conversations
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{
"from": "human",
"value": "Source: Patient: Please, my question or worry is: I took a capsule of ampiclox during a late dinner--about 21:30 hours--whereas my ovulation began the next morning. At 05:30, I had sex with my partner targetting conception as he reached ejaculation; and yet a couple rounds of sex within the next 18 hours.Is conceiving in peril on my part? Doctor: Hi, Thanks for discussing your concerns with us. Actually this period of ovulation & fertilization is very sensitive. At this stage if an insult occurs to an embryo it usually gets aborted sometimes without coming into our knowledge i.e. without a clinical pregnancy. If the insult is below a critical threshold it may not effect the fertilized egg at all. That is an \"all or none law\" is applicable at this stage. Simply speaking if pregnancy occurs this means the insult was below the critical level & has not effected your pregnancy. If God forbid it has affected your egg at this early stage it will be lost without you being aware. I hope I made my point clear. Best of luck."
},
{
"from": "gpt",
"value": "Target: Can capsule ampiclox lead to conceiving in women ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi it s almost two years that I am suffering from hip pain my Mir showed that I have tendinitis and gluteus mediums partial tear. The doctor wants that I have intra-articulate cortisone injection but I am concern about side effects. Could you please give me some suggestions. Thank you Doctor: Hi, there!You can do Cortisone shot in hip joint by orthopaedic surgeon, but consider physical therapy first. Ultrasound wave therapy with Diclophenac gel, for example.The side effects/complications of articular shot can be infection, blood vessel damage.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Is Cortisone shot advisable for hip pain while having tendinitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 21 yrs old.i am a pcod patient.i got married last year...I have irregular periods ...I am using obimet for pcod...last month I did follicular study...but found no ovulation ..dr prescribed me to take yasmine tablet... I read in net that Yasmin tablet is for birth control . I have a doubt that if I take Yasmin tablet then will it affect me from becoming pregnant. I want to be pregnant immediately. Please help me. Doctor: Hi welcome to Healthcare magic forum. You are 21 years old and got married last year only. More over you are a P.C.O.D patient. So don't get tense about conceiving. Mental tension is one thing that promotes infertility besides other factors. More over there is no ovulation so it may take time for your desire to come true. Anaemia is also one of the causes of irregular periods, and infertility. Regarding yasmin tablets , they are birth controle pills, but they will also help for treating P.C.O.D by suppressing the cysts. So you can use the pills with out any doubt. Besides i advise you some non medical procedures as Diversion procedures yoga, meditation, reading books, hearing music, and if interested gardening. Take more of green leafy vegetables, pulses, sprouts, egg, milk, meat etc to improve blood, and general health necessory for all deeds. Wishing for a fruit ful recovery and thanks for calling."
},
{
"from": "gpt",
"value": "Target: Trying to conceive, PCOD, irregular periods. Follicular study, no ovulation. Yasmin birth control safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! My 6.5 year old daughter's top incisors are coming out. They have done so normally until now, when they have both completely snapped off from the root, but are hanging from some pink fleshy substance. It doesn't look pleasant and they are literally swinging about on it! It doesn't hurt her and she can twist the teeth 180 degrees, but when /how will the teeth become detached if the fleshy bit is still alive? We have never seen anything like this and her two big sisters never had this problem. Thankyou Doctor: Thanks for your query. I have gone through your query.the retained deciduos teeth can be removed under local anesthesia and the permanent teeth erupts. Consult a oral physician and get the teeth and extra soft tissue removed. I hope my answer will help you. Take care."
},
{
"from": "gpt",
"value": "Target: What to do as the top incisors are coming out of the tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been sick for about a year. At first symptoms were mild occasional pain in abdomen. I noticed a enlarged area on right side around kidney area. A few months later it moved around toward his bk. Then awhile later to,his hip then completely covering his left side from waste down to leg. Pain is severe. He has a high tolerance for pain but it s got the best of him. I believe that whatever is wrong is very bad. Loss of weight. Appetite loss smothers sometimes. Has a bad cough Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care .Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query for your husband in details .* The movable swelling over the back indicates soft tissue lump as lipoma , neurofibroma or others , needs confirmation with clinical examination .* Rest of the symptoms as weight loss , appetite issues need detailed case examination .Hope this will help you for sure .Wishing him fine recovery .Welcome for any further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: How can a movable swelling on the lower back be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having tingling in my hands, feet and face/head. I experienced the same thing about 5 days ago. I have recently been exposed to Hand Foot and Mouth (one son and my husband got it). I do not feel sick or have any blisters. Could I be coming down with it or is this tingling likely unrelated and I should explore potential vitamin deficiencies or other problems? Doctor: Hi,Thanks for writing in.It appears that there might be a condition involving the nervous system in your body. The above symptoms like tingling are associated with conditions of nerves affected in various regions. This can be due to an acute cause or due to chronic problems like neuropathy associated with diabetes or auto immune disorders. History of any other medical conditions and medications that you are taking is important. Vitamin deficiency states can also appear as non specific symptoms as described by you. Please consult a neurologist and get a complete neurological examination done. Investigations like MRI scan brain and spinal cord might also be required for you. Treatment is after confirming diagnosis. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes tingling sensation in hands, feet and head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my son was born with s lymphangioma in his next. ..right under his left ear. Up until a few months ago you could hardly notice it! He recently turned 3 and in the last few months it has grown quite large ( about the size of a small orange) Since it has gotten bigger he has been sick with colds and throat infections constantly. I want to know, is there a connection? Doctor: Hi....usually lymphangiomas are associated with recurrent infections but only locally due to pressure effect or impeded blood flow. A lymphangioma under the left ear (could also be a cystic hygroma) cannot be the cause for recurrent infections in the throat and upper respiratory tract. You need not correlate both. But as such the lymphangioma may need surgical excision and histophathological examination.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for frequent infections and lymphangioma in left ear"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 63 year old with a damaged liver. I have been dying my hair a dark brown for 23 years. I do not smoke, drink, or take any drugs over the counter or recreational . My liver number was 240, I understand it should be under 50. I have no pain, I walk 3 miles every day and drink lots of water. Could the dye have damaged my liver? I m 5 5 weight 135. I have no medical problems. I went for my yearly check up and blood work, and found out about my liver. Doctor: HIWell come to HCMI really appreciate your concern, hair dye does not cause any harm to liver but of course this may cause anaphylaxis some time and this may be dangerous for liver, that is only matter of concern as long as hair color is concern, main chemical agent which may cause this is PPD (Paraphenylenediamine) and hair dye should be free from this, else this is nothing to worry, take care."
},
{
"from": "gpt",
"value": "Target: Can continual use of hair dye damage liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had protected sex less than a week ago with a girl and the very next day my scrotum and the area between my sack and butt were ichy and felt like my skin was kid of crawling, then about 3-4 days later i have really dark red patches on either side of my scrotum and the odd tingling every know and then. We used a flavored lube with heat in it i think both inside and outside condom, just wondering what this could be and if i should be concerned. Doctor: HelloThanks for query .itching of the skin in genital area following chemically lubricated condom is mostly due to chemical reaction to lubricants in condom .You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .along with topical steroidal cream like Betnovate twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes itchiness and dark red patches on the scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a cold or virus for 10 days now. I have had a bad cough and alot of sinus problems. I was coughing up yellowish flim and I called my Dr. and she perscribed antibotics for me I have been on the antibotics for 6 days. My sinuses seem better but still have a cough but not as bad. I do smoke maybe 5/day. How long will my cough last? Doctor: Hi thanks for contacting HCM...If your cough still not improving than digital chest x ray and spirometry (pulmonary function test done for further work up )To detect causative organism throat swab or sputum collection done and send for culture report ...According to which drug given.....You have smoking habit ....So it can lead more cough production ...It is better if you can get rid of smoking habit ....Meanwhile if trouble some dry cough present than codein syrup given and if cough with mucous ambroxol syrup can be used ...Your physical examination also necessary with auscultation also ...Avoid excess fried food and spicy food as it will irritate respi mucosa. .Hope your concern. Solved ..Take care .Advise : pulmonologist consultation for examination..."
},
{
"from": "gpt",
"value": "Target: How long will my cough last in spite of taking medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went home from college to visit my girlfriend one weekend and the week before she had some headaches and wasn't feeling too good. The Wednesday after she went to the doctor and was diagnosed with mono. Its been almost 4 weeks after that and I have had no symptoms at all. To my knowledge I have never had mono. How much longer should I wait before I kiss her? Doctor: Hello,Welcome to HCM,Infectious mononucleosis is also called as \"kissing disease\" and glandular fever which is caused by the Epstein-Barr virus (EBV).Infectious mononucleosis is a contagious illness and the infection can be spread by saliva and the incubation period is four to eight weeks.This can be diagnosed by blood tests. People who have this disease continue to shed virus particles in their saliva throughout their lifetime.This can be best treated with antibiotics like penicillin or erythromycin and NSAIDS can be given for fever, headache and body ache.Thank you."
