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PranavHarshan

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[ { "from": "human", "value": "Source: Patient: I am 57 years old man. I had a problem of looking at the places of lower sex organs of male and female and afraid and not able to talk to them freely.This was started 27 years back and even though I took various medicines advised by psychiatrists I am not cured of completely. At present I am using paxidep 12.5 mg and lonazep 0,25 mg. Can anyboxy advise me what to do? Doctor: It has been so many yrs that you are facing a difficult problem.it is ocd dear or obsessive and compulsive disorder. Ssri helps but the dose you are taking is very less to be effective. Visit a psychiatrist , ask for increasing dose or change to fluoxetine." }, { "from": "gpt", "value": "Target: How to overcome the problem of looking at the sex organs of males and females?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, my sister delivered a baby boy just then and was told that the pulse rate is high and the blood sugar is low. is under some kind of observation and not given to his mother. The reason they give is bcoz my sister was having sugar during pregnancy. Is it a serious problem? Will the baby be just fine. Please reply. Doctor: in pregnant mother due to diabetes sugar will be high so baby will get more sugar so it will be producing more insulin.insulin is the prime hormone for growth in infants.{yes,not growth hormone:it s only after 5 years}up to 5 years hormone:thyroxineso more insulin produced more chubby baby is.after deliveryMORE INSULIN:LESS SUGAR{BCOZ BABY IS OUT}so blood sugar lowit s not serious if baby is monitered regulated sugar regularlybut main effect will be the baby is going to be bit heavier side and most probably may get diabetes milletus in future.so advice is keep him on low glycemic index foods after 7 years" }, { "from": "gpt", "value": "Target: What causes low blood sugar in new born baby?" } ]

[ { "from": "human", "value": "Source: Patient: My husband is 30 yrs old and is in good health but recently he was diagnosed with pericarditis and an inflamed liver. He's also having fatigue, weakness, slight loss of appetite, cough, fever, slight wt loss, and excessive sweating. What immune disease would have these symptoms? Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.These are possible causes of such symptoms and extensive work up is required. There are many autoimmune diseases such as hepatitis, rheumatoid arthritis,sle, or hormonal disorders such as hashimoto. I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health." }, { "from": "gpt", "value": "Target: Can inflamed liver cause fatigue,fever and excessive sweat?" } ]

[ { "from": "human", "value": "Source: Patient: I am on my 6th cycle of iui and on my face I have white patches . They do not hurt and are not itchy. It just looks like bleached skin. It is my assumption that these are cause by all the hormones. Will they go away once the treatment stops, once I m pregnant, or after birth? Should I avoid the sun on my face altogether? Or just use a very high sun screen. Can I do anything about it now? Or do I have to wait for them to go away? Is this damaging my skin? Doctor: Hello madam maria.I think the white patches on your face is a separate skin problem and nothing to do with your IUI. However you can consult a dermatologist if you like and seek advice. thank you . Take care. Bye" }, { "from": "gpt", "value": "Target: Treated for IUI, white patches on face, no pain. Is this caused because of treatment?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I had chlamydia once last august and got tested positive the first time. Took medication and tested again but results came back positive. So took medication again and tested myself. Results came back negative. But after about 2 months got a pain in my left testicle and went into the clinic. They tested me again for sti/std s and said results came back negative . They said it could have been a bacterial infection that caused the pain in my testes. Now its been almost a year since all this happened but I am just worried if I should test myself again and not able to get peace of my kind. Any suggestion? Do you think I might have contracted other sti or std? Doctor: Hi,Thanks for writing in.Chlamydia causes inflammation of the epididymis, a structure inside the scrotum (sack that holds the testicles) attached to the backside of the testis (testicles). Signs and symptoms include red, swollen and warm scrotum, testicle pain and tenderness which is usually on one side, painful urination, frequent urination, painful ejaculation, painful intercourse before ejaculation, lump in testicle, swollen inguinal nodes (lymph nodes in the groin), discharge from penis, and blood in the semen.If you have taken treatment and do not have any of the symptoms then there is no need to worry or get checked further. However if you have any of the symptoms then additional check and treatments might be required." }, { "from": "gpt", "value": "Target: What causes pain in testicles?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 58 yr old woman who just had back surgery. The doctors said by looking at my x-ray that every thing seems back to normal. My surgery was in August. However I am still having a lot of pain along my back, and hip, and calf. The doctor said I do have a lot of arthritis. Besides this, I have lots of problems with my bowels, as well as no longer have control over my bladder.one week I have constipation, than next have chronic diarhea. I have been like this for at least 6 months. I have had tests such as a colinoscopy. What do you think? Doctor: Alternate loose motions and constipation may be seen in various bowel diseases such as IBS, CROHNS and even bowel malignancy. A colonoscopy may help. The radiating pain in the hip, calf and thighs may b due tp various reasons. Take care" }, { "from": "gpt", "value": "Target: What causes persistent pain in the back post a spinal surgery?" } ]

[ { "from": "human", "value": "Source: Patient: I have 2 torn meniscus L knee very painful I also have a lot of arthigist on my knee cap. swelling the size of a cantaloupe. Saw dr. and said the lump is to small has to be the size of a watermealon. and the tears a small and will heal themselves. he will give shots and pt. Doctor: Hello, I have studied your case. Meniscus injury can be managed by arthroscopic repair,and same day you can go home.As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion .If pain persist then you may need to do MRI again to see for any functional defect.small meniscus tear can be managed conservatively with physiotherapy with USG and TENS.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 is the treatment for tear of meniscus?" } ]

[ { "from": "human", "value": "Source: Patient: hai,my father age is 62,he is having urinary bladder:- well-ditended. wall thickness noted.*1.1 cms calculus noted.prostate :-*enlarged in size.vol.47cc.impression:- GRADE-3 PROSTATOMEGALYwhich technology is best and best hospatals also in hyderabad Doctor: HI, AS PER THE USG FINDINGS HE IS HAVING ENLARGED PROSTATE WITH A 1.1CM OF BLADDER STONE. THE BEST MANAGEMENT OF THIS CONDITION IS TURP (BIPOLAR/UNIP0LAR) WITH CLT. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ashish Kumar Khandelwal" }, { "from": "gpt", "value": "Target: Suggest the best treatment for grade-3 prostatomegaly" } ]

[ { "from": "human", "value": "Source: Patient: I masturbate before I go to sleep at night. Usually nothing is wrong, but (and this always occurs at night, I ve found) after I masturbate, a few minutes,my scrotum usually gets very tightened up, and there is painful feeling above my crotch.and when i urinate there is a blood on my urine but painless and..Usually I just sit there, drink some water until the feeling goes away. ANY idea what this is? Doctor: DearWe understand your concernsI went through your details. I don't think you have any problem. Masturbation is healthy if done moderately. You are young. don't be obsessive towards penis and sex organs. That could cause anxiety and stress. This pain could have come for once or twice, that could be due to your physical stress. If the pain continues, please consult a physician. Take care.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR.Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: What causes tightening of scrotum and pain above the crotch after masturbation?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... I have AFib, and I want to go to the mountains near Denver Colorado and I'm worried about the altitude affecting me. Should I be concerned about what this might do to my heart? Are there any steps I can take to keep myself from going into Afib (it's now controled)? Is a major increase of stroke or heart attack a possiblity. I'm 62 and also overweight, but I'd really like to be there for my Grandson's wedding. Sincerely, Mrs. Coucke Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You have not mentioned about the drugs or any intervention performed on you if any or using anticoagulation or beta-blockers currently.A-fib does compromise your circulation and going to a hill station where oxygen saturation is low can make your heart work more and exacerbate your A-fib and increase chances of stroke.Please state your full drug history and then more accurate advice can be given to you.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Muhammad Adnan Iqbal" }, { "from": "gpt", "value": "Target: How does high altitude affect one suffering from Afib?" } ]

[ { "from": "human", "value": "Source: Patient: I walk / run everyday. I have had these fatty lumps come up over the years. Have had several removed. Currently I have one on my hamstring in upper leg. Doctors have said they would have to refer me to specialist, but that would not be a good idea to remove. Your advise? Doctor: Dear just neglect it like many others you had.if it increases in size then consult a surgeon and do Fnac biopsy. Hit thanks.Gd day." }, { "from": "gpt", "value": "Target: What causes fatty lumps in upper leg?" } ]

[ { "from": "human", "value": "Source: Patient: hi, i had miscarriage in last august and after that we try for baby....but we did nt, this feb'12 i undergone...Polypectomy treatment/D&C now my doctor has given Letov 2.5mg...today 9th day of my cyclewe are eagerly try to get conceive...can you tell us ...how can we boost our chances to get pregnant with this month? Doctor: Hi, t hanks for writing..Get a follicular study on day 11 and repeat on alternate day till follicle size reaches 20mm which is the time of ovulation.. Have intercourse in and around this time.. Repeat a scan to see for signs of ovulation.. Take duphaston for 10 days in the post ovulatory phase for luteal phase supports which decrease the chance of abortion.. Hope I have answered your query.. Good day.." }, { "from": "gpt", "value": "Target: Taking Letov, how can we boost our chances to get pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: my boyfriend and i had sex lastnight in the shower.... because we had finished bathing my vagina was clean and was not aroused... he entered me which was kinda painful... this mornin he woke up and had little red spots on his penis... which i think are blisters.. are they? can they be friction burn? Doctor: Hello. I have reviewed your query and here is my advice. From the given information, the blisters are supposed to be due to friction related skin burning and further inflammation. There may not be anything to worry. Still it should be better if your boy friend approach a physician for a good look at the skin and the blisters. 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 red spots on penis after having sex?" } ]

[ { "from": "human", "value": "Source: Patient: i have a large lump on my lower left side of my back... about 4 years ago i toppled over a chair and pulled something in my back and i figured it was just swelling that would come down but i have asked my doctor about it lately because its becoming a problem... it dosnt hurt its just not too pretty to look at Doctor: Hi ! Good evening. I am Dr Shareef answering your query. Although a personal physical examination of the lump would be helpful in reaching a nearby diagnosis, most probably with a history of trauma, it could be an organised hematoma on the left side of your back. To confirm the diagnosis, if I were your doctor, I would go for an FNAC (fine needle aspiration cytology) followed possibly by an excision biopsy depending on the report of the FNAC. Considering the duration of more than 4 years, clinically it might be a benign lesion not to worry about. However, for cosmetic reasons it might be required to be taken out.Therefore, I would advise you to consult a general surgeon and get your self assessed for the same.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: What would be the painless lump on my back?" } ]

[ { "from": "human", "value": "Source: Patient: hi, i am 21 year old i am facing hairfall from 7years.hairfall happens more on applying oil ,after oiling on rinsing with shampooand combing.iam very much worried plz help me .i also face the problem of irregular motion or late motion.right now i am taking evion capsules daily. Doctor: Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.Since you have not mentioned relevant history and description like sex, pattern of hair loss(patchy/diffuse), family history etc, its difficult to put a definitive diagnosis. Still, it seems you are suffering from either Androgenetic alopecia (due to hormones and genetically determined) or Telogen effluvium (Due to any recent stressful event or any other medical condition)If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma /illness/ stress/ medications etc, your menstrual history and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Also some other special tests like trichogram and dermoscopy can aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals (Tab. Follihair new) for minimum 6 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum/gel containing peptides for hair growth at night.(Q sera, Grocapix etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda" }, { "from": "gpt", "value": "Target: Suggest treatment for hair fall" } ]

