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[
{
"from": "human",
"value": "Source: Patient: Hi, I have a masturbation technique where I lay down on the bed with my stomach and then place my penis into sheets with my hands and start rubbing my full body up and down. Shortly, I rub my penis into bed sheets. I can t masturbate with my hand because my hand is too rough and i get no effect, just my penis gets real hot and there is no pleasure. Now, I have 2 questions. First one the most important: Will I have problems ejaculating when I will be having sex with my girl? And the second question: Can I learn to masturbate with my hands like all my friends do because it s more normal and you can masturbate anywhere you want - you don t need a bed? I am just really worried that I will have sex with a girl and we will be sexing for half hour and I won t be able to ejaculate because I m used to bed rubbing... Doctor: DearWe understand your concernsI went through your details. You don't have to worry. Masturbation techniques as you described here is used by almost every young man and those techniques cannot harm your sexual life. If your hands are rough, you can use some sort of lubricants to masturbate. 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 details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Can masturbating with objects cause problem in intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has these small purplish spots on the front part of her thighs. They were not there this morning and now they are. This is the third time they have shown up now and I am not sure if it is something that I should be concerned with. They late for a few days and then disappear. Plus, a small patch showed up on her check near her eye, two days ago. Doctor: These spots are likely to be small purpuric spots, as the child is otherwise well this may be Idiopathic thrombocytopenic purpura, or some clotting factor deficiency.Investigate for complete blood count,prothrombin time and activated partial prothrombin time.There is spontaneous painful bleeding in these conditions ."
},
{
"from": "gpt",
"value": "Target: What causes small purplish spots on thighs with a patch on face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor i am under treatment for conceive. Dr. advised me to take Fertisure F for 60 days also she gave me T Meprate 10g for 10 days from 17th day of my periods as i had irregular periods earlier.Now after taking these tablets. my periods date is getting delayed.My question is even after i conceive should i take this Fertisure F Tablet for next 30 days? Doctor: Hi, Thanks for writing to us. You should continue with these tablet till you conceive, then when you conceive you should consult your gynaecologist, whether you should continue the medication or not. You should start taking folic acid and zinc tablet which you can continue after concievement. Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: Taking infertility treatment. Periods getting delayed after taking T Meprate, Fertisure F. Should I continue medicine after conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my grandson was in hospital w pneumonia a month ago. He had blood work 2 weeks ago which revealed low white blood cell count and false positive hiv. I am so very worried. I know his immune system is very low. Please tell me what your diagnosis would be and my next step. Thank you. Doctor: HIWell come to HCMIf this is pneumonia then the white blood cell count would have been increased but as you said it is low so the pneumonitis is ruled out here false positive is not considered as diagnostic criteria and this is not taken into consideration, the test need to be repeated with the deferent methods, hope this information helps."
},
{
"from": "gpt",
"value": "Target: What could low WBC count and false HIV positive following pneumonia indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 3 and 1/2 year old niece has had a low grade fever and fatigue and headaches for about 6 days. She does not have a flu, she does not have obvious symptoms of a common cold. The dr had blood work done today. White blood cells are fine but there was an elevated SED rate. Dr is having her do a chest xray to see if she might have a pneumonia with no symptoms. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As the ESR is high , the doctor wants to check for any pneumonia as other tests have come normal. So chest X-ray was advised and it is general practice along with urine test in such cases. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What does an elevated sedimentation rate indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I just started taking antibiotics 2days ago since is am soon having a root canal but the antibiotics have not help with the toothache and now I am feeling a slight numbness on the same side...,could it be caused by the inflammation? If so...what can I do to avoid the numbness? Doctor: Hello, thank you for consulting with healthcaremagic. It looks that your tooth is infected, and now an abscess has been formed at the apex of the tooth, and this abscess is leading to numbness , because might have involved any nerve. So better you visit your dentist and get the treatment done.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What could cause tooth ache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 6 yrs old daughter complained of severe stomach ache in the evening all of a sudden she ate half an apple before that and went out to play on swings earlier.i gave her syrup spasler p a tablespoon.now she is not complaining of the pain but she seems sleepy.is that normal? Doctor: Hi, Side effects of Spasler P include: - slow and irregular heart beats - pain in eyes when looking at light - excessive thirst - constipation I was unable to find whether this drug causes sleepiness. However, I located material from the drug's manufacturer that says Spasler P should be used with caution in children. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Is it normal to experience severe stomach ache after having Spasler-P syrup?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ive been trying to let my left chest heal for 2 years it hasn t gotten any better I was a havey lifter and now when I lift realy light my left side of my chest is extremely week while my right side is completely fine and can do twise as much weight ive had a mri on my left chest and a exray I have had injections but nothing has helped Doctor: Hi,From the explanation that you have given, I suppose you had an injury 2 years ago which is healed but some residual symptoms are left like weakness of muscles. If you had a bruise then a scar tissue is not allowing you to perform your activities. So what I suppose is a de-conditioning has taken place on your left side which includes your breathing muscles, your shoulder and arm muscles and your upper back muscles. You need to recondition them using exercises which would target each and every specific weight lifting muscle like trapezius, biceps, triceps, pectoralis, rectus, abdominis, latissimus dorsi and erector spinae group.This could be achieved with the proper Physiotherapy treatment especially the sports physiotherapy speciality which will help you in regaining your muscle strength and assist you in going ahead with your weight lifting activities. Hope you found the solution to your problem. Let me know if I can assist you further.Get well soon.Regards,Dr. Jenis Bhalavat"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for weak chest in left side due to lifting heavy weights?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was born with a red, puffy birthmark right at the top of my butt cheeks (has always made me wonder if I was born with a tail, but my parents say no). It is oddly shaped and roughly the size of a quarter. The problem is that it itches, on and off, and if I scratch it without thinking, it breaks open and bleeds. I've been using hydrocortisone on it, and trying not to touch it, but this problem has been ongoing since I can remember. I'm poor and without insurance, is there anything I can do at home to make this better? Doctor: **1. Birthmarks rarely cause problems, other than cosmetic changes, psychological distress, pain, bleeding, or rapid increase in size which needs to be treated.2. since you are applying topical steroid [hydrocortisone], other options include: concealing cosmetics, cryotherapy,laser surgeryPS. The risks of laser surgery include transient hyperpigmentation, hypopigmentation, slight scarring, permanent hyperpigmentation, and recurrence. I would advice that you consult a Dermatologist with Good laser experience in these kinds of lesions. 3. a health care professional can diagnose a birthmark based on the appearance of the skin, so have an appointment with your doctor. [since problem is ongoing]PS. They can be covered up, but not improved by creams and lotions"
},
{
"from": "gpt",
"value": "Target: Suggest remedy fro red puffy, itchy birthmark?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had 2 cardiac stents 18 months ago... No chest pain since but lately I can hardly walk very far without becoming very short of breath and my heart rate going up high. No energy. Occasionally feel a hard pressure squeezing feeling around the upper part of my heart. Doesn t last long. I m a nurse and would tell a patient with these symptoms to go to the ER but can t seem to take my own device. I m 70 years old and still work full time. Need to go to work tomorrow. Doctor: Hi thereAfter going through your query I understand your concern.I would like to tell you that your symptoms are suggestive of angina , may be a new blockage has been developed in your arteries and this needs to be evaluated before any complications.It's advisable for you to personally consult a cardiologist and get your TMT done , if result will be positive then you have to go for an angiography.Hopefully this will answer your query.Kind Regards Dr Navneet Mahajan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breath shortness and palpitation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. can i ask about my xray the impression or result was FIBROCALCIFIC OPACITIES SEEN IN THE RIGHT UPPER LUNG CONSIDER PTB OF UNDETERMINED ACTIVITY. i had sputum test and the result was GREATER THAN 25 EPITHELIAL CELLS GREATER THAN 25 POLYMORPHONUCLEAR CELLS NO AFB SEEN/300 VISUAL FIELDS. what does it mean? do i need some more test or that is enough. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Fibrocalcified opacities on chest x ray is suggestive of old healed inactive lesions due to previous tuberculosis.And your sputum is also negative for AFB (acid fast bacilli - bacteria causing tuberculosis).So no need to worry for active tuberculosis.Larger epithelial cells are seen mostly due to staining and sliding errors while preparing slides.Nothing to worry about this.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What shows if Epithelial cells are greater than POLYMORPHONUCLEAR CELLS with regard to sputum test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi , i had an angioplasty in june last year. since last 7-8 days i am waking up in the middle of the night with some shivering in the stomach heavy gas problems and some sweat. no pain anywhere. i stopped my metformin medication since yesterday and the shivering has gone but the gas problem still persists. let me know in case there is anything to worry about. my ekg showed rs wave inversion between v1 and v2 yesterday. urine routine tests are normal. Doctor: Hi ThereI have read the details provided by you and i do understand your concern.From the symptoms it doesn't look like a cardiac issue. I would like to recommend a PROTON PUMP INHIBITOR (for eg pantoprazole) to be take 20 mins before breakfast for a week. If even after that you didn't got relieved i would suggest you to consult a MD physician. Also do not stop METFORMIN without your doctor advice as your blood sugar levels can go high which can again trouble you.Good Luck"
},
{
"from": "gpt",
"value": "Target: Could angioplasty cause gastric problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i recently started a workout program and about 30min through the 2nd day, doing a workout of pullups and pushups my left arm started feeling a lot of static whenever I started to exert the muscle. It felt like the static of touching a tv screen but covering the area of my left elbow and around that area. any ideas? Doctor: Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to muscle tightness how to workout.I suggest using warm compresses for local application. I also suggest rest and massage to relieve the tightness. 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 vigorous workouts cause static in elbow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i have been having severe pain in the upper right quadrant area for 6 weeks now since i had last episode of bilary colic, i get the colic about every six weeks or so but put up with the pain as have had test for gallstones but none present on ultrasound, the pain is so intense sometimes, even when i lean forward the pain from the liver area is so intense Doctor: u must get hida scan done. u may be having biliary diskynesia. hida scan will tell u about function of gall bladder"
