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{
"from": "human",
"value": "Source: Patient: 4 months ago had itching on hands and feet..antihistimines helped..one month later light tingling/pins and needles in hands and feet, paresthesia for a second here and there in various parts of body, nerve ending seem to be on fire.. weird sensation under my mastectomy site by implant and odd back sensations ( not pain) ..i never had cancer.. it was prophylactic.. all blood work normal..plastic surgeon, allergist and internist not concerned... one bout of numbness in pelvic area after trying neurontin .. went off that med..since had one more bout of it after taking an antihistimine (which i had stopped).. started having pressure in head 2 weeks ago (mri was normal).. after not having much itching or tingling for a while it is back full force.. i am scheduled to see a neurologist in a few weeks.. i may have sinus now but the head sensations are all over..light pressure (dont need advil)and I am petrified i may have what my mom passed away from..cancer in the spinal fluid.. i am just most scared of this head pressure.. unrelated the only med i am on is zanex ..the head thing is not severe..just dull generalized i feel well other than my intense anxiety..,. should I just hang in there and wait for my neurologist appt which is 3 weeks away? thank you!!! Doctor: YOU ARE ALLERGIC T MAY MEDICINES MAY BE YOUR IMPLANT CAUSING MULTIPL SYTEM PROCLEMSAS IMPLANT ID FOREIGN MATERIAL AND THESE CAN CAUSE ALLERGIESIN BODY WHE INPLANTEDTHERE ARE MULTIPLE SYSTEM INVOLVEMENT LIKE SINUSE ANDOTHERSYOU HAVE TO FIND CAUSE OF ALLERGY ON THESE GUIDELINES OF DRUG OR IMPLANT ALLERGUNUT SUTE CONSULY YOUT BEROLOGIST TO R.O OTHR FGNGS"
},
{
"from": "gpt",
"value": "Target: Itching on hands and feet, paresthesia, weird sensation on mastectomy site, pelvic numbness. Family history of cancer. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have epilepsy, I take Topamax twice a day, I also have diabetes. I get so tired during the day I fall asleep sitting up about 2-3pm. My diabetes is well under control. A1c's are 5-6. I have them tested about every 3 months. I do have seizures if I get upset or stressed or if I exercise. I have thyroid problems which makes my weight heavy. I do not eat much which is not good for my diabetes. Is there a better diet for me I should be eating? Doctor: Hi and thank you so much for this query.I am so sorry to hear about this diabetes and epilepsy. I have a strong feeling that your hypothyroidism is not well managed. This is because despite decreased food intake, you still complain of weight gain. Also, your fatigue is suggestive of symptoms of hypothyroidism. If your treatment has not been evaluated, I will suggest you get the TSH measured to see how well you are doing on treatment. At least, you know stress and getting upset would provoke seizure, try to stay clear of these provoking factors to spare yourself repeated seizure episodes. I understand it is not easy but then, it is worth it if you want a better quality of life.I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD."
},
{
"from": "gpt",
"value": "Target: What kind of diet should I take when suffering from epilepsy and thyroid problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a uretheroscopy 48 hours ago to remove a kidney stone lodged in the prostate.Everything is now well, no blood or pain when i urinate, however after masturbation i do not seem to have any semen whatsoever, during ejaculation there is only a small amount of clear liquid that is coming out My doctor has put me on antibiotics and a pill that relaxes the prostate so i can easily urinate, and tells me that the lack of semen is because of this , however i am not convinced.Is this normal ?? Please help.... Thanks! Doctor: HelloThanks for query .You have problem of what is called as Retrograde ejaculation .This is a side effect of the drug Tomsulosin that has been prescribed to you .There is nothing to be worried about .You will regain your ejaculation 24 hours after you stop taking Tomsulosin .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes lack of semen after ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father,87 years, in the past two weeks has been having severe leg pain in both legs. He has fallen three times, and is trying to get around with a cane now. He looks like his knees won t straighten when he stands, but no swelling. He had blood work done last week, but it was negative. Doctor: cannot really say without an exam. various possibilities (none of which would show on bloodwork) include a severe lumbar disk disease or severe circulatory problem. An imaging study such as an MRI would be helpful BUT frankly a simple exam can show if there is good blood flow and where the pain is coming from."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain in the legs of a aged man"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a Pet scan. I have numerous bright spots on both Kidneys and throat. I have been battling non-Hoskins lymphoma. I several lymph nodes removed three weeks ago. Results inconclusive. The reason for my PET scan. When showing images in a green-red-yellow, the spots show red. Has the cancer gone to my Kidneys? Doctor: Thanks for your question on HCM. .If PET SCAN shows hot spots in kidneys, there is high possibility of metastases in kidneys. Symptoms of this can be1. Blood in urine.2. Flank pain3. Protien loss in urine.4. Weight loss5. Tender of abdomen etc.So get done urine examination for this.For confirmation, renal biopsy is needed."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential cancer in the kidneys?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My four year old daughter appears on the stairs screaming with pain and scratching the area around her vagina. I grab the reading light and she shows me where it hurts. A little piece of white tread less than half an inch long is moving quickly around inside the vagina it is the first thread worm I have ever seen. she is stunned and i am shocked. and i remove the tread worm please treatment and define Doctor: Hi, The threadworm infection that you have seen in the vagina, have definitely come from the anus. This occurs due to the unhygienic condition. Start antihelminthic medications and keep the genital parts clean. Use soothing cream if irritation persists. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Himani Saroha, Pediatrician"
},
{
"from": "gpt",
"value": "Target: How can thread worm infection in the vagina of a child be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor I am 37 years old with wieight 107 kg.. I am currently suffering from severe cough. I have consulted a general physician and undergo few tests.It includes IGE Estimation which is 1499.I would like to know whats the root cause and treatment for the same. Thanks Abdul Khader Doctor: Thanks for your question on Health Care Magic. I can understand your concern. IgE is marker of allergy. And you are having IgE level 1499. This is considered as very high. So possibility of allergy is more in your case. You are also having constant, severe cough. So we should first rule out asthma in your case.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease and treatment of asthma is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti allergic drugs are also indicated in your case. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes severe cough and how to treat it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had a recent MRI of the thoracic spine. I am confused by the result. I have been having constant pain pretty much from my central back to the neck. The results are as follows: Mild degwerative disc narrowing and minimal posterior bony productive change multiple midthoracic levels causing very mild thecal sac flattening.Any assistance you can provide in explaining the inplications would be most appreciated. MS Doctor: Disc is degenerative in between some vertebra,and secondary pressure changes have taken place due to posterior(backward0 protrusion of herniated disc at some levels there upon producing dent on covering (thecal membrane) over spinal cord . The implications may be gradual progressive degeneration of varying degree of neural and para spinal and intervertebral joints due to loss of shock bearing inter vertebral discs (which act as shock absorbers/cushion at undue pressures on vertebrae).This leads to back pain and in long term some mild bending of spine (kyphosis) may occur"
},
{
"from": "gpt",
"value": "Target: MRI of thoracic spine showing mild degenerative disc narrowing, thecal sac flattening. Have pain from back to neck. Please explain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My wife recently had slight itching in the vagina and consulted a gynacologist. She said its an infection and prescribed doxycycline tabs for a week. Also a pap smear test of the cervix was done. Pap smear result showed severe infection. The result also showed organism trichonomas vaginialisis as present. Is this a STI? Gynaecologist just said its a normal infections and said to continue with doxycycline and she also said that infections has considerably reduced. My question are as follows: Is trichonomas vaginialis a STI? If so, why didnt the doctor did not mention anything about that and say its only a normal bacterial infection Do I also have to take doxicycline medicine since I sometimes have general small uncomfortable feeling around the genital area though no itching or other symptoms. I had used previous antifungal ointment which gives some relief. Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you Trichomonas vaginalis is the Sexually Transmitted Disease. But it may be isolated in some cases as resident flora of the genitals. But it is adviced for both the partner to take the drugs and remain abstain from sexual activity.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you."
},
{
"from": "gpt",
"value": "Target: Is trichomonas vaginalis a sexually transmitted infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Since last fall feel like my left leg is going numb especially from the knee down i get sharp pain shortly after commencing running and it freezes my leg from knee down while upper part of leg is stiff, right leg is normal. I may have initially injured this running down hill two years ago when car turned right in front of me and had to break hard on the left leg and could not continue run that day nor could run for a few days. Tried biking for several minutes last week and it quickly became sore then painful. I can crosscountry ski for 2-3 hours till snow went few weeks ago and swim easily 40 minutes and walk few hours no problem I think it is the angle of running and biking that makes pain. WHat is it and what can I do. Am a competitive runner age 57. Doctor: numbness is related to compressed nerve or neuropathy , and pain down the knee is also a radicular pain from low back , dear u need x Ray and MRI to rule out problem in spine ,after that methyl cobalimine and prgabaline tab at 6 pm every day for 2 months , exercise , Physio n sos intervention"
},
{
"from": "gpt",
"value": "Target: Need treatment for numbness and pain in the knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When my mother passed away, she had been diagnosed with \"water on the brain\". I saw the cat scan. The neurologist said it was not there, but always refused to operate. Why would he do this. Many of her symptoms were similar to alsimers (sp), according to my family doctor. Doctor: The term refers to a condition known as HYDROCEPHALUS. A CT scan is sometimes able to pick this condition up but not always and even if it does rarely does it ever lead to surgery and rarely SHOULD it lead to surgery. If the neurologist did not believe she suffered from this condition then, that is why no surgery was performed. By the way, neurologists don't operate on brains...neurosurgeons do. Alzheimer's disease is also not a reason to operate."