[ { "from": "human", "value": "Source: Patient: hi, i fell on the concrete and got a deep bruise on my left arm,under the elbow. I covered it almost immediately to stop the bleeding but didnt apply ointment and sterile pad until the next night and i got a bacterial infection. This is the forth day since my accident and i started antibiotic treatment 2 days ago. i still feel sore, although the wound is getting cleaner, however i feel sharp pains that come in form of shocks all of a sudden around the wound surface, about every 15 minutes and it is really uncomfortable. I feel like removing my bandage and sterile pad but i dont want to expose my wound. Do you know what is causing these shocks? I am 6 foot 3, 34 yrs old and dont have any other health problems Doctor: Hi,Such pains are common during wound healing because of fibrosis contraction of the wound occurs . kindly continue with the antibiotic treatment and you can take serratiopeptidase (enzyme) tablets and diclofenac tablets(Analgesics) after consulting a physician.Thanks" }, { "from": "gpt", "value": "Target: What is causing the sharp pains in the wounded area of my hand?" } ]

[ { "from": "human", "value": "Source: Patient: I ve been TTC for about two months now. My last period was on Jan. 9. Came off BC seasonique first of November. Ever since then my cycles have ranged from 32 days and shortening to 31 days. I tested positive for ovul. Jan 24. Today and yesterday i ve had light spotting and I ve never started a period with light spotting. I tested this morning with a 6 day early response preg. test but neg. Could I still be pregnant? What s implementation bleeding like and would it occur at this time. I m not supposed to start my period till next wed. but it might be that my cycle is shortening again. I ve just never had spotting before. Doctor: if you take my Advice then I would suggest you that yes you may be pregnant but still a confirmation is needed ,so go in for a urine pregnancy test as early as possible then you need to go in for an abdominal ultrasound to confirm your pregnancy" }, { "from": "gpt", "value": "Target: Does spotting indicate pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: I have been diagnoses with multiple myeloma in Nov,2014. Up till now no chemo as I have an infection on my chest. I have been on an antibiotic protocol 3 days a week...2 azithromycin,3 ethambutol, 2 rifadin. It has been 6 weeks since I started and I notice my tooth enamel is eroding and there are patches of black. Have not seen my dentist yet? Any connection between tooth enamel and antibiotics or multiple myeloma?Thanks Doctor: Hi Dear ,Welcome to HCM.Understanding your concern.Thanks for your query . Yes antibiotics are known to cause discoloration of teeth.Multiple myeloma in not known to cause any discoloration.I would suggest you to consult your general practitioner and dentist to find out the solution .Doctor may prescribe you alternate medicine or readjust your dose . Dentist may perform procedure like bleaching or prescribe tooth whitening medicated toothpaste according to your condition. Hope your concern has been resolved. Please write a review about your experience with me and do click at i find this answer helpful if its valuable for you.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: Can multiple myeloma or antibiotics effect tooth enamel?" } ]

[ { "from": "human", "value": "Source: Patient: My endocrine specialist gave me a diagnosis of Type I Diabetes this past Monday. I have been a Type 2 since 2001. She did a GAD test and said it was high and that my pancres (sp) was not producing insulin. I am on a pump and have been since September of 2015. What can I expect with this diagnosis? Doctor: if your blood glucose level is maintained by insulin only ,then diagnosis is corrected right.You must target hba1c less dan than 7.prevent hypoglycaemia dats it." }, { "from": "gpt", "value": "Target: What is the prognosis while on Insulin pump therapy for type-2 diabetes?" } ]

[ { "from": "human", "value": "Source: Patient: I went on a strenuous mountain bike ride Saturday. I had a few minor falls but nothing major. I greatly exerted myself. When I woke up Sunday, I had a lump under my armpit. It is very sore. I am assuming a may have bruised my lymph node/s. Would that cause swelling and pain? Doctor: Hello,Looking at your details it does not looks to be a bruised lymph node. It may be an enlarged lymph node due to presence of infection or wound in its draining area. You may have an anti inflammatory analgesic preparation like advil and check for any infection or wound on affected side. In routine practice, I used to combine anti-inflammatory agent with an antibiotic (Broadspectrum). Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon" }, { "from": "gpt", "value": "Target: Could the bruised lymph node cause pain and swelling?" } ]

[ { "from": "human", "value": "Source: Patient: i have a small pea size sigle bump on my aerola of right breast.what should i do Doctor: Hi Welcome to HCM Read your prob, the cause of that small size bumb may be infection or inflammation of gland around it. you should consult with your doc n discuss it. do as per his advise , do not worry this is curable." }, { "from": "gpt", "value": "Target: I am taking medicine for Irritable bowel syndrome (IBS). I am having pain" } ]

[ { "from": "human", "value": "Source: Patient: Hi sir, i'm 26 yr male suffering from heavy wheezing, sneezing and regular cold since 2007.my height is 5 feet 6inches and weight 70kg. i've a history of allergic problems and it was diagnosed in 2001. after immunization for a short period (which i discontinued after 6 months ), i had recovered but again it resurfaced in year 2007. it occured due to my smoking which i did around 18 months. after that i consulted many doctors but of no use. 1 year ago, i went for blood IGE test and the result was 598 iu/ml while normal range is 0-200. then the concerned doctor prescribed me foracort 400 and later seroflo 250 inhalers. instead of getting relief, my condition worsened and now my blood ige test is showing 870 iu/ml. i'm very much depressed and again want to go for allergy test which can detect my allerigic response to various food materials and other natural things. kindly help me and let me know which will be best allergy treatment centre in bangalore where i can go for allergy test and subsequently immunization. Doctor: Hello.Thank you for asking at HCM.I went through your history.I would like to make following suggestions to you:1. Please continue your inhaler therapy. Make sure your technique of using inhaler is correct. Personally I would suggest you to use metered dose inhaler with spacer device, which ensures maximum drug deposition into lungs.2. Were I treating you, I would add daily montelukast and cetirizine/levocetirizine to your regular treatment. This will improve your both rhinitis and asthma symptoms.3. I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This will help you identifying substances you are allergic to. The Allergist may suggest you specific allergen immunotherapy which will improve your immune system to reduce allergy symptoms.4. It's great that you have quit smoking. I would also suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.5. Personally I would suggest you to learn and perform regular breathing exercises, Yoga & Pranayama, which will improve your lung capacity.6. A healthy diet rich in vitamins, minerals and anti-oxidants (e.g., adequate green leafy vegetables, fruits, whole grains, sprouts, etc.) will also be helpful to you in long run.Ass you have asked about allergy treatment center in Bangalore, I must say there are some very good Allergist-Immunologists in Bangalore at present. You may choose any one of them depending upon your ease of travel.However, personally I would suggest you Kempegowda Institute of Medical Sciences (KIMS) where a lot of Allergy-Immunology work is going.Well, allergy-asthma are very well manageable and most persons with allergy-asthma can live absolutely normal life with appropriate treatment. So I would suggest you not to get depressed and have a positive attitude and efforts towards your health.Hope My answer will be helpful to you.Wish you the best of the health.Should you have any further query, please feel free to ask at HCM.Thank you & Regards." }, { "from": "gpt", "value": "Target: What is the treatment for cold , sneezing and wheezing?" } ]

[ { "from": "human", "value": "Source: Patient: What would cause hives to only appear on the joints? (ankles, knees, wrists, and knuckles) My son just turned 8 and woke up with them a couple of days ago. I took him to our family dr. and she even said is was a weird presentation of them, but could give me know further info........ Doctor: hi,sorry to hear about your son,hives over joints could be a autoimmune problem like lupus.consult a rheumatologist and do a blood work up to rule out any immune disorder.check he had any respiratory viral infection prior 2 wks.sometimes postviral manifestations can present like the above hives.have a good day" }, { "from": "gpt", "value": "Target: What cause hives in the joints to 8 year old?" } ]

[ { "from": "human", "value": "Source: Patient: Hi my sister has a sudden spike in temperature following a feeling of dizziness. She also said she felt like urinating on herself. All these occurred while she was standing. We went to the ED and they checked her electroyte and cardiac markers level and found them to be unremarkable. What could this be? Doctor: thanks for posting here...the feeling of urinating herslef is urinary urgency moreover she is also heaving spikes of fever with it...is she having other symptoms aswell like burning micturation or increased urinary frequency?? it can be uti ...please have urine R/E and blood cp done to find out its cause....regards and dont forget to rate us" }, { "from": "gpt", "value": "Target: What causes my sister's sudden spike in temperature and dizziness?" } ]

[ { "from": "human", "value": "Source: Patient: I have panic disorder. (1)I tend to panic while traveling in any vehicle especially planes. If I am driving or controlling the mode of transportation I have no fears. Especially at greater speeds.(2) I always want to see the different places but sometimes on doing so seeing unfamiliar races and areas I get too excited leading to constant swallowing, choking and panicking. I am not afraid of crowds or public speaking, I don t care about what people think of me one bit so having a panic attack with friends and family also tends to happen. It s like I retreat into myself and panic. Also no tragic incident led to the panic attacks. I was on a bus trying some deep breathing when all of a sudden I felt shortage of oxygen. I panicked and this was my first experience. After that I guess I shouldn t have dwelt on this episode for too long. Because then it led to general anxiety. Now I can feel anxious with any new and different thing. And traveling. How can I stop fearing a breathing issI have panic disorder. (1)I tend to panic while traveling in any vehicle especially planes. If I am driving or controlling the mode of transportation I have no fears. Especially at greater speeds.(2) I always want to see the different places but sometimes on doing so seeing unfamiliar races and areas I get too excited leading to constant swallowing, choking and panicking. I am not afraid of crowds or public speaking, I don t care about what people think of me one bit so having a panic attack with friends and family also tends to happen. It s like I retreat into myself and panic. Also no tragic incident led to the panic attacks. I was on a bus trying some deep breathing when all of a sudden I felt shortage of oxygen. I panicked and this was my first experience. After that I guess I shouldn t have dwelt on this episode for too long. Because then it led to general anxiety. Now I can feel anxious with any new and different thing. And traveling. How can I stop fearing a breathing issue. No asthma or thyroid. I have gone for all the check ups. Just not being able to keep my mind off breathing, burping, shortage of breath as a result, choking, and wanting to feel courageous instead of negative attitude towards lifeue. No asthma or thyroid. I have gone for all the check ups. Just not being able to keep my mind off breathing, burping, shortage of breath as a result, choking, and wanting to feel courageous instead of negative attitude towards life Doctor: Dear friend,I can understand the height of your suffering. But you have every chance of getting adjusted with any situation and lead a fruitful life.All the above episodes, symptoms and situations are generally called Anxiety issues.We are all social animals.The animal instinct of \"Fight or in any situation is largely influenced by the interactions and past experiences we have with the environmental factors.We decide on either \"Fight\" or \"Flight\" based on our perception of the threatening factor and relating the past experiences almost to a certain extent. You may not be able to recall or bring back to memory some of the past experiences you had with regard to any situation or this situation in hand. We have some chemicals in the brain which regulate the animal instinct of FIGHT or FLIGHT. The irregularities in the secretion of these chemicals can be disturbing too.At present, it is my advice to avail the services of a Psychiatrist for some medications to bring back the equilibrium of the chemicals in the brain along with the services of a qualified Psychologist who can be able to patiently listen, interpret and render some therapy for a behavioural change.Good days ahead !Regards,Dr Rajesh Thottingal kalamRehabilitation PsychologistIndia" }, { "from": "gpt", "value": "Target: How to treat panic disorder?" } ]

