of what this could be? Doctor: Hi, Thanks for posting your query. With the available described symptoms and location of pain, there appears to be possibilities of left sided chest pathology, splenic flexure (part of large intestine) obstruction, left kidney stones. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should go for ultrasound imaging and chest x ray on preliminary basis. If necessary then you should also go CT abdomen and colonscopy. mean while, you should take antispasmodics along with NSAIDs. You should take soft diet and do bed rest. take care, Dr. Mayank Bhargava"
},
{
"from": "gpt",
"value": "Target: Recurring pain in upper left abdomen, occurs on yawning, coughing, shallow breathing. Causes for symptoms?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Why do my stomach felt cold when I woke up in the morning? Doctor: Hello. Thanks for choosing HealthcareMagic forum. It is only the outer skin of the stomach which feels cold and it is absolutely normal as it is an outer skin exposed to the external environment just like our hands and legs. The temperature of outer skin varies with the external environment. Dr. Rakhi Tayal"
},
{
"from": "gpt",
"value": "Target: What is the reason for chillness in my stomach in the early morning ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi.....I'm a 43 year old male thats 290 lbs and I just had my bp checked and it was 186/83...... I've been working on my weight and hitting the gym for the last 6 weeks. I've lost 27 lbs and getting arms like a body builder.....I just wanted to get your thought on the BP? Doctor: Hello!Thank you for asking on HCM!Your blood pressure values are above the normal ranges. This could be related to overweight or straining physical activity. Nevertheless, I would recommend consulting with your attending physician for a physical exam and some tests to investigate for other possible secondary causes of high blood pressure: - a resting ECG- a chest X ray study- some blood lab tests (complete blood count, blood lipid profile, fasting glucose, kidney and liver function tests, blood electrolytes, PCR, sedimentation rate)- an urine analysisIf all the above tests result normal, you should discuss with your doctor on the possibility of starting anti-hypertensive therapy, in order to have a better control of high blood pressure. I would also recommend some tips to help you maintain a normal blood pressure: - diet modifications (reduce salt and caffeine intake, avoid energetic drinks or pre-workout supplements)- avoid straining physical activity- try to reduce your weight (a dietitian may help you in this regard). Hope to have been helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for very high BP"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I understand that I have both Beta-Thalassemia Minor as well as G6PD Deficiency. I also understand that both conditions lower the red blood cell count in my body in different ways. Please correct me if I m wrong. However, what I m curious about is that are there any coupled effects? For example does having both further decrease my red blood cell count leading to lesser available oxygen for my body and therefore lower stamina when engaging in physical activities like sports. Doctor: hiThanks for your queryi can feel your concernsyes,you are quite right.both are hemolytic anaemiasbeta thalassaemia is due to quantitative defect in beta globin chain while G6PD is enzyme deficiencyG6PD deficient individuals are usually normal unless they are exposed to certain drugs or foods.As you are compound heterozygous for G6PD & thalassaemia ,so any exposure to these drugs and food will further decrease down your baseline haemoglobn,which is already low due to thalassaemia minorHope i have ansewered your queryi am available for your help regardsDr.Amna"
},
{
"from": "gpt",
"value": "Target: Suffer with Beta-Thalassemia Minor as well as G6PD Deficiency. Are there any coupled effects?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: what causes nausea thatl lasts for more then 3 or 4 weeks. I have a huge cyst on my right kidney. Last july I had a h huge 2 liters of fluid removed from the cyst on my left kidney, that ended my nausea, till now. the cyst on my left did not come back. I had the cyst on the right side when they drained the one last july but they did not drain it then, they did not think it was a problem. Doctor: Hello!nausea and vomiting is a feature of uremia, i.e when urea and creatinine rises in the body. i think because of your cyst problem, you must be having some renal insufficiency. check your renal parameters and then you will be able to find out the right cause.thanks"
},
{
"from": "gpt",
"value": "Target: Huge cyst on kidney, fluid removed. What causes nausea for more than 3 weeks"
}
] |
[
{
"from": "human",
"value": "Source: Patient: This mornin after sex I noticed blood in my sperm. It hurt when I came and that's when I noticed the blood. I have a small amount of blood that dripped out in my boxers later on in the day. No blood when I pee but it stings a little. What is it and what do I do. Doctor: Dear, We understand your concernsI went through your details. Seeing blood in the semen can make a man anxious. Fortunately, it doesn't always signal a major medical problem. If you are younger than 40 with no related symptoms and no risk factors for underlying medical conditions, blood in semen often disappears on its own.The most common cause of blood in the semen is inflammation or infection. There are other conditions too which can lead to blood in semen. Wait and watch for another weak. If the incident repeats itself, you may consult an urologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes blood in sperm after sex?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My tummy hurts so bad and i cant take the pain!! My tummy hurts badly and down to my bottom. When I cough it hurt so so bad. When I go pee is hurt above my girly part. I dont know what to do. Help me out PLEASE!!! Doctor: Hello. Any abdominal related pain will become more painful specially on coughing since more strain and pressure is put upon abdominal muscles. Since you mentioned that it hurts more when you go to urinate, this could very well be related with any infection or other changes in the urogenital system. You should consult with your physician so that urine investigation along with abdominal sonography can be done. Hope this helps. Regards."
},
{
"from": "gpt",
"value": "Target: Why my tummy hurts badly down to my bottom when I cough and pass urine ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: when I pee I have a tingling sensation inside my penis but dont birn nor hurt I ty s not at the tip its only on the inside during my urinating and when I erect it feels like razor blades other than that I have no problems this just occured three days ago Doctor: Hello,,The symptoms are suggesting me that there is a underlying infection in the genitals.Most common reasons for this condition is UrethritisSexually transmitted infectionsProstatitisNerve damage to the penisBlockages in the ejaculatory ductPsychological problemsYou need to undergo physical examination to find out the cause, I would suggest you to consult urologist for further management.Thank you."
},
{
"from": "gpt",
"value": "Target: Noticed tingling sensation during urination"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Sir, when i bent my head towards chest then there is a vibration in my hip or surrounding of tail bone from lower back and it spreads to abdominal also but causes no pain, only strong vibration, since 1 month. Doctor: Hi Welcome to Healthcaremagic Forum Does this happen when you do this with a jerk? ANy other symptoms/changes you are experiencing? This is a curious symptom, possibly neurologic, please visit a neurophysician, for an examination. Takecare"
},
{
"from": "gpt",
"value": "Target: Vibration in lower back and it spreads to abdominal but causes no pain. What could be the reason for it ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 71 year old boyfriend just went to an allergy doctor and so far knows that he has \"rhinitis\" (sp?); will find out more later. He did not tell him that he dips OFTEN! Could this be his problem? He has drainage, hearing problems, and is tired a lot. Thanks for your attention. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Yes, chronic allergic rhinitis if not treated can cause nasal drainage, hearing problems etc.Allergic rhinitis causes structural changes in nose, sinuses and ears. So on long run, allergic rhinitis can cause sinusitis which in turn cause nasal drainage and weakness.So better to consult ENT doctor and start fluticasone nasal spray, Montelukast and fexofenadine combination at night. Steam inhalation and warm water gargles 5-6 times a day are also beneficial. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks."
},
{
"from": "gpt",
"value": "Target: Could drainage of nose and loss of hearing be due to allergic rhinitis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello, i have been mastributing from very long time and now i feel that i have very low semen in qty and it is quite thin so kindly tell me whether it will affect my future sex life after marriage and how can i increse volume of semen and its thickness by some natural ways. kindly reply asap...... thanks in advance Doctor: Hi, I have gone through your concerns carefully. Masturbation won't cause infertility. It is true that frequent ejaculation will affect the quantity and quality of the sperm. That's why men who try to conceive are advised not to ejaculate often to increase probability of conception. Next, there are various ways to keep a healthy semen :- apply always protected sex measures- if you decide to conceive, get your semen analysis first and get your partner tested too- eating healthy and get physical activity will also helpHope it was of help!"
},
{
"from": "gpt",
"value": "Target: Can masturbation lead to low semen and infertility?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I started not feeling well this last sat. I felt a little shaky inside and had some pain when I took a deep breath. A little nauseous. By Monday, I was still the same, but now have aches in my chest, sides and stomach area when I take a deep breath, hiccup or burp. Went in to see a dr, ....he examined me, and took a urine sample. Nothing showed up. He thought I might be getting the stomach flu . I ve stayed home the last two days. Not really hungry, but am able to eat. Background..... 11 years ago...weighed 413 lbs....had a gastric bypass ....got down to 225. Diagnosed with ovarian cancer march of 2010. They got it, went thru 4 rounds of chemo to make sure......weight back up to 285, but generally feel pretty good, other than this. Doctor: Hi, you had undergone a bariatric surgery. The symptoms you are describing are vague and non specific. Based on this information no diagnosis can be made. You have given 4 cycle of chemotherapy means you had early stage ovarian cancer. From oncological point of view you are alright. Your chest pain may be due to angina and myocardial infarction is also a pssibility. Consult your physician. Take care."
},
{
"from": "gpt",
"value": "Target: Having chest discomfort. Had gastric bypass and ovarian cancer. Stomach flu?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a tooth removed months ago,in the last month a boil came on the next tooth (upper left front.I broke it and there was puss and blood and behind my palate there was a heavy build up of something which drove me crazy,since then I took twenty pills for 10 days,the stuff behind the palate went and it seemed the swelling and puss was gone...now only days after finishing the pills I am back where I started,except now I also have a terrible taste in my mouth..help Doctor: hellooo...read thru ur query....according to symptoms explained by you it is an abscess..but origin of it can be diagnosed(whether it is tooth related or periodontal related) can be said based on clinical view and also on xray..since it is openening into palate..it can be infection of the root of upper lateral incisor..bad taste is related to the puss and exudate still oozing thru ur teeth..to stop it u have to remove the cause..for that u have to meet dentist get an xray and get the treatment done..if its periapical infection rootcanal treatment followed by crown..if periodontal have to undergo scaling etc..till then do salt water gargle..maintain good oral hygiene...meet the dentist soon...(y to suffer if u have solutions and experts to solve ur problem)..nothing to be worried be cool..hope ur benefitted something from this..have a healthy day!!!"
