conversations
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{
"from": "human",
"value": "Source: Patient: Hi doctor when I wake up from sleep my saliva is dark coloured like old blood and I start to do force googling then it starts to bleed fresh blood.i have deviated nasal septum sleeping with mouth open in morning my throat and mouth become dry I took x ray for chest it is clear ct scan forhead and neck shows dns.endoscopy everything is fine.im a smoker.i got bleeding sometimes suddenly from mouth while doing some activities like walking in hot weather.should it from any serious illness like cancer im smoking for 10 years Doctor: Hi,Thanks for posting the query, I would suggest you to get a routine blood examination done, also do a routine test for TB, a complete physical examination by an Physician is required, the bleeding can also be a result of heat i would suggest you not to do any type of work in hot wheather for long time, if so cover your head, if the bleeding is excess anticoagulant can be applied.Take care!"
},
{
"from": "gpt",
"value": "Target: What causes dark coloured saliva after sleep?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. SamuelI am Sam & 45years of oldI am habitual in musterbation despite of being married. Please let me know if it has any side effect. I had brain surgery due cyst in my sculp. Please let me know the side effect if i do a heavy musterbation.Regards.SAM Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First of all, there is a myth in the mind of a common man that excessive masturbation is the reason of all sexual problems.But, I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. P. T. Patil"
},
{
"from": "gpt",
"value": "Target: What are the side effects of masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my daughter developed rash. It is very itchy and she has it for 4 days now.She was given Tylenol on Sunday and Monday due to low fever and ear pain. She is fine now but the rash bothers her a lot especially at night. What can I do to help her get rid off itching? Thanks Doctor: Hi, As per your query, your child has rash associated with itching seems to be due to our environment, insect bite, pollen, heat, cold, pressure and sun exposure. The most important thing is to find the trigger factor. I would suggest you give cold compresses to rashes several times a day to prevent from swelling and itching and take over the counter antihistamine drug like benadryl. If symptoms still persist the consulting dermatologist for proper examination and treatment. The doctor may perform skin test and challenge to find out the trigger factor. The doctor may prescribe mometasone along with the anti-inflammatory drug. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist"
},
{
"from": "gpt",
"value": "Target: What is the treatment for rash associated with itching?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what would make sharp lung spasms on a nice day to a non smoker, low blood pressure and normally well 63 year old woman on no medications? It felt as though I d taken a huge gulp of liquid and had an air bubble but lasted for at least 10 minutes. Thank you Doctor: Thanks for your question on HCM.There are many causes of lung spasm.Actually it is ptotective reflex to prevent further entry of causative substance.So causes of lung spasm are1. Infection like bacterial and viral.2. Inflammation due to any injury.3. Allergens like dust, pollens, fumes etc.4. Sudden change in temperature like in extreme cold.5. In your case water may be regurgitate in the lung and this may caused spasm.So cause for spasm are many."
},
{
"from": "gpt",
"value": "Target: What causes lung spasms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi80, may I answer your health queries right now ? Please typur ery here... I went for a blood pressure check, I m 17 1/2 weeks pregnant. My reading have been between 130/80-140/90. My first prenatal appointment it was 120/80. Is my blood pressure something to worry about Doctor: Hallow Dear, Rise in blood pressure up to 130/90 mm of Hg is considered as High blood pressure during pregnancy. Usually the pregnancy induced high blood pressure is found after 20 weeks of pregnancy. So this high blood pressure at 17 1/2 weeks suggests that you had essential hypertension dating back to your pre-pregnant days. The other possibility is molar pregnancy where the foetus is replaced by grapes like tissue. Please get your ultrasonography done. Yes, 140/90 is definitely high blood pressure. One of your reading is 120/80 mm of Hg. There could be element of personal error or situational variation in some of the readings. Please monitor your blood pressure by daily checking which will give you clear idea. If you are found to have it more than 130/90 mm of Hg, then you will have to consider it as high blood pressure and follow your Obstetrician's advice sincerely lest the risk of pre-eclamptic toxaemia or Eclampsia (seizures). I hope this guides you in the problem.Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What is the ideal blood pressure during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My kidney transplant was in 1995 from a related donor. My new kidney is placed in the right anterior pelvic area. Recently the gynocologist ordered a transvaginal ultrasound. On the left ovary is found a cyst. Family history indicates ovarian cancer in my mother and other maternal relatives. Paternal pancreatic cancer is in the history. I am very concerned, would consider seriously a hysterectomy to save my kidney and continue life without the constant concern from the family history and the immunosuppressent medications of developing cancer myself. Suggestions/Recommendations please? Doctor: Hello,A cyst in the kidney is a benign finding. It is a thin-walled fluid containing sac-like structure which is present in most people after middle age. If the cyst in the kidney is less than three centimeters in size, then there is no concern.It is important to note that you have ovarian cancer and pancreas cancer running in your extended family. For ovarian cancer, it is recommended that you get a CA125 test done annually. It is a tumor marker for cancer of the ovary, and before cancer starts, the CA125 levels usually go up. If there is a high CA125 level, then you should get investigated for possible ovarian tumors.In the case of pancreatic cancer, it is suggested that you get an ultrasound scan of the abdomen done every year and also get CA19-9 levels tested. The CA19-9 is a tumor marker for pancreatic cancer and might help in predicting the possibility of the disease by doing a blood test.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Vivek Chail"
},
{
"from": "gpt",
"value": "Target: Suggest precaution to avoid kidney cancer with a family history"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Feb. 1 I had my gal bladder removed - 10 days ago I went into the ER for left hand being numb, diziness, loss of hearing , right arm tingling. CT scan and blood work done - sent home as just hyperventilation and anxiety. On Monday this week I had an MRI because my regular physician thought it might be MS or a light stroke. The blood showed high white blood cell count of over 12,000. MRI came back okay. The left side of my face is still numb , I don t know what to think now. Doctor: Hi ! I would suggest you to also go for a check up by a cardiologist who may advise you for an echo cardiogram or also a carotid doppler. Your symptoms although could be due to hyper ventilation and anxiety, one has to exclude TIA (Transient Ischaemic Attacks) as a precaution. Wishing you an early recovery."
},
{
"from": "gpt",
"value": "Target: Had gall bladder removed, feel numbness in hand, dizziness and loss of hearing. Blood test showed high WBC. Is it MS or light stroke?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning, Recently in the last few weeks I have noticed some changes in myself. All alone all don t seem to alarming, but when I put them all together it causes some concern. Started with awful neck pain, almost seemed like I pulled a musscel, but about a week later I was always tired and exhausted. Then I noticed 3 lumps on my neck, (one towards the back of my jaw, one just under and a little to the back of my ear and the other below my hair line). A few days after that my lower back was sore so I was getting a massage and they noticed something in my back, felt like someone put a bouncy ball in my back. I don t feel sick other then being tired and my voice is a bit more raspy. Is this something I should get checked out? or should I contiue to keep an eye on it? I just don t know what it could be. Jemlkmfk Doctor: HiWelcome to hcmSmall lymph nodes in neck are normal but if you feel voice change you need to see a ENT special its."
},
{
"from": "gpt",
"value": "Target: What are the lumps in my neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir my mother is schizophrenic patient but she is not accepting that, she had schizophrenic episode in 2012 that time we admitted her and she took medicines for next 2 years. But within these 2 year she dosent have medicines..and now she is repeating all those things that was in 2012. She abused every one even me my sister and also my papa. Some times She beat papa n says that I will kill you...she even try to strangled me. All psychiatrist saying that she should be admitted to hospital but she is not accepting any thing....what should we do..because of this we all are depressed. Sir I need help from you..please suggest me what we have to do... Doctor: Hi, I am afraid that the only possibility you have is to have her hospitalized against her will. Since she is being abusive and potentially dangerous to you and herself you have the right to request that, laws vary somewhat between states, but if patient represents a threat to herself or others it is invariably possible to have them admitted against the will. It would be for her own good, in order to initiate the medication, afterward, she should be easier to manage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist"
},
{
"from": "gpt",
"value": "Target: How to manage schizophrenic episodes of an elderly patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr., I am 35 yr old male. I have been having ongoing episodes of pain in the middle of my upper abdomin just below the ribs. I also feel a pain in the upper middle of my back as well. These episodes begin about 3 hours after I eat. They would occurr randomly every few weeks, until end of novemer, and I had several attacks over a few days. I went to my family practice doc, and they found that amylese and lipese were elevated. They gave me miralax and I returned 5 days later and levels back to normal. I have since had 3 attacks, until yesterday. I have now had 4 attacks. Usually for relief I vomit , drink water, and vomit again. I usually have to repeat 3 times before I get relief. It is now a holiday, and am gauranted a fun ride for at least a couple more days. I plan on marching into the ER when I m done with work, any ideas? Doctor: Hello, anthony5o, The location of the pain with some radiation to the back and the recurrent nature of the pain indicates, that you are sufferring from recurrent Acute Pancreatitis, inflammation of your pancreas. Elevated Amylase and Lipase supports this diagnosis. Now, as to the cause of this, there are many. One is alcohol excess, second is associated gallbladder problems, there are Viral infections, auto-immune causes also for this. There is also a small percentage of patients who don't really have a cause and this is called \"Idiopathic\". You have had classical symptoms of nausea, vomiting and abdominal pain. I don't think miralax is going to cure this. You need to have a gallbladder sonogram and a CT-Scan of the abdomen to get a good look at the pancreas. Depending on the findings, you may need additional studies and treatment. Please have these done ASAP. I wish you well."