},
{
"from": "gpt",
"value": "Target: What does CAT scan of brain showing water on brain indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took my 19 month old to our PCP because he was running a fever and throwing up. I was told it was a GI bug and he needed to let it pass. He hasn't thrown up (or really eaten) for 2 days. Today he had milk for the first time and immediately threw up again. Do I need to go back to the doctor for a second opinion or is this normal? Also, he developed conjunctivitis AFTER leaving the pediatrician's office. I have been using a compress. Are there any other remedies. Could these be related somehow? Doctor: Hi Dear Welcome to the HCM,All symptoms indicate the viral origin of the problem.Conjunctivitis to be cared with washing the eyes regularly.Pour some antibiotic eye drops like tobramycin 2 drops 2 hourly both the eyes.Paracetamol syrup for the fever. take care of the hydration and nutrition.Hope the query is answered.Thanks"
},
{
"from": "gpt",
"value": "Target: What is the treatment for conjunctivitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir, my wife suffering from OCD since last 8 years . at starting i contact with doctors at jabalpur they diagonase as OCD. BUt medicine given by them are so hard and aftre increasing power my wife can not take such medicine. at present no any medicine ann take please advise me Doctor: Hi,There are multiple treatment options for OCD. Today many medications are available which have minimal side effects like fluvoxamine, sertraline, etc. If given appropriately, these medications are very safe and generally are well tolerated. In addition, there is also option of cognitive behavior therapy, which is a treatment that can be started with medications or without if the OCD is not very severe. Such therapy is need your wife to visit the therapist at regular intervals (once to twice a week) for about an hourly sessions.Hope the information was useful.Best wishes."
},
{
"from": "gpt",
"value": "Target: Any medication for OCD without side effects ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I am a 53 yr old waitress working 4 to 5 days a week. I have had a quick pain, burning sensation in the joint area and down my leg alittle, almost like it wentout, but i know its not in the bones. I feel like its tendons maybe but it was only happening every once in a while. Now it s severe and I cant put my weight on it at all. I gotta work. what can i do?? Doctor: Hi, It might be an early sign of arthritis. As of now, you can take analgesics like Tramadol or Acetaminophen for pain relief. If symptoms are severe, you can consult a rheumatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain and burning sensation in joint area and leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have swelling in my intestine due to which my upper abd is paining nd i suffering from constipation pls suggest cure of this and what type of food not to eat in lunch and dinner Doctor: Mode of treatment can only be decided after evaluating the swelling. So kindly get yourself evaluated and then decide upon the precautions and treatment options available."
},
{
"from": "gpt",
"value": "Target: swelling in intestine, please suggest me the treatment & the diet chart"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is 2 yrs old and her belly button is swollen. she doesnt seem to be in much discomfort besides the itching. and its only red around the belly button, it seems like something bit her inside but the swelling hasnt gone down in two days, could it be more? Doctor: very likely that something has bitten, but also is the area also inflammed? tender? does she also have fever? if the area is inflammed, tender with some pus accumulation below the tissues there can be some chances of the child having infection, what i suggest is to take levocetrizine for a couple of days (dose according to her weight) and see if it comes down.she will do well,nothing to worry! :)"
},
{
"from": "gpt",
"value": "Target: What causes itching and swelling of belly button?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day to you doctorMy father aged 76 yrs is a cirrhotic diagnosed 7 years ago. He was doing fine so far. However, for the last 3 months or so, he has started feeling weak, and decreased appetite (which could be due to moderate ascites). His lab values are as follows:Bilirubin :1.0SGOT :65SGPT: 43.Albumin : 3.0.Globulin : 3.3.Alk.Phosphatase : 120.GGTP : 63.Creatinine : 1.2BUN: 10.Sodium: 128.Potassium : 4.8.He is generally mobile and normal otherwise. Just that he feels weaker than what he used to feel around a year ago. We had got the ascitic fluid tapped some time ago..but the fluid seems to have recollected. He is taking just one tablet of lasilactone (since his sodium values are bit low)Is his liver badly damaged ? Do you think we are nearing the end stages sir? What is the time frame usually taken to reach the end stage from point? What would be the best line of action to be taken.Looking forward to your reply. Doctor: Hi,From the lab reports liver seems not to be in bad condition except for low albumin level.matter of concern is sodium level, as it is low and it can cause severe damage. It cannot be said that he is nearing his end period. And time also cannot be calculated.External sodium and albumin is required as tapping of peritoneal fluid may be needed. Give liver supportives with antioxidants and multivitamins too.regards"
},
{
"from": "gpt",
"value": "Target: Diagnosed with cirrhotic with decreased appetite. What is the medication for this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just noticed tonight, I am having a white discharge from my hole of my penis tip. Its slightly creamy. I was playing and being teased so I thought it was originally just because I had not ejaculated. Do you know what I should do. I am worried that it might be something not just from not getting off. I haven't had sex in over 9 months though. And this just started tonight and just a few hours ago after my girlfriend started to get me erect and horny for her. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to know weather you have burning or pain while urinating. Whitish discharge from penis might indicate urinary tract infection. I would suggest you to get complete urine examination. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes white discharge from the penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had decreasing levels of platelets for several years. Testing has ruled out lupus. My last level was 35,000. The bruising I am experiencing is getting out of hand. I take 1 81 mg aspirin a day. I see a RA doctor and not much happening. My bloodwork has always been off. What should I do? Doctor: Hello and welcome to Ask A Doctor Service. I reviewed your question and here is my answer. Besides lupus there are many other causes which cause decrease in platelets. Like infection, drugs etc. Infections should be ruled out. But as far as you have mentioned that you are taking aspirin, which is antiplatelet drug, so this may be the cause of your platelet count. You need to talk to your doctor about this and he /she can consider changing your medication.Hope i answered your query. Feel free to ask for further assistance. Thanks.Regards.Dr imran zeb.G.P"
},
{
"from": "gpt",
"value": "Target: How can low platelet count be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been sick with sinus infection for a week now. Today my left arm went numb (started in fingers and hand), my toungue, bottom lip, neck and face started feeling numb too. I started coughing really hard and the numbness went away almost immediately. It also felt like my chest was numb too. Is this just from my cold or something else. It worried me and now I feel slightly dizzy and shaky Doctor: hi, it would have been better had you mentioned your age, such symptoms at elderly age or in a hypertensive patient could stem from, an mild stock, affecting your brain, do not take this lightly, its a first warning sign before any big event, consult an Neurologist at the earliest and get investigated."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain and numbness in the arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had shoulder pain for the last year an a half, my doctor doesn t know what it is, but it has been causing me pain when I seem to be comfortable on my couch. My boyfriend looked at it, and told me it was a bubble. I don t know what to make of it. Any help? Doctor: What is your age? Usually it is impingement, Tendinitis or cuff tear that causes shoulder pain. There are many other reasons which can be excluded by examination and MRI.Scapular dyskinesia also causes similar problem.You might get better with some scapular stabilising exercises and cuff strengthening. See how you do with physio."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for persistent shoulder pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The patient is a 6 year old girl. She was born prematurely (8 months). Almost from the time of her birth, she had been facing skin related problems. During Winter, her skin becomes very very rough. Whenever she goes to Kerala (or any place with high humidity), the skin becomes very normal. We have tried all possible treatment. Tried all three streams of medicine. Doctors usually say its dry skin and goes away when she grows up. They prescribe a few clinical ointments which do not alleviate the problem. During nights (usually winters) her skin starts itching so much so that while scratching her skin gets injured. Please suggest. Doctor: Hello,Welcome to healthcare magic.From your history, your daughter may be having ichthyosis vulgaris( an extreme form of dry skin) or a topic dermatitis ( a type of skin eczema associated with nasal allergies and/ or wheezing in self or family) . Both the conditions have a familial tendency and can be passed from parents/ grandparents to children.Use a good cream based moisturiser every 3 hours.Apply an oil like coconut oil or paraffin oil on damp skin within 3 minutes of bath to trap the moisture. Give lukewarm water baths and avoid hot water.Use a soap free cleanser like cetaphil cleansing lotion for bathing her and avoid harsh soaps. Use very minimal cleanser.Avoid woolen fabrics and instead use 2 layers of cotton to keep her warm in winter.Increase intake of oily fish.Hope these help you.Take care."
},
{
"from": "gpt",
"value": "Target: What is the treatment for extremely itchy and dry skin in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My recent lab test showed I have citrobacter koserei. I won't see my doctor until the l5th and now I am concerned as I read about it. Is it serious, should I see another Doctor immediately, and what causes this?? I am now 75 years old, and am in good health otherwise. Doctor: Thanks for posting your query to HCM. I wanted to know from which specimen you have been recovered Citrobacter Koseri . As it is not a common organism recovered from cliicalspecimen but if it is truley causing infection to you you should immidealtely contact to your physician and take antibacterial treatment accordingly . thanks ."
},
{
"from": "gpt",
"value": "Target: Does presence of citrobacter koserei need immediate medical attention?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I noticed a red like object that seemed to be hanging on by a little thread of gum in the back of my gums towards my wisdom teeth today and it seems to be apart of my gums I picked at it and it started to bleed a little and I noticed that it looked like it was rooted into my gums. Is this something to be worried about? Doctor: Thanks for using Health Care Magic.Read your query.Your query suggest that it is the pericoronal flap (gum around the erupting wisdom tooth)which is inflammed and is red in color usually referred to as pericoronitis.I would advice you to keep the area clean to avoid further infection and pain.Do warm saline or chlorhexidine mouth wash gargling.Visit a dentist and get it checked and get the flap removed if needed.Hope this was useful.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bleeding gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctors I feel blank all the time, lost interest in everything, any questain from my wife, mom, brother ect My answer is I DON T KNOW. in otherwords I lost interest in EVERYTHING. This is Ramdan we have to pray a lot, but when my forehead touches the ground I get giddiness. Kindly tell me whats wrong ? Do I have to take a brain scan. Thanks Doctor: Hi, There can be many causes of giddiness. We need to analyze the complaints in little more detail to establish the cause. The best thing which you can do is relax, try to be careful about your posture especially when you are working on a computer - try to have a proper erect posture. Even while sleeping try to sleep straight with a small pillow. Do some mild neck stretching exercises, have a good night's sleep - at least 7-8 hours. Try to rejuvenate your interests - go for walk, listen to music and read some good books. However if nothing works out, then you need to do some investigations- complete blood count, sugar levels, ECG, electrolytes, X-ray neck, and MRI brain. If giddiness is persisting then do get a complete ENT examination also done. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Milinda Gupta, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes giddiness while bending head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m prescribed wid femilon tablet by gyno..but i dont know at which interval i hav to have it ?please let me know?and is it only to prevent pregnancy???i am 18 years old nd havin irregular cycle nd hav sex every month twice..pls help me i am afraid to take it?i am also increasing my weight..its 58 and my height is 5 4.. Doctor: Hi, Thanks for query, Femilon is an oral contraceptive tablet, If you have sex twice in a month you may not start the tablet. You can select safe period for sex. And as your weight is more it is not advisable to go for this tablet. ok and bye."