},
{
"from": "gpt",
"value": "Target: What is the recovery time for mononucleosis infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a spider bite brown recluse most likely had it lanced and drained spent 6 days in the hospital been home for about a week now i have 3 abcess on my leg one was very large and painful it just burst before i was able to go to the doctotor, but unlike wen they drained the spider bite that was full of puss and some blood this was full of brite red blood and alot of it and it has continued to blled since it burst about 11 hrs ago? Doctor: HI, thanks for using healthcare magicDischarge from an infected area would contain a mixture of pus and blood so it is not unusual that blood was present in the abscess.You may still need to see your doctor because even though the abscess burst some pockets of pus may still be present that would need removal.Additional antibiotics may be needed.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes bright blood from abscess caused by spider bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been very lightheaded and tired for several days now. I went to the doctor on friday and he advised a full blood screening to be done on monday. However, today I have developed a headache and what I can only describe as pixel vision . Like I am standing too close to a television screen. I have not had this since I was about 16. Due to this previous episode, I was taken off of the combined pill and put on progesterone only however I was also seeing a cranial osteopath for the same issue so I am not sure which was the help. I have had the implanon implant since 08/2012 and was on Cerrazette (progesterone only pill) before that. I am now 25 years old. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of hormonal imbalance is more in your case. You are taking hormonal pills, so they might cause you hormonal imbalance and all the symptoms. Actually hormonal imbalance can cause stress, anxiety and mood swings. And all these can cause headache, dizziness etc. So better to get done hormone levels and if imbalance then change your hormone pills. Also consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's 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 treatment is suggested for lightheadedness and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11 year old daughter woke up this morning not feeling well, achy and stomach ache and then shortly after she developed a rash that has been going on all day/night. It flames up in one area like her legs and then get better buts moves to another area like her face. It has been moving around all day. The rash is dark red with some swollen areas and it hot to the touch. When it was on her face earlier she looked like she had a severe sun burn and her cheeks were swollen. What could this be? Doctor: your child has allergic rash,needs antihelmanthic treatment and anti allergic drugsstart with tab mebex /albend 400mg one in night,with tab atarax two tab twice a day for 3 days"
},
{
"from": "gpt",
"value": "Target: Suggest medication for stomach pain & skin rash"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having fungal infection in my inner thigh around my scrotum. It gets really sweaty and itchy at night while I am sleeping. How to stop sweating & itching? I wear loose pajamas but still the area gets sweaty even though the weather is not hot or humid. Doctor: Hello,For fungal infection on the thigh, you can take tablet Flucon or tablet Terbinafine and tablet Allegra. Also, apply Ketoconazole ointment locally.Keep that area dry. Wear loose dress. Wash all your clothes in an antiseptic solution. Kindly follow with detailed history or consult a dermatologist.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fungal infection in the inner thighs around the scrotum"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter tested positive for strep back in August 14. Was started on zithromax. A week later she had persistent symptoms and I took her back in. The rapid strep was negative they also cultured which they are just telling me now (almost a month later) that the culture was positive for strep A. She has had another round of antibiotics since then and been on allergy medicine as they thought the swelling was a result of allergies. She also has swollen lymph nodes, fatigue and a really hoarse voice. HELP! I have an ENT appt for her in a week but feel like everyone is blowing me off! Doctor: Thanks for your query at HCMStreptococcal A infection is curable. The swollen lymph nodes can be due to part of ongoing infections or allergy. You need to get ASO titre done from blood, as in some cases there is chance of Rheumatic fever or glomeruonephritis later.Get the blood culture done again if it come out to be positive use drugs based on susceptibility pattern found avoid penicillin, which is usually allergic. If it is negative you can take oral cephalosporins. But another possibility which cannot be ruled out is that it may be tubercular lymphadenitis too. If above treatment fails go in for ultrasound guided biopsy of lymph nodes and get ZN microscopy/ culture for Mycobacterial infection and also culture for routine aerobic/anaerobic infection. The correct diagnosis is the remedy for you.Take care. I will be happy to take any further queries."
},
{
"from": "gpt",
"value": "Target: How should streptococcus A with swollen lymph nodes and fatigue be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fourth toe on my right foot has been numb for 3 days. I have not been wearing different shoes or running long distances. Should I be concerned? What are some possible causes? It is only one toe, I do not have any symptoms, markers or history of diabetes. Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.Some swelling in the area is important cause of numbness. Elevation of limb is helpful. Mecobalamin is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Should i be worried of numbness in toe for days?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: a bug or a spider or something bit my foot, maybe an ant, and it was red and swollen after a few hours in a large circle around the bite, that was yesterday, today i woke up and my entire foot was swollen and red and burning and super hot now i cant even walk on it its 1.5 times the size of my other foot, i have it elevated and i took benedryl. i can barley move it its so swollen what do i do? Doctor: HI,Welcome to HCM,I read your query and i appreciate your concern regarding this issue.As per its allergic reaction after insect bite / Bee Sting so do not worry.If i will be your treating doctor I would advise you to- Take simple painkiller like Acetaminophen 1000mg after meal- Take Antihistamine like cetrizine 10mg at night- Do icing of affected area- keep your foot elevated.Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing.Hope so it will be helpful.You can write again in case of any query or follow up.Wish you good health.Regards"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swelling and burning on foot due to insect bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 month old just ingested a pencil eraser size amount of draw out salve--main ingredients are green soap, ichthsmmol, sulfated tallow sodium salt, white petrolatum--he did gag slightly, I immediately rinsed his mouth with water and saw no coloring in the water he spit out. He is acting normal. Should I look for any symptoms and what would those be? Doctor: Hello. I just read through your question. This is a very common occurrence in this age group. Fortunately, there is nothing toxic contained in the eraser. As long as he is breathing comfortably, we are reassured that the eraser is not in his lungs. It will most likely pass through him and come out in a bowel movement. I don't expect any symptoms."
},
{
"from": "gpt",
"value": "Target: Suggest side effects of ingested salve by 14 months"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Am under 21 and I play football I been having pains in my right knee for 6 months when I make certain moves i Have bad pain in the knee for example when am going up stairs it give me pain and when I run when I feel my knew it feel like am pulling a rubbing band and it makes a noise it concerns me alot what may be the problem Doctor: Hi Thanks for your queryI have gone through your query and understand your concern. As you play football so meniscus injuries are common in football players. So you can get your MRI of knee to rule out meniscus injury. You can take analgesic such as ibuprofen for pain relief. Quadriceps exercises will be useful for it. Gradually you will improve but if possible MRI of knee should be done. You can discuss with your doctor about it.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A couple of years back i got my ears pierced and since that day they were very itchy,and i noticed that a bump formed, its hard and when i squeeze it nothing comes out. So when i got my 3rd ear piercing it did the same thing. So i took them out for about 8 months already, and they haven t technically closed. How can i get rid of the bump? I really want to get rid of it and re-pierce my ears so i can wear earring for my wedding...please helpp!:( Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is hyperplastic healing tissue.You should tell this problem to doctor before piercing the ear. Because once the problem started it will be very difficult to contain them.I advice you to start using steroid before the piercing has happened.Right now the treatment will not affect much to your lesion. But you can try the injection triamcinolone in the bump. It will slowly digest the bump and it gradually disappears.If you start using thi injection before piercing nothing will happen.I advice you to take above treatment under your doctors guidance.Please maintain local hygiene by cleanliness and frequent dressing. This will aid in your routine healing process.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: What causes itchy ear and bump after piercing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 33 year old male, 6ft 1\" and around 15 stone, 2 days ago I suddenly noticed a peasized lump directly above my adams apple which appears to have come up overnight, its moveable and quite painful to touch. Any ideas as to what this might be would be much apreiciated. Doctor: Hello and welcome to HCM,A pea sized lump above the adam's apple could be swelling arising from the adam's apple or could be swelling arising from other structures around the adam's apple.You need to consult an ENT specialist for clinical examination, direct and indirect laryngoscopy.The investigations will determine the origin of selling, the extent and nature of the swelling.Management will depend on the result of investigations.The lesions which can give rise of such swelling are thyroid swelling, growth of laryngeal cartilage, any bony swelling etc.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: What causes pea sized lump above adam's apple?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old son has had a low-grade fever for 7 days (consistantly between 99.2 & 99.8). His tonsils look slightly enlarged. Not red or spotted, no postules. He coughs when he drinks milk or runs around. He is eating and playing. My question: Should I call his pediatrician? Doctor: fever low grade for seven days show be evaluated to rule out viral fevers which will cause low platelets and low hemoglobin.. better to do total cell counts and one x-ray..in some respiratory infections also there will be low grade fever.. keep a note on child weight.. if the baby is losing weight then consult pediatrician"
},
{
"from": "gpt",
"value": "Target: Does persistent low-grade fever and cough need medical attention?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son had a blood test that showed a high eosinophil count. he s had persistent headaches for 5wks, loss of appetite, more bruising than usual, night sweats and is more tired than usual. the doctor said he isn t worried to bring him back in 2 wks if he is still getting headaches. he s 4yrs old. if it were me with these symptoms i m sure it would be looked into much further than this. what do you think may be going on with him? Doctor: dear parent your concern is appropriate.it seems your child may be having worms infastation but this cannot be said for sure without examination and investigation, further.headache need to be looked into immediately.thorough examination and investigation s are better done ASAP, including ophthalmic check"
},
{
"from": "gpt",
"value": "Target: What causes high eosinophil count and headaches in toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in the ER on Oct 9th this year with another 4 mm stone . I believe it has not all passed. I have strained my urine and only got a few tiny stones. I went to the Urgent care a week later with very bloody urine and he gave me antibiotics in case I was getting a bladder infection . That did not help, so I went back to the ER about a week and a half ago and that doctor did nothing for me except tell me I did still have a lot of blood in my urine and gave me pain meds. I have a lot of stones as it is in my kidneys, most of them 3 mm or larger, total of about 17 in all. I feel as though this stone is still lodged in my ureter because I feel it sometimes and still have pain and blood. The worst issue is my urethra pain, especially on the left side. It feels like I have to urinate round the clock. The only relief is to take pain meds or put heat on the area. I have no insurance because I lost my job and it is really worrying me due to the fact it has gone on so long and this pain in my urethra is not an infection, and I have tried Azo over the counter and that does nothing. Help me. Doctor: Hi Thanks for your query. If you have multiple stones in your kidney they can definitely cause blood in the urine. Also as the stones pass down the ureter into the bladder they often cause severe pain. I suggest that you should see a urologist as early as possible for definitive therapy for the stones Meanwhile drink lots of water. Good luck."
