conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: i have a couple lumps on my hard palate one big one behind my front teeth more on right side, another one further back, and another one appeared over the last couple hours in the middle of my palate close to the soft palate. Hurts drinking eating breathing sensitive to hot and cold Doctor: There are several possible causes for a bumpon the roof of the mouth: it could betorus palatinus, mucocele, Epstein Pearls, or even asign of oral cancer."
},
{
"from": "gpt",
"value": "Target: What causes lumps on the hard palate of the mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Best treatment for Linatus Plastica. My sister 78 Asian recently daignose with ultrasound guided endoscopy and FNA of gastric wall. PET scan tomorrow. She had swollen right lower extremity recently, neg for venous doppler. Ct scan also showed thickening of ascending colon , rectosigmoid colon and bladder. Are there any new treatment for this kind of rare cancer ? Please help. Thank you. AAAA Doctor: Hi there, Linitis plastica is a very aggressive form of stomach cancer and has a poor prognosis. Surgery remains the main treatment but is a challenging option. Chemotherapy or radiotherapy may be offered but would give short lasting relief and palliation at best. Report to regional cancer centre of your area. Take care"
},
{
"from": "gpt",
"value": "Target: Where can I get best treatment for Linatus Plastica ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am cardiomyopathy case with 20% lvef and have ppm implanted in 2010 and after that i have been suffering from back pain which has become very severe due to gap in l3 & l4. Recently having urine problem as it does not get empty. The bladder is full but unable to empty it fully. I get pain in the lower abdomen. I have uncontrolled diabetes due to which there is burning in thege lower limb . I cannot be operated so was given pain management there. Can you find out the latest development in getting treatment for backpain/prostate gland/ with patient like him who has implanted ppm He already has three stents in his legs and one stent in his heart. Is this the problem due to ppm releasing some chemicals/radiation in his body. Doctor: Hello. Thanks for writing to us. The implantation of pace maker is not likely to cause the pain or bladder problem that he is having. Apart from the pain killers that he must be having already, he can go for physiotherapy and perineal exercises to take care of the problem. A NCV testing will help in finding put any nerve related problem. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: How to treat severe back pain with ppm implanted? Unable to empty the bladder,lower abdomen pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother spends most of her time in the bathroom, has stomach aches , and gas. She has consulted over 25 doctors and none were able to help her. Until recently a psycologist was able to diagnose her with IBS Diarhea. What medication can she take to treat the problem.(Is allergic to soya and milk) Thank you for your time. Doctor: Hi, Welcome to Healthcare magic. You have not mentioned how old she is and about the tests that have been done. There is no specific test to diagnose IBS-D. Before attributing the symptoms to IBS-D, other conditions causing these symptoms like infection, malabsorption, medical conditions should be ruled out. A complete blood count, stool test, blood glucose test, upper GI endoscopy with duodenal biopsy, colonoscopy should be done. if it is IBS -D, then probiotics, antispasmodics and antidepressants may be given."
},
{
"from": "gpt",
"value": "Target: My mother has IBS-Diarhea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Three weeks ago I went to my OB to remove my IUD. After checking through ultrasound it was embedded in the uterine wall. My Ob arranged to have a tysterography two weeks later it was no longer there. Again another ultrasound it is now in my lower stomach ...\" Aim in a lot of pain like a really period and the need to pee all the time. My OB arranged to have surgery remove the IUD in three weeks. My question is can this cause any other problems and should I see another Dr for a second opinion Thank You Doctor: Hi, thanks for writing..This is a very rare situation were the IUD has perforated through the uterine wall into the lower stomach.. if you have any doubt get a repeat scan or xray abdomen to see the position of the IUD.. Only option if it is in the lower abdomen is laproscopic removal of the IUD at the earliest.. This can cause infection if left in the abdomen.. You need to take a course of antibiotics after the surgery..Hope I have answered your query.. Good day"
},
{
"from": "gpt",
"value": "Target: How to remove the IUD from stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 38 in jan i was admitted to hospital I was having fever and chest conjestion with continious coughing my ESR was 80 and doctor do the chest ct scan and found TB. I took a second opinion and it was found that I have chest infection but not TB. I had a IGE test it was 356 and c-reactive protien test it was 85. I begin yoga and started recovering but for past few months I was not getting time to do yoga and again my health is detoriating. From last three days I was having fever I had crocin and now I am Ok. Doctor: Thanks for your question on HCM. In my opinion you need to consult pulmonologist and get done chest x ray first.Also show old x rays to compare with present x ray. So that any worsening of x ray lesion can be picked up.If x ray lesion is same or improving than no ned to worry for TB or pneumonia. And if lesion is worsening than you may need CT Thorax for better evaluation of lesion. As CT is far better imaging technique than x ray in evaluation of lung diseases.You may also need bronchoscopy and BAL analysis for identification of organism.So better first to consult pulmonologist and discuss all these."
},
{
"from": "gpt",
"value": "Target: How can fever, congestion and cough be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: C4-5: Small central/right paracentral protrusion with annular fissure. No canal or foraminal stenosis. C5-6: Large left paracentral protrusion exerting mass effect on the cord and left C6 root. Smaller right paracentral protrusion does not cause significant mass effect. Age 32,female, height 5 feet 5inches, weight, 55.6. Make up artist by profession, involves long working hours, head in one position whilst doing make up, lifting heavy make up bags n portable studios, suggested bed rest for 10 days. Took myospas and voveran 75 for 5 days twice a day. Left arm nerve painful , c5 and c6 area painful , wearing collar 24/7 Doctor: Hi, Your symptoms are due to pinched nerves in the neck region. These nerves travel to arms, forearms and hands. For pain relief, you can take pregabalin capsules. Physiotherapy would also help. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist"
},
{
"from": "gpt",
"value": "Target: What causes disc and left arm nerve pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old is potty trained but for the last year he has been having poop stains left in his underwear. He does go on the toilet daily but still stains in his underwear. He also has a hard time wiping because it will get so dried on his bottom. Any suggestions? Doctor: Dear, Welcome to HCMWe understand your concernsI went through your details. Bowel movement and urge to evacuate are the signals given to child by the body and they pick the signals and act accordingly. This happens when the urge is specific. During play period, when they laugh, cry or when doing activities which pressures the colon area, a little loose stool escapes from the anus and that is natural. This mostly happen in the initial stages of hard play period. Soon your child will understand the signals and himself stop this. Don't worry.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Happy New Year. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest medication for constipation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have just recovered from chicken pox and have experienced blood in urine over the last 4 days or and also in stool today. I was taking quite a bit of paracetamols to fight the fevers during chicken pox. Blood in urine was preceded by couple of days of irritation at the tip during urination. pyuria was detected in my urine sample and I've been prescribed Trimopan since yesterday. Blood in stool is something I spotted just today - Is this related to the pyuria infection or should get check for this separately? Doctor: Hi! Thank you for your question! Did you notice any bowel movement changes? Were your stool harder than usual that you had to strain? Was there any pain during bowel movement? I would suggest that you report this to the same physician that examined and prescribed Trimopan for your pyuria so that he/she knows whatever developments are going. I hope you feel better soon!Dr Galera"
},
{
"from": "gpt",
"value": "Target: Just recovered from chicken pox. Was on Paracetamol. Having blood in urine and stool with irritation at the tip. Now on Trimopan. Detected of Pyuria. Causes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello! Can I be allergic to Dextrose as a food additive. I have had ALCAT tests and not seem to be conclusive. I have been watching ingredient lists on products at home when I have a rapid heart beat, throaqt swelling. So far I have seem only Dextrose and Soybean Oil as common. Doctor: The ALCAT Test is NOT a food allergy test. It is designed to test for intolerances, which have a delayed reaction. So it is unlikely that you allergy is proved. SO skin prick test is ideal to diagnose food allergies. Kindly consult a allergist for the same."
