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{
"from": "human",
"value": "Source: Patient: I am 19 years old. I m studyin B.tech in civil. From past 3 years i m facing problem of forgeting everything. I don t remember any formula nor do i remember answrs. This problem increased after i took admission in civil. I practise sums nd write answers everyday inspite of that i forget in exams. While studying i cannot concentrate, watever i read it does nt enters my brain. I teach my friends nd they get good marks .I am fed up of this problem. I wanna make my brain sharp. please help me Plz plz. Doctor: Hi,Thanks for being on healthcaremagic.comSince you are having memory difficulties at young age, I'd suggest you to get your thyroid function tests and serum vitamin B12 to rule out vitamin B12 deficiency. These abnormalities can cause memory loss in young. Please follow up with details after getting these tests. If these come normal, then it's better to see a neurologist in person for you.Regards,Dr.Ajay Panwar,MD,DM(Neurology)"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for memory problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend ate a nail in anger, now he is suffering from throat cancer. his glands secrete secretions that can effect his stomach, and the gap between his glands is closing day by day. His treatment is continued but dr.says that they are helpless now. Doctor: Hi, dearI have gone through your question. I can understand your concern. Treatment of throat cancer depends on type and stage of cancer. In early stage surgery is possible. In later stage surgery will not help and chemotherapy and radiotherapy is the treatment of choice. Consult your doctor and take treatment according to stage. 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 throat cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve asked myself this. Only to realize I m having symptoms of these in the beginning of maybe approaching death not the symptoms of death. Here s the thing I ve had a problem of hoplesness so bad I took a year off of friends family, depression I ve done nothing but eat bad foods and the depression is bad I have bad nightmares of waking up in my sleep and it s making me crazy and it s gone on for a year I ve had mirages hallucinations of all sorts of things. Could this be really a thing to check out? I m 19 here s the link to the site with symptoms WWW.WWWW.WW also I m on 15 mg of abilify 100 mg of zoloft I have a therapist and a psychologist should I at least get checked out Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. If you already are in treatment of psychologist, you should appraise him of the situation. If the given details are correct, hallucinations and nightmares are correct, the given medicines may not be enough to cure you. You need to consult a psychiatrist. Work with your psychiatrist and mostly therapy also should be continued along with medicines.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to get rid of depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 14 & has had allergic cold & runny nose for 6 months & now he has enlarged adenoids. His eustachian tube had fluid enuf to impair hearing & the ENT suggested grommet implantation in both ears.can i do some home treatments like steam inhalation& feeding spicy soup ,do u think i may be able to avoid grommets? He has taken augmentin 625 for 2 wks alredy Doctor: Hi thanks for usinh HCM. Allergy, cold, running nose, blocked eustation tube and serous otitis media are all due to allergy responce. So only augmentin wont help. You can try out antihistamine like levocetrizine, nasal spray(nasonex twice daily for both nostrils), enzymes like zymogesic plus and montelukast (I prefer Singulair 5 mg) once daily after discussion with your doctor and this will help him along with steam inhalation and chewing gum(to open eustation tube). Get back with the result after a week of using this for discussion on next line of management.Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries.Wish you good health. Take care.Regards"
},
{
"from": "gpt",
"value": "Target: Teenager. Allergic cold, runny nose, enlarged adenoids. Suggested grommet implantation in ears for filled eustachian tubes. On augementin. Any home remedies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 16 years old girl and already a few days my heart palpitations. Do not get stressed, do not drink any alcohol, not smoke. This may indicate a heart pounding heart disease? In the four years I was sent to theÿ echocardiography without cardiac problems only preventive pediatrician that due to my hydrocephalus exclude hypoplastic heart syndrome. This syndrome was excluded by echocardiography. If these my current heart problems (palpitations at rest) meant something more serious, followed by heart surgery? Doctor: Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that your symptoms could be related to cardiac arrhythmia. For this reason, I would recommend performing an ambulatory 24-48 hours ECG monitoring to investigate for this issues. Some blood lab tests are necessary too: -complete blood count for anemia- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for any possible imbalance. Hope to have been helpful!Wishing all the best, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What can cause heart palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 yr old child has redness on his penis. It looks like blister too maybe. He says it doesn't itch. It stings. He says nobody else has touched him and I believe him. He can't recall his penis touching anything other than his underwear. I'm thinking some kind of fungal infection??? Doctor: Hi....by what you quote I feel it could be balanoposthitis. Its an infection of the glans penis. But...Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: How to cure redness on penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr, I had a chest x-rays prescribed by my Pulmonology Dr due to a possible pneumonia and they called me today to tell me that it was not that but they found my heart enlarged, called cardiomelagy mild. What should I expect, do, next step? What exactly is that? I'm a female 41 years old, mom of a 10 month old baby and a 2 yr old girl Doctor: Dear Mrs,The next step is Echocadiography and ECG. Chest X Rays gives us some clues that there may be possible heart enlargement. But we should perform an Echocadiography, which can show whether there is any problem with the heart or not. If there is a need for any treatment depends on the results of Echocadiography.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for heart ailment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What kind of conditions of having hyperaerated lungs,ill-defined densities in the right upper lung,hazy densities noted in the left paracardiac area. The trachea is deviated to the right due to positional obliquity. the cardiac silhoutte is not transversely enlarge. both costophrenic sulci are sharply outlined. The diaphragm is low-lying. Doctor: HelloThank you for writing to us on Health care Magic.Based on your history the response to your question is as follows.1. Hyperaerated lungs, with low lying diaphragm, suggests features of emphysema.2. Hazy densities could be due to old fibrotic areas. Right upper lung, could probably be kochs, possibly old.3. No pleural effusion is seen.4. Heart size is normal.Based on findings, chronic obstructive pulmonary disease like emphysema can be suspected.Hope this is helpful to you.Do write back to me for further questions.Thank you"
},
{
"from": "gpt",
"value": "Target: What does this test result of lungs indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doc, I am a 24 yr old female. I have always had a very clear skin. Since a month ago - I have this profuse surge of pimples on my cheek and forehead . They come and go, leaving marks - and do not seem to wane. I consulted a doctor (general specialist) who prescribed Minoz 50 mg (2 tablets a day) for 5 days + Cetaphil Soap. He also asked me to not use anything on my face - i.e creams / powder for the duration of this course. I had some initial relief that there were no new pimples coming up while I was carrying out the prescribed medication . But after the course - and cessation of the Minoz tablets... the pimples have come back again. What should I do? is this an infection? Should I be continuing my Minoz medication? Should I get this screened by a dermatologist? Please help. Doctor: hello welcome to health care magic visit best dermatologist near you.Here are few tips or home remedy for this: 1.Mix a teaspoon of lemon juice with a teaspoon of powdered fuller earth and apply the mixture on the affected area 2. Rub on the pimples fresh garlic. 3. Every night wash the afflicted area with fresh mint juice 4. Grated raw potato applied overnight on the red pimples on head drink 8 glasses of water every day.try some good ayurvedic blood purifier. mail me at [email protected] take care"
},
{
"from": "gpt",
"value": "Target: Pimples reappear on cheek, forehead after cessation of Minoz tablets. Should I continue or take expert advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the last week I ve had quick sharp pains in my left calf then moved to my left hip then to my left breast and now to my left top row of teeth... With a headache. Its so weird to me that its all on my left side. I am female 47 years of age and I was diagnosed with fibromyalgia 2 years ago. Could tha be the cause of all these weird pains within a week? Doctor: hi,thank-you for providing the brief history of you.As you been diagnosed with fibromyalgia, this condition called fibro-myal-gia is a inflammation of the fibers of the muscles. The muscle is composed of numerous muscle fibers and inflammation there leads to pain. Due to inflammation of the muscle fibers there is slowing of the metabolism and also excess production of lactic acid.Also the sharp pain in hip and calf can be related to the pinched nerve in the lumbar spine as the paraspinal muscles must have got weaker.Also, taking physical therapy - Therapeutic ultrasound therapy and TENS therapy should help reduce pain. But the important role will be played by the exercise as to strengthen the muscle and improve the output of the muscles.In my clinical practice such cases respond well to physical therapy.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes sharp pains in calf and hip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 17years old..I m suffering from chicken pox .....I m just worried about the black spots which remain for long..How can they be removed.....I m applying a lotion now..will it remove those spots..?? Doctor: Hello. Thanks for choosing HealthcareMagic forum. The spots left by chicken pox are usually deep seated in the skin. You can try the lotion for your satisfaction but there is little these lotions and creams can do. These spots will fade away with time. May even take years to fade away completely. Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Which lotions are helpful to remove the black spots which comes because of chicken pox ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 3yrs &8months ,he is very naughty&always puts his hands inthe mouth,so by this he always gets cough&cold&later turns to fever.whats the best way to stop him from this.recently he had typhoid&neumonia&also tell me that is there a chance taat typhoid will relapse in future Doctor: Brief answer:Its a habitual thing. Detailed answer:Hi, welcome to HCM. Putting of hands in mouth or thumb sucking is a habitual thing. It is not a disease. Child should be regularly counselled by explaining the disease that he may catch by putting finger in mouth. Typhoid also can occur if repeated episodes of fingers in mouth are present as infection from nails can occur. Don't be angry with the child it will have negative impact of child. I hope this has helped you. Take care. Regards - Dr Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: How to prevent child from keeping fingers in the mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: collided with my friend playing softball. I knew right away it was gonna be a bad, I took the blunt of the collision in my right thigh. now a week later the bruise has spread to my knee cap and my enitre thigh inside and out is bruised. But what concerns me is the the pain at night. it keeps me awake sometimes it hurts so bad. Doctor: Hi dear .I can understand your pain regarding your knee injury .I think you might be having a meniscus tear .I will advise you to get an X-ray done.You may need to meet with an orthopedic surgeon for more testing. These tests may include an MRI, which can give a clear picture of where a tear is and how serious it is.You can take a NSAID like diclofenac for symptomatic relief .please rate my answer if you found it helpful .Best wishes .Dr Harpreet Kaur"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for bruising and pain in the knee and thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey I m 21 ima female , so here we go I m trying to get pregnant and I don t know why I can t , so my man and I have been together for 2 years goin on 3. We have unprotected sex every time since we been together so the first year we were together we had sex non stop and when my period was comnin I would have sex so it would Stop ,and I didn t get my period for the whole first year but after that year it has came regularly. Also my man doesn t take vitamins and he don t eat much so I wanna know is it cuz of me or him that we can t conceive a. Baby? Doctor: Hello There.. Welcome to healthcare magic forum. There are various factors which might be causing infertility in your case.. 1)Are you having intercourse during your ovulation day? 2)Did you find out the cause why didn't have your periods for a year ? I would advice you to consult a OBG specialist and discuss with them about your case.. They would advice you and your husband to undergo few tests which will help to detect the exact cause.. Hope this helps.. Take care.."
