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PranavHarshan

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[ { "from": "human", "value": "Source: Patient: my friend suffers from diagnosed bronchiectias and gets pneumonia constantly. She is 72 Each time they give her antibotics for a week and then the xray will show the pneumonia gone, however, it contantly returns. She has been to Mayo, Iowa City had many test. It's beginning to take a toll on her. I would say she had pneumonia about 6 times last year and so far 2 or 3 this year. Any suggestions Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Bronchiectesis is permanently damaged part of lung. So bacterial colonization is common in bronchiectesis. And this gives repeated pneumonia attacks. So best and permanent cure for this is surgical removal of bronchiectic part of lung. So consult Cardio thoracic surgeon and discuss about surgical removal. Another option is culture and sensitivity based treatment. Get done sputum culture and sensitivity report. Culture will identify the causative organism and sensitivity report will guide about effective antibiotic treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks." }, { "from": "gpt", "value": "Target: Suggest treatment for persistent pneumonia" } ]

[ { "from": "human", "value": "Source: Patient: Periodically I get a dizzy spell and feel I will faint. I take Lotensin and Amlodipine but, for some reason, my blood pressure drops considerably and perhaps that is when I feel faint. With meds, I average about 140s/65 but when it drops, the systolic has been as low as 50 or in the 80s. Also, what are symptoms of brain tumor If this could be relevant? My doctor has not adjusted my BP meds but I have an Appt with him next week and would like to be informed as much as possible. JR Doctor: Hello! I read your question carefully and understood your concern. In my opinion the dizzy spells and fainting are caused by a low blood pressure, which causes a low blood flow to the brain during these episodes. I don't think that there is anything to do with a brain tumor. It doesn't cause low blood pressure. I would recommend to consult with your cardiologist and have some changes in your treatment for high blood pressure. I would also recommend to measure your blood pressure during sitting position and standing up position, to see if there is any decrease in blood pressure to confirm an orthostatic hypotension which can be the cause of these problems. Hope to have been of help!Greetings!Dr. Aida" }, { "from": "gpt", "value": "Target: What causes dizziness?" } ]

[ { "from": "human", "value": "Source: Patient: Yes I have 5 stitches on top of my right foot just below the 2 small toes from a deep cut caused by my bicycle handlebars it is numb and my toes are bruised and my foot is still swollen since it happened on the 24th of June 2014 I m supposed to get the stitches out tomorrow is it too early to have them removed Doctor: If there is swelling and bruises at local area where stitches are kept. As well if stitches are healed then you can go for removal. But if it is not healed and there is a fluid discharge from local area then it shows there is a infection over there. I suggest to visit your doctor and get evaluated properly make sure there is no infection and then go for removal of stitches other wise more then the removal the first thing you need to do is start having anti biotics if there is infection over there. And wait for stitches removal( till the time it gets dry).You can also use hot and cold pack at painful, swollen local area but make sure the water should not touch the local area where it is paining or stitches are there for some more relief.Here with out physical examination it is difficult to guide you in detail so I have given you simple guideline. I am sure this will be useful for you. Do visit your doctor let him check and take decision.Take care." }, { "from": "gpt", "value": "Target: Should stitches on foot be removed if swelling is there?" } ]

[ { "from": "human", "value": "Source: Patient: I woke up one morning w/ small red bumbs on my left jawline w white puss in them I washed my face and the bumbs are still there..it has been a week. Now I have the same bumps on my right side and now all of a sudden a few red bumbs on my cheek. The bumbs on my left are still there.I have not changed detergent, I have no food allergies . This just came out of no where. Please help me!! Doctor: these look like pimples as you say pus due to oily skin this happens they suddenly appear in oily skin when you take oily food avoid oily and greesy food take doxi 100 mg bd for2 week take allegra 120 mg od for itch no use of toxic shampoo soaps creams ointments apply clindamycin gel bd calaminew loton od stop doxi after 2 wk and ointments you can continue for long" }, { "from": "gpt", "value": "Target: Red bumps on left jawline, white pus, spreading to right side, cheeks. Causes for symptoms?" } ]

[ { "from": "human", "value": "Source: Patient: Sir, I am having a very severe pain in head from last 4 days, as the back of the head , at the right side, there is one knot. I am feeling nausea and dizziness. I have taken medicine, but no relief. Can you please give me the right treatment. With regards Sangeeta Doctor: HIWell come to HCMMost of the headaches are functional in origin and some time this could be severe if the psychological elements are more dominant, so first thing you need to do is control your thoughts, come out of stress, depression, anxiety, just relax, try to take some sleep, taking more analgesic is not advisable, if still headache is there then you can try Tab Carbamazepine 200 mg twice in day\" but try to come out of this even without this, hope this information helps, take care." }, { "from": "gpt", "value": "Target: What causes headaches along with nausea and dizziness?" } ]

[ { "from": "human", "value": "Source: Patient: I have COPD. Have had seretide for 2or more yrs. Recently been given speriva.. only a few times have i had asthma attack or struggled to breath for some hrs , is very scary i feel one of them coming on today .need a reliever puffer are there any better than asmol.. that i can get today if have to see the local dr Doctor: hi sir/madam,As a ayurvedic doctor would recommend you ayurvedic medicine which are best will give you good results too.please note down these following medicine:-1. Vasarishta :- 15 ml should be mixed with equal quantity of water and taken after meals twice daily.2.Haridra Khand :- One tea spoon of haridra khand should be taken with a cup of warm milk at night before going to bed.3. Talisadi Churna :- One tea spoon of talisadi churna mixed with ginger juice and honey should be taken three times in a day.4.The combination of Sitopaladi Churna+Pravala Pisthi+Rasa Sindur:-Take 2 gm of Sitopaladi Churna, 200 mg of Pravala Pisthi and 100 mg of Rasa Sindur to be taken with ghee three times in a day.These medicine doesnt have any side effect as its made by herbal drugs,you can find these medicine very useful in respiratory problems.i hope i was helpful for you.have a healthy day." }, { "from": "gpt", "value": "Target: How can COPD and asthma be treated?" } ]

[ { "from": "human", "value": "Source: Patient: My dad, 73, has been diagnosed with Esophagel cancer stage 4 he also has pneumonia and a feeding tube to the stomach, plus a fistula eso/traq. He had a heart attack 30 years ago. Dr has said that cant do anything for him. No chemo, radiation, anything. That chemo wd kill him in a week. Do you agree. What is the time frame? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your dad has esophageal cancer stage 4. No surgery will help. Treatment options are chemotherapy and radiotherapy. Despite of treatment prognosis remains poor. Life expectancy is not good. He has not good health so chemotherapy side effects leads to worsening of life. There is no major difference between lige expectancy with or without chemotherapy. Consult your doctor and plan 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: Is chemo advisable for esophageal cancer in a 73 old?" } ]

[ { "from": "human", "value": "Source: Patient: Hello. I have question for lazy eye. My son is 10 years old and he has lazy eye on left eye. I was wondering he still need to check up his eye every year with Ophthalmologist or it is okay to check up with just regular eye center(like Costco). His vision was not much changed past 2 years. Doctor: Hello. I just read through your question. Though recovery from lazy eye at this age is unusual, it's still better to be seen by an ophthalmologist. The eye centers frequently mishandle these types of things." }, { "from": "gpt", "value": "Target: Is eye check up required in a child suffering from lazy eye?" } ]

[ { "from": "human", "value": "Source: Patient: hi, I am a 50 yd female with 10 year hx of cholitis. I have severe lower abdominal pain today (felt painful like childbirth). radiating across pelvic area to posterior lower lumbar area. similar episode 2 years ago with full work up and iv pain control. pelvic Ultrasound and lab work unconlusive. at onset 10 hours ago pain was 10 range 1to 10. muscle relaxers, Tramadol, Alprazolam, Cyclobenzaprine and over counter naproxen have decreesed pain to a 2. No bleeding or discharge. Irregular bowel pattern for years with no constipation.Please help me figure this out. I almost went to the ER today for the pain, but decided to just wait and see how this progresses.Thank you for your time. Doctor: hi,thanks you for providing the brief history of you.A thorough clinical examination is advised.As this might be either the pathology of the lumbar spine leading to pain in the lumbar region and muscular pain in the lower abdomen and pelvic floor area.Having an ultrasonography of the abdomen should help understand the possible pathology of the abdominal area.treatment.Physical therapy for strengthening the muscles along With Therapeutic ultrasound therapy and TENS therapy should help you feel better again.Regards Jay Indravadan Patel" }, { "from": "gpt", "value": "Target: Suggest remedy for severe lower abdominal pain" } ]

[ { "from": "human", "value": "Source: Patient: Dr. I have been on Depo Provera for 4 years - had a discharge from my breasts, was tested and not malignant actually not dangerous, but don t want to take the risk of having breast cancers etc. I have also had a problem with my bone density and went to see a doctor. He put me on Qlaira I am on day 27 now.. ever since I started using it, I had water retention... had a lot of bad things like heart palpitations etc. still not able to wear my jewelry - what should I do? Doctor: HiWater and salt retention can cause weight gain ,even increased blood pressure.Weight gain is a known side effect of high dose combined contraceptive pills.Lower dose contraceptive pills can be used to avoid some of the side effects.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician" }, { "from": "gpt", "value": "Target: Why is Qlaira causing water retention problems?" } ]

[ { "from": "human", "value": "Source: Patient: Please help me. i have got sereve sunburn, had it since sunday after going to a concert on the beech. it is painfull alll the time and is starting to blister on my face. iv tryed cold showers, sleeping with cool flannels over it, ibuprofen and im continusly puttin on aftersun but its irritationg my skin in the worse areas and makinng me come up in rashes and its really ichy. the sunbrn covers my whole face half my back, my arms, and the top half of my chest. and also as i was putting after sun on today i found a big hard lump behind my ear just behind my ear lobe, it is really painfull to touch and it hurts when i move my neck. i have only noticed this today. could they bge linked, and could the lump be serious? please help im really worried! Doctor: Hi, dearI have gone through your question. I can understand your concern. Your lump behind ear has no relation with sunburn. Your lump may be sebaceous cyst or dermoid cyst. Or it can be some enlarged lymphnode due to reactive hyperplasia or soft tissue tumor like lipoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What causes hard lump behind earlobe?" } ]

[ { "from": "human", "value": "Source: Patient: I m having fairly sever lower back pain, pain in front thighs and bad headaches. I had the depo shot approx 2 weeks ago. Wondering if this might be the cause and when/if I should go to the hospital. I m taking robaxacet, one dose so far, which has given me a bit of relief. Doctor: Hello, Thanks for your query.Low backache looks like a positional anomaly. The low back ache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation).Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time.Headache not seems to related with it. Get it evaluated by your doctor for proper management.I do hope that you have found something helpful and I will be glad to answer any further query.Take care" }, { "from": "gpt", "value": "Target: What is causing sever lower back pain with headache?" } ]

