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[ { "from": "human", "value": "Source: Patient: My granddaughter has a lump about 4 inches long- mushy like it s filled with fluid & a little painful. Was really sick with flu a in November. Coughed a lot. She has had an ultra sound after seeing her dr-& him thinking she had an enlarged spleen - maybe getting over mono. She s 17-great health - active. Doctor: Hello,This is possible inflammatory lump with abscess formation. Though the site is not mentioned here, it requires usually incision and drainage procedure.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel" }, { "from": "gpt", "value": "Target: How can a fluid filled painful lump be treated?" } ]

[ { "from": "human", "value": "Source: Patient: my semen analysis shows - sperm count <1 millions/ml, fructose - present, liquifaction 10min, normal greywhite, few immotile, few sluggish, Excess Pus cells 15-20hpf, rbc Nil, epithelial 2-3 hpf, absent immature germ cells. Very worried, is the Poor Sperm count due to Pus cells? i am 34 yrs, 5.8 ht, 65 kg, no history, no habits. Doctor: Hello Thanks for writing to HCMYou are suffering from semen infection and low sperm count.Infection is indicated by the presence of excess pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Normal sperm county should be at least 20 millions /ml.You should do exercise and take nutritious food.You shouldn't wear tight underpants.Even if low sperm count persists then you may need assisted fertilization techniques like IUI.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan" }, { "from": "gpt", "value": "Target: What causes poor sperm count?" } ]

[ { "from": "human", "value": "Source: Patient: Hi.. since three days i m suffering from a abdominal pain lower part & felling like to omitt.. feeling very weak getting mild headhec. pls. help me Doctor: Hi. Please see a surgeon so that the area is palpated and pain is localized, so that the needed investigations can be done. You might be suffering from appendicitis, ureteric calculus, cystitis, diverticulitis, ..the cause can be determined only after proper examination." }, { "from": "gpt", "value": "Target: Abdominal pain in lower part with headache" } ]

[ { "from": "human", "value": "Source: Patient: good morning doctor, I am 63 year old man. My problem is I got a chest pain as I urinate. I have a little burn during urination and more severely the chest pain. My urine is charged with E. coli so I am taking Nitrofurantoin for a week. My doctor suspect me with Prostate enlargement. So I am having PSA test with tumor marker as 69.7 ng/ml and tumor gland 27 gm ( via CT scan). DO i Need to go for surgery or chemotherapy. what is the reason behind my chest pain??? Please suggest me. Doctor: Brief Answer:You should go under prostate biopsy.You should be visited by a cardiologist.Detailed Answer:Dear Sir,Thank you for using HCM.Now that you have detected this problem , you need to face and follow the diagnostic and treatment steps one by one. So first of all , you have to do the prostate biopsy, which is needed to make a sure diagnosis. Depending on its response you will consult with the oncologist (if it results to be a malign tumor) or urologist (if it is a benign enlargement of prostate).Regarding your chest pain , it may be caused by low blood pressure , and reflector tachycardia (high heart rate) stimulated by such actions such as urination, defecation , the change of the position etc.Also the burn and difficulty on urination may cause tachycardia and chest pain.Nevertheless you need to see a cardiologist to exclude more serious causes.Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards,Dr. Juarda" }, { "from": "gpt", "value": "Target: What causes chest pain while urinating?" } ]

[ { "from": "human", "value": "Source: Patient: I have two lumps in my neck below my tongue. they move around are extremely painful. when they move it's like my mouth becomes paralyzed and i have to push them back and it is terrible pain. a doctor told me a few years ago that it was a swollen salivary gland, but gave me nothing nor did anything for it...and then the last few months i've noticed that i now have a lump on the other side of my neck. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have swollen sub mandibular salivary gland. It can be due to acute or chronic sialadenitis or sime tumour of submandibular salivary gland. You should go for ultrasound examination. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What does two lumps in my neck below my tongue imply?" } ]

[ { "from": "human", "value": "Source: Patient: Good Morning Dr. I am 40 years old. I am RA positive and also have auto immune disorder. I started with Wysolone 15 mg, then reduced to 10 mg, 7.5 and now on 5 mg dosage. Also taking HCQS 200, Folitrax 15 mg, Diasol and Ultracet. for Meralgia Paresthetica, I am prescribed Maxgalin M 75 mg. Is it safe to have this combination? I am using this Wysolone, HCQS and Folitrax for more than 1.5 years. Earlier, 10 years back, I used to just take Saaz and HCQS. which one is better? I have side effects like weight gain, hair loss, skin rashes, uneven skin tone on the face. Doctor: Hello Dr Faisal here,I have read and understood your query, I will suggest you to continue this combination of drugs as its safe in long run.No drug is better than other, as it depends on your symptom relief and side effects if any, which makes choices of drugs among many DMARDS (disease modifying anti rheumatic drugs like folitrax,saaz ,HCQ). HCQ may cause hair fall.Weight gain is related to maxgalin-m and higher doses of wysolone .(safe to take 5mg of it).Hair loss, skin rashes and coarse skin are included in spectrum of symptoms of RA too.Hope I have answered your query. Let me know if I can assist you further.Take CareRegards.Dr. FAISAL BACHA, MEDICAL SPECIALIST (FCPS INTERNAL MEDICINE)" }, { "from": "gpt", "value": "Target: How to get rid the side effects of the medicines?" } ]

[ { "from": "human", "value": "Source: Patient: Hi. My psychiatrist reduced Depakote from 750mg down to 500mg on 27th March to see if it would lift my low mood. She then went on holiday and I went to the stand in psychiatrist on 1st April for still low mood, he reduced Depakote further by another 250mg. I know my own psychiatrist would Never have done this - and when she came back she said it was a rapid reduction and the effects of it wouldn t be seen for another few week. Since last Sat have had a terrible time of it. SEVERE and frightening high and abnormal anxiety. I determined to see it through cos I don t like the psychiatric drugs, they make me feel worse and I m frightened of them. ANYWAY doc, for the last three days I have been miserable with a capital M. Could this latest symptm be a withdrawal effect? My bladder feels full to bursting ALL the time for the last 3 days, very uncomfortable and very scarey. Feels like it is going to explode. I have no retention of urine BUT, the unfortunate thing is that my bladder STILL feels like it is FULL to overflowing After passing normal amounts of urine. I keep going to the toilet to get relief but no relief comes. Took analgesia ALL day yesterday for it but it even worse today. Went to bed tonight praying that I d sleep and it be gone tomorrow, but I only slept for half an hour and up to toilet again. Fear I ll be up all night. Too scared to phone NHS 24 or hospital incase they take me in or put me on more drugs. But I can t carry on like this, my nerve won t stand it, it is very distressing to be bursting for the toilet even After being to the toilet. I put in a urine sample and it came back clear with no abnormalities. Would procylidine help with this?? Am very good at doing relaxation exercises, but it not helping one bit. Diazepam only makes me jittery. What would YOU do if I were your patient? HOW am I doing to get rid of this awful awful situation doc?? Optional Information: Person s Gender: Female Person s Age: 49 What have you tried so far?: Analgesia. making sure I am taking enough fluids. Relaxation exercises. Am worn out and very frightened. A feeling of your bladder going to explode for three whole days not very nice and I m miserable and scared Doctor: HiThanks for using healthcare magicI think, these are anxiety symptoms. In that case, you should try low dose benzodiazepine like clonazepam. It is nor due to rapid tapering off depakote. We can reduce the dose of depakote 250mg after every 4 day and same has happened in your case. Better to discuss with your psychiatrist and in case, it persists for long, you can try antidepressant like TCAsThanks" }, { "from": "gpt", "value": "Target: Could severe fright and abnormal anxiety with feeling of constant fullness in bladder be due to reduced dose of Depakote?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, i am taking birth control, and during the sugar pills (where i usually get my period), I was super stressed. My period didnt come and now I am fours days into the new pack and still havent gotten it. Is it possible it just wont come anymore now that I have started the new pack? Or should I take a pregnancy test? Doctor: Hello madam Mental stress does affect menstrual cycles, can cause early or delayed cycles. If you start the next pack you are not likely to get periods , however you may get break through bleeding. Stopping the pills usually causes withdrawal bleed within a week. So wait for a week." }, { "from": "gpt", "value": "Target: Is it possible that taking sugar pills with birth control pills will increase pregnancy risk?" } ]

[ { "from": "human", "value": "Source: Patient: I have an opiate addict as a client and am looking for alternatives to opiate based pain relief. He has a tear on the underneath side of his meniscus on his left leg and his patella is offset to some degree according to his Nurse practitioner. What is you opinion about White Willow Bark and will it be strong enough to handle his knee pain? Doctor: Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest medication for severe knee pain" } ]

[ { "from": "human", "value": "Source: Patient: Hello I'm 19 5'8\" and 155 pounds. I woke up a few days ago and a small pain was in my left gorin and I can't figure if it's going to my left testical. The pain has gone away but came back today when I woke up. I am just worried that there maybe something really wrong down there and I don't want to Mess with it. Doctor: HelloThanks for query .Based on the facts that you have posted the pain in groin and testicle that you have could be mostly due to either Varicocele or Epididymitis .However this can be confirmed only on clinical examination in person .Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of scrotum 3) Color Doppler study of scrotum .Further treatment will depend upon result of these tests and final diagnosis.In the mean while you can take pain killers like Brufen twice daily .Dr.Patil" }, { "from": "gpt", "value": "Target: What could cause recurring pain in left groin radiating to testicle" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I did not masturbated for more than one and a half moth. I recently got engaged and I was talking to my fiance on phone from past few days. Last night I was feeling that my penis has become very sensitive. Then I had night fall twice that night. I am surprised that even after the second time I was having very strong intermediate erections. I am little scared to know that I am so horny these days. Please help me. Thanks in advance Alex Doctor: Thanks for asking in healthcaremagic forum Nothing to worry. If its more sensitive then enjoy a lot. All the best." }, { "from": "gpt", "value": "Target: What causes penis to be more sensitive?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Please help me i am suffering from severe scar due to acne and now i asked to a dermatologist in kaya they asked me to go for subscission surgery Please i need your help . I am in mumbai and i need an advice , more advice on this how it can be cured. please help me I need you to help me Doctor: Hello, welcome to healthcaremagic. Severe acne can be treated by many ways including drainage and surgical excision, interlesional corticosteroid injection, isotretinoin, oral antibiotics and oral contraceptives as well. The right method can be choosen only after your examination and considering your choice. Subcision surgery is a minimally invasive surgical procedure to help eliminate skin surface imperfections. This procedure takes approximately 15 minutes to 1 hour depending on the areas to be treated. Minor discomfort, bruising and swelling, all of which are normal. You may return to light activities 1-3 days after procedure. So you can talk to your doctor and decide for yourself among the options available to you for treatment. Wish you good health." }, { "from": "gpt", "value": "Target: How can the scars due to acne be cured ?" } ]

