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{
"from": "human",
"value": "Source: Patient: I have recently taken a blood test to determine my Iron levels. It was very low and also in the blood test it shows PLT levels as high with a 486.0 count. I don t know what the PLT is. Can you answer this question, and being so high, do I need to be concerned.I am having a gastroscopy this coming Tuesday to determine why hemoglobin/iron is so low and where the blood is going.Thank you for your reply.Karen Klemm Doctor: Hi, dear. I have gone through your question. I can understand your concern. You haveviron deficiency with slightly high platelet count. Now your platelet count is not much high and mild reacyive increase in platelet count is common in iron deficiency anemia. So don't worry about that. you should investigate for cause of low iron. You may have some chronic blood loss. So search for that snd take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes low iron in blood?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I woke up early this morning with sharp chest pain ,it was so bad it hurt and I used inhaler to help. I also took a Motrin and layed back down. All day it s been a dull achy feeling in my chest . Also bloating in my abdomen and a little sore when I get up. I had my appendix out few weeks ago ,but this is different feeling ,I m also waiting to be seen for a positive rnp test ,I dint know if this pain has something to do with my mixed connective tissue disease. Doctor: Thanks for your question on HCM.I can understand your problem and situation.In my opinion you are having mostly GERD (gastroesophageal reflux disease), but better to rule out cardiac cause first for your symptoms. So get done ECG and 2d echo to rule out cardiac cause.If both are normal then no need to worry much for cardiac cause.It seems GERD more. Gaseous distension is also seen on GERD, and this is giving you bloating feeling of abdomen.GERD is because of laxity of gastroesophageal sphincter.Due to this the acid of the stomach, tends to come up in the esophagus and cause the symptoms of dull aching, burning central chest pain. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid stress and anxiety.2. Avoid large meals, instead take frequent small meals.3. Start proton pump inhibitor.4. Go for walk after meals.5. Keep 2-3 pillows under your head in bed."
},
{
"from": "gpt",
"value": "Target: What causes dull ache in chest and bloating in stomach?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Rynne, Last night after becoming extremely intoxicated at a casino (and taking a few falls none of which caused me to hit my head--- heels+ large quantities of alcohol= not such a good idea. slept at a friends house on her couch. I woke up with severe hip discomfort and all of the fingers except my pinky on my right hand were numb and tingling. I take the birth control pill, I also take valium, and lexapro. I have had intermittent pain in the right popliteal area for a few days now and I am unable to sit indian style with my legs crossed or even sit on the toilet for short periods of time without some issue with circulation. I have had an extreme increase in appetite, and recently I have started to have hot flashes. I quit smoking cigarettes approx. 1 week ago. My temp is 98.7, my BP is 119/79 and my HR is 65. Usually my BP runs low (like around 105/70) and my HR usually trends in the 50s. The tingling in my fingers has progressively gotten less severe throughout the day and I am able to feel heat/cold and my touch sensation is intact, it is persistent though and I have recently developed a headache that was very mild in the occipital region bilaterally and behind the right eye. My facial movement is symmetric, my arms and legs are not experiencing a deficit is symmetrical movement, I do not have any weakness in either side of my body. I am a little nauseated and I just have a general feeling of being unwell. I would like your take on this as I know I need to seek medical attention but currently do not have health insurance, so if possible I would like to wait until my Primary Care Doctor is available because its the cheapest way to go and money is an issue. Thank you so much for your review of my symptoms, I look forward to hearing from you. --A concerned Patient Doctor: Hi, Consult a neurologist and get evaluated. We have to rule out conditions like neuropathic causes as it can cause similar symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes numbness and tingling sensation in the fingers?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am trying to determine what might be causing episodes that my 5 year old son has. It has been going on since he is 2. He has poor executive function, has mood swings, can get violent, sometimes they are accompanied by full body eczema type rash, he seems to not make as much sense like speaking gibberish and mixing up mommy and daddy . It happens in cycles. He can have high fevers for no apparent reason. Had 4 high fevers this year, one with a slapped face rash. The last bloodwork showed low WBC and low neutrophils. Also he is super thin (eats well) and has low tone (getting worse) and poor coordination. We have ruled out celiac, thyroid, lyme, and food allergies. Would go with ADHD but the physical symptoms like the progressive low tone have us worried. Doctor: Thank you for following up.You should check up your child again,repeat blood test,pay attention to amount of WBC, RBC,PLT. Then please consult your baby at hematologist doctor. Best regards Dr.Svetlana"
},
{
"from": "gpt",
"value": "Target: What causes mood swings and aggressive behaviour in a child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my wife has done her bonemarro test . The results show that she has no iron create and/or store capabilities in her one marro. She has been anemic for last 10 years. Her HB count is 8.5 with 0 iron. She has been advised to take iron infusion. Will it work? What are the side affects of taking Iron infusion. What are the side effects if she does not take iron infusion Doctor: Hi, welcome to HCM, I am Dr Das Firstly if your wife has hemoglobin level of 8.5 then it is difficult toimprove just by iron thrapy. Blood transfusion is indicated when hemoglobin level below 10mg/dl. So, just consult the treating doctor for arranging blood transfusion. Iron therapy has some side effects like abdominal discomfort, discoloration of skin etc."
},
{
"from": "gpt",
"value": "Target: Anemic, bone marrow test shows no iron create, low Hb. Advised iron infusion. Will it work ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been dealing with dizziness, shortness of breath, pressure on head, blurry vision, rapid heart beat, fatigue, ear pain and the list goes on. At first it started wih an ER Visit, and was sent to a cardiologist. After various tests, everything can back normal. I was then sent to an ENT, they thought I has vertigo. Tests came back fine. After several visits to two different primary care doctors, they tried putting me on anti depressants without really knowing what s wrong with me. I m now seeing a neurologist who is doing some more test, such as an EEG and an cranial ultrasound. I m anxiously awaiting my results. It s been six months and everything is coming back fine. My family thinks I m nuts! But it s so so scary and I feel like I can t go another day. I ve also had blood tests done to no avail. What should I do? I feel like everyone is putting me to the side because I m a young female and I should be healthy . I have a great job and I m fearful of losing it. Doctor: Thanks for your question on HCM. In my opinion you should consult pulmonologist and get done chest x ray and PFT (Pulmonary Function Test) to rule put lung diseases.As asthma and bronchitis can cause similar symptoms like shortness of breath, headache, rapid heart rate etc.So consult pulmonologist and discuss these.If these are also normal than you should consult psychiatrist. You may need counselling sessions."
},
{
"from": "gpt",
"value": "Target: What causes dizziness, shortness of breath and blurred vision?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been on nortriptoline 25 milligrams once a day for 2-3 years. I take it for peripheral neuropathy. I called about two weeks ago for an appt. with my dr. When I had about two weeks left on my prescription. The firsts appt. he had was on Jan 2. I asked for a prescription until he could see me. No one ever returned my calls (3) nor a call from my pharmacy. Will the 25 m. Per day cause withdrawal problem? I m 76 yr old female. Doctor: Hello,I have gone through your query. It is alright to take 25 mg if your doctor prescribed it. For avoiding withdrawal, you have to taper the dosage.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishad BN"
},
{
"from": "gpt",
"value": "Target: Is this dosage of Nortriptyline advisable for peripheral neuropathy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I suspected having something wrong about 30 years ago. But the doctors would say im just irritated. After reading of my symptoms I asked dr to test me for herpes. Test came back positive hsv gg 5.00. What does it mean. I never had outbreaks and my man has never said u had one. I don t think I gave him anything. Please do not post my email address I want to stay unknown Doctor: Dear patient, a lot of people carry herpes \"sleeping\" in their bodies and that is nothing to worry out. A need for therapy is only when there is a breakout, otherwise, nothing has to be done. Your husband probably carries it silently also, same advise here. Hope this is helping you , if you have any clarificatons you can get back to me, if this was helpful please kindly rate my answer. Best regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for herpes"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am trying to get my coworker to go to the Doctor? her palate is red and swollen with an opeing that looks like a cut with a white worm looking piece of skin hanging from it and the while skin keeps getting fatter and longer and she is in pain in her jaw. Doctor: meet a doc as soon as possible. high chances of malignancy. hopefully it is not malignancy. from how many days it is present. get one opg aso"
},
{
"from": "gpt",
"value": "Target: How to treat jaw pain with red and swollen palate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... I m 58, 5 7 about 235. Former smoker (quit in 93). This morning while seated on the phone I laughed so hard I could not breath in and I believe I passed out as my phone was on the floor and I could remember what I was doing for a few seconds. What s up with that? Doctor: Hi, There can be various reasons for this kind of fainting spells. It basically occurs when there is reduced blood flow to the brain. It can be due to heart related conditions (arrhythmia - abnormal rhythm), anemia, hypoglycemia (reduced sugar), hypotension (reduced blood pressure), brain disorders (seizures) or electrolyte imbalance (abnormal salts). However, sometimes prolonged standing, excessive heat (warm weather), increased stress or anxiety, prolonged fasting, increased alcohol intake can also cause such problems. I feel that take proper diet. Avoid the precipitating causes as discussed above. But do go for some investigations like complete blood count, electrolytes, ECG, fasting sugar and MRI brain. This will help us to find the exact cause. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Milinda Gupta, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes a fainting spell along with shortness of breath?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a lump on my vaginal area, not my insides more like by my pubic hair further up,it hurts to touch in & today I just poped it in the shower & puss came out,I thought it wa ingrown hair but its still there & now it bothers me a little without me touching it. What is it? Doctor: Hi,It seems that there might be having ingrown hair follicle infection or razor bumps or friction bumps and now super added with bacterial infection.Go for one antibiotic medicine course for 3-5 days.Apply antibiotic cream after proper cleaning.Keep local hygiene proper.Avoid more perspiration.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What could lumps on vaginal area suggest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... My 3 year old boy has just currently started not sleeping and is worried that im going to leave him, he is not going off to slepp well and it takes ages to settle him. Also he is up a lot in the night, help? Doctor: Hi, A common cause of sleeplessness in a healthy 3-year-old is mostly due to frequent nap in the noon or in the evening. They also have the fear that they will be left alone at night, in that scenario either of the parents should be with the child, till they go into deep sleep. I would suggest you make the child play well in the evening and lessen the duration of sleep in the noon and avoid caffeinated drinks and the Mobile/ tab before sleep. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirubhan Bharathy, Pediatrician"
},
{
"from": "gpt",
"value": "Target: What causes sleeplessness in a toddler?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi doctor,I am 29 years old.My query is I have consulted gynic as I am not able to conceive She advised me for some test. My FSH is 21 and AMH is 0.47.I got my TVS ultrasound also,it is good count in both left and right. She prescribed me for Ovigyn DSR (75 MG) Daily till 3 months. Can i get Pregnant with low AMH and high FSH? Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. Your test results of low AMH and high FSH, indicate very low ovarian capacity of forming eggs.Please get in touch with your treating doctor and consult a IVF doctor. You need to hurry up with the concerned treatment of artificial reproduction techniques, and utilise the remaining limited ovarian capacity. Please opt for a healthy diet and regular exercise regimen. Start on Folic acid, Vitamin B 12 and Omega 3 supplements. May God bless you with a bundle of joy. I hope this answer helps you . Thanks. Dr. Purushottam Neurgaonkar. ."
