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[
{
"from": "human",
"value": "Source: Patient: SIR, MY DAUGHTER IS 5.7 YEARS OLD . SHE IS DIAGNOSED WITH PVL . FIRST TIME SHE GOT SEIZURE WAS AT THE TIME OF BIRTH , EXACTLY ON 3RD DAY AFTER HER BIRTH. IT WAS NEARLY FEW HOURS. THEN AT THE AGE OF 1.5 YEARS . BUT BOTH OCCASSIONS, FEBRILE. BUT LAST YEAR SHE GOT SEIZURES BUT AFEBRILE. SHE GOT VOMITING , BODY TIGHTNESS, TIGHTENING OF TEETH AND LOST CONSCIOUS. THEN WE CAME TO KNOW THAT SHE IS SUFFERING WITH PVL. NOW SHE IS UNDER MEDICATION WITH VALPARIN 200 MG (5ML/THRICE A DAY SHE GOT SEIZURES ON MAY 2014 EVENTHOUGH TAKING MEDICINE SHE AGAIN GOT SEIZURES ON 26TH JULY 2014 IN THE EARLY MORING HOUR IMMEDIATELY AFTER WAKE UP BUT THIS TIME CONVULSIONS OCCURED , NO VOMITTING, NO TEETH TIGHTENING, AND IMMEDIATELY RECOVERED WITHOUT TAKING MEDICINES. BUT AFTER THAT, SHE FEELS SLEEPY, VOMITING SENSATION, HEAD ACHE. NEUROLOGIST PRESCRIBED LABOZAM 5 MG HS. SIR I WANT TO KNOW THAT BECAUSE OF THIS, IS THERE ANY POSSIBILITY OF MENTAL DISORDER OR BODY DISFUNCTIONING. PLEASE HELP ME SIR WILLIAMS YYYY@YYYY Doctor: Hi williams..by looking at your child history, it seems seizure disorder secondary to birth asphyxia (PVL - periventricular leukomalcia)i need you to answer some of the following questions..1. preterm or term delivery?2.any problems during pregnancy?3.what was the birth weight?4. baby cried immediately after birth?5.normal or caesarean delivery?6. how is her developmental mile stones?7. is there family history of seizure disorder?your child requires EEG and MRI brain. your child requires one more anticonvulsant drug to be added. if her developmental milestones are appropriate, nothing much to worry about mental retardation.kindly reply for above questions.regards- Dr.surendra.H.S"
},
{
"from": "gpt",
"value": "Target: Do frequent seizures cause mental disorder or body dis functioning in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my almost 4 yr old daughter goes to summer camp and recently developed a white spot on her cheek with some rash around the two cheeks and mostly on her neck. she has been scratching it a lot and now they appear to be more reddish rash like. the white spot on her cheek has a reddish ring around it and seems more like a sunburn. Doctor: Hi, this appears to be insect bite. In insect bite redness and itching appears at the site of insect bite which usually have a dot at centre suggestive of sting. In my opinion, you should give hydroxizine syrup 5 ml PO three times a day for 3 days. I hope this will help you. Take care."
},
{
"from": "gpt",
"value": "Target: What causes white spots and rashes on the cheek of a 4 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother got a deep cut on her palm from a weighing machine. We gave her first aid and put on a bandage. After 5 days, it didn t seem to heal and also developed itchiness and redness all over her palm. So she went to a doctor and had tetanus shot and an antibiotic was prescribed.But she has allergy to certain medicines and now got a swollen lip. Also the itchiness is spreading all over her hand. What should we do? Doctor: Hi, thanks for using healthcare magicIt is possible that she is experiencing a reaction to the antibiotic that she was given.You may want to consider stopping and contacting her doctor to let him know it has been discontinued. He would suggest a substitute.She should be given an oral anti histamine to stop the allergic reaction, these are available over the counter.The application of a topical steroid would also help reduce the inflammatory response.If the oral anti histamine does not halt the allergic reaction, she may need oral steroids from her doctor.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for spreading itchiness and swollen lip"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 28yr old woman with an implanon implant in my arm. I have had 2 children and urinary reflux since i was born. The reflux seems to have settled down and i have had quite a few kidney infections in my life. usually it starts as a urine infection for a few days if i don't get onto it it can turn into a kidney infection. I had pains all of a sudden like kidney infection last night and went to the doctor today and there were no signs of a urine infection a fter i had taken ural but i had very high levels of protein in my urine. I undrstand i may need a blood test to test my kidney function but with my history it has never shown this before... can semen from the night before affect the urine sample i gave thedoctor? My doctor has been blazare about my condition before and am worried he isn't being thorough enough considering i have rather bad scaring on my left kidney. Doctor: Hi,It seems that you might be having chronic renal infection and might have affected your kidneys.To know position of kidneys and type of infection, you might require,1, Routine urine with culture and sensitivity test,2, Blood for S. creatinine, urea,3, Ultrasound of kidneys.Consult urologist and get examined and investigated.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to confirm a kidney infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,Im a 43 year old woman. I have anemia, it's at 9.8 and a sed rate of 70. I have had a colonoscopy and endoscopy to see if I'm bleeding internally. It showed I had polyps in my fundus. They were removed. I also just had my 2nd mammogram, now I need a biopsy. I have joint pain, mainly my back and one side of my neck. My Rheaumatologist suggest I keep seeing my Hematologist to check for cancer because she could not detect an autoimmune disease. Could it be cancer of fibromyalgia? Doctor: Hello and welcome to HCM,The cause of anemia should be sought.A complete hemogram with RBC indices should be done.In case the anemia is due to nutritional deficiency, you should take supplements.Iron deficiency anemia is common among menstruating females.A polyp in the fundus region can be the cause of excessive bleeding.If the symptoms are very troublesome, the uterus can be surgically removed if you have completed your family.What are the results of biopsy?If any lump is detected on mammography, a fine needle aspiration needs to be done.Further management will depend on the results of aspiration results.What is the result of colonoscopy?A sedimentation rate of 70 mm in 1st hour suggests a chronic disease process in the body.Kindly post your colonoscopy report.No history mentioned by you does not suggests blood cancer.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Have anemia, polyp in fundus. Done colonoscopy and endoscopy. Is it cancer of fibromyalgia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i consult a doctor about backpain, lower backpain and sometimes headache, i do alot lot of test. liver,kidney, and thyroid function test also ultra sound of the liver and a lot of x-ray of my spinal but all the test is good can you give me an idea what test should i do next. Doctor: Hi, Welcome to health care magic. After going through your problem my opinion is that you may be suffering from disc prolapse or some other spinal pathology. For accurate diagnosis please have an x ray of cervical and lumber spine, mri scan of whole spinespine, get few blood investigation such as esr, crp, cbc done. Hope your query get solved. Welcome for future queries."
},
{
"from": "gpt",
"value": "Target: What is the treatment for lower back pain and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Today, I went to the beach with my children. I found a sea shell and gave it to my 4 year old daughter and said You can hear the ocean if you put this to your ear. She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone! Doctor: Hi...usually hermit crab pinches do not require any treatment. If she has taken all regular vaccine shots as age appropriate schedule demands, nothing to worry about it. If she is in pain you need to give her some pain killers or paracetamol, that is all.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hermit crab bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 35 year old daughter had a CT scan that showed mild diffuse age-advanced cortical atrophy. What does that mean? She has some psychiatric issues that she takes meds for. She has had head injuries in the past as well. Any information will be appreciated. Doctor: Hi, thanks for asking from HCM.I can understand your concern. Your daughter is quite young for diffuse cerebral atrophy. Age related cerebral atrophy usually occurs after 60 years age. I suspect repeated head injuries as the cause of diffuse cerebral atrophy in her. Repeated head injuries can cause accumulation of blood and chronic ischemia of brain. It can result into progressive cerebral atrophy. If she had sustained diffuse axonal injury or/and acute subdural hematoma, the atrophy will be more.Now coming to its treatment, it can be treated symptomatically only. It is irreversible. With medication, we can delay its progression. You have mentioned about some psychiatric issues (details not provided). - You can consult a Psychiatrist for psychiatric illness. Counselling, medication and family support will help her in overcoming it.- Increase diet of green vegetables, almonds, fruits, fish to provide maximum nutrition and antioxidatives to brain. - You can also give her nerve specific vitamin like B12, folic acid, pyridoxine, Pantothenic acid, Benfotamine after proper prescription. It will take care of nutritional deficiency.- Some new cognition improving medications like Citicoline, cerebrohydrosylate can be tried after proper prescription. For memory, she can be given tablet Donepezil after proper prescription.- Music therapy, Yoga and meditation enhance the cognition and higher mental function. Hi, thanks for asking from HCM.I can understand your concern. Your uncle is suffering from multiple diseases like DM, pulmonary TB, Thalassemia minor and ependymoma. All these diseases can cause deterioration in patient's general condition. Thus worsen the prognosis of TB and ependymoma.Now coming to your questions,1 Spine surgery can be deferred for few weeks till 1-2 months. It is because your uncle is having ependymoma at terminal spinal cord. it is usually \"Myxopapillary ependymoma\". This ependymoma is grade I and carries a good prognosis. It is very slow growing tumor. Waiting for few weeks will not going to increase the size of tumor.2 Both are priorities. Pulmonary TB can be completely treated by anti-tubercular treatment. During TB therapy, patient can undergo surgery of ependymoma. Also you have to wait for decision of neurosurgeon who is going to operate him. If he thinks, patient is not fit for surgery, then wait.3 CT guided biopsy can be done after surgery. If his sputum was positive for TB, then there is no need of CT guided biopsy. 4 Prognosis of both diseases are good. Pulmonary TB is 100% curable if complete ATT is received. Ependymoma can be completely resected. Myxopapillary ependymoma carries best prognosis among ependymoma. Hope above answers will clear your doubts. Hope it will help you. If still in doubt, do let me know.Thanks. Take care.Dr Ishu Bishnoi"
},
{
"from": "gpt",
"value": "Target: What does cortical atrophy indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just received my lab results everything is normal except, my WBC is 13.3 has been elevated for over 6months, glucose is 102 with triglycerides 694, sgot is low 11 with blood in the urine is this s something o need to be concerned with? I have SLE lupus Doctor: high WBC indicate inflammation and high Triglyceride may be associated by diabetes. For me , concern is very high triglyceride. You need to see your physicians"
},
{
"from": "gpt",
"value": "Target: What does elevated WBC count with lupus signify?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good night i have been haing yeast infections on and off for yeas i did a paps mare and the result says abnormal bacteria . i have done test for std,hiv and aids they all came out negitave.my partner penis is often chafed and i also feel chafed inside and somtimes itching.i dont know what to do anymore i have tryed it all please help me Doctor: HelloI appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosisI would like further information to guide you betterYour age and complete medical historyI would advise you for few investigations like blood for hemoglobin CBC Liver function test , blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testYou may require a course of antibiotics or antifungal either in the form of oral drugs or vaginal pessariesMeanwhile maintain good hygieneHave plenty of fluidsUse condom for sex if you are sexually activeHope this answers your questionthanks and regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for recurring yeast infection of the vagina"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have recently noticed that I have some bumps around the shaft of my penis after masturbation. I do masturbate frequently and sometimes I feel that I don't keep my penis completely sanitary. The bumps seem to dissipate at times but then come back. I'm worried that they may be genital herpes. Doctor: HiThank you for asking HCMI have gone through your query.Genital herpes can be presented as cracked or red areas or blisters.In some it is accompanied by fever and lymph node enlargement.But a yeast infection can be mistaken for that as you may get somewhat same appearance.A physical examination with a dermatovenerologist will help to rule out that.Genital herpes is treated with antiviral drugs like acyclovir.Ointment of acyclovir is also used for local application.Medication helps to decrease the duration and frequency of outbreaks.Hope this may help you.Let me know if you have any further query."
