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[
{
"from": "human",
"value": "Source: Patient: Hey, everyone once in a while like once everday 1or 2 days my head would feel as if its spinning, a sudden oncome of dizziness would hit me and my eyes would feel as if there shaking. It would last from 5 minutes to almost 2 hours. What's the cause of this ? By the way I'm a thirteen year old Doctor: well , it may be a manifestation of seizures, diabetes, worm infestation, Evaluation by ent specialist is a must.child needs to be evaluated thoroghly."
},
{
"from": "gpt",
"value": "Target: What causes feeling of head spinning, eyes shaking and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A spot the base of my penis has been itching for the past 4 months . It has never done that in the past . I had sex with a condom with a woman 1 time. i found out later she used to be a prostitute . I did wash it a hour later with hydrogen prioxide. There are no bumps no sores smells or any other problems other than being itchy and not a really bad itch just present now and not before her. I have been getting colds more that usual but it is the season for that . I know herpes is suppose to only last a few weeks this has been months i get cold sore on a spot on my lip a couple times a year. Is this something to be worried about? i just started using coconut butter 2 days ago it and it takes the itch away for a little while Doctor: HelloI appreciate your concernLooking at your description this could be due to infection or nutritonal deficiency like B complex or folic acid deficiencyI would like further information to guide you betteryour age and relevant medical historyIf possible upload a photograph?I would advise him to follow strict aseptic precautionsHe should wash and clean the site with an antiseptic solutions or antibiotics ointmentYou should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Apart from this blood sugar fasting and post prandial and Blood for CBC and liver function test or HIV test are also advisable.Hope this answers your questionplease feel free to ask for more assistance, I will be happy to help you Best wishes"
},
{
"from": "gpt",
"value": "Target: Should I be concerned about itchiness on penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 29 year old female. I have this rash on my hands, spreading to arms & on my knee spreading to legs. I went to my pcp which looked at it assumed it was some type of fungal infection and instructed me to apply miconazole topical cream to it twice daily. I have done just that for about two weeks now but it seems to not have changed. I have attached photos of how they look. By looking at the photos do you have any idea of what it could be or advice to try anything different (I have also tried lamasil because I thoughtmaybe it s ringworms, but it s just not going away). Thank you for your help! Also, only symptoms are mild itch (if I start) & dryness. No pain. It s been about a month now of symptoms.Medical history:Barthalone cyst (current). had a pregnancy rash (12 months ago). Pyloric granuloma on right index finger related to pregnancy (3 years ago). Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Your symptoms seem to be related to eczema.I can not see the attached photos.If you can send a direct answer to me in my profile with the attached photos I can help you better.Meanwhile I suggest you to use antihistamines daily for the itching.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rashes on hands and legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I have a 2 1/2 yrs old son and his nose always gets blocked during the night and he finds trouble in breathing during night.He snores as adult and finds difficult to breath. On every morning he has running nose and yellow mucus is observed. Pediatric Doctor has diagnosed and he seems not to have nasal congestion and suspecting as some allergy causing this blockage and running nose. He adviced L Montus kid one per day. Want to know whether this medicine is safe and does it have any side effects. Thanks Sriram Doctor: Hello Studies show that there is very few( not significant) side effects of montelukast even on long term use.These may be headache, indigestion, cough etc. As this problem is recurrent I would suggest you to also consult an E.N.T. specialist to rule out any local nasal problem. You can give montelukast also use nasal saline drop to relieve nasal blockade due to dried secretions. Regards"
},
{
"from": "gpt",
"value": "Target: Child has frequent nasal blockage at night, running nose and yellow mucus in the morning, advised L Montus kid. Safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 46 and I have the classic stage 3 acl tear. I decided not to have surgery. The Dr. explained that I could go the rest of my life without problems. I tore it in June of 2014. My calf started to hurt a few weeks ago. Sunday it started cramping. Today I took a step and my knee hyperextended again. It s weak and sore like it was when I first tore it. The pain in the back of my calf hurts to the touch. I work at a vein clinic and there in not a blood clot but she found something on the ultrasound. Are the two related? Should I have another MRI? Doctor: calf pain may or may not be associated with acl tear. But knee pain and muscle atrophy definitely occurs. Every time you hurt knee due acl tear damase occurs in the cartilage layer. So better get it done. You will get normal power in 6 monthes. Calf mri is required as most likely some other cause is there.Thanks"
},
{
"from": "gpt",
"value": "Target: Are the classic stage 3 ACL tear and calf pain related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I have gotten the implanon nxt put in on Monday 23 January 2012. So far I believe it is good but I do have one concern. My implanon is put in pretty shallow in my skin. You can practically see half of it (near the puncture wound it is a little deeper). If I raise my are u can see the top of it (I feel anyways). My friend who also had implanon nxt and got hers in a week before me (with a different gp) got hers put in deeper (she can feel it in her arm) said she could almost see mine and showed me hers (I could feel, had to give it a bit of a press too). Mine I just have to wipe my finger over it. If I scratch it feels horrible. I am concerned mine is too shallow and I also concerned everyone can see it. I chose this for I would not have to worry about remembering my pill and the fact no one would see it and know. I am 20 years old and have tried 5 different contraceptive pills before so chose this due to being frustrated with the pill. Please help but telling me withersThis sounds like it is too shallow and if I need to see a gp (also making sure I am protected from pregnancy). Thanks Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As long as the Implanon does not protrude through your skin (meaning causing a scab or blister) or cause pain there is no problem with it being placed right under your skin and an area where can be easily felt. The Implanon is actually supposed to be placed right under the skin. In thin women, the implant can be seen with arm in certain positions. It is actually not as good to have the implant placed too deep, because it makes it more difficult for the physician to remove it later. Again, if the area is causing you pain or discomfort, or if you feel self-conscious that other people can see the implant in your arm, the Implanon can be removed, however it is equally effective as a contraceptive regardless of how deep it is placed. So there is no reason why you need to see a doctor for follow-up unless the location of the implant is uncomfortable for you.I hope I was able to adequately answer your question today, and that this information was helpful. Let me know if you have further queries.Best wishes,Dr. Brown"
},
{
"from": "gpt",
"value": "Target: Why do I see the Implanon insert through the skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir, I am having back pain and swelling in back from almost 2 months. I had all the round of blood investigations which were normal. Yesterday I had LS Spine and Cervical Spine X ray. The report says that there loss of normal lumbar lordotic curvature with straightening of Lumber spine and same for Cervical spine. I am unable to concentrate and feel dizziness, numbness and fatigue everytime. Like to sleep everytime. Can you please suggest what treatment I can go for. Thanks Doctor: Hi I would suggest a chest x ray and specific TB tests to rule out TB spine.have u lost weight suddenly?any history of cough(chronic)?do u smoke?If all the answers are ''no'' and TB is already ruled out then start anti infllamatory drugs( with prescription)...I would suggest swimming exercise..It will definitely help.you will be fine Dr palvi"
},
{
"from": "gpt",
"value": "Target: Swelling and pain in back. Blood test normal. Spinal x ray done. Feeling numbness and fatigue. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump right in front of my ear you can t see it on the surface and is not inside my mouth. When i open my mouth is sticks out more. I cannot move it and it seems to be getting bigger. It causes a lot of discomfort to talk and pain to touch. What could this be!!! Doctor: Hi,Looking to the history it seems that there might be having some problem with your Temporo-mandibular joint like lax TM joint or sublaxation of the joint.Consult oral surgeon and get examined.Meanwhile do not open your mouth wide open or keep fingers on the part while yawning.Do not chew hard stuff.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lump in front of my ear"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir,can u please give me an idea about the expenses of chin augmentation surgery?? Doctor: Hi welcome to H.C.M.Forum. expenses differs from place to place, hospital to hospital, and doctor to doctor. the surgery is to be done by orthopedic surgeon and dentist, and plastic surgeon. when you plan for it , consult either of them. they will be in a position to explain you about procedure and expences ect.best of luck . thank you."
},
{
"from": "gpt",
"value": "Target: Expense of chin augmentation surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Samuel. I am an active 66 year old male who is in good health and never smoked. I have a pain shooting down my right leg called Iliotibial Band. The band only hurts/throbs when I lay down to go to sleep at night. How can I ease this problem? Doctor: Hi,Thanks for your query.The iliotibial band is a long piece of fascia that runs down the outside of the leg from the top of the pelvis to the outside of the shin bone. It can pop or clunk back and forth over the greater trochanter of the femur bone on the outside of the hip. You can ease this problem by physio for stretching of the iliotibial band and strengthening of the hip musculature. Antiinflammatory medication might be of benefit. I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What is the treatment for iliotibial band?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I ve undergone follicular study and the doctor said the eggs in the left ovary have ruptured on 4th june. So from next day morning onwards my doctor adviced me to take Naturogest 200mg for 10days., and i am even taking oviduct regularly. What is the use of these medicines? and do they help in the chances of me getting pregnant.. Doctor: Hi,I understand your concern. Both naturogest and oviduct Nc tablet will help you in conceiving. Naturogest contain progesterone. It will make uterine environment favorable for implantation and support pregnancy. Oviduct NC will help in ovulatory dysfunction. It induces ovulation, decrease insulin resistance. So it will help in maturation of ovarian follicle. So it may increase chance of pregnancy by 50%. Take this medicines under the advise of infertility specialist with monitoring by USG scan and ovarian follicle study. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
},
{
"from": "gpt",
"value": "Target: What is the role of Naturogest and Oviduct when trying to concieve?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a women age 64 who has never smoked, but have had asthma my whole like with 3 different scratch bac test starting at age 5 to about 41. It under control I do get exercise induce asthma . Its nothing that makes any difference to my life. I went to the doctor today about something simple and they did a routine specter on my finger. It was 92, I live in Kansas, not a high alitude. I have never had a 92 before it alway a 98 97 or 100 per cent. I want to know what the average number is for a woomen my age, I realize it is average. The reason I am concerned is because I have Alpha One anti Tripten lung inherited gene from each parents. I am on of the luck ones , I have never had any lung problems. My lungs last test was quote a few years ago. I have taken the IV prolastin once a week since 1990. I still feel no problems what so ever. The nurse said it was normal because I had been talking and stuff. I should know the answer to this but I do not. I just want a number for a normal lung function. Then I can take it from there, my doctor in Coloado said my lungs were so good I could not take medicine and mabe have no problems until my 70. 92 seem low to me but its been quite a few years 10 or so since my last visit, I have no pulanologist SP doctor is my small town in Kansas. Thanks Doctor…. Linda Doctor: Hi, A Well 92 is a low value and I cannot say it is a normal one. You should definitely be seen by a pulmonologist who fir sure will order an arterial blood gases test for you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist"
},
{
"from": "gpt",
"value": "Target: What is a normal lung function level for a BAC test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently collapsed due to back pain I have severe pain from my L-4 vertebrae down to my tailbone, I am unable to stand or sit straight due to pain in my L-4 to L-5 I can only straighten my back when lying down, I am standing about a foot shorter due to fact im curved over, when I turn, or move I feel pain in my back, pain in tail bone when passing wind it all stared about 2 years ago when my girl friend was sitting on my knee and I stood up to fast with her and colapsed due to back pain in the same area, know it has happend to me 4 time after hurting my back out of the blue at the slightest movemet over the two years it feel like my spine is becoming more curved, now it actually feels as if there is a vertebrae missing or moved around L-4 to L-5 to the point where you cant feel one vertebrae at all I am 22 and have been unable to walk 4 times due to this same problem, I am still awaiting referal fron gp can please tell me what you think this is thank you. Doctor: Hi,I read attentively your complaints, as i understood this will be your first visit to the doctor.Which you should not miss because your history suggest for lumbar spine fractures and dislocations,of xourse after general physical examination.If this will be the case plain radiographs and further lumbar CT or MRI will eventually be needed in your doctor judgment.I have to insist that you should have as soon as possible the medical appointment.Wish you all the best."