},
{
"from": "gpt",
"value": "Target: Can I be allergic to Dextrose as a food additive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a cold over past few days mucus is white green n bloody and I gotba cough but last nite I took shower n it felt like it got worse my body aches then I ate n took a antibiotic i had n then I got this horrible constant pain in my side under my ribs on rightside n I can barley walk or breathe its. Sharp n constant what do I do Doctor: Thanks for your question on Health Care Magic. I can understand your concern.You probably are having a lung infection/pneumonia. Get a chest x ray done and get your sputum tested to rule out other things. For which you will need to consult a doctor at the earliest. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes constant pain under ribs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 21, facing hair loss from more than 3years., i have dandruff but not scalp. i have visited a treatment center, out of 5 sittings i underwent one sitting, they applied a protein pack and laser light for a while .... i found it to be waste of money..... what do u suggest me.... do u want me to continue the treatment..?? whom should i meet..??? Doctor: Hello, You need to see a dermatologist.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar"
},
{
"from": "gpt",
"value": "Target: Can laser treatment with protein pack treat hair loss and dandruff?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 45 year old, athletic, husband has a swollen and painful right elbow (tendon) and tendons , in both feet are swollen and red and both Achilles. This happens about every 4 to 6 months. He does not have Gout, diabetes, or rheumatoid arthritis. Do you know what it might be? Doctor: Hello, If it is not gout then one possibility is that he could have Ankylosing spondylitis. Get his hla-b27 done and send me the report. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon"
},
{
"from": "gpt",
"value": "Target: What could cause swelling and pain in the right elbow in a 45-year-old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is facing with extreme lower abdomen pain.. USG of whole abdomen has been done.. Report is normal.CBC, LFT, Lipid profile test have been done.. uric acid is above the range and others are normal. Prostate test has been done ...the report of it is also normal.. Family Physician prescribed Drotin twice for 5 days... What to do? Should he start the medicine? Doctor: Hi, Thanks for posting your query. Does your father has spasmodic abdominal pain/ loose watery stools/ constipation/ frequent urge to use washroom? Does he has burning urination/ frequent urination/ fever? With the available described symptoms, there could be possibility of cystitis or gastrointestinal infection. Your father should go for urine routine & microscopy, complete blood count and CT/ MRI scan of abdomen. Treatment depends on exact diagnosis. Meanwhile, your father should continue drotin and if condition won't improve then he should take tramadol for relief of pain. He should take plenty of water. Take care, Dr. MAyank Bhargava"
},
{
"from": "gpt",
"value": "Target: Abdominal pain. Normal abdominal USG. Should Drotin be taken?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a small, i think pimple , on my forehead when i awoke yesterday. Over the course of the day it got larger and started to get painful. I put some of my wifes neutrgena acne cream on it last night. When i awoke today i had a spot about 2-3 diameter that is swoleen on my forehead and very painful. The swelling is coming down the bridge of my nose and causing havoc with my sinuses. Doctor: Hi there Matt. I hear you & it does seem you have an issue with an iatrogenic infection caused by overzealous use of the wife's cream :) On a serious note, you need to be seen by a physician & prescribed an appropriate antibiotics & anti-inflammatory agent that will depend on your body weight & will require a prescription! Do try to do a light steaming followed by splashing cold water on the region to help release the pus that seems locked in. This will help clear your sinuses' in addition. Swelling in the midline of the face needs to be taken care of soon as it was what used to be taught to us as students as being the 'dangerous area' of the face because of its proximity to the sinuses higher up & the chances of what we call a cavernous sinus thrombosis...hence the need for immediate intervention with an antibiotic. Cheers & wish you good luck & good health & a clear face soon! Dr Praveen Rodrigues MD Dermatologist, Cosmetologist, Venereologist Bangalore, India"
},
{
"from": "gpt",
"value": "Target: Small pimple on forehead, getting larger, painful. Using acne cream, sinus block. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: just went to the bathroom to urinate, there was blood on the toilet paper. just a couple of small spots. had a kidney stone the end of november but passed it. no pain when urinating. had a pain in my right side by kidney this morning but it was along my side also so just thought i slept wrong. there was no blood in my urine that i could see, just on the toilet paper. Doctor: Hi,Chances of reoccurence of kidney stone is high if you have got in past,I usually advice strict diet avoiding red meat,spinach,tomatoes,Drink plenty of water, in this patients.The blood spot you notice and abdominal pain is highly suggestive that you have renal colic most probably due to kidney or uretric stone,You will have to undergo some blood test like ultrasound abdomen pelvis,and urine routine and microscopy,For this visit an urologist hope this information helos"
},
{
"from": "gpt",
"value": "Target: What could cause small blood spots after urinating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im currently on the pill but have been having issues with it (was taken off it and only been back on for two months). my last period was 2 weeks ago but was barely there, now i have very sore breats that even my partner has said look bigger, light dark discharge for the past 5 days, nausa, fatigue and headaches . i have done a urine test and it was negative. Could i be pregnant oris it something else. im normally very regular and havnt had a discharge like this before. Thank u for your advise. Doctor: Sore breasts, nausea and vomiting could be pregnancy signs. It is not clear from your question whether the discharge is from nipples or from vagina. If it is from vagina, this could suggest non-viable baby inside the uterus trying to get aborted (Missed abortion). If it is from nipples, the chances of pregnancy are very high. However, very scanty period 2 weeks ago is a tricky issue. If it was a real period, you cannot be pregnant and the breast changes and nausea, fatigue, etc. could be due to birth control pills. To me, this looks to be the most possible cause. However, you may get ultrasonography done to rule out the pregnancy. If it turns out to be missed abortion, then urgent termination has to be performed lest serious complications like serious bleeding due to bleeding disorder. Your Obstetrician will take care of it. Now do not waste time and go to Obstetrician."
},
{
"from": "gpt",
"value": "Target: Taking birth control pills, sore and enlarged breasts, light discharge, nausea, fatigue, headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a swelling, a hard lump, on the outside of my 5th metatarsal (upper end - away from toes) due to wearing ski boots. I am a ski instructor and thus wear ski boots for 6 hours or more every day. Is this some type of a bunion? This has developed in the last week I think as I have not noticed it before. Doctor: DEAR FRIENDTHIS APPEARS TO BE ENLARGED BURSA OR RARELY A GANGLION.IF YOU ARE HAVING ANY PROBLEM BECAUSE OF IT, IT HAS TO BE EXCISED. CONSULT A SURGEON. THANK YOU. HAVE A HEALTHY DAY"
},
{
"from": "gpt",
"value": "Target: What causes hard lump on the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there. 8 years ago i had a liver transplant operation. my health has been on and off ever since. for the past year and a half, ive been experiencing horrible gut pains. ended up in hospital for months at a time. which no final cure. i now weight only 86 pounds. i am 64 years old. after eating my body gets really hot flashes, followed by tightening of my stomach , especailly on my right side. pain leaves me curled in a ball. find myself rubbing these extremley hard spots on my stomch, trying to soften them up.if i go to washroom there is alot of gas/ strong air that rushes out. what could this be? Doctor: Hi and welcome to HCM. Thank you for your query.After liver transplantation there is diegstion disorder for sure and you need to treat this primary by changing dietary habits. You need to avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. It usually improves on such measures. If symptoms persists you need to do endoscopic procedures to rule out some organic bowel lesionWish you good health.Wish you good health."
},
{
"from": "gpt",
"value": "Target: Horrible gout pains, hot flashes, stomach pain after liver transplant. Why is it ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a lumbar puncture n five hrs after could not move my toes on one foot n progressed till was in both legs up to n incl ankles. It s permanent paralysis. I had mild stenosis n previous back surgery. My CSF fluid results showed xanthochromia high protein n fresh erthocytes on that day n I was vomiting profusely n headache. Have u heard of cases of distal bilateral paralysis within hours of LP. Doctor: Hello. I have been through your question and understand your concern.The only cause that LP can lead to paraplegia is lumbar epidural hematoma which is caused by the LP. Yoi should immediayely have a lumbar MRI to rule out this eventuality.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for xanthochromia and paralysis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I recently married but I am still masterbates 3-4 times everyday, becuase of this may be I cannot make my wife pregnent? by the I am not with my wife now I will go home after 2 months only. she want to have a baby. so i taking some volume pills I don't know wether is safe or not ? but now I am having back pain Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If you would have come to me then i would have advised you to reduce the frequency of your masturbation rather the using volume pill. Your body keeps on producing sperms on daily basis but we have only limited space to store the sperms and if you masturbate 3 or 4 times a day a time will come when you will be having dry ejaculate since all the sperms are released and then it will take at least 20-4 hours to replete the deposits. I would recommend you to reduce the frequency of masturbation to get your wife pregnant. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is it safe to take volume pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is diagnosed with kidney cancer in july last yr, he got his left kidneyremoved and was given target therapy starting from nexavar .after 6 months PAT scan showed slight increase in disease and was put onsecond med which further detiorated the condition .....causing utter weakness as a result med was discontinuedfor a week which further worsened the condition .....again fluid in lungs and now speech is also not clear ....brain CT was done n some cells were found.....as a result radiation therapy was given for 10 days ....it gave positive results along with med VOTRIENT....everything remained fine for a month but today he had a fit type condition and lost his speech for sometime so Doc pls guide what next PAT SCAN is due in june first week. Doctor: Dear Mr. sarnakur, I am sory to convey you that your father has entered in a very advanced stage of the disease. He is resistant to all forms of therapy now and is also intolerant to other active treatment.. Please give him only palliative management to comfort him. No active treatment is advocated. Please consult your primary physician who will guide you for this form of terminal care and comfort. Truly, Dr. Jawahar Ticku"
},
{
"from": "gpt",
"value": "Target: Kidney cancer,removal of left kidney,fluid in lungs,radiation therapy,loss of speech"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a CT scan and it showed a 2cm. hard tumor on my kidney. It is definitely cancerous or could it be benign? It has been suggested that instead of a needle biopsy, I have the entire tumor removed. I do agree with this and from what I know the only way to be sure if cancer or benign is by Pathology. Your opinion, please. Doctor: Helloyou first need to get a RENAL BIOPSY done only then it can be confirmed that its benign or cancerous"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for kidney tumor"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I do have PC (active surveillance 4 years) but my immediate concern is BPH with serious difficulty to urinate at night. I am ready to have a corrective procedure but strongly dislike the idea of TURP preferring instead Green Light laser because of less bleeding, shorter hospital stay, anticipated results similar to TURP. I m 82. What is your opinion? Doctor: hello,i have to tell you that the pros and cons are same in both the operation.but in your age i should advise you to go for TURP. becausethis is more popular so surgeons are more skillful in it.and in green light laser the urinary problem like frequency,urgency are very troublesome in the first month after surgery.hope this will help youregards."
},
{
"from": "gpt",
"value": "Target: Suggest an alternate treatment for BPH"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My nine month old son has severe colic issues. If I feed him during the night do I need to give him colicaid drops. At night he does not take milk I feed him multigrain homemade kanji. With dry little milk to dilute. Do I need to give him colicaid drops after the feed. Doctor: Hi....no need to give colicaid drops. Even if there's any mild discomfort the infant will feel comfortable after he passes flatus. But by using colicaid drops - its only going to give temporary relief and the discomfort is going to return back again.I suggest you not to give any colicaid drops.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What is the treatment for stomach pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 34 year old female, 5'4 126 lbs and I feel like I have been trying to pass a kidney stone for the pass 7 days. I have been drinking a lot of water, my urine is cloudy, and I am not sure whether to go to the ER tonight or wait til morning to go to the Dr. I am in pain management for chronic migraines and my pain medicine is not helping at all. I have only felt like I have had a kidney stone once and the pain eased after it must have passed in 2 days. this week I have been nauseous, sweating, then chills. No matter what position I am in I can't get comfortable and the pain has been primarily on the right side and now the left side is hurting also. Doctor: Commonest cause of vloudy urine is Phosphaturia .And pain may be due to the phosphate stone that hav been formed in your urine ."
