conversations
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[
{
"from": "human",
"value": "Source: Patient: I broke my ankle (femure near the ankle joint) in March. Since I have started back to work (I am a nurse) I have pains in my legs as if someone is stabbing me with a needle. It first started behind my knees and I noticed a spider vein appear behind one knee. Now its pin pricking pain up and down the back of my legs and in my hips. What can I do? Doctor: Hello,This pain is not related to your broken ankle. I think you are not putting proper weight on the affected side of the ankle so I would suggest you to get x ray of the knee joint to see if there is reduction in joint space. Some time there can be effusion in the knee also."
},
{
"from": "gpt",
"value": "Target: What causes pain in legs and hips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thigh pain above knee this pain comes and goes. And usually the pain started after I touch or squeeze the area. I’ve been having this pain now for 2 months and I stoped my birth control 2 months ago because I was worried this could be a blood cloth. If it were a blood clot would the pain come and go for this extended amount of time? Are these symptoms I am experiencing sound bad ? Should I go have this checked ? Doctor: Hello, It can be a neuropathic pain. A blood clot is unlikely and you can consult a neurologist and get evaluated. You can go for a Doppler scan to rule out clots. As of now analgesics like acetaminophen or tramadol can be taken. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes recurrent thigh pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have an 18 month old little girl and she has been very irritable for about a week now and has loose green poop... its not quite diarrhea but it is looser that what is normal for her. I thought it might have been her teeth but pain relief medicines and remedies we have tried dont seem to help. What could be going on with her? and should i be concerned? Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What can cause green stools in 18 months old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good evening, my right knee has suddenly begin to swell with pain in the front left of the knee cap and top right (this is looking down towards my toes), it hurts more when I walk up and down stairs or simply lift my leg. The pain is a pressure feeling but it does restrict my mobility.. Doctor: Hi, Kindly use a kneecap while walking. Avoid too much strain on your leg for a few days. Have proper rest and drink enough water, at least 2 liters per day. If the pain does not subside kindly consult an orthopedician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jilu Joseph, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What could cause pain and swelling in the knee while climbing the stairs and lifting the leg upwards?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor..Clinical examination of y urine and semen yielded infection with Proteus vulgaris and Stap aureus respectively.How much time it will take to resolve?? Secondly, I underwent for surgery of my left thigh where puss was accumulated. Left ball of my testicular gland is larger than right one and having some mild itching. Doctor: Hello, It could be a minor fungal infection. As a first line management, you can apply topical antifungal like Clotrimazole after cleaning with soap and water. If symptoms persist better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What could cause mild itching in left testicular ball after surgery of left thigh due to puss accumulation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband and i are dog sitting and the dog bit my husband and broke skin now his fingers are tingling and swollen i soaked his hands in peroxide and cleaned them with alcohol then put neosporin an bandaged him up the dog has not had any of his shots should we be worried Doctor: Hello,Welcome to HCM,Even if it is a scratch or abrasion or bit of a dog requires proper and adequate treatment. The dog has all the potential to transmit rabies, which is 100% fatal but it is 100% preventable by timely treatment.For your condition I would suggest you to follow1.Thorough wound wash with soap and water2.Antirabies vaccine on days 0,3,7,14 and 28. If the biting dog is healthy after 10 days you can discontinue last two shots of antirabies vaccine.3.Inj Tetanus, 0.5 ml should be taken.4.The wound may require a course of antibiotics like tab Augmentin.Don't take any risk with this disease. Hope you will follow these advises by consulting your doctor.Thank you."
},
{
"from": "gpt",
"value": "Target: Noticed swelling and tingling sensation in hand due to dog bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m 64 years old. I have a lump on my left biceps. It s been there for 3 years, ony painful to touch, I also get pain however with mostly reaching backwards, in a underarm motion. I have had 3 corticosteroid injections, MRI showed only degeneration in the shoulder joint, a thickness tear in the supraspintus and sub scapularis muscle however i have a lump on the biceps and that is giving me grief not in the areas were the scans say i have a problem. what is that lump? Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of painful biceps lump, I would come up with three possibilities, these include:1. a bursa or an infected sebaceous cyst or a parasitic cyst 2. a lipoma or benign fatty tumor like neurofibroma3. The last possibility is of some fluid collection/synovitis or could be some lymph node/abscess ! Overall, it is benign or inflammatory and not to worry about this but , considering your age and history, you could go for FNAC test for confirmation before consulting a surgeon in your area!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What is the remedy for the painful lump in the biceps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my 3.5 months old daughter has developed a white patch on her upper thigh/hip area, I ve seen her ped. for that, but she seemed not convinced it s a patch, she thinks it s from the skin folds - but anyhow she recommended that I check with a ped. neuro (since I voiced my concerns that I ve also noticed my daughter won t sleep at all these days except screaming and having these seizure like movements!) my question is: what this white patch could be? rather than a physical illness related to seizures? Doctor: Hello, White patches on babies are not unusual. The cause can depend on a lot of things. When you look at the patch is it white because it is scaly or white because there is a loss of pigment? Most often, it's pityriasis alba, a fancy medical term for a white spot! Most likely on the cheeks, but I've seen them everywhere. Also, friction can cause an area of whiteness in comparison to other skin. Sometimes it's a birthmark that has enlarged and become noticeable as the baby grows. But there are some more concerning white spots. Much less likely, but possible, is a depigmented white spot called an \"ash leaf\" spot because it is irregular, mostly oval and shaggy-edged. This can be indicative of a very very rare disease called Tuberous sclerosis. This can be related to seizures, so I'm glad you're already scheduled to see a Neurologist. So while you're there, ask them to take a look at the white patch so they can tell you if it is just normal or not. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Lisa Baker"
},
{
"from": "gpt",
"value": "Target: What causes a white patch on the hip area in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I have been having abdominal pain, feeling nausea and vomiting mostly after meals for the past 4 months. I have lost 8 kg since having those symptoms. I have gone for a GI upper scope, colonoscopy, capsule scope, ultrasound and CT scan of the abdomen and it all came back negative. My specialist is perplexed and have prescribed all types of medicine possible and on anti-depression to relieve the pain as well as Bascupan alone does not seem to be working. He has ruled out being depressed as there are no reason for me have that and any related diabetes related GI problems have asked to seek a second opinion. Not wanting to go through all the test again, are there any specific thing that I should look out for? I am a 32 year old diabetic female and have been diagnosed with gastritis to acute gastritis and now chronic gastritis by the specialist. Doctor: HIThank for asking to HCMI really appreciate your concern, the chances of gastritis and I think could be \"Helicobacter\" infection is just likely, if I would be your doctor then I would surely treat you on tentative basis keeping in mind the suspicious of Helicobacter, the following would be the line of treatment,1) Tab omeprazole 40 mg once at evening time for six week2) Tab Amoxicillin with Clavulanic acid 625 mg twice in day for five days 3) Tab Metronidazole 400 mg twice day for five days 4) Tab Chlorodiazepoxide one tab three times in day hope this medicine would help you take care and stop worrying have nice day."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain, nausea and loss of weight?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been feeling very tired lately. My upper back is sore most of the day and for about a week now, i notice a foul smell in my urine. Really foul before was not like this.i had a big craving for pure sugar for a while now and sometimes end up putting a teaspoon of sugar in my mouth. Could this be the problem? I also had a cardiomapthy 9 years ago and gallstones about 6 or 7 years ago. I am worried if i got diabetes from the sugar. I am 42yrs old weigh 71kg and am 1.68m tall Doctor: HIWell come to HCMI really appreciate your concern, muscular spasm may be the cause of back pain, it may not be due to anything else, like increasing sugar level, past history of cardiac myopathy, gallstones, general weakness may be the cause and it may not be due to any disease, stress may be likely hope this information helps."
},
{
"from": "gpt",
"value": "Target: What causes tiredness,pain in upper back and foul odour in urine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 31 year old woman weighing 49 kgs and suffering from lower back pain for the last 2 years. Can you please suggest an ayurvedic supplement (which does not contain any non veg ingredient) which will improve my muscle strength and help me gain some weight?My height is around 5 ft 3 inches. I took ayurvedic medication for 1 year. Doctor: HelloIn my opinion its better to increase muscle strength by exercising rather than medicines. Go for yoga and aerobic exercises. This will increase endurance as well as muscle strength.Increase milk, ghee and butter and fruits like banana and mangoes in your diet. This will help to increase weight.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. This might seem strange, but I am asking this question for a long-term project. If a young Caucasian male about 31 years old is experiencing moderate-to severe head and stomach pain made much worse from a severe panic attack, what are the possible causes? Vomiting has occurred, due to over-stimulation of light and sound. It lasts about six hours before dulling, but not going away completely. Thank you so much, Melanie Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In my opinion, these are the features of migraine type headache, also look for porphyrin in urine.It would be very useful to start on calcium channel antagonist drug like Flunarizine and antacid like Pantoprazole. Relaxation exercise is also useful.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the head and stomach"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im suffering from a an infection i have a small amount of phlegm coming up when i cough or blow my nose. slight fever. should i be on antibiotics or just continue drinking plenty of water and taking vitamin c?? i have been like this for the past for the past 4 days Doctor: Helloi appreciate your concernthis could be a viral or bacterial infectionin my opinion you should visit a doctor for clinical examination and a battery of tests like CBC and X ray chest for confirmation of diagnosisyou may require a course of antibiotics depending upon the reports and clinical findingsMeanwhile you can take steam inhalation or you can do gargles with warm saline waterHope this helps you thanks for your questionbest wishes"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for infection causing phlegm while coughing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am currently on chemo. After the last 2 infusions my heart rate runs from 99-130. I have woken in the night with severe headache and checked my HR and it was 130. I am on Avapro for HBP. This lasts for a couple of days then goes back to 70-80 s. Should I be concerned. It is 108 right now. Doctor: Hi,I would advise you to undergo an ECG to rule out arrhythmias.In such patients I would prescribe a small dose of beta blocker, it will prevent tachycardias and will protect your heart during chemo.So the best decision will be to see your doctor to perform an ECG and discuss the possibility of prescription of a beta blocker.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards,"
},
{
"from": "gpt",
"value": "Target: What causes rapid heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir i all ways feel that someone is watching me and when i do some work i think what other think for my work especially girls.so plz help me Doctor: hi,thanks for query.You must be having fear of something.At times when your confidence shaken due to some event this can happen.Only thing you need to do is,to start believing in your self.Avoid staying alone for time being,talk to your friends and keep your self busy all the time.This should help.In case of severe problem you may need to take help from a psychiatrist. wishing you good health."
