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{
"from": "human",
"value": "Source: Patient: CONCLUSION: 1. No Chiari malformation. 2. No evidence of basilar inflammatory process. 3. Venous sinuses are patent. 4. Maxillary and ethmoid sinus mucosal thickening and mucus retention cyst. 5. No supportive findings of pseudotumor cerebri. What does all of that mean? I guess more accurately anything to be concerned about? Doctor: Hi, I have gone through your question and understand your concerns. Pseudotumor cerebri is a condition found usually in obese young adult women related to increase in cerebrospinal fluid pressure inside the brain.This MRI report doesn't find supporting MRI features to this condition.There are no brain conditions to be concerned about, only paranasal sinuses inflamation and cyst (bone hollows inside facial bones).If you have any sinusitis related symptoms ( headache, fever, nasal congestion) consult a ENT Doctor.You have nothing to worry about.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."
},
{
"from": "gpt",
"value": "Target: What does no supportive findings of pseudotumor cerebri mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For about a week I have been trying to ward off a uti (which I get often) I woke up in terrible discomfort this morning and went to a clinic . No blood in my urine but was told I had a raging infection and left with antibiotics and pyridium . What I didn t tell the doctor (shame on me) was that I had just gotten over my period just prior to the beginning symptoms which was the 20th of March is that I noticed my period had stopped abruptly and didn t realize that I had left a tampon in. It had to have been there 2 - days. I worry about TSS and after a morning round of antibiotics feel somewhat better but have a low grade fever. What symptoms should I be aware of if this worsens through the night? Doctor: Hi welcome to H.C.M.Forum. periods usually ceases when there is fever that is what has happened. you have . got urinary tract infection a common feature. with symptoms peclvicpain. rigers. bodypains. dysurea. when treatment started symptoms subsided"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of toxic shock syndrome?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 20years of age weighing 95 pounds, i have had kidney stones and a stent put in and them blasted out about 3 years ago, than about 5 months ago i had nose surgery. now for the past 3 nights i get fever only at night, VERY bad sharp chest pains like i am getting stabed, feels like its going threw to my back, my kidneys are having the sharp pains also, and having the same sharp feelings in my lower abdomen. what could this mean? Doctor: The pain in chest is due to gastritis or M.I, use pantop if pain relieved it is gastritis, if not do one ecg, rule out chest pain, kidney pain is different from above two, don't neglect"
},
{
"from": "gpt",
"value": "Target: What does sharp pain in chest & abdomen in patients with kidney stone suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby is 1:year plus.he is very active but very week.his food and milk intake is not enough as he keeps playing all the day but eat and drink very little.I am worried what should I do to keep him healthy.he resisted a lot when I tried to give him supplement Doctor: HelloI will suggest you some tips. Try to follow them1. Try new foods.2. Make almost every fruit available at home, so that you can try and build his taste.3. Look for more healthy options. Lets say if your child doesn't want to drink milk, then make a rice pudding out of it or make ice cream.4. Add nuts in his diet. If he is not liking to eat it as a nut then crush it with Sugar candy and give him. He will love it5. Choose more alternatives. He is not liking pulses the try sprouts by adding little lemon juice to it.6. You need to know about his likings and dislikings about the foods. 7. If he doesn't want to eat fruit as a whole, then make ice cream out of fruits. Lets say...about mango...crush it ginder add little honey to it and put it in ice cream tray. Let it freeze and give it to your little one.8. Make finger foods for the young one. Call these finger foods playful such as:apple moons (thinly sliced)avocado boats (a quarter of an avocado)banana wheelsbroccoli trees (steamed broccoli florets)carrot swords (cooked and thinly sliced)cheese building blocksegg canoes (hard- boiled egg wedges)little O’s (o-shaped cereal)ThanksDr. Tripat Mehta"
},
{
"from": "gpt",
"value": "Target: Suggest healthy supplements for a one year old fussy eater"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my six year old daughter has a big stomach she looks like shes pregnant. ive been watching her diet a year when she was diagnose with high cholesterol..shes growing and is slimming down but her stomach isnt...and she still wear diapers at night..what should i do Doctor: Hi,I understand your concern. But as you say that she has been losing weight it is a good sign. Please continue the exercise pattern along with restriction of high fat food and definitely she will get better and the tummy will get into shape.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for stomach bloating in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI Dr. Stephen, My daughter has been having problem with her knees for sometime now they are swollen and she s always complaining that they hurt the bone in her knee be a littlte hot.She has never played any sports.I m trying to understand what this could be.I hope that you can understand me but ask me anything. Doctor: Hello! Thank you for writing! Frim the signs, swelling, pain and warmth of the knee it may be an arthritis. When has the pain appeared? Are other joints involved? Does your daughter has stiffness when she wakes up in the morning? I suggest you to see a rheumatologist doctor. Diagnosis is made by clinical examination from an appropriate health professional, and may be supported by other tests such as radiology and blood tests, depending on the type of suspected arthritis. All arthritides potentially feature pain. Pain patterns may differ depending on the arthritides and the location. Rheumatoid arthritis is generally worse in the morning and associated with stiffness; in the early stages, patients often have no symptoms after a morning shower. Osteoarthritis, on the other hand, tends to be worse after exercise.Elements of the history of the disorder guide diagnosis. Important features are speed and time of onset, pattern of joint involvement, symmetry of symptoms, early morning stiffness, tenderness, gelling or locking with inactivity, aggravating and relieving factors, and other systemic symptoms. Physical examination may confirm the diagnosis, or may indicate systemic disease. Radiographs are often used to follow progression or help assess severity.Blood tests and X-rays of the affected joints often are performed to make the diagnosis. Screening blood tests are indicated if certain arthritides are suspected. These might include: rheumatoid factor, antinuclear factor (ANF), extractable nuclear antigen, and specific antibodies.Wish your daughter good health. Thank you!"
},
{
"from": "gpt",
"value": "Target: What causes swelling in the knees?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is 76 years old, and was recently hopitalized with congestive heart failure. In the past she has had 1 heart attack which resulted in a triple bypass, then a stroke, then another mild heart attack, could all of this be detromental to her health? Doctor: Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.What your mother had was coronary artery disease which means blockage of arteries that supply blood to heart muscle. This led to her heart attack which damaged a portion of heart muscle leaving it unable to function. The pumping ability of heart was this reduced which led to lesser blood enteringthe heart being ejected out into the system. This leads to back pooling of this blood into lungs which is the main featuee of a congestive heart failure. A stroke is a similar blockage in arteries but it happens in those supplying the brain leading to damage to a part of brainAs for your question, both heart failure and stroke affect the quality of life significantly. She has to be on meds lifelong, will require restriction of salt, a restriction of water intake beyond 1.5 litres a day and may need to be hospitalized for destabilization of her condition if her body comes under any kind of physical stress or illness.You need to follow with her cardiologist and make sure she follows the advice to the letter so that she may live a healthier life without any further complicationsAlso if she is diabetic-it is extremely imparative to have a good control of her sugarsI hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.."
},
{
"from": "gpt",
"value": "Target: Could a triple bypass and stroke be detromental to health?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,Just had a comprehensive metabolic panel done at quest diagnostics and I am a little concerned about my overnight fasting glucose reading of 119. I am a type II diabetic. The Quest report states that 119 hemoglobin reading was out of range, but my internist did not mention anything during my office visit. Should I be concerned?Thank you in advance for your help. John. Doctor: Hi, dearI have gone through your question. I can understand your concern. Your fasting blood glucose levels is in borderline. It should be below 100.You should consult your doctor and set the dosage of your drugs. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Is hemoglobin range o 119 normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How do I get rid of the random red psoriasis spots all over my body? I had them a few years ago & then I got pregnant so I quit smoking & drinking. A few months ago I started smoking the occasional cigarette and they started popping up again. Since I realized this is whats causing it I've stopped but I dont know how to get rid of the spots. Doctor: Hi,Psoriasis vulgaris is an autoimmune skin disease of unknown etiology. It is a chronic and relapsing disease. Smoking can precipitate or exacerbate the disease. Kindly you stop smoking permenantly. You consult dermatologist for further treatment.I would suggest..- acitretin- methotrexate - antihistaminics - topical calcipotriol - topical steroid I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest treatment red psoriasis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have noticed a massive reduction in ejeculate since taking champix,I have also seen a study that found a infertility in rats in the second generation.Presumably these tests are done to see the effects in humans.In the past many drugs have been waived as good for human consumption then later had to be removed.I am very concerned about this as I have not had children yet.Do you know of any information on this matter? Doctor: Hi, My opinion is that you should stop taking champix if you are able to control your smoking habit. Chamix is suitable for chronic smokers with withdrawal symptoms. Infertility is not too common to be worried with champix. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pramod Kokare, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is your opinion about massive reduction in ejaculation since taking Champix?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For 7-8 months I've had ulcers come on my tongue off and on as soon as they would go away some more would come on in another area on my tongue. It got to where some time it was very hard to eat or swallow. It also affected my ear by hurting. Then I noticed blisters (one or two small) would appear at a time. I'm going to a ENT doctor now to see what is causing this problem. He has ruled out cancer. It seems like I can't get rid of these or be told what I need to do to treat it or what can be done to make it all go away and stay away. Can you help me? Doctor: Hi.Thanks for the query..If the ulcers come and go that means if the ulcers appear but they resolve completely over the time then it is not cancerous because cancerous ulcers does not heal and are persistent..So my suggestion is to consult an Oral Surgeon and get examined and the first thing that should be done is Biopsy if ulcers are considered cancerous..Further treatment can be decided accordingly..For now you can apply a steroid oral paste over it and along with it gargle with 1:1 solution of benadryl and milk of magnesia..Do warm saline gargles..Take Vitamin B complex supplements..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: How can painful ulcers on the tongue be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is on an antibiotic for her acne called Doxycycline Hyclate. She is also on a birth control pill called Karivar. Does she have a good chance of getting pregnant if her partner did not use a condom? I Also calculated when she would be ovalating and it was the day she had intercourse. Doctor: Hello!Thanks for your query.Doxycycline reduce the effect of the pill.Pregnancy and breakthrough bleeding can occur. If she was ovulating in the day of unprotected intercourse,chances for pregnancy are larger.Additional contraception should be used for the first month from using doxycycline.TAKE CARE"
},
{
"from": "gpt",
"value": "Target: Will pregnancy occur in an unprotected intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I take Metformin for type 2 diabetes and I drink beer daily, and I would like to know how many beers per day are considered excessive?I am concerned about the condition of Lactic Acidosis and understand that excessive drinking can contribute to this condition. Doctor: Dear Friend, greetings from HCM. I understand your concern... Drinking beer daily is not advisable ... And as you told it may harm your health.. You shall have to reduce the frequency and eat healthy nutritious food too. Because alcohol can cause deficiency of some important nutrients which are. Very much necessay for metabolic process .. Definitely you cannot go more that 350/500 ml as you told metformin itself can rarely cause lactic acidosis .. Noe in addition you may have more chances .. Please do exercise daily at least walk 1 hour everyday .. Eat more of green leafy vegetables .. Fruits and fiber rich diet ..like ots and milets.. Whole grain will have more fibers .. Hope I answered your question and do contact us for more queries,"
},
{
"from": "gpt",
"value": "Target: Is it safe to have beer along with Metformin for type 2 diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have very thick and yellowish-white painless discharge from penis when straining for bowel movement. I often have hard stools and constipation but this discharge is worrying me. Is it some kind of STD (i never had sex)? I am unmarried. Sometimes i feel my testis painful after bowel if this discharge is too much. Please Help.Also i have very weak nocturnal emissions and very low ejaculate like 3-4 drops which hardly make One small stain on my trouser. Should i be worried. And i had one nocturnal emissions during last month which was very weak n low in quantity. Doctor: HiWelcome to Hm.I understand your concern and area of stress.Nocturnal emission is normal and do not require any special attention.Yellowish discharge means is it look like semen or something else.Sometimes semen with more prostatic fluid give yellow appearance.need to rule out infective pathology.Infection is scrotum give yellowish discharge with pain in testis.Condition can be treated with antibiotic and analgesic.For further assessment color Doppler require to rule out other cause.Consult surgeon and get advise.Still have a query then fell free to ask.Thank you.happy to help you.Take care."
