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PranavHarshan

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[ { "from": "human", "value": "Source: Patient: I know I have pinched nerves in my neck Never had two fingers on my left hand go numb. Thumb and pointer finger Very uncomfortable When I stretch I get a shock radiating from my shoulder down to my hand Is this very serious and what can I do Thanks sabjkhndy Doctor: this type of problem occurs in case of cervical spondylitis. for this you might have to use a cervical collar, adept for your neck size and do cervical exercise for toning up your neck muscles. If there substantial pressure on the nerves, which can be seen by an MRI, you might have to undrgo neurosrgery." }, { "from": "gpt", "value": "Target: Having pinched nerves in the neck, how to treat pain radiating up to fingers?" } ]

[ { "from": "human", "value": "Source: Patient: I have tingling and numbness in my right chest muscles that extends up to my subscapula muscle in my arm pit and extends down to my lower right ribs. The tingling and numbness in my chest is very uncomfortable and at times painful. The symptoms get worse when I use my right arm in small and large motor movements. I believe the original injury was caused by a rib in my back being torqued by a rough chiropractic adjustment. I have had two cortisone injections in my upper back to try alleviate the issue but I believe they have exasperate the problem. My symptoms seem to be aggrevated. Any help on this would be much appreciated. I haven t been able to find any answers locally. Thank you, Scott Dunn Doctor: if the cortisone injections at the nerve root level did not help you should look into myofascial referral patterns. it is unlikely that you had a chiropractic manipulation strong enough to dislodge a rib but notimpossible. it is much more likely you hurt your shoulder and feel it in your chest or the pec major muscle itself." }, { "from": "gpt", "value": "Target: What causes tingling and numbness in chest muscles?" } ]

[ { "from": "human", "value": "Source: Patient: I am 36 years old men. Since 2002, I am suffering from Fatty liver probelm. In 2007, I underwent the GI Endoscopy and diagonised the H Pylori infection. I have taken the necessary medication for the same. Since last two year I am also suffering form High BP, High Cholestrol and now this week also diagonised with starting Diabetic Glycosylated Hemoglobin 7.3 Glucose 113 mg/dl Total Cholesterol 312 Triglycerides 244 HDL 45 LDL 204 VLDL 63 HDLC Ratio 6.9 SGOT 33 SGPT 61 Blood Urea 26 Serum Creatinine 1.00 Vitamin B12 241 My current ultra sound report shows normal report but with Focal hypoechoic area of size 20X14X17 mm is seen in left lobe of liver. Liver is normal in size (13.4cm) amd shows increaed echogenicity. I am suffering Hypertension, body fatigue, and body pain. No freshness in body. Doctor: Hello, Your reports suggest dyslipidemia with pre diabetes ( if sugar level of 113 is fasting value ) and low levels of VIT B12. Body fatigue could be because of these problem or may be associated hypothyroidism ( get your thyroid also evaluated ) . You should start taking medications and do the following... Calorie reduction and reduction of weight.( be in your range of BMI ) Regular exercises Avoiding sweets,deep fried fatty foods,transfats,junk foods like pizzas and burgers and avoid colas. Consume more of fresh fruits and green vegetables. Get few injections of VIT B 12 as advised by your doctor. Your cholesterol,high liver enzymes and fatty liver shall be all right in 4 to 6 months time. Quit smoking,if any. Target of your LDL should be below 80 Target of your triglycerides should be below 150 BP should be below 120/80. Keep your fasting blood sugar below 90 Thanks" }, { "from": "gpt", "value": "Target: Suffering from fatty liver, diagnosed with H pylori, high Bp and cholesterol. U/S normal.Suggestion?" } ]

[ { "from": "human", "value": "Source: Patient: My mom was bleeding from her nose mouth amd eyes this morning. She was also coughing up blood clots. She lives in hawaii on a small island called molokai. That hospital ia very small and outdated. But she went to rhe hospital there amd said ahe was fine. Im scared for her Doctor: Hi, dearI have gone through your question. I can understand your concern. Yout mom have some bleeding disorder She should go for complete coagulation profile test with platelet count. Search the cause of bleeding and then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What could cause bleeding from nose.mouth and eyes?" } ]

[ { "from": "human", "value": "Source: Patient: Hiya I am 17 years old female, and finding to hard to say different words and forgetting what I am going to say half way through a conversation with someone, I also feel really happy one minute then next feel like everyone hates me! Please can you help you out best you can! Doctor: HiThanks for using healthcare magicI think, you are in stress and some antidepressant that would help to control the mood swing. You can consult a psychiatrist for proper mental status examination, You can also do some relaxation exercise that deep breathing or JPMR. You can also follow life style modification technique, but before doing that this, just consult a psychiatrist.Thanks" }, { "from": "gpt", "value": "Target: Feeling non focused and depressed" } ]

[ { "from": "human", "value": "Source: Patient: Hello, For about 3 continuous days now, I have been feeling this very odd sensation in my lower leg. The exact location would be where my Peroneus longus muscle is located. This sensation is only felt on my left leg. I can describe this strange sensation by comparing it to a pinch of electric shock at the same exact spot whenever I stretch my leg. It usually occurs when I bend my upper body towards my knees without bending them. There are two major changes in my life, I must say. 1- I stopped smoking cold turkey, it s been 10 days all together. 2- I ve started working out very intensely. Sometimes I stay for 3 hours long at the gym. The is first time I get such a strange feeling. Your help is appreciated :) Mimi Doctor: Hello,.On back of our leg starting from middle of our hip, we have a thick nerve, which passes from the middle of the thigh to the back of the knee. This then divides in two parts, one part goes anterior in leg by encircling our outer bone at leg and other at back of leg. As you stretch your knee without bending it, the these nerves stretch out. Due to friction at some hard area in there, you feel such electric sensation. It is normal in nature but excessive stretching should be avoided. You should gradually do exercises and with time your body will adapt. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon" }, { "from": "gpt", "value": "Target: What could cause pinch of electric shock on stretching legs?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have a constant pain in my lower abdomen and back. It seems to get worse with eating; it has lasted close to 46 hours now. The pain is minimal in the morning but seems to increase throughout the day. I am in more pain while sitting than standing. I have had a similar pain before but this is the first time it has lasted over 36 hours. Any idea what this could be, thanks! Doctor: Hi, There sounds to be substantial amount of intra-abdomen pathology which is giving such prolong pain episodes as inflammation in form of diverticulitis, narrowing of lumen by some sort of stricture (as typically the symptoms arise after food intake) or others. Thorough case evaluation with history, physical findings and radiology in terms of CT abdomen with or without scopy will help great to reach at a particular emphasis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon" }, { "from": "gpt", "value": "Target: What causes constant lower abdominal and back pain progressing after each meal?" } ]

[ { "from": "human", "value": "Source: Patient: My husband can only take this particular generic of protonix40mg. any other he gets sick, has these episodes that last 8 - 12 hrs. I have searched 26 pharmacies in my area, say its discontinued.Please can u tell me where I can find Pantaprozole DR 40mg., NDC: 0000-0434-02. Im trying not to have to afford the name brand if I can help it......but I will..... 0000 zip code Louisiana Doctor: Hello friend,Thank you for posting your query through Healthcare magic. Since you have posted this query in the alternative medicine category I am answering . I am a Homoeopath and so the drug which you have asked for do not come under my speciality. Protonix soium 40 mg or Pantoprazole (not pantaprozole) 40 mg. as I have understood, is a slow releasing antacid, of the conventional medicine used for relieving heart burn, by inhibiting the release of Hydrochloric acid in the gastric juice. Hope you will not get offended if I share some different thoughts with you. You are under the strong conviction that your husband has to take a chemical drug like protonix for the rest of his life. You are not even prepared to change the brand name of it. I feel empathy for you because you and your husband are made to believe that there is only one method in this world to relieve the acidity of your husband . That is to take antacid for the rest of his life. The word itself tells you that it is anti acid. You have not asked to yourselves why your husband is having more acid in his stomach. First of all understand that your husband has got a genetic tendency to produce excess of acid in his stomach. Or to be short he has a constitutional problem of hyper acidity. You have not mentioned a word about HIM, his MIND, his LIFE SITUATIONS, his mental and physical reactions to them because no body has given the idea that these are the reasons for his hyper acidity and he can be cured by an alternative genetic constitutional treatment which is curative and holistic. Let me say that he can be cured without any more taking any antacid, with the rightly chosen homoeopathic constitutional remedy. Once HE is cured, you need not search 26 pharmacies in Louisiana to get a suppressive chemical drug which is harmful to the vital organs of his body. It is having very harmful bad effects and that is why its production is discontinued as in the case of any other chemical drug of conventional medicine. First it gets approval somehow and once a large number of people die under its side effects its production gets discontinued to make it in another combination by the pharmaceuticals again to continue the same process. You may sit relaxed and think over what I have written and if you think that your husband can have Homoeopathic treatment, get back to me through the premium follow up question facility of Healthcare magic.With Best Wishes,Dr C. J. VargheseHomoeopath [email protected]." }, { "from": "gpt", "value": "Target: Protonix is unavailable, gets sick with alternatives. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: Hi! I am having a painful condition while sitting or on my bike(pain surrounding coccyx). I have also been suffering from low back ache and neck- shoulder pain for last 16 years. I am having hemorrhagic piles and bleeding continues for 3 to 5 days off and on due to improper diet. i have done the X-rays, MRI of entire spine , CT Scan of brain and EEG of brain. The reports are normal showing mild herniation of entire spine. All My hemoglobin is 9.3%. Random Sugar is 120 mg/dl. I am 48 years old. My body weight is 73 kg. I am 5 6 high. Some times I am taking ETURA-500 when pain is unbearable. Physiotherapy of shock wave, TENS, IFT around neck, shoulder, coccyx and lumbar area does not help much. Doctor: HiThank you for your question.Pain around the tip of coccyx is called coccydynia. This results from sitting for prolonged times. The episodes are usually self limited. The best measure for this is preventive- try not to sit for longer times. If you have to- take frequent breaks in between. The back and neck pain fro bike riding is most probably muscular in origin. Correct posturing and lifestyle modification to limit bike rides may be helpful.Wish you the best." }, { "from": "gpt", "value": "Target: Lower back ache, neck and shoulder pain. Have hemorrhoids. X-ray and MRI reports showing mild disc herniation. Severe pain while sitting" } ]

[ { "from": "human", "value": "Source: Patient: My six year old daughter went potty and her urine was medium-dark yellow in color but afterwards, she dripped drops of urine that was quite red or possible blood. I looked but saw nothing wrong on the outside. She s not complaining about any pain. Should I be concerned? Doctor: Hello. I just read through your question. The most common cause of blood in the urine, in the absence of trauma, is infection. If you suspect that it was blood, a urine sample should be sent to determine whether or not this is the case. if it is an infection, it can be easily treated. Outside of that, there is nothing to be overly worried about." }, { "from": "gpt", "value": "Target: What causes blood in urine of a child?" } ]

