conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Hello doctor, I had a medical abortion a month ago. My period came 29 days after the abortion. After the period I did an hCG test and it was positive. 37 days after abortion my hCG level is 18.21. After three days, the test showed 17.56. I also did an ultrasound and the doctor said I have 3 mm endometrial thickness on one spot. He prescribed me Duphaston to take from day 15th day to 25th day of my cycle. I am scared to take it and also I am scared that maybe I have some retained products but the doctor said I am fine. What should I do? Is it safe to take Duphaston in my condition?"
},
{
"from": "gpt",
"value": "Hello. First of all, there is no harm in taking Duphaston in your condition. It is just a progesterone hormonal analog, the same hormone is secreted from the ovaries once the egg is released after ovulation. So there is nothing to worry about taking it. I would like to know what was the indication for checking beta hCG (human chorionic gonadotropin) value at 37th-day post-abortion, when everything was fine, you even got your periods pretty much on time? Regarding your beta hCG value, I would like to tell you that beta hCG may be detected in maternal blood up to 4-6 weeks post first-trimester miscarriage or medical abortion. Did you had a missed miscarriage or was it an unwanted pregnancy that was terminated medically, and at how many weeks of gestation? This is important because sometimes missed miscarriage may harbor partial molar pregnancy which goes unnoticed, as biopsy or histopathological examination is not done for such cases. But yes, any persistence beyond 6 weeks of abortions should be monitored carefully as these may be a hint of development of gestational trophoblastic neoplasia (GTN). As your scan is normal, and also endometrial thickness of 3 mm is also a normal finding, so there is no chance of having any retained products. It would be helpful if you could share the ultrasound reports (pre and post-abortion), and the dates of the events along with the date of doing beta hCG levels to have a better idea of your situation. I would advise you to recheck your beta hCG value again after a week. Please revert back to me with the necessary details I requested you, so that I can guide you further. Serum beta hCG value after a week."
}
]
|
[
{
"from": "human",
"value": "Hello doctor,My fiancee is B positive and myself O negative. In the future, will there be any complications in my pregnancy?"
},
{
"from": "gpt",
"value": "Hello. There would be no complications during the first pregnancy but may occur in the subsequent ones due to isoimmunization phenomenon. It is a problem which arises if the mother is having negative blood group and baby is having positive blood group. But treatments are available, so you have nothing to worry about it. I hope it has helped you. If you require any further queries, please do not hesitate to contact me."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I have found that I am very protective over my clothing, food, and friends. I grew up in a household where the food we bought was either on sale or a big deal, despite having money now, when someone eats food I was looking forward to the fact that I get inexplicably angry. My step sister steals my clothing and it makes me have nightmares about hurting her. Something else concerning is when my best friend ignores me for other people it hurts me a lot as I place so much value in everything. I have seen a psychiatrist regularly but this is a question I have never had answered. Is there a way to trace this behavior to my upbringing or prevent it from affecting my life? I am currently prescribed Zoloft and Adderall."
},
{
"from": "gpt",
"value": "Hello. When someone eats food and you get angry, this could be due to part of anxiety. A lot of individuals with anxiety have such kind of symptoms. This is not a thing to get worried. You are on Zoloft which is an anti-anxiety drug and this should help you with time. When someone steals your clothes and you get angry then this is not an abnormal behaviour. I do not see any abnormality in this. Most of individuals have such kind of behaviour. Getting hurt on behaviour of your friend also has nothing related to your upbringing. Sometimes when we expect from an individual to whom we are close and when he or she ignores us, then it is normal to get hurt. But, if this is prolonged and you feel depressed because of this, then this might be due to some personality issue. You are 19 and at this age, such kind of behaviour is normal. With time you will see improvement in yourself."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, Please say about the specific ways to reduce the IBS symptoms."
},
{
"from": "gpt",
"value": "Hi. Irritable bowel syndrome has these symptoms such as decreased sleep at night, depression, musculoskeletal pain or fibromyalgia, decreased sexual performance, and inadequate attention. IBS can be diarrhea-predominant or constipation predominant or mixed. In the case of diarrhea-predominant IBS, it is better to avoid eating vegetables, flour containing products and other foods containing FODMAP (Fermented foods containing oligosaccharides, monosaccharides, and polyols). It is helpful for some patients. After having repeated counseling, they need pharmacotherapy. I advise taking Chlordiazepoxide with Clidinium bromide and a probiotic combination trial. It helps for some persons. In the case of constipation-predominant IBS, I advise stool bulking agents like psyllium husk or lactulose to the patient. For the depression and musculoskeletal pain, I usually prescribe Duloxetine which works better than SSRI (selective serotonin reuptake inhibitors). But in cases when the musculoskeletal pain is not severe, I advise SSRI. Hyperacidity is a common problem seen in these type of patients. Treat with a short course of PPI (proton pump inhibitors) first and then downgrade to Ranitidine after the symptoms get controlled. In some patients, counseling plays an essential role in the treatment of IBS."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I had myself tested because I have had a blood transfusion before six years and visit many hospitals for my job. I have no symptoms. I just went to the laboratory and did not understand my results. Can you interpret them for me? Also, can you explain the cut-off value? Thank you."
},
{
"from": "gpt",
"value": "Hi. For further information consult an internal medicine physician online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am 40 years old. I was diagnosed with hepatitis C before 16 years while donating blood. No allopathy treatment was taken till last month. My liver function tests are monitored regularly. Most of the time, the result will be elevated levels of SGOT and SGPT of 200 and 300 respectively. But, it did not affect me in any way. My appetite is very normal and I am a pure vegetarian. In my recent test, I was diagnosed with genotype 1 and the maximum viral load was 12 lakhs. I started on treatment of SOF+LDV. Followed by that, viral load checked after 7 days and 30 days showed not detectable. Also, for the first time my LFT came back completely normal with no elevated level of any enzyme. Most of the research suggests that 8 weeks treatment is fine, if the reports are normal. Should I complete 12 weeks or stop after 8 weeks of treatment? Please advise."
},
{
"from": "gpt",
"value": "Hi, We are here to help you. For further doubts consult a medical gastroenterologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor,I am hepatitis C positive with IgM + IgG of 14.2. This test was conducted five years ago. What is the significance of this? I have full medical test including LFT from two months back including sonography where things were normal. Do I need to worry about this? Does it require a treatment or the count is within limits?"
},
{
"from": "gpt",
"value": "Hello. You need to get the hepatitis C quantitative assay (RNA level) done and need to get treatment depending upon that. There is no need to worry. Your other labs are fine (attachment removed to protect patient identity). But please be under the strict follow-up of a nearby gastro/ hepatologist. Regards. For more information consult a medical gastroenterologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor,I am getting stomach problem from the last year after consuming fish curry. I suffered from diarrhea and low-grade fever and after taking multiple antibiotics I got relief but I started to get a new problem. I was getting stomach cramps and diarrhea that happens suddenly after taking meals (especially in the morning). This diarrhea is not 100 % watery but loose and it will not happen daily. After getting diarrhea I will get constipation for many days. I took Rifaximin 550 (TID) along with probiotics for 14 days but I still have a tendency of diarrhea like stomach rumble with the defecating tendency and I get some cramps (sometimes burning pain in the abdomen). Therefore I need to know whether I am getting the problem because of irritable bowel syndrome or is there any infection that is causing this? Do I have to continue taking Rifaximin 550?"