},
{
"from": "gpt",
"value": "Target: What causes infertility in men and women ? How is it prevented so that a couple can conceive a child ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 yr guy. Recently I was in my girl frnd for 2 days. We both are virgins.we had a nice foreplay. At the time of insertion i lost my erection. I was using a quantum too. I felt so depressed. After that my confidence level came low and I was feared that if i could have sex with her.I used to masturbate regularly and I can hold my penis erected for long time. I dont knw wt happd.. Pls help me . Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is psychologic problem dear. You have to make your mental status strong. Make a positive thinking that you can do the good sex. By this type of thinking you can achieve good sex.Even after that if you are not able to do the sex you can take the sildenafile citrate tablet.This is aphrodisiac tablet and can give you good eraction. It will take some time to achieve good eraction. So do not do overdosing. Overdosing can be avoided other wise it will damage the soft tissue of the shaft.Please wear condom while doing sex. It will prevent STDs and give contraceptive benefits. Safe sex is always adviced.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: What makes the penis to lose erection while inserting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel tightness on top of my head. Don't feel happy & fresh in my mind. Get confused & cannot take decision of any matter & planning.Chain of thought is disturbed. Always feel worriness of any matter related to professional or family. This problem was there since my childhood; it was a serious & I was very aggressive only with my family & children. After 1991 I had visited to doctors including homeopathy doctors. Also visited to temple, masjid & pray to become alright & sacrifice goat to god. No improvement & left taking medicine homeopathy since last 15 months.Now feeling 55% better without taking medicine. Now my children are grown up & don't come near to me. I knew that I had been doing wrong to them but later on I used to repent & think that after all they are my children.After few years all two daughter & a son will be away from us. I want to be more close with my daughters but they don't because of my past behaviour. I want to be 100% alright. Kindly suggest. Doctor: HelloYou have problem of irritable behavior, aggression, confused mind and inability to take decision on any matter. These things have created problems in your social life and poor rapport with children and other family members. The problem is there since childhood. Most likely the aggressive spells are occurring due to some behavioral problem and most likely due to intermittent explosive disorder. Other possibility is some personality disorder.I would recommend you to please visit a Psychiatrist for expert opinion and diagnosis.ThanksDr. Seikhoo Bishnoi, MD"
},
{
"from": "gpt",
"value": "Target: Feeling confused and angry all the time. Aggressive to children. Need help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 3 weeks ago I started feeling like I was going to faint after I ate. It happened about 4 or 5 times within two weeks. After being told it could be hypoglycemia , I changed my diet a bit and it hasn t really happened again since then. What has been happening since then has been very scary for me. I ve been very confused and foggy and it comes in waves. Sometimes I think crazy, nonsensical thoughts and realize my brain (the inside of my head) feels weird. Just tonight, it happened again. Instead of the lightheaded feeling I used to get (while the fainting spells were happening), I had a heavy and numb feeling in my head and I was once again confused for a few seconds. The numbness started in the left side of my head and moved to my whole head and face. Does anyone know what this could be? The numbness and fainting feeling scares me but the confusion and fogginess scares me even more. (I don t want it to happen when I m driving or anything.) Please give me any info you can! More info: -I m morbidly obese and working on losing weight. (lost 25lbs so far.) -I just got off of my period 1 day ago. (It was a pretty painful one.) -I m borderline anemic. (says the doctor.) -I ve been having panic/ anxiety attacks almost daily lately. (use to be very rare for me.) -I haven t been on any medication lately. (just Advil for menstrual cramping.) -I have sinusitis right now. -I was diagnosed with migraines as a pre-teen. (I am now 20) -Within the last few years I ve been experiencing ice pick headaches more and more frequently. P.S.- I live in the Houston, Tx area. Mosquito s and the threat of West Nile virus is very real. Please ask me if you need any more info. Thank you! Doctor: Dear JenniferMHernandez92 You do have Panic symptoms and anemic and on diet that is probably aggravating your anemia and consequently severe fatigue. Please meet a dietician and a hematologist/ physician to work up your anemia. Concentrate on getting treatment for the same. You will definitely get better. Please if you want to lose weight do under medical supervision and don't do crash diets that can create such problems as you are facing."
},
{
"from": "gpt",
"value": "Target: Feeling faint, brain fog, confused, face numbness. What could this be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm a 36 year old male. I'm 5'10\" tall and have a semi-sedimentary lifestyle. Yesterday I got a pressure along my sternum. This pressure went away, but has since reemerged as pain, particularly when breathing (in certain positions) and swallowing food. I also, at the same time, noticed a pain in my upper back (on the right side of my spine). Beyond that I have had clear mucus for some time now. I stopped taking allergy meds about 1 month ago and my breathing has stayed fairly clear. The only other symptom I notice (which has been around for some time) is a bit of fatigue. Any thoughts? Thanks so much in advance Doctor: allergy isnot curedeither dont stop med of allergy or go for permanent cure of allergy by immnotherapythe oversecretion of mucus in allergic patients have tendency to have these symptompsor it can be acid reflux causing pressure on sternumyou start taking antiallergic montair fx bdsyp gelusil 2 tsf tdssyp ascoril 1/2 tsf bdcan continue for 3 wk or very long in between get diagnosis on the the guidence given above"
},
{
"from": "gpt",
"value": "Target: Have semi-sedimentary lifestyle. Pressure along sternum, back pain, fatigue, breathing difficulty, clear mucus. What is wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was wondering what ingredient simvastatin has in them, just found out I'm allergic to cobalt chloride,cocamidopropyl betaine,gold,lanolin alcohol,n.n-diphenylguanidine,nickel sulfate,potassium dichromate,triclosan. I was wondering if I can take the simvastatin thank you Doctor: Thanks for your query,simvastatin does not contain any of the compounds. just take it as directed and report to your doctor if you have muscle pain or nausea.I hope it helps"
},
{
"from": "gpt",
"value": "Target: Does simvastatin contain cobalt chloride, cocamidopropyl betaine, alcohol and nickel sulfate that can cause allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was recently diagnosed with hepatitis C. I'm trying to find a doctor who can treat me and hopefully start a Harvoni regimen . I'm moving to Salem MO in two weeks from Birmingham AL. I have Medicare & Medicaid insurance . Christopher Michielsen . (573)705-0566 . YYYY@YYYY . Doctor: HiI m Sorry to hear about your diagnosis.First you should be Double sure that you are HCV antibody Positive and serum HCV RNA test Positive.Then The standard treatment according to BHS Guidelines is T. INTERFERON for 6 months (once daily) along with T. DASABUVIR for 6 Months (twice Daily)Every month you should check your Haemoglobin levels and it should be not less than 13 g/dL.And I Dont know whether these drugs are covered in your health scheme.Happy Recovery"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hepatitis C infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I am suffering from focal distonia i.e. writer s cramp desease since 2006.My neurologist suggested me to take pacitane 2mg tab twice a day & as I am doing that.But the side effects of the medicine is very unsufferable.My head gets painful & heavy as I have just drinked alchohole.Also my ability to thing & understand gets lower.My heart beats rapidly increases.I can not handle my self atleast for 8 hours since I took the Pacitane 2 mg.Please sugest me how to get rid of the sideeffects of this medicine while taking it daily?.Because that is the only tablet which cures my writer s cramp problem tempororily.No other medicine effects. Doctor: Hi, It's a tricky situation. Focal dystonia is often helped by Parkinson's drugs. There are a lot of them. There is often a lot of other mental issues associated with the Parkinson's AND the medication can do this also. There are a lot of other Parkinson's medicines and requip is generally with less side effects, but certainly has different ones since it acts significantly differently than pacitane. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: How to get rid off the side effects of the medicine pacitane?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a history of acute, bilateral PE s. I was taken off work for it 2 years ago. 5 months ago treated for 2 episodes of DIT s, (stroke).1 week ago I accidently injured my left knee by severely spraining it. ( popped it out of joint) I now have developed pains below my throat and under my left armpit and severe night sweats... I m concerned that I have developed PE s again in the lung. Our local hospital here has no CT scan equipment. I am presently on EI and cannot afford the blood thinners... What is your advice? Doctor: you don't need a CT scan for that ultrasound will do which is cheaper and no radiation which is sensitive in detecting pleural effusions"
},
{
"from": "gpt",
"value": "Target: What could cause pain in throat, under the left arm pit and night sweats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can I give my 10 week old baby saffron in his formula? What benefits are thre for him using it. Also at 3weeks my baby had a uti and he has been given antibiotic to take for three myths after being discharged. Wld the antibiotic affect him negatively in anyway? A side effect of the med is gas. The nm of the med is sulfa trim pediatric suspension Doctor: HiSaffron or any other such product not recommended before 6 months of age. Sulfa trim is not given for infants less then 6 weeks of age. There after it is a safe drug usually. If your child is tolerating it, then there is nothing to worry. In case he develops any new symptoms, do contact you physician for the rare side effects."
