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{
"from": "human",
"value": "Source: Patient: hi, my wife is experiencing unpredictable swelling of hands sometimes left and sometimes right. she also experience it with her genital. what is possible cause of this. prompt reply will be highly appreciated. this happens frequently. (twice to thrice a month) Doctor: Hello, It could be a vasculitis.Consult a physician and get evaluated. A detailed evaluation is required to find out the exact cause. 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 sudden swelling of hands?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a light colored rash on my chest and shoulders. I've had it for four days now, and it does not seem to be getting any better. There is no explanation.... no new foods, lotions, etc.... and it doesn't itch. No cold symptoms either. At what point should I see a doctor? Doctor: Hello dear,Welcome to healthcaremagic.I have read your query and understood your concern.Such light colored asymptomatic rash can be due to many reasons like P. versicolor, P.alba and many more.I will advice you to visit your dermatologist at the earliest so that condition can be controlled in its initial phase before it spreads and involve the other parts of body.Or if possible you may send pics of the lesions so that i can actually visualize them and come to a conclusion.Stay healthy."
},
{
"from": "gpt",
"value": "Target: What causes a light colored rash on my chest and shoulders?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I finished my last pack of birth control pills when I started my cycle in January. My husband and I are trying to conceive and I am so anxious to know if I am pregnant. The first day of my last mentrual cycle was 1/23/14. Is it possible for me to be pregnant even if I haven't had my first normal cycle after ending birth control? We had sex on 2/2/14, 2/6/14, and 2/9/14. I have be feeling weird like I may be pregnant. I have cramping on one side, slight nausea, tenderness in my breast and discomfort when my bladder is full. If I have conceived, this will be my third pregnancy, my youngest child is 5. When is the earliest I can test by urine and blood? Thank you Doctor: Hi, Thanks for the query. It is possible to get pregnant even before you get a normal cycle after stopping birth control pills. You have not even missed your period yet so it is very early to say if pregnancy has occurred. The breast discomfort, nausea and tenderness are non specific. They may be due to pregnancy or even premenstrual syndrome that occurs in some women before menses. The earliest that pregnancy can be detected is by a blood test after about 28-30 days or just around the missed period and by a urine test 7-10 days after the missed period. Please do not be so anxious. You have been through all this. Just relax. I suggest that you start tablet folic acid as it helps in the babies brain development. Hope I was able to help you. Thanks for using Health Care Magic. I would be happy to answer any further queries. Have a nice day and take care.Dr. Madhuri BagdeConsultant Obstetrician and Gynecologist"
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy if stopped BC, had unprotected sex and having early pregnancy symptoms?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 15 year old daughter has persistent pain in the left side of her lower abdomen. Sometimes it is sharp and limits her movement often it is burning but not sharp. It has been re-occurring for over 18 months now. We have looked and X-rays and done blood tests but nothing has come up. Her pain is real, and I need to figure out what it is and how to help her Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It can be diverticulitis like condition of bowel. USG abdomen scan will be more sensitive I detection of underlying etiology. Fiber diet can be taken more. Avoid excess spicy foods. Drink more water. If needed antibiotic course prescribed. Provide history regarding any treatment if Taken. If needed colonoscopy can be done. Consult gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What does persistent pain in the lower abdomen of a 15-year-old indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello,I doubt if you know what is wrong with me. I have blots clots, was operated on left side. Blood clot was beneath collar bone. Was removed and came back again, and now I have one on my right side also. Do you have any idea what is causing this, because my doctors are baffledMarie Doctor: HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.GOING BY YOUR CLINICAL HISTORY IT SEEMS EVIDENT THAT YOU HAVE INHERITED BLOOD COAGULATION ABNORMALITY \"-THROMBOPHILIAS\" EX-PROTEIN C /S DEFICIENCY,ANTIPHOSPHOLIPID ANTIBODY SYNDROME-APLAS LIKELY VENOUS THROMBOSES.THIS RISK IS QUITE SIGNIFICANT AS IT CAN CAUSE COMPLICATIONS LIKE HEAT ATTACKS(MYOCARDIAL INFARCTION),STROKE ,RECURRENT ABORTIONS ETC.CLOT DISSOLVING METHODS INCLUDE \"EMBOLECTOMY ,WHICH YOU SEEM TO HAVE UNDERGONE.RECURRENT CLOTS SUGGEST SOME INHERENT DEFECT IN YOUR BLOOD CLOTTING MECHANISMS.OTHER TREATMENTS INCLUDE PLACEMENT OF AN \"IVF-INFERIOR VENACAVAL FILTER\" TO PREVENT CLOTS TRAVELLING TO HEART.DRUGS LIKE LOW MOLECULAR WEIGHT HEPARINS,WARFARIN,ASPIRIN WOULD BE HELPFUL.GET AN DOPPLER VENOUS ULTRASOUND OF BOTH LEGS TO DETECT THE \"EMBOLUS/CLOT SOURCE \" IF ANY.CONSULT EXPERT CARDIOLOGIST FOR FURTHER HELP.THANK YOU.TAKE CARE"