},
{
"from": "gpt",
"value": "Target: What causes pain in back, tail bone area and difficulty walking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 20 years old & sexually active with my boyfriend of a year.. i have been on birth control for about 3 or 4 years now and i had missed around 4 pills this week by accident i forot them at his house, so i have been trying to catch up the last couple days.. last night i woke up woth a disturbing sharp pain in my mid belly and almost feeling nausious.. i got back to sleep and woke up nd still no change.. had a nap and woke up and noticed a brown discharge ... ive had cramps before and i know this isnt cramps.. what could it be ? my mom said i could of gotten in the process of fertility and when i took my pills again it is basically aborting and now cleaning my ystem out.. i just need some help please Doctor: Hi,The symptoms you are having could be withdrawal effects of the pills, as you missed 4 pills. But if you had intercourse on the days when you missed the pills and after that, there is possibility of pregnancy. Now you use some additional contraceptive measure till the completion of this pack. Then if you do not get withdrawal bleeding within one week of stopping the pills, go for pregnancy test. If the test comes positive, consult gynecologist get examined and go for ultrasound. Depending on the gestational age, you can proceed further. For more details you can ask me directly through the premium forum.Take care."
},
{
"from": "gpt",
"value": "Target: Sharp pain in mid belly and feeling nauseas. Have cramps and brown discharge, missed birth control. What could it be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 22 year old male. I smoke close to a pack a day. For the last couple weeks my ear started crackling when I swallow . I started paying attention and noticed my left tonsil is swollen. Swollen for about a week now. No pain in the throat, but sinuses act up every other day, watery eyes and now both ears are clogged really bad causing pain. A swollen gland or something has formed over my right ear bout the size of a ellongated pea. Right in the rear of my temple. Could this be throat cancer or something very serious? Doctor: Hi, Welcome to HCM, I am Dr. Das From your history, symptoms are similar for having infection. Go to a general physician first. If required do a FNAC of that swollen gland which will confirm what you actually have."
},
{
"from": "gpt",
"value": "Target: Crackling in ears on swallowing, swollen nostril, throat pain, swollen glands. Throat cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in cheering practice and when I got tossed, the girl who supposed to catch my arms accidentally put her knee forward and my lower-middle right back hit her knee. Now it hurts when I bend forward (going to the left) and I have cheering training tomorrow. What do I do? Doctor: In my opinion all you need to do is give you back a little rest. For immediate relief have some pain killer along with a muscle relaxant and have proper bed rest for 2 weeks. Do not lie down on soft mattress use hard one instead, do not sit for longer durations and do not travel long distance for 2 weeks . You can also apply some good anti inflammatory pain killer gel on your back. If the pain increases do some hot fermentation locally and make a routine of doing some back strengthening exercise daily . After 2 weeks start with some back strengthening exercise. It will help you build you back muscle and you will be able to continue with your practice in few weeks but do not over look at the symptoms right now. As it is still early days for you and you can be fine and back in action with these small things. Good luck"
},
{
"from": "gpt",
"value": "Target: What need to be done for hurt back during cheering practice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the doctor and blood work was done the test came back saying my blood sugar was normal,I had no lupus and also my vitamin levels were good but I have dark spots forming on my legs and on my nose near my eyes I also develop carpal tunnel which cause my arms and hand to turn dark the doctor don t have a answer for me,maybe you can help. I m 53 yrs of age Doctor: hi carpal tunnel should not be causing darkening of skin. it may be a dermatitis. consult a skin specialist."
},
{
"from": "gpt",
"value": "Target: Having carpal tunnel syndrome causing arms and hands to turn dark, no lupus, now, legs and nose turning dark. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, first I am a 35 year old female, I am very active and in very good shape. I have been running 3-6 miles daily for almost two years and doing other exercises as well. The past 2 weeks I have had some issues when running/jogging. At first I thought it was because I spent all winter running indoors on a treadmill and in the past two weeks moved outside to run. But, when I run I get a tight feeling in my chest and have trouble breathing, not real bad, but bad enough that I have to walk to get it under control then I can continue to run again. This starts about 10 minutes into my workout and then when I walk it takes about 3 minutes to get back where I can continue to run and this just keeps going in a cycle. Yesterday since it was too cold to run outside I ran on the treadmill inside and it happened there too, so my previous theory of moving outside I don t think is correct. I am not overweight 5 2 118 lbs and as stated before in very good shape. I just need to get an idea of what is going on. Thank you! Doctor: it looks like exercise induced airway hyper reactivity or airway hyper reactivity due to exposure of cold air... just avoid these things for few days you will be fine.... if still continues you have to go with spirometry... it's a lung function test..... which gives some clues about your asthma status.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tightness sensation in the chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We Went to play football and we finished playing a sudden cause my bro told that he was tires , then on the way home he told that his heart was squeezing that he wasnt tired so i just wanna know is that if heart squeezes can his body be normal as usual .? Doctor: yes it is normal to have heart problem without much effect on body ...i usually order bp checkup ...ECG and especially stress echocardiography ...only abnormal heart gives abnormal sensation in chest ...please ask your froend to visit emergency room .."
},
{
"from": "gpt",
"value": "Target: Is it normal to experience heart squeezing sensation when tired?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.. I have cold allergy - blocked nose, running nose and sneezing. I also get sinus pain though not as frequent as cold. I take L Montus once in 4 days. I also use otrivin twice a day. I did an allergy test few mths back and was advised immunotheraphy. I have been taking injections for abt 4 mths now.. started with 2 injections a week and now taking once a week. (24 so far). However, the symptoms have not reduced at all. Please advise. Doctor: hi, the most important aspect of combating allergy is prevention. you need to find out what allergens around you are causing recurrent symptoms in you and try to avoid that. you are on right treatment. however, you may also try nasal corticosteroid sprays after consulting your ENT surgeon. frequent hot water sips reduce mucosl edema and improve your symptoms. hope this helped."
},
{
"from": "gpt",
"value": "Target: Is L Montus and otrivin sufficient to treat cold allergy causing blocked nose, running nose and sneezing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I d like to know if HcG Diet can cause slow heart rate (50-54 beats a minutes) and low blood pressure (118/72). I am 31 years old. 5 6 tall. weight is 187lbs. I have also been battling an infected tooth. Not sure which is causing me to be fatigued/shortness of breath. Otherwise I ve been very healthy. Dentist has me on Keflex since yesterday. Doctor: Hi, No, your diet does not affect your heart rate. Viral and some bacterial infections can cause a slow heart rate. As you have shortness of breath on exertion, I will suggest you have a 2D echo and ECG done to rule out any possible cardiac involvement. I hope both comes out normal. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Does an HCG diet cause slower heart beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash on my face I noticed a few days ago. My skin is red and blotchy with what looks like tiny white heads all over the area. I have been using my typical acne treatments and I have popped some of the tiny white heads. They look like mini clogged pores and against the sides of my nose, mouth, chin and against my jawline. Last break out like this was 10-11 months ago and i noted this was triggered from a water enhancer I was using. Is this an allergy to a type of food dye? Doctor: Hi, Thanks for using HCM.Since your symptoms are recurring after 11 months there may be chance of allergy, but your description on the lesions suggests more of acne. Redness may be due to infection. Don't pop any thing, wash regularly with cool water for 5-7 times a day, use oil remover soap, dont rub your towel on face just press it to absorb water, can start topical antibiotic to prevent infection and anti acne ointment. Consult your doctor for examination and management.Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr. Lohit"
},
{
"from": "gpt",
"value": "Target: Have rash on the face along with tiny white heads. No medication till now. What could be the reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 35 year old female who has been on Methadone for the past 5 years for pain management. I have only taken 10 mg 3 times per day max and for the last 6 months or so 5mg 3 times per day and am now trying to detox completely. My PCP (the same one who started me on the Methadone 5 years ago) gave me Promethazine for nausea, Clonodine for withdrawal symptoms, Trazodone for sleep, and I haven t had Methadone in 5 days. I am still experiencing withdrawal and the Clonodine makes it impossible for me to go to work but without it I am having chills, restless legs, no appetite, can t sleep, and just feeling like crap. Is there any light at the end of this tunnel? I am close to just taking the back up Methadone so I can feel normal and get back to work (I haven t been able to go since starting this process). I ve called my PCP but she is not in clinic today and her only suggestion was to quit taking the Clonodine. Any other suggestions? Also, I don t want to go on Suboxone and then have to withdrawal from that, I feel that is just like taking the Methadone. Thank you. Doctor: Hi,Yes, the symptoms are temporary. The withdrawal from a long acting drug lasts longer. The entire list of options are, taking a lower dose of a narcotic (methadone 2.5 mg a day?) and weaning gradually, taking a narcotic and not ever getting off of it, or cold turkey. 5 days is a considerable time of the entire time it would take for withdrawal to peak and start diminishing (7 to 10). Changing narcotic responsiveness hasn't been looked at. It would likely shorten withdrawal significantly by changing how one felt about withdrawal. This would be taking an oral short acting blocker, going into the worst withdrawal possible and then stopping everything. This is done in some private clinics under the term \"rapid detox\". It is not well studied and even less regulated.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Matt Wachsman"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for withdrawal symptoms due to stopping of methadone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Our kid is 6 and half years old. Just recently, about 2 weeks ago, he started breathing hard with mouth as if gasping for air. He does this only during the day and is normal during nights. We got his chest x-ray done and x-ray results were normal. no other symptoms. Doctor said it could be behavioral. What could be causing this. Thanks Doctor: Any adenoids can cause this..whether ur child is snoring and sneezing and running nose a lot frequently..nothing to worry at this age..use origin nail drops 2 drops 8th hourly for 3 days.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe shortness of breath in a 6 year old child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been ill since the end of December, firstly with sinusitis, which did not clear, then a chest infection, which still have. I have taken three courses of antibiotics. My tongue has a very thick coating, in spite of brushing it and most food and drink taste awful. What can I do about it? Doctor: Hello,Welcome to HCM,The symptoms and your treatment history suggests me that you may be having some remote infection which is causing all these symptoms.As your symptoms are persisting even after taking three courses of antibiotics, I would suggest you to undergo chest X ray, complete blood picture and the blood culture and sputum culture.The aforementioned investigations help us to find out the reason for your symptoms and then we can proceed with the treatment.Thank you."