},
{
"from": "gpt",
"value": "Target: Can I give my 10 week old baby saffron in his formula?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ! I m 22 years old & I have masturbate habit since I was 15 years...I masturbate 4 to 5 times in a week but from last year penis size & weight decrease upto 70% now it s just 3inches when it erect & I have also erecting problem now...what should I do to get healthy penis again ? Doctor: Hello dear,The size of penis is genetically determined and it does not increase after a certain limit.But one thing should be known that the size of penis does not determine the potency of an individual.So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful.Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection.Avoid stress...practice meditation..this helps in improving concentration & builds up the confidence level.Avoid smoking & alcohol.You can also do oil massage of the penis...it increases blood flow & maintains the erection.Wishing you a Healthy Life.Take care."
},
{
"from": "gpt",
"value": "Target: How to improve penile size and strength?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been bleeding from his rectum every time he goes to the bathroom. It seems to be getting worse instead of better. He has prostate cancer and is currently being seen by a doctor. Could this be Pancreatic Cancer and is that hereditary? Any suggestions or answers? Doctor: Hi,If the cancer spreads to the rectum then it can cause bleeding.However your husband needs a rectal examination to rule out any hemorrhoids that can be present locally which can cause bleeding.Regards."
},
{
"from": "gpt",
"value": "Target: Is pancreatic cancer related with rectal bleeding?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 5yr old daughter that says she is constantly hungry on top of that she is big for her age both weight wise and height also she seems to loose alot of hair when we brush it and has very dry skin. I have thryoid problems and were afraid that maybe this is the beginning of it in her. She has been tested but with no answers yet. If any of you have any idea as to what it is or might be please let me know. We are afraid that if we dont find answers soon what could happen to her later on in life. Doctor: Hi...by what you quote I feel that she might be having a low thyroid (hypothyroidism) problem. You need to do a thyroid profile for her and can go ahead based on that.But there are other potential causes of obesity and associated complication apart form hypothyroidism - she will need - 1. Serum fasting insulin levels2. Glucose tolerance test3. Thyroid profile.4. Serum LeptinKindly approach your pediatrician for this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes excessive hunger in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 32 year old female with Lumbar Spinal Stenosis w/ calcified ligaments. I have been dealing with this condition for about 2 1/2 years now and have not seemed to get any help. I have a constant pain that travels from my lower back, buttocks, and down my legs. PLEASE HELP, I dont want to live like tis forever, and Dr. I've been seeing have not showed me that they want to resolve this issue. Doctor: Well you are living with LSS for 2 or more years and I think you have tried the conservative management like medications and physiotherapy but it does help very long..There is a surgical options for you..laminectomy..You will get better with it and has good results..See a spinal surgeon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back pain with Lumbar Spinal Stenosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Ive had this rash in my torso that dont go away but it started with a couple of red spots in the tip of my penis it apeared 2 months after high risk sex. The thing they turned purple ...and in my torso they pretty much remaun the same. There is a round red scaly rash in my groin... Cancer or hiv? Doctor: HelloThanks for query.You have developed red spots after unprotected sex .These are mostly due to infection of the glans Penis (Ballanitis).However you need to get basic screening tests for STD and HIV done. You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily. Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for small red spots on the penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i am 30 yrs old and i have very regular periods. Been trying to get pregnant for a couple years now - no success. Been diagnosed with unexplained infertility. Fiance's sperm analysis shows abnormal morphology. But we're still hopeful...what are our chances of conceiving after years of trying? What can we do to increase our chances? Doctor: dont worry your problem is easily treatable as you are not having any pathology.. go for ivf techniques. and TESA. you will be mother of a baby soon. dont loose hope as you r problem is easily treatable. take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infertility due to abnormal sperm morphology"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: how should i deal with low calcium,i have been trying to deal with this problem almost two years now and still my calcium is low.I hav tried a calcium enriched diet plus liquid calcium and calcitrol.i am even seeing a specialist and stil no relief,can you help.August will make it two years since i had thyroid surgery. Doctor: Foods which increase calcium are milk, yoghurt, cheese , milk-based custard, leafy green vegetables, broccoli, cabbage, spinach, fish, meat and almonds.Also u can take calcium tablets like tab Shelcal 500 mg four times a day after food for 3 weeks.This should increase your calcium level."
},
{
"from": "gpt",
"value": "Target: How to increase calcium level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i have a hard lump on the top of my collar bone that sometimes hurts a little what is it? it also move with the bone as if it attached to my sholder bone Doctor: Hello Welcome tro HealthcareMagic. The lump you mentioned about could be a bone cyst or osteomyelitis( infection of bone). It could be a sebaceous cyst, but they are generally not hard. I would suggest you get an Xray done and consult an orthopedician. An MRI can be done if asked by the orthopedician.Take care."
},
{
"from": "gpt",
"value": "Target: I have a hard lump on the top of my collar bone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 month old, 26 pound son just got a hold of two 500 mg Naproxen pills. They must've been knocked off the top of the entertainment center. He sucked on them but I was quick to grab them out of his mouth. What should I do? He seems ok for the moment but it just happened Doctor: Hi, I had gone through your question and understand your concerns.Naproxen is a NSAID medicine, used for relief of pain , in high doses it may cause gastritis, and effect on liver and kidney . But if he had sucked on them only , I mean if pills are intact you need not concern, as most pills are coated and absorption with just sucking is unlikely . So if pills are intact you need not do anything , take care in future .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination"
},
{
"from": "gpt",
"value": "Target: What are the harmful effects of eating Naproxen pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend is female, age 71. She is experiencing a desire to sleep and a slowing - not slurring - of her speech. No other symptoms. She is fearful of stroke. What do you think? She is vert active, doing zumba and body conditioning 5 to 6 days per week.I am using the guest option on my computer and it won't accept email. Your system asks for my email address but I won't get any email response here. Doctor: Hi, your friend aged 71 years has an urge to sleep, slowing of speech. It may be age related, due to less blood supply of blood to the brain, ischemia of brain, anemia, defeciency of the proteins, vitamins, or trace elements. I advise you to consult her a physician for diagnosis and treatment. Thank you."
},
{
"from": "gpt",
"value": "Target: 71 years. Urge to sleep, slower speech. No other symptoms. Healthy lifestyle. Possible stroke?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell down the stairs earlier today, went to er and they said nothi g was broken, but iam having a real hard rime sitting or even moving. The nurse practicioner said i didnt break anything but when she was putting pressure on my ribs it hurt tremendously in the top. I have been using ice pak then heating pad then ice pack, what else can i do. Also i took two t3 which isnt helping at all with the pain. Doctor: Hi you have injuries on your ribs and are feeling difficulty in sitting or even moving. In my opinion , with this kind of picture you might have fractured a vertebra in dorsal spine. I would suggest pain killers , and an X Ray of Dorsal Spine before any thing else."
},
{
"from": "gpt",
"value": "Target: What is the cause of body pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have been to the ER for severe abdominal the pain and they said, they did not see anything in my ctscan or vaginal ultra sound. I was given Bentyl and pain pills for my stomach, which works for a couple weeks. However in the past two weeks the pain has only worsened when it occurs, and the pills do not seem to help as they once did. I had an x ray done 2 days ago and in the pelvic area is a black round shadow. Last night was one of the worse pains i've experienced to date. I had diarrhea and vomiting, the pain was excruciating. Thank you for your time, any information would be gratefully appreciated. Doctor: HiIt seems that you have been suffering from gastroenteritis. sometimes the medicines are not effective because the bacteria have developed resistance against the specific drugs. Therefore it is recommended to do stool analysis and culture and sensitivity for effective antibiotics. meanwhile take good care of hydration and you can use metronidazol and ciprofloxacin under your doctor's prescription.ThanksRegards"
},
{
"from": "gpt",
"value": "Target: Severe abdominal pain, diarrhea, vomiting. Taking medication, no results. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a history of bilateral hip displasia at birth. I have been having a problem in the last year and a half of my left leg shortening. Normally I have gone to a chiropractor and he s been able to realign it and it stays for a while(weeks to a month). This past Wednesday it shortened about an inch but after being realigned it goes right back short in a matter of hours. It never really hurt before but now I have excruciating sharp pain just to the left of my tailbone when it shortens. Is this sciatica or should I see an orthopedic dr for the hip? Doctor: Hi. With a history of dysplasia and recurrent possible hip dislocations, you need to see an orthopaedic surgeon. There are new technologies that an orthopod can use to improve stability of the hip joints. Hope that answers your question."
},
{
"from": "gpt",
"value": "Target: What causes sharp pain on the left-sided back after leg shortening?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 8 week old grandson is suffering from severe colitis and bleeding in his stools. He is a twin but his sister has no problems and is being breastfed. He has seen a doctor and been given steroids and Neocate formula for a few weeks but is still suffering stomach cramps/distress and is losing weight. Is there any other formula that may be more suitable that you know about, or any ideas from your part of the world? Many thanks Doctor: Hello,It seems like some inflammatory bowel problem. Lactose intolerance could also be the cause. Given lactose free formula first and give it in dilution. When start tolerating then increase up to exact proportion. Some babies are also allergic to breast feed. Give a trial of stopping it for a while and check results. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for colitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im am HIV positive 4 yrs on trtment but lately I hav a pain at my back on my sholders next to the neck, I dont know what couses that pain as if im carry something heavy with my shoulders...I now relly on pain killers to ease the pain pls help couse im strugling even at work I cant cope anymore due to the pain it is killing me slowly. Doctor: Hi, Welcome to HCM. Pain over shoulder and neck can occur to anybody. It depends upon your age, work and family history. These symptoms can occur also with HIV disease either as bony changes due to HIV disease or due to ART drugs that can decrease bone mineral density. Your treating physician , with a thorough history and appropriate investigations will able to guide you better in this regards. Wish you a speedy recovery. Dr S.Murugan"
},
{
"from": "gpt",
"value": "Target: Have pain back, shoulders, taking pain killers, HIV positive"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 23 years old, height 5 feet 6 inch and weigh 56kg.i am facing a problem of vibration of the body since i was 10 year of age. i never take it seriously now i am facing big problem due to this. i think this is due to the nervousness because of vibration of my hand my hand writting is so dulty. i am feeling very bad, i dont know what can i do to overcome this situation. i am sorry if this issue does not seem realistic, but the subject/title was my theory as to what s wrong with me. please help, to anyone who replies, and please try to be polite when posting, as this is a real issue i am having. Doctor: Hey, Do now feel low about your hand writing, How about your other activities? Were you injured and go to this state? My uncle too has this kind of problem of swinging all the body, it happened after an accident and injury to neck. It did not disappear completely but controlled to large extent. He used few medicines from head doctor and he got good support from the family and friends. emotionally strong. You should be too."