[ { "from": "human", "value": "Source: Patient: My 88 year old mother in late stages of alzheimers and unable to verbally communicate most of the time has arthritis in her hands and right shoulder. I give her a tylenol every other day and she is more relaxed in those areas and not squeezing her hands so tightly. Would it be better to give her asprin or tylenol arthritis? Doctor: hi,thank you for providing a brief history of your mother. well as you mentioned she is 88 we need to see her as more of an ageing degenerative changes in her body. I will always recommend to not undergo self medication as it might not be safe, so for medication take an expert's advice. now talking to her Alzheimer's disease and pain you need to look for a physical therapist who will use some therapeutic ultrasound therapy and some gradual slow passive movements which will help muscle move and will get ease of the pain." }, { "from": "gpt", "value": "Target: Suggest medication for arthritis pain in an elderly person with Alzheimer s disease" } ]

[ { "from": "human", "value": "Source: Patient: Yes, last night I slipped in the bathroom and fell partially on my cheek bone on my face an small part of my jaw. My cheek swelled up and now under my eye and on the side of my nose is all black & blue. Pain is bearable, but do you think I could have possibly fractured my cheek bone? Doctor: YHello,yeah where the bone exist. There. Will be fracture. If you fell down. And swelling with pain there. Might be fracture or just swelling.so to ruleout. Need to do X-ray...." }, { "from": "gpt", "value": "Target: Would a cheek bone fracture be a possibility here?" } ]

[ { "from": "human", "value": "Source: Patient: I have asthma, and I have had a particularly bad year for colds and bronchitis. I have had three cortisone shots this year--the most ever in my treatment. I have really bad bronchitis, and I am debating whether or not to go to the doctor. It s probably viral, but I sound like a seal, and my wheezing is terrible. Please advise. Kaye Doctor: Thanks for your question on HCM.In my opinion you should consult pulmonologist and rule out infection at present as infection is the most common cause for worsening of asthma. Also get done PFT(Pulmonary Function Test) for lung functions.And treatment of asthma should be continued daily. Not only when you have severe wheezing.Treatment of asthma is follows.1. Identification of allergen and complete avoidance of it.2. Inhaled brinchodilators like long acting beta 2 agonist and corticosteroids. 3. Antihistamines and anti allergic drugs.4. Anti inflammatory abd antibiotics as and when required.So consult pulmonologist and discuss all these." }, { "from": "gpt", "value": "Target: Suggest remedy for sever cold and bronchitis" } ]

[ { "from": "human", "value": "Source: Patient: My husband had an accident almost a year ago and broke his neck. Nerve damage was the result. Now he has swelling and blueness in his left leg with some pain on the back side, vomiting without warning, decreased appetite, sleepy all the time. Is this normal side effects of a broken neck? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Neck injury doesn’t cause pain and swelling on the foot. If symptoms are persistent, you can consult a physician and get evaluated. Wishing you good health. Thanks." }, { "from": "gpt", "value": "Target: Does nerve damage caused by a neck fracture cause swelling in the legs?" } ]

[ { "from": "human", "value": "Source: Patient: My brother was diagnosed with tb by quantiferon test a month ago.As atk 4 had some complication in his liver he is on streptomycin for the past 3 weeks. He was getting better. but for the past two days he is having fever & Chills (103.7C), after giving paracetamol it got reduced & again shoots up to 101C. is it normal? His lymph nodes are gone now in his arm pits & Shoulders. Kindly guide me to proceed further. Doctor: Thanks for your question on HCM. In my opinion you should not worry much about the fear.As tuberculosis of lymphnode can give rise to fever upto 2-3 months.So no need to worry much for lymphnodesSince you are having improvement in swelling size snd number, continue with these drugs for atleast 6-7 months. And take paracetamol when ever you are having fever." }, { "from": "gpt", "value": "Target: Suggest treatment for Tuberculosis" } ]

[ { "from": "human", "value": "Source: Patient: My 5 month old has 37.5 deg C, had vomited last night, but since then she didn t vomit. Had appetite , ate 4xtoday. What concerns me are very visible veins between temporal and frontal lives on both sides. I have given her rectal suppositories, acetaminophen 80mg and it seems to be helping with fever, but from appearance doesn t change. Is it common to see veins like this? Doctor: no need to worry, these veins can be visible normally.if the baby is taking feed properly and no vomiting now then dont worry" }, { "from": "gpt", "value": "Target: What causes persistent vomiting in an infant?" } ]

[ { "from": "human", "value": "Source: Patient: hi doctor ,i am 30 year old lady,i had a small black lump in my left side of neck nearly 4month s,i used to touch over there,now it become bigger in size and it is bulging outside,the colour is same as skin colour.i went to my gp,according to him it is an infected black head ,please tell your opinion Doctor: Hi, Without examination it is indeed difficult to say what it is. It can either be a lymph node or a cyst. You get yourself examined by an ENT specialist. Regards Dr. Naveen Kumar" }, { "from": "gpt", "value": "Target: Small lump in left side of neck and it is increasing in size" } ]

[ { "from": "human", "value": "Source: Patient: Hello. I am an 18 year old girl, my name is Kelsie. My husband and I have been trying to conceive for about one year and 6 months. I usually have a period every 29-30 days, but i havent had my period at all this month, no spotting or cramping or anything. my last period was August 9th, 2013. It is now September 13th, 2013. I use a \"period tracker\" app on my phone to help me keep track. My husband and I try to have sex every day and if not every day its every other day. I am taking multivitamins right now every day. My husband is 21 and very healthy. His last checkup his Dr. told him that his reproductive organs were fine and that his sperm count was high too. I go to a yearly checkup every april, and this past one my Dr. said i was fine and as long as i took at least a multivitamin every day that I would be able to conceive. That is exactally what I have done, so I dont know if my Dr. falsely informed me and something is wrong or that I am simply not doing something right. My periods have never been regular and i usually ovulate between 3-4 days after my period ends, which is usually a 4 day cycle. This month I have felt different. For the past 2 days, periodically throughout the day, I have a queezy feeling and when i even smell my favorite foods, I feel like im going to be sick. What could be wrong? What should I do to higher my chances to conceving? Thank you for your time. Doctor: Hi there! Welcome to H.C.M.Forum!You say your periods are late by 4-5 days. Have you taken a pregnancy test yet? These days,kits which detect pregnancy as early as the first day of the missed period, are available.Two lines would suggest pregnancy, one line negative and an invalid line would suggest that you may have to repeat the test. If negative, then why dont you conduct a detailed checkup with your gynecologist? Since your husband's report seems to be fine, you can also get yourself tested for your hormonal levels. Your gynecologist may also suggest other tests like ultrasound and the like. Do continue with the multivitamins. As for your symptoms, though they seem to be similar to symptoms associated with morning sickness, 4-5 days after a missed period might be quite early for the symptoms to exhibit ( even if pregnant). But yes, do take a pregnancy test nevertheless. Sometimes, the couple may be perfectly fine yet may take time to conceive. Avoid stress at all costs for it may hamper your chances.Good luck!" }, { "from": "gpt", "value": "Target: Not able to conceive, Sperm count high, Periods normal. Suggestion?" } ]

[ { "from": "human", "value": "Source: Patient: My father was admiited to Fortis Hospital Fardiabad on 24 Jul 2010 after he complained of having severe Abdomen Pain, after doing various tests doctor advised to ERCP to remove stones in CBD as he got his gall bladder removed in 2002 so some stones were left. After the operation he complained of severe pain, his amylase level raised to 2200, doctor said he suffered from pancreatis and it will take 2-3 days for pain to subside, but it's been 4 days he is still having mild pain which raises at peak sometime during the day.....kindly tell how much time it will take, or do we need more follow ups....His age is 56 years, he got CABG in 1998, having hypertension and is diabetic too.... Thanks in Advance........... Doctor: hi.thanks for posting queryERCP may lead to pancreatitis.resolution of symptoms may take few weeks.follow doctor advice and be compliant with medication.wish your father good n sound health.regardsDR Tayyab Malik" }, { "from": "gpt", "value": "Target: What causes abdominal pain after gall bladder removal?" } ]

[ { "from": "human", "value": "Source: Patient: hi am vila 23 years old am suffering from raw rice addition since am fifteen. I do 2 mouth surgery beacause of broken teeth all my teeth are dead. i have belly pain.. difcficulty to sit,to walk.. feel out of breath sometime. The thing is that iwant to stop. I ve try lots of time but i can . I have difficle menstruation. I eat raw rice all dat long if i dont eat i can t sleep i even have get insomnia problems. the think is that i want to stop but how ? Doctor: Hi Vila, Thanks for trusting HealthCareMagic with your query. Your problem seems to be a very rare kind of addiction. Based on the information provided, it seems your are motivated to give up this addiction as you appear to understand the fact that it is hurting your body physically. It seems that you are struggling psychologically as well. I guess first and foremost, you should get yourself checked physically as raw rice can cause some physical issues and some of the problems of menstruation could be due to other unrelated/related issues. An opinion from physician or gynecologist might be helpful. Next comes the issue of addiction. I suppose one method could be to use Exposure and response prevention strategy. The basic principle would be to expose you to raw rice which will possibly induce the desire to eat it and then have someone stop you from eating it. During this process, you might experience significant restlessness and anxiety. If you are motivated enough and know relaxation techniques, try to be in this situation for approximately 90 minutes or when you feel your anxiety is wearing off without any additional help. You will realize that gradually the intensity of your craving is reducing and after sometimes start doing it yourself. You can take the help of a clinical psychologist in this process. The role of medication would be very limited. However, I believe consulting a psychiatrist to explore other psychological issues (if any) can be of further benefit. Hope this will be of some help. Best wishes, Dr. Amardeep" }, { "from": "gpt", "value": "Target: 23 years old suffering from raw rice addition & have belly pain. How can I stop eating raw rice ?" } ]

[ { "from": "human", "value": "Source: Patient: what is the meaning of my blood test result. lIVER PROFILE: HAV IgG antibody positive, HBs antibody negative, HBs antigen negative. GGT 117, AST 48, ALT 67, TRGLYCERIDES 266...PLS HELP Doctor: u must have suffered from hepatitis A in your recent past and ur cholesterol levels are raised so u have to take a strict diet control on fatty food. take care bye." }, { "from": "gpt", "value": "Target: Can you tell me about my liver profile ?" } ]

[ { "from": "human", "value": "Source: Patient: i recently recovered from having an abcess on the right side of my groin, i wasn't completely satisfied that it was empty but the doctors seemed happy with it. now almost 3 weeks later the swelling has gone down but not completely and a really hard lump has come to the surface of my skin. surrounding this hard lump are 2 or 3 little spots that almost look like warts. what is it? Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.Cause of the warty lump in groin-In my opinion your warty lump post abscess in the right groin, is mostly a HPV papilloma,which are of common occurrence in the private areas.The lump which occurred after the abscess treatment is of-fibrosed resolved abscess after medicinal treatment.Consult your ER Surgeon who would treat it accordingly.So consult your doctor and don't worry.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N." }, { "from": "gpt", "value": "Target: What could lump like warts on groin region suggest?" } ]