},
{
"from": "gpt",
"value": "Target: What causes severe upper right quadrant pain following binary colic?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a sixteen y/o male and I have swelling in three of my knuckles (two on the right hand, one on the left). There is swelling further up one of the fingers but it seems to be concentrated around the knuckle. It is red, not painful but at times itchy/tingly. It has appeared before, possibly two or three times, never causing any pain but it seems to swell and itch for around a week and then go back to normal. I have had it probably twice in the last two months but it is winter, and very cold, i m not sure if that has anything to do with it. Doctor: Hello, These knuckles might be what we call ganglion cysts or articular cysts or synovial cysts in the wrist or hand. This is the probable diagnosis in your age group. In older people might be rheumatoid arthritis nodules. I suggest you to see an orthopedic surgeon if it bothers you. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes swelling in knuckles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The doctor injected histamine on my left arm. Pain developed on my left shoulder radiating to my neck. Then, pain radiated to my left elbow down to my hand. In addition, I felt a moderate numbness on my left arm. Is it possible to be allergic to histamine injections, and if so, are these symptoms common? Doctor: Hi...Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns...As per your complain it seems that there has been nerve injury caused by picking needle leading to nerve damage and causing destruction to the myelin sheath that is a protective covering over the nerve..Du to nerve injury there have been irregular firing of nerve impulses leading to pain and the pain over the shoulder and neck is radiating pain from the injection site over the course of nerve..You should consult a Neurophysician and get evaluated and a thorough clinical evaluation can help in diagnosis..As of now you can take painkillers, vitamin B complex supplements and do warm compresses over the painful areas..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: What causes pain in my shoulder due to injection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having 50-60 skipped heart beats a day for the last 5 months. I have had several test and everything appears to be normal. I currently have an appt with a cardio dr. But could you give me a clue what this could be I am going to be 53 in a few weeks. I am female. Doctor: hello i have gone through your query. i can understand your concern. before i would comment on the missed or skipped beats i want to know if you are having any symptoms like loss of consciousness or dizziness. have you done an EKG or a holter monitoring. if you dont have any symptoms then 50-60 beats per day are harmless. however for youe safety i want to rule out any cardiac element. dont be tense. do an EKG, TMT (TREADMILL TEST) and holter monitoring. Wishing you good health thank you"
},
{
"from": "gpt",
"value": "Target: What causes skipped heartbeats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I play Baseball and a few days ago I had a tournament. After the first game I was fine but when I got up in the morning I felt like I can t really throw the ball because it hurts when I extend my shoulder back to throw it. Any suggestions as to what it may be and how long it will take to heal. Thanks. Ps its not that I can t throw a ball properly anymore but it still kind of hurts. Also it has gotten better in about 2 days. Doctor: hi,thank-you for providing the brief history of youa thorough musculoskeletal assessment is advised.As you are able to take the proper torque and leverage while throwing the ball there might be ligament sprain or muscle strain in and around the shoulder joint. Until a thorough assessment is performed it is tough to say what is involved as it's a sports related injury case. With the help of the thorough musculoskeletal assessment further management can be planned. Also, a physical therapist will help to regain back the strength and torque for the game .I wish you a great future in sports.regardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What to do for the discomfort in the shoulder due to playing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good afternoon, I suffer with lower leg soreness and swelling after I play hockey. My legs just refuse to work, they feel swollen and the veins enlarge. The problem is from the knee down. My ankles are sore as well. Do you have an explanation please? Doctor: Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, you need to answer some of my questions,1 How long since have you been playing2 Have you consulted in the past for this and if yes what was the diagnosis than3 do your veins swell on long standing also.your history suggest you are suffering from, varicose veins, and this will need surgery if it is beyond one limit, otherwise in early cases, pressure stockings can help. Also check for your blood pressure and sugar level.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks."
},
{
"from": "gpt",
"value": "Target: What causes soreness in ankle and knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a white 39yr old male, 260 lbs @ 5 -10 . I have a history of blood sugar issues which are currently in normal limits without medication. My left leg is also numb from an (assumed) L5 S1 compaction from over 10 years ago. I have Hydroxizine Hydrochloride for occasional anxiety in low doses. I smoke about 1/2 a pack of cigarettes a day. I do not drink or do other drugs. About a month ago my upper lip and nose started to feel weird . This has progressed very slowly to become partial loss of sensation/numbness and a puffy sensation with a slight loss of motor control but no visual change to the area. The numbness includes my gums surrounding my upper 4 teeth which have never needed any dental work. There is no history of ALS in my family. My doctor is stumped but continuing to do research. Any suggestions? Doctor: hello and welcome, this is initial stage of nicotina palati/palatal erythema. greyish white palate with small nodular red spots,palatal papillary hyperplasia,central papillary atrophy of tongue and bilateral commissural leukoplakias,ie,on tongue are the usual symptoms. lesion may also occur on buccal mucosa. reduction or elimination of smoking is the first choice of teatment. vitamin-becosules can be taken. locall/systemic glucocorticoids are usually taken. forceful mouth opening/heat therapy can be done.in advanced cases,surgical management has to be done. regards DR.BINDIYA"
},
{
"from": "gpt",
"value": "Target: Smoking addiction, weird sensation in upper lip and nose, numbness around gums, teeth, on anti-anxiety medicines. Any suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, Am nilanjan chaudhury from Kolkata, I am 32 and an asthema patient from childhood so takes aerocort inhailer regularly, I do have fatty leaver as well, as per doctor which is controlled now, recently i diagnosed with antral gastritis ,for last 2 months i am feeling short of breath and and some times chest pain , it occurs in the evening the most, i went to a cardiologist and done ecg and tmt ,both are normal, doctor given me lonapez .5 mg as SOS drug, but lonapez is not a cardiac drug. but no body believes that i am suffering a lot.......plz help me YYYY@YYYY Doctor: YOU ARE SUFFERING FROM MILK ALLERGY HESE ARE SYMPTOMPS OF MILK ALLERGY WHICH ARE DEVELOPED LIKE THAT AS THE DISEASE TIME INCRESES YOU STOP ALL MILK AND DIARY COMPLETELY ADD SINGULAR 10 MG BD SYP VENTROLIN 1 SF BD GELUSIL 2 TSF TDS YOU CAN GET BLOOD SERUM FOR MILK SPECIFIC ANTIBODIES GET IMMUNOTHERAPY FOR COMPLETE CURE"
},
{
"from": "gpt",
"value": "Target: Asthma, fatty liver, occasional shortness of breath and chest pain. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: red spot on lip, for a month now, thought it was a cold sore ..still here .lip part of top right kinds swollen still march 1 swollen top right part of lip (woke up that way, no tingle or burn b4) march 4 and 5 ..swollen gone down but lips still red red area on lip, never went aay, lip is not the same size as the other half ..... doctor thinks its an allergy issue but it bothers me from time to time.... tingle, so does tipof tongue and sometimes chin tingles or burns Doctor: these are food allergiesand foods can also cause gi reflux leading to more problemsyou can take antiallergics tab fexofenadine 120 mg odantacid gel tdsapply triamsolone mouth gel tds in lip before every meallot of warm water and no oily greesy and spicy foodcan go for tests to fing the cause if trobling again and again"
},
{
"from": "gpt",
"value": "Target: What is causing a swollen red spot on my lip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 50 yrs old. I am currently taking pain medication for back pain etc. . Today I was trying to move Dresser over a little bit, I heard a loud pop in my lower back. I immediatly layed flat on my stomach to try to relieve the pain. That didn t work so I tried to make out of the bedroom to the couch. Well, I didn t make and this time I laid on my back. The next thing I know my better half is really upset. I asked her what happened and she said it look like was having seizure and that had stopped breathing. She called 911. I talked with EMTs and recommended I should And at least get an MRI. I told them that if need be and I don t feel better Iwould go to the Hospital ..After they left my better half asked if I had wet myself, I felt around and sure enough I had,which basically means I had lost body functions. I hope you since of what I ve typed. Thanks Doctor: I would make sure you get a MRI of the lumbar spine.This will evaluate you to see if you have a herniated disc in the lower back, which can cause back pain, leg pain, and bladder issues."
},
{
"from": "gpt",
"value": "Target: How can backache be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor I have a question for you, 2 days ago I fell on my knees on a hard surface (outside) and after I got up my knee was in severe pain after 2 days the pain is still going and my knee is swelled up or idk if it’s swelled up but there is a big ball Doctor: Hello, The symptoms are suggestive of minor contusion or ligament injury that have developed after the trauma. As a first line of management you can take analgesics like Acetaminophen or Diclofenac for pain relief. Apply ice-packs also. If symptoms persist, better to consult an orthopaedician and get an MRI scan done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How can severe pain and swelling in the knees post injury be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a red rash for 2 weeks and the spots are turning brown. The doctor said he was stumped because it does not look like anything specific. It itches and is on the groin area as well. I was tested for diabetes and had a score of 97(which seems high since I am on the adkins diet. Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that most of the skin manifestation, urticarial rash like picture is always idiopathic in origin but such clinical picture gives good response to \"Hydroxyzine tab\" some times this medicine need to be taken for long time, and the result would be good for this, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes the red rashes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have an angioplasty 2 weeks ago.. around 3 days ago i am experiencing severe lower back pain .. i have called my cardiologist, he advice me to take some pain killer.. i want to ask that is that back pain relates to angioplasty ? Are the medicines i am taking reason for this back pain? What Should i do for this, shuold i continue to take pain killer for this or is this a serious issue which i should consult ? Doctor: Dear patient Angioplasty procedure will not lead to back pain and both conditions are not related directly. what is your age ? it should be mentioned as reasons for pain vary in different age groups. Medicine for heart will not lead to increased back pain. I would like to do xray of lumbo sacral spine anteroposterior and lateral views to rule out back injury. Meanwhile start tab ultracet twice a day with tab myoril 4 mg twice a day for pain relief. Tab Pantocid should be taken with them to prevent gastritis. If Xray shows abnormal findings please consult orthopaedic surgeon nearby your area."