},
{
"from": "gpt",
"value": "Target: I want to know the dosage of femilon and is it only to prevent pregnancy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My wife is sufferin from Hypothyroidism, is on Eltroxin 75 mg last six months before she got sudden bleeding and was aborted. last week she confirmed pergnancy doctor prescribed choroimin 5000 iu. Please sujjest whta the medicine helpful Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Yes, chromium is helpful in pregnancy. It is actually considered as trace element. Deficiency of trace elements can cause abortion. Since she has history of abortion, better to give trace elements like chromium during current pregnancy to avoid risk of abortion. So no harm in it. She should definitely take chromium medicine in current pregnancy. Green leafy vegetables, milk, fruits etc are also rich sources of chromium. So she can take also take all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."
},
{
"from": "gpt",
"value": "Target: Will chroimin 5000iu will help in pregnancy with hypothyroidism?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a mri done at the facility where I worked. I fear that the disc may be tampered with. My employer has called my pcp in an attempt to influence him with my healthcare. I am taking the disc to a specialist not at this facility. The radiologist said a had a small bulging disc, But last year the same radiologist read mri done then and reported moderate size herniated disc at L 5. So I have anxiety that the disc maybe altered. Would that be possible? Doctor: I went through your explanation and realise you have got disc bulge as per the mri report. Now here one thing you need to understand disc bulge or herniation can not go back in its normal position on its own. There is only way to set it back is by surgery. But even after surgery the chances of recurrence are high and patient are suppose to follow all spinal exercise with precautionary care like posture and do and don't. As well before surgery also if you do the same and take physical therapy for few days it will be fine.Now disc bulge means it's in starting stage and disc herniation can also be called same. Many of time the advance stage like disc proteution or slip disc are also called as disc herniation so it's a common word which can be use for all disc related condition if it's coming out from its normal position. You can get confirmation by looking in your mri. By comparing the previous one and recent one with the help of your radiologist. Hope this was useful for you. Take care"
},
{
"from": "gpt",
"value": "Target: What is a bulging disc? What does it mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently Had my Nails done, I always s had Acrylic nails for over 30 years and never had a problem until now, my fingers started to swell and the severe itching, then my Fingers started to crack and the pain was so severe I couldn t use my hands, by this time I was not able to remove the nails so I kept putting my fingers and nails in peroxide and used polysporin but this only made my skin around my nails crack more, recently My Acrylicks started lifting and my own nails are burned right off, I am not sure if the Nail products have changed because this is a first for me, will my nails ever come back again or am I finished? Doctor: Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my clinic.such cases generally occur due to some sort of allergy if ur body immunity is low.get a detailed blood profile done.dont lose hope as these cases take a while for healingYou should eventually get back to normal in coming few days.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless."
},
{
"from": "gpt",
"value": "Target: What causes swelling and itching on fingers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a sharp pain in the center of my chest when I move my arms a certain way, driving hurts, blowing my nose hurts, and laughing. I cannot shift my rib cage to reach for something. I went to the ER and I was told my heart was fine, and that it could be a pulled muscle. I'm skeptical because of the pain level. Any advice on if you think it really is a pulled muscle and if it is how do I get better? Thank you for your time.Kristina Doctor: hipulled muscle/ or muscle catch or local spasm can be the reason for the pain.any activity of increase in the intra thoracic pressure like sneezing, laughing etc can aggravate the pain.you can go for painkillers with local muscle relaxant action (like flexon mr) in case if you are not allergic to pain killers , twice daily at least for a week.local pain relieving gels like ( diclofenac gel ) will also relieve the pain.practise deep breathing exercises, or incentive spirometry, or good voluntary cough , these manoveours will slowly relieve the pain.all the besttake care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain due to pulled muscle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a 36 year old female and I had my first baby in January of this year. She was induced 3 weeks early due to pre-eclampsia. While pregnant I was on medication for pregnancy induced hypertension and was given an intraveneous dose of magnesium sulphate during labour. Whilst my blood pressure gradually reduced c5 weeks after labour and I am not on blood pressure tablets anymore, it is still higher than pre pregnancy *125/70 v 145/88). About 3 years before I got pregnant, I went to the doc because I was feeling tired and was prone to stomach cramps. Had ultrasounds etc due to high level of GGT and was diagnosed with fatty liver (didn't have a biopsy but most other tests). Didn't drink a lot but abstain from drinking alcohol now and the GGT level had reduced before pregnancy and back to nearly normal. When I was in hospital my GGT level increased again. I have been having it tested c every 6 weeks since March of this year. Whilst it had been dropping by c60 every test (it was c790 in March) the last 2 tests showed no movement (stayed at c460) and I was tested last week and it's gone up to 560. What could be causing this? I have not touched alcohol, but do feel a bit tired and slightly dizzy from time to time. Thanks. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. There are only few causes of elevation of GGT, among which alchol intake is most common. Apart from this these are:chronic viral hepatitis,lack of blood flow to the liver, liver tumor, cirrhosis, or overuse of certain drugs or other toxins, heart failure or diabetes. So i will suggest you to visit to your dosctor for evaluation for these causes.I hope I have answered your query and this will help you . Wish you a good health"
},
{
"from": "gpt",
"value": "Target: What causes high GGT level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a spot on my face that looks like ring worm, I am already taking anti funcal medication for what doctors thought was a regular fungal infection. I have taken the pills for about a month and nothing has improved, is there somthing else I can be suffering from? Excema has already been treated and nothing works Doctor: Hello,If you have taken anti-fungal pills for a month and it's not better then it's probably not a fungal infection like ring worm. Eczema would have been another thought but if you have tried a mild steroid cream and moisturizer then it may not be that like you said. I would search for pictures of something called granuloma annulare. This can sometimes look like ring worm but it is not the same thing. If this looks like what you have then you could see a dermatologist for treatment advice which could be steroid treatment, etc. You may want to try putting nothing on it but vaseline to keep it moisturized for a week or two and see if it goes away.Good luck,Dr D"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for ring worm like infections on face"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am getting small acnes (not exactly acnes but similar to that & it is not painfull & it is very small but visible) through out my body, mostly on my arms & thighs. How to get rid of it ? Doctor: you may be having folliculitis. Can you send some pictures of your lesions. in the mean time apply nadoxin cream twice daily on the lesions."
},
{
"from": "gpt",
"value": "Target: How to get rid of small acnes ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My older sister passed away from a brain aneurysm. My younger sister was diagnosed with an ascending aortic aneurysm and had to have surgery to repair the damage. Now my younger brother has been diagnosed with an abdominal aneurysm. What are the chances that I will have an aneurysm? There have been no other family members diagnosed that I m aware of. Doctor: In your family it is obvious that aneurysms and apparently (aortic types) prevail. Numbers are difficult to be precise on since so many variables come into play when discussing the genetics of this disease within a family. However, has everyone in the family been screened for certain diseases that are known to manifest with aortic types of aneurysms such as Elhers-Danlos, Marfans, and other connective tissue disease problems? The statistics are variable from If you have further questions I am happen to answer them at: bit.ly/drdariushsaghafi"
},
{
"from": "gpt",
"value": "Target: Are brain aneurysm hereditary?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my wife feels uneasiness like gridinesss vomiting ,sleepnesss etc while taking the following medicines for her upper back pain and hand pain after consulting the doctor . medicines are --, Pregabanyal, Shelcal-500,Rumalaya forte and voliran , pl advice wheather she should continue or go for Aurvedic or homopethay medicines Doctor: hi pregabalyn side effects Central nervous system: Dizziness (8% to 45%), somnolence (4% to 28%), ataxia (up to 20%), headache (up to 14%) she is having side effects stop pregabalyn rest of medicines are fine subsitute pregabalin with carbamazepine or donepezin.shelcal is calcium, remalayan is a pain killer....... take care"
},
{
"from": "gpt",
"value": "Target: Taking Pregabanyal, Shelcal, Rumalaya forte and voliran. Feeling gridinesss vomiting , sleepiness after taking the tablets. Continue? Suggest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, ive been diagnosed with severe bronchitis 20 days back. At first, i was suffering with severe productive cough with light green colored mucus, low grade fever at night and chest discomfort / shortness in breath. After physical examination, my GP prescribe me with an antibiotic course for 5 days. The first course of antibiotic didnt help. Then my GP changed the antibiotic and this time he gave me a 10 days course of Klaricid 500 mg and tylenol. After a week or so i started feeling well, the cough went away as well as my low grade fever, but i still had a little chest discomfort. After the completion of my second spell of antibiotic, i went for re-examination and after physical examination, my doc said i still have air blockage in my left lung and he suggested a chest xray. This time i took my Xray to a pulmonologist and hr said that i have severe bronchitis / bronchital changes. He prescribed me with another course of 7 days antibiotic along with a short therapy of Betnesol 0.5 mg, 2 tablets, twice a day for 7 days.Please suggest what seems to be wrong with me, why the bronchitis not going away as i have already tried 2 different antibiotics spells, and why i am prescribed with a steroid therapy which seems to be a heavy dose.Btw im smoking since 15 years or so, im 33.Zeeshan Doctor: Frequent course of antibiotics will not relieve your symptoms. If your chest x ray is otherwise normal then it could be related to your smoking which needs inhaled bronchodilators. Also get a sputum examined for tuberculosis just to rule out as you are having fever o and off."