},
{
"from": "gpt",
"value": "Target: Why do I always feel that someone is watching me ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im 24 y.o and I play basketball, I have spinabifida occulta , last year I got lots of pain starting from beneath my buttock and sometimes reach just below the knee but now im fine, but I started getting groin pain about 4 months ago and the doctor told me its just inflamation and to continue to play ,I did and the pain got worse so I stopped all type of exercises and started PT and after about a month the pain started again and it get up in my lower abs at both sides, I really cant run and if I did train on it when I cool down it gets very painful to even walk and I have to get my leg out of the car with my hands,and it is very painful to move when sleeping Doctor: Hello, There is no special treatment for spina bifida occulta, besides drugs (gabapentine, pregabaline, amitriptyline) to help against back pain. But, considering your worsened situation, I would recommend performing a new spine MRI in order to exclude possible tethered cord syndrome, which may need surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for spinabifida occulta"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my toddler has a rash down his left leg and spots starting arm pit and goes down too past his hip and kind of looks like tiny warts but they look like they are a bit puss filled have popped one it then scabs over and disappears, but all the skin problems are only down the left side of his body? Doctor: Hi,It mwy be folliculitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to give him a course of antibiotics and anti-inflammatory drugs for a week or two. Apply antibiotic cream like sisomycine or fucidic acid. Give him vitamines and minerals to improve his immunity. Improve his hygiene. Give him bath in dettol mixed water. Hope this helps.Dr.Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What causes skin rashes on the left side of the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 21 and have had the implanon birth control since October, and it has pushed its way close to the surface of my skin and feels like its going to push through and if I lean on my arm wrong it feels like it is trying to poke out, is my body rejecting it? Doctor: Hi there,More than the worry of rejection, if the Implanon is not properly intradermal it may not be an effective contraception.You need to get it removed and replaced preferably on the opposite arm by a trained medical professional. Implanon doesn't reject but can become ineffective if dislodged from its proper site.Implanon is one of the safest and reliable methods of long term reversible contraception and is effective for 3 years.Irregular spotting is its major drawback.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: What are the side effects of implanon birth control?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an injury ti my hand last sunday. X-ray showed no fracture, just severly brusied. I still have some swelling and pain in hand. I have used the RICE method and does not seem to help the pain and does help a little with the swelling. I do have a large bump on where the injury occured. Should I get this looked at agian Doctor: Hello,It may be due to fracture. For further assessment you may require X Ray hand after orthopedician consultation. You may require surgical intervention after surgeon consultation. Till then you can take tablet acetaminophen for pain. Restrict hand movements. Use sling Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale Family and general physician"
},
{
"from": "gpt",
"value": "Target: What causes swelling on the hand after an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, today I had some teeth growing underneath my gums removed and involved stitches and I'm worried because I can't stop salivating which causes the blood from the operated area to run down and gauze doesn't really help it just gets mushy and wet fast Doctor: Please revert back to your clinician as soon as possible, there seems to be uncontrolled bleeding.However for time being, apply the gauze and maintain the pressure for atleast 20 minutes followed by intermittent cold pack on the face."
},
{
"from": "gpt",
"value": "Target: Continuous salivation after removal of growing teeth underneath the gums followed by stitches"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom, an 85 year old end stage Alzheimers patient has a really red eye, with swollen tear duct and bruising on the bridge of her nose. She has an ocular implant in that eye, too. I just learned of the results of a urine culture indicating a uti with E. coli. Her doc is calling an Rx in for that, today, which I will be able to pick up tomorrow, when a caregiver comes here. My question is should I take her to an ER or urgent care to have her eye looked at, or should I see if the antibiotics to treat UTI clear it up. I can t transport her by myself, so whatever I do will have to wait until tomorrow. Doctor: Ur mother have two different issues...For UTI u can take tab Levofloxacin and syp alkacitral.For Ocular problem....u should consult local ophthalmologist.For alzhimers start tab Donepezil and Tab Memantine....Apart from this, she needs good nursing care.keep her as active as possible.regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Alzheimer s disease last stage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter 2yrs 9 months since she was not able to talk and not listening often no eye to eye contact not saying no or yes behaving rudely how come to solve doctor says bilateral epi lepto form dys function and prescribes medicine is it advicable she was a girl any side effects med;iq plus,risdone mt 0.5 ,encorate Doctor: Behavioural disturbances are most likely due to her medications. You should revert to the doctor who started these medicines and explore the management with them."
},
{
"from": "gpt",
"value": "Target: Why is my 3 year old behaving rudely?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Since morning i was having burning sensation in my stomach ..its no more now.. But m having pain in my intestine and area around with a sensation of loose motion now and then..feeling alot of weakness nd mild lower back pain.. I had eaten only boiled red beans last night nd two slice of bread with butter in the morning..since then i have not eat anything yet ..please help me Doctor: Please try to drink buttermilk maximum frequency. Mix roasted cumin seeds powder in it. You may use intermittent yogurt too.In food - rice and lentils or green gram pulse boiled with thin consistency should be taken. In India its called Khichri. Little butter may be poured over khichri.If problem doesn't reduce in one or two days please take BAEL pulp powder and sy himcoccid for direct control of lose motions and irritation. It's always better that digestion gains strength by itself.For lower back pain Rumalya liniment may be rubbed gently over back twice a day.Hope it helps. In case of need, pl write me direct question."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back pain and burning sensation in the stomach"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I burnt my mouth on food earlier in the night and immediately rinsed my mouth with cold water however around 2 hours later, I have a blister in the burnt area. The blister is quite large in size and feels full with liquid. I keep knocking it accidentally with my tongue etc and worried that it may burst. If it does burst, what shall I do? Doctor: Hello thanks for your queiry..Saliva - effective antiseptic, is helpful in dealing with mouth burns. A burn in the mouth-heals 10 times faster as compared to other burns. Use some simple remedies to treat it -1) to reduce the temperature of the affected area - suck on some ice cubes and direct them to the roof of your mouth. You could also drink more cold water and following it you should gargle with some lukewarm water with salt. some stinging will result, but it will give relief from the burning sensation.On an average healing should take place in a matter of 7 days.Eat food only when it has been cooled and cold milk or soy milk. Refrain-foods with edges & sharp like chips and toast. Also avoid spicy food,hot beverages like hot chocolate, coffee or tea and using oral hygiene products like mouthwash, as they contain chemicals that may worsen the condition of your burns. Take Vitamin B in your daily diet- helps a lot.Even if the blister bursts open ,,donot meddle with the raw area..avoid all the things mentioned above, and also apply topical anesthetic to reduce the pain..thereby you could consume food..Hope it helps,,take care.."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for blisters in mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. My daughter is feeling stomach pain (she says it feel like a punch - from the inside trying to get out) and she's thrown up about three times between yesterday and today. She's hardly eaten because she can't keep it down and doesn't feel hungry. She doesn't have a fever. I've given her oral electrolyte, but even that she's not liking or able to keep down. Doctor: Hello dear,The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract.Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food)2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food).3. Antibiotics like Ofloxacin+Ornidazole preparation twice daily (to be taken after food)4. Oral Rehydration Solution (ORS) for maintaining the hydration status of the body.5. Take soft, plain, non-spicy foods6. Avoid fast foods & gas producing food products like cabbage, etc.If symptoms still persist, it will be better to consult a Gastroenterologist & get a proper physical examination done to find out the exact cause.Investigations like complete blood count, stool examination & Ultrasound scan of abdomen will be helpful in detecting any pathological cause for the symptoms.There is no need to worry, your daughter will be fine.Wishing her a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What could cause abdominal pain and vomiting in my daughter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small, red growth on my upper left gum that bleeds when I brush my teeth. I went to the dentist, and they removed it, but it has since grown back. I have a follow up appointment in a few days because they said if it grows back I need to go to hospital, which is concerning me, what could it be? Doctor: Thanks for your query, I have gone through your query.The red growth on the gums that bleeds on brushing could be because of a pyogenic granuloma or gingival or pulp polyp. Consult a oral physician and get it evaluated. Since you are giving history of previous treatment and its recurence, consult a oral maxillofacial surgeon and get it surgically removed and send the specimen for histopathological examination to confirm the diagnosis.If it is a pyogenic granuloma or gingival polyp, it can be treated surgically.If it is a pulp polyp, then the tooth has to be treated followed by excision of the growth.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What could red growth on gums with bleeding indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My SymptomsHello, a week ago my partner and I were using toys in the bed room. Long story short we did not use lube. once it started hurting we stopped. I started noting a few days later I noticed a burning pain along the inside of my hole. and even when I would wipe. as the days passed I noticed pays radiating down from my lower buttocks all the way down my calve muscle.. web I would sit directly on my butt like as if your sitting on a chair I would start gettin.g the cramps/pains down.my legs. I noticed decreased in urination and the few times I would be Ble to urine I would have to push so hard it would feel ad if something was obstructing my urinary tract. the best description would be the feeling of trying to urinate during an erection or urinating imeidiately after ejaculating. it also burns around the outside of my anus and the inert walls of my anus.I am really concened about this and honestly kindve scared to go to the Dr.thank you Doctor: HiThank you for asking HCMI have gone through your query.There is a possibility of urinary tract infection from your symptoms.It can be ruled by doing a routine urine test.Usually puss cells will be present in excess in urinary infection.I advise antibiotics like norfloxacin for my patients with cases and send for culture and change antibiotic after culture report if necessary.I also recommend them to drink cranberry juice or barley water to alkalanize urine.Hope this may help you.Let me know if you have any further query."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for urinary tract infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well i was at 2 dif er last weekend one fri one sat. i had a lot of pain an pressure right side rib area mid right to hip along hip into back. first er said blood work was fine and chest x ray fone. i call bs. next day very bad pain went to dif er. they rewuested first er labs but took 7 hours to get also did urine. 2nd hospital said pancreotic enzym was 103. scared me still am. oredered ct scan 3 step contrats and of course dye in the vein. scan cam back normal. i also have crohns disease they say thats why they prdered 3 step scan. 7 hours after like i said they got first er labs and my pancreotic enzym had actully been 258 but nothing was wrong. im scared to death i have pancreotic cancer. i been looking up what eahc blood test the second hospital ran mean and my numbers. i still have some pain but this annoyingpressure in my mid side and back is back today and im just on the verge of prefprming my own surgery to see what is in there (not really) i feel if there was something inserted in my side the pressure would go away. Doctor: Age related degenerative changes can cause low back pain at this age. Mostly lumbar spondylosis or listhesis or lysis. Better to take one dynamic flexion-extension view of LS spine to rule out any significant problem"
