conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: i have had a heaviness in my right lung. 2 years ago I had bronchitis and they heavy feeling went away partly but recently it is back with no cough but some sharp pains. I am not a smoker and it worries me that 30 years ago I had a summer job that cleaned asbestos lined tank for a couple of weeks. What could this be? Doctor: Hi thanks for asking question in healthcare magic....Your work is related to asbestose....So pneumoconiosis can be there ...For that chest x ray done....It is occupational lung disease ....It is form of restrictive disease...Asbestose can lead to fibrosis or mesothelioma like problem....Even it can lead malignant mesothelioma.So regular follow up done for this asbestose related lung disease....Take care....Avoid smoking as it can lead fibrosis...Drparth"
},
{
"from": "gpt",
"value": "Target: What causes heaviness and pain in right lung?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m going on birth control and I have seen a lot of mixed reviews about the different types of pills. Do you have any advice on the best kind of pill? Also, I was once on depo provera (I got one shot) then I stopped because I bled for 2 months and had no sex drive. Will that go away if I go on it again and continue with it? Doctor: in my opinion u can take novelon or femilon pills...n can stop depo shot...birth control pills has to be taken regularly and on time...u can consult your gynecologist for pill.."
},
{
"from": "gpt",
"value": "Target: Which is the best contraceptive pill?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: In 2006 I have suffered from Bone Tuberculosis in D7 D12 spinal cord and recovered after two years of treatment of Allop and Ayurvedic during these two years I was totally in bed as a result of which i lost body balance, coordination s power due to which I can t walk as well as cant talk clearly, feel too weak and tier very soon Doctor: Hi, Start physiotherapy to gradually increase joint range of movement and power of leg and arm muscles. Gradually shift to standing with the help of brace, then shifting to walking as body allows. After some time, when power and coordination improves, shift to quadripod then tripod and so on ultimately walking without support. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: How to start walking after recovering from bone tuberculosis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi , I have a skin allergic , doctor prescribed me dazit m at morning and emtek before dinner. For 3 weeks but I am not able to take tables regular . due to my travel .. I am still facing skin allergic these rashes come mainly in chest and upper hand , then go away with in 20 to 30 min.. Now I am afraid does this may be a symptoms of hiv. I had protected sex before .. Even I tested in June its negative . which I take after 2 months of sex . now I am having sex with only one that too protected .. Doctor: Hi..Welcome to HEALTHCARE MAGIC.I have gone through your query and can understand your concerns..As per your complain rashes over the chest and hand that comes and goes seems to be due to allergic reaction and can be due to either any food or medicine or can be Contact DERMATITIS that can occur due to allergic reaction to some detergent or skin cosmetic while other causes can be allergic reaction to poison ivy, leather, latex etc..I would suggest you to consult an Allergist and get evaluated and he can advise you allergic testing like Patch test, RAST test, Food challenge test to rule out the exact cause of allergic reaction and preventing exposure to allergen can help..In case if still you are exposed to allergen you need to take anti-allergics like Dazit M that contains Monteulokast and desloratidine.An Immunotherapy can also be instilled to reduce the severity of allergic reaction.. Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for persistent rashes on chest and upper hand after taking Dazit M"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Ok so my bp is 151 over 81 my doctor has had me on Lisinopril HCZ 10 mg I reacently stopped taking it so to chest pain and chronic dizzy spells. After a week of being off the medication I felt actually better but today decided to take my BP and I know I’m concidered stage 1 hypertensive but other then that should I have any super concern Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No, you should not be concerned. You may stop it but need to monitor BP and BP should not be persistently more than 140/90 mmHg. Have low salt diet and regular exercises. Hope this helps you and get back if you have any doubts. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is abrupt withdrawal of Lisinopril advisable?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Age: 23 Height: 6ft.1in. weight: 150lbs Hi, I am in India for past two and a half months and am afraid that I might be infected with worms. I read online about 'Zentel' which can cure the infection. Should I consult a doctor before taking the medicine? Is there any side effects to taking 'Zentel'? If I can take it, then how many days and how much do I need to take to get rid of the infection? Doctor: Hi, thanks for sharing your health concern with team HCM!As per your description, I would like to advise you to take this medicine ALBENDAZOLE 400 mg at bedtime as a single dose by chewing only but before that you need to do a stool examination because there might be some more infections/pathology also! It is a safe drug!maintain perineal / anal hygiene also! Hope you got your answer. Please feel free to write to us if any more queries or with the reports / follow-up...Wishing you the best health!"
},
{
"from": "gpt",
"value": "Target: Can Zentel be taken for worm infections?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: HI, I missed my periods on the 22nd of oct 2010 and then went for an u/s on 14th nov. 2010.The results show that I have a single intrauterine gestational sac of about 7+weeks. The gestational age as per LMP is 5 weeks 5 days.But the reports show no obvious fetal pole and a follow up u/s is suggested.I am really worried.Is everything OK? Doctor: HI, I understand your concern. Your US report suggests - - early conception, in your previous cycle with a blighted ovum.( a chemical pregnancy.. without formation of fetus so there is no fetal pole ) Such pregnancies usually automaticallyterminate / need termination done. OR - The reading of gestational sac size might be wrong, if you had conceived after 22nd of october, USG scan in just 3 weeks of pregnancy sac won't be visible.. & you may have to wait for 2 more weeks for the fetal pole to appear. * IN such condition, it's advised to take second opinion/ repeate the USG scan after 2 weeks to get confirmed diagnosis & line of treatment according to gynecologist's advise. thanks."
},
{
"from": "gpt",
"value": "Target: What does the US report with intrauterine gestational sac indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: how effective is rituxan for low red blood cells,for which I am taking every 3 months along with folic acid. I have been diagnosed with hemylitic anemia. It seems to be working .While I have been an anemic all of my life,do you think I was more prone to having this ? I am 72 but looks and feels like 50. It has been under control going on a year;however, I was diagnosed in 2/11,and with many blood tranfusions,predisone,cytoxan,even had my spleen removed hoping this would help. But now the only thing that has helped are the rituxan and Folic acid. Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that it is a good treatment options for those who do not respond to any of the above therapy you have mentioned, rituxan and folic acid together boost up the haemoglobin content, and makes you out of hemolytic anemia. Take the regular treatment you will be out of anemia soon.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: How effective is Rituxan for low red blood cell count?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am Nalini Tripathi fron New Delhi, with 5.2 ft height and weighing 65.4 kg. I have been on Haemodialysis since 1st July, 2008. I am suffering from Hepatitis C, genotype 1a since November, 2009.. For six months, I was put on Pegasys nterferon injections of 180 mg, but in vain. The viral liad increased to 4,33,000. Recently, I was diagonosed with Liver Cirrhosis. The right lobe of the liver is conmpletely scarred but the left lobe is within the normal limits. There is also mild Spleenomegaly with Ascetis. Doctor: Hi thanks for contacting HCM.Yes according to history you are having cirrhosis of liver with portal hypertension...You can start beta blocker drug for reducing portal pressure...In cirrhosis liver can't produce albumin.so edema is present...Take low salt diet .If needed diuretic is helpful....If still portal hypertension not controlled TIPSS like shunt placement can be done...Meanwhile take low fat diet.Fruits more...Avoid alcohol...Take crushed papaiya seed with lemon juice one tsp daily .Grind carrot and spinach leaves juice daily...Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hepatitis-C and liver cirrhosis"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son is 2 years old..he has cough and cold from last month..this is for the third time..the doctor has put him on antibiotics..amoxycilin and anti allergy ..levocitrizen..with budesal respules...can levolin be also given..1 respule(2.5 ml) with 2 ml saline solution..what should be given for cough... Doctor: Hello,Thank you for asking at HCM.I went through your son's history and would like to make suggestions for him as follows:1. Were I treating him, I would add montelukast to his treatment (levocetirizine and budesal respules).2. Please give him levolin only upon doctor's suggestion as it may not work in all types of coughs. So I will suggest you to get him examined by doctor and use appropriate cough syrup as suggested by doctor.3. I would also like to mention here that budesal takes time to be effective and also it needs to be given for long duration. It is not an emergency medication for cough. So please have patience till it becomes effective (usually, 7-14 days).4. In general, please avoid exposure to dusts, smokes and air pollution to your son.Hope above suggestions will be helpful to your son.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health and a very good recovery.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough in a child"
}
] |
[
{
"from": "human",
"value": "Source: Patient: This is about my brother, he had some kind of mood outbursts problem ans its been a long time now. He would be ok for like 6-7 months and then again after sometime he would become violent, doing weird things, always angry and ready to destroy things, beating people (family members), throwing stuff here and there. Situation gets very bad when he is like that. He would remain like this for sometime (say 6 months to an year) , then he becomes normal. Then after sometime he goes back into the same violent phase. This has been repeating for a long time now. He is 30+ and this has been happening to him since he was 15-16 or something like that. don't know which doctor should we consult ?Thanks.PS Doctor: Hi, Thank you for using health care magic.I can understand your concern about your brother's health.From the symptoms you describe it seems that your brother is suffering from bipolar mood disorder, A treatable psychiatric condition.These symptoms you described are of manic phase , which is an one pole of the bipolar disorder. The other pole is of depression. many person have only one pole which is manic pole.Psychiatrist would be a best doctor to treat this condition. There are medicines which are called mood stabilizers (lithium, sodium valproate, etc) will be helpful in reducing the mood swings. Hope this will help you Regards."