},
{
"from": "gpt",
"value": "Target: What can i do about my continous sinusitis and chest infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 37 yr old male have been under my doctor for the past five mnth with lower abdominal pain on the lower left side of my stomach ,i am generally quite fit and train regular until this problem. i also have vomitted black stringy jelly a few times over last few mnth plus seem to be catching every cold and ilness thats going about now been struck down with a severe case of hand foot and mouth caught from my little boy feel really run down and tired all the time its most unlike me got an ultrasound on stomach next week ,would be greatfull of any advice Doctor: Hi! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise for a occult blood test for your vomitus, and a possible endoscopic assessment of your stomach and intestines by a gastro enterologist, apart from the ultrasound of abdomen scheduled for you. I would also advise some routine investigations for you like a CBC, blood sugar, liver function tests, clotting profile, blood urea and serum creatinine. Till then, you could go for a proton pump inhibitor and a probiotic, along with an anti emetic if need be. An antacid gel would also be a good addition to your medications.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain and black stringy jelly vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello.my name is victor sanchez.i am seeking a painmanagement doctor as well as a primary doctor.reasons.i have a primary doctor that deals with my highblood pressure,hiv statues,hep c and any other issues related to general.now the problem is that ive had problems with my back and legs and after a few mri things came out to light where I need medictions besides any treatment.well the hospital where I see my primary also is the same hospital where ive seen painmanagement and was given oxycodone hcl 30mg.the problem with painmanagement is they don t give you the prescribtion,you have to get it from your primary doctor and this is a problem.she prescribe them to me last month but now when I went to ask for them this month she refuse to give them to me.her reason I don t need them.i told her that I do because they do take the pain away and I was seen by a painmanagement doctor that knows what what problem is.that this was not her field of expertise and had no right to stop these meds which I need for my chronic pain.her response was find another painmanagement where they themselves give there own prescribtion.so here I am seeking help.my number is 347=622=9372 and I reside in the bronxs.thankyou very much in this matter Doctor: Hello, You really might consider a methadone maintenance program. Cannot say in your particular case but it works on pain and the procedure for actually obtaining medication is clear cut. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Matt Wachsman"
},
{
"from": "gpt",
"value": "Target: Suggest medication for pain in legs and back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was on birth control pill for a few months. I was taken off that for two weeks due to an injury that caused worries about blood clots. They switched me to the depo shot two weeks after I had been off the birth control. I started a period the week before I got the shot, and have been sexually active. I have yet to have a period since the switch. I have not been feeling good either due to stress, a bug, or I am concerned I am pregnant. Is there a high likelihood that I could be pregnant? I took one test 3 days ago, it was negative. I am just concerned. Doctor: HelloThanks for your query.There is a low probability of pregnancy as you are on the Depo.The symptoms could be due to the stress as you rightly guessed.If you DO miss a period, take a pregnancy test.All the best."
},
{
"from": "gpt",
"value": "Target: Taken Depo shot. No period. Negative pregnancy test. Could I be pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m overweight 93 kg ht173 I have fatty liver 2/3 & liver enlarged I want to lose wt I have abnormality in cholesterol levels I take METADOXIN 500 daily 1 & ATORSAVE 20 daily 1 My main problem that I want to lose 25kg wt please advise YYYY@YYYY Mob:0000 india mumbai Doctor: Hi thanks for asking question in HCM.Noted you have fatty liver and high cholesterol with overweight....To reduce weight along with less fatty diet you have to burn calories ....Every day do one hour swimming or running...Take less fried food.Fruits more ...Cheese , burger , pizza , meat like trans fat avoided.....Use less oil in cooking ....Avoid sedentary life style.....You will get benefit by above measures...Take care....Dr.Parth"
},
{
"from": "gpt",
"value": "Target: Is Metadoxine in case of abnormal cholesterol levels and fatty liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: While seeing advertisement on TV, my brother (21 yrs, height 5 2 ) insisted me to procure the step-up herbal height grow product. I still feel there will be some side effect even it is said that there is no side effect. Will it be advisable to take such product? Doctor: HiYou need to look into the composition of the powder,whether any harmful chemicals or known allergens are present.Although herbal powders claim no side effects,some may be allergic to any of the contents.Moreover the height will definitely not increase with just the powder. High protein food ,adequate hydration,correcting vitamin deficiencies and physical activity such as stretching exercises are required.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician"
},
{
"from": "gpt",
"value": "Target: Is there any side effect for herbal height grow product?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have multiple lumps in my body. A few are lipomas. Three are under my chin toward the back of my neck. One on my back. One on my wrist and stomach. No one seems to think they are a problem.. Sometimes they hurt..what type of doctor do I see to have them removed? Also, is there a body scan that can detect theses lumps, suppose some are in my organs? Doctor: Hi and thank you so much for this query.I am so sorry to hear about these multiple lumps and all the inconveniences this has caused you. Yes, lipomas are probably at the origin of this and generally do not present any threat to the body. Removing them is optional and is entirely your decision. If you want them removed for whatever reason, feel free to contact a general surgeon who would help you do this. Please., be informed tat removing them doesn't mean they may never recur again. You may have to remove them time and again because of the tendency of new ones appearing.I hope this helps. I wish you well. Thanks for using our services and feel free to request for more information if need be. Dr. Ditah, MD."
},
{
"from": "gpt",
"value": "Target: Are there any scans to detect the lumps in body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Taking the following medications:- 1) Diresta OD 500gm 2) Oleanz 1.25 Once a day at night I am suffering from bipolar disorder...Since the last few months I am always experiencing high levels of inactivity and dizziness.. Now I am always lazy and simply like to lie down on bed and doing nothing. I have lost all my desires for pursuing success...Also I am experiencing problem in talking clearly and with confidence..and I also now always filled with negative thoughts..There is also fears of failures..Please advise me on what is my problem Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.These are all symptoms of depression. Depression symptoms include feeling low all the time, loss of interest in the previous pleasurable activity, feeling lonely, low in energy, hopeless, helpless, worthless feeling and sometimes even suicidal ideas. Few of them or all can be present at a time. Bipolar illness has both high and low phase and you are having a low phase at present. Consult your psychiatrist and get treated before the symptoms worsen. You might need a higher dose or a different mood stabilizer. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Rohit Kothari"
},
{
"from": "gpt",
"value": "Target: What causes dizziness and fatigue while on Diresta and Oleanz?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: last Thursday I had a period of 8 hour of short term memory lost. During that time I acted normal and knew basic answers to questions I should know but was unable to remember what I had done 5 minutes earlier. That short term memory lost last for about 8 hours. I was on vacation and out of my daily routine. Doctor: Hello, How old are you? Since when you're suffering from? Possible causes are like depression or drugs or dementia or alcohol consumption or head injury or seizures or b12 deficiency etc. Until examination is done it is difficult to say what it is. Please consult your neurophysician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes short-term memory loss for a duration of 8 hours?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a large brown colored skin tag in groin area. When not large it shrinks down to two like pcs.?? It some time gets larger and has pussed before and it does have fowl odor sometimes. I have been putting babay powder in morning which seems to keep it from smelling. its not swallon now.should it be removed. Doctor: Hi...yes get it removed as unless the infected tissue is removed it will be difficult to heal...also take a course oc antibiotics..."