[ { "from": "human", "value": "Source: Patient: I m 14 weeks pregnant, and at 3 am, for the past 3 nights I ve been bleeding. The first night was the worst, but the 2nd night was less and, at 3am this morning it was not enough to get onto underwear. I ve been to the ER and they listened to the heartbeat and the baby sounds fine. My cervic isnt open, so I did not have a miscarraige. why would i be bleeding at the same time for 3 nights in a row? Doctor: HiI have gone through your complaints.you are 14wks pregnant and bleeding during time needs to think of miscarrige ,placenta previa and cervical congestion.In ER , says everything regarding baby is fine by hearying heart beat and cervix closed .but its important to go for scan how is placenta.if its low lying or covering os its important to take rest.if all this is normal then you can think of cervical congestion.Thank youRegardsVasundhara" }, { "from": "gpt", "value": "Target: What causes bleeding during pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: My grandson has been poorly since nirth . He has periods of vomiting which can go on for 2 weeks or more . My daughter has been backwards and forwards to hospital. He was diagnosed with dairy the protein in tThethe milk . She has been so careful watching his diet and he still contined having periods of sickness. His mucus was tested after my daughter pushed for this test. It showed he had moraxella and was given antibiotics. This was three weeks ago and hes poorly again. Is there any homeopathic remedy thst could help my grandson Doctor: I do not know the age of your grandson. But if he is able to gulp the following herbal powder mixture, pl give to him.BAEL pulp dried powder, Dry ginger powder, Isabgul husk - all 1:1:1 ratio. This mixture should be given 1 tsp thrice a day. Morning and evening mixed in yogurt and night mixed in honey or direct with lukewarm water. See for a day or two. If yogurt also does not suit, then all the three times give with honey.This ayurvedic mixture is safe, no side effects, no interaction with other medicines. This combo is Deepan, paachan and shodhan i.e. appetite flaring, digestive and Bowel cleanser. Hope in less than four weeks your grandson will show improvement." }, { "from": "gpt", "value": "Target: Suggest treatment for dairy protein allergy" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I hit my funny bone very hard tonight. About 2 minutes after the pain started to diminish, I almost passed out. I then heard a very high pitch sound for the next few mins. My range of motion is not limited as I can t bend my elbow beyond 90 degrees. Why did I almost pass out and should I seek a dr to look at my elbow? Doctor: Try to extent your elbow with your arm overhead, if you can do this then there is no fracture or major problem. In these kind of injury patient is unable to fully extend elbow with arm overhead.Try to do active elbow flexion extension exercises after pain gets fully subsided." }, { "from": "gpt", "value": "Target: Suggest treatment for pain in elbow after an injury" } ]

[ { "from": "human", "value": "Source: Patient: My question is I am doing sex self with help of my hand..... every day I am take a bath in bath time I am shake my naked with seop after all my creampie is come out.......this type of work I am start at my age 17year and now my age is 23..... my question is what the side effects? 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 side effect of masturbation. It also never affect the health of any body.Instead it has many advantage, you can satisfy you desire without any sexual activity so no chance of STDs,Once you masturbste your mind becomes clear and you can later concentrate on your work.If you won't do masturbation than you may face sweet dreams. 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 are the side effect sof mastubation?" } ]

[ { "from": "human", "value": "Source: Patient: I had a complete knee replacement in February, had the other one done is Jan 2014, in april this year both legs started to swell from the knees down, very red, swollen, no DVT in either leg, no infection, I have tingling in both legs more painful at night, I do also have rls, my dr s are baffled, I m 55 with type ii diabetes. I was put on a water tablet but it didn t help Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.As you have ruled out deep veins thrombosis and infection so you are advised to get your heart, kidney and liver function tests as these can be cause of your swelling.You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care." }, { "from": "gpt", "value": "Target: Suggest treatment for swollen and painful knee" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I m 39 years old, and want to conceive. I have a enlarged left sided fallopian tube which appear to be blocked. This my be due to previous infection and hydrosalpinx or previous pyosalpinx. Clinically correlate. Their is a mild mucosal irregulaity of the right sided fallopian tube which may also be due to previous infection. There is, however, no dilatation and there is spillage from the right sided tube into the peritoneum. What should I do? I m so afraid that I will not be able to have a child. Doctor: Hi thanks for your question. Your fallopain tube on left side is blocked and fallopain tube on right side is patent.There is nothing to be afraid of, you still have 50% chances for getting pregnat.Consult a gynaecologist and remain remain under her/his constant supervision .Hopefully you will be able to concieve. Hope this answers your question." }, { "from": "gpt", "value": "Target: Trying to conceive. Enlarged and blocked fallopian tube. Due to the history of hydrosalpinx?" } ]

[ { "from": "human", "value": "Source: Patient: Hi My father is suffering from parkinsonism at early stage & I have concern hospital he has recommended Syndopa Plus with sequentially dose upgrade, but from when father start taking doses he is now having more difficulty in movement can t able to balance his body load with this also he is getting problem with speaking. Looking forward to your guidance and suggestions. Doctor: SYNDOPA PLUS cause orthostatic hypotension and diziness in some person. this is dose related side effect. some times it dissapears after some time . if he has more problem then reduced dose of syndopa plus . after consulting your doctor you can add amantadine or entacapone to syndopa. my advice id take syndopa plus smaller dose more frequently means if tou are using one tab syndopa three times than now use half tablet in lime water six times. this regimen will resolve your problem" }, { "from": "gpt", "value": "Target: What causes loss of body balance while on Syndopa Plus?" } ]

[ { "from": "human", "value": "Source: Patient: hi there, im inquiring for my husband whom is suffering from aches ect, he had the snip done around 9 years ago, procedure went well, a few years after the snip my husband was suffering with pain and swelling in the left testical, we followed this up and he was told that he had blew a seel, meaning his testy was being choked by variagus veins, so he had an operation to have his left testy removed. every now and then he has been suffering from a pain in the ball that is no longer there, when he urinates he feels a sensation running down the inside of his left leg, also he says he has a light burning sensation running down the same area, and pain near the scar where they made the incision for the removal of his testie, hubby has had prostate checks and all clear, sitting up causes him discomfort in the said areas..any insight would be much appreciated.. Doctor: HI. Thanks for the elucidate history.This is called a phantom pain and is a very rare thing that there would feeling and pain in a part which is not there.Another possibility is that the nerves supplying this area are entrapped in its course. First thing is to find out where and treatment to be started for this parasthesis or a referred pain. IN old times the nerve causing this problem was excised if the pain is unbearable or irritating the routine life. I hope my answer will help you to get the diagnosis and treatment under the guidance of Urologist or Neurologist." }, { "from": "gpt", "value": "Target: Reason for testicle pain, burning sensation, pain near scar?" } ]

[ { "from": "human", "value": "Source: Patient: please provide help to assist a family member who is a diabetic with myositis and itchy and scaly skin patches. Also, she has some issues at times with muscle leg/feet cramping; and swallowing and thick saliva. What type doctor needs to be seen for best treatment Doctor: dearthanks for writing to hcmas per the description given the myositis might be the cause of the muscle pain and also difficulty in degluttition.(swallowing)We must review with a neurologist to look after the neuro muscular problem.Hope the sugar levels are within normal level.Mostly the skin scaling,darkening are due to the chronic elevated sugar levels,we must start a multivitamin with anti oxidants like antoxid.hope this helps" }, { "from": "gpt", "value": "Target: What causes itchy scaly skin patches and leg cramps while having myositis?" } ]

[ { "from": "human", "value": "Source: Patient: 28/02/2013 SIR, MY MOTHER IS ABOUT 70 YRS, IS SUFFERING FROM PORTAL CIRRHOSIS OF LIVER & GALL- BLADDER STONES, TAKING UDILIV 300 MG SINCE 1998 (ABOUT 14 YRS), DOCTORS ARE STILL PRESCRIBING UDILIV-300 OR URSOCOL-300 TO CONTINUE TREATMENT. I JUST WANT TO KNOW - 1) MAY MY MOTHER CONTINUE THIS DRUG SUCH A LONG TIME ? 2) URSOCOL (URSODEOXYCHOLIC ACID TABLETS) & UDILIV (URSODEOL / URSODESOXYCHOLIC TABLETS) ARE THE SAME DRUG OR DIFFERENT ? 3) IS THERE ANY OTHER SAME COMPOSITION DRUG IN CHEAPER PRICE ? I AM A PERSON OF VERY LOWER INCOME CATEGORY. PLEASE SEND YOUR VALUED SUGGESTION. email - YYYY@YYYY SAJAL BANERJEE 80/1/1 SITALA TALA LANE HINDMOTOR HOOGHLY Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).Udiliv and ursocol contain same salt ie ursodeoxycholic acid. You have't mentioned symptoms, investigations, cause of cirrhosis. Ursodeoxycholic is not helpful once cirrhosis is established and there is normal transaminase levels. So it can be stoppedI hope I have answered your query and this will help you. Remain in touch and get-well soon." }, { "from": "gpt", "value": "Target: Suffering from Liver Cirrhosis, gall bladder stones. On Udiliv 300. Cheaper substitute?" } ]

