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{
"from": "human",
"value": "Source: Patient: Ive had mild pains in my left lower pelvic region especially when i sneeze, since i have developed a cold. I have started my period today and the pain has become more constant and is higher up my abdomen. My right shoulder blade also started mildly hurting, not constant but noticeable. Could this just be caused by my period? Doctor: Hi.Thanks for your query and an elucidate history.The pain in the left lower pelvic region and of the shoulder blade are indicative of some sort of peritonitis.May not be related to your periods.I would advise you to go to ER, get a clinical examination. IF the rebound tenderness is positive the Doctor would admit you for further investigations and treatment. You may need a Standing X-ray of abdomen, ultrasonography and other tests as he may feel necessary.Till then do not take anything orally."
},
{
"from": "gpt",
"value": "Target: Is pain in the pelvic region sign of period or by sneezing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello im asking this help for my sister. around the age of 1 she had phenomia, asthma and allergy s. from the outcome from phenioma, the bottom of her left lung collapsed. she is now 24 still has asthma, and now the area where her lung collapsed is hurting and she feels alot of pain in her chest and lungs. she is a non smoker is not around any areas to alert her allergy s.what could be the problem / Doctor: Hello, Please correct me if i am wrong - your sister had a bad episode of pneumonia at the age of 1 year, and not since! She however has developed allergic asthma and gets pains in the chest where the pneumonia had occurred. It is unusual for the pain to be related to the previous pneumonia episode, unless she has had further lung problems and has left lung scarring, in medical terms this is known as fibrosis. Lung fibrosis can lead to several complications, and if there is evidence of bronchiectasis on HRCT scans, pain in that area can happen as sputum production continues and the constant cough leaves one with pain. My suggestion would be to get proper investigations done, such as HRCT Chest, lung function studies with DLCO (that shows the current lung function with regard to oxygen diffusion) and get these reviewed by a Chest Physician. Rib pain can also be a possibility if there has been a recent fall, and the CT will pick this up as well. Please ensure that the asthma is also optimally controlled. You can ask her to do the ACT (Asthma Control Test) online to see the level of control. Hope this helps. Best Wishes."
},
{
"from": "gpt",
"value": "Target: Having persistent asthma, allergies. Bottom of left lung collapsed. Pain in chest, lungs. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I have been having recurrent itchy truncal rash that appears to be urticarial for the past year. After onset, I noticed parotid swelling. This is my fifth episode. I have seen a PCP, dermatologist, and ENT specialist. Recent CBC shows 50 eosinophils, otherwise WNL. Titers are WNL. ENT consult suspected dehydration as a cause of the swelling, because I usually have associated tiredness and thirst from emotional and physical stressors being in medical school. Dermatologist suspects viral exanthem or drug allergy. I noticed hives related to cold for the past 2 years, however the parotid swelling is new this year. What do you think I may have? I feel my condition is probably chronic, virally related, triggered by stress/dehydration. Doctor: Hello and welcome to HCM, Do you have any history of taking any medicines that may cause the truncal rash ?The rise in eosinophil points towards urticaria. Focal infection is a well documented cause of urticaria and it maybe due to infection in your parotids, you may be getting this. Once the infection is out of the system, maybe you'll get better.Or else it can certainly be that you are allergic to some drug, or some food items, which trigger the urticaria, but that only you'll have to find out and prevent the exposure.Take oral antiallergicslike cetrizine/ loratadine and see the response. Hope I helped."
},
{
"from": "gpt",
"value": "Target: Recurrent itchy truncal rash. Having parotid swelling. ENT consult suspected dehydration. Dermatologist suspects drug allergy. Opinion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr, My son is about 2.5 years old and passing loose motion since yesterday, today about 3-4 times he has passed. Moreover this afternoon he vomited everything he ate since yesterday i guess... looks like his digestion is not fine... I spoke to our family doctor and he suggested Prowel & ors... Please suggest, i m worried of my kid health. Thanks, Subhash 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. I AM VERY HAPPY THAT YOUR DOCTOR DID NOT SUGGET ANTIBIOTICS.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).Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for loose stool and vomiting in kids"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a total hip replacement one week ago. Was up the following day and am now home (with help) getting about on crutches. I was only experiencing mild pain on leaving hospital but since have experienced severe muscle spasm in the quad muscles , mostly in the night - and for no apparent reason. I have taken stronger pain killers since experiencing the spasms, which have helped a little but my leg is now swollen down to my foot making excercises stiff and difficult. Is this normal, as early days and can I expect it to ease with time? Doctor: Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists you can consult an orthopaedician 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 causes muscle spasms and leg swelling after hip replacement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: its like a bug crawling in my ear i got something out but it had a hair on the end very small and white and scale of brown but it fell apart but its really awful it feels like some crawling in my right ear yet my friend said it could be the nerve and i have maybe inflamation the ears are dry its got to be delt with I m also going through a separation a bad one because my x insists of comming back to the house He has me by the tail because I use his car and he has been belttling telling me im menatlly because his physco dr said and he was the one in the hospital since augutst I m working getting help but i like in qc and its not easy when speak english I m afraid that he could have put something on my cloths to hard me I doing my best i have no money to get out stuck as we are linked to a gov program called chip check it out ty please help stop this annoying feeling in my ear Doctor: HiThanks for using healthcare magicI think, you may have delusional disorder and in that case, you need antipsychotic medications. Better to consult a psychiatrist for proper medication and in case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: Could stress cause feeling of bug crawling in ear?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , MY mother is 70 years old and she is sufferring for parkinson disease since 20 years in the beginging she was given tab inderal then she was only on bp and diabetic tablets and she did not take any tablets for tremors but from last 1 she was given clonazepam 1mg in the night from last one month the trmors have increased so much that now she cannot sit and tremors are triggered after every 4to 5 hours and it last for 2to 3 hours constantly the body shivers nonstop from 5 days she is given syndopa plus 1 tab 3 times her tremors are triggered even by touching her Doctor: HiThanks for using healthcare magicIn case of parkinson, tremor would be improved with anti-parkinson drug. In her case, syndopa would help. Better to keep her on this drug for longer period and in case, she does not get improvement, then you can consult neurologist for proper management. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes constant body shivers and tremors?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My family just got back from a vacation in Mexico we all had fun in the sun for a week spending our days at thepool.I noticed my one year old has a a few patchs of purple ish discoloration on his chest and stomach.He is healthy otherwise and when you touch the discoloration it doesnt blanche two of the patchs have scabed. Doctor: Hi,Thanks and welcome to HCM .Red patches may occur due to exposure to sun.Extreme heat will give rise reddish brown rash which ultimately heal and scale off.Avoid exposure to cold.No treatment is necessary.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam."
},
{
"from": "gpt",
"value": "Target: What do patchs of purple discoloration on chest indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having tightness/pain in my chest, neck, shoulder and back off and on for about 6 months. 2 months ago this symptom was accompanied by what felt like my heart flipping over in my chest. This sensation has increased over the last two months. For the last 7 days this sensation has happened about 10 or 15 times per day sometimes accompanied with tightness/pain. I am 44 yrs old, female, and weigh around 190#. I do not have hypertension, however, I do have a family history of hypertension and heart disease. Could this simply be a sign of stress/anxiety, as my life does tend to be stressful sometimes, or could this indicate a serious condition? Doctor: HiPalpitations make you feel like your heart is beating too hard or too fast, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck.They usually aren't serious or harmful, though, and often go away on their own. Most of the time, they're caused by stress and anxiety, or because you’ve had too much caffeine, nicotine, or alcohol.So frequent papitations can be because of anxiety also but at first we have to find out the nature of palpitations= a Holter monitor occasionally ambulatory electrocardiography device) is a portable device for continuously monitoring various electrical activity of the cardiovascular system for at least 24 hours (often for two weeks at a time).all rythms will be recorde and treatment could be donefor chest pain a 2d echo and tread mill test are adviced to rule out ischemia."
},
{
"from": "gpt",
"value": "Target: What causes tightness/pain in chest, neck, shoulder and back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 20 year old college student and have been having stomach aches and not pooping solids, it also looks like small BBs . I have been having side aches and expanding stomaching once I consume food. What could these symptoms be? I am also an athlete and take protein and creatine , I have been been told creatine can lead to kidney stones . What do you think it could be? Doctor: Your symptoms are suggestive of a condition called irritable bowel syndrome (IBS), however excessive proteins and other dietary supplements can also cause these symptoms.Are you taking any drugs to improve stamina or muscles too ?Why not stop all the food additives and high protein diet for a week and see if it helps.If that doesnot help then you will need a trial of some medicines called gastrointestinal sedatives and are used to mamage IBS .You can take these under guidance of a gastoenterologist."