},
{
"from": "gpt",
"value": "Target: Having kidney stone, blood in urine, pain in urethra. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 20 year old son has been spitting up blood. He had a paratonsillar abscess 1 year ago and we looked in his mouth for a reason why he would be spitting up blood. My husband says that the area where the abscess was there is something going on which could cause my son spitting up the blood. I made an appointment with the ENT that took care of the abscess. The doctor did a thorough exam ans stated that there is no abscess or any indication of why my son would be spitting up blood. During his exam, the doctor noticed my son s nodules are enlarged. He sent my son for a chest X-ray as he said that we need to take this serious, which I do. The doctor stated that he may refer my son to a pulmonary doctor and may need to biopsy the lymph nodes. The X-ray shows prominent perihilar markings and hyperexpansion. What does this all mean? Doctor: Spitting up blood, swollen glands, and an abnormal chest x-ray indicate a serious process in the lungs. It could be infection (tuberculosis is a big concern), some kind of inflammatory process (similar to lupus), or even cancer. Prominent hilar markings could be swollen lymph glands in the chest near where the lungs start from the major bronchial tubes. The peritonsillar abscess a year ago is not likely related. He could, however, have an abscess deeper down in the lung passages. Seeing a pulmonary doctor promptly and getting the lymph nodes biopsied is exactly what he should do.Hope this answers your query. If you have more questions, I would be happy to answer them."
},
{
"from": "gpt",
"value": "Target: Why is my son spitting up blood with paratonsillar abscess?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a kidney removed 4 years ago..cancer. I feel terrific but in the back of my mind I keep asking myself...how do I keep my other kidney healthy since I only have one. ...In other words...what is the best type of diet to keep my remaining kidney healthy. . Doctor: Hi,I can understand your concerns. There is no need to worry too much about the health of your kidney. Any food which is healthy for your heart will be good for the kidney also. Just take care of the following things in your diet:1. Eat food rich in antioxidants. These include red pepper, red cabbage, red leaf lettuce, cauliflower, cherries, strawberries, cranberries, blue berries, plum, apple, red grapes, onion and garlic. Try to take as many colored food items as possible.2. In animal protein, try to take egg white and fish instead of meat.3. Use olive oil and vegetable oil instead of butter, lard and shortening.4. Make sure you take regular and adequate fluids. Prevent dehydration.5. Limit sodium intake (about 2.5 g/day).In addition to these aspects of diet, please note that hypertension, diabetes and hypercholesterolemia can worsen kidney function. You need to get checked for these diseases regularly and control them if you already have any one of them. Regular exercise is important to prevent and control these three problems.Regular medical check-up (as per your Urologist's advice) is important to diagnose and treat any precipitating factors early. Checking 24 hours urinary protein can show early damage to kidney. Proteinuria is a marker of kidney damage. If this is found in follow-up, it can be treated with specific drugs.Be positive...Eat healthy...If you have any queries, please do not hesitate to contact me,Wish you a good health,Dr. Raguram."
},
{
"from": "gpt",
"value": "Target: Best type of diet to keep the remaining kidney healthy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a grandson who's bp is 140/80 lying down-147/80 sitting up-and 166/83 when holding his breath like he is scared..the doctor said it was due to his diabeties..so what is he expected to do..put him on med to protect his kidneys and heart..wht does all of this mean for his health in the future? Doctor: as your grand son is a diabetic patient ,his blood pressure should be less than 130/80. otherwise he will be risk for chronic kidney disease / heart disease/ strokes in future.so needs to start drugs for his blood presssure reduction and protection of kidneys . he may need further investigations such as urine micro albumin urea and serum creatinin. so consult a specialized general physician for further investigations and management."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for high bp"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a bladder infection in July and was given antibiotics, cipro XL, for 10 days. After taking the antibiotics I continued to feel symptoms. I ended up going to the ER and was told that there was no infection but that maybe 1 was starting so I was given Keller for 7 days. After taking this course of treatment I continued to feel the symptoms. I had an intravaginal and pelvic ultrasound, kidney X-ray , cystoscopy , and all have come back very normal. I still however don t feel back to normal. I have pressure in the lower pelvic area and feel he need to urinate more often. I also feel a burning sensation in the urethra area. What else can this be? Doctor: Dear Patient Hello With the discription of your symptoms and all investigations being normal this appear that you are suffering from over active bladder. You can discuss about this with your urologist. He can prescribe some anticholinergic. thanks Dr AKD"
},
{
"from": "gpt",
"value": "Target: Taken antibiotics for bladder infection. Ultrasound normal. Pressure in lower pelvic area, frequent urination, burning in urethra"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son has a large lump on the bottom of his calf when he was 5 or 6 they said just keep an eye on it if it gets bigger have it checked out well he is 11 went in for his 6th grade shots and they said it is a tumor it has gotten bigger with his age but not outgrown his size or you could say it is no bigger than his muscle has grown the insurance wont do the MRI with out the X-ray first and the DR said it is fleshy and the x-ray wont show anything and he does not want to put radiation on it - if this is cancer should we just do a biopsy Doctor: It is best to undergo a needle test first called FNAC. If this confirms or shows suspicion of cancer then you can think of a biopsy and even this can be done with a thick bore needle (called corecut biopsy). This will conclusively tell whether this is cancerous or not. It doesnt appear cancerous though based on its slow rate of growth over so many years. Cancers generally grow much faster."
},
{
"from": "gpt",
"value": "Target: Should a biopsy be done on the calf tumor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 26 year old male 6'3 230 lbs and I have had some itching problem mainly around my jock. I have had itching and when I am normally up and doing something I dont seem to have much itching at all but when I want to lay down and take an easy I seem to itch more. On my sack I have red bumps or lumps dont know what to call them but they keep popping up and have a tingle to them and can itch and I have to rub them to get relief. I dont know what they are but I was wandering if you had any clue to what they could be. The isnt any discomfort but just have some irritation in my sack and a itch that wont go away. Doctor: Hi, It may be scrotal dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper diagnosis. The disease may be due to some irritants like perspiration, soap, detergents, clothes, deodorant etc. I would recommend you to take antihistaminics like cetirizine. Apply mild steroid cream. If needed, a short course of antibiotic may be taken. Do not apply soap while bathing. Keep the area dry. Wear cotton clothes. Avoid worries and stress. Mental upsets might exacerbate the disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What causes itching on the testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, there I was wondering i have MEN type 2b and i was thinking about taking a testosterone injection to gain some muscle size .would testosterone make the cancer cells grow or will i be fine i'm just inquiring because my doctor won't tell me anything when i ask him due to my father.... Doctor: Hi, dearI have gone through your question. I can understand your concern. You have MEN syndrome. Testosterone injections does not increase the risk of cancer included in MEN syndrome. However it should be use cautiously to gain the muscle mass. Consult your doctor and take only with prescription. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Will taking testosterone injection cause cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my mother is 58 and her whole abdomen ultrasound remarks is: FATTY LIVER GALLBLADDER POLYP . NORMAL PANCREASAND SPLEEN. RENAL PARENCHYMAL DISEASE, BILATERAL WITH CORTICAL CYST IN THE LEFT KIDNEY CYSTITIS. NEGATIVE ADNEXAK MASS It is stated that in the left kidney, the renal parenchyma: Cortical cyst, 0.9x1.0cm, increased parenchymal echogenecity. In the right kidney, Renal Parenchyma: increased parenchymal echogenecity WHAT WILL BE YOUR SUGGESTION WITH THIS? IS THIS OK, NOT TOO SERIOUS? WHAT ARE YOUR ADVICES THAT MAY HELP? THANK YOU SO MUCH GOD BLESS! Doctor: Hi Welcome to HCM. She needs to do blood test like urea and creatinine and electrolytes. Sugar needs control if diabetic. Urine culture needs to be done. If she does not have breathing difficulty, she can be managed at home, otherwise pl. attend the ER. Regards DR GS"
},
{
"from": "gpt",
"value": "Target: Can an online doctor check the whole abdomen ultrasound report and advice ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi myself tapu & Iam suffering from allery near about 2years.It might be happen because of acidiy.I am taking Livosiz 5mg & ranitidine.Its not curing for life time.Allergy is happning in everyday.So please give me some advice which will help me from this allergy. Doctor: Hello Tapu,Thank you for asking at HCM.I went through your history and assume you have skin allergy (hives/urticaria).I would like to make following suggestions to you:1. I usually prescribe my such patients daily antihistamine like cetirizine/levocetirizine and a short course of anti-parasite drug for intestinal worms. Sometimes worms can cause such symptoms.2. I would also suggest you to apply calamine lotion over itchy areas. Please do not scratch the itchy areas, scratching would worsen the itching.3. I would suggest you to take a multivitamin-multimineral supplement for 2-3 months. It may help.4. I would suggest you to avoid activities producing excessive sweating and too hot or too spicy foods. 5. If you are having acidity despite regular taking ranitidine, I would suggest you to take omeprazole for at least 6 weeks before meals.6. Please avoid smoking, alcohol and caffeinated beverages as much as possible.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Could frequent attacks of allergy be due to acidity?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i had a test in november which shows everything is normal, but i had recently blood test as i had itchiness all over my body for 2 weeks, and the result showed that the liver enzymes are so high, like sgot 529 , and akp 284 and jgt 787 , what can cause this happen? Doctor: Hi thanks for asking question.Do you have done your USG of abdomen ??Do you have high cholesterol and so on gall stone??Here USG abdomen done to rule out gall stone and hepatomegaly.It might lead obstructive jaundice and so itching is present.If you have taken outside food then it might be hepatitis A as you have sudden presentation.Viral market done to rule out viral hepatitis.If you have habit of alcohol then also liver enzymes elevated but presentation is not such a sudden.If having habit then stop alcohol drinking.Meanwhile take ursodeoxycholic acid and less fatty diet.Cutt of oil in diet for few days.Fruits taken more.1 teaspoon licorice powder with honey taken daily.Papaiya seed with lemon juice also good herbal remedy.I hope your concern solved.If still need guidance you can provide follow up report and still further guidence can be given...Dr.Parth Goswami"
},
{
"from": "gpt",
"value": "Target: What is the cause for high sgot,aka and jgt?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 64 year old female with high blood pressure! The problem is I have a foot that has swelling and blackness to it! The clinic that treats my blood pressure has diagnosed it to be elephantitis! can you give me any advise on this? I am 5'3 and around 100 lbs! Thanks Joyce Hamel Doctor: Hi, dearI have gone through your question. I can understand your concern.You have elephantiasis. It is caused by microfilaria. You should take anti filarial medicine like ivermectin and albendazole. Avoid fatty food. Surgery is helpful in large size leg but multiple surgery with skin grafting is needed. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for elephantitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to my doctor a few months ago told her I have problems exercising with out my heart beating fast and making it difficult and painful to breathe. Now I notice a popping in the right side of my chest underneath my breast in between this little area that feels like a bone it feels like there s a lot of pressure in my chest that s almost really painful. What could this be my doctor says she doesn t think I have asthma and if I increase my exercise it will probably get better but I haven t told her about the popping noise and pressure in my chest yet. Doctor: Get done ECG . Check ur blood pressure. Get examined when u have such complains. What's ur age? R u having thyroid problem?"