},
{
"from": "gpt",
"value": "Target: could the bumps on the shaft of the penis be genital Herpes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother has had what they classified as a minor heart attack in the past. Earlier this morning he experienced needle like sensations in his hands, along with feeling nauseous, and later tightness in his hands - what he likened to a niacin flush. He's going to try nitroglycerin tablets to see if symptoms subside. Is that the best first step? or should he get to the hospital? Doctor: Hello,The symptoms you describe could be coming from his heart. It is fine for him to try a nitro, but if symptoms do not resolve immediately he should go to emergencyRegards"
},
{
"from": "gpt",
"value": "Target: What causes needle like sensations in hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have dry scaly skin on the back of both legs (calf)..and on both ankle bones..it will almost go away then return. I had a cream from dermatologist..i would use a rasp to scrape skin then put it on..and each day it would dissapear little by little..but keeps eventually coming back..what is it do you think? Doctor: Hi,You seem to have xerosis on both lower legs. It is characterised by dryness of the skin. There may be uneasy sensation or itching. There may be genetic tendency. You consult dermatologist and have blood tests to rule out DM, thyroid dysfunction,anaemia,HIV and other internal diseases.After thorough examination and investigations,your doctor might advise application of moisturiser containing liq parraffin and aloevera. Avoid soap bath. You may use dettol liq for bath. During bathing,you may massage olive oil. After few months treatment, you might improve.I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: What causes dry scaly skin in the calves?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for some time now,my sgpt and sgot were bit high and after a week,i checked and was both normal and today again its a bit high again and based on my last test result for hbv-dna result,it was 320 copies and doctor said no treatment at this sta and its already 3 months,what should i do next Doctor: Hi thanks for contacting HCM...You have done HBV DNA study .So here it seems to be you have hepatitis b.Do you have done your viral marker study.???Here your HBV DNA copy not increased.So drug antiviral not given....You have to avoid complication of hepatitis.Take more fruit and low fat.Junk food avoided.One tsp cumin seed with water taken daily in morning.Carrot ,green leafy veg salad taken more....Avoud alcohol.Low salt diet.Regular follow up needed.Take care.Dr.Parth"
},
{
"from": "gpt",
"value": "Target: Why does my sgpt and sgot keep fluctuating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 70 and a reasonably fit and active woman who still works part time. I have been taking Crestor 40mg daily along with a blood thinner (plavix) and blood pressure tablet (ramipril 5mg) since having a cardiac stent 8 years ago because of a single blockage in my left main artery. In the last 12 months I have experienced pain in my legs particularly when sitting for long periods driving. Recently I ve been getting muscle cramps in my lower legs during the night, occasionally severe. Could these be the result of the statin and should I take the co-enzyme q I ve just been told about? Doctor: madamyes statins can cause muscle problems.pls do this blood test serum CPK levels.u can decrease the dose of Crestor to 20 mg."
},
{
"from": "gpt",
"value": "Target: Does taking Statin causes leg pain in a heart patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I found a lump on the left side of my jaw bone. First it was soft and i was able to drink without a problem but now the lump grew, became larger in size and its spreading under my chin. When i touch it, its really hard and it hurts a lot, and now its becoming really hard to drink water. Can anyone help me? Doctor: Hi! Good evening. I am Dr Shareef answering your query.Based on your history, I would strongly recommend a physical examination of the swelling on your jaw bone, without which it might not be possible to reach at a provisional diagnosis, and decide on the related investigations for confirmation of the pathology. Therefore, I would advise you to consult a general surgeon/ENT surgeon for a clinical assessment followed by investigations and further management of the lesion.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful lump on the jaw bone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my wife has IBS and recently been fine. Just recently she threw up with a little bit of bright red blood. She had severe pains in her abdominal region. The main pain was mainly in the upper abdominal region. When i asked her how much it hurt she said 8 out of 10. Then the pain lessened to a 4 out of 10 within about 2 minutes. She said the pain was somewhat stabbing and pulsating. She is still feeling pain on both sides of her stomach but it is a low pain. What is going on and should i take her to the E.R? Doctor: Take Her to the ER.Blood in vomit ( Hemetemesis) is a symptom that needs to be investigated urgently.She needs to be admitted for observation, blood transfusion if necessary. Upper GI Endoscopy will give the diagnosis ; the causes can be Esophageal varicesCancer of StomachUlcer and related diseases of the stomachUltrasonographyA proper diagnosis will lead to the proper treatment"
},
{
"from": "gpt",
"value": "Target: What causes pain in upper abdomen and blood in vomit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my 6 year old son has had a cough and on/off temp for over a week now, i took him to the doctors to see the nurse yesterday as he developed a nettle like rash which only lasts a short while, it comes up on his ears, face, arms and legs. he is normally a healthy fit boy, he has mild asthma and is very sporty. what could be the problem? Doctor: this rash may b due to viral infection (viral exenthem) itself or may b due to drug taken if associated with itching.if child is not immunized for measles then this may b a possibility also."
},
{
"from": "gpt",
"value": "Target: What causes recurring cough and fever with rash in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: female, 42 years old, 5'8, 145 lb. I've noticed an oval red spot on my chest few days ago and didn't pay attention to it. I thought that it might be a bug bite. This morning I got a rash in my legs, arms, stomach and back. I'm trying to figure out what kind of new food I ate, but can't really tell. everything was normal. It does itch. need your advise pls. Doctor: Hello,Thank you for posting on HCM.The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query.Thank you Dr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: What causes a rash on the legs,arms and stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with a very large pneumonia about a month ago in my left upper lobe, I have been on 3 different kinds of antibiotics. I just received a phone call from my doctor with the results from my follow up chest xray and find out that the pneumonia has not gone away and is still about the same size. What should be our next step? She wants to put me on another type of anibiotic. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.You are having persistent lung opacity despite of antibiotic treatment.So possibility of these is very high. 1. Drug resistant infection2. MalignancySo better to first diagnose and then start appropriate treatment.Bronchoscopy and CT scan of thorax are advised in your case.Bronchoscopy will isolate the causative organism and guide about specific antibiotic therapy.CT scan will tell you if there is mass lesion present or not.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pneumonia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 9 mth old boy suffering from severe diarrhea for past 4 days. Is it safe to give him gramogyl suspension as i heard that its antibiotic action will kill useful intestinal bacteria also along with harmfulones. I also giving him enterogermis ampules twice a day and zincovit 0.5ml thrice a day. please help me. is the treatment going right way. Doctor: Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting, you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D drops once daily for 14 days) & ORS (each small packet mixed in 200 ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician). Regarding diet - You can use Cerelac - any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: How to treat severe diarrhea in infants?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, My daughter is 6.5 years old and she is suffering from cold, running nose and cough for the past two and half years. The cough is more at night and in the morning times. If she takes ice cream / cool drinks / using Mosquito mat, All out, coils, she gets affected by the cold & cough. She has got this problem since she joined her school. She was fine earlier till her third year. We have taken allopathic medicine for one and half years, but no use. We have consulted five pediatricians. They suggest, it is because of dust allergy / food allergy / allergy of using air conditioner / allergy of cold weather / allergy of citric fruits. What is the real problem? I don’t know the exact fact. I am afraid of using the allopathic medicine for long time due to its side effects. Now she is taking Siddha medicines for the past one year. Is it asthma / allergy / wheezing or any thing else? Will it be curable? Please help me. Thanks, Sundar.V Doctor: it is appearing that your child has allergic rhinitis, treatment is based on symptoms, no parmanent cure,will resolve with age, try to identify Allegra and avoid them"
},
{
"from": "gpt",
"value": "Target: What causes chronic cough and cold in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On March 11 I had surgery to remove my gall bladder . I was initially nausiated and dizzy but returned home the next day. On 3/13 I noticed this red rash all over my midriff and abdomen as well as on each of my sides. It looks like prickly heat but doesn t necessarily itch. I had hoped it would get better by now---one day past a week but don t think it looks any better. What could this be caused from: anesthetic , liver, bile , ? ? ? Doctor: Hi and welcome to Healthcare magic.Thank you for the query.well,this could be allergy reaction to skin cleaning substance or wounds infectionb if this is around the incision. I am sure it will subside soon,if not you may need some topical or systematic antibiotic treatment. Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Had gall bladder removal surgery. Red rashes over midriff, abdomen. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir! im not sure that i have thyroid problem or not! i'm 29 years of age. im having muscel , neck and joint pains. i'm trying to get pregnant. can i go for it without knowing that i have thyroid problem or not? how long it takes to cure thyroid problem? Thank u ! Doctor: Hello,It is better to rule out Hypothyroidism, so get Thyroid profile done and review with a Physician or Gynae/Obstetrics. For muscle pain, you can take a Good Analgesics after Consulting a General Physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rehana Fatima"
},
{
"from": "gpt",
"value": "Target: What causes muscle, neck and joint pains and should i check thyroid level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have 2 large painful lumps/bulges on the left side near my thigh and scrotum and they almost seemed like they are puss filled bumps but I am not sure. It seems like they are getting worse over the past few days and I was wondering is this some kind of infection or is it something more severe like a hernia that may require surgery. This seems to have just started happening about 4-6 days ago and seems it gets worse everyday as the bumps seem more painful to the touch. Doctor: Hi,It seems that there might be having some ingrown infection due to shaving or friction between scrotum and thigh.Go for one antibiotic medicine course for 3-5 days.Keep local hygiene clean, dry and airy,.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes a pus filled lumps near my thigh and scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor I am 47 yrs old and since I was 16 I used to have stones i my kidney (About 2 times per year) Last time a stone came out was 3 months but 2 months ago, I feel a renal infection which is not like b4. I do not know what is it. Could you lease advise. Thanks and Regards Doctor: Helo and welcome to HCM.As an Urologist, let me assure you that, all renal infections are treatable.You are a stone former, and should have had a metabolic stone work-up. The tests for this include, urine calcium,phosphorus,uric acid,blood creatinine,calcium,phosphorus,uric acid, and oxalates.A stone should have had a biochemical analysis also. What are your present symptoms, to suspect a renal infection.You see an Urologist, with reports of urine routine and culture,blood creatinine,uric acid,sugar and US-KUB,scan.If you want my expert opinion,you can send reports as a direct question.Dr.Matthew J.Mangat."