},
{
"from": "gpt",
"value": "Target: Suggest therapy for mood outbursts leading to a violent behavior"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I recently developed sores on the roof of my mouth. Also has white spots. Now the blisters break open every time I eat anything at all. I rinse with salt water. Should I be concerned? Is there anything more I can do? They just showed up along with a yeast infection after one dose of an antibiotic. Doctor: i..Welcome to Healthcare Magic.I have gone through your query and can understand your health concerns..As per your complain sores on roof of mouth can be;1. Apthous ulcers or canker sores..2. Cold sores caused by Herpes virus.3. Allergic reaction to medication.4. Bullous Pemphegoid..You should consult a dentist and get evaluated and in case of apthous ulcers you should do warm saline gargles.Gargle with 1:1 solution of hydrogen peroxide and water..Apply milk of magnesia over the sores.Take a multivitamin tablet for 15 days..In case of viral infection antiviral oral and topical application like Acyclovir therapy can help in preventing further outbreaks..In case if it is due to allergic reaction anti allergics like Levocetrizine or Benadryl can be advised..Salt water gargles will help.Avoiding the allergic food can help..The white patches over the palate and as you already told that you have yeast infection the patches are due to Thrush..For this you have to take antifungal medicines like nystatin mouthwashes will help..Suck Clotrimazole lozenges..Take more of probiotics like curd and garlic can help..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sores on palate"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi doctor,I have been having mild pain in my left chest since 3-4 days now. I keep thinking it is gas pain as previously I did have this kind of pains. There was slight burning sensation in my middle chest and sometimes I feel the pain in right chest also. I tried drinking lot of water and I had to belch to let out the gas. But when I climb stairs I feel the pain can be felt. Even at rest, the pain comes and goes with no other synmtoms. Is it just gas or anything more serious like heart attack? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. By your history and description, possibility of GERD (gastroesophageal reflux disease) related chest pain and gaseous distention is more likely. But better to rule out heart diseases first. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Take Pantoprazole and Levosulperide combination on empty stomach twice daily for GERD. Avoid hot and spicy food, avoid junk food, avoid stress and tension, be relax and calm. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is chest pain on the left side a symptom of a heart attack?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a lump under my cracked tooth (been left untreated), inside the tooth I have like a blood bubble, felt some pressure so decided to pop the bubble and blood and a little bit of white/yellow puss came out but mainly blood the lump has shrunk a little bit but not much and is painless and quite solid, does it sound like cancer or and abscess because after a lot of googling it’s got me worried!! Doctor: Hello,A bump under the gums of a cracked tooth that is discharging pus can be a dental abscess. It has shrunk as the pus is somewhat drained. You should consult an oral physician or an endodontist and get evaluated. An x-ray should be done to rule out the exact cause of symptoms. In case if it is an abscess. Then root canal treatment should be done followed by a course of antibiotics like Augmentin and anti-inflammatory painkillers like Advil.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: Is a blood blister under the cracked tooth a concern?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hiii am natasha, i have a big problem, my problem is that i had regular periods....my doctor has proposed me duphaston for 10 days n to wait 6-7 days to get my period, on the seventh day i got it,then on my first day of my period i hve tke microgynon...after taking these medicine i got my period, it was a treatment for three months....now i want to be pregnant, i told my doctor she told me to tke duphaston for 20 days twice a day in the morning n in the afternoon,i just want to know if it works or not.... Doctor: Hi, Duphaston only will not work alone. You need some investigations like ultrasound for follicles count, thyroid profile and prolactin. If all are normal, then you can try naturally for 6 months otherwise some medicines will be required for helping you to get pregnant.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: Can I take duphaston or microgynon to get pregnant?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: im 36 years old and ny wife 26 years, im married since 4 years but still there is no pregnancy, i make all the test before pregnancy( HySTEROSALPHINGOGRAM-normal, hormonal profile- my wife have elevated TSH- subclinical hypothyrodism- she take thyroxin 75mcg and the hormone level is normal, semen analysis is normal, IUI done one time but failed. just i want to ask about failure IUI and i dont get pregnancy till now and possible solutions thanks Doctor: hello Dear. In Infertile couple usually 25% defect in male.25% defect in female, 25% defect in both male & female, 25% defect still not known .my advice to do sexual contact in mid cycle ( for example - 28 days menstrual mid cycle will be 14 days) 3 days before & 3 days after mid cycle. IUI will be solution but some time fail due to technicle reason.also advice to do YOGA & RELAXING execrcise. wish you good health."
},
{
"from": "gpt",
"value": "Target: Not getting pregnant, test reports normal, IUI failed"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have chronic pain from MS. My doctor prescribed Cymbalta, but after reading the long list of side effects I really don't want to take it. I'm supposed to meet with him this week. Is there an alternative medicine you can think of for me to ask for? Right now, I'm just taking ibuprofen which does very little. I just want something to cut the pain enough for me to sleep. I'm searching for a new neurologist. This one is not very good. Doctor: Pain from MS can be very difficult to treat and for the patient to deal with. I like to try and control the pain with a multi-modal approach, that way you attain the most benefit. For starters I think you should definitely start taking some neuropathic, or nerve pain controlling, medications. A good start would be with gabapentin. Typically you will start at 300mg daily and slowly increase overtime to a dose which helps you and avoids side effects. Another excellent option is a tricyclic antidepressant, called pamelor. Pamelor is very old, cheap, and highly efficacious. Typically i start at 25mg nightly. This will not only help with pain, but will help you to sleep better as well. Now other than pharmaceuticals solutions, another great option is nutraceuticals ( vitamins and supplements). I would recommend a vitamin regimen that includes vitamin D3 ( cholcalciferol) 1000 units twice a day to help with pain, inflammation. Also start taking a vitamin B complex ( containing B3, B6, B12) as this helps with nerve related pain and helps decrease further nervous system damage. Lastly I would start taking magnesium citrate 500mg nightly, to aid in better sleep and help with pain ( magnesium citrate is absorbed the best by your body, so be sure it is this formulation). If the pain persists and you begin having more tingling/unpleasant sensations, another option would be alpha lipoic acid 600mg twice daily. These suggestions are all proven to be effective in the medical literature and I use them on a daily basis for my MS patients. I hope that this helps and I hope you feel better soon! Good luck!"
},
{
"from": "gpt",
"value": "Target: Suggest cure for chronic pain from MS"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have problem wih my gall bladder. I have checked and Ultrasound that shown I have implamation gall bladder. Many time I feel pain the stomach right side. I also very easy to get tired when doing exercise or activity. And easy to get headache and spinning. When I visited internist, they gave me very high antibiotic and anti acid. I feel not good if taking antibiotic all the time.... I need something make me better and can do activity more.. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Yes, this is probably so called cholecystitis and this is inflammation of gallbladder due to stones in it. you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Surgery is recommended in this case and if you dont want it now then you need to change your dietary habits first. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbaldder stones are ruled out.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: How can implantation gallbladder with stomach pain be treated?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, I have a lot of dry skin under my bottom lip and a few patches over my top lip. I fear it might be the beginning of Angular Cheilitis, which is something I don't want to deal with again. Is there anything I can do now before the cracks on the corners of my lips appear? Doctor: Hello,I can understand your concern. As you have suffered from angular cheilitis previously and feel like it happening again, it might as well be start of angular cheilitis.To stop it from developing further and heal the skin area, you should start with multivitamin supplements containing Vitamin B12 such as B-Folcin once a day for a month at least. In addition, to keep the area moist, you should apply oil or vaseline frequently over the area. If it does not stop from progressing further or does not heal in a month, I would advise that you consult a dentist for clinical examination of the area and further treatment.I hope this information helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dry skin around lips"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I m 26 years old and I am currently pregnant, about 11 weeks along. When I got pregnant with my daughter two years ago I started to have severe dizzy spells that were followed by vomitting. This not only lasted thru my first pregnancy but I had experienced this for over 2 years in between pregnancies. I had brought it up many times to my doctors and was ignored because they didn t see an issue. I call these episodes dizzy spells because that s the only thing I can compare it to... It is more of a physical feeling that starts in my stomach and works its way up to my head. It has always been random, sometimes multiple times a day and other are months apart. The feeling is so intense but only lasts a few minutes and is usually ending with vomitting. In between pregnancies it seemed like when this would happen I would stay seated and really still with my eyes closed and it would help stop the vomitting from happening. I ve done my research and understand most of the causes but I ve seen midwives, my Pcp, my obgyn and multiple other doctors with no luck for answers. Is there anything I should be worried about or does this seem to resemble anything medical? I d just like some sort of answer so I know whether I should be worried. Doctor: Hello, To me, your actual dizzy spells are related to pregnancy. That's normal. Now, if you'll experience again when not pregnant, then this is to get further investigated: - do monitor your blood pressure and record the results for reference especially when you have the spells - do monitor your blood sugar levels to rule out hypoglycemia - have your meals regularly - check blood count to rule out anemia If nothing, then thyroid to check together with upper endoscopy for possible stomach problems. However these are to get tested after giving birth if dizzy spells will continue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Albana Sejdini, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes dizziness and vomiting?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, this may sound soo stupid but i was just wondering how likely it is to get pregnant on the same day i came off my period? Also I took the first contraceptive pill out of the packet on the same day around 4-5 hours before sex. My stomach has been hard for the past few days an im worried becos i dont want a baby :( Doctor: Hi Dr. Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Day 10 to 20 of the cycle are the most fertile period of the cycle. As you had sex much before that, you need not worry about the pregnancy. Plesse keep taking the tablets regularly without missing out. I hope this answer helps you. Thanks. Wish you great health."
