conversations
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[
{
"from": "human",
"value": "Source: Patient: I have cellulitis on my penis shaft and was given ciprofloxacin. I hope I m being treated for the right thing. It s red/pink in color and swollen and tender. I was wanting to know what would be a good lotion or cream to put on it. I keep the area clean and using Shea moisture soap. Doctor: HelloThanks for query.The swelling of penis with tenderness is due to infection of penis .You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .Ensure to wash your genitals with warm water twice daily Do not use any soap to avoid chemical reaction .Ensure to avoid sexual encounters till it heals up completely.Do not put any cream or lotion on penis .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cellulitis on the penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have 2 wisdom teeth that have been trying 2 come througth for years. i have very bad swollen lumps all round my neck jaw and ears that can be painful. i have seen my gp on the matter and been hospital but they do not no what is causing it. these lumps appeared when the teeth started to come througth Doctor: hello thanks for consulting at hcm..it could be swollen lymph nodes becz of third molar if infected,,either ways take a course of antibiotics and analgesics, u could take iopar and opg radiographs,,do salt water gargle thrice daily..hope it helps,,t c..plz consult ur oral surgeon specialist, if prblm persists,, take care,"
},
{
"from": "gpt",
"value": "Target: Will wisdom teeth cause any lumps around neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is Norman i was employed as a car driver in Dubai until recently i was detected with cancer in the thoracic and lungs (adenocarcinoma) 4th stage, i have gone through 3 chemo therapies with medications on account of my insurance and now that my insurance has expired i need to pay - which will be difficult for me to do.. i will be residing at Bangalore from next month onwards and would like to carry on my treatment should be good and not expensive as i will not be in a position to afford the cost...kindly hilite me on the condition and cost....rgds Norman Doctor: Hi, dearI have gone through your question. I can understand your concern. You have adenocarcinoma of lung stage 4. It is very late stage. Surgery is not helpful. Treatment options are chemotherapy, radiotherapy and receptor specific treatment. Despite of treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: How to treat 4th stage cancer in thoracic and lungs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my jaw broken in 3 places November 2011...for almost 2 years now I have been dealing with swelling an open sore under my jaw and pain you would not believe. I had insurance when this happened and it was wired shut and all of that good stuff....the pain is intolerable now and the maxofacial surgeon that did the operation to begin with will not even see me now. I believe the metal plate needs to be removed. Doctor: Hello,I can understand your concern. As about 2 years has passed since and there should be absolute healing without any complication by now in the fractured bones. Presence of swelling and open sore wound in the fractured area indicates towards defective healing or persistent infection. You may have to consult another Maxillofacial surgeon in absence of your previous one for the examination of the surgical site and investigations like x-rays to check the process of healing and diagnose the reason of persistent problems. Based on the results, further treatment options can be advised.I hope this answer guides you well. Thank you for choosing HCM. Let me know if you have follow up questions.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for soreness and pain in jaw"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ok me and my boyfriend had sex 2 weeks ago and afterwards the condom slipped off inside me. when i went to pull it out it seemed like all the semen was still in there. but the next day we got the morning after pill and everything seemed fine. now 2 weeks later i started spotting which alternated between being heavy and light bleeding, it lasted about 3-4 days. and now my breast are tender to the touch and im starting to feel a little nasuseated. is there a way i could possible b pregnant? Doctor: Dear Madam,Though slipping or bursting of the condom during intercourse is known to cause pregnancy, you have very rightly and thoughtfully covered this risk by taking morning after pill; which is very effective emergency contraceptive pill. So the chances of pregnancy due to this accident are very low. Morning after pill contains hormones - Progesterone or Progesterone+Oestrogen, which are known to delay periods by few days. Also due to the effect of Progesterone, breast tenderness and nausea may bother. You have got following options:1. Wait for menses to appear for a week after missed period. Mostly they will appear.2. If they do not appear, perform pregnancy test on the overnight first morning urine sample 8 days after missed period. Earlier, these tests may give false negative results.3. Straight a way opt for Beta hCG test which gives reliable results even few days before missing a period. If you are not pregnant and still the periods do not appear, you may take Tab. Deviry for 5 days. 4-7 days later, you should get withdrawal bleeding. If you are not pregnant, nausea and breast tenderness will subside subsequently within few days to weeks. I hope this helps you. Dr. Nishikant"
},
{
"from": "gpt",
"value": "Target: Is tenderness in breast and nausea after periods sign of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pain on the left side & my left side back . Under my rib cage & navel which is on the left side . Thought out the day I feel alot of pressure but on and off pressure . I loose my apatite sometimes . It feels like cramps but I haven t got my period and it s been 6 days Doctor: Thank you for asking! The missing periods for 6 days with the crampings and abdominal pains would need a little work up with a pregnancy test as a good start followed by urine routine exam and some genital tract work up. Seek a gynecologist for further help and let them decide what is best for you. Meanwhile you can try some antispasmodics for the pain relief or try our expert opinion by using premium service.Take care"
},
{
"from": "gpt",
"value": "Target: Experiencing pain on the side of the back,under the rib and navel"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what heart problems could i possibly have if i feel; chest pains like someone is hugging me too tightly or like my chest is collapsing. i also get dizzy/light headed sometimes. my chest pains make me feel like i can't breathe the way i'm supposed to. also, with my chest pains when i inhale i feel as if someone is stabbing me in the heart (a very sharp pain). my chest pain sometimes feel as if it's heartburn, but much more serious. when i get the chest pain my heart beats very rapidly. Doctor: Hello,Brief Answer: Your symptoms are considered typical chest pain, that needs to be assessed.Explanation: My opinion is that typical chest pain that includes burning, crunching pain that may radiate to the left side of the jaw. Time from five to fifteen minutes and associated with sweating and vomiting sometimes. I suggest my patients the following clinical examination, and good history taking is mandatory, electrocardiography and some laboratory investigations may be needed. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about risk factors such as smoking, family history, hypertension, diabetes, and lifestyle.Conclusion: I suggest you check with your physician.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahmmad Gamal"
},
{
"from": "gpt",
"value": "Target: Suggest medication for tightness and pain in chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having pains from my left arm to my foot. it seems when i eat certain food it will tingle. i had an ekg , blood and cardio test everything came out great. do you think that it can possible be gas? Doctor: Hi, Get an orthopedic consultation done for examination of spine. Spinal cord lesions can cause similar type of problems. Regards Dr. Naveen Kumar"
},
{
"from": "gpt",
"value": "Target: Pain from left arm to foot after having food"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a female, 24 y.o 5 8 220lb active with no previous major medical issues. About a 5 weeks ago I got thrown off a horse and at the time I thought I had only suffered a broken rib, distal radius, and scaphoid but now that the pain is gone and things are becoming more visible, I have found a divot/ledge on teh anterior portion of my distal tibia and am wondering if you could have a broken tibia and have only pain to pressure of touch and still be able to have normal mobility? Doctor: Hi, If at 5 weeks you have a bump on the anterior aspect of the tibia which is only painful to touch its unlikely you have a tibia fracture. It is a contusion and at this surface the bone is practically below the skin and so will appear like tender bump on the bone. It should not affect your walking. This should disappear within a month or so.I assume the rib, radius and scaphoid have been treated and is healing well. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. George Verghese, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for broken rins & scaphoid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my blood pressure has been high throughout the day, at one point being 143/101 and 124/91 a while ago. i am on meds and took the pill this morning, but there has been no change. i feel faint with a slight pressure in the back of my head. i did have c-5/c-6 surgery 10/14 and am back at work. Doctor: hi sir. monitor ur Bp every day n note it doesn't n show to ur doc.so that they adjust the dose. if still not reduced. get ENT evealution and an ultrasound abdomen to rule out other causes of hypertension.thank u"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high BP with dizziness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 19 years old from Philippines. I am currently working and the company complies to have a medical clearance. However, it was found on the medical results that my UA-urobilinogen is 4.0(H) and was advised for a nephro clearance. Another, this past few weeks, the upper right side of my abdomen was aching. May I know your opinion about this? Thanks is advance! Doctor: Good Day and thank you for being with Healthcare Magic! I would suggest getting a Kub ultrasound to determine if a problem is present or not in your Urinary system. Also I would ask you to repeat your urinalysis. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes"
},
{
"from": "gpt",
"value": "Target: Why is nephro clearance required?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a doubt regarding the mouth washes. I brush my teeth 2 times a day. I just want to know whether i can use mouth rinses daily as a routine along with brushing. Is ther any harm in using these kind of mouth washes daily Doctor: Hi, Chlorhexidine mouth washes are prescribed for 3 weeks. If used more than 4 weeks it can cause staining of teeth, stenosis of parotid duct, burning sensation of mucosa."