},
{
"from": "gpt",
"value": "Target: What causes rapid heart beat and painful breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently found two small lumps on either side of my right ankle. They do not hurt and are kind of hard. Then i started getting small lumps on my left leg on and near my shin and on my right leg. They are very small and do not hurt. I am 47 yrs old female, and beginning menopause. I have been taking melatonon at night, one tablet, because I can't stay asleep. I think the lumps started around the smae time I started the melatonin. Could there be a connection. What could these lumps be? Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,after review I would suggest you to check with your Dermatologist and to rule out the lumps on the legs,as your need for Melatonin for sleep may be overshadoing the Melanomatous Cancer,which you correlate,as the time of occurrence is after the intake of Melatonin.I would suggest you with your treating doctor,whether he gave the Tab Melatonin for sleep disorder ,which is uncommon at your age,as he would be knowing the real reason of starting the Melatonin.FNAC Biopsy from Surgeon ,if need be fix the cause of your lumps and the need for Melatonin for sleep problems in your case.No doubt Melatonin is used as Sleep inducing tablet but at a later age after 55 yrs.Hope this reply resolves your worry with your queries.Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: What causes randomly occurring lumps on legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my friend is experiencing pain and tingling in her feet.. it sounds like neuropathy to me but i am uncertain of course.. i am diabetic and have it myself.. i tested her and her levels were fine.. we are just curious if this is what it could be or what she could do for her discomfort... thank you for your time!! Doctor: Pain and tingling in the leg probable cause-Radiculopathy-spinal nerve root compressionNeuropathy- systemic disorders like diabetes ,leprosy,neuron disorders.Vascular causes-impaired blood supply to the legIf symptoms persist for more then 6 weeks consult local spine surgeon he may suggest you couple of tests like-Mri spineEmg/ncv of legColor doppler of legBlood sugar."
},
{
"from": "gpt",
"value": "Target: Pain and tingling in feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi this is visva and i have a little bit problem such as \"fungus in my soluder \". It has been for the past one year. I consulted with doctor some months ago . As per doctor suggestion, I am using \" flucox \"ointment . Doctor informed me that it could be fungus. After using this ointment, this problem is still continuing. pls let me know how to solve it. Please Advise Doctor: Hi,From history there might be having fungal infection i.e Tinea versicolor infection.Along with local application of anti-fungal cream you might require one course of anti-fungal medicine like Flucanozole 150 mg once in a week for four weeks.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to get rid of fungus in shoulder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i am a 55 years old male and 1 year now i was diagnose with kidney stones they stuck in my penis i dont have the amount of money to go and do a surgery now i really cant afford it rite now because of this am unable to work my kids are almost dropping out of school please am asking you what you can do to help me,is there something that i can drink to pass them?when i urine it pain i can feel them sticking me and blood coming please please THANK YOU Doctor: hai,taking more water frequently is the only way to get out the kidney stone as it should be minimum 2 to 5mm.as it came down to penis possibility of getting out is more.because of stone irritating the wall bleeding is there. you can have ice application to reduce the pain and bleeding temporarilytake more coconut water and water frequently will help.thank youhope i answered your query"
},
{
"from": "gpt",
"value": "Target: Is there any home remedy for kidney stone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, for months now everytime i wake up my lungs hurt in my back so bad it hurts to take a breathe. This is only when lying on my back. I purposefully fall asleep on my side, but wake up on my back almost paralysed in pain. Any idea why this is happening. I have no insurance and Fibromyalgia and Im only 22. So when I go to the doctor it has to be for something serious... I weigh about 120 so theres no unnecessary pressure on my organs Doctor: This is not due to any lung disease. You may have some vertebral or other bony problem in rib cage. Consult with an orthopedic doctor."
},
{
"from": "gpt",
"value": "Target: What causes lungs pain with breathing difficulties?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a accidental slip a year before and landed on my left wrist. Had severe pain and immediately went to a leading orthopeadician. He took Xray and said no fracture so a simple crape bandage should be suficient. But even after 3 weeks there was no improvement hence another doctor suggested and put a cast. Now after nearly an year the pain has been severe. Hence went for a MRI which says there is a TFCC 60%tear. What are the non surgical treatments available for this. Doctor: The non surgical management includes wrist range of motion exercises and an analgesic when requiredhope this helps"
},
{
"from": "gpt",
"value": "Target: What are non-surgical options to treat TFCC 60% tear after injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband is having stomach pain just below the ribs.please help to reduce the pain now. its night now and not possible now to consult doctor . Doctor: hi, welcome to hcm thanks for the query from the history it appears to be gastitis(acidity) you can take antacids . like ranitidine or antacid gel(gelusil) take light diet. if tomorrow it continues then consult your doctor take care"
},
{
"from": "gpt",
"value": "Target: How to reduce the pain of stomach just below the ribs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had a heart Cath, which was good. My glucose, cholesterol were good in January 2013. I m a female, 41 yrs old, 5 3,wt 210 and on Carvelidol for BP. I ve been feeling nervously and jittery for 5hrs. no heart palpitations. Could it be a thyroid disorder? I could go to the doctor, but currently have a lot of medical bills from the hospital, cardiologist and radiologist. Doctor: Dear Mrs,If you have symptoms for only 5 hours, there is nothing to be concerned, it can be a simple stress.If you have those complaints continuously, then you should have thyroid tests done.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards,"
},
{
"from": "gpt",
"value": "Target: Suggest medication for nervousness and jitter"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am Farha 35 yr old lady and married since 11 yrs but having no child. Presently i have consulted a gynecologist and started IUI treatment, I am on Menogon75 injections for four days starting from yesterday but . suddenly i started spotting blood today after I had my first injection yesterday . Its eighth day of my periods and its quite unusual for me to feel spotting I never in my life had this spotting coming on my eighth day of periods. Is it due to Menogon? Is is safe and should I continue further taking Menogon for three more days?? Please reply Doctor: Hi,Menogen contains menotropin hormone and it works by facilitating the maturation of follicles in the ovaries which contains the eggs. This helps treat female infertility due to improper egg production (anovulation). Spotting may occur with the drug but the injection should not be stopped. Continue the injection and check your estradiol and LH levels to check for ovulation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does Menogon cause spotting during periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in a car accident a week and half ago (rear-ended- I was stopped and they were going about 45). Physically I am treating a sore neck and back (via chiropractic and massage therapy), but my question regards how tired I am. I have had severe depression for most of my life, so I deal with fatigue from that, but after the accident I feel the need to sleep all the time, find it too effortful to explain things, and generally just feel emotionally/mentally/physically exhausted. What should I do? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.There are many causes of such symptoms. You should get exclude these such as diabetes, thyroid disease, Vitamin B12 and vitamin D deficiency. You can get treatment according to results of these tests. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sore neck and back after accident"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I broke the bone on the side of my hand (under my pinky finger) the dr. At urgent care wrapped it until I can get in to see a orthopedic dr. He said my bone is split about 2 mm apart. I m wondering what they will do...pin it with surgery, numb it and fuse it back together? Doctor: Hello, As the fracture is just 2mm apart I don't think the surgery will be taken as a choice. It will be treated with an immobilization using the plaster and wait for 4-6 weeks of time. In this duration, multiple x-rays might be taken to check the healing of bone. Once the healing is optimum then the cast will be removed and you will be advised to undergo physiotherapy to improve the range of motion of the finger joints and improve the strength of the hand muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: How to treat the fractured bone of hand?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr.PrasadI have an issue with my skin.I am getting rashes all over my body with icthy feeling and they turn black later,can i know the reason for this and how it will be cured.are these symptoms to anything,please help me out i am suffering a lot with these marks and icthing. Doctor: Hi, Itchy rashes healing with pigmentation could be due to a condition called prurigo. You should break the itch scratch cycle by taking antihistamines. I would recommend you to consult your Dermatologist for treatment of skin lesions as the treatment option vary depending on the extent and type of skin lesions. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What is the treatment for itching and rashes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor my nine month old daughter is having fever n is vomiting since three days.... vomits in huge quantity n motions in huge and sticky. Doesn't eat and doesn't have milk. I went to doctor in the morning and he said that is bcoz of infection in stomach. Doctor priscribed below list of medicine1) Zanocin Liquid2) ORS 3) Ondem Liquid Doctor: HiYour doctor is correct.Your daughter has infection of stomach.Apart from the above mentioned medicines,please give her paracetamol for fever.She has to be given Econorm sachets also.Sometimes,simple zanocin may not work.Another medicine Ornidazole/Metronidazole should be addedIf she is not eating anything by mouth,please give fluids intravenously.Wish her speedy recoveryRegards"
},
{
"from": "gpt",