},
{
"from": "gpt",
"value": "Target: What are the chances of getting pregnant right after menstruation?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have just got married. As both of us do not wish to have a child at least for a year, I had visited my doctor. She has prescribed me novelon and folivte tablet to be consumed together everyday continuously for 6months, after taking a break again starting it again together. While I know novelon is good oral contraceptive , I see folivte helps conceive. Please advise if the prescription is correct Doctor: Hi, Welcome to HCM I appreciate your concern use of oral contraceptive is very good option,and you have been prescribed folic acid along with combined pill. It is according to guidelines as bio availability of folate is variable in population taking mixed diet,many pregnancy occur due to incorrect or inconsistent use of OC, and folic acid is known to prevent neural tube defects significantly and there is no harm of folate even more bio available form of folate is used. Please take your tablets as advise do not worry and enjoy happy married life. Please take care. Good Luck"
},
{
"from": "gpt",
"value": "Target: Prescribed Novelon, Folivte for birth control. How does Folivte help?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 50 yrs old and for the past couple of months I have had a bloated, heavy feeling stomach and lower abdominal ache and lower back ache. It seems worse when i sit down. I've had this since february but to begin with it was maybe a couple of days here and there but since starting hrt (Evorel conti) about 4 weeks ago it is now pretty constant. Most of the time I feel tired even though I am sleeping much better since starting hrt. I didnt mention this to my doc before starting hrt as I thought the symptons would go. Any advice would be greatly appreciated. Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You are 50 years old, you had bloating, heavy feeling, and lower abdominal pain. It is worst when sitting.It is there since february, but more since one month. you feel tired all the time. The lower abdominal and back ache , more when sitting suggests urinay tract infection, or stone in the urinary tract. i advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. Wishing for quick and comfirtable recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Bloated and heavy feeling in stomach, back pain, lower abdominal pain, tiredness. Suggestions?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: ive been diagnosed with anxiety; was prescribed clonazapin; however my physician moved out of state and the best i can do is go to the er parasitically and they may prescribe xanax 5mg as opposed to 1mg clonopin t.id. Last weekend i encounterd a lot of stress. For the 1st time I felt my chest tight soo much each time I moved, it was tender...it lasted approx 3 days now same symptoms have returned...Incidentally blood pressure was 178/74..Understand u cannot diagnose me via line.....just want a professional opinion...as I havent gone to the e.r. thinking this is probably anxiety disorder until i get xanax or clopnopin Doctor: HelloAnxiety is characterized by the symptoms you are showing like stress, chest tightness, tender chest, hypotension etc symptoms. You have been clonipin 1 mg and this is a benzodiazepine drug and it provides symptomatic control in anxiety. Similarly the xanax is also a benzodiazepine and both drugs are almost equally potent. But these drugs are not definitive treatment of anxiety, medicines like SSRIs, SNRIs are used in such situations. These are non addicting and help to improve anxiety states.Consult a Psychiatrist for expert opinion.Thanks"
},
{
"from": "gpt",
"value": "Target: Diagnosed with anxiety. Prescribed clonazapin. Stress, tight chest, tender chest, low BP. Can xanax be taken?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello Sir, My daughter is 27 months old. She urinates in bed about 3 times during night. I consulted a pediatration who asked to go for tests such as blood sugar fasting, KFT, CBC, Stool Exam,and USG Abdomen. All the tests were within normal range except USG which showed 53ml in bladder and post void 19ml as residual urine. The doctor has now advised to go for MCU to rule out and blockade. Kindly Advise. Tahir Wani YYYY@YYYY Doctor: Bedwetting is a common problem in children and could last upto 5 years of age in about 25% of children. I understand that it is awkward but I do not think that you need to be proactive and get so many tests done. You have to gradually train the child so that bedwetting gets demotivated. Things that you could do are:* Shift times for drinking. Increase fluid intake earlier in the day and reduce it later in the day.* Schedule bathroom breaks. Get your child on a regular urination schedule (every two to three hours) and right before bedtime.* Be encouraging. Make your child feel good about progress by consistently rewarding successes.* Eliminate bladder irritants. At night, start by eliminating caffeine and if this does not work, cut citrus juices, artificial flavorings, dyes (especially red) and sweeteners.* Avoid thirst overload.* Consider if constipation is a factor. Because the rectum is right behind the bladder, difficulties with constipation can present themselves as a bladder problem, especially at night.* Do not wake your child up to urinate. Randomly waking up a child at night and asking her to urinate on demand is not the answer, either – and will only lead to more sleeplessness and frustration.* You may use a bedwetting alarm that beeps when you it feels moisture develop inside the piece of clothing the device is attached to.* Do not resort to punishment. Getting angry at your child does not help her learn. The process does not need to involve conflict.* The best non medical intervention is perhaps star charting. Award a star to your child for each dry night. Promise a small gift in case she gets a certain number of stars. Delayed gratification increases the effectivity of the method.Hope that helps. I would suggest that you get a second opinion."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for frequent bedwetting"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my wife was prescribed noriday even though we have no sex She now stays in bed up to 22 hours a day in bed when she is home.She says it was for her acne is this possible? a I have found nothing on the internet to support this only that it can cause acne. Doctor: Hi....dear user., Thanks for choosing HCM., Noriday tablets .....are a type of hormonal contraceptive.... commonly known as the 'mini pill' or progestogen-only pill (POP)..... They contain the active ingredient norethisterone...., which is a synthetic progestogen....., similar to the natural progestogens...... The main sideeffects are.........Changes in menstrual bleeding, eg irregular bleeding..., or sometimes stopping of bleeding...., \"Changes in sex drive \".Medicines and their possible side effects...., It can affect individual people in different ways. ..., The following are some of the side effects......, that are known to be associated with this medicine..., . Just because a side effect is stated here..., it does not mean that all people using this medicine will experience that or any side effect. Being hormonal drug ...no doubt it is comedogenic...produces ACNE...ok ...good luck"
},
{
"from": "gpt",
"value": "Target: Do Noriday tablets have any side-effects ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i fell a month ago and i hit the dack of my head on a concrete wall and had staples put in, i have a concussion and i would like to know how long i should have a pressure sensation in the front of my head and near my eyes when i lean foward or shhot a basket ball in the driveway with my son, thx mike c Doctor: Hi,Thank you for posting your query.I have noted your symptoms and they are suggestive of mild head injury with concussion.There is no need to worry as the symptoms would continue to improve on own and you would get better in 6-8 weeks time.In the meanwhile, you may take betahistine tablets for relief of symptoms.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Experiencing concussions after getting hit at the back of the head"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my brother in law has rectal cancer. had surgery to remove tumor. he was not abl to get chemo due to low tolerance. radiation produced scar tissue and a second surgery is too risky. pet scan lit up in bladder tailbone and lymph nodes away from orig tumor site. doctors are saying it is too complicated for them to treat. referred them to mayo clinic for second opinion. he is going down fast. how long if no treatment? Doctor: Hi,Thanks for writing in.I understand that your brother in law is having a cancer with local spread. Post surgery the primary cancer has been removed but the disease process has continued to involve other areas; the sacrum and pelvic lymph nodes.In such situations, he can get high intensity focused radiation treatment if possible as decided by his oncologist to slow down the disease progress as he is not healthy enough to with stand chemotherapy.This way his disease progress can be slowed down but not stopped. The survival in such cases is usually 12 months to 15 months without treatment. I hope the second opinion at mayo clinic helps in improving his over all survival."
},
{
"from": "gpt",
"value": "Target: Suggest complication with rectal cancer"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi i have been told i have artial flutter waiting for specialist appointment.in the meantime have been priscribed asprin ,told to cut out drink i drank 3 glasses wine a night white ,ate chocolate every day like my sugar and am overweight , so no dairy ,no wine only 1 glass of red if i had to nosugar bread salt and as i have a interjestian problem cut down citrus foods and drink , no caffine after 3 days only eating potatoes fish and veg and chiken rice cakes i have a bad headacke is this the affect of no sugar ,as when i had aglass of red wine last night headcke was eaiser and went away Doctor: dearheadache in your case is not due to cutting down your sugar but ur red wine.important thing is that ur heart rate should be in normal range hope ur in regular contact with your cardiologist."
},
{
"from": "gpt",
"value": "Target: Is headache an effect of cutting sugar from diet after being diagnosed with atrial flutter?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been facing sneezing due to dust infection daily since 3 to 4 months. I m a working woman and had to travel twice daily from home to office. Please suggest me how can I get rid of this problem. I have been taking levocetrizine as prescribed by a doctor friend . Also cover nose n mouth while traveling. Plz help. Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Were I treating you, I would suggest you a combination of montelukast and levocetirizine regularly for 4-6 weeks.2. You are already doing good by covering nose & mouth. Sometimes cloth may be less effective in preventing particles from entering nose/mouth, in that case, I usually suggest use of mask.3. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid exposure to them.4. I would suggest you regular nasal irrigation with normal saline which may help.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dust allergy"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am having a sharp twinging pain in my lower right quadrant; when I pressed on the spot early this morning i suddenly felt a little nausea and dizziness. The twinges of pain are more frequent. I don t have a fever, diarehea, vomiting. I am thinking either appendix or right ovary or something with my small intestine. I have had 2 bowel movements today which is not usual for me as I can go 2-3 days without going. Am taking probiotics. Thanks Doctor: Hi.Yes the pain in the right lower abdomen which increases on pressure and cause nausea and dizziness is more suggestive of an acute inflammation in the area like appendicitis or ovarian twisting or sudden increase in pressure. This can be easily confirmed by an ultrasonography and clinical examination by a General Surgeon. Get operated if there is a surgical cause as we both are thinking. If colitis or such things area suspected you can have a course of an antibiotic and supportive medicines."
},
{
"from": "gpt",
"value": "Target: What causes pain in lower right quadrant with nausea and dizziness?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had exteme chest congestion with a very sharp unproductive cough for 3 days. My chest is now very tight and it is painful if I try to cough. I have been pushing water and taking an expectorant and advil. This morning I was running a fever of a little over 100 degrees. Any suggestions and when do I need to seek treatment. No headache or other flu symptoms. I am 60 years old and otherwise in excellent health. Doctor: As you have mentioned it is seen that you are suffering from severe chest infection. For this you have to take some antibiotic like tan augmentin 625 mg three times daily or tab levofloxacine 500 mg once daily after meals for at least 5 days along with tab akilos-p or tab ultracet twice daily after meals for fever with tab levocetrizine or tab fexofenadine twice daily after meals with cap omez or cap rabeprazole twice daily before meals. For unproductive cough you have to take syrup tusq-dx or syrup grilinctus 2 tsf three times daily after meals. Above all these you also have to take steam inhalation at least three to four daily as it is very helpful in relieving the congestion and tightness of your chest."