},
{
"from": "gpt",
"value": "Target: Stomach aches and poops are not solid. Taking protein and creatinine. Is that it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father he is at the age of 68y male is suffered we the heart proble he got angina in the month of 11nov2010 after that engo graphy done as the result there are many blockeges in the different areas which is 45% to 90% as dr suggest we should go for the surgery but we r not very comfortable with the surgery what do u say Doctor: Hi ThereIt's a pleasure answering to your query about your father health concern. As you said your father's Angiogram shows multiple blockages of different intensities so its always good to go for a surgery as it will give better long term health and survival benefits as compared to multiple stents.Surgery is the right choice for your father at this point of age.I wish Him Good HealthDo let me know in my review section in my profile if you are satisfied with my reply. Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to remove the heart blocks"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ok, so I sprained my knee on Oct, 11th went the the hospital and all, said to go to my family doctor in 2 days, but since my mom works I can t go at all (I think) and Im really scared because I feel a hole by my knee and when I try bending my knee something pops out like a ball of fat right by the knee and that never happens when I do that. Well when I didn t have a sprained knee Doctor: Hello,The popping sound in the knee can be related to a meniscus tear or that a small piece of loose cartilage is caught in the knee. You would most likely feel this kind of popping pain come and go. I suggest to do an X-ray of the knee or a CT scan for further evaluation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pop in knee when it is bent?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Not sure how many doctors are familiar with Reiki . When I had my first attunement my teacher let us know our bodies would be going through changes. Some of us had emotional changes, some changed their diets to suite their bodies changing needs, I however have become very sensitive to many things. I have terrible skin reactions to most chemicals , exposures to metals, a label of a snapple bottle touching the skin of the arm, and even things that are hypo allergenic or designed for sensitive skin . (Triple antibiotic ointments and other commonly used products) I cannot eat red meat anymore, something I enjoyed as I now have severe migraines even with the smallest of portions. The smell of cooked meat is unbearable whereas before I had no problem with it. I can still eat fish and fowl, but have noticed my sense of taste is not as strong as it used to be, and have had strong chocolates without being able to taste them. I have been on so many antibiotics in the first year since the changes they are no longer effective. My doctor asked to have blood work to find the cause of the severe rashes (they covered from my abdomen to my neck, my ears, and my arms. The whole left side of my back, and from my hip to my knee on one side of my body at different times, always in large areas.) I tested negative for diabetes, and negative for HIV. I was told the only thing notable was that a small part of my thyroid left in me after surgery had formed nine cold masses around it, and that my liver levels were slightly elevated. (Was on seizure medicine for many years which stimulated the liver, no longer taking medication). My thyroid levels were normal. I am at a loss of the cause of the rashes, and intolerance to foods I used to be able to eat. Each doctor I have seen just tells me, dont eat that anymore, dont use neosporin, and dont touch the labels of bottles, or dont wear jewelry. I feel disheartened knowing I will get the same shrug and very specific restriction from the latest thing I came into contact with instead of someone telling me where the common thread is and how further reactions can be prevented. Doctor: hi dear tranceaiglatson thanks for the query after going through your query as per my knowledge your body is showing reaction my be known as idiosyncrasy (this is individual hypersensitiveness as to drug or food) some times some traits of our body remain silent in our body till it gets some triggering factors and in your case reiki became the triggering factor as it effects whole body please do not worry it can be cured by right homeopathic remedy ...homeopathic remedy will take you to your original constitution. the homeopathic physician will have to give you right constitutional similimum which can be given to you by only a homeopath who is expert classical homeopath practicing as per laws of homeopathy remember homeopathy will consider all your physical , mental symptoms and all your past medical history your likes and dislikes ,and your sensitivities homeopathy will act on immune system and will cure this hypersensitive response hope for best"
},
{
"from": "gpt",
"value": "Target: Excessive bodily changes after first Attunement. How to prevent further reactions of Attunement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i fell from stairs 13 years earlier and hurt my lower back. since then i m unable to pick heavy weights, can t exercise and when i travel or stand for long it hurts a lot. is there any remedy of this? i didn t done any MRI or X.ray because doc. did not suggested it. he just said that use a ring to sit and gave some medicie Doctor: Welcome to HCM,I had gone through the case and found that if pain increases then immediately go for X-ray of lower spine. It might be slip disc.After the proper diagnosis take advice with orthopedic doctor and go for physiotherapist.Hope my advice will be effective for you.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for inability to pick up weights due to injury to lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Madam, I have been married since last 5 yrs and was in different location for three yrs. We have been staying together since two yrs but my wife has not been able to consive. We have taken almost all the test and they seems to be normal. The fallopian tube is not blocked. The eggs formulation is normal as per the ovolution study. I do not know how to go further. Please suggest. Regards, Rajesh Anand YYYY@YYYY Doctor: If all test are normal then no need to worry about that, its just a simple procedure that you have to intimate with partner after 5th day of her periods every day till 14th day of periods. And tell her to lay down after ejaculation with pillow under her hip portion and dont pass the urine till 1 hour after ejaculation.Also go for semen analysis of yours to check whether count is ok or not.Repeat above procedure to 3 constitutive months."
},
{
"from": "gpt",
"value": "Target: What causes difficulty in getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A week and a day ago, I got pushed to the ground and received a humungous bump on the top-left side of my head. That night it swelled down a lot, but the next day I almost fainted for the first time in my life. Since that day, I still have a bump, I have a great lack of focus, and sometimes feel a mild pain or numb/cold feeling in the spot of the bump. Is this a serious head injury ? Doctor: Groy with the pain, it is quite natural for anyone to face these issues and I dont think it should be of concern. Anyway get it examined by a surgeon. Because if there is any infection then you cannot blame me as such."
},
{
"from": "gpt",
"value": "Target: I got a humungous bump on my head, Is this a serious head injury ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash that started on my abdomen just below my belly button it started as small itchy rash with red patchy skin, it now has spread to the size of a tennis ball, skin shed off like a blister or sunburn then the area began to weep like a blister. Thought it was maybe ringworm so I tried tinactin on the rash I maintained for about two weeks but saw no improvement the rash wash very itchy found it difficult to keep from scratching. I used some cortizone lotion on the area which helped with the itch, then the area scaled over and crusted. Last night went to sleep with headache and what might have been a light fever. Now I also have a rash running up my lower back and spine. It is only mildly itchy but something is going on and I would like a suggestion of what these symptoms may be, Doctor: HIWell come to HCMViral infection of skin need to be ruled out because chances of this is more if this is the viral infection then this may not be treated with any steroid, but could be managed with some soothing agent, and the best way is \"Diphenhydramine lotion\" in case of skin lesion the only easy way to diagnose the disease is clinical examination, if this symptoms does not improved then this may need clinical observation, hope this information helps, have a nice day."
},
{
"from": "gpt",
"value": "Target: Please suggest causes and remedies for skin rash"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir A stray puppy i adopted him I vaccinated only distemper and parvo vaccine not rabies vaccine.vet has given 25 day due date for rabies vaccine.. puppy is around 3 to 5 months scratched me on my leg when he was exited .i went to doctor after 3 to 4 days . The doctor gave me tt injection and anti rabies vaccine...After 2 days puppy jumped at me bit me in stomach with teeth the wound is not deep only nip mark No blood flow. Do I need another anti rabies vaccine....? Help me I m in confusion. .. Doctor: Hello,Welcome to HCM,Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.As there is no bleeding from the bite site, according WHO categorization it is categorized into Cat II. So cat II bite should receive following treatment.1.Wash the wound thoroughly with soap and water.2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3.Inj TT, 0.5 ml, IM4.A course of Antibiotics like Tab Augmentin, twice daily for 5 days.As you have been given Inj TT and started anti rabies vaccine continue the same.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for dog bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello im a 25yo male & i have recently began to experiance acute joint pains in 3 fingers. i wake up & my they re so stiff i can barely make a fist for 10min and then they pop as though they re mis-alligned. its affecting my PIP & MCP joints and given how fast it came on(overnight almost) i cant help but deduce that its inflammation from work or possibly a reaction like serum sickness from the nicotine patches, are nicotine patches a sulfa drug? if not, thats ruled out. Any ideas in regards to ddx of most common causes? im no dr. (duh) but i plan to use this advise to help my physician & i focus our efforts towards being efficient. Doctor: Hello, The stiffness in the fingers that you are feeling can be due to arthritis. This can be due to rheumatoid arthritis that needs a specific treatment after few investigations. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes acute joint pains in 3 fingers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sharp stabbing pain from one spot on left side of head, possibly associated with some neck pain, seems to radiate from the ear. Been checked for sinus or ear infection & is clear. Five days of radiating pain, not constant, comes in spurts or I d be in er. Left eye has been twitching, may be associated. No sensitivity to light or sound, had migraines in past, not migraine. Doctor: Hello dear,Considering the fact that presence of sinus infection has been cleared by examination & you had a past history of migraines, the symptoms as mentioned in your post can be due to:1. Trigeminal neuralgia2. Migraine3. Tension headache4. Cluster headacheParacetamol (500 mg to be taken thrice a day) can be used for symptomatic relief. However, the underlying cause needs to be treated.So, kindly consult your General Physician/ Neurologist & start treatment.In case of no relief from symptoms, certain investigation like MRI brain will be helpful.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes stabbing pain on left side of head with neck pain and eye twitching?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi for the past 5 days, i feel a lump on my neck just under the jaw (right side) and i also get constant ear aches. Before I noticed the lump i got a sore throat for a week. I worried that it may be something serious. I went to a general physician and told her about my ear aches and told me my left ear is just inflammed but that wa sbefore i noticed the lump.17, male, 68kg Doctor: Hi there,A lump in your neck during an ear infection is most commonly an enlarged lymph node. A number of things can cause lymph nodes to become enlarged, but in the vast majority of the time, the cause is an infection. Other causes can be malignancy, but this is much more rare. if the lymph node is tender, it makes malignancy much more unlikely. I'd take ibuprofen and use warm compresses on the affected area. If the lymph node gets smaller, I wouldn't worry about it at all. If it continues to be enlarged, hardened and painless, then I would seek out an ultrasound. Again, I'd give it a week after your other symptoms resolve before I'd start to worry.I hope this answers your question. Feel free to contact me if you have any other questions."
},
{
"from": "gpt",
"value": "Target: What does a lump in the neck indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have for years had symptoms of pain in joints, had lymes 20 yrs ago undiagnosed for two years is when it started. Then swelling of hands feet, heart palpitations , numbing in fingers toes legs...ppl say lupus doctor says psoriatic arthritis...joints and mussels hurt the worse...what can cause that? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have psoriatic arthritis. Well psoriatic arthritis occurs when your body's immune system begins to attack healthy cells and tissue. The abnormal immune response causes inflammation in your joints as well as overproduction of skin cells. Hope your concern has been resolved. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray , MRI , test for rheumatoid factor or joint fluid test . Doctor may prescribe anti rheumatic drugs like methotrexate , immunosuppressants , TNF-alpha inhibitors , steroid injections and in some severe cases joint replacement surgery . For now control your weight , do light exercises and apply warm compresses . Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes psoriatic arthritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Does THC through marijuana vapor (no CO) inhalation increase a liver's bilirubin level? My father has liver cancer and I've read that cannabinoids can shrink hepatic tumors. I was thinking it could relieve his pain and muscle spasms but if it's going to spike his bilirubin levels I don't want to do it. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.It cant affect liver tumors on any ways and this is ridiculous. It may supress pain and anxiety,and no effect is seen on any diseaseI hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein"
},
{
"from": "gpt",
"value": "Target: Does THC through marijuana vapor inhalation increases liver's bilirubin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 48yrs male, my platelette count remains between70000 to 85000, also suffering from gastritis for last 2yrs with sour stomachfor which ihave been taking pantoprozole,rabprozoe& levosulpride.Ihave recently been also diagonosed mild hepatospleenomegaly with nolmal LFT, so plz advice me. Doctor: Hello,Welcome to Healthcare magic.Your mild hepatosplenomegaly may be due to gastritis or other infections.your platelets are also low which leads to gastrointestinal infections.First please consult your physician for ultrasonograghy to find out actual cause of the disease.Ask him for low platelets also.If you are alcoholic, than completely stop it.Hope this will help you.Thanks for contacting.take care..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for mild hepatosplenomegaly"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: both big toes have a feeling on the top of them (where the little hairs grow out) and it feels fuzzy. like theres a fly or something there for a few seconds. i just had a full physical complete w bloodwork and i have been given a clean bill of health. causes? Doctor: Hi I did review your concernSuch a feeling could be due to loss of sensation or tingling sensation and it can be an early sign of nerve problemI would recommend being evaluated for diabetes mellitus, vitamin B12 and B6 deficiency and electroyte problems.I hope this helpsWish you all the best.Thank you for choosing healthcaremagic."