},
{
"from": "gpt",
"value": "Target: What causes puss filled boil and bad taste after teeth removal?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I still have acids in my stomach and still feel moody and my stomach aches after my abortion i have tried six times with a single misoprostol tablet and the at first a big clot size of half my hand and blood came but did not last for 24 hours then i did the second time the same thing happened this tym a bigger clot came out then the third tym a smaller clot but during these abortions i would bleed once the fourth tym i inserted but watery fluids came then the 5th watery fluids are still coming out am i still pregnant??when i havent eaten my stomach is alright and flexible but when i eat it hardens Doctor: Hi ! Welcome to Healthcare Magic . I think instead of treating the problem by your own self, you should consult a gynaecological specialist who can examine you clinically and with ultrasound to exclude either a retained piece of placenta, or a PID (pelvic inflammatory disease). Both the problems can be dealt with easily once diagnosed in an early stage. So I will advise you not to delay your treatment. good luck."
},
{
"from": "gpt",
"value": "Target: Acids in stomach, had abortion, bleeding, clotting, clear discharge. Will I be okay?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had an injury to my lower back right side and there is a deep purple 3 inch bruise . It is very painful when I move I am using Motrin and extra strength Tylenol ,ice patches and resting Can it turn into a blood clot and I m sure it s a fractured rib or worse but I want to stay in bed elavated . Any suggestions or concerns Doctor: Welcome to HCMI read your question deeply. Some time truma can lead to pain that persist for several months. I prefer firstly to do lumbosacceral spine & pelvic X Ray.If clear,with medication you can do physical therapy. Thanks"
},
{
"from": "gpt",
"value": "Target: How can pain in the lower back on the right side be treated?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 3 years old has had fever for 48 hours now with tonsils and cough...he and developed this fear in the night that he has insects crawling all over his body...has been screeming pointing to his arm or legs...doesnt wa.t to lie downon the bed...is it anything serious Doctor: Hi Read ur question Fever and cough present in tonsillitis . Cough is because of irritation in throatOther thing that ur child had insects in bed at night and nothing is there That means he had hallucination so immediately so ur paediatrician and also psychiatric doctor for that"
},
{
"from": "gpt",
"value": "Target: What causes fever, tonsillitis and cough in kids?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello sir, i am from dhaka, bangladesh. we are consulting a child psychologist for our 11y.o. daughter who has been showing some thought and behavioral disorders since early last year. she is prescribed a couple of medication and is undergoing psycological analysis. her condition has been showing fluctuations over the past few months and we are afraid shy may not be getting correct treatment. as such i am advised go for second opinion consultation at NIMHANS. i wanted to know if NIMHANS Kolkata has a department of this nature, and if you could advise me where/whom exactly to contact for an appointment. will appreciate all your kind assistant. thank you, ahsan Doctor: Hello,Very common complaint of parents of growing children is abnormal behavior. Children during their growth phase are very fragile and can easily be influenced by people around them. Medicines would just calm her down but what she really needs is proper counselling and guidance. For that, you can contact any good pediatrician or psychiatrist and they'll help you out. Also, you have to take care what your daughter do, or kind of friends she spends time with or TV shows she watches. These little things may influence her and may be a reason for her behavior. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gunjan Jain"
},
{
"from": "gpt",
"value": "Target: How to treat behavioral disorder in children?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my husband has been having seizures if some sort, it usually starts with severe pain in his neck on the left side..when he ha these he doesn t know where he is or who anyone is . the last one was very bad. he had high sensitivity to light....i called an ambulance and the hospital sent him home saing it was a non epiteptic seizure....no meds no nothing Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that his symptoms could be related to emotional stress. Anyway, I would recommend consulting with a neurologist for a physical exam and performing some tests: - a cervical spine X ray study - a resting ECG - an EEG - a brain CT scan - complete blood count - thyroid hormone levels for thyroid gland dysfunction. If all these tests result normal, I would recommend consulting with a psychiatrist. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for seizures with severe pain in the left side of the neck"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I had fell on my ass skateboarding recently about 8 hours ago, now my tailbone feels really bruised & my upper part around my spine is feels a little stiff like feeling when I move. Kind of like that feeling after you have fell on your wrist. It tailbone area hurts but not severe pain when I skate or jump up & down, my upper back just has feels that stiffness like feeling & it's also kinda hard to take a deep breathe afterwards. I have stretched by bending forward, no pain but I can feel a little stiffness on my way back up & in the middle of my chest as well. When I arch back I feel fine. My lower back is fine, I've twisted left & right, I feel no pain, just a very little stiffness kinda feeling on my upper back. When I lay down I get stiffness kinda pain as well. My upper back hurts when I get up from laying down as well. it Is it normal for my upper part of my back to feel like from landing on my ass but my lower back feels fine? Also when I fell I landed on both palms of my wrist as well if that plays in any role to why I'm feeling the way I'm feeling. Thanks in advance. Doctor: Hello. Thanks for writing to us. The multiple joint pain and stiffness that you are feeling is likely to be due to polyarthralgia or rheumatoid arthritis. You can consult a rheumatologist for proper investigations needed.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: Stiffness in spine, wrist pain, tailbone pain and chest pain. What is the reason?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: can a dns surgery be postponed due to low b.p?if so bp should fall to what level to postpone it Doctor: Welcome to Healthcare Magic Good Day No surgery is done if BP is high or low due to risk of bleeding and hypotension/shock. If BP is maintained less than 140 and more than 100 it is quite safe to attempt surgery."
},
{
"from": "gpt",
"value": "Target: Can a dns surgery be postponed due to low bp ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: The minute I sit at my study desk at home to work I get a sore neck (it cricks) I have my feet flat on the floor, the desk height is parallel with my elbows, the screen is a large screen, when i look straight ahead I see the very top of the screen.... Doctor: hi,thanks for writing to healthcare magicyou seem to suffer from spasm of trapezius muscle(neck muscle)please take following treatment:1. Take rest for 2-3 days.2. Use a soft cervical (neck ) collar to support your neck whenever you are upright3.Avoid any strenuous activities including driving, using too much computers.4.Do hot fomentation 3-4 times a day.5.take mild antiinflammatory like ibuprofen or naproxen.6. once pain subsides you will need to learn isometric neck exercises to strengthen your neck muscles. your physiotherapist should help you with that.hope i have been of help.please take carethank you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sore neck"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Well,I started noticing a very touchy bruised feeling in my upper spine today.I have not done anything to cause it that I know of?I install floor covering for a living so I get banged up a lot,but usually there is something I did to. Cause it.I wonder is it something else?its sorta scary.I wonder will it be even worse tomorrow???hope not.should I put my heating pad on it tonight? Doctor: Hello!Thank you for your question on HCM! I appreciate your concern. I think that your symptoms may be caused by a possible trauma, which you have not noticed, while working. A skin infection may also be possible. I would recommend you to consult with your GP for a physical evaluation. A blood routine test to exclude any possible infection should be done. Hope to have been helpful!Greetings! Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Is it dangerous to feel bruise on upper spine?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Ihad my gallbladder removed due a gallstone and elevated bilirubin levels in blood . After the surgery with one week bilirubin levels are still high , and my doctor doesn't know why .he also noticed from the surgery that my liver was blue in color ( pale navy blue ) and he doesn't no why too. I'm a 20 year old male bilirubin level before surgery :total 3.23 direct 1.7 indirect 1.53Bilirubin level after surgery : total 3.81 direct 1.69 indirect 2.12All liver enzymes tests were normal before and after surgeryTested negative for hep A , B , C Doctor: thank you for posting query.post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain.need further evaluation.advice:- get an ultrasound (abdomen) to rule out any stone remnants in common bile duct- also get a complete blood cell count(CBC) test- avoid OILY food altogether- for few weeks, you may need to take nexium/pantocid 40mg once daily before breakfast- avoid eating stomach full and mouth full- avoid spicy food wish you good health.further queries are welcomed.wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for elevated bilirubin level after gall bladder removal"
}
] |
[
{
"from": "human",
"value": "Source: Patient: HiMy son 6 years old is suffering from stomach pain since 2 days accompanied by loose motions. He did not pass stool today though. Last night his family doctor advised eNterogermina how should the dosage be administered. Kindly suggestMany thanksDivya Doctor: Hi...Enterogermina is a probiotic and it can be given as 1 full vial as twice a day for 5 days. But if the diarrhea is already settling I don't think you need to give any probiotic now. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: How to administer enterogermina?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a sharp pain two inches below left rib cage. This will be accompanied with intermittent vomiting throughout the day producing no more than clear sticky liguid, unless I have up digested food. This pain is also acompanied by a large lump on my bottom left rib, which disapears whe the nausea and pain subside. I can suffer with this daily, or maybe every three weeks Doctor: Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details updated from you.I understood your health concerns.Based on your query data, In my opinion ,Dear You seem to suffer fromChronic Pyloric Partial obstruction,as projectile vomiting is not there in your case.The frequency of 3 weeks suggests more in favour of Partial obstruction.Causes for Partial Pyloric Obstruction/Stenosis need to be investigated for the proper treatment of your case.Chronic Duodenal Ulcer with obstuction/Ca Pyloric Stomach/ Congenital Pyloric Stenosis needs to be ruled out by proper investigation in your case. Disappearance of large lump with pain below left rib once nausea and pain subsides is very characteristic presentation, to indicate the hypermotile hypetrophic Gastric Body causing lump in your case under left rib.Surgeon with Gastroenterologist would be the better combination for evaluating your case.Possibility of other such causes- as Colonic mass under the left rib and IBS and others needs to be ruled out.Treatment-Treatment General-Fluid Diet mainly/Avoidance of solid,fried spicy food/Frequent small liquid meals/Vit B12 500 mg subligual before surgery/High protein low carb diet in puree form with plenty of watery base would be needed to prepare the case before planning surgery,so as to withstand the imbalances and stress of surgery.Investigation -Get OGD scopy(Oesophago-Gastro-Duodenoscopy) done and carry out Biopsy of the obstructing pathologyCT Constrast study of Stomach and Colon would fix the cause of the lump under left rib in your case.Surgical Excision with Bypass procedures would be planned as per the need of your case, by your GI Surgeon in tune with the investigated outcome.Hope this reply would help you to evaluate your case and treat it with your doctors in time to come.Hope this would resolve your query and worry and Anxiety accompanied with it.Welcome for any further query in this regard to ME.I would love to help you out.Awaiting for any further query.Wish you fast recovery from this intriguing health problem.Have a Good Day.Dr.Savaskar M.N.M.S.Genl-CVTS -Senior Surgical Consultant"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp pain and a large lump on the rib cage"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a pinched nerve in my upper back/neck and it has caused a burning sensation in my right arm. I have done stretching exercises gone to a chiropractor and massage, it gets better for a couple of days then my arm starts burning again, its been about two months, what can I do to relieve the pain? Doctor: In my opinion you need to permenantly fix your round shoulder , strenghth your shoulder retractors and strech your pectoralus muscles , once round shoulder is fixed you problem will be permenantly fixedGood Luck"