"value": "Target: Have fever, vomiting, infection in stomach. Prescribed zanocin, ondem liquid. What is going on?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor , this is rahini kumar and iam 41 yrs old and iam 72 kg. Iam under treatment for pregnancy .I have both tube blocks, thyroid.I have been given eltroxcin 150 mg, and absolute 3g,native c 400g,astryn forte,lrzin forte.I was adviced to take luprid injection last month till my periods, but when i went for scan on the second day of my periods the doctor said that the result is solid and they said that iam not able to produce eggs.I discontinued my cycle and i went this month for scan on the second day of my periods. They took a blood test of LH, FSH and prolactive serium. The result shows that FSH is 12 and the doctors are advicing me two options,one is to have an injection which will help to produce eggs which will cost me around 40,000/- and another is to go for an donor.I would like to ask you doctor that how positive it will be in taking the injection and what will be your advice in this regards.What should i do, go for injection or to go for a donor. Will there be any side affects in future.If at all i take the injection how healthy will be the eggs, because the doctors has adviced me that the eggs will not be healthy due to my age factor.Please advice. My mail id is [email protected]. Iam waiting for your reply so that i can proceed my treatment. Doctor: Hi Rahini Welcome to HCM Read your prob. hypothyroidism is mommon cause of infertility. as you are 41 yrs of age so you should go through donor egg. dont try to produse your own egg. as in this chance of getting pregnant is neglagible n due to age factor there is chance of genetic deformity in fetus. so you try to get pregnant by donor egg. Dr aseem [email protected]"
},
{
"from": "gpt",
"value": "Target: Have both tube blocks and thyroid during pregnancy. I have been given eltroxcin 150 mg, and absolute 3g,native c 400g,astryn forte,lrzin forte"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been involuntarily tightening the muscles in my body. for the last couple years. I find myself stiffening my legs, my arms, my tonguehips , neck, pretty much everything, but not all at once necessarily. then i relax the muscles when i notice i am stiffening my muscles...... my tongue also stiffens and goes to the roof of my mouth, so much so that it puts my teeth grooves on the sides of my tonge which i see when i wake up .... this stiffening happens any time of the day we d have neurological problems in family history i also was in accident and had mild concussion and took pain and sleep mediations it all seemed to start after that occurance, slowly for the last ten years about Doctor: Hello, Since you have a family history of neurological problems & now you are experiencing muscle stiffness in various parts of the body you are suggested to visit a neurologist & get clinically assessed to detect any developing peripheral neuropathy. You will have to get Nerve Biopsy, Nerve conduction tests & X-Ray, CT & MRI done. Your treatment will depend upon the pathology detected. The factors that may cause muscle stiffness are amyotrophic lateral sclerosis, a progressive neurodegenertive disease, fibromyalgia, muscle strain, myofascial pain syndrome. In the meantime take food rich in Vitamin B6, B12, folic acid & minerals. You can take vitamin B supplements also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes tightening of muscles in my body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been having left side flank pain and side cramping. I was tested last week with a lot of white blood cells in my urine. My doctor thinks I may have a kidney infection and I've been on antibodics for 5 days now and I'm still not feeling better. I also have been passing sludge like stool that is black. Is that related to a kidney infection? Doctor: Hello Thanks for query . Sever left flank pain with black sludge like stools can be mostly due to infection of colon (Colitis) and needs to be investigated .Get following basic tests done to establish diagnosis 1) urine routine and culture 2) Stool examination 3) Ultrasound scanning of abdomen to rule out presence of urinary stoneTake combination of antibiotic like Ofloxacin and Tinidazole twice daily for 5 days 2)Ensure to drink adequate water 3) Pantaprozole twice daily 4) Anti spasmodic like Cyclopam twice daily ,5) Avoid spicy and oily foods 6) Take soft diet with adequate curd ,rice and buttermilk.This should work for you .Dr.Patil.."
},
{
"from": "gpt",
"value": "Target: What causes left abdominal pain, cramping, hematuria and black stool?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday I was feel very cold and few minutes later my hands shaking so I can not hold anything. because I have Diabetes I though was lower and I took Orange Juice one Glass .Meantime I call the Emergency When the Emergency First Aid Arrives I was feel ok I went to Hospital and I was feel very good so I left, In few hours I have the Same Symptos so I Dring Again Orange Juice same in 30 minutes I was Ok looks that the orange Juice helps. What is your Opinion. Doctor: Hi,It seems that you might be having hypoglycemia giving rise this problem.Go for blood sugar fasting and PPBS to know the blood sugar level.After report adjust dose of your anti-diabetic medicines.Take less diet but frequent diet to prevent lowering blood sugar level.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Why am I feeling cold and having shaking hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dr. I am a woman of 53. I had once a blood pressure of 230/120. I was hospitalised . now I am fine however. I went for a bone density and mammogram and it was picked up something on lung. possibly due to my scoliosis. I was told to get a chest xray. please tell me what does it mean when it says left ventricular configuration to the heart and mild unfolding of the aorta. thank you Doctor: Mam left ventricular configuration, means the border if formed by left ventricle which may be normal or mildly enlarged and unfoldinge of aorta is old term suggesting the mediastinum is mildly enlarged, as I am not an radiologist, I will stick to clinical relevance which will be helpful to you. As you suggested your BP was on a high side it's likely there will be some thickening of your heart muscle, which we call concentric LVH. I will assure you it's normal and you shouldn't worry about the same. However if available just to confirm what I suspect based on short history you have mentioned, do get a 2d echo cardiography if available. Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: X-ray report- Left ventricular configuration to the heart & mild unfolding of aorta"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 6 and started a little cough last monday week ago then thursday he was complaining of sore tummy had diarrhea and sore throat also high temps of 39, the last 3 days he has had high temps on and off and coughs that much he vomits and has lost his appetite and is just drinking water but just then pretty much vomited up all he had in him, what is wrong?? Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs or nonspecific multiple symptoms like this, could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes coughing, diarrhea and stomach pain in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I recently been diagnosed as severely anaemic my ferritin level is at four and I was wondering what should I do them is taking iron pills enough or should I be getting a blood transfusion of some kind or shots or something? Doctor: Hello, So if you have symptoms of anaemia like breathlessness and severe fatigue, or if you are unable to take iron tablets, transfusion is indicated. Otherwise, you can take iron tablets. Else, you can take injectable iron also. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Deepak Sundriyal, Oncologist"
},
{
"from": "gpt",
"value": "Target: Should I undergo a blood transfusion or take an iron pill for low ferritin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My age is 30, weight is 84kgs, height is 5ft and I am a female. Last time when I ate prawns I had severe chest pain. Next day I visited my family doctor. After tests were done I was diagnosed with high VLDL cholesterol(262) and diabetes (182). I started taking medicines and everything was fine for the past 20 days. Today again I had prawns and I had a sharp cramp like pain in my heart for 20 seconds and then heaviness in the chest for more than an hour. Is it because of prawns? Thanks in advance. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, this kind symptoms after specific food (prawns) is mostly due to acute gastritis. Some food items produce excess acid in the stomach when ingested. Prawns is one of the these items. So Prawns induced gastritis is common thing and you are having this only. No need to worry for heart diseases. You should take pantoprazole tablet on empty stomach before eating Prawns. If possible better to avoid eating Prawns. Avoid excessive hot and spicy food. 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 pain in chest and heart after eating prawns?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello DR..i am 20yrs old,i was suffering from viral hepatatis...2day i took my LFT..and the results are:-Total Billrubin 1.1,direct billrubin .7 and indirect is .4my SGOT is 175,and my SGPT is 208..my A/G ratio is 1.2 pls give ur valuable suggestions to me..is there any problem because of the high level of SGOT nd SGPT??.thanks.. Doctor: Hello and thank you for your question. There are treatments for hepatitis but you would need to see a liver specialist to know which one is best for you. There are several types of viral hepatitis and you need to know which one you have to determine which medication is right for you. They may even need to do a liver biopsy in order to determine the stage of your liver disease. Elevations of SGOT ad SGPT are signs of liver irritation and are common in patients with hepatitis. Please avoid any alcohol or acetaminophen as these can further damage the liver. See a liver specialist for a determination of which treatment is right for you."
},
{
"from": "gpt",
"value": "Target: What is the treatment for viral hepatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother in law is in remission from limited stage small cell lung cancer and she wants a partial hip replacement. Her doctors gave her clearance for the surgery but I m afraid she won t heal well. will this surgery possibly cause her to relapse with cancer due to stress on her body? Doctor: Thanks for your question on HCM.In my opinion you should not worry for relapse.Partial hip replacement is done under spinal anaesthesia and stress level and risk both are less than general anaesthesia. And doctors have declared her fit for surgery means she is able to cope up with the surgical stress.So no need to worry about relapse. Get done surgery. And continue her chemotherapy cycles as per schedule."
},
{
"from": "gpt",
"value": "Target: Is a partial hip replacement advisable when in remission from lung cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am cleaning out my medicine cabinet and I found these pills with the imprint of GFL 25. So far, I found they may be in the ephedrine category. I have allergies, so I am guessing they are probably comparable to sudafed or actifed. Could you confirm? I have thrown out the box for more room, so I am marking them with a marker what they are for. Thank you, Reina Doctor: Hi Reina, Thanks for using HCM.Since you don't have the cover / label of these drugs and these drugs are open, I advice not to use these drugs. They may be any drug, might have completed the expiry period. If you require any drugs then buy it from your drug outlets. Also I advice you not to store medicines for longer days as they require different storage conditions like temperature, light etc. So buy new required drugs.Hope this clarified your doubts.Wish you good health.Regards"
},
{
"from": "gpt",
"value": "Target: Have allergies. Ephedrine and sudafed. Is medication correct?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My throat has been producing this frothy white sputum and I always spit it off. I don't have productive cough at all. I also experience chest and back pains later of the day. I'm f, 23 years old and a month ago I was diagnosed to have minimal pleural effusion. After a week of antibiotic treatment, my cxr states that it is back to normal. I just don't understand why my backs keeps on aching. Doctor: The back pain could be musculoskeletal in nature and excessive froth could be because of allergy. Do you have any allergy issues? You may take a tablet of montair lc daily for a while which should help you."