},
{
"from": "gpt",
"value": "Target: What is the pressure in my back with crohns disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected sex yesterday and my boyfriend pulled out when he felt that he was going to cum. i didnt feel anything and it was our first time. i took the plan b pill and it completely dissolved in my mouth before i could swallow it! would it still work?! Doctor: Hi,Nothing to worry, even it absorbed in the mouth but full quantity of rablet is swallowed then too its effect will be there.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Are birth control pills effective if they dissolve in mouth prior to swallowing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 30 yr old female and when I first wake up in the morning my heart rate is 84, but during the day it stays around 96bpm. I suffer from bad panic attacks and lately have been obsessing over my pulse. Today I got anxious after I ate and my pulse went to 120. Should I be worried or is it just anxiety causing the increase in my heart rate? After I calmed down it has went back down to 96bpm. I do not suffer from dizziness or shortness of breath. But, I do suffer from many panic attack symptoms while suffering an attack. Is there any advice on how to quit obsessing over my pulse? Should the 120bpm while having an attack alarm me and should I see a doctor over it? Thanks Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. There are certain things you should know. Fear is fearing something which is present. Apprehension is imagination. Anxiety is creating the symptoms of fear with the help of apprehension, means anxiety is fear without the presence of the reason. Obsession is repeated unnecessary behavior. Now, in your case, pulse and heart rate is a bit high because of your apprehension and anxiety. Checking pulse is not a bad option, because you have the problem here. What you have to change is, the anxiety and apprehension. You should tell me what are the causes of your anxiety? For how many days it is present etc. For now start with drinking plenty of water, meditate whenever you can and deep breath, exercise daily. Keeping yourself busy helps in overcoming thoughts.Thoughts are there to come and that is the duty of the brain. let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for panic attack"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pain that throbs on my trachea between my mandible and clavicle in the middle. It is uncomfortable to turn or tilt my heads at times and the pain wakes me up at night sometimes. It goes away after a couple days but comes back in two months?? This is only the second time. Is this a thyroid issue? Is not really an issue until I m in bed? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are most probably having thyroiditis. You will require a detailed examination as well as thyroid function test and a ultrasound neck to look for any other cause. Kindly consult your doctor at the earliest.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes pain in trachea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iam a sensitive boy who is an orphan..i suffered and yet suffering in this world by peoples abusement, humiliation, criticisms,teasings; domination, mis - treatment,etc..iam helpless and in need of a good supportive friend..but still every friends are misusing me and only overwhelmed..so please provide some tips ? iam struggling in depression. Doctor: DearWe understand your concernsI went through your details. You should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression but they are short lived. Here, you are stating, you are depressed. Did any psychologist / psychiatrist diagnosed depression in you?Secondly, the given life conditions do happens with many people. You should be capable enough and experienced (not strong enough) to overcome these type hardships. You could get psychological counseling and life coaching to manage these problems.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What is the treatment for extreme depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son baby 7 months old is suffering from loose motion 8 to 9 times a day in fluid form. treated with antibiotics no effect please reply...... Doctor: Hello. . In small children, diarrhoea is mostly due to viral infection and not bacterial- so, antibiotics dont help much. You need to give him sachets of probiotics, concentrate on adequate food and fluid intake.Viral diarrhoea is self limiting in 2-3 days. Dr. Rakhi Tayal"
},
{
"from": "gpt",
"value": "Target: My baby is suffering from loose motion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I am 36 year old male, I am getting excess hair fall. I use to go to gym from last 5 years and using supplements as well. I am taking finax, follihair, and zincovit tablets twice a day from last one month and using mintop 10 % as well in the night. but not getting any result. please advise me that I should continue with it or should I add some thing more in that. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You can continue all the medications that you have mentioned. Keep in mind that all these medications show gradual improvement. You should wait at least 6 months for initial improvement. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Every time I shave after 1 day I get tiny blisters or pimples on middle stem of my penis, but sometimes without shaving also I have it. I work outside for 12 weeks and then get back home with for 3 weeks. So while I am out I don t masturbate, because I feel after masturbation I have the same problem maybe due to palm friction. Can you please advise what is the exact problem and how I can overcome with it. Its little painful when it appears. Doctor: Hello Dear,I have gone through your query. Nothing to be worried so much but you need to take some precautions.Reason for your problems may be,1) Your skin may be very sensitive - Use other alternative than shaving, avoid very clean shave.2) Sometime also without Shaving?- It may be due to poor hygiene of genitalia and it is very very common in people working around the clock for long duration. Try to keep area clean and dry as much as possible.It may be due to superficial skin infection (staphylococcal skin infection)- better and long term solution for this is to keep area clean and dry. Masturbation may aggravate such condition but it is not the cause for this condition.Just relax and take these measures and come back to if problem persists.Regards,"
},
{
"from": "gpt",
"value": "Target: How to treat tiny blisters like pimples in penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor, i m 24 yrs old and my partner is 27.only 1 day of sex, i was conceived. we did an abortion 2yrs ago.after abortion there s no contact for 2yrs. now only we convenced our parents and married 4months ago. still we have not a baby. before the marriage i took the tests( FSH ,LH, TSH , BLOOD TEST ,WHITE TEST, SCAN ETC.) now we r getting worried about the 1st abortion. will the 1st affect my future pregnency? Doctor: Hello Kosal Thank you for getting in touch with us. As I see, you and your husband are trying to have a baby and are worried about that. While some women conceive immediately after an intercourse, some take a longer duration. We would like you to know that previous abortions usually don't affect subsequent pregnancies in most of the cases. However, in some cases, there might be some complications. You have mentioned that you took some tests before marriage but have not told us about the results. If we knew your LH, FSH, TSH levels, we would be able to guide you in a better way. We would recommend you to get in touch with your Doctor and consult him on this. He might recommend you and your husband to go in for a few tests. Hope this helps Regards Dr. Gagandeep Dhillon"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Thyroid test, blood test done. History of abortion. Causes for infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My one month old has really dark circles under his eyes. When he was born I notices he was chocking like on fluid and his eyes were realy puffy. As if they didn t suction his pasage well. Well now the puffiness is gone but the eyes are darkend and sometimes he still gags and chokes. Should I cotact an ENT specialist for help? Doctor: Hi.... I understand your concern. If the baby's weight is normal then I don't think you should worry. But if he is not gaining weight appropriately, then I suggest you consult with your pediatrician first and then on his advicee consult other Specialist.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes dark circles under eyes in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: having pain in right hip and flank just had ct scan no stone but do have cyst on both kidneys liver and spleen cant seem to get clear answer from any of doc mean time pain is getting bad have history of lch langers always have blood in kidneys but no infection and blood pressure is up feet are purple colored some of and on numbness in right leg Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Renal cysts can cause dull aching pain in the flanks. If the size of the cyst is too large surgical correction may be needed. Consult a urologist and get evaluated. Wishing you good health. Thanks"
},
{
"from": "gpt",
"value": "Target: Do cysts in kidneys, liver and spleen cause hip and flank pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my name is umar i am a young boy of 18 years.i have a big probllem with my pennis with a big story,in the childhood by mistake someone throw acid at my pennis and then doctors opperation it and now it is in good condition but only of 2 inch can we replace it Doctor: DearWe understand your concernsI went through your details. I can understand. Please don't worry about the length of penis as long as you are able to use your perform according to what it is supposed to do. Even an erect 2 inch penis can satisfy women. Don't worry about it. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Are there any surgical methods to replace the penis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Respected Doctors, my husband of age 40 has no bad habits but from ladt 1 month he has burning sensation in arms and foot we consulted neurologist he did nerve conduction study and said little nerve problem he is taking Narvax 75gm tablet .is this condition is serious further nerve wil be damaged .what precautions we must do now? He must continue medicine for how many days?please help us Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have burning sensation in arms & foot . Well the symptoms you mention in query can occur due to may reasons like radiculopathy, cervical spondylosis , herniated disk , peripheral neuropathy , neuralgia and multiple sclerosis .I would suggest you to consult orthopedic surgeon for proper examination . Doctor will take history and order nerve conduction study . Doctor may recommend physical therapy and stretching exercises or may prescribe painkillers and anti-inflammatory medication , steroid injections or recommend surgical procedures . Keep yourself hydrated and do light exercises like yoga and light walk . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for burning sensation in arms & foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iam 65 ,BP goesup to170/100 on taking drugs it varies between135/85 to 115/75 two years back ECG showed Rbbb also ,Itook metpure XL50+Tsart40 ,then metpureXL50+olmesar H, other doctor advised for tolol 25 +olmesarAH,next advised Amlong MT 25. All drugs is supported with Ecosprin 150NV also.MY 2D ECHO,Lipid profile,sugar creatinine all are normal,my routine life is perfect,4 KM morning walk 10 minuites anulom vilom, My question is- which drug Ishould take,how long it is to be taken.Iavoid to take doctos\"s token no 'Q' this puzzels me. Doctor: hello,I have gone through your query.Thanks for using HCM.you need BP medicine for life time.You should aim your BP below 140/90.It is better to avoid Tolol or Metorpolol i.e Beta blocker group of drugs.You should combine Amlodipine and olmesartan and titrate its dose to achieve goal.please discuss with your treating doctor,your life style is good enough,My best wishesDr.Rajesh Teli,MD."