},
{
"from": "gpt",
"value": "Target: What causes thick yellowish painless discharge from penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor. I am a 27 year old lady, ht 5,1\", wt. 56 kgs. . My menstrual periods are normal. Last menstrual period however lasted only for 2 days, whereas my usual duration is 4 days. Recently I have been noticing swelling of my face and both feet especially in the morning. There is also a reddish rash on my skin, which is not very itchy. The rash is not raised from the skin surface. I have been taking an anti allergic (levocetrizine) for the last three days. Please help. Doctor: Hi,Is the swelling around face and feet pitting type (which can be indented on pressing)? Any change in color / amount / frequency of urine (suggesting renal causes of swelling)? If the swelling is non pitting, and no urine changes mentioned above, this is likely allergic, especially so because of the associated itchy rash.In such cases, I also used to give antihistamines for 5-7 days. Here I prefer older antihistamines like hydroxyzine over levocetirizine, as they have more potent ant-allergic action although a bit sedating. If not responding in 3 days, after ruling out any precipitating factor like infection, I used to give a short course of oral steroids like prednisolone. Kindly discuss with your doctor.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling on face and feet and skin rashes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I m presently undergoing IVF and wondering if consuming Gyargin (5 sachets per day) will increase blood flow to my ovaries and assist in increasing my chances of becoming pregnant? Will there be any side-effects? Appreciate your response. Thank you. Doctor: HI, I understand your query & concern. Gyargine contains an Arginine which is an amino acid.. constituting protein. It's useful in improving general condition of a person. Of course chances of pregnancy would increase in a healthy person. Consult your treating doctor before you take it. thanks."
},
{
"from": "gpt",
"value": "Target: Does Gyargin increase the chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I just got off the implanon a wk ago, and I had gotten off my cyclea 2days before removal. 8 also had sex the night before removal and the night of removal. I started to bleed a day after removal for 3 days, and I have been havin flu like symptoms soar throat, chest hurt, headaches, I also been nauseas, and light headed and dizzy, could I be pregnant Doctor: Hi,Thanks for the query. The possibility of pregnancy is less in your case, as when you had intercourse you were still under the effect of the implanon. The bleeding you got after removal of the implanon could be withdrawal bleeding. If you do not had intercourse after removal of implanon the possibility of pregnancy is very less. The symptoms you mentioned could be non-specific due to some other cause. If you do not get periods one month after withdrawal bleeding, once go for pregnancy test. Take care."
},
{
"from": "gpt",
"value": "Target: Flu like symptoms, sore throat, nausea, light headed. History of being off implanon followed by having sex and bleeding. Pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello..My mother received a massive heart atack 2 years back and her angioplasty was done after that...4 stents were inserted and LVEF was around 35%. I went with my mother for regular visit to the cardiologist and he suggested for ECHO..Now ECHO report mentions a LVEF of 30%. Just wanted to consult how can be the after effects of it..and how can we increase the LVEF level..My cardiologist says that there is no way of increasing LVEF by medication. Doctor: Hello, With an LVEF of 30%, which decreased from 35%, she can be classified as heart failure with reduced ejection fraction. There are yet conflicting results with regards to medications increasing the LVEF, but the goal is to prevent symptoms or cardiac events in her case. There are certain medications which she basically needs (I presume that she has these medications, including antiplatelet, statins, beta-blockers, ACE inhibitors or ARBs), and in addition, spironolactone, as suggested by guidelines. I would suggest a consult with a doctor for a comprehensive history and physical examination to tailor appropriate medications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daryl Derick B. Dizon, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest suitable therapy for heart disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 28 weeks pregnant and recently experienced light spotting. Since then I have lost my plug and am experiencing braxton hicks every few minutes. My tummy has started to become painful and uncomfortable with the braxton hicks but I know theyre not actual contractions. This is my second baby. Is there something wrong? Should I go to hospital? Doctor: HI, I have read your query & understood your query. Actually at 28th week.. baby movements increase ( in 2nd pregnancy ).. so the muscles of uterus get stimulated frequently & Braxton hicks contractions increase in number. Similarly, as the baby grows there is more stretching of uterus ..as a result cervical secretions tend to increase. * Still 2 of your symptoms bother me. spotting you had & also pain with Braxton hicks. Braxton hicks contractions are not painful any time.( it can be some problem with amniotic fluid/ decent of baby down & may cause premature delivery.) * So I advise you to to your treating gynecologist , get examined & start with the treatment advised. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes uterine contractions during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my partner paul has recently had toothache which has been treated with antibiotics and metronizadole. the toothache has now cleared up but for nearly two weeks he seems confused, dizzy, he loses his balance, bumps into things and is slurring. i am at my wits end any suggestions? Doctor: I would suggest you to go for a MRI scan of brain to rule out the possibility of some nervous system inflammation/infection and take opinion of your nearest neurologist as early as possible."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and slurring?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I woke up yesterday with extremlly swollen cheeks, slightly sore throt. today i woke up there a lil better. I have no allergys but i grind my teeth and jaw could that cause this? Im 22 i am 5 7 and i weigh abot 170 have no medical history regarding this Doctor: Hello, Thanks for consulting HCMRead your query, as you have teeth grinding habit yes swollen cheek can be due to grinding but sore throat can be due throat infection , I will advise you not to take stress as teeth grinding can be stress induced and consult dentist and go for appliance Night guard that will help in reducing teeth grinding, for sore throat you can take antibiotic like Azithromycin by consulting with your doctor , do warm saline rinses .Hope this will help you. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: Can grinding teeth cause cheek swelling and sore throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have this hissing sound in my head only when I dont make myself relaxed,and if I don't I end up with real bad head ache to the point I am in the bathroom sick.Plus I other question, I have some huge mass that growing inside that when that hissing sound start hurt,Yes,there one huge mass below my naval which are insideAnd two are in the back and they are both inside.I have watch what I eat.Then I was told that I have out control of scar tissue that wont stop growinghow, who is this right doctor that could help me Doctor: Your symptoms are suggestive of hallucination and delusion. You should consult Psychiatrist at earliest."