},
{
"from": "gpt",
"value": "Target: Should I use mouth rinses daily as a routine along with brushing ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter keeps telling me that her thumb is going numb when she is swimming in our pool. She has said that she can t feel anything when she touches it. It has happened three times now. No other fingers just her thumb. She is 10 years old and has no medical problems. She is a healthy average 10 year old. Doctor: Hello,Most likely this is nothing serious but she could have something going on in the carpal tunnel area. It is best to take her to her pediatrician and let them do an exam.Regards"
},
{
"from": "gpt",
"value": "Target: What causes numbness in thumb while swimming?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi im 32 and I had never had problems with my gums, I recently had a cavity that was fixed, but now the problem is that the gum in that specific tooth had a black spot, bleed and hurt (i feel the pain from my tooth to my head including my ears) what should I do? Is that an infection? Doctor: Hello, thank you for consulting with healthcaremagic. It looks that the infection of the tooth has reached the pulp means blood supply, so now it is causing an abscess in the apex of the tooth , this abscess is only forming this black spot which is bleeding and painful, so better you visit your dentist again and get an x - ray done which will show the infection and get it treated. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes my gums to bleed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brothers caught tuberculosis, they live together. Roland stayed home, his tb is active and takes medication - antibiotics / 5 days a week/ current date 3 months. He tells me that he only takes the antibiotics 3x a week now. The other brother moved out, because he is on dialysis and diabetic. He was tested for tb and it is latent. He was admitted in the hospital for pneumonia. He has been in the hospital for 13 days today. I am so worried. After doing my research on TB, my understanding on antibiotics is 4 kinds of antibiotics for 3 months and then 2 kinds of antibiotics for the next 6 months. My brother Roland is taking only one kind of antibiotics and he takes it 3x a week. I wish i can tell you the name of the medicine, when i ask my brother, he was so nervous that he couldn t remember. He is very fraustrated with his Doctor, because his doctor doesn t explain his conditions to him throughly. He tells him what to do and tells him your on stage 4 and my brother will asked am on stage 4??? Can you please explain what that means/ My brother feels like his Doctor mistreats him, because when it comes to medical Q & A, he just doesn t get the help from his doctor . So my question is, is this Doctor giving my brother an honest treatment? The other brother Rudy is admitted in the hospital, he pneumonia, his been in the hospital for 12 days as of today. He is on dialysis, his diabetic and he was also diagnosis with TB (latent) he is in the intentsive care unit. I ask what meds are they giving you and he replied Azithromyzin through the IV and antibiotics. I don t know what kind of antibiotics, we had to cut our visit short. My question is I am so worried for my brothers, are they being help? with the correct dosage of antibiotics? They are from Guam US Teritory Doctor: Hello,As your brother already diagnosed as tuberculosis, may I know whether he is new case or relapse or defaulter case because in tuberculosis, the treatment depends on the category. Whether he underwent sputum culture sensitivity test?For another brother having pneumonia, as already he is in ICU, so physician will start proper antibiotics as per culture sensitivity report. I will suggest you to review here with detailed history or consult with the chest physician with reports.I will suggest you take complete course of tuberculosis treatment. Take proper diet, maintain proper hygiene and avoid contact with other people and family members. Do not skip any dose of treatment and do regular follow up with chest physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale"
},
{
"from": "gpt",
"value": "Target: How can tuberculosis and pneumonia be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doctor, is there any treatment in ayurveda to cure squint at the age of 30.i ve gota diverging squint in my right eye .i underwent laser treatment at the age of 21 and 4 yrs laer i had typhoidand my health was weak and i regained it. in 2013 eyes were effected with corneal conjunctivitis and then after i noticed my right eye is diverging with a squint.i feel really reluctant tocome forward... i consulted opthalmolagist and they recomended surgury.bt im scared about its sidesffects.is there any treatment to cure squint other than surgery please helpdoctor.....with the right advice thank you Doctor: Hi,I have gone through your query.Divergent squint is due problem of the muscle of eye ball. Muscle helps in movement of eye ball and if they become weak or lax, it causes squint. I am afraid to tell you that there is no medical treatment available in allopathy, homeopathy or ayurveda. The only option remains is surgery and don't be afraid of its complications. Muscle will be fixed by operation and it is done.Let me know if you have any further questions.You can contact me on my page http://bit.ly/1dYupT2Wish you a good health."
},
{
"from": "gpt",
"value": "Target: Which treatment is suggested for diverging squint eye?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dr my age is 45 i am patient of copd . and blood pressure segmantle atlectasis noted upper , mid and lower lobes of right lung . and patchy atlectasis bilaterally .and all the time wheezing .and in pft report v severe obstructive impairment . gall bladder full of stone with fluid . Doctor: Thanks for your question on HCM.In my opinion you should first consult pulmonologist and settle your respiratory issue, only after this you can be fit for surgery.For this you need to admit in hospital. Get done chest x ray to rule out infection. Get done some blood reports and start the treatment. You need intravenous(I.V.) antibiotics, intravenous steroids, I.v. bronchodilators and nebulisation of bronchodilators. So first we need to settle your breathing issue than should go for surgery for gall stones."
},
{
"from": "gpt",
"value": "Target: How to treat obstructive impairment and stones in gallbladder of a COPD patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my grandma, who is a diabetic, cut her foot the other day which caused her to get stitches. The doctors then wrapped the foot. My grandma took the wrap off due to drainage from the wound. I am wondering if I should apply some Neosporin, a dressing, and rewrap the foot? Doctor: Hello,Regarding your Grandma, is her Sugar levels under control? Please see that her sugar levels are under control or not.For a wound in a Diabetic patient one should maintain a proper hygiene and aseptic condition, pink healthy tissue over any wounded area is a sign of healing, any pus discharge and foul smelling wound is a sign of infection and Impending wound healing. So, keep the wound aseptic and in a proper hygiene.If the wound is infected, then we need to start an antibiotic, also apply ointment LABODERM-OC to the wound area, please see a general surgeon as a part of follow up care, if the wound healing is delayed, then we need to get this test done, wound SWAB for culture and sensitivity.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah"
},
{
"from": "gpt",
"value": "Target: How can an infected wound be treated while suffering from diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a query it was 3rd day of my periods i had stopped bleeding me n my boyfriend were havin foreplay his penis didnt enter my vagina he was wearing a condom but he ejected n the condom slipped are ther chances of me gettin pregnant Doctor: Hi, Thanks for the query. I understand your concern. Even if some of sement went in vagina... you don't have risk of conception on 3rd day of your periods (as ovulation.. which is essential for conception....can not happen so early in menstrual cycle. It is as late as 14 days before the expected date of periods. Thanks."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible through non penetrative sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When i sit with my leg up and bent I feel two lumps on the outside of my lower left leg. If i straighten my leg I can no longer feel the lump, its been there for about two months and I somewhat worried. I would really appreciate it if someone could tell me what it is and what I should do. Thank you. Doctor: Hello there...It may be due to trauma or a dilated vein....Better it can be confirmed by ultrasonogram...Go for it... if its normal nothing to worry..."
},
{
"from": "gpt",
"value": "Target: What causes lump in the lower leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor! Im 38 yrs old and a stay at home mom. Im on my period right now and I feel very weak all I want to do is sleep and when I do its very hard for me to wake up. I also get this uncontrollable anger and very emotional. I also get suicidal thoughts. I have so much to live for. Please help!! Doctor: Hi,You seem to be manifesting symptoms of depression which is leading to your feeling weak and lethargic, irritability of mood and suicidal thoughts. Considering that you are having suicidal thoughts, your depression seems to be quite severe and I would suggest that you should seek a psychiatric consultation without any further delay.Treatment with anti-depressants like venlafaxine would be very helpful in your condition. It will help you overcome your depressive symptoms and feel better.I do hope that I was able to answer your query. Best wishes."
},
{
"from": "gpt",
"value": "Target: What causes uncontrollable and suicide thoughts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: one of our friend s grand father at age 75, suffering with acute intracerebal hemorrhage measuring size 2.6 x 1.3 cm. can you suggest amway nutrilite supplements? in curing it. Doctor: Dear welcome to HCM. please provide the other details and previous medical history of ur friend's grandfather, so that it will be better to have a overall look at him and then suggest amway nutrilite supplements instead of just suggesting something. thank u:-)"
},
{
"from": "gpt",
"value": "Target: Suffering from acute intracerebral hemorrhage, want to know nutrilite supplements. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is david. ive been experincing neck and shoulder pain mainly on left side of body!! i have been getting headaches mainly at the back of the head and eyes feel heavy. ive been sleeping ok, im a decorater and i think i hurt my neck doing a ceiling a month ago. the other symptoms im getting are my left ear canal and glands seem swollen. im not in alot of pain but getting abit tired of it!! some days are better than others but it just grinds me down, its just the balance and wobbly feeling i dont like the most!! im on beta blockers for HB. and have had problems with glue ear where i had a t tube fitted in my left ear drum but came out last month after four years, can you give me any insight ? thankyou Doctor: Hello, Cannot say in your particular case, but generally, the location and movement of pain give clues as to what is going on. and pinched nerves at the top of the neck go to the back of the head. Of course, ear infection also can cause headache and is a more acute problem needing fairly immediate attention. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes shoulder and neck pain with heavy head and eyes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think i have alpha 1 disease my mom and grandfather had it i am not sure I just feel tired all the time and even if walk to mail box can get out of breath i gained like 80 pounds in the past 2 years also i just feel horrible not sure if thats why or maybe something else Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* With the family history and narrated symptoms there is more likely to be having the alpha 1 disease .* Confirmation of the diagnosis requires blood test of alpha 1 anti trypsin level measurement in blood .Hope this will help to clear your doubt .Wishing you fine recovery .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest tests to confirm alpha 1 disease causing difficulty in breathing and weight gain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: So on July 4th weekend, I fell and hit the inside of my ankle on a concrete pool. I couldn t walk for an hour or two, but I kept going. The next few days was really sore. A few weeks later, I can walk, but now I feel like my bone is sticking out, and it s very tender to touch Doctor: Hello, Thanks for writing to us, I have studied your case with diligence.As per your history and injury pattern there can be persistent tear in ankle ligament leading to pain and swelling.Instability may increase due to laxity of ligament.I will advise to repeat MRI ankle for soft tissue involvement.Till time you can continue use supportive splint or brace.Physiotherapy like ultrasound and TENS will help in early healing.Persistent pain after ankle injury is common and may take 6 months to heal.If there is complete ligament tear on lateral aspect then arthroscopic ankle ligament repair can be done.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ankle injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor in a routine testing i was having sgot/sgpt as 114 and 173 my physician gave me tests such as hsbag which was negative there after he gave me ultrasound which showed the impression that Mild fatty liver no evidence of cirhosis and calculas in rt kidney after ultrasound he told me to go for hcv antibody which was 0.30 compared to the normal value of 0.26 but the RNA for viral load was not detected my doctor told me that it is due to fatty liver but i am worries as i feel mild enlargement in the lymph nodes under my arm pit.can you pls suggest what i should do?? Doctor: Hi, I hope you are well, the study for the elevation of liver enzymes should start by establishing the pattern and severity of this alteration, with the search for viral infections such as hepatitis B and C virus infection, autoimmune and metabolic diseases, certain aggregate conditions such as being overweight, obesity or alcohol consumption or consumption of medications. The detection of the hepatitis c virus is by a seric antibody that can present false positives, corroborating the measurement by measuring the viral load, which when undetected indicates the absence of viral replication. It is important that you have a complete panel for hepatitis C to make a better decision in your case."