},
{
"from": "gpt",
"value": "Target: Why am I feeling discomfort on toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had 4 bypasses in 08, they put me on atenol, lisopril, and simvastatin. After about 3 months of doing fine, I started having same symptoms as before surgery. Mainly getting dizzy when getting up, and exerting myself, even coughing hard, I will get dizzy. I stopped taking the atenol on my own because my blood pressure was good with out it. Also, I cut the lisopril down to 5mg from 20 on my own. I drink more water. I have had a noticable ringing of my left ear for over a year and now it is very loud, and I am loosing hearing in it. I was wondering if the medications could be causing some of these symtoms and or the lack of medications. Doctor: Hi,I would advise you to have duplex ultrasound of cervical arteries done, it may cause the symptoms. Also monitor your blood pressure closely.Take care"
},
{
"from": "gpt",
"value": "Target: What causes dizziness and cough after a bypass surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my son is 3 years old he has possible prune belly syndrome but doctors won't confirm it. But he has reaccuring chest infections and is given antibiotics atleast 3 times a year for this should i get this looked into more. I try to leave him as long as possible before taking him to the doctors when he has a chesty cough as i know hes just going to give him more antibiotics. Due to other problems my son has he has around 6 courses of antibiotics a year. Doctor: Holding off for as long as possible is something that is fraught with risk. You may want to hold on for a few days at the most. If there is fever, a yellow phlegm or rapid breathing, holding on even for a few days is dangerous. A night-time or early morning cough, any pus emanating from one or both ears, pain behind the ear in the bone above the jaw, swelling of the neck glands and difficulty in swallowing should all prompt you to seek help sooner. Antibiotics themselves are not the culprit. Self-administering them, giving them in the wrong way or in the wrong dose, or using the wrong antibiotic, or using them for the wrong duration - those are the culprits.Dr. Taher"
},
{
"from": "gpt",
"value": "Target: What causes recurring chest infections in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Nephrectomy was carried on right kidney in year 2003. Thereafter regular CTScans shows normal left kidney, the last scan, about a week back. KFT, LFT tests of last week normal. TSH reading of last week normal. Creatinine since nephrectomy in 2003 is in range of 1.2 to 1.3., the last week being 1.2 and s. urea also normal. Since 2009, there were traces of albumin in urine,but last week report showed albumin in urine as ++++. Even RBC in last week report shows 10-15. Pl. suggest a suitable medicine and precautions to be taken. Regards. EMail id. YYYY@YYYY Doctor: hello, the indication for nephrectomy is not clear . is it stone disease or tumor. in any case if now you are haveing 4 plus urine protein, first step is to confirm it by a 24 hrs urine protein and creatinine ratio. and see in urine RBC are dysmorphic by urine testing. if fings show more that 2gm proteinuria with dysmorphic rbc in urine, then you might be having glomerulonephritis ( Intrinsic disease of the kidney). treatment and medicine will depend on the type and cause of glomerulonephritis. i would sugest please meet your nephrologist at the earliest."
},
{
"from": "gpt",
"value": "Target: RBC, albumin spotted in urine. CT scan of kidney normal. Nephrectomy done in right kidney. Precautions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 27 yrs old and married my doctor told that i am having cervical erosion in severe condition and she suggested me betadine and albothyl along with some oral priscription should i insert the both betadine and albothyl together Doctor: Hi, Thanks for query, Along with Albothyl suppossitories,other local application is not recommanded but as betadine is prescribed along with by you gynaec so after his advice you can start. Ok and bye."
},
{
"from": "gpt",
"value": "Target: Can betadine and albothyl inserted at one time ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: .can an avm leak while apersn sleeps enough to cause an .intercerbral hemmorrage after I worked 3 ten hour days that involved strenous .physical activities such as (lifting)Iwent to sleep nothing wrong with me around 9:30 pm I awoke 4 am the next morning with my left hand seized shut. then the symtoms went .away after I pried my left hand open .because I couldn t open iton its own.then at 5 am Ihad a intercerbral .hemorrage. arteriovenous malformation rupter right frontal lobe . Doctor: Hi,Thank you for posting your query.I have noted your symptoms.It is difficult to ascertain the reason for rupture of arterio venous malformation (AVM). Most often, the reasons are not known and occurs at a rate of 2% per year. This means that all people would have a rupture of AVM, if they survived for fifty years or more after the diagnosis of AVM.You should continue anti epileptic drugs to prevent the recurrence of seizures.In addition, you should sleep adequately- 7 to 8 hours per night and avoid stress.I hope it helps.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Ateriovenous malformation, inter-cerebral hemorrhage, stiff hand after sleeping post a strenuous physical activity. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what are normal prolactin levels for women trying to conceive.I am 32 yrs old and want to conceive right away. my prolactin test results was: 21.4 ng/mL.all other tests like hemoglobin were all normal.ovulation is normal and having a healthy diet as well Doctor: Hallow Dear, Prolactin levels between 25 - 30 ng/ml are within normal range. Therefore, your prolactin levels of 21 ng/ml are within normal range. You do not have to take any treatment to bring down prolactin. If all your tests are normal, please get your husbands semen examination done. Also try to find out the patency of your tubes and the normalcy of the uterine cavity by hysterosalpingography and Laparoscopy. If all these are normal and still you are finding problem in conceiving, you fall in the category of unexplained infertility. Such cases may require Artificial Reproductory Techniques. Initially you may start with Intrauterine Insemination. Please report to an Infertility Consultant. Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What should be the normal prolactin level for women trying to conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, doctor. iam divya 21 years old. i had a miscarriage before 6 months in 40 days. i did a DNC. after that we left gap for 3 months.then for four months iam trying to conceive through follicular study.doctor said my husband is alright and my eggs condition is also very good but iam having my periods every month.please tell me some reason for not conceving and things to do after follicular study Doctor: Hi, there is only 5 % chance of conceiving even when everything is fine. So you can try for 6 months to 1 year. Don't rush.What you can do is to take progesterone from day 16 of your periods for 2 weeks. It helps in supporting the pregnancy. Hope I have answered your question. if you have any other query I will be happy to help. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Why am i not getting pregnant if having regular periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello ive been having pain lower left abdomen next to my hip for a long time now, I am waiting to see gaenycologist + ultrasound but cant be seen until January 2015 due to the waiting lists. the pain is a constant dull ache but occasionally more severe. feel I need to lift my left leg to reduce the pain a bit which only works whilst elevated. im really concerned that this is serious as I also haven t had a period for 1 year and 1/2. any advice? thanks emma Doctor: Hello, A CT scan of the abdomen and pelvis is required to make a diagnosis. Possible causes like stone disease and pelvic inflammatory disease(PID) must be ruled out. 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: Suggest remedy for pain lower left abdomen next to hip"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a nerve conduction study done on my left arm and wrist... he said my nerve at the elbow was moderate to severe.. at the time I was just having middle finger to my little finger going numb a lot. I am now experiencing severe pain just distal of my wrist in my hand.. is this a sign that is is getting worse or could something else be going on? Doctor: Hi, You can consult a neurologist and plan for a nerve conduction study and check whether the pain is related to nerve or not. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to test if the pain in the hand, wrist and fingers are nerve related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a very active 10 y/o daughter. After any meal she eats she goes right to the bathroom within 3 minutes and has diarrhea. She then becomes extremely pale and weak. It does not matter what she eats happens with all kinds of food. She can drop 5 lbs easy in a week. Peds Dr has already done blood work and stool samples nothing shows up. No allergies to foods, no celiac, IBS, crohn s, lactose, gluten, glucose absolutely nothing wrong with her. Does not take any meds and weighs about 64 lbs. Please help! Doctor: Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for kids to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.When some kids take food, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry.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.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What could cause constant diarrhea after having food in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my urologist ordered me to have a CT stonogram (plain) to check why my left kidney is dilated (based on KUB ultrasound ). Is this type of CT scan safe? Will this not use dye? What are the side effects that could potentially occur? Is it still safe for me to have a baby? By the way, I had the KUB done since I am having difficulty urinating and I think I might have passed 4 stones prior to consulting my urologist. I have also blood in my urine. Doctor: Hi Welcome to HCM. CT can be done with or without contrast depending on the situation. For stone detection. we usually prefer plain CT. Contrast may be given if renal function is normal as evidenced by serum creatinine. It is a safe procedure and a single CT is unlikely to affect your testes. Wishing you good health Regards DR GS"
},
{
"from": "gpt",
"value": "Target: Advised to take plain CT stonogram to check kidney dilation. Is this CT safe? Difficulty in urination, blood in urine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had to walk about two miles yesterday and towards the end of my walk I noticed my left testicle started hurting. It was quite mild, but now (the next day), my testicle hurts when I touch it or when it touches something (i.e. my leg). It isn t a constant pain, only when I sit or sleep in funny positions or when I touch it. I am 15 years old and this has never happened to me before. I am a very healthy young man; no medical history or issues whatsoever. I am also very active; I swim about three miles a day. I am a little concerned about this because I am scheduled to fly somewhere for vacation in two days and I was planning on going to the doctor of the pain didn t subside by YYYY@YYYY Doctor: Thanks for asking in healthcaremagic forumIn short: May be a muscle pull/contusion to testisExplanation: As you are physically very active, it may be a simple muscle pull. Or you might have injured your testicle unknowingly. So, take anti inflammatory drug for 2-3 days and wait. If it subsides its ok otherwise please visit a doctor for physical examination."