[ { "from": "human", "value": "Source: Patient: My husband was diagnosed with several herniated disc in the lumbar regions of his back. He has become impotent as of recent months as well. He also has taken Paxil during the last few month. The back pain is severe. Could the disc be the problem with the impotence? He also has seen a urologist, but I dont know if he has mentioned his back problems. Urologist and Neurologist suggest surgery. Doctor: Hi .....Diagnosis : Erectile dysfunction The possible cause could be ....-Herniated disc means spinal cord lesion -Depression Here I am focusing this two cause mainly as you have spinal cord lesion which can lead ED..You are taking antidepressant drug so you might have depression that leading ED....Rule out other causes like diabetis , thyroid profile , prostate lesion , high blood pressure etc .....And corrected accordingly ...You can consult psychiatrist for this ....For erectile dysfunction you can take sildenafil drug which can be helpful in this ......Consult neurosurgeon for hernia disc repair ...Take care ..." }, { "from": "gpt", "value": "Target: Could the herniated disc in the lumbar region leads to impotence?" } ]

[ { "from": "human", "value": "Source: Patient: I'm 30 year old having pcod and irregular periods .went through tubes test and all the tests are normal ,my follicular study went good and now doctor has told me to go for iui just want to know what is the success rate of iui and should i go to mumbai to see a doc fr second opinion .I'm from delhi Doctor: Hi,Welcome to HealthcareMagic .The protocol which your doctor is following is correct . If still you have doubt you may show another infertility expert in mumbai. IUI increase chances of pregnancy. The success rate is 50 to 60% . Depends on timing of IUI , sperms quality and your endometrium condition. Hope I have been helpful .RegardsDr.Deepika Patil" }, { "from": "gpt", "value": "Target: How successful is IUI in conception?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, i was just treated for an upper respiratory infection about 2 weeks ago with antibiotics. I had symptoms of excessive coughing and tightness of chest as well as hoarseness in my throat and loss of voice. Coughing up a grayish mucous sometimes with little blood. Have been sick since mid January.I thought it was better but i have this constant wet cough still and now today i started feeling tightness in chest again with a fluttering sensation down in the middle of chest area. no fever no body aches. What should i do? Still have a raspy throat. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of bronchitis is more in your case. Bronchitis is common after viral upper respiratory tract infection. And symptoms like brownish mucus discharge and chest tightness are seen in bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: Suggest treatment for laryngitis and chest thightness" } ]

[ { "from": "human", "value": "Source: Patient: While I was at jiffy lube today a technician called me to my car to look at something and since they hadn t pulled car up enough my one leg stepped /fell into exposed part of garage floor pit. My one leg dropped fast and hard to the top of my thigh and the back of my thigh hit and rubbed hard on metal edged lip of pit during fall. A large section of back of thigh (size of composition notebook) immediately started to bruise. I have neck and low back pain, as well as ankle pain; but the splotchy warm bruise is very painful and hard and feels swollen and I am concerned because ankle is sore an lower leg feels numbly and tingling; how can I reduce bruise pain? Doctor: Hi,Thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.For the bruise - i will advice to apply some ointment for the healing of the same. Using the quick icing technique should assist the healing. Undergoing physical therapy like - therapeutic ultrasound therapy and TENS therapy should help reduce the pain and aches. Also, using ultrasound therapy on the edges of the bruise should help the tissues heal faster.The numbness and tingling can be due to pinching of the nerve. For which a thorough neuromuscular assessment is advised and than physical therapy. 95% of cases in my clinical practice, respond well to simple medication and physical therapy. I wish you a good health and a speedy recovery.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: How to reduce pain from swollen bruise caused by fall?" } ]

[ { "from": "human", "value": "Source: Patient: Doc i was diagnosed with jaundice on 17th feb and the got LFT done in which serum bilirubin was 4.51, conjugated bilirubin 3.57, unconjugated bilirubin 0.94, SGOT 3939.3 and SGPT 3240.2. Last i got test done on 7thMarch and my serum bilirubin was 2.38. Plz tell if everything is ok because its going to be one month soon and i also feel little uneasy on my right ribs. Doctor: Hi, dearI have gone through your question. I can understand your concern.You have very high bilirubin level with extremely high level of SGOT and SGPT. It suggest hepatitis. It can be due to viral hepatitis or due to other cause like toxins. You should go for complete hepatitis test to search the cause. Then you should take treatment accordingly. Your bilirubin level is decreasing but it is still high and your liver has inflammation so right side abdominal discomfort is obvious. You should take fat free diet with high protein diet. Tab Liv 52 and ursocol tablets are useful. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health." }, { "from": "gpt", "value": "Target: Reason for abnormal bilirubin levels despite recovery from jaundice?" } ]

[ { "from": "human", "value": "Source: Patient: hello doc,I am 28 years old i had a baby 5 months ago i had a hemorage 3 months ago and for 8 days now iv had severe stomach cramps and bloating,headaches and sore back but mainly painfull and very swollen stomach.i did a pregnancy test today and it was negative. Doctor: Hello,I had gone through the case and found that it might be gastric infection or any uterine complication.Go for ultrasound of abdomen and pap smear if having white discharge.Meanwhile take mild painkiller with antacid and Vitamin D3.Hope my answer will be effective for you.Thanks" }, { "from": "gpt", "value": "Target: What is causing stomach cramps, headache and back pain?" } ]

[ { "from": "human", "value": "Source: Patient: Out of no where red spots appeared,first one,temple it was round red spot that eventually left but, left a brown spot on my face,then in my left upper arm two more appeared then down on my arm like a trail of these red spots they do itch and on my right finger, i am trying to figure what happen,it seem like an allergic reaction but i have not change anything, these red spots have left spots on me please help Doctor: HIWell come to HCMI really appreciate your concern, this is the allergic manifestation it could be due to auto immune response or it could be due to viral attack in either of this case condition is self limiting will come around on its own but it can be managed symptomatically as long as the itching is concern and for that antihistamine locally and orally can be tried, like Tab Levocetirizine 10 mg three times in day and Clamine lotion for local application hope this information helps." }, { "from": "gpt", "value": "Target: What causes sporadic outbreak of red spots on the body?" } ]

[ { "from": "human", "value": "Source: Patient: Hi my baby is 5 months old. She is suddenly caught fever and seems to have high body temperature. Can I give the Dolo drops for the night and take her to the doctor tomorrow morning? Is it safe to give dolo drops without consulting doctor just for the night and see if temperature reduces? A very quick response would be appreciated as it s mid night for me and would need help immediately. Thanks in advance. Doctor: Hi....Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (Calculate according to weight please - Dolo drops contains 100mg per 1 ml) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Suggest treatment for fever in a 5 month old" } ]

[ { "from": "human", "value": "Source: Patient: Hello Doctor, I am 29 years of age, trying to get conceived for last 06 months but not succeded. I have a history of chronic acidity. AMH count is 1.56ng.doc said it is on lower side and gave Ovares tab for 03 months, despite taking medicines, I have not been able to conceive. Pl guide me on further course of medication Doctor: HiYour allopathic doctor might be trying to do his best to regulate menstruation by hormonal balancing/ withdrawl etc.Yet there is another holistic approach in Ayurveda where Aartav Shudhhi i.e. cleansing of endometrial layer in uterus and ovulation function is done by herbal oral decoctions etc. This is safest and side effect less natural treatment. When achieved, Poshan ( nourishment) of reproductory systems is done by 'phala ghrit etc'.Conception is generally achieved by this approach except when there is any structural blockage or fault in husband's reproductory system exists. Any Ayurveda doctor can further guide you well.Hope it answers your query." }, { "from": "gpt", "value": "Target: Can chronic acidity lead to difficulty in conceiving?" } ]

[ { "from": "human", "value": "Source: Patient: Hi doctor i am 7 weeks pregnant . I see brown discharge from last tuesday .. My doctor said its normal and they did ultrasound and said baby is 5weeks 5days. How long will i have this brown discharge?? Is my baby safe ??This is my first pregnancy. I also have tight motion and i see slight blood .what needs to be done to avoid these and is this normal during pregnancy ?? Doctor: Hello Hello dear,I understand your concern.In my opinion there are various causes for bleeding or spotting or brown discharge during pregnancy like :-1)Thyroid abnormalities .2)Progesterone insufficiency.3)Abnormal pregnancy like miscarriage or ectopic pregnancy.4)Bleeding from cervix.etc.So all the above causes should be ruled out by physical examination and necessary investigations.The brown discharge is due to blood admixed with mucus.Iam happy to know that the ultrasound is normal and all the possible causes have ruled out.Don't worry in some cases even though with the presence of brown discharge everything will be normal and pregnancy continues till term and have good outcome.Relax.Avoid physical stress and intercourse.Take folic acid and progesterone supplements.It might not be able to tell definitely for how much time the bleeding might persist.But as such nothing to worry.It will subside spontaneously.Passing of blood with hard stools might be due to anal fissure or piles.So prevent constipation by taking 3 litres of fluids per day,high fibre diet and laxatives if needed.Once the constipation is treated the bleeding in motion decreases.Constipation is a common complaint seen in pregnancy.So avoid stress and relax.Hope this helps .Best regards..." }, { "from": "gpt", "value": "Target: What could brown discharge with bloody motion during pregnancy suggest?" } ]

[ { "from": "human", "value": "Source: Patient: My 18 year old son injured his back at work and went to the E.R. He was x-rayed and was told he had back strain, scoliosis, an extra rib and hip dysplasia. He was told he needed to attend physical therapy for a week, take vicodin and soma for the pain and he is being referred to a surgeon to remove the rib and fix his hip. Should I be worried and how common is this? Doctor: Hello, Surgical correction will be a better choice. Nothing much to worry and your treatment is in the right track. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain" }, { "from": "gpt", "value": "Target: Suggest treatment for scoliosis" } ]

[ { "from": "human", "value": "Source: Patient: Hi Dr. R. Y. Jalal, I the skin on the tip of the penis is cut while having sex with my wife. It is paining , is it something that everyone faces in in the early stages of sex. Is there any medication to heel that would or do I need to get it stitched with the doctor. Doctor: dear,a slight skin abrasion or cut is common during sexual activity esp after oral sex.It will heal automatically as the blood supply to penis organ is very rich. No active medication or dressing is needed.however, the severity of cut or injury can be assessed only through proper local examination and that can be done only by surgeon in personal.Anyhow you must refer or show it to your local psycisican to be safe.hope you find my advice useful.thank you. stay healthy" }, { "from": "gpt", "value": "Target: Suggest treatment for skin cut on penis" } ]

[ { "from": "human", "value": "Source: Patient: Hi, The skin colour in my face is not even. So, please let me know what can i apply naturally to get an even brightness in my face skin. I just heard somewhere and now i am scrubbing my face twice a week with appricot scrub.. but that doesn't help much.... Note : i have dry skin. Thanks Santuana Doctor: Dry skin usually looks patchy with an uneven skin tone. You can apply a paste of curd or milk along with milk cream + turmeric+ bengal gram flour or besan. Mix the ingredients well and apply to your face after washing it. Leave the application on your face till it dries up and then wash off with cold water. Your skin will become smooth, glowing and fairer too. It is a natural and effective way to make your skin fairer and glowing. Milk cream will remove dryness and hence, imparts a glow to the face. You can use it frequently. You can also mix rose water with glycerine and apply to face for an even skin tone. Rub a slice of tomato all over your face and leave it till it becomes dry. Wash your face with cold water. Hope these remedies will benefit you!" }, { "from": "gpt", "value": "Target: Suggest natural treatment to get even skin tone on face" } ]