},
{
"from": "gpt",
"value": "Target: What relieves the pain and burning sensation in the right arm due to the pinched nerve in the neck?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I feel I have extremely painful spasms in my right leg, groin and soreness in the upper hip right side. I get numbness in both legs if I stand in one place a long time. Cannot sit for more than 5-10 minutes because I start to get pain in the rightleg.....when I get up I cannot move or bear weight on my right leg/foot. It started as 30 sec. and now can go to 10 minutes of horrible spasms from the groin all around my leg......what is it? Doctor: Hello, As a first step you can take analgesics like Paracetamol or Tramadol for pain relief.If symptoms persist you can consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful spasms in the right leg"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi, i m 19 years old and living bachelor in hostel. i have a problem of night falls, i think about a month i get night fall after one or two days contineously now i m weak day by day and also memory loss. so dr: sahab what i do to control this???? plz ans me i m worry about it Doctor: Hi, The nightfall usually doesn't cause such weakness as described by you. However, to control it I suggest you watch less porn if applicable in your case. Yoga, meditation helpful in such a case. I suggest you practice early morning light exercise. You should focus on study and make short and long term goals for study. You can take help of psychiatrist or sexologist for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to control nightfall?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a 14 year old son, who has had the same illness three times since March last year. It starts with nausea for three or four days with stomach pains and no appetite - then he begins to be sick a little, mainly bile. The hole epsiode last for almost a week. Each time we don t know of any other sickness bugs around and neither my husband, my younger son or I have been sick either. I am a little concerned that it may not be a bug. I have also noticed that the whites of his eyes are more yellow than ours. I have visited my local GP who felt my sons tummy - but he did not want me to speak to him (as he felt my 14 year old son was old enough to talk for himself) so I don t feel he got the whole picture. My son is eating ok and seems well in himself again. But his eyes are still more yellow. kind regards Mrs kempton Doctor: Hi.... I understand your concern. By what you say I feel that your son should be evaluated for viral hepatitis, which goes on like a chronic active hepatitis I suggest you consult your son's pediatrician or a paediatric gastroenterologist regarding this.He needs to be worked up for hepato tropic viral diseases and also autoimmune hepatitis keeping his age in mind.I suggest you also not to neglect this as you are saying that the white portion of his eye balls are yellower than normal.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stomach pain and nausea in a child"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I'm 17yrs old and I've been having a lump in my scrotum (which I think is a varicocele) since more than a year now. It's just above my left testicle and feels like a network of worms, thick ones. It causes discomfort and I feel it has also shrunk my scrotum. My scrotum hangs loose all the time. And now, I feel my right testicle is also getting the same thing. It hurts me in the pubic region, on the right (it used to hurt on the left side when this lump was starting to occur above my left testicle). I couldn't share this with anyone as I couldn't gather enough courage.... Doctor: HelloThanks for query .A lump with boggy feeling just above the left testis is mostly due to Varicocele and needs to be confirmed by clinical examination .Consult qualified General Surgeon for clinical assessment and get following basic test done to confirm the diagnosis 1) Ultrasound Scanning of Scrotum 2) Color Doppler study of Scrotum .Further treatment (Need for surgery )will be decided by him depending upon the grade of Varicocele .Using a scrotal support will help to get relief from pain and discomfort .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What could cause scrotal lump?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been taking progynova since last 18 days. The dose is 2mg BD. I am having severe pain in my right leg below knee and even worse in the upper part of foot. I used to have pain in the right leg most often below knee even before taking medicine but now its worse. Doctor: Hello. The pain in leg and foot may not be related to progynova. This can be due to low levels of calcium or vitamin D3 or due to arthritic changes. The proper examination will help in finding the cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest medications for pain in leg & knee"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m noticing that I lose hair from my head all day long... I ve typically shed throughout my life but have always had very thick hair. Now my hair continues to shed , not in clumps but all throughout the day I lose pieces of hair & my hair is not as thick. I m worried about losing too much. Is this common for mid to late 40 s? Or what could cause this to happen? Doctor: Hello dear,The causes of hair loss/thinning of hair are:1. Environmental factors2. Stress3. Deficiency of certain minerals, vitamins & amino acids in diet. e.g. zinc, Vit B complex, lysine.4. Hormonal causes like Thyroid disorder, etc.5. Any incidence of surgery, shock, etc.Management includes:1. Treating the underlying cause2. Avoidance of stress3. Dietary modifications4. Minoxidil solution to be applied locally to stimulate the hair follicles5. Multivitamin & mineral supplementationIf hair fall is still not under control, it will be better to consult a Dermatologist to find out the underlying cause & start treatment accordingly.There is no need to worry. Your hairs will grow back again.Wishing you a Good HealthTake care."
},
{
"from": "gpt",
"value": "Target: What causes rapid hair loss?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: White Skin Tab under tongue floor of tongue - what is this I was brushing my teeth and I noticed under my tongue on the floor of my mouth what looked like a white skin tab - i guess u would call it. I started going on line and looking this up and found all these things about tongue cancer and I am making myself nervous and crazy. I also started taking antibiotics last Thursday because I had a route canal done on Monday. Can you please tell me what you think it is - I am very nervous. Thanks in advance for your help. Doctor: hi; the white skin tab need not be cancer .You noticed it recently secondly there is no severe pain.It can be a oral thrush (infection )which occur due to some infection or some times with even antibiotic .I think there is no need to worry.Cancer is when you have any prolonged ;painful ;affection which is not going by any treatment.Don't worry you can apply borax glycerine also take some multivitamins & it should settle .If you are still worried consult your dentist he will guide you . thanks"
},
{
"from": "gpt",
"value": "Target: White skin tab under tongue floor of tongue - what is this?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I just got my retainer today and 2 hours after my appointment I look in the mirror and one of my top two front teeth is being pushed back and is loose. I have an appointment tomorrow morning to get it checked out, but I'm freaking out. Is it gonna fall out? Do I leave in my retainer? Doctor: Hi..Welcome to HCM..As per your complain it seems that the retainer is putting excessive pressure over your teeth and it is causing backward pressure and loosening of your teeth..This sudden movement can be harmful and can even cause loss of tooth if the pressure is not relieved from the tooth..I would suggest you to consult your dentist immediately and if the retainer is removable, do not wear it until you consult your dentist/orthodontist..Avoid chewing anything hard from the loose tooth to prevent further loosening..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for loose front teeth"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My Renal Ultrasound findings were kidneys normal in size with iso to slightly hyperchoic parenchymal echotexture compared to the liver. Right Kidney measures 10.6 cm and left kidney measures 10.2 cm. No mass, stone or hydronephrosis can be seen. No free fluid.Impression is slightly increased renal echotexture consistent with medical renal disease. Please correlate with clinical exam findings. No obstruction or suspicious mass.Can you tell me what this means? Doctor: Hi,There is a possibility that your kidneys have mild damage. this can be easily assessed by means of a few tests like Blood urea, and Serum Creatinine, and a urine examination for proteins, and maybe an estimation of your kidney filtration rate if any of these tests show any anomaly.On the other hand, if all these reports are within normal limits, you can rest easy, and probably follow up with a yearly ultrasound, and may be a test called urine for micro-albuminuria for early detection of kidney problem.Hope I have been able to help you."
},
{
"from": "gpt",
"value": "Target: Can any online doctor help me with the results of renal ultrasound?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Thought had chest pain. Went to cardiologist. Everything, ECG, echo, etc. came back fine. Been on doxycycline for 5 weeks. Cardiologist said thought was this was cause of symptoms and I should go off of and speak to dermatologist about a different antibiotic.Still having pain 48 hrs later right under sternum when pressure. Had this \"full feeling\" last few days since cardiologist visit.Could it be anything else? Or, just wait and see? Doctor: Pain like pressure sensation is cardiac pain, when you put pressure in the sternum and it cause pain and with history of taking doxy , is mostly due to gastritis which doxy is known to cause. Take an antacid for the time you are on doxy though not at shame time, 2 hrs gap, also taking doxy with food will help rather than empty stomach Regards Dr priyank mody"
},
{
"from": "gpt",
"value": "Target: What causes pain under sternum when put pressure?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: About three times a year I get this pain in the side of my cheek, it feels like a irritated nerve like a thousand knives stabbing me in the side of my ear, Ive been to E.N.&T. he thought it could be a jaw disease, after blood test were done, all test came back negative, so I went to the dentist and nothing found there either, do you have any suggestions? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your explanation it looks like problem with the nerve that supplies the face that is Trigeminal nerve and the symptoms are pointing towards Trigeminal Neuralgia. So my suggestion is to consult a Neurologist and get evaluated. An MRI scan can help in diagnosis. You can be advised neurotic painkillers like Carbamazipine, Gabapantin etc to relieve pain Also certain invasive procedures like Gama knife surgery, ballon decompression can help. .Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: How can pain in the cheek be treated?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my dad went though the engiogram test in apollo hospitals, bhubaneswar ad it was detected that he has 3 blockages in his heart. As i am staying in Chennai and chennai is known for cardiologists, can you pls suggest which hospital will be good for engioplasty or open heart surgery in chennai? Doctor: Hello dear and thanks for posting your query here.I understand your concern but what you need is a good cardiologist or cardiothoracic surgeon and not necessarily a good hospital.As you know, there are many good doctors in Chennai, you can just go to anyone of them and get your dad treated.Thanks and all the best"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for blockages in heart"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi im pps mother with a normal kids,, but when i read alot of pples history of pps mother with nomal kids i found some of da kids get polio from their mother after along time,,, so my question is if my kids r normal now do u think in future they may be get a polio Doctor: Hi, welcome to HCM. I think you don't have to worry about anything, your children won't get Polio from you. Give them proper vaccination of Polio. That will be enough for protection from Polio. I hope this has helped you. Wishing your child good health. Take care."