},
{
"from": "gpt",
"value": "Target: What causes severe pain in the testicle after walking for long distances?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctors, my 15 months old daughter has a very rare condition which she never had it before, it is not a dyhareah (I don t know how to spell it hope you understand what I mean!) I know it is not that because since last Friday she don t keep anything in her Tommy whatever she eats she through them out! And she doesn t feel ill she looks Ok however I have to change her nappy almost 6 or 8 times a day, please let me know what this condition might be? Doctor: Hi,I think she has dysbiosis due some infection in the intestine or teething syndrome. I suggest- Econorm 1 sachet 2 times for 3 days-Charcoal 1 tablet once a day for 5 days-Cefixime 4 mg/kg/dose 2 times for 5 days-ORSAlso i will give tests for stool culture and sensitivity to antibiotics and stool analysis.Wish your baby speedy recovery"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for difficulty in digestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I pull out my hair and eat the follicles, I can't seem to stop. I was almost completely bald on the top of my head a few years ago. Thank goodness that my husband has been helping by pointing out when I'm doing it so it has had a chance to grow back, but there are still hairballs all over my house. I CAN'T STOP, please help!! Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are worried about your habit of pulling out hair and eating the hair follicles. Its good that you have been able to realize that you are not able to control this behaviour and have decided to seek help.From the description of your symptoms, you appear to be suffering from a psychiatric disorder called TRICHOTILLOMANIA. Here the person compulsively (i,e, repeatedly and without control) keeps pulling out hair and some may even ingest the pulled out follicles. This is classified as a compulsive disorder.Since your problem appears to be very severe and distressing, I would advise you to seek professional help immediately. There are effective treatment options - with medication as well as psychological therapy which can help you overcome this problem. So, please consult a psychiatrist at the earliest.Wish you all the best.Regards,Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: How to stop pulling hair and eating follicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im ashton i am 18 years old and i have a major issue in my life i think i could have add/adhd and i need a second oppinion before i go to a doctor, i live in a ignorant enviornment that thinks willpower is the only treatment you need for add/adhd, anxiety, depression ect... let me start by saying i had horrible grades in school but in standardized testing i was well above the mastery mark and top 10 in my school on my SAT. my symptoms are... i can not sleep my mind wonders all night long leading to little to know sleep i am easily distracted at work, on the road, at home pretty much everywere that bores me somewhat i cant hold a job no matter how well paying except for the one i have now bc i work with all my friends and we're never in the same place i have headaches religiously due to my mind wondering all day long i spend money on the most pointless things and dont realize i have bills to pay untill im bored with the item i bought i cant have a girlfriend for more then 2 weeks bc i lose track of time and make way to many plans to follow through with these are just a few i tried natural things i looked up online i bought a new bed i changed my diet stopped caffeene completely started exercising and nothing worked. my dad is adhd as well as my uncle and he gave me a weeks worth or his meds he is on vyvanse 75mg i am aware of the illegalities and am not a drug or alcohol abuser in any way shape of form i was just desprate and this medication helped me out so much, i never got side tract i was awake and alert all day and had absolutly no problem falling asleep my selfonciousness dissappeared and was more outgoing and i never felt like i NEEDED a ciggarette that entire week so please can you tell me what you think thank you Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. If you got relief from the drug you consumed, I think that should summarize your problem. But please let your psychologist diagnose your problem. There are numerous mental disorders which has some of the symptoms you mentioned. Differential diagnosis is essential and only a trained psychologist / psychitrist can do it. Self diagnosis and conlusion can do more harm than good.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ADHD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 14 week old doctor has been in and out of hospital in the last 3 weeks, she is currently being tested for celiac disease, her poop has been runny, like water, no form to it at all. Today when I changed her nappy there was black flakey bits in her poo, I could feel it through the wipe when cleaning her. I have a follow up appointment in an out patients clinic tomorrow, should I wait until then, or is this something I need to worry about before then. She is super unsettled too! Doctor: Hi If cause of her disease is found to be celiac disease, she has to eat diet free from gluten( wheat, Rye, and Barley) ,but one question ,what is age of your child ( you have not mentioned age of your baby, Is it 14 weeks, then there is no question of celiac disease). Celiac disease patients live a normal life apart from dietary restrictions.Hope I answered your query , thanks"
},
{
"from": "gpt",
"value": "Target: How to treat celiac disease in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had back surgery a week ago. I was allergic to the tape from the dressing and i think the steri-strips caused some breaking out also. But now I am itching really bad all over. My cheeks, around my nose, and chin is really red, warm to touch, bumpy, and very itchy. Can you give me some ideas of what maybe going on? I have taken Benadryl and used Benadryl cream. It's not helping. Doctor: Hi,Post-operative all over itching is a matter of concern. But you should not worry as It is a sign of healing and will diminish on its own gradually. Post-operative itching of incisions is absolutely normal. It is caused by the chemical histamine, which is present in healing wounds. Some antibiotics cause itching if a patient is sensitive. In these cases, changing antibiotics usually takes care of the problem. It is usually a reaction to a post operative medication. Narcotics also cause histamine release and often an antihistamine helps or changing medication can help with the advise of your doctor. Benadryl is great at bed time because it also has some sedation qualities. Don't scratch the area. Just mildly rub with soft cloth pad or ice to soothe. washing with Menthol mixed water for immediate relief. Lemon juice with a glass of water every 2 hours gives resistance from any further complications. Hope this helps solve your query. Let me know if I can assist you further. Regards,Dr. Suchda Consultant, Alternative Therapies"
},
{
"from": "gpt",
"value": "Target: What causes itching throughout the body after back surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother has Hgb 10.3....not sure of her labs, indicating kidney function, but primary has sent her to oncologist, who has scheduled her for iron transfusion. He said he will repeat Hgb in four weeks, following transfusion, then will determine if bone marrow biopsy needed......is this to diagnose multiple myeloma? Doctor: Hi, dearI have gone through your question. I can understand your concern. She has iron deficiency anemia. She should take iron treatment as per doctor's advice. No need to worry about multiple myeloma. It has no relation with multiple myeloma. Don't worry. Just be relaxed. 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: Is low Hgb sign of multiple myeloma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My hsband has been having 3-5 heart palpitations a month for about the last year they last anywhere from 30 seconds to 5 min. Should we be conserned about this I know heart palpitations are normal but this seems like a lot to me. He used to drink a lot of energy drinks but quit drinking them about a year and a half ago. Doctor: Dear thanks for posting here.The likely cause of your husband's palpitations seem PSVT as you have not mentioned any associated symptoms like loss of consciousness during the palpitations (and I presume these symptoms are not there). PSVT is basically short circuiting of the electrical system of the heart.This is a benign condition that can be easily treated but before that we have to be sure about the diagnosis.Now for diagnosis, we need an ECG done during palpitations but as the duration of your husband's palpitations is quite short so I donot feel that it can be done.The other way is EPS (Electrophysiological studies) which is an invasive method where in we introduce catheters inside heart and then try to induce the palpitations. When diagnosed, we can ablate the abnormal electrical pathways so that no short circuiting occur again. All of this procedure is done with catheters that can be passed from one of your groin just like the angiography is done.BUT before all this, I would like him to get his thyroid function tests to rule out any thyroid abnormality and echocardiography done to be sure that his heart is structurally normal.Hope you get your answers and all the best."
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...I was using a tredmill, was on it for approx 2 minutes, at 3 Kilometers per Hour the machine shut down with a message unstable HR. Does this mean I may have some issues with my heart. I am 56 and was the first time I used a tredmill in years Doctor: unstable heart rate means that you developed irregular heart rate due to exertion ..please go for cardio assessment ...go for ECG .chest x ray ..and BP.. definitely you are having some problem ...go to general practioner please ..."
},
{
"from": "gpt",
"value": "Target: Does a treadmill stop to function if one were to have a heart disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter fainted and hit her head on the cement. she had no idea how she was put in a car and taken to the hospital but her friends told her she was throwing up in the car and her eyes were open. Her head has been very sore since. She was nauseated for about a week. The doctor says the hard hit on her head has caused her vertigo. is this possible? I am worried about brain swelling or even bleeding in the brain. Doctor: I am surprised why she has not been taken for ct head. All this symptoms are suggestive of brain involvement.Though it can be just a concussion but she needs to be investigated.In the first place why she fainted is a cause of worry. Then a hit .Please arrange for her ct at the earliest & see a doctor.Your worry of internal bleeding or swelling might come out true. Hurry up another delay may cause more complications.God bless."
},
{
"from": "gpt",
"value": "Target: Can a hard hit on the head cause vertigo?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am 42 year old fit and healty male, I have been experiencing wheezing during exhalation off and on for the last 12 months. I have had cardiac testing and lung testing and X-rays and all is looking normal. I have also trailed a variety of asthma inhalers without success. My symtoms are fatigue, irritability, bad sleeping, exhausted upon waking, lack of concentration, cannot exhale carbon dioxide efficiently during exercise, headaches.Iatelly the laboured breathing is becoming more frequent. My latest observation is that the wheezing or restriction may be in the upper throat region. I am no doctor so this may be an incorrect observation.I now fear I may stop breathing while sleeping.Your help would be much appreciated. Jase Doctor: Hello dear,Wheezing is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma)Management consists of:1. Asthalin inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Antihistamines can also be used to provide symptomatic relief.4. Protect yourself from exposure to cold, dust or other allergens.If symptoms still persist, it will be better to consult a Pulmonologist & get a proper physical examination done.So that appropriate management steps could be taken.Wishing you a Good Health.Thanks & take care."