},
{
"from": "gpt",
"value": "Target: Do I need to seek treatment for chest congestion?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 21, 5ft 6in and I hurt my knee about a month ago playing football. It was a sudden impact type of injury but it was never swollen just very sore and it still hurts and I can not straighten my leg fully. It is just unstable sometimes and I can t jump. Do you think there is something serious wrong? Doctor: Hi there . Thanks for your question at HCM.It is possible that your symptoms are caused by a mild meniscal tear. Meniscus is a disc like cushion between the two articulating surfaces of your knee joint. Two menisci in each knee work as shock absorbers during bending and twisting movements of your knee. When it is injured this shock absorbing function is lost and it can get caught or squeezed between the articulating surfaces. This can cause pain on movements like bending, squating, geting up from a chair, twisting movements associated with going up and down stairs.In more severe forms it can be associated wity stiffness of knee wity inability to bend fully, giving way or popping sensation and more severe pain.If you cannot manage your daily routine without pain, it will be prudent to meet a sport physician and let her/him evaluate your knee. Also pain while going up and down the stairs can suggest some injury to associated ligaments of the knee. Hope this helps. All the best. RegardsDr.SBK"
},
{
"from": "gpt",
"value": "Target: What does problem straightening leg after football injury indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I want children.. I have none, I ve suffered a stillborn and one miscarriage. Ever since my still born, my menstrual cramps are severe to the point I m crying in pain then exhausted falling asleep also, the pain is only on my right side. My gyno for my miscarriage did not take into consideration my questions and worries. They said my ultra sound looked healthy. I m trying to get pregnant still new at it but have no idea if there is something wrong I just need advice, even what to ask my gyno next time. Doctor: Hello,I can understand your concern. First let me ask you some question are you consciously married? How was your ultrasound of your stillborn (how many months baby) did it show any abnormalities?. It's better for you to go for genetic counselling. That might help you to detect any chromosomal abnormalities. It can be done by a blood test of you and your husband. If its normal then no need to worry otherwise try to avoid travel. Eat healthy stay healthy and also do a blood test to rule out viral infection."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for getting pregnant"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son has a ring of a rash on his left cheek, it doesn t seem to be bothering him, there has been a case of slapped cheek at his nursery. my concern was that we were with my pregnant friend this afternoon and if he was at all contageous she would need to know. Doctor: Hi, I hope he is not having a fever and rash all over the body. If the rash is limited to one particular area then no need to worry. It may be due to superficial fungal infection. that can be treated with a topical antifungal cream. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for ring of rash on the left cheek"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 'm a 22 year old man. Initially when I used to masturbate the sperms in the ejaculation were thick. But now since a month the sperms are not so thick. Its almost like water.Also it is colourless. Why is this so? Is there any problem ? Please reply. I'm very worried. Doctor: Hello, Quantity or thickness of sperm is not a concern. Quality is to be counted for future sexual life. Don't worry too much about it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: What causes sperms to be watery?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My wife is having problem of blood clotting in both legs. When blood clots, there is seen red spots on legs and after some days, it disappears automatically. She is not getting any permanent relief from treatment done so far.Please advise us suitably. Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Require more details for exact evaluation.2. Are they red spots or reddish nodules. Red spots, if superficial, mild indicate petichiae. As they are disappearing, it could probably by due to a hemorrhagic disorder. Further evaluation is necessary.3. If you give me further details, regarding the age, onset, type and the treatment taken, I can be more helpful.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: How to treat blood clots in both legs?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 3 years 6 months post radical neck dissection from squamous cell carcinoma, Stage IV. Currently experiencing weight gain, severe fatigue, increased pain to surgical site, back always seems to be out , coughing with aspiration and struggling to regain air. What is the probability of recurrence? Doctor: Dear Patient,The possibility of occurrence of squamous cell carcinoma depends on the clearance of margins of tumor during its removal.As you say that radical neck dissection has already been carried out I must say that possibility is quite less now, still you should speak to your operating surgeon, as he is the only one who would have seen the extent of the tumor.Take care and heal yourself soonThanks"
},
{
"from": "gpt",
"value": "Target: What is the possibility of recurrence of radical neck dissection?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Will taramodol test positive for opiates on I am not supposed to have opiates.. I am on methadone 9 milligrams and am tested for opiates..but the test also is for methadone. I have been clean for 6 years but am suffering huge amounts of back pain.I really want to be careful.. Doctor: Hi Welcome to healhcaremagic After going through your query I concluded that you want to know that if tramadol test positive for opiates. Tramadol is a opiate analgesic. So I think it is test positive for opiate . You can discuss with Your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
},
{
"from": "gpt",
"value": "Target: What causes back pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am suffering from ocd for a long period. i was releifed from the problem and doctor told me to continue maintanace dose (fludac 20). but i withdrawan capsule the medicine myself and i am feeling the same problem from last two years after taking the medicines ( fludac 60 + amixide ). can you advise me how can i get releif. thanks & regards dipak datta Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. OCD is a usually a chronic problem and requeries long term medication. Sometimes medication can lose their efficacy if used irregularly. 60 mg of Fluoxetine is a good dose of the medication. If you are still continuing to have OC symptoms, then other treatment strategies have to be tried. Further treatment options include a change to a different class of anti-obsessive medication or trying psychological and behavioural therapies. I would advise you not to make any treatment decisions or alterations on your own, but consult a psychiatrist near you, so that you can have a detailed psychological assessment and further treatment can be planned accordingly. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Suffering with OCD, have withdrawn form fludac. Relief measures?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have very bad phlegm build up in my nose and chest. I remember a childhood remedy that seemed to have worked..my mom would bring me hot water and drop some crystals into you...then i would have to huddle over the tub with a towel and breathe in. any idea whats that called Doctor: This procedure is known as steam inhalation. It can be done either with hot water or karvol plus capsule"
},
{
"from": "gpt",
"value": "Target: What do we call the home remedy for phlegm build up in nose and chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I'm 17, 6 foot, 140-145 pounds. I have never had any health issues. I went to the doctor a few months ago for right lower stomach pain, but they did an ultrasound and never saw a cyst. Now I have a dissapearing lump on the right side of my belly button that is the circumference of a baseball and sticks out about an inch. This is the second time I have seen this. Doctor: Hello,I had gone through the case and found that it might be Reversible hernia. So immediate go to surgeon and take proper investigation and treatment.Hope my answer will be effective for you."
},
{
"from": "gpt",
"value": "Target: What causes lower right stomach pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had unprotected sex with my girlfriend On 21st January On the 8th day she started playing I mean to accelerate the blackmailing Story On the 11th day on 1st Feb she told me that she has done urine pregnancy test and it s positive On 23rd March she text me that she has done dating scan I mean first scan And her text was It seems two but not sure. Can you please clarify from the above that she is pregnant and If she is it could be from me?? Doctor: Hi, Thanks for asking. I understand your concern. She can conceive only till 23rd Jan... with the sex on 21st Jan.... that too if it was her ovulation time. ( 2 days before or two days after the ovulation are the maximum fertile days.& the ovulation is 14 days prior to expected day of her next period... )that means she should have a short cycle of 22 to 25 days if she has to conceive in given circumstances. Urine pregnancy test ( home test ) is positive only after 8 days delay in periods.False +ve test before that is only possible in case of contaminated urine or container. Please co relate this information by calculating in relation of the length of her menstrual cycle ( how many days it is ). Thanks"
},
{
"from": "gpt",
"value": "Target: How to determine the date of conception?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I have a reoccurring UTI , apparently the same bacteria as I have had 3 times previously this year! Didn t help I had a hysterectomy 4 weeks ago and being catheterised didn t help. Anyway I was originally put on cefalexin for close to two weeks, but still I ended up at A&E in agony they prescribed ciprofloaxin that I took for ten days and still no joy. After a culture test it turns out bacteria was resistant to the cafelexin ( so took it for no reason) now prescribed nitrofurantoin which makes me terribly breathless, I m at my wits end.should I stop taking it? The doc is away its Saturday. Just can not cope with being so breathless. Also I m allergic to penicillin and NSAIDs what other meds could I take?? Please help Doctor: if no allergy, then yes take a low dose daily to prevent UTIPlease rate 5 stars. I strive to provide you with the best answer possible to your question!"
},
{
"from": "gpt",
"value": "Target: Recurring UTI. On cefalexin medication, no relief. Hysterectomy, catherization done. Can I take nitrofurantoin?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: About 2 weeks ago, I was shovelling snow and developed chest pains. I went to the emergency room and my EKG/etc were fine. I have reflux and raking/etc has triggered it in the past- it s just never lasted 2 weeks. It could be a severe muscle strain. My question is about masturbation. It seems to make the pain worse. I went a week without doing it, the pain was easing up, so I tried it and- bam it s back. I ve gotten chest pain from masturbating before. What is causing this? If I can t get some release from time to time, I may as well shoot myself! Doctor: Hi, Your words indicate that this chest pain comes every time you are in stress, snow shoveling, masturbation....etc., so you need to do what's called (stress ECG), to exclude heart problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Does masturbation cause chest pains?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi doc, I am having Cilacar 10 with Atine since 2 weeks. I find that I hv developed itching sensation on my leg below the knee and above the knee on my thighs I found dandruff like white dry flakes which can be dusted off. I do not have allergy of any kind except dust I reqeust you advise on thisthanks raja Doctor: Hello,Thank you for posting on HCM.It seems you are suffering from Tinea cruris and corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link:http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169If you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for itching and dry flaky skin on the legs"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I think I got arthritis quite bad but not sure what to do. I have really better days with minimal pain then I just have no mobility at other times this can last for days or weeks. I have severe pain in back right where bra strap is. This is like I have been hit in back with cricket bat. A lock feeling and its like a vice tight and crushing . Can hurt to breath and hurts ribs also. I find laying on hard floor for a prolonged period the best relief. I then have consistent pain dull aching in lower back. In hips now which impress my mobility and stiffness. My neck and shoulders are also causing me grief. I have intense burning itching on tops shoulders and into blades the only thing to relieve it is icepacks. I have had a huge amount of bladder infections and are t present on antibiotics. This is the third kind and my go said I need to b on for 3 months. I often have hot sweats hate the heat and consistent lay exhausted. I have had to go to part time employment. Not OKed for three months but due to start new position next week. I really need to get on top of this. I take panadol and sometimes cosine but don t want to be dependent on them. I do have stomach issues and had peptic ulcer burst in1997. Take lowsec for that and blood pressure pills. I am 57 female very fit all my life worked 5foot3 and weigh 61kilos. Doctor: Hi,Thanks for posting the query, Take tab rabeprozole 20 mg BD till the symptoms are relief.Take a cup of cold milk before sleeping.Take plenty of water and keep yourself hydrated.A regular excercise is required.Take care!"
},
{
"from": "gpt",
"value": "Target: What is the remedy for back pain with peptic ulcer?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi! I recently had blood work done and I just got word that I have an elevated liver function of 211 from my doctor. I have NEVER had alcohol or smoked. I am 22 with a typical college student s diet. Any idea if this could be a mistake in the reading? Could this be something more serious? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some damage in liver. It leads ads to increase liver enzymes level. It could be due to viral infection, alcohol, drugs or toxins. You should go for complete liver function test and ultrasound abdomen. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the treatment for elevated liver function?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I feel doctors hide the truth from patients. I an seeing an \"arthritis/rheumatism specialist who has referred me to a physio in his practice. Later I will see an exercise physiologist. I feel my pain is worsening, due probably to my work where I have to stand for 7-8 hours straight. I am 63. I have moderate arhritis in both knees, bursitis in my left hip and lower back pain. It just feels like my body is breaking down constantly. The pain med Celebrex one per day was recommended. I feel it is no help. I am supplementing it with Ibuprofen and warm baths, which help to ease pain for an hour or so. Any suggestions? Doctor: Hello, I have studied your case.I will advise MRI hip/spine to see for any nerve compression leading to back pain.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.I will advise to check your vit B12 and vit D3 level.If MRI shows disc compressing on nerve root then surgical decompression is permanent solution.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. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for constant hip and lower back pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: since 7 years of marriage and i had conceived once and had a miscarriage, now i am on a treatment with a bfamous doctor, they have done iui and asked me to take natugest 300mg through vagina twice a day for 15 days. do u think that it will help me to become pregnant. Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Naturogest contains hormone progesterone; which helps support pregnancy.2] It is given after IUI in a view to support the pregnancy ,if it happens after IUI.3] Sometimes, pregnancy does not grow due to less progesterone support and to avoid this situation NATUROGEST is given.4] it does not help to get pregnant but helps to support and grow the pregnancy if it is there.I hope my answer helps you.Thanks.Wish you great health."