},
{
"from": "gpt",
"value": "Target: What causes cloudy urine and feeling of passing kidney stone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my pointer fingers are pointed sideways, when I close my hands ..I cannot make a fist anymore DO NOT TYPE EITHER .. SORRY . IS ARTHRITIS? I DO HAVE DEGENERAIVE DISK DISEASE ARTHRITIS I AM 61 YRS FEMAILE/ JUST HAD CEVERICAL SPINE SURGERY LAST OCT FI Doctor: Hi,Thanks for your query.It could be arthritis.I would suggest you to get yourself examined by an Orthopaedician for multiple joint pains . You would be asked to undergo few blood tests like Hb, RBS, TLC, DLC, ESR, RA factor, CRP and Thyroid profile along with routine urine examination. These investigations will help us find out the exact cause. Discuss with your doctor.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What can cause Arthritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: mild multilevel degenerative changes of the thoracic spine including anterior osteophyte formation and disc space narrowing most prominent in the mid thoracic spine is the MRI Prelim All I know is that I have thoracic vertebrae pain, extending into Bilat Shoulders and Left rebs, A and P. I am a neuro surg nurse wh0o aches every day! Doctor: Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : I am a neuro surg nurse wh0o aches every day!Answer : Your pain can be treated with Life Style Modifications When you go home after the shift, just keep two pillow below your back at the level of heart and lie down (without pillows to head) in such a way that your body is a bit arched with head and pelvis hanging down and resting on the bed . Do this for 45 minutes Most cases of thoracic vertebrae pain will be relieved with this without the need of tablets If there is further pain, let us know and we can suggest more exercisesHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for thoracic vertebrae pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I ve been having severe knee pain, have no injuries of any kind. Started taking Glucosamine 2000mg & Chondroitin 1200mg per day. This has taken away the tightness but I still have pain behind the knee when walking. Excessive walking causes me to limp. Also, severe pain going across the top of my foot. Doctor: Hello,The answer really depends on how old you are. In a young person it may be what is called Patello-Femoral pain - this is benign and usually improves with time. If you are older then xrays might be needed to check for arthritis.Best wishes,Dr Rawlinson"
},
{
"from": "gpt",
"value": "Target: What causes severe knee and foot pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 20 year old son at college. lost 34 lbs since first of July. extreme fatigue and hunger. seems like food isn t used correctly because he is hungry again after 1-2 hours. dizziness, loose stool and diarrhea. mood swings. Has noticed change in concentration and some loss of fine motor control at times. Now sore throat and lump on skin beside his throat. Had base labwork done CBC 3000 and CMP 1943. All in normal category except WBC was low and basophils were high. Was in Belize on school project for month of June. Could be parasitical infection but did not respond to Biltricide and started Flagyl, but it aggravated symptoms. Dr. was to start him on Alena tomorrow. Doctor: Hello,The symptoms seem to be related to a parasite infection. Parasitic infections can usually be treated with anti-parasitic drugs. Albendazole or mebendazole have the common antiparasitic medications prescribed in the daily basis.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes dizziness, loose stools and diarrhea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI i am a 48 yr old female with swollen lymph nodes in my neck, jaw, top of my right shoulder, behind both ears and the bones at the base of my skull, arm pits, under right rib cage, groin area. i had a sestamibi scan done that found a cyst on the right parathyroid gland. i have constant nerve pain in my back radiating into my left shoulder, and down the inside of my left arm. My upper thighs near the joints and legs are extremely painful. I constantly feel ill with fever, chills, night sweats, migraines, shortness of breath and some wheezing. My blood work showed elevated calcium at 10.8 and thyroid was 8 point something. My PCP says they'll keep an eye on they cyst. I just want to sry from all the pain and sickness because i have no answers. Is there a certain specialist i should see? Doctor: Hey,you must go for any of lymph node excision biopsy and find out the primary problem.For pain you can have some analgesic."
},
{
"from": "gpt",
"value": "Target: What causes swollen lymph nodes , nerve pain and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I just noticed my tonge is swollen on the right side and half of the end of my tounge is splotchy brown, I am post kidney transplant 3 years now the last few days I have noticed a warm almost burning sensaion when i breath in , my lungs, also my throught and ear cannals . I am now starting to feel pressure in my ears... what do I do ? Doctor: HelloThis sounds like a gastric acid reflux problem and for now you can try Prilosec or Pepcid AC but even if that takes care of the problem you should let your doctor know about it"
},
{
"from": "gpt",
"value": "Target: What does brown spots on tongue with burning sensation in lungs suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam 40 years ,female. idont take alcohole. my hepities tests are also normal. iam over weight. from the last one month i have problemof tight belly and severe pain in right upper abdomen region at a particular point. my sgpt comes72 andot came68. what should i do Doctor: HI-Age 40-Female-Over weight-Pain in right abdomenAll points are in favor of' Cholelithiasis' (Gall stones)I advice for ultrasound upper abdomen to confirm the diagnosis Two options1-surgery2-conservative treatment-just wait and watch3-Pain killers when ever needed4-Ruduce weight5-Non spicy,low fat dietThanks-"
},
{
"from": "gpt",
"value": "Target: What causes stomach tightness and right abdomen pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My daughter is 2 weeks old, She is light colored but the color of her ears is dark at the top and light at the ear lobes. I heard its becuase of defficiancy of oxygen , Is that true ? or it may connected to a heart condition as well as I researched online.Whats your advice in this ? Thanks Doctor: If your daughter is otherwise normal, with good growth, no delay in milestones, no evident abnormalities then this just some harmless pigmentation. Usually newborns are screened for heart disease so if your baby had one you would have been informed.However, if you are still concerned get an extensive checkup done by the pediatrician.I hope this answered your query"
},
{
"from": "gpt",
"value": "Target: What could cause dark pigmentation on ear in a 2 weeks old child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My toddler fell off the bed onto hardwood floors about a week and 1/2 ago. He seemed fine the next day and so I thought since. We ve noticed that all of a sudden for about 4 days he has been very fussy/cranky cries at the drop of a hat, he s been extremely clumsy, stopped eating, or eats very little, keeps holding his head. I noticed tonight that he had a bump about the size of a dime above his ear and he cries if I touch it. I tried looking at his pupils but he screams when I get the light up to his eyes and closes his lids. Do you think he has a concussion, and should I take him in? Doctor: Hi...I suggest you take him to the nearest emergency room as early as possible and get him evaluated. Head injury can turn nasty even after 7 days of actual injury.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Is it due to concussion child closing lid while bringing light near eyes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is one week post aortic valve replacement for a bicuspid valve. He is really healthy..was not on any medications before surgery, worked out regularly non smoker etc. He did great post op...discharged 4 days post op. is on coumadin for mechanical valve and a beta blocker 25mg. about 36 hours ago...he started having atrial tachycardia and high blood pressure...136/107 heart rate 110-150. I called his doctor yesterday am...they increased his beta blocker. His blood pressure is better...116/77 but heart rate has not dropped below 110. It is making him feel bad and anxious. He is only taking tylenol once a day for pain. I read that a non steroidal anti inflammatory could help...so I just gave him 600 mg of ibuprofen. I just want to make sure there isn t anything else I need or can do to help him. Do we need to have an EKG done...or just wait for heart to be less irritated as it heals... Doctor: Hello, No , you can’t relax. NSAI won’t help. Show me the latest ECG. Any Atrial Premature beats? I can solve his problem. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can atrial tachycardia and high blood pressure after a aortic valve replacement be managed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother is suffering from obsession compulsive disorder. He is suffering of lack of confidence & insecurity. He checks his certificates again and again whether hey are properly placed or not. He checks daily his marks & his name & other data in certificates on regular basis. he feels insecure as if his certificates may be stole by some one and his future may be spoiled.he sometimes checks lock of door too.some times checks his ATM card whether data is correct or not...is there any dust that may corrupt his ATM card....sometimes checks again and again his purse....or mobile if all data is OK...as sms center no etc.....as if someone don t stole any no. from his mobile and disbehave with that person and may spoil his relation with that person. and this checking process may take two to three hours and no of repititions again and again he is basically a teacher on contract basis...and doing his job very well. Doctor: Hi,I do appreciate your concern for your brother. From what you have mentioned, your brother is having obsessions of doubts with checking compulsions. That's what is making his do things he is currently doing.You should seek a psychiatric consultation for him. Treatment with medications like fluvoxamine would be effective for him. In addition, he can also consider option for cognitive behavior therapy in form of exposure and response prevention. This will consist of multiple sessions focusing on overcoming the obsessions and learning to control them. It is a highly effective treatment option for obsessive compulsive disorder.I do hope that I was able to answer your query. Wishing your brother speedy recovery."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for obsession compulsive disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a tramatic brain injury in 2011. im so confused all the time. i forget things even right after or even during what ever im doing. i also seem to regress and talk like and act like a child and im not sure why it happens. i will know what an object is but cant seem to get it out it comes out wrong. i forget where i am. my question is dimentia runs in my family along with heart disease and cancer. how do i know which thing it is. Doctor: Hello thanks for asking from HCMIt is common to develop cognitive impairment after trauma to head and level of impairment depends upon severity of trauma. You have developed symptoms immediately after trauma and there is history of dementia and cardiac problems in your family, this increases the risk of cognitive impairment. This is also called as Post Traumatic Dementia. I would advise you to visit a psychiatrist for management of dementia. Cognitive enhancer drugs like Donepezil, Memantin help to reduce progression of impairment. These drugs will not improve damage caused but will reduce further progression. Apart from that you should also try brain stimulation games like Sudoku, Crossword etc. This will help you to maintain focus and attention.Thanks, hope this helps you."