},
{
"from": "gpt",
"value": "Target: How to treat stones in kidney and renal infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my child is a female 11 yrs old all immunizations are up to date. with one round of hpv . She has had upper abd pain with nausea and vomiting some diarrhea , easily bruises, has also had a unexplained rash on and off for 6 weeks. She is obese but we have tried diets and she does exercise regularly, and is very involved in sports. she has had a us which shows her liver to be enlarged Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney.I have read your query in detail. I understand your concern.There can be some coagulation disorder, ITP or even vasculitis.I would like to see the rash/bruise. If possible attach a pic.Also get following investigations:1. Hemogram including platetlet count2. PT/INR3. aptt4. ANAThis is my best advice for you with the available details, if you have any further query, please ask us.Stay Healthy"
},
{
"from": "gpt",
"value": "Target: Abdominal pain, vomiting, diarrhea, bruising easily, random rashes. Ultrasound, enlarged liver. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am a physician (Internist), I received international question: 8 months old infant, was just diagnosed with SMN! deficiency. He is being fed, breathing, having BM, moves all extremities, I appreciate your advice. My Email: YYYY@YYYY Doctor: small the disease due to an deficiency is a disease with progresses to death and is not treatable. depending upon the degree of involvement there are 4 types and it depend on which type the baby belongs to explain the prognosis"
},
{
"from": "gpt",
"value": "Target: What is the treatment for second malignant neoplasms in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what are the possible reasons to explain why I experienced dizziness and fell to the floor injuring myself because I was unable to stand up or maintain consciousnessf after getting out of the bathtub? Did I faint and/or lose consciousness? what should I do to prevent this from happening again? Doctor: Hi,Thanks for writing in.Moments of dizziness can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain.The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate.Clinical examination of inner ear and vestibular system in the ear is also required.It might help to do a Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air. For this you might have to consult the ENT specialist.Dizziness can also occur due to stress related anxiety or overflow of emotions."
},
{
"from": "gpt",
"value": "Target: What could sudden dizziness causing unconsciousness indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello: I am 37 years old of pregnant on 2009 I gave birth to a premature boy baby on my 6 month he stayed for 20 days in the incubator intensive care but passed away .i suffered ....on 2012 I got pregnant again knowing that my last delivery was ceaserean and again on my first week of the the 7 month I delivered a premature girl baby who stayed 20 days in nice but sadly passed away ,no one can diagnose the reasons behind ,everything was normal my BP , blood glucose level ...I am depressed ,sad and it was ceaserean again.I need your help and advice I decided not to repeat to be pregnant again because it is heart breaking severely although I get pregnant so easily and continue till my 6 or 7 month in pregnancy.what I have to do Thanks to ur support Goiania Doctor: hi, preterm labor can occur because of many causes, the possible risks factors are elderly age group, either under or over nutrition, stressful life, strenuous activity etc, repeated preterm labor can be seen in case of structural abnormalities like incompetent cervix or uterine anomalies, chromosomal abnormalities, maternal infections can also lead to preterm labor, for more details and for preventive measures you can read my article: http://www.indiastudychannel.com/resources/144672-Preterm-labor-etiological-factors-pathology.aspx take care."
},
{
"from": "gpt",
"value": "Target: Depressed after losing premature babies. What care should be taken for the next pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My last period started on 22nd feb 2014.I had protected sex with my husband but the condom broke and i took idoz 72 within 12 hours on 3rd march.I got dark brown spotting on undergarment for 3 days from 10th to 12march.It was not continous but spotting and it was sticky.I have not got my period still.I had sugarcane juice once in last two days and also had papaya but not yet got my period.Am i pregnant?.They say ecp is effective if taken within 12 hours and i have taken within tht time frame.What would you suggest me to do?I and my husband are not ready for kids as of now.Suggest me home remedies to get periods. Doctor: HelloAs per your equerry it can be pregnancy and for conforming it you can consult an ayurvedic physician near your area , if it is delayed menses you can take raj parvartani vati 2 tab twice a day after meals, it will help you and for further equerry contact me at [email protected]"
},
{
"from": "gpt",
"value": "Target: What are the home remedies to get periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my eyebrows, Upper lip and chin threaded to remove facial hair. Now I have raised, red, fluid filled bumps that look like pimples, but they are itchy. I washed with cool water, tried hydrocortisone ointment, Took benadryl and even tried aloe Vera. Nothing is helping. Please help. Doctor: Hi,I can understand your concern for raised, red, fluid filled bumps caused due to threading eyebrows, upper lip and chin. I can make a possibility of Allergic dermatitis due to threading.In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than mutiple of days.The only precaution you must follow is not to touch, pinch pop or squeeze any of them other wise it can get infected and can cause complications. If I were your treating then would have prescribed a medium potency steroid cream application such as mometasone or fluticasone cream. You can take antihistamine benadryl or loratadine by mouth.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat raised, red, fluid filled bumps caused due to threading eyebrows, upper lip and chin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have lumps all over my knees, one on each of my elbows, one in the lower part of my pinky finger closest to my hand and the other is on the middle part of the same finger and it wraps half way around my knuckle and some in my groin area. They re all under the skin. At first my Orthopedic Dr. had said that they were cysts, then he thought Bursitis. He had told me that in order to have Bursitis you have to RA, ANA, or Gout. So, he sent m for blood work. The results came back and were negative for everything. The only thing out of the ordinary was my WBC. Instead of being 0-10,00, it was 13,800. I haven t been sick in months. My knees are very tender to the touch in certain areas and I cannot (I mean CANNOT) put my body weight on them. When I have to at work (I m a Busser/Hostess/Cashier) it s extremely painful. Walking and standing for too long is just as bad. When I accidentally hit them, it hurts really bad too. They looked bruised. I do not hit them often, but when I do it s not very hard and it hurts bad enough to make me stop for a second. They also look rash like and I don t scratch them. My elbows, finger, and groin area are not like this. It is just my knees that are this bad. My Dr. doesn t know what I have. He s has tried me on different meds to see what would work, anti-inflammatories, physical therapy....now I m on a steroidal anti-inflammatory. And if it doesn t work he is going to send me to Rheumatologist. I just want to help him figure out what it is. I don t want to hurt this much anymore because I can t even do my job like I use to 6 months ago and I should be. I m 20 years old and this causes me a lot of pain because I also have chronic headaches/ migraines (that Dr. doesn t know what I have either but we re not getting into that one). I m in a lot of pain because of whatever is going with me. It could be one more thing to cross off the list or that he hasn t thought of. Please help?? Doctor: DEAR , iam so sorry for you listen , most probably what you have is either SLE (4 signs out of 14 should present) or seronegative rheumatoid disorders(with negative workups)if i can examine you it would be better , but i suggest to go for a rheumatologist , a good one and suggest on him to start cytotoxic drugs as long as NSAIDs or high dose cortisone are not effective.hope you get better soon , kindly keep me updated"
},
{
"from": "gpt",
"value": "Target: Can migraine causes lumps over elbows and knees?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suffer from a chronic cough had been treated for allergies, nasal pharengeal problems, food allergies etc. I am still coughing. My side of the left throat is always tingly, my tongue seems to be like sleep and tingle and I cough all the time. One ENT doctor said that I suffer from stress that causes my cough, another said that I have nasal pharengeal myalgia. My allergies they said is not that bad. I am still coughing. I am 70 years 0ld and the cough is worsening. What is it? my e-mail is YYYY@YYYY Doctor: helloAccording to the history you should use steroids inhaler if not responsive than we can say cough related to stress.RegardsDr.jolanda"
},
{
"from": "gpt",
"value": "Target: What causes persistent chronic cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Whether surgery is a better option for getting relief from GERD symptoms; 2. In India, where is it performed; and 3. Is it a simple or complicated procedure. Doctor: Surgery is a onetime procedure, most people get relief and it is important in young people. Alternative is to take medicines life long with dietary and lifestyle adjustment such as: stop smoking, avoid fatty food, take multiple small meals, and avoid alcohol. Surgery is quite safe and most gastrointestinal surgeons can do this laparoscopically."