},
{
"from": "gpt",
"value": "Target: What causes severe lower back pain after an angioplasty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my son who is 8 keeps telling me that in gym class he gets chest pain while running,today was a gym day and told me he didnt have the pain but saw black for a minute...i think the gym teacher is pushing too hard but i dont really want to overlook it either..what to do. Doctor: Respected user, hi I evaluated your query thoroughly.*Chest pain is due to decreased lung compliance in regard to exertion given by the body relates to - decreased oxygenation - excess mouth breathing - low levels of Haemoglobin, lack of proteins , trace elements, vitamins, minerals.*Black out vision is related to decreased perfusion levels mostly dehydration state.*What all you have to do is :@ Make him properly hydrated before gym by giving more liquids preferably lemon juice , coconut water, rice water , green tea etc.@ Get his haemoglobin level checked.@ Give him diet containing more proteins , iron , vitamins , minerals, trace elements.@ Make him to perform deep breathing exercises with YOGA for 30 min. daily at home without failure.@ Avoid more oily / spicy / junk foods / beverages . Hope this clears your query. Thanks for using Health Care Magic & keeping trust in our services. Feel free to ask any further health related issues. Wishing your child a fine happy healthy life ahead. Regards dear."
},
{
"from": "gpt",
"value": "Target: What causes chest pain on running?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son uddalak bairagi 7 yrs. old. He frequently caugh & cold and his allergy report IgE- 2847 Dr. prescribed asthefen 2 times one day and Romisust L 5 one time for one day. He consumes it for three months and now he is well. Please Dr. have any side effect of it and how long these medicine he will consume. Doctor: pt having recuurant cough & wheeses usualy are asthamatics requires long term asthma controlwith medication ,usually most of children get wean off drug in adulthood but some may require it for long times"
},
{
"from": "gpt",
"value": "Target: Child having frequent cold and cough, allergy report showed elevated IgE, prescribed Asthefen, Romisust L. What are the side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have lower pain in my back. Periodic shortness of breath, pain in both ankles and feet, loss of taste. I recently had an alkaline phosphates test resulting in 151 which my doctor says is very high. I have been diagnosed with osteoporosis. I m not sure all of this is all due to the osteo. I m concerned this could be something serious. I am a 57 year old female, non smoker (quit 10 years ago). I don t know how to proceed. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Osteoporosis can cause low back ache. The shortness of breath can be related to lung or heart cause. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal"
},
{
"from": "gpt",
"value": "Target: Does osteoporosis cause lower backache and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had continuous (but not necessarily constant) burning pain in my lower right quadrant of my abdomen. The burning pain isn t intense (3/10) but I occasionally get a sharper deeper pain (6/10) that happens intermittently. Additionally, it feels like there is a pressure there especially when I m laying on my side or my stomach. I also have mild nausea and mild diarrhea (which looks to have mucus ). I ve already been to the doctors twice and they did a blood test but everything seems to look okay. The pain isn t severe, but I m afraid it might get worse, so I m not sure if I should go to the emergency room or when I should go. I m concerned it might be chronic appendicitis as well since I ve had similar abdominal pains before (last year I took a CT scan and it came back normal). I ve also been having pretty severe flares of costochondritis (which I was diagnosed with last year due to unknown chest pains and normal looking CT scans) and achey elbow joint pain (predominately left arm), but I don t know if that s related. Additionally information I m 25 y/o, female and diagnosed with PCOS (confirmed diagnosis via ultra sound ) Doctor: Hi,Welcome to health care magic. Constant right lower abdominal pain could be due to problems in your large bowel or could be due to PCOD related issues too. However we need to know whether your sharp pain is related to menstrual cycle or any specific day in your menstrual cycle; this could help us to analyze your issue in detail. Passage of mucus with some pain could be due to large bowel problem; it would require further investigations like colonoscopy, for which you would require a formal gastroenterology consultation. Meanwhile you can start taking lots of yogurt and fibre rich foods, they will curtail your problems by atleast 30%. Hope this information helps you in getting better....Bye..."
},
{
"from": "gpt",
"value": "Target: PCOS, burning pain in lower abdomen, intermittent sharper pain, mild nausea and diarrhea, flares of costochondritis. Appendicitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When I am sitting I get chest pains. When I am standing and doing work, there is No chest pains. I have to drive alot and every time I drive I get terrible chest pains. I saw a cardiologist and my angioplastic and my echo cardiogram were fine. The chest x ray was good also. Why is my chest hurting me when I sit down only and not when standing or moving around? Tighting pain. Doctor: Thanks for your question on HCM.In my opinion I think you are having muscular pain mostly, as cardiac cause has been ruled out.Another thing which supports the muscular pain is positional pain (only in sitting posture).So your sitting posture causes some of the muscle s to pull or work more. This causes pain in your case.So try to follow these things.1. Proper sitting position is required.2. Seat in back support chair only. Avoid too much bending on either side .3. Take good pain killer and muscle relaxant.4. Apply warm water pad on affected site.You will be alright. No need to worry much."
},
{
"from": "gpt",
"value": "Target: What causes chest pain only while sitting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a ten year old boy who has been complaining of different pains on and off for two months now. the two most complained about places are the mid to lower back and pain in his right side just below his ribcage> Both are sensitive to touch and are reccurrent. Sometimes he goes weeks without complaining of pain then out of nowhere he wakes up at 2 am in intense pain and our dr keep telling me its strained muscles but im worried its more than that Doctor: Hello, I have studied your case. Osteoid osteoma is common between 10 to 20 age group.Night pain is common in osteoid osteoma which can be confirmed by CT scan.MRI with contrast of spine will help to know origin of back pain.Pain indicates inflammatory process or nerve compression.I will advise you to do PET SCAN so that lesion in any area of body can be identified. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What is causing my son's recurring mid and lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My four year old daughter is complaining of her neck hurting. It is on her right side and there is tightness is a little area(hard). She turns her upper body when you want her to look at something on her right side. She does not have fever and seems to be feeling good. Could this be a crick? Doctor: Hello. I just read through your question.Sounds like she developed a bit of muscle tightness on the right side. Most likely reason for this is perhaps she spent a long time turned in that position (maybe while sleeping). It is very common and nothing to worry about. Warm compresses will slowly loosen the muscle, will decrease her pain, and will help her regain her range of motion."
},
{
"from": "gpt",
"value": "Target: What causes neck pain in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash behind my ears that just developed this week. It started out on one ear and then the next day went to the other..its been a few days and I try not to touch them. But I work at a call center and have to wear headphones all day. And by the end of my shift my ears are itching and burning and inflamed. Now they are starting to seep and ooze, they are so itchy and the skin looks white and scaly. Ive read about all the dermatitis and psoriasis stuff. I find it hard for me to have that, I hav e never once had a skin problem in my life. Need help! Any answers? Doctor: Hi.As per your case history you are having allergic dermatitis.My treatment advice is – 1. Avoid using any new products like soap or perfume.2. Apply a mild antibiotic plus steroid cream like fusiderm-B cream twice daily on it.3. Take an antihistamine like levocetirizine for 7-10days .4. Other treatment options are oral steroid and hydroxyzine given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL."
},
{
"from": "gpt",
"value": "Target: What causes itchy rash with discharge behind the ears?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have started having seizures in the last 2 years I have had 2. the most the last on 2 weeks ago the first one over a yr ago. my Dr. said it is like shaken baby syndrome or a critical accident which is a result of severe beating from my Ex. Husb. I am on Depakote 2 in the a.m. and 1 in the p.m. 500 mg. I also have migraine headaches. I had a funny feeling this time, with a headache then my head tingled and my throat felt like it was constricted. My vision was impaired. I pulled into CVS called my boyfriend for help and knew not to drive. I could call on my I Phone from memory of my favorites since I couldn t see them. when he arrived I remember it, but lost blacked out before or during him getting me in the car then I went to the fire station and remember next them asking me questions and I could answer. I chewed my tongue and for 2 1/2 weeks couldn t speak well or eat on that side. the current program is not working and my Dr s office mgr is never in , I have had a headache every day and nobody called me back to help, so I cancelled my appt today and will see my Primary care Dr. on Tues next week and get a referral for someone who will hopefully help me in Birmingham....... I am at a loss and very scared .......I don t want to Die Doctor: Yes.A big applause.we must face the life.no one in the world is healthy.its a relative term.Epilepsy is for life.causes ere many but lets not concentrate on it.we have to take drugs daily.missing a dose let's u into a seizure.also these must be monitored frequently for any adverse effects. Also it interferes other drug metabolism. Do not get into stress/ stressful conditions. Avoid alcohol/sleeplessness.take all precautions while driving or on roads.kindly carry the card /medicines indicated.avoid working near sharp objects and measures for your safety.do practice meditation and pranayama ."