},
{
"from": "gpt",
"value": "Target: Suggest medication for controlling high blood pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 30 year old female. My normal resting pulse rate is usually in the 50s and here the last week my resting pulse rate has been 85 to 100. I am concerned about this. my blood pressure is usually in the 90 over 60 that has been 117 over 73. what could be causing this Doctor: Dear Friend, greetings from HCM. I understand your problems. High resting pusle 100 you need to rule out hyper thyroidism. Please check your thyroid hormone profile. Some people do have BP will be normally bit on the lower side . need not worry . if you have symptoms like giddiness, difficulty in breathing, you can later get evaluated . please feel free to ask more quiry Thanks ."
},
{
"from": "gpt",
"value": "Target: Why is my blood pressure high?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I have had swollen and painful glands on the left side (under chin, just above collarbone) for about three weeks. I developed a cold after the first week. I have never had painful swollen glands with a cold and am worried that it is not getting better. I am also still exhausted and experiencing body aches and a bad but dry chest cough. No fever. This seems like a cold, but I am eating well, sleeping, and drinking lots of water. Why isn't it getting better? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It looks like viral infection only and it can cause swollen glands or swollen lymph nodes. The swollen lymph nodes can take a longer time to get better so do not worry about it.In case if it is not getting better consult an Emergency room and get a blood test done. For now, take Dextromethorphan syrup to reduce a cough and Paracetamol for aches. Drink warm water and take steam inhalation.Take sufficient rest and avoid spicy and irritant foods.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen lymph nodes, cold, body pain and exhaustion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have random pain in my lower right side, and sometimes when I m about to pass water I ll get sudden stabs of pain but then it will subside and won t hurt for awhile (days or weeks). I ve had protein in my urine before and have had a kidney infection about two years ago. Any suggestions? Should I get it checked out? Doctor: Good Day and thank you for being with Healthcare Magic! I would advise you to have your kidneys and urinary system checked. Pain during or after urination is always a trigger sign that something might be wrong. I would suggest getting a urinalysis and a kidney bladder ultrasound. This two non invasive test are very easy to do and would be able to detect about 90% of urinary system abnormalities.Protein in the urine is always bad and tells me that there might be ongoing kidney damage happening right now. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes."
},
{
"from": "gpt",
"value": "Target: Why is the sudden stabbing pain while urinating and had protein in urine and kidney infection few years ago?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, my name is John and because i have a kidney stone with the size of 6x 9x10 mm after the CT Scan taken, and my doctor an internal medicine specialist gave RENALOG medicine to drain the stone, my question is whether the medicine is good for me or else...also i have Chronic Cholecystitis with Cholelithiasis inside, the doctor suggested to take out the bile (I don t know if that is the right name for it) Is there any other alternative or option to do it....thank you very much Doctor. My email address is YYYY@YYYY . Thanks Doctor: Hallo Thanks for your query.You have a stone in your kidney of 6x9x10 mm size.You have not mentioned whether it is a silent stone or you are getting pain in your loin. Normally any kidney stone which is not obstructing the flow of urine in PC system is termed as asilent stone.If it obstructing and and giving rise to back pressure changes then it has to be treated by appropriate method which depends upon size,location and degree of obstruction it on Pelvi Calyceal system of kidney.There is no medicine that can dissolve the stone or enhance the passage of the stone.So please consult Urologist who will decide the mode of the treatment.."
},
{
"from": "gpt",
"value": "Target: Advised Renalog to drain the kidney stone. Have chronic Cholecystitis. Any alternative ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 19 and I think I may have a throat infection. For the past four nights, when I sleep in the night I wake up before the end of the night due to pains when I try to swallow. The situation seems to be getting worst since i now get the pain throughout the day as well and I am wondering if I should visit the Doctor. I also feel a bumpy surface at the back of my tongue which might be the cause of the pain. Are there any home remedies which I can try or is it a situation for the Doctor? Doctor: hellooo..read thru ur query...u can try this remedies for few days and still if pain persists meet an ent surgeon.1)do warm salt water gargle as many times as possible2)avoid cold drinks and cold stuffs(icecreams etc)..drink lot of warm water.3)after brushing ur teeth scrape ur tongue nicely(tongue harbors millions of microbes harmful to throat).follow this and still after few days pain persists meet an ent specialist..hope ur benefitted something from this..have a healthy day!!"
},
{
"from": "gpt",
"value": "Target: Suggest home remedies for throat infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my wife is a patient of Hereditary spherocytosis, now a days she is suffering from jaundice treatment as her Bilirubin and Sgpt level history is belowFirst Test Diagnosed as jaundice SGPT = 103Bilirubin = 2.3Treatment Jetepar 500 Ml repeated 5 days continueslyand some other Test Repeated after 12 daysSGPT = 115Bilirubin = 2.6only syrup and food TreatmentTest Repeated after 10 daysSGPT = 287Bilirubin = 3.2now again after 14 days test performSGPT = 296Bilirubin = 3.7please advise what to do Doctor: Hi thanks for contacting HCM.Noted she has persistent high liver enzymes and bilirubin ...Hereditary spherocytosis present...So if spherocytosis not controlled partial or full splenectomy may might need for treatment of it....If needed rcc transfusion and folic acid supplementation useful....Meanwhile cutt of oil in diet to rest liver.Fruits taken more..Avoid alcohol...Green leafy veg and adequate protein taken..Regular follow up needed...Take care."
},
{
"from": "gpt",
"value": "Target: What is the treatment for jaundice having low bilirubin and SGPT values?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir, i have been taking acitrom 3 mg daily to balance my INR ( Ruemetic heart valve replacement has been done by Dr. Naresh Trihan ) now tell me what`s the side effects of acitrom. I do the yoga Daily . I want to know how to decrease the acitrom dos. kindly tell explain me how to do this...... Doctor: Hello, First, let me tell you that any change in the dose of Acitrom should be only considered after you talk to your cardiologist. So far as the side effects of Acitrom are concerned, bleeding, increased heart rate, low blood pressure, nausea, vomiting are a few of important side effects of Acitrom. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Prabhash Verma, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of acitrom?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my son had a tooth removed on Tuesday late afternoon. All went well .But Wednesday afternoon he started having stomach cramps and diarrhoea. He now has really bad stomach pains and diarrhoea..and it is getting worse. He is now only drinking water but it is going straight through him . (No pain in around his tooth ) but fowl smelling breath. But that could be cos he has not cleaned his teeth !!!!!!!!! ? Doctor: Hello,As per your query, your son having symptoms of stomach ache and diarrhea after tooth extraction which seems to be side effects of antibiotics administered and electrolyte imbalance in body.I would suggest you not to panic at all. Drink plenty of fluids to rehydrate yourself. Take probiotics in diet. Visit general physician once if symptoms keeps on persisting and get it examined.You should go for blood tests as well and start treatment after proper examination. You should give Ibuprofen to child along with proton pump inhibitors as well.You should take banana on daily basis and light food. Avoid taking any sharp and spicy food. You should start treatment with combination of Fluoroquinolones and Ornidazole drugs.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes stomach ache and diarrhea after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having skin pain mostly on my upper torso front and back. It has also occurred on my upper arms and legs. I have no rash and It has been going on for 9 days. I also had a severe headache and nausea with vomiting one night right in the middle of this time Doctor: Hi, It might be a simple musculoskeletal pain. As a first line management, you can take analgesics like Tramadol or Diclofenac for pain relief. If symptoms persist you can consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the upper back and arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor... i am 25 years old male...i have been diagnose with asthma 3 days before...i was suffering from violent dry coughing especially in early morning hours.chest pain,vomiting due to stressed coughing..and i am allergic to dust and climate change...i am a assistant director in movies ..can i spend my rest of life normally or i have to take medicines whole life..also suggest me what all diet and things i should include or exclude..i am a smoker too since 6 years Doctor: Hello.First of all, my sincere advice is to quit smoking, if necessary, seek professional help also. Smoking harms the lungs and not only worsens asthma but also reduces efficacy of some of the asthma medications. This will be one of the most important step for you for a better lung health.Apart from this, with proper understanding and correct use of asthma medications, you will be able live a normal life, including exercises, sports & adventures. So please do not worry.Depending on the severity of asthma, you may have to take daily regular medicines or intermittent medicines on as & when needed basis. With passage of time, you & your physician will be able to decide minimum dosage of medications to control the asthma.Unless you are particularly allergic to some foods, you may not have too much food restrictions. I would suggest to minimize cold foods (cold water, cold drinks, ice-creams, etc) & sometimes spicy/fried foods (if you feel they worsen your cough). Otherwise please try to have balanced & nutritious diet rich in vitamins & minerals.I would also suggest you regular exercise, breathing exercises, yoga & pranayama. Control stress with relaxation & meditation (stress may trigger an asthma attack).Hope this was helpful to you.Wish you the best of the health.Regards."
},
{
"from": "gpt",
"value": "Target: What is the treatment of asthma ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have had for two months now stomach upper pain wind and acid reflux although the reflux has been there for much longer. Also at the same time i have noticed penis sores under the hood. The last sexual partner was two months prior no symptoms before this time? Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may be suffering from acute gastritis or peptic ulcer disease with gastro esophageal reflux disease with genital ulcers may be due to syphilis or chancroid or herpes simplex or gonorrhea etc. Until examination is done it is difficult to say what it is. Use tablet Pantoprazole. Use urethral swab culture and sensitivity, use cap Doxycycline. If symptoms not improved please consult your doctor, he will examine and treat you accordingly. Take care."