},
{
"from": "gpt",
"value": "Target: Suggest medication for severe bronchitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I think I am having yeast infection and it has worsened now. Extreme red penis with white sticky thing over it. It s burning like hell and so much pain. I m in Singapore. Is it better to travel to India for the treatment? Are there any natural, effective and quick treatments for this? Thank you! Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have acute infection of glans penis ( Ballanitis).You have not mentioned whether you had unprotected sex very recently.Please get following basic tests done to confirm the diagnosis .1) Routine urine test and urine culture .2) Swab test of uerthral discharge 3) Blood test for STD ( if you had unprotected sex)You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.This should get cured within a week.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What are the natural treatments for redness in penis with white sticky substance and burning sensation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a little bit of pain in my right lower abdomen and it just started. I also have fluttering and spasms and I can feel the spasms when I put my hand or fingers on my stomach. The pain come's when the flutter's and spasms come. I believe my abdomen is also inflamed a little bit. Do you have any idea what it could be? Doctor: HelloPain in the lower abdomen on the right side with mild pain and spasm may be due to these possibilities , these include;1 Amoebic colitis , as you are feeling this pain just 1-2 days and feeling of pain is due to pressure or flutters . Take anti spasm tablet . 2 Right lower abdominal pain may be due to urinary tract infection . Diagnosis can be confirmed by urine culture.3 If , you are female may be due to pelvic infection .4 Worm infestation is another such cause . Since pain is not acute in nature and for 1 day so get in anti spasm tablet . If recurs the consult a doctor and get his opinion."
},
{
"from": "gpt",
"value": "Target: What causes pain in lower abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old has what I think is a bad case of Jock itch. red Pimples surrounding the genital area and bottom.How can I get rid of this? I have tried Diaper creams, Neosporin, Hydrocortison, triamcinolone and lots of baby powder. It almost goes away and then comes right back. Doctor: Thank you for your contact 1. Tea Tree Oil has natural antifungal properties that can effectively treat jock itch along with other types of skin infections. It also has deep cleansing and stimulating elements along with a powerful antibacterial quality. Use a cotton ball to apply tea tree oil to the affected skin twice daily.2. Apple Cider VinegarMix two tablespoons of apple cider vinegar in two cups of warm water.Wash the infected area with this solution and allow it to dry on its own.3.Keep skin dry and do air bath ,use Nycil powder, avoid overheat. Take care"
},
{
"from": "gpt",
"value": "Target: How to get rid of jock itch?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am depressed and/or anxious every other day. I have tried several SSRIs (all gave me headaches and I did not get to the therapeutic dose). Buspar had not effect. Lithium resulted in red welts on my face and body. Cognitive Behavior Therapy does not seem to be producing any results. I am at a loss as to what to do. Doctor: in my opinion it is necessary to start on noradrenergic specific antidepressants like mirtazapine though it has some side effects like increased appetite, weight gainmanaging a good diet is useful20 minute exercise everyday is also beneficial"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for depression and anxiety despite taking Lithium"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had 2 blood tests done one on 10/15 ( hCG Beta at 829) another test done on 10/17 (hCG Beta at 896) I also had a ultrasound done on 10/18/12 and per the measurements i am 5 weeks and 2 days and they saw a gestational sac and the endometrium measuring at 12mm. Just by looking at my levels do you think everything could work out?? My doctor requested I have the shot right after the second blood test to terminate and I requested the ultrasound then saw the sac, and had another round of blood work. Please give me your honest opinion. Thanks. Doctor: Hello madam, I am not happy with the beta HCG rise in two days. It should have risen more and nearly doubled in a viable intrauterine pregnacy.I would also like to know whether you have got any pain, because then we have to be more cautious to rule out a ectopic pregnancy. (a sac in the uterus can also be seen in ectopic pregnancy, called a pseudo-gestational sac) . I would advise you to repeat the transvaginal ultrasound after two weeks,if you don't have any symptoms of pain or bleeding in the mean time, before going for a termination. good luck"
},
{
"from": "gpt",
"value": "Target: 2 HcG Beta tests and ultrasound shows gestational sac and 12mm endometrium. Will it work out ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife is suspecting every body thinking that they are talking about her. She is very much disturbed mentally. The psychiatrist has diagnosed as late onset of schizophrenic and given T-Sizodon 4 0-0-1 and T-Parkin 2mg. I kindly request you to inform me the side effects of both the tablets and for how long it has to be taken. Doctor: Hi,Of the two medicines she is taking, Sizodon is the one that will help reduce her symptoms. It has a side effect of causing tremors, muscle spasms and excessive salivation in some people and Parkin is given to prevent this side effect. Parkin can cause constipation. She will need to continue treatment for schizophrenia for at least a year, maybe more. The duration of treatment depends on many factors and some people may need to be on medicines for their lifetime.Best wishes."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for mental disturbance"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on Celebrex for a long time (years). I am a 70 year old lady. In January, my Doctor doubled the dose from 100 mg once a day to 100mg twice a day. I have had arthritis since age 25. Doctor didn t say why so I ASSUMED my blood tests warranted the increase. I have Asthma , Had pneumonia February (2013). Had the flu three times since October, 2012. I have high BP and take med. with a fluid reducer which FR was discontinued. My thyroid med. was 0.088 but was reduced now to 0.075. I have Celiac disease . Also, some other problems. Doctor: these are indications of food allergy and one of the food may be from milk wheat potato chana rice egg nutsall symptomps are effecting other systems normally the allergic aspect is forgotten and patient is labbeled as arthritisyou can get blood test check for food specific antibodies after test go for elimination of food and all sysyems will recovertill then take 2-5 mg twice weekly dose of methotrextae which help tp reduce all organ systems"
},
{
"from": "gpt",
"value": "Target: Old aged, on Celebrex, dosage doubled, have arthritis, Asthma, Celiac disease. What are treatment options?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor i am 25 year old from last 3 month i am facing some problem related to my penis .on starting of my foreskin one strip of very small pimple had form before some day it was itching now it has stop sligt pain i am feeling on sulcus when anit look light blue when it is not erected.i am feeling un confortable every tine with my penis.please help Doctor: Welcome.It fits with infection called balano-posthitis.Kindly get examined and early treatment will do good.Local creams will suffice.Sincerely"
},
{
"from": "gpt",
"value": "Target: Painful pimple on the penis, looks bluish in flaccid state causing discomfort. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi yesterday I woke with a sore right forearm, this was hurting me to lott and move my arm, today I still have it but have also woke with my left wrist in agony, across the top of.the wrist, I fear I won t be able.to pick my 6 month old son up, I have also woke this morning to my throat feeling bruised and the back of my neck feeling sore and tight Doctor: HiDo hot fomentation of arm and apply voltaren gel.take advil tabs twice a day after meals.support Arm in a broad sling for 2 days..it will settle.take plenty of fluids.take levocetrizine 5mg once a day for throat soreness and do saline gargles.You will be okay"
},
{
"from": "gpt",
"value": "Target: What causes sore forearm, throat and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been an emotional wreck the past couple of days. I ve never worried about these things but for some reason, things have been bothering me. 7 days ago someone from the diagnostics lab came to my house to give me a urine and blood test. I m getting life insurance so this was required. The person was very late and on top of that, I think the person was very sick as he was coughing all over the place. At this point I was pretty aggravated and he proceeded to take out a box and take out a green plastic needle (used to draw my blood). I was a bit annoyed at this point but, I don t really remembering there being a plastic sealed wrap around the green needle used to draw the blood. The needle didn t look the typical needles used in hospitals (clear). It was more a blocky plastic green needle. My worry is that I don t recall seeing a sealed wrap around the needle and the possibility that this may be a used needle? Is it possible to get infected if they re drawing blood from me? I don t know if it s coincidence or not but it s been about a week now and my throat feels very stiff and my breathing is very shallow. I find myself not being able to take deep breaths. I find myself gasping for air alot. I always go to the gym and going this week has left me very winded and gasping for air. I don t have a fever though. Doctor: Hello,Welcome to HCM.Your symptoms are suggestive of anxiety, rather than any physical illness.The blood drawing sets are always sterile. They are destroyed after a single use. No one re-uses them.Your symptoms are not suggestive of a blood borne disease which may occur with needle sharing ( as in drug addicts ) or from contaminated needle or blood products.Relax and practise stress relieving measures.Take Care"
},
{
"from": "gpt",
"value": "Target: What are the chances of infection on using the infected needle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a kidney stone in my right kidney still. they think I passed on had blood in urin. its been a little over a month since the pain started. I have server right flank pain. from the lower rib cage form the back to the front hurts. I cant eat hardly anything because I feel like im going to vomit. I cant get comfortable. it hurts to cough. been to the hospital 3 times. blood work comes back fine as of last night I still have the stone in right kidney. its getting hard to urinate now. drs cant tell me why im in so much pain. the have done a belly xray and a cat scan Doctor: Hello, Thanks for the query to H.C.M. Forum. As diagnosis is already clear and all these symptoms mentioned pain in front side radiating to back , urine trouble and nausea , vomiting are due to renal stone . If the size of stone is more than 7 mm then get in laser treatment . If size is less then 7 mm then take a conservative treatment after consultation with a urologist . Urine examination is very important. One more point is to be noted that serum creatinine level along blood urea is an important tool in renal disease , so get in test regularly till stone is out. Good luck. Dr. HET"
},
{
"from": "gpt",
"value": "Target: Stone in right kidney, right flank pain till lower rib cage. Cough and vomiting. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 25 year old male and today I found a lump just under scrotum. It is located in between my inner thigh and my left testicle. It pretty solid and is about the size of a jelly bean. I only feel pain or discomfort when I feel or touch the lump. Do you have any idea what this could be? Doctor: Hi! thanks for writing to us sharing your problem of the scrotal lump which is solid, small and mildly tender!Therefore, I would like to consider few possibilities in this condition as per my experience of needle biopsy as follows:1. an enlarged lymph node could be due to local infection, skin infection, tuberculosis etc.2. an inclusion cyst or benign sebaceous cyst3. benign skin tumors like lipoma, neurofibroma or dermatofibroma etc.So I think it is not a real thing for worry but still the diagnosis should be confirmed by a physical examination and needle biopsy.Hope you got the answer; please revert back to us if anymore clarification is required;regards,"
},
{
"from": "gpt",
"value": "Target: How to treat a lump under the scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello...I'm 27 and just had my second c-section about a week ago. I've been having sharp, stabbing pains on my right side, just underneath my rib cage every time I breathe in. The pain seems to get worse while sitting or laying down. In the hospital, they told me it was a gas pain, but now I'm not so sure. Any other suggestions? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having musculoskeletal pain. Cesarean section needs manipulation of rib cage. So post operative musculoskeletal pain is common. Your pain is also associated with specific position (sitting and lying down). This also favours musculoskeletal pain more. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Sit with proper back and chest support. 5. Apply warm water pad on affected areas. 6. Take combination of painkiller and muscle relaxant drug. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes sharp, stabbing pains underneath my rib cage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get a rash on my lower abdomin a few times a year and it itches like crazy, I have tried every over the counter med and even a prescription for excema (sp?) but nothing help until it just goes away on it s own. i also get it on my elbows at times. any advice? Doctor: Hi,After reading your query it appears to be due to Fungal infection of the area which is quite common due to heat and humidity. Fungal infection of the skin is quite common due to infection and hygiene as well as most commonly due to diabetes.If I were your dermatologist then would have prescribed clotrimazole cream or terbinafine cream over the affected areas under medical supervision. I suggest you to take antifungal tablet by mouth such as fluconazole 150 mg alternate days for 15 days.If itching is present then you can additionally take antihistamine benadryl or loratadine by mouth.To prevent the further spread maintain good hygiene wash it two times properly. Stay away from hot and humid climate.Take care."