},
{
"from": "gpt",
"value": "Target: What causes memory problems after traumatic brain injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hay. Am misan.I currently just noticed that I had wart growing in my private part. This happened about last month. Although I treated it and it fell off in less than three days. And now its back. I asked my doctor and he said it could be because I didn t finish my medication. But I feel otherwise and awful. Please help me Doctor: HelloI understand your concern.How did u treat it?how many are they?You should avoid having intercourse until you dodnot complete its treatment.what's your age and are u married?You should remove them podophyllin solution.Tell your doctor to put it on warts.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us and do a follow up.Please let me know all these queries so that I can help you accordingly.*Always check for history of allergy before taking any medicine.With Regards Dr Aamir"
},
{
"from": "gpt",
"value": "Target: What causes recurring warts on genital region?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my son has the following results and symptoms and would like to know what you think: At around 1 year of age George developed eczema with an unknown trigger. At 3 years of age he had a spell of wheezing when visiting friends who have a dog, and this re-occurred on subsequent visits. From age 4 onwards he began experiencing coughing, sneezing, wheezing, itchy eyes and congestion when going outdoors in spring and late summer. On numerous occasions between 6 and 9 years George had emergency breathing problems when going out in cold weather and especially during exercise. He had a cystic fibrosis sweat test, which came back negative. Wheal-and -flare responses were observed in response to dog dander and pollen. Full blood count: RBC = 4.0 x 1012/l, WBC = 13.0 x 109/l, Hb = 12.9 g/dl. Differential leucocyte count: Neutrophils 60%, Lymphocytes 20%, Eosinophils 1200/microlitre Lymphocyte enumeration: CD3 +ve cells 70%, CD19 +ve cells 15%, CD4 +ve cells 41%, CD8 +ve cells 25%. CH50 Total haemolytic complement: 130 haemolytic units Complement components: C3 1.1 g/l, C4 0.2 g/l Immunoglobulin and antibody tests: Serum IgG 1000mg/dl, IgM 180mg/dl, IgE 1750 IU/ml ( 150KUA/litre, or 20mg/dl), RAST positive (score 6) for dog dander and pollens. Thank you Doctor: Hi , thanks for choosing HCM for your medical query. From the information that you have given me it turns out your child is severely allergic to dog dander and pollen. I inferred this from his history where he becomes symptomatic after exposure to these things snd also the fact that he has a high RAST score for them.RAST score is quite a reliable test and we can confidently say these are the things he's allergic to.He also seems to have exercise induced asthama. It's reassuring that other grave diagnoses have been ruled out. The best treatment option is to acoid exposure to dogs and pollen. Other then that you should start montelukast sachet 4mg everyday preferably at night . Montelukast will help stabilize his condition and his bouts of severe allergic reaction will be reduced. You should always keep short acting beta agonists such as salbutamol in the form of inhaler at hand. Your child has had episodes of bronchospasm which can be serious. Always contact your doctor if symptoms do not subside or are worse then usual. I will be happy to answer any more questions that you may have."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for coughing, sneezing and itchy eyes in a 1 year old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i my sperm couts are 15 mill/ml sperm per ejucalte 60mil percentage motile sperm 32 % rapid linear progression 00 % slow/non lin progression 40 % non progresstive 60 % sperm morphologhy ...normail form 25% head abnormality small oval 35 % amorphous 40% germ cell 02 wbcs 03 rbcs 00 squamous cells 00 is this a possitive report.......and what else i need please tell me .. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have good sperm count but the main problem in this semen analysis report is that 60% sperms shows poor motility which needs to be investigated. I would like to know the main reason behind getting the semen analysis done. Moreover I would have advised you to get your scrotal Doppler ultrasound done to rule out varicocele as, varicocele (abnormal dilatation of testicular veins)is the main cause of poor sperm motility or dead sperms in 90% of the men having poor sperm motility. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What does this semen analysis report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I recently had sex ( last 12 hours ) an the condom broke. I haven t taken my BC pills in about 10 days. I am unable to purchase an emergency contraceptive at the time. Could taking a larger dose of BC pills ( loestrin fe ) be used as an alternative emergency contraceptive? Doctor: Hi, Yes, larger doses of Loestrin can be used as an alternate effective emergency contraceptive. You can take two pills as the first dose as soon as possible but within 72 hours after an unprotected intercourse (broken condom), this should be followed by two more pills 12 hours later. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can BC pills be used as an alternative emergency contraceptive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I am a 56 year old female experiencing a swelling on my right side of neck, a pea size tender bump within that same side. I have been gaining weight, two pounds a week, with no change in diet.Tired all the time.I had a blood test for my thyroid but it came up fine. Doctor: Respected user , HiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There seems underlying hormonal issue imbalance other than thyroid levels . * Need thorough clinical evaluation , other series of lab tests with or without FNAC of the node .Hope this will help you for sure .Welcome for any further assistance .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes a swollen neck with bumps in an elderly woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I noticed a hard lump on the back of my head, about 1 to the right of the middle of the back of the head and about 2 above my hairline. It s smaller than a dime, raised and hard, non-moving and not painful. It showed up a couple of weeks ago. I am a 47 y/o female. I have had 3 consecutive blood tests where calcium has been out of range (10.5, 10.6, 10.5). Had my PTH and vitamin D checked, the PTH was in range but at the higher end, and Vitamin D was out of range at 30. I suspect I may have a parathyroid issue. Could the bump be related? If not, any thoughts on what this might be? Thank you, Chris Doctor: Hi, dearI have gone through your question. I can understand your concern.Your lump has no relation with your calcium, PTH or vit d.It may be some occipital lymphnode enlargment due to some infection or some benign cyst or soft tissue tumour.You should take a course of antibiotics. If it does not respond to treatment then biopsy diagnosis is advised. 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: What causes lump on back side of head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went on a very long bike ride about 5 hours ago and now I feel very shaky and just above my knees hurts very much, almost too much to walk. It wasn t very hot today so I don t think it could be anything related to heat exhaustion. Although I m not in the greatest shape, I ve never felt this bad after physical activity before. What could this be and what should I do about it? Doctor: hi,thank you for providing me an opportunity to answer your query.with the symptoms you been mentioning about going for a long drive for about 5 hours and you have pain your knee or say just above the knee.well, it is clearly related to the excessive throttle of the bike which gave too much vibration to the muscles for contraction of the knee muscles called the quadriceps and hamstring for keeping the joint stable.it is not a major issue and it happens in few riders as well. but goes off as time passess by. try taking hot water fermentation and relax yourself by keeping the legs elevated.i wish you recover well and do best in future.thank you"
},
{
"from": "gpt",
"value": "Target: What causes shaking above the knees with severe pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I went to the doctor for sinus trouble and he put me on antibiotics last Friday. My head pain is better but now I am having severe pain in my left jaw...its just horrible...could this be related to the sinus infection or is it dental? (it feels centered around my left molar in the back of my mouth) Doctor: thanks for your query, i have gone through your query, the pain in the jaw could be because of the infection in the tooth..consult a oral physician and take radiograph of the affected tooth.. the tooth can be treated with root canal treatment if it requires...i hope my answer will help you..."
},
{
"from": "gpt",
"value": "Target: Is pain in jaw due to sinus or dental?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a child who is nearly two. His poo was very runny and smelly, sometimes almost like water. He constantly has nappy rash and is very tender to wipe. His sister has been diagnosed with ceoliac disease but even though he has been tested twice for this disease, his tests have come back negative. I feel there is something not right so I have taken him off wheat to see if there was any improvement (3 days ago) and now his poo is very chunky (but better formed and not as smelly) and undigested. Doctor: Although test is negative your child must be having celiec.biopsy is confirmed test .but your child responded to gluten free diet is very imp clue."
},
{
"from": "gpt",
"value": "Target: What causes indigestion in the child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I'm 8 weeks pregnant and I have lichen schlerosis which has really flared up after a bout of thrush. Is there any treatment/ ointment I could apply which will be okay and not affect my baby. I am in agony so any advice would be extremely useful. Thank youSamantha Doctor: Hi,thanks for your question,during preganancy due to hormone changes, some women notice an improvement. Lichen Sclerosus will not harm the baby. there is no cure for lichen sclerosus but with proper treatment you can control the symptoms and keep them from getting worse.i would suggest you to see gyneacologist."
},
{
"from": "gpt",
"value": "Target: Any medication for lichen schlerosis during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been to several doctors and had x-rays trying to find the answer to severe pain in the upper thighs to both legs. I ve been on several pain medications and nothing works. The time on my feet is very limited. I m 69 years old. What type of doctor should I look for? I m becoming very depressed over my situation. My next appointment is for an EMG??? Please advise Doctor: Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in those regions.Possibility of a lumbar disc prolapse should be kept in mind.I suggest you get an Xray as well as an MRI to find out the exact cause.Physiotherapy,analgesics,anti-inflammatory drugs should help.Nothing to worry about.I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless."