},
{
"from": "gpt",
"value": "Target: Do children get polio from a pps mother?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello sir,I'd like to know the reason behind clinical depression in teenagers as I was diagnosed with it when I turned 18. Now I'm 21, I'm still on medications (Lamictal) but I have improved a lot. Now I'm ready to start college but I'm still upset about this illness as I'm the first one in my family. And it's just feels like God is cruel that I had to go through all this. Is there a permanent cure for bipoalr depression or even regular clinical depression. Thanks a lot. Doctor: Hi and thank you so much for this queryI am so sorry to hear about this depression that you had and currently still taking drugs for. Depression is often caused by some difficult experiences or moments in our lives. Drugs and counseling are used to manage this condition. Treatment is not lifelong and can always be stopped when you are doing a lot better. If symptoms should return after getting oft treatment, then you would most likely be asked to return to taking these drugs. It may be a wise option for your doctor to see if you are doing good enough to stay off medications. If you show good clinical state without drugs, then you may continue your life without necessarily being on drugs. I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD."
},
{
"from": "gpt",
"value": "Target: Is there permanent cure for bipolar and regular clinical depression?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, Good evening I had a 6 months old boy baby. Now me and my husband are having sexual relationship but without taking precautions we did 3 times. But we don t want another baby soon. am getting afraid if i get pregnancy soon. and after delivery i didn t get periods. how i test this and when i will get periods. if i get pregnant what are the steps to be taken to avoid it. please give suggestions. and i had right breast pain while feeding left one. but am feeding both. till i had pain whats the reason for this. waiting for your reply. Thank you Doctor: Hello. Congratulations on your recent delivery. Couples who rely on breastfeeding to prevent another pregnancy are taking a bit of a chance. Many nursing mothers begin ovulating within two to three months of delivery, while others may not ovulate for a year or more. The problem is, there's no way to predict when you, personally, will become fertile again, so you could actually ovulate, conceive and get pregnant without ever having a period. Thus, if you want to prevent pregnancy you should at least use condoms, and you may want to talk to your doctor about other forms of birth control. Now, your breast pain might be a symptom of mastitis, which is a common problem in breastfeeding mothers. Mastitis is caused by a bacterial infection in the milk ducts of your breast, and it can often be managed by simply applying warm packs to the breast. It's okay to continue feeding your baby from both breasts, even if you have mastitis. If your breast tenderness doesn't improve within a couple of days, see your doctor; you might need an antibiotic to get things cleared up. I hope that helps. Enjoy your baby boy!"
},
{
"from": "gpt",
"value": "Target: Have 6 months old child, having sex without precautions. Steps to take to avoid pregnancy ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am age 51. 6'1'' 196 lb non smoker, 15 years ago was diag. with bilateral testicular cancer. had them removed and went through radiation. was told 99% no reoccurance. every year I get a check up and at 50 had colonoscopy, a benign palap was removed \"everything else ok\" I get my psa tested every year and its .002. Thoughout all of this time of exams I have noticed that my urine flow has been slowing. I am able to fully empy my bladder, I drink coffee all day long and recently have replaced afternoon coffee with water and am drinking about 32-48 ounces per day. I do usually wake up once in the night to go to the bathroom but that's it. It seems like the flow may be slowing down just a bit more over the past few months...kind of like a kinked hose. no pain, no discolor in urine. My last psa was in Jan. and all clear then, what should I do to un kink the hose? or should I go back to my primary? Doctor: Did you check the size of your Prostate gland. Some time it is due to enlargement of prostate gland which the most common cause to reduction in urine flow at this age . You can get relief from some Ayurvedic medicines like Gokshuradi gugulu and chandra prabha vati . Regards"
},
{
"from": "gpt",
"value": "Target: Bilateral testicular cancer, had benign polyp. Done radiation, colonoscopy. Had PSA tested. What does it mean?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Is it possible to receive cancer, in your eyes, for being in the computer too longAge: 16Height: 5'11Weight: 185 lbsWhen I was young I was overweight, as I grew I lost it and maintained the average weight. Until I grew to twelve years of age, then I began to eat more junk food, and awful beverages that increase weight. I have gotten all vaccination shots and am perfectly healthy as I write this. Doctor: Thanks for your question on HCM. I can understand your situation and problem. In general eye malignancies are very rare. The common eye cancer is Retinoblastoma. It is common in extremes of age, in less than 10 years and more than 60 years. The most common cause for this is genetic mutation. Retinoblastoma gene is responsible for this. So eye cancers are very rare and if at all occur, occur in susceptible individuals only. Since your age is 16 years, possibility of eye cancer due to excess computer work is very less. But this will certainly damage your eyes. So better to take intermittent rest in between computer work."
},
{
"from": "gpt",
"value": "Target: Can cancer affect the eyes?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I notice a tiny hole popped up on my finger surrounded by hard dry skin. No pain or irritation. Now the same holes (looks like pinholes) just popped up on my penis. Two of them adjacent to eachother??? I'm going to see the doctor but just curious of what it is Doctor: HIThank for asking to HCMI really appreciate your concern, your given history is very unusual because if this is allergic condition then this should be generalized and not the local on just finger and penis, this could be non specific type of skin lesion and that would go away soon, still the clinical examination is the only way that can clear every thing, have nice day."
},
{
"from": "gpt",
"value": "Target: Noticed a tiny hole popped up on my finger and on my penis"
}
] |
[
{
"from": "human",
"value": "Source: Patient: How can one get rid of lipoma-benign fatty tumors? I have about 20-25 on each arm. Might be caused by a liver that doesn't break down fat.They are hereditary. The ones my father had removed grew back, so that is not an option for me. What can you suggest? Doctor: Hi Dear ,Understanding your concern.As per your query you have multiple lipomas around 20- 25 on each arm which is a pure benign condition and need not to worry much about it. A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. A lipoma is n't cancer and usually is harmless. Treatment generally is not necessary, but if the lipoma bothers you, is painful or is growing, you may want to have it removed. You most likely have the diagnosis of familial lipomatosis as you said your father had the same. Treatment can include simple excision, endoscopic removal, or liposuction if large. Liposuction, whether laser Liposuction or traditional will leave some of the lipoma cells behind which over time will probably recur though it may take years. So consult surgeon for proper examination and treatment . Applying Apple Cider Vinegar and turmeric powder will help in reducing the size of lipoma .Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: How to get rid of lipoma-benign fatty tumors?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have some slight tingling in my calf primarily the right one. after leaving the military 4 years ago i have lived a very sedentary life style due to medical issues(non related) a friend suggested i should worry about blood clots in my legs due to the inactive lifestyle Doctor: inactive lifestyle alone isn't enough to give you clots in your calf unless you have.a medical condition that predisposes you to making clots. daily leaving activities are enough to make your blood circulate. I wouldn't worry about a clot unless you are over 40, overweight and sits in front of TV for more than 4 hours without even moving to go to the bathroom."
},
{
"from": "gpt",
"value": "Target: Is slight tingling in right calf a sign of blood clots?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: been going on for over a year with upper adomen pain. Had upper and lower GI. The doctor said it might be a hiatal hernia. Got on very agresive acid reducers. The pain has gone but now pressure and shortness of breath. If i breath deep i get light headed. Doctor: Hiatus hernias have a relation with bronchial asthma. I would suggest you get a Pulmonary Function test which is a breathing exercise and it will reveal all. Feel free to contact us again if need be. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in upper abdomen"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I discovered a pea sized lump on the outside of my inner labia a few days ago. It was somewhat tender to touch but I wasn't really aware of it unless I was showering or using the restroom. It appeared slightly red but had no \"whitehead\" or scabbing or peeling. Today it is completely gone. What could this be? I don't grow hair in that region so I don't really think it was an ingrown hair and I've been happily married for 8 years so I don't suspect an STD. ?? I am 5'4\" and 118 pounds. I just recently had a pap smear (did not test for STD's though) and that came back normal. I've had 3 c-sections with the most recent one 10 years ago. I did have start some breakthrough bleeding (I'm on Tri-sprintec) around the same time the lump appeared and I'm still bleeding. Is this something normal? Should I call my gynecologist about this? Thanks very much! Doctor: HI,Dear, Thanks for the query from you for pea sized lump on inner labia, which was tender,red,without whiteheads etc,which vanished lately.1-I feel concerned that you are serious to know why this labia minora lump had grown n vanished lately ?2-In my opinion this inner labial lump is infected sebaceous cyst,which was drained in turn.3-You should not worry for the STD as its cause ,but a test may be needed if your ER doctor feels,after getting more details from you.4-Hence I would advise a second opinion from a gynaec specialist who would do -CBC etc.This would give lead on your worry which you expressed about labia minora-lump. 4-a-A drug trial with proper antibiotics, would resolve your worry,by clinical trial also.5-Hence I would advise ER gynaec- Surgeons opinion.Hope this would resolve the causative worry of the patient in question 6.If treated on this line, the fearing patient , should not worry you much.7-Hope this would solve your worry of the lump outside labia minora.8-Wellcome to HCM for any more query."