},
{
"from": "gpt",
"value": "Target: What causes recurring seizures?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I slipped on a wet floor about 3 weeks ago and thought I sprained my ankle slightly but I now see a red swollen circle in the middle of my top foot. I also have a couple of bumps (look like little knots) running down from my big toe down top of foot. It aches a bit when I am lying down in bed and I wake up with the ache in the morning. Once I get moving it doesn t ache as much but the top of my foot is burning. If I roll it it hurts on the inside of my foot near the ankle. I don t have a problem walking but I can feel that it is not quite right. Do you think I have break or a fracture? Thanks Doctor: Hello!In my opinion You should make X-rays and consult with traumatologist.As You described, it doesnt sound so bad"
},
{
"from": "gpt",
"value": "Target: What is the treatment for ankle sprain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last night I fell asleep for a couple of hours with whitening strips on. After I took them off I had horrible pain and sensitivity to everything. It's starting to get better now, but should I be concerned? I'm diabetic so it scares me even more so in case something may end up going wrong as a result. Doctor: Hello!Thank you for posting here.Stop using the whitening strips immediately.Sensitivity is the most common side effect in whitening treatment.Get a clinical evaluation done to assess the sensitivity.Use a desensitizing tooth paste like colgate pro sensitive.Apply it in the teeth with your finger and leave it for 5 minutes. Brush gently with the same tooth paste gently.In extreme sensitivity, you will require root canal treatment in the affected tooth.Avoid too hot and too cold food stuffs.Also avoid staining foods like caffeine,carbonated drinks.It must get better in a few weeks.Do not worry, it will not get affected because of your diabetes.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Why would using whitening strips cause extreme pain and sensitivity?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have bruising on my neck (mostly one side but on both) it is bruised where my neck and shoulders meet. The side that is the worse is tender to touch and feels harder than I think it should be. Also there's seems to be swelling but very little pain and no injury. Thx Doctor: Hi welcome to the health care magic You are having unilateral bruise near neck area If you post photo then better idea can be there History of trauma needs to be ruled out It might be muscular injury induce bruise or costochondritis of clavicle Naproxen or ibuprofen can be prescribed for that for five days If no improvement then x ray should be done and local area examination and palpation needed Take care Hope your concern solved"
},
{
"from": "gpt",
"value": "Target: What causes bruised and tender neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am suffering from penile discharge for the past 1 month. only when i think of sex my penis enlarged and some sticky water comes out of it, i want to consult a doctor is VD specilist is correct doctor for this problem and also tell me is this disease serious or not as i am unmarried and getting married in two months. Doctor: HelloThis could be urethral discharge and can be suggestive of underlying Urinary tract infectionYes, you are right you need to consult VD specialists for physical check up and a battery of tests like urine examination and urine for culture and sensitivity testYou may require a course of antibiotics under supervision of your doctorYou need not to worry you will be alright after the treatment and you can get married Have plenty of fluids Maintain good hygieneHave multivitamin and food supplementsThanks for your question, please feel free to ask fro more clarification I will gladly answer you Wish you good healthRegards"
},
{
"from": "gpt",
"value": "Target: Is it normal to have sticky white discharge from the penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I believe i m being a bit paranoid lately, My first child was recently born and i ve suffering anxiety over my issue. My wife tells me it s nothing but over my right side top teeth located on my gums, i noticed a small raised bump painless and to the right looks like a small painless flesh colored raise of tiny bumps on the light. I really had to focus on it to see it in the mirror. I occasionally smoke, and not really an alcohol drinke, and recently ate spicy foods. I also noticed the same tiny cluster on the corners of my mouth not really visible to the eye until i use my tongue to raise my lower lip to see it in the light. Please regard my question it been driving me nuts. !!! Doctor: Thanks for your query, I have gone through your query.The tiny bumps over the gums could be because of parulis(pus discharging sinus tract) or exostoses, or frictional keratosis.Nothing to worry, consult a oral physician and get it ruled out. If these is a pus dischrging sinus tract then get the cause treated. If there is exostosis, nothnig to worry, it will not trouble you.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes tiny bumps on the jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, my grandson is 2years and 9 months. He doesn t pay attention when you calling his name. he is not talking yet, but he know ABC s he knows count until 30. when you asking questions he is not answering. He is not eating good, drinking water from the bottle. when you asking to show his mouth our nose he is not doing. he is not hyper he is ok. playing all day with the cars, letters, books. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You raised a genuine concern. By this age child should be able to tell his name, speaks DADA, MAMA, PAPA and small sentences. If he is not speaking anything and he doesn't listen when you call his name then there is possibility that there may be problem in hearing. Hearing and speech are inter-related. I would like to ask whether he responds to his name or not? Whether he listen songs and dance? If answer is NO, then go for hearing evaluation of the child. Please feel free for further suggestions. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes poor vocal and auditory development in a toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a relative 6 yrs old.his eye problem as per the report ct scan findings mild left side proptosis withpoorly circumscribed masses of increased density in the intraconal space 0f left orbit resulting incompression of optic nerve. no ovbious foci of calcification,suggestive of orbital lymphangioma. please suggest management and treatment.available in your institution Doctor: Hi,I have seen only one case before with this rare problem in a child of 2 years .we reffered him to a specialised eye centre which treats such tumors of the eye .Since it has affected optic nerve ,it will need surgical treatment ..Its a rare disorder and i think ophthalmic surgeon will be able to guide you better"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for eye problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother has a dark red rash across his lower back. He's had it for months and has been to the doctor. No one seems to know what it is. I am concerned that it might be liver disease as he is a heavy daily drinker and is not honest with his physicians about it. Can liver disease cause a rash? Doctor: Hi, as you have written about history of taking heavy alcohol drinker for prolong period by your brother, may cause skin rashes due to defective immune response of body. so, tell your brother not to hide any history to his treating physician because it will help him in taking further steps. the doctor will tell you about some investigations like serum bilirubin, SGPT,SGOT, alkaline phosphatase, liver biopsy and CT scan to know condition of liver like cirrhosis or liver failure sets in or not. say to your brother for minimizing intake of alcohol as soon as possible.thank you for writing to HCM."
},
{
"from": "gpt",
"value": "Target: Can liver disease cause a rash?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A couple of weeks ago I noticed an ulcer on the right side of my tongue quite far back towards the base. At first I just thought it was an ulcer. Every time my tongue moved or the side brushed up against my teeth I would feel quite a sharp pain that was really REALLY sore. But I just brushed it aside as ulcers being sore. But a week ago I noticed that the right side of my throat had become swollen and swallowing had become painful. I kept thinking that it was weird that my tongue was sore and the soreness had now spread down to my throat. I just left it thinking that my mouth was just irritated by the whole ulcer thing but now I have been getting pain in my ear and swallowing food/moving my tongue hurts like hell. And now I have just noticed while typing this that a white spot has appeared on the right side of my uvula (the dangly thing in your mouth). I've made an appointment with my doctor and everything, but i'm really worried and just wondering if anyone else has experienced this themselves? I am a 22 year old relatively healthy female that doesn't smoke and drinks socially (but not all that much). Doctor: Hello, Read your query, as you have ulcer on tongue yes I know it is much painful condition dont worry this ulcer on tongue can be due to some factors it can be due to Nutritional deficiency , Vitamin B deficiency , Hormonal influences , Drug induced , Fungal or Viral infection, Sharp cusps of tooth , Stress related , sleep apnea. Dont be worried so much you can consult dentist and go for oral examination, in meantime you can take vitamin B and C supplements by consulting with your local doctor , You can apply Dologel or Mucopain , Do betadine mouthwash , Maintain proper oral hygiene., take proper sleep of 8 hours , dont take stress be relaxed, take fibre rich healthy diet. Hope this will help you. Regards, Dr. Priyanka tiwari"
},
{
"from": "gpt",
"value": "Target: Suggest medication for painful ulcers in mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 y.o. grand-daughter is just now going in for an emergency appendectomy after pain, vomiting , no appetite X 2 days. However, she s complained of green stools X 1 week, and we have a family hx of Crohn s disease and gall bladders going bad . Is there anything her doctors should know or her mother should watch for after surgery? Doctor: it happen aft surgery green stton or fluids in stomach.not 2 worry about it i think u shold some patholossical activites,try stool culture test n also barium meal xray on stomach ,serum amylase n serum lypase,& aft tell me"
},
{
"from": "gpt",
"value": "Target: Emergency appendectomy after pain, vomiting, no appetite and green stools. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I dont have any history/or family history of heart disease or any abnormality, disease, or conditions. I am 18 years old, and dont smoke or do any kind of drugs. I workout for about 60-75 minutes a day, 4 times a week. My question/problem is this... about a week ago/for about the past week or so, i have been feeling like im not getting enough oxygen, i feel like i am unable to take deep enough breaths. I constantly try to force myself to yawn so i can feel like im getting a deep enough breath. For the past week or so i have also had a bit of troubles falling asleep/feeling tired. Im not sure if it has anything to do with this constant feeling that im getting enough air when i breath. What is causing this/whats wrong with me. Doctor: Hi,It could be because of bronchitis (allergic or infective) or seasonal asthma etc.You may undergo routine blood count,ESR with X- ray chest and pulmonary function test.You might require antibiotics (quinolones or macrolides or amoxillin with clavulanic acid) with antiallergic drugs like antihistamines or mast cell stabilizers) and antiinflammatories or analgesics on as and when required basis.You must consult your pulmonologist to get diagnosed first and then treatment.Thanks."
},
{
"from": "gpt",
"value": "Target: What could cause difficulty in breathing and tiredness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am having crotch itching tinea. this is a cronic disease which i suffer about 24 years from now.its advancincing time to time.one doctor gave me omastin.but when i took it my upper chest is getting pain.some time i can sense that i can't breath easily.why?? wht is your advise of my disease? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Omastin is having fluconazole. It is antifungal drug. This drug can cause reflux and heart burn. So your symptoms like upper chest pain, breathing difficulty etc are mostly due to fluconazole side effects (reflux and heart burn). So drink plenty of fluids orally. Avoid oily and spicy food. Take pantoprazole tablet on empty stomach before Omastin dose. Quit smoking and Alcohol if you are having these habits. Well, for your skin disease, I think, you should consult dermatologist and start topical antifungal creams (ketoconazole, nystatin etc). 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 difficulty to breath after taking omastin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is 82 years old, has dementia and is progressing quite fast according to the doctor, was diagnosed having lung cancer a few weeks ago, and was given 3 to 6 months to live? The family members plan to tell her about her having cancer or a tumor. I have to concerns: 1 - How do we tell her?, 2 - Since she has dementia, can we respect her wishes during moments of being lucid? What if she changes her wishes after a day or too, what do we follow? She had dementia about 6 years ago, had pneumonia last 2007, had no x-rays conducted from 2008-2010. Had a seizure a few weeks ago, was hospitalized, took an xray and saw the tumor about 5 cm. Doctor: Hi,Thanks for writing in.You might discuss with other members of the family and assess her general condition. Instead of using the word cancer, you might put it across as a disease which requires long duration care and treatment. Her wishes are to be respected and this might be done by talking about her general condition regularly and trying to know what she feels about herself.Dementia is a difficult situation and it is possible that she might not be able to understand the seriousness of her situation. In view of this it will be good to address her pain and comfort. In the end we want her to live in comfort and with least pain possible. Please discuss with the pain relief doctor and provide adequate medicine and nutrition. Please do not worry."