},
{
"from": "gpt",
"value": "Target: Abdominal pain, pain in back. Elevated amylase and lipase levels. Taken Miralax"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husbands ankle and foot started bothering him tues-- has become worse each day today is quite swollen, red, warm to touch. can t put much weight on it. says it throbs, when tries to move it says it throbs. seems worse today- wondering if its because he drove 6 hours today--have been giving him motrin but isn t really helpimg much today--told him to go to emergency room but he is stubborn-- what could it be? e-mail- YYYY@YYYY Doctor: hiAsk him to keep foot elevated on front stool, do hot fomentation and give him tylenol tablets and apply locally anti-inflammatory crem.it shall settle in few days.avoid walking.do toe and ankle exercises gently several times a daythanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling and soreness in ankle and foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel that I am suffering from depression.The main reason is that I had a bad childhood due to un-understanding parents. Felt that I was always misunderstood. When i was 15 I got into the habit of cutting my hands with blade due to the trauma faced at home. My parents believed that it was due to some guy I was in love with. Then an year late I found a friend with whom I could talk and share about my family problems and when my parents found out that I have such a friend they labeled us as lesbians and told me to stop talking to her.Even 9 years later, situation is still the same. Am 25 now and have been working in an MNC since past 2 years. I had a fracture in my leg 5 months ago where my left tibia snapped into two, and had to go home. Now am back and my mother has come back with me. Not just to help but also to take a look at my lifestyle because before the fracture there was an incident with a guy + drinks. Although nothing had happened and that incident was no way related to the fracture but still I get to hear a 100 times in a day that I am a characterless person and I destroyed my life and that my mother will keep on staying with me till she marries me off respectably.I am from India and here in my city I could not even find a decent psychiatrist to consult with. I feel suicidal because there is no reason to go on. I am writing here maybe because am looking for a hope to live. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not know why are you thinking bad about your parents. They always tried to keep you better. You know them after 5 years or so. Before that you do not know. They always tried to give you a better life. They are still doing it. They want you to prosper and that is why they always advise you. If they were your enemies, why should they advise you? Why should your come with you to look after you? You are misunderstanding the whole story. Please understand them, they are your parents. They know you better than you yourself.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to cope with overbearing and non-understanding parents?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My mom aged 58 had metastatic squamous carcinoma (big tumor in her neck) after giving radiation and 3 chemo(Daxotel). the tumor dissappeared. Before radiation and chemo Doctor said only 3mnth survival. Now my question is will her survival be longer. Doctor: HiAverage survival now would be around 2 years.You must do 3 monthly pet scan as follow up.RegardsDr de"
},
{
"from": "gpt",
"value": "Target: What are the chances of survival after disappearance of tumor after chemo?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandad is in hospital at the moment. He has liver cancer which burst last week and he has had to be put on a ventilator. He has had multiple organ failure and was too weak to go to theatre. He is now due to have an endoscopy. Does this mean he is getting better if he is able to have an anaesthetic and go to theatre. Also what is the likelihood he will recover? Doctor: Hi and welcome to HCM. Unfortunately this sounds very serious to me. Obviously this is terminal stage of liver cancer and this is one of the worst cancers. Today there is almost nocontraindications for anasthesia so it doesnt mean he is better. I cant predict without findings but condition is very serious. I dont know reason for endoscopy,they might suspect of internal bleeding perhaps. All in all I wish you good health and I hope for the best ."
},
{
"from": "gpt",
"value": "Target: Liver cancer, multiple organ failure, weak, due to have endoscopy. What is the likelihood of recovery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is having an array of symptoms today. Earlier she had a high heart rate, headache, and soreness (which might have been from high amounts of physical work today painting and moving furniture) Now she is nauseous, and vomiting, with a low body temperature of 93.2 (axillary). Her heart rate is now 82 bpm Doctor: Hello, I understand your concern and would explain that her symptoms could be related to a migraine or viral infection. A stroke can not be excluded either. For this reason, I recommend bringing her to the ER for a physical exam and some tests: - a resting ECG - complete blood count, PCR, ESR - blood electrolytes - kidney and liver function tests. A brain CT scan may be needed in case of abnormal physical exam. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rapid heart rate and headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What would high ALT levels mean (88) with moderate inflation of AST (36)? patient does not drink significant amounts of alcohol, has ulcerative colitis, just getting over mononucleosis. other symptoms are sweating with no physical exertion and exhaustion Doctor: HelloFindings suggest raised ALT level.Increased SGPT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.You may need few more investigations like routine hemogram,random blood sugar,lipid profile,urine RE/ME,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.You should avoid saturated fat and go for brisk walk regularly.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What would high ALT levels mean with moderate inflation of AST?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fiancée has a lump on left forearm and turned into 3 lumps which has bruised and is painful, pain radiates up to shoulder and down to fingers left side too. She is also prrgnant ie 17 weeks as well. Any idea what it can be. Been told by nurse could be fatty deposit as cyst but referred to her GP and he doesn't know Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. Please do not worry. It can be A fluid filled sac called as bursa. Please do not handle it, or press or squeeze it.If it is pain free just keep a watch. If it is painful or increases in size then please get in touch with orthopaedic surgeon. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar."
},
{
"from": "gpt",
"value": "Target: What causes painful lump on the left forearm during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dr sead i had celluliteous in my legs i took a lot of antibiotics but now i have hard bumps in my legs that hurt to the touch i lost my job and no longer have insurance can u help me and tell me how to get rid of this ..and one more thing my feet still swell and hold fluid on a regular basic... but they end up going down after i elevate them for a while Doctor: Hi.Thanks for your query.Read and understood your query and concerns.It says you had cellulitis means infection/inflammation of hte legs.The resultant infection must have caused the lumps to appear and stay as there might not have has any proper treatment. It is good that the edema of the legs is going down on elevation of the legs in the lying down position. I would advise in such a situation the following:- Get clinical evaluation and examination done to know the cause of all such problems like varicose veins or so. - Color doppler examination of the lower limbs - Routine tests of blood including that for sugar, kidney function. - Ultrasonography of the lower abdomen to find out any possible obstruction agent to the lymphatics or venous return. - Get started on proper treatment with appropriate medicines as per the findings of clinical evaluation and investigations ."
},
{
"from": "gpt",
"value": "Target: What is the treatment for hard lump in the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel like I am having a panic attack. My chest has been kinda tight for 3 days but it is in a weird place. Like right where my collar bones meet in the front and scoop down. Then I feel this weird sensation like I need to cough but its dry. I am NOT sick and haven't been. I have been checking my pulse (which im not good at) however, my husband said that it feels like my pulse is really strong like I was speed walking or something. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having stress and anxiety related symptoms. Panic attacks, unusual chest complaints, racing pulses etc are more suggestive of uncontrolled stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could it be if having chest tightness, racing pulse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: several years ago I had a spontaneous renal rupture and almost died. The results have been bad for me now my body isnt the same, lots of pain ,fatigue on and on ,Is there anywhere that I cant find out why this happened and if it has happened to others are they having the same problems with their bodies? they say I have fibro but it only started during this illness. Doctor: Hi,Thanks for writing in.Spontaneous renal rupture is a rare occurrence. The renal rupture itself might cause blood loss and tiredness. It is important to know if you have any connective tissue disorder which predisposed you to have renal rupture. Our entire body is made of connective tissues and these hold various structures together. When a person has conditions involving connective tissues then there are symptoms of fibromyalgia and rupture of organs like the kidneys.Please discuss with your doctor in detail if you have any condition causing the connective tissues in your body to become weak. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes body pain and fatigue after spontaneous renal rupture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor. This is regarding the health of my mother, who is 84 yrears. Past one year, she seems to get aggressive for one or two days in a month. She keeps yelling at everyone, saying they have all her belongings. Keeps packing her bags and tries to go out. We have to retain her forcibly. But after a day or two she looks very tired and seems like recovered from a major depression and becomes normal. We doubt it is some sort of sickness and would like to have your opinion in this regard pls.. Doctor: Hello It is very clear from your description that she is not well and need help of a psychiatrist as she may be most probably suffering of depression.... In old age depression is more aggressive and difficult to manage ...but it is very well treatable by medicines....you just consult a psychiatrist and get her started on medication and she will be fine in no time.... Tale care"
},
{
"from": "gpt",
"value": "Target: Becoming aggressive, sometimes tired, recovers from depression. Want opinion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my fiance has been complaining to me about these small seed like objects that he is able to squeeze out from around his anus. The seed like objects appear to be a whitish yellow and are soft. He says it feels as if they are splinters and then when squeezed out comes the seed like object. There are many and reoccuring. What could this be and what can cause this to happen? Doctor: I will suggest you to go for a routine and microscopic stool examination and than only I can suggest u about treatment"
},
{
"from": "gpt",
"value": "Target: Suggest cure for infection around the anus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had an ultrasound of my kidneys done. Findings Received: Image demonstrates a slightly thinned upper pole cortex noted of the right kidney. The remainder of the right kidney appears grossly normal. The left kidney appears grossly normal. No obstruction is identified. The aorta is normal in appearance without evidence for ectasia. No free fluid is visualized. No stones are noted. There is a subcentimeter cyst noted in the left kidney, lower pole. Impression: Subcentimeter left renal cyst. Focal area of thinning in the upper pole of the right kidney, likely secondary to prior ischemic or infectious insult. No evidence for obstruction or acute abnormality. My doctor is sending me to have another test done where they put dye in my kidneys to further investigate. He is also referring me to a specialist. What does this mean? Should be worried? Also found scattered phleboliths in pelvis. Please help! Doctor: Welcome to Healthcare-MagicGreetings of the dayThe cyst is small in size and irritation not significant,there is no other pathology you need to be worried about. I would probably think your doctor meant intravenous contrast will be injected and after that sequential images of kidney area taken to know whether the kidney are functioning well it is termed as Intravenous Pyelography.Take careRegardsDr T ShobhaMBBS MD"
},
{
"from": "gpt",
"value": "Target: Ultrasound of kidneys showed normal aorta, subcentimeter cyst, renal cyst, scattered phleboliths in pelvis. Should I worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: possible cellulitis LOWER RT. LEG the leg was kicked twice thre months ago. the wound won t heal. also has history of cancer. skin cancer sergical removal on forehead . also on left side at base of earlobe sergically removed lump . seperate sergeries. pain is increased with time. NOT HEALING . PLEASE can you help . my friend is stuborn!!!! We need to educate him. Doctor: dear there, there are less chances that it is a cancer but we cant ignore this.even if it is a cellulitis you should consult the surgeon as it can be equally harmful as cancer.it can proceed to septicemia which is again lifethreatning."