},
{
"from": "gpt",
"value": "Target: Is it normal to have a small lump outside labia minora?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I hit the top of my head yesterday on a concrete wall. It was a mild impact but hurt. About 5 hours later i got very nausea and vommited about 4-5 times. After that i felt fine. Could the vommiting just have been from yogurt I ate 30 minutes prior to vommiting?.... The head is still sore today but no other major bad signs Doctor: If it was a single episode of vomiting & there is no bleeding from nose, mouth or ear, no convulsions & more importantly, no loss of conciousness after trauma even for a minute, then nothing much to worry. Just observation for if there is any further deterioration is sufficient.Examination once for eye signs, vitals, reflexes is advisable.If there is vomiting again, see your doctor soon.Hope this information is useful for you.Thanks. Regards."
},
{
"from": "gpt",
"value": "Target: What could nausea,vomiting and soreness on head due to hitting indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi there. I m a male and I had a kidney stone removed two days ago. I really don t wish to go through all that again, so the doctor s advised me to drink lots of water. Does the pH level or amount of sodium in my bottled water matter or will any tap or bottle water do? Any other advice would be appreciated. Thank you. Doctor: Hi thanks for your question. Neither the bottled water,tap water,sodium content or ph of bottled water is going to form stone again.Kidney stones are usually calcium stones and rarely phosphates and low urinary ph fascillitates stone formation.That is why your Doctor has advised you to take plenty of water to raise urinary ph.Food containing high content of calcium should be avoided. Hope this answers your question."
},
{
"from": "gpt",
"value": "Target: Surgery done to remove kidney stones. Will pH level, amount of sodium in bottled water causes further stones?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my six year old will be undergoing operation for his chalazion tomorrow under g.a in our local civil hospital.what are the complications of GA?i noticed the cyst on 5days ,is it necessary to undergo the operation so soon?any chance it may eventually subside with warm fomentation and massage? Doctor: HiWelcome to the HCMI understand your concerns. Chalazions are chronic, painless, granulomatous inflammation of the meibomian glands present on eyelids which results from obstruction of the gland duct. Usually if it's having such a short history, in my opinion you can try the following measures:1. Warm compresses for 5-10 minutes, 4-5 times daily2. A proper massage after warm compresses can encourage the cyst to drain. Do this gently, with a clean finger or cotton bud, in the direction of the eyelashes.3. Cleaning the eyelid twice per day removes grease and grime that may contribute to cysts forming. A weak solution of baby shampoo in warm water is ideal.If it's not associated with much discomfort then I would recommend you to wait and watch along with the above mentioned measures. Hopefully it will respond with out any need for surgery.For further questions, do contact us."
},
{
"from": "gpt",
"value": "Target: Is there a need for operation for chalazion so soon?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: pregnancy ok i want to have a bby i was on birth control for five years five months of the pill and the rest depo...ive had cyst on mi overies...and like five std but everything is gone....my questiom is......can i evan get pregnant r shall i give it up??? Doctor: Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) You need to know what type of cyst they are? Endometriotic?2) Simple cysts disappear by themselves and dont need any treatment.3) Overall there should not be any problem in conceiving.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya"
},
{
"from": "gpt",
"value": "Target: Can i get pregnant with cyst in my ovaries?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: well ever since i was old enough to notice ,i had a Little bumps with a whitish end small but noticeable and not a lot around the ring of my penis but i went to a med and he told me that it was not herpes cause herpes cause pain,itching,and transportability,witch i don't have ,but i really want this to go away, what might it be ? Doctor: Hello,If you have shared a picture of these lesions it would be of great help for me to diagnose. With your given description it seems like fordyce spots which are benign spots fades on itself although harmless. I still suggest you to take a formal consultation of a certified urologist and follow his advice with the diagnosis and treatment if needed any.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes bumps in penis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: respected doctor, i am a mother of a son name XXXXX he is in a age of 8 year he is suffering from some brain problem my doctor had asked me that there bug in his brain and it comes from some food they have prescribe him valparin in medicine. i want to ask you that is it possible can any bug can go through stomak to brain from foods. Doctor: Hi, Thank you for posting your query. Your son is most likely suffering from neurocysticercosis [NCC], which is caused by tape worm infetion. This infection comes from the infected food, and enters the brain in some cases. In most cases, the worm passes out of stool. There is no need to worry, as it is fully treatable with medications. Please follow the advice of your neurologist. Best wishes, Dr Sudhir Kumar MD DM [Neurology] Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Suffering from bug in brain. Prescribed valparin. Possible for bug to pass through stomach into brain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My brother has stage 4 esophagus cancer that has spread to lymph nodes bones etc. he now has blocked bile ducts and his bilirubin is at 14 and has been there for at least a week. He is getting worse every day,is not eating much.I think his liver is failing.He will not get better I know,but I hope he does not suffer this way for long. What can we expect to happen from this point on? Doctor: Best supportive case is the only answer as bone metastasis is stage 4 and , best supportive care means relieve of pain of bone spread and relieve of jaundice. for bone pain, patient can be prescribe radiation therapy of short course followed by routine NSAID Pain killer and Morphin tablets by registered Oncologist, and for relieve of raised bilirubin because of obstructed bile duct by palliative 5FU based chemotherapy after radiotherapy treatment provided general condition permits it.but in real sense its dismal disease we can only give symptomatic relief not any else except minimal 2-3 month survival with good quality of life."
},
{
"from": "gpt",
"value": "Target: Stage IV esophageal cancer spread to lymph nodes, blocked bile ducts, bilirubin 14"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi i have had a blood test because i have red eyes and a bloated stomach,and my test came back with my c reactive protein at 6.5.I suffer from pain in my abdomen and have had scans wich show i have kidney cysts in my right kidney,which they will not touch as im only 31.i am fed up of this after two years and have been told they are all seperate please help Doctor: Hi, dearI have gone through your question. I can understand your concern. Your other symptoms has no relation with your kidney cyst. Treatment of cyst depends on size and location of cyst. Small cyst can be treated by conservative way. Large cyst need to be treated. Many options are available. Aspiration, decortication or surgical removal are the treatment available. Consult your doctor and take treatment accordingly. Decrease the salt intake in your food. It will reduce the blood pressure and reduce the burden on kidney. 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: Suggest treatment for kidney cysts"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a liproscoptic removal of my left adrenal gland that had an 8 c tumor---after 1+week I developed a terrible smelling problem--I sometimes have to use a face mask to defuse weird smells in rooms large or small-I am ok outside most of the time-is this from the surgery, pain meds, or what & how long will it last. Food smells bad put tastes ok Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Adrenal gland removal does not cause such symptoms and it might be due to something else.Sometimes anaesthetic drugs can cause alters smell( Parosmia ) and will settle by it own.As of now nothing much has to be done and wait for few days.If symptoms persist, better to consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can removal of left adrenal gland cause a feeling of bad odour in rooms?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am tapering off of generic lithium carbonate taking one 150mg every other day today is day 6 of the every other day. I have been on it for a year started at one then two then three back to two now one. Hate doped feeling tired and wired. I want to know if I can start taking the natural liquid lithium carbonate and how much. My kind psychiatrist is still a shrink and all they do is want to drug you a little or a lot and my system and brain is fried. I am adrenally burned out. Hormones are shot to pieces as well. I am turning 62 in 10 days and cannot mess with hormones as my mom died of ovarian cancer at 59 and I inherited the mental disorder curse from her and her mother. Doctor: HiLithium carbonate should always be tapered under guidance of a psychiatrist,It's a very toxic drug,Doses should be tapered off by 50 mg per week.Sudden withdrawal of the drug can cause increase in symptoms,Hence don,t try to taper off mmedicine on your own.Do it strictly under guidance of a pyschiatrist."
},
{
"from": "gpt",
"value": "Target: Suggest dosage for natural Lithium Carbonate to treat mania"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am 28 year old male who has recently discovered blood in my semen after intercourse. It has to my knowledgle never happened before, but couple of months ago I did suffer with a dull ache in my lower abdminal above my groin area and did seek medical advice and was advised it might have been a pulled muscle. Could you please advise me if possible . I am 6ft \"2 and quite healthy weigh 14stone 10 . michael Doctor: Hello Michael. Thanks for asking on Healthcaremagic. Blood in semen commonly might occur due to any internal injury which might get relieved on its own in due course of time. Other ominous causes which are more common in old age are tumors or infections including tuberculosis. However in developed countries tuberculosis is not that common. Wait for some days and then get your semen analysis done in any reputed lab. The finding might suggest infection if associated with increased pus cells. Or it might clear up by then. Thanks"
},
{
"from": "gpt",
"value": "Target: What causes blood in semen?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had a red itchy rash on my legs and now my arms for several month, I have pain in my legs and sometimes my legs give out. I have been to the doctor several times, they have taken blood, and I ve had a chest x-ray. They don t know what this is. They had me on doxycycline for a week, it got worse, then the dr put me on prednisone for a week. the prednisone helped for a few days then it came right back. Is this Lupus? Doctor: Hi and thanks for the queryI am Dr. Alok and very pleased to be assisting you with your health questions today.it might be lupus, I advice you to go for ANA test. This test is really helpful to rule out lupusHope this helps and provides answers to your question.If you have any further queries, please don’t hesitate to ask me againI wish you good health, take care--Dr. Alok"
},
{
"from": "gpt",
"value": "Target: Can itchy rash on the leg be lupus?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Is Gamma gt level of 66 very injurious to my health ? What problems will this create Doctor: welcome to healthcare magic .... Elevated GGT levels signifies liver injury, could be alcoholic liver disease or liver disease secondary to congestive cardiac failure or Biliary tract obstruction. Is it injurious to health ??? Actually elevated GGT levels just tell us that there has been some liver damage or damage to biliary tract. So what is that damage and what caused it can tell us how injurious is it to you. Get your LFT Liver Function Tests , the levels of SGPT and SGOT will tell us the exact amount of hepatic injury..."