},
{
"from": "gpt",
"value": "Target: What causes stomach pain and penis sores?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m currently trying to join the military, and had a couple of questions concerning the medical questionnaire that I m supposed to fill out. If you could tell me what the following question is asking for, I d greatly appreciate it: Have you ever had or do you now have: Abnormal curvature of your spine (any part)? Doctor: Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : What does abnormal curvature of spine mean?Answer : There is a normal Curvature of Spine. The Spine at your neck is curved with the convexity toward front. In the region of your rib cage, the spine is curved, but the convexity is toward back. Again in the region of your Lower abdomen, the spine is curved, but the convexity is towards front Now, There are certain diseases in which these normal curvatures are lost or exaggerated. Those are called Abnormal curvatures. These are called Kyphosis or Exaggerated Lordosis or Loss of Lordosis Some times, the spine gets curved towards right or left . These are called Scoliosis If you could tell me what the following question is asking for, I d greatly appreciate it: Have you ever had or do you now have: Abnormal curvature of your spine (any part)?The above question is asking : Have you had Scoliosis, Kyphosis, Loss of Lordosis or Exaggerated Lordosis Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: What does abnormal curvature of spine mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My daughter is 7 months old.She was born with hair on the body, but she lost all the hair on the body except for the upper lip and forehead.It kind a looks very dark on the upper lip , just like a moustache and the forehead has also little hair.I am worried more abt the hair on her upper lip.Is there anything that I can do abt it. Thanks in advance. Doctor: Hi there! Thank you for contacting us. With what you are describing may be due to an elevation in testosterone. Even females have testosterone, and it's to a lesser amount than in the males. I would take her to the pediatrician and ask to test for testosterone levels. I hope that helps. Thank you for contacting us."
},
{
"from": "gpt",
"value": "Target: What is the solution for upper lip and forehead hair in 7 months old baby girl?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I am 16 years old and I have the implanon as a birth control and have had it for about a year now. I have been on my period with few days in between for about two months. I wake up in the morning and either my head or stomach hurts. My lower stomach is getting harder and bigger. And my boobs are getting bigger. My period is constant and is a vary dark/brown color. I am really worried and so is my boyfriend. I am constantly tired and hungry and I have been extremely moody. I have also been having bad stomah pains occasionally. Is there any way you could help? Thank you. Doctor: Hello!Thanks for your query.You dont need to worry because all these signs are side effects from using implanon.More than 1 in 100 people who take Implanon: appetite gain changes in emotions decreased libido depression feeling dizzy feeling nervous stomachpain tirednessIf these signs and symptoms are persistent and you dont feel well you should change birth control method.Take care of your self"
},
{
"from": "gpt",
"value": "Target: Have implanon. Headache, stomach pain, hard and big stomach, breasts getting bigger. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I ve just had a hysteroscopy done 6 days ago and have had some lite bleeding, brown in color, since the procedure. My doctor did notice a polyp that I have never had before but she said it was small and common so she wasn t to worried. I am 37 years old with a history of bacterial vaginitis and infertility. I had the hysteroscopy done because I am starting a new cycle for IVF. I do meet back with my doctor on Thursday but I m curious to know if you think she will let me go ahead with the IVF with the bleeding and polyp and the bacterial vaginosis? Any thoughts? Thank you. Doctor: Hello my dear, in my opinion u should defer undergoing IVF cycle this time with these hysteroscopic findings because : bacterial vaginosis need to be treated first: my past experience in patients undergoing IVF and hysteroscopy in same cycle had poor resultsGood luck and may god bless u.."
},
{
"from": "gpt",
"value": "Target: Will my doctor allow me to go ahead with IVF as i am having bleeding, polyp and bacterial vaginosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My prostate cancer is in remission. I have ED which I blame more on the steroid injection they gave me prior to my 40 radiation treatments 1 1/2 years ago. I just started taking super Beta Prostate and Triple Action Virility. Is it safe to take these supplements? I am recently experiencing being easily upset and angry. Are these symptoms side effects? Doctor: Hi and welcome to HCM.Thank you for your query.It is not contraindicated in prostate cancer or in remission of prostate cancer and you dont have to worry about this. But, it may decrease blood pressure so you can feel side effects cause by this. Some emotional side effects havent been reported.Before you take it, consult your doctor about it.Wish you good health."
},
{
"from": "gpt",
"value": "Target: Prostate cancer in remission. ED because of steroid injection. Is it safe to take Prostate, Triple Action Virility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been having stomach problems and kidney infection. They did a MRI and said I have cysts one time and kidney stones the next. I have alot of pain around my lower stomach and sometimes I can t walk but last time I when to the ER they just put me on pain medication and antibiotics I still have the pain and it really hurts at night Doctor: HelloSimple renal cysts usually doesn't require any treatment.It generally only require follow up ultrasound.Renal cysts may require treatment if there is infection,enlargement of cyst,pain etc.Treatment of renal calculus depend upon many things like size,composition,complications etc.You may need further evaluation like urine RE/ME.Up to 5.0 mm calculus may pass spontaneously.Drink lot of water.You may also need calculus dissolving medicines like sodium and postassium citrate.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Is kidney infection associated with lower stomach pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there. my child has sever stomach cramps and through up twice today. I gave him 10mg buscapan and 4 hours later gave him another one. He has not thrown up again. He has a fever and complained his dizzy. Is it okay if I give him some ponstan for the fever. He is 8 years old turning 9 in September. Doctor: Hi..do not give Buscopan as it might cause dizziness in some people. I suggest you to give Paracetamol for fever and pain in tummy too. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for fever and dizziness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... My 9 week old baby has a smelly yellow/green discharge from his left ear, but does not seem to be in pain. Could it be an infection? should he go straight to the hospital? Doctor: yes it could be middle ear infections, it needs to visit pediatrician, required oral antibiotics, ear drops, anti inflammatory medication."
},
{
"from": "gpt",
"value": "Target: What causes smelly green colored ear discharge in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A month ago, I was playing volleyball and fell forward hitting my hip bone pretty hard on the ground. The next day I fell again and landed on the exact same spot. Like I said, it s been a month and it is still a darkish color and hurts whenever I put pressure on the spot. Is this normal? Doctor: hiProbably it is some blood clot or hematoma common after bruising of soft tissues on impact injuries. Do hot fomentation and apply thrombophob Gel locally.nothing to worry .it will go in few daysRegards"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and soreness near hip bone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i started bleeding yesterday and im pregnant, woke up today still bleeding with mild tummy cramps. i went for an internal scan and they said i was 5 weeks, the sac is in the right place and my cervix are fine. I have to go back in 2 weeks for another scan, i have just passed a blood clot and the cramps have now stopped, but i noticed something that looked like a bit of tissue it was white and about 1cm long, have i miscarried? Doctor: hi I understand your concern.as per your history it appears that you are heading towards threatened abortion as you are having bleeding and cramps .your history of passage of fleshy mass is also indicative of the same.I need to ask one or two things from you, you didn't mention your last menstrual period and in scan report did they mention anything regarding fetal pole or any cardiac activity.for these complaints you need to visit your nearest doctor and get the usg done again for the present status.I hope I am able to solve your problem."
},
{
"from": "gpt",
"value": "Target: What causes discharge of blood clots along with white tissue during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The front of my tooth keeps developing puss from the gums I have to drain the puss through out my day,and also one puss spot on my gum keeps coming back after I squeeze the puss out. This makes my breath bad....could u pls tell what kind of antibiotics is used. Doctor: Hi..Thanks for the query..As per your complain pus spot on the gums that is also draining is most probably due to dental abscess formation..It occurs due to deep Infection in tooth that is leading to pus formation below the root tips of the tooth that perforates the bone and accumulates into the soft tissues..Bad breath is due to infection and infected pus formation..In case if you do not have tooth decay then it can be probably due to gum abscess formation..I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigation like x ray can be done for confirmation of the cause..If there is tooth abscess then Root Canal Treatment can be done under antibiotic and analgesic cover..If there is gum Abscess formation then deep scaling and Curettage followed by antibiotics and topical application of gum paint can help..As of now antibiotics like Augmentin and Metronidazole can be taken by getting prescribed by a Dentist or Physician..Gargle with flavoured antiseptic mouthwash..Hope this information helps..Regards.."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for gum abscess with bad breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is the difference of a knot in the lower left backside (long history of sciatica) that is getting worse and kidney issues? A coworker said get your kidneys checked but i think it’s the sciatica. Sometimes it’s so painfull it causes temporay issues with passing a stool. Doctor: Hello,A lump on the lower back around spine region suggests possible soft tissue lesion as sebaceous cyst, lipoma or others. While that one near anus causing painful passage of stool indicate infection in boil likely.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: What does a lump in the lower back on the left side indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been told I have a calcium deposit on my rib - I had a mammogram as thought it was a lump on my breast. Recently I have felt quite short of breath and think I may have asthma or just suffering from hay fever. Also sometimes when I have a sharp intake of breath it sounds like there s a noise from the lump?? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. Asthma is allergic disease and mostly it is seen from long time like since childhood. You are having recent onset breathlessness, so possibility of asthma is less and possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for shortness of breath and hay fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, im 24 year old i got an irregural periods last month, last i got period on 17th September and then my Doc suggested Duphaston for about 18 days course then i got periods on 14th Oct and now my Doc prescribed me Promolut N for again 18 days..my question is tht can i get pregnant during treatment of promolut N? and plus i want to know tht my partner is slightly against my planning of baby but we almost come close everyday and he always tried to leak out of me...what should i do? Doctor: Hello,Thanks for trusting us with your health concern. In the current scenario, your ovulation status should be established. Primolut N is not recommended when you are planning to conceive. You can use safer preparations for regularization of cycles. Please discuss with your partner and plan further management. If you are ready to conceive, you can go for induction of ovulation, if you are not regularly ovulating naturally. This needs to be done after all investigation. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What is the chance of getting pregnant during promolut N medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a cousin who is in hospital & we arent getting much answers from hospital staff. If a person has hep C, a drinker of alcohol & drug use what is the hope of him recovering. His liver has shut down for about a week & he is on dialysis. at first it was round the clock but now its every 2 days for 4 hours. He was diagnosis with having pneumonia & was on breathing machine but now is breating on his own. He is very confuse, tries to talk. Is there a web site that will give me any straight answers Doctor: Hi, of course the condition is critical, as he is improving let us hope he will improve completely, but it will take time . So many systems are to be recovered, nervous system, kidney, liver etc, liver will be left with residual pathologies. Thank you."