[ { "from": "human", "value": "Source: Patient: I woke up three days ago with horrendous pain in my inner ankle and pains down both legs especially the joints and mid centre of my back which hurts when I cough, three days on it is just as painfull and the ankle is swollen and bruised help I dont know whats wrong as I have done nothing out of the ordinary Doctor: Hi, Pain radiating in nature is considered as a Radiculopathy. It aggravates while coughing due to weakness of the spinal muscles. Doing deep breathing exercises, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, static Quadriceps, static hamstring and straight leg raise should help reduce pain and also the swelling. 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 causes painful joints of ankle and legs when i cough?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I have seen my primary physician for some time now and he was goo up until about a year or so ago I had the following symptoms about 4 years ago I had dull pain located under my armpit areas. He did an ekg and found nothing wrong, but I didn;t think it was heart related. He said he thought the pain was due to me eating spicy food or hot sauce, because I liked it. I took his advice for a little while and stayed away from spicy food..that didn t help I eventually went back for an annual physical and at that time had issues with my grown, specifically my area of my left testicle...he had no idea what it could be as he could not find any issues, including a hernia. but sent me to a urologist. I saw 2 different ones in a years time...one had me take medication for a hydrocele he thought. Took the medication, pain subsided. the pain came back, I went back to the same urology office, but a new doctor saw me as the last one had retired. he said my file said nothing about a hydrocele, but actually said I had a hernia and recommended changes to my underwear and added support. I did that for some time and stayed away from strenuous activity. The pain never really subsided and in fact it spread to my hips and upper thighs. During this time I went back to that same uriolgoist office and saw a nurse practitioner. She found nothing of substance and sent me back to my primary, who did another exam and could find evidence of a hydricele OR hernia and recommended a CT scan of my pelvic area. I had that done about a year ago and it was inconclusive. the pain subsided in that time and so I have not gone back as I have gotten no answers really. The pain now resides in my groin/pelvis area, outside part fo the hip and now in my knees. Although I have had lower back pain in the past due to a fall many years ago, I had never felt the pain/discomfort i do now even when my lower back pain flared up. In fact, my back pain has not at all been a factor during this time. There are some other factors, but that is the main journey I have taken. I am reaching out as I had a couple more recent symptoms. Spontaneous bloody noses and loose bowel movements. With the pain expanding and the new symptoms I am becoming more concerned. what steps should I take next. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take Cefadroxil, Omeprazole and Diclofenac. Take medication after doctor's consultation. Do yoga and pranayam in the morning. Do exercise in the morning and meditate in the morning. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes dull pain under the armpits?" } ]

[ { "from": "human", "value": "Source: Patient: me and my brother were wrestling around night before last and he dug his elbow into my chest-right between my breasts-i heard a crack or pop and now im having bad chest pains.i cant take deep breaths, sneeze, lean up, laugh, or put my arms behind my back or over my head without the pain worsening.do i need to see a doctor? Doctor: Hello,It seems to be muscular strain injury. For that, you can take rest and nonsteroid anti-inflammatory drug like ibuprofen. A hot compress can apply for soothing. Avoid movement that causing pain. A chest x-ray is done to rule out any underlying fracture rib if present. Consult a physician for examination.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Parth Goswami" }, { "from": "gpt", "value": "Target: What could chest pain with deep breaths suggest?" } ]

[ { "from": "human", "value": "Source: Patient: My friends mother is 80 years old. She was diagnosed with breast cancer but when they did surgury they could not find anything. She is diabetic with high blood pressure an very slow on healing... my question is, this doctor wants her to take chemo bc he says she has a gene that causes cancer, it runs in her family. she is too old to take chemo, for no reason Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Chemotherapy is given to kill cancer cells in the cancer mass. If there is no cancer, how can a doctor give chemotherapy to your friend mother. Presence of cancerous gene is a risk factor for cancer. But chemotherapy is not given for cancerous gene. Don't worry about it. Hope my answer will help you. Thank you!" }, { "from": "gpt", "value": "Target: Can chemotherapy be done without cancer?" } ]

[ { "from": "human", "value": "Source: Patient: Hi,I have a history of endometriosis & recently have been diagnosed with PCOD. I have been put on metformin. Had my D11 follicular study scan today which shows 21mm follicle in left ovary with an endometrial thickness of 11mm. What are my chances. We have been TTC for a year now. Doctor: Hi, there is a good chance of pregnancy if ovulation happens. Be in contact with your husband for next 2 to 3 days. You can confirm the ovulation by kits or by ultrasound after 2 to 3 days. Else you can take injection for rupturing the follicle today which can make sure you ovulate. Talk to your doctor. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Dr khushboo" }, { "from": "gpt", "value": "Target: What could be the chances to conceive with a 21mm follicle in the left ovary?" } ]

[ { "from": "human", "value": "Source: Patient: Hi , My 1.5 years daughter has sone kind of skin allergy which she developed from age of 7 months and its still persists.We r thinking it to be sone kind of food allergy.But we r unable to makeout.She has developed rough patches on her cheeks which is there since she is 7 motnhs and when I started weening process.Please advise. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. By your description it seems the child has sebaceous dermatitis. which is a pretty common condition. It usually disappears by age of 2 years. But till then proper and regular treatment is necessary. as this causes severe itching. And scratching by child may aggravate it. You may consult a skin specialist or a pediatrician. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for rough patches of skin in a child" } ]

[ { "from": "human", "value": "Source: Patient: My mother is in a hospice home with a stage IV inoperable brain tumor. Her symptoms are becoming more pronounced with a distended abdomen, inability to converse, jaundice. She is still eating good and not sleeping excessively. In general - and realizing you don t have a crystal ball - approximately how long does she have left? Doctor: If it is a Glioblastoma - grade 4, I would say 6 months. I'm sorry for your situation. Even in the initial stages, and if it is well operable and removed, patients don't have a big difference in years of survival." }, { "from": "gpt", "value": "Target: Suggest treatment for stage 4 inoperable brain tumor" } ]

[ { "from": "human", "value": "Source: Patient: Hi I have mild mitral valve stenos (i was born with it) and I never took any medications for it. I also do regular check ups with my cardiologists and my condition has remain the same & stable my entire life. I am currently 23 years old and female. I do suffer from anxiety and panic attacks, especially when I feel like my heart is beating out of my chest. I going on a plane next weekend, and I cannot help but to worry about the take off... I am worried that the speed is too fast and there will be too mcuh pressure. Im worried that I will have a blood clot or a heart attack from being so scared. I ve been on planes before, but I was fairly young (5 years old). What do you think? Is i tsafe for me to take a plane? Are there any anxiety medicatons I can take to prevent the anxiety attack? Thank you, Tiffany YYYY@YYYY Doctor: Mitral stenosis by birth is very rare condition,but as u mentioned that it is mild ,so should not cause any problem to your air journey.you are having anxiety ,so you can take Tab.CLonazepam 0.5 mg mouth dissolving tab in mouth while plane is taking off,this will prevent panic attack.you may safely travel .wish u safe journey!!!!!" }, { "from": "gpt", "value": "Target: Suffering from anxiety and panic attacks" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I just done my yearly blood test screening. All result are okay, but CEA is 20n. I don t have cancer history nor my family do. I don t sense any cancer symptoms as well. I just have c-sec delivery 1/2 ago, not sure if this affected. What should i do for this high level CEA? Should I redo again the blood test ? What should i do for Doctor: Hi,Thanks for writing in.The normal value of CEA is less than 3 in healthy non smokers. It can indicate cancer of bowel, pancreas, ovary, breast, liver and lung among many others. However it does not always indicated cancer in a person without symptoms.The concentration of carcinoembryonic antigen (CEA) in serum should not be used to screen asymptomatic individuals for neoplastic disease, and the diagnostic efficacy of CEA measurements in high-risk groups has not been established. Single values of CEA are less informative than changes assessed over time. Please discuss with your doctor and get the test repeated after a few weeks and to check if it is a concern. Please do not worry." }, { "from": "gpt", "value": "Target: What causes elevated CEA levels in blood?" } ]

[ { "from": "human", "value": "Source: Patient: Hi iam 30 yrs.iwant best sex capsule without side effect .i want more power during sex with my wife.when i enter the pennis in her vagina only 1-2 minute later iam discharge and that time my wife want more sex.so please suggest me any oil or pill for more sexual power. Doctor: Hi,,This condition is called as Premature Ejaculation (PME), your History is incomplete, You are not mentioned about your sexual frequency. your sexual gap between 2 sexual act is more than 5 days it is a common problem. If your sexual frequency is normal (> 3-5 times per week), check your Thyroid Hormones Level and Blood Glucose Level. Please complete all these quires, without detail history and proper investigation it is difficult to prescribe medicine." }, { "from": "gpt", "value": "Target: Suggest medicine to increase libido" } ]

[ { "from": "human", "value": "Source: Patient: i feel giddiness after having salty food, I am under little bit depression also and often get stressed my b.p. normally ranges 86-90/110-140. I am very much upset due to giddiness . pl. help Iam also having frequent cough and acidity problem . My age is 40 years Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your​concern and I would like to tell you that your blood pressure is almost under control which requires general monitoring. Cause for your giddiness can be related to postural hypotension which requires proper evaluation for better management. It recommended for you to consult a physician for proper physical and diagnostic evaluation. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for giddiness and high blood pressure" } ]

[ { "from": "human", "value": "Source: Patient: I have like hives or red allergy bumps in-between inner upper thigh..had high fevers.elevated. liver enzymes.bladder infection.vaginal infection.I used to take seroquel 300mg,reduced gluthatione500mg,grapeseed extract 200mg,vitamin c 500 mg alpha lopoic acid 100mg..can this affect me. Doctor: Thank you very much for contacting healthcare magic. most commonly vaginal infection is candidiasis. Yeast like growth more in vaginal infection case.In Diabetes more chanses of infection is more .Check your blood sugar level. Hormonal imbalance may cause vaginal infection.Poor care during menstruation cycle cause vaginal infection. Low immunity may cause vaginal infection. culture test helpful for diagnosis. Wish you a good health. Take care. Thank you very much." }, { "from": "gpt", "value": "Target: What causes vaginal infection?" } ]

[ { "from": "human", "value": "Source: Patient: I have an intermittent pain in my lower right abdomen, always in the same spot. Sometimes I don't feel it for a day or 2, but when it starts, mostly toward evening, it is a sharp pain about every 30 seconds, and can last for a couple hours. It started about 3 weeks ago. Doctor: Hi,From history it seems that you might be having appendicular colic giving pain in right lower abdomen on same spot.Consult surgeon and get examined.Go for examination when pain is there so physical examination will give more clear clue about your problem.Meanwhile take some antispasmodic medicine like Meftal spas or Cyclopam as needed.Ok and take care." }, { "from": "gpt", "value": "Target: What is the treatment for lower abdominal pain?" } ]

[ { "from": "human", "value": "Source: Patient: I had 2 hernias repaired 2 weeks ago. A ventral and an umbilical. I am having sever sharp pains on the left side of my upper stomach (not an incision site) and a pulling stabbing pain at my belly button. Like something is pulling toward my spine. I am out of pain meds and am starting to get concerned that something is wrong. What should I do? Doctor: hi welcome to hcmYour symptoms could be related to Peritonitis. Get an ultrasound abdomen immediately.. Drugs like Antibiotics, Buscopan can help. Consult your surgeon immediately to confirm the diagnosis. You need to give bowel rest.It may lead to perforation so consult your doctor for emergency management.thankyou" }, { "from": "gpt", "value": "Target: What causes sharp pain on the left side of the stomach?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I was wondering what post op care of gum surgery is? They are peeling with a white thick covering and still unable to brush the site after 24 hours. The assistant who helped in the procedure didn't inform me of much. I am nervous I will get some sort of an infection not being able to take care of my teeth the way I want too,and also having wisdom teeth being pulled in a few days. Please help, thank you. Doctor: Hello,Thanks for writing to us.White thick covering post gum surgery will be formation of granulation tissue.I would advice you to get a thorough clinical evaluation done.Apply mucopain gel on the affected area.To improve gum health,vitamin c as well as folic acid supplements has to be administered.Take care." }, { "from": "gpt", "value": "Target: Had gum surgery. Noticed white thick covering. Not able to brush. Help?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Doctor, I have recently diagnosed Fatty Lever with SGOT - 45 & SGPT -80 raised lever enzymes...My Height is 5 feet 10 inches my weight is 86 Kg...Rest of the Liver tests are normal...like prothombin Time , Bilirubin etc....I want to know how can i get rid of this Fatty Lever ...I am also Type -2 Diabetic with Fasting levels -129 ......Please advice is it curable 100% ...... Doctor: Fatty liver is curable but the main thing is to completely control your diabetes. At the same time you need to lose weight by both diet and exercise. If your cholesterol level is high it also needs to be controlled. There is no medication to get rid of the fat within the liver, and the mainstay of treatmet is as i mentioned diet and exercise. You should have your liver enzymes monitored from time to time, and the goal would be to bring them back to normal. Fatty liver if not improved can lead to cirrhosis in the long run." }, { "from": "gpt", "value": "Target: Fatty liver, raised SGPT and SGOT. Curable?" } ]