},
{
"from": "gpt",
"value": "Target: Can i get pregnant with low AMH and high FSH?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 15 yrs. Old and I am 6 ft. With a weight of 136 lbs. I have ADD and I take straterra and dexilant I hady appendix removed at the age of 4 or 5. My question is what should I do with the stomach pains after I masterbate I would love for them to stop but I also don't want my parents to find out about my stomach hurting after I masterbate bcse they'll think that every time I get a stomach pain, it would be because I masterbated. And is this also a medical condition bcse when I drink water the pain lessons..... Doctor: HI.The reason of pain on masturbation is prostatitis. You have to discuss this with your Parents if possible or in private with your treating Doctor so that an ultrasonography, Per-rectal physical examination and relevant blood, urine and semen examination can be done to get an appropriate diagnosis and treatment. Take plenty of water orally as before. Stop masturbation till diagnosis and treatment are complete."
},
{
"from": "gpt",
"value": "Target: What causes stomach pain after masturbation?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have a healthy 32 month old son who on 3 occations today, has closed his eyes ( kinda fluttery) and just blanked out (maybe 10 seconds) when i asked what is he doing, he was a bit slobbery & slurry with his words...a second later, he was back to his rambuncous self...what should i do? Doctor: Hello,The symptoms you mentioned here are very suggestive of 'absence seizures.' They start abruptly in children and there's no such 'warning'sign preceding the seizure as in other seizures. In this, there is a brief abrupt lapse of awareness or consciousness, sudden discontinuation of the activity being preformed followed by fluttering eyes or staring spells which doesn't last for more than 20 to 30 seconds. And there may be many episodes like this in a day.It's better to go for a neurological examination and checkup so the cause of this can be identified and treated accordingly. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gunjan Jain"
},
{
"from": "gpt",
"value": "Target: What causes trance like seizure in children?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 23 yr old daughter said she felt nauseous then she felt dizzy, I told her to sit down then she laid back, then she appeared to pass out. I went to help her up and she lost controll of her bladder. She made it into the house and just laid on the floor. Later on she could not remember what had happened. Doctor: Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : What causes nausea,dizziness and loss of control on bladder?Answer : The Nausea and dizziness may signify Aura. Loss of Control on Bladder an episode of seizure. And \" she appeared to pass out\" may be post ictal palsy My Suggestion would be to consult a Neurosurgeon / Neurologist and Do EEG and MRI Brain Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: What causes nausea,dizziness and loss of control on bladder?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a throbbing feeling in my hands and feet, and the side of my head(not a headache). My muscles often feel weak and I have trouble catching my breath with limited activity. I am in good shape and not overweight. The trouble catching breath comes with limited activity and it feels like I was just working out and need to catch my breath when I might have only stood up, sat down or moved my arms in a limited manner. What are your thoughts Doctor: Hello,I have details of your question. It looks that you are catching breath with little movements. If it is frequent occurrence then you should consult to your physician because it can occur due to lung problems like in:AsthmaRestrictive lung diseasesInfection of lung With some heart problems like:Early heart failureDecrease heart or lung capacities like in cardiomyopathyIschemiaIf you are a smoker then you have to stop that. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes throbbing feeling in hands, feet and difficulty in breathing?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been battling with sever migraines every day for roughly 3 months now. My vision in my left eye also seems to become blurred during these attacks. Sometimes the pain is a throbbing pain, other times a sharp stabbing pain and other times a dull ache. I have a strange tingling sensation on my head and left side of my face as well at times. For the last two weeks I have now also a feeling that a section on my spine feels bruised and is painful. The headaches seem to be mostly on the left side and I feel exhausted. I have been to the neurologist who just said I must deal with it. Please assist Doctor: Hello Deborah!My name is Dr. Aida and I am glad to attend you on Healthcaremagic! Your symptoms could be suggestive of temporal arteritis. I would like to know if you have experienced such migraine attacks before?Coming to this point, I would recommend consulting with a neurologist for a physical exam and some tests: - a brain MRI study- complete blood count, PCR, sedimentation rate for inflammation. You should discuss with your doctor on the above tests. Hope to have been helpful!Best regards!"
},
{
"from": "gpt",
"value": "Target: What causes tingling sensation in the head when diagnosed with migraine?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m having sharp pain in my chest . I had 3 bad heart attacks 3 yrs ago I have high blood pressure on. 3 meds for it and on Tegretol 4.my shunt isn t acting right surgeon said this and I had a cat scan now waiting for my results. Should I get to the hospital emergency room now? Appointment is tomorrow I hope I don t get a nothing serious HEART attacks. I m hydrocephilis with v a shunt from my head to my stomach. Should I wait 24 hours til I go back to my Neuro surgeon? Doctor: Hi, In my opinion, you should definitely consult the emergency room now. The way you describe your chest pain and with bad cardiac history, it is better to rule out cardiac chest pain first. So without wasting much time, consult cardiologist as early as possible. You are can wait for neurosurgeon consultation. Hope I have solved your query. I will be happy to help you further."
},
{
"from": "gpt",
"value": "Target: Should I go to the ER for sharp pain in the chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 45 yo female. Had pancreatitis dec 2012, had mri and ct of pancreas. Gallstone found, go removed may 2013. Also diagnosed with barretts eosophogus in feb 2013, given lansoprozole 30mg daily. For last 3weeks have been experiencing heavy uncomfotable feeling in tummy after eating and sometimes drinking, even small amounts. I had recent blood test which came back ok (included amalayse test) except WBC was 2.6. I have had more blood taken today to retest WBC. I am concerned. Doctor: HIThank for asking to HCMLansoprazole may not be this much effective, instead the Omeprazole or esmoprazole can be tried, this molecules gives much better result than lansoprazole, the omeprazole should be taken at evening time in 40 mg at least for 6 week, the halecobater treatment can be tried on tentative base =, you can discus it with doctor, have good life"
},
{
"from": "gpt",
"value": "Target: Had pancreatitis, gallstone, barretts esophagus, abnormal WBC level. Given lansoprazole. Done MRI and CT scan. Worry?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have constipation, pale yellow round rock-like stools, headache, hair loss, small found sores in the outer ear, upper shoulders l. Forearm. Starts with pain, redness goes to itching then blessing without signs of infection. Sores are round about 1/64th inch in diameter. Upper thigh pain & heaviness. P.C. doesn t know, I m to see a gastroenterologist. Also my gums & lips burn. Any help would be appreciated. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.For intestinal motility disorder with skin manifestations the reasons may range from gastroparesis, deficiency of trace elements, minerals, digestive enzymes, vitamin B12 or others, fungal involvement of skin, systemic hormonal imbalances including thyroid and others, and rare immune disorders.Case evaluation need thorough history, physical examination, and supportive data as per clinician choice to reach the root of the issue and decide the management plan accordingly.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purva Patel"
},
{
"from": "gpt",
"value": "Target: What causes redness and itching on the forearm and constipation?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: A 5'6\", 210 lb., 64-year-old male business executive had a physical exam prior to his retirement from corporate work. His blood pressure was >180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal level, a low-salt diet (<2 gm/day sodium), prudent exercise, and a reduction in alcohol consumption (<3 oz whiskey/day). This change in lifestyle did little to change the condition. Medication was initiated in the form of an oral diuretic and progressed to a beta-blocker; eventually a vasodilator was included to reduce the blood pressure to <140/90. 1. What is the diagnosis for this individual? Doctor: Hello and welcome,It is highly likely he has renal parenchymal disease caused by hypertention.Hypertension (HTN) starts with increased resistance to blood flow (total peripheral resistance) that causes decreased blood flow to the kidneys. Kidneys start to produce renine which eventually converted to angiotensin to increase the blood flow. When the kidney is damaged (hypertension can be either a cause or a consequence) the kidney can not produce renin (low levels). Patients with kidney damage (renal parenchymal disease) have high serum creatinine and decreased creatinine clearance which is diagnostic of the condition. The patient's left ventricular hypertrophy, retinal hemorrages (end organ damage) shows uncontrolled HTN damaging those organs which might have affected his kidneys as well. Kidney damage can be diagnosed by studying serum creatinine, creatinine clearance and renal ultrasonography. Other than kidney damage certain endocrine pathologies (very rare) may cause high blood pressure and low renin. Adrenal gland problem (hyperaldosteronism) causes HTN, low potassium, low renin and high aldosterone which can be initially diagnosed by obtaining renin and aldosteron levels.I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you,Malik Amonov MD"
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure and left ventricular hypertrophy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I ve had kidney stones three times in six years. All stones were 2mm or smaller and caused severe pain . I use the va and had the surgery two of the three times. The last surgery was jul 2011. Starting march I started getting severe pain again. I am told its probably not the stones that hurt cause 2 mm stones don t hurt. What else could it be? Every time I have had pain I ve had small stones. Surgery relieves the pain for awhile but i still have never passed a stone. They stay in my kindness. Any suggestions as to what is causing this? Doctor: hi, kidney stones are a recurrent problem. if you have a kidney stone, chances of your having another stone in next 8-10 years is around 50%. so cause of your repeated pain attacks may be that you are forming new stones which while passing down the kidney tubes cause you pain. Surgery does not prevent new stone formation. Each episode has to be treated as a separate disease, some will require medicines only, some will require surgery. go see your urologist for further evaluation and treatment."