[ { "from": "human", "value": "Source: Patient: I am 36 weeks pregnant and was diagnosed with a cracked rib on upper left side due to severe coughing from flu last week. Today I was carrying a booster seat to my car and felt a pop and unbearable pain where my cracked rib is. I can barely move and it hurts when I monthve all and when I breath deep. The pain is unbearable, what should I do? Doctor: Thanks for your question on Healthcare MagicI can understand your concern. You should do following things for pain relief. 1. Apply warm water pad on affected areas of chest. 2. Take painkiller and anti inflammatory drugs like ibuprofen or acetaminophen.3. Avoid movements causing pain. Avoid sudden jerky movements of chest. 4. Avoid heavyweight lifting and strenuous exercise.5. Sit with proper back support.6. Wear chest belt to prevent mobilization of fractured rib.You will mostly improve with all these in 1 week.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: Suggest treatment for chest pain due to broken rib during pregnancy" } ]

[ { "from": "human", "value": "Source: Patient: My nephew who is 2yr old has been having a fever of 101, 102 or higher for 1 month on and off.We were told that his wbc was very low and he is not eating or drinking a lot.He has been to md s office and they are just watching him and nothing else.What can we do? Doctor: Hello,It could be an enteric fever. Kindly tell me the detailed history regarding the pattern of his fever, and the associated features like abdominal pain, loose stools, vomiting etcetera. Get his typhoid done from the laboratory and send me the report.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Musfirah Tahir" }, { "from": "gpt", "value": "Target: Suggest treatment for high fever and low WBC count" } ]

[ { "from": "human", "value": "Source: Patient: My Fiancé was bitten by a rabid dog, on the leg. The dog bit over the Jean causing a scratch on the leg. Her friend was bitten in the hand, by the same dog, which led to bleeding. I made sure my fiancé took three shots of Rabipur(Anti - Rabies) injection. Her friend did not get any vaccination at all and now, after a period of three months, is in a critical state, due to rabies. My question is, the three shots that my fiancé took, do you think that would have been enough? Is there anything that can be done if she has the virus in her body? Doctor: HELLO,Welcome to HCM,As your fiance as taken three dose of anti rabies vaccine following the scratch has protected her.recommended Essen regimen is 5 doses over a period of one month. But three doses of vaccine as definitely induced he protective antibody titres of > 0.5 IU/ml that as protected your fiance.Nothing can be done know, but you should be very careful with the disease like rabies as it is 100% fatal but it is 100% preventable with proper and adequate treatment.Thank you." }, { "from": "gpt", "value": "Target: Is Rabipur vaccine sufficient to protect against rabies?" } ]

[ { "from": "human", "value": "Source: Patient: i am 28 year old male, i loosing my hair for last 2 years. I took MBA before 2 year(strees) & my brother & uncle is also have half of baldness. so please help me that is this can be stop & how.& the reason for hair fall is strees or my genetic problem or others, please guide me in detail. My email add. is- YYYY@YYYY Doctor: Hello, I have gone through your query and you seem to be having androgenetic alopecia which is hereditary in nature. I would recommend you to apply minoxidil 5 percent lotion on the affected areas of the scalp twice daily and take hair supplements like tablet follihair A once daily. This needs to be continued for 4-5 months to see significant results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist" }, { "from": "gpt", "value": "Target: Suggest treatment for hair loss" } ]

[ { "from": "human", "value": "Source: Patient: I'm a 24 year old female who had a baby a few months ago. Im currently having cramp-like pains feel like menstral cramps(period isn't due for about 2 weeks). Also I have had nausea, headaches and a little dizziness when standing up sometimes. It's been going on for almost a week, I'm also wondering can it be food posioning/bacteria from eating sushi? Any input would be greatly appreciated. Doctor: Hi! Good evening. I am Dr Shareef answering your query. If I were your doctor, after a clinical assessment of your abdomen, I would advise you for a routine/microscopic/culture sensitivity test of the urine, a routine stool test for ova and cyst, and a possible gyneacological assessment to rule out a PID(Pelvic Inflammatory disease). Till then, you could go for an anti spasmodic and a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: Suggest treatment for abdominal cramp like pain" } ]

[ { "from": "human", "value": "Source: Patient: hi im girl 35 yrs old..gave birth last 12.2010..while giving birth my albumin is positive 4 so no choice to give birth asap..n i have a prob with my kidney n liver so then my doctors saved my life.sothey have 2 give me 2bags of blood after that im experiencing a high blood is that the cause of my new 2bags blood? last 11yrs i v been in ectopic so they gave me 2bags of blood but then there no problem about the 2bags of blood..but this time i have a high my bp is the blood las 2009 they gave me?last 4months im taking althea pills for my pimples that s my porpose only last wiks im experiecing high blood 15/120 so my dok tel me to stop my pills..im wondering why my bp is high? is it because im taking althea pills?? Doctor: Hello, I understand your concern and would explain that high blood pressure could be related to the Althea pills. Anyway, I recommend performing some other tests to exclude other possible causes (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, thyroid hormone levels). Starting anti-hypertensive therapy may be needed as long as your blood pressure values remain above the normal ranges. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist" }, { "from": "gpt", "value": "Target: Should I take althea pills post childbirth while suffering from high BP?" } ]

[ { "from": "human", "value": "Source: Patient: I took the morning after pill - levonelle-1 two days after having unprotected sex. It was my first time and my boyfriend did pull out but I was still worried I was pregnant. Anyway it has been two days since I ve taken the pill and today I woke up and went to the bathroom and found blood in my urine. Not only this but it sort of stings after I finish urinating and there s light amount of blood when I wipe. Is this a side effect of the pill? Or do I have an STD ? Please help ! Doctor: Hello,It is not related to levonelle. If symptoms persist, it is better to consult a physician and get evaluated. An ultrasound abdomen is needed to rule out conditions like renal stones.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Does levonelle cause blood in urine?" } ]

[ { "from": "human", "value": "Source: Patient: Dear dr.I am 54 yrs male,5/4',weight 66kg.fit n fine.normal Bp.for medical policy got echo report normal 60%LVEF.but same day TMT report was minor negative as per following details;ex.time:12.04,MAX HR attained:180bpm 106%of target170 Max.BP:170/100.good effort tolerance,test terminatwd after stage 3 due to ECG changes ST_T depression was seen.test is positive for inducible ischemia.dr has advised medicines;ECOSPRIN-Av 75 and Metolar XR 25 for 15 days. is it serious. do i need Angiography immediately. Doctor: Hello thereI understand your concernIt remains to be seen how badly is your TMT positive meaning were the changes on EKG very descriptive to a greater time in recovery!A stress thallium will settle all issue pertaining to your coronariesHope that helps" }, { "from": "gpt", "value": "Target: Is it serious if tested positive for inducible ischemia during TMT test?" } ]

[ { "from": "human", "value": "Source: Patient: I seem to have hard time breathing when I step out of the shower. I also seem to uncounciously \"hold\" my breath, more like a breath very slow and shallow and my mouth is closed alot. When climbing stairs, if i think about it and breath its a lot easier, but usually my breathing is labored after a flight of stairs. Doctor: Hi thanks for asking question.Your physical examination is necessary with auscultation.First rule out common condition for dyspnea that is anemia...PS examination with HB estimation done....Second here dyspnea while staircase walk.So if any cardiac history or hypertension history present then ECG or echo done to rule out early stage of heart failure....Thirdly if no cardiac cause then respiratory causes worked out by chest x ray and pulmonary function test ...According to cause treatment done...If nothing found abnormal then psychogenic or panic attack by stress investigated....Take care...." }, { "from": "gpt", "value": "Target: What causes breathing difficulty?" } ]

[ { "from": "human", "value": "Source: Patient: last night my daughter mention there is some marks behind my knee then i saw in mirror it was dark purple veins behind knee,i want to ask what is the reason of purple veins and is it dangerous.my age is 36,I had preclamsia in first pregnancy other two are normal in third pregnancy Ihad heart pulptation ,heart rate was quit high it was 260 hospital had given me treatment in emergency,i was get pregnant in january of this year ,but i had terminate this pregnancy in fouth week after seven week of termination I got period then i started to eat contraception pill levlen ed ihave finished ful one and second one more then half then i wasn,t feeling good then i stopped it during this pill i was feeling high pulptation again.after stopping pill i got period after two days after that now i saw purple veins behind knee of left leg is dark and right leg is little bit light.I saw my GP for heart rate but he had recommend to see cadialogist,iam worried about all this situation,could you help me Doctor: hello, Veins are normally purple in Color and are visible normally in some individuals due to being superficial. So doesn't look like a matter of worry. For your high heart rate, we need to find out the cause because it can be simple anxiety and can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases." }, { "from": "gpt", "value": "Target: What causes appearance of purple vein behind the knee?" } ]

[ { "from": "human", "value": "Source: Patient: I have gone through gall bladder surgery in september 2013 and after that i was suffering with typhoid in february 2014 and from that time i am not well immediately after that i was suffering with chronic tonsillitis and after taking medicines i became alright. but now from past 10-15 days i am feeling nausea, have loose stools once blood also passed with my stool, headache, body pain, pain in my ribs back and stomach, i am also having pain in the places where i got cuts for gall bladder surgery and at times i feel heaviness in my stomach and find difficulty in breathing. can you please tell me what has happened to me. Doctor: Hello,Welcome o HCM,As you are having fever for last few month it may be a fever of unknown origin (FUO) which should be thoroughly evaluated to find out the causes for the fever. As you are having for last few month all the relevant investigations should be done to rule out the cause of fever.As your doctor has prescribed paracetamol to reduce the fever, this drug will act for 6 hours and it will control the fever for this duration but it cannot cure the condition. The source of infection should be found out by the investigations.To confirm it has typhoid after having fever for last few month you should undergo stool and urine culture to confirm it. There are many conditions which can lead to fever of more than one month which should be evaluated thoroughly.Thank you." }, { "from": "gpt", "value": "Target: Suggest treatment for typhoid fever" } ]

[ { "from": "human", "value": "Source: Patient: hi, I have been having little pea sized balls appearing right under my skin in the lower sides of my abdomen.. and once I rub them they completely disappear... like they were never there.. but they are pretty prominent and of pea sized hardness at first.. strange, they keep appearing... any ideas?? Doctor: Hi,From history it seems that you might be having developing inguinal hernia called Bubonocele.Due to rubbing applying pressure it went inside and disappeared.Consult surgeon and get examined.Avoid constipation and cough reflex.Ok and take care." }, { "from": "gpt", "value": "Target: What causes pea sized lumps on the abdomen?" } ]

[ { "from": "human", "value": "Source: Patient: My internal medicine doctor placed me on amlodipine 5mg to help with my bp being high over the last two weeks. I am taking together with metoprolol er 25mg. However, since I have left the appointment my bp is down to 126/89. Should I notify him or start the Norvasc 5mg or start 2.5mg of the Norvasc? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that your blood pressure values seem to be borderline now. For this reason, I would recommend you to wait some days before starting Amlodipine and in the meantime closely monitor your blood pressure. If your blood pressure values are within the normal ranges most of the time, then I would not recommend starting Amlodipine. Hope you will find this answer helpful! Kind regards." }, { "from": "gpt", "value": "Target: Can I take Norvasc along with Metoprolol?" } ]