},
{
"from": "gpt",
"value": "Target: Wheezing during exhalation, fatigue, irritation, headaches. Done cardiac testing. Tried asthma inhalers. What could help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been trying to get rid of oral thrush and an over growth of yeast in my system for months. I have had 3 courses of Nystatian, 3 courses of Fluconizole (100mg 1x a day for 14 days) and am now on my 3rd course of terbifine (1x day for 30 days).Also got wierd acne like \"boils\" on my face that took forever to go away (went to derm...got antibiotic cream, didn't do much) . I then had to have my second root canal w/in a year (first root canal failed, tooth was eventually pulled..which was upper molar) the root canal that I am currently having work done on abcessed and was cleaned out twice, on penicillian for that and developed thrush AGAIN.(thrush originally started about 6 months ago, use combivent inhalor) other than that I have been on zero antibiotics so do not know why this yeast thing has taken over. Anyway..reoccuring,sever thrush...two root canals and NOW for the first time in my life I developed a horrible case of strep throat (achey joints, fever, super tired etc...) so on penicillian and two doses later...Thrush!! Could this all be related to a jaw injury? TMJ? I am at a loss and so is my doctor and dentist...just seems like alot of stuff happening in the same area. Any ideas? Oh and I also take probiotics, coconut oil, apple cider vineger, vit. D, Multi vitaman...I have tried it ALL! I am a 43 yr old female, 5'3\",128 lbs, in good health otherwise. Doctor: Thanks for using Health Care Magic.Read your query.Oral thrush can be caused due to many underlying conditions including nutritional deficiency , diabetes,weak immune systems , few antibiotics and many others.I would advice you to consult your General Physician and have a complete blood profile to rule out any systemic conditions like diabetes and anaemia.If any you can have it treated and the oral thrush will be reduced.Start with multi vitamin on prescription and have a good nutrition .Do stop smoking if you do.Use the medicine prescribed for thrush , if not reduced go for biopsy of the lesion for further diagnosis.Hope this was useful.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for oral thrush"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have an acne question. A year ago, my skin was clear. I didn t suffer from any type of acne, anytime throughout the month. I am a 21 year old female with a very regular menstrual cycle. Over the last year, I have started developing blackheads on the sides of my face, mostly on my temple. My chin is covered as if every pore is clogged and no amount of cleansers has helped. I notice a positive change when I eat a healthy diet and exercise regularly, but they are never gone completely. I have taken alcohol, dairy and sugar out of my diet and still, these small bumps are still not gone. I am starting to wonder if I am missing an essential vitamin, maybe iron? I would love some input Doctor: Hi...dear christine..., Thanks for choosing HCM.., Black heads and acne are due to Hormonal hyperactivity.., common in this age....due to stress and strain...., So missing essential vitamin and iron have very low role.., to produce Acne.., Frequent washes with FASH BAR.., Tab Isotretinoin daily for 2 months.., Topical clindamycin on the face 2 times daily... thanQ"
},
{
"from": "gpt",
"value": "Target: Blackheads on face, temples, chin. Using cleansers, no relief. Treatment for acne and blackheads?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About two months ago I had abdominal surgery to remove an endometrioma mass from my left lower quadrant - it had become surrounded by my sigmoid colon. Now I am once again having constant pain in my left lower quadrant. I have already had a hysterectomy but still have my ovaries. During my hospitalization a colonoscopy was normal - my ovaries were normal with no cysts. What else could this pain in my side be? Doctor: Hello,I have gone through your query and understood your concerns. I think you need to repeat the scan once again as you have got the scan at the time of admission by now as 2 months went off I request you to have one more again. You can consult your treating doctor to talk about this he may help you for this.There must be some adhesions due to surgery or any other organic cause. Thank you."
},
{
"from": "gpt",
"value": "Target: Abdominal surgery, surrounded by sigmoid colon, hysterectomy, colonoscopy normal.Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2.5 y/o son started with a cough at night about 6 days ago. For the last few days (maybe 3 or 4 days)his cough is mostly better but he has had a fever (it has responded to tylenol) but he has not been eating or drinking much and the last temp just now was 103.5. What should my next step be? to the MD? / ER? 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.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for cough and fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a university student and was recently told by my doctor that my iron levels were below the range it should be. I have so much work to do but just cant stay awake. I regularly take the medication I was prescribed and also try to eat iron rich foods but none of that helps. What can i do? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You should go for ultrasound abdomen once. Many times causes of low iron is chronic blood loss. So investigate for the cause. Take iron rich food like jeggary, dates, green leafy vegetables, dry fruits etc. You can take oral or injectable iron therapy. 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: How to increase iron level in blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am currently taking lamotrigne the mood stabilizer i woke up with the itchy bumpy rash so my doctor told me to stop my medicine, but i have a lump on the back of my neck on the left side that started 3 days ago and is painfl.. is this a serious issue? Doctor: Hi,Dear,thanks for query to HCM, from you for your itchy bumpy rash with lamotirigine,for which your doctor stopped the drug,but you had another bump with pain from last 3 days.1-I studied your query in depth.2-In my opinion ,this lump on the neck back is most probably-lump due to the drug rash itself ....and needs to be treated aggressively 2-I would hence advise to take opinion of a Surgeon , as it is mostly lump with central necrosis ,and would need a drain if not reduced with NSAID, and steroids and Cetrizine treats-taken under observation of your ER doctor.5-Hope you got the answer you needed.6-Wellcome for more query to HCM."
},
{
"from": "gpt",
"value": "Target: What could be the lump on the back of my neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am experiencing lower abdominal pain that comes and goes. I believe it was due to me drinking 16 oz of bottel before going to bed and not waking up during the night to urinate. Now when I want to urniate I don't urinate like I normally do I only urinate less but no pain when urinating. Doctor: Hi, thank you for posting.I think that you suffer from vesical urinary retention.This urinary retention is caused by use of alcohol.To determine the exact diagnosis you need:1. Blood test.2. Urine test.3. Liver function test.You should immediately contact your urologist.Best wishes.Dr. Behar."
},
{
"from": "gpt",
"value": "Target: What treatment is suggested for lower abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir i m 21 yrs old male actually my problem is i get some swell type under my armpit it is very paining and it looks very small through naked eye but when i touches it is very big i uses cefedrox 500mg and restcyclin 500mg tablets for that in 2 to 3 days it bursts and the pus comes out now a days i am getting those on my chest and also on my back of the neck portion i am facing this problem since 4 yrs plz help me with a suitable answer ,,,,,,,,,,,,wha Doctor: hi dear thanks for the query on HCM with the history i feel you may have hidradenitis-suppurativa.you need to consult a dermatologist.you need to keep the area dry and clean(regular bath+clean+dry).avoid shaving the area.hope your query is addressed. thank you for the query."
},
{
"from": "gpt",
"value": "Target: What could be the swelling under armpit which is paining?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, about a year ago I was in an accident and developed cellulitis in my calf. It took about seven months for it to go away. Well yesterday I slipped on icy stairs and fell on the cement pad. This morning I woke up to some bruising on my leg and lumps where the cellulitis used to be. Should I be worried that it is back? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have history of injury. Mostly it is simple hematoma formation. You should take anti inflammatory plus analgesic drug. If you don't get benefits then consult your doctor and go for examination. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What do lumps on cellulitis caused after an injury indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query i am pankaj 22 year old i am doing masturbation from last 6-7 year but i suddenly stop it in last febuary ......now my problem is that when i close to my girl friend my penis leak some fluid and when i go to toilet and force for stool seimen comesout please sugest me something....... Doctor: Hi, These are the side effects of the masturbation that you have done for the past 7 years. Ejaculate is a mixture of sperm from testis that flows through the vas deference, prostate fluid and seminal fluid. Seminal fluids are propelled through the contractors muscles present in it which stores and releases semen, due to the years of masturbation your contractory muscles might have been weakens, since the seminal vesicle is placed close to the rectum, when you force to defecate yours seminal fluid is leaking. I suggest you to just allow your body to heal itself. Just stop masturbating, eat healthy diet including fruits,vegetables and proteins. It's better to indulge in aerobic exercises. These things will increase the antioxidant levels, blood supply to the required organs to heal and get restored by itself. And it's normal to have slight leakiness while indulging with your partner,it's just the pre-cum that lubricates the process of coitus. Take care. Hope I have answered your question. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes seminal leakage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had done sex with my bf on 11,12,13,15 the of this month. My last period started on 31st July. Right now I am having lower abdomen pain and a feeling of fullness in stomach. Is there any chance of pregnancy? Can I detect pregnancy before periods date? Doctor: Hi, Since your last period was on 31.7.18 and your probable expected date must have been over you can check your urine pregnancy test. Because you had sex around your ovulation days. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan"
},
{
"from": "gpt",
"value": "Target: Can lower abdominal pain and pressure in the stomach be symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i was sat down and my heart started beating hard and fast for about 10 seconds then felt like it stoped then fast agen for 3 or 4 seconds whats going on i have had some problems like this for 3 years now . i have had it were my heart slowed to about 32 beats a min thats what the medics said when they got to me Doctor: looks like you are suffering from sick sinus syndrome,which means some times heart rate will be slow and sometimes it will be fast.you need to get a holter monitoring done which will give us a clear idea of exact problem. so get back with 24hrs holter monitoring."
},
{
"from": "gpt",
"value": "Target: What causes irregularities in heartbeat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I have small gaps in my four front teeth, and my front two teeth have slightly more space than the other adjacent teeth. The two front teeth look bigger than the others when I smile. So what is the best way to fill all the gaps and improve, so I can have a beautiful smile without any risk or side effects. There are no cavities or pains in my teeth. I am a non-smoker and a non-drinker and a vegeterian. However, I take 3-4 cups of tea daily. So could you please advise me on what I could do? Thank you for your time. Doctor: Thanks for using Health Care Magic.Read your query.The spacing can be corrected by orthodontic treatment or by filling depending upon the space , position,age and many other factors.I would advice you to visit a dentist / orthodontist and he will look at it and suggest whether it can be closed by filling or by retainers or it will require a or th correction.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to reduce the gaps in between the teeth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctors, I have no acl intact in my left knee . I went through 2 surgeries on my left knee , I had a miniscal surgery several year a go. I also have a grade IV Chondromalacia in my right knee, i do not want do any more surgeries at the age of 54YEARS. Doctor: hi,thank-you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As the pathology of the knee joint is troubling you, and you also do not want to go for surgery I will advice to try physical therapy. As with physical therapy, your pain and inflammation will be reduced by use of therapeutic ultrasound therapy and TENS therapy. Also, since you have Grave IV chondromalacia patella, ACL injury and past meniscal surgery, you need a thorough assessment and an MRI. if the ACL is completely torn then surgery will be advised as the life expectancy of the knee has to be kept into consideration. Also, once ACL reconstruction is done you can later proceed to physical therapy for strengthening exercises and ROM exercises which will help to extend the life of the knee joint.due to ACL injury, the knee joint enters into faster degeneration, so ACL reconstruction will be advised in my opinion. As it is a small procedure and recovery is also optimum. Also, once ACL reconstruction is done , you may avoid the TKR in future. To avoid TKR you need to understand that ACL reconstruction is important. Rest I leave a choice on you.In my clinical practice, I avoid surgery for my patient with grade I ACL injury but with complete tear I also advise surgery ,post which the knee ROM and strengthening is performed and optimum results are achieved with 100% of success.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: How can further surgeries to the knee be avoided?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old daughter is having pain at the base of her skull on the left side, going into the top of her neck. It hurts to turn her neck in that direction. It seems to respond well to Ibuprofen. No other symptoms aside from a sore throat the day before this started (yesterday), but now the sore throat is gone, just some slight congestion. She does gymnastics and I don t know if she tweeked something or not. Doctor: Hi,pain at the base of skull radiating to neck can be due to various causes -Arnold chiari malformationCervical syringomyeliaPosterior fossa tumorsKindly do Xray CV junction and MRI CV junction to evaluate.Thanks"
},
{
"from": "gpt",
"value": "Target: What could be the reason for having pain at the base of my skull?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello. I had these multiple random bruises form in a matter of no time.. ive been told im anemic by one doctor rthan another told me I wasn't .. but ive been smoking more meth than usual and it seems everytime I do something weird goes on with my body. but these bruises don't hurt and they keep getting bigger and more of them keep showing up now they are on my arms.. everything I look up says anemia or leukemia but I don't wanna believe that because in highschool they thought I had leukemia because all the tests came back negative then the 4th mono test was positive,,. should I go to the er Doctor: Hi and welcome to HCM. Leukemia isnt the first thing to thnk of. Unexplained bruises is common symptoms and most causes are benign such as trombocytopenia or clotting factors defficiency. YOu dont have to go to ER, but in short time do detailed blood work to rule out haematologic disorders. Also some women have predispositions for veins breaking. If you have normal red and white blood count then there is no risk of leukemia. WIsh you good health."