},
{
"from": "gpt",
"value": "Target: Possible cellulitis in the lower leg. Wound not healing. History of skin cancer. Need surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 46 year old Female, went to doc after lower back pain and tirdness and feeling queasey now and again. He found blood, protein and some white blood cells in urine sample. So put me on Cipflox for 7 days. Been on that for 4 days now but still not feeling great. I do get IBs and have dull pains in colon. Doctor: Hi, thanks for posting your concern in the HCM. You were under treatment for urinary tract infection. The low back pain along with fatigue may appear from that. However, a more complicated uti, pelvic inflammatory disease, adnexal pathology, renal abnormality should also be ruled out. Even IBS can present with similar symptoms . Colonic pain often radiates to the lower back. A repeat urine examination, complete blood count, stool for routine examination may be needed. A detailed clinical examination with the history and relevant investigations will elicit the reason. Please consult your local doctor for further evaluation. For any further questions please write back to us. Regards. Dr. Kaushik"
},
{
"from": "gpt",
"value": "Target: What causes lower back pain and tiredness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the last 2-3 days I've had allergy-like symptoms (runny nose, red eyes) but as of last night my left eye becomes irritated and left nostril leaks. both my left eye and nostril will suddenly leak as if bleeding but it looks like water... the runny nose hardly stops and when it does it's not long enough for me to even leave the restroom without tissues. Doctor: HelloThank You for contacting HCM.Viral infection usually takes some time to resolve itself. Generally o antibiotic is needed. I would suggest you following things:> Take levocetirizine one at night for 5 days.> Take hot water in a cup, add 1 table spoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Drinks> Spicy foodHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: How to cure running nose and irritation in left eye?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I got some blisters on both my elbow , I barely noticed today, but they look like I had scrapped my elbows but without the pain or anything, just have the blister coats when they pop and one is small the other is a little bit bigger the size of a dime. Both of them look a little pinkish where the blister was. Its very strange since it doesn t itch or hurt at all. Could you help me please? Doctor: Hi,Thanks for writing in.The condition can be friction blister.Since it does not itch or hurt you need to just observe it for day or two.It will regress on its own.A visit to dermatologist will allow proper assessment if the lesions do not regress after a week.Hope this helps.RegardsDrSudarshanMDDermatology"
},
{
"from": "gpt",
"value": "Target: Pink blisters on elbows, no itch or pain. Advice ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I quit smoking about a month ago and started vaping. It was a starter vape cigarette. I felt like I was getting fluid in my mouth, so I spit it out and rinsed my mouth. I now have inverted \"v\" shaped white bumpy lesions on the very back of my tongue. I threw the vape away this morning. I'm done smoking and vaping. Is this a vaping side effect? Will it go away? What can I do to help it go away? Thank you. Doctor: Hello,Inverted bumpy \"V\" shaped lesions on the back of the tongue appear to be swollen circumvallate papillae, and it occurs most probably due to inflammation as you are vaping. So my suggestion is to stop vaping and start doing warm saline gargles.Suck ice pops as it will help in reducing inflammation and swelling.Take Vitamin B complex supplements.Also, avoid spicy and acidic foods.Drink plenty of water.In case if there is no improvement, consult an oral physician and get evaluated.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: What do white lesions on the tongue after indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor i am taking B p TAB gorbis -5 mg. and i dont have the habbit of smoking or liquor and doing daily 15 minuts floor exercises weight is normal and nowmy b p is 120/80 do u sugget that i have to keep on taking this medicine o any other advise for me to avoid medecine ( because i dont like taking medecine) thank you dileepvarma Doctor: Hello, If you hate taking it constantly and for quite some time then it’s not advisable to stop it right away. You can discuss with your treating doctor regarding tapering down the dose of the medicine and see if your bp stays stable or not if it does then you can slowly over a period of time taper off completely under the supervision of your doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Can taking Gorbis 5mg be safe to treat BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I developed incredible pain on my left side approximately mid way on my rib cage about 2 o'clock this afternoon. I don't remember any sudden pain like I cracked a rib or anything. It seems very localized and intense. I did go bowling yesterday for the first time in a long time and I lift a lot at work. I have to take about 6-8 advil to get any relief and hurts to the touch. Any suggestions as to what it could be? Doctor: Dear Sir, Thanks for your question.As you mentioned you had developed incredible pain on your left side approximately mid way on your rib cage which was sudden in onset. It seems very localized and intense as per your complained. You went bowling yesterday for the first time in a long time and you lifted a lot at work. Your pain was that intense that you need to take pain killers frequently.Now as per your history and your presentation of pain, i would say it is very unlikely related to heart.Now there are few possibilities1. It can be muscular pain due to heavy lifting which leads to muscle spasm and causes intense pain2. It can be hair line rib fracture which you might not have noticed and which may or may not be even seen on chest x-rayWish you speedy recovery"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain in middle of ribcage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I tapped the back of my neck where it meets the skull right behind my right ear with a open firm hand kiinda like a karate chop but much easier and I hear what sounds like something loose/rattles kinda like a hollow click noise everytime my hand taps it....it doesn't do it on left side of neck/head when I tap that side. What could this be? Doctor: you are pointig to mastoid area,where there are air cells and the tapping may give hollow click noise,may be normal,provided you are asymptomatic.Some times,assymmetrical even in normal persons."
},
{
"from": "gpt",
"value": "Target: Skull area near neck feels loose, hollow click. What could this be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... I have a cough that hasnt gone away for about 3 weeks now and it used to come only at night but now its starting in the day. Its very strong even to the point of almost throwing up Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Yoi are having chronic cough (cough for more than 2 weeks).So we should definitely rule out lung infection (pneumonia or tuberculosis) and bronchitis in your case.So consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Chest x ray is needed to rule out lung infection. Pft is must for the diagnosis of bronchitis. You may nerd antibiotics, inhaled bronchodilators and inhaled corticosteroid based on diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest cure for persistent cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last Wednesday I fell down with my back against a wall. My lower back has been a little sore since then but 2 days ago I had extreme pain all of a suddene. It hurt so bad that I cried. The same thing happened tonight. I take ibuprofen and tramadol for pain. I also take Valium. The pain tonight was severe. It lasted about a half hour. I am using a hot pack on it right now. The pain has subsided. Doctor: Trauma to lower back may cause pain due to local muscle injury and spasm or vertebral fracture depending upon the impact force and mode. Absence of radiating pain to lower limbs, weakness in lower limb and non involvement of urinary symptoms are pointing towards intactness of spinal cord. My advice will be to get an xray of lumbosacral region to rule out any fracture. Aceclofenac with muscle relaxant and rest may be helpful. Apply local ointment also.Wishing early recover and good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain in lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my tongue has been under severe pain for the past month I was diagnosed with herpangina then with thrush I was diagnosed with those things and nothing seems to work no medications nothing now. Tounge is just burning I am taking Paxil I'm wondering if maybe that's why Doctor: Hello, Thanks for your query.Pain relievers containing acetaminophen are effective in treating fever, headache and body aches associated with herpangina.Like the common cold, treating herpangina means treating the symptoms and easing the patient's discomfort. Get the proper amounts of fluids and food, because herpangina can cause painful swallowing and a loss of appetite. Offer a bland, soft diet devoid of salt, spices and citrus to lessen the pain of eating. Apple juice and warm chicken brothI 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 cure Herpangina in tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m 28 yrs. and had indirect billirubin 10.3 in the serum indirect billirubin test please suggest me some thing which can help me need help to know more indirect bilirubin serum bilirubin Doctor: Hello rajni; welcome to HealthcareMagic The report of indirect bilirubin showing 10.3 is quite high but you did not mention any other report like SGPT/SGOT and direct bilirubin report.Also you have not mentioned whether you have any symptoms like pain in abdomen;nausea;vomiting ;yellowness in eyes which is commonly seen in jaundice.The indirect bilirubin may rise in obstructive jaundice but a combined report of all the above written investigation as well as your symptoms are important to comment on this indirect bilirubin so please write in detail or better consult a Physician near by to your residence. Thanks"
},
{
"from": "gpt",
"value": "Target: What is indirect bilirubin ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have married for 3.5 year but till date we do not have baby. As per semen analysis report my sperm is not having motility and some infection in sperm. My urine is having very bad odour. Doctor suggest me tablet like amoxyclav, fertyl 100mg, co Q and fertiflex 1000 mg. Please suggest me solution. Doctor: Hi,Thanks for writing to HCM .Sadly medicine has not come with such a drug which have dramatic effect on sperm motility. Multivitamins and zinc combination drugs are used to improve sperm quality.I would suggest you to have your course of antibiotic and other treatment and repeat semen analysis after 2months. I also advice you to get your urine test done. I suggest you some life style modifications which will help in some extent.-reduce weight and do regular excercise- stop smoking and alcohol.- Eat healthy diet and avoid caffeine. - ware loose under garment and avoid stress and work in extreme temperature. Hope I have been helpful .Regards Dr.Deepika Patil"
},
{
"from": "gpt",
"value": "Target: What is the treatment to increase the sperm motility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey doctor , i am a 19 year old girl. My mother passed away when i was young. Over the years i have seen myself being in love with people to the point where not getting a message from them would hurt me. At first i thought it was just the need for motherly love but i have seen that i become so close to that person that it seems as if i am being a stalker. i always long for goodnight messages, have a good day messages from them and just want them to notice me. when they do something to me i get offended and just want hugs from them. seeing them makes me happy even through i am upset at them. i have even started running away from them. this things on on and on where for people people i thought it was just the need for a sister but sometimes i imagine myself being a male and have more opportunities to be with them more. could this be a way of being a lesbian or a form of being obsessed ?how can one treat this and what are the causes? thanks so much. will honestly appreciate your advice Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. That's not like being a lesbian nor like being obsessed. It's you having clinging nature towards others. That's quiet common. It goes away when you become busy at your work. After your marriage, while being busy with children and your family, go for a walk daily, exercise for 2-3 days in a week. Try to cut down mobile usage, meet friends beside your home, spend time with them. Start a hobby. I hope I have answered your query. Feel free to ask further questions."