},
{
"from": "gpt",
"value": "Target: What could cause hissing sound in the head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... My grandson is 35 months old and all of a sudden his stomach bulges out at night. He eat good, play, but once he take a bath he complaint of stomach pain. Took him to pediatric monday and she say he is find, no problem with bowel, no worms. Help!!!! Doctor: Hi, The possibilities are - 1. Symbiotic bacteria imbalance in the gut. 2. Worm infestation 3. Celiac disease (highly unlikely). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes bloating of abdomen during nights in a toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: It is about birth contol.I was on a birth contol that seemed to work good. The doctor asked if I would be ok about switching to a generic brand then that way the pills would be sent straight to my house. She ensured me that they were exactly the same. I agreed. I haven't been on them long, not quit a year but I have noticed weight gain. Pants getting tighter from when I wore them in Oct. Another pair are getting tighter from when I wore them just this past Feb. Could it be because it is a generic brand? My eating habbit isn't bad but maybe not the greatest. I try to eat a yogurt or a meal replacement shake for breakfast. Fresh strawberries and ganola bar or yogurt for snake. Lunch which could be Subway or yes Taco Bell. Another small and healthy snake and then dinner which is a steak, greenbeans and a baked potatoe, or bbq chicken, or soup and grilled cheese. I try to eat small portions. I watch what I eat a lot. I take vitamens. I walk alot for work, on my feet all day. Walking up and down stairs daily. Hiking up and down hills once a week usually. I try to walk my dogs at home and usually running around for my son. So I feel like I am not an unhealthy or lazy person but seem to be gaining weight. I want to loose this weight to help my self esteem and mood. I can't afford 100.00 a week for meals from some of these diet plans. I am trying diet pills but not satisfied yet with them and it has been about a month. Please help me. I want to feel beautiful inside and out! Doctor: Thanks for using HCMAs you have mentioned generic brand medication content was same as your previous pills. Change in brand does not cause much difference. If you were adjusted to your previous pills, you can continue same pills. Weight gain is a one of the side effect of birth control pills. Taking pills for long duration is also not recommend . Consult gynaecologist to know about other methods of birth control, which ever is suitable for you if you are planning for some more years.As you are fallowing regular exercise and diet, you can maintain a dairy to calculate your daily calorie intake, this would help you know how much extra calories you are taking, and how to reduce that.Have a good healthRegardsDr. Vidya"
},
{
"from": "gpt",
"value": "Target: Does generic birth control pills have side effect of weight gain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have been taking these tabs recofast & deoxyl 500, 2 a day for 5 days. I took these for the dust allergies. th course is over but i still hav th running nose & sneezing. while i was taking it, I found my tongue turning yellow in few areas.. Im scared.. what could be the cause of it.. plz let me know.. Thanks. Doctor: helo thanks for consulting at hcm..it could be becz of the medicines u took, so clean ur tongue with a soft brush and not vigorously,, also do salt water saline gargle thrice daily,,also can use betadine gargle, if prblm persists visit ur local dentist,,hope it helps,,tc"
},
{
"from": "gpt",
"value": "Target: Noticed yellowness of tongue after taking recofast & deoxyl 500 tablets"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had an infection below my left back molar for a long time. Had a root canal in July and pain is back once again. Dentist put me on Amoxicillin and sent me back to Endodontist. Amoxicillin wasn't working so endo changed it to Clyndomyicin four times a day. That was Tuesday and now it's Sunday. No relief. Infection feels like it's getting worse. Yesterday I woke up with a circular sore on my inner thigh. It's red, itchy, bumpy and is white on the inside of the circle. What could this be? Doctor: Hello, Welcome Thanks for consulting HCM I have gone through your query , as you have said that you have infection in molar tooth , dont worry you should go for proper Root canal treatment and do warm saline gargle and the consult your dentist for medications As you have sore in your thigh you can put Betadine powder on it and take one Tablet Co-trimoxazole twice daily for 3 days and consult physician for that, Hope this will help you. Wish you good health."
},
{
"from": "gpt",
"value": "Target: How to cure soreness in inner thigh and infection below back molar?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been struggling with depression since menopause and it has become worse. I am on estradiol and progesterone and have tried many anti-depressants that either don t work or the side-effects are awful. I think having such low estrogen is really affecting me. Is there something I can do. Should I go to an endrocrinologist? My psychiatrist is running out of meds to try and I am sick of trying them. Any other suggestions? Doctor: Dearmenopausal depression cn be caused by hormonal disturbance also . U cn consult endocrinologist as oestrogen administration reportedly improves depressive symptoms in menopausal patients Regards"
},
{
"from": "gpt",
"value": "Target: How can depression be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My sister has taken 30 avil 50mg tablets yesterday. She was not given an aspiration since doctors observed that tablets are digested.she had fits attack for 3 - 4 times yesterday. Her CT scan is a normal study so as her BP and temeperature (110/70 -99 degrees celsius). But she was observed for an abnormal behaviour.she is not able to identify dear or closest palsshe is talking unrelated things.her pupils are very much dilated.she is observing all imaginary pictures and persons.she is not able to identify the present and the people around.her vision is blurred.what do you think the problem could be?what is the remedy?what is the worst case scenario for this?iam looking forward for your assistance.Thank you Doctor: Hello!Welcome to Ask a Doctor service!Regarding your concern, I would explain that this situation could be related to a temporary brain dysfunction due to to advil overdose. For this reason, I would recommend taking plenty of fluids and active carbon to help push away advil from her body. I am sure that her situation will improve soon. An EEG would help examine her brain function. Hope to have been helpful!Wishing all the best, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes abnormal behavior and blurred vision after fits attack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a frequent heart palpitations and while my heart is racing its hard for me to breath. Sometimes when I stand up I get dizzy. This has never happened before to me, just this past months and I remembered one night before I go to bed my chest (heart area) suddenly hurts, then after a few minutes its gone. May I ask what is my condition? Do i have any ailments? Doctor: firstly please specify your age your smoking habitsyour weightpalpitstions can be because of many causes ..as your palpitation comes off and goes away an ecg should be taken out during that cycle if possible if not then at first go for these few investigationsHolter monitoring this test is like a ecg taken for 24hours continously ...it will record any abnormal beat during 24hoursa loop monitor if required (as you have not mentioned frequency of your palpitations)a loop monitor is like holter but it record beats for 1week tmt (tread mill test) it will serve dual purpose ..it will record any lack of blood supply to the heart (some times you have pain in chest ) and any abnormal beats arising during the couse of doing itapart from this thyroid profile should be done!these symptoms can be because of heart burn gastritis and anxiety so a detailed history is requireddizziness on standing up is called orthostatic hypotension(please specify if you are on anti hypertensive medication especially diuretic)how long does it last any history of fall or loss of consciousness as we have to rule out presyncope from orthostatic hypotensionthanks"
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife was diagnosed with terminal pancreatic cancer 9 months ago. She is receiving chemo every two wks., she has been wondering what it will be like as we get closer to the end. I suggested that she should ask her cancer doctor today at her last appt., but she was feeling good and I don t think she wanted the answers yet, but, I, as her husband or 30+ yrs. would like some insight, not just for me but for her when she asks me again. Thanks Doctor: Hi, dearI have gone through your question. I can understand your concern.She has pancreatic cancer. Treatment depends on type of cancer and stage. Whether it is spread to other organs or not. Chemotherapy and radiotherapy is treatment of choice in non resectable terminal cancer.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for terminal pancreatic cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have a very sharp pain in the shoulder blade area. Actually feels like its under my shoulder blade towards the bottom. I m not able to put any kind of weight on that arm without the sharp pains and taking any type of deep breath causes tears to my eyes out of pain. I m a housekeeper at a hotel so i use my arms at all times lifting and such, and I ve had problems with my same shoulder before but never in this spot. Was always higher up and closer to the spine. What could be causing this? Doctor: hi,Thank you for providing the brief history of you,By understanding your symptoms of pain, i feel it is more of the interscapular muscle spasm. There is an inflammation in the shoulder blade area. Also, as you job profile demands more of the use of the scapular muscles for physical activity i am to suspect this.By taking a gradual myofascial release with ultrasound and TENS therapy your pain level will drop. For this a physical therapist will help you better. Also, later stages strengthening the muscles will be needed to avoid the stress on the muscles to get same pain again.I have personally clinically seen patients with similar complaints. 99% recovery is achieved by physical therapy.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes a very sharp pain in the shoulder blade area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son is complaining of a constant pain in the back of his knee that has only started 3 hours ago. he has no bruising and can not remember injuring his knee. The pain is constant even when the leg is stationary and no repositioning seems to sooth the pain. Doctor: most common cause of pain at back of knee is injury . inury may very trivial that may not noticed, give pain killer like ibuprofen200 thrice a day for 2 day and inform the condition"
},
{
"from": "gpt",
"value": "Target: What is the cause of constant pain behind the knee in a a 10 year old child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My 8 year old son is c/o nausea w/vomitting, dizziness while laying down and has run a temp around 102 for a couple of days. He is not eating much but is taking in fluids. He has no underlying health issues. He does not c/o neck pain or stiffness. We are treating temp with ibuprofen and acetomenophin. Any idea what may be causing this and does it sound emergent? Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nausea,vomiting and fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey I had an allergic reaction yesterday where my throat got irritated then swelled up a bit and I was feeling nauseous so I took an Advil that night thinking it would help but I couldn t sleep at all, I am starting to feel a little better nauseous and throat wise but I have a heart rate of around 100 and still tired but can t sleep, I think this was a result of having dairy yesterday morning but what I m wondering is how long can this reaction to dairy last? Doctor: Dear friend you stop NSAIDs now .. it can can harm you now... please start Tab.PAN-D now before half an hour before food once a day. after food take 2-3 spoons of mucaine gel 2- 3 times a day . do salt luke warm water gargling . avoid spicy / fried food stuffs .. drink good water dont eat outside food especially when it is cold ....if you have fever start antibiotic s after meeting an ENT specialist or else u will be alright !!! take care ..."
},
{
"from": "gpt",
"value": "Target: How long will allergic reaction to dairy last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 32 year old female (5 6 , 110 lbs). Three days ago I completed a duathlon. I was slightly sore the day after but nothing too painful. Today I woke up and had a lump on my right hip flexor. It hurts to the touch and it feels slightly uncomfortable to walk. Do you think I strained my hip flexor? If so, what is the best treatment. If not, what are the other possibilities and should I see a doctor? Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you seem to have partial muscle tear,which over a night formed a lump due to the hematoma at the torn site in flexors.Treatment is by-Cold compresses/Voltaren Gel/Thrombophobe oint for 7-10 days time.IF it is reduced good, if not go to ER Sport-doctor.So I would advise you to consult a ER Sport doctor.Hope this would resolve your issues.Act fast.So keep cool and Consult your ER Sport doctor, if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N."