},
{
"from": "gpt",
"value": "Target: How to deal with a cancer patient emotionally?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A few weeks ago, a nail went through my boot and punctured my foot under the 2nd & 3rd toes. I cleaned it and moved on. There is no swelling, pus or scab; but my foot pain continues to grow in the spot where the nail punctured me. Should I be worried about infection? Doctor: Hello and thank you for using healthcaremagic. I understand your concern about the condition. From the history provided by you, it is highly likely that that you are having a infection in your foot. Sometimes it do occurs that, a focus of infection enters the site of injury and then takes time to multiply and causes symptoms at a later date. While many of the cases can be resolved completely with painkillers and antibiotics, a few will require opening of the wound and removing of the dead and infected tissue at the site of infection. So it is important that you get the injury site checked with a doctor as soon as possible, to prevent any further damage to other tissues. Hoping that your pain subsides fast, and you make a complete recovered. I hope to have answered your query with adequate infected. Feel free to ask any follow up questions that you masti have. Thanks again."
},
{
"from": "gpt",
"value": "Target: How to treat foot pain caused due to an injury from a nail?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old has has a low grade temp (100-100.3) for the last 36 hours. She has had extremely watery diarrhea as well during this time, going to the toilet 3-4 times an hour during wakeful times. Last night she also began to vomit pretty regularly. The vomit smells just like her diarrhea has been smelling....just awful. She has no appetite, and what she does eat, comes right back out. Doctor has called in Zofran and Phenergan, but I'm becoming more concerned as time passes. She has abdominal pain that comes and goes, when I ask her to show me where, it is always her entire abdomen below her belly button. Just looking for some advice as to if we should take her to urgent care, or wait until the clinic is open tomorrow to see her PCP. Thank you in advance. Doctor: Hi,Thanks for your question on HCMI do understand your concernAs per your clinical history is concerned her problem is due to infection only so control dehydration at home if not possible admit at most proximate hospital for IV drips.you can discuss with her Doctor to integrate an antibiotics like [ciprofloxacin 30mg per kg per day maximum in two divided doses]. You can integrate a probiotic like lactobacillus syrup. Consummate antibiotic course for 7 days.You can do few things at home to prevent it in future -:1)wash hands frequently and thoroughly2)supervise small children when they wash their hands3)dispose of soiled diapers properly4)disinfect diaper changing areas after use5)avoid swallowing water from ponds, lakes or untreated pools.6)Mash one ripe banana and add one teaspoon of tamarind pulp and a pinch of salt to it. Mix it well. Give this mixture twice daily to settle an upset digestive system.7)Rice is an excellent bland food recommended for diarrhea. It is high in starch and easy to digest. So, you can have plain boiled white rice but without any spices or sauces. Start by having small amounts of rice and gradually increase the amount as your condition improves. You can also add clear fluids and starchy liquids such as rice water, coconut water, fruit and vegetable juices, and clear broths etcHope that helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for diarrhea, vomiting and abdominal pain in a young child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mom is 80 her blood pressure is changing from 137/ 88 now it 120/60 heART RATE 83. HOW CAN WE REGUALTE BLOOD PRESSURE . she is being treated for sinus and cold symptons prescibed by doc. san she do something locally to regulate blood pressure.. no pain bur vert dizzy . Doctor: Hello,I understand your concern.Hypertension is usually defined as BP greater than 150/ 80 in individuals aged over 60. The values you have mentioned seem below that range. The values fluctuates while taking it on digital recorder and manual recording by doctor. The right way would be to get her checked thrice by a competent medical doctor. Some over the counter cough remedies have compounds which may am affect the heart. The symptoms you mention include dizziness and vertigo .They may be due to different neurological causes too. The best way is to get a ecg done if possible.if she has hypertension or coronary artery disease it will be easily detected and relevant medication can be started.The things you can do at home is decrease the amount of salt intake she takes and make some lifestyle changes."
},
{
"from": "gpt",
"value": "Target: How to control BP with sinus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a red itchy rash with whelps. it is all over my body, and is now beginning to develop some blisters. I have had it for 3 weeks now. A minor med doctor gave me a steroid shot and a week of steroid tablets to take. It stopped the itching for a week. Is it possibly shingles? Doctor: Hi.As per your case history you are having allergic dermatitis. It is not shingles.My treatment advice is – 1. Avoid using any new products like soap or perfume.2. Apply a mild antibiotic plus steroid cream like fusiderm-B cream twice daily on it.3. Take an antihistamine like levocetirizine for 7-10days .4. Other treatment options are oral steroid and hydroxyzine given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL."
},
{
"from": "gpt",
"value": "Target: Are red itchy rashes all over body suggestive of shingles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m suffering from hair loss and almost zero growth from past 3- 4 years. I had been to doctor regarding the same, he suggested me to use Germane Scalp Wash shampoo, and 1 gel also. He says I m suffering from Iron deficiency and for that too, he gave me iron tablets, but above all these, there is no much hair growth observed, I feel very very insecure. Can you please suggest me a medicine for hair growth? Doctor: Hi, It may be telogen effluvium most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take tablet Biotin daily along with capsule Vitamin E. Iron tablets and folic acid tablets are taken to improve anemia. Apply minoxidil 5% solution on the scalp twice a day. Get investigated for thyroid dysfunction also. And get treatment accordingly. Anti-dandruff shampoo may be used if you have dandruff.Avoid worries and anxiety related to hair loss. Be cheerful and positive. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for hair loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 49 year old woman who was diagnosed with genital herpes over 20 years ago. I am recently devorced. Started a daily dose of valtrex about 6 mths ago to prevent the spread of the virus to others. What is the likely hood of it being passed to a partner without pretection during sex. Early on I had a couple breakouts. Through the years I have had nearly any symptoms at all. I am starting to date now. How much danger would a partner be in if we had sex. Espically unprotected sex. This is such a stressfull thing to deal with when you think you could cause harm to another. Thank you for any advice you can give on this situation Doctor: Hello,The risk of spreading is bigger during your active period of illness. If you are taking medication this risk is smaller but in any cases exists.So, best advice is protected sex. In this case, you do not feel stressed and your partner is healthy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Dashi"
},
{
"from": "gpt",
"value": "Target: How can transmission of genital herpes be prevented?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Our 33 year old son, has been taking sodium valproate (Epilim) for several years now for night epilepsy - but also helps as a mood stabiliser. However after a very nasty burst of violent behaviour 9 months ago in the home he has finally gone to see a psychiatrist and has been taking Citalopram. Recently he ran out of his meds (though he didn t tell us) and his behaviour suddenly became angry and extremely aggressive; taking it out verbally on us all. Later he told us he needed money to purchase his meds and his behaviour is good again. Can you please comment about the need to stay compliant on prescribed medication. Doctor: Hi,Thank you for posting your query.I have noted your son's symptoms and the list of current medications.His epilepsy seems to be well controlled on epilim (sodium valproate). He should be compliant on this medication to prevent any recurrence of seizures in the future.Regarding his mood disorder, he is on citalopram- an antidepressant and epilim, a mood stabiliser. He needs to continue these two medications to prevent any mood disturbances.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Can you suggest about the need to stay compliant on prescribed medications for Epilepsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, so every now and then, I get these really minor pains on the left hand side of my chest. They don't last very long and are not associated with any other symptoms as well. Any idea what this pain could be a result of and if I need it to be checked? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Left sided chest pain should always be checked for heart diseases. So better to consult doctor and get 1. Blood pressure monitoring 2. Ecg 3. 2d echo. If all these are normal then no need to worry heart diseases. Sometimes simple musculoskeletal pain can also cause similar symptoms. So take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright. But better to rule out heart diseases first. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What medication is suggested for minor pains on left side of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son, age 3, has had cold like symptoms....difficulty breathing thru the nose, some coughing, difficulty swallowing. I brought him to a walk in clinic. They checked his ears and saw inflammation in one ear. He was prescribed 50mg amoxicillin 2x a day. Today, I noticed that because he continues to berth thru the mouth, his tongue has blackened and he appears to have little to no saliva. What could be causing this? He is 34lbs. and has Prader-Willi syndrome. Doctor: HI...by what you quote I feel that she might behaving a sleep disordered breathing or upper airway resistance syndrome. Se might get benefited with intranasal steroids for 6-8 weeks. This is a sort of allergy. Obesity associated with Prader-Willi syndrome can also cause these symptoms. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes difficulty breathing and swallowing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been seeing a neurologist for 15 months. It started with me having severe pain in my legs (spasticity). Had MRI and found a few lesions on my brain. Neurologist was 95 percent sure MS. Had spinal tap (Negative). B-12 was 344 when symptoms was occuring. Symptoms started improving b-12 dropped to 179. Had symptoms on and off for months. Balance is still messed up. Had more MRI s in May. Have cervical stenosis and cervical spondylosis. EMG was good. Had VEP and no results yet. During VEP lost visual a couple times in left eye in right eye screen went completely white a few times. Having major symptoms from neck: numbness in arms, back and neck. Shooting pain down arms, pain in legs and back. left arm feels heavy at times like I cant lift it. Legs are very heavy after work (I am a correctional officer) Just been told I have osteoarthrits in hands. Have necrosis in left knee) Doctor: Hi, Causes of your difficulties may be neuropathy or ischemic tissues. Neuropathic are seen in diabetics or injury of spine nerves. If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form. You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures. Also, you should have Aspirin and have elastic stockings applied and should avoid cold environment and long walks. In most cases, it can be managed with medications but sometimes surgery may be required in severe cases. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes severe pain in my legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a nurse practitioner student in IL. We have a 42 yr old male who started having back pain 4 days ago. 3 days ago he developed a scattered itchy, macular papular rash, with neck pain, headache, joint pain and fever of 102. Went to ER. Was found to have high opening pressure on LP. He has a large amount blood in his urine. Large amount protein but normal glucose in CSF. neurologist wanted to admit him, but pt went home. Today in office looks slightly better. thyroid is enlarged. We aren t sure what is wrong or where to go from here. Doctor: Hithank you for trusting HCMI read your query and the information you provided leads to any viral infectionsI read that you undertake LP with high pressure at first so definitely it needs imageric evaluation at leat CT or ideal MR to better understand what was going with menings Joint paint is uncommon to neurologic disorders but it can be taken as fever syndrome Cystitis may be called as entrance way of infection so LCS much be further evaluated not just biological evaluationNeurologic exam can give further information so provide it if you have done thatIt is something systemic, arteritis (giant cell) or vasculitisHope I have been of helpFeel free to ask for further questions or doubtsBest regardsDr Eris RanxhaNeurologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe back and neck pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My feet are very dry and have cracks in a few areas on the side and on heel now I have a painful red line coming from the cracks across the top of my feet it s also very painful to stand on my feet as soon as I go to take a step the pressure in my feet and the pain is astronomical Doctor: Hello,Thanks for writing here.You are suffering from keratoderma.It can be due to dust ,soap allergy etc.At times such keratoderma can be a part of psoriasis.Use soft shoes and cotton socks.You need to apply a good keratolytic like whitfeilds ointment.Apply it at night.Painful red cracks suggest secondary infection.Applying antiboitic cream over it can heal the lesion.White petroleum jelly also helps in healing the lesions and keep feet soft.Hope this will help you.Take care."