[ { "from": "human", "value": "Source: Patient: I'm a 22 year old male. Turning 23 in June. I'm half asian and half white. I'm currently experience extreme hair loss on the top back of my head. I noticed it after stinging/ burning sensations there. It happens nearly daily now where i feel pain such which can only be compared to \"pulling my hairs out one by one\" feeling. Neither my dad or my mom (who's are in their 50's) still have a full head of hair. Some of my uncles and grandfathers are bald but i feel that the scalp pain must be an indication of something other than bad genes... do you have any advice to offer me? BTW, i've been using the same shampoo and conditioner since i was a kid. so it can't be an allergic reaction to that or whatever. i apprecaiate your time and your response. thank you Doctor: Hello, Since you have a stinging and burning sensation in the scalp. It can't be male pattern baldness. It could be seborrheic dermatitis or alopecia aerata. So better to take a biopsy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saravanan , Cosmetic & Plastic Surgeon" }, { "from": "gpt", "value": "Target: What causes extreme hair loss with pain on top back of head?" } ]

[ { "from": "human", "value": "Source: Patient: I was put on xerolto and took 3 15 mg doses - I started to bleed again - I was on heprin and coumindin and I also bled - I told my doctors [I got a second opinion on taking the xeralto after I bled on coumindin] and when I told the doctors I was bleeding on the xeralto - no one said what I should doI am not hemorghing - and I am passing blood clots If I go to the emergency room - what would they do to stop the bleeding. Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Most of them are dependent on inactivating various clotting factors, so fresh frozen plasma will be used to stop bleeding.2. Fresh frozen plasma contains the coagulation factors, which will replenish and allow clot formation.Hope it helps.Any further queries, happy to help again." }, { "from": "gpt", "value": "Target: Suggest remedy for blood clots" } ]

[ { "from": "human", "value": "Source: Patient: Five days ago, I slipped on some steps and landed on my left side. My lower ribs took the brunt of the fall, and I have a massive bruise. I didn't go to the hospital because not much is done for a bruised or broken rib...not to mention my BCBS hardly pays anything. The rib pain has been horrible, but my mid back has started with a terrible burning sensation yesterday. It is constant & non-radiating. I've never had a burning sensation like this in my spine. Is this a sign that my spine sustained some damage from the fall? I'm wondering if I shouldn't go in for imaging now. Doctor: hello,thank you for asking this question.after traumatic events people almost never feel pain coming from their spinal cord. The pain has other origins, that might be felt like comming from the spinal cord. The inervation of the chest and a part of the spinal cord are the same, that is why you are feeling this king of sensation. In general when the spinal cord is damages patiens have symtoms like difficulties in moving their foot or arms, impossibility of urination etcI may advice you to effect a CT- thoracal, of the spinal cord, just to make sure all the vertebral bones are ok.Kind regards" }, { "from": "gpt", "value": "Target: Bruised ribs and burning sensation in spine following a fall. Should I be concerned?" } ]

[ { "from": "human", "value": "Source: Patient: Very intense pain in my left hand (more the back of the hand) and wrist when I lay down.. Then subsides when I return to a upright position. The pain can be very intense and seams to be helped a bit with ibuprofen. It s been lasting for a few night now Doctor: your age & sex please?your symptoms appear to be related to cervical spine.It needs to be investigated. Rule out diabetes or any other metabolic disorder.If you add a tablet of Multivitamin to your treatment, relief may become faster.Use of cervical collar should also help you further.contact me again, if no relief in 2-3 days." }, { "from": "gpt", "value": "Target: What causes severe pain in left hand and wrist while lying down?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 48 year old female with chronic stress, celiac disease, thyroid issues for 10 years, & major depressive disorder. I had a severe shingles outbreak when I was 24. Then it was only on my left hip, front and back. two nights ago I started getting a similar rash around my waist line in a belt like pattern, but it is on both sides of my body and a few spots on my right inner thigh. last night and today the itching became severe. I take Gabba Patton 3 times a day for nerve pain in the old singles area Doctor: Hi, thanks for using healthcare magicFrom your description, it is possible that the rash is a recurrence of shingles. Shingles occurs in persons with a previous history of chicken pox.It usually results in a painful rash in a particular area of the skin associated with a specific nerve.The gabapentin will help with any associated pain. You may want to consider asking your doctor for pain medication which may help with this acute episode.I hope this helps" }, { "from": "gpt", "value": "Target: Suffer from chronic stress, celiac disease and thyroid problems. Rashes similar to shingles. Severe itching" } ]

[ { "from": "human", "value": "Source: Patient: Hi actually my husband has been prescribed wysolon 20 four tablets each morning and we noticed after the medication he started to feel thirst nd hungry nd blood test was done after a month nd his sugar is very high we had to see a doctor who’s prescribed insulin nd tablets nd will taper him off insulin once it’s regu Doctor: Hello, Wysolon (Prednisolone ) can cause hyperglycemia and can also lead to frank Diabetes in a latent diabetic or pre-diabetic. Polydipsia or excessive thirst for water is due to hyperglycemia and consequent glycosuria/polyuria. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist" }, { "from": "gpt", "value": "Target: Are excessive thirst and high appetite signs of diabetes?" } ]

[ { "from": "human", "value": "Source: Patient: My husband started feeling bad in January hurting all over ,weak ,tired could not go to work which he never misses,no appetite lost 30 lbs,bad headache . Went to doctor has had brain scan upper and lower Scopes abdomen and pelvic scans . The doctor stopped all his medicines and his blood pressure dropped for awhile 90's/70's now runs 115-125/70-78 he use to take medication for blood pressure. The doctor gave him a medication to stimulate his appetite and he is doing better on that but complains of a metalic taste all the time.last couple of weeks the bottom of feet are so painful he is having trouble . We even went to cancer specialist , only found his testerone level low now on androgen . I still feel he may have Lyme disease due to a bite he found on his abdomen that took about 2 months to heal we never found a tick.could it be lyme disease Doctor: I would also suggest the following tests if it has not been done already. TSH, T3, T4 , FSH & LH, complete blood count, Blood urea & serum creatinine . Lyme disease may cause fatigue and joint pains etc. There are blood tests available for that. I presume that your husbands blood sugar levels are ok . I would require more information to give a detailed opinion. Best regards" }, { "from": "gpt", "value": "Target: Is it to be concerned about the low testerone level?" } ]

[ { "from": "human", "value": "Source: Patient: problem with my heel I was running to catch a bus on friday and landed on it wrong and now my heel hurts like crazy. i acutally felt something crack and then pop. I weigh 214 pounds and im five eight do you think my weight has something to do with it? Doctor: Hi, Get an X-ray of your heel because you might have a minor fracture or a soft tissue injury. Till then, use ice pack, apply diclofenac gel, and take over the counter painkillers. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon" }, { "from": "gpt", "value": "Target: What to do if sudden body weight comes totally to one heal causing pain?" } ]

[ { "from": "human", "value": "Source: Patient: I am 51 years old I am suffering from COPD for the past 10 years, I was a heavy smoker and quit smoking completely in 1997. At present I am taking Allopathic treatment(last 10 Years) and Homeopathic ( last 2 years). I am not finding any relief and the conditions is getting worse day by day. I am having difficulty i climbing stairs and inclined surfaces. i am doing regular exercises and also Yoga(Pranayam and other deep breathing exercises) PL. advice Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Treatment of COPD is based on severity and for severity PFT is must.So first of all get done PFT.Newer ultra long acting inhaled bronchodilators (indacaterol and glycopyronium) are very effective in end stage COPD.Oral N acetyl cystine (NAC) is also beneficial.Adult pulmonary vaccines like influenza and pneumococcal vaccines are useful in prevention of recurrent lung infections.Continue exercise and Yoga.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What is the treatment for Chronic Obstructive Pulmonary Disease?" } ]

[ { "from": "human", "value": "Source: Patient: I am 72 yrs old and had my gallbladder out 20 yrs ago. Last week I started needle pains under the gallbladder scar . I took just antacids and it helped for 2 days but now the pain is back and just as bad and has gone around to the right kidney area which is very painful to the touch and appears swollen. I am so scared at my age. What could be wrong to have such pain that you cannot touch your right side back area? Doctor: Hi and welcome to hcm. Thanks for ther query.most common reasons are gastritis or hepatitis and you need to do further tests to rule this out including ultrasound and gastroscopy.also it may be pancreatitis which is serious condition. Till tests, you should avoid fatty food.alcohol and smoking. Wish you good health.regards" }, { "from": "gpt", "value": "Target: Needle pain on the gallbladder removal scar. Pain near the kidney, swelling. Concerned" } ]

[ { "from": "human", "value": "Source: Patient: I am 17 years old and have recently found out that my penis has a large build up of smegma. I have found it extremely difficult to retract my foreskin for years, however recently I have been able too. I can only do it when I do not have an erection as the foreskin is very tight. When I am in the shower, I try to clean the smeg but it doesnt budge. It is too sensative to touch and it wont just go with water. HELP!?! Doctor: Hi, Smegma is produced naturally - its normal for male to produce smegma. You need to retract the foreskin daily during bath to clean the smegma. If you do it daily you will loose the sensitivity feeling, if you cannot pull back the foreskin you may be suffering from phimosis. Share a picture for confirmation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" }, { "from": "gpt", "value": "Target: What is the treatment for smegma in the penis?" } ]

[ { "from": "human", "value": "Source: Patient: HI, I have muscle joints stiffness. Months back I was biten by something on my foot. had a white ring around so I put some Campho phenique on and moved on. after sitting and I arise my ankles are tender, toes are swollen, my fingers are swelling I can not put on my rings. I am stiffer than normal. I did go to my PCP on 8/9/17 and described all the symptoms along with thumb numbness which was reported to be carpal tunnel. I reported my left should pain, left fore arm stiffness. Right are stiffness just cant reach around like I use to. Oh yes I am a 53 yr old bf and having hot flashes. Having weight gain and I am not eating no more than usual. Please help. Doctor: Hi, It might be due to early signs of arthritis. As a first line management you can take analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist better to consult an orthopedics 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 stiffness, numbness in the thumb and finger swelling?" } ]

[ { "from": "human", "value": "Source: Patient: please help me to analyze this my pus cell is 6-10, RBC 1-4, Epithelial cells is empty, Bacteria is written like this / in my urinalysis result. my ph level is 6.0 sp gravity is 1.025 please help me know.. thank you Doctor: Hi,thanks for query.In general the report is normal.If you are symptomatic for urine infection like fever,increase frequency of urine etc. then this can be termed as mild urinary tract infection.Your doctor after examininig you will be in better position to explain this. wishing you good health." }, { "from": "gpt", "value": "Target: Please explain me about my urinalysis report" } ]

[ { "from": "human", "value": "Source: Patient: my husband bumped his ankel about three weeks ago . The bruising started to go but he started to get pain in the inner side of his calf muscle he said it felt like fluid. He went to the doctors three days ago who gave him antibiotics and asprin and told him to elevate it when sitting he feels no better and its still hurting him more when he sits than stands he has varicous vains and its on his left leg it also looks a bit disscoloured. Doctor: Hi, In your case since you have fluid like swelling in calf- could be hematoma due to injury or partial tear of muscles. I recommend you undergo MRI for proper diagnosis . If it is hematoma which has not been infected, nothing except pain killers may be required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeo" }, { "from": "gpt", "value": "Target: Will antibiotics and aspirin suffice to treat bruising and pain in ankle?" } ]