},
{
"from": "gpt",
"value": "Target: What is the solution for recurring rash on abdomen which is itchy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom had a total knee replacement 8 days ago and has severe burning on the front of her knee. It s worse when she s sitting and extends her knee to straighten her leg. She s considering going to the Emergency Room. Is this level of burning pain normal at 8 days post op? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.You are likely to be having burning pain due to some of cutaneous nerves may have been damaged during surgery of knee replacement. You should also look for other causes of neuropathy such as diabetes and thyroid disease by ruling them out. Analgesic such as ibuprofen for pain relief can be of use. Mecobalamine is of use to reduce burning sensations. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest medication for burning of knee after knee replacement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I was just diagnosed with MRSA. I had a sinus surgery three weeks ago and two teeth removed upper left. I Have a lot of pain in the maxilla area. I was put on clindamycin 300 mg. Is that an ok antibiotic? I have a lot of pain in the area described. Doctor: Hi..Thanks for the query..Pain after 3 weeks of extraction and sinus surgery is not normal as by now the pain should have reduced in intensity..So my suggestion is to consult an Oral Surgeon and get evaluated and an x ray of the sinus and extraction site should be done for confirmation..Yes, Clindamycin is appropriate antibiotic and if Infection is still present then you can continue taking the same..Also you should take painkillers like Ibuprofen for pain relief..If pain is severe higher painkillers like Tramadol or Ketorolac can help..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: How can severe pain after tooth extraction be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir 10 years ago i felt with diseases tumerculoma and i consultant to doctore neurophysician they give me a eptoin100mg tablet for 3 years.at 2008 i stopped the tablets and mri also got normal since from 2 to 3 years im suffering from headeache plz sir suggest me is it curable diseases are not..... Doctor: hello.I am Dr Mittal.I have read your message.I think I can help you.Ideally I would need you to describe your headache in more details.Here is why-1. The symptom of headache could be related to the tuberculoma itself.There may have been some affection of the ducts that drain the brain fluid called as csf.This may be leading to a condition known as hydrocephalus.A repeat CT scan of the brain would be needed to know this. 2. The tuberculoma may be a treated condition.The current episodes may be completely different cause like migraine.So I would need more information.I would suggest a visit to your neurologist again.Alternatively, let us know the report of the repeat scan and let us know the details about the headache.Best of luck,Dr Mittal"
},
{
"from": "gpt",
"value": "Target: Is tumerculoma curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, about a week ago, i quit masturbating. I used to not be able to go without masturbating for more than 2 or 3 days and i would masturbate about 3 to 4 times in a day. After quitting, i ve found that i have much better concentration and more motivation to talk to women i meet on the streets or other public venues. The only problem is that my appetite for food has taken a sharp drop. I m only able to eat 3 to 4 spoonfuls before i feel full. Is this a common withdrawal symptom? and what other withdrawal symptoms can i expect? Doctor: Thanks for asking in healthcaremagic forum Masturbation is not a disease and it does not have any withdrawal symptoms or side effects. But 3-4 times a day can harm you as you had taken it as a habit. So, your appetite and masturbation is not related. Start doing regular exercise and balanced diet with sprouted pulses daily for regaining your appetite. All the best."
},
{
"from": "gpt",
"value": "Target: Is loss of apetite a withdrawal symptom after quitting masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor...Myself Ritika..My husband was not keeping well for some days. Like he was feeling nervousness, light headedness,eye twitching,insecurity,fear of unknown....etc..We met a doc and got his blood test done..His Vitamin B12 is low...It is around 170..The doc advised him Vitamin shots...I wanted to know whether 170 is too low and does all these symptons were due to Vit deficiency...Thanks Doctor: Hello and welcome to HCM,Vitamin B 12 deficiency usually leads to anemia and symptoms associated with anemia like tiredness, lethargy, weakness etc.Neuronal disorders can also be associated with deficiency of vitamin B 12 deficiency.The symptoms that you have mentioned- nervousness, light headedness can be due to deficiency of vitamin B 12.Thus, vitamin B 12 supplements are required to recover the vitamin b 12 deficiency.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Does vitamin deficiency cause nervousness and light headedness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i got kicked in the shin 3 times at work by a teenager wearing steel to cap boots, my shin is slighty bruised but my anckle and the front of my foot is very bruised, my foot keeps going tingly and i get pain if i point my toes/foot down or bring my foot up to a right angle. im also getting aches in my calf and the front of my shin sometimes goes red and very warm to touch, have i done any damage that needs checking out? Doctor: I think you have got haematoma following injury. Inj tetanus toxoid is to be taken . One course of antibiotics amoxicillin with dicloxacilin three times . And you need to keep the foot elevated. Meanwhile u get one x ray of limb and blood investigation like complete blood count, random blood sugar ."
},
{
"from": "gpt",
"value": "Target: Shin hit by steel boots. Why has it become red and warm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor, i have a 9 months old girl ( 8 kgs), she has constipation since she was 6 months ( i think when i switched from breast milk to formula) she cries when she poops that even sometimes i help her by pushing her knees towards her tummy..sometimes i c blood!! i give her juice, she doesnt like water very much..i even tried grapes and watermelon but nothing happened ( in very small amounts ) today she passed WHITE stool mixed with brown..is zis ok?? plz i need yr advice. Nora Gamal Doctor: Hi...Thank you for consulting in Health Care magic. I think your kid is having habitual constipation. I have certain questions and suggestions for you.Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fibre diet) appropriately?You can get back with answers at the following link - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for constipation in babies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have injured my L4-L5 and L5-S1. The MRI talks about an annular tear and theosac leak. There is no nerve compression. They say the injury was caught on early and I can expect a full recovery.I have the following questions;1) is a slipped disc injury fully curable?2) is the gel like fluid fully reabsorbed back? If yes, then what are the requirements?3) I am a ballroom dancer, what are the precautions I need to take?) can the gel like fluid get absorbed Doctor: Hi, thanks for writing to HCM.* Disc protrusions may regress over a period of time if they are not subjected to additional bending stresses. * There is a possibility of absorption of the disc material with time. The requirements are to avoid lifting weights and excessive forward bending. Physiotherapy is needed to strengthen the muscles.* Precautions are same as above along with the use of a Lumbosacral corset or support.Hope this information is helpful. Good day"
},
{
"from": "gpt",
"value": "Target: Injured L4-L5 and L5-S1. MRI shows annual tear and Theo sac leak, no nerve compression. Is the slipped disc fully curable and precautions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had two cervical fusions. Now I seem to have pain in my back under my shoulder blade (right side), pain in my shoulder (I have also had rotator cuff surgery - it was totally severed and repaired) and under my arm ..the pit area and arm are painful and seem to burn. Should I be worried? Doctor: Hello, I have studied your case.It can be rotator cuff injury relapse which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav"
},
{
"from": "gpt",
"value": "Target: What is the pain in my back and shoulder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor hope you will be OK Sir I have hbsag positive since 2003 at start I done my hepatitis b profile and pcr but I remember at that time my pcr was negative now I have lost all my results what should I do I mean advise me necessary tests because I feel pain in my lever since last two months thanks Doctor: Hi there,Thanks for using HCM.Few tests are to be done to plan treatment. These include liver function test, HBeAg and HBV DNA levels.Also get an ultrasound scan and serum alpha fetoprotein tests done.Consult a gastroenterologist for these tests.Is this answer helpful?"