},
{
"from": "gpt",
"value": "Target: Is mild fatty liver with enlargement of lymph nodes in armpit normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was taking microgestion bc I started on the day of my period which was the 12th of last month I took them for 12 days and stopped in the middle of the week I experienced a little bleeding when stopping them , I was suppose to get my period the 8th of this month but I didn t and I took two pregnancy test and they were both negative but I feel qusey and nauseous ??? Doctor: Dr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.As per your history, if you have stopped taking Microgestion, you are bound to get some bleeding, which is called as progesterone withdrawal bleeding.From your history I could not relate if you are having irregular periods. If so then urine test being negative , you can assume to be non pregnant. If you are planning for baby you can repeat urine test after one week, if you still do not get your periods.Your nausea could be due to some gastric upset for which you can take Cap. Pan D once a day half hour before dinner.I hope my answer helps you.Thanks."
},
{
"from": "gpt",
"value": "Target: Bleeding after stopping Microgestion. Negative pregnancy test, nausea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sexual intercourse on 17-18 Feb 2018 (7th day of menstrual cycle). Took ipill after that. Bleeding occurred for 4-5 days after I pill. No menstrual bleeding in the month of march I took regesterone 5 mg in 1st week of april. Bleeding occurred after that. Are there any chances of getting pregnant Doctor: Hello dear , welcome to Ask a doctor service. I read your question and here is my advice.You don't have any possibility of being pregnant since bleeding occurred and implantation was prohibited. Hope I have answered your questions. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can one get pregnant even after taking an I-pill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been charting for a year and i have been fairly consistent, but this month was different. After what seemed to be ovulation, my temp did not get up past its normal cover line, then dipped REALLY low again about a week later (day 22). This is really unusual for me. I'm concerned that the second, late dip was the ovulation and that would put me at risk for pregnancy. Yikes! Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. Please do not panic. As you have rightly mentioned that there is always a rise in the basal body temperature around the day of ovulation. The dip that you have observed seems to be unusual. This helps If you are using basal body temperature as an indication of ovulation and use it for the purpose of contraception, then I will suggest you to opt for a suitable and more reliable contraceptive method. As on now, I will suggest you to wait for the onset of next periods. If you happen to cross your dates, then please get morning's first sample of urine tested for pregnancy. In case of doubt blood beta HCG test and USG will be of help. Even if you are pregnant, you can opt for termination termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: Is low basal body temperature a sign of ovulation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor,Today we went for a postcoital test though i have not yet pregnant since the last 1 year. The test refers sluggish sperms 3 -4 and dead sperms 15- 20. What will be my problem? and how can I overcome..... Is there any problem with my cervical mucus. We have done this test 4 hours after intercourse. Doctor: Hi, Postcoital test is a test done to detect antisperm antibodies in the cervical mucus. If it is present it will be seen as sluggish sperms and dead sperms under the microscope. If the semen analysis report is normal, it would be better to undergo intrauterine insemination in and around ovulation time. The chance of pregnancy increases by 15-20%. There is nothing to worry much about this problem."
},
{
"from": "gpt",
"value": "Target: What do sluggish sperms and dead sperms mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Presented with a red patchy type rash one week ago. I have used topical steroids ( topicort) and was on a methylprednisolone pack for almost 6 days. Not that much better. Funny thing is....its I my presenting on my left side......and now has spread to my left flank and left lateral neck. I am a little nervous cause ,I had a melanoma on my left arm. I have a lymphedectomy due to the positive sentinel node. Very weird. Your thoughts? Doctor: Hello, It is usually not advisable to initiate topical steroid without confirming the diagnosis by a Dermatologist. As the condition is unilateral, it could be due to an infective condition. I would suggest you to visit your Dermatologist to clarify the problem. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes red patchy rashes on skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i hv pegmintation problam its all over on my face i use alot of thing but its still there i use dermalogical products c12 ,pure light spf 30 its make me little happy but after some days my skin became dry then i stop it to use.plz Dr, help me Doctor: Dear patient Welcome to HealthcareMagic forum Is it pigmintation or sunburn. for treatment. wash your face hot water.without any soap.2-4 times. and rub your face in morning with coconut oil. Thank you......"
},
{
"from": "gpt",
"value": "Target: Why my skin dried up after using pigmentation medicine ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have fluid in my joints in my back and buldging discs also thinning of my discs, i have alot of swelling but now its bruising. I cant do much because im pregnant. Any suggestions on why it would start bruising. I have not fell or hit it on anything. Doctor: I understood your concerns, see this swelling may be due to extra pressure over joint and disc that is due water retention, body growth for development of baby. So these all changes happens due to weight gain durability pregnancy! Just after delivery of baby these changes reverse slowly,, go for mild warm up exercise like walking may reduce pain intensity."
},
{
"from": "gpt",
"value": "Target: What causes fluid and bruises in joints during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is on kidney dyalisis and has been on for 5 years. She had a heart attack 2 yrs ago and now has supe low blood pressure. She has been hospitilized 2 times in the last few months and was just hosptialized with over load of fluid and becoming septic. I feel like the dyalisis is not helping....what can be done. She is only 36. Doctor: Dear friend, The problem you faced is a chronic renal failure. And dialysis is the main part of treatment for that. As your daughter is just 36 then you should go for the other only available option as renal transplantation. It having a good result with good success rate with possibly good quality of life.Get well soon."
},
{
"from": "gpt",
"value": "Target: What to do if kidney dialysis doesn't work?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...- have been having a fluttering feeling in my chest. Sometimes in the middle of the night, in the morning upon waking and now its been during the day too. For the past few weeks, I now have episodes that feel like my heart stops, I can t take a breath, and then about 5-10 seconds later it starts again. I had a PDA repaired 36 years ago at age 6 weeks old. Is this a heart issue that I need to worry about? Doctor: Hi, After going through your medical query I understand your concern and I would like to tell you that possibly you have developed some cardiac arrhythmia which should be evaluated to avoid any unpleasant cardiac event. It's recommended for you to get a basic Cardiac evaluation which includes ECG, Echocardiograpy and a Holter test done and consult a cardiologist for further treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes fluttering feeling in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I recenlty had gallbladder surgey in november. Had laproscopic first then had to have open surgey. I have been noticing a smelly vaginal discharge for the last couple weeks and want to know if its someting worth checking out or if it's a normal response to my body healing? Doctor: Hello,1) vaginal discharge is not normal response to body healing2) there is no association between healing after laparoscopic surgery and vaginal discharge.3) surely, you need gynecologist consultation for this vaginal discharge which is likely to be due to infection (with possibility of infection in urinary tract also)"
},
{
"from": "gpt",
"value": "Target: Is smelly vaginal discharge common, post a gallbladder surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hii was diagnosed with a l4 l5 disc bulge in june-2013,now from the past two days i am having pain in lower right abdominal area,i want to know whether it is due to the same problem or because of something else,also suggest what should i do for the same. Doctor: Hi. The discs at the level you mentioned can not cause the pain in abdomen. To diagnose the pain in the right abdominal area you have to visit a Surgeon for clinical examination and go for the investigations as suggested by Him/ Her. Are there any associated symptoms ?"
},
{
"from": "gpt",
"value": "Target: Can disc bulge cause pain in lower right abdominal area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with CLL and have a \"bump\" rash following my hair line on my face and scalp. It seems to be spreading into the cheek and neck. It begins as a red bump and turns redish brown and after several days goes away but it seems to be increasing in frequency and volume Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have CLL. Its common in CLL that platelet count is decrease. And it leads to rashes. so just go for cbc count once and check your platelets count and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes spreading bump rash on hairline/face/scalp/cheek/neck when having CLL?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just got my semen analysis done. I don't have the entire data but wanted to ask about one point, sperm agglutination.My sperms show Grade 1, Type 1 agglutination. The doctor advised Miraqule 200 for me. Is this something serious? (Sperm motility is 70%) Doctor: HelloYour findings may suggests normal semen analysis findings.Type I agglutination of semen is a normal finding.It is a macroscopic finding.It means many mobile sperm with Motility of sperms are also normal.Normally sperm motility should be at least 55 %.Your findings suggest overall 70 % motility,so it is normal.Miraqule contains coenzyme Q10 and it is used in many conditions.It is used to increase fertility.You can take it safely.In short,you don't have any serious finding.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What are the normal semen test report ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam having hperthyroid and polycystic ovaries iam taking thyronorm 75 and glyciphage sr twice daily .now i have tsh value 5.2 .can i get pregnant now .docter had given me siphene 50 mg to take on 3rd day of my period and continue for 4days and said to intercourse after 12 days .i want to know this 12th day from starting of period or from after finishning siphene.and also i am taking medicine for pco from about six months i just want to know is it safe to get pregnant now. Doctor: Hi, I think you can become pregnant. Continue the thyroid tablet, but better to increase the dose by 12.5 mcg after discussing with your doctor. The cut off for TSH in pregnancy is 2.5. Now , regarding the intercourse, you can have intercourse every 2 to 3 days after your periods stop. You can also start that from 12th day counting the starting of your period as day 1, not after finishing Siphene. You can track your ovulation by repeated ultrasound and when follicle is more than 17 to 18 mmm, take injection for rupture. Progesterone will be given for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Talk to your doctor regarding this. It is safe to become pregnant now."