},
{
"from": "gpt",
"value": "Target: On dialysis, disfunctioning of liver, diagnosed with pneumonia, confusion, hep C. History of drug use and alcohol drinking. Chances of recovery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my eight year old son has been sneezing every morning for the past couple of weeks and has very runny eyes too - he hasnt got a cold - i have been buying over the counter medicine for hayfever but tonight his eyes are all puffy and runny - is there something else i could do to relieve these symptoms Doctor: Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 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.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to relieve morning sneezing and runny eyes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a brain hemerage and while in intensive care my EVD was dropped on the floor and recontect with the use of sterile wipes. I contracted Morganell morganii and had to face another operation to save my life, which I now have hydrochlus could this be linked and is this infection common. Doctor: Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : Is hydrochlus infection linked to brain haemorrhage?Answer : Yes. Hydrocephalous is very common after Bleeding into the Ventricle. Question : Is this infection common.Answer : Yes. Morganella morganii is common in post Operative PatientsHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Is hydrochlus infection linked to brain haemorrhage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have lower back pain right side for a long time went to the er got ct scan dident see any thang X-ray same thang uerin test said little blood did blood work no infection but I do have diverticulitis can any one help Ben haveing this pain on and off for years Doctor: Hi, thanks for posting your concern in the HCM.Yes, diverticular disease can produce back pain. As per the information provided you had blood in urinalysis too. I think further evaluation is needed for the same. Although your blood infection came out to be normal, blood in urine may also be due to glomerulonephritis, stone in kidney or ureter, any other bladder pathology including CA. All these can cause back pain. If your CT scan was for abdomen, I think these possibilities have been ruled out except for glomerulonephritis. For this the urinalysis report and sediment analysis is very imp[ortant. You may need to consult a nephrologist to rule out the same. You may also need to have the following tests done-CBC, ESR, Complement levels, BUN, creatinine.Your Xray may rule out any bony abnormality. But, you need to have an MRI of LS spine to be confirmed that there is no spinal abnormality.You should also have a routine stool examination done. In case of exacerbation of the diverticular disease, a clear liquid diet for 2-3 days alongwith a broad spectrum antibiotic, e.g. ciprofloxacin may help. For long term dietary management, you should be on high fibre low fat diet. You should also consult your local gastroenterologist for further evaluation.For any further information, please write back to me.Regards,Dr. Kaushik"
},
{
"from": "gpt",
"value": "Target: Can lower back pain be due to diverticulitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , Two days ago my son felt breathlessness all of a sudden. He is 10 years old. As he explained to me later that he felt completely suffocated and his mouth was frozen for a while. I immediately rushed him to hospital where they gave oxygen to him first . They also took X-ray and monitored saturation. He was found okay then and we got him discharged. He had slight nasal congestion . He also told the doctors that he was hit on the chest by his friend while playing , but it was not so hard. But he did not feel any suffocation then. May be , he felt it 5 min later. I am worried why he had this sudden breathlessness. Does he need any further tests ? Doctor: Hello, Sudden blunt injuries like this can cause - 1. Electrophysiological abnormalities in the heart 2. Concussion to the heart 3. Pulmonary hemorrhage I suggest you insist on taking an EKG for him and if again he develops similar symptoms - take him to the nearest ER and put under medical observation for 2 - 48 hours, please. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What does sudden breathlessness in a child mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have eosinophilis count as 10 which is very high need to bring this to 3 please advice me I have taken Benocide forte for 10 DAYS but no result...pl asssist my fissures operation is held back due to high eosinophilis ...pl revert to me and oblige YYYY@YYYY Doctor: First of all you need to search the cause for that. High eosinophil count may be due to many reasons like allergy, ashtma, hypersensitivity, parasitic infection idiopathic etc.we havd to search the cause why eosinophil count is high? And then takettreatment accordingly yow will definitely get benifit."
},
{
"from": "gpt",
"value": "Target: What is the treatment for high eosinophil count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a itching inside my penis in the tube not under the skin or anything but inside my penis it doesnt burn when I pee it just itches like sensation of scratching myself in the tip of my head to about half way down. Im very very nervous and scared I dont know whats wrong and cant find any answer and no money for hospitals or doctors so please someone let me know please Im afraid and need help Doctor: it might be due to infection.kindly do urine analysis test and consult your doctor.take antibiotics like t.norflox twice a day and take benadryl syrup."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for itching inside penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, my husband has been diagnosed with severe COPD at least 18 years ago. He saw his Respiratologist today for a sputum result and was informed that he has a mycobacterium kansasii infection. The specialist is referring him to a TB clinic. I would like to find out more about this infection as the specialist said that it was very serious. Can you provide me with information? Many thanks Doctor: Hi, I have read your query and understand your concern. Mycobacterium kansasii infection is quite similar to TB or tuberculosis caused by mycobacterium tuberculosis. Their symptoms are also quite similar. Patient infected with Mycobacterium kansasii develops symptoms like cough and coughing up sputum. Some people develop blood tinged sputum. Few people have weight loss and find it difficult to breath.Some other symptoms are fever and sweating at night. It tends to infect people with previous damaged lungs due to other conditions like COPD, TB, bronchiectasis, etc. It can also infect people with weak immune system like in HIV/AIDS. Your doctor might have told its dangerous as it can spread to brain causing meningitis as well. But you need not worry so much. Mycobacterium kansasii can respond well to combined drug treatment of rifampicin, ethambutol and isoniazid. If its resistant to rifampicin, then other drugs are used. As your doctor has referred your husband to TB clinic, they will take care of all his tests and drug treatment."
},
{
"from": "gpt",
"value": "Target: What are the symptoms and treatment for mycobacterium kansasii infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have what appear to be blood spots on my scrotum. There is no pain and no incidence other than one occasionally breaking and bleeding. The bleeding stops without any scabbing or refilling of the blood spot. What gives? I have had these spots for a very log time and my doctor never says anything about them. Doctor: Hello,What you have is called a scrotal hemangiomas or angiomas which are benign abnormal growth of blood vessels in the scrotum. These are not life threatening. They can be treated by electrocautery but usually recurrence is very high.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Manuel C See IV"
},
{
"from": "gpt",
"value": "Target: What do blood spots on the scrotum indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. .my son is 4 years old. ..his nature is so aggressive n understand thing after a time. . Bt on other side he pick up things very fast too... he still not speaking perfectly. ..pronunciation not proper. .he gets tired soon..his weight is only 13 kg.. . Please tell me some tipsfor his better health. .. Doctor: Thanks for posting your query at HealthCareMagic. It is not clear whether your child is facing some problems in learning but it is not unlikely that your child is actually doing fine. I would suggest you to take him to some centre with the scope of developmental assessment of a child. Based on the findings, the specific interventions may be given.Sorry because I could not be clearer with the little details mentioned here. Feel free to revert back in case of further queries."
},
{
"from": "gpt",
"value": "Target: How can aggressive behavior with speech imperfection be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For about a week I have been feeling occasional lightheadedness. I am 62, 6 , 160, nonsmoker and drink 5-6 beers a week in very good health. Run 3.5 miles 4 x wk. Good diet , checked my B.P. day after it first occured and it was 117/77 Do have allergies and there is a lot blooming now Doctor: Hello. There could be a cardiac problem here with an arrhythmia. The other possibility would be a transient ischemic attact--a threatened stroke. You need to have your doctor check this out with an EKG, echocardiogram, stress test, and an MRI scan of your brain."
},
{
"from": "gpt",
"value": "Target: What causes dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last normal period started August 31st. Then noticed lighter red bleeding 8 days earlier than was intended in September on the 23rd and then in October on the 19th, the same thing happened and in November on the 15th, the same thing again..all lasting only a few days..my duration runs 5-7 days and these were 2-3 days..there has been tenderness in the breasts, heaviness in the abdomen , irritability , moodiness and crying a lot and recently (last couple of weeks) some light fluttering on my right side..took 1 pregnancy test that came up negative..then took 2 a little more than a week later that came up positive.. I am wanting to know from when should I calculate by to figure out the due date being that I had this happen..I was told they go by your last normal period. I have been looking for answers and there just doesn t seem to be a straight forward one.. Doctor: hello,You are suffering from irregular period/spotting along with Pre Menstrual Syndrome (PMS).Several reasons of irregular period like hormonal imbalance,stress/anxiety,ovarian cyst/ PCOD, thyroid problem,wt gain/extreme loss,irregular eating habits etc. But first exclude pregnancy by doing blood test for B-hcg.Need to investigate properly to rule out underlying pathology by USG lower abdomen,Thyroid profile, LH/FSH,blood estrogen & progesterone level,PPBS etc.So consult with your doctor and take suggestive measures.Avoid salty food/coffee in 2nd half of period,Avoid stress by yoga/deep breathing,Control body wt, Take healthy diet,Use Tab FLUOXETINE 20mg OD with Cap PRIMOSA 1000 mg daily and wear tight breast support for some relief, may need OCP/Progesterone pill,maintain personal hygiene and need proper sleep.Be well."