},
{
"from": "gpt",
"value": "Target: Suggest liver function tests regarding pain in liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, im a 23 year old 6\"3 male who weighs 193 pounds. Within the last couple of weeks I have been having this weird bubbling sensation in the left side of my chest, there is no pain with it and sometimes it can last for a split second or maybe 5. I do suffer from heart palpitations and an irregular heart beat but was told it was nothing to worry about. Could this also be something to do with my heart? Doctor: Hi,This is Dr Sameer, cardiologist.Pain in chest due to heart disease is very rare at your age. Chest pain due to heart disease is non localized, squeezing type & increase on exertion. Still you need to do a ECG & 2D Echo for cardiac evaluation.Chest pain at your age can be simple muscle pain or costochondritis(inflammation of joint between bone & cartilage of chest wall). Both are treated with pain killer. Tab Ultraset will be safe & good for you.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes bubbling sensation on left side of heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have upper outer thigh pain that I noticed this evening when I got up from my chair to walk to the kitchen for dinner. I don’t remember hitting it on anything today. I was driving and shopping earlier today. What should I do? I have ice on it now and just took two Tylenol. Doctor: Hi, The pain on the outer part of the thigh can be due to a muscle spasm or sprain. Rest, hot compress, local analgesic gel and a mild pain killer can help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: How can pain in the outer part of the upper thigh be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir, My husband (30 years) is having hypertrophic cardiomiopathy and he is under medication. Two days back he is getting problem of gastric trouble because of which he is getting pain in one side of stomach. The consulted gastroenterologist told the pain could be because of any cardiac reasons also. Can you please let me know if the pain because of Gastric reasons or because of Cardiac reasons? Is there a chance to get pain in stomach because of Cardiac reasons? Doctor: Hello,Nowadays myocardial infarction patient presented with only epigastric pain or vomiting, no chest pain. But as you said he is 30 years old & known case of hypertrophic cardiomyopathy, stomach pain could be ruled out by taking fresh ECG.If ECG within normal limit except LVH then no worries regarding the cardiac disease. In Hypertrophic obstructive cardiomyopathy most common symptoms are chest pain & syncope, so if u feel recurrent symptoms then consult a cardiologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ketankumar Pandya"
},
{
"from": "gpt",
"value": "Target: Could stomach pain be because of Cardiac reasons?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, before I begin just let me tell you that I am an EXTREME hypochondriac. For the past couple of days I have been expierincing a dull pain in my right lower side. Tonight I woke up with a mild pain- anxiety I think. I have no appendicitis symptoms and all of the self test have turned out negative. I was wondering if my pain could be period cramps or a pulled muscle? Below my right hip bone and to the left there is a section that is tender to the touch. Could this be a pulled muscle, period cramps, or appendicitis? Thank you. Doctor: hello dear only pain in right lower abdomen of shorter duration in a person like you ( hypochondriac) has little medical significance. but if you are worried, then its better to under go abdominal ultrasound examination to rule out major diseases like appendicitis. you may need councelling from your family physician to get out of your worry. other wise you may not need any other medication. hope this answer is helpful to you. take care"
},
{
"from": "gpt",
"value": "Target: What is the cause of dull pain in the lower abdomen ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Okay my mom just had a pacemaker put in due to her MD an 3 days afterwards.. she was complaining of chest pain.. and when we took her into the ER they said she went Vtech.. an kept her for 24 hours.. and the doctors gave her Vicodin for pain relief.. an she has been taking one a day.. but our worry is she is sleeping for all day long.. an its going on 2 days now.. should we be worried? Doctor: Of course prolonged sleeping is a potential problem. In older people, pain medicines can have profound effect on the ability to think and stay awake that lasts for days rather than hours. Notify the doctor. Stop giving vicodin. Use acetaminophen for pain until your doctor notifies you differently."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a heart disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having mouth pain for 4 days now. The pain is located on the skin connecting the lower lip to the lower gum line. There is a small store that looks like a crater. I have been using a weak anesthetic, oragel, and it only seems to help for about 5 minutes. What is it? Doctor: this is a sterss ulcer/ aphthous ulcer. the treatment you are doing is good. along side start taking some vitamin supplements, esp. vitamin B. you can also spread the powder of Vitamin capsule over the crater and keep it pressed for two minutes. be careful the powder is very bitter, but would relieve of the ulcer in few hours."
},
{
"from": "gpt",
"value": "Target: What to do for pain in skin connecting the lower lip to the lower gum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my son he lost his memory, know he is 34 years. when he was 21 years, he is in B.om student. one night he sleep , early in the morning, he lost his memory he told , he cant remember any thing, how he can give the paper, and he left the paper blank many docto give me suggestation. riperdol and, rivitrol tablet. but cant get any result. please guide me, and suggest me, any suitable medician. Doctor: Hello, You should know that memory troubles are not really common at this age and could be attributed to a psychological disorder. Anyway, I would recommend checking vitamin B12, vitamin D, and thyroid hormone levels. A brain MRI is necessary too. Only after these tests, I would suggest trying sertraline or paroxetine. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for loss of memory"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have bronchitis...3 weeks now...started as cold-sinus, went to ENT and he gave me Levequin, inhaler, cough syrup etc. Had a bad coughing attack on Thkgiving day...ER, abuterol treatment in Er...followed up back home...coughing up quite abit of green phlem, long thin and dense ( about 1 inch by 1/4 inch) and thick...lots of coughing. Dr gave me a nebulizer and abuterol vials...has really helped but a few days before I started the treatments I cracked the 9th rib on the right side from coughing. I ache all over...my shoulders, delts, across the chest and now the ribs. This is the pits...any thing else I should know? Doctor: Thanks for your question on HCM.In my opinion you should consult pulmonologist and get done1. Chest x ray2. Sputum culture and sensitivity3. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis.Since you are on antibiotics and inhalers, but still not improved with cough and started developing green phlegm, all these suggest possibility of pneumonia.So better to rule out this by chest x ray.Also get done sputum culture to identify the causative organism, And antibiotic sensitivity to Guide therapy. This will prevent haphazard use of antibiotics and thus improves outcome and fastens the recovery."
},
{
"from": "gpt",
"value": "Target: What causes cough attacks and cracked rib caused by excessive coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been experiencing a smelly order from my vagina sort of a musky smell and it started to go away and then I had sex with my partner and the next day my vagina felt very irritated. I took a shower to clean it and everything and it didn t go away it s a burning intense itching feeling all over my vulva (I think that s correct) Its so intense I can t stand it . It s been like his for about week. My partner has a foot nail fungus and I remember him messing with his feet around the same time this happened. a few day ago he said his testicles started having a tingling sensation and I brought up maybe he got jock itch from his feet. Then I thought maybe that s what is happening to me. I do handle his dirty socks as well.. is this possible? Please help!! Doctor: Hi, Thanks for posting in HCM. I understand your concern. Foul vaginal odour and itching in vagina are symptoms suggestive of yeast infection, which could have been caused due to poor genital hygiene. Kindly do the following to overcome the same. 1. Cleanse the area with mild antiseptic solution like Savlon twice daily. 2. Apply antifungal vaginal pessary or cream containing medication like fluconazole or miconazole. 3. Take Tablet. Levocetirizine once a day to counter itching. 4. Wear loose fitting undergarments preferably made of cotton. 5. Abstain from sexual activities till the symptoms subside completely. Maintain good personal hygiene. Gradually, you should be able to overcome the symptoms and be back to normal. Hope the information provided would be helpful. All the best. Regards, Dr.Ashakiran.S.,MBBS., MD."
},
{
"from": "gpt",
"value": "Target: How can foul vaginal odor and itching be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a 52 year old woman. Two months After being hospitalized last year with ulcerative colitis, I had dvt/pe. I have been on coumadin since August. When I was discharged from hospital I was on 1 mg coumadin. I have regular pt/inr tests and am currently on 7mg coumadin daily. I have congential lymphedema & have always had ankle & leg swelling, however since pe have much more swelling. Recently had echocardiogram that showed pulomary hypertension, mild impaired left ventricular relaxation, trace mitral regurgitation, mild tricuspid regurgitation w/right ventricular systolic pressure estimated at 55 mmHG indicating moderate pulmonary hypertension.What does all of this mean? Am I at risk for another pe? Doctor: Hello ma'am After going through your medical details I would try to explain things to you in a rather simple way. Your echocardiogram reports tells us that you have leakage in two valve one is of mild type and other a bit more. Pulmonary hypertension in your case is due the Pulmonary embolosm u had which happened due to DVT. Impaired relaxation of left ventricle means your ventricle is not able to relax fully during the stage of blood filling in it which is a common age related change that happens in Heart after 45 to 50 years of age. Chances of having a pulmonary embolism in DVT patients are more than other people so you need to take good care of yourself in terms of proper medication, checking your INR periodically and keeping yourself mobile and active.Wish you Good Health"
},
{
"from": "gpt",
"value": "Target: What does the echo-cardiogram with mild impaired left ventricular relaxation indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My brother is suffer in chronic myeloid leukaemia diesease, he is taking glivec 400 mg, the cost of tablet is very high, he can't consume the tablet. Shall we get this tablet at any cost? is chronic myeloid leukaemia curable or need to take the treatment life long?. Please answer.. Thanks Doctor: Hi,Thanks for writing in.Glivec is Imatinib and works well in chronic myeloid leukemia. It is important for your brother to continue taking this medicine as recommended.To counter the high const of this medicine, you might discuss in detail with the treating doctor. Depending on the stage and control of disease, this medicine dose might be adjusted so that the benefit is achieved at a dose which might be taken in a way which will be financially viable for your brother. Instead of a daily 400 mg dose, after discussion with his doctor an alternative dose might be discussed.Another method is to register with drug companies for on going clinical trials with this medicine. Please consult any cancer research institute and try to know if any such trials are going on. Your brother might benefit from taking this medicine or an alternative similar drug as a part of clinical trial."