[ { "from": "human", "value": "Source: Patient: I workout with heavy weights and also smoke marijuana. Lately, I ve had a tingling pain in my left arm that s worse when I workout or smoke? The pain is now everyday all the time and starts in my upper left shoulder/armpit/lung? and goes thru the painful elbow and tingles all the way to my left hand.Any ideas? I have an apt with my doc next Wed., but the pain is getting worse and all of a sudden today I have all day diarrhea, can t really eat and body aches (along with the left side tingles/pain). Also - sometimes when I breath in deep - it hurts or I hear cracking/popping in my back/chest?? I m getting worried.... Doctor: hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As mentioned in your symptoms about the tingling and pain from the shoulder till the hand I suspect it to be a soft tissue injury @ the cervical spine. As this is the classical symptoms as per the clinical assessment for nerve impingement. Also, undergoing and MRI of the cervical spine will help reveal more about the soft tissues.Treatment is simple - undergoing physical therapy will help reduce the pain by the use of therapeutic ultrasound therapy and TENS therapy. Later stages exercises will be taught to strengthen the muscles.In my clinical practice I see thiw cases most often and they respond to physical therapy well. In 2-3 weeks of physical therapy 99% progress is seen.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: What causes tingling pain in left arm?" } ]

[ { "from": "human", "value": "Source: Patient: I have been feeling very tired for a few weeks, I thought it was just stress and school, but last night I fell very ill and started coughing, from there I threw up. Today I am so very week, can barely talk, my body aches, my stomach hurts when it is lightly touched and my body feels so tired and heavy when I try to get up that I fall right back into bed. Doctor: no stress can not cause cough directly but it can cause indirectly by decreasing the immunity.you are having cough and myalgia(body ache) it can be due to some viral infection.take medicines like diclofenac sodium some multivitamins like cap bicasule z.if problem continues go for complete blood count.hope my answer helps you.take care." }, { "from": "gpt", "value": "Target: Could stress cause cough, vomiting and extreme fatigue?" } ]

[ { "from": "human", "value": "Source: Patient: hi my father is taking proxyvon.. since 2days... Because he ws suffering from Liver crirosis.. & his stomach was paining so we gave him proxyvon But he not fine.. He does all wired things... Since yesterday i hv stopped giving him this. Hope i hv done right.. Kindly advise Doctor: Hi,How are you? My name is Dr Suresh Raghavaiah. I am a liver transplant surgeon and I hope to answer your question today. By the history you have provided, I am worried that he might be suffering from hepatic encephalopathy which is a complication of liver cirrhosis. Encephalopthy can be precipitated by a lot of things (infections, medications, etc) but in most cases it is easily treatbale. In your Dad's case, it could very well been brought on by the proxyvon tablet, but infections have to be ruled out. Please let me know your geographical location so i can guide you to the nearest liver specialist. Hope this helps and hope your dad starts to feel better.Dr Suresh Raghavaiah" }, { "from": "gpt", "value": "Target: Suggest treatment for stomach pain while suffering from liver cirrhosis" } ]

[ { "from": "human", "value": "Source: Patient: Hello sir, i m reshu 21year old.......sir i m suffering frm soiliosis,plz tell me d treatment which i hav to take for this...earliar i had an operation of my spinal cord,now i can't walk,lower half becomes almost dead even i can't sense for mictuition. Doctor: possibly there is damage to lower spinal nerves leading to loss of bladder sensation. For scoliosis there has to be an evaluation how much flexibility is there to decide for course of treatment either by surgery or by mechanical means.At 21, only supportive care may be indicated. A spine surgeon has to evaluate physically if surgery can be of more benefit for correction of posture and further prevention of damage to nerves, pressure on abdominal organs etc." }, { "from": "gpt", "value": "Target: What is the treatment for scoliosis?" } ]

[ { "from": "human", "value": "Source: Patient: There is mild cortical thinning involving the right kidney with the cortex appearing mildly echogenic. There is focal cortical scarring in the upper pole of the right kidney as well. Correlation with renal function studies is recommended. what does this mean? Doctor: HiThe finding indicates that the kidney has suffered from some sort of damage either by drugs, by infections, by inflammation or by other means like diabetes or hypertension etc. I will advice you to see a nephrologist who will do some blood tests and urine tests to find the cause of damage and advice ways to limit the damage" }, { "from": "gpt", "value": "Target: What does cortical thinning in right kidney with focal cortical scarring mean?" } ]

[ { "from": "human", "value": "Source: Patient: hi, i am a 25yr old female 75kg,1.75cm, noticed i started getting heart palpitations aprox 5mnths ago and over the last few weeks have been getting worse in the sense that they seem to be occuring more often e.g everyday or so and sometimes more than once a day, i get quite scared as if im gonna loose my breath perhaps b'cos i get anxious when they come on as it is abnormal for me, since disscussing with my family my father told me he has the same thing has had it all his life his doctor said his heart just missing a beat (30-40yrs ago) so obviously could be hereditary, i asked him if he gets them everyday he said no,but your heart just missing a beat is not enough for me i smoke cigarettes and this past week have noticed i feel sick when smoking so have seemed to find myself cutting down due to it with no effort at all i have spells were i smoke weed regularly but have found myself not smoking last few weeks i take the occasional recreational drugs and in last few months have been working up to 15hrs a day a few days of the week but as of 2 weeks ago havnt been working not b'cos of it..please help me.. Doctor: smoking is the sole risk factor to almost all sort of cardiac ailments,,,,keep all risjk factors on one side and smoking on the other ...its more serious...smoke weed cannabis and all can cause arrythmia palpitationsas of now i would like to tell you that initiallygo forthyroid pfla ecga holter test( it will record any missed beat or false beats during 24 hours)tread mill test ( to see your effort tolerence)palpitation can be because of underlying cardiac ailmentit can be any thing from sinus tachycardia(normal heart beats with fast [pacing) to any sort of dangerous arrythmias or premature contraction or escape beatsdo not neglect it get these test done immidiately" }, { "from": "gpt", "value": "Target: Suggest remedy fro heart palpitations" } ]

[ { "from": "human", "value": "Source: Patient: hi iam ram 29yr..my ecg,tmt,echo are negative.. Bp,sugar and cholostrol are normal..last year went for endoscopy and in esophages lax jt at 40cm and mild reflux grade 2.. My question is when i go for gym and lift some light weight i can feel that something hitting back in my throat and the same day im unable to breath properly and started getting pressure in my left chest and burping with pain in the chest and with in 2days i got cold .. And i feel shortness in breath. Alday i feel tired and dull and body ache.. Even my chest x-ray,pft,barium swallow came normal..but if i burp and cough more i il get pain in upper abdomen..can anyone help me out what to do.. Doctor: You might be getting these symptoms, may be due to presence of mild hiatus hernia,that may slip in more with lifting some weights, causing excessive symptoms such as belching, breathlessness and abdomen pain some times.You may try cardio exercises rather than weights training. following life style changes some times help. Avoid caffeine, tobacco, alcohol. Avoid too spicy food, do not lie down for about 2 hours after meals, take dinner lighter foods, Sleep with head slightly at higher level than feet." }, { "from": "gpt", "value": "Target: Suggest remedy for shortness of breath and body ache" } ]

[ { "from": "human", "value": "Source: Patient: I am hot (to the point of sitting in front of a fan to cool off(. then I am cold. No fever but feel horrible. I had a cough which brought up green & grey matter. Now it is just clear but I still have the cough. This switch in body temperature is driving me crazy. Doctor: Thanks for sending query to hcm.you are suffering feom lower respiratpey tract infection. You should go for culture and sensitivity of sputum. Meanwhile you can take cough syrup containing ambroxole, guaniphesin and terbutalin 2. Cetrizine 10mg with monteleucost5mg once at bedtime 3. Paracetamol 500mg for fever. 4. Antibiotic can be start imperically until sensitivity report come . You can start azithromycin 500mg once in a day. All medication should be taken under guidence of clinician and if you arw allergic to any drug dont take without consulting to clinician.Review me after culture report.Best wishes for good healh . Feel free to contact.RegardsDr manish puroit." }, { "from": "gpt", "value": "Target: Suggest remedy for cough and switch in body temperature" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I am married since 1 year. I am diagnosed with bicornuate uterus (with single cervix ) by color doppler scan by the gynecologist? I have not get conceived yet. Is there any difficulties to get conceive with bicornuate uterus? What will I do to get conceive? What are the treatment plans available to treat this? Doctor: Hi! A bicornuate uterus may be an incidental finding alone, and may or may not have an impact on fertility, though the chance of miscarriage can be increased. You should get your tubal patency test done to check if both the horns are communicating and open. No surgery should be done for a bicornuate uterus unless there is a history of recurrent miscarriage or there is some other strong clinical indication for surgery." }, { "from": "gpt", "value": "Target: Diagnosed with bicornuate uterus by color doppler scan. Will I be able to conceive?" } ]

[ { "from": "human", "value": "Source: Patient: I am occasionally having intense itching INSIDE one of my feet. Usually during sleep and wakes me up. itch in the arch or along side. I have type 2 diabetes under control without any meds. I took Metformen for years but dont need it now since blood reading in am is under 120 every day. Scratching foot sometime helps but lately makes itching worse! Can you recommend topical cream or pills that will help? Sometime Acetal L-Carnatine seems to work. Thanks Doctor: Hi, You should use a topical ointment containing Beclomethasone. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician" }, { "from": "gpt", "value": "Target: How can intense itching on the soles of the feet be treated while suffering from diabetes?" } ]

[ { "from": "human", "value": "Source: Patient: I am a diabetic patient for the last 8 months. I want to take ayurvedic medicine instead of allopathy medicine. I dont want to take allopathy medicine because if one takes it, it is to be taken for a life long time. What medicine I can take. My sugar level is FBS 249. Doctor: Hai,I appreciate your concern. Diabetes is not a disease,it is a disorder.. more clearly it is not like taking medicine for some period will cure the disease.what ever system of medication for diabetes you should take treatment or manage for life long. As your fasting blood sugar is moderately high. as per Ayurveda system of medicine diet,yoga and medication combined together will help you in maintaining diabetes.As per your Body mass index you should schedule your diet.Foods having high glycemic index should be reduced and eat more leafy vegetables in your food.Add millet group of foods (ragi,bajra,)in your daily intake.you can split your daily intake into 5 to 6 times without altering daily total intake.(minimal intake at one serve.)wheat and wheat products and fruits like guava,orange,papaya,can be added. comparing to physical exercise, yoga will give refreshment to the physical and mental health. certain yoga posture will help in inducing pancreas to secret insulin. (hormone much needed in glucose control.) herbal like,amla,turmric,neem,guducci (tinospora cordifoila,) etc many herbal composition available in market will control blood sugar level. medication like nisaamalaki,setebid. Above advise will help you in controlling diabetes.however i advise you to consult Ayurvedic specialist to go for a proper investigation and medication.wish you a healthy life.thank youHope i answered your query." }, { "from": "gpt", "value": "Target: Suggest ayurvedic treatment for diabetes" } ]