},
{
"from": "gpt",
"value": "Target: Does pleural effusion cause back ache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Im 28 years old and suffer severe short term memory loss, feels like everything is slowing down, finding simple things like shopping harder and harder have difficulty organising and difficulty in concentration. it is really stating to effect my life please help is it possible that im not using my brain enough so it has slowed down? Doctor: The symptoms described by you are suggestive of depression and short term memory loss in this situation is known as Pseudodementia. Consult a good psychiatrist.Hope my answer will help you. Take care. Don't forget to rate me."
},
{
"from": "gpt",
"value": "Target: What causes short term memory loss and suggest treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good Evening, my fiance is a TBI patient. His has full use of many of all his abilities. His processes are often a little slower than others but he does well. He has impulse issues. Lately, he has had several behavior control issues and it has caused a great deal of difficulty getting him to relate and understand his actions and/or behaviors. He will say he didn t do this or that when in fact he did. He feel asleep while I was talking to him via skype. In combination of all these recent changes, the relationship is strained. How do I help? Doctor: Hi there, thanks for writing. TBI patients are a very complex population with many individual needs. Based on your concerns, it seems like your fiance's problems are less physical in nature but more related to cognitive/behavioral issues since his injury. I would recommend you reach out to his primary care doctor to help coordinate cognitive rehabilitation for him. Some rehab centers even have TBI clinics where they can specifically tailor the treatment to your fiance's specific needs. I wish you the best of luck and hope my answer was helpful to you."
},
{
"from": "gpt",
"value": "Target: Suggest therapy for a neural problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My wife is carrying and child is 35w 4d old. During full growth scan it was observed that there is a mild dilation of right renal pelvis. Ap diameter of right renal pelvis is 9.5mm and left renal pelvis is 6.6 mm. My Doctor said nothing to worry like that. I am having fear that what anamolies can occur to child in future. Is this curable In future? What is the possible reasons for this dilation? Please help me to get answers.. Doctor: Hi there,,Please do not worry.Unilateral(one sided) dilatation of renal pelvis is not at all a concern especially, if it is less than 10 mm. This will most definitely 99% of the time resolve by itself after delivery.It does not indicate anything significantly wrong with your baby.If the baby passes urine in the first 24 hours of life, that would indicate that the kidneys and renal systems are working fine.You could just get an ultrasound of the baby done at 3 months after birth to reassure yourself.Do not be concerned.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: Can mild dilation of right renal pelvis affect pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HELLO PLEASE I AM ASKING ABOUT THE WAYS TO MOTHER ABABY my husband is xxy . he had some sperms inthe past =one hundred thousand sperm for about 6 months last year we tried to have ababy using asperm from the testiculor but it failed does the stem cells help im 34 years old and he is 38 please answer with respect laila Doctor: Hello, no dear instead of stem cells rather try donor semen to acheive a healthy pregnancyIn case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain"
},
{
"from": "gpt",
"value": "Target: What is the treatment for infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve noticed this problem for quite some time now, but today it s been going on all day. In my left groin area, i feel this slight vibration feeling. It comes and goes. I will feel it vibrate for 5-10 seconds and then stops for a minute or two. It s not on the surface but inside. Doctor: dear sir/ madammost likely you might be feeling femoral atrery pulsations, in a specific posture, if there is no pain or any discomfort i sugest leaving it alone,"
},
{
"from": "gpt",
"value": "Target: What causes intermittent vibrations around the groin region?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helloI am having lower abdomen pain for last 2days,...I have taken paracetamol 3 doses already (as the nurses in medical centre suggest), and its reduced little bit. the pain is always there...but can feel only if i got some pressure in my lower abdomen,...today morning I feel that I have a bad stomach too. Doctor: HI.Paracetamol alone will not help for pain in abdomen. Since you have pain in the lower abdomen which increases on pressure, and now you have a bad stomach too; I would suggest you to consult a Doctor to get examined , investigated and get a prescription of a proper antibiotic , probiotic and supportive medicines. Get a course for 5 days. If you do not get a complete relief you may need further investigations like ultrasonography."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 13 yr old daughter who has had jar since she was 2 has had numerous other issues her whole life. She has been diagnosed with IBS last yr. She also has anxiety and. Post traumatic stress disorder. For the last couple of months her ankles and knees has been hurting her like her jar but she is in remission and not taking meds and has been examined by her rhyme and he says no swelling. Now she is acky all over and hurts more under her armpit and one side on the neck. She still gets pains in her lower back kidney area that we just keep telling her is because she doesn't drink enough of anything daily. I'm tired of being told its nothing what do I do now Doctor: Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants like SSRIs (escitalopram, sertarline, paroxetine etc) 2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc 3) Psychotherapy/ Counselling sessions 4) Relaxation techniques like yoga, meditation, deep breathing etc Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Anxiety, post traumatic stress disorder, pain in ankles, knees, armpit, lower back. Diagnosed with IBS. Recommendations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had suspicious breast tissue biopsy and will hear results today. They found irregular persistent density in the 9 o clock region of the left breast. Focused sonographic examination of this area reveals a hypoechoic structure taller than wide and measuring 1.2 x 0.9 x 0.8 cm. Are these usually cancer? Doctor: Hi,Thanks for writing in.Focused breast ultrasound helps to determine characteristics of doubtful lesions in the breast. As described above, there is a dark area as seen on ultrasound at the 9 O clock position. This is marginally taller than wider if we take measurements as 1.2 x 0.9 x 0.8 cm. In some research studies, it has been found that 74 to 80 percent breast lesions which were taller are malignant. This way breast biopsy is the best confirmation and you have already got it done. By appearance, I will say that please do not worry as the lesion is slightly taller than wider and we can still hope for a benign finding. The final result is by biopsy. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What hypoechoic structure taller than wide and measuring 1.2 x 0.9 x 0.8 cm means?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 32 year old lady trying to concive with Male infertility . Now a Doc has prescribed Placentrax injections for me for 40 days. with no typical problem with me I am confused if I should be taking this injection. Please guide. maira Doctor: Hi, I think the best option for you is to go to a proper \"fertility clinic\" with your husband as fertility treatment needs expert evaluation and treatment & don't take any medicine prescribed by a general practitioner as some of them may harm you. Best of luck."
},
{
"from": "gpt",
"value": "Target: Trying to conceive, infertile partner, prescribed Placentrax injections. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have fibromyalgia. I was dx by my doctor who recently retired. New doc wants second opinion..waiting for apt w/rheumatologist. I was taking Tramadol for this not qd. She says it is too addicting and doesn t mix w/Adderall or other psyche meds. (I didn t care for Lyrica, tried gabapentin) Basically she is telling me she doesn t think I have it; and my doubting a revered physician s dx. I know I need to exercise more anfd am working on this. I guess I need another dr? I also am on HCTZ 25 mg. BP s improved. I am trying to quit smoking....starting w/PA quit line and have Nicotrol. Too many NSAIDS or Naprosyn isn t good for BP s. Any suggestions?? Doctor: it will sound weird but have you checked your kidneys ? do a urine test check fir blood and proteins i suspect chronic kidney failurehope i am wrong , good luck"
},
{
"from": "gpt",
"value": "Target: Need medication for fibromyalgia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think i grazed the roof of my mouth with sharp food . It seems to be infected. it is very painful and giving me nerve apin in the area above my teeth. I have several teeth missing and i find some food is hard to chew and damages my gum and roof of the mouth. Do I need an anti biotic. . Doctor: HiWith your query, since you have already mentioned you had an injury to the roof of your mouth usually it takes 7-10 days to heal till you can use some ointment like dentogel/orogel/mucopain etc... for symptomatic relief. If symptoms persists kindly visit your dentist for proper treatment. you also mentioned missing it is strictly advised to get the missing teeth replaced to maintain harmony between the teeth and TMJ as well.Hope this helps you"
},
{
"from": "gpt",
"value": "Target: How to treat roof of the mouth and gum pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had the following occur on 3 occasions. I have a tingling sensation in both arms simultaneously. It starts near my elbows and runs up into my shoulders. I develop a weakness in my upper body and need to rest for a few minutes. I then have some water and the sensation goes away in a few minutes. Doctor: Hi,Thanks for your query.Due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it.I will advise you to MRI cervical spine for better diagnosis.For these symptoms analgesic and neurotropic like pregabalin and methylcobalamin medication can be started consulting your doctor.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tingling sensation on the arms and elbows"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have recently in the past few weeks been getting really bad stomach pains after I eat anything, I can be really hungry and eat the smallest amount and still get a pain in the stomach and need to go to the toliet, I have also had some blood in my stool . I had a carcinoid Tumor in my appendix nearly two years ago and was wondering if it has come back or is there something else it could be Doctor: Hi welcome to Health care magic forum. As you describe you had bad stomach pain after eating anything, and an urge to go to stools, and there is blood in stools. There is a history of carcinoid tumour, of iliocecal junction. It appears to be irritable bowel syndrome , or amoebic colitis for which it is to be treated now. If there is no responce, you have to consult a gastro enterologist for screening about the relapse of the cancer. First you consult a physician for treatment of commen causes. I advise you to follow some diet recommendations as avoid taking more of spices, junk foods, and oily foods, to minimise the irritation to the gut. Wishing for a quick recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Having stomach pain, blood in stool. History of carcinoid tumor. What could it be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: need help.. need your opinion well I have been having the symptoms of being pregnant for at least 2 months but still have a period... they seem not to normal they are light and heavy spotting, and today I was supposed to start but it has not started... please contact me and tell me what I think Doctor: Hi I think you should do a urine pregnancy test at home to confirm your pregnancy Sometimes bleeding can occur while you are pregnant. It is called as implantation bleeding."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible along with periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My breast size is very small like a child and i m fed up with it. Because every dress nt sute to my body and i hate my self with this feel. There are so many product in market for it but i m scare of all because of there side effects please suggest me a good one product or remidies which hasnt side effects Doctor: Hi,Sorry to hear about your problem. But, you are not alone. Many women have small breasts and they feel stressed about it. After about 19-20 years the only way breasts would become larger naturally is during lactation.All the creams and gels and tablets available on the net are not proven effective and have their own side effects and of course the costs involved.The only time tested and proven method to increase breast size is by surgery. Most commonly you can use a silicone implant. We can also use your own fat if you have enough, to inject into the breasts.All these options can be discussed with your local plastic surgeon. The surgery of breast augmentation using silicon implants is pretty straightforward and gives lasting results.All the best Dr.Surindherwww.cosmesisindia.com"