},
{
"from": "gpt",
"value": "Target: Should I undergo removal of a puss oozing and foul smelling, brown skin tag in groin area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hii doc..I am 24 year old guy I had sex(used condom) with girlfriend six month back now for last month i have been suffering from conjunctivitis and its not getting cure and in mean while i had viral fever which is fine now but i also got stomach problem due to which i lost some weight and now a feeling bit tired and uncomfortable at my back...so what is all this??Have got HIV infected or what,what should i do?? Doctor: HI, thanks for using healthcare magicThe initial symptoms of HIV can vary,some persons have no symptoms, othere may have flu like symptoms.If had protected intercourse then the chance of transmission of HIV is very small.If you wish to be sure that you do not have HIV, then you would need to do testing. This would be the only reliable way to determine if HIV is present.You may also want to consider a full blood count and ESR test. This would determine if you have anemia . The ESR is increased when there is any inflammation in the body which can occur from infection, inflammation, injury, cancer, autoimmune diseases.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes fever, weight loss and tiredness while suffering from conjunctivitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: we had a chest xray that says... apico lordotic view shows faint left upper lobe opacity wchich may represent prominent interstitial markings or increased density due to overlapping bone (scapula) however, parenchymal infiltrates are not totally ruled out. is this a caused for concern? because this person is currently caring for a newborn baby Doctor: Hi welcome to the health care magic You have not mentioned your age and clinical history... Clinical correlation is necessary in such doubtful condition.... Because from this chest x ray finding infection cannot be ruled out... CRP and CBC done for further work up if needed If you have fever, cough like symptoms than suitable antibiotic course given... Consult physician or pulmonologoist for examination and clinical correlation of your case Take care"
},
{
"from": "gpt",
"value": "Target: Is this chest X ray report a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor,My husband is diagnosed with fatty liver in ultrasound report while he has elevated AST & ALT in blood test report which i am giving here :1.Total Billirubin : 1.06 mg/dl2.ALT : 252.3 U/L3.AST :93.0 U/L4.LDL cholesterol : 139.14 mg/dl5.Cholesterol HDL ratio : 6.54 Doctor has suggested him to take ursocol 300 & omeprazole ....& instructed for more blood test which are liver related.his sugar level was also hiked in the report.( first time observed high sugar level) . he is only 29 yrs old.suggest me pls. i m very much worried. Doctor: Hello,The most common causes for fatty liver and high AST snd ALT are alcohol consumtion,however in absence of alcohol consumtion other reasons which are important are high cholesterol,consumtion of more sugar and diabetes.In your case,probably high cholesterol and diabetes are responsible for your fatty liver and high liver enzymes.There is lot of controversy regarding the medication as many gastroenterologist feel that medicines like URSOCOL have no use.The best and ideal treatment is quit alcohol,if any,control your cholesterol and blood sugar levels,do regular exercises and shed your weight.Get your liver enzymes tested after 3 months.Most likely you should be all right.In case,you don't find improvement,consult a gastroenterologist and get yourself tested comprehensively.Thanks"
},
{
"from": "gpt",
"value": "Target: Diagnosed with fatty liver and elevated ALT, AST and sugar. After test suggested Ursocol and omeprazole. Suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This may not be a medical question - my son just moved in to a new apartment, and he says drinking the tap water makes his tongue tingle and start getting numb. He's wondering if the water is \"over softened,\" and if that's a health problem if it is. Anything I can tell him to make him feel better? Doctor: Hello, thank you for consulting with healthcaremagic. Actually tingling of tongue can not be just because of drinking water, it can be possible that there must be an infected tooth from which the infection is spreading to the nerve of tongue, so better that your son should visit a good dentist once and it examined. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for tingling and numbness of tongue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am feeling tightness in my chest when i breathe . when i cough i m experiencing pain from my chest down to what feels like my uterus . it literally feels like a sharp pain on or around my vagina. in combination with this im suffering from bad allergies, sinus headache and congestion. should i have any reason to be scared? i ve never felt a cough that made me feel pain in uterus Doctor: YOUR ALLERGIES WHEN BECOME BAD TO WORST BEHAVES LIKE THISIF THIS STAGE COMES YOU NEED TO TREAT THEM PERMANENTLY BY IMMUNOTHERAPYAS I ADVISE YOU TO TAKE METRONIDAZLE 200 MG BD FOR 10 DAYS THEY WILL CLEAR INFECTION OF SINUSES AND STOMACH AND UTERUS IF ANYTAKE MONTELUCAST 10 MG BDADD BRONCHODILATOR SYP TDSADD CODEINE+CPM SYP COMBINATION 1 TSF NIGHTCONTINUE 3 WEEKADD ANTACID GEL TDS ALSO TO CLEAR PRESSURE ON VAGINA"
},
{
"from": "gpt",
"value": "Target: Chest feels tight while breathing, uterus pains while coughing, sinus, headache, congestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a complete Laposcopic hysterectomy 6 weeks ago, and was diagnosed with Stage 1b Uterine Cancer, grade 1-2, and am scheduled to start Brachytherapy on Tuesday, July 9. When I went for my 6 week check-up, my Dr. removed some Granulation and used Silver Nitrate, and now I have a discharge and was wondering if it is still OK to have my 1st Brachytherapy on Tuesday? Doctor: Hi,Thank you for choosing Healthcaremagic. You can go ahead with brachytherapy only after ruling out infection. It is not recommended to give brachy during pelvic infection. Hence, I advise you to get examined by your doctor and decide.I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.Thank you,Wish you good health.Regards,Dr ArifYou can consult me again directly through my profilehttp://www.healthcaremagic.com/doctors/dr-arif-n-khan/65133"
},
{
"from": "gpt",
"value": "Target: Diagnosed with Stage 1b Uterine Cancer, scheduled Brachytherapy. Removed granulation. Is it ok to still go on ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been to the doctor three times for a cluster of lumpbs beneath my front bottom teeth , there seems to be about four of them, small, and can t be seen unless I depress the floor of my mouth with my tongue and then it looks like a pimple with a white head. Initially they instructed me to keep an eye on it and see if it got worse or doesn t go away. It didn t go away, so I returned to the doctor, who said it was an infection and gave me a Z pack. Several days later, I noticed a pain in the cheek area and went back, and he changed the antibiotic to Augmentin , which has relieved my cheek symptoms, however, it has not done anything to the lumps under my front teeth seemingly. They are small and moveable and seems to be roundish and very close together. I m concerned they re obviously something more serious. Any help or direction would be greatly appreciated. Doctor: Hello, I read your problem,you did not tell that do you have pain in these lumps? first of all i would like to inform you that if you do not have pain these could normal anatomy of oral cavity which is lump like structures beneath the lower front teeth,but not painful,these are normal structures of our oral cavity.as you gave the detail i feel that it is the same.these are genial tubercles which are sift tissue projections of mental spine on the mandible bone,these are 4 in number 2superior and 2 inferior.if you have more doubts i will suggest you please go to an oral surgeon and go for complete clinical examination done.nothing to get worried. take care Dr.Gunjan Gupta"
},
{
"from": "gpt",
"value": "Target: Cluster of moveable lumps beneath front bottom teeth, pimple with white heads, pain in cheek area post Zpack. Serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small bump on lower stomach just in the crease between abdomen and pubic mound. It is very painful, very difficult to walk, or move in general is very painful. Almost feels like after you get shot by paintball or something. On further inspection it is quite big, about size of golf ball, but it seems to be under skin. There is no visable lump or redness or spot at all. it really hurts and painkillers aren't helping. Doctor: Is the bump present at all times or does it appear only on sitting or standing position and disappear on lying down? please go and see your GP about it, he/she will be the best person to have a look at it and if need be do some investigations and suggest treatment for it. The investigation may include a ultrasound as well."
},
{
"from": "gpt",
"value": "Target: Small bump on lower stomach, painful, difficult to walk. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 12 years old, 96 lb, viral infection that causes wheezing. previous history of wheezing, using ventilator when short of breath, cough started 3 days ago, was yesterday much better, today feel as though breathing in icy air and tightness only when taking deep breaths. Doctor: Hi...Thank you for consulting in Health Care magic. Greetings from Chennai, India.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays 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?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes wheezing in child after viral infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been feeling ill for 2 weeks. Started with sneezing , runny nose, watery eyes, headaches , fatigue , temperature elevates mostly in the evening. Now I m still head congested but also chest congested with a productive cough and nausea. I ve been taking generic sudaphed and ibuprofen . Is there something different I should be taking? Doctor: Hello, If you are taking sudafed for more than 5 days in a row, please STOP as you will get exactly the opposite symptoms since you started. This is called tachyphylaxis, meaning you develop tolerance to the chemical quickly and get the worse symptoms. Antihistamines, nasal sprays for 2 weeks would be worthwhile (antihistamine nasal spray like azelastine or combined with a steroid for 6 weeks). Allergy testing by skin prick tests or specific IgE blood test will be worthwhile if these symptoms do come in circles or have a seasonal pattern. Thanks."
},
{
"from": "gpt",
"value": "Target: Head and chest congestion with productive cough and nausea. Taking sudaphed and ibuprofen. Any other medicine required?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have skin rashes all over my body for 3 days and with a fever of on and off, i just had my cbc results.. All the rest are normal except my WBC =3.20 NEUTROPHILS=0.23 LYMPHOCYTES=0.73. What does this means?Please help im so worried i feel really very sick. Thanks Doctor: Hello, The symptoms seem to be related to a viral rash. I suggest using Calamine lotion for local application. I also recommend using Tylenol for fever. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What does skin rashes with WBC=3.2 mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 1.My son is 10 years old. He had been operated for Menigomylocele when he was 6 months. Since then he has been suffering from Neurogenic bladder. He does not have full control over his urine. First, we used CIC to help him urinate but after he was operated for teethered chord about 2-1/2 years back, he was able to pass urine on his own but it requires some force from his side. He can t pass urine normally as we can. Is there any solution or surgery for Neurogenic Bladder? He also has problem in passing stools normally. He passes hard balls of stool and suffers with the problem of constipation. This problem may also be related to the Meningomylocele surgery. In a span of about 2-3 months, he suffers with pain in his abdomen and after about 1 hour of pain, he passes the normal stool. One Paediatrician advised Laxopeg but after giving Laxopeg the stools became a little watery and he started passing stools in his clothes/diapers. Then we stopped Laxopeg after 2-3 days. Should we continue giving him Laxopeg. Will this help in solving problem of constipation of my son OR what else may be the solution to this problem. We have also been advised for giving Anema after 4-5 days. Please help... Doctor: for Neurogenic Bladder,intermittent catheterization and drugs like bethanecol and botulinism toxin are helpfulyou may continue laxopeg and if not then intermittent enema may be helful for constipation.you should increase water consumption and roughage consuption to deal with constipation."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for neurogenic bladder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi... iam 37 years old n was having pain in ma left flank for the past 4 days its sharp n intermittent n temprory relieved by anti spasmodics...2day i did ma ultra sound n it was fullness of the pelvicalaceal system n ureter as wel l. what may b causing it n what to do further? Doctor: Hello, Regarding your concern, I would explain that your symptoms could be related to irritable bowel syndrome. For this reason, I would recommend avoiding spicy food and taking antispasmodic drugs time after time. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in left plank"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir my brother is 21 years old he is going to appear for chartered accountants intermediate exam in november suddenly on 9september he started fearing one of our family members saying she is going to harm and destroy the whole family and she is not a woman but a hermaphrodite we have consulted a near doctor who is a psychiatrist he has given medicines . actually once he traveled with our relative whom he is now fearing in a local train and they had to share their seat with a hermaphrodite from jaipur to delhi in 2008 he is linking it with that he has all awareness that he has to for exams is it because he studied late in the night Doctor: HIThanks for using healthcare magicI think, he is in psychotic episode. In that case, he needs antipsychotic medications that would help to control underline symptoms. With antipsychotic he would improve in few days or weeks. Better to consult your psychiatrist for diagnosis and management. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anxiety and stress"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m 30 yrs. Old and got a sperm analysis result of 11 million sperm count, everything else is ok, only the countnhas the problem. Is it possible for me to have a child? How long could I wait? My height is 5 7 weight is 160lbs. I also have gout and taken cholcecine before. But I already stopped takingnit, instead I m taking organic meds from healthynoptions, boswella and bromelain. Doctor: Hi, your count is slightly low. 1. I suggest you get a Semen culture done to rule out any infection which can be treated. 2. Ask your Doctor or Surgeon to check for a Varicocele which can be treated and is a common cause of low sperm counts.3. I usually advice my patients an ayurvedic drug called Speman from Himalya Drugs for three months and has shown good results in increasing sperm counts.Take care,Dr Rishi, New Delhi, India."