},
{
"from": "gpt",
"value": "Target: Will Naturogest 300mg help to get pregnant?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been having an odd taste in the back of my mouth/throat after performing fellatio on someone. My throat and mouth are never dry but whenever I swallow or cough to see if the taste is there I get a little phlegm and I still taste it. I was wondering if this could possibly be an std and if so which would it be. Doctor: you may go for a diagnostic test for std.alternatively try gargling with clohex mouthwash twice daily. see if your symptoms subside"
},
{
"from": "gpt",
"value": "Target: What could cause a odd taste at the back of the mouth?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, i discover my leg got a lump last week, i cant see the lump from the surface of my leg. I can feel when i touch. It is not pain when i walk, but when i press harder, i can feel the pain. After one week..it does not pain anymore, and the lump become smaller...However, after this few weeks, i feel my leg get tired everyday...I don't know what happen. Im worry. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some lump in leg. It can be ganglion cyst, soft tissue tumor or some other mass. You should go ultrasound study to know exact plan and location. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes a lump on the leg?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am a patient of hypertropic cardiomyopathy. if i walking then i fill my chest pain and also pain my mouth and my nick. i am unable to work any strong work and quickly done any job. i have already four time check by Echo test and also found same disease. my doctor is suggest to NGO gram and put some liquid alcohol. now i want to know if it can be cure my disease? Doctor: Hello I have gone through your question and appreciate Your concern. U r suffering from hypertrophic cardiomyopathy.Ur echo will also tell whether it is obstructive.U consult cardiac surgeon and if it is hypertrophic obstructive Cardiomyopathy u may need surgery that is septal myectomy.Thanks.U can write me back for any query."
},
{
"from": "gpt",
"value": "Target: What causes chest pain while suffering from hypertropic cardiomyopathy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have taken a pregnancy test that had a very very light negative and I took a blood test at the hospital which also resulted in a negative. But I have pregnancy symptoms. When I was pregnant with my son I took tons of HPT s and blood tests-all were negative until around 9 weeks pregnant then I finally got a postive on a HPT. The nurse practioner says it s not bad to miss 2 periods in a row. They want to put me on birth control tomorrow but I still have a feeling I m pregnant. Should I go ahead with the Birth control? Could the blood and HTP s be wrong like they were with my son? I have sensitive nipples, fatigue, my ankles are swelling when I stand too long, weight gain in abdomine/tummy area, slight cramping, slight headaches, and nausea. Please help. Doctor: you should wait for another two months or so before you start the birth control. for time being use condom for protection. Start the pills only when you feel comfortable and the symptoms are gone."
},
{
"from": "gpt",
"value": "Target: What causes sensitive nipples, fatigue and swollen ankles?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have always suffered with panic artacks from the age of 14 i am now 21 but the past couple of nonths they have been teally bad i can breath just heart goes really fast feel sick and feel like i am floating and need to go asleep i have had the ambulance out a couple if times and calmed down but to feel like this everyday i dont think they are panic attacks it is taking over my lufe i have 2 children aswell i am worried there is something wrong when i feel luke this it feels like i am going to die its the worst feeling ever people just say get on with it but its scary tbe feeling can you tell me if there is something wrong i have hqd my bliid pressure done she said its perfect heqrt rate was 111 but that was with me panicing Doctor: dear sarwahl, from the description given by you , I think you are likely to be suffering from generalised anxiety and panic attacks.But before reaching a definite diagnosis,other medical conditions mimicking panic attacks( like hyperthyroidism ,hypoglycemia ,some cardiac problems and rare conditions like pheochromocytoma-a benign tumor of the adrenal glands)have to be ruled out.This can be easily done by a psychiatrist or a general physician with a medical examination and necessary investigations. After doing this ,you have to undergo evaluation by a psychiatrist for ascertaining the diagnosis and finding out other coexisting psychological problems.Most anxiety disorders are easily treated by medications,a form of non drug treatment called cognitive behavior therapy(CBT) or a combination of both. In CBT treatment ,you are given extensive education about the physiology of anxiety and relaxation training to get control over your anxiety .In a deep relaxation state you are trained to artificially induce panic attacks by active visualisation and imagination techniques and you do it regularly,first under supervision and then independently everyday at home.Gradually you get control over your panic attacks and the frequency and duration of panic attacks diminishes.The sessions continue until you can no longer invite panic attacks finally realising that these attacks are harmless.But if you have other psychiatric problems like depression, medications are likely to give better results."
},
{
"from": "gpt",
"value": "Target: Suffer from panic attacks. Heart beating fast, feels floating. How to rectify?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: For sever cough, i was given a course of antibiotics, Mozec 500 mg (2 times a day) for 5 days. cough reduced partially. This was followed by MONTEK-LC 1 tablet has been recommended for 20 days post lunch. after the first tablet got a very good relief, but now its the 4th day i.e 4 tablets consumed, the cough has started again... keep getting severe bouts of cough. I was taking ambrolite D.. now doc has said to take Mits Lincts DX. Pl advise...why did the cough come back, when I had good relief with 1 tablet, and now after 4 tablets the cough is still bad. I am worried. please revert Doctor: Hi, I understand your concern. Your cough seems to be allergic in origin, secondarily infected by bacterias. - To get rid of the cough I feel the extent of infection,/ bacterial sensitivity to antibiotics should be known ( physical examination by a physician, Blood counts- TLC/ DLC, Xray chest, sputum culture & sensitivity test ) & then a full course of antibiotic so as to remove bacterial infection( indicated by excessive cough/yellow sputum)/ Tab. Diethylcarbamazine ( according to blood cahnges0 cough syrup , Montek lc should be given for sufficient days. - Allergens recognized & avoided/ desensatized.for prevention in future. - avoid cold/ sour things/ exposure to allergens - hot saline gargles / vapor inhalaton. - drinking warm water With proper diagnosis/ sufficient treatment/ self care the cough can be got rid of. Thanks."
},
{
"from": "gpt",
"value": "Target: How to get rid of bad cough?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 4 year old had a cavity filled yesturday and was put on some gas to calm her but not put her to sleep. That night she threw up and was seeing colored spots in the air and falling silky lights. Today she still hurts in her stomach and is seeing the same lights. Our doctor told us to call the dentist becasue he did not know about the gas used (NO2 I think). What could cause this and should we be worried? We ar giving her Pedialite and childrens Pepto. Doctor: hello thanks for consulting at hcm..the most common side effects of N2O are Nausea and vomiting. As a result of rapid release of nitrous oxide from the blood stream into the alveoli, thereby diluting the concentration of oxygen. This may lead to headache and disorientation. if the problem continues it can be avoided by administering 100 percent oxygen after nitrous oxide has been discontinued. For vomiting --to avoid dehydration you could continue giving her pedialite and childrens pepto..and slowly continue to give her liquid, semi solid and finally solid food...if problem continues kindly consult your dentist for a check up and treatment,,hope it helps,,tc"
},
{
"from": "gpt",
"value": "Target: What causes stomach upset after filling a dental cavity?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi , I have a question can you answer it please . Iam 23 years old and now pregnant in 33 weeks and 3 days ,when I was in 27 weeks I make an ultrasound and it shows that my baby boy have a partial vermis the doctor told me that 90 present of these people can live normally ,the doctor usually ask me about how I feel about the movement of the baby during this weeks and he said it is a good thing that he can move and also his hand moves normally My question is it really baby s how have partial vermis can live normally .???? I can t sleep thinking about my baby please answer my question Doctor: vermian hypoplasia could be syndromic (Joubert) or incidental; in the latter group except for some trunkal ataxia (inco-ordination) they live normal life; all depends upon extent of vermian hypoplasia."
},
{
"from": "gpt",
"value": "Target: Can a baby with partial vermis live normally?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my mum is diagnoised with ovarian cancer , she has gone through 2 chemos and after the 3rd one a surgery is planned. will surgery be doen if teh WBC count in blood is as low as 1000 ? Doctor: Hi, your mother WBC count is too low to under go surgery as low WBC count may leads to many oppotunistic infection after surgery which may be life threatening and difficult to treat. decrease in WBC count is due to chemotheraphy and count will improve as chemotheraphy is stoped wait for some days for improvment in WBC count before surgery take care"
},
{
"from": "gpt",
"value": "Target: My mum is diagnoised with ovarian cancer. Will surgery be done if the WBC count in blood is as low as 1000 ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, I ve dealt with extreme itching on my majora labia for years now. I have tried steroid creams, wearing cotton underwear, stopped using body wash or any time if wash especially down there, I shave with a small buzzer so the hair isn t irritated and won t have the itching of it growing back, changed all my detergents and no fabric softener. After so many years and doctors visits I ve just accepted this. The one thing I would like advice on is the rash I now have on my inner thighs, it has stopped spreading but is bright red in colour. The skin in between and my thighs and majora labia are cracked, seeping clear liquid, won t heal, bit of a smell and now the skin on the rash and majora labia has thinned out and in places just won t heal.- Doctor: Hi, Thanks for posting in HCM. I understand your concern. Itchy rashes what you have been experiencing could be due to inflammation of the skin around the region. Kindly do the following to overcome it. 1. Clean the area everyday twice daily with mild antiseptic solution like Savlon. 2. After drying, apply Neomycin with Hydrocortisone cream over the lesions. 3. Take Tablet. Loratidine once a day to overcome itching. 4. Wear loose fitting undergarments. 5. Use medicated soaps to take bath. Maintain good personal hygiene. Gradually, your symptoms should subside and you should get relieved from such symptoms. Hope the information provided would be helpful. All the best."
},
{
"from": "gpt",
"value": "Target: What causes severe itchy rashes on the labia majora?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Continuing the previous question . What is the surety by undergone the surgery of sliding heatus hernia,that it will cure forever. And how complex this surgery is ? And how much time will it take.and what will be the cost? Will it be leproscopic surgery. As i tell you that i am taking rekool l .what is the side effect of this tab. If i take this for a long.will it damage other organ if i imagine continuing it till age 40 50.i mean the health issue.Is there not any excersise than can relief me? Any yog. Please assist me. Thanks Doctor Doctor: Hi.Thanks for your queries and an understanding of the problem. First of all understand that hernia is projection of some organ out of its normal place. In Hiatus Hernia, the part of the upper stomach slides through the diaphragm into the chest. This coccus through a natural hole in the diaphragm which allows a few structures to pass through. Due to inherent weakness or wideness of the hole, it allows the stomach to slide through into the chest. The operation can be successful and laparoscopy allows to get this done through small key-holes. The recovery is fast and you can start moving the next day. Yes, surgery can cure but at the same time other principals have to be followed by you very strictly- like loss of obesity, small frequent meals, no smoking , no drinking alcohol, Surgery is not very complex in the hands of an experienced surgeon; you can visit a gastro surgical center if you want the best Surgeons for this particular problems. Rekool suppresses the acid secretion of the stomach to reduce the pain , you can always stop it after 6 months of use. It may not be necessary to use after a successful surgery. There are no serious side effects. It will not damage other organs. You have to continue walking after food as an exercises , and I can not really comment whether Yoga will help you in such conditions wherein surgery is indicated. Do not worry much, that increases acidity and symptoms of hiatus hernia. Go to the specialty center , get evaluated and operated if advised so."