},
{
"from": "gpt",
"value": "Target: How can obssesive behaviour be managed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been diagnosed with asthmatic bronchitis, never have had asthma , don't smoke, still having asthma attacks after having bronchitis for a week. Have been having back pains on the right side, below my shoulder blade, had xrays but it seemed normal. I still get those pains when I grasp for air. What is causing the pain. Doctor: bronchitis is allergy and as time increases it converts to asthma the excess breathing dificulities put muscls under tension thus pain as the muscles of respiration are attached to ribs and back muscle and shoulder muscles are in contact nearbyuse anti allergic tab bronchodilator syp analgesic sos local applicatio of pain killer gel and antacid but get tests after consulting allergy specialist and treat completely by sublingual immunotherapy for allrgens found"
},
{
"from": "gpt",
"value": "Target: Diagnosed with asthmatic bronchitis, asthma, back pains below shoulder blade. X ray normal. Cause for pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a metal bar in my forearm for when I broke it back in march of '09. A couple days ago I noticed my arm is starting to develope a lump right at the top of the bar area. its about 4 stitches in length. It hurts when i twist my forearm and when do things. The pain level is about a 7 to an 8. Any suggestions? Doctor: Hi.The metal bar is getting extruded out by the body as it is a foreign body. I would advise you to get an X-ray , Orthopedic Surgeon's opinion and surgery to get the bar out of the body before it causes more complications as it can one day pierce through the skin . Till then put that particular limb in sling to give it a rest."
},
{
"from": "gpt",
"value": "Target: What causes lump at the top of metal bar implant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just got sharp shooting pains in my lower right abdomin, they lasted for only a few minutes, but i almost fell to the ground the pain was so bad, I've had this happen before a few years ago, but I figured it was cramps from my period and didnt go to a doctor to get it looked at, and now I'm worried about what it could possibly be. . . Doctor: welcome to Health care magic.1.The symptoms suspect more towards renal calculus ( stones) - when there is calculus obstruct the way and pass through ureter such pains are experienced and gets relief after some time.2.The second possible causes could be pelvic pathology (uterine / ovarian).3.Mean wile you can take some pain killer and take an appointment with your doctor and get an ultrasound abdomen pelvis get done to find out the cause.4.Possibilities are ( renal calculus / appendicitis / intestinal obstruction / ovarian pathologies)Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: What is the sharp shooting pain in lower abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, m 21 years old girl weight 54 and height 5 feets... I got irregular periods it comes but after 50 to 60 days. My vagaina remains dry and it has small moles outside my vagaina. Slight stomach pain.less intrest in sex,no satisfaction after sex. Last year i got multiple small cysts in both ovaries. Size range of 5-7 mm. No echoes are seen in these cysts. My ovaries have poycystic impression. They were cured by taking atibotics. Please advice. Doctor: Hi, Thanks for query, You require evaluation of your problem, Your period is irregular, You have got ovarian cysts, Small moles out side vagina. Take gynaec opinion to rule out STD and treatment for irregular period. ok and bye."
},
{
"from": "gpt",
"value": "Target: 21 years old girl weight 54 irregular periods"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Having sudden heavy breathing, follow by tight chest and feel numb around abdomen area and giddy. This repeated several times in an hours. When consult doctor, it was said that having high fever and is much better after drip. Is there any other illness that will also have this symptoms? Doctor: Hi,I carefully passed through your question and would explain that your complaints could be related to an airway infection. Fever is a strong argument in favor of this diagnosis. There are not many disorders that can cause this clinical scenario. Other possible diagnosis would be pericarditis, pleuritis and myocarditis. All these are inflammatory or infectious disorders. Coming to this point, I would recommend performing some tests to investigate for the possible underlying causes: - a chest X ray study and respiratory function tests- a resting ECG and a cardiac ultrasound- some blood lab tests (complete blood count, PCR, ESR, blood electrolytes, kidney and liver function tests). You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes heaviness during breathing and numb abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband started to get these bumps all over his body about 4 days ago and they just keep spreading he says they ich they almost look like pimples. we were thinking it was measles because are son got the measles shot a few weeks ago and hot some just like it on his back. i just want to know what they areJasmine Doctor: Hi, Measles rash looks like tiny white spots which may appear in the skin or inside the mouth. The infamous blotchy rash typically appears three to five days after the start of flu symptoms. If the rash continue you should consult your doctor for a physical examination. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes itchy bumps all over the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad is in the hospital with colon cancer stage IV they are not giving him any food or drink only ice chips and iv he is very very weak and vomiting brown foul smelling stuff. They said nothing they can do and as far as treatment. They are giving him morphine pill and shots as well as shots in the stomach. Is this the end for him? They are not telling us much. Doctor: hi.pain is one of the most common symptom present in cases of metastatic diseases. treatment goal for your father now is just palliative, and not of curative intent. in these cases, pain management service/doctor is of great help in alleviating his pain, but as expected recurrence will be there, as the main culprit of the symptom is present. you can talk to your doctor anytime if you have questions, as it is your right to know as a patient/relative of the patient, especially when it comes to his prognosis. usually, if it is metastatic already, 3-5years survival rate from the time of diagnosis, is the usual prognosis. of course, take into consideration as well, if your father has other risk factors or diseases, other than his colon cancer.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe pain in a person with colon cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 15 and I have pain in my knee. I was playing soccer a week ago and my knee cap slided or something but it is in its right place right now but i cant straighten it fully, i walk with my knee bend and its weak a bit no doctors know whats wrong with it any one have any ideas what it can be? i have a brace but it bends my knee and it really hurts when i straighten it fully someone help! Doctor: Hello,As you told, you have slid knee cap, it may have caused injury to the knee joint, or it could be a ligament injury. Better to get an x-ray knee joint, and then go for MRI knee.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal"
},
{
"from": "gpt",
"value": "Target: What causes knee pain in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am male, 40. Where can I take H.Pylori breath test in Bangalore? How much does it cost approximately? Thanks, Ashok Doctor: Hi, , N N Gastroenterology Centre No: 3, R T Plaza Rt Nagar Bangalore - 560032. Landmark: Near Post Office Phone: - 65313746 KARNATAKA GASTROENTEROLOGY CENTRE 887 West Of Chord Road, Opp.couvery Diagnostic Basaveshwara Nagar 560086 Bangalore (Karnataka) Dr Umesh Jalihal +(91)-(80)-41535195 No.887, Dr Modi Hospital Road, West Of Chord Road, Mahalakshmipuram Layout, Bangalore - 560086 Regards Dr. Naveen Kumar"
},
{
"from": "gpt",
"value": "Target: H.pylori breath test in Bangalore"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My doctor suggested ovigyn-d 25 mg daily twice for 30 days(from March 28) to conceive. I took this tablet for 1 week and stopped. My LMP was March 13 and have not got my periods yet. Did a home pregnancy test for past 2 days which showed positive. I think now I am in start of 6th week. Since i stopped this tablet , I am not sure whether to continue it again in my 6th week. I could not reach my Doctor as she is on vacation. Please help me Doctor: Hello Thanks for your query. I will try my best to provide you with best possible professional recommendations to your questions. Ovigyn-d contains a hormone HCG and it is given for induction of ovulation if eggs are not being released and Susten is a hormone Progesterone supplement. It has various uses and is given in case of pregnancy for sustaining the pregnancy if there is a risk of miscarriage or due to hormonal imbalances. Both the drugs are safe to use but they would have been prescribed after evaluation by your treating doctor if there is any risk factor or if there is history of miscarriage or if the hormonal levels are low. Yet again, I do hope that you have found something helpful and I will be glad to answer any further query. Regards"
},
{
"from": "gpt",
"value": "Target: Should i take ovigyn-d 25 while trying to conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i'm swati .I've done stem cell hair transplant last year and have been using \"hair for u lotion 2%\" and \"novophane\" multi vitamin tablet for an year now.My hair growth is better than before but not best result.so i consulted my doc for change of medicine,he suggest me to use kera xl hair growth serum(night) along with minoxidil 5% (morning).and a long list of multivitamin tablets.One of my friends suggested me to use only kera xl hair growth serum at night.Is kera xl better than minoxil 2%? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Minoxil is certainly better than Kera XL as KeraXL is a hair nutrient serum and Minoxidil is a hair regrowth stimulator. I suggest you use Kera XL in the morning and Minoxidil at night. Multivitamins with biotin should also be consumed simultaneously. Also, you could increase your nutritional quotient of diet with eggs, green leafy vegs, lentils, nuts etc Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What is the treatment for causing hair growth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i ve been having swollen lymph nodes everywhere for weeks now. my entire body has what looks like thombrosis or ischemia everyday now, for hours a a time, with severe muscle aches, bruising, nerve pain , headaches, hearburn, backpain , neck pain , lump on sides of feet, popping cracking painful joints, especially in right scapular region and shoulder, but extends to all extremities. Doctor: Ur symptoms look more in favor of connective tissue disorder . get ur AL blood tests and if possible get FNAC of lymph node to rule out TB or any other infection or inflammation"
},
{
"from": "gpt",
"value": "Target: Frequent swelling of lymph nodes, severe muscle and nerve pain, popping cracking painful joints. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Two months ago I was diagnosed with a very unusual case of mono. I had severe head pressure, inability to move my head it hurt so bad, a stiff neck , a low-grade fever, sensitivity to light, and was overall feeling very yucky. My doctor thought it was viral meningitis until the monospot came back positive. My CBC also came back with a low white blood cell count. After recovering from the severe symptoms, I started seeing ghost images / double vision , and was having migraines. My doctor ordered an MRI, which revealed two 4mm lesions. One was on the right side of my basal ganglia , the other was on another section that the radiologist failed to mention entirely and the neurologist didn t say. He gave me migraine medication, which helped with the migraines for a little while. I also have had a chronic low-grade fever that I haven t been able to get rid of. I went to the doctor, and it was a throat infection causing it (he said), and he gave me antibiotics and said the fever should go away. It hasn t since then, and they are now accompanied with burning sensations deep inside my head. The vision has also gotten worse at times, along with having dull headaches to migraines everyday. Are these symptoms still of mono? Or is this something else I need to be concerned of. I see an eye doctor this Friday, and have a follow up with my neurologist in a week. I also see my primary care doctor tomorrow for a test. Are there any questions I should ask or anything I should tell any of them? Doctor: Hi,i don't think these are symptoms of mono as its a self limiting viral disease which subsides within 2 weeks or so. Also most probably you would have got rashes once you took antibiotics for seemingly sore throat but this doesn't rule out its probability totally! as medicine is a science of exceptions and variations have been seen often. The only way is to do test which may again come negative if assuming this is your second infection or superinfection by cytomegalovirus and not by EBV!I THINK U SHOULD BE MORE CONCERNED ABOUT THE LESIONS IN YOUR BRAIN WHICH CAN EXPLAIN MOST OF YOUR SYMPTOMS EXCEPT SORE THROAT(ASSUMING YOUR DOCTOR WAS RIGHT). see the neurologist as soon as possible and forget Mono because its a self limiting disease which is VERY UNLIKELY HERE. best of luck!"