},
{
"from": "gpt",
"value": "Target: Can I become pregnant while taking medicines for hyperthyroid and PCOS?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I have been medicated for Sychoaffective disorder for almost 30 years. I am taking Fluanxol 10 mgs. My question is that I have been reducing my dosis from 20 mgs. To 10 mgs. In a period of 15 years. I would like to reduce to 5 mgs. But I am not sure if it is not going to affect me. What are the possibilities I take 5 mgs. Every three weeks and not have some consequences? Thanks, Mirtha Doctor: Hi,.That you have to try and see.In case you feel disturbance you can always take an additional dosage.But if you are assymptomatic now and didnt have episodes since many years its worth a try.But if you have history of frequent recurrences it may not be a wise choiceRegards"
},
{
"from": "gpt",
"value": "Target: Will reducing the dosage of Fluxanol for psychoaffective disorder cause repercussions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HAI MY BABY 6 MONTHS OLD AND DOCTOR TOLD ME THAT MY BABY IS AFFECTED BY TUBERCULOSIS BACTERIA AND HAS TO TAKE MEDICINES FOR 6 MONTHS AND ALSO THE MEDICINE HAS SIDE EFFECTS CAN U TELL ME THE PROBLEMS OF MACOX PLUS KID AND OTHER WAY TO GET RID OF THIS? Doctor: Hi,Thank you for asking question on health care magic.Macox plus kid contains Rifampicin,INH and pyrazinamide.Almost all the drugs have hepatotoxicity on prolonged use specially if given in high dose.You have to test for liver function before starting and every 2 months there after for early recognition of hepatotoxicity.All patients need not develop toxicity.Once you notice toxicity you have to stop TB medicine.Alternative will be suggested by your doctor.Nothing to worry,you can go ahead with treatment.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Suggest medications for TB in infants"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Pain in Left Shoulder during arm movements G. Venkadachalam, M/49 yrs, 70 Kgs, 170 cm Some time in Nov 2010, The pain used to occasionally appear in a small portion of lower arm near the wrist. Also I felt pain in my upper arm sometimes. It was mild. I could not associate this with any of my arm movements or postures and I did not seek any medical advice. Later (January – February 2011) the pain started to appear more frequently and by February this year, it was almost continuous and even it had extended to my right shoulder. Even getting up from bed was difficult for me for three days. But by the time I could consult an Orthopaedic surgeon, the pain from my right shoulder had completely subsided. Neck X-ray was done. It was diagnosed as Spondylitis and I was advised physiotherapy. February – August 2011 I continued Physiotherapy – 3 or 4 days in a week. IFT, Heating Pad, Vibrator applications to my left upper arm and shoulder followed by muscle stretching exercises. All pains associated with my neck movements gone. But the pain in my shoulder continued to trouble me with certain movements of my arm. Moments causing pain (e.g) When I try to reach the back seat of car from the driver seat. When I wear belt through the loops of the trouser Trying to keep my office bag in the car (in the passenger’s seat) extending my left arm. Taking my arm to my shoulder level (Elbow at right angle) and try to move the arm backwards Take any weight and try to move it backwards (using left arm) Changing gear from 1st to 2nd Wearing /Pulling up the Sorts etc. This pain is almost gone when I press and hold by two fingers to immobile a small area front of my left upper shoulder closure to rotator cuff and move my left arm like in the above cases. MRI was then suggested by the physiotherapist. The MRI report is given below. G. Venkadachalam, M/49 yrs, 70 Kgs, 170 cm Clinical Findings: date: 31.08.2011 C/o Pain in left shoulder joint. MRI STUDY OF LEFT SHOULDER JOINT MRI study of the left shoulder joint was performed using T1W and T2W sequences in multiple planes OBSERVATIONS: There is intrasubstance hyperintense signal seen in the supraspinatus tendon (anteriorly) on PD fatsat images, which is iso to hypointense on T1W images. It reveals associated mild thickening – represents its Tendinosis. Subtle fluid is seen in the subdeltoid region. Rest rotator cuff tendons are well demonstrated on coronal T1/T2 weighted images. Acromio-clavicular joint appears normal. Acromion is Type-II/III. The articular margins are intact. The glenoid Iabrum is normal. Major neurovascular bundles are normal. No evidence of joint effusion. Impresson: MR scan reveals: Intrasubstance altered signal in the supraspinatus tendon (anteriorly) with associated mild thickening of it-represents its Tendinosis. Subtle fluid is seen in the subdeltoid region Please advice whether surgery is compulsory. What are the risks if I delay it as long as possible Doctor: definitely there is some kind of lump as revealed by your MRI report which is causing you painThe best way will be to consult some orthopedics.Moreover on the basis of MRI report i cant commwnt.We need to have a look in MRI images to exact spot the place of lump.Might be orthopedic go for surgery or may be further evaluation to find out what exactly is that lump."
},
{
"from": "gpt",
"value": "Target: What is the cause of pain in left Shoulder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 17 year old male who does weightlifting 4 times a week. I have a sore right knee and it clicks everytime I bend Down and feels better when it does. It's uncomfortable and I saw my gp about it he said nothings wrong but it doesn't seem normal. Please HELP ! THANKS Doctor: Hello,Clicking can be a sign of damage to the cartilage or tendons of the knee. It would be best for you to see an orthopedic specialist for an exam.Regards"
},
{
"from": "gpt",
"value": "Target: What is the treatment for a knee pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a minor heart murmur like not even a serious one, i have popped ecstacy a couple of times and have smoked weed, i dont smoke cigs but when offered il smoke some. i have popped pills smoked and drink alcohol at the same time, how bad is this for my heart murmur? Doctor: HiThanks for consulting us.First I ve to ascertain the murmur is benign or not.For this Clinical examination and echo cardiogram is needed.Smoking,alcohol in excess,male gender,hypertension, diabetes can lead to heart attack.Do exercise to improve cardiac fitness.cardiovascular risk increases if you don't adapt lifestyle changes.Good luckHope you are satisfied.Please rate our services."
},
{
"from": "gpt",
"value": "Target: Could smoking weed and alcohol effect heart murmur?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr prescribed me to take Regestrone tablets from day 19 to 25.for 3 months continuously. I visited the doctor with the problem of irregular periods and im not conceiving for the same. my doubt is there any chance of conceiving during these 3 months when I take the medicine.or do they act as contraceptives. sandhya Doctor: HelloThanks for your query.Registrone would not act as a contraceptive.However, you should avoid conceiving while on registrone, as it has been shown to have harmful effects on the fetus.Have a complete evaluation for your irregular cycles and consult an infertility specialist for the problem of not conceiving.All the best."
},
{
"from": "gpt",
"value": "Target: Have irregular periods, not conceiving. Prescribed Regestrone tablets. Will this medicine act as a contraceptive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a mini stroke last year cat scan came out normal sonogram of my charotic vein on my neck normal EKG normal my pressure has been a little bit high but normal but today my face on my left side got tingly for about 5 min then it stop I took an aspirin I walk fine no vomiting no blurt vision I m walking fine could it be a side effect from a medicine Doctor: tingling and paresthesia may occur following minor stroke esp thalamic region.....if it's troublesome then u can try tab Amitriptyline.control risk factors of stroke eg BP , Sugar if any...regards."
},
{
"from": "gpt",
"value": "Target: What causes tingling sensation in the face with a history of stoke?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, This i have been diagnosed as a bacterial infection from a dermatologist i have been prescribed amoxyclav drug for this, the only problem which i am facing with this i have cuts on my lips and getting pus out of the cuts, what should i do avoid pus and for the healing of the wound, Will the antibiotic prescribed by the doctor will cure my wounds and will also stop the pus how many days it take for the cure of this infection, it is literally irritating me very much With Regards, Deepak Doctor: Thanks for asking in Healthcaremagic ForumIN Short: It depends on how long and deep the cut is with the level of infection.Explanation: You have visited a doctor who has prescribed you amoxicillin plus clavulinic acid for your infection is well and good. Just follow his orders withour fail for rapid relief. Any simple cut takes atleast a week time for complete healing and varies if infection s there.So have patience take medication and be cool. Good luck"
},
{
"from": "gpt",
"value": "Target: What is the recovery time for bacterial infection being treated with Amoxyclav?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my first dose of chemo taxotere, carboplatin and Herceptin on Tues 10/9/12. Terrible joint pain over the weekend took percocet improved today. Rectal itching. Steroids given before and after. Will I always have this joint pain? I will take 6 rounds q3 wks. Herceptin will continue for 1 year. What is causing the rectal itching. I have prep H but not working. Please talk to me. Kris from MN Doctor: Hi there, Joint pains are expected side effect of taxotere but rectal itching is not an usual symptom.Do you mean peri-anal itching or actually rectal itching? One can take antihistamines for itching for symptomatic relief. If there is fungal infection of skin of perianal region, one may need antifugals as well. Prep H is a good medicine for some inflammation in anal region. Do continue using it and speak to your doctor if itching persists. Take care"
},
{
"from": "gpt",
"value": "Target: First dose of chemotherapy, terrible joint pain, rectal itching. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 93 year old mother of a daughter in Seattle, WA who just fainted a week ago out of the blue after putting up with an 83 year old husband who has a bad heart....he won t go for rehab just to give her some relief. What causes this , stress, or what Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are 93 and sudden onset fainting at this age should be investigated properly. This can’t be ignored. You should visit a doctor for help. ECG should be done to rule out cardiac cause. Imaging of brain should be done to rule out any brain causes. Through there should be no serious thing but you should visit a doctor. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Does stress cause the sudden onset of unconsciousness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 29 and recently I have noticed an elongated lump on/between my Labia majora and minora. It isn't visible and you can really only tell its there by feeling the area. Its about 3cm in length and feels soft like its filled with fluid. It isn't painful but it has been there for over three weeks. What could this be? Doctor: Hello i share your concernthis could be a bartholin cyst as per your medical historythis develops due to obstruction in the duct draining the bartholin gland leading to collection of its material within the gland and produces a lumpin my opinion you should consult your gynaecologist for examinationif it's not bothering you much can be left untreatedsymptomatic lump can be corrected surgically by procedure called marsupialisation or labiaplastyhope this addresses your questionwishing you good health"
},
{
"from": "gpt",
"value": "Target: What can be the enlogated lump between the labia majora and minora?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with lymphnode tb 20 days back and I have started taking the medicines as prescribed by Dr. My chest X-Ray was clear. However since past 8-10 days I have been having cough. Would that mean that TB bacteria had infected my lungs now and it could be tb of lymphnode and lungs both ? Doctor: Generally TB bacteria first enter the lungs and spread to rest of the organ from there. Yes it could be tb of both lungs and lymph nodes but the treatment remains the same for tb anywhere."