},
{
"from": "gpt",
"value": "Target: Been bleeding very light, heavy abdomen, irritability. Am I around a pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello My 6 yr old has several itchy spots on her legs and hands. Do not know what s causing these and they all have a single Bite marks in most areas. Some are large patch of red swelling/rash. Using cortisone 10 and ice packs to prevent her from scratching and some detol as well. Please advise what s causing this and what steps can be taken other than mosquito net etc., she ggets then when travelling on train or cars etc., Thank you Doctor: In India most common is mosquito bites and tics and mites .apply antibiotics ointment & antibiotics pruritic cream, avoid steroids application.for prevention mosquito net& repplants for local application while travelling or even otherwise"
},
{
"from": "gpt",
"value": "Target: What causes itchy spots on legs and hands of a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im 40 years old and ive had vaginal bleeding for 2 months when I went to the gyn doctor who requested a complete transvaginal/abdominal ultrasound...my report says due to uterine parenchyma being quite heterogenous,detection of the endometrium is difficult to separate from the uterine parenchyma.....my gyn is on vacation until next week...what does this mean or can mean? does it mean I have a thickened uterine wall or fibroids? please help! thank you Doctor: HelloThanks for writing to HCMNormally uterus is homogeneous in echo texture.Your uterus is heterogeneous in echo texture and most likely it is due to adenomyosis which is characterized by the presence of ectopic glandular tissue with in the uterine muscles.However multiple small fibroids should also be ruled out.Treatment of both conditions depend upon many things like age,family is completed or not,symptoms etc.Most of the cases are managed by medicines whereas surgery is need in some cases.Adenomyosis can be managed by NSAIDS,hormone therapy etc.Hope i have answered your query.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What does the report saying: uterine parenchyma being quite heterogenous mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 38 yr old female, I have high cholesterol since I was a teenager, my 12 year old son also has it. My concern is I'd like to know if I can test for blocked arteries. I don't have any symptons, however it is a worry on my mind, because my uncle died of a heart attact at 37, and my mother had quadauple bypass at 50. Thank you Doctor: yes u have a strong family history and risk factor so u should get baseline ECG and stress exercise test that will clarify . keep close watch on symptoms like heaviness burning in chest esp on exertion and periodically check ur cholesterol levels. try to adapt healthy lifestyle, regular exercise, avoid other risk factors."
},
{
"from": "gpt",
"value": "Target: Is it required to test for blocked arteries in high cholesterol problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My blood pressure remains around 140/90 and I am taking medicine Losar H since 8 years. 1. Are there any side effects of losar H?2. After taking medicine in what time the normal blood pressure should be achieved?3. Upto how many hours the medicine is effective?My email ID is YYYY@YYYY Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that this is a medicine compound of losartan (which is an ACE inhibitor) and hydroclorthiazide (which is a diuretic). Both these drugs achieve their peak plasma levels (show their complete effect) afer 1-1.5hours of intake. This effects lasts up to 24 hours. That is why it is recommended to be taken once every 24 hours. There are different side effects of this drug like : gastrointestinal intolerance and allergic reactions, headaches, low blood pressure, high uric acid (related to hydroclorhiazid), hyperglycemia (related to hydroclorthiazid), fatigue, etc. Your blood pressure values, seem to be in the upper limits of the normal range. I would recommend some modifications of your lifestyle to help you maintain a normal blood pressure: - a balanced diet (reduce caffeine and salt intake)- perform physical activity (walking and aerobics)- lose weight, if you are overweight- manage anxiety (yoga, recreational sports, etc.)Hope to have been helpful!Greetings!Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: After taking Losar H when BP will come to normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor this is shweta, i did my icsi, 4 embryos were transfered out of which 2 were of grade 1 and 2 of grade 2 on 1st october, my beta hcg has come negative. i still get cramps in my lower abdomen, veins of my breast have darken. can u suggest me what has happened and what should i do? Doctor: Bhcg is a very sensitive test and once it's negative there's no chance of getting pregnant. The cramping might be unrelated to the procedure"
},
{
"from": "gpt",
"value": "Target: What causes stomach cramps after embryo transfer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hellow doctor,i have pcos diagnosed in 2009.my marriage was 24-10-2008.after marriage my periods are irregular.I have a misscarriage in 2010. (6 week Pregnency).Me and my hus going for treatment.2011 i have laproscopic surgery. after than 3 iui done. At that time no ovulation happend. Next our doctor suggested ivf . Now i got period.today is 4th day.it 36 day cycle. Now i wnt to know my fertility days.now we are trying naturally.My hus count was good. But lower motility. Doctor: Hi, Whenever PCOS is there, it is difficult to determine the period of ovulation naturally. Since you have tried 3 cycles of IUI already, I would suggest you to check the patency of your tube also. The best method to check for ovulation is Scan- follicular study.Since your husband's semen motility is low, there are certain medicines (anti oxidants) which improves the motility. Since you had one pregnancy earlier, you have high chance of getting pregnant. All the Best."
},
{
"from": "gpt",
"value": "Target: PCOS, irregular periods, had miscarriage, 3 IUI unsuccessful. Suggested IVF. How to know fertility days ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 10 yrs old son is having major issues with his mouth.he was being treated for what they thought was gingervitis but over christmas break it escalated and his lips cheeks and gums are so swollen and he constantly hurts.we are waiting for his labs to come back and they just did an oral biopsy on him.he also has cracks in the corners of his mouth and none of the ointment is working..do you have any suggestions on what can be causing this and what i can do to help him..the kid already has a speech problem and now its 10x worse Doctor: Hi dear, I had gone through your question and understand your concern. You should be worried, but not too much. Cracks in the corners of the mouth and gingivitis are symptoms of iron deficient anaemia. I suggest-check iron,haemoglobin, RBC to exclude anaemia;-follow iron enriched diet:spinach, sesame seeds, pomegranates, dates,apple,etc;-take multivitamins: Zincovit for 1 month;-it could be necessary to take iron syrup;-apply Pantosal.Hope I answered your question, if you have any further questions ,please don't hesitate to contact us. I am always happy to help"
},
{
"from": "gpt",
"value": "Target: What causes swollen lips and cracks in corners of the mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother has esophageal cancer which has spread to the lung and bones. She is coughing up a large amount of stringy phlegm and is in extreme discomfort. She is currently on a morphine patch and hydrocodone but nothing is helping to manage the phlegm or the nausea she is experiencing. Any ideas on how to help her? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your mother has esophageal cancer and it metastasis to the lung. Cough and nausea is due to cancer. He should take chemotherapy treatment accordingly. For Nause ondansetrone is useful. For terminal stage cancer pain morphine can be used. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe cough due to esophageal cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir Last year i had a radical Nephractomy -kiney - adrenal gland removal due to cancer -stage one Recently i had a low blood platelet coun +- 140 . I keep on having recurrent bladder infections and urinate every 30 minutes also have chills fever and groin pain as well as head ache and i cant concentrate also have the shitty-cancer feeling again and i have a lump between my anus and scrotum . i am suspecting prostate cancer what do you think Doctor: The symptoms that you have described dont seem to be related to your surgery or kidney cancer. They are more associated with your urinary bladder where the urine is store before micturition. There are a number of possibilities. It could be a chronic bladder infection, a stone, or worst cancer in the urinary bladder. Certain types of kidney cancers are associated with bladder cancers. These are called transitional cell carcinoma (TCC). If your kidney tumor was a TCC, then the likelihood of a bladder cancer is there. I suggest you get an ultrasound of the abdomen done which should show any such tumor. Also, a cystoscopy (endoscopy through the urinary opening) is advisable. Prostate cancer is a possibility although lower down the cards. If you are above 70 years of age then the risk increases for prostate cancer, in which case you should also get a blood test done called serum PSA."
},
{
"from": "gpt",
"value": "Target: Cancer, removed nephractomy -kiney - adrenal gland, low platelets, frequent urination, bladder infections, fever and chills. Lump between anus and scrotum. Is it prostate cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had enlarged lymph nodes under my jaw for a year. Now I have more enlarged lymph nodes above my collarbone on both sides, plus I believe I have a large on under my left armpit. I frequently run low-grade (100 degrees F), and am very fatigued a lot of the time, with much sleep required. I did get a FNA on one of the lymph nodes under my neck aroun 8 months ago, and it came back negative. Should I worry about these additional ones? Thank you. Doctor: Thanks for your query at HCM.I understand your concern and situation.You are having low grade fever and lymphadenopathy. The FNAC was negative. I suggest you to get your early morning sputum examination for ZN staining and mycobacterial culture to be done for 3 consecutive days. Take an ultrasound guided FNAC and get tested for cytology, ZN staining, PCR for TB and culture for TB to establish diagnosis. Till then eat protein rich and balanced diet with multivitamins and calcium supplements. Yes it is a cause of worry and testing needed.Take care.Best of healthDr. Sheetal Verma"
},
{
"from": "gpt",
"value": "Target: What causes enlarged lymph nodes above my collarbone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 39 year old female. 5 4 120 lbs. I started having heart palpitations about 8 years ago. I found I was unable to use anti-histamines because they would make them worse. Over the last year, they got much worse. I took caffiene, alcohol, and chocolate out of my diet. This summer I had some caffiene and it caused a rxn. of tachycardia , tremors, flushing, abdminal pain, headache, weakness in legs, and increased bowel movements, axiety. I had a full cardiac work-up done and was found to have PAC and tachycardia but was told it was benign. In october I started having spells of tacycardia when getting up to urinate at night (4x/night). when I would lie back down my heart rate would race. It would happen at random times during the day as well. I developed weak heavy legs, cramping in muscles. I had a massage which caused tremors in my arms and legs and a tachycardia (150BPM) that lasted 3 hours at the ER until I was given a Beta blocker . I had nausea, dizziness, visual trouble, tremors, weakness, anxiety, three bowel movements, increased urination, headache, Rushes of pain and pressure to my face, chest pain, abdominal pain. I was sent home with a prescription for Metroprolol. I continued to have symptoms and removed all chocolate, aged cheese, MSG and have continued to stay away from alcohol and caffiene. My initial 5-H1aa was slightly elevated but came down to normal next time and blood dopamine was slightly elevated. I had a full endocrine workup. Metanephrines slightly elevated initally but came down. All others still in normal range. Negative Thyroid, HIV neg., neg. mast cell disease, normal brain MRI. ruled out MS. I went to ER again in December with symptoms and he put me on lorazepam and told me I had hyperventilation syndrome. It helps my leg weakness and keeps me from having to urinate several times at night but now I am addicted to it. I have had R. flank pain for years and upper abdominal pain. Ultrasound showed polyps on gallbladder (at least one measuring 5 mm) and a cluster of milk of calcium cysts on my R. kidney. I find that I can not lie on my R. side without pain and increasing symptoms. I had accupuncture today and was placed on my stomach. by the end of treatment my bladder was full and when I went to get up, I was very dizzy and blurred vision in my L. eye. I had tremors. After 20 minutes I felt better. My primary care thinks it is anxiety, the neurologist says it is migraines which I have had for years but usually around my menstrual cycle, and the endocrinologist does not think it is a pheo or carcinoma because my urine and blood tests were not too high. I take 50 MG of Metroprolol and .5 mg of lorazepam in the morning and at night. I tried to switch to lexapro but one dose made me feel like I drank a bottle of wine and then had six espresso. I did not try it again. The meds are keeping my heart rate down and the lorazepam seems to help as well from keeping the episodes from getting too bad but I feel they are just treating the symptoms and not the cause. My doctor said she will check the polyp and cyst again in two years. My mentrual cycles have become much lighter for the last few months. All hormone tests were normal. I never suffered from anxiety in the past but whatever this is, it has caused me to develop it. I am not sure where to go from here. My blood pressure has always been low but when I have an episode it increases (160/98 being highest) while on beta blocker. Thanks for your help. Sorry so long but my doctor said they do not know what is wrong with me. Perhaps you all can help. Doctor: If your urine metanephrines have been done only once, please repeat couple more times. If the tests indicate you have no phaeo then get help from a psychiatrist for generalised anxiety disorder. Non pharmacological therapy will help you in addition to some of the drugs you are already on."