[ { "from": "human", "value": "Source: Patient: I used ky gel for a few days and after I used it I had a hard time breathing I thought it was allergies to an animal but I noticed it was after using ky gel and tonight I went to thebathroom after having intercourse and it looks like blisters kinda big ones all aroind the head of my penis and they werent there before but its not really painful it feels irritated whats wrong woth me??? Doctor: greeting..these most common side effect like mild itching and burning sensation.seek medical attention right way if any of these severe side effect occur while using ky gel like sever allergic rash breathing problem,itching and skin irritation. thanks.." }, { "from": "gpt", "value": "Target: Breathing problem, blisters in penis after using ky gel. Opinion?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 64 diabetic male without any symptoms of heart disease, I had a vascular screening, showing no evidence of plaque blockages, I am awaiting the results of a nuclear stress tests, should I worry? Is there a correlation between carotid blockages and coronary blockages? Doctor: Hello SirDiabetes is a major risk factor for coronary heart disease as it promotes atheroseclerotic changes through out the body vasculature but again if your control on diabetes is good that risk comes down to minimum. So i would suggest you to maintain a healthy life stlye and DO NOT INDULGE IN SMOKING (if you do).Now answering your question: No there is no obvious relationship among the two but as it is due to atherosclerosis blockage can coexsist in both upto some extent.Good Luck" }, { "from": "gpt", "value": "Target: Is there a correlation between carotid blockages and coronary blockages?" } ]

[ { "from": "human", "value": "Source: Patient: My mom had an accident n hurt her knee. She has diabetes & the local doc advised we admit her in a hospital for further treatment as the wound got infected. Bubbles have formed around the wound & water is oozing out. Kindly advise what is the best course of action? She is 5feet weighs about 63kgs & is 54yrs old. Doctor: Hello and thank you for your question.This could be normal if there is no pus or redness, however, the bubbling could be a sign of infection. It is best for her to see the surgeon and have them examine the wound to make sure there is no infection. Regards, Dr. Robinson" }, { "from": "gpt", "value": "Target: How to cure water filled bubbles formed around wound?" } ]

[ { "from": "human", "value": "Source: Patient: Hello I have been getting a clear lump forming on the top of my mouth just behind my jaw line. It s non painful but anoying, I scratched it and it popped with bloody discharge . It was gone a few days then reapeared.. also there seems to be a harder lump in the same area about the size of a bean split in half but more deep under the tissue of my skin. Doctor: hello and welcome, Lumps seen in the oral cavity can be of various types . They can be infective lesions related to tooth like periodontal abscess or gingival abscess draining in the oral cavity. lumps are also formed due to bening or malignant swellings of the jaws . cysts of the jaws , related to tooth or bone may also lead to swelling . parotitis or parorid gland swelling may also form lump behind the upper jaw line. exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. i would suggest you to get and OPG radiograph done which will help in diagnosis and accordinglt treatment can be planned . consult an oral surgeon and get the examination done. i hope this helps , take care." }, { "from": "gpt", "value": "Target: Lump on top of mouth behind jawline. Bloody discharge when popped. Another lump in same area. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: hey I just got back from a big holiday in Europe, but near the end of it my stomach started growling all through the day, my body aches, lightheaded sometimes and I always feel nauseous when I lay down on either of my sides, any idea what it could be? Doctor: Hello!Welcome on HCM!Your symptoms seem to be related to a viral infection. Other metabolic causes (chronic anemia, electrolyte imbalance), etc. can not be excluded either. That is why, I would recommend consulting with your GP for a physical exam and some lab tests (complete blood count, PCR, ESR for inflammation). Meanwhile, I recommend having some rest, taking plenty of fluids to stay well hydrated and take omeprazole or esomeprazole for the stomach. Ibuprofen can be helpful against muscle pain. Hope you will find this answer helpful!Kind regards, Dr. Aida" }, { "from": "gpt", "value": "Target: Feeling light headed & nauseous" } ]

[ { "from": "human", "value": "Source: Patient: Hi, Why does my right wrist hurt so much. The pain started about 2 weeks ago. I am right handed very active still work, garden, exercise and do yoga and of course house work and yard work. I have being taking aspirin, it relieves the pain but then it returns, can t even open a water bottle. Help! Doctor: Hello, The symptoms seem to be related to overuse of the wrist due to activities. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest avoiding activities that overuse the wrist. I recommend using cold compresses for local application. 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: What could cause pain in the wrist that makes it difficult to even open a water bottle?" } ]

[ { "from": "human", "value": "Source: Patient: I have been sick for a little over 2!/2 yrs.Thinking I had lyme disease after being bitten by a tic.(w/ bullseye rash)Just ....this past week I had a LP which said I did not have lymes.BUT, I just found that mold sickness has all the symptoms I am experiencing.And, I was working in a home that had major water/mold issues at the exact same time as the tic bite. Still have not been diagnosed. What should I do. Doctor: Hi, Welcome to Health care magic forum. You are sick since 2 1/2 years, You had tic bite a weak back, so there is no question that you face the limes with in a weak. The reasons for the weakness, and sick may be the anemia, fibromyalgia, or some chronic infection. I advise you to consult a physician for diagnosis and treatment. Avoid taking potato, other tubers, tomato, egg, chicken,and sea foods. Take more of green leafy vegetables,pulses,sprouts,and protein rich foods to have blood,general health and resistance against infections. Wishing for a quick and complete recovery. Thank you." }, { "from": "gpt", "value": "Target: What should be done to treat mold sickness?" } ]

[ { "from": "human", "value": "Source: Patient: Hi! My husband lost his job a year ago. We have been working wherever we can, but now have no medical or dental insurance. He worked in educational administration, I am am a music educator---no work...and we have been living on our savings. We are down to the bottom now. My husband is diabetic and this past few weeks has complained about having a toothache...Are there any free medical/dental locations in the Mt. Airy, North Philadelphia area that we can take him to.? Doctor: hello, Pl consult a dentist in your locality at the earliest. The tooth ache could be of various reasons like decay, periodontal problem, trauma, infection etc. An x ray of the tooth should be done and root canal treatment followed by capping of the tooth would be required. Diabetic patients are susceptible to periodontal disease. Consult your dentist immediately. Regards" }, { "from": "gpt", "value": "Target: Have toothache, diabetic. Can online doctor help?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Good Evening Doctor...I have been having this recurring skin rash on my lower leg and the ankle..Various Rash ointments and treatment has yeilded no results...It Itching sometimes is uncontrollable.When scratched the skin begins oozing watery liquid after some time.The area of the rash has almost turned black...scratching often(though not directly with finger nails)Please advice a remedy or an off the shelf effective rash ointment...Thanks Doctor: Hello, I would recommend you to apply potent topical steroid like clobetasol propionate cream on the affected area twice daily and take antihistaminic like tablet chlorpheniramine maleate 4 mg twice daily for 2 weeks. This will help in resolving your problem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Asmeet Kaur Sawhney" }, { "from": "gpt", "value": "Target: Suggest remedy for skin rashes sin leg" } ]

[ { "from": "human", "value": "Source: Patient: Can the combined pill cause excess vaginal mucus. Have just changed to mini pill hoping it will correct this? Wasn`t like this before taking Levlen. If the mini pill is going to work, how long will it take? Would i get faster results by taking no contraceptive? Doctor: HIWell come to HCMI really appreciate your concern, some time hormone medicine can cause such symptoms of leucorrhoea, but possibility of other cause need to be ruled out and this could be fungal infection, if this is due to hormone medicine then this is nothing to worry, hope this information helps, take care." }, { "from": "gpt", "value": "Target: Can combined pill cause vaginal mucus?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Dr this is vijay from Bangalore, I like to have some information My wife condition. Actually We got married before one and half year. When she got some problems like dead body, space & soul. after that she started to consume the pills like Depakote ,Olean & Sizodon LS as per doctors prescription, before marriage i do not know anything. Now she is same positions. i asked her family, they are telling , she is not well. actually for what these tables are required, totally i am in difficult position.Can you give me brief explanation about this. is it possible to cure or not Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Depakote tablets contain the active ingredient valproate semisodium, which is is a type of medicine called a mood stabiliser. It is used to treat the psychiatric illness bipolar affective disorder, or manic depression. Oleanz contains the active ingredient Olanzapine, an atypical anti psychotic. It is not generally intended to treat mild depression. Sizodon is risperidone. It's an atypical anti-psychotic prescribed for delusional psychosis/schizophrenia, obsessive compulsive disorder, tourette's syndrome, depression, and bipolar disorder. In a nutshell, your wife could be suffering from either bi-polar disorder of mile depression. Both the condition are curable and you should consult a psychiatrist for prescription.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: Why are Depakote,Olean & Sizodon LS used?Suggest solution for mental problem" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doc, quick question. Went for blood work and my white count was high 11.1 and my eos(absolute) was 0.5. I am 54 female 5 7 225 lbs smoker. I am currently on blood pressure medication and lipitor. Also have an inhaler that I rarely use -due to the fact that I forget to use it. Also have a chronic sinus infection. How can I reduce my # to the normal range?? Doctor: You have high eosinophils and that is due to some allergy. You should take antihistaminic drugs or steroids to reduce your eosinophils count. It is prescription based medicine so consult your doctor and take treatment accordingly.Thanks for using health care magic." }, { "from": "gpt", "value": "Target: How to reduce eosinophils count?" } ]

[ { "from": "human", "value": "Source: Patient: I had gallbladder surgery 7 days ago. Everything went great until yesterday, I started getting pain in my chest and right behind my neck and my heart beats really hard. Mostly after I eat or drink. I called the doctor and it will be a week until I get in, and can t afford a visit to the ER.... Could it be the gas still? I have mitral valve prolapse as well, could it be that? They took all the steps for this during the surgery. They told me all about the antibiotics and whatnot.... Should I even be worried at all? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, your current symptoms are due to acute gastritis and stress, anxiety. Antibiotic and other drugs are known to cause gastritis. This gastritis will cause chest pain, gaseous distention, palpitations, tachycardia etc. And all these symptoms are more worsening in stress, anxiety and apprehension. So first of all be relax and calm. Drink cold water. Take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. You will mostly improve with all these. If you fail to improve or symptoms worsen then consult emergency room. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes pain in chest and rapid heart beat after gallbladder surgery?" } ]