[ { "from": "human", "value": "Source: Patient: hi i just did culture of foreskin and it showed scant growth of staphylococus aureus ...i have history of recurrent boils and white cheesy discharge on entire foresking and glans for 1,5 yr now ...in october culture showed moderate growth of streptococus type b ..what does this means ? should this be treated? Doctor: Hi,Welcome to HCM.I understand that you are worried about infection in your genital area. Staphylococcus is normally found in skin as a commensal. So infection can be suspected if clinically symptoms of purulent discharge and boils is present. In your case, I suggest you get sensitivity testing done for the Staphylococcus aureus and get appropriate therapy based on the test. Recurrent boils can be caused by MRSA. Thanks" }, { "from": "gpt", "value": "Target: How should staphylococcus aureus in the foreskin be treated?" } ]

[ { "from": "human", "value": "Source: Patient: I have a light brown mole with a dark brown spot on my pelvic bone. It was looked at about a year ago. Today, I noticed it lifting around the edges. What should I do? Do you think it s cancerous? I have a family history of skin cancer specifically melinoma. Doctor: yes, any recent change in colour, shape, size of any moles especially on legs, may indicate cancerous source. it is better to undergo biopsy of the same to confirm it and proceed further" }, { "from": "gpt", "value": "Target: Can a mole with a dark spot on the pelvic bone be cancerous?" } ]

[ { "from": "human", "value": "Source: Patient: I am from chennai. my 5 yrs old son was bitten by my neighbours puppy. it is not a hybrid dog. he had a thin scratch at one side and a small dot like teeth impression on the other side both an inch apart. There was little blood on both these spots. My wife was not sure if it was due to dog's teeth or nail or because my son fell down. We took him to a local linic and gave TT and some antobiotic And the rgular vaine whih was poending ofr the 5th year after birth. I Dont thnk the dotor gave him dog bite related medicine. I am very worried about this. should i get him anti -rabies vaine now? Please advice. Regards Selvaraj Doctor: HiWelcome to Health care Magic.I reviewed your history.Dog bite needs antirabies vaccine to be given.Hence I advice to take him for antirabies vaccine.Hope this is helpful to you.Thank you" }, { "from": "gpt", "value": "Target: Suggest treatment for dog bite" } ]

[ { "from": "human", "value": "Source: Patient: Im 17 years old I've been hearing things and seeing things off and on for years...I dont know whats been going on with me just a few minutes ago I've heard voice's repeadtly call my name I dont know what to do...Its 7:10 AM i can't get any sleep Cause the voice's WONT GO AWAY!!! Doctor: Hi,I can understand the distress you might be facing due to hearing and visualising things. You seem to be having visual and auditory hallucinations. It is difficult to determine the disorder with the limited information that you have given, but hallucinations are symptoms of psychotic disorders.I would suggest that you consult a psychiatrist regarding your symptoms. After detailed evaluation of your condition, treatment with medications which will mostly include anti-psychotics like olanzapine, risperidone, etc., will help you in controlling your symptoms.It will also be important that you remain on regular treatment and follow up and also remain abstinent from any addictive substance (alcohol, tobacco, marijuana, etc.).Hope this information was helpful. Best wishes." }, { "from": "gpt", "value": "Target: What causes hearing of strange voice?" } ]

[ { "from": "human", "value": "Source: Patient: I am having intense pressure on my bladder which makes me feel like I have pee constantly. Decreased appetite. Nausea. No fever but I feel weak. Shortness of breath. Tested urine for uti and it showed no infection but large amount of microscopic blood and protein. Went for my yearly pap and dr said my cervix was inflamed. I have had many of what I thought were utis in the past three years but ended up showing no infection with large amount of microscopic urine. My belly is bloated to the point it feels like my skin is ripping. I have not had a normal bowl movement in a week. Doctor: HIWell come to HCMI really appreciate your concern, the symptoms is only suggestive infection and it is not that if no evidence found in urine but the ideal way is to get done the urine culture sensitivity test, over all the symptoms are important and it can be given try with antibiotic on tentative basis, in my opinion the condition can be tried first with Disodium hydrogen citrate liquid 20 ml per oral with plenty off water, if the symptoms is still there then better to have gynecological opinion, and get done the further tests like ultrasonography and urine culture sensitivity test, hope this information helps." }, { "from": "gpt", "value": "Target: What causes persistent bladder pressure with presence of blood and proteins in urine?" } ]

[ { "from": "human", "value": "Source: Patient: My sister was told she had 3 mini strokes n a tumor on the brain . Now they r telling her they don t think she had mini strokes n that they don t think its a brain tumor but there are white shadow or spots on the test she had. What r they looking at or what could it be? She is experiencing dizziness , especially in the morning n felt like she was going to vomit. She had an episode that her vision and hearing was affected. She seemed confused n when she had to sigh her name u couldn t make out what she wrote. That was 2weeks ago . Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that her symptoms could be related to different causes: - Multiple sclerosis- inflammation or a brain infection- cerebral vasculitisI would like to directly review her brain MRI for a second professional opinion. A MRI with intravenous contrast would give more information than a simple MRI. A lumbar puncture may be needed (if no contraindications) to study her cerebrospinal fluid and determine the possible causes. You should discuss with her doctor on the above issues. Hope you will find this answer helpful!Kind regards, Dr. Aida" }, { "from": "gpt", "value": "Target: What cause dizziness and episodes of blurred vision?" } ]

[ { "from": "human", "value": "Source: Patient: Hi my son is 6 months old and these days in end of oct. month the temp. is 26. I have given him banana last night and in the morning he have running nose. Same day at night he was coughing a lot. Now he is coughing so much that he cant even sleep. Please help me. I have asthalin syrup and brocin which one will be more effective. At night i have also given him cherry cough. Doctor: Hi....Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Suggest remedy for cough in infant" } ]

[ { "from": "human", "value": "Source: Patient: My daughter has always had a hard time going to the bathroom. It continues to be something we struggle with. My younger daughter got a fever last week. She had it a day then the fever went away. This week my older daughter (with the stomache issues) got a fever. I figured it was the same thing but her fever is still not going away (day 2). She also mentioned she had a belly ache. I confirmed that she went to bathroom 2x yesterday. Should I be worried about her appendix? Should she be seen by a doctor at this point? I always try to weigh the risks of going into the dr office since so many kids are sick I figure unless I'm sure I need to go then I hold up. She is 8 yrs old, small for her age but also short. About 50lbs and 50\" tall. Doctor: Hi.Thanks for your query and an elucidate history. The causes of pain in abdomen in 9 year old child with fever can be :-Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms.The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.Also given is a dose of medicines active against worms in intestine.I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.If this is indicative of appendicitis , please go for the surgery of appendectomy." }, { "from": "gpt", "value": "Target: What causes a fever and stomach ache?" } ]

[ { "from": "human", "value": "Source: Patient: HHi my name is Shauna. I have the impression that i have some type of auto immune disorder. I have had several symptoms. Mostly fatigue, weakness in hands, tingling on my head, head shaking. And the newest symptom i stay cold all the time hands and feet. Bit i have started having white blotches on my skin under my Arm and all over my legs. I have also had itchy white patches when i stand for over 5 minutes what do u think about all of this Doctor: it is unlikely to be auto immune in nature. autoimmune problems generally are serious disorders starting with fever, weight loss, arthritis. they may involve rashes but rashes are generally photo sensitive, the cold hands and feet may be a feature of autoimmune disorders but they are generally associated with raynauds phenomenon which is a bluish discoloration of hands and feet in response to cold. and last of all it needs to be backed by blood work up which should suggest an autoimmune disorder." }, { "from": "gpt", "value": "Target: Cold hands and feet, whith blotches underarm and legs, itchy white patches, fatigue, headshaking. Autoimmune disorder?" } ]

[ { "from": "human", "value": "Source: Patient: I am having difficulty walking up and down stairs, my legs are shaky and when I get to the top or bottom of the stairs I have to stop due to dizziness. This has been happening for a few days now and I have no energy, I currently have a head cold but not sure if that is related to the shaky legs. Doctor: Dear Patient with your type of symptoms I would first like to know your cardiac status, for that ECG and treadmill tests are essential and ECG during treadmill is more informative, second thing I would order blood investigations to see your Hemoglobin status and any infective or inflammatory condition, so getting CBC,ESR and CRP will suffice.So first and foremost see your doctor, discuss this discussion and get examined and investigated.Hope you heal soon." }, { "from": "gpt", "value": "Target: What causes tremors in the leg?" } ]

[ { "from": "human", "value": "Source: Patient: hi my mum is 65 and has never been ill all her life until last year when she had a heart attack and had stents fitted and has been on medication ever since, for the past couple of days she has been feeling dizzy and it has been going black like she is going to pass out , she dosnt pass out but she cannot hold anything down either and she has low blood pressure. she went to the doctors yesterday and he sent her home with some antibiotics saying if your no better in a couple of days come back and we will send you for a chest xray. she went home took an antiobiotic and threw it straight back up, so she went to bed. the doctor just said he thinks it is some kind of infection. I am worried because my mum carries on regardless but she isn t and looks ill , I just think because of the low blood pressure the doctor should have sent her to the hospital and I am very worried about her . do you know what is wrong with her ? Doctor: Hello, Consult a cardiologist and get evaluated.Detailed evaluation is required to find out the exact cause.An ECG and echo test is required to assess the cardiac status. 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 dizziness, vomiting and low BP post stent placement?" } ]

[ { "from": "human", "value": "Source: Patient: What is a psychosomatic stress disorder ? What are the physical and mental sign and symptoms of psychosomatic stress disorder? Doctor: Psychosomatic disorder sre somatic feature of psychiatric problems.Infact these somatic problem noticed first than psychiatric. and this is identified by any somtic problem which cant be explained by underlying pathology. These can be dealt effectively by team approach of physician and psychiatrist." }, { "from": "gpt", "value": "Target: What are the physical and mental sign and symptoms of psychosomatic stress disorder ?" } ]

[ { "from": "human", "value": "Source: Patient: I have this dull pain on my left side, below the rib cage yet above the pelvis. Depending on whether I breathe heavily or not, this pain feels knife sharp. there is slight swelling in the area, about the size of a plum. the pain doesn't increase with pressure. Doctor: Hello,Since how long you have this swelling?Please get an Ultrasound Whole abdomen and see a General Surgeon Immediately.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah" }, { "from": "gpt", "value": "Target: How to treat left sided pain below rib cage?" } ]

[ { "from": "human", "value": "Source: Patient: I am on the 21 day Mircilon Contraceptive pill. I have taken 3 packs in a row so I really need to take a break but I am going on holiday soon so dont want to be on my period for that (having a seven day break would mean I was). Is it okay for me to have a shorter break, ie 3/4 days, instead of 7 ? Doctor: Hello user,yes,you can take 3 to 4 days before taking mircilon contraceptive pill.hope this helps.thanks...." }, { "from": "gpt", "value": "Target: Can I take 3-4 days break before taking Mircilon Contraceptive pill?" } ]