},
{
"from": "gpt",
"value": "Target: What causes lump on the right hip flexor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just started taking Dianette contraceptive pill on the first day of my period - I ve only taken two pills so far and my period is already a lot lighter than usual. Could the pill work this fast in affecting my period or is it possible that I could be pregnant? I would say that I have been careful taking precautions. Doctor: Hi, Thanks for the query. Yes, sometimes the pill can alter the menstrual flow by altering the internal hormonal levels. So if you sure that you used protected intercourse all the time, no need to worry about the pregnancy. It will take some time to get adjusted for the pills. Sometimes minor side effects can occur, but they will subside soon without need of medication. As pill is having high protection rate and compatibility, you can continue using it. Take care."
},
{
"from": "gpt",
"value": "Target: Taking Dianette contraceptive pill. Light periods. Could I be pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took emergency contraception 16 hours after intercourse. I bled a week later then had a little spotting for two days two weeks later. Five weeks since taking this pill my breasts are tender and I have period like cramps and though Ive had 2 - pregnancy tests Im still worried. Doctor: Hello dearI understand your concernI pill is 95 % effective in prevent the pregnancy as you took with in 16 hours after the sex.Bleeding/spotting is breakthrough bleeding due to progesterone withdrawal effect.Tender breast and cramp is also side effect of the pill or premenstrual symptoms.I pill can cause delay in the period by 8-10 days.If period will delay by more than 12 days then go for urine pregnancy test and or blood HCG to rule out the pregnancy.If you will be pregnant then still you can terminate the pregnancy by abortion pill under the advice of gynecologist.Avoid stress, do regular exercise, drink plenty of water, take healthy diet.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
},
{
"from": "gpt",
"value": "Target: What are the chances for getting pregnant after taking emergency contraception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have tightness in my chest like above the heart like someones punch and ive had that for 2 mabye 3 yrs and i tried everything to get ride of the pain even illegal drugs nothing work but about a year ago my friend suggest marjuina so i tried it and the pain was gone should i keep smoking and get a liscence to smoke or is Anxeity not a reason not to get marijuina. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Yes, possibility of anxiety related chest tightness is more likely in your case. Marijuana is abusive substance. On long run, it is habit forming so better not to take Marijuana in future. You should definitely consult psychiatrist and get done counselling sessions.Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs(propranolol and flunarizine combination) too.Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. You."
},
{
"from": "gpt",
"value": "Target: Can smoke marijuana to get relieved from chest tightness and pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam 40 years old. i feel pain in chest, sometimes for seconds i get sweat, also, sometimes pain in shoulders, near collar bone, elbow,wrist, fingers. i got checked up,all the ecg, tmt reports were normal. some times dizziness also occur. what could be the reason. earlier, iused to smoke and chew tobacco also,which i stopped totally 3 years ago Doctor: As ECG and TMT are normal, but chest pain is there with associated symptoms you need to get coronary angiography done to rule out ischemic heart disease. you need to undergo clinicall examination too with blood investigations. dizziness can be even due to decreased blood supply to brain even. get carotid doppler to rule out that too."
},
{
"from": "gpt",
"value": "Target: How to treat chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having pain in my lower right side for almost a year.. I have had my gall bladder removed, my pancreas has been checked. I have had ct scan after ct scan they can not find out what is wrong. I cannot keep anything down, and the pain can last for days and days and then stop for months and then returns without notice.. I need help frustrated and depressed. please help Doctor: Hi, I am sorry for the situation you are in. The pain you are having in your lower right side might be related to:- intra-hepatic biliary pathways sludge (choledocus sludge)- appendicitisIntrahepatic biliary pathways should be further evaluated to exclude sludge or stones. ERCP is advised. Complete blood work and further consultation with general surgeon is needed to exclude appendicitis. Depending on your gender, uro-genital problems (e.g. Urinary tract infection, ovaries/prostate, etc.) should be ruled out too. All the best!Dr.Albana"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in lower right side of body"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went via ambulance to emergency room with crushing pain in left chest and arm. ecg normal, troponin .02, then elevated to .1 er diagnosed nstemi and i was admitted. cardiac CT showed no CAD. Totally clear. cardiologist diagnosed Prinzmetal s angina. Did I have an MI caused by cariac spasm? Doctor: Hello, It seems that you have had myocardial ischemia. As there was no evidence of CAD in the cardiac CT scan, Prinzmetal angina could be a possible option. Anyway, I would recommend performing a dobutamine stress echo or a coronary angiogram in order to exclude coronary artery disease (CAD). Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: Do cardiac spasms cause a myocardial infarction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old son has had a rash on his ankle for a few months now. It doesn't bother him at all. It is red and raised and almost in the shape of a ring. The first time I saw it, I thought it was a rub mark from his sandals so I didn't think much of it. It seems to kind of come and go, never fully disappearing though. Doctor: Thank you for following up. Your kid has allergical dermatitis local erythematous form. I suggest:1. Hypoallergenic diet: avoid oranges,nuts,tomato soup,strawberry, chocolate, lots of candies, flavor juice, sudgi. Can eat cauliflowers, cadu,potato,,cucumber, soup,dahi,panir.2.Antiallergic medicines during the episodes, you can use Cetrizine at 0.25 mg /kg/dose every 12 hours for 10-14 days3 .For absorption of allergens -charcoal 1 tablet 1 time in bed time during 5 days4.For local therapy you can use simple child's cream or milk to moisture this place Thanks for consulting Best regards Dr.Svetlana"
},
{
"from": "gpt",
"value": "Target: Noticed a red rash on the ankle that looks like a ring"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. i have 2 kids and am worried about the x ray result. both of them have pheumonitis right accdg to their x ray result. my kids were 5 year old and weight 14.5 kilogram and he had sepsis when he was born and treated for months.... the other one is 1 year old weighing 9.5 kilogram just have flu and coughing... what does it mean? need your medical advise doctor... thanks Doctor: Hi I can understand your concern....Let me know you your both child diagnosed pneumonitis means inflammation of lung tissue ....If consolidation and exudation present then it could be pneumonia ....But here consolidation not present ...Cause has to be searched like ...../Viral infection which seems most likely here /Passive smoking exposure /Hypersensitivity pneumonitis means allergy to certain substance like animal dender/Bacterial infections etc......Your child should be examined and treated accordingly with steroid or antibiotic usage ....Consult pulmonologist for this....Hope your concern solved ....Take care...Happy to help you further...."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pneumonitis with flu and cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 and half months old son is suffering from a stomach upset it seems. Today he has passed stool 5 times out of which last 2 times were little watery. He also seems a little nauseatic and is refusing food. What medication and food can be given? Thanks . Debjani Basu Doctor: hi, from the symptoms it suggest that your child is having stomach infection. Give prebiotic like enterogermina ampule once a day for 3 days. Start ORS solution so that dehydration does not occur. If there is no improvement in 24 hours then get child examined by doctor. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for child suffering from stomach upset and nausea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my jaw pain and tooth pain has been going on for two months. My doctor and dentist say there is nothing wrong. But I know there is. Something is causing this pain. worse every day. Last night was the worse. I have pain on my eye and headache. My whole side of face hurts. Can't sleep and keeps me up. Pain medicine don't work any more. Doctor: Hi,Your symptoms are consistent with Trigeminal neuralgia secondary to tooth ache.You should consult Neurophysician for same,You require clinical examination and require neuralgic medication like pregabalin 75 mg twice daily to alleviate the symptoms CT scan brain to be done to rule out any structural lesion in brainHope this will help youRegardsDr Sandhya ManorenjNeurologist Hi Tech city Hyderabad"
},
{
"from": "gpt",
"value": "Target: Pain in the jaw and tooth, headache and eye. No relief from the pain medication"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My name is Dolores I visited my dentist on Saturday and she told me to see a dentist that deals in medicine. I have white patches on roof of my mouth and small purple spots on my lower gum bottom lip area, I am so worried as I googled it and the results have scared me so much, they are not painfull and I was not aware of them I have a very bad absess two months ago and was treated for a bad mouth infection. Do I have cancer? Doctor: Hi Laurie,You had a bad mouth hygiene and infection recently and got treated for that. Poor oral hygiene, ill fitting dentures, smoking, reverse smoking, chewing tobacco/betelnut all are contributory factors for poor oral hygiene and halitosis-bad breath; And risk factors for Oral cavity cancers.Carcinomas of oronasopharyngeal regions are the commonest carcinomas in third world countries and cause is chronic irritation or exposure to tobacco.Leukoplakia- White patces of thickened mucosa in oral cavity andErythroplakia- Reddish discoloration of oral mucosa both are well known pre-cancerous conditions and if left unmanaged will portend a very poorultimate outcome by getting converted into aggressive forms of carcinomas.So consult an ENT/Head neck surgeon as soo as possible and get the lesions examined and prefrably biopsy and HPR so to manage it before they become malignant.All the good health."
},
{
"from": "gpt",
"value": "Target: Have white patches on roof of mouth and small purple spots on lower gum. Not painful. Had abscess and treated for mouth infection. Am I having cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6-year-old son has a small growth on the right side of his neck. Its about the size of a large pea & feels almost soft...like a pea. Its not firm. It almost feels like a bubble that would be easy to pop. It isnt where the lymph nodes are in the neck & it doesnt seem to be overly painful. I dont know a whole lot about his family medical history as we just adopted him earlier this year. Is this growth anything to worry about? Doctor: HelloMost common cause of swelling in side of neck is enlarged lymph node. There are various compartments in neck according to which lymph nodes are grouped. The way you described the swelling it seems to be lymph node. I would suggest you to observe the swelling and consult your physician if it increases in size or getting painful. If you are much worried you can consult right now.Regards"
},
{
"from": "gpt",
"value": "Target: What does a small growth on neck indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey Dr Samuel.So i started dating someone last year and after couple months being together she said she got herpes and i am worried now and lately i got a itchy feeling on tip of my penis and i am really worried and i started dating someone else like a month ago. Doctor: Hi,.If you got infected with Genital Herpes, by this time you would have symptoms other than itching. It will manifest as tiny, grouped vesicles containing clear fluid on the genitals or anus according to the site of inoculation and later these vesicles would rupture to give rise to tiny multiple ulceration and will heal with or without medicines after 2 weeks in a normal immuno-competent individual.Just itchy feeling on penis could be due to some other conditions like yeast infection etc.Only on examination, I can extend more opinion.Dr S.Murugan"
},
{
"from": "gpt",
"value": "Target: What causes itching on tip of penis and herpes in partner?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a blister on the bottom of my food that I had to pop I then couldn't walk for 2 weeks and my foot swelled, I then went to doctors and was told that it was badly infected and now the infection that was previously yellow has turned black. Is this something to worry about? Doctor: HiThanks for your query.Based on your query and findings, my opinion is as follows.1. You are probably having madura mycetoma of foot. Black discoloration is the granules from sinuses in the foot.2. This is a fungal infection following a trivial injury, more common in foot.3. You can get the discharge examined for fungus, and start with antifungals after discussing with your consulting doctor. 4. If sinuses are not there and foot is black, then you might be having a more serious condition called gangrene foot. This requires immediate medical attention.Hope this helps.Wish you good health."