[ { "from": "human", "value": "Source: Patient: Male 27 y/r 5 6 217lbs pain in left & right side chest that comes and goes also suffer from panic and gerd and costochondritis blood pressure readings have been systolic 110-128 -- diastolic 68-82 for the last week.. is there a concern for a heart attack Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.You shoud not worry. I will try to explain you something and give you my opinion. A typical heart pain has some characteristics. They are retro-sternal pains like squizzing ,tightness or heaviness. They may irradiate to both arms, jaw and last from 5 to 20 minutes. A typical heart pain and heart attack usauly affect older ages and persons whith different risk factors like hypertension, diabetes, smokers and with hereditary of ischemic heart disease. As you are very young and you have not a typical pain the risk of heart attach is low (rare).In my opinion you have nothing to worry about becouse this pains are probably related to Gerd or your costochondritis.GERD is quite known to give such pains like heart burning sensations.Anyway if this symtoms persist after treating GERD I will recomend to do some simple examinations like an electrocardiogram, a cardiac echo and a strees test. Hope I was helpful.Wish you good health. Best regards." }, { "from": "gpt", "value": "Target: What are the possibilities of heart attack inspite of having chest pain and GERD?" } ]

[ { "from": "human", "value": "Source: Patient: My 7 yr old daughter has been vomiting once a night between midnight and 2 am for the last seven days her pediatrician said there are white blood cells in her urine but did not prescribe any antibiotics. She has no fever . Her drool is yellowish a s,Ellsworth odd Doctor: Hellovomiting once a night for last 7 days may be due to GERD.give her tab. Lanzol junior 30mg od for 7 days.for wbc in urine you may give her tab. cefixime for 7 days." }, { "from": "gpt", "value": "Target: What do vomiting and white blood cells in urine indicate?" } ]

[ { "from": "human", "value": "Source: Patient: I am on the yasmin contraceptive pill and have recently started taking 1 100mg tablet of trimethoprim every night to reduce the frequency i have uti's. does the antibiotic stop the yasmin working? i use no other method of birth control at the moment and have a boyfriend. my doctor says it does not affect the pill but i would like a second opinion. thank you. Doctor: Hi dear !Thanks for your query.Use of Bactrim does not decrease the effectiveness of Yasmin birth control.Use them as prescribred from your doctor and take much water and cranberry tea.ALL THE BEST" }, { "from": "gpt", "value": "Target: Does trimethoprim tablet affect yasmin pill's working?" } ]

[ { "from": "human", "value": "Source: Patient: My father is 76 years old he has suffered a brain clot and his left body is paralysed. He has been given avastatin, strocit, clavix for the last 6 months and there is no improvement in his body. Only God or you can suggest me some thing. I am very much demoralised. Hope you will help me. YYYY@YYYY Doctor: Hello, A stroke means that a part of the brain is irreversibly damaged due to lack of blood supply. Unfortunately that part of the brain is dead, can't be reversed. Medication like Atorvastatin and Plavix serve merely to prevent other strokes in the future. For the current damage only therapy is used, there are no other proven treatments. Some partial improvement may take place during the first 6 months, unfortunately after the first 6 months there is little chance of improvement. There are experimental treatments like stem cell therapy but still in early stages, their value is not proven. I am sorry not to have been of more help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist" }, { "from": "gpt", "value": "Target: How to treat body paralysis due to brain clot?" } ]

[ { "from": "human", "value": "Source: Patient: I just had my periods yesterday, I am currently on metformin 500 BID and I usually have irregular periods ranging from 35-60 days. And this cycle i took metformin regularly which caused me to bleed on day 26. I however bled for 3 days! when i usually stay on for 5-7 days. And today i am cramping with white discharge. I never have any discahrge after periods.. i wonder what this is. I am planning to conceive. and i had 3 m/c. 1st one being 10 week no h/b and the other 2 were 4 weeks. Please help. Doctor: Hi,In the current scenario, you should get a physical exam and a trans-vaginal/ pelvic sonogram to exclude pregnancy along with the blood pregnancy test. With the past history of recurrent abortions, hormonal imbalance should be suspected. Metformin corrects ovulation disturbances by maintaining insulin balance. Also, the causes for the abortions in the past should be known for further management. If pregnancy is excluded, and no obvious cause for the excess discharge and pain can be seen, you can use some antispasmodic and take rest. Hope this helps." }, { "from": "gpt", "value": "Target: Trying to conceive. Have irregular period, cramps, white discharge. On metformin. Help" } ]

[ { "from": "human", "value": "Source: Patient: I am 64.75 years old female and had gastric bypass surgery in 2001 and at the same time I had a hiatial hernia repair (glad that happened). But as a result of many years of acid reflux, I now have a dammaged esophagus. I have to use Nitro Lingual Pump Spray to control pain which can occure from stress, differences in temperature of the air I breathe. I hear there is a way to possibly cauterize the tissue to help repair the esophagus. Is that something I should look into as a friend said it culd turn into cancer or may have already. I am still over weight , but initially after my gastric bypass I lost 100 0f my 316 pounds. I am a 6 foot tall woman. I was experiencing many health disorders because of this and was even using a C-pap. Which I no longer need. Later I had to have knee meniscus repair surgery on my left knee and that kept me from exercising and now it is my right knee. So I have put about 30 pounds back on. I am working with a knee doctor to try to see if we can fix the right knee now. Primary question is related to my esophagus concern though. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have acid reflux and hiatus hetnia history. You may have Barrett oesophagus whichcsn turn Iinto cancer or you may have csncer due to chronic irritation. You should go for endoscopy. It will give you exact diagnosis whether you have ulcer or mass or some other lesion. 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: Suggest treatment for damaged esophagus" } ]

[ { "from": "human", "value": "Source: Patient: I got a small cold a week ago but I have asthma so it worsens and I wasn t able to cough up the stuff I was suppose to be. I had no stuffy nose. I went to the doctors and they put me on prednisone to help open up my airways along with an inhaler. I flew out to TX from Oregon last Friday and I fell asleep on the plane. I woke up after we landed and I had began to get a stuffy nose and I could not hear a thing. My ears unpopped a couple days later but I am still in great pain. My nose has also began plugged. I went to the doc again in Texas on Monday and I was told I have 2ear infections and bronchitis. I am schedueled to fly again on Friday back home. Was wondering if it will worsen ? Doctor: HelloThank You for contacting HCM.If you have completed the antibiotic dose then there is no need to start again at the moment. I would suggest you to do following things:> take cetirizine one at night for 5 days.> take one puff of Xylometazoline HCl 0.1% in each nostril thrice a day for first 2 days, then twice a day for 2 days. Then stop.> acetaminophen for pain (if occurs)>> take hot water in a cup add 1 table spoon salt. Perform gargles (mouth wash) with it thrice a day for at least 2-3 days. It will give soothing effect to your throat> take boiling water in a pot, sit in front of it and cover your face and pot with a sheet. Inhale hot steam (do not get very close else it might cause burns). It will also give soothing effect to your airway.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health." }, { "from": "gpt", "value": "Target: How to treat painful ears and clogged nostrils after suffering cold?" } ]

[ { "from": "human", "value": "Source: Patient: I am having pain when I urinate, but different from last infection in that it hurts only at the end of the stream. My urine is cloudy and smells different. I also have been having pain in my right flank off and on for 6 months. I had bladder infection, successfully treated with antibiotics 6 months ago. I had ultra sound on right abdomen that shows fatty liver. I am 60 lbs overweight, but have been exercising and have lost 3 inches of belly measurement in the last 3 months. Doctor: HelloYou findings suggests deposition of fat within liver cells(fatty liver).Fatty liver may be due to many reasons like hepatitis,obesity,alcoholism,metabolic disorder,drug toxicity,tumour etc.It may be due to obesity in your case.You may need few more investigations like routine hemogram,random blood sugar,lipid profile,liver function test,urine RE/ME.You may need to change food habit and life style.You should avoid saturated fat and go for brisk walk regularly.Take lot of fruits and vegetables in your diet.Avoid alcohol if you take it.Try to further reduce your weight.Get well soon.Take CareDr.Indu Bhushan" }, { "from": "gpt", "value": "Target: Suggest treatment for fatty liver" } ]

[ { "from": "human", "value": "Source: Patient: Two weeks after my abortion, I had unprotected sex but my boyfriend didn't finish inside, I took plan B 30 hours later! the first time I got pregnant I took the pill 72 hours after having unprotected sex, plan B didn't work.I am super scared. I know I shouldnt have done that plz dont judge Doctor: Hi,You took plan B pill 30 hours after unprotected sex. It will effective upto 72 hours after sex. It will not prevent against pregnancy if pill was taken after 72 hours of sex. In present scenario, Plan B pill 80-85% effective in preventing pregnancy. But it cause hormonal imbalance, delayed period by 1-2 week, earlier period and excessive bleeding can occur.So do not worry if period will delay by more than 1 to 2 week. Meanwhile avoid stress, take healthy diet, drink plenty of water, do regular exercise. If period will be delayed by more than 2 weeks then consult gynecologist.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" }, { "from": "gpt", "value": "Target: Could intake of plan B 30 hours after having unprotected sex cause pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: hi iam 25 years old and its coming 1 and half year to my marriage but we have never tried for a baby .till now i had a regular periods but since this 2 monts i had a irregular periods. and iam getting to hear that periods can give problems in concieving .please suggest me some remedies Doctor: Hallow Dear,Most of the times, irregular periods are associated with or are the result of failure to release eggs. You need to get evaluated for egg release function (ovulation). Along with it better get complete profile of the reproductive capability of both of you: 1. Ultrasonography, FSH, LH and Prolactin in blood will assess the ovulation.2. Laparoscopy and Hysterosalpingography will assess the patency of your genital tract.3. Semen examination of the husband.Depending up on the reports, further management will have to be planned.Wishing you best luck,Dr. Nishikant Shrotri" }, { "from": "gpt", "value": "Target: Can irregular periods cause problem in conceiving?" } ]