[ { "from": "human", "value": "Source: Patient: I am pregnant about 6 weeks. Yesterday I was standing in my mirrow and i started bleeding. The bleeding wasnt very bad, but by an hour later the bleeding stopped and it turned brown. So today I checked i have no bleeding at all just a small brown spot. I was wondering if this normal are is this a miscarriage? Doctor: Hello dear,I understand your concern.In my opinion the bleeding or spotting during pregnancy can be due to various reasons like thyroid abnormalities,progesterone insufficiency,bleeding from cervix,low lying placenta ,abnormal pregnancy etc.It needs physical examination and necessary investigations like thyroid profile,ultrasound to rule out the above causes.I suggest you to consult doctor.Nothing to worry as the spotting decreased.But the cause for spotting should be evaluated and treated.Best regards...." }, { "from": "gpt", "value": "Target: What causes brown vaginal bleeding during pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: Sir I am 22 years of female from India, I think i am suffering from hyper-sexual disorder. I live in a small town where these kind of problems are not considered as a disorder but as i was going through the internet, i found that it could be hormonal imbalance. i ll be very thankful if you can suggest any medication.. Doctor: Hi,Thanks for writing to healthcaremagic.Internet provides ton of unnecessary material which can misguide you if you are not expert of that subject.You did not have mention anything about your hypersexuality.Detail history is must.No one can conclude anything from data provided by you.It may eb normal thing and you may be little preoccupied with that thing or you may have psychosexual disorder or even mood disorder.so provide detail information or consult a psychiatrist.Hope I have answered your query," }, { "from": "gpt", "value": "Target: What is the treatment for hypersexual disorder?" } ]

[ { "from": "human", "value": "Source: Patient: I have abold patch on my head and increased hairloss.what should i do regrow hair on the patch and reduce hairloss, I've had this condition, when I was 22 and some ayurvedic treatment helped me, BTW I'm a female, 49, on thyroid supplement, last time I checked my thyroid six months back, was normal.thanx Doctor: Hi and welcome to HCM!First of all I would like to clarify certain things. The bald patch that you have mentioned needs to be detailed, like how big is it, is it completely smooth, any other such patches elsewhere. If the answer to above questions is yes, and keeping in mind your past history of Similar condition, I would make a guess that you are suffering from Alopecia areata. It is a skin condition where body fights against own hair. Not worrisome much if it is limited to few patches because complete hair regrowth is the usual tendency." }, { "from": "gpt", "value": "Target: Need treatment for baldness and increased hair loss with normal thyroid level" } ]

[ { "from": "human", "value": "Source: Patient: Hi, im 4 days late but in the 5th day i started to have my period but it is lighter than my usual period with big tissue/ blood clot, in the second day theres only a spot and in the 3 rd day its all gone. Am i pregnant? My husband and i where trying to have a baby for 4 months Doctor: Hi I think you should do a urine pregnancy test at home. Pregnancy can be there Sometime bleeding can occur in early pregnancy. So you can consult a doctor if pregnancy test is positive. Hope I have answered your question." }, { "from": "gpt", "value": "Target: What are the chances of pregnancy if having short and light periods?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is 1.5 years old. She eats very well - only fresh fruits, veggies and meat - i.e. nothing prepared or processed. She drinks anywhere from 30 to 90 oz of water at night. Recent blood and urine tests show all organs working perfectly, her nutrition balance is perfect . Is it safe to start introducing salt to her diet to help her retain water and wake-up less often? Thank you Doctor: HiWelcome to the HCMYes, you may start her on salt added diet. Kidneys are mature enough to handle salts by one year of age.Take care" }, { "from": "gpt", "value": "Target: Is it safe to introduce salt in a 1.5 yr old child to retain water and wakeup less often?" } ]

[ { "from": "human", "value": "Source: Patient: hi i am a patient i am having a lumbar spine surgery, later this month the doctor doing the surgery is an orthopaedic spine surgeon i been told by my sister who is a nurse for 30 years or more that i should be operated on by an neoroliogist not a orthopaedic surgeon .the specialist doctor is an orthopaedic spine surgeon.should this be ok or should i be having the surgery done by a neoro surgeon? Doctor: Hi, Thanks for using HCM.If you are having problem related to lumbar vertebra or disc in between them, orthopedic surgeon will be a better option. If you have problem with nerves or spinal cord better to go for neuro surgeon. Discuss with your doctor regarding your condition where exactly you are having problem and what surgery is he going to conduct.Hope this helps youRegards" }, { "from": "gpt", "value": "Target: Surgery due for lumbar spine. Surgery should be done by neurologist or orthopedic surgeon?" } ]

[ { "from": "human", "value": "Source: Patient: I have night ejaculations on a frequent basis lately. I have them even without dreams of a sexual nature. In addition, I am becoming lothargic, and at the beginning of intercourse I have been ejaculating sometimes even before I enter the vaginal canal. This is abnormal from me, please, what could be the cause of this? Doctor: Hello. I have reviewed your query and here is my advice. Night fall or nocturnal ejaculation normal and has nothing to worry about it. PE must have been triggered because of the worry you have about night fall. I suggest sex counseling for you.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand" }, { "from": "gpt", "value": "Target: What causes premature ejaculation and night fall?" } ]

[ { "from": "human", "value": "Source: Patient: I had a total knee replacement six weeks ago. I have been taking percocet for pain and prior to physical therapy. But in the past three weeks, I have become increasingly depressed and agitated. I have been taking amitryptilene and bupropion for years and it has worked well, but I wonder about the interaction of these with the Percocet. It is alarming to be down in the black hole again. I decided today to stop the Percocet and just tough it through. Do you have any observation or advice about this? I am soooo down. Doctor: HiThanks for using healthcare magicPercocet contains oxycodone and it is a pain killer. It has no major interaction with amitriptyline or bupropion. You can carry on both of these drugs with percocet. In your case, anger or irritability could be due to physical issues. In that case, you can either try some another antidepressant or try for some relaxation exercise. With time all these symptoms would improve. In case, you need further help, you can ask.Thanks" }, { "from": "gpt", "value": "Target: What causes depression and agitation after started taking percocet?" } ]

[ { "from": "human", "value": "Source: Patient: My son is 18 years of age an when he is sleeping he feels he can t move his body also is choking. He has had a lot of these episodes that he can t breathe. I was wondering if maybe he has a small seizures during sleep because it takes one of us to hear him whisper sometimes when he says can t breathe. Making a gasping noise an for air. Doctor: Hi,Thank you for posting your query.The most important condition to rule out in your son's case would be obstructive sleep apnea (OSA), where there is obstruction in the airway while sleeping, resulting in small periods of choking and inability to breathe. A sleep study (polysomnography) would help in this. EEG recording is also included in this study, which would also help in diagnosing any seizures.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected] blog: http://bestneurodoctor.blogspot.com/" }, { "from": "gpt", "value": "Target: Difficulty in moving body while sleeping, choking. Could this be small seizures?" } ]

[ { "from": "human", "value": "Source: Patient: hi. i started getting pain in my tooth and left ear starting 2 or 3 days ago...thought it was an ear infection at first and started to get into immense pain...my mom had some amoxicillin so i started taking that and ibuprofen 36 hours ago....now my head aches and ear pain are mostly gone but i have swelling in my cheeks/gums... i now believe i have dental abcsess and my left cheek is starting to swell out pretty large. it is 2 am....can i wait for the morning to see my dentist? Doctor: Hi,Thanks for posting the query, I would suggest you to take amoxicillin and ampicillin along with clavulanic acid and aceclofenac and serratiopeptidase combination instead of the above combimnation it will be more helpful. Take care!" }, { "from": "gpt", "value": "Target: What is the treatment for swelling in cheek?" } ]

[ { "from": "human", "value": "Source: Patient: hi wel am in london my name is noshad i hav a problm since 5 years that when i talk with girl or if i hav any badintension like sexually oil commz from my penis n i start feeling weak from legs bones n i consult so many doctors but am nt fine yet,,my penis is little weak from the middle,,i Doctor: Hello, When you talk to a girl, you could be sexually excited and the liquid coming out of your penis could be pre-ejaculatory fluid. That is normal and nothing to worry about it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" }, { "from": "gpt", "value": "Target: What causes oil discharge from penis while in stress?" } ]

[ { "from": "human", "value": "Source: Patient: I am 24yrs old and i have untreated, slightly high blood pressure, avg 123/87. But I have this problem thats gone on for years and I'm searching for the answer (my dr told me it was a mystery..). About a half hour after eating (usually in the morning, but can happen anytime, its very unpredictable, and I can't figure out what the foods have in common), I get very weak, where I cannot hold myself up, even sitting, I have to lay down. My heart pounds, and my heart rate goes up, I get really shaky, cold chills, hot flashes, and sometimes nasuea. This lasts for about one hour and then I'm completely back to normal. Since I learned I have high bp, I thought maybe it was really high... so, I've checked it on three different occasions, and my bp drops when I have these symptoms. The worst was 111/58, and the other two times it has been around 112/60, which isnt bad, but quite a sudden drop from what it usually is, especially the bottom #. I watch the bp numbers drop as the symptoms get worse, and rise as I start feeling better, so there is definately a connection. So what I'm asking is what can be causing these symptoms and the sudden drop in bp?????? Doctor: Hi,This is Dr Sameer, cardiologist.Your bp is absolutely normal & this decrease in lower bp (diastolic bp) is normal & does not cause any symptoms. So you need not to worry about your bp anymore.Increased heart rate & palpitations can have a lot of causes.It can be normal sinus tachycardia due to anxiety or stress or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holter Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any.Thanks" }, { "from": "gpt", "value": "Target: What causes sudden drop in BP,fast heart rate and body tremors?" } ]

[ { "from": "human", "value": "Source: Patient: I had a Cardiovascular doctor in Manhattan Ks by the name of Freund and they said he had left Manhattan KS. I would like to know where he is and also would like to know if you can tell me how you find out if a doctor has had a lot of lawsuits or complaints. I am looking for a good stint doctor. Doctor: Hello There After Going Through Your medical query I understand your concern and I would like to tell you that you better ask in the hospital he was working in . Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap" }, { "from": "gpt", "value": "Target: I am looking for a good stint doctor" } ]

[ { "from": "human", "value": "Source: Patient: Dear Dr.I am at 26, not married. I've been masturbating since 6.I was masturbating almost daily in the early stage.My problem is, my penis is very weak and so soft.How i increase my sex power i discharge very soon after intercourse under 10 second.?I am in mental stress due to my problem and afraid of getting married. Please suggest me solutions to strengthen my penis.thanks & regards,Pritam Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You are having premature ejaculation. You need not worry about the condition, because it can be cured by proper practice. While you masturbate, practice yourself to delay the ejaculation. Also, while urinating, suddenly stop passing urinating in between. So that you can control your urethra. Regular practicing helps you in curing premature ejaculation.Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: How to strengthen penis?" } ]