},
{
"from": "gpt",
"value": "Target: Can sliding heatus hernia be cured fully by surgery?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi my son wyatt is 6 months old and keeps having jerky movements with his head like his head is being forced one way while being pulled back the other . he lays there doing this looking straight ahead and this usually lasts for about 15-30 seconds and he always goes cross-eyed and falls asleep afterwards then wakes up screaming within a half hour, but it scares me cuz my finacee has told me i do the same thing when i have what my dr calls silent or absent seizures ... can someone give me an idea of what might be going on with my little boy Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. How is he growing and developing? How old was he when he began to have jerky movements? It is possible that he could have absence seizures. How frequently does he have seizures? If you cannot locate a pediatric neurologist in your community, go to the closest university medical school hospital where the subspecialist will be either in the department of neurology or in the department of pediatrics). Part of the evaluation will include an electroencephalogram, which will enable the neurologist to study his brain waves. Then the doctor will be in a much better position to talk with you about the medication and prognosis. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes jerky movements with head for a 6 months old?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 19 yr old female with hydrocephalus and lately I ve been have a lot if headaches they r not as bad as and shunt malfunction headaches but they are not going away I ve trying caffeine, Advil nothing is working but I don t want to waste my time at the hospital if it s nothing any advice Doctor: Hello. I have been through your question and understand your concern.While headache might have many causes, in your case it is crucial to rule out any shunt malfunction, which I suppose you already know how hydrocephalus headache is manifested. If the ventricles are within normal dimensions there is reason to think headache is caused by it.So I believe this kind of headache is not related to your past medical history, and might be just a tensive type headache, which is the most common type of headache which does not always respond to caffeine and advil.Hope this helps. Please feel free for further questions."
},
{
"from": "gpt",
"value": "Target: What causes headaches while having hydrocephalus?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 2 days ago for no apparent reason i began to experience severe joint pain and intense muscle soreness.also noticed on day 1 my legs were very red.very even redness top to bottom,not splotchy or broken. then i noticed both my arms getting red as well.also experiencing a general rundown feeling. any ideas? Doctor: these pains and redness must be assessed for an autoimmune disorder if persisted for more than 3days..get a ESR test done.. Rh.factor ..CBC"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe joint pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 22year old male and I have constant dull pain along the sternum, does not radiate, aggravated by crouching but alleviated by exercise and stretching. It is not costochondritis, ECG normal, Echo is normal No history of asthma or any other medical condition What is your take on this? Doctor: Hello dear , HiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with ligament sprain or strain in relation to manubrium sterni with or without neurovascular bundle issue .* Needs MRI evaluation of the same .Hope this will help you for sure .Regards dear take care ."
},
{
"from": "gpt",
"value": "Target: What causes a persistent dull pain along my sternum?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi ,I have had a lot of troble sleeping for years now.I hart rate is fast and quite strong most of the time. my blood presure is allways high when I go to see a doctor or dentis, but at home its mostly normal. most of this started after sugery several years ago. Doctor: Hello,Regarding your concern, I would explain that your symptoms are related to White Coat Syndrome. You should know that these changes in blood pressure values are caused by the anxiety and fear when consulting with a doctor or a dentist.There is no need for any treatment, as these blood pressure fluctuations are not harmful. So, just relax and don't worry about it.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: What causes fast heart rate while having high blood pressure?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 42 y male admitted with pericardial effusion,dilated cardiomyopathy,noted to be icteric bilirubin 150 mmole L AST112,ALT 170,NORMAL ALP,U.S abdomen hepatomegaly 17 cm span,normal texture, hepatitis serology -ve ,autoimmune work up -ve what is possible diagnosis Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Difficult to comment on the diagnosis with only the examination findings and test results.many history aspects have to be enquired. However the possible causes coming to the mind are Tuberculosis, Cystic disease, Substance related side-effect etc. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy "
},
{
"from": "gpt",
"value": "Target: What is the possible diagnosis for pericardial effusion?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: top of foot from pinky toe to second toe, 1.5\"-2\" diameter circular area, is itchy, mildly swollen, red, and feels bruised. I'm 29 yrs. Healthy, athletic and have no medical hx. At first I thought it's was just athletes foot, but the tenderness on top of my foot makes me wonder if it's not an infection. It also appears to progress towards my ankle, but hard to tell. A 1.5 weeks ago, the itchiness was isolated to just my pinky toe area, but then suddenly 3 days ago I realized it spread across to the second two and 2\" towards my ankle. Any thoughts on if it's fungus or bacterial infection? Doctor: Hello, Welcome to HealthCare Magic There are two possibilities. First one is you are having Tinea (Athlete's foot ) super added with bacterial infection. Second one is you have Eczema super added with bacterial infection. It is the infection which is causing the pain and swelling. It is advisable to consult a dermatologist for confirmation. You need to take course of antibiotics along with definitive treatment of eczema / tinea. Hope this helped Take care"
},
{
"from": "gpt",
"value": "Target: Itchy reddish swelling on the foot. Itching spreading to the ankle. Fungal or bacterial infection?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I tripped just 2 days after having a bunionectomy and I ended up putting all of my weight on the foot which had just been operated on. It hurt like hell and I was wondering if there s a chance I didn t ruin the entire procedure by doing this. As far as I know there are no metal pieces in my foot. I was wearing the surgical boot and bandage at the time so there was some support, but not as much as a typical cast. Doctor: The chances are that everything will be just fine. No major setbacks are anticipated. if the pain level starts to increase further I would make an appointment to see your surgeon. Take simple pain meds like Tylenol or ibuprofen and the pain should settle. Elevating the leg will also help. Hang in there. I'm sure you'll make an excellent recovery. best wishesAdrian Rawlinson MD"
},
{
"from": "gpt",
"value": "Target: Is it dangerous to put weight on a foot with 2 days old operated bunionectomy ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is Etta. I had stroke and a aneurysm on my left side behind my eye and they put a stint and a corl last Februry. I was in the hospital from Feb 7th thru Feb 23nd. my question is, i fell last night and hit my head, Do you think i should go to the ER and be xrayed? Doctor: Hi,Thank you for posting your query.I have noted your symptoms and past medical history.Based on the description, you seem to have suffered a mild head injury and there is no need to go to the ER now.Please watch for warning signs such as severe headache, vomiting, drowsiness, weakness of arm or leg, etc. If any of these symptoms develop, you should get a brain CT scan done.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Is x-ray needed after hit on head after fall with history of having stroke and aneyrysm behind eye"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had pain inmy mouth about 2 months ago, so i went to the dentist and had the tooth removed. within 3 weeks of the surgery, i starte dhaving consist pain to my face that felt like electrical shocking going all over in my face. Anything would trigger it: washing my face,sneezing,coughing,eating,and brushing my teeth. I went to follow up with the oral surgeon and he sent me to see a periordontist and he said i had good teeth and i have trigeminal neuralgia. I followup with my doctor today and she started me on neurotin 300mg every night. She also said my crp was normal and my sed rate was 100. what could be going on. Doctor: Hi,Thanks for asking the query,You might be suffering from trigemminal neuralgia as mentioned.Consult to an Oral Surgeon and get the checkup done.Take the course of medications given to you.Avoid any type of anxiety and stress.Take care!"
},
{
"from": "gpt",
"value": "Target: Tooth removed, pain in face, I have trigeminal neuralgia, prescribed neurontin. What could it be?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 20 year old son had an appendectomy 2 weeks ago today. The appendix did not burst and two days he spiked a fever of 102.4 and wasn't eating a lot and complained of lower abdominal pain. The doctor said there is some inflammation and prescribed Cirpoflaxin and Metronidavole to be taken after he finishes the 2000 milligrams of augmentin. They also want to see him in a month to make sure no fluids need to be drained. They seem to be downplaying this and I want to know what has caused this. Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Getting spikes of fever after two weeks of appendectomy implies some kind of secondary infection. The frequent culprits are the appendectomy wound itself, or a pocket of infected pus surrounded by the nearby intestines. Sometimes in very early stages of infection, it might be managed by antibiotics and anti inflammatory, but not infrequently one might have to drain the abscess either in the wound or otherwise.If I were your treating doctor, I would do a complete blood count, a urine routine and microscopic test, and an ultrasound abdomen if need be to see if there is any collection. I would also follow up the patient closely and review him more frequently for timely intervention. Further management would depend on the physical findings and the investigation reports.Therefore, if the pain increases, and your son becomes more uncomfortable, please do not hesitate to get him reviewed in between by the treating doctor.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What could be the reason for having abdominal pain and fever?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. My husband is having this sharp pain in the heart area (mild pain) constantly. He was detected with thick heart wall on the left ventrical. He has this pain whenever he is stressed or tired. He has no shortness of breath or other things. Both of us are worried. What should we do? Pls advise? Doctor: Hi,There are two possibilities for this constant pain, one is pericarditis which inflammation of the cover of the heart, but this kind of pain usually increases on deep breathing and associated with cough. I am not sure what you meant by wall over left ventricle, do you get back with detailed echo report. Second possibility of gastritis and reflux disease, for that he should avoid spicy and fatty foods. Avoid smoking and alcohol if any. Also maintain sleep habits regular and also do regular exercises. Have some walk after meals instead of taking rest immediately. He can take acid suppressant like tab Pantoprazole.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in heart area?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I went to the dentist for a checkup. There were no visible problems and I did not have any symptoms of anything. However an x-ray revealed that 3 of my teeth are decaying from inside and need root canal treatment. How is it possible that my teeth can decay from inside? Doctor: Hello, Welcome Thanks for consulting HCM, see what happend is that when we eat food it sticks on teeth, goes in interdental areas also when we brush some areas left uncleaned for that we should have to do proper flossing, brushing twice daily, use mouthwash chlorhexidine to clean interdenal areas also, if it left uncleaned deposition of bacterias are there and could cause Root caries which are not Clinically visible, dont worry about that go to Dentist and go for ROOT CANAL TREATMENT.Hope this will help you."