},
{
"from": "gpt",
"value": "Target: Is it possible to have a child with low sperm count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The top of my left foot began hurting about 10 days ago. The pain wasn t constant. However it seems to be migrating up my leg. It hurts up above ankle now continuing across of foot. Hurts to walk. Clothing or bed covers, anything touching just tHe skin is painful. Any idea? Never had anything like this. Doctor: Hello, As due to injury there will be a disturbance in the microvasculature capillaries leading to abnormal sensation to the skin. This is common thing. Trying out icing and elevation of the foot over a pillow will help the healing to occur. There is nothing sounding major here but still, if possible an x-ray will be good to rule out any bony injuries. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What is causing the pain in my left leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, 1 month ago i bleached my face and facial also. at that time my skin was glowing but after one week my skin get darker and certainly a line appeared on my nose also. 10 days ago i started using melacare cream but there is mild skin rashes on my face and also my face is not much lighten . plz help me what should i do?? Doctor: hi i had gone through your query and understand your concerns. i would come up with the possibility of ALLERGIC DERMATITIS may be the cause for your sufferings.-bleaching to the face may be the predisposing factor.treatment option; i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints homeopathy treat the cause ( allergy ) of your your complaints and gives permanent cure without recurrence.consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you"
},
{
"from": "gpt",
"value": "Target: Facial and bleach, line on nose, skin darker, used melacare cream found skin rash. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 year old fell outside and hit her mouth pretty bad..she was smiling when she fell and she scrapped her gums..now.over her left front tooth her gums are ripped and go higher then the tooth next to it u can see part of the tooth that used to be covered..im just worried that it wont grow back?! Will it grow back?! Or will she need to get surgery or something to fix it? Doctor: Thanking for consulting Health care magic. I think you should try to treat at home , it will be healing quickly. You wash this place with hydrogenium peroxide and water 1:1, apply pantosal-antiviral,antibacterial and antifungal gel 3 times and for speedy healing-Vitamin A, take out from capsule and apply for good regeneration of tissue. You can give any analgetic -ibuprophen or paracetamol. Ask your baby to rince mouth with chlorhexidine or listerine with water 1:1 after each meal. Give to him only blended food, avoid sour drinks. If you will see pus from wound, then you should start to give antibiotic-amoxiklav.If wound is clean, then don't worry. Take care Best regards Dr.Svetlana"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wounded gums after a bad fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor last year my dad got chest pain and taken to apex hospital and doctor said he is having heart attack and was given treatment after one weak he was discharge an after 2 month he started his job but the problem is after cming frm job dad says he is tired getting lots of stress so yesterday he went to suchak hospital dr ramesh kawar tested him he had done tmt test and said that ur heart is ok u have muscular pain because of that ur having problem question is that by tmt test u can clearify that heart is in good condition and no heart disease problem is there Doctor: Hi, Thank you for your query. TMT is a good test to screen for heart disease. However, it is not a gold standard and the patient needs to be further evaluated by doing an Echocardiography. If both Echocardiography and TMT is normal, then further test may not be required subject to normal clinical findings and your doctor's advice. So, I would advise you to get an Echocardiography done for your father and let me know the report. Hope I have answered your query. Let me know if I can assist you further.Dr Vishesh"
},
{
"from": "gpt",
"value": "Target: Can TMT detect heart problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For a couple weeks I have had tingling in numbness in my hands and feet also deep muscle aches in my calves but tonight I am having extreme muscle pain in my right outer thigh inhibiting the way I walk.....I have also been dizzy and extremely absent minded as late Doctor: Hi,Thanks for writing in.Symptoms including momentary absent mindedness, dizziness and numbness involving hands and feet should not be ignored. These might have a common origin in the brain and can occur due to reduced blood supply in certain areas or any similar abnormality limiting the functions of the brain. It is suggested that you consult your neurologist at the earliest and get your neurology clinical examination done in detail. Depending on your examination findings, your doctor might advise you to get a MRI scan or CT scan done for the brain. This will rule out any possible condition which might cause your symptoms. The above can be considered mini stroke like episodes and you should not wait anymore."
},
{
"from": "gpt",
"value": "Target: What causes tingling sensation and numbness in hands and feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Namaste sir my wife taking oxotol300 since 3years oxotol300 taking throw out the pregnancy and she had a18 month boy the boy still not walking due to left leg abnormal groth we done all vaccination at time is birth difect done due to intake of oxotol 300 in pregnancy? Please help our neurologist says no problem to take oxotol duering pregnancy please help my wife again pregnant and also taking oxotol300 Doctor: Hi, Oxcarbazepine is considered safe during pregnancy to treat seizures. It is not related to fetal malformations. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is it safe to take Oxetol during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doc - A couple of months ago I noticed round nickel/quarter size light brown spot my venus mound (under pubic hair) The sport is flat, symmetrical, same color all around, and feels waxy. It does not hurt or itch, nor does it peel or ooze. Today I noticed it turned bright red.What could this be? Doctor: HelloThanks for query .Light brown spot on Venus mound which has recently turned out red is most likely to be a Sebaceous Cyst which is in a stage of induration and impending infection .The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected.Take antibiotic like Doxicycline with Diclofenac twice daily for a week .If persists even after taking antibiotic you may need to consult qualified General Surgeon for assessment .You may need to get it removed (Excised ) in Totto under local anesthesia .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes spots in Venus mound?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son and i have had these symptoms for about two weeks: shortness of breath, chest pain, fatigue, weakness, spells of red face. Our xrays are clear, hearts normal, oxygen level normal, no fever, and only a small cough. We have both took a round of steroids, breathing treatments and inhalers with no relief. What are are doctors missing? Please help us! Doctor: Hi thanks for contacting HCM...Here you both should consult physician first for respiratory examination...Your x ray normal so no major organic cause present....You could here have asthma , bronchitis or chronic obstructive pulmonary disease ...For that pulmonary function test useful.If it comes for bronchoconstriction you might need bronchodilator and nebulization.Second to rule out cardiac causes ECG or echo done....If above both respi and cardiac cause not present then psychiatric causes ruled out.Like excess stress can lead it....If still it not present it might be simple musculoskeletal pain...Here you have to search for cause in this manner as it doesn't seem single conclusive diagnosis from history.Take care"
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath and chest pain for father and son?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning Sir, my wife is 19 years old from last 2 months her ESR value is high, we have consulted to doctor but there is no change in her ESR value, i would like to know that what kind of diet she adopt to reduce ESR. & what natural therapies to reduce high ESR value.when she skips the medicine of 1 time she feels more pain in her joints. the consultatnt physician has refer for blood test but after 1 month the value of ESR is the same even though after continual taking of medicines. Doctor: Hi friend,Welcome to Health Care MagicESR is an indicator – of severity of involvement... /like temperature in fever...It comes down, when the disease responsible for the raise, is treated...Nothing to do directly for itselfTake care Wishing speedy recoveryGod blessGood luck"
},
{
"from": "gpt",
"value": "Target: High ESR value. Done blood test. What kind of diet to be adopted?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I stepped on a needle about 2 1/2 weeks ago. Luckily it just went through the fat next to the nail on my big toe, but just about 30 minutes ago that place on my toe got very sensitive, and when it touches anything, I feel a bad needle-like sensation. It hurts. What should I do? Doctor: Hello,Welcome to HCMYou may be having secondary infection at the site of needle prick.So,i would suggest you to take analgesics for pain.Give hot fomentation if there is swelling associated with pain.If it doesn't subside with this,you need to take a course of antibiotics like Tab.novamox.Hope you are happy with the answer.Thank you"
},
{
"from": "gpt",
"value": "Target: What gives relief to the sore and sensitive toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is 53 in the last few months he has lost about 17 pounds he has not been dieting and he says that his right testicle has pain that comes and goes for how long he has had this pain I know not he just told me about a week ago he also says that he has had what he says is a muscle spasms in the right side of his stomach What could be the cause thank you Doctor: Hello,Causes of testicular pain are:- 1) Injury 2) Testicle torsion 3) Epididymitis 4) Orchitis 5) Inflammation due to sexually transmitted disease. 6) Give proper support to the testicle. Take tablet Brufen if pain. Do ultrasound of scrotum. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with a surgeon. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in right testicle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, l did a semen test yesterday and looking for baby. These are the report content >sement routine qty-2ml, liquification time- 20min, ph-7.0, count-active-0,sluggish -0,non motile-100%, morphology normal - no comments, abnormal -possible, all other - ---, other push cells & rbcs& germs cells - all nil. I am bit scared with results, could u guide me here? age-28 yrs, weight -80 kg, height - 5'8\". taking stone1 syrup for. stone and having fatty lever and taking medicine regularly. We both are trying to become parents so what is the possibility and whom to contact in this. leaving in delhi india name-atti Doctor: Hi, Your semen analysis report shows dead sperm. HOPE it was done within 3 to 5 days abstinence. If so get a direct check up with urologist to rule out any infection or varicocele. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN"
},
{
"from": "gpt",
"value": "Target: What does this semen analysis report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 17 and I was cheering earlier today and we did jumps after a couple I got horrible pain in my lower back above my butt on the right side only. It huts to move, also to bend over, and sit. What do you think it is and what can indo to stop the pain. Thank you Doctor: In my opinion you have disc herniation probably stage 1 or 2 you should do an MRI to confirm avoid sitting , bed rest with flexed hips is recommended , also avoid jumping for 3 month use NSAIDs like alphinturn 3 times a daystart physical therapy after 1 weekGood Luck"
},
{
"from": "gpt",