},
{
"from": "gpt",
"value": "Hello Welcome to icliniq.com. As per the history you have provided, it seems like irritable bowel syndrome. Firstly, you would need to rectify your diet by cutting down on too much fibres, gluten, too much starch, spicy foods or junk, alcohol, caffeine. Increase intake of water, soups, detox drinks, fruits and vegetables and do not over eat or skip meals. Start tablet Pantoprazole 40 mg once daily for a month, tab Vitamin C chewable 500 mg twice daily for one month only after food. Start tablet Dicyclomine once daily for one week and then only when required. Continue with the probiotics. You may stop Rifaximin until you finish the course of the medicines I just mentioned. Lastly and most importantly get a gut investigation done at a hospital. Above all, keep a positive mind and do not worry about it as a problem as there is always a cure for everything. Do follow up and stay healthy."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I had an anal fissure six months ago for which the doctor prescribed me Ciplox TZ and SN 15 Plus tablet six days course along with Duphalac Fiber. This cured the fissure and I was having no issues with the bowel movement. Just recently, I did have a slight swelling in the upper lining of my stomach for which I have been taking Pantoprazole as prescribed by the doctor. The swelling or bloating has been much better than before. But I am facing a problem with hard stool each morning due to which I have pain during bowel movement and chance of anal fissure recurring. My questions are: Is it okay that I take one more course of Ciplox TZ and SN 15 Plus along with the current Pantoprazole medication to take care of the anal fissure relapsing? Could this be IBS-C (irritable bowel syndrome with constipation)? if so, what is the medicine that has to be taken? I have heard ayurvedic Dhouti-Yog tablets are good to produce softer bowel and relieve constipation which in turn can stop the fissure from coming back."
},
{
"from": "gpt",
"value": "Hello. From what you have mentioned, you have IBS-C (irritable bowel syndrome with constipation) and hard stools. There is no need to take Ciplox TZ (Ciprofloxacin and Tinidazole) and SN 15 Plus (Diclofenac and Serratiopeptidase) again. I suggest you drink plenty of fluids plus fiber-rich diet. I suggest you take Senna tablets before bedtime as a laxative. Colvac (Sodium Picosulfate) twice per day for colics and tummy distension. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Follow up is required. For more information consult an internal medicine physician online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I wanted to know is it normal for a newborn to have eye bleeding. He is almost one month old. I was surprised that his tears are blood. Should I worry or is that just normal?"
},
{
"from": "gpt",
"value": "Hello. Such bleeding is not normal. The causes of such an occurrence are varied. A few common causes include a blood clot, a tear in the tear duct, infections like conjunctivitis, and sometimes a cut in the conjunctival lining can also cause this. The best thing, for now, would be not to rub or wipe your baby's eye very vigorously. The pediatrician will evaluate him for bleeding disorders and then have an eye examination as soon as possible. In case you have any further questions please let me know."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am suffering from stomach problems like gas (excess condition every time), burping, bloating and pain in the chest (sometimes due to acidity). I always feel uncomfortable because of gas problem. I feel like my stomach is full every time. Please help."
},
{
"from": "gpt",
"value": "Hello. I understand your concerns. Most probably, you have irritable bowel syndrome, which is a syndrome of nervous bowels characterized by colicky bowels that may cause constipation or diarrhea. It does not wake you up in the middle of the night. Also, it worsens in times of exams or stress or after meals. It is relieved after motions. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 17 year old female. My weight is 140 kg and height 5'4\". I need your guidance and advice on something that has been going on for a very long time. In the past, I have been a vegetarian, paleo, vegan, etc. And I am currently a vegan because I feel it is the right thing to do. I eat extremely well, always have fruits and/or vegetables with every meal. I am a very conscious and intuitive eater. However, for a very long time now I have been having odd bowel movements. I have rabbit pellet-like stools, and sometimes I never make a bowel movement in a day. It is becoming an issue because for the past few months I have had this problem. I have been feeling extremely bloated and uncomfortable. I never feel hungry and constantly have this fullness feeling and assume that it is because of the problem with my bowel movements. And maybe my bowels are not clear. It is very uncomfortable because I enjoy eating and want to eat and exercise. However, with this constant feeling, I do not really enjoy eating or exercising. I wake up every morning with a bloated feeling in my stomach. I do not know what to do and how to fix and stop this issue and start having normal healthy bowels. I need some advice and really appreciate that you will take the time to help."
},
{
"from": "gpt",
"value": "Hi. It is IBS (irritable bowel syndrome). It is a benign disorder, requiring only supportive management to regularize bowel habits. This disorder occurs in many people these days (10 to 30 % population are affected by this). This condition is aggravated by low fiber intake. Advice: It will take time for this disorder to heal. Consult a medical gastroenterologist online for further help -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 32-year-old female. I have a right sided bubbling sensation in my chest and that is rhythmic with my pulse. It started today while at rest. I have a history of endometriosis, sensitivities to NSAIDS (gastric ulcers), and iron deficiency anemia. It almost feels like wheezing, but I am sure that it is not breathing related. There is no pain, but uncomfortable sensation comes and goes and last for about 60 seconds. What could be the possible causes?"
},
{
"from": "gpt",
"value": "Hello. In your case, severe anemia can cause blood turbulence while flowing through cardiac valves, which may lead to the sensation of bubbling or flowing fluid. Usually, a murmur can be heard with a stethoscope. Other cause may be just bubbling of gases in the stomach, but it is felt in the upper abdomen and can be heard in cases of hiatal hernia. If you tell more details about your symptoms such as when does this sensation occurs, relation with posture, food, activity, any other accompanying symptoms, etc. I can guide you better. If symptoms are recurrent, I advise you to have a chest X-ray and echocardiography."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have tried Lexapro, Wellbutrin, Effexor, and Prozac for anxiety and panic disorder. But I suffer from the side effects of these medications. My biggest complaints were increased anxiety, and panic attacks, along with weight gain (50 pounds), and tachycardia that kept me up at night and freaked me out. So my family doctor sent me to a psychiatrist, and he prescribed Imipramine. I had never heard of this, so I searched, and it seems like weight gain and tachycardia (my two most significant concerns with medications) are common side effects for this medication. I am not sure why he prescribed this one to me, but I wanted to get a second opinion to see if this is a good idea since I already have tachycardia and do not wish to gain more weight. I am scared even to try this medicine because I do not want to go into some weird heart rhythm."
},
{
"from": "gpt",
"value": "Hello. I can understand your problem. Imipramine is a tricyclic antidepressant drug, and yes the drug is known to result in side effects like weight gain. But this depends upon the dose, the duration of treatment, patient factors, etc. Lexapro (Escitalopram), Wellbutrin (Bupropion), Effexor (Venlafaxine), Prozac (Fluoxetine), etc., are serotonergic drugs and it is common with these drugs to see increased anxiety for first few days of starting the drugs. In most cases, this rebound increase in anxiety goes by own. So my advice is to continue the drugs even if you see worsening of symptoms. In most cases, after a week of starting the drugs symptoms remit. Imipramine is also the right choice, and the drug causes sedation so you should take medicine in the evening after dinner and should start with low doses. When the drug is started in low doses, then you will not face any rebound increase in anxiety. Kindly get ECG done before starting the medication."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My fiance fingered me and I am not sure whether he had masturbated before fingering. But after that I found chocolate like blood spots. I had my periods done before six days. Also, I suffered loose motions day after. And I could see the same colored spots. I am scared if I am pregnant."