},
{
"from": "gpt",
"value": "Target: How is it possible that the teeth can decay from inside ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello doc, During summer there are itchy red allergy that appears on my both hands, the moment i scratch it the swelling start and it become bigger round with water inside, but after summer they disappeared.I want to know the cause and remedy or does it have something to do with food intake,Waiting for reply.thank you Doctor: hello..thanks a lot for your query on HCM,looks like you are allergic to sun..it does happen to some people like that...better as a matter of precaution, do be protected from direct sunlight...wear long sleeve clothes..apply sun screen lotion with good SPF,apply some cream to it..food also may lead to such a thing, but as it does not happen to you in winter rules out that possibilities..try out the safety measures..things will mprove gradually"
},
{
"from": "gpt",
"value": "Target: What causes itchy red swelling on hand during summer?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am having multiple symptoms. After having my neck fusion from 5,6and7. My symptoms are pressure in lower back and neck . It feels like it is being squeezed very tightly which i feel my heart racing really fast which takes my breath away and my legs to give out.WhIle this is happening there is alot of heat in my neck and back. This is causing me major concern as well as discomfort and pain.what could it be Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This can be related to a back muscle spasm. The palpitations need proper investigations to find any pathology. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pressure in the lower back and palpitations post neck fusion?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi docI have make out lips kissing with a tuberculosis patient. at the end of that she told me that she is a patient of t.b. and since she was receiving treatment for one week. but i dnt know before doing that.. what i do now..? i'm afread. guid me plz.? Doctor: Hello,Welcome to HCM,Pulmonary tuberculosis is a disease transmitted by droplet infection and droplet nuclei, and it is highly communicable from one patient to others.Untreated pulmonary TB patient can transmit TB to 10-15 normal individual. But the bacilli is highly sensitive to Anti TB drugs like rifampicin and isoniazid.As she is taking treatment for TB from last one week, suggests me that atleast she has taken three tablets of rifampicin which is a bactericidal drug which destroys the bacilli and make her non infective.If she is on treatment nothing to worry be care full with the risk behavior like kissing with the disease like TB which is transmitted by droplet infection.Thank you."
},
{
"from": "gpt",
"value": "Target: What should I know before lip kissing a TB patient?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, late afternoon I had a root canal done. Right after the procedure (as I was driving home) I started to experience unbearable pain. 1 1/2 weeks ago my Denrist put me on antibiotics and did a pulpectomy (left the tooth open to drain). I cannot sleep. Woke up with a mild grade fever and horrible pain. It is worse now than before I had the root canal done yesterday. My Dentist is aware of the pain and gave me 4 Tylenol 3's. it has not helped and I cannot take Ibuprofen or Aleve. Help? Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You got rootcanal treatment done in the late afternoon. after finishing procedure you are feeling severe pain. One and half weeks back your dentist put you on antibiotics, and did a pulpectomy, (left the tooth open, to drain, )it is worse now than before. It appears that you had an infection of the teeth and gums. the pain is unbearable means, the antibiotics he has given are not sencitive to the bacteria, present in your mouth. Anaerobic and aerobic antibiotic combination should be used, for relief. pain killers other than the ibuprofen may be used . Wishing for a quick and complete recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Severe pain, mild fever after root canal procedure. History of pulpectomy. No relief with Tylenol. Help"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi my query is about my back pain . so nuro sourgor or nuro specialist ans my questions i have prolonged back ache in my low back from 2004 to now .i have taken MRI scan two times in 2007 and last week both are largely same. my doctor said its mild bulge. iam getting pain on my low pack also pain is radiating through my buttuck and over the leg. doctors prescribed medicines now like tablets for one month also said no need any surgery . kindly suggest me how i move further Thanks in advance. Doctor: hi welcome to H.C.M.Forum. the doctor you have to consult is the orthopedic surgeon. he can judge the amount of pressure exerted on the nerves. some times the disc prolapse may be minimal but can cause more pressure on the sciaticnerve, & other nerves. which causes pain. i advise you to consult an orthopedic surgeon. for diagnosis. besides i advise you to follow some food restrictions. avoid potato other tubers, tamato, cauliflower, egg , chicken, sea foods for some time and observe the difference. wishing for immediate recovery."
},
{
"from": "gpt",
"value": "Target: Back pain, mild bulge. Treatment?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello doctor my baby is 2.5 months old and weighs 5kg.He was 4kg at 1.5months.He is exclusively breast fed.His birth weight was .3.5kg.What should be the ideal eeight ?I had problem with breastfeeding in the beginning as I had developed sore nipples.Should I be concerned.Thanks in advance. Doctor: HI...you need not be concerned as his weight is appropriate. If by completion of 5 months he is double his birth weight that is more than enough. Now by 2.5 months itself he is 5kg and he will definitely be more than 7 kg by another 2.5months. So do not worry. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lack of adequate weight gain in 2.5 months old child"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, my left vas deferens are very enlarged/swollen - from where it attaches to the testicle all the way up to the top of the scrotum - it almost feels like a big tangled mess. There is no pain, but they are quite significantly enlarged and I am worried about what the cause could be. Doctor: HelloThanks for query .Based on the facts that you have posted I think you have infection of the Spermatic Cord(Funiculitis).Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning and color Doppler study of Scrotum .3) Haemogram and test for Filariasis In the mean while take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac aand Diethylcarbamazine (Hetrazan) twice daily .Further treatment will depend upon result of these tests and final diagnosis."
},
{
"from": "gpt",
"value": "Target: What causes enlargement of vas deferens?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Sir May I know that my brother was suffering with asthama and he is now suffering with breathing problem some time he feels suffacation and we are consulted here our famiy Doctor but day by day he is facing sensitiveness he is unable to move in open air and he is unable to smell. past 20 years back some reasons two lobes are removed from his lungs and now doctor saying 35% only functioning the lungs. how much time takes to recover? if not what precautions to take? Doctor: hello... along with allopathic medications homeopathic medicines will be of great help to him... it will increase his immunity.. n breathings.. n lungs.. consult a homeopath.. godbless.. [email protected]"
},
{
"from": "gpt",
"value": "Target: 35 % of lungs is working with asthma"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m 31yo and iv been having pain from my upper right shoulder down to The center of my chest all the way to my back. Both side of my throat hurt and the pain goes down the right side of my arm a bit. Sometimes I have headaches when this happens. Went to the VA in st. Cloud Minnesota and my dr. told me not to worry. Its nothing to worry about. I m really starting to not believe him. What s going on, can you help?! Doctor: Hello, It could be Pinched nerve. As first-line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain from upper right shoulder to the center of my chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 78 years old and psa test results in April was 11.4. A subsequent biopsy showed the presence of cancer from 2 of the 10 samples. Since then I have had blood tests every 2 months with the following results: 6.5, 6.6 and more recently 8.9. Do I have a reason to be concerned or maybe consider radiation therapy? Thank you....Marshall Fudge Doctor: Hi, dearI have gone through your question. I can understand your concern.Your PSA level is slightly high. It can be seen in benign prostatic hyperplasia, prostatitis and prostate cancer. However if your previous biopsy report suggest cancer then you should go for radiotherapy irrespective of your PSA level. Biopsy is the definitive test and its results are more reliable then PSA only. Consult your doctor and start 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 do these PSA levels indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been DX with depression and anxiety . Some days I feel alot of anxiety then depression. Over the last few days I have a lot of anger and rage. Cussing at people for no reason. Wanting to run people off the road. Wanting to start arguements with wife about little stuff. Please help Im I going crazy dont know were to turn. Doctor: Hello You have problem of anxiety and depression. From last few days you have been suffering from problem of irritability, increased argumentativeness and anger. These may be sign of depression itself or may be feature of shift to mania or Bipolar Disorder. I would advise you to visit a Psychiatrist for proper evaluation. Various medicines can be given in your case in order to control anger and argumentativeness. Mood stabilizers as Sodium valporate or Carbamazepine can be used. So visit your psychiatrist for further treatment. Thanks Dr. Seikhoo Bishnoi"
},
{
"from": "gpt",
"value": "Target: Suffering from Depression and Anxiety, causing a lot of anger and rage. Solution?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi..my grandson aged one and half years old ..for the last two days he is getting fever ..today his urine was a little red ..when got tested in diagnostic lab it is informed that there are plenty of RBCs, albumin+++ and pus cells plenty..what could be the reasons..the child is playing well and not complaining about any problem..ofcourse he may not express it..is there anything serious..consulted the doctor and he has suggested some tests ultrasonic test for abdomin, blood test, etc.. do u suspect anything serious..we are a little bit worried.. Doctor: HiWelcome to the HCMI have gone through your question and understand your concerns. It seems that your child is suffering from an episode of hematuria most likely due to a urinary tract infection (UTI).I see such cases in my clinical practice and recommend the following measures:1. Laboratory investigation including--complete blood count with differentials-S. Creatinine and BUN- Urine culture and sensitivity- Ultrasound KUB- Renal scan after 3 months of the episode if UTI confirmed.2. Start on antibiotics such as Cefixime, Coamoxiclav , ofloxacin etc depending upon the culture report.Ranal scan and ultrasound KUB are done to rule out the predisposing underlying pathology for UTI and the injuries secondary to UTI.Hopefully this will help you. I would be happy to help you in any further questions.Take care"
},
{
"from": "gpt",
"value": "Target: What causes fever with light red urine?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my daughter just began taking bactruim and spirolactone for acne. appox. 2 weeks. she has developed rash and bump at base of skull. area very sensitive. rash is brownish red and from base of skull down neck. never had this issue until began medicine?? Doctor: Hi, Based on the history your daughter seems to have allergic reactions apparently caused by the antibiotic Bactrim. She needs to switch over to an alternate effective but a safer antibiotic like clindamycin for the treatment of infection associated with acne. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammad Taher Ali"
},
{
"from": "gpt",
"value": "Target: Does bactrim and spironolactone cause rashes?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had a blockage before. today I started getting pin like sensations below my sternum in the center. pain comes and goes but is extreme but now getting better. eliminated fully twice in 24 hours. no fever, no diahrea, no vomiting, no constipation. not passing much gas. appetite is good. right side feels like I have been beat up. night before I took 2 doculates and ate a lot of trial mi. Doctor: Thanks for your question on HCM.Since your symptoms are after food and site of pain is beneath sternum, I think you had acute gastritis mostly. But you also had blockade , so better to rule out cardiac cause first.So get done ECG to rule out cardiac cause.If ECG is normal than no need to worry much for cardiac cause. You mostly have acute gastritis due to eating.So better to avoid large meals, instead take frequent small meals. Start proton pump inhibitor if you still feel pin sensations.Avoid hot and spicy food. Avoid stress and anxiety. You will be alright."