},
{
"from": "gpt",
"value": "Target: Better options to get relief from GERD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been under treatment for infertility related problem. I ve had IUI twice. But unsuccessful. My doctor has advised me for IVF . I m preparing for that too. But in the mean while I missed my period last month. Urine test suggest Negative. So, I m presently going through the course of Orgamed for the last 8 days. 2 doses are remaining, as per my physicians prescriptions. But from yesterday late evening I m experiencing a mild fever but huge body aches specially in my lower body. Please suggest which drug should I take to control this ache which is unbearable. I ve already taken paracetamol but almost no effect. Doctor: Hello. Thanks for writing to us. Since your periods are overdue and pregnancy test is negative, you need to have hormonal treatment for withdrawal bleeding. The symptoms you are having are likely to be pre menstrual symptoms and these will subside once the periods start. Meanwhile you can take mild pain killer like ibuprofen every 6t hourly. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Have unsuccessful IUI. Advised for IVF. Missed periods. On orgamed. Started mild fever and body ache. Concerned"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i got my last period on 5/18/2011 usually every month my period will postpone to 1 week. i tried for pregnency but from 6/14/2011 i got wet in my vegina. morning i did pregnency test, it came negative. i don't know what to do? i am 36 years old . height is 5.2inch and weight is 146 lb Doctor: Take a single tab of clomiphene for ovulation than go for unprotected sex you will get pregnant soon. So dont worry. Hope my suggestions helpful and thankful to you. Take care. I wish you wil be mother soon. Dont forget to rate me."
},
{
"from": "gpt",
"value": "Target: What causes difficulty in getting conceived?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had root canal done on tooth 30, 2 months ago .after 6-7 wks later tooth became tender on touch on top and side of tooth .my dentist sent me to endodontist .he cleaned root canal again 1 wk ago.when i touch top of tooth and side it is slight tender . gums do not hurt please advise .thank you Doctor: Hi,Thanks for posting the query, Pain after root canal treatment could be due to reinfectio, presence of any high point, any accidently left over canal.I would suggest you to get an x-ray done of the region , based upon which the treatmnet would be decided.Take a course of antibiotics and analgesics.TAKE CARE!"
},
{
"from": "gpt",
"value": "Target: What causes tooth sensitivity after root canal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I used to take femilon for last 2 years. Now I stopped taking the pills as we are planning for baby. I just wanted to know will femilon affect my fertility as i took it for long time? I am 27 year old, height 5.1, weight 43, and have regular periods.... Doctor: Hi,Hormonal contraceptives contains derivatives of female hormones, estrogen and progesterone. Hence, after stopping the drug, this drug will not affect your fertility. You may take one or two months for your cycles to regularise since your body needs to adjust to the new hormone levels. I would suggest you to start taking folic acid supplements since you are planning for pregnancy.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does taking femilon for long duration affect fertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I m 16 years old and I moved out of a very bad environment, a lot of abuse, neglect, things as to that and I ve been away for almost a year now but I m not getting better (mentally) I don t sleep much or at all, I get very paranoid, I see strange lights, I have nightmares, I hear noises that may or may not be there, I have a hard time focusing, when I fall asleep that I m back at that house I wake up screaming or crying I hear voices of my siblings crying asking my why I left home. Am I crazy? Will it go away? Will I be okay? What s wrong with me? Doctor: hi dear,what ever you describe suggestive of you might have paranoid schizophrenia and for that you must consult a psychiatrist for detail history and treatment.If possible go with one of your close relative who knows about you well.schizophrenia is psychotic illness and you should consult as early as possible for better prognosis.also medication and electro convulsive therapy works best.Thank you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for mental illness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My scrotum (testicle sac) has been constantly itchy for about a year now. I wash daily usually at least 2xs down there. Sometimes when I scratch or rub the skin I will scrape off dead skin? Hair follicles? or Little bits of something that i can't really tell what it is. It is not crabs! I'm 46 yrs old. Any advise? Doctor: Hi, This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes scrotum itching for a year?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my progesterone is 72 my doctoer wont give me clomid as it will give me false hope why is that Hi im 36,4years ago i had a laparoscopy & dye put through my tubes & found out i had a patent left tube & my right tube is fine..my progesterone levels were 72,i asked the doctor at the time if i could have clomid & they refused as it would give me false hope? how would it give me false hope?i have a 14 yr old daughter ffrom a previous husband & would love another child,ive done ovulation tests & they dont show when im ovulating :( the hospital said i can get pregnant on my own but may take longer,& the doc said my only chance is ivf which we cant afford,i feel like my time is running out & nobody will try & help me..my husband & i have been trying about 6months now,my periods are 28-35 days..im thinking of going to get a 2nd opinion ...any advice is very much appreciated..thanks for taking time to read this.. :) Doctor: Hi,thanks for query.You should take second opinion.You have got all right to know about your test results and planning of treatment.You should discuss this with your doctor.Clomid is given to induce ovulation in cases where there is no ovulation.Once you are already pregnant in past your chances of pregnancy are good as major things are ruled out.Please take a opinion,you should become pregnant.Bye."
},
{
"from": "gpt",
"value": "Target: Is there any treatment other than IVF to get pregnant if I have high progesterone ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a large softball size lump just below my knee, it has been there for many years and has grown larger as time has gone by. I thought it was a fatty tumor but the doctor said he didn t think that was the case. He didn t give me any idea what it could be except to say I needed to go to a learning hospital to figure it out. Doctor: Hi,Dear,Thanks for the query to HCM.I studied your problem in depth and I understood your concerns.Treatment for the lump on the knee-In my opinion this lump is -bursitis-of the knee.As you havent detailed the exact location, I would advise you to consult a ER Ortho-Surgeon for it proper diagnosis, at treatment would depend on the cause of the lump and type of the lump.So take treatment from your ER Ortho-Surgeon, who would treat it after due investigations and treat it accordingly.This advise is based on the facts from the history you give and needs further clinical check.Hence I would advise you to check with ER Ortho- Surgeon.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you.Hope this would relieve your problem.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a painful lump on the knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 43, female, about 179 lbs., 5'5\". Two weeks had bronchitis, seems to have cleared. Having symptoms off and on of feeling like asthma is flaring and food going down slowly through lower esophagus and chest and feeling of something at the base of esophagus sometimes. Have been taking OTC omeprazole for several days. Scoped several years ago, but only found to have gastritis, no reflux evidence on scope. No burning sensation or pain like heartburn. Doctor: as you are suffering from some difficulty in swallowing which is recent onset , first we have to make sure that you dont have a serious illness illness related to your oesaphagus and stomach. so we have to do urgent upper gastro intestinal endoscopy. we cant depend on an endoscopy down few years back .so pleasr consult a general surgeon urgently. he will arrange upper gi endoscopy for you to exclude serious illnessses related to your oesaphagus and stomach."
},
{
"from": "gpt",
"value": "Target: What causes discomfort in the esophagus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: please help..my mother is 55 years old..a diabetic patient..there are no specilized hospitals here..recently doctor told her heart is very weak and three parts in her body are damaged to some extent but did not give us proper details.we are planning to take her to hyderabad..can you please suggest which test should she go for? Doctor: Hi, Weak heart in a diabetic patient generally relates to underlying blockage in vessels of the heart. She could be having abnormal Kidney and Liver function tests which your doctor was telling you. So I will recommend you to first get all basic tests done like CBC(complete blood count), KFT(kidney function test), LFT(liver function test), repeat the 2D Echo. Once she is stabilized and her kidney function test return back to normal she will need a coronary angiography to rule out the blockage in vessels of the heart. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest tests needed to detect heart ailments"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old son has woke up this morning with what looks look tiny blood spots under his skin around his eyes, cheeks and even a few on his neck. They are not painful and this is not the first time this has happened-they disappear after a few days. Please could you possibly explain this. Doctor: Hello there,That is a very good question and is actually not uncommon. When a child comes to the office with the red dots, the first thing I ask is if they were recently sick with a cough or vomiting. Both of those actions can break the capillaries on the surface of the skin from the constant strain. If you send a picture, I can definitely take a peek to see more specifically what they look like and if he has any other symptoms.Hope to hear from you again!"
},
{
"from": "gpt",
"value": "Target: What causes blood spots under eyes, cheeks and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 8 month pregnant and in last visit my doctor has given ARG 9 sachet daily- 2 times, ALL 9 tablet - daily 1 time, Combirich- daily 2 times (contain 2 cap. in each dose), high pro powder - daily 2 times and estrafer-XT - daily 2. What is the purpose of ARG 9 and ALL 9 medicine. Isn t these medicines are too much. Doctor: Hi,Nutritional supplements required during pregnancy. ARG-9 contains essential micro nutrients that are required to support and maintain pregnancy, to prevent miscarriages, to improve placental circulation, to improve the fetal growth, and to control high blood pressure. ALL-9 contains multivitamins which are given to treat and prevent anemia during pregnancy. Probably these medications are prescribed to correct the underlying nutritional deficiencies during your pregnancy, so continue taking them as prescribed.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the purpose of ARG 9 and ALL 9 medicine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just yesterday my face started to become itchy. It isn t poison ivy because it isn t red. My face feels like there millions of bumps on it. You can t really see it but when you feel it, it is rough. What can I do at home(wash face, lotion) to get rid of it? Doctor: Using special herbs and oils, these therapies exfoliate the skin, making it soft and smooth. In the process it cleanses the skin and stimulates collagen formation, which combats cellulite. Aesthetics Medispa offer a range of scrubs to suit your specific Requirements and moods"
},
{
"from": "gpt",
"value": "Target: What is the reason for face being rough and itchy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir, my mom had a Kidney transplant an year ago. now a few days ago she got an infection ( E.coli ) due to which she suffered from fever . infection was sensitive to cefixime so zinacef 1.5G every 8 hours was injected for three days (still continued). now the fever n other physical conditions are fine except 80 puss cells in urine and pain in right old Kidney. Can it b that th right e puss is coming from the old failed kidney? Doctor: Hi. If there are pus cells in the urine the test to confirm infection would be urine culture and sensitivity. It is possible that the infection is in the old kidney. A review of previous records and an ultrasound or CT scan may help. Good luck."