},
{
"from": "gpt",
"value": "Hello. The presence of clots per vaginum post-fingering can be seen in cases of cervicitis but if chocolate coloured blood spots are seen , it could be collected blood or if you are suspecting pregnancy, then you need to get a urine pregnancy test done to rule out pregnancy. If pregnancy test is positive, then this could be threatened miscarriage."
}
]
|
[
{
"from": "human",
"value": "Hello doctor,My husband is having some red blisters on the right back side of the body and beside his right nipple for three days. He is having a mild burning sensation when the cloth touches these blisters or rashes. Please help."
},
{
"from": "gpt",
"value": "Hello. I have gone through your case. I have two diagnoses in your case. 1. Insect bite reaction, and 2. herpes zoster. Insect bite reaction does not require any treatment, but you need to follow the treatment as early as possible. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Tablet Acyclovir 800 mg five times a day for seven days on following timings, at 6 and 10 AM, 2, 6 and 10 pm. 2. Tablet Cetirizine 10 mg at night for seven days. 3. Fucidin cream (Fusidic acid) two times a day. Herpes or insect. Drink plenty of water."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 24-year-old female. I received a second round of a cortisone shot in my wrist on 18th May for wrist tendinitis. During the injection, it hurt much worse than the first shot. I have been told to keep my wrist in a splint at all times. My wrist is still bruised where the injection was given. There is now a bump as well where I have injected hurts when touched. Before the first shot, I had a ganglion on my wrist that popped. I cannot say for certain if the bump is from the injection or the ganglion is back because of the shot. I need to know if this is normal or if I should go to a clinic over the weekend? I am currently on Autumn Wills, Seroquel 400 mg, Lithium 300 mg, and Ativan 1 mg when needed and not often."
},
{
"from": "gpt",
"value": "Hello. From the brief history you have given, it seems like there is not much to worry about. First of all, I need to know some more detailed points. Where exactly in the wrist the shot was given? I mean is it the extensors of the thumb (de quervain) or is it for any other finger? Also, do you have thyroid issues? Sometimes when the large volume of fluid is injected into the tendon sheath and surrounding area, due to distension it can cause severe pain and patients do complain of exaggerated symptoms prior to injection. Small vessels must have been punctured (quite normal) which lead to extravasation of blood hence the bruise. It will take a few more days, but both the bruise and the bump should go away. Do apply ice packs there you will get you the necessary relief. Ganglion cysts are notorious for recurrence but highly unlikely to be associated or related to the injection. If you can send me a clinical picture that would be better. Splint is fine but you do need to mobilize your wrist for a very long time otherwise you might end up having stiff wrist (2-3 weeks should not cause any stiffness). Understanding tendinitis is important you need a very specific rehab protocol and few medications and you should feel much better in few weeks time. Did you get your vitamin D levels tested? Kindly revert with the info."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, my son is 19 months old .... He is grinding teeth most of the time ... Not eating at all...only one spoon after that he has feel of vomiting.... So am giving food with a long interval between every bite... Also we r giving only mashed foods... Previously he was taking 2 idlies.. now even half idli is difficult for him to finish.... One of my friends suggested me to give albendazole syrup ad his symptoms suggestive of worm infestation.... Can i give albendazole syrup ... If yes how many ml and his weight before two months was 9kgs ... Because of lockdown we didn't check his recent weight.... If no what medication can we give ... Please reply am really worried about his eating habits.... He became very thin comparing to before... Thank you in advance...."
},
{
"from": "gpt",
"value": "Hello, hope you are safe. Thank you for the elaborate history. I appreciate your concern regarding your child. I would like to first tell you that grinding is a common phenomenal in children till 6 years most children outgrow it by 6 years. However at this age if he is grinding you can give him plenty of water Positive feedback helps. And for more discussion regarding reward and positive feedback you can consult me on phone as it’s difficult to explain those things verbally As for albendazole, you can give 400 mg once stat dose only repeat at 6 months interval. Regards"
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, For almost two months, I am having widespread fasciculations. It started from my right arm and became widespread. After some time, I began to notice my right shoulder, and knee started to get fatigued quickly. I have visited my primary doctor so many times until I was given a referral for an EMG. My EMG test was clean, no form of denervation, and the neurologist diagnosed my fasciculations as benign. But now my muscle twitching is worse. Currently, I am getting constant twitching in my right biceps, and it occurs consistently without breaks. I have sleepless nights. Please help."
},
{
"from": "gpt",
"value": "Hello. I reviewed, and I am glad to confirm that we can exclude any possible motor neuron disease, neuropathy, or muscle disorder. I would recommend checking vitamin D, plasma levels for possible deficiency, and thyroid hormone levels for possible thyroid gland dysfunction. Possible treatment options would be Clonazepam that helps to reduce muscle twitching and also calm down your anxiety. You should discuss with your doctor on the above tests and treatment option. I remain at your disposal for any further questions whenever you need."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have severe acne mainly on my cheeks and forehead for a year, and now it continues to get worse, and there are no improvements. No matter how many times I go to the doctors. I am currently taking Lymecycline capsules for a month and the Differin gel at night. I have seen no improvements, inspite of eating healthy food, and drinking more water. I need help because it ruins my confidence and is a daily struggle."
},
{
"from": "gpt",
"value": "Hello. During teenage, it is very common to get acne, especially on cheeks and forehead due to several reasons (primarily because of hormonal changes in puberty). It is advisable to wash your face multiple times to avoid the accumulation of dirt, which can lead to blockage of pores, and that results in acne formation. Use of a mild medicated facewash suggested by your dermatologist might help you to get rid of the present symptoms. I hope this helps."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have chest pain, back pain, left arm pain, and slightly shortness of breath for the past two years. The pain remains constant all the time. I also have irritation and tingling for the last two years continuously. I have done ECG, echo, TMT, and CT angiography twice, and everything is normal. What should I do?"
},
{
"from": "gpt",
"value": "Hello. Your symptoms do not seem to be due to a heart problem. Tingling sensations, irritation, etc., are not caused by the heart. Your symptoms more or less seem to be due to some nerve irritation which may be localized or generalized. I advise you to consult a neurologist for proper evaluation of symptoms. Sometimes nerves got entrapped between bones in the neck or vertebral column that causes pain, tingling, numbness in fingers, arms and hands. If you are a pure vegetarian, there may be vitamin B12 deficiency, which can cause such symptoms. Apart from these, there may be a problem in the peripheral and central nervous system. Therefore I advise you to have a visit a neurologist."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My son is 1 year old and has constant cold. I have consulted my pediatrician also. He has been suffering from cold, and wheezing for the past one month. If I use Augmentin Duo, he is getting fever, wheezing and severe cough. So I use Azithral 200, Levolin, and the condition is somewhat fine. But he is not getting complete cure. Please help."