},
{
"from": "gpt",
"value": "Target: Gamma GT levels of 66"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi my mom is 87 was just in the hospital for acute bronchitis. she already takes high blood pressure medicine and when in the hospital they put her on amlodipine besylate 10 mg. She is out of hospital cough is gone but she is so extremely tired and out of it..........i read up on the above drug and the side effects are everything my mom has should I discontinue that medication....she was doing fine without it before. Doctor: Hi,I have gone through your query and I can understand your concerns.Amlodipine is a relatively safe drug and does not cause serious side effects, especially in short term use as in your case.There is no relation between amlodipine and bronchitis.There is no contraindication for amlodipine in bronchitis.Its better to follow doctors instruction and please do not discontinue the drug your own.You can consult her treating physician regarding this.If she can maintain her previous level of blood pressure she could probably skip amlo according to physician's instruction.Hope this helps,Regards.Dr.Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Is Amlodipine safe to be taken for acute bronchitis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My dad is 7 years into pancreatic cancer, none aggressive form, and is currently off chemo. With his doctors blessing we are trying Rick Simpson Oil (hemp oil). He is on day 5 of taking the oil, less than a 1/2 gram. He is tolerating it okay with the exception that his blood pressure is staying low. He is on medication for low blood pressure already but we want to know if there is anything else he can take to help to raise it naturally? Doctor: Thanks for your question on HCM..Ask him to drink plenty of water. He can also take fruit juice and other liquids like soups etc. Any form of liquid will helrising blood pressure. He can also start oral inotropic drugs.These drugs act on myocytes ( cardiac muscles) and cause forceful contraction. By this forceful contraction blood pressure rises.So you can discuss these options with your cardiologist before starting."
},
{
"from": "gpt",
"value": "Target: How to treat pancreatic cancer?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor Sukhwinder, you very lucidly answered my queries. Doctor, you are aware of my case. While walking fir a kilometer or so I feel, not pain but, some sort of discomfort in chest-say 2 on a scale if ten. It does not deter me from going ahead with my walk which is normally three kilometers. You can call me crazy but after you, Iconsulted two more Cardiologists. One said that I should undrrgo a stress ECHO followed by Angiography, if warranted instead of straightaway going for Angiography. Theother Cardiologist said my problem is manageqble conservatively. What do you suggest considering the minor discomfort I feel while walking. Doctor: Hello, welcome to HCM..Thanks for writing to us. Following are my comments:You should go for a EKG followed by a ECHO,which will give an idea about any regional wall motion abnormality (RWMA),following which next necessary steps may be taken.No invasive procedure like angiography and angioplasty is needed right now.consult with your cardiologist after the ECHO report is available.Hope i have answered your query.stay well,Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for discomfort in chest after walking"
}
] |
[
{
"from": "human",
"value": "Source: Patient: which one more risk for hepatocellular carcinoma , hepatitis B or C, and why? Doctor: most cases of hepatocellular carcinoma are secondary to either hepatitis B or C, or cirrhosis the degree of liver damage is enhanced in both these viral disorders(hep-B&C) but studies show the rate is higher in case of hep-B"
},
{
"from": "gpt",
"value": "Target: Which hepatitis grade is more risky for hepatocellular carcinoma ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son is 14 months and has been having an orangey yellow loose stool for almost a week now. This has been accompanied by a ear infection, low/mid grade fever, runny nose, chest congestion, and dry cough. I have only treated with advil as ped told me to run its course.Should I be concerned? Doctor: Hi...with all these going on in a febrile child, I feel that he is having a viral illness going on. Fever of few days could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regarding diarrhea - Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for loose motions,ear infection,fever and cough"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my brother had under gone a blalock tausing shunt in 88 & bt glenn shunt in 97 and he is a patient of tricuspid artresia.from past 11 yrs he din t had any health problem,but frm past 2 yrs he started swelling his foot frequently .recently he got admitted & treated in hospital for 5 days & faced severe health problems, like foot swelling regularly,irregular heart beats,feeling shortness of breath,vomitting . Now he is condition is ok as he has been advised to have medicines 1)cordarone 100mg,2)torlactone ls,3)acitrom1mg,4)fefol,5)lanoxin,6)envas 2.5mg. As his Hmg level is 20 & roteins level is 5.3. so i want advise from u that is there any possibility to make survive for so many years.if so plz reffer me. Doctor: Hi, I understand your concern and would explain that his symptoms could be related to heart failure. I would like to review his cardiac ultrasound report in order to be able to give a more professional opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling of foot after blalock taussing shunt"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Q : my SGPT is 122 and SGOT is 53, Biliburn is 0.33 . USG reports mild fatty liver what could be the cause and i have befor haptitesc then i take 6month madcion after pcr report nighitev pls til me y i have fatty liver i am not usue aclol and not somking Doctor: Hi and welcome to Healthcaremagic. I understand your concerns..The most common cause of fatty liver is alcoholism and heavy drinking. In many cases, doctors don’t know what causes fatty liver in people who are not alcoholics.Fatty liver develops when the body creates too much fat or cannot metabolize fat fast enough. The excess fat is stored in liver cells where it accumulates to form fatty liver disease. Eating a high-fat diet may not directly result in fatty liver.Besides alcoholism, other common causes of fatty liver include:obesityhyperlipidemia, or high levels of fats in the blooddiabetesgenetic inheritancerapid weight lossYOu need to remove these risk factors and then repeat tests to see if there is improvement.I hope I have answered you queryKindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: What causes fatty liver?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello-I have a lump the size of a ping pong ball on the medial side of the top of my calf just under the knee. It has been there for a while and I thought it was a muscle cramp from training. But I have been on vacation for three weeks and it has not reduced in size. It is not painful unless I press directly on it. What can it be and should I see a doctor for it? Doctor: Hi.The size of a ping-pong ball is a big swelling and can be due to lipoma or a sebaceous cyst. You must visit a Surgeon to confirm What it is and to see if it is not related to your joint / synovial membrane. It is always better to get operated for two reasons- one - to get rid of the swelling and Second: get a tissue diagnosis so that the fear of a serious problem goes away."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumps on knees"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a crown on one of my lower molars in the back of my mouth. The crown covers a tooth that was ground down due to the fact that no more fillings could be used on the surface of my tooth...(No root canal done here then). 10 years later....I have been having some minor toothache whenever I bite down on my crown with my upper teeth . Sensititve and slightly hurts...Its not a massive toothache at all but a slight tooth pain whenever I bite down on the CORNER of my crown....Not sure why I have a slight tooth shooting pain when I do that. Does that mean bacteria got underneath the crown and if so, does that mean I will have to have root canal??? I ve made an appt to see the dentist next Wed.... Thanks!!!! Doctor: Hello, Thanks for sharing your concern with us. If it is painful for you to eat, the culprit could be tooth decay, or a slight fracture (crack) in a tooth and have infection developed. Your dentist may advise you to take ibuprofen, acetaminophen or aspirin to dull the pain. Over-the-counter medications containing benzocaine may reduce pain in the affected tooth, or surrounding gum area. To reduce discomfort from swelling, you may be advised to swish warm saltwater in your mouth periodically throughout the day. You can contact me again directly through my profile. Regards. Dr Neha Gupta Dentist"
},
{
"from": "gpt",
"value": "Target: Crown on lower molar. Minor toothache, sensitive while biting. Reason for pain? Root canal required?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My mother in law of age 55 years, suffering from Low haemoglobin count (8.3) PSVT, Diabetes Mellitus (Type 2) - HbA1C - 8.6% and Spondilosis. Recently she have suffered from UTI accompanied with fever (~102 deg F) During UTI, Urine Report shows: Pus cells 110/hpf Protein - present Urine Culture report shows Aerobic culture shows growth of Providencia Viable bacterial count 1,30,000 colony/ml. Medicated with: Levobact-250 (2 daily) - Fever is recovered through this medicine. Although low quantity of Urine and not clear. Blood Report Shows: Neutrophils : 80%, Lymphocytes: 17%, Monocytes: 01%, Eosinophils: 02%, and Basophils: 00%. Diabetes DM(Type-2) Fasting : 254 mg/dl PP: 210 mg/dl Adminstered with 12-14-12 units of (Human Actrapid) Apart from these: Calaptin - SR-120 Ferium XT 100 Recently for UTI, these are the dosages. However a continuous pain in abdomen and lower back (sides) is experienced throughout the day, with loss of Appetite , and swelling of belly (upper abdomen-just beneath the diaphragm). Please advise what to do as a remedial measure and the cause of the pain. Should we consult Nephrologist (as she was suffering from DM for last 28 years) or Gastro-enterologist. USG of the Whole Abdomen reveals normal Study. Doctor: hi its better to consult nephrologist soon. i think the pain in abdomen is due to gastritis induced by antibiotics and back pains due to spondilosis.avoid spicy and heavy food .take antacid like rhanitidin or pantoprezole.usg will not should any result."