},
{
"from": "gpt",
"value": "Target: Suggest methods of enlarging the breast"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am severely anemic and have had 11 blood transfusions this year. I recently been having pain in the abdominal area that feels like bruising but there is no bruise. I hurts worse when I breath in. I also felt the invisible bruise under my right arm bicep. I have rapid heartbeats even if I just role over in bed. My ears ring and I'm short of breath constantly. What could cause the pain I'm my stomach area? Doctor: hi Thank you asking HCM With regards to your stomach pain it may be related with gallbladder problems ore stomach problem like ulcer or gastritis. please perform abdominal ultrasound and upper endoscopy. wishing you all the best Dr.Klerida"
},
{
"from": "gpt",
"value": "Target: What is causing the pain in my stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir,I have two problem.First is that my penis is not getting hard and the second one is if it gets hard then its discharges very quickly Please let me know wheather this desease or problem is cureable or not and name of the doctor in kutch region Doctor: HelloThanks for query .In your query you have not mentioned about your age,marital status and whether you get early ejaculation while having intercourse with your female partner or while masturbating ..In majority of patients in absence of any major health issue cause of ED and premature ejaculation is mind related and due to performance anxiety.Consult qualified Urologist for evaluation and to get basic blood tests done.Taking Sildenafil with Dapoxetine as on demand will help to get good hard sustainable erection to have enjoyable sex and delay ejaculation.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: How to treat poor penile erection and quick ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m an asthmatic patient and have used lipo 6 black ultra to loose weight and havent faced any problem..but since i have been travelling up hills and have had flue a lot times i have blocked airways sapsm...due to which i have had breathing problems..Do u suggest me to continue lipo 6 as i have been using singulair and clenil for treatment of asthma Doctor: Thanks for your question on Health Care Magic. I can understand your concern.It is unlikely to be related to lipo6. Lipo 6 is usually to build body and not for weight loss. It contains proteins and may be steroids.Your asthma is not under control which is the reason for your symptoms.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). It will also tell you about severity of the disease and treatment of asthma is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Does flu, breathing issues occur for asthma patient on lipo 6 medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Hello, I ve just got call from my daughter s teacher that she was caught masturbating in her class. She is 11 y.o. and coming from school in 20 min. How should I talk to her? Thank you Doctor: Hi,Masturbation is common in this age and often, can be taken as normal, although sometimes it occur as part of a psychological disorder.Just be calm, ask what happened, and give mental and emotional support to her as she is already frightened and feeling guilty. Never use any form of abuse. We can convince her regarding inappropriateness of the circumstance in a friendly and phases manner.Since here this happened in an inappropriate circumstance, we have to search thoroughly for any cause. Masturbation of unusual severity or inappropriate circumstances be a manifestation of sexual abuse by someone, accidental exposure to adults having sex, or behavior like porn watching. Kindly take her to a child psychologist, as they are experts in dealing with such situation and can reveal any such cause.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician"
},
{
"from": "gpt",
"value": "Target: What could a child involving in masturbatoin mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day! I am a student nurse from the XXXXXX. My friend texted me and reported a case of allergic reaction due to her ingestion of chicken (her allergen ) the night before her text. She reported blisters appearing in her feet . There is also wound and pus on the site. She reported not being able to take antihistamine ASAP because she did not notice that her supply s up and the pharmacy is far from her place. I told her to take antihistamine ASAP (which she did). However she texted me again saying she bought penicillin tablets (apparently without doctor s order). She asked me how much dosage and period of days she ll need to take the med. I do not want to give a wrong dosage. I am also limited to the information I gave above (i don t know the extent of skin reaction). Please do give me advise on this. Is penicillin the proper drug? What dose will I tell her? I don t know if she s allergic to the drug (I will ask her), but if she is what drug is appropriate and what is the dosage and timing? Please do reply. She is waiting for my reply. Thank you and God bless! Doctor: Hello,True chicken allergy is quite rare, and blisters with pus is not a typical allergic reaction unless she has scratched the itchy areas so much that a secondary bacterial infection has occured.Flucloxacilin taken three times daily is the treatment for skin abscess and you can also apply mupirocin cream that will help.Do check with your doctor about the dosage as it is best to decide on the weight of the patient.Hope that was useful.Best Wishes."
},
{
"from": "gpt",
"value": "Target: Allergic reaction due to ingestion of chicken, blisters in feet, pus, wound. Wants to take penicillin. Safe to take?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am 26 yr old..got married in July 8...till now no issues..no pregnancy history..my HSG shows that Bilateral free spill..what does it indicate?? Doctor: hello welcome to healthcare magic no need to worry it is normal .wait for right time take gud diet and include iron folic acid for preparing yourself for concieving. all the best take care payal"
},
{
"from": "gpt",
"value": "Target: What does Bilateral free spill in my HSG reports mean ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive been sick with flu like symptons for a few days now. NOthing has seemed unusual until tonight. I did work today, so i figured that is why my legs feel so stiff but now my face is getting numb and tinggly and its making it hard to see and focus. Is this something urgent i should have looked at? I figured it may have been the way i was sitting or how tight my pants were, or even my head band i was wearing. but i still feel like my eyes and face are twitching. Doctor: Take paracetomol 500 mg twice daily for 3 days. Also take good food and rest. If symptoms still persist, then I think you should consult a physician as symptoms like numbness and tingling sensation are very unusual in influenza, assuming that you are actually suffering from influenza."
},
{
"from": "gpt",
"value": "Target: What is the treatment for influenza?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir. I am just 18 years old and I don t have the habit of masturbating and all. But I have seminal leakage while sleeping. It occurs atleast once in 10 days. If I get any sexual content in my dream it results in the above issue. And because of this I can t able to gain my weight also. Now I am only 48 kgs. So kindly please guide me to solve this trouble. Doctor: Thanks for asking in healthcaremagic forum If any one do not ejaculate for long period, then body tries to replace old sperms with new one by this method. So, it is not a problem at all and is completely normal phenomenon. You need not worry. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for semen leakage while sleeping"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, ive experience a lump in my arm pit 4 times in under a year. It hurts a lot, usually when stretching my arm or putting deodorant on. I usually stays for about a week then goes away. What can cause it? my doctor says its a swollen lymph node last time I had it around easter. But now its back again. Doctor: Hi ! Good evening. I am Dr Shareef answering your query.From your history, it looks like a sebaceous cyst in your arm pit which gets infected secondarily with bacteria to give rise to signs of inflammation like pain, redness, etc. If I were your doctor, after confirming my diagnosis by a personal local clinical examination, I would refer you to a general surgeon for a possible excision biopsy for a confirmation of the diagnosis and a cure. Till then, you could go for a over the counter anti inflammatory drug along with a proton pump inhibitor for a symptomatic relief only.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes recurring, painful lump in armpit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 20yrs old and over the last couple of weeks I have started wheezing when I lye down and coughing up small amounts of flem. I got a new cat around 2 weeks ago, at first it was in my bedroom but I began sneezing, had an itchy throat and eyes. After a few days I moved the cat to a different room, this helped the sneezing but not the wheezing. I go to the gym 3 times a week and can breathe fine but when I try and sleep its impossible. Any idea whats up? Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Yes, cat can cause allergic symptoms like sneezing (allergic rhinitis) and wheezing (asthma). There are many proteins in cat saliva, urine, skin epithelia, dander etc which causes allergies.The best option in my opinion would be to remove cat from the house. However, if it is not possible, I would suggest you to keep the cat out of bed room (as you are already doing), bath the cat at least every week and minimize carpets & upholstered furniture in house.2. Personally I would suggest you to go for allergy testing for cat allergens to confirm allergy to cat proteins.3. After removal of cat from room/house, it takes around 6 months to decrease the cat proteins in the room/house. So, in my opinion, it will take some time to reduce your wheezing, if it is due to cat proteins.4. Were I treating you, I would prescribe you daily montelukast and levocetirizine for at least 2 weeks and to use salbutamol or levosalbutamol inhaler if you wheeze.5. If allergy testing supports allergy to cat proteins, I would suggest you specific allergen immunotherapy to cat proteins, which will improve immunity towards cat proteins. In that case, you may not need removal of cat from your room/house.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Is the new cat in my house causing wheezing and coughing of phlegm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir Actually I too much scars or pigmentation on my face so that's why I have dull skin complexion.m living in Australia age 28 yrs. plz give advice or prescribed me any cream which is effective or remove my dull skin and little bit quick working coz after 1 month m going for holidays. But prescribed me that which I can buy online Doctor: U CAN APPLY MELLALITE CREAM.IT WILL LIGHTEN YOUR PIGMENTATION.APPLY IT AT NIGHT BEFORE GOING TO SLEEP.DO NOT APPLY IT AND GO IN BRIGHT AY LIGHT.BEFORE U LEAVE UR HOUSE APPLY NEUTROGENA SUNSCREEN LOTION."