},
{
"from": "gpt",
"value": "Target: Are there any alternate to Glivec 400mg for myeloid leukemia disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor,I got a small lump on the back side,between my neck and shoulder.It is small in size and has been one year from now, i am feeling it.it is painless and not growing in size.I am a bit tensed about its presence.Kindly assist me.Regards,venkat Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a keratinous type), a fibroma or a lipoma. these lesions can occur anywhere in the body and have the tendency to recur. management (medical and surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: What causes a painless lump between neck and shoulder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I am facing back pain since couple off days,earlier i thought it was due to some improper position of body movement.but its creating problem for me everyday.its becoming severe as i am not able to seat more than 5 min on chair or in floor,please help me on this? Doctor: Hello,I had gone through the case and found that it might be slip disc or muscle spasm.So go for MRI of spine and take proper treatment.Meanwhile take mild painkiller and apply muscle relaxant gel.If pain is unbearable and reports come then go for physiotherapy.Avoid forward bending and lift heavy weight.Hope my answer will be effective for you.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes severe back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam using duphaston 10mg for 10 days from 15 day of my period and metformin 500mg daily since two month my cycle started 4th day after stopping duphaston will it be same this month also or are their chances of pregnancy if its delayed ....iam trying to get pregnant Doctor: Hi,There may be chance of pregnancy if you have dis sex in fertile period of cycle and you have normal ovulatory function and correct hormonal balance. Dupahston contain progesterone. It make uterine environment favorable for implantation and support pregnancy. Metformin will help to induce period and decrease insulin resistance. So hope you become pregnant.If it will not respond then you can ask a gynecologist for Clomiphene citrate and HCG injection for effective conceiving. All these medicine should be taken under advise of gynecologist after detail evaluation and monitored regularly by USG scan and ovarian follicle study. Avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
},
{
"from": "gpt",
"value": "Target: Is duphaston intake effective in conceiving ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was kicked in the left leg just below the knee. The blow came from the front. There is swelling and bruising but also, at the point of impact, it feels as though there is a hole in the muscle. It feels like a soft spot. I have compared this to my other leg which is fine and there is an obvious difference. What is the hole ? Doctor: Hi,Thanks for your query.Feeling of hole might be due to weakening in muscle or associated muscle spasm.1. Do hot fomatation at the site.2. Apply local anti-inflammatory gel 2-3 times a day.3. Take anti-inflammatory drugs like Ibuprofen to reduce pain and local swelling or inflammation.4. Strengthening exercises will be helpful.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What could the hole in the leg muscle be after trauma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently started having electrical pulses over my left ear and into on scalp and head is sore...saw chiropractor and ent who think it is occipital neuralgia. Would prednisone help as over the countet pain aids are not working. ?.can stress cause this to come on and can it be a precursor to shingles? Doctor: Hello!Thank you for asking on HCM!I understand your concern and agree with your doctor on the fact that occipital neuralgia could be the cause of these troubles. I would not recommend taking steroids for this purpose. An antiepileptic drug (topiramate, carbamazepine, gabapentine) would be more helpful in reducing the pain. I would also recommend performing a brain MRI extended even in the first cervical spine vertebra, in order to exclude a possible irritating lesion in this level. Hope you will find this answer helpful!Kind regards, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: What causes electrical pulses over left ear and on scalp?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi......iam priyanka 24 years .......from my young age i was not doing any kind of physical work i was just hooked to reading........and now from past 1 year am slowly working a bit....am doing tread mill walking ....i do it just for 30 mins......for 1 month i did only upto 5.8 speed.....after 1 month i walked at 6 speed for just 10 mins and then slowed down.......now my problem is am getting abdominal pain .....like when i walk my abdomen is aching like its gripping effect and when am sleeping and jus twist my abdomen its like my abdomen muscle is aching and also my thighs are aching........also my hips and back are aching......even when i jus cough my stomach ie abdomen aches.. i have done all test stomach scanning ,x ray,blood tests and all...my ESR range is 75 and every other tests are normal...........please tell me whether shud i continue walking r stop it........thank you all... Doctor: Hello, priyankka Dayanandan, I am reallybglad that you have gotten into work outs! In the long run, this will be very beneficial to you and makes you healthy and strong and leads to long life. The symtoms that you are experiencing are very typical for someone who has been inactive for a long time. What I suggest is that you do your workouts three times a week resting in between.TKe some nice warm tub baths if you can after your workout. Elevation of ESR is from activity. I would not worry about that. Good luck."
},
{
"from": "gpt",
"value": "Target: Abdominal pain after exercising, high ESR, done stomach scan. Should I continue walking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister had a renal stent placed today. one side is 100% blocked . the other where the stent was placed is 90% blocked. will she ever need the already shrunken 100% kidney removed? How long is the average recoup time? she is a nurse and thinks she is going to work her 12hr shift on Saturday. I say no. Doctor: Good Day!Congratulations on the successfull renal stent placement. What was the reason for the blockage of both kidneys? Theoretically the kidneys needs 6 weeks to fully recover from any form of obstruction, only then can we say that the kidney function has already stabilized after relief from obstruction. Since renal stent placement are done endoscopically and is a minimally invasive procedure there is no actual physical restriction that is recommended. If you feel that your sister is still weak and fells dizziness from the elevated creatinine then she still needs to rest to let the now non obstructed kidneys clear the toxins first in the body. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.Regards, Manuel C. See IV, M.D. DPBU FPUA"
},
{
"from": "gpt",
"value": "Target: What is the recovery time for a renal stent placement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having stomach and extreme back pain that comes and goes spuratically with extreme bouts of diarrhea. I have noticed that it is at its worst right before my menstral cycle. I also notice that right at the end of my cycle I get left ear, neck pain. Maybe they don't go together but I am concerned due to my family history of cancer Doctor: Hi there. Diarrhea with menstruation commonly occurs in females with dysmenorrhoea (painful menstruation).Pain causes increase in prostaglandin secretion in body resulting in back pain and diarrhea. Treatment consists of taking Naprosen or any other over the counter NSAID which will decrease prostaglandin secretion and thus alleviate your symptoms. I hope my advice has helpedGood luck"
},
{
"from": "gpt",
"value": "Target: Should i be concerned as i am having stomach and back pain, diarrhea and neck pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have RSD/Crps. Had for 13 years I watch the shows no one every talks about this topic. I have did an experimental I was in a ketamine comma. my whole body has it. I have a spinal cord stimulator. what are your thoughts about this illness. I can t afford to pay for an answer. So no matter what I hit blocks everywhere I go. they all want money I don t have. I don t even have a car. can t afford one. just pass this on to Dr. Phil please. thank you Gwen Ramsey spencer,oh Doctor: hi,thank-you for providing the brief history.As you have RSD I feel you need a neurologist to perform a clinical examination. Post which there might be a need of the EMG and NCV test.Since RSD is a painful conditon with severe contracture deformity there is a way which in my clinical practice is helpful to them.Like, usually RSD is recommended to a physical therapist for the release of contractures if they can be mobilized in about say 4-6 weeks of time. Most cases have been mobilised in that period and many have got some mobility of the muscles as well. The physical therapist will use hot water therapy before providing the mobilization of the bones and stretch to the muscles. It will be a painful but has helped regain he normal muscle length. This is a little longer procedure and may give pain but with results. Also TENS therapeutic ultrasound are used to reduce inflammation and pain in this cases.In some cases were the contraction deformity is severe there the Neurologist may recommend botox injection which will losen the muscle fibres and post which conscious physical therapy and splints are used to maintain the muscle length. post which the mobility of the joints is expected and worked for couple of patients in my clinical practice.I will advice you to discuss the same with a neurologist as RSD is a treatable condition and you an get out of this pain and disability factor. Need little patience and understanding about the case and things will work fine.Regards Jay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Any suggestion for having reflex sympathetic dystrophy/complex regional pain syndrome?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...my daughter has had headache since saturday dinner, now has high fevers 39.1, sickness, and complaining of stomach ache. He stomach isn't running. Her medication is taking her temp down to 38 but returns high every 4-6 hours. Her headaches are making her quite sick, and the medication doesn't take the pain away. Is this a viral infection? Doctor: Hi, from the information provided, your daughter is suffering from acute systemic infection (bacterial or viral). you have not provided names of medicines that she takes, and any blood test if any?If i were your treating doctor than i would suggest1) To do test for fever profile (widal, cbc, lepto, urine complete analysis) which you can discuss with your physician. 2) regarding stomach pain, it may be caused due to high drug dosage or of offending pathogens. Hope I have answered your question. If you have any further questions I will be happy to help."
},
{
"from": "gpt",
"value": "Target: Could recurring headache, high fever and stomach ache be viral infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a fixed lump under the right side of my chin for about six months now. My left side of my chin and neck are numb as is part of the bottom lip on the left. The lump is tender and varies in size depending on my amount of rest from talking, eating, etc. Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have sub mandibular lymphnode enlargement due to infection or you may have sub mandibular salivary gland enlargement due to siledenitis or some other cause. you should take a course of antibiotics. If it does not respond to treatment then you should go for fine needle aspiration cytology or biopsy. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What could cause a lump on the side of the chin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old daughter has a hard wax build up in her ears ...she also has one blocked ear due to swimming underwater.... it is not getting cleared with bud... i am using candibiotic eardrops 3 or 4 drops each ear twice a day... will it work... its been 2 days... no relief Doctor: Hello, Please seek medical ear wash by warm saline to clear wax. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: How can clogged ears in a child be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have bad right hip pain after a fall in September.just had mri it said mild peritendinous edema/ peritendonitis adjacent to low grade tendinopathy in the gluteus minimus what does all that mean.i cant walk good cant stand for to long hurts when i sit and if i lay on hip help plesse Doctor: Hello, I have studied your case. Physiotherapy will help you in decreasing edema and regaining ligament strength.Till time take analgesic and tendon protecting medication consulting your doctor.hip joint flexion, extension and rotation exercises will help.Physiotherapist will help you better to learn more exercises in proper protocol.If required intra-articular injection can be given but do MRI hip before it.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Can hip pain be caused by mild peritendinous edema shown on MRI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 58 year old, suffering from persistant cough for last three months, x ray shows a triangular opaque shadow in mid lung right side which is persistant for three months. Treatment taken,culture is negative, bronchoscopy normal tb tests normal advise further way Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Persistent shadow on chest x ray despite taking treatment suggest possibility of lung cancer.Bronchoscopy and culture are negative for infection like TB.So better to get done CECT thorax (CT scan with contrast).If this shows mass lesion then CT guided biopsy from the mass is needed foracort diagnosis.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What does triangular opaque shadow in mid lung suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Several months ago my right kidney had a semi mild throbbing pain that last a few days. Several years before that I was eating lots protein bars and noticed the same sensation. I cut that down and it subsided. A while back I was unknowingly taking double the calcium I usually take and noticed severe pain in my right kidney. I decreased the amount and drank lots of water and it subsided in couple of days. Every few days and have this throbbing. I do have a history of kidney stones loooong time ago. It was due to simply not drinking enough water. I drink proper amounts now, I think. Doctor: get one ultrasound of KUB,check for stones in ureter.may this be because of crystals or small stones.take normal calcium,low sodium diet ,urinary alkanizer"
},
{
"from": "gpt",
"value": "Target: Pain in kidney, taken double dosage calcium and protein bars. History of kidney stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im a 40 yr old male. i have been hoarse for over a month and saw a well respected ENT in Dallas yesterday. I have a fairly large polyp that he said did not look cancerous. He said i needed to have it surgically removed. Im very nervous. Could it be cancer? What are the chances? Could i lose my voice from the surgery? Thank you Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Polyps can be cancerous if age is more than 60 years. So at your age of 40 years, possibility of benign polyp is more than malignant polyp. But for confirmation, we need histopathological examination of polyp. And for this excision biopsy of the polyp is needed. This is minor surgical procedure in which polyp is taken out surgically and sent for histopathological examination. No need to worry for hoarseness of voice or loss of voice. It is very safe procedure. So get it done and confirm the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How to confirm if a large polyp in throat is cancerous?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Skipping or delaying a dose of Temodar? I have a Glioblastoma stage 4, discovered 10 months ago Dr. operated 1 week later. Did standard 33 day radiation treatment with temodar for 45. am currently 49, on the 5/28 day plan, month 7 of 12. I have a once in a lifetime opportunity to work with a ministry school in Manila, Philippines for 4-5 weeks. What would be the ramifications of skipping a dose or delaying it for a week or two. Doctor: Hi. I would advise you not to skip a dose or delay it. You can take the medicine while working. your medicine is to be taken by mouth. Many of my patients who are taking injectable chemotherapy come on short leave from office/job, get their chemotherapy and go back to work. You have to take capsules for 5 days in 28 days. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you best of luck."