},
{
"from": "gpt",
"value": "Target: Double vision, migraines after recovering from mono. Monospot, CBC, MRI done. What could be the reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well.... I have been in lots of non fault car accidents, three bad accidents, I have minor problems with major symptoms and am trying to figure out the reason for how I feel. I have mild right sided cerebral tonsillar ectopia , 4 bulging cervical discs, a syrnix in my thoracic spinal cord and curvature of the spine with convexity to the right, I have faucet aropathy/neuropathy? And a degenerative disc in lumbar . So far none showing nerve impingement nor believed to be the reason for why I am in sooooooo much pain, like no joke if it wasnt for my 3 yr old I don t k ow why anyone would want to live a life with the way I always feel. I take to manage pain and agitation from pain, Percocet 10 s 4 times a day, soma 325 3x s, fironal 4 times a day give or take, and lorazopam 1mg twice a day. Also in the morning I seem to have a clear watery liquid draining from my nose, usually one sided and only in the morning I have noticed. I have never suffered from allergies. It s been happening a lot recently... Thank you for your time. :-) Doctor: Hello, I have gone through your query. With disc bulge and degenerative changes, you can have enough pain to irritate daily routine. Only pain killers wont work here, you need to evaluate the pain and correct your posture according for every activities in daily life. Your bad posture affects more with such conditions. Avoid big pillow during sleep, take medium one. Your pillow should support not only neck but your both shoulder too. While driving use lumbar corset. Don't bend directly from your lumbar region to lift any thing, instead bend from your knee and keep back straight. While sitting for long time, use a proper back rest which will cover your whole back. As you have so much pain, Consult a Physiotherapist and go for Interferrential current therapy (IFT). it will reduce your pain and follow the above advice."
},
{
"from": "gpt",
"value": "Target: 4 bulging cervical discs, degenerative disc in lumbar, no nerve impingement. Why so much pain ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell off a horse yesterday and landed on my tailbone. I either bruised it bad or broke it. I am a nurse and I know that there is nothing you can really do for it except ice and rest, which I gave been doing. But today my lower abdomen has been sore. Like I did a bunch of abdominal crunches, but did not. I don t know if it s from the jolt of everything, or the fact that I am using these muscles to help me move from a sitting and lying position? Doctor: Hello again,If there is pain then you need clinical examination and further investigation.Coccyx bone can be better seen on CT scan.I will advise you MRI spine and sacrum .CT scan or EMG-NCV nerve conduction study may be required after clinical examination.X ray may not show details.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 the soreness in lower abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father in laws last CT scan results show as follows: No midline shift, Mild parenchymal volume loss is present. Encephalomalacia is seen in left frontal pole. Volume loss in Cerebellar hemisphere is seen. No mass, acute infarc, hemorrhage or extra-axial fluid collection. Bilateral frontal and parietal bur holes noted. Visualized portions of orbits and sinuses are normal. Mastoids are aerated. He suffered three subdural hematomas in December of 2012 and this report is the most recent (2014) ct scan.... what does it mean? Doctor: Hello. I have been through your question and understand your concern.Overall this is a normal CT scan. The burr holes are due to the evacuation of the subdural hematomas. The cerebellar and cerebral volume loss is frequent finding after a certain age, generally after 65, but sometimes even earlier. It is considered physiological due to ageing. Encephalomalacia in the left frontal pole is caused probably by what caused the subdural hematoma or the hematoma itself, but it should not cause any cognitive problem at this age.Again, you should not worry, because it is considered a normal CT scan.Hope this helps, please feel free for further questions."
},
{
"from": "gpt",
"value": "Target: What does the following CT scan report mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell down a flight of stairs 10 days ago and the pain in my tailbone is excruciating. It hurts all the time, but It brings me to tears to do any barely lifting, standing on one leg (dressing), sitting, standing or walking for prolonged periods of time. I've tried ice/heat and ibuprofen. I've also tried pain patches, but I have a bad rash from them. Is there anything else I can try? Doctor: HIThank for asking to HCMI can understand your problem even slight hair line fracture could cause such pain and this could be long lasting and you have to be patience and need to increase your pain bearing capacity, this may take at least couple of week, meanwhile you can take the \"Diclofenac\" 50 mg sustain release tab. this will give excellent result, nothing to worry about this, have nice day."
},
{
"from": "gpt",
"value": "Target: What is the solution for excruciating pain in tailbone after falling down from stairs after painkillers, pain patches have failed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend has severe hip pain. He had an injury while riding a commerical mower that hit a hole at a high speed. The injury was 3 years ago. However, now he is having trouble walking and pain from the back of the hip to the front. He also had his colon removed 35 years ago. His surgeon made a pouch from his small intestine instead of having a colostomy bag. Now he has lots of gas and more frequent than usual bowel movements. Could the inflammation from the hip injury also be affecting the pouch? What tests would be used to diagnose these symptoms? Doctor: Hello,I have studied your case and I do not think hip problem can change bowel movements at all.So this is not a concern. He needs separate evaluation for both.Hip pain needs to be investigated by x ray of the hip joint and MRI of the spine.As some time nerve compression can cause pain in right hip joint. Also there is chances that arthritis is causing this.For colon mobility he needs to check if there is any inflammation in the colon or any motility issue. It can be treated with high fibre diet. I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe hip pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 33 5ft 5inchs im 9 stone weight. Have had a dose of witer vomiting bug in march have been tired since then . my bloods are all fine but i got chest infection 5 weeks ago and doctor put me on 3 different antibiotics and the last one cleared it for a week then got really sick with it and had trouble breathing so he sent of phlegm sample and they said flucloxacillin would work been on it 4 days 3 times daily 500mg have 3 days left but chest is still tight and a bit wheezy even though i feel a bit better think i should be better then i am what should i do.thanking you Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of bronchitis is more. Bronchitis is inflammation of airways. It can cause cough, phlegm, breathlessness and wheezing. Best treatment for bronchitis is inhaled treatment. Since you are not taking this, you are not improving. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes chest tightness and wheeziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir/Madame, I have a question for you. Namely, a week after I had unprotected sex, I started having pregnancy symptoms . First it started with headache, lower backpain , abdominal cramps (slightly similar to menstrual cramps), and very sore breasts (something I have never had before). After few days, I started having extreme fatique, lightheaded, dizziness , urinating more frequently, white creamy discharge, occassional pinching on my lower abdominal area, and acne all over my cheeks. I got my menstrual period exactly after 4 weeks, but it was much lighter than usual and I had normal bleeding for one night, where as the rest was coming and going through out the day and much lighter. After exactly 4 weeks I again got my period with the same pattern (I never get my period exactly 28 days apart two times in a row). I did quantative analysis of Beta HcG in what would have been 6th week gestatonial age (if I were pregnant ), and my B HcG was less than 1. In the meanwhile, my lower abdomen keeps getting bigger (I am very slender, and never have I had such bloated lower abdomen--my friends keep asking me if I am pregnant, since my lower abdomen is shaped in such a way that it looks as if I am pregnant; it is mainly bloated in the area where the uterus is located). Thus, my question (after such a long story) is: Is there any way I could be pregnant, given my B HcG results? And finally, I forgot to mention, I also did blood chemical analysis and the results showed that I have iron deficiency, but my red blood cells and hemoglobin were perfectly fine, and I had slight decrease in tryglicerides. Thank you for your answer! Kind Regards, Heather Doctor: Hello. Thanks for writing to us. Since the quantitative analysis for HCG has shown a negative result and you are having regular periods, pregnancy is ruled out. The lesser than usual amount of bleeding that you are having can be due to iron deficiency. Your symptoms are non specific and do not conclusively indicate pregnancy. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Bloated lower abdomen, pregnancy symptoms, low BHcG, iron deficiency, low triglycerides, lighter period than usual post unprotected sex. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5 year old son had very visable veins all over his body including his forehead and side of his face. He just went to the toilet and on his chest must have been around 20 large veins all over his chest and belly going up his neck. Id say the only way to describe it was like bare tree branches stemming all the way up hos body. Any ideas on what it could be? Doctor: Thank for you query at health care magic.from history it seems your child may be suffering from some venous or cardiac disorder. i suggest you to consult a pediatrician as soon as possible to evaluate the cause. Hope this information will help.RegardsDr Deepak Vaishnav"
},
{
"from": "gpt",
"value": "Target: What do visible veins on body of a child indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr., I am taking Androgel for low testosterone; one gel packet/day, and lamotrigine for very irratible, angry mood swings ( first 50 mg/day, and now 100mg/day. I was told by my psychiatrist that this interaction could neutralize the effect of the lamotrigine. I know if I take Andogel 1 every 2 days, it may make tired possibly still effect the lamotrigine. I am causing havoc in my house; yelling at my wife for no reason, getting upset at myself for no reason. This is not my character! I can t take it anymore. Recommendations? Doctor: in my opinion it is important to probably start on sodium valproate instead of lamotrigine also adequate sleep not having night outsmoderate exercise , water intake is useful"
},
{
"from": "gpt",
"value": "Target: Suggest an effective alternative for Lamotrigine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been taking Coveram 5 mg for the past 2 months and was taking a pitavastatin for the same period of time. Experienced drop in libido and desire. Stopped the statin a month ago to try to determine which of the drugs was the culprit. Still no change. Cannot maintain an erection. I m 66 and in good health and until I started on these drugs I was always ready to go and very hard. Doctor: You are right in thinking the connection (side effect) of these medicines as ED.People often come with such complaints with such group's medicines but stopping these medicines without treating doctors' advise is no answer.There are medicines available to enhance libido and spermatogenesis to overcome this side effect both in Allopathy and Ayurveda. Former approach is by way of synthetic compounds while latter by way of herbs and natural minerals. Our colleagues in allopathy often discuss with us and seek suggestions for patients' benefits.If I were your treating doctor, I would have advised you to seek Ayurveda's aphrodisiacs and rejuvenators by consulting an Ayurveda doctor for overcoming this problem and enjoy life. These herbs n minerals do not interfere with your current allopathy medicines and also are safe and side-effect less.Hope this answers your query."