[ { "from": "human", "value": "Source: Patient: Since Sunday I have had coughing, fever, exhaustion (slept from 1pm Sun. to 5:30 am Monday, the slept from 7pm Monday until 5:30am Tuesday and am now ready for bed). Also have sharp stabbing pains that only last a brief minute or two but occur in the ribs, abdomen, armpits, etc. I thought I have the flu but I have never had sharp pains like this before. I am a school bus driver and one of the schools has a Pertussis outbreak. I want to be certain I am not contagious to the children. Doctor: Hello.Your symptoms certainly do suggest an infection probably of the lungs i.e. pneumonia. It does not seem to be pertussis to me.All your symptoms point toward the same. I would suggest you take a couple of days off for your own rest and also so that you are not contagious to the children.I would advise a visit to your physician, certain blood tests like complete blood count, and a chest Xray for now. These tests will determine the severity of your pneumonia and whether you need hospitalisation or can be managed on an out patient basis.Wishing you a speedy recovery.Regards,Dr Geeta" }, { "from": "gpt", "value": "Target: What causes sharp pains in the ribs,abdomen and armpits?" } ]

[ { "from": "human", "value": "Source: Patient: How to increase concentration in reading books (study) and not thinking other things while studying ? Specially things which is not under my control and thoughts which worry me ? Doctor: The usual and best remedy for this is in the past....read only those books that you are interested in i.e do not take up studies which you are not interested in and most of the times, this helps. But if your studies are in the field that you are interested in (which differs from the field that you may have chosen for a variety number of other reasons) and still this is affecting you, then you need to find out why you are thinking of so many other things this could be due to social problems (like not having enough money to feed the family whilst spending time instead of earning a livelihood) which could/could not be helped by you or due to psychological problems (lack of attention is a common feature in many of the mental health problems like depression, psychosis, mania etc) So, finally it will be upto you to decide what is the cause of you lack of focus and act accordingly. Apparently, yoga and meditation help to increase focus and concentration so you may try them." }, { "from": "gpt", "value": "Target: How to increase concentration in reading books ?" } ]

[ { "from": "human", "value": "Source: Patient: hello, our 3 month old has had a running/sneezy nose off and on the last two days and tonight as we lay her down she now sounds congested. she is breathing through her mouth mostly, and normally she seems to thru her nose. is there relief we can give her? Doctor: Hi.The best thing is to give her steam carefully. In the water few drops of Euclyptus oil may be added.Sneezy nose will be relaxed. However one classic Ayurveda herbal medicine viz Balchaturbhadra CHOORNA prepared by combining four infant friendly herbs is safest bet. It corrects infections, its appetizer, detoxifier and creates immunity. In overdoses, however, it may cause gastritis.It's common to find in India but is available online too.Hope it helps. May you need any other help or have any query, pl feel free to ask direct question." }, { "from": "gpt", "value": "Target: Suggest remedy for running nose and congestion" } ]

[ { "from": "human", "value": "Source: Patient: I have been experiencing joint pain all over . I have osteoarthritis in hands..i have taken diclofenac and it works wonderfully to alleviate my joint pain . I may be having an allergic reaction to this medication which causes hives (itching all over). Is there another prescription drug to relieve joint pain that may not cause hives? Doctor: Hi, Since you are having pain and allergic to Diclofenac. I suggest you can try with sublingual Piroxicam. It gives relief from joint pains. Please take an opinion of orthpedician also. Thank you and have a healthy day. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rohit S Menon, Dentist" }, { "from": "gpt", "value": "Target: Suggest an effective alternative for Diclofenac" } ]

[ { "from": "human", "value": "Source: Patient: my son is hyperactive-inattentive type and have complains in school about his homework,roaming around so one of the physiologist have suggested half risdone 1 mg before he goes to school will this help if not what medication will help him sit at one place Doctor: Hi dear,I understand your concern. You can give it medicine, but there are so much side effects, better give to your child more activity ,he can play on the playground, cycling or running before school,then he will be tired and will sit. Discuss with teacher your problem.Ask teacher to give more tasks to your child,to help her in the class, involve him in process.Give him Ashwagandha 1 capsule,B comlex with lysine 5 ml daily for 1 month.If it will not help,then take Risperidone." }, { "from": "gpt", "value": "Target: Can we give risdone for hyperactive-inattentive type kids?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, i was in a motorcycle accident on the 9th, a week ago today. I recieved road rash primarily on my upper right forearm. new skin has already began to grow. What i am more concerned about it not being able to extend my arm fully without feeling a sharp pain. The pain is primarily felt on the upper/inside of my elbow. I did not go seek medical attention due to not having health insurance. Should i be concerned or will it heal naturally? Doctor: hiThere should be an x ray screening to rule out bone injury or sub-luxationof elbow.Use a broad arm sling and take advil tabs after meals .rest in slig may help, but consult orthopedic doctor , if possible earliestthanks" }, { "from": "gpt", "value": "Target: What causes painful arm movements after an injury?" } ]

[ { "from": "human", "value": "Source: Patient: I started taking a beta-bloker (for almost 1year and half) due to some frequent premature atrial contractions. Lately I'm feeling lighteaded, dizziness and tired, any activity like climbing stairs or even some emotional stress are the perfet trigger to some chest disconfort, palpitations and exhaustion. Do I need to go to the doctor? Can this be a side effect of beta-bloker? Can this be just anxiety? Doctor: Hi There\\Yes lightheadedness, dizziness, fatigue these all could be due to low blood pressure which could be caused by the beta blockers.Yes palpitations can very well be triggered by emotional stress.Its advisable that you should consult a cardiologist personally and get yourself properly evaluated.I wish you good health" }, { "from": "gpt", "value": "Target: Suggest remedy for chest discomfort,palpitations and discomfort" } ]

[ { "from": "human", "value": "Source: Patient: I have a hard bump about 2 inches below my right knee. I noticed it aboutr a month ago and it starting hurting some. I broke my right ankle 2 years ago, the tibia bone and had plate and screws in but had them taken out last November. What could this be and could it have something to do from my ankle? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You have history of trauma and surgery on ankle. But your ankle lesion has nothing to do with knee swelling. You should go for examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What is the painful lump below my knee?" } ]

[ { "from": "human", "value": "Source: Patient: hi sir..i m 23 years old..and m using proactive solution for ma pimples since 4 years...and 3weeks ago after facial there was allergy on my face(small red pimples)..and very dry skin (like black skin was removing )then my doc. suggest me to use facelin A..it helps me alot...nw m again using proactive ..due to this solution ma skin becomes dry like black skin is removing from my face..to remove this blackskin completely or dryness shud i use faceclin-A again? Doctor: IN SKIN PIMPLES THE PROBLEM IS LIKE THAT YOUR SKIN IS OILY IN PIMPLES IF YOU TRY TO DRY IT WITH ANTI PIMPLE CREAM IT BECOMES SOMETIME DRY AND CAUSES ALLERGIES SO THERE IS DOUBLE TEXTURE IF THE OINTMENTS ARE SUITING YOU CAN MIX THE BOTH MIX MORE OF OINTMENT IF YOUR SKIN IS DRY YOU CAN HAVE MORE OF OINTMENT WHICH CAUSES SKIN OILY AND ALLERGIC IF YOUR SKIN IS MORE OILY AS PIMPLES APPEAR YOU CAN ADD MORE OF OINTMENT WHICH REDUCE OIL" }, { "from": "gpt", "value": "Target: Red pimples on face, dry skin, used Proactive. Should I use Facelin A again?" } ]

[ { "from": "human", "value": "Source: Patient: I'm seventeen. And lately I've been waking up with these burn mark looking things on my body. It started on my lower right leg with just one the the next morning on my uper right arm.. I think There's four I'm not sure... then I found one on my uper right leg and one on my left lower side of my back. What should I do? Doctor: I sincerely think this needs to be properly examined by a qualified dermatologist.can be a small allergy to a rare blood disorder.pl visit a doctor.dr. sunil.XXXX." }, { "from": "gpt", "value": "Target: What to do for the burn mark like things on the body that I wake up with ?" } ]

[ { "from": "human", "value": "Source: Patient: I've noticed when I pee I wipe blood! Nothing heavy and definitely not that time of the month. The color is like a light pink color. It doesn't hurt that bad to pee but I feel like something is wrong because the day before I had really bad pain above and below my belly . What can it be? Plz help Doctor: Hi,From history it seems that you might be having urinary tract infection.Go for urine check up for infection and blood.After report go for treatment accordingly.Take plenty of water.Ok and take care." }, { "from": "gpt", "value": "Target: Why the pain above and below belly with slight blood seen after wiping ?" } ]

[ { "from": "human", "value": "Source: Patient: I have lost around 7 kgs in 8 months by exercising 1 hour daily 6 days a week. I drink and smoke once a week and my diet is normal. Only between lunch & dinner there is gap around 10 hours between which I will have only liquids mostly water and exercise. Last 1 months I feel fatigued with muscle weakness and unintentional weight loss. All my tests are normal only my potassium level is 5 and my us shows grade 1 fatty liver. Just want to know if there is ant issue and my symptoms are related to fatty liver and what wrong I am doing in my daily routine. Doctor: Dear patient serum potassium level. of 5 is normal and not a matter of concern. Range is 3.5 to 5 . Grade 1 fatty lever may be sign of early fatty deposition in lever. Reason may be alcohol intake. You need to control alcohol intake to stop progress of catty degeneration of lever. For weight loss you should take small diets at frequent intervals. Visit to nutritionist and making of diet chart will be helpful. Random dieting may lead to low levels of vitamins and minerals in your body and is not advisable. Tiredness and fatigue may be due to low hemoglobin levels and please get your blood checked for that." }, { "from": "gpt", "value": "Target: What medication is suggested for grade 1 fatty liver and potassium level of 5?" } ]

[ { "from": "human", "value": "Source: Patient: Hello my name is Ernesto and im 17. I wanted to know how to get rid of pimple like things on my foreskin im uncircumcised and its not on the head of my penis but thee skin i just need to know what it might be if you can please answer this im nervous. Ive never had sex but im planning on it with my girlfriend but i need to get rid of these things please Doctor: Thanks for asking in healthcaremagic forum It may be fordyce's spots. Fordyce's spots are visible sebaceous glands which are harmless. Please visit dermatologist if this is not the condition, for examination and further management. All the best." }, { "from": "gpt", "value": "Target: What is the solution for pimple on penis foreskin?" } ]

[ { "from": "human", "value": "Source: Patient: I am a healthy female, age 65, no surgeries and I have noticed some hair loss recently, mostly on the top of my head. I eat a variety of foods and have not been under stress. I do take mess for high cholesterol and high blood pressure and have taken the same mess for the last 10 years. I also take a daily vitamin. Thanks in advance for your response! Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your hair loss is most likely related to the Aging process and less likely due to the medications, especially since you are taking these medications for 10 years.Hair loss is a common Aging phenomenon. Some people get it at a younger age while others may start late.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harmeet Mashiana" }, { "from": "gpt", "value": "Target: What causes hair loss while on cholesterol and BP supplements?" } ]

[ { "from": "human", "value": "Source: Patient: I thought I passed a kidney stone. My lower back and kidneys hurt very badly and later in the day the pain went away. Now everytime I eat or dring, my kidneys get sore and I get cramping in my lower abdomin. Am I just slowly passing a stone or could it be something else? Doctor: HelloYou need proper clinical examination and investigations.Investigations include routine hemogram,random blood sugar,urine RE/ME,renal function test,X-ray KUB and ultrasound of abdomen.CT scan of abdomen can be done if needed.Ultrasound of abdomen is most important in your case.It can diagnose many conditions and it is very helpful in diagnosing renal calculus.Proper treatment depend upon findings.You should drink plenty of water.Get well soon.Take CareDr.Indu Bhushan" }, { "from": "gpt", "value": "Target: How to confirm kidney stone?" } ]