},
{
"from": "gpt",
"value": "Target: Had surgery for kidney stones. Getting severe pain. Any suggestions as to what is causing this?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Sir, I have suffering from strong left calve muscle pain from last evening. Pain remains the same what I suffered yesterday while pushing my car with the help of a driver alone as the battery get discharged for starting the car..Doctors advice tablets like aceclofenac paracetamol& chlorzoxazone tablets(HIFENAC-MR) AND ZINETAC 150MG TABLETS I just fear of may be of any unnecessary odd reaction or feeling. What you suggest for my taking the medicine as a fear of unnecessary odd fealing.is it safe with this combination of medicine to take or can i also take a vitamin Becosule tablet with these two tablets.I have never complain of taking medicine earlier.I am a male of nearear 50 years of attaining age. kindly suggest.Earlier for the last few days I had been observing or rather developed a complain of standing on my feet for a minutes of three or long for the last one year.please suggest. Thanking you, Mr. Chaudhuri Doctor: Hi, You can take the above prescribed medicines such as Combiflam or Ultracet for relieving pain for anxiety u can take Diazepm 5mg tablet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parkavi Gunasekaran, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for calve muscle pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My husband broke his neck over 20 years ago, lately he has been sneezing which is followed by intense pain to the point that his veins protrude in his face and arms. He has sliva coming from his mouth and the pain is so intense it causes him to vomit. Doctor: Hi, Presumably, the pain is in the neck. Cannot say in your particular case, but generally, nerves which are hyperirritable respond quite well to nerve dampers. These include anti-epileptics such as gabapentin and pregabalin, spinal inhibitors such as carisoprodol, local anaesthetics such as lidocaine and heart pills with lidocaine-like effects and antidepressants that have a variety of these effects like amitryptiline. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe pain while sneezing"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi. My son 20 months old is having cold from couple of days. We gave him Maxtra 2.5 ml twice a day and today doctor told us to change to Relent 2.5 ml twice a day. His nose gets blocked in the night and he is not sleeping properly. He is eating well. Morning when he gets up he coughs but seems very mild. Doctor: Hello and welcome to Ask A Doctor. I have reviewed your query and here is my advice. Because of lack of effectiveness and potential for side effects cough and cold medications are not recommended for young child (less than 4-6 years old). The two medicines that you mentioned can both cause restlessness, excitability, and other effects. It will be safer and more effective to use salt water (saline) nose drops. Put one drop into each nostril as often as needed during the day for stuffy nose and another dose at bedtime as well as whenever he awakens at night. These drops are available over the counter in the pharmacy or supermarket. Also offer plenty of fluids to keep him well hydrated. This will help to make the nasal secretions thin and watery and easier to sneeze or cough out. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP"
},
{
"from": "gpt",
"value": "Target: Can a change in the medication from Maxtra 25 ml to Relent 25ml relieve nose block and mild cough in a 20-month-old?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello my 4 year old son has ascariasis ,he also has enlargment of gallbladder and liver and diahrea,they didint prescribe anything yet because of diahrea please tell me when should i start treatment and should i be concernd about gallbladder enlargment?thanks Doctor: HelloI have gone through your concerns.If i were your treating physician i would have suggested to replenish your childs salt and electrolyte defeciecies due to diarrhea.give him intravenous fluids and keep him nothing by mouth and observe him for three days..Then i would have suggested albendazole or mebendazole 100mg for 2 weeks to kill that parasites.For the bug in the bile duct i would have suggested to do endoscopic retrograde cholangiopancreatography(ERCP) to remove ascaries.In my opinion you should meet a gastroenterologist.Thanks.Hope the answer is helpfulWish your chid a healthy life"
},
{
"from": "gpt",
"value": "Target: Any suggestion for child having diarrhea, enlargement of gallbladder/liver and ascariasis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I recently had a routine chest xray that showed \"indeterminate density in upper chest (right lung base)\" I have smoked in the past, but never a heavy smoker. I have no symptoms. The xray was part of a normal physical. I am 48 years old and female.No lung cancer in the family, although Dad had prostrate cancer at 55 (he is 85 now) and Mom died of breat cancer at 79.Doctor order a CT scan with contrast. I have to get blood work for contrast, and then the CT scan.What are the chances of cancer? What could be other causes of the density? Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. Upper lobe indeterminate opacities can be due to following causes.1. Tuberculosis (fresh lesions)2. Old healed scar3. Pneumonia4. Sarcoidosis5. Lung cancerSince you were smoker, possibility of infection and lung cancer is high.So better to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAL ( Bronchoalveolar lavage ) analysis. Treatment of these diseases are different, so better to first diagnose yourself and then start appropriate treatment. So consult pulmonologist and discuss all these possible causes."
},
{
"from": "gpt",
"value": "Target: What does \"\"indeterminate density in upper chest\" indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My husband takes 70mg of Vyvanse and 30mg of time released Adderall everyday. He sometimes goes over in a daily dose and takes more. He recently took a sperm test because we have been trying to have kids. His test showed that he has abnormalities in motility, morphohlogy and sperm count. He is in denial that the medication has anything to do with his sperm. Can you please tell me if it does ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Vyvanse is a psychostimulant drug and is known to cause altered sexual ability or desire such as hypersexuality, male impotence, premature ejaculation, etcetera.Adderall is a amphetamine which has abuse potential, which seems to be causing him to go over the prescribed doses. But it is not known to have any effect on fertility.You must consult your doctor and bring the issue in front of him. Vyvanse could be having its side effect on your husband's sperms.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jitender Chauhan"
},
{
"from": "gpt",
"value": "Target: Vyvanse and Adderrall in relation to sperm"
}
] |
[
{
"from": "human",
"value": "Source: Patient: around my penis, sacks and till the anus, there is a grey coloured infection with a peculiar smell, when i rub my hands there it comes out like powder with a smell, sometimes it become intense and skin there become red, it started when i was 14 years old, now my age is 25, i have tried medicines like ZOLE F, BETNOVATE GM, etc, but it all gives only a temporary break,can you give me a solution to this? i have heard the name as \"latrine bite\" Doctor: Hi,Welcome to HCM.You are suffering from tinea cruris or ringworm infection and also it is recurrent. I suggest you get a skin testing for fungal culture and antifungal susceptibility. Then you get a prescription for appropriate antifungal based on the test results from a dermatologist. This treatment should be continued for at least 6 months to prevent recurrence.Few tips to avoid recurrence:1. Keep the groin area clean and dry.2. Avoid tight underwear and tight clothes.3. Personal hygiene has to be maintained.4. Complete the full course of treatment.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for penis & anus infection"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have Policystic Kidneys ( diagnosed in 1988) and to ensure that my BP is under control, I was prescribed Lorem 5mg and Amlogard 5mg, bds, initially by the Nephrologist . Later on, it was observed taht my BP is in teh range of 140/100, so the dosage was inreased as folows: Amolrad 10mg, Lorem 5 mg in morning and Amlogard 5mg, Lorem 5mg at night. I had been taking this dosage and my BP was normally 130/85-90 or at times it would be 140/90. About 2.5 months back, when i visited the nephrologist for regular check up, my BP was 150/100 and so my dosage was prescribed as Lorem5mg, same as before, Amlogard 20 mg in morning and 10 mg in evening. After few days of taking teh increased dose, I started observing swelling in my feet and increase in the girth of my legs. I was concerned and so again visited the doctor. He mentioned it could be due to Amlodipine and so he changed the medicine to S.Numlo 5mg, Arkamin 100mcg and Lorem 5mg-- BDS. However, since then, the swelling has almost gone in my left foot , but teh girteh of both legs is till in increased in size, I get lot of itching, at night. The portion, just above the ankle on both legas, is showing red patches- this stae when shared wth the Nephrologist, I have been advised to go for venous mapping, wich I am yet to get done. Please advise, even if S.Numlo has amlodipine, why Amlogard wsa stopped and why thsi swelling occured. Is t becaus eof Amlodipine or something else. Thanks red patchesnot reduced ( i generally go after ahve been taking Doctor: Please check your kidney function tests. Itching and red patches can also mean worsened kidney function. It can happen due to natural history of illness or due to recent increase in dose of Lorem. Amlogard/S-Amlo cause leg swelling in roughly 5% of patients and not all."
},
{
"from": "gpt",
"value": "Target: Polycystic kidneys, high BP, taking Amlogard, Lorem, have feet swelling, increase in girth of legs, severe itching. Cause?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my daughter has been complaining that her heart is hurting for a few weeks. her x ray came back fine but she awoke last night crying that her heart is hurting. its becoming worse with time and it doesnt seem to be related to physical activity or breathing- besides a sonogram for her heart she has no future visits scheduled- is anti inflammatories a good suggestion for right now? Doctor: if this child had presented to me in my clinic..i would have examination of her chest to find out any murmur ...as the chest xray is fine and there is no relation to exertion ..i would consider this case to be musculoskeletal disorder and recommend antiinflammatory drug for your daughter"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for pain in heart"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been getting the sweats and a really bad pains in my stomach atleast once or twice a month . After I go to the bathroom it is better. Sometimes I feel like I can't breath. It gets so bad sometimes I feel like I should go to the hospial but just as fast as it comes on it goes away. Do you know what this could be? Doctor: Hi.This occurs due to excessive parasympathetic reaction so that you get this pain and sweating. The the bowel or bladder is evacuated the pressure and hence the reaction is reduced. So you get better. I would advise in such a patient to get a clinical examination done and few investigations as may be advised by your Specialist Doctor.Never to hold the bladder or bowel movement at any cost. This can even give you syncope , meaning giddiness and a feeling that you are passing out."
},
{
"from": "gpt",
"value": "Target: What causes severe pain in the abdomen with sweating?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: this is my son this his pcr test it is important to interpret the result in accordance with symptomos clinical finding and investigationof the patient under the expertiseof the consultant it is also importantto note thatin carriercases pcr may be positive even when liver enzyme alt ast are normal and no major liver injury is present these patient are considerd hbv carrier and would not be candidates for immediate treatment. result. not detected. this guy is allowed to entry to other country or not allowed Doctor: Hello there,As you already mentioned the only tests determining the need for treatment are the HBV DNA PCR Quantitative titre and the liver enzymes namely the AST & ALT. I do not know of any country that would bar anyone with Hepatitis B either carrier or any other state from entering.Hope I have answered your query and your son stays well. I will be available in case of any further queries.Regards,Dr. Prashantha S. Rao"
},
{
"from": "gpt",
"value": "Target: PCR positive, liver enzymes normal, no major liver injury. HBV carrier. Entry to other country allowed?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my child is one year and two months old.i felt a bulging in her stomach.but she is taking food enough and all other being normal.i consult a doctor today.he prescribed to give NEOPEPTINE DROPS ater examining her stomach.but i forget the dosage of that.will u suggest the dosage of the medicine? YYYY@YYYY Doctor: Hi...The dosage is 1ml twice or thrice a day. You can use it for 3-5 days. if the symptoms subside you can stop it.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest dosage of medicine Neopeptine drops"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 29yrs,pcod,irregular periods, taken three month course for pcod after that two months past doctor take USG but not found any major follicle in this. now she recommened another three month course. what would you suggest? another doctor recommend ovulation induction drug i.e some clomipine type.?IS this safe for me i am confused .which doctor i had to follow? i want preg soon. if i choose induction drug method Is it solve my problem .otherwise one more month would be wasted.and then i have to follow three month course. Doctor: hello welcome to health care magic first of all you had to choose best gynaecologist near you,and have faith on one.yes induction drugs can help you out,but please ask doctor for your fertile days.you had to wait for healthy baby so please follow ones line of treatment... gud luck take care payal"
},
{
"from": "gpt",
"value": "Target: For how long should i take medicine to get pregnant with PCOD ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi,Had a little bump on my back for many years. Recently it started to grow, and became Jelly-like, and my skin around it got reddish-bruised liked. Painful to the touch. Today I touched it, and it exploded. (drained blood & pus). Still is pretty big. What should I do Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per my surgical experience, this narrates possible sebaceous cyst with secondary infection.Get its dressing done with antiseptic liquid and consult your family doctor at the earliest.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: What does a painful bump on the back indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello sir,just 1week before i got allergic sinusitis as my ENT doctor told me and my ear also rings throughout the day. My ENT told me that i got ear infection too and i am working in call center . i am worried and depressed what to do and sorry to say but i have been smoking since 3 years.Now i am feeling like suicide .what to do even i am taking the medicine by doctor but i just wanted to know whether my ear will stop ringing or not after medication.Thankyou name-SANJEEV KUMARage-27 yearsweight -approx 74kghistory-having sinus since 4-5 years Doctor: Hello Sanjeev Kumar,Thank you for asking at HCM.I went through your history and would like to make following suggestions to you:1. Sinusitis and ear symptoms are closely linked. With treatment of sinusitis, ear symptoms also improve, but they take more time to show improvement as compared to sinusitis.2. Were I treating you, I would prescribe you an antibiotic for 14 days, intranasal corticosteroids for at least 14 days, montelukast and daily nasal irrigation with saline. 3. I would also suggest you to regular check up by your ENT doctor to identify any change in ear. Ideally, you should get your eardrum checked every 3 to 6 months by an ENT doctor.4. Personally I would suggest you allergy testing which will help you to identify the substances that you may be allergic to. Avoiding these substances is the best strategy in managing allergies.5. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. Please get professional opinion to help you quitting smoking.With above suggestions, I am sure you will feel much better and improve gradually.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for allergic sinusitis along with ear infection"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello doctor i am Ranjit..... actually i am the owner of Doberman dog 3 months old when i was playing with that one accidentally... dog has bitten me i have vaccinatted dog reguraly...... i did not found any wound in my fingers, is there any problems need to vaccinated for me Doctor: HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.GOING BY YOUR HISTORY ,I WOULD LIKE TO TELL YOU THAT ANTI RABIES VACCINE SHOULD BE TAKEN ONLY IN WOUNDS IN WHICH THERE IS CONTAMINATION OF BLOOD,LICKS ON WOUNDS.BITES ON HEAD AND NECK.YOUR BITE DOES NOT SEEM TO BE OF ANY SUCH GRADING.SO I SUGGEST YOU TO OBSERVE YOUR DOG FOR 10 DAYS.IN CASE THE ANIMAL DIES,ANTI RABIES VACCINE IS INDICATED.ALSO AS YOUR DOGS ARE VACCINATED YOU SEEM TO BE CARRYING ALMOST ZERO RISK OF GETTING INFECTED WITH RABIES VIRUS.IN CASE IF YOU ARE STILL UNCOMFORTABLE OR DOUBTFUL, YOU CAN GO WITH VACCINATION SCHEDULE OF-0,7,14,28 AND BOOSTER DOSE ON 90TH DAY.A TOTAL OF FIVE DOSES.VACCINE MADE FROM HDCC STRAIN-HUMAN DIPLOID ELL CULTURE VACCINE\" SHOULD ONLY BE TAKEN.CONSULT YOUR DOCTOR FOR FURTHER ASSISTANCE.THANK YOU.TAKE CARE."