"value": "Target: Any suggestion for severe lower back pain above butt caused after jumping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am 20 years old, turning 21, I eat well and exercise regularly and am generally healthy. Lately I've been feeling \"disconnected\" with everything, fatigued and tired, lightheaded, and slightly off balance. I'm also \"foggy\" in the mind, everything i say or do seems like an effort. My eyes sometimes feel tired. I just don't feel 'sharp' and 'vibrant' as I use to be and it bothers me. I've been having diarrhea and constipation throughout the past few months and some weird discomfort in my lower abdomen time to time. I do go to college so I did put on a few lbs. I did have a kidney stone a few months back so I don't know if It could be due to that. I also have thoughts about people or myself dieing from diseases, it sometimes really brings me down and makes me anxious. I think that I do have a irrational fear of cancer and disease and I had a friend tell me that I'm a hypochondriac. I really want to get better though, I just don't know if it's a physical issue or mental one that I'm having. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely think you might be affected with a disorder named hypochondriasis. Hypochondriasis or hypochondria (sometimes referred to as health phobia or health anxiety) refers to excessive preoccupancy or worry about having a serious illness. This debilitating condition is the result of an inaccurate perception of the condition of body or mind despite the absence of an actual medical condition.The problem could have been arised out of the kidney stone you had, or the frequent stomach problem you had. The frequent stomach problem could be Irritable Bowel Syndrome (IBS) which is also related to anxiety upto some extent. Therefore, I suggest you to consult a clinical psychologist for further diagnosis and treatment.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes fear of diseases,fatigue and disorientation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the doctor because of a toracic pain after intense physic exercise. I played basketball for a long time and I never had any problem of that nature, but I quit two years ago because it was impossible to conciliate with college. There is no familiar or personal background of coronary syndrome or any relevant disease. The doctor performed the physic examination and diagnosed me with pectus excavatum (mo one ever told me and I didn t even noticed it) , all cardiac and pulmonary sounds were normal as the rest of the exam. I also did a ecg which came back perfectly normal (only a small tricuspid insufficiency considered normal). I have laboratorial analysis and a cardiac function test with intense exercise (don t know the correct term) scheduled. So, up to my question, what s the pathophysiology behind the thoracic pain caused by pectus excavatum, why was that never a problem and what are the consequences for my future? Doctor: pectus excavatum can be congenital (since birth) or may be associated with condition like marfan syndrome, vit D deficiency in childhood - rickets.if it is causing severe pain then it requires surgical correction, results are promising. if left untreated thoracic pain, chest pain or breathlessness may persist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pectus Excavatum"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My blood pressure is 119/77 and I currently take lisinopril but am on a trial period with it because the 20mg I was taking was bringing me too low, So now im on 10mg and i have not taken meds today but its still kinda low for me, at 119/77.... Should I still take the meds? Doctor: DEAR USER,THANKS FOR CONSULTING WITH HCMYOU HAVE BEEN STARTED THE TABLET FOR YOUR HYPERTENSIONTHE DRUG IS CONTROLLING YOUR BP TO NORMALSO YOU MUST NOT STOP THESE TABLET WITHOUT CONSULTATION WITH YOUR PHYSICIANHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"
},
{
"from": "gpt",
"value": "Target: Should Lisinopril be continues if BP continues to be low?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc, i've been married for almost 3 years now and havent concieved yet, is it true mumps, anxiety, and stress cant make me conceive. After our sex i've noticed that he has a small amount of fluid, he experienced electricution also, that possibly the cause also of infertility? Pls help me. Thanks doc. Doctor: hai, Mumps, prolonged stress and anxiety will leads to infertility.mumps in childhood will effect the testicles and stress, anxiety- depending on his surrounding atmosphere(working place,family etc) will lead to infertility.and the normal seminal fluid should be around 2 to 6ml. Electrocution will also lead to infertility depends upon the severity at the time.Better do semen analysis and consult your specialist for further management.'Hope I have answered your query. If you have any further questions I will be happy to help\". For Follow up queries, end with \"If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health"
},
{
"from": "gpt",
"value": "Target: What may be the possible causes for infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 yr son got his blood report which indicates Red blood cells exhibit mild microcytosis Mild leukocytosis with absolute lymphocytosis is evident, occasional activated lymphocytes are seen. Advised :Haemoglobin electrophoresis. his neutrophils are low -15%,his MCV-75.9 fL ,MCH-24.3 pg .please tell me this what it means...... Doctor: Thanks for your query. Microcytosis means his red blood cells are a bit smaller in size than usual & the common causes are iron deficiency & thalassemia trait ( both are common non-serious conditions) Mild leukocytosis means the white cells ( White blood cells, or leukocytes are cells of the immune system involved in defending the body against both infectious disease and foreign materials) are increased in number . lymphocyte is a type of white cell. Lymphocytosis (increased lymphocyte count) & activated lymphocytes are commonly seen in viral infectios in children. Hemoglobin electrophoresis will confirm the thalessemia trait if that is there. There are no reasons to worry and should wait for electrophoresis report. Hope you find the explaination useful."
},
{
"from": "gpt",
"value": "Target: Blood report of a 2 year old showing RBC exhibits mild microcytosis and mild leukocytosis. Hemoglobin electrophoresis noted. What does it mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband and I are ttc, and I just ovulated within the last day or so. We have a trip planned on Monday to go to Six Flags. Will riding the roller coastes prevent a fertilized egg from implanting? Also If I am already running, is it ok to continue on running? I had a c-section 7 months ago, but lost my son at 12 days. Thanks so much! Doctor: Hello, and I hope I can help you today.Any activity you do that does not hurt you physically will not affect your ability to conceive nor will harm you if you are pregnant. So you can ride the roller coaster, run, or do any of the activities you usually do to enjoy life and stay healthy, and it will not harm you or interfere with your fertility.The one thing that you may want to consider is that your uterus needs time to heal from a Cesarean section and it is generally recommended you wait one year to become pregnant again to allow the uterine scar to regain full strength. Women who get pregnant sooner after having a c-section are at increased risk of abnormal attachment of the placenta, and of rupturing their uterus if they go into labor. I am sure after your last delivery you want to try to conceive right away, but the safest thing would be to wait until a full year passed since your c/section.I hope i was able to adequately answer your question today and that this information was helpful to you.Best wishes for your next pregnancy,Dr. Brown"
},
{
"from": "gpt",
"value": "Target: Is it safe to ride roller coaster while planning pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i am Vaani, am a student from India. for the past few weeks or maybe i should say for past 3 years i ve been ving terrible cold , frequent fever(my body temperature is always higher than usually some one should have), for past 2-3 weeks am ving runny nose and i also saw few blood drops in while sneezing and am also having frequent headache on my left side more than i do on my right side...... can u tell me anything on my this condition?? please try to help me with my queries.... Doctor: HI you are suffering with chronic nose allergy with intermittent viral infections so you have to avoid allergens which are not comfortable to you like foods avoid cool drinks .AC, FREEZE items, avoid pet animals, cockroaches in house take advice your GP thanks"
},
{
"from": "gpt",
"value": "Target: Cold, fever, runny nose, blood when sneezing, headache. Can you help me?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My bottom front teeth have been aching at a 6 on a scale to 10.It first started on the lower right side and gradually over days started to move towards my bottom front teeth. Pressure seems to relieve the stress.I do have fairly unlucky teeth due to poor hygeiene as a child and horrible genetics. However I have had all these issues taken care of at the dentist and they said everything was fixed(this was nearly a month and a half ago). I floss once to twice a day and use crest pronamel mouth wash, I brush 2 to 3 times a day with sensodyne pro-enamel and a follow up at night with MI paste.Since I was at the dentist so recently I dont think itd be a cavity without there notice. Not to mention it doesnt hurt from hot or cold or sweets.I thought maybe it could be from my sinus issues about 2 weeks ago or possibly a second set of wisdom teeth coming in. I do already have all of mine and they arent impacted and fit fine.Im concerned that it s a big deal and the soonest my dentist can get me in is a month from now.Please let me know what you think I really appreciate it.-Amanda Doctor: Thanks for your query, I have gone through your query.The pain in the lower front teeth can be because of the chronic localised periodontitis, that is nothing but the gum infection secondary to deposits or poor oral hygiene. Consult a oral physician and get it evaluated. If i am your treating doctor i would have put you on tablet doxycycline 100mg, twice daily on first day and once daily on next 4 days(if you are not allergic). Then I would have advised scaling and root planing of the teeth. I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in bottom front teeth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have heart futters and at the same time I stop breathing, like my lungs shut down, then I have to cough to start back breathing again, this happens about once per week or every two weeks, should I be concerned? I have been to doctor all tests came back fine. Doctor: Hi, thank you for asking Healthcare Magic.With this presentation, you really do not need to worry so much. This type of breathing (seems to be Cheyne stock breathing) can be a sign of an underlying problem. It can also occur normally in people especially those living in high altitudes. If there were an underlying disease, you may be having some other symptoms like breathlessness on exertion or at rest, orthopnea (difficulty breathing when lying), fatigue, cough, nausea, vomiting, severe headache or high blood pressure.I hope that helpsI wish you well"
},
{
"from": "gpt",
"value": "Target: What causes heart flutters and breathlessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI doc, I am 28 yr male from . I think i am suffering from some psychological disorder i am not sure if it is true or not. I tend to get too emotional whenever i speak to somebody senior to me and at level of anger shoots up to very high even though i don t react nut inside it build a pressure which makes me to feel my head gonna blow up Doctor: Hello, Yes. There is a possibility that you are having a psychological issue called association disorder. It can be cleared de-association therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: What medical condition could cause a person to become too emotional while talking to seniors?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi am , 21 am suffering from severe acne problem past 4 months so I consulted a dermatologist , he said that acne is due to harmonal imbalance and I am also suffering from thyroid since 4 years, so he prescribed me radiance h capsules 2 a day and Minoz capsules 1 a day and also benzoyl peroxide gel bp for pimple marks but am feeling very drowsy and dizzy because of these medicines, am using these medicines since 2 months. So how long should I use these medicines still ?? Doctor: Hi Aarathi, Treatment of acne includes oral anti acne drugs( isotretinoin and antibiotics) and topical medicines( mainly benzoyl peroxide, clindamycin, tretinoin and adapalene). The treatment is prescribed according to grade and severity and treatment needs to be continued till desired response is achieved. Minocycline can raise intracranial blood pressure leading to drowsiness, headaches and dizziness. I would advise you to visit your dermatologist as in such cases drug should be stopped and can be replaced with other anti acne medicines. Hope that answers your query."