},
{
"from": "gpt",
"value": "Target: What causes erectile dysfunction after using Coveram 5mg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 yr old daughter has started experiencing light headedness, dizziness, and shaking when playing or practicing sports. While playing soccer she breaths very heavy then hits a wall about 15 min into the game. Recently she has taken up ppitching for softball and during her lessons she sees spots, bright lights, feels like she will pass out, and becomes nausious. Our Dr thought it might be exercise induced asthma but even with the inhaler she still has these issues. Could there be something else I should have her tested for? Doctor: DearWelcome to HCMWe understand your concernsI went through your details. Your doctor, before coming to his conclusion, that the problem could be exercise induced asthma, must have went through ritualistic physical and pathological investigations. In that case,, if the investigations are done, the problem could be anxiety and obsession.Anxiety could also cause such symptoms but there will not be any organic reasons. Your 10 year young girl is learning life and at this age, they learn diseases too. At such an age, obsessing with health problems are also common. She could need health related psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes lightheadedness and nausea while practising sports?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my kidney area for 3 weeks when i sit it brings in on. I went to chiropracter yesterday and they relieve a pain above it which is much better now but my kidney area still hurts. No pain to urinate usually helps to lay down only last night it ached for awhile after I went to bed. Doctor: HelloPain in kidney area need proper evaluation.It is important to know side involved.Pain may be due to renal calculus,colitis etc.You may need proper clinical evaluation and investigations.You may need routine hemogram,serum urea and creatinine,random blood sugar,urine RE/ME and ultrasound of abdomen.Ultrasound of abdomen can exclude many possibilities.It is very helpful in diagnosis and treatment.You should consult surgeon for proper evaluation.Get well soon.Take CareDr.Indu bhushan"
},
{
"from": "gpt",
"value": "Target: What should I do for severe pain in kidney area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi... my son is 3 years old and has been suffering with swelling in the armpit since 4 to 5 days. He has cough n fever too. The doctor prescribed clauvum antibiotic and flexion syrup. His blood sample has been given for crp, cbp and esr tests and reports are expected by Monday morning. I am really worried about my child. What could be the cause for the swelling. Doctor: Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is due to lymph node enlargement , there are different reasons for this condition as - reactionary to respiratory infection - tuberculosis - others .* Have to be taken care with proper antibiotics , anti inflammatory agents and keep a watch on the progress of the size , if regressing fine ; if persistent can require FNAC from the lymph node .Hope this will help you for sure .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes swollen glands in the armpit in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My first sed-rte came back @ 46, the next 56, & yesterday 70. My Dr. did another one yesterday & I'll find out on Tues. I had severe headaches @ first, then another Dr. did a bilateral temporal biopsy & found nothing, but the headache which I had for over a month is now gone. It was so bad they were giving me percoset which helped a little? They also found out I have ulcerative colitis, what does all this mean? Doctor: Hello and welcome to HCM,Raised ESR level is not a disease but an indication of an underlying chronic disorder.Associated headache raises possibility of temporal arteritis.Temporal arteritis is characterized by inflammation of vessel wall of temporal artery.Definitive diagnosis of temporal arteritis can be made after biopsy of the vessel wall.However, the biopsy is negative for evidence of temporal arteritis.Ulcerative colitis is a chronic autoimmune disorder which can also cause raised ESR.ESR responds to treatment of underlying disease.Thus, treatment for ulcerative colitis will improve the ESR levels.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: What causes rise in sedimentation rate and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai doc my age is 22 and my husbands age is 29,we got married just 3 months before tried to have complete sex for more than number of times but we dint,the problem is his penis is not entering into my vagina,and if it enters a little bit then i have lot of pain ,i feel that his penis is large,and both of our motto is to have sex only for a child and not in enjoying,so u plz say whether is it enough for the penis just to be placed in the tip of my vagina and then he can release the sperm Doctor: Hello dearI understand your concernDo not worry.I have seen lots of case in my practice in which just entry of glans/tip of penis cause pregnancy.Other advises that will help you:You can take following advises:Insert penis very slowly, once you feel pain then stop more insertion and divert mind toward other thing, do some other movement.In starting day you enjoy sex by just inserting glans of penis and gradually increase length of penis insertion.Breath during mouth at the time of insertion. It will relax anal and vaginal sphincter.Use water based lubricant like K-Y gel during intercourse.It make entry of penis very smooth and painless.Also rule out any vaginal / urinary infection, pelvic inflammatory disorder by consulting gynecologist is problem remain persist.Other things that will use if problem persists:Couple of psychological counselling is given along with pelvic floor training by experts.Medications like Botox and anxiolytic can be use at last.Avoid stress, take healthy diet, drink plenty of water, maintain proper pelvic hygiene and do regular exercise.Hope this may help youContact further if follow up neededBest regardsDr.Sagar"
},
{
"from": "gpt",
"value": "Target: What causes painful penetration of penis into vagina during intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am possibly going to be forced to have surgery on my calcific tendonitis. I am in alot of pain. What kind of recovery time could I have? I am a teacher and was wanting to schedule it for the winter break, but the pain is almost too much to bear. I am losing sleep nightly. Doctor: Hello,Surgery for calcific tendinitis is a key hole surgery and will take about 6weeks to recover completely.Your physical therapist will help you in regaining your range and strength back during this period.Post 6weeks you can join your work but complete recovery (doing heavy activities)might take around 3 months depending upon your prognosis.Hope this answers your questionthank you"
},
{
"from": "gpt",
"value": "Target: How long it takes to recover from surgery on calcific tendonitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had a soreness on the lower ride side of my abdomen, right above the hipbone. The soreness has been there for a week. It doesn t hurt, I haven t had any vomiting or nausea, loss of appetite, etc. but it hasn t gone away. It doesn t look swollen, and it just feels sore. I m not sure what it causing it or if it is just a pulled muscle or something... Doctor: Hi.If you do not have any problems related to the intestines like loose motions, this is most probably muscle soreness , as you have rightly noticed.Take anti-inflammatory medicines for a bout a week. It may go away."
},
{
"from": "gpt",
"value": "Target: Should i concern the soreness on the lower side of abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My son is 20 months old.He is suffering from cough in irregular intervals i.e atleast once in day he will get cough and if he vomit he will be fine..I have shown him to the pediatrician and he suggested Junior lanzol..can I know what is the reason for his cough Doctor: I understand your concern. It is possible that acid reflux, called GERD in which gastric acid regurgitates into esophagus is the cause of cough relieved with vomiting Unless there is no fever and cough with sounds of mucus / phlegm. I would do a CBC and evaluate chest for infection. Your doctor would have done this and started on a drug Junior Lanzol to reduce the gastric acid irritation. YOu can discuss with your doctor and come back to me for any further doubts. Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic cough in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. Right, my anal area has been itchy for a quite some time (but not limited to that area. Also the area my genitals and anus. Most recently I ve felt a bit constipated and I ve noticed a brown-ish gooey substance also exiting my anus...I suspect hemorrhoids? Or perhaps a bacterial infection? I have a condition known as achalasia, this may be related to it (lack of nutrients?) Doctor: Hello,Welcome to HCM,The history and symptoms suggests me that you are having a fungal infection but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis.The fungus are the normal commensals of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason these fungus will multiply and produces the symptoms.I would suggest you to follow1.Keep the area dry and clean by maintaining the good hygiene.2.Topical antifungal cream should be applied.3.Tab Diflucan, 150 mg single dose will help to control the symptoms.4.For itching you can take anti histamines.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes itching in genial and anus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I helped my aunt with lifting my disabled grandmother yesterday, and now I am experiencing lower abdominal cramping and slight spotting. 4 days prior, me and my fiance had un-protected intercourse while I was on day 3 of 7 of my period. Is this implantation spotting or a strain from the lifting? I am 5 2 and 107lbs Doctor: Hi and wecome to HCM Thanks for the query. Pain can be but spotting is not usual symptom of overlifting or muscle pulling and pelvis area. So i suggest to find another cause of spotting which can be implantational bleeding but also it can indicate some disorders of reproductive system.Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Is lower abdominal cramps and spotting due to strain from lifting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My three year old recently became sick and was treated and given antibiotics for his cough and sinus infection. Yesterday he started having mud like stools more like diarrhea . He cant even make it to the toilet it seeps out.The look and color is just like mud. He is still on antibiotics but now sneezing with mucous. He started with a high fever yesterday and all through the night. Is this more of a virus or should I be concerned about his stools? Doctor: Your child has either antibiotic induced diarrhea or viral diarrhea. Do not worry, please give him pre and probiotic formulation with plenty of oral rehydration solution. Also do avoid milk and fruit juices."
},
{
"from": "gpt",
"value": "Target: Sick,cough,sinus infection,diarrhea,sneezing with mucous,high fever in 3 year old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Firstly, I am a 23 year old young woman and I am very nervous. I recently went for the big chop and shaved my head due to a rightful cause. Upon shaving my hair we noticed an irregular mishaping of my skull. There are dents and “soft spots” so deep and large it has caused and irregualr point shape to the top of my skull. I am very worried and concerned about this. I even chose to wear a wig because of the severity of my sunken in skull. Is there anyone who can help my diagnose what might be the cause of my irregular shaped skull ?? Please and thank you. Doctor: Hi, Mild irregularities over skull may be normally present. Some diseases may cause destruction of skull bones and cause indentation and softness. Get examined by a neurosurgeon. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes deep indentations on the skull?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, İ have been masturbating for years now but recently i have seriously exagerated by ignorantly spending most of my time watching videos on the internet.This made me masturbate almost everyday.one day i was watching a video when i felt my penis shrunken and since then it is still the same.i cant get a perfect erectin and even when i get the weak one,its somthing for like 2 or 3 seconds...i really feel the loss of my penis size and its weakness..so please i need ur help..thanks for your understanding... Doctor: Hi, my sincere advice is that you decrease your masturbation or stop for a few weeks. You should do it only once a week or so. This will slowly help you to regain your normal function and erection. But, you should stop the masturbation as soon as possible. It will definitely help.Take care,Dr Rishi, New Delhi, India."