},
{
"from": "gpt",
"value": "Target: Should anti rabies shot be taken after being bitten by a vaccinated dog?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am a 32 woman had back pain for aweek when that got a bit better a sore pain when I press on it in my stomach as come it hurts when I stand or when i lie down i have had it for 3 weeks Doctor: please help"
},
{
"from": "gpt",
"value": "Target: I haver sore pain in my stomach"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My grand daughter is 6 years old. she has developed a sort of dent in her buttock cheek. she had an accident at school when a heavy door slammed in the wind and knock her off her feet and lacerated her forehead. she also seems to always be chesty, suffers constipation, sore tummies and headaches. her GP looked at Vit. D deficiency, bloods were done, all came back clear. Being referred to specialist. Not good at eating her vegetables. She is of average height and slighty built. I am not sure of exact height & weight, she is in NZ, I am in Australia. Doctor: Hi,Well come to healthcaremagic,Your 6 yrs. Granddaughter had developed a sort of dent in her buttock is might be nothing but it is usually occurs in normal development in growing child.It is not related with her past history of an accident at school. So don’t worry about it.For her constipation, you should advise her mother to give her high fiber’s food & green vegetables & drink Worm water at night. Her headache will be all right after correction of constipation.If you wish to share her height & weight & other reports on healthcaremagic, I will definitely like to check that & also suggest other better option if needed for her good height & weight.Please share your experience about my answer on healthcaremagic.Thanks.Dr.Prashant Shah"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dent in buttock cheek in children"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I sufferd two sinus infections a couple of year ago but since am blocked up all the time,have itchy eyes and sometimes feel like abubble wrap. In my sinasus. Also makes me feel tired.my g.p never checked my nostrils but I have looked with torch and think there looks to be something there. Doctor: HI, thanks for using healthcare magicPersistent nasal discharge is most commonly related to allergies. This is in keeping with your other allergic symptom- itching eyes.Nasal allergies can cause swelling of the nasal turbinates.Any chronic illness can, unfortunately result in fatigue.If you can identify the sources of your allergies and reduce your exposure this would help.This can be dust/pollen/animal dander/foods etcThe use of topical steroid nasal sprays and antihistamines would also help.Eg of topical sprays are nasonex, nasocort, flonaseI hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes persistent blockage in nose and itching in eyes?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am 25 years old lady. i am doing my engineering in computer science from india. i am in my 3rd year of this 4 years course. but i alwayz wanted to be a doctor. now i want to give the admission test for medical entrance. is this healthy thinking to plan for another 5 years again ? or i should console myself and wll try to be happy with what i have?if i go for medical classes then i wll have to study with 9 years junior students than me. plz suggest soem practical solutions. Doctor: Hi,I think you need to ask yourself the reason for the strong desire to change your career at this time when three years have already passed in this course. If this is something due to your dissatisfaction with your course and what you are learning, let me tell you, you are likely to feel the same in a medical course as well. Think about your reasons clearly before deciding.Best wishes."
},
{
"from": "gpt",
"value": "Target: How to be satisfied and happy with present situation?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello ,i was suffering from severe upper right abdomen pain few years back,but no vomiting,i was undergone endoscopy ,.i was given report of upper gastritis , taking colospa retard , nexpro and sucralfate gel...i was ok till few days back,,but i am again experiencing very mild upper right abdomen pain ,sometimes mild bloating or burping...now i ahv stopped all the medicines but ocasionaly takes vanproz and sucralfate wen burning senstion ocuurs...i am completely on bland diet and following foods that has to be avoided ...plz advise me ... i am scared is there any serious issues might be there or what ....i am really anxious.....plz advise meeeee Doctor: Hi. You are on the right tract of diet and medicines. Please take a course of tablet Ranitidine 150 twice daily and tablet Domperidone 10 mg at 8 hourly duration. ( 6am- 2pm - 10 pm. ) Sucralphate has to be taken 3 tsf at 3 hourly duration and particularly on empty stomach to cover the stomach mucosa.Avoid oily and spicy food.The most important factor that everyone forgets is ::: stress-free lifestyle - see the difference after a cool life. You may not need the medicines . You may have a repeat endoscopy after 1 month of this treatment , and I hope you will be symptom free."
},
{
"from": "gpt",
"value": "Target: Suggest medication and diet after an endoscopy for gastritis"
}
] |
[
{
"from": "human",
"value": "Source: Patient: How can I find the right foods to eat to stablize my low blood sugar . I have started sleep walking 2 to 3 hours after I eat my evening meal. I have been crashing for the last 9 Years. The doctors I see only want to put me on seizure medicine and I won t take it. I know if I eat all day I am fine. Some days I can t eat all day, because I can t drive and don t have a way to the store. I will eat 3 main meals and 3 snacks however, it depends on what I eat if I crash or not. I am waiting for my medicare to start next year and I will be looking for a Endo & Nutristionist, Doctors. The doctors I see at the clinic only want to treat me for Seizures. Talking to other people who knows of my condition says I have Reactive Hypoglycemia , from my symptoms. I excersice and only drink water all day and wine with my dinner. I hope you can help me with the foods to eat day and night. Thank you in advance, Maxine Doctor: Hi,Thank you for posting your query.I have noted your symptoms and agree with you that you require detailed evaluation.Hypoglycemia needs to be ruled in view of your symptoms. This can be done by checking your blood sugar (with a glucometer) whenever you have these symptoms.In addition, it may be useful to do a sleep study (polysomnography) to exclude a sleep disorder.Seizure is less likely the problem in your case, as the duration of symptoms in seizures is usually a few minutes and not three hours.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Sleep walking, having low blood sugar levels. Suggested to take seizure medication. Do I have reactive hypoglycemia?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: A friend of mine has had an MRI which shows an enlarged pancreas overlapping her liver and gall bladder. A surgeon. Has suggested she go for an endoscopy MRI. Her symptoms include high liver enzymes, itching, back ache, loss of weight and appetite, dark urine and light stools. Would this indicate something serious like pancreatic cancer? She has no abdominal pain nor nausea or vomiting. Doctor: Hi, dearI have gone through your question. I can understand your concern. She has high liver enzymes, dark urine and light stool. It is suggestive of obstruction of bile duct. With pancrease increase in size so it may be due to periamullary carcinoma. You should go for endoscopy and biopsy if needed. Go for that and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for enlarged pancreas"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello i have ovulated after 20 day of my cycle, i had a pregnancy test positive . my Dr says 5th week and the ultrasound says no embryo found in uterus, blood test says level of hcg 164 (on the 5th day of missed period LMP 31/12/2013 i have been adviced to take fertigyn hp 5000 inj .is it very early for the embryo to be visible pls advice as i am confused Doctor: hi..for the sac to be visible on ultrasound your beta hcg should be atleast 1500..it may be an early pregnancy.. so u can repeat scan after 1 week"
},
{
"from": "gpt",
"value": "Target: When is the embryo usually visible in a pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, my daughter who is 13 yrs old has vomitted twice in the span of 2 hours. It started after eating gummies and junk food. Then after she ate half an apple. After her first episode I gave her Gaviscon. Her vomit is brown in color. I appreciate your time and answer. Thank you very much. Dino Doctor: Thanks for putting up your query at HealthCareMagic. Brown vomitus may indicate altered blood which could be caused due to bleeding from a gastric ulcer. I would insist you to visit a doctor. In addition to graviscon, medicines like sucral-o syrup should give her relief.I hope that helps. Feel free to revert back with further queries if any."
},
{
"from": "gpt",
"value": "Target: What causes brown vomit in a child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my wife is having issues conceiving, we see a doctor and he gave her medicine for few months, my report is normal and no issues . doctor did ultrasound or something to check fertility day but he sid there is no egg on fertlity days. after he gave us endogen200 taken via vagina for 10 days. let me knw if endogen 200 is safe and doctor ia doing right? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Endogest is a progesterone hormonal medication. It has been rightly advised by your doctor to be taken for prescribed number of days. It is given to continue with pregnancy, if she conceives in the present cycle. If it doesn't happen this time, then you may need further evaluation. Your partner needs to undergo a procedure to look for patency of Fallopian tubes. Kindly consult Gynecologist in this regard for further evaluation and appropriate management. Hope the information provided helps. Regards, Dr.Ashakiran.S."