},
{
"from": "gpt",
"value": "Target: Vibration of hand. What can I do to overcome this situation ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 37+ and my hubby 38, we are married for 1yr 3mths, trying to conceive till today. each time we are together i feel pain due to dryness, so we use ky gel since then. I took chinese herbs and did acupunture few mths ago cause the doc told me that my womb was cold, but nothing worked. my normal cycle 31dys has changed to 40dys. This mth i didnt feel any period sympthoms as i usually feel (breast pian, legs & stomach cramps). i did home pregnancy test and its negative. Pls help! Doctor: Hello,It is probably a case of products. You have late ovulation. You should go for follicular study after taking clomiphene on day two of the period. Check your thyroid function and serum prolactin.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
},
{
"from": "gpt",
"value": "Target: Can I get pregnant with cold womb?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: after a knee replacement my friend is in severe pain - oxycodone/acetaminophen 10/325mlg & Carisoprodol (Soma) 350mlg is not touching the pain. She is in FL her dr. is away - can she double the oxy? She is a larger size & maybe the dosage is not enough. She will call the dr when he returns but for now???? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. One should not double a medicine without physician input. This applies to any and all medications. Aspirin like drugs can be helpful in addition to narcotics. There can be issues of safety with using them right after surgery. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain after knee replacement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel a lump in my throat after chewing nicotine gum. Is this a normal reaction or is it an allergy I should be concerned about? I can still breathe, and it is getting better now that I have taken the gum out, but it is scary to feel like my throat muscles are constricting. Will this subside with repeated use or should I not try the gum again? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your symptoms are common with nicotine. It is side effect of nicotine. It will cure with short time. But you should avoid nicotine in future. So take care of that. 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 remedy for lumps in throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been involved in BDSM for about half my life (i am 39 now and i have been in the scene since the age of 18). i have had good as well as bad experiences. i am well aware of the bias towards this scene from a mental health perspective. i know that if i seek out therapy / psychiatry, it will likely become an issue of contention and i know that i will be asked to \"give it up\". my questions are:what are the chances that i will find someone who will accept my choice to be in that community and be willing to provide therapy in spite of my status within it?Do you, as a mental healthcare professional, believe that i am \"damaging\" myself by participating in this lifestyle?i may have more questions depending on the answer i get.thank you,amber Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. i think you are confused with the same problem you say you are comfortable. Your life style is what you are satisfied with. Please go ahead. Nobody can question you. They (others) can guide you, advise you, in so many ways. That perception is theirs. Your perception is what you are satisfied with. Your confusion about \"what shall the world say?' is creating problems for you. I am sure. Why such a conflict? If you are satisfied, healthy, and want to live like this, do it. Who is stopping you. once you do it, your mental trouble shall ease. 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: Am i 'damaging' myself mentally by participating in BDSM?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have taken fertyl on 3 day of menses and had follicular study on 10 th day ,on 13 day ,my follicle size was 18mm*17mm, doctor had given me corion 5000 injection on 11 th day as it was a dominant follicle..........but this month also ,i got down on 3rd dec,plz help Doctor: Hi welcome to healthcaremagic.I have gone through your question.I would advise to do investigation of your partner if not done. And histosalpingography HSG for you to rule out tubal blockages.If both reports are normal then continue these treatments for 3 cycles atleast.If not get success thenconsult your gynecologist and take his/her advise for further management.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: What causes infertility inspite of follicular study and Corion injection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have asthma and use an albuterol inhaler. I just started taking probiotic fiber about two weeks ago because I often have digestive trouble. For about a week, I have feeling tightness my chest and today, for the first time, I see a slight swelling in my neck. I m not having difficulty breathing, but I can tell there is something wrong. Can I be having an allergic reaction to the probiotic? If so, what should I do besides stop taking the probiotic and trying to get in to see my doctor? Thanks, Kay Doctor: HI, thanks for using healthcare magicIf you are noticing these symptoms only since your started the probiotic then it is possible that it is causing your symptoms.In addition to discontinuing the probiotic, you can also consider the use of an oral anti histamine which would dampen any allergic response.These would be available over the counter. Examples are claritine,zyrtec, allegra, benadrylI hope this helps"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of allergic reaction to the probiotic?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is Muhammad Naeem and I belong to Pakistan. I am almost 40 years. Now a days I am feeling lot of dizziness and I did not find myself active. However, when a take some exercise then body became active otherwise I am not feeling alert. I have swelling on my eyes for which I got all the medical test including MIR. The eye specialist three months age advised me for the use of Predneslone of 05 mg, firstly 05 day and night afterwards decrease the same one a day. After the use of said medicine my eyes swelling for a time being finished but later on same started to appear. Doctor: Hi dear. I understand your concern. Prednisolone is steroid and it usually not indicated in dizziness. Eye swelling is due to inflammation and Prednisolone can reduced it but one should use it for shorter period. So take your doctors advise to continue it or not.But it is not advisable to take it for a long time.Still if you have a query then feel free to ask. Happy to help you further. Thank you."
},
{
"from": "gpt",
"value": "Target: Should I continue Prednisolone for dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can i take i-pill after one year of expiry? it is for sex after 48 hours i ned to take . please advise ASAP. it is just for precaution that can i take this I-pill medicine and also it has expired 1 year before, i have no other option and no other medicine available, please advise , Many Thanks Doctor: Hi,It may not be effective in preventing pregnancy. After the expiration date, the emergency contraceptive pills like I-pill may become less potent and if its potency goes down it may result in an unwanted pregnancy.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can i-pill be taken after it has expired?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I dont not want to use condoms or pills. How can pregnancy be avoided without them?Dear All, I am married of few months , I dont want to use any condoms or Pills tablets ...I want to know How to avoid pregnancy after marige for 1 year....Plz guide me ...I am sharing some details Like MC date is . 4 june 2014..Now tell me the safe time for sex without using any safty... like condoms and Ipills Doctor: Hi dear the safest time for the periods are day 1 to 7 and day 21 to 28 if you have 28 days cycle..however Chances of pregnancy with unprotected sex can not be ruled out on any day but on above mentioned day its least..other days of cycle are very high so choice is yours..hope this will guide youThanks and regardsDr.Sohil Takodara"
},
{
"from": "gpt",
"value": "Target: What are the precautions to avoid pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband (age 48) was diagnosed in April 2011 with stage 3 Duodenal cancer. He had a whipple done and had 8 our of 18 lymph nodes infected. He just finished his last (8) round of oxilplatin and xeloda. In July his CEa level was 1.7 last week his CEa level was 7.0. We have scans tomorrow. The doctor says that the chemo could cause a rise in Cea-I am so nervous. He seems fine. He does have hemorroids. Could that also cause a rise? Doctor: Hi,Thanks for writing in.Chemotherapy medicines are drugs which kill cancer cells. These are powerful medicines and affect the cancer cells preventing them from multiplying. They act on the cell cycle and affect its growth. They also cause cancer cells to release toxins to the circulation.Side effects of chemotherapy includes predisposition to infections, liver and kidney dysfunction, loss of hair, generalized weakness. Loss of appetite, anemia, increased release of toxins in blood causing rise in CEA is also seen. Please do not worry as if he can tolerate the first 4 cycles of chemotherapy then the rest of treatment will be without much side effects. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What are the side effects of chemotherapy during treatment of Duodenal cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently saw an article about a young, athletic boy who has ITP and is living with the ups and downs of a low platelet count. I am female, 51 yrs. old, and was diagnosed with ITP at 18 yrs. old. I did a 3 month diminishing steroid treatment, and then still had a lower than expected platelet count. I was told I had to have a splenectomy, which I did. My platelet count has been fine ever since, including thru 2 pregnancies. I have had timed bleeding tests to be certain that it would be safe for my children to be born naturally as well as while in labor, scalp samles from the child to make sure that the child's blood count was okay to continue with natural child birth. It was. My question is this: Is there a reason why a doctor would not prescribe a splenectomy now for a male teenager with ITP? If so, are there health concerns that I need to know about being a person without a spleen for so many years? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Spleen is an important organ in immune system, specifically against capsulated organisms.2. In ITP, spleen is the site of destruction and hence its removal will improve platelets count.3. Splenectomy increases risk of severe infection by capsulated organisms and usually is last resort treatment. Vaccination is available against these common capsulated organisms.4. As the age is younger for the boy, the risk of infection is present for longer time, hence they are waiting and watching to check for progression. In the young, chronic ITP risk is low and acute ITP usually comes under control.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Is it safe to have splenectomy for ITP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr, I have been taking Exforge HCT 10mg(Amlodipine) 160mg( Valsartan) 12.5mg (Hydrochorothiazide) for my high blood pressure,but one' a while I might get dizzy, it's not well control and what is the best medication for foam in the urnine. Thanks Doctor: Hello there You are taking the first lie drugs but perhaps their dosage is not right and the timing is not appropriate.It is difficult to fathom whether your dizziness is because of low bp ar high blood pressure.An ambulatory blood pressure monitoring will helphope that helps"
},
{
"from": "gpt",