},
{
"from": "gpt",
"value": "Target: How can painful dry feet with cracks be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I use to smoke hookah but in large quantities but have stopped smoking for over a year my body now tends to feel closed can caged in which is restricting my breathing. I exceed use and jog and try to eat as healthy as possible but it still feels as if my body is closed inside and it s been making it hard to breathe for a while and I desperately seek answers. What would be the best route to take. Maybe keep excercising,pills, medicinal marijuana?. Any answers are appreciated. God bless Doctor: Hi,Impression: Obstructive Airway DiseaseInvestigation: Chest Xray, Spirometry, if required HRCT ChestTreatment: STOP SMOKING Chest Physiotherapy and Breathing Exercises MDI Tiotropium Bromide 9 ug 2 Puffs OD via Spacer MDI Salbutamol 100 ug 2 Puffs 4 times a day via spacer. To be reviewed after Spirometry.Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for restricted breathing due to smoking hookah"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have just found out i have head lice! :( My head has been itching for about 4 days and i think thats how long i have had them! :( At the mo I have lice shampoo stuff on my head (but since there wasnt enough, I used all that was in the bottle and some very stinky shampoo! ) What other homemade remedies could I make? No shops are open today so I need to make something from home... Please help!! :( THanks! :) PS I have got eggs in my hair too! :( Doctor: You can try the following:1.Crush raw garlic and mix it with some oil or lemon juice and apply it to the scalp and hair and leave it for 1-2 hours covered with a shower cap. Wash hair thereafter. 2.You can also try neem leaves paste which is a natural insecticide or a Neem based shampoo. 3.Apply curd (slightly sour) to your hair for 1 hour before washing.Hope this will help you to get rid of lice."
},
{
"from": "gpt",
"value": "Target: Suggest home remedy for lice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 years old girl is on seroflo 125 two puff twice in a day but stil she gets repeated attack of bronchitis and feels breathlessness while playing and speaking. I am onset giving her asthalin inhaler two puffs but still her cough and breathlessness does not go. Kindly help me what inhaler we have to use to control her breathlessness and bronchitis. We are very much worried about her kindly help me Doctor: These are symptoms of acute asthma in child. You need to get the child examined by a doctor. X ray chest also needs to be done."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breathlessness and bronchitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband went to a chiropractor today and has been having tightness of his chest where he feels like a vise is squeezing his lungs. The chiropractor took chest X-rays and found 2 white spots on his lungs and now is sending them to a radiologist. What could this be? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. White spots on chest x ray can be due to 1. Old fibrotic scar lesions 2. Active infectious lesions. 3. Early stage of lung cancer. Lung cancer starts as lung nodule and it looks as white spot only. 4. Benign cyst. So better to consult pulmonologist and get done clinical examination of respiratory system and CT thorax with Contrast. CT scan is more informative than chest x ray. It will show details like exact size, shape, content, association with surrounding lung etc. And all these details are important in diagnosis. So better to get done CT thorax. Ask him to quit smoking as soon as possible if he is smoker. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What are the spots on the lungs diagnosed by chirpractor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 16 years old and have had a lump in my right nipple for about a month now. about an hour ago i was squeezing it and a small amount of clear fluid discharged from multiple openings in my nipple. i had lung surgery 6 months ago, and i am currently on acne medication. any reason to worry? Doctor: hithe first step for lump in breast is mammogram and ultrasound . it is very important for us to know the size of the lump and if there is local inflammatory signs . the good thing the fluid discharge from the nipple is clear . but i advised you no need to squeeze it . do ultrasound first for both breast .thanx for asking"
},
{
"from": "gpt",
"value": "Target: What causes a nipple lump with clear fluid discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old daughter has had a croaky voice for a few days now, although she hasnt complained of a sore throat. Today her tongue has come up in lots of little white ulcers and it is stopping her eating. Any ideas? Herpes simplex was suggested by daycare centre? No foot nor hand sores. Doctor: Hi, thank you for the question. when i see such cases i just treat them symptomatically as viral fever. they usually subside in 3-5 days. the ulcers are usually very painful hence the child refuse to take anything orally. i prescribe them topical anaesthetic gel like zytee for pain relief."
},
{
"from": "gpt",
"value": "Target: What causes sore throat with laryngitis and tongue ulcers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 23 and never really had anything wrong with me, but last week during an argument with my fiance I took a panic attack to the point we re I nearly fainted and now ever since that when we argue I get really light headed and have to be quiet for a minute so I don t pass out, please give me some advice Doctor: Hello,In my opinion, it is important to rule out thyroid dysfunction. Check blood sugars, hemoglobin. Cognitive behavioral therapy is useful, and antidepressants are also useful.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri"
},
{
"from": "gpt",
"value": "Target: How to deal with sudden panic attack caused by stress?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was just prescribed both naproxen (2x daily) and metaxalone 800mg (every 8 hours as needed) I took both about 4.5 hour ago and am having pain... Can I take ibuprofen or Tylenol or anything in between util the 8 hours when I can take another dose of metaxalone again? Doctor: Hello there I have read through your question and would like to inform you that Metaxalone is a muscle relaxant and Naproxen is an antiinflammatory. Ibuprofen is also an antiinflammatory. Since you have already been prescribed with an antiinflammatory which you are taking twice in a day I don't think you need to take Ibuprofen at the same time. If you are not relieved with the dose prescribed by your physician you may consult your physician regarding increase of dose or change of medication. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing healthcare magic."
},
{
"from": "gpt",
"value": "Target: Is Ibuprofen safe to take for pain while on Naproxen and Metaxalone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I have received a report which displays : right subtle paracardiac haziness is found in my heart problem. Please suggest me what are the cures and precautions should I take. What is this disease exactly and how can it be cured? YYYY@YYYY Doctor: if you don't have any symptoms then it's normal. it sometimes can be normal or artefacts or angulation problem or old infection. in worst scenario it can be pneumonia but for that you need to be symptomatic.no need to worry and no treatment is required."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for right subtle paracardiac haziness found in heart"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a 4 small purple bumps that have appeared on the head of my penis, about 4-5 weeks ago. They have not changed in appearance since they surfaced. They have not itched or burned in any way either. When erect they are not noticeable but are when flaccid. What could they be? They did appear roughly 2 weeks after unprotected sex. The visually sound like a mild case of herpes but have no other characteristics from what I ve read. Doctor: Thanks for asking in healthcaremagic forum I think you have confused herpes with this. It cannot be herpes as herpes is painful condition. If its not giving problem its better to leave it alone. You can also contact doctor for examination for further advise."
},
{
"from": "gpt",
"value": "Target: Could small purple bumps on head of penis indicate herpes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has a 3.9cm jugulodigastric lymph node with no other symptoms for 1 month. What is the treatment options for a 2 yr old with non-necrotizing granulomatous lymphadenitis? FNA Biopsy negative & cultures negative. TB skin test was reactive but quan TB gold blood test negative. Chest X-ray clear. Doctor: Hi,Thanks and welcome to healthcare magic.Lymhadenitis may be due to throat infection of non specific nature.Hence antibiotic treatment with Erythromycin may be tried.You have already excluded TB as per your investigations.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for non-necrotizing granulomatous lymphadenitis in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr.Grief, please tell me why would I have severe abdominal pain 20 minutes after being injected IV for a nuclear medicine gall bladder scan.I also had several episodes of diarrhea 2 hours after the scan was completed. The agent was hepatolite-Tc99-mebrofenin. I had been totally npo for 18 hours prior to the scan.The report was read as normal-normal cystic and common ducts,normal gallbladder,normal emptying into the small bowel. I ingested no food or beverage until five hours after the injection-except Ensure which was part of the protocol for the study.I had considerable abdominal pain before drinking the Ensure. No gall stones were seen. Is this reaction an indication for surgical removal of my gall bladder? Doctor: It is due to allergic reactions to dye, it will settle down, its not an indication for surgery, reply with 5 stars"
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain along with diarrhea after injected with IV for gall bladder scan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have some type of iching, burning rash that develops on the palms of my hands, fingertips, and the inside of both feet in and around the arches. It is more severe on hot, humid days as I live in South Alabama, but the rash also seems to flare up when I am stressed, nervous, or upset. It has been going on since I was in my 20 s, 33 now, and it seems to get worse every year. Any suggestions as to what it is or how I can treat it? Doctor: hi there.1. your concern may be cheiro podopompholyx, its a type of eczema due to dry skin.2. you can try venusia moisturier, twice daily on wet skin.continue using moisturiser even the skin is normal.3. on affected areas, you can use clbetamos for reducing the allergy, after that you can discontinue it.4. avoid direct contact with detergents, dust, leather, and raw vegetables.this will help you, don't worry."