},
{
"from": "gpt",
"value": "Target: Acne due to hormonal imbalance, thyroid. Taking radiance-h, minoz. How long should medication be continued?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi Dr Monnica, iam facing a very different problem, i always take wrong decisions and regret after everything is out of my hands, i dont stick to one decision always floats with multiple ideas ultimately resulting in all troubles and failures. What should i do to improve my concentration pls suggest me madam Doctor: HIThanks for using healthcare magicIn your case, you need some psychotherapy. There is no medicine that would increase your decision making power. Whatever ideas come in your mind, write them in a paper and then think, which idea is more suitable for you according to your resources. You can also do some relaxation exercise like JPMR that would keep you calm and relax.Thanks"
},
{
"from": "gpt",
"value": "Target: What should i do to improve my concentration?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my 4 year old son has been having a fever sincefriday. We went to the Dr. today and wastold he may have a combination of hand, foot and mouth disease and herpangina. He was given antibiotic and tylenol around 10 pm. My concern is his temp is dropping to 95. What should I do? He is asleep at the moment. Doctor: Hi,Thank you for asking question on health care magic.If the temperature is sub normal, omit tyelenol.You need not give tylenol if there is no fever.This is given only for symptomatic relief.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for mouth disease and herpangina?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a problem with aa crowned tooth which became infected about a year ago, I went to the dentist had an xray which shoed some bone loss and was put on antibiotics then referred to a hygenist. I have since had trouble again and went back to the same dentist, he said wanted me to go back to the hygenist, I went to a different hygenist who said I had to change way way I brished to get rid of the bacteria. I tried his way but still have a problem, it has also been quite sensitive at times. I isn't as red although not pink like the rest of my gums and I notice a small red spot above the tooth, just want it to come right Doctor: Thanks for your query, I have gone through your query.The infected tooth which has a crown can be treated with root canal treatment and root planing with bone grafting. The red spot over the gums can be a pus discharging sinus tract. Consult a oral physician and get a radiograph done to confirm the diagnosis. Get the root canal treatment done by endodontist, followed by root planing and grafting by periodontist.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: How to treat an infected crowned tooth and gum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a stillborn at 33 weeks with my first baby due to HELLP Syndrom. I am now 35 weeks pregnant with my seconde child and my liver funtion test has come back higher than normal. Could this result to anthing bad happerning to the baby or me? Doctor: Hi there,Liver function tests could be abnormal due to a lot of reasons. It is usually a variation of the normal, and need not cause you to worry. This is because pregnancy itself causes the normal limits of the liver function to change (and this is usually not reported with reference to pregnancy but in reference to adult female). This could lead to the values being read as abnormal.If you do not have high BP, HELLP, or abnormal itching or any other symptoms indicating liver diseases, then you need not worry yourself.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: What causes higher liver functioning test during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my wife in her inner left breast towards the center of her chest she ha s small soft lump that hurts when you touch it. also, it hurts when she breathes in. she is 26, 115 pounds and relatively healthy. it is a pain that comes on an off. we are worried but also wondering if it has to do with her cycle. always seems to come a few days before her period... Doctor: Thanks for your question on Health Care Magic. I can understand your wife's situation and problem. By your history and description, in my opinion, she is having benign breast lump due to hormonal imbalance during menstruation. Her breast lump and it's association with periods is suggestive of hormonal lump only. So better to consult gynecologist and get done hormone levels to rule out hormonal imbalance. Hormone therapy is very effective in such cases. Also get done mammography to rule out other causes of breast lump like fibro adenoma or infection. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes lump to appear in inner breast before periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started to notice symptoms about one month ago. The symptoms have included: constant exhaustion, heart racing with any exertion (such as lifting something or especially when walking up any incline), nausea, and stiff or sore muscles when doing any exertion (such as heavy legs when walking up an incline or doing stairs). Doctor: Hi your problem of exhaustion , heart racing and nausea and stiff or sore muscles on exertion may be due to over stress on your cardiac system. I would strongly recommend that you undergo complete cardiac check up and avoid any self medication"
},
{
"from": "gpt",
"value": "Target: What causes constant exhaustion, heart racing during exertion and stiff legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a lump on my jawline that is hotter than the rest of my body and about the size of a large gumball. What might this be? I was sick with a cold last week and have been stressed this week. I have had acne cysts in the past but this does not feel like it. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged submandibular lymphnode or submandibular salivary gland infection. It can be acute or chronic siledenitis. Yu should take a course of antibiotics like amoxiclav or cefadroxil. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes lump on jawline?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir im 33 years suffering form dhat syndrome since last one years its start with yellow urine for few month but after that having white sticky fluid after urine, I have examine lot of test but no trace of jondice and any other desease found. i have taken lot of medecine but no result found. Doctor: Hi,Thanks for writing in.The treatment of Dhat syndrome involves sex education, relaxation therapy and medications.Sex education primarily focuses on anatomy and physiology of sexual organs and their functioning with reference to masturbation, semen, nocturnal emissions. It also involves functioning with genitourinary system independent of gastrointestinal tract, etc.Relaxation therapy mainly consists of Jacobson's Progressive Muscular Relaxation Technique, which can be combined with biofeedback (so as to facilitate objective evidence and mastering of anxiety by the patient). Relaxation therapy should be practiced two to three times per day regularly, especially after therapy sessions are over.Medications given are usually anti depressants."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to treat dhat syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My backbone disc slipped midly...so many times when i get up early morning or when i give more stress to my leg or back.. then i feel pain in any one side of my back. Can u suggest me what to do to make my backbone strong again ? Doctor: Hello. Thanks for writing to us. Slipped disc is an age related degenerative change of the spine and you can only stop the further regression of the changes. You cannot revert back the changes that have already taken place. For that, surgery is needed. Pain killers with muscle relaxants and an effective physiotherapy regimen will be helpful in decreasing the problem. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Slipped disc, suggestion for strong backbone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 38 years old. Have a pneumonia left base, complicated with pleural effusion and atelectasia of the left lower lobe. Anemia 10g/dl PCR 10 ESR 125 leucositosis 8000 neutrofils 70% Gama GT 150 Alcaline fosfatase 50 HIV negative, Broncofibroscope - negative Doctor: Thanks for your question on Health Care Magic. I can understand your concern. These reports suggest anaemia and presence of inflammation. Hemoglobin 10 is suggestive of anaemia. ESR (erythrocyte sedimentation rate) is marker of inflammation. Both are common in pneumonia. Correction of anaemia through oral iron supplements is needed. This will speed up the recovery. For high ESR, anti inflammatory drugs are needed. Her total counts are normal. So infection is under control. Get done repeat chest x ray after 2 weeks and compare with first one t know the improvement. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: While suffering from pneumonia, what do the test findings suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor,I was diagnosed with ovarian cancer 2010 and finished my chemo june 2011.I have been in remission since.I ve been having for the last 10 days constant burping and intestinal gas on and off through the day,so i am worried it might be a reccurence.I had a ct scan 2 months ago which came back all clear and also a ca 125 test which is the same at 9.Today i went to the er to see if a doctor can help me and they did an abdominal ultrasound and said there's nothing,no fluid all clear.Could it be they missed the cancer somewhere or that maybe my symptoms are caused by something else?I ve been on acid pump inhibitors for the last 5 days but it still didnt reduce my gas.Thank you.Mima Doctor: Hi Thanks for writing to health care magic The symptoms u described are not suggestive of a malignancy. Also u have got investigated to rule out the same. So need not panic. The symptoms could be due to gas or an infection or sometimes the side-effect of the chemotherapy itself. However get a good check up by ur specialist to confirm. Hope this helps u Thanks and regards"
},
{
"from": "gpt",
"value": "Target: Remission with ovarian cancer after chemo. Intestinal gas and burping. Cleared CT, ultrasound and CA 125. Signs of cancer again?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 3. On Saturday she went swimming came home and Sunday morning had no voice and runny nose. Sunday night she started to vomit. We took her to emergency Monday and they did a swab for strep and came back negative and said it was viral. Her voice returned Thursday and her appetite. My daughter is still throwing up since Monday and it s only at night time. During the day she eats normally but smaller portions an appears to be normal. Come supper she dies down energy but again seems normal enough. And once 8pm hits she vomits at bed an through night. It s foul smelling and all her food from the day is in there. No fever. No rashes. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems like she have got an infection . Kindly take her to a pediatrician and give antibiotic treatment. It will be cured fast. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes chronic vomiting at night in a toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my age is 70 hgt 5 6 weight 63 kgs undergone complete thyroid removal operation due to cancer.taking eltroxin 100 mg 2 tab early morning before food. frequent body cram and catch. calcium 500 mg 2 a day at present I am taking. calcium level is 7 only. please advise Doctor: Hello,Your calcium level is 7.In best of my knowledge calcium should be between 9-11 mg percent. so your calcium levels are very low.Low calcium,magnesium & low blood sugar may lead to cramps in arms and legs. You should do following to correct your level of calcium:-Take citrate preparation of calcium.This type of calcium preparation is absorbed well & it has good bio availability.- You may have diet rich in calcium like milk and milk products,egg,cheese,etc.- Take vitamin D supplements. Without vitamin D calcium is not absorbed in body. Take all these for at least 4-6 months. Concomitant use of vitamin E preparation with L carnitine decrease the chances of occurrence of cramps. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatments for cramps in spite of being on eltroxin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir i have pain my stomech two corner and back pain also i consult a doctor he check and he told me kidney stone and he scan my kidey and test my blood and urine after gets urine report there wbc 8 and others are normal .scan result saying my left kidney there is one stone also. he give tablets . but after ate the tablets still paining .please help me what is the reason how can solve this problems Doctor: If the stone is causing outlet obstruction then it merits prompt removal. If it is not causing outlet obstruction then you can wait. A IVP would help in deciding further treatment."
},
{
"from": "gpt",
"value": "Target: Having stomach ache and back ache. Found kidney stone. Not cured by medicine. How to cure the problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Mu cousin have very less moustache . He his 26 now. Is there is any problem. Plz help Doctor: At the age of 26; if there are no other issues to address; it's unlikely that your cousin will benefit by hormonal medication or tests. Hormonal medication can only be started only if benefits outweigh the risks. Hair transplant for moustache are is a relatively simple solution in such scenarios with very good outcome. You can mail his pictures to know the exact number of hair needed and expected outcome."