},
{
"from": "gpt",
"value": "Target: Had multiple random bruises, anemic. Leukemia? Should i go to ER?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been having really bad under arm pains that come and go. they have moved into my chest area but mainly stay around the side breast/armpit area. when i start to have the feeling it gets difficult to breathe and sometimes is so bad i think im going to pass out.... any explanation? i have anxiety and it was thought that that was the cause, but im not having any anxiety symptoms, and this is constantly a problem for me now, and its getting worse and worse Doctor: Dear patient thank you for that question.The problem I have with answering the question is that there are so many reasons that I could never get through the entire list. So I shall try and explain the most likely and most dangerous ones and the rest I shall list under a broad heading while telling you what to do about those too.1) Angina: It results in a squeezing sort of a pain. My reason for mentioning it first is that is dangerous and easy to rule out. Just get an extra done and a troponin level done2) Breast cancer: Swollen lymphnodes can result in such pain which could either be due to an infection or the tumour has spread to your lymphnodes. Get a mammogram specially if there is a family history of Breast cancer3) Pleural pain or pleurisy: Inflammation of the membrane covering the lungs can result in such a type of pain. Get an x-ray and see if taking Ibuprofen 800mg helps. A Charleston of Pleural pain is increase in inspiration4) Neuropathy: Classically a shooting sort of pain which runs down the arm. it is due to the involvement of the brachial plexus and a nerve conduction test may rule it out5)Anxiety is often associated with underarm pain since it results to rapid heart rate, shaking, sweating and irritation; all which might cause underarm pain in some way i.e. rapid heart rate and shaking strain chest muscles and making them feel achy while sweating will cause irritation which can cause burning and itching (burning and itching can make your underarm painful.6)Local glandular infection: Stand infront of a mirror. Raise your arm and touch the armpit to look for any increase in temperature or any local tendernessDiscuss these with your Gp and come to a diagnosis and again I cannot stress enough that please rule out Angina and Breast cancerI hope this answers your question"
},
{
"from": "gpt",
"value": "Target: Why am I having pain under my arm pits?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected sex and took postinor-1 within 12 hours. As a result of the sexual activity I developed a UTI which was treated with Trimethoprim (a three day course) 4 days later. Is it possible that the antibiotics had reduced the effectiveness of the contraception? Doctor: hello user..no,antibiotics like trimethoprim does not reduce the effectiveness..dont worry,you wont get pregnant...have lot of fluids for Uti...thanks.."
},
{
"from": "gpt",
"value": "Target: Does antibiotics reduce the effectiveness of contraception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been having a problem - everytime I stand up I get light headed and shortness of breathe and can not catch me breathe until I sit down and rest. I had heart ablation in May and have been lowering my coreg intake - family doctor this this is causing my problem but it does not seem to be going away. Also have abdominal discomfort - I had an ulcer in early 90's I'm only 51 yrs old and want to get back to being active this going on for over 2 wks.. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You are having breathlessness on exertion (standing) and relieved by sitting and resting. This is characteristic feature of heart disease. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test (trade mill test). You may need diuretics and other cardiac supportive drugs on the basis of these reports. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for shortness of breath while standing up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was on flomax and Amlodipine for a week and started having dizzy spells. My doc thought it was the Amlodipine I thought it was the flomax and stop taking both. I’m most concerned about my blood pressure and would like to try the Amlodipine by itself. Is that a wise strategy. Thoughts? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Both are blood pressure drugs. and you have stopped both. Take your medications and drink plenty of fluids. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can Amlodipine be taken to control blood pressure levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a red rash on my face which has been there for the last 6 months, i also have this rash on my chest. My eyes are swelling and ichy and it tends to be worst after warm showers and at the moment it is extremely infalmed and very red. What do i di? Doctor: Hi, since last 6 months u are facing this problem u haven't consulted any doctor that's surprising.This can be due to allergy but a doctor need to see this rashes by his own eye if it rash or something else.Consult dermatologist as early as possible but don't get panick ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for red rash on face and itchy eyes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my baby got vomiting and motions is there anything to get her better Doctor: Hello... Welcome to HealthcareMagic what is the age of ur baby? Thanks Dr.Bhagwan dass"
},
{
"from": "gpt",
"value": "Target: My baby got vomiting and motions, kindly suggest remedies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a dark purple lump on my stomach and underarm, have had them in the groin area before. I am getting severe headaches and random pains in my arm, leg, knees. I am extremely tired and suffering night sweats thought I was getting the flu but this has been going on for over a month now. Doctor: Hi, I would need to know your age and sex to analyze the problem.You should see your Physician whenever possible. You should get evaluated for possible connective tissue disorders and get relevant investigations done like ESR, CRP, Complete blood count, etc.It could be one of many things but it would be difficult to say without examining you.Take care and do let us know if we can help you further once you have had the investigations done.Take care,Dr Rishi, New Delhi, India."
},
{
"from": "gpt",
"value": "Target: What causes dark purple lump on stomach and underarm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I m a 52 yr old white female I had a right brain sided stroke 2 yrs ago as of march 22nd 2018 I have pain 24/7 on the left side of my body I also have 24/7 pins and needles on left side of my body The skin all over my body is very extra sensitive to water which I cannot figure out yet epson salt in my bath water helps bathing more tolerable.so recently I ve noticed a very light skin rash on my arms and legs Also my left hand is swollen 24/7 .i take max dose of lyrica 600mg per day which helps my pins and needles Anything else I can do for my skin doc? Thank you Lisa Ps.my skin stings on the left side more some days than other days Doctor: Hi, Do continue taking Lyrica, it is a medication used to relieve neuropathic nerve pain or pins & needles sensation associated with diabetic causes, carpel tunnel syndrome or fibromyalgia. It looks like you are having discomfort due to developing neuropathy. Get all Nerve Function tests done & get evaluated for the cause of pins & needle sensation. Treatment of pins & needles sensation depends upon the cause. For your rashes, you can apply locally Hydrocortisone ointment or calamine lotion. If the rash is due to allergy take antihistamines after consultation with your health care provider. Cold compress is effective. Wear cotton clothes. Take vitamin B6, B12 as a supplement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How can skin rashes on the arms and legs be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my little 16 month old baby girl has been in hospital with a urine infection. She had an IV placed in her foot, we have just got home after three days. She hasn't walked since being admitted into hospital which was 3 days ago. Her left foot still looks a bit puffy and shes still very unbalanced when she tries to walk... any advice? Doctor: Hi,From history it seems that due to IV infusion in left foot might have produced some extravasation of injecting liquid and irritation might have given this problem like puffiness on the part and pain.This might be leading to discomfort and unbalanced.Apply ice pack on the part 2-3 times a day for 2-3 days.If require apply Thrombophob cream on affected area.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes swollen left foot after UTI treatment in 16 month baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got the implanon removed on Tuesday and was wondering if I could go to the gym or do i need to wait as the area is sore to touch and hurts when any thing rubs against it. i had to change the dressing yesterday as the other one had gotten too much blood on it. Doctor: HelloHealth care magic user I understood your concern and My opinion is that you can do exercise without worry if your wound at implanon removal area looks healthy, if it is not healthy or you are having pain and bleeding than you should wait for few more days before going for exerciseI hope my answers help you Thanks"
},
{
"from": "gpt",
"value": "Target: Can one exercise after Implanon removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I received a free sample of a strong teeth whitening strip. I used it two days ago and the next morning i noticed that my gums were burned. Multiple layers of my gums were pealing and bleeding. When will this go away and when will they be healed? (it looks like i have something stuck in my teeth because my gums are swollen) Doctor: Hello and welcome.Thanks for sharing your concern.Please note that the strips could contain abrasive material,which can further damage your teeth and gums.Please discontinue it immediately.The damage caused will definitely take sometime to heal.It would be nice if you can see your dentist and get an x ray done.Hope it helps.Thanks.Take care."