},
{
"from": "gpt",
"value": "Target: What causes recurring blood clots on body?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi, i'm 31yrs old. im 5'6 and slim. in the last week i'v had problems with sharp pains in my chest. Also i get very dizzy and in the last few days im beginning to lose the feeling in my arms and legs. I went to the doctor and i was told it stress and was given painkillers for the pains, she also told me i had a kidney infection and it would go away with drinking juice. however i went back to her yesterday as the numbing in my arms and legs are getting worse. No examination was done and she still hasent done blood tests. I dont get the impression shes listening to me. Is it stress? Doctor: Respected user , hiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There are various reasons - low hemoglobin ( anemia ) - respiratory infection - underlying pyrexia development manifesting as systemic symptoms - vitamins , minerals deficiency - stress - inadequate rest - others * Need thorough clinical examination , basic laboratory tests and x-ray chest to find out the exact cause and manage accordingly .Hope this clears your query .Welcome for any query in future .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes chest pain and dizziness?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi, i had a knee surgery for my meniscus about 1 year ago and my knee feels fine know, but it still isnt as great as it was before( it s getting there). the only thing wrong is that every time i bend my knee, it makes that weird paper noise but it doesn t hurt. what does it mean? Doctor: Hello, Causes of knee popping after surgery may be due to inflammation of structures within the knee. Popping sounds can also occur due to stiffness from scar tissue after surgery. It may take a while for the joint to move smoothly again as the joint heals. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes popping sounds in knee after knee surgery?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Helow doctor, I am suffering epilepsy from 1996 but there is no solution. Often it strted from my right leg and spread on all parts of my body. first of all my leg feel weakness and then shocks started from leg to all body. Mostly it started from sleeping time and it began about one or two miutes and I feel wekness in all of my body. I am taking tablets Tegril and Rivotril from 1998 but noting solution please help me in this matter thanks at lot. Doctor: Hello.If you do not get improvement of your symptoms with the mentioned drugs, your doctor should replace these drugs by other such as Levatiracetam such or Topiramate. When epilepsy does not improve with different drugs, surgical intervention is possible in some cases. Go to your neurologist for examination and prescription.I wish you good health.(If the answer has helped you, please indicate this)"
},
{
"from": "gpt",
"value": "Target: Suffering from epilepsy for years, no relief with Tegril, Rivotil. Any solution?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am a 54 year old woman. when i sleep at night my husband says that i make steam warming sex as my body is moving. it is going on for more than a year. i do not have any dreams nor do have any affair with someone. i do have a lot of stress because of this. i also can cannot remember anything that happend. please help me, maybe i must go and see a psychiatrist Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. I'm not sure what exactly you mean by \"I make steam warming sex as body is moving\". However, unsual or inappropriate beahviours during sleep can be part of what is known as a sleep behaviour disorder. Sleep problems and sleep beahviour disorders can often be triggered by underlying stress. Since you say that you are going through a lot of stress currently, it would be a good idea to see a psychiatrist for a detailed psychological assessment. There are medication which can help regulate your sleep and control such sleep-related problems. Learning stress management techniques and relaxation techniques can also be beneficial to you. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Been stressed. Movements during sleep. What is wrong?