},
{
"from": "gpt",
"value": "Target: Suggest treatments for pain in the upper thighs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im 33 weeks and right now im having bad lower back pains with abdomenal pain what can i do or what does this mean ? Doctor: Hi, You are 33 wks pregnantif I am not wrong? The back pain at this stage of pregnancy can be due to- Calcium defficiency. Muscular pain due to ovrstress to back muscles in adesting with gravity. A vulvo vaginitis with PID Bladder problem&urinary problem ---& many more. You have to consult a gynac for proper dignosis & T/t. For time being you can take tab. Duadilan 1 tab. twice a day to control your abdominl pain ,if it's too much. Thanks."
},
{
"from": "gpt",
"value": "Target: Lower back pain and abdomenal pains"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Respected Sir, I am from from Kolkata. My father(56 years) is suffering from Severe Aortic Stenosis. All the doctors that we have visited recommended an Aortic Valve Replace (AVR).We are really worried about him.Sir will be grateful to you for your suggestions.. Doctor: Hi Mr/MMr Xxx ! I have gone through your question and I understand your concern.Yes the doctors that recommended that are right , Your father need a Aortic valvule replacement.In the case that the Aortic stenosis is severe means that the heart is working hard to pump the blood into the vessels and this condition makes the heart muscles weak .The heart can't effort the obstruction caused by the aortic stenosis and in the end this will lead to heart failure and less and less blood in the vessels (all the body will suffer from leak of oxygen .) It's neccesary to remove the obstruction in this case the aortic valvule to prevent further heart disfunctin cause if the left muscle ventricle gets to a point that they are weak , is nothing that we can do to repair.Fortunately the valve replacement are operations that the doctor are used to and it's part of their everyday practise .Wish your father good health.If you have any other questions please feel free to ask me .Thank you for using HCM."
},
{
"from": "gpt",
"value": "Target: How effective is aortic valve replacement for severe aortic stenosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, for the past two years I have has these tiny little bumps come and go. They arnt exactly on my penis directly but they are on the skin around my penis just below my pubes. They are very tiny and I am able to pop them and all that comes out is a watery substance..What is this? Doctor: hellothank you for trusting HCMdear is it associated any pain ??any burning sensation??ist on the glans??possible causes may be herpes simplex,or paillomas,eczema etc.. it is difficult to say until examination is done. please consult your doctor he will examine and treat you accordingly.take care"
},
{
"from": "gpt",
"value": "Target: What does tiny bumps around penis oozing watery substance mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year olddaughter has a small dent on the right side of her head just below her hair line. She.has had it for ages don't know if it's been years or not. It doesn't hurt her she is a very heathly and active girl. Is it ok should I be worried. I am the worst worrier in the world. Lol Doctor: Don' t worry about size,size of flaccid penis in childhood is not like as erectal at adults,it will grow,you can check testosterone level after 11 year and do injection 1 time in a week, but I don't think that it will required.Hope I answered your question.Wishing you and son good health."
},
{
"from": "gpt",
"value": "Target: What could the dent on forehead of a child indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have what looks like a blood blister on my hip. It formed about couple of months ago and seemed to have healed quite a bit. It is back again and what seemed to have caused it was that my jeans were a little snug in that area especially that I was wearing thermal underwear. It is right where the band of the underwear is. It hurts very slightly if I touch it. I could see the soft skin w/ what looks like blood underneath. The diameter is about half a centimeter. Is it something to be concerned amount or will it just heal overtime? Doctor: It may be caused by some metal in jeans You can apply clindamycin gel Mixed with mometasone for 4 week it will go avoid using those things which you think have caused this"
},
{
"from": "gpt",
"value": "Target: Blood blister on hip, hurts. Concerned? Will it heal by itself?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,my Mother in law is haveing a continuous drop in her hemoglobin level. In-spite of having blood transfusion of about 8 units of blood,(she was having ASITROM for Seven months which generated the initial problem of blood clot and swelling in the leg after which she stopped the medicine, however she still has the clots & swelling for past 1 and 1/2 months and here hemoglobin level continuous to drop(current hemoglobin level-7.6)) Doctor: The blood which is getting clotted in your mothers leg might be the reason for the problem. Because as it get accumulated in leg it will be digested there and resulting iron may not be absorbed. so till you give blood to her she will improve, after that hb level drops. thnx"
},
{
"from": "gpt",
"value": "Target: What causes continuous drop in hemoglobin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter just got some results on a liver function test with something that is suppose to be 67 normal and her's is 405. She doesn't drink, is married and doesn't have multiple partners..only one. she is 25 years old and is super scared. She is a pharmacy Tech. Doctor: Thank you for posting your query at HCM.hepatitis presentation. further evaluation needed.increase in the level of liver enzymes(AST,ALT) reflect an INJURY to the Liver. medically, the condition is know as \"Hepatitis\". it maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. drug induced (medication)4. Gall bladder or common bile duct pathology 5.\"Fat excess\" (indicates in your case)further evaluation neededdo following test:1. Viral serology ( hepA, B and C) anti HAV, HBsAg, anti-HBV, anti HCV2. lipid profile3. ultrasound abdomenHepA virus is a common cause and self limited disease.You may visit hepatologist and results of above tests as soon as possible.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: why iver function result abnormal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.i am 25. its been a year since i got married. we are settled abroad (so away from family n friends). i am a housewife so whole day i am alone. earlier i was never an intovert. but these days i get depressed and dont wish to talk to anyone. whenever i feel like talking to someone, they arent available. me n hubby do have small tiffs not a big issue though. At times, i dont feel like talking to anyone else, even if ppl call up i wont answer n stuff like that. when my husband returns from work i wish to talk to him all the while n stay close. m i normal???? Doctor: I think your are begining to fall into depression. This requires immediate attention or may leads to serious trouble. Take the following medications 1. Kapikatuchu powder - 1 table spoon mixed with warm milk at bed time For a personalised help dial 1800 425 4325 (India Only) / visit www.rvita.com"
},
{
"from": "gpt",
"value": "Target: What steps should I take to do away with depression and bipolar disorder ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: \\My mom is 67 years old.Last year 3days she was fever & Neck node. So did FNAC. in that report cancer . so We went to tata hospital. there are said that is tb node. they gave me medicin.But after 16 days she was gass truble.on that day(8-7-2010)she has continew dkar.Dr.gave some medician.But on 8 o clock She don t know what she did. she filling go to toilet.But she sat in bedroom.so we addmit to hospital. They told she had no iyoden (sold).Then Dr.gave her Eptoin 100mg,B-Becosules CR-cinex. After 9 months we did MRI But node is small But Dr gave medicin for 9months. add Benadon 40.They told cores is 18 months.When she take Benadon 40. she has small trouble.Can you help me for this matter Doctor: Dear Patient they have got Tubetcular diathesis.medicine are well.but in this age (67)recovery ha slow.so wait and cotineue treatment.for gastric complain you may start small quantity of food in 4 times.i hope she willbe cure as soon as........... Thank you"
},
{
"from": "gpt",
"value": "Target: What treatment to take for neck node cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Er...for some reason, I'm scared of my own heartbeat. Ever since I learned about it in detail in biomedical science class. The fact that it's there, pulsating, moving around a bunch of BLOOD, I just can't stand to feel my own pulse. Hearts gross me out, just,.....ewwww! Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are quite distressed by your recent problem. From the description of your symptoms, it appears that you are suffering from an Anxiety Disorder. Since this is causing you so much of distress, I would suggest that you seek professional help. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. Treatment will involve counselling and in some cases, medication can also be helpful.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: What causes fear of ones own heartbeat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old daughter had a UTI a few weeks ago and started itching in her vaginal area last week. Her doctor suspects a yeast infection so for the last two days we ve given her baking soda baths, used glyph-loyrimin (doctor s recommendation, and she s sleeping without underpants to air out. Tonight after her bath she started crying and saying that her vaginal area was hurting - the rash hadn t changed and she has no temp. It didn t seem like the same UTI pain she experienced, but she was very uncomfortable. I gave her Tylenol, but it didn t seem to help. I m waiting for the doctor s call back service to call, but I am feeling impatient and sad for my baby girl. Is this a normal symptom for a pediatric yeast infection? Should I do something differently? Doctor: Hi dear, you can check urine analysis, vagina culture for flora and sensitivity to antibiotics, then you will definitely know .It seems as Candidiasis, apply Clotrimazole twice a day,if she will uncomfortable, then mix with Jonson cream and apply twice a day for 5 days, it will take time."