[ { "from": "human", "value": "Source: Patient: Just noticed a lump on the right side of my throat. It is sore to the touch and hurts when I swallow. Also noticed that I have been having trouble with my jaw bone when I open my mouth wide but on the other side (left). I have also been having a lot of sinus drainage. Please advise. Doctor: Hi ! Good morning. I am Dr Shareef answering your query.From your history, it seems to me that you might have developed an infection of the tonsils/pharyngitis along with the sinusitis and also an inflamed lymph node due to the sinus and throat infection. If I were your doctor, I would first examine you clinically,and after confirming the diagnosis, send a throat swab culture/sensitivity and also a culture sensitivity test of the sinus discharge following which I would start a broad spectrum antibiotic along with an anti inflammatory drug with an option to change the antibiotic depending on the report of the culture/sensitivity reports. But you need to have a clinical examination by your family physician before starting the treatment.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: What causes a sore lump on the throat making difficult to swallow?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I am having fairly acute pain above my belly button. It feels muscular to me. It hurts worse when I contract my muscles. To make the pain go away i need to completely relax my abdominal muscles. Should i see a doctor or do you thin it is a muscle pull? Doctor: Hi, There can be various reasons apart from a muscle pull as intestine inflammation, early appendicitis or other intraabdominal issues which can present in a similar way. Can see after intake of analgesic for a period of 12-24 hours, if the pain persists later, should consult your PCP. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon" }, { "from": "gpt", "value": "Target: Is acute pain above the navel a symptom of an abdominal muscle pull?" } ]

[ { "from": "human", "value": "Source: Patient: i have fitted merina hormonal coil in jan 2011 but i never feel the coil and initially had periods twice a months, then slowly turns to a very lightre periods but i am feeling very feverish a week before my every monthly periods. since I have inserted merina coil I have big tummy and swings moods. I decided to remove the coil as i feel may be it is not suitable to my body, but i was surprised when the head nurse at Gp surgery told me today she cant fint the string and that why she arrange a scan for me in the hospital. my question is these days i have periods like sympoms but its just spotting/very lighter. the nurse told me may be the coil drop in the toilet, but how is it possible if there is no coil and I am not pregnant as I cant assume I had sex only in the safe nights or days. so if i am not feeling sick or spotting every month, what are the chances of pregnancy Doctor: HelloThanks for your query.It is not necessary to get pregnant everytime with unprotected sex.So even in the coil fell out, getting pregnant is not the norm.Secondly the coil might just have moved upwards in the uterine cavity, and that is why the string might not be visible or palpable.If you are not having irregular periods or symptoms, chances of pregnancy are very low.Only a scan will tell you if the coil is actually in position.take care." }, { "from": "gpt", "value": "Target: Have merina coil inserted, light periods with fever, mood swings, bloating. Coil not found, advised scan. Pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: HI, i hurt my pinky finger about 6 weeks ago, i had x rays, nothing broken but from the last joint to the tip of my pinky won t straighten out. My Primary care put in a referral to see a hand specialist. the first time they can see me isn t intel june! Should i splint it? My husband said it looks like i tore ligaments boutinere ? Doctor: Hi, It may be due to contusion or thin hairline fracture which may not be visible in X-rays. As the first step of management, you can apply ice packs and can take analgesics like Tramadol or Diclofenac for pain relief. Generally, the symptoms will settle in a couple of days and if the pain persists you can consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest treatment for restricted movement in the finger despite a normal X-ray report" } ]

[ { "from": "human", "value": "Source: Patient: Can you please tell me if India allows IUI for foreign single women Doctor: It is not a crime and one can get it done I believe. There should not be any hindrances for that." }, { "from": "gpt", "value": "Target: IUI in India for single women" } ]

[ { "from": "human", "value": "Source: Patient: My 5yr old daughter out of the blue today spiked 103.5 fever, she had fallen asleep and woke up when her dad come home said one thing then her eyes did this wierd ticking thing for about 5 seconds then she went back to sleep. She has since perked up and is playing but im wondering what would have caused the ticking and should I be worried? It almost looked like she was having a sezure but it was just her eyes Doctor: Yes it is a siezure, they can be of various presentation like ticking of eyes chewing of mouth flickering of face deviation of face even pain abdomen and frank siezures. it occured after onset of high grade fever disappered and child is alright sensorium wise after siezure. you have to control the fever in this case and further fever episode. the illness is known as febrile siezures. it is seen in childten between 6m to 5 years age group and disappear usually by age 6." }, { "from": "gpt", "value": "Target: Why do the eyes started ticking?" } ]

[ { "from": "human", "value": "Source: Patient: I recently had a 9mm Kidney Stone laser blasted in July. My CT showed smaller stones in both my kidneys. A week after the surgery I had the stent removed. Later that night I passed a 3mm stone. A recent x-ray showed a stone in my right kidney and minute stone in my left kidney. The stone that was blasted was analyzed. The results were 100% Carbonate Apatite.My doctor gave me a diet to follow to reduce the possibility of new stones and keep the stones currently in my kidneys from getting bigger. I researched Carbonate Apatite stones online and now I'm confused. The information I found said most of these types of stones are caused by some kind of infection, most common UTI, but also kidney. Also, any stones should be removed from the kidneys. They called the stones, infection stones.Should I get a second opinion? I'm concerned I am not receiving the appropriate treatment. I am female - 51 years oldI do not have a UTI, and my urine is clear. I have never had a kidney stone prior to last month. Thank you for your assistance. Doctor: Hello, Thanks for the query to H.C.M. Forum. Stone ( calculus ) in the urinary system causes sever discomfort but why stone formation take place exact etiology is not known. I usually prescribe my patients plenty of fluid in any form with lemon juice twice in day with water on empty stomach. 2 ndly I prescribe disodium hydrogen syrup . In India only tablet calcury or neeri 2-2-2 till stone expel from urinary system. I tried a formula over many patient successfully without any side effects , you can try , Take black pepper chew them one by one 10 first day on empty stomach early in the morning . After chewing drink 300 ml milk add in it ghee ( butter )20 gm. Now drink plain water maximum as you can up to 7 hours . Diuresis will occurs . 2nd day take 20 black pepper and drink milk as first days. 3 rd day 30 black pepper . No side effect. Good luck. Dr. HET" }, { "from": "gpt", "value": "Target: Small stones found in both kidneys after a 9mm Kidney Stone laser blasted. Is this normal ?" } ]

[ { "from": "human", "value": "Source: Patient: i had lipo on my stomach around 2 weeks after having a hernia removed from my naval area.i kept the body wrap around my stomach and cleaned the area as directed. after 10 days a large bruise that was around this area has turned into a nasty looking scab. is this an infection or can a bruise turn into a scab? Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of infected wound, I would like to warn you regarding its bad consequences and please urgently take it to nearby surgeon for a microbiological test and some broad-spectrum antibiotic medicines! The infection might come through your own hands also...I suggest you to go for local hygiene /dressings without heavy coverings and take some topical antibiotics also; if not relieved please don't forget to write to us again...Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "from": "gpt", "value": "Target: What treatment is suggested for a scab around the naval area?" } ]

[ { "from": "human", "value": "Source: Patient: Hello,Last week i visited to dental doctor in my home town and I've shown my teeth which i am facing problem when i am taking any cold items, so he filled with cement and rectify to that and he suggest to remove one teeth and as per his suggestion i agreed for that and he given medicine for 5 days no i dont have any pain, but after 5 days i have small ulcer in my mouth where the doctor removed teeth. the same when i told him he suggested me to use LEXANOX . please let me know it will helpful or not Doctor: Hello ,Thanks for consulting hcm Read your query as you have mouth ulcer after removal of tooth this can be due to drug induced also . As your doctor has suggested you medicine I will suggest you to take medicine . You can also take vitamin B supplements by consulting with your local doctor.Hope this will help you ." }, { "from": "gpt", "value": "Target: Suggest treatment for ulcer in mouth after a cementing session" } ]

[ { "from": "human", "value": "Source: Patient: hello doctor, i m young girl of 21 in age. i have a silky straight hair. till the age of 19 i had heavy, bouncy, thick lustrous hair. suddenly i m suffering from a great hair loss. i took may cures like homemade remedies but nothing is working out. pls help Doctor: Hairfall has multifactorial causes...First of all maintain a good nutrition rich in protein, vitamin and minerals...if you cant maintain such a diet you can take hair vitamin suppliment like cap follihair available in the market..Get your haemoglobin checked and make sure you are not anaemic which may lead to hairfallGo for a thyroid profile which at times lead to hairlossIf you are noticing thinning of your hair then it could be patterned hair loss for which you should use minoxidil 2% lotion twice a day over the scalp for 4-6 months..Also keep your hairs clean and dandruff free for best results" }, { "from": "gpt", "value": "Target: Suggest remedy for severe hairloss" } ]

[ { "from": "human", "value": "Source: Patient: Hello. I have noticed lately that I am very dizzy. Especially when I am walking or getting up from sitting. I checked and my blood pressure is high and I have been off my meds for a few days and just started back taking them Monday. But I have never had issues like this. My head has been hurting as well. Doctor: Thanks for contacting HCM. Your symptoms are due to high BP. Where you typically get dizzy when you get up. A person on BP medication should never discontinue medication without doctors consultation as this could lead to dangerously high rise in BP. Headache is one of the symptoms of high BP. If you start and stop BP medications without consulting your doctor you are bound to get new and severe complications. Please take good care of yourself. Get in touch with you doctor and get your BP under control and your dizziness will get reduced. Regards" }, { "from": "gpt", "value": "Target: What is the remedy for dizziness with high blood pressure?" } ]

[ { "from": "human", "value": "Source: Patient: Hi. I ve had increased muscular/joint pain throughout the body, except elbows and spine. Also, great weakness, which was sudden rather than gradual. I ve had brain fog for a few years, and it seems to be worsening over time. Yet Monday, I had surgery to remove (superficial) skin melanoma, and all my muscular/pains had vanished when I woke up from general anesthesia. Would this indicate arthiritis? Doctor: Hi, It can be arthritis, we have to rule out other conditions like musculoskeletal pain which can also present like this. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Does pain in the muscles and joints along with severe fatigue indicate arthritis?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have a 15 year old daughter who has adenoid cystic carcinoma. She had her parotid gland removed and her right facial nerve cut in the process. She is now undergoing 6 weeks of radiation treatments. Is there a surgery that will repair the facial nerve? Doctor: hello, thanks for ur query, depanding on cause, duration of facial cut, there r several procedures. carcinoma going for radiation needs to be waited as surgery will be unsuccessful on radiation site. procedures includes grafting with normal nerve of opposite normal side, muscle sling, all d best. take care." }, { "from": "gpt", "value": "Target: Is there a surgery that will repair the facial nerve?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I had my wisdom teeth removed 8 days ago. I finished my pain killers on day 4 and have been taking 3 ibuprofen daily since. During the days I have been experiencing tolerable pain, however, in the evening my jaw is very sore and my teeth hurt (like having braces tighten). Is this still normal after 8 days? Doctor: Thanks for your query, I have gone through your query.The soreness in the jaw could be because of the wisdom tooth removal. If the bone was cut during the removal of wisdom tooth there will this kind of pain, that last for 5-7days. The other possible cause of pulling kind of pain is the presence of sutures. Get the sutures removed after 7 days the pain will come down gradually. continue the course of antibiotics and analgesics. Do saline gargling.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: How can jaw soreness with teeth pain be treated?" } ]