},
{
"from": "gpt",
"value": "Target: Suggest solution for small penis size and erectile dysfunction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my father is in hospital following an operation to remove half of his stomach and lower part of his esophagus following cancer of he gastroesopegeul junction. A week after coming out he was rushed in to A&e with racing heart and difficulty breathing to be diagnosed with collapsed lung and a pleural effusion. 2.5 weeks on they are still draining the effusion which is draining a cloudy yellow fluid and they are struggling to reinflate his lung. His heamaglobin levels were low yesterday and he has been given 2 bags of blood but he is still breathless. The doctors do not seem to know what the problem is or they are not saying. They have X-rayed Him numerous times and cannot see any problems except the fluid. they have also put a camera in to his lung to find only clear fluid which hey said was good fluid (assume they will have taken sample but no one has said this). We are concerned the cancer has spread although no one is sayin anything, but we understand it could just be a post op side effect of abdominal surgery. The surgeon could not see any signs of spreading during the op. Can you help me understand what is going on and why his lung will not reinflate and why fluid I still draining. Thanks for any further information you can provide. Doctor: Hi, in such a critical case we from on line can't come to a conclusion, we can try to convey some causes, but they are not hard and fast facts, to ask your doctor, they are probables. There could be slight oozing of blood, or infection, pus collection, there may be damage to the diaphragm or there could be metastasis, from an invisible part of malignancy. C.T.scan may relieve the fault to some extent. Thank you."
},
{
"from": "gpt",
"value": "Target: Collapsed lung and pleural effusion after surgery for stomach cancer. Low Hb, yellow fluid drainage. Concerned"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. Every time my husband mows the grass, when he gets to a certain spot in the yard he starts coughing really bad and has to stop to get a drink. Then he has to put something over his mouth and nose to finish so he doesn't inhale whatever makes him cough again. What would cause this? Doctor: Hello,Welcome to HCM,This suggests that your husband is allergic to grass. While mowing of grass small particles of grass by droplet nuclei it reaches the respiratory tract and induces very bad cough.Your husband should avoid this otherwise repeated irritation can land up in asthma. Thank you."
},
{
"from": "gpt",
"value": "Target: Can mowing grass in garden cause allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having excruciating pain in my tailbone area for 5 months now. I haven't fallen or bumped into my tailbone, nor have I ever had any back injury's. I have tried a donut to sit on but that doesn't help. My tail bone hurts when Ilie in bed, when I sit and especially when I get up from a chair. What can I do? Doctor: Hi there,welcome to HCM, thanks for the question. Tail bone pain is probably one of the most tricky situation to deal with, both for the patient and the treating physician.Conservative meaures form the mainstay of treatment in almost all the cases of tail bone pain.This includes use of doughnut (religiously in all situations)sitz bath (Sittingbourne a tub of water- similar to aquatic therapy), medications.If no relief with this prolotherapy which is injection of saline with locall ansthetic and/or local steroid injection can be tried.Injectionseen can be repeated twice or thrice if thee is relief with first injection.Since your pain has been present for more than 5 months, it is unlikely that conservative measures would help.Another evaluation with xrays and MRI might be warranted to investigate the source of your pain ( since there is no history of injury in your case) .In unrelenting pain rarely surgery would be a consideration But unfortunately even surgical results of coccygectomy (removal of tip of tail bone) have been found to be less than satisfactory for tail bone pain.Hope this answers your question..All the best with best regards.Dr.SBK"
},
{
"from": "gpt",
"value": "Target: What is the treatment for pain in tailbone area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i just wanted to ask im a muslim and im really worried about my 4 year old she sliped on a triangle cone at school and landed on her vagina when she came home there was a bruse at the outside parts of her vagina and a tiny amount of dark blood came has she loost her vaginity how would i know i took her to the gp the doctor said she cant see any thing its very unlikly .but im really worried Doctor: Hi..Thanks for contacting HCM.You have a girl child 4 years old who has sustained injury vulva and vagina your worry is whether it could be hymnal rupture.Madam hymen rupture is now an usual phenomenon as girls children are taking part with active sports.Kindly don't confuse it with loss of virginity.I'm not sure about hymnal rupture but telling you not to worry,it could be still external.Hope the doctor whom you have met given antibiotics and pain killers.Maintain good hygiene of your baby girl's personal part Contact a doctor in person if bleed recurs.Take care Madam."
},
{
"from": "gpt",
"value": "Target: Suggest medication for bruise and dark blood discharge from vagina due to injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hii i was due to give birth on the 5th of april but still no sign went to hospial and they told me i was 3 to 4 cm in slow labour then woke up this morning and there was a wet patch on my bed and water in my knickers is this my waters broke or what do i do please help got some tummy ache too Doctor: Hi there,Yes you are in labour now, once the bag of water situated around the baby ruptures, labour is imminent and you should go to the hospital immediately.The tummy ache is going to increase as the labour progresses and it is likely that you will deliver soon.So please get to a hospital immediately, as sometimes after rupture of membranes the baby may require monitoring and labour progress rapidly.It is common to not be in labour on the due date and 90% of women deliver within 10 days after the due date.Do do not worry and get to a hospital .Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: What causes a wet patch on the bed when you are imminent to give birth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 61 yr old female, very athletic. I was using an elliptical machine this morning as I have for years, and at about mile 7 I noticed a sharp pain in my left pinky toe. When I took off my shoes it was bruised in the top of the toe to the joint. What could cause this? Doctor: Hi, Most probably is due to a minor contusion. As the first line of action, you can apply ice packs and take analgesics like Acetaminophen or Tramadol for pain relief. If symptoms persist, better to consult an orthopaedician and get evaluated. In that case, you have to take an X-ray to rule out a fracture. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in the small toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My granddaughter (5) has a purplish lump on her face near her mouth that is about one inch long and looks like a worm is under her skin. She has had two prescriptions of antibiotics which did not take care of the problem. It was lanced and a yellowish liquid was sent to the lab that came back negative for bacteria or MRSA. When she takes a shower and her mother pushes up on the lump a yellowish liquid comes out. For the past month it looked like the lump was drying up; however this morning the lump was very purple, inflamed. I know you cannot diagnose this but perhaps give me an idea of what it may be. A dermatologist has diagnosed it as a cyst. It looks horrible when it is inflamed and purple. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per my surgical experience, this is a non-healing cyst with infection.Kindly provide a high-resolution photograph of the lesion with other lab test results in the follow-up conversation, so that I can guide more precisely.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: What does a purple lump on the face indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi.ive been having a throbbing in the left side of my stomach 4 the last few days...ive been pregnent 3 times and it feels just like a baby kicking.ive done a test and im not pregnent..i also have the inplant in....its almost constant today.what could it be i'm really worried as its just not going away.thanks. Doctor: Hi I'm Dr NallammaiWelcome to HCMThe bowel movements may resemble kicking..Which is normal for all individuals.. So calls borborygmi soundsU might be thinking a lot about your problem which is not at all a problem on going through your history..So be calm And relaxed.. Don't even think about itThen see u ll b absolutely fine"
},
{
"from": "gpt",
"value": "Target: What could continual abdominal throbbing indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have experienced sudden and very noticeable swelling in the abdomen and have had difficulty moving stool the last week I've tried milk of magnesium, gas-x, and magnesium citrate (not at the same time or back to back). The swelling is somewhat painful and Dead Sea salt baths or a heating pad help, but I'm worried because both sides still feel firm. I cannot get to a doctor for 48 hours because of the storm- what do I do, what foods are safe to consume, and is there anything else I can try OTC? Doctor: It is not clear from the details whether the swelling is a localised one or is it abdominal distention due to bloating. To me, it seems more like the latter as you mention irregular bowel habits. There is no restriction about the food intake but it is preferrable to avoid junk food. Try taking a high fibre diet as well as fibre supplements like isabgol alongside your dinner. Alternatively you may also use lactulose syrup 2 teaspoonfuls once or twice and day and see if you get relief. I would still insist that you remain in follow up of a doctor."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful and swollen abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter just turned one and is having difficulty walking; it appears her ankles/feet turn inwards when attempting to walk which is causing her to fall to the floor; her cruising is minimal and is very unsteady when attempting to cruise. She crawls, stands, stops, etc all normally. It s just when she attempts to walk that it becomes difficult Doctor: Hi...by what you quote I feel that she might be having a flat foot. Flat foot can be physiological till 2 year of age. But as you say her cruising had been minimal and she's twisting her ankles... I suggest you consult a pediatric orthopedic surgeon.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes twisting of feet inward in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm in Peru, got bitten by a dog through jeans. The bite did not rip the jeans but skin was broken. Locals are telling me the jeans protected me from the saliva of the dog, so I shouldn't worry about rabies ... but I am not convinced. I REALLY do not want to go for rabies shots if I don't have to, but I don't want to believe the locals and then end up with rabies ... Doctor: Hello,Welcome to HCM,Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.As you were bit by a stray dog over your jeans which has led to breaching of the skin, according to WHO it is categorized into Cat III which requires1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with rabies immunoglobulin3.Inj TTWith the disease like rabies we don't want to take any risk, the aforementioned treatment will protect you from getting rabies.Thank you."
},
{
"from": "gpt",
"value": "Target: What are the signs and symptom of rabies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think I could be pregnant...I was late for my period, then it came yesterday; lasted for ten minutes then went away again. i still feel the craps though and i had had nausea, felt sick but havnt been sick, headaches,bloatedness, and my breast are very sore. I have worked out i am not much late for my period but I have taken two tests which both have come back negative. Im 17 years old Doctor: No you are not pregnant. If tests are negative then chances that you are pregnant is very very less. These are normal premenstural symptoms."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I have several solid lumps under my skin about the size of a large peanut. They are in my arms, legs and most disturbingly in my penis. I am anxious as they have been there for several years - although the size/shape has not changed during that time. Do I need to worry? Doctor: HI.You are already worried.The best way is to go for an FNAC= fine needle aspiration cytology and/ or excision biopsy to get a correct diagnosis.You can choose the one which is most unsighty or causing a problem."