},
{
"from": "gpt",
"value": "Hello. Your child may be suffering from what is known as hyper-reactive airway disease. Please get the child evaluated physically with chest X-ray and basic blood tests like CBC (complete blood count) and CRP (C-reactive protein) at least. Based on the reports, if it does not show any infection, you can start the child on a long term course of Montelukast 4 mg one dose at night along with syrup Levolin (Levosalbutamol) based on the degree of coughing. The child may also need intermittent nebulization with Duolin (Ipratropium, Levosalbutamol) and Budecort (Budesonide) as and when the need arises."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My father had partial penectomy two weeks ago, and our doctor has suggested for another surgery. I am sending his postsurgical reports. Can you please let us know if surgery is required, and he still have cancer?"
},
{
"from": "gpt",
"value": "Hello. All tumor has been removed, and resection margins are free. But tumor involvement is deep inside, and so the surgeon wants further surgery so that the tumor should not come back after some time. Also, ultrasound reflects a reactive lymph node, and so your doctor might be planning for the removal of lymph nodes. Further surgery is needed to prevent the come back of cancer."
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, A few weeks ago I noticed that my bottom front teeth felt slightly loose. I looked up my symptoms and suspected it might be gum disease because I have always had poor dental hygiene and never flossed. Since then I started brushing, flossing, and using a natural mouthwash three times a day, then I went to the dentist and asked about my concerns. The dentist told me that I did not have gum disease and had nothing to be concerned about and the loose bottom teeth were most likely from grinding. I want to believe him but I also want to be sure he is correct. My gums are mostly pink close to the teeth but farther down they are very red and seem decayed."
},
{
"from": "gpt",
"value": "Hi. Let me tell you something. Even I have undergone this situation (personally). There are several types of periodontal conditions, out of which, this is called trauma from occlusion due to bruxism, clenching. Your teeth may loose its normal curves or contour and may even get loose. Primary line of treatment involves splint or night guard, along with minor procedures. You can share a picture by following up and attaching a file. I would be glad to assist you. Many a times, such mobility turns out to be more physiological than pathological (as it turned out for me)."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, When I was younger, I had a bottle rocket blow up in my eye. It left a scar in front of my pupil, so I am no longer able to see out of the eye, and am considered legally blind. My pupil stays dilated all the time, and where it is not able to focus on anything, it wonders to the right. I was wondering if there is any new surgery, that could possibly help."
},
{
"from": "gpt",
"value": "Hello. Thankfully only one eye was affected and I hope your other eye is intact and fully functional. Unfortunately, a dilated pupil that does not react to light in the affected eye means that it is no longer transmitting information to the brain and therefore is considered non functional. In most cases those changes are irreversible and the eye is no longer considered a functioning organ. But, hope dies last, and to cheer you up a bit, there are many ongoing clinical researches on the restoration of vision in blind eyes and mainly involve implanting a chip in the retina and connecting it to the brain and although the results are not what a patient would expect, nonetheless it helps the eye detect objects on a very primitive level. As I said earlier, thank God that only one eye was affected and you should take care of it by undergoing a yearly comprehensive eye exam. I wish you best of luck."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My mother’s age is 80+ and she had heart attack four times. Two attacks in quick succession a year back and two attacks quick in last one month. Her heart pumping capacity is about 35 % with kidney creatinine 3.4 mg/dl. But it is decreasing now. She never had diabetes. But always when admitted to hospital for heart attack treatment, her sugar level increased a bit and hospital always started giving her Insulin. Last one and half year her cardiologist never advised her to go under any aggressive treatment like doing angiogram and then further treatment like angioplasty and ect. If we go for angiogram followed by further treatment like angioplasty and ring fixing. Will it be safe for her? Will she be able to survive? Traditional angiogram or CT angiogram and then angioplasty or ring."
},
{
"from": "gpt",
"value": "Hi. Although bypass or angioplasty can be done in old age, if the health of patient is promising, but if other health issues are present then it becomes a high risk case. As your mother's kidney function is poor, it becomes very risky to have an angiogram done because even non-ionic contrast medium is detrimental for the kidneys. One possibility is that have her 1 or 2 sessions of dialysis done first, then go for angiography and angioplasty and again have one or more sessions of dialysis in close liaison with good nephrologist. If this is done safely, then next risk is of bleeding. After angioplasty, blood thinning medicines are given for long time, this may cause bleeding problem in old age. Regarding bypass, it is a major surgery and needs general anesthesia, although not impossible in old age but, it depends upon overall health and organ functions of body. Cardiac anesthetist will fully evaluate her before bypass. Third option is to keep her on medicines only without going for any intervention. In my opinion, consult a nephrologist that is there any chance of recovery of kidney function, if no then periprocedural dialysis can be considered."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have very sore area behind the last tooth on my upper right side of my mouth. It hurts terribly to chew and swallow because of the location of the soreness. I am 52 years old and never really had problems with my teeth. Also, the area does not look red or has any open sores, just swollen. It started about two days ago."
},
{
"from": "gpt",
"value": "Hi. There are three possibilities about this soreness, either there is some problem with the tooth, may be it is fractured. Secondly, possibility is that you may have got trauma due to biting or food like fish sting stuck there. Third possibility is that due to trauma from biting you may have developed an ulcer. Now if your tooth is carious, fractured, then you may require antibiotics or it may require to be restored or extracted. If it is irritating mucosa around then we need to contour tooth to relieve area. Third, if there is ulcer then you may require the topical gel for one week. You can send photograph of the area if possible."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 47 year old male weighing 90 kg with a height of 5'9\", suffered with fever as well as cold routinely in the last month. My doctor advised me some blood test as my BP at the time of consultation was 130/110 but I was not having BP problems. The last checkup reveals normal BP 120/80. The antibiotic given to me works and I do not have fever after that. The blood test advised to me by the doctor shows normal reading except creatinine 1.19 and increased uric acid. My uric acid is normally on higher side and I was prescribed Zyloric tablets. Please advise me whether I am having any kidney related problem or not. My BP is normal without medication. What should be my line of treatment ? I have attached my lab reports including KFT, hemogram and urine test. I am worried. Please review the reports and help me."
},
{
"from": "gpt",
"value": "Hello. I have gone through your reports (attachment removed to protect patient identity). During any acute infection serum creatinine can rise as a result of infection as well as dehydration. For a better judgment you need to get a repeat serum creatinine as well as uric acid done. This should give us a clear idea. In case if it is still high, you would require to get further investigations. So, get the repeat test done and write back to me with reports."
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, Medically, is there a big difference between drinking alcohol by an 18 year old and a 21 year old? Some proponents of lowering the legal drinking age believe it will combat the rising problem of binge drinking on college campuses. From a medical perspective, what are the cons of lowering the legal drinking age to 18?"
},
{
"from": "gpt",
"value": "Hi. 1. If we keep the legal age and when one is allowed to drink alcohol, there will be fewer damages to the brain development to the young aged people. 2. Alcohol destroys the liver and if we keep a low legal age allowed for drinking, definitely more and more alcoholic hepatitis patients will appear in population. 3. Decreasing the legal age for drinking will have devastating effects on the health of the mass."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, One year ago, I had massive left-sided pleural effusion with respiratory distress. Pigtail insertion was done and it was indicative of TB. Now, my ATT is stopped. After two months of treatment, my ultrasound report said that pleural thickening is seen along left posterolateral chest wall. Now, I do not have any symptom like chest pain, breathlessness and cough. As I am fit and healthy, I have stopped the treatment. Will pleural thickening get worsen with age? Will the person in question face a higher risk of having lung disease in future? Now my age is 21. Is pleural thickening reversible in my case? I would like to go abroad for job. Will pleural thickening create any problem in my working visa? If yes, what can I do? Please help."