[ { "from": "human", "value": "Source: Patient: I recently did some blood work and my Total iron binding capacity is 445. My hair is falling out, I have low libido, gradual weight loss, and am having trouble with constipation. The doctor thought I might have Lupus or MS but those test result's were normal. I have no idea what the cause is can you answer what you help? Doctor: Welcome to HCM!I have gone through your question and the important findings are that you have coma into of hair fall, low libido, weight loss, constipation, low iron binding capacity, and test for lupus and MS are normal.You have not mentioned about any other tests.From my clinical experience I can say that you need yo rule out thyroid disorder and Vitamin. b12 deficiency. This can happen in cases of hypothyroidism also. Due to low iron binding capacity, the heamoglobin levels also fall and then other symptoms of constipation low libido, weight loss follow. You must get your liver and kidney function tests done as they can also lead to similar findings. Kidney is also responsible for maintains blood levels in body. I can understand your problem but I can assure that after all the routine tests your diagnosis will be made. Once diagnosed, such symptoms are completely treatable. Please donot fear of any big disease in your body, most of our problems are only due to bening conditions and are well curable. All your symptoms are interlinked and with correct medicine they all will start responding and you will feel good like your previous self.so, it will be wise to see a doctor again.Hope the reply helps youfeel free to ask more questions.Dr. Manisha Gopal" }, { "from": "gpt", "value": "Target: Having hair loss, low libido, weight loss and constipation. Cause? Suggest" } ]

[ { "from": "human", "value": "Source: Patient: Hi i have been consulting doctors for the past 6 months ...i have left abdominal mild pain and is still continuing . My ultrasound report says mild dilatation of pelvicalyceal system and upper ureter and small calculus of 4 mm is present in left kidney...don't know what to do...plz help Doctor: Hello and welcome to HCM.If you've recurrent left sided flank pain,you can do a plain CT-KUB.It will reveal , if you've a stone below the level of kidney, which can't be seen on an ultrasound abdomen.A 4mm stone usually flushes out, by drinking 3 liters of liquids daily.You can take a Magnesium Potassium Citrate tablet or syrup twice daily, which your doctor will prescribe. It helps to reduce the size of the stone." }, { "from": "gpt", "value": "Target: How to treat mild dilatation of pelvicalyceal system?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, i am 22, 5'2\" and 116 pounds. For a couple of years or more I've had a lump at the base of my tongue, underr the skin. It's smaller than the size of a pea, round and moveable. Habe asked doctors and dentists about it but have never got an answer. It hasnt changed at all ever and it's not painful. No history of cancer in my family and in full health, good oral hygene too, and not a smoker. What could it be? Thanks Doctor: HiWelcome to hcmMany times small mucus cyst are normal and nothing to worry. Without seeing it actually it Is very difficult to say what it is but since you said doctors have seen it and said nothing means its not serious so just observe it and if any change see a surgeon.Regards" }, { "from": "gpt", "value": "Target: What causes movable lump at the base of tongue?" } ]

[ { "from": "human", "value": "Source: Patient: I had h pylori in which was treated via antibiotic. I take probiotics on occasion to aid in digestion. Currently, I have lower stomach cramps,pain,bloating,fatigue,lighthediness,nausea,lowerback pain,,random dizziiness,more frequent urination..I was retesed for hpylori and it went away..what can this be? Doctor: You have not mentioned the duration of your symptoms. However, the symptoms do not suggest an exacerbation of a Helicobacter pylori infection. It is more suggestive of an enteric bacterial or viral infection that must have caused an infection. You should give your urine and feces for culture and sensitivity to know what this is. Please meet your physician with these results, and he should help you in taking this further." }, { "from": "gpt", "value": "Target: What causes these symptoms?" } ]

[ { "from": "human", "value": "Source: Patient: i had a d dimer blood test on thursday, the result was 1013. the following day i had a scan and was told there was no evidence of a dvt. i had a total knee replacement on May 1st which has been a great success. unfortunately I developed this evil pain and swelling behind the operated calf. i can not bear to put weight on my foot/leg first thing in the morning but it does get easier during the day but my leg swells by evening. what ever could be wrong and what do i do now? Doctor: hi,thank you for providing the brief history of you.A thorough neuro-muscular assessment is advised.As mentioned you had undergone the TKR almost a year back, did you perform any physical exercises to get the optimum results of the post TKR? usually all joint replacement surgeries are successful, but the post TKR rehabilitation is not followed properly and later stages there is issues.Also,since you mentioned you have pain in the calf muscle and you cannot apply weight, first thing to do is to take an x ray of knee and see if the prosthosis is intact. as in 99% of cases they are intact.performing clinical test like - SLR will help guide further. as you already have a TKR, there will be a changes in the gait mechanism and the abnormality in the spine due to abnormal weight bearing on either side. Like if you had TKR on right then the left has more load and vice versa.Now TKR was performed due to pain in knee joint due to Osteoarthritis and reduced joint space. So it can be possible you have the OA knee from atleast 5 years ? This 5 years have changes the biomechanics of the weight bearing joints and may be tilting of the pelvic.Now to not go much deeper into the technical aspect of the situation, i will advice you to take an MRI of the lumbar spine to see any soft tissue abnormality. If the test comes positive the treatment will be guided for the same - rest, medication and physical therapy.So mention little brief here - that there is change in the anatomy of the spine due to OA knee and the symptoms arise before or after surgery. This is my personal clinical experience with patients. So when TKR is performed in our clinical practice we strengthen not only the muscles of the knee but also the core, spine, pelvic floor and whole lower limbs on each side. As we believe in our clinic that body functions as a single unit and disturbance in the unit may lead to symptoms at later stages.Our TKR cases in clinical setting are 100% success without any aches and pains for years.I recommend you to undergo an MRI of the lumbar spine and under go physical therapy later. I am sure you will be 100% fit and back to life.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: Suggest treatment for he swelling in the leg" } ]

[ { "from": "human", "value": "Source: Patient: Thursday, Jan 8th, i had heart catherter done..I am 46 year old female..now there has been a Change in sensation to arm, including numbness, cold feeling..Is this normal? I was going to retrun to work today..but arm is still in very much discomfort..ewaht should I do? Doctor: Hello. Thank you for contacting HCM.I assume that the procedure was carried out via the radial artery pathway. Complications, rarely serious, are common when this procedure is carried out via this pathway. However, it is very rare that the problems persist for, I calculate, almost 6 months now. Did you suffer a hematoma at the punction site, after the procedure? If the discomfort affects on your quality of life and work, I would suggest you to see a vascular doctor, to further evaluate your state, using echo Doppler of peripheral arteries, or other diagnostic means. I hope I was helpful. Feel free to contact me again. Take care" }, { "from": "gpt", "value": "Target: Experiencing a change in sensation to arm including numbness and a cold feeling after performing heart catherter" } ]

[ { "from": "human", "value": "Source: Patient: every day for the past month my stomach has been hurting. at first it was in the morning and now its at night, some days its all day. before all of this though, i had a yeast and bladder infection, i had an ultra sound and the nurse said my utarus was swelled..? they did this high tech pregnancy test but i left the state before i got a call with the results. since the last time that i had \"intercourse\" ive had what i think is my period 2 times.ive also been more emotional than normal, like im PMSing 24/7. how likely is it that im pregnant, and is there any other way besides going to the doctor to find out? Doctor: uterine swelling a common finding in premenrstrual symptoms patient . to rule out pregnancy pregtest is necessary . two times periods may come in ectopic pregnancy with uterine swelling , for that pregtest is required." }, { "from": "gpt", "value": "Target: What does swelling of uterus as shown on ultrasound mean?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have an implant that replaces tooth # 8. Im good floser, and keep my dental visits regular, every 6 months. On my last check up - there was nothing wrong, but a week ago, I started to have a swollen gum from the inside of tooth #8. It bleeds in the morning and I could see puss coming out when the gum is pressed. I never had anything like it before, please advise! Diana Doctor: Thanks for using Health Care Magic.Read your query.Bleeding and puss discharge associated with the tissue surrounding the implant suggests inflammation in the gums and presence of an abscess. If untreated can lead to destruction of the implant bone connection leading to the problems in the implant. Medical conditions like diabetes and smoking habit will further worsen the condition. I would advice you to visit your dentist and have it reviewed. The inflammation and infection will usually be cleaned in the affected area and if needed antibiotics will be prescribed. Maintain a good oral hygiene.Have your implant routinely checked.Hope this was useful.Thanks and regards." }, { "from": "gpt", "value": "Target: Suggest treatment for a swollen and infected gum" } ]

[ { "from": "human", "value": "Source: Patient: I became dizzy and fainted to the point where I fell down a few times. someone carried me to a bed. After about an hour I went to a hospital where they said I had severe hypertension. they gave me some pills and a drip solution my blood pressure went down, but I am concerned as to what caused this episode. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Either accelerated hypertension or paroxysmal hypertension might be the cause. You need thorough evaluation for sudden rise in BP and syncopal attack/short of hypertensive encephalopathy to come to a conclusion. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes fainting while suffering from hypertension?" } ]

[ { "from": "human", "value": "Source: Patient: My husban is 36 he is 5\"4 and stopped smokin 3 yeasrs ago when I had a tubal reversal and been trying to concieve we got checked out and I am ok but he had a cyst that had to be taking out he has 0percent rapid progression and we still r in high hope for our child no matter what the tests shows or where the numbers are Doctor: Hi, Thanks for asking. I understand your concern. If you & your husband are normal after treatment , you should give a fair trial for normal conception( take VIt E & floic acid .. both of you/ know your ovulation time by using LH surge test & have unprotected sex around the estimated ovulation day. - If you do not conceive in 3-6 months,/ if the counts are low- go for IUI/ test tube baby. - In case the sperm count is non promising.. you can take advantage of sperm donation & IUI/ test tube baby. Wish you all the best. Thanks." }, { "from": "gpt", "value": "Target: Why am I unable to conceive?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I am a 48yr old male. i am in good health. but have noticed that in the last few months when i masturbate i sometimes have large amounts of blood in my semen. does not happen every time. I usually masturbate for a long period of time. there is no odor or pain when i ejaculate. any help would be great Doctor: Thanks for asking in healthcaremagic forum It is unusual to get blood in semen. It may be because of tear in frenulum or any other injury. Please give details of any injury, fever, burning sensation in urine etc for further suggestions. All the best." }, { "from": "gpt", "value": "Target: Why am I having blood in my semen?" } ]