},
{
"from": "gpt",
"value": "Target: Are solid lumps under skin of arms and legs a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i went from 10 mg of Lexapro to 5 every other day for a week or so and quit. I am not having any emotional problems and started taking it over a year ago as well as going to a grief councilor to cope with my brother fighting and losing his battle with lung cancer. I still miss him and have periods of being weepy, but that will not be stopped with meds nor should it. I am certain I will always miss him but am thankful we had each other. I am having more physical type symptoms which my dr diagnosed as Lyme disease, but now I'm not sure. I am having some stomach cramping, weakness, swollen glands, lower energy, body aches....is this from Lexapro? Doctor: HI, thanks for using healthcare magicLexapro can be associated with fatigue in 5% of persons using it and muscle aches (specifically neck and shoulder pain) in 3% of persons using it.If you are not currently using it any longer then it is unlikely that it is responsible for the effects that you are experiencing.If you are presently being treated for lyme disease , it is possible that your symptoms are related to that condition.You may want to consider speaking or visiting your doctor for an evaluation of your symptoms.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Started Lexapro for mental health problems, have symptoms of Lyme disease. Is this from Lexapro ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hsg test result states peritoneal spillage not seen what does it mean Doctor: Welcome to Healthcare MagicThis means that there is block in Fallopian tube. Laparoscopic treatment may help to remove block. Also this could be cause of infertility.You may need IVF if tubes cannot be repaired to get pregnant."
},
{
"from": "gpt",
"value": "Target: Peritoneal spillage not found, what does it mean ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been using econazole nitrate to cure a ringworm on my wrist and my foot over 3 months now. It has improved greatly on my wrist & foot. Now it seems to have stopped working because it only did half the job. I still have a bumpy line that remains from the ringworm on my wrist & it's starting to spread to my palm. I continue to apply the cream when it dries. What should I do! Doctor: Hi,It seems that you might require oral anti-fungal medicine course like Flucanozole 150 mg once in a week for 4 weeks.This will give permanent cure.Continue with local application of anti-fungal lotion.Keep local hygiene clean, dry and airy.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to treat ring worm infection on wrist and foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello there...... ummmm i grind my teeth i know. well, i feel asleep a bout a week ago....... and now i have sorta w hole in one of my teeth i dont remeber it being there..... do u think this was caused by the griding or could it be a normal formation of the tooth (they did hurt really bad when i woke up and i had a headache, i only slept without the moputh peice for about 4 hours.... i was sorta drinking at the time tho). would u worry about this if it did take a sorta how do i say peice/chunk out of the middle of one of my teeth it feels weird w/ my tonque and i dont like it but i guess theres not much i can do. its a tooth on the upper right side of my mouth....... Doctor: Thanks for your query, I have gone through your query.The hole in the tooth can be because of the decay or it can be secondary to the grinding of your teeth during night time(bruxism). Consult a oral physician and get it evaluated. If the decay or attrition is involving only enamel and dentin, the tooth can be restored with normal filling by composites or silver amalgam. If it is involving pulp, then the tooth has to be restored with RCT or extraction.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes hole in teeth when waking up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 3 year old son has a constant bruise on the middle of the lower back. it is usually a yellowish color but today when i looked at it it has red spots. also when feeling it when he is standing up it feels like a bumb. but with him bending over its a semi large bulge Doctor: Hi, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes back bulge bruising with spots and redness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hii doctor i am akansha pathania i am 23 and my height is about to 5\" only i always got coments about abut small height i didi alot to increase my height like streching, toola ashwaghanda with milk and yoga but my heigt is same as it was please suggest me what shoul i take or eat or do so that i crease my height because my fedup now plaese help RegardsAkansha Pathania Doctor: hai akansha. Regarding your height dont get fed up. there is no point in doing and taking diet or medicine to increase ur height.scientifically saying normal human bone stop growing in the age between 18- 23.after that no growth will happen. it will attain skeletal maturity. All ur cartilage part will become bone. so there is will not be any further growth.only metabolic process will occur.As u r 23yr old. if ur BMI is within normal. then u no need to worry.above if ur father and mother are in the same height(approximately). then it is purely genetic.thank you."
},
{
"from": "gpt",
"value": "Target: How to increase height?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 1 year 8 months. now she has got cold & cold with wheezing 4 times in past 6 months .Currently doctor has advised to use flohale inhaler for 6 months it is safe to use ihalers will kids get adicted to these kind of inhalers what other options do we have to prevent from getting cold & cough with wheezing problem Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of cough, cold along with wheezing which is due to respiratory tract infection. It could be due to poor immunity of body which increases susceptibility of getting infected. Need not to worry. I would suggest you to visit pediatrician once and get it examined. You should get blood test and sputum test done. Start treatment after proper examination. Yes you can give child inhalation after complete prescription and do not give it for long time. Give child diet rich in multivitamins. Give plenty of fluids to child. Avoid cold liquids, spicy, oily and fried food. Take diet rich in multivitamins. You should gargle with saline water. You should take cough expectorants as well.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Can inhaler be safe to use for a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello ,I have a small kid who is 2years and he is having problem in walking ,so I consulted a doctor and he told me that he might have cerbral palsy so i am really tensed and so i want to know what is his future .... Doctor: my little brother has cerebral palsy he needed alot of physically therapy. I mean a lot but mentally he's in the top 2 in his grade and is very smart. He just turned 11 and you can only tell his limitations when he runs. Although hes not going to be in sports besides that he's a healthy normal little boy. Dont worry there a light at the end of that tunnel it just takes determination and love"
},
{
"from": "gpt",
"value": "Target: 2years kid having problem in walking, please let me conform whether he have cerbral palsy or not"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was infected with HBSAG HBV(Positive) one year back with Anti Hbe positive also but in 3 successive DNA test it has become non reactive.Am I safe for ever and ever or still i require medications?Can I go for vaccination for HBV?RegardsSafar Mohammad KhanMumbai Doctor: Dear Mr KhanAssalamo alaikum.Thank you for posting [email protected] Likely your a carrier.HBsAg is positive but the replicating antigen of virus has an antibody against it. Furthermore, the viral load is NOT high enough requiring treatment. Virus is in \"dormant\" phase. You do NOT need treatment now.however, your infected state (HBsAg positive) may NOT be reversed (treated).It is possible that the virus remains in dormant phase throughout life and causes NO harm to liver. Only one fourth of patients infected with HepB virus develop liver cirrhosis. therefore, one cannot be sure about her status. the viral load should be monitored and she needs to repeat test every 6 month or atleast once a year. you should also inform your treating doctor if your married and want to plan a baby. There is NO permanent treatment for HepB virus.however , you may not be vaccinated BUT all relatives need to be vaccinated against HepB (if not done yet).wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for HBSAG HBV(Positive)"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband was diagnosed with advanced prostate cancer a year ago. He was immediately put on hormone treatments. I now notice that he is beginning to sleep a lot during the day. He constantly have severe lower back pain and just feels fatigued throughout the day. Is this normal. Doctor: Hi, dearI have gone through your question. I can understand your concern. He has prostate cancer. Prostate cancer is prone for bone metastasis. His back pain may be due to metastatic carcinoma in spine. He should go for MRI of spine. It will give you exact diagnosis. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes severe back pain and fatigue when on hormonal treatments?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi this is wasim, i recently shifted to kuwait after 4 5 months i found some black tiny small bumps on whole face and on neck what is this problem and how to get rid of this hi this is wasim, i recently shifted to kuwait after 4 5 months i found some black tiny small bumps on whole face and on neck what is this problem and how to get rid of this what should i prevent and suggest me a remedy Doctor: hi it may be viral or bacterial infection. u must not prick or popped them. avoid direct sun exposure. drink more water take healthy diet. apply antibiotic cream three times a day if u not feel well in 3 day better to consult dermatologist"
},
{
"from": "gpt",
"value": "Target: How can I get rid of this tiny bumps on my face and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When I working I feel fine but when the day goes on I start geting light headed!! And Off belice. And when I get home it seems to get worse but if I take a nap I wake up feeling better and some times i get a pain in my arm!! I ve been to the er about 5 time and they hock my up to EKG and tell me that my heart is fine!! And ask if I have panic attack Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas, and I am here to help you. I have read your question with care and understand your concerns. The symptoms you have narrated suggest that the problem is in your cervical spine (Bones of Neck) and Cervical Spondylosis is a likely possibility We need the following tests 1. X Ray Cervical Spine AP and Lateral 2. MRI Cervical Spine3. Nerve Conduction Studies of Upper Limbs to Proceed Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for sudden dizziness and arm pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I used to use primatine mist until the drug companies and epa managed to get the fda to ban it. Now I am using the ventolin inhaler prescribed by my doctor. One lasts me about 2 to 3 months and the Dr. says I am using too much. I have had absolutely no side effects whatsoever, and I am wondering what she will offer me if I can t get the ventolin as I need it. I was a heavy smoker for many years and quit several months ago. I get congested in the evening and overnight but not so I can t breathe but just uncomfortable. I am in good shape and exercise every day and can work most guys my age, 76, under the table. During the day I feel just fine. It s only around bedtime and first thing in the morning that I use the inhaler. I think I can be the judge as to when and how much I use the inhaler. I have an appointment on coming Thursday and will see what the Dr. is going to say. Doctor: Hi, By your history and description, the possibility of bronchitis (inflammation of airways) is more likely. So better to consult pulmonologist and get done the clinical examination of the respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about the severity of the disease and treatment is based on severity only. You will mostly improve with long-acting inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). So consult pulmonologist and discuss all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist"
},
{
"from": "gpt",
"value": "Target: How safe is using Ventolin inhaler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hear a pop in the arm when lifting. at the time the arm got warm and actually felt good. Like I knock something loose that had been stuck for years. After a few days it was a bit soar then went away except when I move my arm certain ways. That was a couple years ago. Now I got back to the gym and while lifting I feel a stain when the arm is in specific positions. Not pain but soar, a little weaker maybe then it feels like it could be. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may have injured your rotator cuff muscle while working which is causing you pain on certain activities. Rotator cuff muscles are four in number which are important structures leading to movement of shoulder joint. Diagnosis needs to confirmed by Ultrasound of involved shoulder though MRI is more sensitive and specific. Meanwhile avoid activities that leads to pain. Voltaren twice a day can be taken for pain relief. You may consult orthopedic surgeon nearby your area after report. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes soreness and weakness in the arm?"
}
]
|
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