},
{
"from": "gpt",
"value": "Target: How can infertility be treated?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, My wife was pregnant. Today the doctor told her the baby vanished. The only thing i could find on line about this was vanishing twin syndrome. We were not told before this that she had twins. So how can vanishing hapeen with only one fetus. Thank you. Doctor: Hallow Dear,I can empathize your feelings. Had you mentioned the period of gestation, it would have been much clearer.Sometimes, the pregnancy has a typical variety wherein the gestational sac is present without embryo (baby) in it. This is called as Blighted ovum. Such pregnancies do not grow and terminate by themselves; if not, termination of pregnancy is indicated. Your wife seems to have this type of pregnancy. You have no option than terminating the pregnancy. If you want to discuss the case in details with more precise history, you may ask me Direct question. Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What causes sudden vanishing of fetus during pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: aneurysm on both sides of my family does that put me more at risk Hi, my grandfather on my mothers side died of a brain aneurysm at the age of 51 and at the age of 45 my father died of a brain aneurysm. my question is I know genetics play a part with this but are my chances even higher because it is on both my mother and my fathers side and is my brother more likely to have one because he is a man and so where they. Doctor: HI, welcome to health care magic forum, aneurysm is widening or ballooning of a portion of an artery, due to weakness in the walls of blood vessels, the causes are still not clear but there are many risk factors which raises the condition, high blood pressure, high cholesterol, cigarette smoking. surgery is mainly recommended but you can go for Homeopathy also which has good results in treatment for aneurysm and is safe effective and has no side effects. For more info mail us at [email protected] or visit us at www.drkackerhomeopathy.com"
},
{
"from": "gpt",
"value": "Target: Could aneurysm continue through hereditary ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been recently diagnosed with adult adhd . I am a 35 year old female. The Dr. has tried Straterra and wellbutrin, neither one helped at all. He doesnt like to write stimulants and he wont even try me on them to see if they would help. My 14 year old daughter sees the same Dr. and he writes her Vyvansse. It works great for her, Just wondering how or what I could do to try what she takes....I need something that is going to work for me. I am so frustrated and I am getting ready to start a new job. I am afraid that my condition is going to affect my ability to do my best. Please help me...I also live in wv. Doctor: Hello beth. Welcome to healthcaremagic.com. I understand your difficulty in dealing with your adult ADHD. It is a quandary for family physicians who are weary of stimulants if strattera does not work for the adult. Stimulants do have a high potential for abuse and I understand your concern and your doctor's concern as well. I would advise that you seek a referral from your physician to another physician who has been trained in treating adult ADHD and this other physician will most likely be a psychiatrist. Psychiatrist tend to have more training in ADHD in general. A psychiatrist can also be a wealth of information on other coping mechanisms for your ADHD as well. I would never advise taking someone else's medications, as it is dosed for their weight and age. It is also considered a form of child abuse to take your child's medication in some areas of the country. Be well, Dr. Kimberly"
},
{
"from": "gpt",
"value": "Target: Have adult ADHD, Straterra and Wellbutrin ineffective. Should I try Vyvanse?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am suffering from breathlessness whenever i am talking continuously. Recently (last week) i was diagnosed with GERD. I am taking Ganaton Total and Pantodac dsr but i am still getting a lot of bleching and gas problem. What could be the problem. Doctor: Hello! Welcome to HealthcareMagic! It could be H.Pylori infection or severe GERD. Kindly take H.Pylori kit or consult a gastrologist. Hope this clarifies your concerns. Thank you for the query. Take care varanasichestclinic.com"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breathlessness"
}
] |
[
{
"from": "human",
"value": "Source: Patient: How many times a day can you get a pac and still consider it harmless or no need of meds? It was explained to me that it is electrical, so why can other things trigger the pac's. I was wearing the halter moniter and could feel the pac's becoming more frequent as the night went on... and at two in the morning I had to take it off -had a panic attack and severe shaking- I believe I was reacting to the glue in the node stickers. I'm sensitive to many things, smells, foods that make my heart beat more pac's. I also notice more pac's when hungry, or sitting or laying down. Is it the slight pressure on my back? Doctor: Hello friend, Thank you for posting your query through Healthcare magic. You know that 'YOU' as a person started existing in this world as a single celled organism in your mother's womb when the half cell of your father in the form of sperm and half cell of your mother in the form of ovum got united. Your present structure of your body was there in the single cell in a miniature form. You know that your present mind also originated from that single cell. If your body and mind took their origin from that primordial single cell, your health also should have its origin from your parents. Then what about your ill health? It also should have its origin definitely from your parents. We call this genetic science in Homoeopathy the theory of Miasms. This simply means your health and disease are decided by your genetics. Your environments influence you positively or negatively to precipitate your inborn genetic tendencies in the form of various diseases. Now coming back to your panic attacks. You have agreed that you are hypersensitive physically to smell, food items etc. Similarly your mind also is hypersensitive to the extent of producing panic attacks. Till date you have not got any curative treatment because conventional medicine does not have at present a genetic and constitutional treatment method to help you and that is why your doctors explained it away as electrical. The reasons you mention are only triggering factors and till this day you are not cured.I am a Homoeopath and therefore I can confidently say that Homoeopathy can cure you because Homoeopathy is the only method today that considers your genetics and constitution to find your curative individualistic remedy. In Homoeopathy there are 37 remedies to cure your sudden fear or panic. Out of them which remedy will cure you can be decided by an expert Homoeopathic physician only.Therefore you are advised to approach an expert Homoeopath at the earliest. You can also get back to me with more details through the premium follow up question facility of Healthcare magic. I can help you to cure your panic attacks. With Best Wishes,Dr C. J. Varghese,Homoeopath,[email protected]."
},
{
"from": "gpt",
"value": "Target: Had panic attacks, severe shivering, pressure sensation in back. Was on holter monitor. Reason?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: DOC, MY WIFE HAD FEVER N WAS TOLD HER CREATINE LEVEL WAS VERY HIGH.SHE HAD TREATMENT IN HOSPITAL N NOW UNDER MEDICATION FOR ABOUT A YEAR BUT HER CREATINE LEVEL IS NOT GOING DOWN TO NORMAL AND DOCTOR SAYS HER BLOOD IS VERY LOW.HOW TO BRING DOWN HER CREATINE LEVEL TO NORMAL? Doctor: HI THANK YOU FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.AS PER YOUR CLINICAL HISTORY YOUR WIFE COULD MOST LIKELY HAVE \"ACUTE KIDNEY INJURY ON CHRONIC RENAL FAILURE.THIS CAN PRESENTING WITH ELEVATED CREATININE LEVELS,CAUSES INCLUDE CHRONIC PYELONEPHRITIS OR RENAL STONES.G.F.R ESTIMATION CAN HELP TO GRADE THE DISEASE.RENAL ULTRASOUND CAN GIVE ACCURATE MORPHOLOGY OF KIDNEY DETAILS.TREATMENT INCLUDES REPEATED SESSIONS OF HEMODIALYSIS WILL HELP.ANTIBIOTICS CAN BE ALSO USED.CONSULT YOUR NEPHROLOGIST FOR FURTHER ASSISTANCE.THANK YOU.TAKE CARE."
},
{
"from": "gpt",
"value": "Target: How to bring creatine level down?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi had back surgery four weeks ago tomorrow s1 decompression still had pain after the surgery in left buttock and left leg and numbness in left foot had nerve block injection one week after surgery no relief still taking a lot of pain relief mainly endone also went back to Nero last week and I am now on neurtin but no relief as yet please help Hi had back surgery four weeks ago tomorrow s1 decompression still had pain after the surgery in left buttock and left leg and numbness in left foot had nerve block injection one week after surgery no relief still taking a lot of pain relief mainly endone also went back to Nero last week and I am now on neurtin but no relief as yet please help Doctor: hi welcome, first itself i say surgery for disc compression is not the remedy since the disc is not an over growth or any unwanted item of body we should protect that one with the treatments. i am an ayurvedic doctor who done all research work in lowerback pain (sciatica) for the last 7 years both in MD and PhD , i can say we can treat this without surgery, any way you did that so we can make you only some more better way without pain killers you will not feel pain. that much i can do for you since surgery over. write to us in detail we can discuss about you [email protected] 09895313720 thanking you"
},
{
"from": "gpt",
"value": "Target: What medication can I take to reduce pain after a back surgery ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I m ruby my semen analysis report isVolume :1.5 mlPh:8.0Liquifaction:50Motility:75%Motility progressive:45%Motility non progressive:30%Motility immotile:25%Viability:75%sperm count:95.0 mill/mLnormal form:65%abnormal form:35%Red cells:occasional Doctor: HIThank for asking to HCMI really appreciate your concern the given report of semen having 1.5 ml volume which less and looking to this volume this could be a case of Oligospermia, the abstinence period is important with the abstinence period the volume can be increased this is nothing to worry chances of increasing the volume still there, hope this information helps you, have nice day."