},
{
"from": "gpt",
"value": "Target: Does cough while having lymph node tb indicate tb in lungs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been running a fever for about 3 days. It started like a cold but has progressed to aching all over back pain lower rightside & headache. Ihavebeen taking nyquil which lowersmy temperature toabout 101.6. I havebeenwondering if I should go to there? Doctor: HI,It seems that you might be having viral infection giving this problem.If it is not alright within a day or two, there might be having bacterial infection as well.Then go for one antibiotic medicine course for 3-5 days.Menwhile you can continue with Nyquil medicine as and when required.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Is cold followed by pain in back and head with fever serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had some tests run on my heart, stress test, echo graham, and the one they take pictures of your heart. I had heart surgery 17 years ago and since then I have suffered with afib. Not too bad, only about 3 bad episodes which they were able to correct in the ER. After having these tests, I suffered a afib event which I went to the ER for. They sent me home not getting my heart rhythm back in sink. They told me to see my primary doctor the next day. I went to see him and he told me that I was not to worry and I could go ahead with no restrictions. They do have me on warfarin. My issue is, I have been having a pulse around 115 and my blood pressure has jumped up at times to 188/98. This has been going on for 10 days now. How long do I wait to go back to the ER? Doctor: Hi Welcome to HCM.I can understand your concerns.You can start using Betaloc and Telma after consulting your doctor.Post your further queries if any Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high BP and pulse rate"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 13 year old son been running a fever & has a cough since last week Tuesday making it a total of a week today. He does not state is having trouble breathing. Took him to ER on Friday this past week Dr. stated lungs sounded clear said did not need a chest Xray ears looked good as did throat was advised to just medicate for fever. Took my son in to Drs office today because I was worried since Monday night had fever of 103. At Drs office temperature was 99.5 i was told same thing lungs sound clear ears fine throat fine & to keep medicating if fever consist. Came home & again had fever of 101.3 which I gave him ibuprophen. Im really concerned not knowing exactly what going on being that he is having these fevers & to my understanding fever means infection what do you suggest I do next? Should I take him for a 3rd opinion since he was seen by Physicians Assistant & not his actual pediatrition or can this be viral & just let run its course? Doctor: HIGreetings from Dr.Divakara.PThanks for posting your query. Fever indicates Infection , either bacterial or Viral. It needs to be differentiated as treatment is different for both. She requires certain blood tests like Complete Hemogram, IgM Typhi dot, Smear for Malaria, SGPT,SGOT, Urine routine and Throat swab culture sensitivity. With the results of these tests we will get an idea of what is causing fever. Till then continue giving him Ibuprofen . Ask him to do salt water gargling . Avoid oily food , non veg food and citrus fruits. Kindly get these tests and revert back with reports."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fever and cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My partner has major heart palpitations dizziness blurred vision chest pain.had chest xray and blood test other day and came back clear.but now has beta blockers and today suffered palpitations chest pain dizziness and pain in left arm what does this mean Doctor: Hello dear, thanks for your question on HCM. I can understand your partner's situation and problem. Beta blocker is known to cause dizziness. But we need to rule out cardiac cause first. As palpitations, left sided chest pain and arm pain are seen mostly in heart disease. So better to consult cardiologist and get done1. Ecg2. 2d echo3. Stress test.If all are normal, then no need to worry much for cardiac cause. Your partner might be having anxiety. So better to consult psychiatrist and start appropriate treatment."
},
{
"from": "gpt",
"value": "Target: Have chest pain, dizziness and palpitation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on Levathyroxine, and have now had a second 3 day spell of very high blood pressure, palpitations, irritability and shortness of breath. Previously I ended up visiting the emergency dept. at hospital, who said my dose had been increased too rapidly. It stabilised, and I increased the dose (over 3 months) gradually to 0.50mg, then latterly to 0.75mg. After having the same (albeit not as severe) symptoms I reduced back down to 0.50mg, then later this week I continued to feel unwell, so this weekend I've reduced to 0.25mg. After 2 days of high blood pressure (155/109), I feel ok now. But I'm worried about the damage this is doing to my heart/increased risk of stroke? Been to various doctors and they are not listening? Doctor: i can understand your worries. as your blood pressure was high only for few days , it is less likely to having significant damage to your heart or brain. your high blood presssure is likely due to inappropriate thyroxin dose . so consult your family physician or endocrinologist. they will arange TSH /T3/T4 for you. according to results they will decide appopriate thyroxin dose for you . when you taking that appopriate thyroxin dose your blood presssure will come down to normal values."
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure and palpitations while being on levothyroxine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: had an unprotected sex on 23rd july 2011 and on the previous day my menstruation stopped. After having the unprotected sex i did not have any medicine to terminate the chances of prgnancy. Recently 1 week ago i had unprotected sex but that time i had one I-pill for the same. I have my menstruation date on 15th of this month, August. Today is 9th and still there is no chances of the same. Hence i would like to know that is there any chance for me to get pregnant? please help. Doctor: Hi there,I will suggest you the best possible treatment options.As you might be aware that in a woman with regular cycle,days 10 to 20 of the cycle is the most fertile period of the cycle. If you happen to have unprotected sex activity in this period, you have chance to get pregnant. As your first sexual activity was not in the fertile period, you will not get pregnant, due to that episode. Secondly, if your second episode of unprotected sex activity was in the fertile period,then you stand chance to get pregnant. But if you have taken emergency contraceptive pill within 24 to 72 hours of the unprotected sex activity,it will act to prevent the pregnancy. I will suggest you to wait till, your expected date of the cycle,and if you happen to cross your dates,then please get morning's first sample of urine tested for pregnancy. in case of any doubt, blood beta HCG test and USG will be of help.I hope this answer helps you.Thanks.Dr. Purushottam Neurgankar."
},
{
"from": "gpt",
"value": "Target: What is the chance of pregnancy after unprotected sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had 2 herniated discs in my neck removed two months ago and my voice has been affected. I have soreness on one side of my throat and often it is an effort to speak as though I have laryngitis. My surgeon is telling me this will go away in time, but I am concerned. Any thoughts on this would be appreciated.Thank you.Shirley Gialanella YYYY@YYYY Doctor: O understand your symptoms. spinal nerve injury which result from herniated disc doesnot affect larynex and has no effect on functions of organs above upper limbs. I hope you become well."
},
{
"from": "gpt",
"value": "Target: Could the soreness and difficulty in speaking be due to the herniated discs in neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor, i just have a question to ask. my cycle is 19 days normally and ive been like this for a good few years, my doctor found out in 2008 i have polycystic ovary and now im trying to concieve he put me on clomid . He told me to take it on my second day of period for 5 days. My last period was 12th april and i started taking the pill on the 13th of april for 5 days finished on the 17th of april, and my period have stopped then. Now is 30th of may and still havent had my period yet, i have two pregnancy test and it says negative. But i am having symptoms of my nipples been hurting for about a week, and i am getting discharge regularly for 2 weeks. Can you please get back to me what shall i do? My doctor have given me norethisterone tablets to start my period again. is this normal reaction after taking clomid? Doctor: Hello. Thanks for writing to us. An overdue period with a negative pregnancy test is more likely to be due to polycystic ovaries rather than due to clomid. Clomid is not likely to cause such a delay in the periods. You need to take norethisterone to have a withdrawal bleeding as advised byu your gynecologist. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Trying to conceive, polycystic ovary. Taking clomid. Missing periods, pregnancy test negative. Taking norethisterone. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear mam,i am suffering from neurology problem from past two years.i usually get strained when i walk long,when i turn around suddenly,when i get stressed mainly during exams,.....i will have a feeling of giddyness or whether my brain is becoming weight on what side i bend...this is my problem..i have already many neurologists..but no use..so i am expecting from you for the right solution......please Doctor: How come you know that this is neurology problem? Has it been diagnosed?"