},
{
"from": "gpt",
"value": "Target: How to treat foot infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2-year old son has loose discharge,and it is often diarrhea-like. Today, for instance, it was soupy loose and orange. He has not eaten foods that typically result in this color. His doctor believes he is allergic to milk, so we have avoided all milk products. The poor little guy tries to go to the bathroom on the toilet, but has released his load before getting there! Any ideas? Doctor: Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for loose motions"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my daughter (5) has an aroma of fish around her, we checked andits coming from the vagina area. My wife has taken her to the doctors and they took a wee sample. They tested it ?? and sai one of the 3 tests was positive and it normally isnt in a child of that age. I am not in the country at the moment and the doctor told my wife it was POSITIVE and nothing else i.e never elablorated on what was positive Can You assist as im away for another 3 weeks and am clearly concerned as a dad. Doctor: Hi...by what you say it could be urinary tract infection or a fungal infection of the vaginal area. Both are easily treatable and I have a few questions for you. Kindly get back to me so that I can guide you better.Questions - 1. Has there been any fever?2. Does she handle the genitals frequently?3. Do all of you - adults and children use same linen and towels after bath at home?4. Is there any itching or redness in the local area?5. Is there any vomiting and pain abdomen?You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes foul vaginal smell in children"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My daughter would be 8 months in 5 days. She has been teething for past 1.5 months. Her teething is extremely slow and she does not sleep most of the night. Wakes up frequently(every 45 min to 1 hour). Have started Calc phos(2 tab 2 times) but still no improvement. Please suggest a solution. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This could be improved by an analgesic as paracetamol before going to bed and a soothing gel as Dentinox. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How to manage poor sleep in a teething infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the dor for pneumonia and in the x ray they found a 2 millimeter nodule on my right lung. They then told me that they would look at it again in 6 months to make sure it hasn't grown. He also said that sometimes it ends up being nothing serious. But I have started noticing that when I smoke it hurts on the right lung and in my upper back behind my lung. The pneumonia is cleared up. Is this a sign of lung cancer? Doctor: Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is not sign of lung cancer which include so many manifestations as - respiratory distress - loss of appetite - chronic fatigue - weight loss - chronic unresponsive pyrexia - occasional hemoptysis depending upon the location of the tumor - others .Hope this clears your query .Wishing you fine health ahead .Regards ."
},
{
"from": "gpt",
"value": "Target: Is pain in right lung and back sign of lung cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have really bad blackheads on my legs, bum and bottom of my back. I ve had them for as long as I can remember and have tried everything to get rid of them; scrubs, washes, cleansers... every brand I can think of. I always wear jeans, even in summer and dread even looking at my legs. Is there anything I can try that will shift them? Doctor: Hi, Welcome to HealthcareMagic froum, Usually one doesn't get black heads on legs ...and the only reason one can get is when one is using lot of oily product on legs so as to get chloracne .Kindly see a dermatologist and get yourself properly diagnosed.It can also be that you are getting folliculitis on legs ..that would require a different treatment.And if they are black heads you can try tretinoin cream locally. take care, Dr.chawda"
},
{
"from": "gpt",
"value": "Target: What can be done to take out the blackheads from my legs and bottom of my back ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I M HAVING GAL BLADDER SURGERY WEDNESDAY THEY TOLD ME TO STOP TAKING MY EFFIENT SUNDAY 4 DAYS BEFORE MY SURGERY I COULD NOT GET A HOLD OF MY CARDIOLOGIST FOR APPROVAL SO iDID WHAT THE SURGEON TOLD ME TO DO I HAVE 5 STENTS THE LAST ONE I GOT WAS A 1 YR 5 MONTHS AGO DO YOU THINK I M DOING THE RIGHT THING MY CARDIOLOGIST TOLD ME NEVER TO STOP MEDICATION WITHOUT HIS PERMISSION Doctor: Hello, No, 4 days after surgery you should start that again to prevent any further cardiac complication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ramesh Kumar, Gastroenterologist"
},
{
"from": "gpt",
"value": "Target: Is it advisable to discontinue Effient before having a gall bladder surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Suddenly I felt sick to my stomach, got cold sweats and bad middle back pain. I alternated between sitting in the bathroom feeling like I might throw up and laying on the bed. After about an hour, all symptoms disappeared. I did have the flu shot - is this the flu? Doctor: it is quite possible. depending on the area you live in it could be dengue as well.if you have severe back pain, pain behind the eyes and bone pain in other areas: it could be dengue for which you should get an NS1 serology doneeven so i suggest a complete blood count to give a fair idea of what you possibly have.in the meantime i suggest a healthy intake of fluids(coconut water would be perfect) and paracetmol 500mg 6th hourly( unless you have a liver condition of any sort) when you get fever"
},
{
"from": "gpt",
"value": "Target: What causes cold sweats and stomach pain along with back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother was involved in a motor vehicle accident; she was hit by a car and suffered multiple pelvic fractures and knee fracture. Her skin is exhibiting some sort of rash . I am worried it might be a blood clot, but the surface is quite big and she is complaining of extreme itchiness, but no pain or swelling. What do you suppose it could be? Doctor: hello welcome to healthcare magic forum it may be due to contact allergic dermatitis or drug reaction she need to take anti histaminic medicine and apply good moisturizer cream better to consult dermatologist as examination is required tell her to drink more water and avoid scratching wear cotton cloths i hope i answered your question"
},
{
"from": "gpt",
"value": "Target: Suffered pelvic, knee fracture during accident. Skin having rashes, extreme itchiness. What could it be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, A year ago I was prescribed statin medication, but after taking it for a couple of months, my joints began to ache badly. I stopped taking them and my joints are fine. Will Omega 3 help to increase my good Cholesterol, which was why I was prescribed the statin medication, while maintaining joint flexibility? Doctor: Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: omega 3 is good for increasing high density lipoprotein, but you need to see if rest of lipid profile is fine.*Explanation: My opinion is that statins is the best drug to enhance lipid profile to the patient. some side effects may be experienced with some patients such as muscle aches ,myositis, etc. I suggest my patients the following stop statins if developed musculoskeletal side effects or change it with a more feasible drug. The information provided by you is not sufficient to provide a good opinion.If someone comes to me with this condition I would ask them about last lipid profile numbers and other comorbidities if present.*Conclusion: I suggest you continue on omega 3 capsules and check with your physician if you need to restart statin therapy. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Does omega 3 fatty acid help in increasing good cholesterol?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husbands hands are getting knots between the thumb and pointer finger. It cramps on him and is very painful. I tried massaging it and putting heat on it. It helped a little but it keeps cramping up and almost impossible for him to stretch his hand out. What can I do for him that will give him some relief? Doctor: 80% chances of trigger fingers. Visit orthopaedician / physiotherapist for examination and confirmed diagnosis. Ultrasonic therapy at a physical therapy centre combined with the right exercises will correct the problem in no time. Worry not!"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in hand"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left shoulder was fractured 11/19/11, i am in a lot of pain, especially when I take a deep breath. I am wearing a sling and taking ibuprofen. I am scheduled to see orthopedic doctor on Dec. 9th. Is it normal to have pain that is radiating down my arm into my fingers? Doctor: Hello,If after fracture there is radiating pain in finger then there can be affection of nerve supplying to your affected limb. Your doctor will do a thorough clinical examination to rule out that and can prescribe some test like MRI, NCV OR EMG study to diagnose the problem. As you are meeting your ortho doctor, you will have a clear picture. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Is it normal with radiating pain in arm to finger after fracture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my friends 2 year old son is in ICU after an upper respitory infection. He was on morphine for five full days along with antibiotics. He also had been intubated for those 5 days. Since being titrated off the Morphine for 24 hours he is now 4 days without any drugsbut, he seems very lathargic, can not talk a bit and light is bothering his eyes. He also seems to be very agitated. The nurse just told my friend his son is hallusinating now. In your e professional opion was the weening period long enough or is he suffering totally from Morphine withdrawall? Could he be septic or have developed a Meningitis? Should weall be freaking out, or not. Doctor: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Blurred vision, change in the ability to see colors, confusion, dizziness, faintness,nervousness, constipation are caused by morphine withdrawal. Meningitis will give severe headache, vomiting,fainting. Septic shock will give rash,hypotonia,loss consciousness.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 your son good health."
},
{
"from": "gpt",
"value": "Target: What causes lethargy and slurred speech after Morphine withdrawal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, We are planning for kids and it s 2yrs since we have been married and we started doing unprotected since 28th apr 2011 (period date) and then my period got skipped the whole may month then my next period date was on 14th june 2011 after this there was a delay in my period and i got mine on 30 July 2011. before that we were doing unprotected and never missed my period. can i get information about how many times a day until how many days should we participate so that i will be able to conceive and is there particular position you are supposed sleep after the participating.. Thank you Doctor: Welcome to HCM. You can adust any comfrtable position but successful complete intercourse should be there For conceiveing Succesful complete intercoure is required on 13th,14th, and 15th day of regular cycle."