},
{
"from": "gpt",
"value": "Target: What causes inflammation of gums after using strong teeth whitening strip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iam 76 years old known Type II diabetic with nephropathy & mild hypertension. Current medication, Iam taking is - Insulin, Glimipride, Clopidrogl & dilzem. I underwent polypectomy 3 & half years back. Histopathology & PETscan showed adinoid with slight bony erosion. 2 months later, I underwent partial maxillectomy. Biopsy of bone has shown no malignancy. Currently there is recurrence of Polyp from the same site. It is about 2.5 X 2.75 PETscan revealed no metastaysis, no bony erosion & no Lymphnode involvement. Biopsy report revealed adinoid carcinoma, high grade. What is the current modality of treatment? Please suggest. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Since you are having diabetes and nephropathy, surgery for cancer is very risky in your case. Palliative chemotherapy, radiotherapy, nutritional support and pain management are the option for your cancer. So better to consult oncologist and discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for adenoid carcinoma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hard lump about a ping pong size underneath the skin between vagina and anus I do suffer from heamorroids after both 2 pregnancies. I am 5ft 4in normally healthy I am overweight 17stone 6lbs I am 35 yearls old. Could you shed any light on this. Only hurts now and again had it for about 1 week. Doctor: Hi dear thanks for query on HCMThere are many causes for lump in the region.Epidermal cyst, lipoma, perineal abscess, bartholin cyst and so onKindly visit a gynecologist/ surgeon. They may ask for a ultrasound of the area.If swelling is solid one may need fnac for pathological diagnosis.Based on the report you can decide regards the treatment.Thank you"
},
{
"from": "gpt",
"value": "Target: What is the hard lump between vagina and anus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have this spot on my shoulder blade, at first I thought it was a bite but it has been a month or longer since it surfaced. A few weeks ago my friend inspected it, and then squeezed out the majority of the inside, but it s not doing anything since then.What do I do now? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.It may be sebaceous cyst. It does not require any treatment unless it is painful or causing any problem. Without clinical examination or photograph nothing more than this can be judged. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes a spot on the shoulder blade?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I was scheduled for spinal surgery afew days ago and I arrived at the hospital for special surgery I was brought in the room to be prepared and the anesthesiologist came to speak to me and said she needed to speak with my cardiologist about my aortic regurgitation problem and she could not reach him. the problem was she was a littleReluctant to continue with my surgery because she said my condition was severe and I was sent home.My cardiologist sent the hospital a letter for clearance about a week before but apparently it wasn't enoughI was very disappointed by the way my number was a 4. Doctor: it seems the cardiologist should first evaluate aortic regurgitation and manage it before safe anesthesia can be given this is what your anesthesiologist means"
},
{
"from": "gpt",
"value": "Target: Scheduled for spinal surgery, anesthesiologist said condition was severe and stopped"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, One of my close relative is disturbed metally and behaving very differently like speaking with himself and laughing and not listening to his elders, not taking bath for couple of days and will get angry (high temper)immediately if you suggest him to do some task. Patient name:Balanjaneyulu(Male) Marital Status: Unmarried Age:32 Since last 5 to 6 years he has this problem and his parents are very sad due to this guy.We took him to couple of doctors and they gave some medicines to have and no improovement even after using them for 3-4 months. Could you please suggest us how can we proceed further or let us know if Doctor who has good exeperience in solving these kind of patients in Hyderabd (Andhrapradesh - India). Thanks in Advance, Srinivas. Doctor: hi..whatever history you have put forward, it seems to be a case of paranoid schizophrenia..please consult a psychiatrist and start treatment..I don't know about Andhra Pradesh, but you can at least visit NIMHANS, Bangalore..thank you.."
},
{
"from": "gpt",
"value": "Target: Mental disturbance leading to laughing and talking with self, in-obedience, loss of temper. What treatment can be taken?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning Sir, I am Sanwar Khan father of 8 yrs old Girl Sazia Begum, My daughter had suffered from jundice , and it is cured after taking medicine from doctor before 20 days. After that I found her belly is swelling after any meal/dinner. In USG I found a 4mm gall stone is there..Now she is suffering from fever also and belly swelling. Please suggest me what can i do? Doctor: Dear Mr. Khan,Given the history of recent jaundice and gall stone in your daughter and now the fever and abdomen bloating there is a possibility of an infection involving the gall bladder. I suggest that you consult a pediatrician as soon as possible who can examine you child, order blood work and imaging, diagnose the condition and counsel you about it so that your daughter receives the best possible treatment and care."
},
{
"from": "gpt",
"value": "Target: Why my kids belly is swelling after meal after recovering from jaundice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had my first yeast infection 2 months ago was treated and a went away a month later I got another one 5 days after starting Mircognon 30 for the first time. Can the Micrognon be the cause of my recurring yeast infection and if so should I stop taking the pill? Doctor: Hello there,There have been incidences of women having a higher chance of yeast infections and insulin resistance when they are on microgynon . Certain people are more susceptible to them and you seem to be one amongst them. Maybe you can discuss with your OBGYN about a possible alternative method of contraception.Hope this helps,Dr Arun A"
},
{
"from": "gpt",
"value": "Target: Does microgynon cause recurring yeast infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr., My name is Tina Ann Pinto from India ( mumbai ), and I m 22yrs n weight 49kg and i hv a health problem which relates as... i get tremendous shivers with my fingers n legs which at times leads me to numbness..and i was even having problem with my head pain where i used to get severe pain on the back of my head and at times due to this i used to vomit whatever i used to eat and drink and even get blackouts which used to lead me sumtimes in trouble specially when i used to be at my classes 4r lectures and suddenly there used to a headache n then a blackout in front and when the lecturer used to explain me the lessons in class i knew i was seeing him explain but still everything used to get blank in front of me for nearly 5-10mins and specially when i used to get cold ..that used to go and hit by brain with severe pain..i hd tkn out my M.R.I scan, stress test,blood/urine test...it just showed signs of migraine n sinus ...but still nothing has improved..this is goin on since 3 1/2 yrs...sumtimes i get lack of sleep but i do sleep on time yet theres a problem thats just because whenever i everytime get sum sleep i get weired dreams and wake up with a start or start crying which that also makes my head to pain alott..but wen i get up in mrng my head becomes so heavy looks as if i havent slept 4r mnths...even i get alot of hairfall as if bunch of grapes everyday while combing anytime... So could u please tell me whats the exact problem with me...is it sum disorder or what...i really cannot understand.........plzz help.. what are the tests or what d remedies that i cn stop from all this problem.who should i consult.... Doctor: please do have CT or MRI as they can give minute details.as far as treatment is concerned u can take tab zerograin at night time and cap absolut 3G once daily."
},
{
"from": "gpt",
"value": "Target: Trembling in fingers, legs with numbness, severe pain on back of head with vomiting leading to blackouts, severe hair fall. Tests showed migraine and sinus. Further tests required?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my back upper right tooth pulled on Friday. Now I can feel some sort of lump near the sight that is painful, I have clusters of canker sores around the area, mostly on my cheek. I also just noticed cluster of small white bumps spreading across my gum away from the extraction site, towards the front of my mouth. I really hope they don't turn into canker sores since I'm already in agony but I have no idea what they are. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have undergone extraction now you have lump near extraction site dont worry for this you can do is you can apply ointment Gum paint twice daily on painful Gums . Do warm saline gargle two - three times a day . Do betadine gargle twice daily for one week . If you wont get relief then consult dentist for oral examination .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: What does a lump near tooth extraction site indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I.m 40.I did an Ivf then Doctors told me that my baby had trisomy 21.I want to know if the ivf high the risk of DS? Doctor: Down syndrome is a genetic condition in which a person has 47 chromosomes instead of the usual 46. A woman's risk of having a child with Down syndrome increases as she gets older. The risk is significantly higher among women age 35 and older.Couples who already have a baby with Down syndrome have an increased risk of having another baby with the condition.IVF don`t increase risk of DS.Disclaimer"
},
{
"from": "gpt",
"value": "Target: I want to know if the ivf high the risk of DS,trisomy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been masturbating since my 10 grade and now its been 11 years since then.many time i have mastubated 4-5 times a day.i want to know that whether excessive masturbating does any harm to male productivity in future? Doctor: Hi well come to HCM. No it will not have any bad effect on male productivity, but if you are involved too much you will disturb your routine activity and your education too will be affected. Thanks"
},
{
"from": "gpt",
"value": "Target: Does excessive masturbation leads to infertility in men?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having a yellow stool and hypoglycemia for over a year. they removed my gall bladder but my symptoms have only gotten worse i have pain in the abdomen and all the doctors seem to think is that i still need time to recuperate from my gall bladder removal. I am tired of them not listening to me and blowing me off please help. Doctor: hi looks like you have post cholecystectomy syndrome but get an liver function test, sugars, creatinine and ultrasound abdomen to rule out other problems you may need to take small frequent high carbohydrate meals and avoid fasting your hypoglycemia needs to be documented do blood sugar when you suspect it hope this answers your query can reply if any queries wish u a speedy recovery"
},
{
"from": "gpt",
"value": "Target: Yellow stool, hypoglycemia, removed gall bladder, now abdomen pain. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...hi name is priya , isaw a case of phimosis,men about 36years old , he had compliants of swelling in the prepuce since 2days, slight pain along with sediments of white discharge under the foreskin since one week. please tell medicine and also the scope Doctor: Hello, He is having a balanitis infection of glans penis. He can be given anti-inflammatory medicine and antifungal topical cream over the affected area. If phimosis persists after resolution of inflammation than circumcision operation can be done to relieve phimosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the treatment for phimosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir i m 20 yrs old boy amd i hv been suffering from liver problems since some yrs back.i usually face problems like liver emlargement,indigestion,inability to supply nutrients to the body.i.e i cant get any improvement in energy level of my body even though i eat a lot..symptoms are like..weakness,requirement of more sleeping duration,mucus and bubbls with the faecus etc..i hv visited to several physican n gastreantologist bt i cant get any improvement...if u can help me please sir..thanks Doctor: thank you for posting query.check your ESR, CRP, Hep b and C viral serology, complete blood cell count, lipid profile and get an ultrasound abdomen.meanwhile:abstinence from \"Alcohol and drugs\" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-\"recheck liver enzymes after 6 to 8 weeks\".- include yogurt in your diet- take \"pantocid 40mg OR Nexium 40mg\", once daily before breakfast. - use two pillows under your head, when you lie down/sleep.- eat your last mean 3 hours before going to bed-Avoid spicy food, oil rich food, - No smoking and NO alcohol. - do NOT eat mouth full.-no cold drinks and NO junk food- try to avoid drinking water at the end of a meal.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for liver enlargement and indigestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi... ok... here it goes.... When I was 11yrs old, I had a bike accident. From 21yrs old on, I have had multiple procedures to deal with my urethra stricture. 5 yrs ago, I had surgery. From that point on, I have noticed that my perineum tends to get swelling when I get an erection. The swelling begins before the erection begins and lasts longer than the erection does. It does not usually hurt. My last procedure was in 11/13. It was a dilation. This Morning (6:30am), when I ejaculated it was v. painful... after I could not urinate, when I tried it was v. painful (tried 2xs 8am, 10am). The pain lasted a while (usually my painful urination stops when the urination stops, for some reason the pain today lasted between 30mins for the first urination and an hour 30minutes plus for the second). At 10:30am, I took a cab to the emergency room... during the ride, I noted that my perineum was still swollen and I had to hip sit and I also had to walk bow legged into the hospital. (the head of my penis was also hurting). At 12noon, I was able to urinate a little (dribble stream with pain). At 1:30pm, I again urinated but the flow was less, pain was same. I believe that perineum was still swollen but it was not on my radar. I told I would have to get a Suprapubic catheter and had decided to have the procedure the next morning. While I was waiting to get admitted, at 3pm, I urinated and my flow normal (my normal) and with pain (still my normal). I also noticed that the swelling in my perineum was also gone. I decided against the procedure. I have urinated once since being home. It was again my normal flow. Am I crazy to connect the two and any ideas on why it is swelling. I spoke with one of the urologists and he didn t seem to think they were connected. In truth, I have never brought the topic of the swelling up with any of the urologists I have worked with over the last few years because it never occurred to me. We are now talking about a urethra re-construction but if this perineum thing is contributing to my urethra problems and could be fixed with a less intrusive procedure... (and buy me some time)... that would be great... again thanks... Doctor: Hi. Thanks for the elucidate self explanatory history.The perineal swelling along with the erection is suggestive that the part of the penis root has been herniating through the weakness of its covering.Secondly the other swelling you developed is suggestive of the diverticulum of the urethra, most probably developed due to stricture or the procedures blocked the out flow.I think the correction of this swelling is also a part of the next procedure. The easiest way to diagnose this is urethrography to outline the the urethra. This will help plan the nest procedure well."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for urethra problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, i am from orissa . i am quite dark in colour and feel very inferior to my friends who are quite fair even after being exposed to sun and my height is 5 3 .what can i do to lighten my colour as well as increase my height few inches.i am 23 now.pls suggest. aryan Doctor: HIWell come to HCMI really appreciate your concern, your both the physical conditions are genetically decided and this can not be changed or alter, more over this is not the matter whether you are black or white short or tall, but how much you are intelligence, what is your IQ level, this are really matter of concern, so pay attention toward this, no need to feel inferior, prove your self best, take care, have nice day."