[ { "from": "human", "value": "Source: Patient: For several weeks now I keep getting this fluttery feeling in my chest. It almost feels like my heart is sluggish or something but I have had several EKGs and have worn a Holter monitor but nothing shows up. I've been to a GI doctor and have had a stomach emptying study (appears to be slow in emptying) and have a EGD scheduled for next week. When I get these feelings it really scares me as I feel as though it is my heart. Along with the flutter feeling is a warm, burning feeling across my chest. Is it possible it is my heart or do you think it really is something going on in my GI tract? Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-GERD with Heart flutter from Esophagitis and Gastritis with accompanied ?EnteroColitis.Reasons-You need to rule out the various factors which create this complaint complex- and which is mostly due to-Outside-hotel/street food eating frequently,Excessive Tea,Coffee,smoking,alcohol intake.Spicy,fried food frequently.Stressful life/lac of sleep and rest for 8 hrs a day.Accompanying Medical conditions-like hyperthyoridism with thyroid storm,SVT,Atriall fibrillation,sliding hernia, etc.Neglect to stomach pains and mouth soreness, which accompanies these complaints and this lifestyle.EGD, may rule out esophageal/Gastric/duodenal causes for this complaint complex in you.Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS" }, { "from": "gpt", "value": "Target: Why do I have fluttery and burning feeling in my chest?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, Myself Vinod, Since Aug 2014 I m suffering from severe hair loss and a doctor suggested me to use Mintop solution once in 3 days also scalpe shampoo once in 5 days. I m following this from 1 month but still there is hair loss. Now I don t know what to do as some people recommend diff types of hair oil. I m very much worried about this and I want a permanent solution for this problem. Should I take more vitamin pills or what.? I hope I would get a solution..!!! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hair fall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Take an iron supplement and vitamin B12 supplement. I hope I have answered you query. If you have any further questions you can contact us in every time." }, { "from": "gpt", "value": "Target: Suggest remedy for sever hairloss" } ]

[ { "from": "human", "value": "Source: Patient: I had a tooth pulled last monday and it was pretty complicated. I had some pain, and I took some of the pain meds that was prescribed to me but they made me very sick. Well closer to the end of the week called and left message due to pain getting worse. Have not heard back so I did some research and talked to some people. Mostly everyone believes it to be a dry socket. Im in extreme pain and everytime I take a breathe and air hits it its even worse. Is there a temporary solution for the pain until I get back to my dentist? Doctor: Thanks for your query, I have gone through your query.The pain can be because of the inflamatory response to the bone cutting or trauma caused to the soft tissues. The sensitivity during the breathing or drinking is because of the exposure of the dentin of the adjacent tooth. It is not dry socket, dry socket occurs within 3 days after extraction .Nothing to be panic, it will come down in 3days. Meanwhile you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic) and analgesics like diclofenac 50mg with serratiopeptidase.Do saline gargling.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: Suggest treatment for extreme pain after tooth extraction" } ]

[ { "from": "human", "value": "Source: Patient: Hi, my spouse was diagnosed with Hep-C and Cirrhosis several years ago. He has been sober for 18 months. However, recently tests have confirmed lesions on his liver (from MRI), with new lesions discovered this week. He has to have more blood work, and another MRI. Just curious about the treatment options for him, if in fact this is cancer. He is 61 yrs old, Genotype 1. He s had the Hep-C for about 40 years. The cirrhosis is a new diagnosis from 2011. Doctor: Hepatitis C is an infectious disease that affects the liver primarily. The infection is often asymptomatic, but chronic infection can lead to scarring of the liver and ultimately to cirrhosis, which is generally apparent after many years as in the case of your spouse.Although the infection is incurable, treatment consist of a combination of pegylated interferon alpha and the antiviral drug ribavirin with either boceprevir or telaprevir for a period of 24 or 48 weeks, having promising results on HCV genotype 1. It should be able to arrest the progress of his cirrhosis." }, { "from": "gpt", "value": "Target: What is the treatment for Hepatitis C?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, i am a 33 year old medium built female with a history of asthma and occasional palpitations. i am not on any medications, just a brief overview. i have been having dreams that are so REAL that when i wake up from them i am exhausted. i dint know if that makes sence, but my dreams are tiring me out. what do you think? Doctor: Hello!Welcome and thank you for asking on HCM!I read carefully your question and would explain that it is necessary to perform a careful differential diagnosis of your symptoms: -the palpitations could be related to cardiac arrhythmia. That is why it is important to examine your cardiac function.- the dreams could be related to a sleep disorder or to epileptic seizures. Do you dream with eyes opened during the day or just at night? Brain hypoxia related to cardiac arrhythmia could be the cause. I recommend consulting with your attending physician for a careful physical examination and some tests: -chest X ray study and respiratory function tests-resting ECG and cardiac ultrasound. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends during the day. - blood lab tests (complete blood count, thyroid hormone levels, blood electolytes, kidney and liver function tests, blood fasting glucose, etc.)- an EEG to examine your brain function. If you experience the dreams only at night, a polysomnography would be helpful to rule out a possible sleep disorder. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Kind regards!Dr. Iliri" }, { "from": "gpt", "value": "Target: Suggest treatment for asthma and heart palpitations" } ]

[ { "from": "human", "value": "Source: Patient: I get mild pain in my left testis and it has been there for a long time. It becomes noticeable only on touch or if pressre of any kind is applied to the left testis or just the tissue that seems to connect it with the rest of the body; and the pain feels as if it is radiating upwards. Doctor: Hello,It could be due to a number of reasons like renal stones, inflammation / infection in testis, inguinal hernia, hydrocele or varicoceles and spermatoceles. I suggest you to visit your doctor to get tested for such illnesses and seek treatment if needed.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes pain in the testis radiating upwards?" } ]

[ { "from": "human", "value": "Source: Patient: When I m lying to to sleep or keeping my head in downward direction or turning or listening to exten of sound and saying in loud voice my head shakes i think it rotates. I cannot bear heaviness in my head any more please help. I also forget little things which happens 2mins before! !!:-(:-(:-(:-(:-(:-(:-(:-(:-(:-( Doctor: Hi welcome to HCm I have gone thru your query regarding heaviness in head and rotating feeling and forget fulness . I can understand your of concern .Dear, uneasy feeling in head can be outcome of your faulty life style and food habits which can cause - lack of sleep ,anemia ,high / low BP and blood sugar , dehydration .Gas formation due to fauty food habits also troubles whole body from head to toe . Take lemon juice with warm water to get instant energy and relief from gas .It also alleys uneasy feeling inthe head To stay healthy Get plenty of sleep. Keep hyderated yourself . Take balanced diet containing all essential nutrients - vitamins ,minerals , antioxidants in natural form - fresh fruit ,veges ,ginger, garilc ,amla ,Aloe vera juice , a spoon of turmeric powder + Almond oil with a cup of hot milk at bed time help stay healthy .With all above , to eliminate toxins from your body , increase your activity level .Do exercise , walking , Yoga , Shavasan in between the work outs . Bhramari ,Deep breathing , Pranayam ,meditation will help you attain a total blissfull physical and mental health ahead.Avoid fried fast foods too much of sugar, tea, coffee ,alcohol , smoking ,stress ,constipation .Hope this helps solves your query .Take care , All the best .Don't hesitate to get back if have any further query" }, { "from": "gpt", "value": "Target: What causes heaviness in head and rotating feeling?" } ]

[ { "from": "human", "value": "Source: Patient: My hair have become very thin, and less. I consulted a specialist and was prescribed MinoXidil 10%. but on consultation to another doc, i's told not to use minoxidil at this age. He prescribed me natural fruits, egg, and milk in diets, and in support tablets \"AZ3 500mg\" and \"tablet BTN ultra\". Now tell me what's the best solution.Sanjay/19 yrs/5'10/70 kg0000 Doctor: Hello. Thank you for writing to us at healthcaremagicYou seem to have Androgenetic Alopecia/ Male Pattern Hereditary Hair Loss.In this type of hair loss there is thinning and hair loss predominantly from the top of the scalp. There is a family history of balding in other male members of the family.In Androgenetic Alopecia/Male pattern baldness, there is gradually receding anterior hair line associated with thinning and hair loss from the angles of the anterior hair line, thus giving a \"V\" shaped appearance to the anterior hair line.Minoxidil and Finasteride are approved and specific remedies for androgenetic alopecia.Treatment is long term and early the treatment is begun the better it is because the goal of treatment is to arrest further progression of hair loss.Therefore in my view Minoxidil was a good choice for you. I would also suggest Finasteride for you.These are prescription medications. Therefore I suggest you to talk to your dermatologist for the needful.Healthy diet, rich in proteins and Oral Biotic supplement are an add on to specific treatment of Androgenetic Alopecia.Regards" }, { "from": "gpt", "value": "Target: What is the best medication for thin and less hair?" } ]

[ { "from": "human", "value": "Source: Patient: My husband just had a well ness visit for his heart and found out he has calcium build up in his left ventrical. Now he is freaking out about it and we will follow up with our physician on next steps. In the interim what can I do to calm him and make this situation better? He is changing his diet and exercising will this help his situation? Doctor: Hi Dear User ! I have gone through your questions and I understand your concern.According to what you say ,he has calcium deposit in his heart artery that shows that he has a condition we call Atherosclerosis. The coronary arteries ( have calcium deposits in the plaque that are formed in his arteries wall).The amount of calcium that is in the wall we use to predict possible heart atack . If the calcium is more than 100 calcium it's likely to have heart atack ,higher is the score , the higher are the chances to have heart atack.The good thing of having these examinations is that we can low the chance of further complications to happend (heart atack) with proper medication and lifestyle changes .The doctor will check the cholesterol level to see if you need medication for that.Yes eating healthy ( reduce salt, fatty food) and regular excercises are very good for the heart and will help for the problem so incoutage him to do that.Wish these help.If you have any other questions please feel free to ask me ." }, { "from": "gpt", "value": "Target: Suggest treatment for calcium built up in left ventricle" } ]

[ { "from": "human", "value": "Source: Patient: I had partial sex with my gf...i insertex my penis half inside n than pulled back within 15 sec...it has been 10 days n we didnt use protection nor pills...m sure i didnt ejaculated inside since it was there for very short period n i didnt feel anything coming out...she is getting late for her periods n we had pregnancy test on 11th day after sex the test was negative..what are the chnaces n plz tell me when to test again Doctor: Hallow Dear,Even though you did not ejaculate inside her vagina, the possibility of deposition of pre-ejaculation secretions (precum) cannot be ruled out since it is deposited unknowingly. Precum does contain some sperms which have potency to fertilize the ovum. Moreover, when the penis had entered halfway inside the vagina, it is penetrative sex. Pregnancy test on the urine 11 days after unprotected intercourse is too early to perform. It gives reliable results usually after about 3 weeks of conception. So to find out her pregnancy status, you have following options: 1. Submit her blood for Beta hCG test 10 days after the last unprotected sexual intercourse. 2. Since she has missed her periods, perform pregnancy test on overnight first morning urine sample a week after missed period; earlier, the test may report false negative results. I hope this helps you in this situation. Dr. Nishikant Shrotri" }, { "from": "gpt", "value": "Target: Is there any chance of pregnancy with non penetrative sex?" } ]