"value": "Target: Will taking Amlodipine,Valsartan and Hydrochorothiazide be safe for BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a metastasized liver cancer now which was diagnosed last sept. my primary cancer is breast which was diagnosed last 2004. my treatment is complete but still it was metastasized.at present my treatment is zeloda 6caps/day for 14 days & rest for 7 days. then repeat. my question is, how long will i live because my doctor will say nothing everytime time i asked him. i want to know so that i can be ready anytime. anyway i already accept all what will happen. Doctor: Hi,Thanks for writing in.Sorry to hear about your cancer of the breast which has spread to the liver. It is possible that if there is a small liver metastasis then there are good chances of extended survival for you. Since it is stage 4 cancer and your general condition is good therefore a survival of 2 to 5 years is expected with good treatment and care.I understand it is difficult for your doctor to discuss about your survival and they are doing their best to fight the battle against cancer. Please maintain a healthy nutrition and discuss any pain relief measures that might make you comfortable. There are patients who might out live expectations and I hope you have a long survival with regular treatment and follow up. Your doctor is providing the right treatment. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What is the prognosis for metastasized liver cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a type 2 diabetic. Recently my doctor put me on insulin to take at night because I get home from work late and therefore eat late -- my sugar readings are 250, 300+ in the mornings so she thought a small dosage of insulin along with the glipicide twice a day would work. She took me off the tulicity once a week when she did this. Well my sugars are still high and she has increased it to 30 from 10 units at night. For instance I have not ate since 3 o clock yesterday - I tested my sugar at 11:30 am and it was 315 -- why is it so high and I haven t ate? Is there something I can do to lower this? Doctor: you need to do vyama (exercise) morning 30 min evening 30 min along with , yoga. also add some Ayurvedic medicine your blood sugar gradually lower. tab BGR 34 2 bd tab gokshuradi gugglu 1bd"
},
{
"from": "gpt",
"value": "Target: How can elevated blood sugar levels be managed despite administering an increased dosage of Insulin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What causes my testicles to swell slightly and tighten during intercourse? It only happens occasionally, there is no pain involved and it causes premature ejaculation rather spontaniously. It looks like I've only go one large testicle, they only pull up slightly. Thank you in advance. Doctor: Hello, During ejaculation scrotal muscles contract, that might cause some sort of painful sensations. However, if it is unbearable then you need to visit you, urologist, for a complete checkup and look for any pathology as well. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes swelling/tightening in testicle during intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i have a question ..I am a male ...i had protected sexual intercourse with a female like 2 months ago... the girl got tested in January and was clean (I am not 100% sure if this is true, but the girl seems pretty honest, and she only had sexual intercourse once before me)...the day of the intercourse I shaved in the pubic region and used a pretty old razor (used before on the pubic region multiple times) ...couple days later I experienced little tingling and irritation on my inner thighs (not shaft, not scrotum, and not the head of the penis) ...i had no flu-like symptoms....and no ulcers or bumps showed up ...what this could be? thank you so much! Also, the sexual intercourse was pretty vigorous! Doctor: Hello, According to your complaints, it can be fungal infection or friction between the thighs. Local antifungal and steroid application will be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What causes groin irritation and tingling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello :)I had sex unprotected 3 days before period! I took unwanted 72 on the three day quite late but still within 72 hours! The thing is my periods didn't come yet rather i had quite a flow of mucas even after taking the pill! Do i have the chance of conceiving? I hope not :/ Doctor: Hi,It seems that as you had sex during non-fertile period and took unwanted 72 in time, risk of having pregnancy is less likely.Wait for withdrawal bleeding.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Is mucus discharge after taking unwanted 72 a sign of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 16 year old daughter is complaining of chest pain around diaphragm and sternal area, she has a heart rate of 100, B/P is 130/78 and skin is blotchy and cold to the touch. She does not feel anxious.Blanching of the nail beds seem to be normal and are pink in color. She has dx s of Crohn s, JRA, Chronic Histoplasmosis (last lab normal), Atrial Septal Defect, Anemia, low Ca. Should I be concerned about the symptoms of the vital signs she exhibiting? Doctor: Hi,Welcome to HCM,Coming to your query, this need to be evaluated as this can be and infection in chest. it would b worthwhile to she her treating physician and get a Chest Xray evaluation done as multiple co morbidity and their treatment can some time change presentation of disease. Get her examined."
},
{
"from": "gpt",
"value": "Target: Is chest pain around the diaphragm and sternum of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been 'blacking out' or 'greying out' as I don't ever faint completely, a lot recently. I have also been really fatigued and short of breath, moody and feeling a bit depressed. My blood pressure is on the healthy of low, when it was last checked 8 months ago. Could I be anemic? I am living in Indonesia at the moment and I struggle to get red meat and enough vegetables into my diet but I have started taking iron tablets everyday. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. With the given description, it is very difficult to understand and diagnose your real problem. Why did you post this query in mental health? Because you are almost sure that the problem is related to mental health. So far, so good. Then your age is a matter of concern here. Imagining physical problems and acting accordingly has become a curse of the youngsters today. If you are anemic, and if you know it, you should consult a doctor, and should take iron tablets only with his consent. There could be so many other complications related to anemia. You will know about the mental problems that are associated, after consultation with your doctor. Till then be patient and do not diagnose self.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: Why am i experiencing black out and depressed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I received multiple red marks which appear to be a bit of some sort. I just returned from the Mexico beaches of Riveria Mayia. I spent time on the beach and was wondering if the bites could be sand fleas?The bites are small, red, and itchy. The bites are located on my inner legs near my crotch Doctor: Hello, The symptoms seem to be related to bites. I suggest using Hydrocortisone cream for local application. I also recommend Loratadine to relieve the itching. 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: Can sand fleas cause small red itchy marks on legs ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Could you please tell me the prognosis of Liver Cancer. ? My friend has just been diagnosed with it and the tumours are on the blood vessels. She attended for Radioactive injections yesterday and will and will be told the results today.She has been told that they are malignant but they don t know where the Prmary is as the only tumours to show up on the MRI scan were on the Liver. Appreciate any information. Thank you. Doctor: Thanks for your question on HCM. Liver is the most common site for metastases. The reson for this is reach blood supply of liver and suitable environment for tumour growth. And to find liver metastases is an accidental thing.After this we need to search for primary. For this PET scan is best. So the radioactive injections you are talking about must be PET SCAN only. This will tell you the primary site of tumour. Possible primary sites are1. Lungs2. Kidneys3. Intestines etc."
},
{
"from": "gpt",
"value": "Target: What does being Malignant tumors on the blood vessel suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: husband is 48, stomach hurts when eating solids for the last six days and has body aches , some lower back pain and constant urination, every 2 hours, drinking lots and lots of liquids. Doctor: Hi ! Does he have fever also? You must see your Doctor soon since it doesnot seem just common indigestion problem."
},
{
"from": "gpt",
"value": "Target: Stomach ache, body pain, constant urination, feeling thirsty. What these symptoms suggest ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffering from Apthous ulcer in right side cheek. The lesion is about 7mm long. My dentist Rxed me BecosuleZ Cap 1 OD, Antoxid Cap 1 BD, and Tess mouthpaste t.i.d.for local application. No antibiotic was given. I have been taking the above dose for last ten days, and the lesion has still not disappeared. By the way, I was a habitual tobacco chewer=Pan masala addict. for last 25 years. For the last ten days my tobacco consumption has gone drastically down,limiting myself to 4 or 5 times in 24 hours. Without tobacco, my head & concentration wavers,and I feel irritated. My family says,taper off and leave tobacco gradually.I am trying to stop tobacco fully. From today a chemist friend advised me to take Rebagen [ Rebamipide 100mg] of Macleods Pharmaceutical, in doase 1 b.d. plus local application of paste of Laxanox [Amlexanox Oral Paste 5%] twice daily, for 5 days. I have added this regime also. Please advice if this is the correct therapy or I should go for a biopsy to rule out sub-cutaneous fibrosis or anything more severe. I shall be obliged for your response. I am a Indian male, aged 59. weight 98kg with normal health. Thank You. CSTewari. Uttar Pradesh. Doctor: Hello, Thanks for sharing your concern with us. The best thing to do before brushing or eating is to rinse with warm salt water. (1/2 tsp. salt with 10 oz warm water). Swish and SPIT the whole glass, wait five minutes and then brush or eat food. avoid spicy foods, citric acids found in fruit and tooth pastes containing sodium dodecyl sulfate (sometimes called sodium lauryl sulfate, or with the acronyms SLS or SDS). Vitamin B12 used orally may have some effect You can contact me again directly through my profile. Regards. Dr Neha Gupta Dentist"
},
{
"from": "gpt",
"value": "Target: Apthous ulcer in cheek. Habitual tobacco chewer. On medicines. Need biopsy to rule out other severeties?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Within minutes of lying on my right side,my arm goes painful/numb. Also I seem to have palpitations when lying on my right side as well, when trying to go to sleep. this Morning I woke up and my right arm hurt/was numb. I have tried stretching but it lasts for awhile.Can dehydration be a cause? Doctor: YES dehydration can be one of the factors inducing the pain and numbness of specific parts of your body but in your case i would like to ask you to consider your posture while sleeping and have your xray cervical spine done to look for cervical rib or cervical spondylosis if pain and numbness persists, moreover keep on taking a well balanced diet too."
},
{
"from": "gpt",
"value": "Target: Could numbness in arm and palpitations be due to dehydration?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have quite a sore left ear, sore gums on the lower left side, and sore throat on the left side. My ear and throat hurt when I swallow. I had a dental cleaning 2 days ago. Is it possible for the cleaning to have triggered these symptoms? There was nothing unusual with my cleaning and I have good oral and general health. Doctor: Hi,Thanks for posting the query, According to your clinical symptoms i suppose that you have a problem related to ENT, i would suggest you to get a checkup done, normally this does not occur with Dental cleaning.Take care!"