},
{
"from": "gpt",
"value": "Target: What does my semen analysis report suggest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi sir, currently i am facing some problems. I am in a situation to make a man as a impotent permanently. He is 45 years old and a heart patient as well, he did his by-pass operation since 9 years ago and he has diabetics which is type 2 and high blood pressure as well. So what are the ways that i should follow to make him impotent permanently? Doctor: Dear, We understand your concernsI went through your details. I do not know why you want to make that man impotent. The given medical and organic conditions do not warrant making him impotent. Any way, vasectomy is the best way to make a man completely impotent and after doing vasectomy, a man cannot reproduce. Vasectomy is a surgical procedure for male sterilization and/or permanent contraception. During the procedure, the male vas deferens are severed and then tied/sealed in a manner so as to prevent sperm from entering into the seminal stream (ejaculate) and thereby prevent fertilization. You can consult a surgeon with that person.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: How to make a man impotent permanently?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi i am suffering from chickenpox and am taking acyclovir for the 8th day today along with augmentin for last 3 days for the bacterial infection. I have headaches for last 10 days, it is always above my right eyabrow. I have been taking paracetamol for this. Is this related to my present illness and is it a cause for worry, i have no other symptoms other than the blisters now. Doctor: HelloWelcome to HCMAs you are already on acyclovir and augmentin,no need to worry.Complications of chickenpox like pneumonia,bleeding problems,infection or inflammation of the brain (encephalitis, cerebellar ataxia),blood stream infections (sepsis) are common in people with weakened immune systems because of illness or medications; for example,People with HIV/AIDS or cancer patients who have had transplants, and People on chemotherapy, immunosuppressive medications.So,just no need to worry.You take paracetamol for headache.If symptoms worsen like increased vomiting,blurring of vision,altered state of mentation,then you need to consult your doctor immediately.Hope you are happy with the answer.Thank you"
},
{
"from": "gpt",
"value": "Target: Is headaches normal during chickenpox?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: HelloI have severe abdominal pain in my stomach for past 2 -3 days. I had nausea and did vomit on the first day but not after that. I am just having a diet of rice and have lost my appetite.The cramps in my stomach are not decreasing since 3 days. I am not sure if this is Gastritis or anything else as is does not seem to be recovering.I had cyclopalm as antispasmodic, but the pain still remain.Would like to know what is the exact cause for this pain. Doctor: welcome to Health care magic.1.Your history suggest features of acute gastroenteritis.2.Seen after any food poisoning / infections.3.You may need to get a course of antibiotics which would help in resolving early.4.Get an appointment / ER and get the needful treatment done.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain,nausea and poor appetite?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I am using Formonide 400 inhaler.. I heard that once I start this i wont be able to stop . Is it correct?My uncle started with Asthalin and now he is using formonide.. For me my doctor gave me formonide for breathing difficulty coz of high allergy Doctor: hi welcome to HCMit is not correct that once you start inhaler you wont be able to stopthe main idea of prescribing inhaled medications is - low dose medications could be used when compared to oral medication which have many side effects though the later are cheaper,and secondly the site of action of medications will be in lung itselfregarding your query your uncle might be initially having intermittent asthma later on when it got converted to persistent asthma he might have been prescribed on formonide.regarding your case your doctor might step down your therapy from formonide based on your response to therapy and your symptomshope you got your answerwith warm regardsDr NSK"
},
{
"from": "gpt",
"value": "Target: Using Formonide 400 inhaler, heard that once it is started this wont be able to stop. Is it correct?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: iv had a feeling of breathlessness for the past 2an half years now constanly feel the need to yawn and some times im unable to wich leaves me breathless seems worse round the time when im due on i cough up clear sticky stuff and have a tight feeling in my throat sometimes this breathlessness feeling is worse than others im a little worried as my gdad has just died from emphysimia an copd iv heard it could run in families iv had test done for asthma an they are normal Doctor: Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with respiratory drive related issues manifested by underlying stress , anxiety .* Needs intensive respiratory training in form of deep breathing exercises YOGA , meditations to relieve stress , anxiety for better results .Hope this will help you for sure .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes breathlessness and the feel to yawn?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My husband suffers from high bp he is on medication ,he takes enam 10 and eslo 5 regularly.he is non alcoholic ,works out daily and does not smoke too.his bp problem is hereditary,when he sneezes he feels a sharp pain in the chest. His age is 32,what should he do to further treat his problem. Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that his symptoms do not seem to be cardiac related. They could be related to musculo-skeletal pain or inflammation. You have nothing to worry about!I recommend consulting with his attending physician for a careful physical examination, a resting ECG, a chest X ray study and some blood lab tests: - complete blood count- inflammmation tests (PCR, sedimentation rate). You should discuss with his doctor on these issues and the proper treatment based on his test results. Hope you will find this answer helpful!Best wishes, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in chest while on high bp medication?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am a college student and tend to drink A LOT of redbull for late night study sessions. Recently I have been suffering from crippling stomach pain that is sharp at moments, but usually a dull ache that causes nausea and radiates to my back. This has been going on for months and then for the past 3 days I have felt fine. Until today when I drank a redbull and noticed a couple hours later the pain and nausea were back. Could redbull be the culprit? Doctor: Hi Red bull can be the culprit. If you are getting pain and nausea regularly,please stop it and take Rabeprazole with Domperidone and antispasmodic Dicyclomine. If pain comes even after stopping Redbull,please get an Ultrasound abdomen and Upper GI endoscopy. Wish you good health Regards"
},
{
"from": "gpt",
"value": "Target: Have stomach pain, back pain, nausea. Can it be due to red bull?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Recently my ex girlfriend told me she has hsv 2, she had an outbreak and they did a biopsy and told her it was hsv 2. I went and had a lgg blood test done and it came back 28 for hsv 1 and less than .91 for hsv 2. Just trying to figure out how I could have hsv 1 and her hsv 2 Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Cross infection is quite common. Sometimes, one you have both viruses simultaneously. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: How is HSV infection transmitted?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been trying to conceive for past 5 years with no luck. Had 2 failed IUIs. My Age is 32, AMH levels are 0.53. FSH levels are 9.36. Can I get success in IVF with my own eggs? Also what help Ovigyn D tablet can provide in my case? I have read on net about DHEA being helpful, please advise for my case. Doctor: yes u can try but it might require more than one cycle due to low amh. dhea does help. the good thing is young ageDr. Prerna Gupta MBBS (AIIMS), MD (AIIMS), (Gold Medalist)DNB, MNAMS, MRCOG (UK)Commonwealth Fellow in Reproductive Medicine (BCRM, UK)consultant Moolchand [email protected]"
},
{
"from": "gpt",
"value": "Target: Can i get success in IVF with my own eggs?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My husband had gall bladder surgery and his gall bladder was filled with puss and he had quite a bit of scare tissue from the infection - he had no symptoms until a few weeks before surgery - he lost 2 units of blood during surgery (2 hours) and his PB dropped (he takes meds for high BP). His blood work showed kidney, liver, white count were all abnormal he also had a bit of confussion and anger. After 6 days he went to rehab but was re-admitted few days later as he had a UTI and was septic and his PB dropped to 57/42 and 02 levels were too low, after 4 days in CCU, with BP back up he went to step down unit and the next day he had a stint put in his small intestine to stop a small leak. The day after stint was put in he was back to his normal self and looked better then he had in several months. Unfortunately the step down unit forgot to resume his lasix ( he complained to them all afternoon that he was having trouble breathing and they said your 02 levels are ok) when I came to see him that night his hand was swollen, I looked at his legs and they were more then twice the normal size, I asked if they had resumed his lasix now that his BP was back to normal range on BP meds and they had not. A chest x-ray showed fluid all around his heart and lungs. After IV lasix and 4 liters of fluid he was much better. Several days later they transferred him to a new rehab center within the same medical network. Unfortunately he has had mental confusion, combativeness, frustration and sadness along with being alert at times ever since he retained too much fluid. Could this all be from the anesthetic? Doctor: dear,A post surgical delirium followed by secondary depression appears a likely conditionI would advice him to maintain proper electrolytes and have good pain control.Also, a course of anti-depressant is indicated for a couple of months.thank you."
},
{
"from": "gpt",
"value": "Target: What is causing confusion, frustration and sadness?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my mother(77yrs)is suffering from fever(have osteoporosis,sugar,blood pressure&lumber pain,wolking with the help of walker),doctor gave monocef o(200mg,daily twice)&soliten5 once a day,my questin is how long the medicine should be taken/my mother feeling very weak to stnd even to sit.give your reply to YYYY@YYYY as soon as possible Doctor: hi i have understood your concerns, see this is antibiotic used to treat infection can be taken 2 g once daily for 14 days. this might be given to your mother to treat infection only...."
},
{
"from": "gpt",
"value": "Target: How long one should monocef and soliten5 for osteoporosis, BP and lumber pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 7 yr old s eardrum ruptured last Saturday with no signs of a prior ear infection or anything like that.Today has been exactly 1 week and it seems to really bother him when we try to look at it through a ostoscope and now there is a awful smell coming from it Doctor: Hi...this is bacterial otitis media or middle ear infection due to bacteria. I suggest you see your pediatrician and get a prescription for Amoxycillin Clavulenate. If not getting better I suggest you consult an ENT surgeon.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes foul smell from ear after rupturing eardrum?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have such a throbbing pain in my head so bad i think it might explode. when i move i feel sick. yesterday i drank a lot of water and my head didnt feel as bad. today my eyes are really sore and i feel slightly sick to my stomach. i might add that leading up to all this ive had pain in the shoulder . . . pulled muscle or pinched nerve Doctor: Hi tanks for asking question.Here are some possibilities.1.These all feature can occur if you have viral infection.It is treated symptomatically.Blood examination helpful.It might show lymphocytosis.Take simple analgesic.2.you are giving history of headache relieve after taking fluid.Get your blood sodium ad potassium level to search for electrolyte imbalance.3.here you might have viral or bacterial cojuctivitis separetly.local eye drops will be helpful.4.If associated abdominal pain, nausea then stomach upset might be because of gastritis like features.If still symptoms increasing then further work up done according to physical examination.Wish you good health"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for throbbing pain in head,soreness in eyes,stomach upset and pain in shoulder"
}
] |
[
{
"from": "human",
"value": "Source: Patient: So I've had this bump on the roof of my mouth for 3 days now. The first day I woke up with it there and it was small. I didn't mess with it and that night it went down. The next day it was back again but still small. I decided to see if it would pop because it hurts to eat and swallow. It didn't pop nothing came out. Now I woke up today and its big and looks kind of yellow now instead of just flesh colored. What could it be? I will go to the dentist but I work all week so I need to see if you know how to ease the pain in the mean time. I've taken ibuprofen and it works but I don't want to keep taking them. Doctor: Hello,Thanks for consulting HCMRead your query as you have small swelling on roof of the mouth dont be worried so much this could be due to infection in tooth or in gums .I will suggest you to consult dentist for oral examination and investigations Iopa Xray to rule out the cause of infection . Inmeantime do warm saline rinses 2 -3 times a day and you can take medicine like Amoxicillin and ketrol dt by consulting with your local doctor .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: What causes bump on roof of mouth?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello doctor i am 24 years old female with good health.Suddenly i have developed lymphnodes at both the armpits and is about 1cm in size,mobile,red and painfull.i have consulted my family doctor and she has prescribed me 2 antibiotics,but it am afraid to take the antibiotics without proper diagnosis.i feel very upset regarding this issue.Please help me with what are clinical tests which has to be done for this. Doctor: Hi,It seems that you might be having some infection in surrounding parts like arms, neck, breasts,chest producing enlarged tender axillary lymph nodes.There is no problem going for one short course of antibiotic medicine.If problem persisted after treatment then you might require,Through breasts examination manually by Gynaec,Complete blood checking for any bacterial infection.If require Mammography.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumps in the armpit"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am a 36 Year old male. Overweight, smoker. Today I suddenly felt dizzy while sitting at my desk in office, there was a slight pain in the chest (upper part of chest near the neck). I checked the blood preasure, it was 100 / 70 (I normaly have a blood preasur in the 115 - 120 range). I am currently taking a course of azithromycin for a cough, and it has been a little stressfull lately. I am a little worried, is it just low blood preasure or could it be something more serious. Doctor: so you're having some kind of infection and taking azithromycin. having chest pain is cause of concern.reason may be simple chest infection causing pleural inflammation called pleurisy you can assess if it's localised sharp and increased with deep breath. if it's like it then simple antibiotic and pain killer5are sufficient. but more worrisome is if it's cardiac or Ischemic. so u may need chest x Ray and ECG to diagnose after proper clinical assessment."
},
{
"from": "gpt",
"value": "Target: What causes mild chest pain, low pressure and dizziness?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I was playing basketball when I got hit at 1 of my 2 big tooth. Its not out of its socket or anything. It looks aligned with the other tooth. Its just when i move it about 1/4 of a cm, it starts hurting. What should I do ? Doctor: Hi, A trauma to teeth can affect is vitality. Yous should consult a dentist and an Xray should be taken. The mobility of the tooth should be assessed by the dentist. You have not mentioned your age which is an important factor in determining the treatment."