[ { "from": "human", "value": "Source: Patient: My father is 66yrs old. Recently he was being hospitalized due to ill health. From then his behavior is becoming different. Sometimes he behaves like a child, doesnt eat, speak etc. majorly he remain sleeping or laying on bed. He never shows interest to sit, watch tv, going out etc. Can you suggest me what am I supposed to do. Doctor: Hi dear,Childish like behavior in this age is may be due to atrophy changes in brain.so first of all do MRI of brain if possible.how's your father's memory?in past any psychiatric illness?any medical illness going on like hypertension diabetes etc?any accident history?Consult psychiatrist or neurologist.Thank you" }, { "from": "gpt", "value": "Target: What causes childlike behavior in an adult?" } ]

[ { "from": "human", "value": "Source: Patient: My BP seems high one time and then the next it is normal; I have been very tired, went to the D-in-Box for headaches. Yesterday, I suddenly had pressure in my chest, in my neck and arm but I do suffer from anxiety so it s hard for me to know what is going on. Doctor: Hi ThereAfter reading the details provided by you it seems like your anxiety levels are causing you all the trouble.So its advisable that you should personally consult a psychiatrist once and take his opinion.Also i would like to suggest you to maintain healthy lifestyle habits.Start doing yoga/meditation as it will help you in dealing with your anxiety levels.I wish you good health" }, { "from": "gpt", "value": "Target: What causes BP variations, pressure in chest and anxiety?" } ]

[ { "from": "human", "value": "Source: Patient: I had an echo that indicated moderate rvh. As a tall person I am curious as to how the measurements are obtained. If a body surface calculation is used doesn t that suggest that an obese person s measurements could yield a false neg and a leaner muscular person a false pos . I could be in denial and grasping at straws. Bwd Doctor: Most of echo labs around the world uses wall thickness in subtotal /4C view more than. 5 cm as criteria of RVH, as it's not a area or volume, it need nit be Co related with body surface area. Though in trained athelete it may be a normal finding, so clinical senerio is always important Regards" }, { "from": "gpt", "value": "Target: How are RVH measurements in an echo obtained?" } ]

[ { "from": "human", "value": "Source: Patient: i have a picc line in for about a week and in that time i have had pain in my arm, shoulder and chest that has slowly gotten worse, i cant raise my arm up very high without pain either... it is also hot and my best friend thinks my arm also looks a little swollen. Is this normal? should i be concerned? Doctor: Hello, As I was reading your history it misses a lot of things like why it was inserted? since when it is inserted? Are you diabetic or do you have any high blood pressure? any chest infection etc? To come into a history conclusion I feel one should be able to differentiate between edema and wasting of muscles. As the upper limb is not moving much there might be wasting of muscles. Also, swelling can be caused due to poor venous return and using a stocking for it should be of choice initially and some simple exercise for upper limb should avoid swelling to persist longer. Also, will recommend you get it checked by a physician as edema in upper limb over the left side mostly which isn't mentioned in the history needs to taken with attention without wasting time as heart may get involved. Please feel free to mention detailed history so we can lookout for a conclusion in precision. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: What is the cause for pain in the arm,shoulder and chest after inserting a picc line?" } ]

[ { "from": "human", "value": "Source: Patient: I am scheduled to see a specialist on Monday. The doctor who did my lower gi called today and said the blood test showed an elevated white cell count and I thought he said some of the cells were squashed? Does that make sense? He contacted the specialist and set up the appointment. I think if I heard him correctly is that I may very well have leukemia and they need to find out if it is accute or cll. I am a bit worried. Doctor: Hello and welcome to HCM,It is important to know your age.However, based on the findings mentioned by you- elevated white blood cells and squashed cells, a diagnosis of chronic lymphoid leukemia (CLL) is most likely.CLL is a leukemia of elderly.It is characterized by increased proliferation of mature lymphocytes or to put it in simple words, it is uncontrollable growth of mature lymphoid cells.Some of the cells rupture during preparation of peripheral smears.These cells are called 'squash' or 'smudge' cells.Increased proliferation of leukemia cells in bone marrow can replace the normal elements in the bone marrow causing anemia and thrombocytopenia (reduced platelets).CLL has slow progression and very effective treatment options are available.The next step in the confirmation of CLL is monoclonal studies.You need to consult your hematologist for next set of tests and chemotherapy.Thanks and take careDr Shailja P Wahal" }, { "from": "gpt", "value": "Target: Blood test showed an elevated white cell count, I thought some of the cells were squashed? Does that make sense?" } ]

[ { "from": "human", "value": "Source: Patient: i will be 30 yrs old by November and i took cytotec to abort my pregnancy, after taking the drugs i bleed a Little only for me to find out i was still sick went for medical examination and i decided to scan only to find out that i was 8 weeks pregnant and the results show that they were triplets along the way one died now i am expecting twins, my problem and fear is that i hope the cytotec pills i took wont cause a defect in the growth of the fetus Doctor: Hi, Thanks for the query.I understand your concetn. I hope this conception was after you got at least menses after the cytotek intake.In such case there is no risk to the bsbies. But if the pregnsncy gestation includes the time before you took cytotek... You will have to be careful &get a complete abortion done. Thanks." }, { "from": "gpt", "value": "Target: Does previous intake of cytotec will have any effect on present conception?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I had my 19 week scan and they have found what is called a prominent bilateral feotal renal plevis on both side measuring some 3mm, I ve done alot of reading and usually a dilation over 4mm is renal pelvis I m having trouble understanding this and what it means for my baby thank you Doctor: Hello, and I hope I can help you today.The renal pelvis is the part of the kidney where urine pools before it is sent (via small tubes called the ureters) to the bladder for urination. The baby does normally urinate inside you when the baby is healthy.Prominent renal pelvis can indicate slow flow of the ureters to the bladder, or narrowing of the urethra (the tube that leads out of the bladder). It can also be normal and can go away over time.So normally, if found at 19 weeks, you would be followed by ultrasound about every month to check the kidneys. If the renal pelvises still look prominent when the baby is full term, the pediatrician will need to evaluate the baby after birth to make sure it can urinate properly.But again, most cases like this seen at the anatomy ultrasound go away by the end of pregnancy.Either way, the condition does not affect the pregnancy and delivery at all.I hope I was able to adequately answer your question today and that this information is reassuring to you. Best wishes, Dr. Brown" }, { "from": "gpt", "value": "Target: What does my ultrasound result indicate?" } ]

[ { "from": "human", "value": "Source: Patient: hi! im 20yrs old boy. my penis foreskin is not pulling back fully. but my freinds penis skin pulling back fully. so plz give me the reason and give tips for that. then my penis tip is having pain when i rub it.. so pls give me tips to pulling back my penis foreskin..... plzzzzzzzzzzzzzzzzzzzzz......... Doctor: Hello. I have reviewed your query and here is my advice. The pain is due to your tight foreskin. Moreover, the accumulated dirt inside your foreskin can create infection. Get your penis foreskin circumcised.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand" }, { "from": "gpt", "value": "Target: What causes pain in the penis when pulling back the foreskin?" } ]

[ { "from": "human", "value": "Source: Patient: I am terribly itchy on my chest, arms , neck and eyebrows for the past few weeks. I have seasonal allergies and have changed my medication from Reactine to Claritin. It feels like the itch is inside whereas sometimes an itch can be felt more on the surface. What can I do for this until I see my physician? Doctor: Hello,Welcome to HCM,Claritin is an antihistamine helps to reduce the itching, definitely this drug helps you in controlling the itching.As you are known for seasonal allergy, you can take this claritin for time beingIf your symptoms are getting worse consult your doctor for complete evaluation.If you any of the antihistamines take and then consult your doctor.Thank you." }, { "from": "gpt", "value": "Target: How to cure itchiness on chest, arms, neck and eyebrows?" } ]

[ { "from": "human", "value": "Source: Patient: my daughter is 9yrs old but her compexion is very dark . she never participate in any function in school.she has changed her section because of her complexion .what todo how can i help her. pl. suggest me some good creame or which soap should iuse for her jhonsons product doesnot suits her, so home or herbal products.thanks Doctor: Welcome to heath care magic,I am sorry to say , Dark complexion is genetically decided. No any cream or remedy can really make a change. They just remove upper layer dead skin maximum and give you some lighter shed temporarily.U can use pealoff or shrubs available in the market , but nothing can really make a change." }, { "from": "gpt", "value": "Target: Suggest any natural treatment to improve skin complexion" } ]

[ { "from": "human", "value": "Source: Patient: Before this soft lump was just on the left side of my should blade close to my neck , now its obvious, i see another lump on the right side of my shoulder blade. Its very soft to touch and when i raise both my shoulder almost touching my ears, i won t see the lump but if i just let it down normally i can see both side the shape of a lump. When exerting effort , i feel pain. Doctor: Hi...thanks for sharing your problem...Soft,painless and lump moving freely under the skin with long duration history is usually lipoma...in your it seems to be lipoma..you should,t be bother about it ......but if you want exact diagnosis i will suggest you to see your surgeon ...he can give you exact diagnosis and further plan....thanksDr ihsan" }, { "from": "gpt", "value": "Target: Suggest remedy for lumps on shoulder blade" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is 3.6 year old. She is suffering from loose motions and complaining of stomach pain. We consulted the doctor and he suggested Darolac sachet, but my daughter is not taking it. Can you suggest the way for preparing the solution so that my daughter takes the medicine. Doctor: Hi...Darolac is only a probiotic and not an essential medicine for lose stools. Sometimes it is very unpalatable and foul smelling and the kids will not take it easily. But you need not worry as it not an essential medicine in diarrhea. But if you still want to use it you can mix in 5-10 ml of plain water and administer it.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Is there an alternative method to prepare Daolac solution?" } ]

[ { "from": "human", "value": "Source: Patient: I had a sonogram that indicated that there was an increased echogenicity of the renal cortices bilaterally, consistent with chronic medical renal disease . The right kidney measured 9.5 and the left measured 9.7 cm. The impression: findings are most consistent with chronic medical renal disease nonobstructing bilateral nephrolithiasis. Can someone put this into plain english for me? Doctor: Hello Welcome to health care magic Dear patient , your USG report shows that there is an elment of kidney injury along with some stones in the kidney that do not cause any obstruction to urine flow. The cause of kidney injury can be diabetes, auto immune diseases like glomerulenephiritis, infection like pyelonephiritis , drugs like Pain killers, etc and in an injuired kidney chances of stone formation are always high than in a normal kidney, and more over stone formation causes more kidney injury, so what you need to do is to consult a nephrologist who will get your further testing done like renal function test along with serum electrolytes, urine routine and microscopic examination, blood sugar test and other necessary tests and will then advise you accordingly and if needed a urologists consultation for kidney stones can also be sought thanks D Arshad" }, { "from": "gpt", "value": "Target: Sonogram of kidney done. What does report indicate?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, Since last 4months My 4yr son gets attack of cough once in a day anytime during day or night relieved with monticpoe syrup immediately ..no fever ..mild wheez ...what should be the reason ..investigations n line of treatment .Is it safe to give syr monticope daily n how long .. Doctor: Does he get only cough or cold & cough. Montelukast is pretty safe even in long term use. Montecop contains one anti histaminic drug additionally. Find from his doctor if he can be shifted to single drug." }, { "from": "gpt", "value": "Target: How safe is taking Monticope syrup for cough?" } ]