},
{
"from": "gpt",
"value": "Hi. Please relax. You have probably healed your TB (tuberculosis) and there is nothing to worry right now. Pleural thickening has happened as a result of the effusion you had. It is a way of healing which the body does when effusion happens. It will not get worse with age and you will not get TB again. There are no higher chances of cancer also related to that. A large number of people suffer from this and it does not affect life in any way. Thickening usually does not get reversed. It will remain there. The only problem which you might face in visa interview is, if they require your chest x-ray to be done and then thickening will be seen. Now, it is evident that they will get your other tests done to rule out active TB, which should come negative. There are certain countries which bar people who have had TB. But, I do not think such policies are present in working visa. I would recommend you to read the specific country website and also consult some agent about this before you fill the medical declaration. Except for the visa, it will not cause any issue in your life."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I had my first appointment with a neurologist this week. I am a 21 year old student. The past several years I have been dealing with shaky hands, worse on my left side, that has continuously gotten worse. I also have hypothyroidism and had hoped that as my thyroid balanced out, the shaking would decrease, but it has only gotten worse and now the shaking often moves up my arms and makes it very difficult to write or work. Within the past year, I have noticed that some of my toes go numb while walking and can stay numb for several days. Recently I have noticed numbness in my right arm at times. My neurologist first thought it could be from stress, but then proceeded to run through a series of tests where he mentioned that the reflexes in my feet were very uncommon and that my pupils also were not working the way it should. He asked about any back pain, I told him I struggle with that as well. He then did a test where I would touch my nose then his finger, I could do it on my right side, but missed every time on the left. He ended up taking quite a bit of blood and asked to get MRI of head and cervical spine this week. He did mention that this could be serious and heavy, but not much else. Currently I am on Levothyroxine. I am starting to get nervous and wanted to see if anyone had any input or ideas about possibilities or conditions that could be wrong with me? Thank you so much."
},
{
"from": "gpt",
"value": "Hello. Your history is suggestive of neurological issues with very less possibility of anxiety. Following are the possibilities that I can think of : Now to help you better, I need following answers from you. Please think in detail and answer : Have you ever been admitted in hospital for vomiting? Or ever received any injections for vomiting for long? Do you notice any visual issues? Is there any tingling or numbness in legs? Do you have any difficulty in holding objects? Do you experience any cervical pains? Are you suffering from weight loss or memory loss? Have you noticed any other neurological issues in life? Please check with your family for answers that you are not sure about. I mean that any previous significant history of such episodes in childhood."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, My grandmother is 86 years old. She is having cold since last 10 days that gets controlled with medicines. But, in the last 4 days she has breathing problem and also she is unable to sleep well. She has given blood for testing. Please help."
},
{
"from": "gpt",
"value": "Hello. Thanks for writing to this platform. As you said, your grandmother initially had cold and is now suffering from breathing difficulty. It is advised to shift her to any nearby hospital and do a chest x-ray to rule out any infective cause. And also to rule out any underlying obstructive lung disease that could be present. At this age, it is very common to have pneumonia or obstructive lung disease or any other lung disease which causes breathing problems. But, we can make a final diagnosis only after a chest x-ray and some blood tests. Once the diagnosis is made after checking the x-ray, definitive treatment can be started. It is also important to monitor her blood oxygen levels in hospital. Everything can be done easily once she goes to hospital."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My 21 months old daughter has scratched herself near her clitoris and I was wondering what is the best action to take or remedy is. Please advice."
},
{
"from": "gpt",
"value": "Hello. The best thing to do would be to clean the scratch with lukewarm water, dry it and then apply ointment Soframycin locally over the scratch. This application to be repeated thrice a day and it should heal in next 48 hours. Also, it is important that she does not scratch again over it and hence a befitting diaper or small lower can be worn."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I took Invega for one week. It changed my nervous system and caused erectile dysfunction. My question is, will my body return to their previous state? My movement is not as fluid, and I still have mild erectile dysfunction. Has Paliperidone caused permanent damage to my nervous system?"
},
{
"from": "gpt",
"value": "Hello. I agree with you on the fact that this drug can lead to erectile dysfunction as a known adverse effect. On the other hand, this adverse effect is not permanent, and it is reversible after stopping the drug. So, I do not think that it has lead to any permanent damage. It is just a matter of time, and your situation will improve spontaneously. In the meantime, I would recommend trying Cialis (Tadalafil) or Viagra (Sildenafil) to improve your situation. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My baby is 3.5 months old. In my house, they are saying to give urai marundhu is it safe to give? As my daughter is licking her fingers, my mom wants to keep castor oil or neem oil, is it safe to keep it on her finger?"
},
{
"from": "gpt",
"value": "Hello. Urai mathirai or marunthu is safe but advisable only after six months. In case of emergency, you can give within six months. Kids will not lick their fingers as they tend to suck only. Either the kid needs milk, or it may feel insecure in the prolonged absence of mother say more than half an hour. It is a normal phenomenon, so do not worry about that. Do not keep neem oil at this stage."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My eyebrow hair root is very weak. After washing my face with water, and after wiping it with cotton cloth, I find 5 to 10 eyebrows are falling daily. Please suggest me treatment (medicine or capsules or oil) for firm eyebrow root."
},
{
"from": "gpt",
"value": "Hello. I understand that your problem could be disconcerting and it can be resolved. Do you have dandruff or any other issues over the scalp or your eyebrows? If so, treatment should be directed at that. Also, please attach a photo of the same taken in bright light and sharp focus. We can decide on the appropriate treatment based on the above."
}
]
|
[
{
"from": "human",
"value": "Hello doctor,I always have dry, sensitive, and irritated skin. My entire life, I have been severely allergic to all nuts and tree nuts. I also have a small allergy to coconut. I notice that all of the skincare products and shampoos I have contains Cocamidopropyl betaine or coco-glucoside in them, which are derived from coconut. Should I discontinue using these products?"
},
{
"from": "gpt",
"value": "Hello. Allergies are the condition in which your immune system becomes hypersensitive to foreign particles or substances like pollens, dust particles, mites, pet dander, some foods, and medicines, etc. Your immune system is a protective barrier to allergens, which causes harmful effects to your body. So you should be aware of this and try to know elaborately about those factors or allergens which causes itching, trouble, irritation, and red patches, etc. In this situation, you should avoid or protect yourself from those allergens which aggravate the symptoms mentioned above. As well as there is a need to improve your immunity. To do this, you should take Haridrakhand 3 gm with warm milk before the meal and do regular pranayamas like Anuloma Viloma, Nadi Shodhana, and Bhramari."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I had a sexual encounter before 11 days. She gave me only a hand release and used her finger on my prostate with a glove on. After a day, I started urinating extremely and frequently. No burning with urination but after urinating, there is a slight burning sensation in my penis, and outside of my anus. This burning occurs mainly while sitting down. I do not frequently urinate anymore, but I still have the slight burning sensation after urinating and while sitting. I got tested for STD, and it was negative. My doctor prescribed me Doxycycline before three days. There is no noticeable difference yet."