},
{
"from": "gpt",
"value": "Target: I have hurted my tooth, please suggest me remedy for it"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My ankles have been swollen for a week and I have been urinating a lot.I have a little cough and when I try to exercise I get a sharp pain in my chest and also I will get a heaviness in my legs when I try to walk around the track to exercise.why is this? My e-mail is YYYY@YYYY Doctor: All your symptoms sounds like a cardiac problem. As you havent mentioned your age it is difficult to say exactly what is causing the swellings but any kind of disease that leads to a fluid builtup in your chest can cause these kind of symptoms.See a doctor urgently"
},
{
"from": "gpt",
"value": "Target: What causes swollen ankles, frequent urination, cough, chest pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I started to take prigyuton a month ago, and finished the first box. I have been breeding this three days. But my friend suggetsed me to take a kind of ointmnet rather than tablets. It is due to the reason: tablets for Menopausal are likely to gain weights. Before I restart the second prigyuton box, should I take a differnt remedy? Doctor: Hello!All hormone replacement therapy contains estrogen and progestogen and the common side effect is weight gain, in all forms(tablets or ointment).As a hormone replacement therapy this is very good and to take a different remedy you should consult with your doctor that gave you this tablet.To eliminate weight gain you should walk and do activities for about 30 minutes a day,and eat a plenty diet with fruits,vegetables and natural juices.Take care for your self"
},
{
"from": "gpt",
"value": "Target: Taking prigyuton may lead to weight gain so is there any remedy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My age is 21and Am facing severe hair loss which is shocking by all for my age.I follow proper diet and no dandruff. I had earlier consulted with v care and other dermatologists still am having the same problem .They prescribed finasteride and minoxidil which I continued for the term they said .I never felt any improvement and my hair loss leads to depression and feeling low to face society. Please help me with proper guidance. Drugs used : finasteride,minoxidil, keraxyl serum,ervamatin Problem:hair thinning and missing in central part alone. Doctor: I welcome your here at HCM!I feel sorry that the treatment didn't work for you. I want to clarify that you need the treatment for years long. There is no defined period of time that you will take the medicine for and then stop and all is ok. You are suffering from Androgenetic alopecia and it needs proper and long term care. Minoxidil for example when used continuously, starts kicking in and showing results after a lag period of 6 months or so. And its effects revert once you stop the medication.In male hairfall has a strong genetic association. Females have their own different reasons of the issue. Dandruff is the most serious a reason of this problem and is common in both genders.You don't have dandruff issues, that is relaxing and makes the diagnosis of male pattern baldness more clear.Take a bath daily but use shampoo twice to thrice a week only.Remember!Don't use hot water for it. Normal water helps improve this condition by reducing dryness and dandruff.Keep your hair properly trimmed. It will help make the hair look even all around cosmetically and also it will help hairfall to decrease to a significant level.When young patients come to me I usually prescribe them to take Capsule Perfectil for hair nails and skin. It will catch up the deficiencies and your hair nails and skin will glow and grow optimally.Take plenty of fluids and fruits. Green leafy vegetables and salads are good for you. Exercises on regular basis will help you a lot.Minoxidil 5% spray is also beneficial when you will continue using it in the long run. But if it causes dandruff or allergy stop using Minoxidil. You used it already so I think you are not allergic to it.Males get benefit and a noticeable improvement by taking tablet Genesis (finasteride). Same as for Minoxidil, it is also to be taken for long time. What actually is the mechanism of action of finasteride; it stops the male hormone Testosterone conversion to its dangerous and hair enemy metabolite called DHT. This process is stopped at the cellular levels in the peripheral tissues.It's a time taking process to kick in properly and shows results after a lag period of 5-6 months or so. Male baldness is mostly due to peripheral Testosterone (named DHT) effects that destroy specific hair follicles on top (crown) and front of the scalp.This management will help you a lot. Have a nice time ahead. Don't forget to give your best positive feedback. If you need further assistance, feel free to contact me back anytime.Regards! DR. HANIF USA"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe hair loss"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 11 weeks pregnant with my first child and having been suffering with the symptoms associated with a kidney infection for 2 weeks -having undergone the routine blood tests it was stated how i have low white blood cells and the GP subsequently asked me to complete a urine test. Having completed 2 such tests they confirmed i had an infection and started me on a course of Amoxicillin today. Any further advice would be much appreciated regarding whether there maybe an underlying cause to the low white blood cells and the possible risks to my unborn child? Many thanks B.Buckland Doctor: Hello, and i hope I can help you today. Low white blood cells (which are the disease-fighting cells in your body) can occur both as a result of a disease that lowers your white cell count (like HIV) or by consumption when your body is working hard to clear an infection. In your case, your doctors were concerned you had an infection in your body causing your white blood cells to fall. They found the infection in your kidneys and prescribed an antibiotic, which if it works, should clear the infection and your white cell count will return to normal. Your white cell count and your having a kidney infection does not affect the baby at all as long as you are treated properly and follow your doctor's advice. My only concern is that if you truly have a kidney infection, amoxicillin is not a particularly strong antibiotic for urinary tract infections. So if you have taken the medication for a few days and you still have fever higher than 38.5 Celsius, (101f) or bad flank pain occasionally IV antibiotics are needed for treatment.I hope my answer was helpful for you today and that my advice was helpful.Best wishes, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: What causes low WBC during pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: About 15 hrs ago I experienced severe tightness and pain in my chest. I kept pushing on my chest with my fist. Should I go to the E.R. and get checked out? If they were to do an EKG would it show if I had severe angina problems yesterday. The pain lasted about 20 minutes. I was scared and asked the sales clerk to get me a seat becasue I felt so weak. I was just having a shopping day at the mall while my daughter was trying on clothes. Please advise me on what to do. Doctor: Hello, I suggest you go to the doctor and do some routine blood tests, TPI, an ECG, cardiac sonography and a chest X-ray. The doctor then would say what is wrong and what is needed to do next, a cardiac stress test, an angio CT scan or coronary angiography. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anila Skenderi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes tightness and pain in chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Gupta, I'm 21, female. I had iron deficiency anemia since August 2006. However, I started treatment (1 tablet/day of Gyno-tardyferon) since September 25, 2010. My blood test results for this month show that I have no anemia. Tests from low to normal range: Hematocrit Hemoglobin Hemoglobin amount per red blood cell (MCH) Average red blood cell size (MCV) Serum iron Test from high range to normal range: Lymphocytes Test from normal range to (slightly) high range: Folic acid So do I continue with my current medicine? Or should I change it to one with less or no folic acid? Gyno-tardyferon (my current medicine) composition: 80 mg ferrous sulfate, 0.35 folic acid. My pharmacist advised me to take a medicine with ferrous (because that medicine has no folic acid) instead of ferrous sulfate. What's the difference between those two? And would ferrous alone prevent my anemia from coming back? How long should I continue my iron intake? For life or just a couple of months? And what is the recommended dosage? Thank you. Doctor: Hi, dearI have gone through your question. I can understand your concern. If you have purely iron deficiency anemia then there is no need of folic acid supplements. You can go for iron tablets lije ferrous fumarate or ferrous sulphate. However if you have mixed folic acid deficiency also yhen there is chance that anemia can back due to low folate. You should take iron rich food like dates, green leafy vegetables, dry fruits, jeggary etc. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for iron deficiency anemia"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son, age 11, otherwise healthy doing sports all year round (football, hockey) get severe pain around diaphragm, concentrated at center, when jumping on a trampoolin. This pain is only related to this activity and he has never experienced it during other activities. After 5-15 min relaxing, the pain levels off but starts immediately when trampoolin-jumping. What is this due to? Doctor: thanks for your questionit can be due to -gastritis-hiatusleast possibility of any cardiac or lung ailmentsyou need to consult a physician who can request for a chest X-ray , ecg , ct scan and endoscopy if needed which ll lead to a certain diagnosisin my patients I usually start them on proton pump inhibitors and evaluate themthanksfeel free to ask more questions"
},
{
"from": "gpt",
"value": "Target: What could explain severe pain around diaphragm?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I used to have extremely non-responsive high blood pressure and through walking a lot lost 80 pounds. My blood pressure is normal now without prescriptions however for at least the past four years my resting pulse rate has been 100-120. For about a week now my pulse rate has dropped by half but my blood pressure is still normal. Last reading this morning was 128/70 pulse 35. I only feel a bit faint the past week. Doctor: Hi,Heart rate of 35 bpm is not normal and may be an effect of a serious arrhythmia, you should see a doctor and perform an ECG to find out what's going on with your heart.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: What causes drop in pulse rate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi my mother is diagonised for congestive heart failure.One doc has prescribed notrocontin 2.6 dytor 10 cilacar TAnother doc has prescribed cardace 2.5 lasix 20 ecosprin AV 75My mother is diabetic and under insulin. Creatinine is 1.4Can you please give me some idea which medicine should be followed. Doctor: Hi,dytor n lasix belongs to the same group of drug.Telmisartan in cilacar T n cardace also belongs to the same groupregarding the prescription of ecosprin av 75 n nitrocontin 2.6 ....I can presume that there is possibly the CCF in the background of Ischemic Heart Disease....but selection of both or either of these two drugs shall be based on clinical features and ECG findings. But if Ischemic pattern is present ecosprin is very helpful. You can get in touch with any one of the doctor and talk to him that you have taken a second opinion from another doctor n show him the other prescription. There is no problem in taking a second opinion.Hope this helped. Do let us know.Dr. Pinak"
},
{
"from": "gpt",
"value": "Target: What medications should be followed for the congestive heart failure?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had my embryo transfer done on 14th sep2012,seven days ago.two fully fertilized eggs were inserted successfully as said by my doctor.i do not have any such symptoms only my stomach seems to be bigger in size than normal.is this good or bad sign?will i get positive or negative result Doctor: Hi,I guess your concern is about, is stomach distension is a good or bad Doncaster having a embryo transfer, right. My straight forward answer is IS NOT AT ALL A SIGN RELATED TO EMBRYO TRANSFER. You told that you are having stomach distension after embryo transfer, this distension is usually due to the drugs which are prescribed during the whole cycle of embryo transfer. It's not at any good or bad sign which decides the success of embryo transfer. With the above information you can try out my suggestions.1. RELAX...NOTHING TO WORRY. It's not the thing which decides your success of embryo transfer.2. If you are still worried then feel free to ask your treating gynecologist or infertility specialist. He /she can help you.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sudha Rani Panagarregards- Dr sudha rani panagar(i pray the God that ur embryo transfer will be successful n u blessed with a cute n healthy baby...hopefully TWINS)"
},
{
"from": "gpt",
"value": "Target: Is stomach distension a good sign after having an embryo transfer?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm suffering from \"varicocele\" since last 6 years, it's not painful but it has affected the the sperms. My sperm count is only \"0.60 million\" and all non motile. The Urologist advised me the surgery. But i want to try homeopathic medicine to avoid surgery. My hormones test are normal: FSH: 10.6 LH: 6.5 Serum Testosterone: 4.3 Please advise me the proper medicine Thanks Aamir Khan Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Even surgery or homeopathy is unlikely to improve such a low sperm count.2) Please go ahead and get ICSI treatment done for conceiving.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to improve sperm count and motility"
}
] |
[
{
"from": "human",
"value": "Source: Patient: How could contracting genital herpes have an affect on someone who previously had bacterial menigitis when they were younger but is now 21? And what would be the early signs for a man if he might have been exposed to the herpes virus due to a condom breaking? Doctor: hellowelcome to HCM.genital herpes is a STD caused by HSV 2 virus.mostly they arise as a vesicular lesion like normal herpes 4-6 days after exposure in glans and shaft of penis.in female over vulva and labia.but sometimes fever and myalgia precedes the blisters.there may be blisters in the thigh too.and swollen inguinal lymph node.blisters are painfulit is self limiting takes few days to form crusts.for treatment:plenty of water.tab acyclovir 800mg 4/day for 5 days.dont have sex.tratment of partner.can use anasthetic oinment for pain.also consult your physician.hope this is helpful.regards."