[ { "from": "human", "value": "Source: Patient: i had hernia surgery about 51 days ago and i have a hard lump in my upper right stomach. my doctor told me that is scar tissue. I told him I also have a burning sensation on my right side when I orgasm and he told me that he would get back with me on that, but told me that I do not have a reoccuring hernia. What do you think the burning sensation could be? Doctor: HIThank for asking to HCMSorry to say you that given history is inadequate the age and gender are missing what type of hernia operation done not mentioned here without this not possible to say any thing you can ask the question with complete information next time have great day." }, { "from": "gpt", "value": "Target: Hard lump in upper stomach after hernia surgery, burning sensation in right side after orgasm. Diagnosed scar tissue. Any ideas?" } ]

[ { "from": "human", "value": "Source: Patient: My mother is suffering from abdominal tuberculosis from last month ans she is under medication from past 3 weeks .Problem is she is having severe headache and stomach pain. She is not able to take food properly and having vomitins some time .Please suggest us solution and present we are in chennai Doctor: Hi.Thanks for your query.The tuberculosis of the abdomen is a tricky thing to treat. I advise all my patients to get admitted till the symptoms are abated. The reason for the pain in abdomen is sue to intestinal obstruction and adhesions. The cause of headache can be tuberculosis of the meninges. Tuberculosis is a generalized disease of the whole body and showing symptoms at one place. I would advise you the following:Get your Mother admitted under the care of a Gastro Surgeon.Enteroclysis - barium study / CT scan of abdomen and MRI of the brain to be donne. Get all blood work- particularly Serum proteins and liver function tests done. IF Enteroclysis is showing any intestinal obstruction she may need exploratory Laparoscopy or laparotomy to correct the intestinal problems." }, { "from": "gpt", "value": "Target: Suggest remedy for severe headache and abdominal pains during treatment for TB" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have a lump in my left earlobe, it feels like a spot and didn't notice it until I ran my hand over it. I don't have it in my right lobe so unsure as to what it could be. I am currently suffering with a mild cold so don't know if that has anything to do with it. thanks Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,this lump on the left earlobe does not seem to be due to the cold you have.It seems to be died out acne / or subacute fibrosd lump in the pierced earlobe.Get Second Opinion on the this lump from Surgeon, Who would treat it accordingly as per the need of your case-which may be medical or surgical treatment.Hope this would help you to plan treatment with your doctor.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS" }, { "from": "gpt", "value": "Target: Suggest treatment for lumps on earlobes" } ]

[ { "from": "human", "value": "Source: Patient: I was diagnosed with trigenimal neurolgia nerve damage, 1year ago. I did not have surgery; doctor treated me with medications, i am now experiecing scorched tongue feeling. Is this normal or do you think i should see my dentist in case i have tongue cancer. I have no soars, clean tongue and no other mouth pain. The scorched feeling tongue started right after the nerve calmed down. Doctor: Cancer can not be linked to nerve damage. How ever a check of tongue can confirm this.a scorching feeling is not the signs or symptom of tongue cancer." }, { "from": "gpt", "value": "Target: Could the trigeminal neuroglia nerve damage lead to tongue cancer?" } ]

[ { "from": "human", "value": "Source: Patient: My grand daughter is 3 1/2 years old, she has a mild fever about 101.03 and is describing being itchy all over There is no rash. She does not seem to be too bothered by it. I told her parents to contact her doctor, but they don t seem to be too worried about it. Any ideas on what it could be. No other symptoms except the above. Thank you! Doctor: better visit a paediatrician or a dermatologist. do a complete blood picture test.could be due to some allergy also" }, { "from": "gpt", "value": "Target: What causes fever followed by itchy rash on body?" } ]

[ { "from": "human", "value": "Source: Patient: I am aged 70 years. i hav done Cardiac Surgery on 2004. last @ years i am facing Vertigo problem, later it solved by taking Vertin 16mg and Noxaparin Injection 4 doses. and now again now last 2 months i am suffering from giddiness and drowsiness and my Cardiac Doctor advised to take Vertin 24 morning and Night vertin 24 along with strugeron, few days i have taken Dizitac. now i couldnt walk steadily and getting drowsiness and giddiness. pls suggest any tablet change or any side effects have occured. thx. Murugappan. Chennai Doctor: Thanks for your question dear the tablet your are taking is betahistidine and you are taking in high dose ok what you should do to take another medication with this like tab stimeil be and not to quit what you are taking thanks" }, { "from": "gpt", "value": "Target: How can vertigo with giddiness and drowsiness be treated?" } ]

[ { "from": "human", "value": "Source: Patient: i am 33yrs of age my height is 5.8ft. i weigh 94. i had a still birth three months ago. i saw my period in 24th august which lasted till 27th august. from 6th september to 10 september i had unsafe sex. please am not ready for this so what tablet can i take to prevent it. Doctor: Hi,Emergency contraception taken at the time of the intercourse would help to possibly prevent pregnancy, should it be the fertile period. Once conception and implantation has occurred, there is no medication to prevent it. Abortion, medical or surgical is the only way out. Please confirm pregnancy through blood test or urine test followed by a trans-vaginal sonogram to see the status of the pelvic organs. See a specialist for further help if confirmed. Hope you find this information useful. Take care." }, { "from": "gpt", "value": "Target: Suggest medication to prevent pregnancy" } ]

[ { "from": "human", "value": "Source: Patient: Hi I am a 39 year old female, non smoker, not asthmatic however I keep getting pleurisy. Oridinarily I am in good health and am not on any medication. I have had 2 bouts of it in the past year and I feel it coming on for a third time. Ordinarily I don't suffer with shortness of breath or struggle to walk or run or dance. It is only when the episode presents itself in the form of pain in my lungs when I breath which worserns over time and the absolute exahustion and weakness that I feel. Once I had tightness in my chest as well and had what I describe to be like a panic attack when I couldn't catch my breath. That happened twice. I would be grateful if you could advise. Thanks Dawn Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, we should definitely rule out bronchitis in your case. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry for bronchitis. Sometimes stress, anxiety and panic disorder can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.You may need anxiolytic drugs (propranolol and flunarizine combination) too.Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes shortness of breath, lung pain and chest tightness?" } ]

[ { "from": "human", "value": "Source: Patient: Hi sir, my mother age 50 year, i sent you following data before opertion and after opertion 1 ulta sound. Hydro nephroses, renel stiones 2 Renal scan GFR Rite kidney 15.2% 3 operation, pylolithotomy, naphrostmy Dj and stone Removal, Utrolithotmy done 4 Creatinine drop frome 5.7 to 3.8 and urea varries from 78 to 108 Electolytes are in normal range 5 patient condition active but diabetic, vomationg some time use Magzol injection, urian output 1200 to 15oo per day.. reguirement to stop vomating plzzzzzzzzz help me thrgh diet or medcince Doctor: You can use Cap Razo-D SR 1 cap daily for vomiting & start Tab Soda-bicarb (500mg) 1 tdsControl salt intake by reducing it to 4 gm per dayMaitain good physical activity" }, { "from": "gpt", "value": "Target: Kidney stone removed. Creatinine dropped. Occasional vomiting, using Magzol injection. How to stop vomiting?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I went to the Gyno a few weeks ago and found out I had blood In my urine but I didn't see it. Wet to urologist and got tested and I still didn't see it. I had a sonogram for my kidneys and it came back normal and I scheduled for a cystoscopy but now I'm seeing blood when I wipe and very little I'm thd toilet what could it be Doctor: Hi,Twice in your urine test, blood was found while you did not actually notice. The sonograpy of your kidneys are normal as well.Blood in urine is not a good sign. When it occurs occasionally, it is still fine. But not on a recurrent basis. I would like to suggest you to wait for another week and repeat your urine test for blood. You may go ahead with the cystoscopy. No harm in it.I am sorry; I do not know your age to comment on your symptoms further.Wish you good health." }, { "from": "gpt", "value": "Target: Have blood in urine. Kidney sonogram normal. What could it be?" } ]

[ { "from": "human", "value": "Source: Patient: hi doctor, my name is vishwa, and i am from New delhi India. from past three weeks, after coming from office i feel a acute pain in my head, on the right side of my head, and it goes for two to three hours, could you please help me with this? as i am very worried about the symptoms. i heard that it could be brain tumor . Doctor: Hello VishvaForget about tumour .history suggest that after full day work in office when you are tired you get pain and after 2/3 hours back from office you take rest office exhauston is gone and you feel bettorplease go for BP checkup blood sugar checkup eye checkup and look for stress factors in office and get treatment accordingly otherwise also join yoga relaxation exercises deep breathing and morning walk you are likey to be benefitd Take CareDr LalPsychiatrist" }, { "from": "gpt", "value": "Target: Acute pain in head. What is going on? Need I worry brain Tumor?" } ]

[ { "from": "human", "value": "Source: Patient: i have not eaten solid foods in three days due to the fact that i have painful bumps all over my tongue and my gums are swollen and itchy and they hurt when i brush my teeth i have a horrible headache and i my body temperature is fluctuating pretty drastically please help!! Doctor: Hello and welcome.Thanks for sharing your concern.Please note that you might have developed chronic periodontitis.Therefore please see your dentist soon and take a course of antibiotics and analgesics.Take medications for three days and see the changes.Meanwhile do warm saline rinses and maintain good oral hygiene.This should help.Thanks.Take care." }, { "from": "gpt", "value": "Target: Suggest medication for painful and itchy bumps on tongue" } ]

[ { "from": "human", "value": "Source: Patient: hi i have a rectangle shaped lump on my gooch it hurts if it is touched, i noticed it a couple of days ago but it was alot smaller then. Also a couple of weeks ago i had a similar lump on my neck but it looked like a GIANT pimple and now that my neck lump has healed there is no hair growing in that spot. Could this gooch lump be the same as my neck lump and is it harmful? Doctor: Hi,Good Morning,Thanks for your query to My-HCM Clinic.I studied your query in depth.I understood your concerns.My opinion on the gooch lump- is -mostly a -furunculitis with boil.-It appears to be the same as that on the neck.-Coincidence of 2 boils /furuncles -suspects diabetes and needs to be ruled out ASAP.-I would advise-FBS,PPS and consult a physician and surgeon.-Treat with antibiotics and NSAIDs, if does not reduce the lump , then a surgeons help to drain it is needed. -Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again." }, { "from": "gpt", "value": "Target: What is the painful lump on my gooch?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Doctor,I am suffering from cervical lymph node TB.I have been taking AKT4 for the past 23 days.Meanwhile I have consulted 2 doctors they both have directed different ways to consume the tablets.Please help & guide by telling me the correct procedure of eating AKT4. Doctor: Thanks for your query at HCM!I went through your query!You are suffering from tubercular lymphadenitis. What tests were done?Are you responding?AKT4 has 4 drugs you must take red capsule (Rifampicin) and 1 Izoniazid and Ethambutol empty stomach before stomach and 2 tabs of pyrazinamide after meals for best results. Also take pyridoxine tab to avoid peripheral neuropathy side-effect.Take good diet and monitor liver enzymes regularly.Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide.Take care!Dr. Sheetal VermaInfectious Disease Specialist" }, { "from": "gpt", "value": "Target: What is the procedure to take AKT4 for cervical lymph node TB?" } ]