},
{
"from": "gpt",
"value": "Target: What is the treatment for urinary tract infection in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Was sick with URI and on Augmetin 875mg for 10 days. Started feeling better but a week after off antibiotic I started feeling achey, coughing again and just over all feeling bad. Trying to let my body fight it but at least several times a day I notice how lousy I feel. Should I be concerned? It has been a month now and I have slept a lot.Letting my body work for me. Doctor: Hi welcome to health care magic....Here you are having cough again....You have taken full course of antibiotic for URTI....So now it is better to consult pulmonologist for examination and auscultation ...Here chest x ray should be done (as cough more than 3 to 4 week evaluated through x ray )...It might reveal chronic bronchitis or any restrictive disease ....If needed spirometry needs to be done to assess severity and accordingly management ...Sputum cytology examination and culture will also be beneficial for planning further treatment ...If no significant cause detected than no need for worry ....Take turmeric powder in hot milk daily as home remedy .Advise : consult pulmonologist ...Take care"
},
{
"from": "gpt",
"value": "Target: Suggest medication for URI (upper respiratory infection)"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My name is Vinood, 40 years age. The past three days I am using colchicine 0.5 bis. but have still some pain in my foot. Also i use captopril 25mg for hypertension. Can i use diclofenac 50 mg to ease the pain faster? Also i have been prescribed allopurinol 300mg. this i should use when the pain is over and then stop with colchicine. Can i use all these drugs concomittant? Does the allopurinol have interaction with captopril? regards, Vinood Doctor: Hi, there!Allopurinol is for gout treatment, starting with 100mg dailyYour dose (300mg) of Allopurinol is to treat mild gout.Colchicine is for treating and preventing gout flares.Combination of Captopril and Allopurinol increases risk of severe allergic reactions (anaphylaxis) and skin reactions (Stevens-Johnson Syndrome).The main question is - do You have gout flare now?If the flare is present, use Colchicin, not AllopurinolDiclophenac dont interact with Colchicine.You can use anithypertension drugs without disruptionI hope this helps"
},
{
"from": "gpt",
"value": "Target: What is the remedy for the pain in the foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a problem with my penis in that there is a continual build up of a strange slightly yellow discharge. This problem started about two days ago and there is also severe pain in the area, I am unsure if the pain is related as I masturbate frequently. I know it is not a STD, and I have had previous problems with smegma, but this discharge is different; I don t think it is smegma. I was in the process of treating a case of balinitus and I now find most tasks incredibly uncomfortable due to the pain. Doctor: HelloThanks for query.Pain and discharge from penis is mostly due to infection (Ballanitis).You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Avoid sexual activities till it gets cured completely.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for penile infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 55 yrs old, my prostate size is 30cc as given by ultra sound report with healed prostatitis. my post void residual volume is 70cc. what medicine should i take? can a-blocker help? can anything be done to bring back the prostate to its normal size? Doctor: Hello Thanks for writing to HCMYour prostate is mildly enlarged and you are suffering from benign hyperplasia of prostate.It is age related disease.Your situation can be managed by alpha blockers.You should take medicines regularly.It causes regression in size of prostate.Surgery is required in cases not responding to medical management.PSA (Prostate specific antigen)should also be evaluated to exclude malignant causes.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for prostate enlargement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a lump appear on my lower lip. Its a little smaller than marble size. Its in the lower right side. The doc is trying to rule out infection, so he prescribed Clinamyacin, now my upper lip is pulsating, which its never done before. And, the lump is still here and its day 3 of meds. Whats going on? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some infection, cyst or benign tumour like hemangioma. You should go for examination and take a complete course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on lower lip and pulsating upper lip"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5 week old baby had rashes all over her face due to allergy to baby oil.my pediatrician recommended desonide. I tried it 4 days on her face and the rashes reduced to great extent. After that I stopped desonide for 2 days and I saw the rashes coming again. What should I do to completely stop the rashes? Doctor: Please attach a picture of the skin lesion for proper diagnosis and advise. This could be normal skin rash appearing in infants."
},
{
"from": "gpt",
"value": "Target: What causes rashes on face in a 5 week baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My adult son was injured in an motor vehicle accident in April, suffered a TBI, and is taking Symmetrel as one of three stimulant meds. Two others have been discontinued. As his caregiver, I would like him to have the flu vaccine. I am aware that he cannot have the live intranasal version, but can he have the killed virus injectable? Or is that vaccine completely killed vs. weakened? We have recently moved to a new locale immediately following his discharge from his final rehab facility. Although we have engaged a new PCP, our first appt. isn t til Nov. and i was instructed to use an urgent care facility if needed in the interim. My son has a Pm & R, but he doesn t have an answer for me. Thank you Doctor: Hello,Yes, it is recommended your son receive injection version of influenza vaccine (flu shot). The injection version is the inactivated form of the virus vs nasal spray is a live virus which is attenuated (weakened). National recommendations for vaccination, vary by country but generally, yearly influenza vaccination is recommended, to almost everyone, who is older than six months. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Malik"
},
{
"from": "gpt",
"value": "Target: How can a brain injury be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 19 year old daughter went to doctor last week and said that she was feeling dizzy when standing up. seeing white spots. got back the blood tests taken and they said that at one point she had mono. not that i remember, but can mono create symptoms such as dizzy with white spots and pains in stomach Doctor: Hi,Welcome to health care magic,Dizziness even in sitting position is concerning.It could be due to othostatic hypotension,vasovagal or neurogenic but needs to be evaluated further.It could be due to variety of causes or it could be transient. Perhaps if the dizziness is not troubling your day to day work, then you may wait for few days. Until then you may take proper hydration and electrolyte balance with some symptomatic antihistamines treatment like betahistidine. Do not panic.However if the problem is persistent, you should see a doctor at the earliest and get evaluated further. I will suggest you undergo routine blood count, ESR, blood electrolytes, tests for vestibular (balance) system like electronystagmography or rotation tests to diagnose the cause for dizziness. Your local physician or GP will know about the test. He/she will can order the test after complete history and thoroughly clinical examination like temperature, pulse, blood pressure which will enable us to arrive a diagnosis.Regards,"
},
{
"from": "gpt",
"value": "Target: Can mono cause dizziness and white spots in stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 23 years old is it possible I could be experiencing a heart attack? I feel very weak especially in my arms and legs, I’m fatigued but can’t sleep (I’ve slept 4 hours in 2 days) also very nauseous and my upper back gets these sharp pains that come and go and I get hot flashes too. I am also 5 days late on my period but taken 2 pregnancy tests both turned out negative. Doctor: Hi, Weakness in the hands and feet can be due to hypokalemia, dehydration, electrolyte imbalance in the body. Upper sharp backache can be due to improper posture, muscle strain, gastritis, injury or sprain to the ligaments or discs that support the spine. Maintain proper posture, stay well hydrated, take ORS, juice and soups. Eat healthily, exercise daily. However, weakness and fatigue, upper body pain, sweating, nausea, chest pain can also be due to developing coronary artery problems. Visit ER, get physically examined and have lipid function tests, urinalysis, CBC, X-ray, Ecg, echo, stress tests and imaging tests done if required. Get evaluated, get treated. Take fiber in diet and plenty of water, avoid constipation. Take Omeprazole when pain, take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can a heart attack cause weakness in the arms and legs along with sharp upper backache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor.... i am suffering from hair loss... i think it is hereditary... since my full family is suffering from it... i am just 19 yrs old.... i stay at loutolim salcete goa and need to consult a doctor regarding my situation can you please help me out...??? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You might be suffering from Androgenetic alopecia. You can use Minoxidil solution and finasteride tablets. But consult your dermatologist before initiating Finasteride.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Should i meet doctor for severe hair loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husbend age is now 47. he is suffering from scezofrenia since 7 years.he suspect me with so many persons about the age 10to 80 years.he use to take medicines.some time he stopped to take medicines. it will come again and iam not able to maintaine all these problems did these type of illness is urable or not iam suffering so much badly Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The treatment to schizophrenia totally depends on the symptoms the patient show and the severity of the case. Most of the cases, schizophrenia is curable with a combination of psychiatric medicines and psychotherapy. In your husband's case he is also a paranoid personality. Schizophrenia with paranoid personality disorder is so common and every psychiatrist shall have experience in treating such a problem. Your psychiatrist should be able to tell you whether the case is curable or not. Please take your doctor into confidence.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Are they any premenat treatment for scezofrenia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi iam a nurse ..i have hook worm infestation and my eosnophil count is 9%.i have extreeme fatigue brain fog anorexia weight loss n some sort ot of chest discomfort.my srum bilirubin was 1.7. yesterday i came down to 1.3..is it because of oesnophe;ia or hookworm inmfestation? Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.Hookworm infestation usually presents with itching, recurrent allergies, anemia.Liver dysfunction is not a sign of Hookworm infestation. Liver involvement is seen with Schistosomiasis.I would advise you following:1. Stool examination for ova and parasites2. Chest Xray3. Hemogram with ESR.This infection is easily treatable.Review with reports.This is my best advise for you based on available details. If you have any further query please ask me..Stay Healthy.Dr Anshul Varshney, MD"
},
{
"from": "gpt",