},
{
"from": "gpt",
"value": "Target: Done kidney transplant. Taken Cefixime for E.coli infection. Now pus cells in urine and pain in old kidney"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected oral sex last night on my girlfriend (I am a female) I am also tongue tied so my tongue is very short and is uncomfortable to stretch it in general (it doesn’t go past my bottom lip). I woke up this morning and my frenelum was sore and there is a white bump on it, I’m not sure if this is from me stretching my tongue so far or if it’s an std. help would be appreciated. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It looks like there is inflammation and injury to the frenulum and the white sore is due to a canker sore formation. It can be due to other causes like eating lots of spicy foods, toothbrush injury etc.So my suggestion is to apply Lidocaine gel over it and do warm saline gargles. Take the soft diet and avoid spicy and irritant foods. Take a Vitamin B complex daily. Avoid irritating or stretching it further.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: What causes a sore frenulum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just recently I have experienced numbness in the front of my left knee. It will come and go almost instantly (2-3 minutes). I thought it might be cold weather but after feeling my knee-cap, it was warm. It felt as if it was cold; like I was cycling in cold weather. My knee does not hurt. I do a lot of walking/hiking/cycling. Doctor: Hello, It could be peripheral neuropathy.Consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes numbness in front of knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 16.5 year old son has an Alkaline Phosphatase level of 224 and all of his Pneumo Ab test came back low. Types 1,3,4,8,9,12,14,19,23,26,51,56,57, and 68 were performed. He also has a 267 on his EBV Ab VCA,IgG blood test. He recently had mono and was treated for it. Is he going to be alright? Thank you very much, Patrick A. Donnelly Doctor: Thanks for your query on health care magic.All these investigation reports are normal, means you should not worry about. everything is OK.regards- dr deepak"
},
{
"from": "gpt",
"value": "Target: What do the following test results indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently lost my virginity but of course I wore a condom. The last few times I masturbated I've noticed that my semen is a light green color like snot. This has been a problem even before any sexual activity. How can I fix this problem and should I be worried? Doctor: dear Sir.. the cause of the green colored semen is due to the presence of pus cells or bacteria in semen, most probably due to prostatitis...you need to see a doctor and get examined"
},
{
"from": "gpt",
"value": "Target: What causes green semen post intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 1 year old niece is having clay texture grey/white/yellowish stools. She was vomiting yesterday, but hasn't done more than spit up today. She saw a doctor yesterday who said the throwing up was probably just 'sour stomach', but my three year old nephew is throwing up today. Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Why is my one year old niece having clayey stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m 18 year old my height is 5 f and i m suffering from typhiod fever .i had become the victom of it before. when i was 9 year old and again at the age of 14 and now i m again suffering from it i want to know that can i eat yogurt and noodles during typhiod Doctor: Hello there,Typhoid recurrs due to exposure to a contamnated source of water or due to eating non-vegetarian food like eggs, fish meat that is not prepared hygienically.You can have yoghurt and noodles but preferably home made. Also as you will have bouts of lethargy and tiredness-Coconut water, bananas are beneficial to get rid of the tiredness. You can also have a diet that includes plenty of fresh fruits and greens and take care of your protein intake. Buttermilk, curd, whey protein can be added to your diet. Avoid oily or heavy food as it will make you more lethargic.Precautions that you can take is always drink water that has been sterlised. Either boiled or filtered. If travelling carry your own water bottle or drink bottled water from known brands. Do not have roadside food or chaat or even salads from street vendors.Hope this helps,Please feel free to ask any further questions, I will be happy to answer them,"
},
{
"from": "gpt",
"value": "Target: Can I eat yogurt and noodles during typhoid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i suffered from jaundice. when i tested the bilurubin level was 3.8. After that i started taking boil food and Liv 52 tablet .After twenty days when i tested the bilurubin level was 1.6 and again after ten days when i tested my bilurubin level is 0.9. Now i take a little oil in my vegetables and drink one or two pegs of alcohol. Is my bilurubin level now normal and should i take tablet for cure of my jaundice. if so what should i take. can i also drink one or two pegs of alcohol now. kindly suggest me. Doctor: Hi,Thanks for posting in HCM.You have just recovered from jaundice and your bilirubin level has touched normal. Kindly continue easy to digest carbohydrate rich diet for another 15 days. Avoid alcohol intake as still your liver is in recovery phase and alcohol can cause severe damage to the liver. You need to give sufficient time for your liver to start functioning normally. Hope the information provided will help you. Wish you good health."
},
{
"from": "gpt",
"value": "Target: What diet needs to be followed to stabilise bilurubin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter woke up two days ago with tiny bumps on her thumb and like a red rash on her chin. Took her to the doctor and they said it was a bacteria that reacted that way. The next day the tiny bumps turned into several pussed filled bumps. I have been applying the medicated creams the doctor gave me and its not working. They said the bumps should go away within three days. Its only been one day. But why is she getting worse? She is not itchy but they re there. Can u tell me more wat they could be? Doctor: Hi,It seems that she might have some allergic reaction due to some insect bite or some internal allergens.Give her a course of antibiotic and antihistamine like Benadryl or Cetrizine medicines.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Bumps on thumb, rashes on chin, redness. Was it bacteria?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have hypobammaglobulinemia. I began IVIg treatments about one and a half years ago. Usually, I feel much better after having one. An interesting side effect has been lowered pain from my degenerative disc disease. But this time, I have felt worse. I am having problems regulating my blood pressure, and I am exhausted. The last treatment was De. 28, 2011. I would apprectiate your ideas on future treatment. Doctor: Hypogammaglobulinemia can be treated by IgG replacement therapy. IgG is usually routinely administered intravenously (IVIG) or subcutaneously (SCIG). RegardsDR De"
},
{
"from": "gpt",
"value": "Target: What should be the treatment of hypogammaglobulinemia ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 31 yrs old,66kg, and i am trying to conceive, my Gyno gave me clomid to take for 5days but nothing happened. Now he gave me Duphaston 10mg to take for 10days,then after he will give clomid but this time he said he will double the dosage(Clomid). I am worried coz I've heard that clomid might lead to triplets or twins is it true? Doctor: Hi, it's true that clomid can lead to twin or triplets but the risk is not very high, around 6 to 7 percent. You can track your follicles growth by repeated ultrasound. If you have only one dominant follicle, then chance of twins is that of a normal pregnancy. When follicles reach a size more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days after your injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Are there any side effects of taking clomid for conception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had abdomen and pelvis ct scan because of severe stomach ache . We did pregnancy test that day it was negative but I m thinking that I am pregnant now . My LMP was 18th may and I did scan on 2nd june. Please let me know how harmful will be that scan . Doctor: Hi and welcome to HCm thanks for the query.it is hard to say. you need more detailed gynecologic and gastroenterolgic work up. this scan is not harmful and it may be very useful. tuill that try with easier diet adn standard painkillers.Regards"
},
{
"from": "gpt",
"value": "Target: What causes severe pain in abdomen and pelvis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 27 yr female, off late i am loosing a lot of hair..i want to get this treatment done and fix ma hair as i am a trainer and it embarrases me in ma looks...i would like to know are there any side effects in your treatment and how long would i have to do this, as i am really scared about all this stuff Doctor: HIWell come to HCMI really appreciate your concern, underlying cause of hair fall need to be known in female patient it could be due to fungal infection of hair root, second hormone changes third endocrine dysfunction and it need be managed accordingly till then condition can be managed with \"Minoxidile 5% solution and it can be used with no fear of side effect it is local application to be applied on scalp, hope this information helps, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor.My daughter is 5 years old and having problem of pain in legs doctor suggest for two tests 1. Haematology 2. Serology.As per doctor result is not good esr is 44 and aso titre is 400. What i have to do for my daughter. Is there any treatment or something alse please help me Doctor: Hi... I understand your concern. But the information you have given to me is minimal.The possibilities are - 1. reactive arthritis2. Post viral arthritis3. Acute Rheumatic fever - which can cause cardiac porblems.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What do these hematology and serology test results for leg pain indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: back question hello my my,name is Audrianna in 21 and 145lbs and im 5'4. I have serious pain in my back I've been through physical therapy and tried medication like gabatin or mobic which hasn't helped. Sometimes the pain shoots down my legs and hurts in my hips as well it hurts to bend down to pick stuff up and I cannot sleep at night. I have been back to the doctor and they can't seem to do anything. I've had mri and other imaging done they told me I had bulging disks and degenerative disk disease and my sciatica nerve \"acts up\" if you would call it that. I've asked for some other type if pain medication but they don't wantbto give me narcotics because of my age but my point is if it will help me and give me some relief then why not? I need some kind of help I'm in pain everyday and im tired of hurting I need advice on what I should do... Doctor: Many interventional pain procedure like Transforaminal epidural steroid injections, nucleoplasty, intradiscal water cooled RF, ozone discectomy etc. these procedure are cost effective , avoids surgery, avoids incision, avoids anesthesia and are usually day care with quick relief. If you are not benefiting from drugs like gabapentin, tramadol etc you should consult a pain physician for above treatments. Opiods are not given as they have lot of abuse potential due to chronic nature of your problem and it is medico legally not right. Do consult a pain physician to avoid surgery and getting quick relief ."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: WHEN TAKING A SHOWER I CAN NOT STAND UP STRAIGHT BECAUSE IT HURTS IN THE UPPER ABDOMINAL AREA - THE SAME APPLIES TO WALKING THE PAIN FEELS LIKE I AM DOING STOMACH CRUNCHES AND OVERDOING IT - ALSO I HAVE A HUMP IN MY BACK THAT MAY ATTRIBUTE TO THE REASON FOR THIS PAIN. IS IT SOMETHING THAN CAN BE CORRECTED - IT STARTED FEELING THIS WAY ABOUT 4 YRS AGO - I WALK A SHORT DISTANCE THEN I HAVE TO SIT DOWN AND CATCH MY BREATH FROM THE PAIN - IT S NOT LIKE A SICK PAIN BUT A PAIN THAT IS CAUSED BY SOME TYPE OF STRAIN Doctor: You should mention your age and sexHowever, Before going to treatment you have to investigate for followings:1. your hemoglobin level2. Ultrasonography of upper abdomen to exclude any hepatosplenomegaly or hernia3. The nature of the hump ?solid ? cystic ? bonyIf possible a FNAC test should be performed to ascertain the nature of the hump.regards,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain during physical movements with humps on back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 19 year old and i am facing the hair fall and hair loss problem ,i consulted with a dermitologist and he said that you have dandruff problem and he gave me a scalp shampoo and tugain solusion 5% but when i apply ot after 5min it started to headache , so what ahould i do and will it work? Doctor: Hello,Welcome to healthcare magic,Headache is one of the side effects of minoxidil solution. You may continue scalpe shampoo. Instead of Minoxidil you may use Biomimetic peptides at night. ( eg Kera XL Hair growth serum or Gaine Hair alfa hair growth serum or Grocapix gel).Hope this helped,Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for chronic hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell on my tailbone in Ice Hockey, pain shot up my spine and I got an instant headache. I got a full body check maybe 2 minutes after this and went flying. I have a bruised tailbone (of course) but also my neck is extremely stiff and has low mobility, should I be concerned? Doctor: Hi...Your neck pain is due to sudden insult to the spine and associated strong jerky movement in the neck...Because of sudden movement in the neck there could be spasm developed in the neck and may made you feel stiff and reducing the mobility...I recommend you to kindly do lot if icing both in neck and tailbone frequently..day once in every 2 hours for 15 mins..Avoid loading in the injured area...Support your neck while sleeping..If you have any Anti inflammatory medication previously prescribed to you ..can use them ..Hope this is helpful to youKindly revert back in case you need further clarification...."