},
{
"from": "gpt",
"value": "Target: neurology problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5 month year old is constantly itching his eyes, they water too. At first we thought he was getting lotion we were putting on him on his hands but we have been very careful with that since we learned that could be the issue. He is aggressively itching his eyes. Any suggestions? Doctor: Hello, By what you say I feel that you are son maybe having an ocular allergy. I suggest you use Cromal eye drops or sodium cromoglycate eye drops for him regularly, one drop in each eye every 8th hourly once for a period of 4 to 6 weeks. But this is a prescription medication and you will require a doctor's prescription for it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for itching in eyes of a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother has dementia possibly due to alz. Doctor back home put her on medication to slow down the dementia. She is now staying in Marco for the winter and needs diagnosis of cause and meds changed higher dose and to the patch. Someone recommended she see a neurologist. Is this correct? if not what type of doctor should she see. Doctor: HiThanks for using healthcare magicDementia is a neurological disorder which progressively lead to dementia. Ideally. dementia is treated by neurologist. If in your mother case, Alzheimer's disease is cause of dementia, then drugs could increase the symptoms rather than cause it. There are certain drugs like tricyclic antidepressants, H2 antagonists, certain antibiotics etc. just check the drugs which have been increased by doctor. Thanks"
},
{
"from": "gpt",
"value": "Target: Is it correct to increase dosage of medicine for dementia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffering from dyspnea. I have problem of bronchiectasis for years. I was on antibiotics on and helped me but as time goes I am suffering in serious problem especially my left lung area affected. I have thoracenticis during my younger age was drained fluid on my left lung chest area on my back. Now my dyspnea problem is getting worst and I am 60 years old now. Previously I had an x ray and pleural effusion was seen. I was taking Lasyx 20 mg and antibiotic . Do I need surgery? What shall I do now? I have a continuos thick yellow, pink or green early morning and getting worst of dyspnea at night due to cold weather. Doctor: Thanks for your question on HCM.Bronchiectasis is chronic disease with waxing and wanning characteristics. Surgery is the last option and practically possible in only few cases like1. Isolated lobe involved2. Chronic Infection with resistant bacteria3. Good lung function test4. Absence of any disease in rest of the lungs.5. How fit is the patient yo bear stress of the surgery.So all the factors are considered before surgery.Better to follow these steps for Bronchiectasis. 1. Inhaled bronchodilators2. Pulmonary rehabilitation with chest physiotherapy snd deep breathing exercise.3. Expectorant and mucolytic drugs4. Pulmonary vaccination with pneumococcal and h.influenzae vaccines."
},
{
"from": "gpt",
"value": "Target: Is surgery needed for severe dyspnea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, at the top left of my mouth, the tooth at the very back has all of a sudden began rubbing against the flesh above it, as though it has come through odd, it hasn t recently come through but has only just started rubbing, it is leaving a very large and sore dent in the flesh and it s getting unbearable. I am 22 and never had any problems before. Doctor: Hi, Thanks for asking the query, Due to physical trauma caused by tooth you must had developed a canker sore on the cheek mucosa . Apply mucopian or dologel oral ointment over the affected area this will relieve the pain .Use saline water gargles 3-4 times a day to give a soothing effect . Use antiseptic mouthwash like chlorhexidine to prevent infection and promote healing of the wound . Maintain a good oral hygiene and avoid the site to be infected . Visit to a Dentist and get the checkup done , look fot any sharp borders causing trauma get it trimmed . Hope this helps out. Regards..."
},
{
"from": "gpt",
"value": "Target: Tooth rubbing against the flesh leaving a sore dent. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: subtle nodularity is deen within subependymal regions of left lateral ventricle, and possibly the rigth lateral ventricle which may represent subependylmal herotopia. what does it means? Doctor: Hello!Welcome on HCM!Regarding these MRI findings, I would explain that they indicate a malformation of the brain structures, present since birth, which may be the cause of the clinical situation. Does the patient have epileptic seizures?These types of malformations usually lead to epilepsy, which is not controlled by antiepileptic drugs. I recommend consulting with a neurologist and a neurosurgeon, to consider the possibility of surgery if the patient has intractable seizures. Hope to have been helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What does the following illustration mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had dull achy chest pain on the left side for about a week now. It was worse the first time it happened, on Sunday, and occurred more frequently throughout the day. Now it happens once or twice a day at random times. It may be psychosomatic but i sometimes have a weird feeling in my left arm. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since your chest pain is on left side and is associated with left arm discomfort, we should definitely first rule out heart diseases. So get done ecg, 2d echo and stress test. If all these are normal then no need to worry for heart diseases. This kind of pain is also due to psychosomatic issues like stress and anxiety. So avoid stress and tension, be relax and calm. Don't worry, you will be alright but first rule out heart diseases. 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 frequent dull chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I mastrubated and ejaculated in my hands. Then I washed my hands twice with dettol soap and then dipped my hands in diluted liquid dettol and then again washed with dettol soap.After 30 mins I fingered my girlfriend. Is there any chance of her getting pregnant? Doctor: DearWe understand your concernsI went through your details. With the explanation and procedure you gave here, I can be 100% sure that your girl friend cannot be pregnancy. Sperm dies within minutes in room temperature and normal atmosphere. Sperm only survives within vagina. Secondly you had washed your hand thrice using soap. Sperm cells die immediately the moment it comes into contact with soap molecules. No need to worry. Your girl friend cannot become pregnant.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes pregnancy without sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My child is 6 years old and has already lost 5 baby teeth. 3 of the lower adult teeth have erupted and are up maybe 1/4 of the way or so. The lower teeth seem a bit yellowish (more so than they should be even for new adult teeth). The surface of the teeth also seems a bit rough. My child has been treated with antibiotics (azithromycin, and oflaxacin) multiple times over the past 7 months and was also put on flonase nasal spray and oral zyrtec for the past 3.5 months. Should I be concerned that her teeth will all be this way and they won't ever look normal? Doctor: Hi..Thanks for the query..As per your complain yellowish appearrence of the permanent erupting teeth along with rough surface can be due to enamel hypoplasia in which there is defective mineralisation of the teeth leading to soft surface as well as roughness and yellowish discolouration..Many a times the enamel is normal but it is thin enough so that the inner layer that is dentin that is yellow in colour gets more clearly reflected from the transparent enamel surface and gives yellow appearrence to teeth..As her teeth have not yet erupted completely, it is not appropriate to give a specific diagnosis as of now and you should wait for her teeth to erupt completely and then only it can be evaluated and treated accordingly..You can send me images of her teeth once they erupt completely so that I can advise you how to proceed further for her management of yellow teeth..Hope your query is resolved..Regards."
},
{
"from": "gpt",
"value": "Target: What causes yellow discoloration on the lower teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My LFT figures include high levels of SGPT ..71, Total bilirubin ...1.42, Direct bilirubin...0.21 and indirect. .1.21. I am overweight but physically very active. My age is 43. I also have mild pain in left abdominal area. Could it be a case of non alcoholic fatty liver . I neither drink nor smoke. I am a vegetarian but enjoy eggs and cheese. Doctor: Hello, In the absence of alcohol,high SGPT is seen in patients who have elevated cholesterol and triglycerides, those who are overweight, and in diabetics. If other causes of liver disease are ruled out your liver condition is most likely NAFLD. Do the following for three months and repeat the test.If it doesn't become all right.then other causes for high SGPT must be explored and you have to consult a gastroenterologist for that. Regular aerobic exercises for 40 minutes a day avoiding junk foods like maggie,noodles,pasta,pizza,white bread,burgers and colas. Consumption of green leafy vegetables and fresh fruits suited for diabetics. Avoiding deep fried and fatty foods 6.. Take super B complex vitamin along with 1000 mg VIT C,once a day 7.. Keep your weight in your required BMI range. As far as pain in left side of abdomen is concerned,it may be due to various reasons and you have to consult a physician for that. Thanks"
},
{
"from": "gpt",
"value": "Target: LFT figures include high levels of SGPT, mild pain in left abdominal area. Is it due to non alcoholic fatty liver ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 6 years old and he had typhoid when he was 1. Now again he had typhoid and then a relapse. He has always been a bit on the thin side. He WEIGHS 18 KG at 6 years. I am worried about his health. Tell me please what to feed him. How do I make him have a full recovery. He is very choosy in food. Doctor: Give a lot of carbohydrates to maintain energy. If there's no diarrhoea fats can be given. Wheat, rice, maize, milk, cheese, emulsified fats, cream and eggs may be given but it should be lightly taken without spices. Food should not be undercooked or overcooked.You may also give herb Piper longum powder, Giloy satv or Guduchi capsules of Himalya herbals (Tinospora cordifolia powder), margosa powder and Jaundice berry bark juice as a first measure. These are harmless and safe and no interaction with other drugs. These will build immunity and cure also. All the things may be mixed in directed ratio or separately with honey.For any further query please feel free to contact through direct question anytime. Typhoid is typical to cure in systematic way.Hope the info is useful."
},
{
"from": "gpt",
"value": "Target: Suggest medications & diet plans for children with typhoid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter was playing with a very young puppy (8 weeks old) and the puppy was play biting her. Looks like a lot of scratches not deep bites at all but is it normal for bruising to occur as well? This was yesterday and today she has a lot of bruising from it. Doctor: Hi,As there are multiple bites and scratches she requires,ARV shots,Tetanus toxoid shot.Clean the part and apply antibiotic cream over the part.Consult your doctor and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bruising caused by puppy scratch"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My girlfriend donated her kidney 2 weeks ago. After a week she was sent home to recover but she was taken back to the hospital due to severe pain in her abdomen. SHe got operated again as they found perinotis.. what is it? Will she be okay. She got operated again and now she is in HIgh Dependency Unit from ICU... Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Peritoneum is the lining of the abdominal organs. Peritonitis is the inflammation of this lining which occurs commonly due to infection. This is a serious surgical condition and needs to be treated for it urgently.Since she has been operated for it already and is under medical care now, we can expect a good recovery. A course of broad spectrum antibiotics which she might be already on will hasten the recovery.I hope that answers your question.Regards,Dr.R.K"
},
{
"from": "gpt",
"value": "Target: What is meant by peritonitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2.5 year old daughter has been complaining of stomach pain after every meal. Her pediatrician thought that it might be because she is constipated. We resolved the problem of constipation but she is still complaining of stomach pain, even after she has her milk. Doctor: Dear parent, I understand your concerns but she might be suffering of gastritis which is inflammation of the stomach. you should give her a proton pump inhibitor as nexium eff. once before lunch. try to avoid fatty and spicy food. offer only soft easily digested food as soap, fruits, yoghurt, jelly"
},
{
"from": "gpt",
"value": "Target: What causes stomach pain after food in babies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Got a little excited with sex yesterday, lots of pressure and weight was put on my hips when ther were up around my shoulders, now the skin on the inside of my thigh down to my ankle is numb on left side. Do I need treatment or will this sort itself out? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern. This numbness is likely to recovery itself. You can get analgesic such as ibuprofen for pain relief. Mecobalamine is helpful in recovery of numbness lower limbs gradually. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in shoulders"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had a skin biopsy and my dr gave me oxycodone/acetaminophen 5/325 how long will it take to relieve the pain I had to do some walking for a while to get my check cashed and get the medicine I will be taking 1 tablet every 4 hours as needed I am done with the walking and will now be able to rest I am outta of work for a week thankyou Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Skin biopsy is a minor procedure and pain will last for only few days. You can continue Oxycodone/Acetaminophen until the pain reduces. You can do all your routine activities after two days of the procedure. Wishing you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How long will it take to relieve the pain after a skin biopsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I am 27 years i had TB 2009 but in 2010 suddenly i got blood coming with cough than i went to the doctor he got me some test & advice me some medicine, from the beginning i had inhaling problem as a symptom of TB but till now i am having the same problem some times which makes me frustrated. please help me with best advice Doctor: the most common reason for blood stained sputum post tubercular infection is post TB sequelae (bronchiectasis, cavities, etc) but active infection can also be a problem. get a chest xray and sputum AFB stain done immediately.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to overcome inhaling problem due to TB"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Syrinx T3-T6, hx: C5,6,7 fusion and L5,S1 fusion. headaches, nausea, falling asleep, tired, left chest, arm, back numb and tingling. shoulder and neck pain and stiffness. Scheduled for EMG July 12 and brain / spinal cord MRI w/ contrast August 20. My PCP has only sent me an email and scheduled these tests.. I have not been advised of anything else... should I wait this long for the tests and when should I consult neuro... now or after the results are in.. Doctor: Hi, You had head ache, nausea, sleepy, tired , left chest arm, and back numb, and tingling. your tests are about to come long after. In the mean while i advise you to consult a nearby practiner for relief of pain. i to my patients with such symptoms prescribe, ofloxacin, paracetamol, and a combination of omeprazole and domperidone. Thank you."