},
{
"from": "gpt",
"value": "Target: What are the ways to make successful intercourse to get pregnant ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have flat feet/no arch...should i be doing excercises to give me an arch in my foot? leave my feet alone the way they are because i m born that way? flat footed people do or do not where arch supports? should i add an arch insert support in my shoes if i should be fixing my arch? my feet hurt after standing more than five minutes barefooted on hard surfaces also my arches bother me when i do calf excercises in the gym most of the time...i don t use too much weight i was told by a trainer Doctor: Hello, Flat foot can be corrected surgically. You can consult an orthopaedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can flat feet be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have had heart failure.mitrel valve replaced.had heart attack six months ago.now I feel very breathless rapid heartbeat.very tired and cough.this has started yesterday.my back is painful. (Left side) on beater blockers warfin aspirin fluid tablets (40mg) in bed now resting but my breathing is very heavy.have to see doctor tomorrow about my Inr.history of clots.thank you. Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern, and would like to explain that your clinical situation appears a bit complicated. You have a history of previous diagnosed heart failure from a valve disorder, also a recent heart attack. Both of them have clear implications of a decreased cardiac performance.Possible responsible factors may have influence on heart failure decompensation, like an underlying inflammation/infection, a new onset cardiac arrhythmia, an acute coronary syndrome, a valvular complication (like thrombosis, dehiscence, endocarditis, etc).To better differentiate between several possible etiological factors, a careful physical exam, coupled with a resting ECG and cardiac ultrasound, chest X ray study and several blood tests (like complete blood count, PCR, blood electrolytes, CK-MB, troponin I, AST & ALT, bilirubin, etc) are necessary.A therapy optimization (potentially increasing diuretics doses, modulating beta-blockers regimen according to HF status and possible arrhythmia, and starting antibiotics for possible infection, etc) would be necessary.You need to discuss with your attending physician about these issues.Hope to have been helpful to you!Feel free to ask me in case of further uncertainties. Greetings! Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rapid heart rate and breathlessness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have been dizzy for 3 months, last month or so felt like a fluttering in chest followed by a thump thump! This week many sharp pains felt like my heart. Have been given vertigo pills,ear drops had bloodsugartest and no call back was 6.2,6.5.6.9,6.2 when checked bloodsugartest. High blood pressure has been fine?? Doctor: Hi Welcome to HCM.I understand your query and concern.Fluttering in chest and Dizzy spells can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hr holter ECG which can accurately determine the cardiac conduction abnormalities.Monitor your blood pressure and heart rate.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study with or without Radiofrequency ablation will be the procedure of choice to eliminate abnormal foci of rhythm.Avoid stress and anxiety.Consult your cardiologist for expert management.Post your further queries if any,Thank you."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and fluttering in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the past couple days, I have had redness on the roof of my mouth near my teeth and gums. I did try some medication for canker sores and have used it twice. The brush applicator causes the red area to bleed when. Any suggestions as to what this may be caused from and how I can treat it? I was on antibiotics for a few (2) days; I took bactrim for a UTI . Please help. Thanks. Doctor: Hi, I read your problem.See, mouth sores can be due to stress or vitamin -B deficiency.For mouth sores, use topical anaesthetics that contain benzocaine, lignocaine, tetracaine will help to relieve from redness of gums.Also take vitamin -B complex.Don't stop antibiotic course for UTI. Use soft bristled brush and mouthwash also.I would advice you to visit your dentist also. Have a nice time... take care"
},
{
"from": "gpt",
"value": "Target: Redness of roof of mouth near teeth and gums, had taken antibiotics for UTI. What could cause this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, my mother-in- law is diagnosed as aplastic anaemia. she is requiring platelate transfusion every week and RBCS transfusion every 15 days since last month. she had the course of androgens and cyclosporine which didnt work for her. we were thinking of ATG injections but last week in MRI brain we found that she is having cystic lesion at the base of the cervicomedullay junction. Neurosurgeon is suggesting for surical removal of cyst. would you recomend surgery in her case. she is 54 yr old. and her platelet count was 7000 even after 10 packets of platelets given. do you have any other treatment for this.and what would be the risk and is it worth takin the risk Doctor: unfortunately there are no treatments for cyst removal other than surgery. you should speak to the neurologist and surgeon about risks and benefits. my guess is that if they are willing to do surgery with only 7000 platelets and take a risk like that they must have a very good reason."
},
{
"from": "gpt",
"value": "Target: Is there any other treatment to remove the cyst?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a very close friend who has lymes x 6 years. Just got a port and is doing abx infusions twice a day 3 days on 4 days off for the past 2 months. He took a 2 week break and today started treatment again. 2 hours after infusion he is running 101.9 chills/sweats. Vitals normal 119/79 hr 86. I am concerned because his temp keeps rising so quickly. Please advise. Er? Doctor: HIWell come to HCMI really appreciate your concern, differential diagnosis is matter of concern as long as the febrile condition is concern, may needs some test like complete blood count and x-ray or chest hope this information helps."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr. prescribed me ursocol-300mg, 1bid- dator-1omg one a day and Aldectone-50mg. odema reduced to normal with in a week. but still I am using all the three since 70 days after discharge from hospital. Iunderwent surgery for mithral volve relpacement and I am usnig Acetrom 2mg and lanoxin. How long I have to use ursocol, dytor and aldectone? Present problem is I have become thinner. By birth I am a normal built man. aged61 years Doctor: Hello sir and thanks for posting your query here.As you underwent a valve replacement about 70 days ago, please consult your doctor and get your Liver function tests and an Echo. If LFT and Echo are normal, then ursocol, dytor and aldactone all can be stopped.But you have to take acitrom and the duration depends on the type of valve you have got.If it's a metallic valve then you have to take acitrom throughout your life but if you have got a tissue valve, then acitrom could be stopped after a while.I hope this information would help you.Thanks and all the best."
},
{
"from": "gpt",
"value": "Target: How long Ursocol and Dytor be used after a mitral valve replacement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My girlfriend was diagnosed with gastritis 3 weeks back. She was given medication and she was feeling better. But a week later she started vomiting quite badly again. She has been vomiting continuously for the past 2 days and she has admitted in the hospital again. Doctors say they dont know what the problem. They have now done an Ultrasound test. Can anyone explain me what the problem could be? Doctor: Helo gastritis is vague diagnosis lotbmany reasons some food allergy get her liver function test done for hepitis hope so her usgis fine dear get her pregnancy test done too"
},
{
"from": "gpt",
"value": "Target: Have gastritis and was under medication. Have vomiting continuously. What could be the problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been taking losartan for six months. during that time, i have also been complaining of fatigue, breathlessness, chest pain, edema (especially legs), intermittent chills and low-grade fever - all of which i recently discovered are potential negative side effects of taking losartan. i discontinued losartan cold turkey. i am monitoring my blood pressure and it is all over the place, but mostly running 120-130 / 60-80. that doesn t seem too bad at almost 60. am i safe to assume the only thing i need to be monitoring is BP? Doctor: Hello,It is unlikely be related to losartan. If symptoms persist, it is better to consult a physician and get evaluated. Detailed evaluation is required to find out the exact cause.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes fatigue and breathlessness after taking Losartan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir, my name is bhawri solanki age63 female i have blood sugar frm last 15 years,and 2nd of this month i had suffagation pblm,after consuting with doctor iwas reported a shrinkage in kidney (RIGHT KIDNEY 7.2 x 3.4 and left kidney is 8.0 x3.6) doctors says there is no need of dialysis and not possible for transplant. now i want a perfect diet chart for this disease Doctor: Hi, Welcome to Healthcaremagic Thanks for your query You seem to have a chronic kidney disease due to diabetes. We need to know your serum creatinine, serum electrolytes and current blood sugar status. A diet plan is a specific thing for which you need to be examined by a dietician, but in general, avoid citrous fruits and low sodium salts as these contain high potassium, and a low protein high carbohydrate diet to keep your S creatinine on lower side. Also, water in moderation. Take care"
},
{
"from": "gpt",
"value": "Target: Perfect diet chart for a blood sugar patient"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i feel pain in my left kidney, but not everyday. I already having a check up for a doctor and the doctor tell to that the result is normal. then i tell to him that i feel pain sometimes in my left kidney and he gave me a medicine uricol and riaspasm. It is okey to take those medicine even though the result is normal? Doctor: Hi, welcome to HCM.Flank pain require evaluation to confirm that pain is of kidney origin.It requires basic urine report, S. creatinine and sonography.Uricol & riaspasm are antispasmodic and urinary antseptic. It helps if there is ureteric or GI colic, stone or infection.Before that you require confirmation of the cause of flank pain by above tests.Therapeutic Trial for for 3-5 days can be safe.You communicate further with above reports. Best wishes. TC.Dr Jay Patel."