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: DEAR DOCTOR I AM 35 AND TRYING TO CONCIEVE FOR 3 YRS..HAD 7 FAILED IUI S... MY AMH LEVEL IS 0.2.. DOCTOR HAS PRESCRIBED DHEA-25MG THRICE AND OVIGYN-D TWICE DAILY... CAN THESE TWO MEDICINES BE TAKEN TOGETHER AND WHAT IS THEIR BENEFICIARY EFFECT.. can i concieve on my own or should i go for ivf ... do i need donor eggs..my husband s sperm count varies between 14-49 million, progressive motility is42% and % normal morphology is 27%..my hsg test, prolactin, insulin, fsh ,lh, estradiol are within normal limits Doctor: Hello. Thanks for writing to us. Since you already have had three failed IUIs, the chances of spontaneous conception in your case are low. You need to attend an infertility clinic for IVF. Donor eggs are not likely to be required in your case. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Trying to conceive, seven failed IUIs. Prescribed DHEA, Ovigyn-D. AMH level found, sperm test done. Should I take these medications or go for IVF?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: For almost 5 weeks now I have had lower back pain -- where the spine ends at the pelvis. I went to see a GP and he tested my urine (normal) and had lumbar spine xray (results not in yet). I have been taking 850mg ibuprofen 2x a day, which helps but one day when I stopped (because I felt better), the back ache returned. I'm now feeling some kind of fatigue sensation down both legs. I also had constipation problem recently -- more often than normal. I'm 63 but otherwise healthy -- no health problems until now. Should I see a specialist -- what kind? Doctor: Hi welcome to HcmYour symptoms are suggestive of lumbar spondylolisthesis.Get MRI total spine and review with reports.Drugs like pregabalin well help.thankyou"
},
{
"from": "gpt",
"value": "Target: What causes lower back pain, fatigue in legs and constipation?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am pregnant and in 14th week.. urine culture sensitivity shows presence of e coli .i have UTI symptoms of burning sensation during and after urination,increased frequency to urinate,and mild lower abdominal pain and worsens at night. please suggest treatment. Doctor: You haven't mention about which drug e coli is sensitive. according to that antibiotics which are safe in pregnancy has to be started. However nitrofurantoin sustained release tablets 100 mg bd is safe with alkaliser and plenty of fluids."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for UTI during pregnancy"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I need to lower my ast,alt before my bllod test in 12 days. It happened before over 2 years ago and I stopped drinking for 3 weeks and all was normal. I was very sick at the last time and only 109 lbs. till they dignosised I had Barrette,s esphogus diease. Now I am healthy at 129 lbs. I do drink but also only wine sparkling water because acidity is to much. Will not drinking for 12 work at not drinking before my blood test,,,,,,,,, Doctor: Hi,I understand your concerns and I will explain what needs to be done. Usually, for a liver to properly heal itself, and enzymes to get back to normal needs around 30 days to 60 days or even more without alcohol. Twelve days without alcohol, probably will not help to lower ALT/AST enzymes at normal range. Here are some advice to help your liver heal,your liver enzymes get back at normal. - Eat fresh fruits and vegetables-have plenty of water- Normal exercise like yoga, or walking to the park 3 or 4 times per week- Have a low fat diet and alcohol free. But since you drink, then a cup of red wine is the best option. Red wine has a lot of antioxidants that can keep your heart at shape. Just try to not abuse since you had Barrettes esophagus.Hope I have answered your query. If you have any other question, feel free to ask me.Regards,Dr. Endri Katro"
},
{
"from": "gpt",
"value": "Target: Suggest ways to lower AST levels"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am a 78 year old man, I have COPD, CHF and a multitude of other issues. I take up to 3 lasix daily and use lactolose and prune juice to regulate my bowels because I am on a 75mg Duragesic patch and supplement Oxycodone for pain from back surgery which cause severe constipation. I am in a wheelchair but able to ambulate to and from a sitting position. I am experiencing a number of new symptoms such as muscle weakness, hot forehead, overwhelming weakness to the point where I cannot get out of my chair, lethargy, and weight gain. My urine flow has greatly decreased even with the increased dosage of lasix. I have very hard stools which end up with severe diarhea. I am concerned about my electrolyte balance. Could any of my new symptoms be caused by and electrolyte balance? I am under the care of a cardiologists and multiple other specialist but haven t talked to them about these new symptoms. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Yes, you are right about electrolyte disturbance as a cause for your new symptoms. Your symptoms like lethargy, muscle pain and weakness are mostly due to low sodium (hyponatremia) and low potassium (hypokalemia). So better to get done sodium and potassium level. The reason for this is mostly decreased urine output. This causes fluid retention. This fluid retention causes dilutional hyponatremia and hypokalemia. It also causes weight gain. So better to consult nephrologist for electrolyte disturbance and decrease urine output. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic obstructive pulmonary disease"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I'm 48, 6'0, weigh 198 lbs and consider myself to be in good health. After some bowel movements, I experience some semen leaking from the penis. I rarely ejaculate. Would more frequent ejaculation help this problem and also aid in a more healthy prostate gland? Doctor: Good day and thank you for being with healthcare magic!Yes there will be some accumulation of fluids and frequent ejaculation might be able to help. once a week would be a good target to achieve. If a more frequent ejaculation would not help then I would suggest having the fluid coming out tested to see if it is really semen coming out. I hope I was able to help you."
},
{
"from": "gpt",
"value": "Target: What causes semen leakage post bowel movement?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been suffering from severe sciatica pain and I ve recently been on Percoset 325 (2, 3X/day) I am also on Gabbapentin (900 mg/day), Meloxicam 15 mg. 1X/day, and Robaxin 500mg (1X/day) I am still feeling pain. I took 1300 acetaminophen yesterday and today (2600 total) which helped but I understand that will damage my liver. Will more Ibuprophen help? I have discussed the fact that the Percoset does not take away most of the pain. She had me on Hydrocodone before but that didn t help either. She also had me on Morphine which didn t help.; Please advise. Thank you! Doctor: oh my god..first line of treatment is physiotherapy. ..traction ultra sound and interferential current..exercise. massage ..myofacial release and osteopathy are better choices than reaching motphine degree."
},
{
"from": "gpt",
"value": "Target: What are the possible treatments for sciatica pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: when i get up in morning i have strong urge to have bm with mild upper right abdominal discomfort (under right rib cage). when i do it floats and most of time eventually sinks. if i dont go in morning and wait till the evening it sinks 90% of the time. its also more formed in evening than morning. still formed in morning just softer. but either way i always have to wipe excessively with quite abit on the paper after first wipe and thick. also normally have alot of partially digested vegtable matter in stool. i have had stool tests for parasites and fat. altho fat test was not the 72hr one. also had normal colonoscopy , hida scan, gallblader ultrasound and ct scan of pelvis and abdomin. have gerd and mild gastritis determined after upper endoscopy . my question: is this something to worry about? Doctor: Hi, you may have irritable bowel syndrome. this kind of symptomatology may be found in number of gastrointestinal pathology. as almost all imaging are within normal limit any sort of malignancy can be ruled out. even more detailed history regarding your lifestyle, dietary habit, special type of food intolerance, occupational history to be taken. you should consult a gastroenterologist. take care."
},
{
"from": "gpt",
"value": "Target: Strong urge to pass stool, abdominal discomfort, have GERD and gastritis. Worry?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi..Im three days late for my period, I was supposed to get it friday it is now monday. Yesterday I started having light brownish spotting and discharge. The spotting and discharge continued today along with the kind of cramps I get when Im on my period. I have taken 4 pregnancy tests and three came up negative and the other was negative but I looked at it again after an hour and there was an evaporation line on it. I have also started phentermine on saturday(one day after I was supposed to start). So my question is..should I be worried that Im pregnant? Doctor: Hi, Thanks for the query.I understand your concern. Three days delay in periods with scanty brownish discharge ....without any contraception ... can be early pregnancy &the bleeding can be implantation bleeding. Pregnancy can be cinfirmed by home pregnancy test after 8-10 days of the expected date of menstruation. Please repeat the test after a week.. fir confirmation/exclusion of pregnancy. Thanks."