},
{
"from": "gpt",
"value": "Target: What is the remedy for rash on palms,fingertips and feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a blister like structure behind my wisdom tooth, on my gums. It is painful, and is sensitive to touch. The pain and sensitivity extends beyond the structure, and includes sensitivity in the jaw region and also in the throat, near the structure. What is it and what should I do? Doctor: Thanks for your query, I have gone through your query.The blister behind your wisdom tooth can be a pericoronal abscess or it can be a mucocele.The pericoronal abscess occurs secondary to the gum infection around the wisdom tooth and deposits around the wisdom tooth.The mucocele can occur secondary to any trauma like biting over the gums from opposing tooth or tooth brush trauma. Consult a oral physician and get it evaluated.If I am your treating doctor, If i diagnose it as pericoronal abscess i would have prescribed a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Then i would have suggested to go for aperculectomy or extraction of wisdom tooth.If it is a mucocele i would have suggested you to get it treated by surgical excision. I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What could the blister behind wisdom tooth be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: During ultrasound of left leg I felt a pinprick at few places. What could be the cause? The doctor while doing the process stated used words like lymph nodes etc. I had suffered from DVT many years back and had gone for the process since I have to get my gallbladder operated for stones Doctor: Hi, These 'pin prick' like sensation are abnormal sensations called paresthesia. They are part of neuropathy associated with DVT or many other diseases. During the process of doing an USG, the touch of the applicator and gel can produce this sensation. Before taking you up for gall bladder surgery, I am sure you will be thoroughly investigated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes pinprick on left leg during ultrasound?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just read your information about calcium buildup inthe body. Specifically in the abdomen. My mother-in-law who is ninety has this. We have seen CT of the abdomen and there are large amounts of calcium buildup. There is so much that the skin in the area of the buildup was very hard, and this was about 1 1/2 years ago. Just recently this area of the abdomen has split into a wound about 2\" long and 1/4\" wide and 1/4\" deep. Is there any prognosis for a wound this size, which is leeking and has an odor? Doctor: HIThank for asking to HCMThis is not the actual \"calcium\" but this could be a calcification, in old age with the multiple medical problems the calcification are very likely, for your next query the prognosis is depend upon the diagnosis and the over all clinical condition of the patients, take care of lady and I would be glad to answer your next query if asked with the complete details, bye."
},
{
"from": "gpt",
"value": "Target: Calcium build up in abdomen and split into a wound. Any prognosis as it is leaking and has odor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hope sol This has been going on for sometime and I m tired of it. Guess a little worried. I can be half asleep and there will be a distinct knock as someone is at the door. Always go to see it is that convincingl No matter the time. What is this? It is so loud that when in bedroom sounds like door. In fact, always sound like door. YYYY@YYYY Doctor: Hi friend Welcome to Health Care Magic It is called Hallucination. It is most likely a Psychiatric problem. See a psychiatrist and you will improve with counselling and/or medicines. A general medical examination by an Internist could exclude organic causes, if any. Take care Wishing speedy recovery God bless Good luck"
},
{
"from": "gpt",
"value": "Target: Always feels like someone knocking at the door. Mental problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey doc, I have some pain in my right foot that has been there for at least 3 days, if not 4. It s not excruciating but there is noticeable discomfort. The top of my foot is tender to the touch and when I point/stretch my foot in a forward direction I can feel the discomfort in the middle joints that connect to the toes. Also, I believe there is slight swelling as the veins on top of my right foot are not as defined as they usually are and not as defined as the ones on top of my left foot at this time. I have a feeling it may be tendonitis due to wearing a pair of boots too tight last Thursday or Friday but would just like a professional opinion. Thank you for your time and your insight. Doctor: Hello, Thanks for writing to us, I have studied your case with diligence.It can be due to soft tissue injury or stress fracture.Till time take medication and apply crepe bandage over foot or use supportive splint. Do ice fomentation and rest to foot. If pain persists you may need x ray foot/leg to rule out stress fracture, you can consult your doctor and do required investigation.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tenderness and pain in the foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 21 yrs old. Actually i have been suffering from more loneliness. I masturbate a lot. I met some doctors but cant clear my depression. for past 3 days i have ejaculation while urinating. it happened 2 times. but i have the same pain feeling while urinating. I dont feel about sex for nearly a month. My body get too heated for 3 days. Please help me. Doctor: Hello and thanks for your query.I understand that you are feeling depressed and lonely. You also seem to be having worries about your masturbation habit and ejaculation of semen.Considering your problems, I would advise you to consult a psychiatrist for a detailed evaluation and counselling. If you are diagnosed to have a depressive disorder, then you may need antidepressant medication or psychological therapy like CBT. You needn't worry about your masturbation habit because this is normal and does not result in any bad effects on health.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for depression and loneliness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A couple of days ago my pulse rate was 58, it is now 48 but I have a cold and have taken both ibuprofen and decongestant. I have lost over 4st in weight in the last 6 months and previously had a pulse rate of c80. Is my pulse rate a cause for concern? Doctor: Yes,,your pulse is a matter of concern,,as your heart beats is too slow,we have to figure what's wrong with it,,so you should make an ECG and ECHO imaging and see a cardiologist"
},
{
"from": "gpt",
"value": "Target: Is my pulse rate 48 a cause of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. Last night my mum heard crackling sound in her head. She asked me if I could hear it and yes I could hear a crackling sound inside her head right on top of her head. It is the first time it has happened and it only lasted for about a minute with no pain. Doctor: Hi,Thank you for posting your query.I have noted your mother's symptoms. I would like to reassure you that there is no need to worry about this, as it is not suggestive of a serious condition.There is no condition, where a sound can occur inside head, which can be heard from outside.Mostly, it could be referred sound from throat or nose. A good clinical examination by an ENT doctor and a neurologist would be hlpful.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: What could cause crackling sound in the head, heard by outsiders too, with no pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi..i have a 4 year old daughter that has been scratching her head (mostly at base and a little higher).. we have checked for lice and nothing..she continues to scratch causing redness. I have tried 3 different shampoos. i honestly do not see any flakes..not sure if it is just her long hair and sweating. Doctor: Hi... by what you quote I feel that it could be seborrhea. There need not be any visible flakes over the scalp. Sometimes the only presenting feature can be severe itching like this. I suggest you use selsun shampoo thrice a week for 6 weeks. Do not apply hair oil during this period. If still not getting better I suggest you consult a paediatric Dermatologist regarding this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes itching on head in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi - for some time now I have been getting an intermittent sensation to the right hand side of my lower rib cage, much like someone is pouring warm oil on my skin. It is not painful and whilst intermittent, when it happens, it can come and go for days at a time, then see no sign of it for a week or two. Any idea? I'm male, 35, 6 foot, 12 stone and no medical conditions to speak of. Doctor: Hello dearThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This may be due to - skin hypersensitivity from any reason - underlying nerve endings irritation - viral inflammations like herpes or others .Hope this will help you for sure .Regards dear ."