[ { "from": "human", "value": "Source: Patient: my age is 33 years, 59kgs, married past 8yrs, no child, once i got miscarriage in 2005, so we trying for iui, this is my first iui. After iui i missed 13th day duphaston tablet, but doctor prescribed 15 days tab, if one is missed nothing will happen no.... Doctor: Hello, by day 13 embryo usually has been implanted so nothing much to worry if you missed just a single tabletIn case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain" }, { "from": "gpt", "value": "Target: Is irregularity in taking duphaston during IUI a matter of concern?" } ]

[ { "from": "human", "value": "Source: Patient: My sister is known patient of CKD(ESRD) and have been on dialysis from last three years. She aged 28 years and unmarried. She has hypertension also.She has been suffering from high grade fever from last one with swelling in abdomen area consisting of liquid containing phosphate etc.Please guide as she has been suffering from lot of pain. She has been on antibiotics injection and paracetmol injection for controlling fever but it does not works.She has also weight loss off 6 kg in a month and now her dry weigt is 39 kg. Doctor: Hi, Consult a physician at the earliest and get evaluated. She might require a urine routine and urine culture to evaluate the cause for her symptoms as urinary tract infections can cause similar symptoms. An ultrasound scan also required to rule out any focal collection which can act as a focus of infection and can cause fever. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes high fever with swelling in abdominal area?" } ]

[ { "from": "human", "value": "Source: Patient: Hi aday after I had my baby I came up I. A huge rash all over my body I was extremely itchy to the point I wasn t sleeping and gouging chunks of flesh out my body I think it is an allergy to being pregnant but my doctor says just ignore it it has taken 4months to get an emergency appointment with a dermatologist I wanna know what it is Doctor: Hi, Welcome to HCM, It seems that you are having allergy causing this symptoms. It is very long time for your appointment with a dermatologist. Meanwhile take some antihistamine medicine like Cetrizine, Levo Cetrizine or Allegra after consulting your doctor. Try to find out allergen and avoid it. Ok and bye." }, { "from": "gpt", "value": "Target: Rashes on body, itchiness, allergies after having a baby. What happened?" } ]

[ { "from": "human", "value": "Source: Patient: I am a question sbut my English in not too good.this was a typoI have a question...I have small purple/blackish blisters on my pelvis. What can it be?I am 49 years old210lbsI take Lipitor 10mlgs.I have herpes,but it does not look like herpes Are you there? Doctor: Thanks for posting you query to health care magic.herpes produce multiple painful vesicles on skin .herpes zoster produces lesion along nerve segment it could be unilateral or bilateral on the same region of body.these are painful red heal with a crust formation . so if you are having such feature may be possibility of herpes and if not then could be due to other infection as many of skin bacteria can cause infection to skin for which you need to go to local physician for local examination .Hope you would be satisfied with my answer . Feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist" }, { "from": "gpt", "value": "Target: Can purple blisters on pelvis suggest herpes?" } ]

[ { "from": "human", "value": "Source: Patient: my sperm count is low i.e 25 active 42 inactive and 57 dead. Any medicine for increase. In fact i am taking some Anti oxidant,Zinc, Selinium. In my pass i have done much masturbate like some time 6-7 time in a day. Now i am married ,from sex desire point of view now i am also doing sex 4 time in a day. Pls suggest . waiting for your kind replay. I am taking plenty of Grain cabbages and other food. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.There is no such remedy that can increase your sperm count. But suggestive treatment is one you are already taking so keep taking the medication.You can add vitamin A to your regimen. Vitamin A has some role in increasing the count.You can take good sleep, avoid stress, avoid smoking, eat green vegetables, avoid spicy foods.This all measures collectively increase your count.Drinking plenty of water also can help you.Masturbation never causes decrease in sperm count.But you should give some time in between the sex to increase the sperm count. Like if you do it alternate day sperm will got some time to develop.4 times a day sex wash out all your sperms so you may face less sprrm count.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM." }, { "from": "gpt", "value": "Target: What medication can increase my sperm count?" } ]

[ { "from": "human", "value": "Source: Patient: semen analysis report is color-whitish, volume-1ML, ODOUR-NORMAL, LIQUIFICATION-30MIN,REACTION-ALKALINEMICROSCOPIC EXAMTOTAL COUNT-188MILIONACTIVE MOTILE-50%SLUGGLISH MOTILE-10%NON MOTILE-40%PUS CELLS- 1-2/HPFRBC-NILEPITHELIAL CELLS- OCCASIONAL Doctor: HelloThanks for query .Based on the report of semen analysis that you have posted I would state that all the parameters of your semen like sperm count .motility ,liquefaction time ,reaction and morphology and microscopic findings are well within normal range as specified by WHO.Dr.Patil." }, { "from": "gpt", "value": "Target: What should be the normal values for semen analysis?" } ]

[ { "from": "human", "value": "Source: Patient: sometimes my heat rate increases out of nowhere, just me sitting doing nothing. it feels as thought it's skipping a beat or very fast fluttering. it has been happening for a few years now, i was just wondering if it is something to be concerned about? Doctor: Hello there and thank you for using HCM. I carefully read your question and I totally understand your concern. Don't worry, I will try to explain you something and give you some advises.As you describe, my opinion is that we are dealing with a heart rhythm issue. It is difficult to tell what is exactly. You may feel that your heart is racing for different reasons.It may be a simple tachycardia. It means that your heart beats exeeds 100 beat for minute. It may happen for many reasons to simple emotional stress to different pathologist.There may be a different rhythm problem.If your heart is beating too fast and in a chaotic way, not rhythmic, it may be what we call atrial fibrillation. If you feel like skipping a beat, it may be an ekstrasystol.So, if I was your treating doctor I will recommend you some simple examinations. Beginning with a blood analyze, an electrocardiogram and an echo-cardiography. All sow I will recommend a holter monitoring to register and see what happens with your rhythm.If you feel that your heart is beating in a chaotic way. it is advisable to make an electrocardiogram in that exact moment to your nearest cardiologist.In mean time avoid coffee and caffeine products because they exacerbate this symptoms.When we document and see what kind of a rhythm problem is this we can talc about treatment.Hope I was helpful. Wish you good health.Best Regards" }, { "from": "gpt", "value": "Target: What causes increased heart beat and feeling of skipped heartbeat?" } ]

[ { "from": "human", "value": "Source: Patient: Im a student doing a case study assignment of a 42 yr old afro-caribbean man who has cancer of the head of the pancreas and is at end of life stage. He is stressed about his family and is in pain. I have been trying to search on the internet about vital signs as his blood pressure is 160/85, does this indicate hypertension or anxiety or is it due to his pain? Doctor: Carcinoma head of pancreas and hypertension are unrelated. The cause of his hypertension can be stress induced or can be a general systemic hypertension." }, { "from": "gpt", "value": "Target: Suggest cause for high bp in patients with cancer of pancreas" } ]

[ { "from": "human", "value": "Source: Patient: ihad my wisdom teeth removed on Thursday and I was put to sleep with a vein iv when I woke up I went home a few hours later I took a painkiller my doctor prescribed and went to sleep . then I noticed I started having hiccups today is sunday and I still have uncontrollable hiccups. help why did this happen to me and how do I get rid of it. Doctor: HIThank for asking to HCMThe movement (Involuntary) of diaphragm causes the hiccup, Alumina gel with Magnesium hydroxide and other combination available as oral suspension gives relief from this, omeprazole 40 mg once in day can be tried, it will definitely pass away, avoid spicy food, have nice day." }, { "from": "gpt", "value": "Target: Uncontrollable hiccups. Had wisdom tooth removed, was on vein iv. Remedy?" } ]

[ { "from": "human", "value": "Source: Patient: Have had back pain for 2 weeks now. Was told that I had torn muscles in lower back but I m sure now I a slipped disc as getting no rest from the pain and getting numbness in my bottom and groin. I have pain killers and relax pill for the muscles, should I go back to the doctor to tell him about this numbness? Doctor: Hello, Pain numbness that radiatiates to lower back and groins is a sign of nerve root compression,you need to get an mri lumbar spine done. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rohan Shanker Tiwari" }, { "from": "gpt", "value": "Target: What causes numbness on the bottom and groin with back pain?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I have raisd red bumps on my legs and thay are itchy after returning from the domnican republic punta cana. I have had bed bug bites before and these are different. I have also had shingles and chicken pocks. I have they ave not spred much from the lower parts of my legs but I now have many more 3 days after returning. Do you know what this could be? Doctor: it could be scabies like if we use any towel bed sheet or pillow or handshake of person having scabies it affects other persontake allegra 10 mg odcrotorex hc skin ointment on the affected part bdemscab lotion on body at night for 5 nights to 10 nights depending on condition use the clothes after boiling them in warm watermay take 3 wk ith medication" }, { "from": "gpt", "value": "Target: Having red bumps on my legs. Looks like bed bug bites. What could this be?" } ]

[ { "from": "human", "value": "Source: Patient: Hey there. I missed one of my bc pills and began bleeding the week before my period. I decided to start a new pack and try to skip my period. I ve been bleeding since and it s been three weeks. Should I stop taking the pill all together or continue taking it regularly as I have, and hope it regulates itself? Doctor: Hello and welcome,If there has been bleeding for 3 weeks while on pills it may be due to the pills [ especially progesterone only pills do cause such bleeding so please check which ones you are taking]. Other reasons may be that the bleeding is unrelated to the pills and may be due to other causes like cervical polyps, uterine fibroids or ovarian cysts.So try changing your pills and take combined estrogen and progesterone pills of another brand if possible. If they work then it is fine. If the bleeding still continues then it is better that you get evaluated for any other cause. Hope this satisfies your query. Thanks for using HCM.     Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist[You may also ask me direct questions at the following link. http://doctor.healthcaremagic.com/doctors/dr-madhuri-n-bagde/66844 Thanks!!]" }, { "from": "gpt", "value": "Target: Bleeding started after missing pill, not yet stopped. Should I stop taking pills?" } ]

[ { "from": "human", "value": "Source: Patient: I m a male 57 years old and is really hard to have full erections and don t last long caused by taking Dextroamp-amphetamin for 14 months. I took Cialis 20 and no results. What can I do to achieve better erections ?, is this permanent ? for how long do I have to stop taking my prescription and recover my normal erections Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss ofblood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, anddepression.Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Tretament is based on cause and include avoiding tobacco and drugs and limiting alcohol.Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases this is sufficient for treatment but you should just be patient and do necessary tests.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health." }, { "from": "gpt", "value": "Target: How can erectile dysfunction be treated while on Dextroamphetamine-Amphetamine?" } ]

[ { "from": "human", "value": "Source: Patient: I have developed eye exzema (at least that is the current diagnosis), also a spotty rash round one side of my mouth. Hydrocortisone has not helped and nor has anything else. Any ideas?Currently I have eliminated everything previously applied to my skin, no make-up, no moisturizer, no sun cream but the problem persists. Doctor: Hi,You seem to have periorbital and perioral dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take antihistaminics like cetirizine 10 mg daily. Apply Metronyl gel on perioral dermatitis lesions. Apply tacrolimus oint on eyelid dermatitis.Hope this helps.Dr.Ilyas Patel,Dermatologist" }, { "from": "gpt", "value": "Target: What is the remedy for spotty rash on the mouth?" } ]