},
{
"from": "gpt",
"value": "Target: Am i pregnant as i have cramps and light brownish spotting?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a 6 week old baby who's tongue had a white coating on it her first few weeks of life. Her Dr. said it was a coating of milk. Now, it has changed and appears green. She also cries now in the middle of every feeding. Thought it was gas but now I'm beginning to think her tongue may actually be hurting. She is formula fed, by the way. I'd appreciate your thoughts. I'm calling the doctor for another appt. in the morning. Thanks! Doctor: Hi..Thanks for the query..As per your question white coating on tongue in an infant does not seems like Milk retaining over tongue but seems like fungal infection known as Oral Thrush and can be commonly due to premature immunity in infants.The change in colour from white to greenish can be due to chromogenic bacteria( colour producing bacteria) that is causing greenish colour of the coating..I would suggest you to consult a Pedodontist and get evaluated and for Thrush he/she can advise anti-fungal Oral drops for clearing the infection..Hope this helps..Regards.Dr.Honey Arora, Dentist."
},
{
"from": "gpt",
"value": "Target: What does green coating on tongue of a baby indicate?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been abusing enemas for months and am not trying to lose weight i just feel like i dont empty all the way. i have had 7 abdomal surgeries in 3 years. i just lost my mom, aunt, and cousin within the last month. i want to die because i cant find any inpatient facility to help with my depression also. i am suicidal. kristine Doctor: hthanks for using healthcare magicu need immediate mental care health. In depression with such kind of social issues, suicidal thoughts increase. U can take antidepressant like tab XXXX 12.5 mg once in a day with low dose benzodiazepine like XXXX 0.5 mg at night. take it regularly for two week and gradually increase the dose. Mean time consult a psychiatrist for further help. In case u need our help, we r here to help u.Thanks"
},
{
"from": "gpt",
"value": "Target: Have a problem of depression"
}
] |
[
{
"from": "human",
"value": "Source: Patient: sir i m wilson michal raj, i was affected multiple lipoma,six month before two lipoma lumps are remove from my body at GIPMAR hospital puthuchery, but now somany lumps are produce on my arms,pls tell any preventing action to control it like diet or any treatment (note it s start from age of 16th) Doctor: Hi.There are no known medicinal treatment an any pathy (system of medical practice) to prevent lipoma. You have to get removed all the lipomas. You cab request your surgeon to remove all.The principals of which ones to remove are:*If they are on joints*if they are pressing in muscles*if on the pressure points of the body like back and buttocks.*Unsightly- meaning not looking good to eyes, socially embarrassing.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to prevent lipoma lumps"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m having severe pain within the thoracic region of the spine, accompanied by severe cranial spasms, and leg/arm tingling sensations. This was a gradual onset, and I believe it resulted from a car wreck 6-7 yrs ago. Below is a link to my mri data. efilm lite is utrilized so if the entire zip package isn t needed, then you can download just the PA(DICOM images) directory as a zip. One of the points I noticed is in Se:5/9 Im: 6/12 and Se:6/9 Im: 7/14 WWW.WWWW.WW or if you already have efilm_lite: WWW.WWWW.WW I m using windows xp for the efilm app(go into eFiLmlite directory, and click on eFilmLt, which has a double overlapped capital M icon) , and just the individual shots can be viewed in gimp if necessary, or another DICOM image viewer. I ve seen, but not used dicomscope in the package manager on the linux/debian distro I use, which is ubuntu. Doctor: Hi, after a span of about 7 years it may not show the effect, it could be due to the musculr spasm may be due to the defeciency of calcium. other causes may be increase in hypertension, lung infection, or gastric irritation. So for varification, you consult a physician for diagnosis and treatment. Thank you."
},
{
"from": "gpt",
"value": "Target: Have pain with the thoracic region of the spine. Have tingling sensations on the arm. MRI done. Treatment?"
}
] |