},
{
"from": "gpt",
"value": "Target: Suggest early signs of herpes infection"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have had a pain that can come and go but the pain is usually in consistently the same, never terrible enough to stop doing anything that I am doing, but it always comes back. it seems to wrap around my lower right rib and can end up on my right side of my back. When i stand up and move around it goes away, but sitting usually makes it worse. pushing on the area gives me no pain. I have had a ct scan, and ultrasound, but nothing is showing up. of course, i worry it is the most terrible thing, like a large tumor! I have had this for well over a year and 1/2. I have been seen by a doctor. No bowel problems either. I thought it was my gall bladder, but the ct scan revealed nothing. I even had a PET Scan a year ago June, and nothing. I'm feeling paranoid because it's constantly on my mind. Any ideas? Doctor: Hi and welcome to HCM.Those tests that you ve done definitely rule out any serious disease and trust me it cant be tumor or something similar. this is obviously not caused by some organic patohlogy so it would be more like neuromuscular pain which can be pinched intercostal nerve or pulled muscle. Also, lung disorders may manifest with such pain so check you lungs and if everythign s fine you diont have to be worried. find the right painkiller that helps and take some muscle relaxants. Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Lower rib area pain. Done CT scan, PET scan and Ultrasound. Is it related to gallbladder?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: About three days ago, I woke up and felt as if i had breathed in very cold air as I felt my chest muscles, tingling or tightening in the center of my chest. I feel the air as i breath in and out, in the center of my chest and my bottom teeth are also tingling. I had blood work done the week earlier and I learned i have a vitamin D efficiency. I took my first prescription supplement for vitamin D last night and will be retested in 12 weeks. Why am i now feeling this tingling in the center of my chest and the bottom of my teeth? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Your symptoms are mostly due to vitamin d 3 deficiency.This can cause muscle cramps and spasms which give feelings of tingling and twitching.So no need to worry much for these symptoms. Take vitamin d 3 supplements regularly. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes tingling and tightening in center of chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a six week old infant. At four weeks I noticed she was missing a toenail on th second toe...the one next to the big toe. I am not sure if she lost it or was born without it. Is this common? Do I need to worry about it. She seems healthy otherwise. Doctor: Hello,Baby toenail is very delicate and can be get avulsed accidentally or sometimes nail bed has not grown till birth and may grow later on. In both circumstances, if there are no wounds, etc., it's nothing to worry about.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: What causes absence of toenail in a child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My daughter has had a stye for two months. She's been using Ofloxacin Ophthalmic Solution, usp, Prednisdone Acetate Ophthalmic Suspension drops, Tobra DEX ointment and Avenova spray. She's been treated by an Optomologist several times and had the stye drained, but the bump is still there and her eye lid looks bruised/red colored. Is it safe to take these drops continuously for over two months? Doctor: Hello and welcome to 'Ask A Doctor'. I have reviewed your query and here is my advice. Two months is more than an adequate length of time to treat an infection along the lid margin(stye). When it has not resolved over weeks to months, it is a non-infected, firm, non-tender mass. It may become painful if it becomes infected again. I wish I knew the age of your daughter. I suggest you treat the bump aggressively with hot compresses.(No skin burning allowed.) Five minutes 3-4 times a day. If you don't see improvement in a week, you can consider taking her to a pediatric ophthalmologist. Hope I have answered your query. If you have any further questions, I will be happy to help. Arnold Zedd, MD, FAAP"
},
{
"from": "gpt",
"value": "Target: Can Ofloxacin eye drops be used continuously for two months?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 4 1/2 months pregnant, I am kind of worried because at night and even now sometimes during the day I cannot sleep because my arms are in so much pain. First it was like i was losing circulation. I have had a few nights when i would wake up and try sleeping sitting up because i was so uncomfortable......what causes this? Do i need to go see a dr? Doctor: mam you should check up your vitamin-d ,x-rays,some other blood examination you shoud go for your nearest orthopaedic doctor for proper examination."
},
{
"from": "gpt",
"value": "Target: What causes pain in arms during night?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My blood tests has come back and shows high triglycerides of 4.73 mmol/L. I am very active and do not have many fats in my diet besides lunch (a tablespoon of mayonnaise on multi-grain or rye bread with unprocessed meat and a few slices of cheese daily; and a few drinks a month). I have been taking proscar for just over a year and have been using coconut butter to treat dry skin(3 months). Reading online and found that Proscar can cause an increase in triglycerides in some individuals and that eating coconut oil can increase triglycerides. Should I be cutting these out? Doctor: hi here is your complete answer.Proscar can cause high triglyceride but it is very rare.first step here is to change your life style and diet habit.Avoid alcohol and smoking habit.Do regular 1 hour exercise or jogging early in morning or at evening.Loose your weight.Eat more fruits,green vegetables ans avoid excessive fatty diet.Limit sodium and sugar in your diet.take omega 3 fatty acid containing oil ex.fish oil.If still triglyceride not controlled then we will strat drug like niacin or rosuvastatin.Just now stop worrying and make above life style changes i have prescribed,Limit coconut oil, instead sunflower or fish oil used.Hope i have solved your query to the best.Thank you for contact HCM. Wish you best health ahead."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high triglyceride levels"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. My 21/2 yr old son keeps getting dry cough almost everymonth, it is never completely gone. I have started giving him asthalin inhaler one dose twice a day....but i ononly give him on the days he is coughing more then i stop. is that the right way to give that medication or do i need to continue for few days... Doctor: Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Should i continue giving asthalin inhaler to my child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a 1 year old baby. She keeps eating pretty well and suddenly she refuses to eat for 2-3 days. Few days later she continues to eat as usual. I am suspecting that there might be issues with her digestion. Can you suggest what might be her issue? Doctor: Hello dear!Its normal for the child to have tamper tantrums at this age.I would advise you to not panic and reduce the amount of milk.I would you to please dont give her bottle feed. give her by cup and spoon as they take alot of milk through bottle and that fills up the tummy,leaving no place for food.There can be other causes like a sore throat,tooth ache or tummy ache but they all have clear signs of them. In their absence you can safely say its because of the usual behavior of the child of this age.I would recommend a healthy balanced diet preferably of what your child prefers like rice,wheat,vegetables of your baby's choice,his/her choice of meat and fruits and also dairy products like cheese etc.Hope it will help.Wishing your child good health :-)"
},
{
"from": "gpt",
"value": "Target: What causes refusal to feed in a child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi. I don t know why, but every now and again, i ll have an unusual pinching pain under my right armpit. I m very confused and don t know what it could be. It s nothing that makes me want to rush to the ER. It is tolerable, but also irritating. Thank you. Doctor: Hi Hope this message finds you in good health.I have gone through your query in detail and understand your concern.a nerve might be inflammed under the arm.u can take anti inflammatory and methycobal tablets.local gel and hot fomentation will help Hope your query has been answeredNothing to worry about, You should eventually get back to normal.Get back to me for any FOLLOW UP QUERIES anytime.Kind Regards,Dr Mahaveer Patil...(MBBS,MS,Mch)"
},
{
"from": "gpt",
"value": "Target: What causes frequent pinching pain under armpit?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Feel swollen in stomach area and pressure on rectum to have a bowel movement most of the. Day but when urinate just small amount of poop spurts out at least 6 times a day. Pain constant in abdominal area, even if eat a small amount of food just shortly after eating the bloat/swelling and pain begin. Pasty bowel in small stand like amounts Doctor: Hi.Thanks for your query.Noted the history of pain and swelling in abdomen, pressure on rectum, passing poop on urinating, unable to eat as eating causes pain and bloating and pasty motions. All your symptoms are suggestive of severe enteritis / colitis.I would suggest you the following:-Get blood, urine and stool checked -Ultrasonography of abdomen.-A course of an antibiotic and metronidazole, probiotic, activated charcoal tablet. -If no response after 5-day course get colonoscopy and CT scan of the abdomen done.-Further treatment will be according to the investigation reports"
},
{
"from": "gpt",
"value": "Target: What causes swelling in stomach area?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 14year old special needs daughter just got out of ICU with pneumonia o2 is fine but heart rate is as high as 175 seems agitated not her normal been suctioning had EKG when was in the hospital for low heart rate of 40 it s all over the place can t get her comfortable Doctor: Hi...sometimes if the kid is ventilated then during ventilation sedatives might have been used. When the kid is out of ventilator, these drugs have withdrawal symptoms and this could be the reason for high heart rates. During this period of withdrawal, the kid might even be very fidgety and irritable too.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes high heart rate after treatment of pneumonia?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, my name is Michael, i am a 21 year old male weighing 216 pounds and standing 6'2\", with no serious health problems in my history, i do however suffer from anxiety. I've had a feeling of a lump in my throat for the past month or two now, it's just above my adams apple, and sometimes, i feel a lump below my adams apple, i can feel it more when i swallow, and very rarely i get a bit of pain, i've tried relaxing, to see if it is caused by anxiety, and nothing has changed, i've been tested for mono, and it came up negative, i've been taking antibiotics for possible infection for almost a week now, with no noticable change, clearing my throat seems to help a bit. but it never really completely goes away, i should also mention that it seems to come and go throughout the day, thank you, i hope i can get an answer soon Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. let me assure you, this is not anxiety but just obsessive thinking. Obsessive thinking about something you worry about. Worrying is human nature and is natural when it is related to health. Means you are doing nothing abnormal.Now you have to address the cause. You are obsessive to a lump (possibly not at all present) about your throat. From the description you gave, You already had treatment and tests to find out what it is. As, you could not find out anything about it. Better to ignore. The lump in now way is affecting your daily life or is going to affect in future. Worrying about it increases the obsession. Learn to ignore and that is the effective treatment.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to control anxiety?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am 30 took progyluton for 21 days it's my first time now it is the 6th day of the 7 dya interval and no period, could i be pregnant or should i start taking the new pack after 7 days. i have a slight breast tenderness is it too late for my period. Doctor: Hi,Breast tenderness is a side effect of the medication also. It induces pre-menstrual syndrome-like effects. Usually, you should get a withdrawal during the seven-day window. If you suspect pregnancy, I would ask you to get an estimation of the serum beta-hCG titres to exclude/confirm pregnancy. Once this is ruled out, you may continue with the medication as prescribed. The medication is meant to induce a state of hormone balance that mimics the natural process and does not induce ovulation. Hence, if you have an ovulation defect, that needs to be corrected before you can conceive. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Can progyluton delay period?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 21year, female, 2years before was found that i have calcium deposits in my liver and now a days i get pretty bad stomach ache during and after(occasionally) my periods... i have also undergone a ovary cyst operation 3years back. is it any kind of cancer initiation or anything serious??? Doctor: Hi,Thanks for writing in.The chances of getting cancer is very less. The calcifications in liver might be due to old healed infections. You may get an ultrasound scan because it is two years since the last one. Please discuss your stomach pain with a gynecologist and you can get the pelvis also evaluated in the same scan. It doesnt look like anything serious. It is important to know if you are getting fever and pain over liver area."
},
{
"from": "gpt",
"value": "Target: How to treat calcium deposits in liver?"
}
] |