"value": "Target: What are symptoms of eosinophilia and hookworm infestation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Pregnant pt 9 weeks pregnant, has not been seen by OB/gyn yet (disadvantaged) and has dental infection presenting as swelling. Pt needs treatment and administration of local anesthetic, antibiotic and pain medication... recommendation would be no epinephrine, amoxicillin or clindamycin and paint no ibuprofen? Doctor: You are less likely to have dental problems during pregnancy if you already have good oral hygiene habits. Suggestions include:Brush your teeth at least twice daily with fluoridated toothpaste.Floss between your teeth.Visit your dentist regularly.If you are planning on getting pregnant, see your dentist. It is more convenient to have elective procedures done before you conceive. If you require dental treatment during pregnancy, non-urgent procedures are often performed after the first trimester."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dental infection during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Twice in the last month after being outside doing a lot of walking, the lower inside part of my legs (ankle area) have red/blotchy marks and itch. It goes away after 3 to 5 days. Although it seems logical to attribute it to the walking and exposure to the sun, I have never had this response to activity and sun exposure before. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of red blotchy marks on ankle which could be due to contact with allergic and poisonous agent, bacterial infection of hair follicle, eczema, fungal infection, and poor hygiene. It could be due to skin photosensitivity due to sun exposure as well. Need not to worry. I would suggest you to maintain hygiene and wear loose clothes as it will prevent skin eruptions. You should take anti allergic medication such as benadryl, cetirizine. You should apply topical antibacterial/ antifungal cream. You should visit dermatologist once and get it examined and start treatment after complete examination. You should take proper antibiotic course as well.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for red blotchy marks on ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had three cavities filled on the bottom left side of my mouth yesterday and today I woke up to find it hard to swallow. The tonsil on that side looks like its gone. I have big tonsils and the left one is no where near the size it was before. It hurts to swallow, only on the left side though. Is this normal? Doctor: HelloThanks for consulting HCMRead your query as you have difficulty in swallowing dont worry this can be due to throat infection , I will suggest you to consult Ent surgeon for examination of throat and inmeantime for throat infection you can do warm saline rinses 2 - 3 times a day and you can take medicine like Azithromycin if you are not allergic to drug .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: What causes difficulty in swallowing after cavity filling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with melanoma in 2008 and it was cut out completely, - I have been free of cancer since then. Recently I have been tired without knowing why and have had swelling in Lymph Nodes on my left side - right above my collarbone. My melanoma was on the shoulder, close to that. I am maybe reading too much into this, - but this makes me scared that my melanoma is coming back. Doctor: Hello, * There can be a possible recurrence of the melanoma in form of present lymph node enlargement as mets or else. * Immediate consultation with an oncologist and getting a biopsy of the current lesion is most advisable to get earliest recovery and cure. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon"
},
{
"from": "gpt",
"value": "Target: Can a lump on the collarbone be a sign of melanoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 18 and has had painful underarm lumps for the last two years that appear to be getting worse instaed of bettter. She has bene taking antiboiotcs for two years and they are not going awya. She now is developing scar like webbing and larger lumps with redness and a very bad odor. The PCP does not seem to be concerned and just keeps give her antibiotics. Should I seek a second opinion. Thsi is affecting her emotioanlly and physically. Doctor: Hi,Welcome to HCM.That lump could be a lymph node swelling and if its not respoding to antibiotics that it should be tested for tuberculosis and Hodgkin's lymphoma.So to a surgeon for a clinical examination and a needle biopsy if he feel needed.RegardsDr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: What causes painful,red lump on underarm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffereing fro breathless ness at night. I did blood report and found My Eosinophils count 16%. doctor has suggested me Hetrazan-100 ( 1-1-1 )for 10 days and Cetcip-L one daily for 20 days. its already 5 days i am seeing no change in myself. pls suggest me alternative. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You are having high eosinophil count (eosinophilia) and breathlessness in night. These are commonly seen with asthma. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose asthma but it will also tell you about severity of the disease. And treatment of asthma is based on severity only. You will mostly improve with inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breathlessness at night"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my daughter of 15 was diagnosed with Moya moya disease. We are living in Italy and after many tests, hospitalization etc. we are now aware of the results of her initial symptoms at the age of 9. They told us in Italy there are no neurosurgeons who have already operated patients affected by this rare disease. We would like our daughter to be operated in Boston but it s expensive for us. Can you let us know if there is a surgeon in Italy or in Europe who does this surgery and he is an expert? thank you very much in advance. Doctor: hi,thank you for the brief history of your daughter.as you mentioned she has a moyamoya disease I will recommend from my side to some breathing exercises. As perfroming breathing exercises will help induce more oxygen carring to the brain tissue. Breathing exercises will help your daughter for symptomatic relief as of now. Mean time without knowing what symptoms she is facing it is hard to say how to help her more. But as you said you are looking for a Surgeon in Europe or italy I don't know one. Still as I know there is a neurologist whose cases I have seen doing wonders is Dr. Ragahavendra , Vikram Hospitals, Bangalore, India. You can consult him as well.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for moyamoya disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,im jamsheena...my daughter jamsheera 18 yrs old .....have been through a holter monitoring test and her result is as follows:- general heart rates 130137 qrs complexes 48 min at 5:40:18 01 ventricular beats 90 average no supra ventricular beats 178 max at 9 :06:23 interpretation :- 24hrs holter monitoring revealed a max hr of 178bpm(sinus tachycardia)and a min hr of 48bpm(sinus bradycardia).there were no pauses/sve/svt/vt observed during the study. she advised for 24hrs holter monitoring test because from the past 1 year she is feeling tired...feeling of fainting...palpitation...dizziness,shortness of breath,nausea as she is doing some work.so i kindly request you to give a reply why it is coming like dat and what are the causes and how can it be cured. Doctor: Hello, These Holter findings are not concerning for her age. Anyway, I would recommend performing a cardiac ultrasound in order to examine her heart structure and function and checking thyroid hormone levels for possible thyroid gland dysfunction. 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 palpitations with dizziness and nausea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, im 22 years old and last year i was dignosed with kidney stones. The CT scan showed a slight fracture in my lumbar of my lower back. I thought nothing of this for awhile, when a couple months back I started waking up with real bad pain in my back every morning and at random times during the day do you think it has gotten worse? and what should I do? Doctor: Hello and welcome to HCM. As an Urologist,i can understand your anxiety.More than the kidney stones,it's your lumbar fracture giving you the pain.You will need to do a MRI scan of the lumbo-sacral region.See an orthopedic or a spinal surgeon and he'll decide on treatment.The stones can be treated later or a stenting can be done simultaneously,with the spinal surgery.If you've any doubts,you may send a direct question to me.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: What is the treatment for kidney stones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: in nov i flipped my truck twice. it was icy and yes i was probably driving a little to fast. i was fine afterwards just very shakened up and a little sore now im having trouble breathing and it feels like my throat is popping out of place. i also have trouble catching my breath its ok sometimes but others its like i have to force myself to breath as hard as i can any suggestions to what i should do Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your concern in depth .* This seems in relation with the residual effect of injury which may be - rib fracture - intercostal muscle ligament sprain or strain - others * Needs basic work up with clinical examination and x-ray chest .Hope this will help you for sure .Welcome for any further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for troubled breathing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have multiple cavities on about 3 of my top left teeth in the back of my mouth and they have been infected before, the dentist said I need a few root canals but I couldn't afford it so after i took antibiotics I just left it alone. This was almost 2 months ago, a few days ago the pain came back and so did the bitter taste, after taking ibuprofen for a few days the pain has subsided but the teeth are still sensitive and produce a bitter taste and odor. I'm pretty sure they are infected again but I haven't gone to the dentist now I've had chest pain for 2 days on my left side and also have felt short of breath do you think this is related or just anxiety? Do I need to go to the ER? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are having caries teeth. And this can cause aspiration pneumonia and lung abscess. Both of these can cause chest pain, shortness of breath. So better to consult emergency room (ER) and get done clinical examination of respiratory system, chest x ray. Chest x ray is mist to rule out these conditions. If chest x ray is normal then no need to worry, anxiety is more likely to cause such symptoms in your case. So 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 too. Don't worry, you will be alright. 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 chest pain and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got the Hep A vaccine yesterday. I know about about a 1 inch red ring around the injection site. is this normal? my arm is sore at the injectin site which is to be expected. I'm also having back pain on my left side. I was having back pain before the injection but it seems to be worse today. it kinda of feels like I strained my muscle some how. Im just a little worried that the pain is worse since the injection. Doctor: I dont think you need to worry about that.you probably are relating it to that.take some paracetamol or do some hot fomentation for the back and it should settle down."
},
{
"from": "gpt",
"value": "Target: Took Hep A vaccine. Have red ring around injection site. Back pain worse since injection. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m on 17th day and two follicles in the right ovary both follicles have ruptured today and there were no dominant follicles in left ovary. Our doctor has suggested to take Naturogest 200mg capsules for 10days from now. What is the purpose of Naturogest 200 ? What are the chances of both eggs getting fertilized and getting implanted. Many thanks in advance. Awaiting eagerly for your responses. Doctor: Hi Naturogest is micronised progesterone which supports the pregnancy in its initial stages,helps in better implantation of the embryo.so no harm in taking it.chances of both eggs getting implanted depend on whether both of them get fertilised by the sperm and also get implanted..that is the normal incidence of twin pregnancy 1 in 80. hope this helps. regards"
},
{
"from": "gpt",
"value": "Target: Is Naturogest effective in follicular treatment ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I recently went to the doctor and was told that i have a yeast infection but i have not been able to pick up the priscription. i have a candiderm cream at home and was reading up on it. i was wondering if i could use it temporarily until i can get the medication? Doctor: Hi,To cure yeast infection along with local application of anti-fungal cream or lotion you require one course of oral anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Start using Candiderm cream and get prescription of oral anti-fungal medicine.Keep local hygiene clean, dry and airy.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest cure for yeast infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have history of COPD, asthma and inflammation of the larynx. Right after Christmas I began having shortness of breath more than usual. I have had labs done and seen my pulmonary specialist. I am currently on Spiriva, Nasonex, and Atrovent and was on prednisone from Jan 16-20. All tests results are good. I also have Type II diabetes, Nonalcoholic cirrhosis, chronic kidney disease (rt nephrectomy in 2004), ITP. My Pulmonary said my lungs sound clear. Is there anything I can do to prevent from having these episodes. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No usually in most cases this is the right treatment. Take flu vaccine in autumn to prevent you from getting flu in winter season. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can shortness of breath be prevented?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 8-years old son has died a month ago from cardiac arrest, due to pulmonary hypertension. It started with him making a horrible growling noise for about 5 minutes or so. I can t get that noise out of my head and am worried continuously that he experienced terrible pain. How likely is it that he was in a lot pain before dying? Doctor: Hello,Sorry to hear that..In last stages or when someone make such sounds, it implies that his is brain has also started to fail or having decreased awareness. Its like, one is going into deep sleep or anaesthesia. So probably he didn't feel much pain in last five minutes as his awareness about pain must have simultaneously gone down. So just relax. Hope this helps you."