},
{
"from": "gpt",
"value": "Target: What is the medication for bruised tail bone and stiff neck after injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My husband is suffering from severe Wheezing.Last month he got operated as a lot of flesh had grown. now he is able to breathe properly through nose,there is no problem in nose,but because of severe wheezing he facing problem to breathe and he is always tired and not interested in any kind of work.He is not at all enthusiastic.He is 32 years old. Is this a serious problem,whom should we consult,a physician or a ENT specialist? because of wheezing he also has frequent throat infections.kindly advice. Doctor: Albuterol inhaler or nebulizer should help.If he smokes- he should quitGet PFTf/u with pulmonary physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe wheezing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have release remitigh M S I am having my firstatta attactI think.Iam very jerking movements.Iam having a hard time holding things.I also have pain in my. Shoulder has sharp pains my hip also in dizzy. I recently broke my wrist and on pain pills I have stopped taking them .have chariot Marie tooth and antiphosph antibody antibody syndrome. What should I do?go to emergency room? Oh I also felon my hipand havingmajor pain in my leg also a Couple of weeks ago had exray and my hip is not broken Any advice? Input? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dear tremors may be due to Ms involving the cerebellum . Dyskinesia may present with CMT disease. May manifest as a tremor but rare. Antiphospholipid antibody syndrome may present like muscle pain weakness. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes body tremors, shoulder pain and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has recently begun combo chemoradiation therapy for cholangiocarcinoma. He has been nauseated pre diagnosis, with no meds consistently helping. He now continues with his nausea which I m not sure if it s really any worse since beginning treatment or not; however he is rapidly loosing weight due to not eating. We have tried everything possible but honestly he just wants to gag if you even put water in front of him. Would Sancuso 3.1 help with this kind of issue? Thank you Doctor: HiI would advise you to take tablet domstal 10 mg thrice daily before food for 1 week.RegardsDr de"
},
{
"from": "gpt",
"value": "Target: How can chemotherapy and radiotherapy causing ingestion nausea be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, Myself is Debasis , my father is admitted since 7 days in Hospital, in Mumbai city Mira road suffering for Disbalance/Vomiting... As per advising by the hospital doctor citiscan & MRI has been done...& found a small portion in brain having a spot.. Doctor: Hi,Thank you for posting your query.I have noted your father's symptoms and the MRI report.A spot in the brain is a very non-specific riding, and we need to know the detailed report in order to advise you better. If possible, please upload the MRI report here.It is possible that he has a small infarct due to lack of blood flow. He can be treated with medications and physiotherapy.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: How to cure the small spot on the brain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I sometimes choke on my sailva while awake. I have not been diagnosed with an excessive saliva condition and do not experience heart burn. Any suggesttions on how to make it stop? The coughing from the choke sounds horrible and gives people the impression that I am sick. Doctor: Helloi have read your query.plz mention your age.it can be due to several reasons like:tongue enlargement, orthodontic problemsMedication side effects, like certain anti-seizure or anti-psychosis medicines.Oral inflammation enlarged tonsilssome neurological disordersi wud suggest you to visit a dentist and a physician to rule out the exact cause.treament ll be dependent according to the problem.Hope this ans helpsRegardsDr. Shesh"
},
{
"from": "gpt",
"value": "Target: How can excessive saliva condition be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had all my wisdom teeth removed last Friday. I have minimal swelling and no bruising. I have just completed my 7 days of antibiotics but have developed fever spikes this morning. My usual temp is 97, I spiked to 100. Is this because of the extraction or something else? I only left the house yesterday for my doctors' follow-up. I'm taking clindamycin. 3 weeks ago my dentist put me on this because I got an infection from an impacted tooth, this started the process for surgery. I was on this for 10 days. It didn't give me a fever at all. After surgery I was put on the same antibiotic for 7 days. Would it affect me differently the second time? Thx for your help. Doctor: Hello,Welcome to healthcaremagic.Swelling post extraction of wisdom tooth has developed due to hematoma formation at the site of tooth extraction.Irrigate the socket with betadine and apply eugenol and lignocaine at the socket.Apply cold packs frequently.Swish with lukewarm saline frequently.Maintain oral hygiene well.Take adequate rest ,avoid anxiety.Smoking has to be avoided.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Minimal swelling after wisdom teeth removed, taking Clindamycin, developed fever spikes. Is it due to extraction ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hlw,i am trying to concive, i am married since 2010,from last 1 and 6 months we are trying for a baby but don't get result, now i am consulting a doctor she suggets me from 2nd day of menstruation ovulet 100mg 2 times, and day 15-25 0f a month have to take geston in day 2 time, i am taking this treatment. after taking this treatment almost my period must the day of 27, but in this month i don't have period, now what can i do??? Doctor: hi, i don't really understand the last section of your worry but i think if you have missed your period, you should do a prgnancy test to be sure before continuing your treatment. thanks"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Suggested ovulet. Any suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, I have a spot on the right side of my neck where a clear liquid comes out of it. Now, the weird thing is that I especially feel like the liquid is going to come out whenever I eat. I've been to a dermatologist and they did a biopsy, and that came back clear. But, after they did the biopsy, the liquid kept coming out. So they scheduled me for an encision. Well, they did the encision and still the liquid comes out. Before I went to the doctor, there was a little spot on my neck that you could barely see, but now, thanks to the biopsy and encision, the spot is bigger and definitely noticeable. I can tell the dermatologist is having trouble figuring out what it really is. Whatever it is, I would like for it to be gone. Please help. Any help will be greatly appreciated. Doctor: Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.you have mentioned that your initial biopsy Came clear and then you had excision and fluid is still coming out of that Scar or spot .The first thing is the establishment of the nature of this spot which is leaking fluid or whether it has communication with body cavities or not... Some skin tracks which in medical language we call Fistula which cause such fluid discharge ... one example of such Fistula is Chylous fistula but that occurs in cases of Neck region Surgery mostly ...Another Category of condition which is associated is Called Sinus..sinus has one open draining end and the channel ends in a blind ending. An example would be a dental sinus draining from a dental abscess to either the inside of the mouth or the skin.There is a huge list of their examples , the details of which will be difficult for your understanding ...You need to Visit ENT / Neck Surgeon , first to establish the root Cause of this condition and get treatment...Regarding your wound condition which you mentioned that Spot is bigger and Noticable, that can grow smaller after definitive treatment or you that can be managed by the Plastic Surgery people to cover. Hope this may help you. Let me know if anything not clear. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes pus filled blister on the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my grandfather, aged 86, was diagnosed with adeno carcinoma of stomach - grade III, 2 months back.He is undergoing oral chemotherapy. Recently he passed black stool. Is this serious? If so what does this mean? Doctor: Hi,thanks for query.Black stool means he has bleeding some where in his G.I. tract.This can happen because of ulcers or the cancer it self.Please inform your doctor about this.bye."