},
{
"from": "gpt",
"value": "Target: Can dental cleaning cause soreness in ear/gums/throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, MY HUSBAND S SEMEN ANALYSIS SAYS: QUANTITY: 1.0ML COLOUR: GREYISH WHITE TRASPERANCY: OPAQUE VISCOSTY: VISCOUS TIME OF COLLECTION: 12:10 TIME OF LIQUIFICATIN: 30 MIN pH: 7.5 [SEMEN ANALYSIS CHEMICAL] FRUCTOSE: POSITIVE [ SPERM COUNTS] TOTAL COUNT: 16 MILL/ML LIVE COUNT: 06 MIL/ML SPERM PER EJACULATE: 16 MIL [MOTILTY] PERCENTAGE MOTILE SPERM: 38% RAPID LINEAR PROGRESSION: 00% SLOW/NON LIN PROGRESSION: 40% NON PROGRESSIVE: 60% [SPERM MORPHOLOGY] NORMAL FORM: 30% [HEAD ABNORMALITY] SMALL OVAL: 50% AMORPHOUS: 20% [MID PIECE ABNORMALITIES] [OTHER CELLS] WBC S: 01 RBC S: 00 DOCTOR PRESCRIBED FERTILOX. PLEASE ADVICE Doctor: Hello, Your sperm count is little less with motility disorder. We tell it oligoasthenospermia. Well, please take the medicine advised by the doctor. Besides, I will advice you to quit smoking and alcohol if any. If you are working in a hot environment, please avoid it. You can repeat the counts after 2 months of taking the drug. Astaxanthin and CoQ containing preparations may help. You can go for a IUI later and if nothing helps, IVF is a option at the last. good luck"
},
{
"from": "gpt",
"value": "Target: Done semen analysis. Prescribed Fertilox. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there. My girlfriend takes birth control regularly every day at the same time. We had sex and our condom broke, and we ended up taking a Next Choice emergency contraceptive almost immediately after realizing what had happened. She proceeded to take her birth control the next day as scheduled. We are worried about her becoming pregnant; have we taken enough measures to avoid this situation? Doctor: Hello,I have gone through your query and understood the concern. she is almost completely protected with the oral contraception she is taking regularly. In addition, emergency contracpetion also has been taken, which offers 98-99 percent protection in an otherwise unprotected sexual act if taken soon after. Thus, there is ample protection and no need to worry about failure. The high hormone content in the emergency pill can cause withdrawal bleeding and also a delay in the next period by a week or two. If she becomes overdue by ten days please see a specialist for further help. Take care."
},
{
"from": "gpt",
"value": "Target: Does taking Next choice while on birth control offer 100% safety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My thigh was badly injured in a fall and the entire leg has swelling and is turning yellow. Injury happened 1 week ago. The pain has been moderate. Walking with a limp that loosens up as I go. Understand it takes time to heal at 60 years age. Concerned about the swelling and yellow coring for entire leg. Doctor: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your swelling and yellowness could be due to infection secondary to the injury. you will need and ortho consultation and examination. meanwhile1 keep your limb elevated.2 start Tab Ibuprofen 400 mg three times in a day.3 Rest.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for yellow coloration and swelling on legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my baby has red spots on whole body which is not painful and it starts from behind the ear to whole body before it she has under treatment for fever which was due to the viral infection what will be the most appropriate treatment and diagnosis for this Doctor: Hello As u give discretion rash which was start from behind the ear and spread whole bay . Is occure only in measles infection which is viral infectionFor fever u give peracetamol 15mg/ kg for every 6 to 8 hrlyIsolate u baby from other baby as it is contigeous disease If rash with itching then give anti histaminic Give palnty of water Give vitamin A sup or capsule with consulting ur doctorIt is self limiting disease which last for 7 to 9 days"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for red spots on body"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 17 y/o daughter has one kidney smaller than the other (noticed during a work up for bilateral ureter reimplant surgery done when she was 3). Renal scan at the time showed function about 25% & 75%.No problems since & no further testing. Will she be at higher risk for problems later in life? Doctor: One kidney is much more than sufficient for the normal body . Its natures gift who has given compensatory mechanisms for the body. If one kidney is functional nothing to worry about it."
},
{
"from": "gpt",
"value": "Target: Should i be worried about the lower functionality of one kidney?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently at a stuffed mushroom and it contained feta cheese and I literally woke up about 30 minutes with hives and welts from scratching everywhere. I itch so bad it woke me up. I have since taken 3 Benadryl pills but I still itch. Should I wake my boyfriend up to go to the ER. And my tongue feels alittle sick. I have never been allergic to anything except flagyl. Doctor: HI, thanks for using healthcare magicIt would be best to be seen as soon as possible in the ER or your emergency doctor if your tongue is swelling.This can affect breathing and may indicate that you may have a very severe allergic response that would not respond to benadryl only.In the ER, you may need steroids as well.You would need to avoid this allergen in the future. If you are not sure if it is the mushrooms or cheese then either avoid both or do allergy tests.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for hives and welts after eating mushroom"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have gallstones and medicine for it. yesterday i took it and it did not stop the pain. i then drank some milk and emptied my stomach of all its contents then the pain went a away and i went to bed. now today after eating three spoon fills of my lunch and taking my medicine the pain came back and i threw up again. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.The only permanent solution is surgical procedure., in acute phasse for symptos relieve you need to take spasmolytics, avoid fatty food and rest. In case of progressive pain, go to ER. But generally there is no need for urgent surgery. You should do it electively and till that need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for gallbladder stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello this morning I had really bad shakes I felt sick and dizzy. Managed to get strength to go to work and they made me eat chocolate to bring up sugar levels. Nearer the end of the day I got pins and needles down my left arm . I spoke to my dr before the pins and needles and he said to have a blood test which ive booked for monday! This scares me incase its diabetes or anemia. My mum s mum is diabetic and so is my dads dads? Im 18 by the way Doctor: Pins and needle sensation is paraesthesia .it is caused by many causes.mostly occurs due to decreased blood supply transiently .it may be due to compression of the blood vessel, or metabolic.if u have had a good mattress/sleep than compression is ruled out.So it can be metabolic,it can be type 1 diabetes, at your age,but it manifests early in childhood.Mody can occur at your age given history.But,simple blood test can rule out this disease.The possibility of other metabolic conditions is more likely given acute onset.It can be hypercalcemia, or hypokalemia where paraesthesia are common.Also it could be any pathology in cervical vertebral region. So an MRI can rule it out.Metabolic conditions can be diagnosed by blood testing."
},
{
"from": "gpt",
"value": "Target: What causes dizziness with the feeing of pins and needles on arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i have mild sharp abdominal pain. I have had it for more than 24 hours. My bow movements have been a little irregular as of late. I have had some prunes today to try and improve that. I have also been passing a lot of gas. Please lend me any advice you have? Doctor: HI.Thanks for your query.THe most probable cause of severe pain in abdomen with irregular bowel movements and gases can be a form of gastroenteritis. I would advise you the following:Take a course of an antibiotic and metronidazole and supportive and symptomatic treatment This may resolve your problems sooner. If no relief you have to undergo the following tests:Blood- routine and WidalUrine and stool tests in details.Ultrasonography of the abdomenEndoscopies if required."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sex for the first time and the condom broke but we didnt know until about 24 hours later because i found apart of it after i used the bathroom. i took plan b within 34 hours and i had just started using birthcontrol 3 days earlier. how much of a chance am i pregnant because i m freaking out cuz i m supposed to have my period today, but doesnt birth control and plan b delay your period...but by how long of a time, when should i start worrying? Doctor: HI, I understand your concern. Birth control pills can delay your period if taken in mid cycle. The bleeding usually starts within 8 days of stopping the pills. Plab B prevents conception by postponing ovulation. It's effective when taken within 72 hours of sex. ( earlier the consumption, more are the chances of prevention of pregnancy. Being a high dose hormonal preparation, it delayes/ disturbs menstrual cycle by roughly 8-15 days. In your case, as you are taking both contraceptive pills & plan B too- you need to wait for menses till 8 days after stopping the oral contraceptive pills./ If you had started oc in mid cycle.. you may produce temporary hormonal disturbance & irregular periods. In such case _ ve pregnancy test after 8 days of expected mense date should assure you of no pregnancy. Wait for periods to start & start using new pack of OC from 5 th day of cycle. thanks."