},
{
"from": "gpt",
"value": "Target: Can uricol and riaspasm be taken for pain in kidney ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ive had a sore throat for weeks now, but it keeps switching sides. Never a fully sore throat. for a few days its the right, then for a few days its the left.. and back and forth. Hurts more so at night. Slight airy cough on occasion. No discernible drainage. i went to the clinic 2 1/2 weeks ago and they gave me a zpack but that didnt help. Ive taken a ton of different cold and alergy medicines.. nothing seems to help Doctor: Hi thanks for posting on hcm regarding your concern sorethroat from past one week with pain could be acute pharyngitis upper respiratory tract infection use augmentin 625 mg three times a day for 7 days with antihistamine like citrizine 5mg and antibacterial mouth wash girgles twice a day. Concern your physician for further managment concern take care.RegardsDr Jawad Alam"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe sore throat and cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am Bhuwnesh want to ask about my wife. My wife has gone through DNC last year, it has been found higher value of s prolactin, and also Dr. suggested for MMR vaccine, after 3 months of that again have test it is found prolcatin level reduced to 22, but now again when we are planning for child thr prolcatin level is on higher side i.e 32, the Dr. has again suggested to take medcine once in a week. could u guide me what we should do, age of my is 28.7yr Doctor: Hello,Take Cabergoline. Do serum TSH and do follicular study after taking Clomiphene from day 2 until follicle size increases to 18 mm then rupture and then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
},
{
"from": "gpt",
"value": "Target: How can pregnancy be achieved with high prolactin levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, i am 17 years old about to turn 18 in two months i weight 170 pounds and i am 5'10. i smoke about 6 cigarets a day and lately ive been noticing a wheezing in my lungs only when i take very deep breaths and ith appens every single time i take a deep breath and inhale and doesnt really happen when i exhale. is this anything seriouse or just mucus build up? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, this is not due to muscle build up. Wheezing on deep breathing is due to bronchospasm. Since you are active smoker, possibility of bronchitis is more for your bronchospasm and wheezing. Cigarette smoke causes irritation and inflammation of the airways. These lead to bronchospasm and wheezing. So quit smoking as soon as possible. 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. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of severity of bronchitis. So if don't start treatment at this moment, you will develop severe bronchitis in later life. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes wheezing in the lungs when i take deep breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir, I have been encouraged to contact you for the problem I am facing with regards to my health. My right arm , hand and fingers are numb and weak. I am gradually loosing control of my hand and fingers. On advice of the medical professionals, I got my MRI test done, which indicated that nerves at the spine Vert. C4,C5,C6 and C7 were pinched.So surgery was done to open the gap between the vertebrae by putting metal plates and screws. The problem did not go away instead increased. The nerve conductivity test was also got done which is normal. After this I contacted one doctor of Ayurveda , who says it is due to vata (Vayu) imbalance in the body. I would like to know if you have any cure in your system of medicine? If so, what is the procedure to approach you and how much cost is involved? If I have to stay at there, how long will it be. I will appreciate an early reply from you. With regards, Devinder Sharma YYYY@YYYY Doctor: 1. could be cervical herniated disc or cervical radiculopathy, resulting in sensory and/or motor deficits. 2. you have done MRI, consult for CT myelography? 3. even if cause of radiculopathy is different all will lead to one symptom: compression and irritation of the cervical nerve root. 4. is Spurling's sign and shoulder abduction test been done? 5. from my side, because there is compression; massage will be contraindicated, you can consult with your Ayurveda Physician regarding any best treatment he/she has to offer"
},
{
"from": "gpt",
"value": "Target: Arm, hand and finger numb and weak, nerves pinch at spine vertebrate c4,c5,c6 and c7. What is cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 54yrs male. I was getting acidity for 2-3 months. taken the medicines according to Doctors advise,as there was no relief Dr.has done gastroscopy,diagnosed as mild antral gastritis. then started tablet pantocid HP 3in the morning 3 in the evening for 14 days. iwanted to know is it advisable to take for 14 days. is this tablet is having any side effects.as iam not comfortable when I started this medicine taste of the mouth is changed. please advise. Doctor: Hi,Pantocid-HP is a combination of a proton pump inhibitor (lansoprazole) and two antibiotics (clarithromycin and amoxicillin) which is commonly prescribed to treat H. pylori infection. Its common side effects include nausea, vomiting, diarrhea, metallic taste, flatulence and allergic reactions. It is quite effective if taken for 14 days. Continue taking it as prescribed.Take care. 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: What are he side effects of pantocid HP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I have a lot of lines on my palms. I always have and my mom always tells me that it is because I do not lotion them. My hands feel kind of leathery too. Is it possible that it is just dry skin? My neck back is darker than my throat and is often dry and I have moderate acne problems on my face, neck and back. All of which I have been told could be a result of dry skin. I am a young adult. Doctor: Hi,You said..you have thick dry palm skin,hypermelanosis on neck and mild acne lesions. All skin problems are mild and benign. So, avoid anxiety and be free of worries. I would recommend moisturising cream containing urea to apply on palms twice a day, vitamin E and aloe vera containin lotion on neck twice a day and clindamycine gel on acne lesions at night. Orally you may take vitamin A and E capsules. Cleanse the face with cetaphil lotion. Avoid oily food to prevent acne. I hope you got my answer...Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: How can dry skin be improved?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my babygirl is 21months she is on nido she take 3 bottles a day sum tea and eats verry healthy but i have notice that she dont stool very often and when she does it cums out verry hard and has thick has a big banana with a skin on isit normal Doctor: Hi, welcome to HCM. This constipation could be due to less water intake or giving only one or two types of food. Do thyroid levels also."
},
{
"from": "gpt",
"value": "Target: What causes constipation and hard stool in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 51 year old man and it takes longer to get an erection. last shorter, and when I ejaculate, it is less intense and less semen flow than a year or two ago. Also, when I get ready to ejaculate, my anus and left testicle tightens up with some discomfort like a strain or muscle spasm. Is this a potential prostrate problem or something else? Doctor: Hello,Yes, you are right. As in case of benign hypertrophy of prostate, for example, BPH (Benign Prostate Hypertrophy) which cause retrograde ejaculation, so low semen content.The causes for erectile dysfunction are psychological, stress, fatigue, diabetes or other chronic illness.The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Are prostrate problems related with erectile dysfunction and low semen flow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Brittany and my tummy, throught, and head are hurting and i feel like i have a fever and i also feel like i am about to throw up what do i do? I am 14 years old and my weight is about 130 and i'm 12in tall and i'm allergic to peanuts, soy,and pork. Doctor: welcome.diagnosis of disease depend on duration of symptoms.consult your family doctor for physical examination,he may order for blood test for L F T,hemogram,widal test,M P,CULTURE,urinalysis,x-ray chest,ultrasound.tablet domperidone+ranitidine for vomiting ,half an hour before meals,plenty of O R S mixed with mineral water to comebat dehydration,paracetamol for fever ,take fresh fruits ,milk products,semi solid diet,take care."
},
{
"from": "gpt",
"value": "Target: Why am I getting fever and vomit sensation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend last night started vomiting last night out of now here very constant to the point he did not want to leave the bathroom then this morning the same thing was happening an he now says that he feels like his uvula is touching his tounge not to sure what to do we do not have insurance so we don t want to go to the hospital Doctor: Hi, thanks for your contact to healthcaremagic. If I am your doctor I suggest you to take omeprazole and ondansetrone whenever he feels like vomiting. Even if he will not relieved by it you can think for avomine tablet. You will be definitely get cured by it. If you have anything else to ask kindly contact me. Dr. Arun Tank. Infectious disease specialist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im a 27yr old male thats 6 feet and 165pds. my wife is 5foot3 ans 110 pds and is 29yrs old. we are both suffering from random fevers that last anywhere from 30min to a few hours. our fevers range from 100 to 103.5 degrees. what could be causing this. niether of us have any previous medical conditions related to this Doctor: Thanks for posting you query to health care magic.this is a case of intermittent fever which repeated after a definite interval. there are a number of infections causing such type of fever it may be parasitc or bacterial . I advised you some investigation 1. Complete blood count 2. Blood serology test for malaria .3. blood culture and sensitivity testing . this all investigation will help in to diagnosed infective cause and then i would be able to suggest you remedy . presently you can take paracetamol 750 mg tab as and when required. hope you would be satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist"
},
{
"from": "gpt",
"value": "Target: What causes frequent fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi this might not be anything but i just wanted to make sure, i have a lump under my skin below my left ear and it starts off small but then as i run my finger along it towards my ear it gets bigger, it is only painful when i touch it or open my mouth sometimes, it is not visible you can only feel it not see it, is this a big concern? i will also add that i am not currently sick either Doctor: Hi,Dear,Good Morning.Thanks for the query to HCM.I studied your query in details and understood your concerns.@My impression of your case -is-the cause is-Partotid Adenoma?if long duration- Boil or Parotitis if short / recent origin.-This would resolve your issue,as the doctors have cleared your case for any local infection.This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query.Welcome for any further query in this regard,and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at HCM clinic.Wishing you fast recovery..!!Have a Good Day.With Regards ,Dr.SAVASKAR M.N.Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures."