},
{
"from": "gpt",
"value": "Target: Suggest medication for dark skin and height growth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 22 months old. She's down with fever since earlier today. Her rectal reading was 101.3 around 5 pm. Gave her 1.5 ml T98 drops. Repeated the dose around 11:30 pm. She woke up crying at 2 am and felt very very hot to touch. She refused to let me take her temperature. I panicked and gave her 2.5 ml Meftal P. 5 mins later I managed to take her recital temp. and it was 99.5. She still feels very very hot to touch. Now I'm worrying if I gave her the medicine in haste and if it will have any adverse effect on her. Pls help. Can't reach my pediatrician at this hour. Doctor: Hi, I had gone through your question and understand your concerns.Most fever are usually viral in origin and take 3-5 days to resolve. Meftal P 2.5 ml in addition paracetamol is safe to use , in fact appropriate dose is 5 ml 8 hourly. You need not be concerned in this regard. Instead of using two drugs better option will be to use tepid sponging to bring down fever . More important is overall condition of baby , if baby is active , playful , accepting feed ,passing urine you can be comfortable.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination"
},
{
"from": "gpt",
"value": "Target: Is it safe to give Meftal P 2.5ml for high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How long can a terminally ill cancer patient (ovarian) be on hospice care? My mom has been on hospice for two months now, she is bedridden, has a catheter, morphine through port, is still eating and drinking but is extremy confused. We wonder how long a person can go on like this. Doctor: Hi,Thanks for writing in.Sorry to hear the progress of disease in your mother.The period of survival in stage 4 cancer might vary from 6 months to 2 years. In the most advanced disease also a patient might be expected to survive for 6 months if her general condition is good and she is eating and drinking. Cancer is a difficult disease to treat and must be treated till the end.Your mother has a morphine port in place and therefore her pain might be taken care of. Ovary cancer usually spreads to abdomen and involves liver, peritoneum and omentum. There is also a collection of fluid in many patients. I think she is provided good care at the hospice and can survive for another 2 months as long her eating and drinking are taken care of. Her confusion might be due to many reasons including a sense of psychological distress or disease spread to the bone. Please do not worry."
},
{
"from": "gpt",
"value": "Target: How long can a terminally ill cancer patient be on hospice care?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: if ALFT is increased by the range of 36 in female so what its dieases Doctor: Hi, thanks for query.I think you are talking about ALT.this is a liver enzyme.The normal range is up to 40.So 36 is normal.There is no need to worry.bye."
},
{
"from": "gpt",
"value": "Target: What could be the reason if ALFT increased by the range 36 for female ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a 3 yr old who went to Dr on Friday and he said she just had a cold, which i do think she does but,i think there is something else. she has pretty much ran fever since Friday AM it will break w motrin but comes back, she says her side hurts and isn't really eating. she also threw up this morning. What could be going on, is this something that could wait til morning to have checked out. cant seem to change the key word search which has nothing to do with her Doctor: Fever, cold, vomiting etc. are usually caused by viral infections.For fever give paracetamol, for cold decongestants and for vomiting give ondansetaron.If not relieved consult pediatrian.Give ORS for dehydration.For further queries regarding this disease or its medications you may take my appointment at Healthcare Magic.Dr. Khan Shoeb"
},
{
"from": "gpt",
"value": "Target: What causes fever and stomach pain in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: should i be taking amlodipine, and lisinopril/hydrochlorithyozide ?I am a 55yr old woman apx 5ft10in. wt. is 240lbs. have had high blood pressure for apx. 10 yrs. high was apx. 162/105 before treatment. Also take synthroid because thyroids were removed in 1992. take chlorestorol med. pravastatin. level is apx. 184 was apx 220 before treatment. Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You certainly need medicine and you are on fairly appropriate medicine. Continue with the same. However keep monitoring your blood pressure regularly. Also have low salt and sugar diet, and regular exercises. Avoid smoking if any. I guess sugars must have been tested.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Suggest medication for high bp"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a swollen nail bed which is filled with pussy liquid on my big toe. The whole toe was very painful for a while but since I drained the liquid it has been less so, however there is still puss that can be squeezed out everyday and it has a nasty smell to it. Will this clear up on it's own? Doctor: Hello,Welcome to HCM, The history and symptoms suggests me that you are having paronychia which is nothing but an nail disease that is an often-tender and very painful.The paronychia can be due to infection with bacteria or fungus which most commonly affects the great toe. The pus should be drained by giving a ring block to prevent the cellulitis following this.I would suggest you to undergo incision and drainage which should be followed by a course of antibiotics like tab Augmentin, twice daily for five days. You may require topical antibacterial cream and good hygiene of the wound.Thank you."
},
{
"from": "gpt",
"value": "Target: What is the cure for the swollen nail bed with pus formation ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have strange epidermic conditions. That my doctor says is fine. It started in the post of puberity like 15 year. I have whitening of the skin in areas as well as painful rashes. like the dax lady from star trak..not so much though. like nevi type moles.. or bauty marks. that seem to be spreading. I have has snsitive skin for as long as I can remember. Spots like freckles from the sun have appeared when I was 25.. Stretchmarks type streks in my sensitive areas.. thye have gone freom clear to red, to purplue then back again. That are painful to touch, like on the inside of me.. I can not image what else to say. I think it is from swimming outdoors when I was younrer and growing Doctor: looks like allergic. take antihistaminics like cetrizine. apply calamine lotion. avoid swimming. if no improvement take dermatologist opinion"
},
{
"from": "gpt",
"value": "Target: What is the treatment for strange epidemic conditions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive been on the nuvarig for 3 months now. last month i accidentally put it in a week late after a very normal period. I have had unprotected sex since then while on the ring. this is supposed too be my period week and i have some cramping, low back pain , dark brown discharge (no smell), some pinkish discharge in the begining, soreness on the sides of my breats. I just wanted to know if this is normal while on the ring? I know sometimes your period cycles and i have a fair amount of signs that usually indicate im menstrating however the odd discharge and breast tenderness are confusing Doctor: Hi there, Thank you for posting your question. I will do my best to help youAs per information provided in the query,NuvaRing is a contraceptive device which is inserted deep into the vagina and worn for three weeks and is to be remove NuvaRing for one week — allowing menstruation to occur — then insert a new ring.There might be cramping ,low back pain as a part of Menstruation in many women (which is not abnormal),If the pain is severe, One can use anti-spasmodics-Tab meftal spas twice a day for the period days.As of Unprotected intercourse in absence of Nuva ring, it depends on the day of your cycle.Usually ,ovulation occurs on 14th day of the cycle and menstruation on 28th-30th day of cycle ( one is likely to conceive if Intercourse happens during 12 to 14 days of the menstrual cycle).First day of the cycle is to be calculated from the day 1 on your period (day 1 will be day one of the cycle).If you happen to have unprotected intercourse,kindly check with your gynecologist for further advice.I hope that I have answered your questions fully and been of some help.If you have anymore questions please contact me again anytimeRegards,Dr.Sushma"
},
{
"from": "gpt",
"value": "Target: On nuva ring, have cramping, lower back pain, dark brown discharge, soreness on the sides of breasts. Normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: These started about two years after my last pregnancy and she is now 6yrs old. I had a gall bladder surgery 2 years ago that went bad. in the process of the laser surgery my bileduct was cut. A week later I went into the er with liver infection and full of bile. I was hospitalized for a month and had a reconstruction surgery. I have been fine every since. No problems. BUT THESE SPOTS Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Nothing much to do now. The injured bile duct repaired with a repeat surgery and nothing more to be done now unless you are symptomatic. If you develop symptoms like fever, jaundice consult a surgical gastroenterologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: How to cure a cut on the bile duct after laser surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can you answer few of my question regarding healthI suffered from Hepatitis and then lost my right eye vision permanently. While i was suffering from Hepatitis, i was given glucose alot. Now doctors are saying the I have Neurocysticercosis (worm in brain), however I never felt that and never had any brain or head problem. Doctor: Hi and thanks for the query, Hepatitis and Neurocysticercosis have no relationship. Neurocisticercosis is a brain infection due to migration and scarification of a worm in the brain. This infection is usually gotten from eating beef or pork meat, which most of the time is uncooked or not well cooked, causing the infection to be transmitted form the animal to man. This infection has different characteristics in different persons, and has different areas of predilection amongst different persons. I suggest it could be the brain in your case. symptoms like headaches and fits could be experienced in your case. I suggest you run some serological or blood tests for this infection which actually do exist for further confirmation and the opinion of a neurosurgeon or neurologist could be worthwhile. Thanks and best regards, Luchuo, MD."
},
{
"from": "gpt",
"value": "Target: Lost right eye vision after Hepatitis. Detected of Neurocysticercosis, but never had brain or head problem. What could it be?"
}
]
|
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