},
{
"from": "gpt",
"value": "Target: What causes pain in the sternum?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi im 32 yrs i have pain in my left testes so doctor advised me to take two tablet niftran 100 mg. i have done seamen cultre shows growth of staphylococcus for that i have taken MAKACIN 500 MG INJECTION . but still pain there. im scred of this please help Doctor: Hello, You are having growth of staphylococcus in semen. So you need to complete the course of prescribed antibiotic course for 5-7 days. Ultrasonography of testis also should be done to check for any inflammation if present. You can be prescribed brufen. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in the testicles?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I rolled my ankle pretty bad playing basketball, i went the the ER and they took XRays and send it wasnt broken jus a serve sprain. Its been about a week now and the pain has faded but the swelling got worse and im bruising by my toes, what does this mean Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.You are likely to got sprain of foot and ankle. As fracture has been excluded by x rays. Treatment of this is rest to joint by plaster or crepe bandage. Analgesic such as ibuprofen are useful to reduce pain. Your bruises are subcutaneous hematoma. These will gradually resolve by itself. Local application of Thrombophobe gel can be of use in resolving it early. Vitamin B and C are helpful in healing . You can discuss with your treating Doctor about it.Hope I have answered your query.If you have any further questions then don't hesitate to writing to us . I will be happy to help you.Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe ankle sprain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: good morning. i am Cecil Comonsad, i had an x ray result a few days ago it was a minimal fibrosis, i had an employer at K.S.A. but i am not fitted to work there, is there any treatment i can do or is there any other country that i am fitted to work even if i had a minimal fibrosis? please help me... Doctor: Hi,Welcome to health care,Oxygen therapy is the mainstay of treatment in minimak fibrosis.Other that that there are some new medications like pirfenidone which may help but the other associated conditions like pulmonary hypertension also need to be treated. Inhalers, physiotherapy, vaccinations etc. help in supportive management. You may consult a Pulmonologist regarding the feasibility of above options in your case."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for minimal fibrosis"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello. I m just curious if I should be concerned or more active..until now. Long story short, I have always been active. very involved with yoga and the gym. I recently haven t been going to the gym since I got my new job. Which is a behind the desk job, resulting in me sitting down for 8 constant hours a day, getting up to make a copy, get coffee, take a restroom break, etc. For about 3 weeks now my right leg has been starting to go to sleep more frequently then usually. So I get up, make a lap and try to walk it off. It has caused me to lose motivation for the gym, therefor my muscles aren t being worked hardly at all compared to a 5 days a week gym goer. My leg is constantly numb.. Is this because I haven t been as active and my muscles are tighting up or do I have a pinched nerve? I have mild to no pain right now. I m worried about it getting worse in time if I don t get it figured out Doctor: helloYou need to take frequent walks in between desk work say for 5 minutes every 2 hours of sitting work to ease the leg muscles and nerve s.Do exercises, jogging 10 minutes morning and evenings. Take neurobion forte tabs and massge legs daily twice a day for 15 minutes with olemessa oil. you shall be okay. see a doctor if necessarythanks"
},
{
"from": "gpt",
"value": "Target: What causes numbness in right leg?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I'm a normally healthy, 19 year old male - 5'7\" tall and 220lb. I have been experiencing moderate, dull pain in my abdomen for approximately a week - this pain is generally focused on the lower part of my abdomen. However, if I press on the centre of my upper abdomen (directly below my ribcage), the pain is quite intense. I have experienced nausea (though just one instance of vomiting) and diarrhea (type 6/7 on the Bristol Stool Chart). I underwent removal of my gallbladder approximately two months ago which was followed by abnormal LFTs though these showed significant improvement at last test. Doctor: Hi,Welcome to HealthcareMagic.You seem to be having gastritis with gastroenteritis (food poisioning). Though gastroenteritis is a self limiting condition, you need to take plenty of fluids to make for the lost fluid and also take electrolyte solution like WHO-ORS to maintain electrolyte imbalance.If it dosen't improves with this then you need to take acourse of antibiotics like ofloxacin and ornidazole. Also take some ppi tablets like pantaprazole or ornidazole with domperidone for the gastritis and nausea.Regards,Dr. Ashish Vermahttp://doctor.healthcaremagic.com/doctors/dr-ashish-verma/67116"
},
{
"from": "gpt",
"value": "Target: How to cure moderate dull pain in the abdomen?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: AtrI went to er and surg doc . I have pain above private part about 3 inches above. Hurts bad at times. Can t work or move around like I usually do. Need to know what it is Doctor: Hi Patrick Thanks for writing in. Your pain can be due to a muscle spasm or an infection or a renal stone. If you have other symptoms like increased frequency of urination, getting up to urinate at night, discharge from the penis or any ulcer/swelling, then I suggest you see your physician. I wouldd suggest that an ultrasound of the kidney ureter bladder region be done to localize the cause. If the above is not true, then a spasm in the muscle could be the cause. You can use hot fomentation and tablet Diclofenac 50 mg as and when required (upto 3 tablets a day). Hope this helps."
},
{
"from": "gpt",
"value": "Target: What is the cause of intense pain in the abdomen ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a lump in my neck that only I can feel. Its near where my jaw bone meets my neck. Have had it for a few years now. When I have asked doctors to feel it they couldn't tell where it was. You can't feel it as a lump but when I push on it I can feel it pushing onto the tissus below and it is a round shape. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have enlarged cervical lymphnode or some pooled muscle mass. You should go for ultrasound neck first. If you have enlarged lymphnode then you should go for fine needle aspiration cytology or biopsy of that lump. It can be reactive hyperplasia, tuberculosis or lymphoma. You should take treatment according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes lump in the neck?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I hv been dignosed high Triglycerides (630) and uric Acid (8.2). HDL is 27 and LDL is 70. I am also having pain in my back left side. Doctor says that this pain is due to Triglycerides only and advised me to take Rozaval -F for 2 months and fabutaz 40, 2 months. Are they good medicine and does triglycerides can have impact on muscle pain. Doctor: Rozaval is good, but it is a bit weak on triglycerides having more of an effect on cholesterol. fabutaz is one of the main gout medicines used, BUT it doesn't lower triglycerides.FIBRATES are more potent at treating elevated triglycerides.Triglycerides are not generally a cause of muscle pain even when they are sky high."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for muscle pain caused by triglycerides"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Dr, I have been having problems with my spine and back, hip, and leg pain for the past six months with chronic pain. I went to a orthopaedic surgeon last week for a second opinion, but he could not find any reasons (from my xrays) why I would experience pain chronically. I then went to see a chiropractor who helped a lot, and the pain eventually went away, but short lived. It is slowly returning again. The chiropractor noticed that I have a number of anomalies over my spine and missing a pair of floating ribs (previously thought by first orthopeadic surgeon as having an extra vertebrae). There seems to be some kyphosis and possibly Scheuermann s, however they say it is not the reason for the pain. I used to give yoga classes, which I cannot do now anymore, and struggle to find a way to manage my pain, apart from the chiropractor s help, which is short lived. No-one can give me answers, and I keep on struggling with pain shifting around all over my back, hips, legs, knees, feet (more recently), arms and between the shoulder blades. I have severely decreased my medication intake as suggested by the dr (for the last month I have been taking Tramacet tds, and Celebrex 200mg bd to be able to continue working). It has only been a week and a half and I already feel like increasing the dosages again. I only take the medications at night at this time. I really want to know if I am going to struggle with this condition for the rest of my life, and if I will ever be able to do exercises such as yoga again. Thank you in advance. Doctor: Hi, First of all, I need to know if the pain is during rest or while walking; whether pain in the legs comes on walking and how does it get relieved, whether it goes away on sitting or lying down? Also, need to know if the pains are during night time or day time and whether you fill stiffness in the whole body also does massage gives you relief? Since you are troubled for a long time getting an MRI scan is primary requirement plus running some blood tests like vitamin D levels, ESR, Hb, uric acid levels need to be done. Also, check about diabetes status. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Singh Raswan, Neurosurgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in hips,legs and feet due to spine problem"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I ve had the mirena coil fitted for just over a year now and have had abdominal pain in my right side ever since, it feels like it s in my tube. Just recently I ve had stringy sand coloured dishcharge with blood in and has an unpleasant smell to it, I know it s not BV as I ve had that before and it isn t a fishy smell Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Even though you need a gynaecological examination with related investigations like an ultrasound/urine test/culture sensitivity test of the discharge to arrive at a definitive diagnosis, for the present you might go for some kind of anti inflammatory drug along with a proton pump inhibitor, and a broad spectrum antibiotic to be prescribed by your family physician. However, you have to get an appointment with a gynaecologist in your area for further detailed management of the problem.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain after fitting mirena coil with unpleasant discharge?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi. Doctor. I would like to know bout chest stiffness. I got it just 1 year ago and it happens not frequently and caused nothing annoyrf except a strange sensation in the upper chest, like a stickiness sensation. don't think it gets any relation with the heart like Angina Pectoris nor Stomach ache. I can feel this stiffness some hours a day (disapeared then repeated again and again within the day) and the more time goes, the longer time it last (i.e.. last 3 months it happened shorter than this month). How do you tink ?. What will be the problem these symptons may represent for ?. Thanks. Doctor: Hi welcome to HCM...Here you have mild chest discomfort since long duration ....No other symptoms present , so it could be muscular stiffness or muscle strain problem.....Simple analgesic will be useful...Avoid strenous work...and sleep in supine position...Although chances are less investigate your case with ....1.Blood pressure measurement and auscultation2.chest x ray 3.ECG This preliminary work up will be useful for detection of any cardiac or respi causes if present ...Take care Advise : physician consultation"
},
{
"from": "gpt",
"value": "Target: What causes stiffness in chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I get restless muscles after long distance endurance exercise such as a 50 mi bike ride with significant climbing. I am healthy, workout at least 7 hrs/week (includes aerobics, weights and walking) and eat well. It affects my sleep which is not good. Ideas? thank you ej Doctor: Hi, I think that you need to replenish mineral and micronutrients in your body after heavy exercises to keep the muscles healthy. I suggest you take regular health drinks whenever you go for heavy exercises. And take adequate rest also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes muscle pain post workout?"
}
] |
Subsets and Splits