[ { "from": "human", "value": "Source: Patient: My baby was playing with his piano's mic that has a plug ins on the end of it and i think he punctured his ear coz i saw a little blood...I don't know what to do pls help..Im in japan and tomorrow is sunday so there's no doctor and i dont have idea where to bring my son coz the doctor said that ear is not part of his area specialty..What remedies or aid can i do?Any help would be very much appreciated..thank you!!! Doctor: Hi..Thanks for the query..It looks like due to injury of the ear canal with the mic tip leading to bleeding from ear most probably due to injury inside the ear canal leading to injury to the lining of the ear canal causing bleeding..Another reason can be perforation of the eardrum caused due to deeper penetration of the metal tubing leading to pain and discomfort..I would suggest you to consult an ENT Expert and get evaluated and a thorough clinical evaluation and investigations like Otoscopy can help in diagnosis and treated accordingly..In case if there is only injury to the lining of ear canal then antibiotic and analgesic eardrops will heal it.In case if there is perforation of eardrum then small perforations can be healed with oral antibiotics and anti-inflammatory painkillers like Ibuprofen and antibiotic and analgesic eardrops.In case of large perforations surgical repair might be needed..As of now you can give him tylenol if there is pain and avoid picking the ear or exposure to loud sounds or excessive water exposure..Hope this helps..Regards." }, { "from": "gpt", "value": "Target: Suggest remedy for bleeding ear due to puncture from plug ins" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I am 42 yr old female with history of R renal stenosis(12yrs ago)(renal balloon angioplasty, stent placed yr and half later. I am on lasix 40mg 3x daily, plus bp med and gabipentin for repeat shingle x8 and small nerve neuropothy. Recent presentation of gall stones and R ovarian cyst. Recent test showing I m beginning chf with readings of 190 and 102. Right now I m having upper right quadrant pain that includes right flank into back. Dull and nagging. I also just broke out in shingles again, when I move Im winded and get a clammy sweat. No fever but tired and feel like crap! Doctor: Hi,Thanks for writing in to us.It is possible that your immunity might be low and that is the reason why you are frequently getting shingles. Stress and anxiety are known causes of shingles. Gabapentin given pain relief and improves the quality of life.The gall stones and ovary cyst need to be assessed clinically and if they require any surgical treatment. Your CHF is starting and if any surgery is to be done then with precautions it can be done better now than later should you havepreogressive CHF. The pain in right upper quadrant appears to be due to gall stones and requires surgical treatment if they are multiple with toe possibility of biliary obstruction. Please do not worry." }, { "from": "gpt", "value": "Target: Suggest treatment for upper right quadrant pain" } ]

[ { "from": "human", "value": "Source: Patient: My husband is 59 and started getting a rash late ysterday afternoon. He had a fever of 102.4 last night. Today his skin looks like a bad sunburn , solid red and his fever was 99.3 at noon. Trying to figure out if I should cancel all the guests coming over tonight and tomorrow? Lots of little ones and a couple octogenarians. Please help. Doctor: Hi Marsha , Thanks for writing in. The condition you're husband is suffering from can be viral exanthem,drug rash,steven johnson syndrome etc. Viral exanthem is a viral infection with fever and rash.It can be contagious and spread to others. It is not possible to comment on exact nature of rash without visualisation. Consider visiting ER or your general practitioner to confirm diagnosis and start treatment. Regards. DrSudarshan Md Dermatologist." }, { "from": "gpt", "value": "Target: Have fever and rashes appeared. How to get cured?" } ]

[ { "from": "human", "value": "Source: Patient: My 5 year old daughter has has a slowly rising fever since Friday evening. Then it was 100.4 and today its 102.8. She is sleeping now but has been complaining of belly aches off and on. She woke with a headache this morning but has never told me of one since she was born. Her hands and feet are very pale and cold right now. We have been giving her children's generic Tylenol off and on.... Doctor: Hello. I just read through your question. The most likely diagnosis based on your report is a harmless viral illness. The fever typically lasts 2-3 days then resolves. However, if the fever continues beyond this point, or her headaches and abdominal pain worsen, I recommend consulting with your doctor." }, { "from": "gpt", "value": "Target: Suggest remedy for slowly rising fever" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I was prescribed with (Clotrimazole Cream With Applicator) but was advised to use the Clotrimazole Cream on the outside (itching area) instead of inserting, is this cream okay to be used on the outside? However i was given (Clotrimazole Tablet With Applicator) to be inserted. Doctor: Hello, Clotrimazole cream should be used for external application in the itchiness area. Instead, the Clotrimazole tablet with applicator should be inserted. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician" }, { "from": "gpt", "value": "Target: Should the Clotrimazole cream be used only externally, on the skin?" } ]

[ { "from": "human", "value": "Source: Patient: I have a smashed both of my middle fingers , the tips are swollen & purple . Friends are telling me to drain the blood using a red hot paper clip...I want to just let it heal on its own . Will this cause a problem with blood clots ? Do I need to get the nails drained ? If I let it heal how long will it be swollen? Thank You . Doctor: Hello, The symptoms are suggestive of a hematoma. It has to be drained, if it is kept there it might lead to an abscess and unwanted complications. Consult an orthopedic and get it drained. An X-ray is required to rule out a trivial fracture. An antibiotic cover is also required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest treatment for swollen and purple fingers after it gets smashed" } ]

[ { "from": "human", "value": "Source: Patient: hi, i,m 31 years and i had fibroid surgery in January, and my doctor said all my tubes were blocked but he open on of them. but now i cannot fall pregnant. i was given fertomid 50g last month but my menstruation is back. how many times must i take the pills to fall pregnant? thanks Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.First of all I will suggest you to do tubal patency test HSG - x ray. It will help to clear doubts about tubal patency.Secondly semen analysis of your partner needs to be normal.Thirdly with tablets like fertomid I will suggest to do follicle study from day 10 of the cycle. And get Injection HCG 5000 I.U. when follicles reach 18 mm size. This can be repeated for 3 cycles if needed.Indulge in routine exercise and healthy diet regimen. Avoid fried foods, Salty foods, Refined sugars Include more portions of fruits , vegetables and salads in diet.Also start with folic acid , B12 supplements right now.I hope my answer helps you.Thanks.Wish you good health." }, { "from": "gpt", "value": "Target: How long i have to take medicine to get pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: MY SON IS 7 YEARS OLD. WE GOT TREATED FOR SCABIES ...WITH PREME...CREAM NOT SURE IF WE HAVE IT ..PROTOCOL. MY SON HAD A SMALL RASH ...AND THE DERMAT GAVE HIM A SMALL CREAM FOR HIS BUTTUCKS. THE RASH ONLY LASTED ONE DAY...IT S GONE NOW.....HE SUFFERS FROM ASTHMA ... NOW HE IS COUGHHING...I TOOK HIM TO HIS PEDI AND HIS LUNGS ARE CLEAR...ONLY POST NASAL DRIP AND HAS GREEN MUCOUS....CAN SCABIES AFFECT HIS LUNGS Doctor: Definately no But your allergies are changing system It might have been allergic rash misdiagnosed with scabies because after some years the allergies start effecting another system like you asthma after some years can cause allergic rash.and if you treat that subsides and it shifts to other organ like nose and sinuses only give anti allergics fexofenadine 120mg od singular 10 mg bd syp ascoril 1/2 tsf tds and tossex 1/2 tsf n ight do for 10 days" }, { "from": "gpt", "value": "Target: Asthmatic, clear lungs. Small rash which was treated, will scabies affect lungs?" } ]

[ { "from": "human", "value": "Source: Patient: Hello my name is Miranda and about 8 weeks ago I dislocated and fractured my left radial head. I also chipped a bone but the doctor isnt concerned about it. She put me in a cast for 4 weeks and since it has been off I have been doing physical therapy. I almost have my full range of motion back But for the past two I have been experiencing a loud painful popping in my elbow. I can tell before it is going to pop because it gets very stiff and my elbow begins to hurt a lot. After it pops it feels much better. I was just wondering what you think may be causing this to happen. Doctor: I think you might be having elbow ligament injury. I would suggest you to get MRI of the elbow and confirm the diagnosis. If there is such injury then you might need surgical intervention." }, { "from": "gpt", "value": "Target: What causes loud painful popping in elbow?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have been on microgynon30 since may (previously on it for 10yrs but had a break) I have been on flucloxacillin since tues, I am still taking the pill, my partner and I had unprotected intercourse, what are the chances I could get pregnant? YYYY@YYYY Doctor: Hi, Thanks for the query. I understand your concern. While you are taking the pill regularly as prescribed,at the same time of the day &without break... a course of flucloxacillin or any other medicine prescribed by a doctor.. who knows that you are on oral contraceptive...will not disturb the contraceptive protection . So relax.. you don't have any chance to conceive. Thanks." }, { "from": "gpt", "value": "Target: What are the chance of getting pregnant while using flucloxacillin?" } ]

[ { "from": "human", "value": "Source: Patient: dear dr, iwant to take yur suggestion about my sister's health. she is working lady, her recent tests indicates her heomoglobin level is5.8 she used to eat chalk pieces,once before and even betelnuts very ofen, and now present situation of heo level is still fallen down she's under dr's precription.pls suggest regards lakshmi Doctor: Hi, You have very low Hb level. Any thing can happen with this hemoglobin level. Even congestive cardiac failure may occure. So go to the hospital urgentely and go for blood transfusion. Then go for complete blood count, peripheral smear examination and ultrasound abdomen to search for the cause of severe anemia. If needed go for Serum iron or vit B12 level. Then take treatment accordingly. Hope I have answerd your question. If you have doubts then feel free to ask me.I will be happy to answer.Thanks for using health care magic.Wish you a very good health." }, { "from": "gpt", "value": "Target: What does the hemoglobin level of 5.8 suggest?" } ]

[ { "from": "human", "value": "Source: Patient: my legs hurt with any sort of movement, from hips down to lower legs, also cannot sit for more than 10-15 minutes without my butt getting sore mostly on the R buttocks. when driving I have to pull over et walk around the car to relieve the butt pain. this has been going on for a few months, did have labs done with a physical et they found low B12 et iron levels et put me on meds for that. I am also attempting to do my nursing work along with CNA work d/t short on staff. Doctor: Pain radiating down the legs is sciatica pain. Need to take MRI to rule out disc pathology. Avoid strenous activities meanwhile. Avoid driving" }, { "from": "gpt", "value": "Target: What causes pain in legs and right side of buttocks?" } ]

[ { "from": "human", "value": "Source: Patient: hello good afternoon.. im rochell magaling from the philippines currently working here in taiwan as a nanny.. my husband has a problem with his penile urethra orfice for i think nearly two months now.. he cannot go to the doctor for check up because his overstaying here in taiwan and the doctor will ask his healthcard which already expired.he drink some antibiotics etc. but still have this kind of problems ( urethal itchyness,skin redness only penis head,before pain in urinating but now its ok only the urethral itchyness bother him a lot..) just wanna know what of infections or desease he have and what kind of medicine need to take for now.. thank you verry much...!!! Doctor: Hello, From the given description, it seems infection. But unless physically checked, no medicine can be prescribed. do consult a doctor near you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist" }, { "from": "gpt", "value": "Target: What is the treatment for penile urethral orifice?" } ]