[ { "from": "human", "value": "Source: Patient: I am taking Sprintec for the pupose of getting rid of acne. I don t take the pill exactly the same time every day either but i make sure i do every day and have not missed a day. My doctor told me to not take the white pills till after my third pack of JUST blue pills. I did what he prescribed. I ended up having unprotected sex for about a minute till my boyfriend pulled out and said we need to use a condom. So he put one on and we continued while ON my period and since then, i ve been having spotting/light bleeding all day, every day, for a month now. I had protected sex a couple more times during the month and the rest was just fooling around with each other. I took a prgnancy test that same week and another one a week after that. Both were negative as well. I am not worried that I am pregnant...I have never had symptoms of pregnancy either. Or should i be? Do i need to start taking the pill at an exact time every day and if so, would it help stop the bleeding? Should i take ONLY the blue pill as the doctor recommended or finish this weeks packet with placebo pills? Would anyone know what my body could be telling me? Your well thought responses would be much appreciated! Thank you. Doctor: Hi,Thanks for the query. Hormonal pills to be taken at the same time every day. If you alter the time, that can lead to break through bleeding. So the spotting you are having could be due to this. And usually this type of spotting will subside soon if you continue the tablets. If the spotting persists, you may need additional dose of hormones to control it. You can complete the pack this month along with white non hormonal pills. Possibly you will get withdrawal bleeding while using the white pills. This will rule out the possibility of pregnancy and also helps in regularization of the cycles. If you want to use the pills for contraceptive purpose also and want to avoid side effects, better to use the pills at same time every day. Take care." }, { "from": "gpt", "value": "Target: Had unprotected sex, light bleeding. Taking Sprintec, prescribed placebo pills. Negative PT. Could I still be pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: Due to the loss of my prescription drug coverage, I cut back on some medications. I was taking 40 mg. of Paxil and 200 mg. of Wellbutrin daily. For almost 3 weeks, I ve been taking 20 mg. of Paxil, and 100 mg of Wellbutrin. I am very emotional, and find my self crying more...Also, two days ago I quit smoking, after 17 years of being a non-smoker, then, picking it up again after a trip to Ireland. So, after a 17 month relapse of cigarettes, and the doseage change, which one should I up? I feel the Wellbutrin may help with the smoking, but I would so appreciate any advice... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you rightly mentioned​, Wellbutrin helps in deaddiction of smoking and also relieves you from depression, it's better you continue higher dose of Wellbutrin and cut down Paxil in a tapering way. Withdrawal symptoms are more severe with Paxil, so slow tapering off Paxil is very important to avoid withdrawal symptoms. It's better you consult psychiatrist and take a decision. Go for a morning walk daily, exercise for 2 to 3 days per week which helps you feel relaxed. Interact and enjoy with your friends, listen to music, go for a dance, have a healthy diet. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: How can mood swings and depression after discontinuing Paxil and Wellbutrin be treated?" } ]

[ { "from": "human", "value": "Source: Patient: had a pain in my stomach at the top to the left hello, i have had a pain in my stomach at the top to the left, i went to the doctors to get my bloods last night they phoned me and said i had an abnormality to my liver , cud this be serious im really worried Doctor: Liver lies in Right upper quadrant of abdomen. Hence, Usually Pain due to liver origin occurs on Right side. You should specify on basis of which tests doctor has said a liver problem. Moreover, If your pain persist you should undergo an ultrasound abdomen to look for ant problem of spleen or left kidney." }, { "from": "gpt", "value": "Target: I have a pain in my stomach at the top to the left and report says i have liver abnormalities" } ]

[ { "from": "human", "value": "Source: Patient: I have one large lump on the inside top of the labia, on the inside. It is under the skin and does not have a head. It only bothers me when I wipe. I have been sexually active recently with a new partner and I am kind of worried. I started looking to see if there were more, adn I have noticed very small pimple-like bumps as well, but they are on teh outside of the labia. What can this be? Doctor: HiThanks for asking.Lumps in the labia are most often cystic- commonly bartholin cyst. If its small painless, then not to bother. If it increases in size or causes pain you will have to take antibiotics, analgesics and hot fomentation would help to relieve your complaints. Keep the parts clean and dry.Hope this helps." }, { "from": "gpt", "value": "Target: Suggest remedy for lumps in the labia" } ]

[ { "from": "human", "value": "Source: Patient: i have got severe pain in my kneee and feet area. i am 24 years old, height 5feet 1 inch, weight 82kgs... i am on medicine phytolacca berry for weight loss... Dr has given me medicines Etody, Medrolm,corcium k2 for my leg pain........ i want to consult am i on right track? Doctor: Hi,You need to lose weight with a good diet plan and professionally guided exercises preferably by a physiotherapist so that knees shouldn't be strained. You have high BMI and that's one reason for early signs of knees however it's better to get X-rays and get orthopedic surgeon review and start OTC analgesics like acetaminophen or Ibuprofen along with supplements for calcium Vitamin D3 and ossien mineral complex. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saddiq Ulabidin, General & Family Physician" }, { "from": "gpt", "value": "Target: Are etody medrol and corcium k2 effective on treating knee and feet pain?" } ]

[ { "from": "human", "value": "Source: Patient: Hi this is kashif i have problem my semen look like yellow jelly my abdomine ultrasound both kidneys and bladder normal but feel blockage and pain in discharge hope you guide me better Doctor: Hello Thank you for trusting HCM There’s no need to be alarmed if your semen comes out a yellowish color. In fact, it’s very normal. As men get older the hue of the semen also changes. If you haven’t had an ejaculation in a long time you could also experience a yellow tint to your semen. It’s a good idea to take a leak before you engage in intercourse. When a man has an erection your urine stream is blocked, so that semen can pass through as the only discharge. However, traces of urine may leak through and cause you to have a more yellow ejaculate. Other reasons for yellow sperm are jaundice and leukocytospermia (high levels of white blood cells). These are normally accompanied by other bodily symptoms, so if you notice the yellow tint with abnormal symptoms, please consult a doctor. Thank you" }, { "from": "gpt", "value": "Target: What causes yellow semen and difficulty in ejaculation?" } ]

[ { "from": "human", "value": "Source: Patient: I had a dentist appointment yesterday in which I was getting a porcelain crown placed on my tooth, and while I was being numbed, it either hit a nerve, or hit very close to a nerve, because there was an uncomfortable electric shock feeling. It's been over 24 hours after the dentist appointment and I still can't feel that part of my tongue. I am worried that it might stay numb forever. Are occurrences like this normal? Doctor: Thanks for your query, I have gone through your query.The numbness in the tongue could be secondary to the trauma to the nerve by the tip of the needle while injecting local anesthesia. The trauma would have caused injury to the nerve resulting in neuropraxia resulting in loss of sensation.Nothing to be panic, usually it will reverse back to normal in few days to week.Mean while you can start with nerve regenerating drugs like capsule neurobion, once daily for a month. You should take extra precautions not to injure your tongue when you bite or consume hot and cold things.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: Why part of my tongue is still numb after dentist's appointment?" } ]

[ { "from": "human", "value": "Source: Patient: Two weeks ago a lump appeared in the groin area but then disappeared; it had now reappeared in almost the same spot. My husband suggests I see a doctor but this lump had appeared at least ten years ago and disappeared and approximately did the same thing three years ago. The lump is hard to touch and not painful. Doctor: Hi. The recurrent swelling in the same area can be a hernia- but it would have increased in so many years.So the most probable cause is a Lymph node. Get examined by a Doctor as to confirm what it is and more important to find why - meaning is there a source of infection in the drainage area of the lymph node." }, { "from": "gpt", "value": "Target: What is the lump that appears on the groin area?" } ]

[ { "from": "human", "value": "Source: Patient: I was hit on shin, above ankle, with a softball over a week ago. Bruising seems to finally be improving, but still have severe pain when walking after moments of rest but does improve after initial steps. Has a knot in center of bruising. Is it possible to have a fracture? Doctor: no .very unlikely there is a fracture as your walking is painless . as said by you after few steps your symptoms are getting releaved . this suggests the injury is only a soft tissue type injury" }, { "from": "gpt", "value": "Target: Does bruise with knots in the ankle & shin suggest a fracture?" } ]

[ { "from": "human", "value": "Source: Patient: Wondering if there is anything I can take for swelling of the chest & pain with COPD? It will swell all of the sudden but sometimes stays swollen for several hours. Someone said that I may have a condition that people with respiratory issues ~ that means swallowing air? Doctor: Thanks for your question on HCM. I can understand your situation and problem. COPD ( chronic obstructive pulmonary disease ) patients are at increased risk for cardiac disease s like heart failure and coronary artery disease. So we need to rule out these causes first for your symptoms. So consult cardiologist and get done1. ECG2. 2d echo3. Coronary angiography if required.And swallowing air will not cause pain and chest swelling. So better to consult cardiologist and rule out cardiac cause first." }, { "from": "gpt", "value": "Target: Medication for swelling of the chest and pain with COPD?" } ]

[ { "from": "human", "value": "Source: Patient: im 23 year old male.my penis doesn't get hard for long time. it get hard when i take in hand n den it shrink.i try to have sex wid girl but it was not getting hard.is it safe n useful to take manforse 100mg (viagra type) hardner capsule?????plz help me.im thinking tht i cannt have sex coz my dick is not getting hard.may be coz of first or i dont know. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are having erectile dysfunction. There are innumerous reasons for erectile dysfunction for which various medicines and psychological means are available. Medicines like Viagra are to be taken after ruling out certain physical parameters. Its advisable not to take such drugs without doctor advice and health check up. Moreover at your age reason for erectile dysfunction are more related to anxiety. You can do following at home. Read erotic material or see erotic material in books/movies and to note the sense of sexual pleasure out of the same. Start focusing on it. Subsequently later start imagining about the content of erotic material followed by thinking yourself being involved in the same erotic/sexual activity. See if you achieve erection. Consult for further help. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for increasing the hardness of penis for a longer time" } ]

[ { "from": "human", "value": "Source: Patient: I had ankle surgery about two years ago. I broke my leg,ankle,growht plate, and foot. I had surgery and they put two scerws in. Ever since then I have been experiencing this weird pain in my upper leg area, it feels like growing pains in a way, and some ways not. It has recently gotten wose, Ihave been experiencing this throbbing in my thigh, along with it being internally HOT and at night it goes all numb. I thoght it was just bad circulatioon, but I have been propping my leg up and it does not help. Doctor: hi,I think you should get yourself checked by the surgeon who operated you . mean time you can try doing some small leg exercises like static quadriceps and hamstring. do regular ankle toe movents after dipping the feet in hot water. try performing straight leg raise as well. it will take away the pain and you will be fine overall.thank u" }, { "from": "gpt", "value": "Target: What causes pain, numbness in upper leg after surgery on ankle?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, Male 60, woke up with little pain under right rib, doesnt go away during the day, stool normal, breathing normal, eating normal, can not exactly pin point the pain spot, it s 2.5 inch under the nipple, i am on daily concor 2.5 ML, Crestor 5, aspirin 82, Proscar 5. Any advise pls ? Doctor: Thanks for your question on HCM. Since you are on cardiac medicines, we need to rule out cardiac cause first. So get done ECG first.If ECG is normal than no need to worry much for cardiac cause. It might be muscular pain only.So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Start good painkiller and muscle relaxant. 3. Avoid bad postures in sleep. 4. Apply warm water pad on affected site." }, { "from": "gpt", "value": "Target: What causes pain in the chest?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doc, my father had clot in middle brain, he is diabetic as well, we were able to take him to hosp. in due course of time post his stroke at 12.30am , he slept at 12.15am ... at 2.45am doctor at max hospital got a consent signed and gave him medicine which is approx 60k, we agree for that since 10% chances were there for bleeding, 30% for slight revival and 60% for stagnation... post this medicine , now its 3rd day, he is able to move his right hand n leg, can walk a bit but not able to speak properly .. say yes , no, ok and it looks like he is not able to recall previous instances to the 100% satisfaction, he worked in govt. deptt but on asking he said i worked in private, dont remeber where he live, colour recognistion is not there... green colour , he said royal blue... pls help and suggest what is in store for in future. Doctor: Dear Mr. I am sorry for your father health problem.It is the best thing you can do to prevent brain damage after stroke, trying thrombolysis.Procedure has been done very fast and no brain damage shouldn't happen.I think with physiotherapy and helping him in speech after some weeks he will be fine again.Hope my advice will help you wish you all the best" }, { "from": "gpt", "value": "Target: What might happen for a person having clot in mid brain and does not have any memory?" } ]