[ { "from": "human", "value": "Source: Patient: Stiffness and pain in the fingers. Naresh Kinger, Male, 62. I had a viral fever on 18th October 2017 which lasted for 9 days. After that I have stiffness and pain for the past 15 days in all the fingers which aggravates during night. But there is no swelling in any of my finger. My CRP is 9.6. ACCP is 3.35, ANA is 0.39. I have consulted an Orthopedist and am diagnosed Rheumatoid Arthritis by Physical examination. I am prescribed Penidure LA 12 injection every 15 days for one year and one Dezacor 6mg tablet every day for 4 days. Kindly advise me if Pendure LA 12 is prescribed for RA. Thanks and regards, Naresh Kinger Doctor: Hello, You can safely continue penidure. Consult a rheumatologist for expert opinion. 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: Is Penidure advisable for rheumatoid arthritis?" } ]

[ { "from": "human", "value": "Source: Patient: It started two weeks ago. it started as pains close to cramps, and happened every so often. It was two weeks before my period so I thought that it could possibly be pregnancy , but it didn t seem possible because I am on birth control . I missed two seperate pill by no more than 10 minutes. Then I thought that it could be constipation so I started taking pills for that. It seemed to help for a little while, but today the pain has changed it is no longer cramp like but rather whenever I breathe it is a stabing, and pressurue pain. It hurts not only my lower abdomen , but my stomach as well now, like everything is bruised and being constantly pused on. Pulling my muscles in changes it to ore of a stabbing pain. I have been passing gas more than normal, if that has bearing on a diagnosis. Eating hurts, but I can t rightly stop eating entirely. It hurts and I just want it to stop. It feels like something in my lower stomach is moving, not like a pregnancy mving, more of food being processed. Someone please help me, I just want it to stop. Doctor: Hi, Thanks for query, it seems that you have got infection in the abdomen and it should be evaluated. It may be due to GITract,genito-urinary tract infection. Go for ultra sound and urine check up. ok and bye." }, { "from": "gpt", "value": "Target: What is causing severe abdomen pain after breathing ?" } ]

[ { "from": "human", "value": "Source: Patient: hi, i am using nialip 500 for the past 2 yrs for high triglycides, have also under gone angeoplansty. recently i have developed diabetes type II. Same time i notice that i am sleeping too much. Is there any relation between the nialip-diabetes and over sleeping Doctor: Hi,Nialip-500 is commonly prescribed in the treatment of high blood triglycerides and pellagra. Its most common side effects include itching, flushing (sense of warmth in the face, ears, neck and trunk), skin redness, diarrhea, tingling sensation, and liver dysfunction. There is no documented evidence between Nialip-diabetes and over sleeping.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes over sleeping?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ?Please type your query here.Hi Dr my elder sister age 29 married having breathing problem during walk in steps and doing heavy work and walking, Dr says that the symptoms are like asthma initial stage, please kindly suggest me what is the exact problem she had. Doctor: Hello.Thank you for asking at HCM.I went through your daughter's history.I would like to ask you a few more questions like - Does she have other allergies? Does she have wheezing after walking? Does she have chest pain, palpitation, excessive sweating, etc? However, from your given history, I would like to make following suggestions to your sister:1. If she has other allergies or wheezing, asthma is very likely. In that case, I would prescribe her salbutamol inhaler on as-and-when-neede basis. I would also suggest her allergy testing so that she may identify the substances which are causing troubles to her and to avoid them. Regular breathing exercise will help her.2. Were I treating her, I would suggest her to get her hemoglobin levels done. If they are low, they can cause breathing problem after heavy work/exercise. In that case, iron, folic acid, vitamin B12 and other nutrition supplements will be useful.3. If any of above is not there, I would like to ask her symptoms in great detail to know whether she needs a cardiac evaluation. As she is young (29 years), anemia and asthma are more common possibilities rather than cardiac disease. However, it is important to diagnose the cause of her breathlessness.Hope above answer will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you sister the best of the health.Thank you & Regards." }, { "from": "gpt", "value": "Target: Could breathing difficulties suggest asthma?" } ]

[ { "from": "human", "value": "Source: Patient: my husband's report says Salmonells typhi O(TO) is reactive and 1:160 and Salmonella typhi H (TH) is reactivwe 1:160. Also Salmonella pRATYPHI A, H (AH) is non reactive and Salmonella paratyphi B, H (BH IS non reactive.. is he suffering from typhoid.. Doctor: Hi, Thanks for posting in HCM. I understand your concern. Typhoid and paratyphoid fevers are commonly grouped together under the collective term 'enteric fever'. Typhoid is caused by Salmonella typhi and paratyphoid is caused by either Salmonella paratyphi A, B, or C. WIDAL test is a presumptive serological test for enteric fever. Widal Test is an agglutination test which detects the presence of serum agglutinins (H and O) in patients serum with typhoid and paratyphoid fever. If the titre shows 1:100 or more for O agglutinations and 1:200 or more for H agglutination, it should be considered as clinically significant and indicative of active infection. Hence, from the above report you have furnished, it is evident that he is suffering from typhoid. Typhoid fever is treated with a course of oral antibiotics which kill the Salmonella bacteria. Several antibiotics are effective for the treatment of typhoid fever. The choice of antibiotics is guided by identifying the geographic region where the infection was contracted. With appropriate antibiotic therapy, there is usually improvement within one to two days and recovery within seven to 10 days. Along with antibiotics, you need to consume bland diet for at least 3 weeks to make sure the relapse does not take place. Hope the information provided would be helpful. All the best." }, { "from": "gpt", "value": "Target: Is typhoid indicated by Salmonella typhi O and Salmonella typhi H?" } ]

[ { "from": "human", "value": "Source: Patient: I had esophageal cancer and had the pull up surgery. Now I am experiencing pain in my right breast only when I swallow. It is a sharp very intense pain as I am swallowing. Sometimes at night, however, a stinging sensation becomes so intense and constant that keeps me awake and the breast feels so hot I need to apply cool compresses. What is this and what can I do to relieve the pain when swallowing? Doctor: Hi,Thanks for writing in.You might be experiencing pain during swallowing due to irritation if the operated site is in the upper part of chest and this can get irritating and disturbing in some people. Following esophageal surgery and gastric pull through please have soft diet for few months. Avoid taking foods that serve as gastric irritants. You might require contrast study to know if there are any leaks in the operated site and if any food contents are going in to the lungs. Once this is clarified that your surgery site is fine then it is not a serious concern.Taking small regular meals which is soft in consistency might help. A review CT scan and endoscopy might be required to assess any recurrent disease." }, { "from": "gpt", "value": "Target: Suggest remedy for reducing pain while swallowing?" } ]

[ { "from": "human", "value": "Source: Patient: YES I HAVE CRONC NECK PAIN,AND SPASAM BECAUSE OF BULGING DISC AND BONE SPURS.MY ARMS TINGLE DOWN INTO MY HANDS.MY LEFT HAND SHAKES ALOT.MY MID. BACK CONSTANTLY CRACKS AND POPS.IT FEELS LIKE IT HAS ACATCH IN IT ALL THE TIME.MY LOWER BACK HAS BONE SPURS AND DEGENT DISC.MY LEGS AND FEET FEEL LIKE I HAVE NEEDLES STICKING ME.MY PRIMARY DR. HAS ME ON TRAMADOL 50MG 4 TIMES ADAY,FLEXEREL FOR SPASAMS ,AND MOBIC 1ADAY.HE SAYS HE CAN T PRESCRIBE ANYTHING STRONGER.I M HAVING REALY BAD ANGZIETY ATTACKS ABOUT MY PAIN AND ITS PROGRESSION.I HAVE TAKEN ZANEX 2MG ADAY FOR THE ANGZIETY ATTACKS THEY REDUCE THE TENSION AND SPASAMS AND HELP ME SLEEP. MY PRIMARY DR. SEEMS TO NOT WANT TO PRESCRIBE THESE MEDS.ON A REGULAR BASIS Doctor: hi,thank-you for providing the brief history of you.Anything in excess is not safe but a poison. Taking too many medication for a longer run may trouble your kidney and I fear in future no physician can prescribe any drug.Also, for your chronic neck pain I will advice you to undergo Physical therapy which includes therapeutic ultrasound therapy, TENS therapy and exercises.In my clinical practice even the chronic neck pain cases have responded well with physical therapy.Regards Jay Indravadan Patel" }, { "from": "gpt", "value": "Target: How to get rid of chronic neck pain?" } ]

[ { "from": "human", "value": "Source: Patient: 3 days ago I started using pearl drops..a tooth whitening tooth paste. I then started getting a severe toothache on my right upper side. it comes and goes. I bought colgate sensitive today which helps. Do you think its related to the whitening toothpaste? Doctor: Hi,Whitening toothpastes and certain mouthwashes and contain alcohol and other chemicals that can make your teeth more sensitive especially if tooth dentin is exposed. Hence, avoid the old tooth paste and continue with new one.Healthy food and adequate nutrition is also important.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician" }, { "from": "gpt", "value": "Target: Is the severe toothache due to the pearl drops tooth paste?" } ]

[ { "from": "human", "value": "Source: Patient: I was playing basketball and got rammed in the back of the right shoulder really hard right around where my scapula attatches to my arm. I heard 3 loud cracks and now Its been 2 days and i cant move my arm straight out in front of me more than a 45 degree angle. I cant move my arm straight up to the side at all. When i move my arm a certain way it kinda feels like a comes out of place and it immediately becomes unbearable to just even rest my arm. The unbearable pain soon goes away to a not as intense pain, but there is still always pain no matter what, even more when i move my arm anyway that uses my shoulder. I can lift my arm right arm when its limp with my left arm and it doesnt hurt but i feel a little gringing and tiny pops. It seems if i use muscle in my shoulder at all its unbearable Doctor: Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopedician and plan for an MRI scan. 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: Reason for pain in the shoulders?" } ]

[ { "from": "human", "value": "Source: Patient: Husband had gallbladder removed, was discharged and readmitted 1 day later due to excessive bleeding, almost went on dialysis, creatine level was 4. 2 years post op he has abdominal pain daily. He is a thin man yet has large belly that feels hard around both sides. 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.There was obviously some postoperative complication that led to such bleeding which then causes disorders of other organs in our body. He should be readmtted and CT scan should be done to see if there are collections inside the abdominal cavity. Further treatment depends on it.I 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: Why is there an excessive bleeding post the removal of gall bladder?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I took my 9 month old daughter 2 a clinic because she had runny nose un a little cough and thay said it was a cold but had a gut feeling that it was more than a cold so I took her to see the gp and he said she had a viral infection but she seems to be worse 2day she keeps having coughing fits witch is making her keking and bringing flem up on times. Gp sed chest was clear yday but is wheezy. I m consernd it could be more than I viral, she seems to b worse 2day not better! Doctor: Hello, Please note that viral infections take up to 1 week to clear up. If there is a breathing problem or the child is drowsy, then he needs hospitalization. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician" }, { "from": "gpt", "value": "Target: What causes cough and wheezing in a child?" } ]