},
{
"from": "gpt",
"value": "Target: Have PAC and tachycardia, increased heart rate, pain all over body. Calcium cysts on kidney. What is wrong with me?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am constantly hot and then chilled, my hands are cold, I get clammy, very uncomfortable. I do no sweat, heat stays inside my body, at times my forhead aches. I take 40M blood pressure pills, right now my b/P is 163/83 Something is wrong. I called my Doc. he says I am OK?? Doctor: Hello, Pheochromocytoma is a possibility, in view of fluctuating BP and other somatic symptoms. Alternatively, you may be having paroxysmal hypertension without obvious provocative factors & repressed emotional trauma causing condition called pseudopheochromocytoma. You may go for plasma levels of free metanephrines as initial test. Thyroid function test (Free T3, Free T4 & TSH) also won't be out of place. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes fluctuation in body temperature with BP level of 163/83?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had sex with my gf and i gave unwanted 72 tab to her . again after two days had sex and gave tablet, normally she shoud gt periods on date, she is saying she s not getting periods even after four days from the date of normal period date , even she has not got withdrawl bleeding , is she is pregnent??? when should she expect the periods ...?? Doctor: Hi there,After reading your question, I am of the opinion that1) Unwanted 72 is not a fool proof method of contraception. Sometimes, pregnancy can occur even after using it.2) Missing a period by few days is also not unusual for a non-pregnant woman.3) You can get a urine pregnancy test done as soon as possible to rule out pregnancy.4) If the test is negative, you can wait for her periods to come or repeat the test after a week if they still do not come.I hope this answer was helpful.Regards,Dr. Shikha Shah"
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy if periods are delayed after having sex and taking Unwanted 72 tablet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is three and just over the past few weeks i have noticed that the bottom of her sternum by the xiphoid process is enlarged. should i be alarmed? she states no pain. never noticed it on her before and now all of a sudden. curious what your thoughts are Doctor: HiWelcome to the HCMI have gone through your question. Don't worry. Prominance of xiphoid cartilage is a perfectly normal finding. If it's not associated with any pain or difficulty in breathing, then no treatment is required at all.Take care"
},
{
"from": "gpt",
"value": "Target: What causes enlargement of the bottom of sternum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I ve been having weird symptoms in the evening where I get these hot/warm sensations in my upper back and down on my upper arms and shoulders....it used to happen in the middle of my back but now it seems to come from my neck down. I also have trouble regulating my body temp...I seem to get hot or cold really easily. I ve had blood work done and nothing has popped up. I d appreciate any suggestions you have. I m a 32 year old female...no children. Thanks Doctor: Hello, I passed carefully through your question and would explain that it is important checking thyroid gland function in order to exclude a possible thyroid gland dysfunction. I would also recommend also performing a brain and cervical spine MRI study. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes hot sensation in upper back and shoulders?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I have had bronchitis for about 5-6 days now but it is healing and I only have wheezing in one place in my chest. I also have a soccer game today and I don't know if I should play or rest it out because the bronchitis is getting better, thoughts? my symptoms are wheezing and chest congestion, and a stuffy nose, no cough though. Doctor: Well come to HCMI really appreciate your concern, with the symptom of wheezing and congestion it is advisable to be in bed, till complete recovery because even mild congestion one can not go for some physical work (Play), so better to have rest, hope this information helps, take care."
},
{
"from": "gpt",
"value": "Target: What causes wheezing and chest congestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby has swollen glands and red throat and is finding it very hard to swallow. He has not eaten anything solid since 6pm yesterday and not had a bottle since 7 this morning and has only drunk 4 fl oz of water today. He wakes up screaming and is increasingly difficult to settle. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that your baby is suffering from throat infection leading to Pharyngitis and Tonsillitis and the most common cause for it is bacterial throat infection, however it can also be due to viral infection..Consult a Paediatrician and get him evaluated and a thorough clinical evaluation and investigations like throat swab culture can help in diagnosis..He can be advised a course of antibiotics along with pain relievers like Ibuprofen or Acetaminophen..Feed him with plenty of warm fluids and a soft and semi-solid diet..Give him sufficient rest and keep him hydrated.. Do cool compresses over the glands..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: What causes swollen glands and red throat in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 65 years old was a runner for 30 years, now I walk more than I run I averages about 4+ miles on a treadmill 3 x per week I walk/run on the treadmill at about a speed between 4 and 6. I also walk out side on the days away from the gym, I workout with weights as well for about 25 years. I m just curious I was a marathon/ultra marathon in my 30s 40s and 50s, but my heart beats per minute never change from around 70 to 75, no matter what I do. Is that normal? it s still at that rate now. Louse Doctor: Hello, It is quite normal and does not indicates any disease condition. No treatment is required either. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is it normal to have normal heart beat even after running?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My lower left jaw has been sore & swollen for a week. I don't know why. I've had a fever as high as 102.6 & migraines plus I've been nauseous. Haven't taken any medicine because I've had such a bad upset stomach. I went to my dentist today as I've had some major dental work done in the last six months. He took xra ys & found nothing, Told me to go to my medical doctor so I called but he is out till Monday afternoon & this being Friday, his office told me to go to the ER. I did. I was told I have a Salivary Gland Stone. They did a CT which did not show it as they believe it is deep into my carotid artery & cannot be seen. Now they gave me an Rx for an antibiotic & told me to go see an ENT. Do you have any suggestions as to what this might be and why it is so difficult to diagnose? Doctor: Hello there! Thank you for asking. Regarding your concern of jaw pain and the history of dental intervention and clear investigations, there is the possibility of salivary gland stone but nothing can be said unless an otorhinolaryngologist sees it. If they suspect why didnt they have a sialogram arranged every thing would have come clear about the stone. I think its related tot he procedure which has some how infected the nearby vivinities. Keep using antibiotics, avoid using citrus fruits and saliva driving stuff and lets hope for the bestregardss khan"
},
{
"from": "gpt",
"value": "Target: What is the diagnosis for swollen, sore lower jaw with high fever, migraine, nausea? Ct scan negative"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, my friend has cirrhosis by drinking. She were admitted three time in hospital since found out cirrhosis, The late one was 10 days ago. She was bleeding from top and bottom, almost had coma. Her husband brought her back. She was in hospital for two and half days and doctor gave her eight pints of blood and didn t find out where was bleeding. Release her w/o meds and told her he can t do anything about her liver. What is going on? What does it mean can t do anything to help? Doctor: Hi, Due to cirrhosis the clotting factors, which is synthesized in the liver, is deficient. Besides that cirrhotic patients also develop esophageal varices bleeding and hemorrhoids due to opening of portosystemic shunt. She needs a liver transplant for treatment, otherwise there is no other way out. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic liver cirrhosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my husband is 73 and had a major stroke Feb 21, 2015. He fully recovered, but lately is having episodes of having a very bad smell come over him then feeling like something is not right. I checked his blood pressure and it was 147 over 90 with a heart rate of 56. I checked again in 15 minutes 123 over 88 heart rate 57 and then again in 15 minutes 121 over 72 heart rate 58. What would you think about this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. These episodes of bad smell could be related to temporal lobe epilepsy seizures. For this reason, I would recommend consulting with a neurologist for a physical exam, an EEG and a brain MRI study. Starting antiepileptic drugs may be needed. You should discuss with his doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes bad body odor and high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: it has been four years to my marriage but still dont have any child neither i concieved yet.no abortion or miscarrage done.all my husband and mine reports are normal except FSH andLH which i have not done yet but im sure that will be normal too inshALLAH.the only problem i face is irregularity of periods .what to do then? Doctor: Hi,Welcome to HealthcareMagic .In your case Irregular periods could be due to either pcod or stress . So I would suggest you to get FSH and LH and also get ultrasound of abdomen to rule out pcod. Treatment depends on the report. Don't take stress. Yes irregular periods is cause of infertility. Hope I have been helpful .RegardsDr.Deepika Patil"
},
{
"from": "gpt",
"value": "Target: Can irregular periods lead to infertility?"
}
]
|
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