},
{
"from": "gpt",
"value": "Target: Why is there continuous abdomen and lower back pain for my mother in law ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had already experienced what I would describe as lethargy, which I attributed to the Atorvastatin (generic), and then as a gardener with already-weakened shoulder muscles stressed from a thyroid condition (treated) , experienced extreme/throbing pain and weakness for several days after a gardening episode where I had used my shoulder muscles!! I thought, Have I hit a wall where gardening is becoming out of the question? I took magnesium, CoQ10 and B complex supplements, which I think brought me relief! Phew!! Doctor: Hello, You can do gardening with shoulder pain. But I will advise you to do in multiple breaks. As you may not be habitual with this work so the pain comes. Usually, when people don't have the habit of doing certain work and when they tend to do it leads to DOMS (delayed onset muscle soreness). So you should do less work and make it a habit. Regarding the shoulder pain, I will advise you to do shoulder exercises by which you develop some endurance which can help you to the job with ease. In my clinical practice of over 12 years, most patients who are doing a job once in a while I advice them to do in multiple breaks and also take sufficient rest. Meantime I even advised them to improve the endurance of the muscles so the pain doesn't bother much. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Is gardening safe while suffering from severe shoulder pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: For how many months we can take providac capsules? I had taken the same for 4 months now. Though I feel good but somebody told me that I should not have taken for so long. I am worried now. I used to get stomach upsets resulting in hospitalisation very frequently buT after I started to use it I am fine. Doctor: Hello, Let me tell you that providac contains lactobacillus which is used in several conditions such as gastric upset with antibiotic use, diarrhea etc and it is also true that providac can be used for a longer period of time without much bad effect. But as your stomach is perfectly alright and you are not taking any antibiotics, and you've already used it for 4 months, there is no need to continue providac anymore. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Prabhash Verma, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest duration of taking providac capsules"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed yesterday with a herniated lumbar intervertebral disc at the hospital and want to know what is the recovery time. I had a cat scan and Dr didn t explain clearly to me but I was on 2 narcotics nurses gave me for pain when he was trying to explain..joe Doctor: I read your question carefully and I understand your concern.It is difficult to give a precise answer to that question without more info. Herniated disks can be of different grades. If the disc is herniated meaning displaced and producing symptoms due to compression of nerve roots it won't go away just like that, it will remain there. If there is improvement that is due to the subsiding of the inflammation at the site which might be adding to the compression. Certain times though if there is marked compression surgery might be needed.So recovery times may vary. You can feel better in a couple of weeks as inflammation subsides, improve more slowly over several months with pain treatment, physical therapy, local spine injections or need surgery at times.I hope things work out for the best."
},
{
"from": "gpt",
"value": "Target: What is the recovery time for herniated lumbar intervertebral disc?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Our daughter suffered a mild concussion in soccer the beginning of September. Since then she has had more headaches (a couple a week) than she did before the injury and some forgetfulness that is not like her. When she was 3 months old she had endoscopic cranial surgery for sagittal synostosis. Since the concussion we did contact the surgeons office that did the cranial surgery and they said she should not be any different than anybody else. She thinks her response time is not as quick as before the concussion too (could this be a side effect too?) What would you recommend? Thank you. Doctor: Hi,I went through your question.Your doctor is right about the fact that your doughter is like every girl.Never the less i think that you should inform your dr about the girl complaints (the frequency, intensity of headaches? About nausea, dizzines? Is the forgetfullnes persisting? Etc...)If was her doctor i would have liked to visit her and may be consequently having radiological exam.Feel free to ask for further information"
},
{
"from": "gpt",
"value": "Target: What causes headache and slow processing speed post mild concussion?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my daughter is 8 /12 yrs old she is been diagonised of allergioc bronchitis. She is on inhaler seroflo12mg 2 puffs a day. from past 4 months on & off she gets severe respiratatory infection her pediatrician + ent specialist have prescribed antibiotics till now in 4 months she has taken 4 times antibiotics for the same problem now again she is down with chest congestion pls tell me what to do Doctor: Hi, By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. Questions: 1. How many days per month does your kid cough or feel breathless? 2. How many nights per month does your kid's sleep gets disturbed due to the above symptoms? 3. Does your kid feel breathless when running around or playing with other kids? 4. Are the symptoms when there are seasonal changes? 5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.? 6. Is the cough always associated with fever? Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes recurring attacks of respiratory infection in a child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: sir myself Yasir. I am 27yrs old and from beginning of 19age i started to have sexual relaxation with the help of hand(i.e., masturebulation). And today i am with an condition that my semen is like water and my penis size is 5.5 inch. I suffer a lot from night discharge & wet dreams. Now i am traying and avoiding all these habits. I wanted to grow up in a normal condition & because of this i am dipressed please give me any suggestion for treatement,medicines to increase my semen quantity and penis size And please give me any additional information for the same. And can you tell me what we call the physician who treats for this problems for eg: the doctor who treates for skin is called Dermatologist. Doctor: overmasturbation can cause watery semen.do masturbation once in a week.avoid watching porn.avoid being alone and try to mingle with friends.have a nutritious food.avoid smoking ,alcohol,weeds.speman capsules twice a day helps to improve semen viscosity and sperm quality.you jave to consult with sexologist for these problems."
},
{
"from": "gpt",
"value": "Target: Is it normal to have very liquidy semen?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: respected sir for the past five year i suffering from psychology depression problem i check with psychology Dr. he advise me to take Seroxat Tablet 2 years before. still i facing problem can i continue the tablet. (My Problem I Could not able to speek in Meeting I Am Feeling More Afraid ) Doctor: hi dear,you have on treatment and though you have such problem than either stop treatment and change it or increased the dose of molecule nut for that you should consult your treating psychiatrist.for your illness there are many medication like SSRI (selective serotonin re up take inhibitor), SNRI (serotonin and nor epinephrine re up take inhibitor), NASA (serotonin and nor epinephrine antagonist) etc..so discuss with your treating doctor. also psychotherapy works best with medication.Thank you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for psychological problems"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Ok hi lm LOIS 63 yrs old I am no good .Meaning I m tired all the time ,I know I am depressed ,I care about nothing .I could just lay in bed everyday and do nothing.I have been married 49 years ,I have a wonderful husband who loves me dearly.H e does everything for me and the house.There are no money issues or anything to make me this way.I am on Meds ,but I cannot pull my self out of this hole I m in. Doctor: Hello,In my opinion, it is important to rule out low hemoglobin levels and thyroid dysfunction. It is very important to run, to keep out the electrolyte abnormalities. Antidepressant-like Escitalopram drug is also beneficial.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri"
},
{
"from": "gpt",
"value": "Target: What causes constant fatigue and depression?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Curious about the blood vessels on the back of my left hand twitching/pulsating. (It did is in my elbow at the same time today for the first time) This is new in the last several days. I'm 50, 184 lbs. 5'6\" on welbutron and colestrol meds these are not new meds I have been on them for about a year. They tickle and it is just interesting that they are just started. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. It is not blood vessel twitching, it is a muscular twitch.2. The muscle below the blood vessel maybe twitching, which is being interpreted as blood vessel twitching.3. Present medications are not known to affect much twitching, however potassium rich diet will be helpful. Take sweet potato, nuts, fish, avocado etc. It will reduce muscular twitching.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What causes blood vessel twitching on left hand?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a seizure 2 years ago, and ever since then I have these episodes(nothing major), like a reminiscent , panicky feeling. I have been through menopause. Just wondering if anyone else has complained with any symptoms like mine and what to do about it. Doctor: Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice. From your history it seems more of anticipatory anxiety. You are always anxious that you will have one more such attack. These symptoms can be free floating i.e., can occur any time of the day. Consult a psychiatrist you need behavior therapy. Along with that you might need medication. These symptoms can be taken care off. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes panic attacks when diagnosed with seizures?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 25 y.o., 6 feet, about 200 lbs and a smoker with a history of pnuemonia and bronchitis. I have body aches, fells like I have a fever but thermometer says I am just at 99 degrees, weakness, runny/stuffy nose with green/yellow discharge and sneezing. I don't know if I have a flu or a cold or pnuemonia. Doctor: HiThank you for asking HCM.I have gone through your query. Pneumonia is characterized by high temperature dyspnoea cough and chest pain. Your problem can be most likely due to upper respiratory infection. As it is greenish mucus bacterial infection will be present. So better approach your GP for antibiotic therapy. I usually give antibiotic Co-amoxiclav for such case. Take warm fluids like tea with lemon and chicken soup with pepper. Taking chewable vitamin C also will be helpful for early recovery.Hope this may help you. Let me know if anything not clear.Thanks."