},
{
"from": "gpt",
"value": "Target: L5,S1 fusion. Headaches, nausea, muscle pain and stiffness, tiredness. Possible causes ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 36 weeks pregnant an i went into the emergency at about 33 weeks, an was told i had a trace of protein in my urine. The doctor didnt think anything about it, so neither did I. I then went back to see MY doctor at a normal prenantal appoinment, and he was concerned because I had raised blood. We didnt think much of it because i had walked 15 mins to my doctors office an I havent done much excerise latley. Last night I looked up what protein in my urine could possible mean. What does this all sounds like to you? Doctor: The presence of protein in urine may be due to high blood pressure, diseases in kidney or liver. So check BP and liver and renal function tests. If normal, then repeat the urine test after 2 weeks."
},
{
"from": "gpt",
"value": "Target: What causes raised protein levels during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Out of nowhere earlier today, I started feeling a semi-sharp pain between my belly button and pubic hair. It lasted about 20 minutes or so. I didn t need to urinate, but I did so anyway. The actual voiding didn t hurt, but the process did, if that makes any sense. My urine was clear and I definitely do not feel like I have an infection. I ve had a couple dozen in my life, so I m well acquainted with the symptoms. I ve not had symptoms like this before. The pain subsided, but if I press on that lower middle part of my belly, it is a little uncomfortable now, but not painful. Doctor: Hello, Cannot say in your particular case, but generally, the underlying cause of the pain is the more relevant problem in this case since pain relates to urination something of the urinary system seems likely and this can be bad if not treated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain near the belly button"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HelloMy name is Sofía Castillo from Concepción, Chile. My mother was diagnosed with Pancreatic Cancer about 9 months ago, she had a Neuroendocrine Carcinoma in the tail of the Pancreas, it was very located so the doctor was able to resect it and about tree other lynph nodes where the cancer had spread. In December of 2012 she had routine exams where she had a PET CT and it revealed that everything was all right and she was cancer free. About two weeks ago she had another routine PET CT and this one revealed that she has meths in her liver, and not just one tumor, so this time is inoperable. Is a really agressive Neuroendocrine Carcinoma type KY67. She is starting Chemotherapy (etoposide and cisplatin chemotherapy) this week so she is able to prolong her life. The thing is I would like to have a second opinion and we are not able to travel to the USA... My questions are...- How long does she have.- What are her chances of living Doctor: Hello Welcome to healthcaremagic. Neuro-endocrine tumor are uncommon tumors and ompared to common cancer of pancreas-adenocarcinoma ,they have relatively slower course and better outcome. It is unfortunate that your mother has aggressive type of tumor because she developed metastasis in relatively short time. Most appropriate treatment of hepatic metastasis for lung term survival is surgery. But since her tumor in not operable she should undergo chemotherapy with frequent assessment in between to see if tumor shrinks and becomes operable. Although it is difficult to quantify her life because every person has different disease course, statistically survival in patients with hepatic metastases is 2–4 years. Regards"
},
{
"from": "gpt",
"value": "Target: Have neuroendocrine carcinoma. PET shows liver metastasis. Starting chemotherapy. Want second opinion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 42 year old woman and have been having intermittent chest pain for several months now. The pain is noticeable but not severe. The pain is mostly on the left side of my chest but is sometimes on the right and is sometimes on the far left near my arm and not the mid chest - it seems to move around. I do not have severe shortness of breath but just a little. I went to the doctor a few months ago and they did an ECG and told me I have PVCs but not to worry it wasn't a problem. I sometimes get a little light headed at times too. There is no family history of cardiac problems and I am otherwise healthy. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. PVC (premature ventricular contractions) is not a problem if patient is asymptomatic.But in your case, you are having left sided chest pain which is intermittent. So we should not neglect PVC s in your case. So better to consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and Holter monitoring (24 hours continuous recording of Ecg).You may need anti arrhythmia and other cardiac supportive drugs on the basis of reports. 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 intermittent pain on the left side of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Earlier today i was at work spraying sanitizer out of a spray bottle when my middle finger on my right hand got locked down and it was really hurting my arm. i tried and tried to move my finger up and it wouldn’t work. i had to forcefully open my finger with my left hand. and when i looked at my right arm it was really swollen. the swelling has gone down but when i make a fist with my right hand it hurts my whole forearm, what is going on? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain and swelling in the arm can be related to local inflammation like tendonitis or a muscle spasm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal"
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling in the arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir i m from bhavnagar,gujratI m a patient of Nephrotic syndrom M on 10 mg omnacortil on alternate days basisI usally done my report mean kideny profil n reports a normal always My urine rrports are normal n my s.cr. Was always comes 0.7,0.8,0.9 usealyBut from last two times my s.cr. Comes 1.0.1.12Kindly plz explain me Doctor: hi you are a patient glomerulonephritis (nephrotic syndrome): Nephrotic syndrome has many causes and should do a kidney biopsy to find out which type is it or what treatment is required creatinine also increase in glomerulonephritis showing kidney injury so either omnicortil is enough or now we will do follow up creatinie level of yours and direct to whether add immunosuppresants again kidney biiopsy.dont worry its a pattern of every glomerulonephrtitis ....you are following that so follow your nephrologist he is going fine as well as you take care"
},
{
"from": "gpt",
"value": "Target: Nephrotic syndrome. Kidney profile normal, different urine reports. On omnacortil 10mg. Explain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i completed my course of krimson 35 and i got my period before 7 days of my period and i taken metfromin diamet andfolic acid b-9 5mg but i am getting bleeding after 14 day of my period what is the reason i want to concieve please tell me what is the problem i completed my course of krimson 35 and i got my period before 7 days of my period and i taken metfromin diamet andfolic acid b-9 5mg but i am getting bleeding after 14 day of my period what is the reason i want to concieve please tell me what is the problem Doctor: Hi Welcome to HealthcareMagic I think you are suffering from polycystic ovarian syndrome (PCOS) for which these tablets are prescribed . In this condition there is hormonal disturbance due to which there is no ovulation from ovaries and periods get delayed. also there may be excessive hair growth or acne ( Androgenic symp) . These tablets have been given to you to regularize your periods and decrease the symptoms. Krimson-35 suppresses ovulation and changes cervical mucus. It is often also used for the treatment of severe acne and hirsuitism in women. While taking this medication you will not be able to conceive. May be your doctor will give you medicines to ovulate soon, once your periods become regular and there ll be chances to conceive. take care."