},
{
"from": "gpt",
"value": "Target: Cancer patient passing black stool, Is this serious ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I got bit more than 24 hrs.ago by either a bee or wasp on my arm, in 2 different spots & my arm is getting more & more swollen.....I m experiencing pain, muscle stiffness, & my ring & pinky are feeling numb w/pain....I ve iced it, taken Ibuprofen, & put antibiotic ointment on the bites....What should I do now to make it better? Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that add chlorpheniramine maleate and low dose steroid prednisolone tablet in your current treatment. This both drugs can reduce the swelling and inflammation caused by the insect bite. This much measures is enough to control your inflammation.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and swelling from an insect bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think I might be anemic but I do not know and I haven t been diagnosed. My symptoms are tiredness all the time even with enough sleep, being cold all the time, I ve always been very skinny, I have brittle nails, I bruise easily, I m physically weak, and sometimes I get lightheaded, along with a fast heart rate. Doctor: Hi, Anemia can cause all the symptoms you have mentioned. However many other conditions can mimic the symptoms. You can simply go for a blood routine test to check your hemoglobin status and confirm whether you are anemic or not. If symptoms persist, better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Does anemia cause fatigue along with low body temperature, dizziness and palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am having a sharp pain in my upper back. I have had the pain for about a week and I never had the pain before. Sometimes it feels like it goes down my side and into my abdomen on the right. I guess I am asking if this is a gas bubble? muscle strain or could it be an appendix thing? Doctor: Upper back pain is most of the time is a musculoskeletal pain from muscles spasm or sprain. This is obliviously not a gas bubble or appendicitis. I see many of the adults come to my clinic with such acute back pain after some vigerous activities n advice them avoiding vigorous activities and some bed rest with symptomatic treatment with painkillers n muscle relaxants for one or two weeks. If that does not help I advise xrays and an MRI accordingly. I hope it helps u. Wish u a healthy life"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp upper back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had a kidney transplant - 6 yrs. ago and recently felt like he had the flu except the high high fevers persisted so we went to the hospital. It has been 3 weeks and still the Infectious Disease people still do not have an answer but are giving him ceftazidine for pseudomanas aeuginosa (not sure of the spelling) as they have tried every test in the book and found that there was a mild culture growing for this subject matter. Still after 2 days, nothing has happened and he still is having the high fevers up into the 39.9 s - using Tynenol to reduce the fever at night. Do you have any suggestions. Doctor: Hi Welcome to Health care magic forum. To be frank there are a number of infections leading to the fevers. They could be viral fevers, urinary tract infection,eosinophelia,malaria, typhoid, tuberculosis, hepatitis etc. I advise you to consult a physician for diagnosis and treatment. You may have to run a series of tests for confirmation. Take more of green leafy vegetables, pulses, sprouts and protein rich foods to aid the recovery. Wishing for a quick and complete recovery."
},
{
"from": "gpt",
"value": "Target: Continued infections with high fever after kidney transplant. Any suggestions ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Were does it hurt when you have a rotary cuff tear in the arm. My husband fell 2 weeks ago, the shoulder feels fine, but the mid arm hurt and a lump is there. We had it xray and it showed no brake in the shoulder. We have been putting ice and heat alternating.and giving him ibproten. What else should we do? Doctor: Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my opinion if it is a contusion it will resolve with the foments ,ibuprofen , physiotherapy , massaging with a topical gel containing muscle relaxants ,anti edematous drugs for the swelling , arm sling , elevation of the hand would help if the lump didnt resolve within 10 days i recommend MRI for proper evaluation and management which if showed a complete tear to the muscle . .which may need endoscopic or minor surgical intervention, which i think in your case wouldnt need such interventions .Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask."
},
{
"from": "gpt",
"value": "Target: What is the treatment for pain and swelling in mid arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am diagnised with Tinea crucis yesterday, on both the buttocks, and prescribed Syscan-150mg tab once a week, for two months, KZ cream to be applied twice a day, for three months and Alaspan tab, once a day, for 15 days. Please confirm medicines advised to me are right. Doctor: Hi, The medicines advised to you are absolutely right. Do not forget to revisit your doctor after 15 days. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is the suggested medicine for Tinea crucis right?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Also come this April 2013 we will be waiting 5 years we were told that 5 years is just about the usual time if you do not get a new liver which my husband has not all the doctors tell us that my husband is much sicker than his meld score reflects. My husband is only 61 and I am tempted to try herbs and other things if that might help along with cleansing of the liver. What do you think ? Doctor: Hello, The Model for End-Stage Liver Disease (MELD) system was implemented on February 27, 2002 to prioritize patients waiting for a liver transplant. MELD is a numerical scale used for adult liver transplant candidates. If the doctors say that your husband is much more sicker than the actual MELD score,then it is very serious. There is no herbal medicine with proven scientific evidence,which can cure a end stage liver disease.There is no point opting for herbal medicine as that may deteriorate the condition even more.There is no way by which liver can be cleansed. You must try to get the liver transplant done as early as possible,as that is the only scientific and proven way,which can cure your husband. Thanks"
},
{
"from": "gpt",
"value": "Target: What to do to cleanse the liver. Will it get cured of its own?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a fungus infection according to the doctor and I tried three medications since DEC., last year but it is still annoying me. I have an appointment with the skin specialist on 13th Aug., but in the mean time I have rash which is so inconvenient and I cannot do the scratch always as the rash is in a very sensitive area. Is there any cream to keep the rash away until my appointment with the specialist.?????? Doctor: yes you can apply an antifungal and steroid combination cream twice daily for five days to relieve symptoms and see the doctor"
},
{
"from": "gpt",
"value": "Target: Skin rash in sensitive area. Having fungus infection, taking medication. Cream to remove skin rash?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My bf was kicked in the testicals about 2 yrs ago iv benn wif him for a yr n a half he got kicked that hard his penis swell right up to about 3inches longer than wat it is originaly now wen we have sex he has to rely on tkin sex pills fm the internet wud this prevent me fm gettin pregant Doctor: Hello,Maybe trauma may can cause local testicular damage. Once you get it done ultrasound scrotum and semen analysis. Then check weather his penetration is adequate or not.If above things are normal means there's is no doubt to became pregnant. But excessive using of pills may not good for health please consult your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What is the treatment for swollen penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had 2 disk replaced and 5 bone spures fixed, and my neck fused May 13. I woke up May27 with server pain in my left shoulder blade and upper arm, I also have pain on that side of my neck. My balance has also been off. I went to the E R , all they told me was the X-rays looked good. Meaning the hard where in my neck. The Dr. said he didn t know why I hurt so bad. I m talking an 8 an 9 on the pain scale. I was just to fallow up with the DR. That s not until next month. YA! I thought you may have some idea why I hurt this bad , and my balance is off. Doctor: the surgery has left many adhesions on the foramens of nerve roots compressing your nerves those supplying the upper arm and shoulder..osteopathy is helpful in conjunction with ultrasound therapy and static exercises in physiotherapy.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for shoulder and arm pain with disc replacement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My insurance with my job wants me to give them a description on how and why I recently got an abcess on my scrotom. I m not sure why it happens but I hate them and honestly wants to know also why I get them. Can you explain why I got a abcess on my scrotum near my groin. Doctor: thanks for your queryabscess in scrotum may be because of poor hygiene. if you have abscess anywhere in the body and scratch there and scratch the scrotum, chances of spread of abscess is common. one more reason is if you are diabetic, chances of abscess is more. please maintain hygiene and get your blood sugar checkedthank you"
},
{
"from": "gpt",
"value": "Target: What causes abscess on scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I was in a car accident on Saturday. We were in stop and go traffic and I was sitting in the back seat when a woman on a cell phone hit us going about 45 mph. I have pseudo tumor cerebri and had just recently gotten a concussion . After we were hit I spent the night in the hospital where they only did x rays of my neck and said I had whiplash and soft tissue damage. Three days later (today), I have REALLY bad nausea and diarrhea really bad which started the next day after the accident. With all the pain meds I should be constipated but unfortunately I can not stop running to the bathroom almost unable to hold it. I can barely eat, and although I ve been doing light movement, my neck and back hurt more and more each day but now my head is pounding my neck hurts and my arms and legs are hurting. I m EXTREMELY dizzy and almost lose my footing when I stand up and I feel like I literally lost my mind. I feel really stressed and can t remember anything. Should I go back to the ER or will all these symptoms just go away? Doctor: Hi, Thank you for posting your query. Your current symptoms of diarrhea is not related to the accident and head injury. It is most likely to be some sort of infective gastro enteritis. You should consult a doctor and get it treated. Part of your weakness could be related to electrolyte imbalance too. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: X-ray shows whiplash and soft tissue damage after car accident. Have nausea, diarrhea, back and neck pain, dizziness. Will these symptoms go away?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctorsi have a problem of hair fall it is not a genetic but my hair is too thin and too weak as well as the water here is not good please i want to know what the best medicine for hair fall and what should i do to make my hair grow back and become thickthanks Doctor: HIWell come to HCMI really appreciate your concern here you have not mentioned your age gender this was very important here, if you are male then this could be Male-Pattern-Baldness and in my opinion the condition can be best treated with Minoxidile 5% lotion, and this need to be continue for long time, for the female same medicine could be used, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my right side and back. Over the last 4 months it has grown in intensity and frequency. It used to come 3-4 days a month and now it is almost daily. Pain is 6/10 most days. My medical history includes Lupus and food allergies. Liver enzymes run on the high side but not high enough for my doctor to be concerned. Doctor: lupus is an immune disease that can attack many internal organs and tissues. The classic parts of the skeleton that can be affected by the inflammation of lupus are the peripheral joints - the joints away from the spine, such as the small joints of the hands and feet, the wrists, knees, elbows, ankles, and shoulders. Lupus commonly causes arthritis in these joints. The spine is generally spared from the inflammation of lupus.Lupus can cause neck and back pain, however, because muscles can become inflamed by lupus. Furthermore, the muscle pain syndrome called fibromyalgia that can cause pain in these areas is commonly associated with lupus. Moreover, cortisone medications that are frequently needed for lupus can weaken the bones of the spine, leading to breakage (fractures) of vertebrae. Also, a rare complication of lupus that involves inflammation of the spinal cord (transverse myelitis) can be associated with back pain.Finally, neck and back pain most frequently result from injury or wear and tear (degenerative change with aging). This is true in the general population and is also true for patients with lupus. However, there are many causes of pains in these areas, ranging from organ disease (such as kidney problems and others) to disc herniations. It is not possible for me to know what the exact cause(s) of your particular neck and back pain are. For this you must consult your doctor."