[ { "from": "human", "value": "Source: Patient: I went to the doctor and was told that I have a infection in my veins.My legs still hurt of and on.She gave me an antibiotic.I was wondering if the infection goes in both legs and do I need to go back to the doctor even though she did an ultrasound and found nothing.what are the symptoms of blood clots? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion it is not a infection.Blood clotted on leg can cause pain, swelling itching etc.I think none of the symptoms are present in you.I advice you should rely on ultrasound report and tie your leg with stocking. Thus will help prevent further clotting and so protects you.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist." }, { "from": "gpt", "value": "Target: What are the symptoms of blood clot?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I m 12 almost 13 and today my right testical started to hurt nothing really bad but hurt when I woke up it s not swollen or enlarged or a different color it hurts when I walk. Or move and it like touches something elts and it s hurts when I touch it. I told my mom and she said we ll see how if feels tomorrow im just worries because I ve been reading about thing similar and different online. Doctor: Hi.I understand your concern.Swollen and enlarge testis require evaluation.It can be made either by physical examination or by investigations.Investigations like color Doppler of scrotum will give confirmatory idea about underlying pathology.It can be due to trauma or infection.It can be varicocele or hydrocele.consults surgeon for proper diagnosis and treatment.Get well soon.Still if you have query then feel free to ask.Thank you." }, { "from": "gpt", "value": "Target: What causes swelling in the testicles?" } ]

[ { "from": "human", "value": "Source: Patient: I have a lump on my hard palate not far from my front two teeth that started out a couple months ago and was mildly painful when i pressed on it. It has grown bigger and now hurts quite a bit and it is causing my front left tooth and gums to hurt. It also hurts if i press down on the bottom of my left nostril as if it were bruised. I'm going to the dentist tomorrow but it's sunday and i'm worried about this. Doctor: Hi, Read your query, as you have lump in hard palate dont be worried so much this lump can be due to dental infection that is due to carious tooth , decayed tooth or periodontal infection leads to formation of Periapical or Periodontal Abscess formation. For this you should consult dentist and go for investigations Occusal radiograph or OPG if needed and go for treatment, scaling or root canal treatment by consulting with you doctor . In meantime you can do warm saline gargle two - three times a day, and take medicine like metronidazole by consulting woth your local doctor. Hope this will help you. If you have further query , I will be happy to help. Regards, Dr. Priyanka tiwari" }, { "from": "gpt", "value": "Target: Suggest treatment for hard palate lumps" } ]

[ { "from": "human", "value": "Source: Patient: My husband is breathing heavily--has a cold virus--his temp is just over 102. Last night it was the same thing, about 8:30 pm he developed a fever that went up to 102.8. Then it goes away. This has happened to him in the past, usually in the winter. No one can say why he gets these fevers. He s not in good health. Very weak. Anemia. Low wbc. Constipated. Poor muscle tone. Has trouble with balance and walking. He has been diagnosed with interstitial lung disease but hasn t followed up with the doctor on that. Doctor: Hello,He has to go to a pulmonologist. He has to use Bipap, tablet amox cv thrice, steroids, ab-flo sr, and oxygen if needed.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar" }, { "from": "gpt", "value": "Target: How to treat heavy breathing and fever while having interstitial lung disease?" } ]

[ { "from": "human", "value": "Source: Patient: I had a tumor removed 12 yrs ago c2-c6. Since then i have suffered spasticity left leg and back. Severe pain. Have been diagnosed with a tethered cor and have a syrinx. The problem i have is my cord where they opererated is very narrow. The question is can they wided my cord if the detether it? Thanks Rob Doctor: Hello!Welcome on Healthcaremagic!I understand your concern and would explain that another surgery to remove the scar tissues, can be tried in your clinical situation. It could help improve the pain. But the spasticity is related to the damage to the spine and it does not improve. Physiotherapy is the best way to treat spasticity, besides drugs. I would also recommend trying amitriptyline for the chronic management of the pain. Hope you will find this answer helpful!Best wishes, Dr. Aida" }, { "from": "gpt", "value": "Target: Is it possible to widen the tethered cord?" } ]

[ { "from": "human", "value": "Source: Patient: I am 42 years old ( male), suffering from polymyositis since 15 years ago, the level of CPK start to increase to very high level before two monthes and was (10000), I took pridnosolone 200 mg per day ( tablets) for 5 days after then I took pridnosolone 40mg ( 8 tablet of 5mg per day ) for month,and cellcept 500 (two tablets twice in a day, 2x2 ) for 7 days only , I tested the CPK and it was 580, but the test of WBC level was high , is 14200.I reduced the pridnoselone to 35mg ( 7 tablets of 5mg per day), what is the procedure ,should I follow to reduce the WBC level?Should I taking cellcept for another course?what is the preferd treatment instead of pridnosolone if its available? Doctor: Hi,The high WBC count is most likely related to recent steroid intake and will stabilize once it is tapered. So don't worry about it as long as you have no infection or any other new symptoms,for which you would have to see your doctor immediately." }, { "from": "gpt", "value": "Target: How to control wbc levels in patients with polymyositis?" } ]

[ { "from": "human", "value": "Source: Patient: I had oral surgery today, and I went to sleep after getting home. When I woke up, my top lip is swollen up very bad, but I am not in any pain! It also feels numb on that Lip and in other places. Should I be concerned, or can I wait until morning and go back to the dentist? My oral surgery was done about 11 hours ago. Doctor: Hi..Thanks for the query..If the top lip is swollen after oral surgery and you do not have any symptoms like pain then it can be most probably due to allergic reaction to any of the medication that must be given to you post surgery..So my suggestion is to as of now take anti allergics like Benadryl or Levocetrizine and do cool compresses over the lips..In case if the swelling does not improve consult an Emergency room and get evaluated..If the medications will be found as the culprit then it should be replaced for avoiding the symptoms in future..Hope this helps.Regards.." }, { "from": "gpt", "value": "Target: What causes swollen lip after oral surgery?" } ]

[ { "from": "human", "value": "Source: Patient: Ive been havinf cheat pains bad the last few days. Ive had a complwte heart check up ekv,blood work,xhest xray,echo,stress test halter moniter. All xame back normal. I do suffer frm acid refulux but this pain is all day n night. No acid meds r heling and the pain radiates down my left shouldet and arm. The pain alsomoves fron top of left chest to center sternum and under left breast could this be cardiac? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems non cardiac in nature as all cardiac work up is revealing normal results .* As per the intensity and pattern , it is more likely to be ligament or acute muscle spasm related with compression of underlying neurons .* MRI would be of great help after thorough clinical examination .Wishing you fine recovery .Regards dear ." }, { "from": "gpt", "value": "Target: What is the treatment for severe chest pain?" } ]

[ { "from": "human", "value": "Source: Patient: My left wall in the heart is thicken then regular heart. Anything that I can help the heart not to work so hard. I am 75 years old and get checked by a Doctor twice a year. I am taking 40 mg Lipitor and 100 mg Toprol and 81 my of aspirin every night thank you Doctor: your medications are ok but what are your symptoms ..if no symptoms then just relax ..in addition donot stress yourself physically" }, { "from": "gpt", "value": "Target: Suggest treatment for hypertrophic cardiomyopathy" } ]

[ { "from": "human", "value": "Source: Patient: feeling tired, unmotivated, slightly nauseous, discouraged, worried and not sure what to do. I'm going to counseling and have been seeing an MD for about a month now. I have to work this afternoon and am not sure what to do with the next few hours before them. I can't seem to just sit and relax, yet I don't have much energy to do much else. Any suggestions? Thanks Doctor: Hello You are feeling unmotivated, nervous, discouraged, worried, tired. These symptoms might be due to anxiety mixed with depression. You are already on counseling but still I would advise you to please follow relaxation methods. Try Progressive Muscle Relaxation Techniques, Deep Breathing Exercises, Yoga and Meditation to boost your confidence and to get relaxation. If problem persists then visit a good psychiatrist for expert opinion. Medicines like Fluoxetine, Sertaline, Paroxetine etc are very beneficial in such type of symptoms. Thanks Dr. Seikhoo Bishnoi, MD" }, { "from": "gpt", "value": "Target: Feel tired, unmotivated, undergoing counseling. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I got a sore in my nose which got bigger and sorer. Now the membrane in one side of my nose is constantly sore and crusty with yellow crusts. I ve had it for two weeks now, a week ago it felt like the side of my mouth split when I opened my mouth too wide. Then I started getting sore crusty scabs on the side of my mouth in the corner. Everything I open my mouth they split and it is sore. Do I have to go to the doctor? I ve been putting antiseptic cream on them but it doesn t appear to do anything. Are they related? Also I ve developed a tender lump on my lower jaw by my neck on the same side.. Not sure if that s related, I just feel run down. Doctor: Hi.It is already 2 weeks and you still have not shown to a Doctor. Yes, you must see a Doctor.The sore in the nose can be an infection and the cut at the mouth corner is called angular stomatitis , comes on usually due to deficiency of multivitamins and folic acid, you need therapeutic supplements.The tender lump in lower jaw is secondary to the infection you have got.Consult a Doctor for prescription based antibiotic and supportive medicines" }, { "from": "gpt", "value": "Target: What is the remedy for the sore lumps in the nose and lower jaw by the neck?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, from past 1 month my mother is suffering from mild fever she has consulted lots of doctors, and had lots of medicines, but no use, fever fluctuate between 98 and 99 and not more than that she is also a diebetic and also suffering from high blood pressure, kindly suggest Thnx Binita Sinha Doctor: HI,welcome to HCM.i need to know some details like is there any complaint of cough and the pattren of fever like is it evening rising or not related with time?? is there any history of tuberculosis in your family??her blood sugar level is in normal range or not??kindly write again with the answer, after that i will be able to guide you in better way. Regards" }, { "from": "gpt", "value": "Target: Suggest remedy for persistent mild fever" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I was diagonised with hepatitise B for the last seven months back, my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt , alkaline, billrubin, total protein , ggt & at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA . What could be the problem am so scared of liver concer and chriosis. Secondly can someone grow up with hepatitise B from child hood up to the age of 60s? if so what is the life span of the person having a chronic HIV B? Doctor: if you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are co-infected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as truvada) reasons why your doctor may have stopped lamivudine." }, { "from": "gpt", "value": "Target: Diagnosed with hepatitis B. Elevating levels of ALT, Alkaline, Bilirubin. Treatment? Cancer?" } ]

[ { "from": "human", "value": "Source: Patient: hello dr. Iam suffreninf from typical procblem of delayed ejaculation even after having vigrous sex for an hour feeling is there but ejaculation still not. i get ejaculation easily with cold water or when i have sex in air condition . can u tell me the reason or suggest any remedies ll b greatful to you as i got married 3 months before. iam 37 yrs and this problem is from last few years. my email id is [email protected] regards thanks Doctor: Hi Rajesh, Welcome to HCM. You are not suffering from any problem. What is happening in your case is a preconceived idea in your mind that you will ejaculate only in cold surrounding. You need to recondition your mind into thinking that you can ejaculate at will. Start thinking positively that you have absolutely no problem and that you can ejaculate whenever you are ready to do that. This does not need any medication." }, { "from": "gpt", "value": "Target: What is the reason for delayed ejaculation ?" } ]