},
{
"from": "gpt",
"value": "Target: What can cause lump below the skin under left ear?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a fifty-four year old female and today have noticed a large 2 inch by 1/2 bony lump on the medial end of my clavicle right side. I think it has probably been there a couple of months because I did notice that the area concerned looked different. There is no pain or swelling. Thank you for your response Doctor: Hello!Thank you for the query.If this is hard as a bone, most likely it is a part of your clavicle (there should be similar lump on the other clavicle).In this location there is also a possibility of enlarged lymph nodes. If its a lymph node, the lump should be rounded and movable. It usually is softer than a bone but still hard.I suggest you to have an ultrasound of this area. If it is a lymph node biopsy should be also done.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: What causes lump on medial end of clavicle right side?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I injured my left elbow 3 weeks ago a pulled muscle/ligaments in back of arm up to triceps area, there was fluid build up and I had it drained and a week went by and fluid build up again. the dr put me on some anti-inflammatory med . the fluid that was drained had red tint of blood mixed in. I just had the second drain of fluid done on Friday and this is Sunday and there is fluid building up again, there is no pain, however the muscle is in strong and is still healing. what is causing the fluid build up ? and how can I stop it ? Doctor: hiHope this msg finds u in good health. i have gone through your complaints and under stand your concern. i feel u had a muscular injury that causes blood tinted fluid to accumulate in dependant parts.unless the muscle has completely healed the accumulation won't subside. So i suggest u to take good amount of rest..vitamin tablets and it will heal up eventually. hope this answers your question. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless"
},
{
"from": "gpt",
"value": "Target: What causes fluid build up in the muscle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My platelet count is 470 and my bp is 140 and I m 40 years old and 98lbs 5 , don t smoke, don t drink and i have a healthy eating lifestyle but my mom has history of HIgh BP and under medication at the age of 60. My doctor just gave me 4mg of perindopylto take everyday. Is there a way to lower my bp? Doctor: Hello,Your blood pressure values are a little high, and before starting medication, some lifestyle modifications should be tried first. In this regard, I would recommend reducing maximally salt and caffeine intake in your diet and performing a lot of physical activity (aerobics, Yoga, recreational sports, etcetera). Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: Suggest natural ways to reduce BP"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i am 25 years old. I dont have start periods. but after treatment i came to know that i have a small uterus. then my gynae suggests me to take femilon. with it i have start periods. now i want to know can i get pregnant with this. what should i do. Sorry but i can't pay. if u can help then plz help Doctor: Hello. Thanks for writing to us. You are having withdrawal bleeding with the help of medicines. A hormonal dysfunction is likely. Detailed hormonal profile is needed to know if you can get pregnant.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: Can pregnancy be expected with small uterus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diognesd with kidney failure. They want to do a biopsy of the kidney that I still have. I had a heart attack five months ago. But now aid am hurting in my lower back and am so tired all the time. I had hip replacement in 2009. So I don t know what to think. Doctor: Hello and welcome to HCM.As an Urologist,i must assure you that a kidney biopsy is done, to find out the cause of kidney failure. According to the report, specific treatment will be started. It may prevent further deterioration in your kidney function, and may help in reverting the failure also. Your age and other medication isn't mentioned. With kidney failure, your blood level(hemoglobin), may be low,causing fatigue. Back pain isn't caused by kidney failure. If you've any doubts, you may contact me directly, on this site.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Can kidney failure cause pain in lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: bent my thumb backward in an accident 4-days ago. Have mobility, can bend & flex with pain, still some swelling, tender to the touch at joint at base of thumb, did not go to the hospital. Possibility of broken bone or torn ligament/tendon?? Do I need to consult a specialist? Doctor: Hello, Your symptoms are suggestive of local inflammation, probably a tendon or a ligament. I don't think that it is a fracture as you can move it. For this reason, I would recommend avoiding movements, using local ice packs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes swelling and pain on the thumb after an accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have Sarcoidosis in my lungs. My doctor has been treating me with Methotrexate 10 m.g. per week. He also gives me bactrin 3 times a week 20 mgs per time. How about a Cortozone shot? Would that help my lungs. I'm poor and am on SSI. I can't afford to pay you. Could you please give me some advice? Doctor: Thanks for your question on Health Care Magic I can understand your concern. Sarcoidosis is inflammatory disease affecting lung. It is actually chronic lung disease in which lung parenchyma undergo fibrosis and thickening. So to prevent inflammation, anti inflammatory drugs are given. Methotrexate is one of these drug. But best treatment for sarcoidosis is corticosteroid. Oral corticosteroid is drug of choice for sarcoidosis and hence it should be started in all patients. So you should definitely start cortisone regularly (oral) and if symptoms are severe then injections are needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Sarcoidosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with hbp for over 10 years now, and I take medication (Losartin 100mg) once per day.I monitor my bp everday, and today my reading was 130/72.I have been experiencing lower back pain, muscle spasms in the abdominal area, legs, etc...I have also had low grade headaches that radiates to all sides of head, and soreness behind my eyes. Sometimes I feel a bit dizzy as well. Something just feels off. Doctor: Here lower back pain can be due to back muscle strain. And spasm in back muscle comes due to weakness of spinal muscles as well due to working in wrong posture for a long time .Abdominal muscle spasm is actually not a proper symptom you need to say more in this like is there any discomfort in abdomen ?,or do you have diarrhea?, do you have this problem from long time or started recently?, how is your bowel and gastric health? Then only we can give you proper guideline. Now spasm in leg muscle could be related to long standing or related to back pain only. But to get diagnose properly I suggest to visit ortho or physio and get your self examined properly for evaluation perpose. Here you are complaining of headache and soreness in eyes as well I strongly believe this all symptoms together indicates your body is in too much stress. You need some time to rest and relax your self. So take a break and even after that if it's not fine then do visit doctor for proper health check up. Take care."
},
{
"from": "gpt",
"value": "Target: What causes lower back pain,muscle spasms in the abdominal area and legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good Afternoon Sir,Dr. one of close friends sun is found having blood plates only 20. He is 15 yrs old and After two days his plates raised to 40 and Dr. prescribed Diprofos injection and advised P.smear test. Can you please advise further and is he going in the wright way. Doctor: Many causes of the low platelets count are there. So ideal way is to do peripherals smear examination and then treat accordingly.if persistant low platelets are there then bone marrow examination may help to reach dignosis.right now you are ob right tract. Go for peripheral smear examination."
},
{
"from": "gpt",
"value": "Target: Is Diprofos injection helps increasing the blood plates?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I work as a Baggage handler at a busy airport,since I have started work I have found that every day my fingers and knuckles are aching, it seems to be getting progressively worse, of a night I get bad circulation in both my hands,can you please explain what could be the problem.I am almost 50 years of age and am quite concerned,I love this work but feel this may be a long term problem preventing me to continue a happy employment.Kind regardsWally Trankle Doctor: This is suggestive of inflammation of the hands/fingers, with the possibility of underlying arthritis of the hands as well (which creates longer recovery time from each traumatic work shift). An x-ray of the hands would confirm arthritis. You could try contrast baths 3 times per day at home: dipping both hands in hot water for 4 minutes, followed by 1 minute in cold water. This would reduce inflammation and improve blood flow."
},
{
"from": "gpt",
"value": "Target: What causes progressing pain in knuckles and fingers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have pain aver right side of stomach extending around the right side of bidy to the back almost to the spine. During an IVP I felt something give way in right side of stomach. Cannot tolerate being touched in these areas. Thankyou for your help. Doctor: Hello and welcome to HCM. As an Urologist,i can understand your anxiety.Your pain is most likely due to a stone in right kidney or ureter or a PUJO.A PUJO is a pelvi-ureteric junction obstruction.After an IVP,both can cause pain on the flank,where it's present.So without seeing the IVP,it's difficult to comment.With a block in the kidney, due to either condition,there'll be pain on touching.You may send all the reports to me,as a direct question,for an expert opinion.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for right sided abdominal pain going to back after IVP"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was wondering if there are any permanent effects from taking Keppra (anti-epileptic/seizure drug). I ve been on it for just over a year now and we only just cut my dosage in half a month ago, but I m still very irritable, easily frustrated, and not myself. I have had major memory problems since I started taking it--even when someone reminds me of something, I still won t remember it sometimes. Will this go away eventually? I ve read things other people have posted in forums, and some people say people they know who took Keppra never were the same and never got their normal mood and memory back. I just want to be me again. Thanks! Doctor: in general keepra has the least side effects between antiepileptic drugshowever its common for this medications to cause irritability and agressivnessif you really feel that these side effects are bad then you should change the medications under supervision of your doctor"
},
{
"from": "gpt",
"value": "Target: Are there any permanent effects in taking seizure drugs like Keppra?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have been told I have a low HC something?? of 40-42 in kidney function. but my primary care says I am fine but when for a MRI and they could only give me 1/2 dose of contress because of that level. said they could kill me or damage my kidneys if the gave me the full dose. So what is it? How do I get better or is it a real problem? Doctor: Well information is not clear Just provide values of BUN and S.CREATININEMost likely that value is of bun ,blood urea nitrogen If it is high then for sure contrast has to be given in low dose /avoided It may harm kidneySend your complete KFT reports and then review after report"
},
{
"from": "gpt",
"value": "Target: What does this kidney function test indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have harrington rods in place (23 yrs) and have started to suffer some different back issues,like sciatic nerve problems and pain in hips. Lately I am experiencing a strange vibration up and down my spine periodically. Numbness in one heel/ midfoot area and some pain when I flex it Doctor: I would get a MRI of the lumbar spine to look for possible issues with stenosis at the area below your Harrington rods.The lower lumbar spine is where the sciatic nerve originates (L5/S1), and I would look at that area closely."
},
{
"from": "gpt",
"value": "Target: Need treatment for sciatic nerve problem and hip pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an mri that staes at c5-6, a disc protrusion in the left foraminal zone measureing 0.4 cm AP by 1.1 cm TR is present and demonstrates an annular tear. this disc protrusion appears to contact the exiting left c6 nerve and results in mild to moderate left neural foraminal narrowing. there is no significant right neural foraminal narrowing. at c6-7 the disc protrusion within the right foraminal zone measuring 0.4 cm AP by 0.8 cm TR results in server right neural foraminal narrowing and possibly impinges upon teh exiting right c7 nerve. the superimposed disc bulge along with dorsal ligamentous hypertrophy results in mild to moderate canal narrowing, decreasing the AP diameter of the spinal canal to 7 mm. the disc bulge also results in moderate to server left neural foraminal narrowing. What does this mean? what treatments or surgery will have to be done to correct this? me Doctor: Hi, Thank you for posting your query. Your MRI of cervical spine shows features of degeneration of discs (soft tissue located between the vertebral bodies), which has bulged at two levels. This has resulted in compression of the cervical nerves, which take care of sensations and strength of arm muscles. Common symptoms are pain in the arms, weakness or numbness of arms. Usual treatment is with medications such as pregabalin and physiotherapy. Surgery is required in about 10% of cases, to relieve the pressure from the compressed nerve. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: MRI showing disc protrusion in the foraminal zone and annular tear. Disc bulge with dorsal ligamentous narrowing. What does it mean?"
}
]
|
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