},
{
"from": "gpt",
"value": "Target: How much pain can pulmonary hypertension cause to kids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, My baby boy is 2+ month. His delivery occurred on the first day of ninth month of pregnancy. Baby had no problem at the time of delivery or later. But now both legs of baby shivers many times a day. Is it normal? Is it calcium deficiency or due to baby muscles are growing? Doctor: Hello, Look this might be focal seizures! I would like to suggest you to go and visit some Paediatrician near you. Just show your baby to the Dr. Please just don't get panic.. I am just suspecting. This needs to be evaluated further. Some investigations also needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ajaygupta009, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does calcium deficiency lead to shivering in the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: GREETING SIR I DEVELOP THE NASAL PROBLEM 3 YEAR BACK WITH POLYP WHICH GOT OPERATED 2 TWICE. SINCE THAT I EVEN DEVELOP ASPERGILLUS FUNGAL SINUSITIS AND ALLERGIC TO IT AND GOT OPERATED. NOW I AM ALLERGIC TO SOME SUBSTANCES WHICH DISTURB ME BOTH PHYSICALLY AND MENTALLY.. I WOULD LIKE TO KNOW THE IMMUNOTHERAPY PROCESS AND ITS GREATNESS TO DEAL WITH THIS ALLERGIC sudhir keshri Doctor: Hello,Thank you for asking at HCM.I went through your query and would like to make suggestions for you as follows:1. Regarding immunotherapy process, I would like to inform that there are two types of immunotherapy available - subcutaneous (injections) and sublingual (drops to be kept under tongue).The schedule is specific to your diagnosis and treating allergist. It involves gradually increasing dose of the substance you are allergic to in order to \"train\" your immune system, in simple words.If your response is good, usual duration of immunotherapy is at least 2-3 years.2. One more thing, aspergillus fungal sinusitis is a different disease rather than allergy. Immunotherapy is not yet used commonly for treating allergic fungal sinusitis.3. I would suggest you to consult an experienced Allergist-Immunologist who can suggest appropriate allergen specific immunotherapy after thorough evaluation of your symptoms and investigation.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Can immunotherapy process help treat allergies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My lower back keeps popping out of place I have to click it back in place several times a day, this is happening to all of my lower back. Every time I sit down or lie down it comes out of place I have to stand up most of the day an click it back in, I have had nerve pain from my back down to my leg this has now gone away, this clicking out of place has now occured an is very uncomfortable. Doctor: Hi You are having a problem in your lumbar spine and it can be either a intervertebral disc prolapse or a spondylolisthesis with a problem called sciatica ie, radiation of pain to the back side of the legs. Do not lift any weights and please wear a Lumbo-sacral belt. Consult a Orthopaedic Surgeon and take a X-Ray Lumbosacral spine AP/Lateral view and most probably you will also need a MRI of the lumbo sacral spine. Take care"
},
{
"from": "gpt",
"value": "Target: LOwer back pain till legs while standing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, I am 29 years old female and not yet married. I dont have any heart problem. I have more fat in my hands. I have consulted a doctor and he has prescribed TONACT for me to reduce cholestrol in my hand.. After taking it , i feel a lot of pain in my shoulder. i am very much tired. Whether it is advisable to continue it.? whether this tablet affects my uterus? I need your advice. Doctor: Hello,Tonact tablet may reduce the blood cholesterol but not for hand fat. This tablet may can cause muscular pain in few patients. So please consult with your physician he will change the medication and treat you.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Does Tonact intake cause shoulder pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with an 8mm prolactinoma 2 years ago and started Dostinex. I lasted 3 weeks on the medication before the side effects forced me to change to Bromocriptine. After 2 successful years on the medication my MRI came back clear with no evidence of tumor. At this time I moved from the USA to China and needed to find a new Endocrinologist. The new Endocrinologist for whatever reason decided to take me off of Bromocriptine and put me back on Dostinex despite my warnings and concerns. Once again I am sick and after 4 weeks like this I just decided enough is enough. No more medication. What are my risks for abruptly stopping the Dostinex after 4 doses? What should I look out for since my MRI showed no evidence of the tumor last July? Doctor: HELLO,ITS DR. TIWARI.FIRST OF ALL I CONGRATULATE FOR RECOVERY. IF YOU ARE FEELING PROBLEM WITH DOSTINEX YOU CAN STOP IT FOR A WHILE AND BE WATCHFUL AND CONSULST YOUR PREVIOUS PHYSICIAN IF NEED ARISES."
},
{
"from": "gpt",
"value": "Target: MRI report clear without tumor after taking Bromocriptine for Prolactinoma. Sick after the doctor changed the medication to Dostinex. Any side effects if stopped taking medicines?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i have been having pain in my mid abdomen, lower back,gassey, dizzy, and i have had loose bright red bloody stools i also have a sharp pain im my left breast? should i be concerned i have had hemroids in the past and i wonder if thats why i am having the bloody stools now. i am js very worried. Doctor: HI. It looks that the enteritis has caused to get your hemorrhoids re-activated and so the bright red bleeding. Other symptoms of breast pain may not be related to this.You need a course of an antibiotic and supportive medicines and also a clinical examination by a Surgeon to see the grades of piles and need of surgery if be."
},
{
"from": "gpt",
"value": "Target: What causes pain in the mid abdomen with dizziness and blood in stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...my wife is 23yrs old she is not losing weight instead of exercise and less eating how can she lose weight and some one asked me that lemon+honey with warm water in morning causes low haemoglobin level is it true? Doctor: Hi, dear. I have gone through your question. I can understand your concern. But you need diet control and exercise to reduce weight. Honey, warm water, and lemon does not reduce your hemoglobin level. Moreover you don't need to reduce hemoglobin level. Your weight has no relation with hemoglobin level. 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: Will taking lemon and honey in warm water result in lowering hemoglobin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I haver asthma and just got over a devere cold. I havent been able to breathe and i'm coughing for over a week. I just started taking 20 mg prednisone 2x/day. I plan on taking it for 5 days. do i need to be weaned off after the 5 days? (I cant reach my dr) Doctor: HiIf for acute treatment of 5 days then no need to wean the drug. If prolonged for more than a week or if you use repeatedly then you need to wean the drug. Only prednisolone wont help for you. Since cold you need to take antihistamine drug along with anti inflammatory drug. Also get checked for any nasal polyp which is most common in asthmea patient and if present the line of treatment is different.Hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them.Regards"
},
{
"from": "gpt",
"value": "Target: How long to take prednisone for severe cold by a asthma patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My younger brother is suffering from anemia and shortness of breath in connection with kidney disease...EPO shots not working. Next step? 52-year old male on kidney transplant list for last two years. Fistula surgery done twice. Lungs and heart clear but severe water retention in abdomen and legs. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Kidney diseases cause refractory anemia. Since patient is in waiting list for kidney transplant, he is probably having end stage kidney disease. He is also not responding to EPO (erythropoitin) Injection. So blood transfusion I can understand only option left for him. He may need 1-2 PCV (packed cell volume) units every 10-15 days. This will take care of anemia. His breathlessness is due to fluid retention. And in end stage kidney diseases, dialysis is the only option to prevent fluid retention and relieve breathlessness. So he may need regular hemodialysis 1-2 times per week for fluid retention. Try for early renal transplant, till that time regular blood transfusion and hemodialysis will take care of anemia and breathlessness. Hope I have solved your query. I will be happy to help you further. Wishing good health to your younger brother. Thanks."
},
{
"from": "gpt",
"value": "Target: Treatment for anemia and shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suffer from severe upper abdominal attacks. They come on suddenly without warning. I get extreme pain in the lower back as well. After a couple of hours the pain moves into what I feel in my bladder area. These attacks come in clusters it seems, maybe a few over a couple of weeks, then nothing for a couple of months. I have taken Oxycodone to help relieve the pain, but they don t help very much. I end up vomiting and itchy after the initial upper pain. I am also loosing my hair and am easily fatigued. The pain will subside after several hours, but my abdomen will remain tender for one to three days afterwards. The pain does not come in waves it is constant and equivalent to child birth. I have had four natural births without complication. I am a 42 year old woman. This started in 2008 and was bearable then, but over the years has progressed into what it is today. G.I. has said it is irritable bowel, which i occasionally do suffer from, and is always relieved with a bowel movement. this pain stops on it s own and never is associated with a bowel movement. Almost always the attacks happen after 10 at night or before 10 in the morning, never through out the day. Doctor: Hi.To recapitulate :Sudden onset- at night only- upper abdomen -lower back->bladder area- no relief with medicines- Subsides after several hours but tenderness for 2-3 days- constant and equivalent of childbirth- almost 5 years now- not associated with bowel movements.I hope by this time you must have undergone all possible investigations as you have already consulted the Gastro. I hope to get some results about diagnosis with :Color doppler studies and / or angiography of the abdominal blood vessels preferably during an attack of pain ."
},
{
"from": "gpt",
"value": "Target: Suffering from severe upper abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mom has been in afib for 391/2 hours, the pharmasist mixed her synthroid and metroprolos and she is so sick. heart rate44 last night and she died, i brought her back she just did it again, how long does it taake to get metaprolol out of her stystem and what are the symptoms? Doctor: Hello, Metoprolol is a short acting drug and it will excreted out from the body quickly. If the heart rate is low, you have to consult a cardiologist and plan for an ECG. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: How long does it take to get metaprolol out of the system?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Fell straight down on my right knee, the pain on impact was intense. The soft area under the knewwcap immediately went numb, but I can walk on it. It feels tight behind the knee when I straighten it and bend it. Though there is no bruise yet, I am fearful to kneel down on or trust all my weight on it. What do you think? Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a knee strain.I suggest using anti inflammatory medications such as Acetaminophen to relieve the inflammation. I also suggest using cold compresses for local application. It is recommended to maintain the knee immobilized to prevent further damage. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Can I put my weight on the knee to kneel down?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.