[ { "from": "human", "value": "Source: Patient: I have found a small lump on my jawline, halfway from my ear to my chin. You cannot see it, but i can feel it and move it around. It is not in my gums, it is in my cheek. I also have a solid lump up near my ear on the same side, which i cannot move around. Neither are sore, but i can feel them when i press on them. I am currently suffering with a cold and have done for 2weeks now. I am unable to shake it off, and woke today with a coldsore on my nose and these small lumps. Can you help me on these? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have lump on jawline while having cold could be due to infection in upper respiratory tarct which is leading to reactive hyprerplasia of glands It could be due to enlarged nodes of ear in-front of auricle. Need not to worry much. I would suggest you to visit ENT specialist once and get it examined. You should go for biopsy of lesion as well. From the results of biopsy exact treatment can be planned. You should take course of antibiotics such as Azithromycin along with painkiller Ibuprofen as well. Give warm compressors to the area. Maintain proper oral hygiene. Gargle with saline water 3-4 times a day is recommended for you.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What causes a lump on jawline while having cold?" } ]

[ { "from": "human", "value": "Source: Patient: hi i got my wisdom teeth through about 12 months ago, and i have been suffering increasingly from motion sickness also. It occured to me the other day that i only started suffering when my wisdom teeth came through. Could this be a link causing the problem? and if so, will removal then help the problem? Doctor: Hello,Do you have any symptoms of an infection?These include redness, swelling, drainage, and pain. Pressure could cause some issues with your equilibrium. This may affect your balance and give you a motion sickness feeling.An infection that drains could cause an increase in acid content and have gastric disturbances. This could give you a nauseated feeling.Keep in mind if your wisdom teeth have erupted fully, are in function and you are able to keep them clean, you should not have discomfort associated with them. Consider having a dental exam to evaluate the wisdom teeth. An extraction may be recommended if problems are diagnosed.I recommend that you make sure that your blood tests are normal and have a physical if you are due for this. Other systemic problems are more likely to be associated with motion sickness. Your blood sugar level should tested. I hope this has been helpful. Thank you for your inquiry," }, { "from": "gpt", "value": "Target: Could motion sickness be due to the extraction of wisdom tooth?" } ]

[ { "from": "human", "value": "Source: Patient: my mother got operated for stone in golbladder in 1999..in tht year only after the operation she again fall ill n that time again operation for PANCREATITIS ...SHE GOT ADMITTED IN COMMAND HOSPITAL..and she remained in ICU for long and docters did their best and saved her...after d operation she HAD diabities...she started taking medicinces of sugar from tht time only..sumtimes sugar is normal but most of the time it is out s range,she says No to insulin .she had severe headache also,three years back she took treatment of DR,Atul roy...it wasfine in intial years but since 2 months she is not well,earlier it was cold n cough ,then sum liquid statrtd cuming out from the stitches frm tht operation vch was done in 1999.for tht she went to DR parvez of NIDA HOSPITAL,she started taking medicines n in few days she started headche evn twice she fainted n still she complains of chaakar aana n saya ki it seems ki unka sir ghoom raha hai..she has becum weak not eating properly,today she had loosemotion n till yesterday she was constipated.DOCTER PLS HELP ME N SUGGEST A VERY GOOD DOCTER WHO CAN CURE HER,MY MOTHER IS 65 YEARS OLD N LIVES in ALIGANJ.MY email id is YYYY@YYYY u..sir... Doctor: Hi welcome to Health care magic forum. Your mother got operated for chole lithiasis,and again for pancreatitis, either the disease or the manipulation of pancreas has resulted in diabetis due to lack of islets of longerhans cells in pancreas.Many of the anti diabetic drugs act by stimulating the cells in pancreas. As the cells are not in a position to be activated insulin injection is only remedy for diabetis in her case. So first of all she should be convinced to take insulin then consult a diabetologist, or endocrinologist for treatment. There are new methods for giving insulin , just by a prick the metered dose of the drug is delivered to the site.Once the diabetis is under controle , everything will be fine. No cough and fever nor infection of the stitches etc. As an alternative medicines some people experienced taking juices of vegetables only all the time. If she feels not applicabe she can take it twice ina day besides routine diet. As well she should restrict taking calories, she is advised to take green leafy vegetables, pulses, sprouts, milk, meat, egg , chicken, and dry fruits. to improve blood, general health, resistance, and stamina necessary to maintain normal life. Wishing for a quick and continued recovery and thanks for calling." }, { "from": "gpt", "value": "Target: Headache, dizziness, diabetic. Need good doctor in Aliganj" } ]

[ { "from": "human", "value": "Source: Patient: Hi I ve been doing p90x workout for the last month. I just added the leg workoit that involves a lot of lunges . I started feeling a pain in my groin area. Ay base of penis . And slightly in left testi. My doctor put me on antibotics for a bacterial infection , because I told him that my fiance cheated on me. Do you think it could just be a sports injury Doctor: Hiwith this history I would have certainly suggested to my patient that it is sport injury and go slow on your work outTake careDr Lal Psychiatrist" }, { "from": "gpt", "value": "Target: Pain in groin, base of penis and testicles after heavy workout, on antibiotics for bacterial infection. Could it be due to sports injury?" } ]

[ { "from": "human", "value": "Source: Patient: my daughter who is 12 years old has got chicken pox who is travelling with her schoolmates in excursion.she is far away from home and is unable to take a flight as the tickets are unavailable.my elder daughter who is recovering from chickenpox since a month.please suggest me to cure. Doctor: HiWelcome to the HCMChicken pox spots do not usually scar unless they are badly scratched.Some spots become infected with germs (bacteria) in some cases. This is the most common complication in children. If this occurs, the surrounding skin becomes red and sore. Antibiotics in the form of creams or medicine may then be needed.Inflammation of the lung (pneumonia) and inflammation of the brain (encephalitis) are rare complications.Vary rarely, other serious complications develop. Therefore, although serious complications are rare, it is best to be watchful. See a doctor if your child develops any worrying symptoms that you are unsure about such as:Breathing problems.Weakness such as a child becoming wobbly on his/her feet.Drowsiness.Fits (convulsions).Pains or headaches which become worse despite paracetamol.Being unable to take fluids, due to a severe rash in the mouth.A severe rash, or a rash which bruises or bleeds into the skin (haemorrhagic rash).Becoming generally more and more unwell.Treatment is mainly aimed at easing symptoms and trying to make your child as comfortable as possible whilst the immune system deals with the virus:Advice on dealing with a high temperature (fever) is detailed below.A soothing cream (emollient) may help the itch. Calamine lotion is useful.A sedating antihistamine (in a tablet or liquid medicine) may help with sleep if itch is a problem. Chlorphenamine (Piriton®) is the one most used.Keep fingernails cut short to stop deep scratching.Use acetaminophen for fever.For further questions,do contact us." }, { "from": "gpt", "value": "Target: Suggest treatment for chicken pox" } ]

[ { "from": "human", "value": "Source: Patient: My & year old is complaining of pain all over. She says her legs hurt the worst. Her Temp has been slight (100) She is a very active child who is non stop from 7am till 10 pm, but has been sleeping off and on for 6 hours. She ll wake up and just cry then go back to sleep. I m getting worried. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of body ache, fever and fatigue which seems to be viral fever or flu which seems to be due to poor and compromised immunity of body. Need not to worry. I would suggest you to 1) Take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache.2) Drink plenty of fluids, have proper rest.3) Avoid cold carbonated liquids. You should not take fried, hot and spicy food.4) Do warm saline gargles.5) Take analgesic such as Flexon and take light diet.Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit paediatrician once and get it examined and start treatment after proper examination and prescription. Go for blood tests as well. You should do warm saline gargles on daily basis. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What causes body ache, fever and fatigue in infant?" } ]

[ { "from": "human", "value": "Source: Patient: Last night I was awakened with a sharp electric-type pain in my tongue. It happened twice in the night. I am 59 years old and this has never happened to me before. When I touch the side of my tongue there is a bit of sensitivity and tenderness. What could be causing this? What type of doctor should I see an ENT? Doctor: Thanks for your query, I have gone through your query.The electric shock type of pain in the tongue could be because of the neuralgia of the lingual nerve. Consult a oral physician to rule out neuralgia from other conditions like any lesions over the tongue. If it is because of neuralgia then you have to consult a neurophysician and start with carbamazepine therapy. I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: What causes electric type pain in tongue?" } ]

[ { "from": "human", "value": "Source: Patient: I have had chapped lips with small bumps on the insided of my lips. I dont have any cold sore but when my lips get chapped they began to hurt. I use yo wear lip stick but i stopped due to this issue. It kinda consern me more because my husband has started developing them. Please help me Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you have small bumps on lips dont worry it can be due to periodontal problem , go to dentist for Oral prophylaxis , if your problem continues then consult dermatologist for this. Hope this will help you. Wishing you good health Regards Dr. Priyanka tiwari" }, { "from": "gpt", "value": "Target: How to get rid of chapped lips and small bumps on lips?" } ]

[ { "from": "human", "value": "Source: Patient: hi doc i have query regarding an ulcer which i m having over two months now. somehow it's going away. i m very tensed doc. i also did vitamin b12 test.which is is very low. for this i have been taking b12 injections this is 4th week now. doc i m scared if it's mouth cancer. Doctor: first of all there is no relation between vit B12 deficiency and oral cancers. You might have had vit B12 deficiency and oral ulcer co incidentally. Good that your oral ulcer is healing. If it doesnt heal or increasing in size you need to get it biopsied. But remember all oral ulcers are not cancers. we do biopsy to be on safer side. there are many causes of oral ulcers including the common aphthous ulcer to licken planus" }, { "from": "gpt", "value": "Target: Does prolonged ulcer with B12 deficiency indicate mouth cancer?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I was diagnosed that i have Gilbert hepatitis 8 year back after a serious of test done by my doctor.This test was done after i was diagnosed that i have Hepatitis A.Recently i taken medication for ulcer after consulting the doctor for one month after taking medication my appetite went down so i went for a routine blood check up i found that my sgpt=48, sgot =27, total bilurubin = 5.6 .My age is 28 and i rarely take alcohol and never smoke is the test result show any liver problem .I am totally worried about it what are step to increase the liver health.What does this result shows .Can you please specify.If any further consulation is needed with my doctor. Doctor: Welcome to HCM!I appreciate your concern for the elevated bilirubin with normal liver enzymes.Normally bilirubin that is produced by the breakdown of old red blood cells is detoxified by conjugation in the liver. In Gilbert's syndrome this detoxification process is less resulting in increased level of bilirubin with normal enzymes indicating that there is no underlying liver disease of hemolysis. Gilbert syndrome is a benign, familial disorder characterized by intermittent jaundice in the absence of hemolysis or underlying liver disease.The high bilirubin level could be due to the medication your have taken for ulcer.Gilbert's syndrome doesn't require treatment. The bilirubin levels in your blood may fluctuate over time, this usually goes away on its own, and it doesn't cause any ill effects. If jaundice persists, consult your doctor.I hope your doubts have been clarified.Do you need more explanations, feel free to send your queries.Regards!" }, { "from": "gpt", "value": "Target: What does \"SGPT-48,SGOT-27 and bilirubin-5.6\" suggest?" } ]