[ { "from": "human", "value": "Source: Patient: hi there, I have a hx of breast lumpiness and cysts which have previously been aspirated over last 4 years but now in same breast, I have the lumpy uneven texture with localised tenderness when I touch it and underarm discomfort which is intermittent. I am 47 and still have regular periods Doctor: Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You would mostly need Sector Mastectomy to remove the recurring lumpy breast tissue,as the recent recurrence needs Excision Biospy to work up on its malignant potentials.Prior Evaluation by Mammogram and USG / CT of the breast would help in planning extent of the diseased breast in your case.Other causes of such a complaint needs to be ruled out and treated if present accordingly from Second opinion from Surgeon .Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist" }, { "from": "gpt", "value": "Target: How can recurrent breast lumps with tenderness and discomfort be treated?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter had been sick for a while. Like a month ago she had massive diarrhea that lasted a week. My fiancé and I thought it was due to the teething. It went away but the week after she got fever, we took her to her pediatrician and she said she would be fine and gave us medicine, but she did not know what caused the fever. The fever did go away for a week and then it came back, that time we took her to the ER and they didn’t figure what caused the fever, they though it was viral but nothing for sure. It’s been a week since we took her to the ER and last night she started a fever again. My question is why does the fever come back every week or two? What I do? Doctor: Hi, Fever at an interval of week or two is unusual and may be due to ongoing infection or new repeated infection. Ongoing infection is unusual as if the infection is there it will progress and the fever episodes will be for frequent. Sometimes, fever can be there due to some unusual inflammatory conditions. You need not to worry if a child is otherwise doing well but I would suggest for thorough investigations like blood/urine and maybe chest x-ray. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Pradeep Kumar, Pediatrician, Cardiology" }, { "from": "gpt", "value": "Target: Suggest treatment for diarrhea and recurrent fever" } ]

[ { "from": "human", "value": "Source: Patient: sir , my problem is that i dnt get concive .6years back my marriage.i had chemoherapy for lymphoma right hand axillery.so after ths treatment i didint get regular period. dr gave me dhuphaston10mg for getting period.while taking thi medicine i have period medicine stoped ...it become irregular.my fsh is 22.2ml. i so tention bcese of not cocieving...pls dr can u give me some advice what i will do.... Doctor: Dear Roopa, Sadly, a known long term side effect of chemotherapy is that it can lead to harmful effects on the oocytes and ovaries leading to premature ovarian failure. Going by your FSH report, that seems to be the case. Occasionally, it may be reversible after a few years of finishing chemotherapy, but mostly it may persist. In such a scenario, Donor egg IVF i.e. doing IVF taking eggs from another woman who donates eggs for you is a reasonable solution in your case." }, { "from": "gpt", "value": "Target: Irregular periods after chemotherapy for lymphoma. Taking Duphaston. How can I conceive?" } ]

[ { "from": "human", "value": "Source: Patient: hello,im a long time taxi driver about 20years ago in my taxi i got necklash from minor accident,and now i have a burning lower neck upper spine aching feeling also lump near shoulder blade that sends a nerve pain to arm like pins and needles.can you tell me please? thank you Doctor: hihope this msg finds u in good health. u seem to have disc prolapse of neck region causing nerve compression causing pain in neck region and armu should get an mri done to find out whats wrong physiotherapy n exercises should work nothing to worry about thanks Take care god bless" }, { "from": "gpt", "value": "Target: How to cure burning of lower neck,upper spine & lump near the shoulder blade?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, Sir I am a 15 year old teen named abhishek Arora. I live in new delhi. I have idiopathic adolescent scoliosis with a double major curve. The thoracic being 40 deg. and the lumbar is about 50 degree. Every doctor i have met has recommended me a surgery ( spinal fusion ) . Apart from normal surgical complications, I have learnt from many resources on the internet that there is chronic back pain after surgery. Should i go for this surgery(i have no budget problems). I have been doing Yoga at a very famed institute which claims that they can treat my scoliosis with some exercises and naturopathy . Is this a hoax? Also sir/ma am do tell me if i can regain my height. Doctor: 1. as it is diagnosed case of (IAS), means cause is not known. 2. any family history?? 3. does the screening test \"ScoliScore\" been done for genetic screening? 4. any neurological or pressure symptoms? 5. because curve is greater thus conservative treatment is not possible, but prior to surgery you can consult with a Physiotherapist for improving strength and mobility, and improving flexibility in hamstrings and low back,. 6. If a curve is more than 45 degree, surgery is likely option. 7. Left untreated, AIS can cause physical deformity,debilitating pain, and psychological distress (depression). 8. epiphyseal cartilages of bone closes after the age of 18, so regaining of height will depend upon the outcome of operation,consult with spinal surgeon for the same." }, { "from": "gpt", "value": "Target: Suffering from idiopathic adolescent scoliosis. Recommended spinal fusion surgery. Can this be treated with yoga, exercises and naturopathy?" } ]

[ { "from": "human", "value": "Source: Patient: I had a closing wedge osteoectomy 3 months ago. I was recently allowed to put full weight on that foot. I woke up one morning with a sharp shooting pain on the inside of my knee on that leg. Every time I cough it sends a very sharp intense pain down my knee What can be going on? Doctor: Hello, Most probably it will be a neuropathic pain. As of now you can take drugs like gabapentin which is quite effective for similar pain conditions. If symptoms persists better to consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: What is the sharp shooting pain on the inside of my knee?" } ]

[ { "from": "human", "value": "Source: Patient: I am trying to find the name of a rare condition that affected a relative when they were younger. The symptoms included the seizing of leg joints, eventually binding them to a wheel chair for several weeks. A blotchy purple rash appeared on the legs. The condition is something like... xxxx xxxx purplosa or something. Apparently very rare. We fear the condition is coming back, and would like to read up on it until a doctor can be seen. Thanks for any help. Doctor: Hello, Seizing of joints with a purple rash that is intermittent can be related to a viral infection. This can be related to rheumatoid arthritis or a neural cause. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon" }, { "from": "gpt", "value": "Target: What causes seizing of joints and purple rash on legs?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I have one problem can u suggest me how to avoid this. I studied M.C.A and My dream to became s/w engineer.But i got married. After that because of some personal problems i didn t get enough time to reach my goal. Now i am pregnant. My husband loves me a lot.I knew that. but we will be happy in 2 days like talking properly with each other etc 3rd day on wards i am feeling i lost completely now i am unable to do any thing for my career.i am alone.so many irritating thoughts.i just want to come out of this plz give me good suggestions.i am crying every 3rd day and trying to be ok later 2 days.i think this effect will be on my baby.now i am 8 month of pregnancy.so do me this little favour. Doctor: feeling of not able to persue your desired career makes you sad at times, plus pregnancy, bacause of harmonal and bodily changes, put extra stress, and your feel drpressed.There are help options available.beacause of pregnacy medications must be avoided as much as possible.you can seek psychotherapy/counselling, it can help you with your coping and stress handling skills.meanwhile try to keep yourself busy, you can spend time with your hobbies with consulting your gynecologist. keep yourself busyregards, dr arun" }, { "from": "gpt", "value": "Target: How to maintain a good mental health during pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: My blood Pressure is 140 / 100, I'm 60 years old, about 40 pounds over weight, well, I'm 5'6 I weight 200 pounds. I think it runs in the family, my grandfather had a stroke, My father also had a stroke. But I think all began when I began working at school right across the street from McDonald's, and I do quite a few meals there a week or a day when there isn't much time to go somewhere else. I have been walking two miles every night for Three months, not change at all. I have been taking medicine for cholesterol for 40 years. IS IT POSSIBLE TO CONTROL ALL THIS WITH NATURAL PRODUCTS ?? Thank you very much for your help. Pascual Diaz Doctor: Thanks for your query.Hypertension and high cholesterol are lifestyle diseases which can be treated and reversed with lifestyle solutions and not a chemical cocktail of medicines.cut down saltcook at home dont eat outside no chips , pizza , hot dogs and all salted foods no smoking and alcoholstop all dairy eat aplant based diet full of fibre reduce stress by mditation and yogasocialize sleep well for 8hrs dailyexercise dailydo vegetable juicingdo all these things your bp and cholesterol will become normal without medicines hope this helps" }, { "from": "gpt", "value": "Target: Is it dangerous to have 140 / 100 blood pressure?" } ]

[ { "from": "human", "value": "Source: Patient: Hi! I’m currently experiencing a real embarrassing stage of my life. I’m std free as tested but my penis turned dark and I’m not sure what might be the main cause. I’ve also been experiencing urinal flow issues. After having sex I fell asleep and having a fishy smell in this area Doctor: Thanks for asking in healthcaremagic forum Genital area is dark compared to rest of the body due to more pigment cells and loose skin over there and falling asleep after intercourse/ejaculation is a natural phenomenon. Usually semen has a peculiar odour which you might have confused as foul smelling. So, please visit a doctor for examination as you have urinary issue , to rule our infection as the cause of fishy odour. Also provide details regarding your age and associated urinary symptoms for further suggestions. All the best." }, { "from": "gpt", "value": "Target: What causes dark penis with fishy odor?" } ]

[ { "from": "human", "value": "Source: Patient: I had some pain in my big toe and went to see a Chinese doctor who did a blood test and later told me i have romatism. I have no idea about this sickness and would like to learn more about it and if it is cureable or not? I would also like to know is only on my toe or will it be all over my body? Doctor: Hi, (Actually, the proper spelling is Rheumatism, not romatism). Rheumatism is not a single disease, it is a group of disorders that cause inflammation in joints, muscles and/or other soft tissues. There are several diseases such as Rheumatoid Arthritis, SLE, Scleroderma, Psoriasis, Gout, etc. and all of them are a kind of Rheumatism. Overall, the diagnosis of a Rheumatic disease is based on your history, examination and lab tests. You should only refer to an Internist or a Rheumatologist for proper diagnosis. Some Rheumatic disorders only involve one joint and some others involve other joints and even other parts of the body such as kidney, heart, etc. The major treatment for these disorders are the drugs that reduce inflammation in the joints. Although other treatments also exist. In most cases, rheumatic diseases cannot be totally cured, but with the help of proper medication the pain and other problems will go away and the disease will be off for a long time. I suggest that if the doctor that you saw was not an Internal Medicine specialist or a Rheumatologist, you refer to another doctor to be sure that your problem is rheumatologic. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Hooman Mahmoudi, Neurologist" }, { "from": "gpt", "value": "Target: what is romatism disease and is it curable?" } ]

[ { "from": "human", "value": "Source: Patient: When Im sitting around at times my seamen comes out not voluntarily. Not much comes out but I am getting very worried. My penis is also becoming sensitive in terms of touch I also getting a slight sensation on my legs. I'm over 25 and never had sex. I might not be on the computer in the next 10 minutes, if you reply after that then please email to YYYY@YYYY Doctor: HI, I can understand your concern for your symptoms, It can be due to premature ejaculation, you can rule out for diabetes, testosterone, thyroid.I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day" }, { "from": "gpt", "value": "Target: What causes sensitivity in penis even for a slight touch?" } ]

[ { "from": "human", "value": "Source: Patient: My 2 year old had a bump to the forehead and nose a week ago it was very swollen and brused but its going down now he still has a small pea sized lump on the bridge of his nose that doesnt seem sore or to be annoying him in any way. What could this be? Doctor: Hi.If this swelling is not since birth , this is a resolving hematoma. It takes about 1 to 3 weeks for resolution. If it still not resolved , consult a Surgeon ." }, { "from": "gpt", "value": "Target: What is the cure for the lump on the bridge of the nose for a 2 year old?" } ]