[ { "from": "human", "value": "Source: Patient: Hi i'm Patrick, I have been diagnosed with ADD, ADHD, Bipolar disorder, major depression disorder, anxiety/panic attacks I've been seeing things that aren't there and thinking feeling like something is watching me and touching me. most of the time when someone tells me something I think there lying or out to get me for some odd reason, I sleep way to much and sometimes I wake up and cant move scared like something is holding me down and I can hardly breath, when I pray and finally break free I feel like there's something there with me. I would like to know what medications I could take to help these issues please? I had these same simptoms as a child and was prescribe ritalin and it helped alot... Doctor: Hi, it appears that you have schizophrenia, because you are accepting that you are having the things, you can easily get through the condition easily. I advise you to consult a psychologist foe diagnosis and treatment. Besides you also practice yoga, meditation, reading books, and hearing music, Also have a balanced diet with good food values, to help you recover well. Thank you." }, { "from": "gpt", "value": "Target: Diagnosed with ADD, ADHD, Bipolar disorder, depression anxiety/panic. Some symptoms from childhood. Medication? Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: hello i am 23 years and have been on yasmine for one month though no regularlar 2 days ago i had unprotected sex but i took the pill before that but i realise it was the placebo and later in the day i took double of the pill and 3 of the pills the ext day but i am really scare cus i do not want to be pregnant could i still get pregnant. pls i need advice. Doctor: Hello If you have been using the pill continuously and regularly you should be protected against pregnancy. Also, no method is 100 % effective, and not particularly so in the first month of pill use. A back up method like condoms is always preferable to increase the chances of protection Take care." }, { "from": "gpt", "value": "Target: On yasmine. Took pills after unprotected sex. Any chances of getting pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: I am suffering from cervicitis and mild liver enlagement .I have contacted to local leady doctor adn she adviced me histectomy .there is no sign of uterus cancer in ultrasound report.under such cercumstances is it correct advice for me .pl advice.what should be the right treatment. Doctor: no, cervicitis is not an indication for hysterectomy until associated with sign of cancer on pap smear so you should not go for that.you should take a proper treatment for cervicitis; keep hygiene in genital and peri-genital area, go for culture and sensitivity test of vaginal discharge and start antibiotic according to the sensitivity and if you are married treat your partner also with the same antibiotic for 5 to 7 days because it is a viscous cycle both partner must be treated to prevent propagation of infection mild liver enlargement is not much problem if it is asymptomatic and with normal liver function test and may be due to fat deposition." }, { "from": "gpt", "value": "Target: What is the treatment for cervicitis and mild liver enlargement?" } ]

[ { "from": "human", "value": "Source: Patient: hello description: 2nd floor back hopefully sometime I live in my foot gold and its funny I can I please get me bodiedMy lower back and left leg hurts so bad my leg and foot goes numb and sometime it feels like they r burning and I can hardly move cant walk without escruating pain what is going on Doctor: hi,thank you for providing the brief history of you.As per your history it appears more of a lumbar Spine disc degenerative disease. Due to the disc compression on the nerve root there leads to pain and abnormal sensations.I will advice you to undergo a thorough clinical examination and an MRI of lumbar spine to understand the extent of the soft tissue Injury.Treatment Physical therapy like therapeutic ultrasound therapy and TENS therapy should help you get rid of the symptoms. Exercise in the later stages should do well and you should be back to feet happily.In my clinical practice such cases respond well to physical therapy.Regards Jay Indravadan Patel" }, { "from": "gpt", "value": "Target: Suggest treatment for hurting in leg and back pain" } ]

[ { "from": "human", "value": "Source: Patient: hi my grandson who is 5months old, was born premature and with undefined genitalia. He has had test which show he is male and tertosterone cream and will have ops to help correct his penis. But the hospital have now said that he may have campomelic dysplasia and that there is a 2yr waiting list for the test. Do you know were we could have the test done asap even if it is done privately. We live in Wales. Doctor: Hi, I have gone through your question and I understand your concerns, please contact Igenomix lab with an email and they will clarify how they can help with the test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist" }, { "from": "gpt", "value": "Target: What to do for the abnormality in child?" } ]

[ { "from": "human", "value": "Source: Patient: As of yesterday i suddenly noticed when i left work i could'nt drive due to severe blury vision. The blury vision has continued into today. For the last four days prior to this condition , I had symptoms of dry mouth night and day and had to drink water every half hour accompanied with frequent urination every hour during the night and every two hours during the day. I have been fighting a bad cold for about a week during which time I have been killing my constant thirst with water and orange juice, alternating each,.These symptoms are still here, all of them. I borrowed my fathers blood sugar tester and tried it three times, the tester says my blood sugar is at 551. I am a male aged 5' 10 \" , 48 yrs old and overweight for last 6 years, aprox 330 lbs, and one more thing, today i noticed somehow i've lost 20lbs.thanks in advance, Domingos Doctor: The symptoms you describe are consistent with the onset of diabetes. It sounds like it has been quickly getting worse over the last few days. A blood sugar of 551 is extremely high. This is an emergency. You need to be seen and treated for this immediately. It may cause brain damage, coma, and death if not promptly treated. Go to emergency or call an ambulance. Hope this helps." }, { "from": "gpt", "value": "Target: Could bad cold lead to blurry vision?" } ]

[ { "from": "human", "value": "Source: Patient: I had blood in my urine since I found out about it from when I was 26 yrs of age and now I m 65. My doctor wants to find out what s going on. I ve been to see a urologist last year and was told that everthingh looked good in my bladder . I had a abodomal pelvic scan an it showed that I had a stone in the upper lobe of myy kidney. I just finished a follow up and had another C/T Scan which they did a stone search. The results came back that the stone is gone....I had blood test done and found out today that I have blood in my urine still--I was to see my doctor today an he said that I still show blood in the urine which you don t see with the naked eye. Now I have what iscalled Beta hemolytic Streptoccoccus, group B 10,000-25,000 colony forming units per mL Now last month I was given Penicillin I believe it was twice a day at 500 mg a taPotassiiium, Serum blet. Why can t I get rid of this condition.?? Also my Protine is 3+ Abnormal -- Occult Blood is 2+ Abnormal--- My RBC is 4-10 Abnormal--Casts present Abnormal--- My AST ( SGOT ) 43 High--My ALT (SGPT) 50 High--My Potassim, Serum 3.3 Low--Glucose, Serum is 131 High--My Triglerides is 242 High--VLDL Cholesterol Cal 48 High--Vitamne D, 25 Hydroxy 20.8 Low---Hemoglobin A1cis 6.8 High--Everything else on the blood work is good. Now my doctor wants me to see a Nafraperlist Kidney doctor to see if he knows what s going on. Then my doctor said that it could be a woman thing. Is the condition serious with the streptococcus??? The doctor said that after he get s back all the test we ll go over everything. I also had a Thyroid Ultrasound andit showed The right thyroid lobe measures 3.9 cm x 2.5 cm x 1.9cm. The right suerior lobe contains a 1.5 cm nodule which demonstrates calcification within. The left lobe measures 6.3 cm x 2.3 cm x 1.7 cm. The left lobe contains multiple hypervasculr nodules with the larget on the mid lobe measuring 2.1 cm. The isthmus measures 0.6 cm. Clinical correlaton and follow uo are advised. Impression: Bilateral thyroid nodular disease. heterogenous thyroid. Can you tell me please if these are all serious. Can you give me your feed back with what you think might be causing the Beta hemolytic Streptococcus.?? Thank you, Michele Doctor: Hi Michele, welcome to HCM. Thanks for giving lots of information in your question(s). Beta haemolytic streptococcus is a common bug causing upper respiratory infection. If you have urinary infection with it , its a bit rare. It spreads by areosols and quite a common bacteria. You do not have to worry about it as it is treatable. You can still have some blood in urine even after you have passed the stone some weeks ago. Make sure you drink plenty of fluids to prevent further stones. Your urine routine tests shows blood and protein which needs further investigation under a nephrologist locally (Kidney Biopsy). With regards to your thyroid, many people have multi nodular disease of the thyroid, however your tests don't suggest any sinister pathology which should worry you. You need follow up under a local endocrinologist to check you thyroid function. Best wishes. RB" }, { "from": "gpt", "value": "Target: History of blood in urine. Have kidney stone. Test showed beta hemolytic Streptococcus. What is the cause for beta hemolytic Streptococcus?" } ]

[ { "from": "human", "value": "Source: Patient: What does mild left renal pole medullary prominence suggest- as seen on CT scan? Additonally, right hepatic lobe subcentimeter hypodensity too small to charaterize, and finally, extensive sigmoid colon diverticulosis with proximal colonic wall thickening without surrounding fatty stranding,. Differential includes early diverticulitis, annular carcinoma, or under distension? Doctor: Hi,Thank you for posting your query.I suggest you consult a gastroenterologist and a urologist for getting an opinion on the findings as reported in your CT scan.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]" }, { "from": "gpt", "value": "Target: Mild left renal pole medullary prominence, sigmoid colon diverticulosis and annular carcinoma on CT scan. What is this?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, My son has just had knee surgery and returned from hospital yesterday afternoon. He slept well last night but woke up this morning with severe (7/10 pain rate) upper abdominal pain (about a hand span down from nipple line) The pain comes in spasms which last for 7 - 10 minutes and occur every 20 -30 minutes. Medication has been panadol (last dose 27 hours ago) and tramadol (last dose 22 hours ago). He ate normally last night and toileting is normal. Any suggestions/thoughts appreciated. Doctor: Hi.Thanks for your query.Your son has developed severe pain in the upper abdomen days after Knee Surgery, hand-span down the nipple line. Pain comes in spasms lasting for 7 to 10 minutes, and occur every 20 to 30 minutes. Taking Panadol and Tramadol.Ate normally yesterday and toileting is normal. The possible causes are:Acid peptic disease wherein you get gastric or duodenal ulcer or esophagitis.Pancreatitis.I would advise you the following:Start giving him PPI like pantoprazole.Antacid liquids at 3 hourly interval.Get an Upper GI Endoscopy and CT scan of the abdomen.Clinical evaluation and physical examination by a Doctor, preferably a Gastroenterologist helps more." }, { "from": "gpt", "value": "Target: What causes severe abdominal pain after knee surgery?" } ]