},
{
"from": "gpt",
"value": "Target: What are the signs of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have torn the front left driver muscle in my leg. Should i go to the hospital or will it heal with rest? The injury happened Tuesday and i thought i was good to play cricket yesterday and i have ended up making it worse. I say its torn because iv had a lot of injuries in my life and iv never felt anything as painful in comparison to other strains or sprains iv ever had Doctor: Hi, The muscle tear will not heal spontaneously. I suggest you visit ER ASAP. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Does a torn muscle in the leg need medical attention?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am swati my last cycle was on 6th jun and on 2nd of july i had a light brown discharge but after that i didn t had it is i am pregnant i am confused plz help me doc,i always have my period 3 to 4 days before and i had intercourse also with my husband and ii want to become pregnant.and on 4th of july my urine test was negative and my doc told me come after one week,i have little bit of backache . Doctor: Hello. Thanks for writing to us. A negative urine test for pregnancy on 4th july does not rule out the pregnancy. You now need to repeat the test or get your serum beta HCG levels evaluated to know about your status of pregnancy. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Brownish vaginal discharge after periods, back ache. Unprotected intercourse. Urine pregnancy test negative. Pregnancy chances?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has had a lot of unusual tiredness for quite a while. Shortness of breath, bloating, loose bowels, ect. Lately he has started itching . Now hives and lumps underneath skin are appearing. I cannot get him to see a doctor. Please help.. He's 58 and doesn't have a medical condition except prilosec for heartburn. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should consult pulmonologist for your husband. Her is having chronic GERD (gastroesophageal reflux disease) which is causing bloating, heartburn, chest pain etc. This chronic GERD can cause asthma and breathlessness due to chronic reflux in the lungs. And they will cause shortness breath tiredness etc. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. He will need inhaled bronchodilator and inhaled corticosteroids. Control of GERD is also important. So avoid stress and tension, avoid hot and spicy food. Continue prilosec. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes tiredness with shortness of breath,bloating and body itching?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 8 year old girl has a large spleen of about 22 cm and a large liver she also has a dry oatch of skin at the bak of her head just above the neck could that be psoriasis amd is thet linked with her spleen and liver she is also diagnosed with rohns disease wen she was 5 Doctor: Hi.... rather than considering a different diagnosis liKe psoriasis in this case I would prefer to consider this skin lesion an extra intestinal manifestation of Crohns disease. But skin conditions are always diagnosed after directly seeing them, so I suggest that you upload an image of the area of the skin involved so that I can guide you better and more scientifically.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Could the dry patch of skin above neck be due to psoriasis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My name is Todd and I have a fiance whom I love dearly but I have a huge problem with jealousy, anxiety, and paranoia and it's pushing her away from me. In attempts to save my relationship, I'm reaching out for medical/psychiatric help. I have a very low income and I want to see a therapist but I can't afford it. Please get back to me with aome kind of helpful news if you can. Thank you. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely ask you, if you know the problem, why don't you change yourself? It shall be useful to see a psychiatrist only if you want to change yourself. If you have the self belief that you shall change yourself, then psychiatric help may not be necessary at all.You could most probably plagued with obsession. That is normal with people who are in love. The extreme situation of love is obsession. You are obsessed with your fiancee and that is the reason why you are being so anxious, jealous and paranoid. Don't worry. You shall change, for sure.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 jealousy, anxiety and paranoia towards the partner?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been to the doctors four weeks ago and after 1 minute i was diagnosed with scabies. I then treated myself with Malathion Derbac 4 times and i am still getting rashes. I washed everything i come into contact with and it just seems to be getting worse. Doctor: Hi,Scabies is highly contagious skin disease and if perfect treatment is not implemented, the disease would not cure by root and may lengthen the duration. So, proper treatment should be taken. I would recommend you to take scabicidal Tab ivermectin 12 mg single dose and may be repeated for few weeks. Apply permethrin cream daily at night till satisfactory improvement. Take bath in antiseptic like dettol liq. Hope this helps.Dr. Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for skin rashes due to scabies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Four months ago I had awful low abdominal pain pressure and bloating. It also radiated to my back and sides. I had a cat scan done and said I had small ovarian cysts on my left ovary and they couldn't locate my right one. My dr said to wait it out or get on birth control. It's been four months and I constantly feel pain. Some days worst than others but its driving me crazy. I have an appt mon to see a Gyno. Could it be more serious? Doctor: hi,welcome to healthcare magic forum,your doctor has given you good advice follow that ,if still you are feeling pain get an ultrasound done and meet the gynecologist on mon.good luck."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain and bloating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was diagnosed with RA 6 years ago I was on Humira but I started experiencing muscle burning and very painful, my R-foot is numb. I experienced pain when breathing weakness when chewing, nightly fevers ans night sweats. I was in the hospital for a week done every test and still have no DX. Please help Doctor: Hi Hope this message finds you in good health.I have gone through your query in detail and understand your concern.its due to muscle weakness and calcium and vitamin deficiency.along with RA tablets, also take calcium and vitamin tablets Hope your query has been answeredNothing to worry about, You should eventually get back to normal.Get back to me for any FOLLOW UP QUERIES anytime.Kind Regards,Dr Mahaveer Patil...(MBBS,MS,Mch)"
},
{
"from": "gpt",
"value": "Target: What to for pain and weakness while breathing for RA patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have small red lines on one side of my mouth *roof* near my molar teeth. It looks kind of like veins. Awhile back I had some jaw breakers and I believe I chipped a tooth, but it wasn't too bad. By awhile back I mean like 3 months. My teeth are a little sensitive on that side, and I'm going to the dentist tomorrow. I can't really find anything already written, but I would like to know what it may be. My teeth don't seem to have cavities, though yesterday I accidentally scratched my gums trying to get something out of my front teeth. It's on the same side, though not far back and on the opposite side of the 'red veins'. Is it normal? If not, what could it be? My family has no oral cancer in it, and both sides have relatively decent teeth. My mother has awesome teeth (and hers and so on) whereas my dads teeth are kind of brittle now that he is getting older and cavity prone. Let me think... yes, I do try to brush my teeth but I'm going going to lie and say \"Every single day--- TWICE A DAY!\" I normally brush them once and mouthwash. I understand this is not the way to go. Trust me, I understand whatever may be wrong with my mouth is my responsibility. Thank you and I hope to hear from you soon. Doctor: Hello, thank you for contacting with us as you have mentioned that one of your tooth chipped off, the red lines can be because of trauma from that tooth. Visit a dentist nearby and get the tooth restored it will be healed. if the tooth is sensitive also get an x-ray done of that tooth if there will be infection it will be treated by the dentist."
},
{
"from": "gpt",
"value": "Target: Vein like lines on upper jaw near molars. Suffered some jaw breakers earlier. What does it indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir,My father got three strokes. He was fine but for few months got vomiting tendency. If we stop drug for a day it comes again. On the other side he has lost his physical and emotional balance. He is under a Neurologist but progress is nothing. Plz advise me.kind regards,Bijan Doctor: Hello!Welcome to HCM and thank your for your question!I understand your concern, and would explain that these are common symptoms after brain stroke (also called pseudo bulbar palsy). Unfortunately there are not specific medications, which are proved to improve this situation. The best therapy in this case would be physiotherapy and psychotherapy. Recovery after stroke takes time. It is greatest in the first few months, and gradually plateaus, although small gains may be made for the next 1 to 2 years. I recommend continuing the anti vomiting medications(besides the other antihypertensive and prevention therapy) and try time after time to make proves if he can swallow without vomiting (some patients remain with a feeding tube for months). A psychiatric consult may be needed to establish the proper therapy for his mood changes. Many persons have depression after stroke, which makes their recovery more difficult. Hope to have been of help!Best wishes, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes vomiting and physical imbalance in heart stroke patients?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, one of the bumps right at the back of my tongue (lingual tonsil area) is a yellowy colour, not pink like the rest.i was looking because i have a bug at the moment and a congested throat/nose...now i am manically googling tumors! Any idea what it could be? Doctor: Hi. Welcome to Healthcaremagic.I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillaem As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally these happens with fever and infection and regress on their own. I suggest you to check if it is discoloured, enlarge or have uneven borders, then get it checked.Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain gud oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and hydration. If it burns while eating, you can apply oral anesthetic gel 5 min before eating.Hope the answer helps you. Thank you!"
},
{
"from": "gpt",
"value": "Target: How to treat the yellow bump appearing in the back of the tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 36 yr old female with obesity and asthma. left foot and leg swelling with pitting stage 2. Left arm heaviness and weakness. Venous scan shows no blood clot in leg. blood work normal vomiting lastnight with sob. fatigue blood pressure in right arm 139/102 Left arm 140/72 No history of high blood pressure off and on chest pains that radiates to left shoulder and back Doctor: Hello, I have studied your case. I think she should go to doctor as soon as possible and see if there is any heart problem. Your doctor might ask her to get ECG or 2d echo. Also blood pressure should also be taken care of as this can also cause swelling in feet and heart failure. This is an emergency and you should not delay this treatment.I hope this answer will be useful for you. let me know if there is any other followup questions. thanks for using healthcare magic."
},
{
"from": "gpt",
"value": "Target: What causes foot and leg swelling with vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,How soon before a long haul flight do I need to inject myself with Clexane. I was told 12 hours but have read anything from 4 hrs before to immediately beforehand. I am at low-moderate risk and have a problem with my foot which is suspected complex regional pain syndrome resulting in sensitivity and easily inflamed. Doctor: It's action is for 12 hrs.. so anything 1-2 he prior to flight is OK. Ao avoid prolong sitting and stand should be avoided"
},
{
"from": "gpt",
"value": "Target: When should I inject Clexane before a long haul flight"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor,i am 27 year old unmarried man. my problem is semen not producing, but it is going when i am sleeping 3-4- times in a month.I am looking healthy,68 kg, 5-8\" height, no diabetics and other health problem. i doesn't have habits like smoking and alcoholPlease advice me doctor Doctor: HelloIt is unlikely that you have occasional nigh fall but not producing semen.It may be due to wrong technique of ejaculation.It is important to evaluate clinically for phimosis because it is an important reason for such complain.Glans is not stimulated due to overlying adhered skin.You should consult surgeon and investigations can be done if needed.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Why am i not producing semen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been sick with either the flu (had the flu vaccine in October) or a severe case of food poisoning. One week ago, he dined at a restaurant, that night he wasn't feeling well. He had fevers, chill and the next day he woke up with severe, horrible diarrhea that smelled terrible which has lasted for 5 days. His temperature ranged from 104 to 101 for 3 days. HIs fever has ranged from 101-98 for the past few days. Last night, he woke up with the worst night sweats and his current temperature is 96. We see a GI specialist this afternoon. In the meantime, we are concerned about the night sweats and lowered temperature. Doctor: Hi welcome to HCMi read your history and can understand your concerni think your husband must be suffering from amoebic diarrhea as it is smeeling bad,with high feverEmpirically for both bacterial and parasitic diarrhea infection Tab Ciplox Tz works good.i hope i have cleared your queryThank youTake care"
},
{
"from": "gpt",
"value": "Target: What causes fever, cold, diarrhoea and night sweats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a kiney stone removed with lazer surgery about a year ago.I am 61 years old and have never had any body pain at all after the surgery i have been in constant .The whole right side of my body is hurting all the time. the surgery was done on my right side. I can not lay on my right now and i have to lift my right leg with the help of may hands.My right shoulder also has began to have severe pain in it , right ankle and knee also experince swelling and pain ,there is also swelling in the area on my right side in kidney area.I also notice in the last couple of weeks my urine has become foamy. i do not trust the doctor who did surgery because he told me i did fine during surgery but when i did follow up visit he told me my surgery was one of the most diffcult he had ever done.I am current trying to find another doctor i can see because i do not trust the one who did surgery the first time because and i can still feel pain in the kidney Doctor: HIThank for asking to HCMYour present complain and the laser surgery is nothing to take with each other, your body pain could be due to some other clinical condition and that must be examined clinically, because the surgeon said that it was a most difficult surgery he ever done and this words has created panic, and you became specious, and this thing became aggravating factor for pain and anxiety, avoid such thing, and forget this, every thing will be alright, have nice day."