},
{
"from": "gpt",
"value": "Target: What causes a warm sensation in the rib cage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I have been diagnosed to pericoronitis last week due to my upper and lower wisdom tooth. My gums are swollen and i can't open my mouth. My problem is its more than a week now taking antibiotics and anti inflammaory but still i cannot open my mouth. what would be the problem? Doctor: thanks for your query, i have gone through your query. the antibiotics and analgesics will reduce the infection temporarily but cause of pericoronitis. if the space is not sufficient for the tooth to erupt then get it removed. it is non functional tooth. you have to take penicillin with metronidazole combination. do saline gargling. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doc i had a heart attack on 1st june 2010. wt. 63 kg. Male 43 . Two stents were grafted. i was on storvas 40 . trigyceride came down to 109. doc stopped storvas and added rosavel 10. after 3 months trigycerided increased to 250. shall i start storvas again? Doctor: Hi,You were taking 40 mg storvas which is equal to 20 mg rosavel. But you took 10 mg, so you have elevated triglycerides level. I would advise you either go back to storvas or increase the dose of rosavel to 20 mg.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: What causes the elevation in triglyceride levels after taking Rosavel?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor , my wife having pocs problem, doctor advised her to take krimson 35 for 6 months for irregular period. she have already started now its only one month n taking now. we had sex umprotected on 18 day of my period. i am bit worried will she get pregnant . she is still taking krimson 35 tablets. kindly advice. Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Yes . It is possible to conceive.2) Please see an infertility specialist for regular follicular growth scan. Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible with PCOS and irregular periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My child is 4 1/2 years old.He had a fever of 101 at 4pm so we gave him crocin 8ml.After giving crocin also the fever came up again to 101.5 at 8pm.So we gave him a dose of Meftal 6ml.At 12:30 am now there was a high fever of almost 102.05 so we sponged him and also gave another dose of Meftal.The fever has still not gone down below 100 and is changing frequently.He is breathing heavy as well.Can u suggest what should i do incase the fever rises up again. Doctor: Hello,Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for four to seven days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani"
},
{
"from": "gpt",
"value": "Target: Suggest medication for fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is almost 3 years old and he has a ridge from the middle of his head down his forehead, it becomes smaller and less noticable on the forehead. He is really hyperactive, has listening problems and once he gets fixed on something it is nearly impossible to get him to move on. What can I do? Does it sound like he has mild trigonocephaly? Doctor: Hi.... by what you could I feel that your kid might be having trigonocephaly.But at the same time the hyperactivity you have mentioned is not related to this ridge on the forehead or trigonocephaly. So I suggest that you see a neurosurgeon regarding this for further investigation and Management.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Is ridge on the head of a child due to mild trigonocephaly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hlw Sir, iam sruthi, iam suffering from back pain since 6 months. i ll get pain when i sit or liying on bed for a long time. while walking for a long tym i feel pain on my left lower limb. doctor diagnosed as mild IVDP at L4-L5 level, by seeing the ct images. how can i get recovery from this. Doctor: **1. You can use over the counter [OTC] anti inflammatory drugs along with physiotherapy,stretching exercise. 2. Maintain straight back posture while standing or sitting. Avoid bending forward and lifting heavy weight. Sleep on hard mattress. gentle massage with rubefacient ointments.. Lumbosacral belt to support the spine and prevent bending.PS. If there is shooting pain it may require pelvic traction, epidural injections, myelography or surgery."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had my gall bladder out about 4 years ago. i also had a couple of stints installed after the fact because i continued to get gall bladder like attacks. i has been about 2 years since the last surgery. i now am having alot of pain on my right side (flank) and some abdominal pain in the same area where i had my pain for the gall bladder. i have no fever, no blood in my urine, i m have had some fatigue and a headache ever now and then, but other than that i feel ok Doctor: Hi.Thanks for your query.Read the history and understood the problems.You had your gall bladder removed and put in the stents. This indicates that there is a problem in the common bile duct, which carries bile from the liver to the small intestines. Now you have similar pain in the right flank, no blood in the urine and no fever. I would advise in such a patient the following.MRCP to start with and before the ERCP is done.ERCP and Endoscopic ultrasonography will give a proper diagnosis. Further stenting, or surgery may be required to get a permanent relief."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for flank pain, abdominal pain, headache and fatigue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been havibg bad back pain in my lower back on the right side for about aweek now the pain gets wirst when I cogh or breath deep. I ve been having chronic back pain for about a year now but this is the first time its got tgis bad to the point where I can barely move at time Doctor: Hello, Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sittingI do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: How to treat a chronic back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doctor good morning , my husband is suffering from a chronic kidney disease for the past 15 years. he is under a nephrologists in Mumbai. At present we are in Oman, can u please tell me if Toor dal is good for him along with fish. Ansd also tell me which fish is good for him to eat . He is under medical treatment for this disease. Can u pls advise me wht diet should he take . He is not a heavy drinker, but sometimes when there is a party he take little vodka. Is it ok. Which fruits are good for him. pls advise me. Doctor: Hello When you have chronic kidney disease, you need to make changes in your diet, including: Limiting fluids Eating a low-protein diet (this may be recommended) Restricting salt, potassium, phosphorous, and other electrolytes Getting enough calories if you are losing weight Your recommended diet may change over time if your kidney disease gets worse, or if you need dialysis. Best fishes to eat are tuna,mackerel and sardines. You can eat toor dal. Since you are already under the advise of a nephrologist,you must consult him for giving or restriction of any diet. Reduce citrus fruits and coconut water as they have lot of potassium in it. Thanks"
},
{
"from": "gpt",
"value": "Target: Suffering from chronic kidney disease. Under medical treatment. Is toor dal good along with fish and what diet to follow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has many health problems including diabetes and now he has been suffering with a lot of water type blisters on his legs front and back they are very painful and leave major scars is there anything out there that can help my dad get rid of these water blisters that just always appear for no reason Doctor: Dear friend, Greetings.... please get the HbA1c, microalbuminuria, Fasting and post prondial glucose done. It seems his sugar levels are not under proper control. Blisters could be due to some super added infections due to less immunity in people with uncontrolled diabetes !!! .. please visit your treating physician and he will prescribe proper antibiotics and adjust the drugs... mean while keep the part dry and clean see that he does not get injured...take care and do contact us for more queries ....THANK YOU"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for watery blisters on legs while having diabetes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a R supraclavicular lymph node that is palpable - about 2cm. It is movable and not hard. My blood tests came back normal (but for some anemia- level 12). The front sholder is also sore - mostly the clavical, itself. I have no fever and no enlarged lymph in my breasts or armpits. I am scheduled for ultrasound & x-ray - in a few days. What could be causing the sholder pain & enlarged lympt if I have no fever & normal blood tests? Doctor: HI, thanks for using healthcare magicLymph nodes increase in size due to any infectious or inflammatory process.Inflammation can occur from injury, infection, allergy or malignant process.The absence of fever makes infection unlikely, plus the white cell count would have been increased (if infection present) when the full blood count was done.The imaging would be able to look for any lesion that may be present.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes shoulder pain along with swollen lymph nodes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Abdominal pain – I get it on my left side just below my ribs it usually a sharp shooting pain the comes and goes. I also get pain in my lower abdomen which is worse on my left hand side/centre. Its a crampy sharp pain. Really sore back on my lower left side. i have been told by my dr that it is my kidneys however he has no idea what's is causing the pain. My kidneys hurt constanly. It varies between a dull ache and agonizing pain. I get constant nausea which never seems to go away. I feel weak and tired and get dizzyspells all the time. Muscle and joint pain Doctor: HelloPain in left side of abdomen may be due to many reasons like colitis,renal calculus,musculoskeletal reasons etc.You need clinical correlation and investigations like routine hemogram,urine RE/ME and Ultrasound of abdomen.Ultrasound of abdomen is most important in your case.It can exclude many possibilities.Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What causes sharp shooting pain in the left abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I basavaraj age 43yr s My wife is 36yr s My problem is Sperm count problem my misses problem is tyroid we are already treated ICSI Pregency suceeded but 5 months total water empty bay is not getting we are thinking to go another try is it possible how much guarantee and which centre gunaseela bangalore ramaraju vizag or batiq at kolhapur Doctor: Hi Mr Basavaraj Welcome to Healthcaremagic As your wife already succeeded once in conceiving after ICSI treatment,it suggests there is good chance and you should attempt again. No one can guarantee you success after ICSI treatment. All over the world take home baby rate after IVF/ICSI treatment is 25-30%. You can decide the center dpending upon their actual success rate, clinician’s experience and your convenience. Take care"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Having thyroid problem, husband with low sperm count. What are the chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just checked my BP and it says 133/96 with a heartbeat of 82. I am 60yr olkd and weigh 212 I am currently taking 10mg of Prednisone Daily & 300mg daily for maintenece agains both gout and ulcertive colitus. Would my BP decrease if I wean myself off the prednisone? Doctor: HelloWelcome to HCMIt seems your systolic blood pressure is normal for your age and diastolic blood pressure is little bit higher for for your age.Prednisolone does have effects on blood pressure by retention of water and salt plus it increases your weight.So weaning off from prednisolone will reduce the blood pressure but upto certain limit only.and at present your blood pressure is within acceptable range for your age. So don't worryStay happyRegards,Dr.Om"
},
{
"from": "gpt",
"value": "Target: Will my BP decrease after stopping prednisone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m taking Celebrex for after orthoscopic knee surgery. Generally once a year, my other knee will just swell up for no reason. It is currently doing that, but my question is, how can my knee swell up when I m on a NSAID already? And is there anything I can take in addition to the Celebrex to get the swelling down? Thank you. Vicki Doctor: This case mostly of autoimmunodeficiency ,so you need to do some lab invetigations such Rheumatoid factor, blood sugar, CBC and detect other autoimmune factors also."
},
{
"from": "gpt",
"value": "Target: Reason for swollen knee despite taking NSAID?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been allergic to fruits and nuts for over 20 years now. I am tired of not being able to eat them, with how beneficial they are and how yummy they are. I get what has been called herpes of the mouth and have gone into anifilactic shock after eating an entire bowl of strawberries. I get sores in my mouth that hurt and my throat closes up if I eat too much. What can I take so I CAN eat these things? Doctor: Hi,Food or Nuts allergy can be diagnosed only on the basis of detailed history taking and thoroughly clinical examination by an expert.Although there are laboratory allergic testing of food is being done nowadays but none of them is reliable clinically and also adds extra cost to the patient.The best way to cure allergy is to avoid contact of that particular allergen here in your case that particular fruit or Nut.However there are very good medicines like epinephrine,steroids, antihistamines, mast cell stabilizers are available in market to combat allergic symptoms.Consult dermatologist or allergic specialist for further advise.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for allergy to fruits and nuts"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Even i used Panderm+ cream more than a month, after getting fairness i was not using it regularly, but i was using it some times. I observed some hair growth in my skin and dulling of fairness. After reading already posted post i understand the side effects. My question how to recover from the side effects? Will skin recover from side effects as time goes on? any natural remedies to recover the damaged skin. Thanks and Regards Doctor: Hello. Thanks for writing to us at healthcaremagicThe cream that you were using contains a superpotent steroid. Potent steroids such as present in this cream should not be used on face.Some of the side effects that you are already experiencing are associated with long term use of potent topical steroids and include sun sensitivity, acne, skin thinning and atrophy, facial hair growth etc.Your skin would take some time to get back to normal (may be 2-3 months).It would be dry, itchy and sensitive. I will suggest you to use a gentle moisturizer, twice or thrice daily to calm down your sensitive skin.Use a gentle cleanser e.g cetaphil cleansing lotion rather than a soap or a face wash.Since the skin would be sensitive to sun; a broad spectrum sunscreen throughout the day, is also advisable.My general advice to you would be to always consult a dermatologist before using a cream and use it for the recommended durationRegards"
},
{
"from": "gpt",
"value": "Target: What are the natural remedies to recover from damaged skin?"
}
]
|
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