[ { "from": "human", "value": "Source: Patient: hello, Dr. AAAAAAA I am anjani Sharma here from Ahmedabad iwant to cht with you about the problem of my Son who age is 6 y 9months he is suffering from the very minor symptoms of epilepsy in the morning time for half a minute there any medicine in homeopathy which remove this disorder for life time Doctor: 1. what minor symptoms of epilepsy are there,please mention or specify? 2. was CT-brain and EEG of the son taken if yes what were the observation? 3. what is the FREQUENCY of the symptoms so as to distinguish whether your son is suffering from Epilepsy or Seizures? 4. at this age, going by the history, it can be labelled as petit mal or absence type of epilepsy,unless proved otherwise. 5. any history of fever,brain development disorder? Is his Immunization schedule complete (till date) 6. avoid carbohydrates rich diet, reduce any mental stimuli (if there). 7. treatment will be decided by your health care provider after proper evaluation." }, { "from": "gpt", "value": "Target: Child having minor symptoms of epilepsy, want to know permanent remedy through homeopathic medicines. Advice?" } ]

[ { "from": "human", "value": "Source: Patient: I had a labial cyst that got infected and grew to a the size of a BIG egg. I had a marsupialisation procedure about 6 weeks ago. The wound healed but there is a lump slightly lower than where the original cyst occurred. It is not painful but is rather large and sometimes aches, could this be scar-tissue and just swelling from the surgery or could it be another cyst? I did go to the doctor 2 weeks ago who didn't know and gave me the same antibiotics the hospital perscribed but it hasn't helped. Please can you help, i've been getting really worried? :( Doctor: Dear,Thanks for the query to HCM.I studied your query and understood your health concerns.Remedy and cause-of your problem-In my opinion are- you have recovering scarr at the operated site and so Dont worry.Treatment advised -a-Consult Er doctorb-Tab-Antibiotics if it does not subside in 10 days timec-Tab-Nsaids x 1 wkd-Contact the operated Surgeon,who would guide accordinglyRevert to your doctor on this advise- who would help you.This would help you to resolve your query.Welcome for any further query in this regard.Write review ASAP,with strong recommendations for Me and HCM to benefit old and new patients.Have a good day.With Regards,Dr.Savaskar M.N." }, { "from": "gpt", "value": "Target: Suggest treatment for labial cyst" } ]

[ { "from": "human", "value": "Source: Patient: Below are the Lipid Details: -------------------------------------- Non HDL Chol = 197 Chol/HDL Ration 6.6 Triglycerides 201 HDL = 35 VLDL = 40 LDL Cholesterol (Calculated) = 157 Cholesterol Total = 232 No other past issues in reference, how do we identify risk level and what needs to be paid attention? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have low hdl cholesterol and high ldl cholesterol. It should not be there.You should take low fat diet with high amount of polyunsaturated fatty acids. you can take atorvastatin or pravastatin like drug if needed according to your doctor's advice. so don't worry. Just be relaxed. Follow diet and repeat the test after three months. Then consult physician 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: Is it to be concerned about the HDL level in lipid profile test?" } ]

[ { "from": "human", "value": "Source: Patient: I am experiencing occasional pain in my right hand halfway between base of thumb and wrist. It appears a bit inflamed but not red or warm. I was playing with a toddler and he accidentally kicked the sore spot and pain was horrible for about a minute. It has been going on for about 2 weeks now, but not at any regular time. I workout daily in the gym and thought maybe I did something there, but now I m thinking perhaps there is fluid or something in there. The range of motion is normal for my thumb and does not hurt when I move it or touch it. Doctor: Hello First I will advise to do x ray and rule out any unicortical fracture in your thumb/wrist.According to your history it looks that there is possibility of injury to ligament of metacarpal or phalange joint.If you are having swelling and pain you can strap your finger to get proper rest to joint.And apply crepe bandage for support and compression.Use ice packs to reduce swelling, inflammation and pain.Physiotherapy with ultrasound and Tens will help you,For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ].If there is no relief them you may need to do MRI.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care" }, { "from": "gpt", "value": "Target: What causes occasional pain in the right hand?" } ]

[ { "from": "human", "value": "Source: Patient: sir, i am 20 years old, i had my gall bladder removed on 12 march-2012(nearly two months back). IS it advisable for me to do swimming and other rigourous and streching exercises like yoga and basketball.. pull ups.. hanging from a bar etc... etc at this time ??? Doctor: hi.noted history of cholecystectomy several years back. to answer your question, yes, you may return to your exercise routine. it must be done gradually and as tolerated initially. even those have been operated on for years, occassionally experience pain/discomfort over the post-operative site, which is tolerable in intensity and resolving spontaneously. if symptoms are persistent/progressive, a follow-up consult with your surgeon is best for physical examination and clinical evaluation. low fat diet is also recommended.hope this helps.good day!!~dr.kaye" }, { "from": "gpt", "value": "Target: Is there any harm to do stretching exercises after gall bladder removal?" } ]

[ { "from": "human", "value": "Source: Patient: hi i was being operated two months ago of Lipoma and the doctor said nothing to worry coz its not cancerous. what im doing now is taking mx3 herbal medicine everyday just to make sure not to have lipoma growth again.is it right to take herbal meds everyday ? what are other meds you recommend to make me stay healthy? thank you Doctor: Hi.There are no known medicines in any pathy ( type of medical treatment ) that can cure or avoid lipoma. So no need to take any medicines at all if you are taking it for lipoma.No herbal medicines to be taken for lipomaFor you to stay healthy you can have a balanced diet, good exercises and anti-oxidants or multivitamins in the dose not exceeding 1 cap a day as well balanced food will have all essential things." }, { "from": "gpt", "value": "Target: Is it ok to take herbal medicines everyday to cure non-cancerous Lipoma ?" } ]

[ { "from": "human", "value": "Source: Patient: does tums increase the glucose in blood..currently i am pregnant and i forgot to took glucose tasteafter 1 hour..i took it within 1 hour and reading came 122 and after 1 hour when i took taste i had tums and reading came 147..is it because of tums or 10 minute difference? Doctor: Tums for Tummy, is that the one u r referring! if so, TUMS is high in Calcium and little of Sugar, however, the marginal rise of sugar u observe could be due to Pregnancy itself.Pregnancy is a diabetogenic state so these values suggest to get a Glucose Tolerance Test.TUMS is safe,in pregnancy.If the OGT is positive then u can get a sugar free TUMS, but that contains Glutamate,only take it if u have no history of allergies." }, { "from": "gpt", "value": "Target: Does tums increase the glucose in blood?" } ]

[ { "from": "human", "value": "Source: Patient: My husband has a very large extremely painful lump inside his scrotum. It is increasing in size and pain. Previously we have been able to get a bloody pus like substance from it. It has now quit draining and continues to increase in size. It is becoming difficult for him to walk. He has a doctor s appointment for Monday. Should he wait or go to the ER? Doctor: Hi,It seems that he might be having some infection in scrotal sac or infection in skin leading to an abscess formation.Wait till you consult surgeon and get it diagnosed.After examination, line of treatment can be decided.Meanwhile clean the wound with antiseptic lotion and dress it with antibiotic cream.Ok and take care." }, { "from": "gpt", "value": "Target: What causes painful lump inside the scrotum?" } ]

[ { "from": "human", "value": "Source: Patient: hi my mum was diabetic i am on a lot of medication mirtazapine quetipine amolodipine duloxetine i have started to go to the toilet all the time my stomach looks blown out and i have a offensive smell i have been eating a lot of sweets and sugary drinks more than usual Doctor: Hi, thank you for posting.I have gone through your query and I understand your concerns.Your symptoms are caused by Helicobacter pylori. High amount of sugar has caused odor smell. So I recommend you to avoid minimize the sugar amounts.By doing that you will prevent Gestational Diabetes too.To confirm the diagnosis you need Helicobacter pylori test, complete blood, count, liver function test, urine test and fasting glucose test.Consult your gastroenterologist.Wish you good health.Dr. Behar." }, { "from": "gpt", "value": "Target: What causes stomach bloating and odor after ingesting sugary foods?" } ]

[ { "from": "human", "value": "Source: Patient: I have 3 disk bad in my neck and 2 in my lower back. I had pt and it made my pain worse. The pain dr. did an epidural that lasted for a few weeks. I do not want pain meds. I cant take most of it anyway. I now have restlessness in my neck and arms(joints). What can I do? Doctor: Hello, I would recommend consulting with a neurologist and discussing starting therapy with gabapentine or pregabaline, which can help improve your situation. These drugs are not painkillers and are long term therapy against chronic pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka, Cardiologist" }, { "from": "gpt", "value": "Target: What causes restlessness in neck and arms after having epidural?" } ]

[ { "from": "human", "value": "Source: Patient: My right side of my my gums all hurt under the teeth and the right side of my throat hurts, I feel it more in the gums though. Its painful when I swallow and there is a slight pain in the gums continusly, I first noticed my throat hurting and thought that I was getting a cold. My ears also pop when I swallow. Doctor: Hello,Thank you for your inquiry. Your description indicates symptoms of an infection spreading. You may have a tooth abscesses causing gum irritation or periodontal disease with a pocket of infection. Please try to take anti-inflammatory medication. Try and acetaminophen or an ibuprofen. An antihistamine such as Benadryl can have some positive effects also. Antibiotics by prescription would be best to control the spread of infection. A dental visit with a clinical exam and diagnosis would allow treatment. A root canal or periodontal scaling may be indicated. Warm salt water rinsing may help. Continue to practice good home dental care. You could have inflammation from the start of a respiratory infection. Allergic reactions are possible as well. Any trauma to your gums? Your description being isolated to one side makes me think of an underlying dental problem. Errupting wisdom teeth can cause similar symptoms if an infection occurs. X-rays may indicate a tooth under bone and gums that needs extraction.I hope my suggestions offer relief. I would encourage you to plan a dental visit soon." }, { "from": "gpt", "value": "Target: What causes gum and throat pain?" } ]

[ { "from": "human", "value": "Source: Patient: my son is having a wheezing cough now for almost 4 days. he s always crying whenever he heard that we re going to visit his pedia. So i decided to check what the doctor recommended on the last time that he has the same case. It is possible if ever i give him a 7.5ml combination of celestamine and bricanyl + 7.5 ml ceclor. then nebulized with combivent 3x/day for 5 days. Doctor: HiWelcome to the HCMI have gone through your question and understand your concerns. Don't worry. If it's mild cough with wheeze, you can treat him at home. But avoid giving Steroids ( Celestamine) and antibiotics (ceclor) on every occasion. I would recommend you to give Syp. Bricanyl for antihistamine effect which helps in relieving cough. Also, you may give combivent nebulization for wheeze treatment. In case the cough worsens in spite of this, then do consult your pediatrician for complete examination and treatment accordingly.Hopefully this will help you. I would be happy to help you in any further questions.Take care" }, { "from": "gpt", "value": "Target: Suggest medication for wheezing and cough" } ]

[ { "from": "human", "value": "Source: Patient: hi, I am 34 weeks pregnant and experiancing a squelching sensation in my tummy, baby is active as normal and moving quite happily but its almost as if there is a pocket of air there, is this normal? it is my 4th preganancy and I havent had this before. Thanks Doctor: Hi.I would recommend a visit to your doctor for an ultrasound, I am sure all is well, but if there are any abdominal cramps or pain then it should always be reported to your caregiving doctor. I would recommend a visit and your doctor may also choose to initiate you on some pills (possibly).Best wishes." }, { "from": "gpt", "value": "Target: How to treat squelching sensation in stomach?" } ]