},
{
"from": "gpt",
"value": "Target: What would be the ramifications of skipping a dose or delaying the radiation team for a person having Glioblastoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have a nine month old that was exposed to walking pneumonia for about an hour. He now has a green cruddy nose and hard to breath, some chest congestion, cough at night. No temp today, but slept very poorly last night, up 4 times. Could this be pneumonia? What are the symptoms for an ear infection? Thank you Doctor: Hi,Thank you for asking question on health care magic.To confirm the diagnosis of pneumonia,an x-ray chest is required.It is not possible to diagnose without clinically examining the patient and looking at the x-ray chest.Ear pain,temperature,some times discharge from the ears usually exaggerated by upper respiratory tract infection.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: What are the symptoms for ear infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: At L4-s, I have desiccation of the disc. There is inimal, central posterior protrusion of the disc at the inferior aspect of the interspace. Neural foramina are patent. At the L5-S1, there is also desiccation of the disc and minimal central posterior protrusion of the disc. There is also a small disc protrusion into the inferior aspect of the left neural foraman. This does not have direct contract with the nerve root. What is wrong with me because I do not understand. Doctor: Hi, I have read your MRI report which suggests disc dedication at l4/ l5 and l5/s1 level. But there is no thecal and nerve root compression so this can be treated by medicines and physiotherapy. But final opinion can be given by seeing MRI films. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr PANKAJ ARORA, Neurologist, Surgical"
},
{
"from": "gpt",
"value": "Target: What does this MRI report of disc indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I jaded my gallbladder removed 3 weeks ago, I had stones and it was also quite infected. However, I'm still having a lot of pain in the exact same spot and can't even breathe properly because it hurts too much when I take deep breaths. The pain goes into my right shoulder blade and is quite sharp. I have A Vascular Necrosis in my left hip so because of that I take 50mg of methadone and 20mg of statex when needed, and that isn't even helping with the pain! Plz help ..... Doctor: Hello and welcome to HCM,Gall stones cause inflammation of the gall bladder.Inflammation of the gall bladder is called cholecystitis.The inflamed gall bladder with stones has been surgically removed in your case.Pain which increases with deep breathing is usually associated with pleural involvement.The pain radiating to the right shoulder blade is seen in cases of acute cholecystitis.However, your gall bladder has already been removed surgically so this pain could not be due to acute cholecystitis.You need to consult your doctor for clinical examination of the chest and imaging study to look for evidence of any pleural involvement.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Still paining in the same spot after gall bladder removal 3 wks back with pain while breathing deep?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently I shaved and I started to itch a small bump that had tiny bumps around it with clear fluid on my left outer vagina lip. I rub alcohol on it after I take a shower as well as rubbing triple antibiotic ointment. Now I looked at it and it looks like an open sore and I'm worried. I'm wondering if its because I used the hair removal cream and shaved the small hairs that I was unable to remove why I'm experience this. Or can it be that I just recently saw my mother using my shaver and probably has been for a while why I'm also experiencing this. Can someone please tell me what this is and what to do to get rid of it? Doctor: Hi,From history it seems that there might be having ingrown hair follicle infection following shaving.Clean the part with running water and apply antibiotic cream.If pain and induration is more then you might require one course of antibiotic medicine for 3-5 days.Keep local hygiene proper.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to get rid of bump on outer vaginal lip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday I had sexual intercourse....i took ipill witin 4-5 hours.. Do i need to take it again (pill). I am really worried I am 20 years old my period came on 15 August and ended on 19 August .i did sex on 26 August.. do i need to take one more i- pill.please suggest fast . I really tensioned as it was my first intercourse.Though we used condom but i dought on it??? Please help. Doctor: Hello,I have gone through your query and understood the concern. If you have regular 28-30 day cycles, you had the intercourse just around the fertile period, though with lesser chances of conception. This is because ovulation occurs two weeks prior to the onset of the next menstrual period and the sperms can remain active up to 72 hours after ejaculation. As you have taken the emergency contraception, you are adequately protected and need not worry. Please wait for your next natural period and if you become overdue by ten days, get help from an expert. Take care."
},
{
"from": "gpt",
"value": "Target: How and when to use I-pill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I fell a few days ago and hurt my left knee on the concrete. It first swell up and I started limping. A few days later I decided to return to work which my job is walking at least 8 hrs daily. My knee then starts hurting again as I put pressure. When I first did it, it was pain from knee to foot and toes tingling. Now sometimes I walk okay but I will feel a sharp pain now leg has green bruise at bottom. I went to job doctor and they told me contusion to knee. Also everytime I walk my knee pops constantly since I fell. Doctor also prescribed naproxen. Can you tell me what you think and also should I seek a second opinion? Doctor: In my opinion you have 2 problems 1- medial meniscal injury in knee2-you have lumber disc probably L5/S1 i suggesr u do MRI to confirm both ankle green area you discribed could be from painfull walking which caused weight to drop on heels not toessimple test can be done by standing on heels with toes up (ankle dorsifextion ) while leaning forward for 1 min pain should improve if i am correctGood Luck"
},
{
"from": "gpt",
"value": "Target: What causes pain in the knee that radiates to toes after an injury? Suggest medication"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi am 24years and my husband and I have been trying to conceive our first child for a year and a half now without any success. I went to the doctor a month before and he prescribed clomid for 5 days, I lost one tablet and took 4 tablets 1 a day and it didn t work, he said i should take it from day 5-9. I went back and he gave me another cycle for fertomid he says I should take it from day 3-7 and he put me on folic acid too 1 tablet a day. I am afraid it won t work second time around, what are the chances of me conceiving this time around? Doctor: Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Clomid is given to increase the follicular size. It doesnot guarantee the pregnancy. Folic acid is to support pregnancy in case if it occurs. I suggest you do following test: 1) HSG to check your tubal patency. 2) semen analysis of your husband. 3) Regular follicular growth scan to see follicular growth. I hope I answered your query. I will be available for any follow up queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Prescribed Clomid, Fertomid and folic acid. Chances of conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have just notice a lump the size of a fist right under the right rib cage. I noticed it when i felt a sudden pain kinda like a muscle pain and attomatically put my hand there and noticed a lump. Since then the pain has gotten worse. But not terrible terrible pain but enough to barley bare it. Was wondering why it could be and if it could have anything to do with me having a baby 6 months ago or because i also have a UTI Doctor: Hi.The appearance of a lump with sudden pain under the right rib cage after pregnancy can be hernia as the most common cause . The other possibility is that this is a enlarged gall bladder, now the pain is due to inflammation. This is easily confirmed by ultrasonography and clinical examination . The treatment will depend upon the diagnosis."
},
{
"from": "gpt",
"value": "Target: What does painful lump under rib cage mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my sister has recently been diagnosed with aggressive bone and liver cancer . Her liver is completely covered and wide spread through her bones they suspect it has travelled to other areas. The primary is the breast . She does not know the full extent of her illness . Are you able to tell me a honest life expectancy. She is in quite some pain. Thank you. Doctor: Hi, it will not be fare to comment on life expectancy without assessing the patient clinically. many patients with extensive metastasis from breast cancer lived for years. chemo, radio and hormonal treatment are available. first to look for supportive care.consult oncologist for detailed discussion."
},
{
"from": "gpt",
"value": "Target: Have bone and liver cancer. In pain. Life expectancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 30 years old...healthy 8 week pregnant female. When waking up in the middle of the night last week to go to the bathroom...my but crack was very itchy...of course , half asleep I itched it a lot. Today I have open sores from itching and it is very painful to sit or lie down. Do you have any suggestions to ease the pain?a Doctor: Hello,Welcome to the HCMBrief..It is parasitic infection (worm infestation)Detailed answer...As it is more likely because of worm infestation,for that you may need one of two deworming medications..albendazole or praziquantel .Though it is safe in pregnancy,but studies shows that deworming during pregnancy can cause eczema in babies .My opinion would be discuss first with your gynaecologist before using these medicines for deworming.Regards,Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for itching and soreness in buttock crack"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir/madam right ovary measures33*29mm and left ovary measures 27*31mm my right ovary follicles showing small 14*14mm and left ovary follicle showing no dominanat follicle. endometrical is6.8mm next i wnt then also same it came bt endometrical is 9mm im having a chance of getting preganency or not please answer my question Doctor: Hello. Thanks for writing to us. You are having a dominant follicle in your right ovary. This follicle is likely to grow till day 44-16 and then rupture and release an egg. Chances of pregnancy are present if the timing of sex is appropriate. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Have follicles in ovaries. What are the chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have rectal cancer. My surgery was sept. 6 1013. I did five weeks of radiation with 5fu pump then I went on to 12 weeks of high dose chemo. I did folfox for three weeks then they changed me to folfuri because of the neuropathy. I have been take hydrocodone 7.25 325 Tylenol sInce my surgery. Now they want to cut me completely from pain meds. They prescribed meloxicam tab 7.5 mg once daily but it comes up and upsets my stomach. I want my regular pain meds back. I have an ileostomy. I also have lost 40 lbs. I'm now 94 lbs. why can't I have my pain meds I want?K Doctor: Dear, Unless there is any specific contraindication to a particular pain killer you can consume the pain killer of your choice.Dr. J. Ticku"
},
{
"from": "gpt",
"value": "Target: Why can't i have my pain killers after radiation for rectal cancer?"
}
]
|
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