},
{
"from": "gpt",
"value": "Hello. You have acute prostatitis. This could be due to various reasons including retrograde ejaculation, delayed hypersensitivity to the gloves used or bacterial infection. Was your semen or urine tested for a culture?"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 60-year-old male and I am not sexually active. After masturbation, I use a moisturizing lotion. I developed a sore on the shaft of my penis. It is not painful and does not itch, but there is a slight awareness of sensation. This could be due to the bump catching friction as opposed to the smoother areas. In my lifetime, I had an occasional clogged pore or pimple when I was a virgin. I had examinations and never been diagnosed with an STD or genital warts."
},
{
"from": "gpt",
"value": "Hello. I understand your concern. Please send the photographs not as collage, but as separate files. It is difficult to appreciate the morphology like this in a collage (attachment removed to protect patient identity). You can send one photo of each of these days separately."
}
]
|
[
{
"from": "human",
"value": "Hello doctor,I am a 22 year old female. My height is 163 cm and weight is 60 kg. I intend to take on paleo. Please give me your suggestions. I am a vegetarian. If I am eligible for taking paleo, then please give me a diet plan. I have attached my reports for your kind reference."
},
{
"from": "gpt",
"value": "Hi. I have gone through your query and reports (attachment removed to protect patient identity) with diligence and would like you to know that I am here to help you. I welcome you to low carbohydrate high fat lifestyle (LCHF). For further information consult a paleo diet specialist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I have been following paleo diet for the past 20 days. I have attached my reports here for your reference. Kindly review my report and let me know your feedback."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a Paleo Diet Specialist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, Are there chances of developing chickenpox after shingles?"
},
{
"from": "gpt",
"value": "Hi. Chickenpox and shingles are caused due to the same virus. Chickenpox occurs first and the virus stays dormant in the dorsal ganglia of the spinal nerves. After years or when immunity decreases, the person gets an attack of shingles. Most people get shingles only once, but few can get 2 to 3 times. After shingles no one gets chickenpox."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 50 year old male. My height is 5 feet and 10 inches, and my weight is 260 lbs. I am in good health with excellent vitals. My blood pressure, sugar levels, and cholesterol are in exceptional range. I have never been on any prescription pills. All of my routines have been normal and regular and I am currently working on continuing to lose weight by adjusting the intake of calories, but still eating the full range of foods. It has been a safe and gradual process and I am down by 35 lbs over the past two years. I do not exercise now, but I stretch every morning for about 20 to 30 minutes. For the last week, I have experienced pangs of intermittent pain in my lower right side. I would approximate the feeling to be about 2 inches inside my side and just about at the lateral side of my body, perhaps a bit more towards the back. The pain is not acute, nor persistent, and it seems more present once I wake up. It does not bother me at all during the night. My own research does not seem to align with appendicitis or something abdominal, and I am beginning to believe it is a temporary muscle spasm of sorts, primarily due to a lousy work chair which has been a recent change. Again, all bodily functions are normal and I have not had headaches or fever or pain of any kind elsewhere. It is localized and randomly repeats only in the lower right, internal area I have described. I would like to know what is on the field of considerations, serious to not, so I can assess the next steps."
},
{
"from": "gpt",
"value": "Hello. Good luck. For more information consult an internal medicine physician online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I experienced spotting in the last week for three days. It was a small amount of spotting discharge, which was brown with a bit of red. I did not get my period on the actual date. May I consider the spotting as my periods? But it was not the usual amount of bleeding as I have in my period. I only used a liner with it and not may napkin pad."
},
{
"from": "gpt",
"value": "Hello. Your spotting for the three days cannot be considered as the menstrual period. The usual amount should at least be at 80 ml per cycle, and that would approximate at least 10 moderately soaked pads. Some possible causes would be a hormonal disturbance, and this could vary as far as pregnancy, and hormonal imbalance is secondary to stress, weight loss, current illness, etc. I would suggest you to have a pregnancy test first if it is negative, then you may opt to observe until the second week of next month. If there is no period still, you need to consult your gynecologist to help you with the diagnostics such as transvaginal ultrasound and if no other causes, she may prescribe you with pills to regulate your period back. Hormonal imbalance."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am six months pregnant. I have swollen feet and ankles. It hurts when water runs over them. I also have lower back pain and some dizziness. Kindly help."
},
{
"from": "gpt",
"value": "Hello. A pregnant woman usually has edema (swollen lower extremities) especially if she has been standing quite long. However, it is never tender but just heavy. It spontaneously resolves when she places her feet at least two pillows higher than her body or only by little elevation. In your case, we must rule out the possibility of cellulitis. Its is a condition such as how you described, swollen feet or ankle, usually pinkish or erythematous and tender to touch, sometimes warm to touch. Your symptoms are not the usual finding on a pregnant woman and must be seen immediately at the emergency room to give you first aid of a possibility of infection. It is also best that you have your blood pressure taken since the pregnant patient with edema usually has elevated blood pressure."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a diabetic taking Glimepiride and Metformin. I have developed a kidney stone measuring 1.6 mm and the doctor has advised for a surgery. Is there any non-surgical management?"
},
{
"from": "gpt",
"value": "Hello. I have seen your report (attachment removed to protect patient identity). It is unlikely that 1.6 mm Kidney stone will come out on its own. You require surgery. There are many options like URSL and PCNL. Which option does your doctor prefer? For more information consult a urologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, One week before three kidney stones came out, and I have a burning sensation while urinating after that. I went to the doctor he took some test and told that my creatinine level was 1.6. Is it dangerous? I have hypertension and my value is 150/100."
},
{
"from": "gpt",
"value": "Hello. Based on your history you might be having a urinary tract infection. Urine infection is a known complication in patients with urine stones. Do you have other complaints in addition to burning sensation like fever with or without chills, abdomen pain, vomitings, and blood in urine? The rise in creatinine in your case can be due to a pre-existing renal disease due to hypertension, or the current urinary tract infection may also cause this. I advise you to get, 1) Complete urine examination for any urinary tract infection. 2) Urine culture and sensitivity to identify the specific organism causing infection and antibiotic sensitivity. 3) Ultrasound abdomen to look for any urine stones still present. 4) Complete renal function test. 5) Complete blood count. You are welcome back to me with any further queries."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My daughter is 4 months old. She is suffering from loose motion for the last two weeks. The doctor already prescribed antibiotic Cefixime, but the condition is not much improved. Now she is pooping six to seven times daily, which contains mucus and color is green. A stool test shows 25 to 30 pus cells. Please advise us what to do?"
},
{
"from": "gpt",
"value": "Hello. I advise you to continue breastfeeding and prevent dehydration. It is unusual to have bacterial diarrhea in a four-month baby. Are you giving any top feeding? I mean other milk apart from breastfeeding like bottle feed? If yes, then please stop and give exclusive breastfeeding till six months of age. Please repeat stool test for reducing substance if possible. Have you given the rotavirus vaccine? Follow-up with the report. If you feel that she is sick, irritable, not taking feeds or not passing urine or anything unusual, then please visit a pediatrician as soon as possible. Stool for reducing substance. Dysentery or rotavirus. Econorm sachets one (Saccharomyces boulardii) BD (twice daily) for three days, syrup Zinc 2.5 mg once a day for 14 days, and ORS (oral rehydration solution)."