},
{
"from": "gpt",
"value": "Target: Pigmentation on face, scars, dull skin complexion. Prescribed cream. What is more effective?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir My wife aold dibetic patent since 14 years at present she is suffering with cough & cold now local doctor prescribed MUCINAC 600 TWISE after meal & Montake AB at bedtime for 30 days almoct 25 days past but no +ve result Pl help me.some badly snoring coming out during sleep I am69 yrs old I am feeling helples as she is suffering almost 60 days Doctor: Thanks for your query..Duration of almost 60 days is a point of concern..Please tell about sputum /fever/ wt. Loss or any other symptoms if present..Also chest x ray should hv been done to rule out any lung pathology..Is there any breathlessness.?"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough and cold in a diabetic"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been in 3 different hositals in 3 dif states coming back from our vacation . He is 75, a heart patient (quadruple bypass), cancer survivor of 8 yrs, diabetic. He started getting dizzy spells, angina, headaches that turned to loss of vision. He passed out completely the mid of April, hospitalized and released saying same as all others, it is not his heart. Last two episodes he has been hollering out loud like he is in a nightmare. I am afraid he is having strokes. What do you think. He has had head scan and EEG, chest scan, stress test, MRI, Check of carotid artery, dye test for other possible clots, each time all negative Doctor: please be careful travelling with these conditions may be too much and may be resulting in fatigue . with these conditions he may be taking a few meds which may cause postural hypotension and dizziness. also he may be having arrhythmiaswhich should be checked by long term monitor. make sure he is optimally hydrated. also try to check for low sugar. except some pain pericarditis does not cause any dizziness. but if does then it is very serious and should be checked with echocardiogram"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pericarditis, headaches and dizzy spells"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had surgery 2.5 years ago, I had a benign mesenteric pseudotumour removed. The mass was also very large. It took several weeks of rest and gentle movement to get me walking properly again. However, my stomach is uneven and raised above my scar (the scar has healed very well). I still feel significant pain on a daily basis in my stomach- e.g. sore to laugh, sneeze etc. It's physical appearance has also completed changed (my stomach if you can imagine looks like an opnened book). Perhaps because I am very petite exaggerated it's appearance or didnt help me post surgery. I see a personal trainer once a week to work on \"knitting back\" the nerves in my stomach- how long will it take for this pain to go? Will the physical appearance of the stomach every be the same again? does this have implications for pregnancy? Thanking you Doctor: HI.Read your complete history.The mesenteric Pseudo-tumor is a benign disease and ideally should not be a problem to have pregnancy in the subsequent life. But the pain which you described is not normal after such a Surgery. You have to get investigated by CT scan of the abdomen, Enteroclysis, diagnostic Laparoscopy, or Laparotomy and adhesiolysis if required and to remove the remnants if present and may be refashioning of the scar by correcting the adhesions. Nerves may not be the same again and hence the pain of nerve origins may reduce over the time. There is no procedure which can help you in this type of pain."
},
{
"from": "gpt",
"value": "Target: Does mesenteric pseudotumour removal affect pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am suffering from fever since five days. i have temperature between 99 to 102 degree fahrenheit. i have no infection or other disorder. typhoid is not yet confirmed. i have cough and headache. please tell me what is the matter and how i will get healthy.reply soon and thanks!!! Doctor: Have you had a chest x-ray performed? If not, you should see a doctor and have one done to evaluate you for pneumonia, which is a common cause of cough and fevers. Pneumonia is treatable with antibiotics but can become severe without treatment. I hope you feel better."
},
{
"from": "gpt",
"value": "Target: What causes cough with fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is imran my age is 22 nd i suffering from guttate psoriasis last 3 years..in these 3 years i get rid of psoriasis 3 to 4 times..but when stop continuing my medicine it regenerates quickly now psoriasis again coverd my whole body.. i took so many medicine methoraxte,beez wax,some other medicine tropical, but last 1 year large number of scarz appeared to my hands my stomach and differnt parts of body it looks like i have cuts on my skin... from last 2 months i am using homeopathic medicine to cure guttate psoriasis but it didnt show some effect... Doctor: Hi,You seem to have psoriasis vulgaris. It is an autoimmune skin disease with genetic tendency. It may be precipitated or exacerbated by many factors like stress,anxiety,sun exposure,dry wheather, exercise, trauma,infection anywhere in body, drugs like chloroquin....and so many other factors. I usually advise to have thorough investigations to rule out any other systemic disease before starting the treatment. Beside methotraxate, I also advise acitretin 10 mg once a day for long time. Combined oint of steroid with salicylic acid application on the lesions would clear the lesions. Tar and salicylic acid containing shampoo may be used to cleanse the scalp. Have patience. Relapse may be there. Restart the treatment if there is relapse. I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for guttate psoriasis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr Im suffering from un berable pain during my periods time, some time i used to vomit even after taking tablets my pain is not geting controld. I consulted a Dr she adviced to take the tablet Pyricontin for 6 months, may i kow the excat use of this tablet plz advice Doctor: Hi,Pyricontin tablet contains vitamin B6 primarily used for the treatment and prevention of vitamin B6 deficiency (both drug-induced and dietary). It is also used for the treatment of anemia and vomiting.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the uses of Pyricontin tablest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I've had a pain/ uncomfortable feeling in my upper abdomen for the past 5 days. It started happening at night maybe an hour or two after my dinner and I felt it under my right rib. For the first three nights it lasted only about 1 hour, but then the pain moved to just under the base of my sternum and feels like a constant dull tightness, like someone resting their head on me. I tried an antacid tablet cos my doctor told me it was probably reflux. But it had no effect. I can feel the heaviness has moved slightly to the centre-left just under my breast. I've had blood tests, abdomen and pelvic ultrasound and CT scans but no significant findings. Any ideas on what it could be? Doctor: HI.Thanks for your query and an elucidate history. What you need an urgent investigations in such a case is an ECG. We have to rule out Heart Attack. If the ECG is normal, this has to be treated as Heperacidity with GERD. I would advise you the following:: Zantac 12 hourly.Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators.Soft bland diet. No aerated colas / soda/ drinks.Early dinner. No late nights.Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positionWalk around after dinner.Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully"
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been having a bad aching pain during the night in bed as I have slept and my side hurts in the morning when I get up. Over the last couple of days the pain has started coming on an evening and has been very painful. I have to admit I like a glass (or two) of wine every day and now I am worried as the pain is getting worse. I ended up in hospital 20 years ago with a similar pain and after tests was told I had IBM. I haven t suffered since but worry my drinking may have caused a worse condition Doctor: Hi thereinclusion body myositis is an inflammatory condition of muscles of the upper and lower limbs progressively getting weaker. it is an idiopathic condition which means no body knows what causes it. the literature suggests that it could be an auto immune disorder. your body at some stage doesn't recognize certain elements of your muscles and destroys it."
},
{
"from": "gpt",
"value": "Target: What causes inclusion body myositis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, i need help fast. The other day my girlfriend and i were messing around. I ejaculated twice whithin two hours. After each ejaculation i wiped off the sperm and washed my penis. About two hours later we were messing around again. She is a virgin. I penetrated her for the first time for 10-15 seconds before she asked me to stop and i did. She is 2-3 days late on her period now. She feels no cramps but her stomach hurts. Is it possible she could have gotten pregnant from the after ejaculated sperm i could have had on my penis ? Is her delayed period due to stress. I appreciate if i got a reply and advice as soon as possible. ThanksWorriedteen831 Doctor: Hello,Yes, she can be pregnant from ejaculated semen on the tip of penis but chance is quite low as proper sexual intercourse does not occur and it depends on fertile days or ovulation day.It is better to undergo one home pregnancy test at the earliest and clear confusion about pregnancy. Hormonal imbalance and stress can delay her period.On negative test, she can wait another one week to get period. Otherwise she can consult with doctor. Good luck and practice safe sex."
},
{
"from": "gpt",
"value": "Target: Delayed periods, pain in stomach. No cramps. History of having unprotected sex for the first time. Possible pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.Over the Xmas period I have had alcohol on two occasions.On both of those occasions I have woke up in the night in excruciating pain under my left breast.I have struggled to breath and can't move without help.I normally have a high pain threshold but this is unbearable.It has eased after taking ibuprofen and paracetamol. I'm not a heavy drinker normally and otherwise I'm fit and healthy.I haven't seen a doctor in years. Doctor: Hello,It could be that you have an ulcer and it was irritated with the alcohol. You should see a doctor and get an exam and lab tests done. In addition, it is a good idea for you not to drink alcohol. This is your body telling you not to take in alcohol.Regards"
},
{
"from": "gpt",
"value": "Target: What causes pain under left breast after alcohol consumption?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a chronic cough that has been going on for 5 years. I do not have a sore throat. But sometimes the coughing causes my gag reflex to get stuck and there is sometimes flem. I do have cysts on my thyroid - could this be a part of the problem? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, Thyroid cyst if enlarged and compressing internal tracheal wall, can cause chronic coughing. So better to consult ENT doctor and get endoscopic examination of throat to rule out this. Also consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test) to rule rule out bronchitis because this can also cause chronic cough. PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need need inhaled bronchodilator and inhaled corticosteroids (ICS). If thyroid cyst is the cause then you will need have time do surgical removal of cyst. 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 cough with phlegm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been told by a doctor that my 2month old baby has extrapyramidal symptoms (EPS), but after reading about what this is, I cannot believe that she has this. He looked at her and told me that the fact that she is lifting her head up quite high for her age, that she has these symptoms. She used a colic mixture which contains Diphenhydramine and he told us to stop with this mixture. However, after reading about EPS, everyone suggests Diphenhydramine as a treatment for EPS. Please help. How does a doctor establish whether a 2 month old baby has EPS? Doctor: Hello,Medications like metoclopramide given to baby for reflux or some medications given to mother during pregnancy can cause extrapyramidal symptoms in baby. Extrapyramidal symptoms may include tremor, difficulty in feeding, torticollis, abnormal movements, and increased muscle tone, etc. Consult a child neurologist to make sure what your baby is actually suffering from.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for extrapyramidal symptoms"
}
]
|
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