},
{
"from": "gpt",
"value": "Target: Knee swelling, shoulder pain, foamy urine. Had kidney stone, removed. Done laser surgery. What does this show?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is the best operational definition of shortness of breath? Is it: shortness of breath is respiratory rate of greater than 25 and a score of greater than three on the \"Perceived SOB Scale\" or is shortness of breath is a reflection of systemic hypoxia? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Shortness of breath is defined in many ways. There is no particular definition for this. But as doctors, we call it shortness of breath when patient is having rapid breathing, (respiratory rate more than 24 per minute), with use of accessory respiratory muscles with hypoxia (low oxygen saturation).Patient usually describe shortness of breath as breathing difficulty on climbing stairs or fast walking.Some patients describe this as labored breathing.So there is no specific definition for shortness of breath. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the best operational definition of shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my friends' daughter was recently diagnosed as having liver flukes. they have made their way to her stomach and intestines, and she has begun throwing up these flukes. no one in our area knows really what to do and the 'strongest' medication that is supposedly available hasn't helped. she has no insurance and no gastroenterologist is willing to treat her without it. we have done research and one in 2.7 million americans is suffering from this parasite infestation. what do we do? Doctor: dear friend you have not mentioned the age of the patient.there ate anti parasitic drugs available which are effective in case of parasitic infestation, but none of them would generally be available OTC. please take help of govt assisted medical schemes for proper treatment."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for liver flukes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, The last several days I have been getting what I thought were ingrown hairs in my bikini area, but the are very painful and have formed lumps under my skin. Each day more have appeared. I currently have a copper IUD in place and was wondering if the copper might be causing them. Doctor: Hi,I understand your concerns.Following is my reply:1) No. These are not related.Let me know if you need anymore help.Regards,"
},
{
"from": "gpt",
"value": "Target: Does copper T insertion cause ingrown hairs and lump on skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the last 2 weeks I been feeling alot of back pain and on my left side and lower part of my stomach it hurt really bad for 2 days straight, but now not so much. I been feeling really tired and have headches once in awhile maybe multiple times a day. My back has been hurting alot to. Recently this past few days everytime I lay on my stomach it starts to hurt really bad in middlw section. Also I have been having mood swings. I was wondering what you guys might think I have. If you know any answer please help me out. Thank you so much. Doctor: Hello ,As per your symptoms there is possibility of gastritis or peptic ulcer with hyperacidity.I will advise to start [proton pump inhibitors like] rabeprazole Sucralfate will protect gastric mucosa and will give protective covering.Gases formation can be reduced by eating easily digestible food, stop non veg, drink plenty of water.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Back pain, lower stomach pain, headaches, tiredness. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: masses full thickness tear of the whole subscapularis tendon with associated atrophy of the musel belly suggestive of a chronic tear ! complete full thickness tear of the whole subscapularis tendon with tendon retraction and a complete tear of the long head biceps tendon with tendon retraction! and large joint effusion Doctor: Hello welcome to the health care magic You are having complete muscle tear and so joint effusion as well. CT scan report should be done to look for grade of muscle tendon injury. Intralesional steroid can be given to relieve inflammation If age and clinical condition permit than surgical treatment is needed Hope this will help you Take care Consult orthopedic surgeon for examination and discuss your case"
},
{
"from": "gpt",
"value": "Target: How can tears of the subscapularis tendon and the long head biceps tendon with retraction be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having heartburn (burning sensation) in the middle of the chest on and off for the last one month and also slight back pain at times. Burping occurs sometimes also. ECG is normalI have been taking Rozavel FLS for the past one year and also Pan-D for acidityWhat to do? Doctor: HelloYou are rightly taking Pan-D for acidity.It is a combination medicine of proton pump inhibitor and domperidone.Persistence of acidity may be due to bacterial infection in stomach or duodenum by bacteria like H.Pylori.You may need clinical correlation and further investigations like ultrasound of abdomen and upper GI endoscopy.Biopsy may be taken during endoscopy.You may need specific medicines for H.Pylori.It is good that cardiac status has been evaluated.You should continue rozavel medicine.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What causes burning sensation in chest and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, i was not able to conceive since past 1 yr. i am 30 yr old female and while on follicular monitoring i was encountered with follicle of 14 mm and endometrial polyp. was on next cylcle given metformin and leroz but again follicle size was of 14mm. doc asked to get an hysteroscopy for the polyp first. elisa was high at 2.15. she also said that she will also go for tb test and bioscopy. hysteroscopy was done and i had tb of endometrium....Histopathology report says i have irregular proliferative endometrium. and PCR says tb is detected. i had regular periods prior to all this. doc asked to get lft done. sgpt was high at 79. when i started taking medicines i had severe loose motions what could be the possible cause???? i was on metformin, subtex and 2 mutiviatimn tablets,blong and akt4. what are my chances of conceiving?? Doctor: Hello,I have gone through the query and understood your concern. Firstly, let me express my appreciation for the grace with which you have accepted facts. In the current scenario, endometrium is not congenial for launching of a fertilized ovum. Also, you seem to have the difficulty of ovulation as evidenced by the failure and infection of the ovary also has to be excluded, since tuberculosis often affects the pelvic organs together. You cannot plan for a pregnancy until you are free of the disease and all treatment stopped. The diarrhea can be a side effect of the medication. Regular monitoring throughout treatment is mandatory. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What causes difficulty in conceiving a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In 2003 ,during blood it is understood that my liver enzymes were elevated and my sgpt & sgot levels in 2003 is 128 and 48 and sugar level is 80.last blood test on 2011 may,results shows that my sgpt is 64,sgot is 26,alk pho is 237 u/l,fasting blood sugar is 130, triglyceride is 186,TLC 8600 and DLC (Polymorph 57%,Lympho 38%,Eosinophils 5% and ESR 3mm/Ist Hr). all other test shows normal. Same like that in my ultrasound scan results shows the following 2007 - Liver shows mild enlargement with fatty changes and max span 15.6 cms.span of spleen is 11.3 cms.all other organs shows normal 2008 – Liver shows enlargement with fatty changes and max span is 14.6 cms.span of spleen is 10.5.all other organs normal 2009 - Liver shows mild enlargement with fatty changes and regenerating nodules are also seen. max span 15cms.span of spleen is 9.6 cms.all other organs shows normal But my last scan in may 2011 shows the following conclusion There is further increase in the span of liver from 15 cms to 16.5 cms.no evidence of splenomegaly , ascites or portal hypertension .Diffuse fatty changes are present with regenerating nodules.spleen shows smooth and normal size,max span of spleen is 9 cms. All other organs are normal and CHD 2mms Kindly tell me your opinon? Is there anything afraid? i`m non alchoholic also.please give a details comment about my liver present condition at the earliest Thanks and regards Mahesh ,Shimoga Doctor: hi mahesh i read your case and done studdy u suffar in hepatitis i suggest some treatment u follow this this is a unani medicin majun davidulbard 10gm sharbate bazoori 25ml . habb-e- kabid naushadari 3 pils bd u take this medicine for i5 day and watch result u also consult a unani doctoe. i think u fit well ."
},
{
"from": "gpt",
"value": "Target: Liver shows mild enlargement with fatty changes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a ganglion cyst on my inner right wrist and I recently went to the doctor. He said that the only way for it to be gone is by doing surgery, due to the artery/vein that s near the cyst. I researched about this and I saw that I can smash or pop this stubborn thing with a Bible (it said it was cured that way) or a heavy book, but not as hard as if I were going to break my wrist. So, uh.. Tell me doc, can I save money and do the Bible Bash? Doctor: ganglion cyst is collection of fluid/ viscous material near the tendon sheath or joint, it is because of the friction of tendon in the tendon sheath,the cyst like material will be gone once you press it but it again reaccumulates,i would recommend surgery if it is really bothering you , i.e if you are having any pain or difficulty in doing activities, or if it is of cosmetic significance if not i will recommend to leave it alone,ganglion cyst go away if you smash or pop, but it again comes back because of the friction betweentendon and its sheath,the only way for cure is surgery if it really bothers."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ganglion cyst in the inner right wrist"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've never had psoriasis, but 2 years ago I had Guttate psorriasis athe age of 34yrs. It lasted for 3-4 months, it was terribly itchy and I scratched until it bled. It went away, but left terrible skin deep dark marks. I've tried almost every topical cream and oil available, but I still have the marks. What can i do to remove these marks? Doctor: hi pigmentation of guttate psoriasis tends to long last you need to consult dermatologist apply good sunscreen lotion twice a day drink more water microderma ,peeling ,roller ,IPL will improve yourr condition it will take time but surely make you satisfy. i hope i answered your question ."
},
{
"from": "gpt",
"value": "Target: What can i do to remove the Guttate psorriasis marks?"
}
]
|
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