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor,I am 35 years old. I have the symptoms of a urine infection. But five days after the beginning of the symptoms, I got a urine test, and no bacterial infection or STD were detected. I did an HIV test, which was also negative. The pain is reducing slowly, but I am still not back 100 %. I have no sex envy. What could this be? Could this be a chemical infection or allergy from using hydroalcoholic solution wipes or shampoo on the penis? Could this be a prostate issue?"
},
{
"from": "gpt",
"value": "Hello. By your description, it appears that you are having pain while passing urine. It could be due to infection, stone or simple inflammation. Urine shows bacteria only in case of infection. In the case of stone disease or inflammation, one can find red blood cells or white blood cells respectively. If you are getting relieved gradually with the treatment you have obtained, no need to worry. If you do not have relief even after five days of symptomatic treatment, kindly consider getting an ultrasound abdomen and pelvis with post void residue, which can identify a structural lesion such as stone."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My fasting sugar result was 87, and postprandial was 61. Why is it so? I had a usual breakfast, including carbs with some amount of protein. What could be the possible reason? Also, I struggle a lot with weight loss."
},
{
"from": "gpt",
"value": "Hello. A slight variation in fasting and PP (postprandial) glucose levels can occur. It is not unusual. Please tell me with the value 61 with food, did you have any symptoms of hypoglycemia? This looks like reactive hypoglycemia, which tends to happen in persons with excess weight plus when one takes too much of sugary foods or drinks like aerated drinks, juices, etc. With a BMI (body mass index) of 33.57 you are already close to grade 2 obesity. Your ideal body weight should be 65 kgs, which means there is an excess of almost 30 kgs. This is one of the reasons for reactive hypoglycemia. It is also an indicator of future development of diabetes. So avoid sugary foods, juices, and sweets. Take a healthy diet, plus make serious efforts to reduce weight. Also please check your thyroid functions."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have an abscessed tooth and have been on antibiotics for three days. I woke up this morning with an extremely swollen face, should I go to the ER?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your question and I can understand your concern about your toothache and facial swelling. You need IV (intravenous) route antibiotics like Ceftriaxone one gram after allergic test and for that, you must visit either a dentist or an emergency room. After your infection is over either get your teeth root canaled or extracted as per the condition of the tooth and your choice. Grossly decayed tooth. Cellulitis. Periapical periodontal abscess with related space infection. IV route antibiotics after test dose for allergic reaction. Root canal treatment or extraction."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, My husband is 36 years old. He is fit and healthy, rarely gets sick. But he is a Meth addict. He missed the vein when injecting in top part of his wrist. The injection site looks like a small ant bite. It formed a water blister that he popped and put Neosporin on. But his hand is red, swollen, throbbing and warm. He is in agony. He refuses to go to the ER. Is he in danger of dying? What should I do? How can I treat this?"
},
{
"from": "gpt",
"value": "Hello. This looks like a cellulitis (attachment removed to protect patient identity), it is an infection of subcutaneous tissue. He needs antibiotics and blood test. Convince him for visit. He will need a hemogram test, and blood culture to look for the extent of infection. In treatment, he will need antibiotics like Amoxicillin Clavulanate combination 625 mg three times a day along with some antacid like Pantoprazole 40 mg once a day. For pain and swelling, you can continue Ibuprofen, you can use Magsulf ointment for local application for swelling. He will need higher antibiotics as it appears severe cellulitis. So my advice is to visit ER soon."
}
]
|
[
{
"from": "human",
"value": "Hi doctor,My 8 year old daughter has had quite severe stomach pain since three days. It started in her naval and now in her lower abdomen on the right hand side. She has had on and off low grade temperature and nausea. She has pain in her legs and some pain in her back. Also she has lost her appetite. We have been to our GP who sent us to our local hospital and they discharged us after blood tests were normal. She did have white cells in urine, and told us to come back if she was in agony. She is still having pain and has temperature. My dad is a retired GP and thinks that the pain is where her appendix are. Should I go to another hospital to scan her to make sure? I do not want to leave this to get it worse. I would appreciate your advice. Thank you."
},
{
"from": "gpt",
"value": "Hi. I can understand your concerns. Revert back with the report to a child health specialist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 15 year old female and have been having RLQ pain for nearly five months. I am physically fit. I do exercise at least six days a week and eat quite healthy. I have a sharp stabbing pain at McBurney's point. I also feel immense pressure at my RLQ like someone is sitting on my stomach constantly. I had an ultrasound to find appendicitis. But, they found enlarged lymph nodes and said they would become normal soon. I did not have cold or anything in the past two to three months before this happened. It stopped hurting for about three days and then started hurting again, this time without the pressure. Within the last two weeks it has become worse than ever it hurts. I am always feeling nauseous, even when it is not hurting. It hurts daily and sometimes causes me to double over for 10-15 seconds. It has nothing to do with monthly cycle at all and does not seem to react with food. This Monday morning I had to stop my fitness training as it was so bad and could not complete the session, which is very unlike to me as I enjoy fitness. I have had two ultrasounds and could not find appendicitis or anything else wrong. Also, I have had two blood tests done for appendicitis and that showed slightly higher amounts of white blood cells, but that is not enough for doctors to diagnose as appendicitis. I went to ER at 3 AM; they did more bloods and sent me home about three months ago. Could this be chronic appendicitis? I do not know what to do and the doctors seem to think that I am making it up. Please help. Thanks."
},
{
"from": "gpt",
"value": "Hi. After reading your well presented history, I think the following are the possibilities. Urine for microscopy and routine pus cells and crystals. Use proton-pump inhibitors for some time and observe for any relationship between vigorous exercise and pain. Revert back with investigation reports to an internal medicine physician.--->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 28 year old female. Whenever I have indigestion and gas formation in my stomach, I feel pain in the right side of my stomach. So, I did a whole abdomen USG. It shows appendicitis. I did blood ESR test also. Attached are the reports. As per my doctor's suggestion, I am having below mentioned medicines for one week. Folcovit (once a day), Tibrolin (thrice a day), Pan D (once a day), Zocef CV 500 (twice a day). So, I want to ask, whether these medicines are sufficient or not? Do I need to have surgery?"
},
{
"from": "gpt",
"value": "Hi. I had seen your report (attachment removed to protect patient identity) and CBC (complete blood count) is not showing any shift to the left or high total count. You have mild appendicitis infection. For that, medical management will be beneficial. You have been prescribed antibiotic course and probiotic and antacid. Complete the course of prescribed medicines. Your prescription is correct as per mentioned history and report. For more information consult a family physician online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am suffering from malabsorption. All my tests are normal. But, my radiology result reported appendicitis. Can appendicitis cause malabsorption?"
},
{
"from": "gpt",
"value": "Hello. Revert back with the asked details to an internal medicine physician online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am a 55-year-old male. Routine CBC report shows hemoglobin 17.1, hematocrit 51.5, and platelets 255 (up from 201 last year). Should I be concerned about PV?"