},
{
"from": "gpt",
"value": "Target: What causes sneezing,stuffy nose with greenish discharge and fever?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am taking 75 mcg of levoxylthrine. Been on this dosage for years. I am having trouble with fatigue, headaches, back aches, foggy. I am 152 pounds now and the only way to lose weight is to eat very little to nothing. Every time I go to the doctor and they do blood work. I am in the normal range. What should I do? Doctor: Hi Thanks for your query and welcome to healthcaremagic. I have gone through your query and understand your concern.It is advisable you to get your vitamin D3 levels as these symptoms are like vitamin D3 deficiency. Analgesic such as ibuprofen will be helpful to symptomatic pain relief. Multivitamin and mineral supplements are of help. You can discuss with your doctor about it. Hope your query get answered. If you have any other don't hesitate to write to us. Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for constant fatigue, headaches and back aches"
}
] |
[
{
"from": "human",
"value": "Source: Patient: im 18 and have a healthy weight and diet..but 3 days ago experienced chest pains while sitting..it started out with a pain in my neck and jaw and moved in to my left arm, i then started with a strong pain in my chest which lasted 5-10 minutes, i also became sleepy and lightheaded and when trying to stand up became dizzy..the pain in my arm, neck and jaw didnt completelty disapear for nearly 4 hours...i went to the doctors that night who told me it was only a 'neck crick' and didnt think anything of it but over the weekend i contuined with mild chest pains every so often..should i go back to the doctors or leave it? Doctor: Hi,The pain you are telling can just be a cramp and i hope your doctor must have definitely checked for other causes.If the pain does not subside or increase, its better you go back to the doctor for further evaluation.RegardsDr Sameer Maheshwari"
},
{
"from": "gpt",
"value": "Target: Does chest, arm and neck pain with dizziness need medical attention?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello Dr, I had sex on 2nd Jan 2014 after that i got my regular periods on 10th Jan 2014 as usual till 13th Jan 2014. My problem is I missed my regular period (10th of every month) today 13th Feb 2014, is there any chance of getting pregnancy please help my out Doctor: Hello,Do urine pregnancy test, if it is single line then don't worry and if double lines means positive. Delayed period can be due to hormonal imbalance, stress, and illness.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
},
{
"from": "gpt",
"value": "Target: Does late period mean pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi doctor i am suffering from acute bronchitis plu chronic cough which is bad in night and early morning breathing is very tough during that time,i am 44 year old ,the problem this time is from a month breathing is tough at times,doctor recommended me deriphylin,earliar i neubalized with beaudocort 1mg,livolin,montec lc 1 tab bed time and wysolone 10mg for two weeks,had augpen for 10 days 2 tab daily,still bad,suggest something Doctor: HiAccording to the history i would add in the treatment antibiotics,mucolitics,vitamins and liquids.WishesDr.Jolanda"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bronchitis and cough"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I recently had a MRI done on my foot, due to a fracture I had last year, but I am still having pain. The MRI results came back with the following: Soft Tissue Edema Plantar to the 5th Metatarsophalangeal joint Hallux Valgus Deformity I was wondering about the soft tissue, how will this heal to eliminate the pain? Doctor: Hi,Thanks for contacting. Do hot and cold therapy (take one bucket of Luke warm water and one bucket of cold water, dip your leg first in hot water for 3 mins, then in cold water for one min) do it 7-10 times, apply crepe bandage, do less walking and keep your legs elevated while lying down. Don't wear tight shoes. Avoid heel shoes and before going to sleep do light massage from toes to ankle. And do ankle movements and toes movements twice daily. Hope you will find the answer useful. Let me know if I can assist you further.Regards,Dr. Harsh Swarup"
},
{
"from": "gpt",
"value": "Target: MRI done on feet after fracture. How will it heal and eliminate pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Just been carting and crashed at a pretty fast speed. The only thing that kept me in the cart was the steering wheel hitting my leg. I now have a large swelling on my upper thigh. I ve applied ice for twenty minutes and it s still very sore ( limping quite badly) What should I do next. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have swelling in thighs. Well there can be many reasons for symptoms you mention in query like soft tissue injury , fracture or hematoma . I would suggest you to keep icing on thigh , keep your leg elevated , take ibuprofen or acetaminophen for pain . Consult general surgeon for proper examination . Doctor may order CT scan x-ray or physical examination . Doctor may drain hematoma and prescribe antibiotics along with anti inflammatory . Doctor may also refer you to orthopedic surgeon for fracture . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling in thighs"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had pulmonary PE with saddle last October. Determined I have clotting disorder and have been on xarelto ever since. I have had no problems since taking xarelto. Tonight I just noticed that the tops od both my feet have bruising and reds spots and are aching really bad. I did a lot of walking today. What do you think? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.As you have bleeding disorder. You did lot of walking. Due to walking there is bleeding at weak points. I think you should visit your doctor and get your bleeding and clotting time examined to see any disturbances. Till then you should take rest and as little movements possible as you can. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes bruising, pain and reds spots on my feet?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi there I have been suffering with pelvic pain for 4 months, I had to pay for a private operation as doctors believed it was endometriosis which I have had before, laporoscopy performed but nothing found. Still in pain in groin , had to push for a ct scan, scan was done mid cycle. It showed a 5cm cyst on left ovary the side where I get the most pain, bulky uterus, fibroids , gallstones, something on the liver that they believe is insignificant and a small 2cm cyst on right side. Ovarian cancer in the family, what should be the next step as my gp is slightly confused!?!! Doctor: I would have liked to know your age and the age at which your relatives developed ovarian cancer. Anyways, what you should do is get a blood test done called CA-125. If it is elevated then the chances of you having ovarian cancer are high (the higher the level, the more the risk). In that case you will have to undergo surgery for ovarian cancer by a cancer surgeon. If it is normal, then the chances of you having ovarian cancer are much less (though not zero)., in which case you should repeat the CT scan after 2-3 months. If the cysts persist or increase in size, then also you should undergo surgery. If they decrease or disappear, forget them. Meanwhile, take adequate pain killers for the pain."
},
{
"from": "gpt",
"value": "Target: Suffering from pelvic pain. Scan shows cyst in ovary. Family history of ovarian cancer. What should I do?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 21 year old woman and I am experiencing painfully swollen and enlarged glands on my neck and behind my left ear, sensitive skin across large portions of my face, along with small rashes scattered across my forehead and scalp. Also, it hurts to open my jaw because it feels muscles there are slightly swollen, though it could be connected to my ears, because it is just in front of them... Should I be worried or is this something that will pass with time? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I understand your problem. You may have your parotid gland enlarged (parotitis). It may be due to bacterial or viral infection. I suggest you to go to an ENT specialist as there is a facial nerve which goes through the parotid gland which can get affected. if you didn't treat this. So to avoid problems to facial nerve you should go to the doctor. Hope this will help you. Thank you and get well soon."
},
{
"from": "gpt",
"value": "Target: How can painful and swollen glands on the neck be treated?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I did something to my back this morning - I have pain in the lower right side and pressure on the front. I am thinking one of my disks is jacked up (precise medical term). I was just sitting down when my two year old sat on my lap and the pain started. I wasn't lifting and had just woke up about 10 minutes before that. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain in lower back can be due to back muscle strain or a disc problem. MRI scan will help in diagnosis. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the lower back?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 34yrs. Cerebral palsy . Epilepsy . 24hr care required. Been on tegretol cr and phenobarbitone for years to help control seizures. Neurologist prescribed keppra for 2yrs. No side effects but experienced 1-3 seizures daily. Weened off keppra and started sodium valproate . Within the first week she had experienced sedation, vomitting. Then bloods showed valpro levels low, dose increased. She experienced hypothermia , sedation, vomitting. She lost the ability to swallow food and drink. Bloods showed her phenobarb levels were toxic. Is this common or unheard of for these medications to interacte this way? Doctor: Hi, Thank you for posting your query. The side effects as experienced by the patient are known with the medications she has been given, however, they are fortunately uncommon. The only method of treatment would be to titrate the dose of medications till the desired efficacy is reached, as per the tolerance by the patient, and the drug levels in the blood. I am sure she would recover from the side effects of medicines with proper care and there is no need to worry. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Cerebral palsy, epilepsy, got hypothermia, sedation, vomiting on starting sodium valporate. Bloods show toxic phenobarb levels. Common?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, I wanted to know if I have infection. I had a foot injury about two weeks ago and I have swelling. Since yesterday I started having an itch and I wanted to know if this is infection. I have blisters on the top of my foot and I still have a lot of swelling and bruises. Doctor: Hello, An x-ray is advised for the safer side to understand the pathology of the bone if it may have got any damage. Because if there is not cut or wounds then the chances of infection are maximum less. This must be a bony hurt which may have damaged the soft tissues around it. Also, the mechanism of the injury may have helped us to understand the injury better. I will advise to hot water fermentation, do feet, toe and finger strengthening exercises which can be performed under the water and lastly to keep the limb elevated so the swelling reduces and the venous return is improved which will help the healing process to occur faster. But please make a note to take an x-ray of the foot in the AP and lateral views. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for foot injury"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 28 years old, 6.5ft, and weight 79. I'm also a shy person. I've been masturbating for several years now since 2000. I don't know if its because of the masturbating or not, each time i meet a girl i will not even get a minute and i will come(ejaculate) and this is really affecting my sexual experience. Sometimes when about to meet a girl (my girlfriend), I will quickly hide and masturbate rest for some minutes before having sex. In short, i easily come when having sex. I don't like this i want to stop this practice of masturbation but i can't stop. most at times depending on the circumstance i can even masturbate 2 times a day. I need to have normal sex life. please help me out. Doctor: Dear user,Thank you for writing to HCM.I can understand your concern about early ejaculations and need to masturbate to delay ejaculation before each sexual activity with the partner.Masturbation is done in privacy and one often have concern 'to finish it fast' for fear of breach in privacy. So one's mind learns to ejaculate soon unconsciously. Thats how you easily come when having sex with your girlfriend.When patients with same complaint approach me, I suggest them Tab KUTUB 30 (Sildenafil 50 mg with Dapoxetine 30mg) to be taken 2 hour prior to sex.This should be taken under medical supervision.Kindly see psychiatrist nearby your area.This can be overcome.Good day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to stop masturbating and start normal sexual life"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi my name is steve im 32 year old I have chest pain and high back pain muscular type of pain what it could be ... I already made my heart test with blood exam ... the pain is not intense but it keep bugging me for about 3 week I consult my doctor he said it was muscular I force him to take xrays of my chest but noting ... thank you in advance steve Doctor: Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and chest.Due to occlusion of vessels there can be burning sensation.I will advise you to do MRI thoracic spine, HRCT [CHEST] and EMG- NCV [nerve conduction study]X ray may not show details.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: What is the cause for chest and back pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I get this pain in my upper stomach right under the rib area in the centre. Its a squeezing sensation that starts in my throat and causes pain in the upper stomach right under ribs in the centre. It comes then goes few mins apart. 20-30 minutes later it stops could you recommend what this may be? Doctor: Hi.This is caused by GERD.A simple treatment of Raitidine , antacid gel and Domperidone under the guidance of a Doctor will help you.You have to stop hot, spicy foods and beverages.Small frequent meals of soft bland diet, stressfree lifestyle, proper sleep and all help s a lot in recovery."
},
{
"from": "gpt",
"value": "Target: What causes pain in upper stomach and squeezing sensation in throat?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: During pregnancy i hard bad allergies, i notice a little lump on the left side of my tongue its not painful dont even notice its there unless I look at it. But I notices every time my sinus get infected badly it grows a little. just a pea size. i am very worried. could it be a sign or oral. I am 28 years dont smoke or drink. Doctor: Hello and welcome to hcm, Gum infections are common during pregnancy. Such pregnancy gingivitis has to be treated by maintaining good oral hygiene. Get your teeth cleaned. Use chlorhexidine mouthrinse to gargle. Rinse your mouth after every meals. Get the pus within the lump drained thro- curettage. Please do visit your dentist for further evaluation. Use soft-bristled toothbrush to clean your teeth. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Have pea sized lump on tongue side, grows with sinus infection. Had allergies during pregnancy"
}
] |
Subsets and Splits