},
{
"from": "gpt",
"value": "Target: What should be done for the growth of the moustache ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend fingered me but didn't go deep at all. I doubt that there was any fluid on his fingers. But I wasn't too sure and so I took the ipill within 48 hours. I'm having abdominal pain since a week and I also bled a little, though my periods are 15 days away. What does this mean? Doctor: hello and thank you for asking HCM,I understand your concern. Regarding to your symptoms, you could have mid cycle bleeding, so called spotting. Some women experience mid-cycle spotting around the time just after ovulation has occurred. This is thought to happen due to the drop in oestrogen mid-cycle, prior to ovulation. Because progesterone levels have yet to rise, a small amount of the endometrium may be shed.It is not something you should worry to much about, but my suggestion is to visit your gynecologist and make examination to exclude any severe condition. If your pain or bleeding becomes worse than visit your gynecologist immediately. I hope this answer was helpful to you."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain and light bleeding when periods are not due?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have broad based bulging of the disk at c4-5 c5-6 c6-7 with thinning of the ventral thecal sac at each level there is disk osteophytes with foraminal narrowing bilaterally at all of these levels. i have pain in my right shoulder, arm down to my hand. what options are available for treatment? is surgery neccesary? Doctor: Hi, Consult an orthopaedician and get evaluated. As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. Surgical correction is not required at this age. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What to do for disc problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has many health problems including repaired ToF, repaired imperforate anus, urinary reflux, agenesis of corpus callosum, and repaired bilateral cleft lip and palate and multiple vertabrae fusions they are worried about problems developing in the future. She loses weight a lot she is almost 3 and 20lbs, she has what seems to be enlarged inguinal lymph nodes, and she gets dark bruises along her spine for no reason. I just want to know what are possible causes for the lymph nodes and bruising... should i be worried or am i just being paranoid from past history?? Doctor: Hi, dear. I have gone through your question. I can understand your concern. She may have reactive lymphnode enlargement or may have tuberculosis or malignancy. You should go for fine needle aspiration cytology to search the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for enlarged inguinal lymph nodes & bruises on spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having back pain and abdominal pain(just when pushed on). I went to the doctor he ordered a ct abd and pelvis? the results said \"question mesenteric adenopathy. Renal protocal CT imatging with contrast might be useful for further evaluation of the urinary tract system. My doctors nurse said they scheduled me another CT. I guess I am just wondering why i would need to do another one/ should i just wait and see if the pain goes away. I had the same type of pain 3 months ago on the left side as well. What would be the best route to go? Doctor: Hi.Thanks for your query and an elucidate history.You had a pain in the back as well as abdominal.CT shows mesenteric lymph nodes and they should be investigated as to why have they are enlarged, whether due to cancer or benign. When we say ''Renal Protocol'' means giving the contrast dye in sufficient quantity so that the kidneys, ureters and bladder be well studies. I think you should go for another scan and should not really wait. Go for another contrast enhanced CT,This will help to rule out cancer, as is suspected , it looks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back and abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my girlfriend & i were concerned that she may be pregnant as she has had a light discharge a week early of her period, she is 37 & always had regular periods, she is getting the usual feeling of a period (sore breasts) etc. is this anything to worry about? thanks Doctor: you can't confirm pregnancy simply by symptoms and that too before periods. some discharge is common before periods, I think no need to worry."
},
{
"from": "gpt",
"value": "Target: Why does one have an unusual feeling of periods and sore breasts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: twice I have been in the ER with extreme crushing chest pain. Both times I was told my heart was fine, and I have to no reason to think otherwise, as did not feel like a heartattack to me. Two shots of morphine could not relieve the pain. Everytime my chest moved to breath the pain was almost unbareable. I was told it could arthritis of the ribs. Does that sound right to you? The two attacks were not close together either, they were at least a year apart. I guess I want to know who to avoid them in the future. Thank you Doctor: hi,As you mentioned you been told it could be arthritis of the ribs, then an MRI will be of insight to confirm the inflammation of the costochondral joints. Also, Only Rheumatoid arthritis can affect the rib cage so for this the RA test has to be performed to confirm rather just predicting it with symptoms.Also, for a complete analysis of the cardiorespiratory and musculoskeletal system the assessment has to be done by examination and observation.By doing regular breathing exercises will help improve the muscles of the rib cage and hold the joints in proper position by which the pain reduces. Usually pain arises due to the abnormal anatomy of the joints and can be corrected by getting the optimum strength in the muscular system.I have seen cases with chest pain and also RA of rib cage. we have come closer to the maximum improvement where the normality of the daily activities can be maintained.For further deep discussion you can contact meRegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of arthritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am pregnent(8 months running) I am facing urinary infection from 5 months now also i have PUC cells and epithelial cells count(10-15) .Can you please help me out with this problem by informing me how to reduce the count and get rid of this infection. thanks Doctor: First go for urine culture and sensitivity so that appropriate treatment can be started. Take plenty of fluids with alkaliser. nitrofurantoin is safe and can be started before culture and sensitivity report. fosirol sachet single dose at night is also very effective."
},
{
"from": "gpt",
"value": "Target: How should UTI with pus and epithelial cells in urine be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Today, I was sitting on the couch when a pain in my shoulder occurred (left side). I've had this pain before, so i brushed it off as i assumed it was growing pains (Im 16, female). Later on, both shoulders erupted in pain. I tried massaging, ice packs, heating pads, laying down, but every time i lied down the pain would act up again. The left side doesnt seem as bad as the right, yet it has spread up to my neck and collar bone when i lay down. My right shoulder seems more stiff and painful to the touch. Please help Doctor: In my opinion you have a cervical problem C4/5 i recommed a cervical CT scan to confirm until then you can take anti inflammatory Good Luck"
},
{
"from": "gpt",
"value": "Target: What could it be if had sudden pain in shoulders radiating to neck and collarbone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My baby is 34 days cold, she is having cold since 5 days. 3 days back there is drop of yellowish liquid in her ear. our doctor prescribed mucolite 0.3 ml for 3 times and for fever and pain dolopper 0.5 ml for 2 times a day. yesterday there is no discharge in the ear but today I saw wet in the ear. Doc told if it continues after 2 days they suggested novamox rediuse drops 0.5ml ...actually its an antibiotic can we use it? Doctor: Hi, Novamox (generic Amoxicillin capsules), which is a broad spectrum antibiotics and is safely being used in infants with ear infections. The prescription given to your child is perfectly fine, just continue the medicine. No need to worry. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can Novamox be used for ear infection in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I (32 yrs) and my wife (28yrs) are undergoing infertility treatment since last 2 months .After HSG test of my wife, doctor looked for follicile on her 11th day and said that it got ruptured.Doctor prescribed endogest 200mg and progyuava 2mg for 14 days. Please let me know when is endogest 220mg and progyuava 2mg prescribed and what effect it do? Thanks Doctor: My wife having IUI treatment and after IUI doctor prescribed Endogest 200 mg 2 tablets in a day. But by wife having disconfort after having this tablets. Please suggest."
},
{
"from": "gpt",
"value": "Target: I want to know about Endogest 200mg and progyuava 2mg and what effect it will do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old granddaughter has been on Dulera and proair for asthma. She has lost her hair 2 or 3 times since on these medications. she is currently loosing her hair again. It is not to the scalp, bet leaves her with a 1/2 in fuzz. Can these medications be causing this? She has had all kinds of testing done to rule out other causes. Doctor: Respected User, hi I evaluated your query thoroughly.*Per se Dulera & Proair not directly associated as side effects causing excess hair loss, but - decreased host immune repsonse following corticosteroids - less amount of iron ,protein , trace elements like zinc, magnesium needed for hair growth & maintenance are responsible for it.*Remedy is directed to : enrich food in iron , protein, multivitamins , multiminerals along with local applications of certain agents to make hair roots stronger . Hope this clears your query. Thanks for using Health Care Magic & keeping trust in our services. Wishing her fine and speedy hair growth. Regards."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for excessive hair loss in asthmatic toddlers on Dulera & Proair medications"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had both knees replaced, right hip replaced, left foot reconstructed, left reverse shoulder replaced, back surgery where a cage was put in, among other surgeries. I had a MRI done last week and found my back has four disk blown and my neck has two disks blown. The surgeon said they could fuse my back but there is only a 10% chance it will help. The disk in my neck is causing headaches. They are going to do injections in it soon. My right foot is deformed and have been told I need reconstruction surgery on it also. I know the feet can affect the back and the back affects the legs. At this point I am not sure which way to turn. Although I have a high pain tolerance I know I am facing some serious pain. I do not want to live the rest of my life in a drug induced stupor from pain meds. In fact I will NOT exsist like that. Please give me some input. Doctor: Hello, Sorry to hear about the list of injuries you faced. Coming to the point, you mentioned that MRI is suggestive of Lumbar and cervical disc degenerative changes. Let's discuss this first and then the rest. What my experience taught me over a period of 12 years with cases related to injuries like you and others I will give my suggestion. First foremost, buy a soft neck collar and start using it. This will stabilize the bones of the cervical region and also will act as s support to the muscular system to allow less compression over the nerve. The disc injuries are most times self healing, once the inflammation subsides you should not feel much pain. When using neck collar I will advice you to use on/off hot water fermentation so that the muscled which have undergone spasm will relax and the pain will come down slowly. Along with this. you have lumbar disc degenerative changes, so why don't you first take hot water fermentation so that the muscles of the lumbar region gets relaxed and make you at least stable. Post this use 3-4 pillows and try McKenzie maneuver in passive way. The details of McKenzie you can find over the net. This will help centralize the pain and once the pain is centralized you can use hot water bag to again soothen the nerve roots. Once nerve root is relaxed the pain travelling in its course will reduce automatically. Post which after 5-7 days of doing this you can focus on exercises but please continue the above advice as well. Exercise should focus on core stability, lower limb strengthening, upper limb strengthening and neck muscle strengthening. Slowly you will develop strength also and the inflammation on the nerve root will be reduced leading to the end result of improved lifestyle. If your pain symptoms are too high then a nerve block may be administered to the nerve root which may block the pain sensation for a couple of months. but if the muscles remain week still, it will again come back so doing the above mentioned exercise will be of help to avoid recurrence of pain symptoms. Coming to the surgical management, there is possibility of removal of the torn disc element and also fusing the spine but this may not make you get rid of the pain over all for long. The pain will be present through out the life and need exercise for the same. This option I do not recommend unless and until the motor functions are compromised. Also, very important is the diet, what you eat is to be focused. Having food which can digest faster without leading to any gastritis should be kept in mind. As with gastritis there may be leading to two symptoms, one compression over the nerve in the lower spine and headache. Having a good diet plan will be good. Please do not ignore the hip and knee muscles as you have the replacement done in the past and the muscles are weak this may aggravate the spine curvature to deviate and lead to other symptoms. Coming to your ankle, I cannot comment much as the history is too brief to guide over anything. I am sorry for it. Please contact a local physical therapist who can show interest in you and give the maximum output. I have tried my best to put forth the best possible treatment plan which should help you. 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: Need treatment for blown disc on the back and the neck"
}
]
|
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