},
{
"from": "gpt",
"value": "Target: What causes persistent back pain in a person suffering with lupus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my cousin is 67 years old. She went about her normal routine today and in the early afternoon felt a lump near her elbow but with no pain and no rash. The lump seems to go away and then come back. Should she go to the ER or can she wait for us to visit with physician tomorrow? Thank you. Doctor: Hi.IF there is no pain, no redness and the lump comes and goes away, she can wait to visit Physician tomorrow."
},
{
"from": "gpt",
"value": "Target: Should I go to ER for a painless lump in elbow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i am 25years old female having genu valgum deformity in my both legs, doctors suggested corrective osteotomy in which they will cut a wedge of my femur bone to straighten my legs...i have the question that would it affect my height? increase or decrease it? Thanks in advance for your response. Doctor: It depends on the surgery. If it is a closing wedge osteotomy , you will have a minimal shortening, maybe 1-2 cm. If it is an open wedge osteotomy your height should theoretically increase. Nowadays only closing wedge osteotomies are done - so , yes you can expect a shortening of maybe 1-2 cm, which would hardly be noticeable."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for valgum deformity in legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is suffering from prostate cancer stage 4. recent ct scan shows it growing towards bladder and rectum. he already had orchidectomy 1 and 1/2 yr back and was on flutamide, was respoding well until recently. his psa is 15 and his histopath was poorly differentiated adenocarcinoma Doctor: Hi,Thanks for writing in.The PSA is calculated from baseline before treatment. A level of 15 is high but not too high. Stage 4 cancer prostate can have survival of more than 2 years with recommended treatment. Surgery cannot be done and other forms of treatment needs to be thought of. It will help to discuss chemotherapy and radiation therapy with the oncologist and plan the treat.Pain relief is most important for him and this should be stressed up on. Please see that he gets enough pain relief and depending on the discomfort he is given medicines adequately. The bladder function also requires assessment and please see that he does not develop urinary infection which can get complicated. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Suggest management of prostate cancer with bladder and rectum metastasis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m male of 49 years.16 years before i felld in hapititus B.After 15 days at that time hp B report was negative,Doctor diagnosed me that you have stone in gall baladder neck,so u have abstruct jondus.Now i m feeling well,but my test report on 10th jan 2011 tell me that i m suufering Hp B.My HBS Ag is reactive,ALT normal,HBe Ag is negative.Plz tell me about what can i do now? Doctor: hi.thanks for posting query at HCM.HBsAg can not be completely eradicated in a patient suffering from HepB.however, complications maybe prevented if proper medication is taken and proper diet plan is followed. even if HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.hope to answer your concern.wish you good n sound health.regardsDr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for stones in the gall bladder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I tried bioutique cleanser and toner since 4-5 days.. Got severe rash all over my face and some very tiny puss cells also..does fusidic acid,HHFUDIC( contains mometasone furoate and fusidic cream)Will help my problem along with episoft face gel, do I need oral antibiotics also? Plz suggest me Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems to be a reaction to the cleanser or the toner that you have been using causing Allergic Dermatitis.The steroid and antibiotic combination that you are using will help you , however the steroid based face creams and ointments should be used with caution and only under supervision of a doctor.You can continue to use the same and along with these creams you can also do cool compresses or ice packs over the face.You can also apply cooled aloevera gel for relieving the skin.Calamine lotion can be applied to soothe the skin.If there is itching you can take anti histamines like benadryl or levocetrizine.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: Suggest medicine to cure the rashes on face"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Not sure whether it s anything or not. I have occasional pain near the heart but a little closer to the cent of my chest. Also having some pain and discomfort and tenderness under my left arm down further to the end of my rib cage. Also having a little more the usual shortness of breath. Also an occasional pain and numbness and tingling in my left are only. I m 55 year old male that is about 20 lbs over weight with a mechanical Aortic heart valve. Had it since 2009. I m not as active as I should since having had two lower back surgeries and may have to have another. Still, I don t sit on my duff doing nothing. Any suggestions? Doctor: Thanks for contacting HCM. Dear patient your symptoms are typical of Angina i.e heart pain and should be evaluated and treated urgently. please go to emergency and get an E.C.G. done along with Cpk-mb and serum tropinins. You need to consult a cardiologist at the earliest. Regards"
},
{
"from": "gpt",
"value": "Target: What causes heart pain and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Dessy and I d like to ask you about my daughter condition, she s 6 months old baby ; has a persistance exzema on her face; its start 2 days after the second DPT+HIB+OPV vaccine. it s already 45 days per now. Do you have a tip how to eradicate the redness/ inflammation on her face. I already give her hydrocortisone 1% + physiogel cream for the last 14 days. (before that, her pediatrician give her advantan ointment + kamilosan cream). thanks before Doctor: Hi, As per your query you have symptoms of redness and inflammation on the face of the baby which seems to be a type of allergic reaction known as urticaria. It could be due to vitamin deficiency as well. Need not to worry. I would suggest you use a moderately potent topical steroid such as fluticasone, twice daily over the whole affected area and use it for 5-7 days. Wash the area with plain water and apply ice pressure on it. Visit dermatologist once and get it examined to find out the exact cause of lesion and start treatment accordingly. Drink plenty of water. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist"
},
{
"from": "gpt",
"value": "Target: How to reduce redness/inflammation on face of a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I've been having problems with my mouth.It started with a root canal.the next day the side of my tongue was swollen and I felt sick.Years later it's seem to be worse.its seems to go from one side to the other.when it's swells I also feel pressure on the eye on that side dizziness and stopped up ear.all of my blood work comes back normal,ER three times last yr. they think it's in my head .its not.i think it's something viral.please tell what I can tell my doctor to test for and what kind of doctor should I see. Thank You!!!!!! Doctor: Hello,Thank you for consulting with HCM.According to your symptoms it looks that the root canal which was done in your tooth has not been done properly, the swelling and pressure on eye which you are mentioning can be the infection only which is progressing.Better that once you should visit an Oral Surgeon get a full mouth X-ray done, which will show the complete area of infection.After that he will start the treatment accordingly.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes swollen tongue, dizzy, pressure on eyes after having root canal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr...my Sisiter in law is about 38 yrs age she past 7 years back she feel down from first floor and she got head injury and by tht time she got some brain clots and after a mnth treatment she became normal and nuro surgon also said ok for her health condition...from past 4 years she got depression and once we showed to a Psychiatrist and he prescribed Prodep 10 mg and slowly increased to Prodep 40 mg and Divaod...if we slowly stop giving her drug she is becoming nerves and she is becoming weak, last week she tried for suicide attempt also...some of the Dr is saying that Prodep is not gud for longer period...pls suggest us shall v use the same will it effect her health in long run if we continue using prodep 40 mg Doctor: !I have read your question carefully and can understand your problem. It is uaually to see such patients in clinical practice. first and the most important thing is that --- maintain strict vigilance of your patient as she tried committing suicide a week back, which is very dangerous. This attempt may be repeated again, so donot leave her alone. ---Moreover, try to keep sharp object, ropes and knives, chemical and any medicine away from her. ---Accompany her all the time as far as possible.Secondly, it was really irresponsible of the family to listen to anyone apart form the treating psychiatrist regarding the treatment, espically when she was getting better with medicines and stop them altogether. The medicines looks to be ok as far as I can understand the case from the details provided in the query.Thirdly, when you started removing the medicine slowly, you have seen that she was deteriorating , then you should have not done so any further without consulting the psychiatrist. Im not against stopping the drugs, but at the same time one needs to see the patients response during tapering the drugs. if the patients condition worsens, we donot taper further, or may be change to the medicine with lesser side effects.You have not mentioned why you were stopping the treatment in query. If your patients had clots after the fall, she may need Divaod for a very long time, may be life long. And prodep, if I had been treating her, I may shift her to some light medicine but would not try to keep her without any antidepressant.She needs medicines, and I would sincerely advice you to meet a psychiatrist. Hope the reply is helpfulFeel free to ask mo questionsDr. Manisha Gopal"
},
{
"from": "gpt",
"value": "Target: Weakness, depression and attempted suicide after stopping prodep and Divaod. History of having brain clots. Any suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a family history of CAD and I am hi stress with high cholesterol. Played Basketball for 1st time in year and had sever breathing problems for 45 mins after game with chest pains. Then had tingling down both arms. After an hour I was back to normal. Do you think this was a heart attack? Dad died at 49. Doctor: hino it was not a heart attack but it hwas a stable angina severe breathlessness on exertion is called dyspnoea onnexertion grade 2.adv2d echo to check the cardiac functionsactread mill test to rule out the functions of heart when stress is given any ischemia to heart will be reveled in these testsa pain or heaviness or breathlessness which relieves on tking rest is called stable angina! what you had was called stable angina,a thorough investigation is very importsnt tgank you!!! early hisytory of cardiac disease in family also supports the possiblity of angina!"
},
{
"from": "gpt",
"value": "Target: Does chest pain with tingling in arms indicate heart attack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have an infected puncture wound on the palm of hand. i went to the e.r. yesterday and they cleaned it, used a.b. ointment and bandaged it and sent me home. the swelling has not went down and is still leaking the same, maybe more. i need to know what i should do to care for it. i have no insurance as of now and do not feel llike they helped whatsoever. i have bandages and antibiotic creams as well as a bottle of 500 mg sulfameth here my fiancee got a while back, still in date. Doctor: Hi,Go for regular dressing of wound.Go for one antibiotic medicine course for 3-5 days.See that dressing is not touched with water or bad with dust or some hand work.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for infected puncture wound"
}
]
|
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