},
{
"from": "gpt",
"value": "Hello, Welcome to the icliniq.com. In polycythemia vera, hemoglobin level is usually more than 17.5, and hematocrit is more than 55. So you need not concern about polycythemia vera. The chance of secondary polycythemia also seems to be very less. So you need not worry about your CBC (complete blood count) result as per my opinion. If you have a history of persistently elevated hemoglobin for a long time, then only further investigation is needed or else do not worry. You can attach your reports to guide you further. I hope I have answered your question."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, Three and a half months ago I started with numbness, burning and tingling on the left side of my face. I had been very sick with a chest cold. One week later I had blisters on my upper left palate, I went to the doctor and she said definitely shingles. Now l never had any pain or sensation really in my mouth or on my palate. The blisters did run liner towards the back it was not like a typical cold sore cluster. Now I do get cold sores once in a blue moon on my right side lingual gum and palate. I am still having numbness and tingling. So now my doctor thinks it may be trigeminal neuralgia and never was shingles. I am a healthy active 39-year-old woman. I am looking for a second opinion."
},
{
"from": "gpt",
"value": "Hello. You should know that trigeminal neuralgia is a common complication of shingles or herpes infection. As blisters appeared the first time, it means that the herpes infection was present (probably HSV1 (herpes simplex virus, which is typical in this region). It is quite common to have symptoms before the blisters appear. The fact that the numbness persists, it means that the trigeminal nerve remains irritated by this past infection, causing the trigeminal neuralgia, although less typical (trigeminal neuralgia is typically associated to short periods of shooting nerve pain, alternated with persistent numbness in the same region). Anyway, I would recommend performing IgG and IgM for HSV1 virus and also a brain MRI study. For more information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor,I am a patient, age 30, with Crohn’s disease. I take Humira and recently had a flare up, thus started a round of Prednisone to get through the flare-up. The combination of Humira and Prednisone has resulted in shingles. I saw a dermatologist who prescribed Acyclovir. I was six days into the shingles before realizing I needed to see a dermatologist. I have been on Acyclovir for two days and have not seen the shingles spread. Can I go for a trip?"
},
{
"from": "gpt",
"value": "Hello. I went through your post. Shingles involve a single dermatome. So, it is unlikely going to spread and will heal completely in two weeks. Prednisolone is a steroid and can cause reactivation of Shingles. So you need to take Acyclovir at least for one week and continue Prednisolone and Humira (Adalimumab) until your IBD (inflammatory bowel disease) goes in remission. Then you can slowly decrease the dose of Prednisolone and finally take it off. You can go on a trip."
}
]
|
[
{
"from": "human",
"value": "Hi doctor, I am a 41 year old male. I am a non-vegetarian and intend to take paleo diet. For the last 20 years, I have been having IBS symptoms, sinus, ringing in ears, extreme anxiety, depression, respiratory allergy to dust and smell, muscle tension around nose and rectum, bad breath, stomach getting too full on eating, smelly outer ear, etc. Before 15 years, I had seizure once. 5 years before, I was diagnosed as having NASH, GERD, Lax LES and high cholesterol. I am ex-smoker, quitted 6 years ago. The treatment so far has been unsuccessful and I am currently on no medication. I had health check up a few days before and attached the report here. Please advise on the following. What should be my paleo diet? Does the report provide any clue to the symptoms I have experienced so far? I can see positivity for anti-CCP in my report. Do I have any serious medical condition?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence (attachment removed to protect patient identity) and would like you to know that I am here to help you. Welcome to low carbohydrate high fat lifestyle. From your report, you have the following problems: I would suggest the following treatment for you. Consult your specialist doctor, discuss with him or her and take the treatment with consent. Your paleo diet should be as follows: For further information consult a paleo diet specialist online -->"
}
]
|
[
{
"from": "human",
"value": "Hi doctor, Today I am in the 48th day of my cycle. I have PCOS. Still I did not get my periods. I took HPT on 45th day. It was negative. Tomorrow I am planning to take blood test. Currently I am taking Glycomet 500 mg. Is there any chance for positive blood test? Is HPT accurate? Suppose if I get my periods I am planning to follow paleo diet. Is paleo diet recommended for PCOD weight loss?"
},
{
"from": "gpt",
"value": "Hi. For further information consult an infertility specialist online -->"
}
]
|
[
{
"from": "human",
"value": "Hello doctor, Is it possible for the knees and shoulder or spine growth plates to be open, once the hip and ankle growth plates have closed?"
},
{
"from": "gpt",
"value": "Hello. It depends upon the age. Because on an average if the hip and ankle growth plates have fused then the knees, shoulder, and spine follow it and close in the next six months of the onset of fusion of the hip and ankle growth plates."
}
]
|
[
{
"from": "human",
"value": "Hello, Welcome to icliniq.com. A few months ago, I went through a hard time, and since then, I have thoughts about death every day, all the time, which makes me depressed and anxious. I went to a psychiatrist and I was given Trintellix for depression treatment. I was on 10 mg for two weeks and have now been on 20 mg for a few days. It worked well for my depression, but I still suffer from anxiety and continued thoughts about death (though not suicidal). Depression is gone now, but I still have negative thoughts daily. Do you think my antidepressant is enough to treat anxiety, or do you recommend any medication specifically for anxiety?"
},
{
"from": "gpt",
"value": "Hello. You should wait for about two more weeks to see the best effects of medicines. In most cases, typically antidepressant drugs show results in around four to six weeks. Since your bad thoughts about death are controlled, but you still have negative thoughts so in such case you should stick on this drug for a few more days and it will work. If symptoms persist, then the dose should be increased, or medication should be replaced. Consult your psychiatrist for this."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, I had an abortion a week ago, and the doctor suggested me to take two pills at a time, but I have taken one tablet at each time. Will I be having any problem in future like infertility or infection? Will my uterus get cleaned due to this?"
},
{
"from": "gpt",
"value": "Hello. The question is not entirely clear. Have you already aborted or yet to bleed, and what is the name of the pill? Any pill used for abortions are safe and have to be taken in full and advised doses to get the best results. They never affect the uterus adversely. They are usually hormones, so do not stay in your body beyond the particular cycle. They do not affect your health or your future fertility potential or future pregnancies. You will continue to have periods, as usual. You can have a normal sexual life, and healthy pregnancies in the future. If bleeding has stopped, have a pelvic scan to confirm if the uterine cavity is empty or any tissue is left over. I hope I have clarified your query, do write back if any more questions, and for your feedback."
}
]
|
[
{
"from": "human",
"value": "Hello doctor, He is 30 years old, and his height is 6ft. Gondotropin levels show moderate testicular failure, but no treatment was given. We had a micro TESE done for him, and no abnormalities were found. What does it mean? Should he have received medication to support this?"
},
{
"from": "gpt",
"value": "Hello. I have gone through the reports (attachment removed to protect patient identity). The sperm analysis shows azoospermia (complete absence of sperm from the fluid ejaculated during orgasm) and testicular failure. If even after Micro TESE (testicular sperm extraction) testicular biopsy, there has been no sperm seen, and there is no blockage disorder either, then his chances of contributing to natural or assisted conception are grim which means that testis is not producing any sperms and have gone in failure. The next chance would be to opt for donor sperm, and IVF (in vitro fertilization) followed by embryo transfer to conceive."
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.