},
{
"from": "gpt",
"value": "Target: Why am I getting periods after 14 days after taking metformin diamet ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has had pain in his right testicle for over a week. He went to the doctor yesterday to be checked and the Dr. said it could be ???? seal. We couldn t understand what he said but he said it s probably just a pulled muscle.\\, and not a hernia. Do you know what kind of a seal he meant? Doctor: Hi dear. I had gone through your query. .Seal is not a medical terminology. It could be anything. But you have to consult specialist for better evaluation. Pain in testis mostly due to trauma or injury.2nd common cause is infection. It may be due to varicocele. Your doctor may be indicate this. Color doppler will help you to diagnosis.So consult urosurgeon and go for color doppler. Analgesic with antibiotic will help.Still if you have a query then feel free to ask. Happy to help you further. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes pain in the testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: It feels as though I have an air bubble under my knee cap. It is painful and at times non-weight bearing. This has been consistent for nearly 24 hours. Is there something I can do to help the air dispurse? I have tried heat and as much movement as I can stand. I got a little crack from applying heat, tried again and nothing. Doctor: Hello, It can happen when the tendons or ligaments snap over the bony structures in the knee, torn cartilage, or osteoarthritis. If you don't feel better after some days make MRI. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Blerina Pasho, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Why do I sense an air bubble under knee cap?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i'hv got all the 4 ov my wisdom tooth pulled out 2 days ago...pain has lessened but my face has swelled up like a pumpkin and i do feel penetrating pain along the right side of my head moving upwards.and i am told not to eat hot and solid food.what should i do? Doctor: Thanks for using Health Care Magic.Read your query.The pain and the swelling will gradually subside .I would advice your to continue the medicine pain killers and antibiotic prescribed by the surgeon correctly.Do not apply hot bag externally , though you can apply cold compress intermittently.Do saline gargling ,but not vigourously .Keep good oral hygiene and stop smoking if you do by any chance.If the swelling increases or pain is out of control ,please report back to your dentist office so that he will have a look at it.Hope this was of help for you and wish you a speedy recovery.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: What causes penetrating pain along right side of head after taking wisdom tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In September my SGoT was 87 and my SGPT was 119. I was having abdominal pain so they ruled out gall bladder issues. I've had a CT scan, MRST and multiple blood tests. I have had no other issues since September. I am 5'6\" and weigh 158. My doctor suggested I lose weight and drop a clothing size, but he also wants to do a liver biopsy. I'm really not comfortable with that. Is it really necessary if I don't have any other symptoms? Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).Your BMI is 25.5 which suggest that you are overweight. There are some common causes for deranged SGOT and SGPT which one should undergo (If not already done).However you still need to investigate for other causes for elevation of transaminase levels like:1. Alcohol if you are taking then please avoid it2. Other common and treatable causes like Hepatitis B and C virus, Serum ceruloplasmin for wilson disease especially if you are young, ANA and SMA for autoimmune disease3. Lipid profile and Ultrasound abdomen to see for liver echotextureIf all these are normal then most likely cause is NASH (Non alcoholic steatohepatitis). For which you should:1. Do reduce your weight by diet and exercise2. At least 30 minutes aerobic exercise per day3. Low fat diet4. tablet Ursodeoxycholic acid and Vitamin EUsually if SGOT and SGPT are deranged and remain so for at least 6 months and all tests are negative (that is all causes are ruled out) then liver biopsy is done. In you I don't thing it is required at this point of time because:1. Cause in you may be NASH2. Only 3 months have passedI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon."
},
{
"from": "gpt",
"value": "Target: Have pain in the abdomen, SGOT and SPGT was tested. Have been advised for a liver biopsy. Is it really required?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: If a 17 week old is both developmentally and physically on par with a 5 month old, and she s acting as if the half-formula/half-rice cereal bottles aren t keeping her fed, is it too soon to give her baby food between bottles in the morning and evenings? Doctor: Hello, It is ideal to start complementary feeding after completion of 6 months, that is 180 days. Early introduction of solids will lead to some complications like indigestion, allergic, colic, etc. You can wait for a few more weeks to start it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Rajmohan, Pediatrician"
},
{
"from": "gpt",
"value": "Target: When to feed baby food?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother has had her blood pressure taken today which read 220/120. Last week it was 200/100. She has been taking blood pressure tablets for a year or so. I am concerned that it is so high. Her doc has prescribed more hypertensive drugs to take alongside the one she currently takes (ramapril). Doctor: Hi, Thanks for your query. Her BP is still high and any reading above 160/100 mm Hg is dangerous. I feel you need an emergency evaluation and treatment. Please visit an ER or a cardiologist at the earliest for further management of her BP. Let me know if I can assist you further.Dr Vishesh"
},
{
"from": "gpt",
"value": "Target: How dangerous is prolonged high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a grade ten student doing a project on lung cancer, and I am wondering why people cough when they have lung cancer? Also, can you please offer insight on why lung cancer patients feel chest pain and cough up blood? Thank you very much! (: Doctor: Hi,Thanks for writing in.Cough is a reflex action by which the body tries to throw out anything that is stuck in the air passage or any focus of irritation in the lungs.When a person has a lung cancer, there might be irritation of the small airways and larger airways. By coughing the person is trying to expel the contents in the lungs, bronchi, trachea or throat. These are the different areas which might get irritated and coughing helps to clear the passages and make the person feel better. In lung cancer there is destruction of the smaller passages and lung tissue. This leads to irritation and stimulation of nerves that carry pain sensation to be brain. Due to cancer the blood vessels also get affected and open up and the patient coughs out blood. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes severe cough in a person suffering with lung cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir, my lower right shin received a bad hit few weeks back. It became swollen, red and is numb. It hurts if you press the area and it feels a bit heavy when i stand. I have visited an orthopedist and followed his instructions. He told me to apply a warm wet cloth in on the area and keep it elevated. The shin cured a bit but a few days back it became worse than before. What is your advice? Doctor: Hello,I have studied your case and i think that you have a soft tissue injury with blood collection in this region. I would suggest you to continue with hot water fomentation and apply compression bandage. Also you can take NSAID like brufen for pain and swelling. Avoid standing for long time and when you are sleeping keep your leg is elevated over pillow.I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks"
},
{
"from": "gpt",
"value": "Target: How to treat a swollen shin caused by trauma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old is suffering from cough, blocked nose and fever. I gave him cetirizine 5ml, chericof syrup thrice through the day and meftal-P suspension 5 ml at night. Hope that is fine? also, when should i get him tested for dengue or swine flu that is in the air? Doctor: HiAfter going through your baby's history it mostly look like viral fever.You have already given him supportive medicine like cetrizine which is decongestatnt and will help in blocked nose. Dose of 2.5 ml twice a day is sufficient for your baby considering his age. Meftal P is for fever. dose of it 5 ml can be repeated every six hourly if required. If your baby has not high grade fever then you can give it as and when required.Chericof is combination formula which is for cough, congestion,blocked nose and anti allergic. Dose will be 2.5 ml three times a day.I will suggest that if your baby has moderate symptoms then use only chericof and omit cetrizine.If baby has persistent high grade fever with rash, body ache, poor appetite , low platelet count then only test for dengue.For swine flu testing baby should have high grade fever, very bad throat,loose motions, vomiting,breathing difficulties etc.i will advise you to consult pediatrician before doing any investigations for more focused investigations.Hope this helps you."
},
{
"from": "gpt",
"value": "Target: When should I get my baby tested for dengue and swine-flu?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI! My concern is that I have a pain in my upper back on the left side around the lower part of my neck. Not necessarily around the shoulder, and when I hunch just a bit I get a burning pain that I believe is in my muscle in that area. It started when I was gardening and bending over for about an hour at a time. I understand that it wasn't very smart but now it is happening just when I am standing. Ibuprofen does not seem to help. I have tried heat as well. Could this be an ongoing issue or is bedrest a better solution (which of course I cannot do at this time)IS there anything over the counter I can use to help? Thank you! Doctor: this is a muscle spasms and you need analgesic like iprofen and also you need muscle relaxant 1 capsule every 6 hours for 4 days and hot foment at this area."
},
{
"from": "gpt",
"value": "Target: What could cause upper back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 24 yrs old married for 4 yrs now trying for a baby since a six months now.could you please suggest a good gynecologist in vapi. Doctor: Hello khushboo; welcome to HealthcareMagic Since it is just 6 months for your marriage you can wait for another 6 months as medically infertility treatment is required when a couple stays together for more than a year and inspite of unprotected sex they do not have pregnancy.Few things you can try like do intercourse every alternate day from 10th day of start of your period to 21st day of your periods;keep lying for at least 2 hours after sex and do not get up immediately.If you do not conceive then you can consult a Gynaecologist.There will be many Gynaecologist in Vapi and all will be equally competent so you can consult an MD Gynaec near by. Thanks"
},
{
"from": "gpt",
"value": "Target: Please suggest some good gynecologist in Vapi"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel warmth radiating in my chest area. It does not bother me to take a deep breath. the warmth is felt above my breast bone. Thanks! But I think I will go to the local Doc. My insurance covers the bill and I am not sure if you are real or just someone looking to make a few bucks. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Warm feeling in chest area is commonly seen with early lung infection and bronchitis.So in my opinion, you should definitely get done chest x ray and PFT (Pulmonary Function Test).Chest x ray is must to rule out lung infection. PFT is must for the diagnosis of bronchitis. If both these these are normal then no need to worry for lung infection or bronchitis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Why do I have a feeling of warmth in the chest area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir/madam, requested you sir ,i have one baby he is 5year old and he is listening just 30% and i treated in Pakistan but i am not satisfied and now i want to com in india and i treatment in india and i visit your website and i want to contect you pls send me yout cell phone no and hospital.this is my cell phone number 0000.tanks waiting for rply thanks again. Doctor: Hi,As you might be aware, hearing loss is not a single disease but a symptom of many conditions related to our ear. Actual treatment and prognosis depends on the underlying cause. I can give a more clear idea if i were able to review your previous investigations. In India, there are few excellent centres that I know (AIIMS New Delhi for eg), but before heading lets see what exactly is the condition.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for low hearing problem in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an intermittent sharp pain on the right side of my body, located under my ribs, possibly the liver or gall bladder area. These sharp pain usually last about 3 - 10 seconds. I have had an ultra sound done on my gall bladder and nothing was wrong. What could be causing these pains? Doctor: YOUR SYMPTOMS CORROBORATES WITH INTERCOSTAL NEURALGIA FOR WHICH YOU MAY NEED ANALGESICS AND LOCAL INTERCOSTAL BLOCKS IF NOT CONTROLLED WITH MEDICATIONS."
},
{
"from": "gpt",
"value": "Target: What could be the reasons for having intermittent sharp pain on the right side of body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 9 months pregnant nd yesterday I had a sonography reports are showing 14*15mm size anechoic cystic lesion seen in spleen in baby...what does it mean doctor said this is normal no need to worry after delivery we ll do 1 sonography of baby is it normal nd ok?? What shud I do.... Doctor: Hello,Thank you for trusting HealthcareMagic for your health concern Splendid cysts found in baby is usually benign There is nothing to be worried about. Most cyst will disappear within first 3 months after birthHope this answers your questionPlease address further questions here Regards Dr.Lekshmi"
},
{
"from": "gpt",
"value": "Target: How can an anechoic cystic lesion seen in the spleen of the baby be treated?"
}
]
|
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