[ { "from": "human", "value": "Source: Patient: I had breast cancer five years ago and am currently free of it right now. The cancer was extrogen positive so I was not able to take HRT. IN the mean time I ahve gained 30 lbs. and have high blood pressure now along with a low thyroid. I watch my diet but it seems that all I do is gain weight. What can I do or is there anything I can take to help? Doctor: Dear,You must have already been on hormonal management for ER+ breast cancer.Your weight gain and obesity is due to hypothyroidism and so also the high BP.Please get your hypothyroidism corrected and have adequate exercise and have low caloric diet under the advice of a dietitian your problem will get resolved.Truly,Dr. J. Ticku" }, { "from": "gpt", "value": "Target: Is there anything I can do to avoid weight gain having high BP and low Thyroid and has a history of Breast cancer?" } ]

[ { "from": "human", "value": "Source: Patient: my name is jj. im 33yrs old and 21 weeks pregnant. i went for an echo two weeks ago and the doctor called me back for a second look at my baby s heart yesterday. she thinks my baby s right ventricle is a little smaller than normal. i want to know all abt it. Doctor: Hi..there is a condition called hypoplastic right heart syndrome where in the right side of the heart will be smaller. One echocardiogram doesn't confirm or refute anything. I think you need to be on regular follow up as suggested by your doctor and then take necessary steps.I suggest you ask the doctor if she's suspecting the same condition. Then it will be prudent to discuss about this with her.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes small ventricles in infants?" } ]

[ { "from": "human", "value": "Source: Patient: HI. I have these bumpy type bones at the roof of my mouth like everyone else but three days ago the bony type bumps feel swollen like the skin is sunken into them. they hurt really bad when ever I eat food. and now that food has been rubbing on them they have grown raw. what is this? and how can i get rid of it? Doctor: hellooo...read thru ur query...accordingly i feel that its just inflammation of thepalatal area....it can be due to trauma while having food or due to sudden burn having hot food etc...u have to have soft and cold diet for few days...take amoxicillin antibiotics..do salt water gargle as many times as possible...and see for a week..if still it persists meet a dentist and get it treated based on the clinical presentation...be cool..nothing to be worried in this..hope ur benefitted something from this reply..have a healthy day!!!" }, { "from": "gpt", "value": "Target: Suggest remedy for swollen bumps on the roof of the mouth" } ]

[ { "from": "human", "value": "Source: Patient: my 4 year old fell and bumped his nose a few hours ago, his nose was bleeding at that time. now, he is acting very lethargic and falling asleep, has no appetite and when I measured his temperature, its 99 on the forehead. does this warrant a trip to the emergency room? Doctor: Hi, First, be reassured that your kid is normal. I will suggest you danger signs of head injury - 1. Vomiting continuously 2. Seizures 3. Watery or bloody discharge from ears and nose 4. Unconsciousness 5. Altered sensorium or behavior. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology" }, { "from": "gpt", "value": "Target: Should I consult a doctor for fever and loss of appetite in a child after a nose injury?" } ]

[ { "from": "human", "value": "Source: Patient: My father aged 70 had a lacunar infaraction an year ago.After consulting a neurologist and taking few pills he recovered 90 percent.But, he also developed server pain in the lower back and in the legs region, which is causing extreme difficulty while walking.He however manages to walk a mile per day slowly.After consulting an orthopedican and getting an MRI done, he discovered that there is a disc bulge l4 l5 and thats causing the problem and suggested phisio-therpay as a solution. But phisiotherapy didnot work and he is still facing the same problem.When consulted with other doctors, they are of the opinion that it may be related to the brain or due to lacunar infaraction and not really anything to do with disc bulge l4 l5 ( herniated disc), or wear and tear in the spinal cord which is generally associated with this age. We are a kind of unsure as to whom to contact and how to proceed with medication. Please help as what can we do from here Doctor: I would say that the pain is very unlikely to be related to the lacunar infarct. It is more likely due to degeneration of the spine, which is indeed age related. I would consider surgery an extreme last resort. But if physical therapy didn't work, then medications (like easy-to-tolerate pain killers like Tramadol or Nucynta) would help, as well as likely lumbar epidural steroid injections." }, { "from": "gpt", "value": "Target: What should the medication be for herniated disc and tear in spinal cord?" } ]

[ { "from": "human", "value": "Source: Patient: About 3 years back my wife suffered from a mental disorder, she used to say the neighbors are conspiring against us, they will kill us, they will do harm to her only brother, even while watching tv programs she used to say that the character is thinking to do harm to us. Initially I use to ignore it but when I understood that it is mental disorder I consult a psychiatrist , after taking medicine (tolaz, lopaz ) she recovered. Now all most after three years (surprisingly in the same month) again she talks off context, does not like my friends and relatives, talks about our family friends who have gone far from our place long back. She is 35. We do not have any relational problem. We have two daughters. She is house wife, she sings well. I need some help please help me... Doctor: Symptoms are suggestive of paranoid schizophrenia. Some patients may relapse after initial recovery. She may need long term treatment even after recovery to prevent relapse." }, { "from": "gpt", "value": "Target: How to stop my wife from having Hallucinations ?" } ]

[ { "from": "human", "value": "Source: Patient: We had protected intercourse last night but while removing the penis from the vagina the condom got stuck in the vagina So I wanna ask that is it a contraceptive failure And if yes then will I have to take ECP I took ECP 15days back as well Is it ok to take ecp twice in a month Doctor: Hello,I have gone through your query and understood the concern. Since the condom got stuck in the vagina after the intercourse, it is possible for some spillage of semen to happen and if you happen to be in the fertile phase of the cycle, conception chances are high. Yet, use of emergency contraceptive pills should be restricted to only once or twice a year. This is because the high hormone content in the pill creates hormone disturbances and fertility problems in future.another way of emergency contraception is the insertion of an IUD soon after the intercourse to prevent implantation. Hope this helps." }, { "from": "gpt", "value": "Target: Can ecp be taken twice in a month?" } ]

[ { "from": "human", "value": "Source: Patient: i am suffering with backpain. it began as low back pain. latter as low back pain reduced with phisiotherapy and anelgesics and muscle relaxants, i started having pain in upper back and then at the center af the chest.( there is strain and pain in the right leg also. ) Doctor: Common causes of low back pain are-Poor postural habitsMuscular strainLigaments sprainHerniated discSpinal stenosisOsteoporosisFibromyalgiaTo allow me to help you better, please let me know if you also have any of the following complaints:- Pain radiating to lower limbs- Parasthesia and numbness in lower limb- Weakness in lower limbs- Back pain develops after lifting heavy weight or strenuous activity- Pain associated with stiffness in your back- Pain aggravated on forward bending- Pain in other jointsfrom you question it seems to be muscular in origin.I advise muscle relaxants like cyclobenzaprine, NSAIDs like aceclofenac or tramadol and neurotropic drugs.I send them for muscle strengthening exercises and Physiotherapy along with this.Loosing of excessive weight if you are obese also helps in relieving symptoms. Take vit D also if you hardly go out in sun. Consult a pain physician or orthopedecian for further advice" }, { "from": "gpt", "value": "Target: What causes back pain and pain in center of chest?" } ]

[ { "from": "human", "value": "Source: Patient: I had an extraction six months ago (and a permanent bridge put in). Since then, ive had three bone fragments come out of my gum and my gum/bridge area feels like something needs to squish out of it. It is uncomfortable 24/7, yet my dentist says everything has healed nicely and nothing shows on follow-up X-rays. My dentist finally referred me to an established oral surgeon who took a 3-D xray and tells me I have sclerotic bone formation. He gave me three steroid injections in my gum and that had no effect. Now, he wants to cut my gum open for a look and inject steroid directly into the bone. I am wary of this and can not find any information about this procedure. Discussion with an additional dentist also confirmed that both dentists are not familiar with either my condition nor the proposed treatment. Can you advise? Doctor: Dear friend.Thanks for sharing your concern.Sclerotic bone formation is not normal bone formation pattern.That is not good quality bone which is required.It is brittle in nature and wears of fast giving less or no support to your roots.Therefore your oral surgeon wants to inject steroid directly at the site of bone formation and wants to see further results.It should recover after this procedure.Therefore in my view you can go for this treatment.Hope it helps.Thanks.Take care." }, { "from": "gpt", "value": "Target: Having sclerotic bone formation. Taken steroid injections. Now wants to cut gum. Advise" } ]

[ { "from": "human", "value": "Source: Patient: I have been taking levlen ed for two cycles now, my first period I skipped and I am concerned that I will not get my second period. I have a history of unreliable periods after going 6 months without one and not being pregnant. I'm concerned that if I start taking the 7 day non hormonal pills and I don't get a period that I could be at risk of pregnancy. Doctor: Hi, The idea behind oral contraceptive is to avoid ovulation. for this a regular pill consumption from 5th day of cycle is a must. Naturally to start a pill without periods is not going to work.It will have a untoward effect ,if taken in a pregnant stage. You need investigations ( USG,ovulation study) for your period irregularity. An expert advice should follow the investigation. Thanks." }, { "from": "gpt", "value": "Target: On levlen ed for two cycles. History of having irregular periods. Risk of pregnancy with intake of non hormonal pills without periods?" } ]

[ { "from": "human", "value": "Source: Patient: hellothere's this lump coming up on my leg it hurts and it's getting swollen thats the third one i'm having i've had one on my inner leg close to my knee another on my bottom and now on the outer side of my leg it is latter filled with water which i burst but i'm getting concerned please help me Doctor: Hi. IF there is a clear liquid like water- this is a reaction to to something. Apply an antiseptic liquid to the wounds to avoid secondary infection.It would be a better idea to consult a Dermatologist as this is not a very common condition. A proper diagnosis is necessary ." }, { "from": "gpt", "value": "Target: What could painful lumps on legs oozing watery liquid when burst indicate?" } ]

[ { "from": "human", "value": "Source: Patient: I have cvid and have been on IvIG for a little over four years i frequently run a temperature as well as constant nausea and diarrhea at least 1 migrain a week most recently I have experienced chest pain I don t think this is a heart attackand lower back pain lightheadedness and some difficulty breathing Doctor: Treatment for CVID-1)Ig may be administered intravenously or subcutaneously. Solutions of 3-12% intravenous immunoglobulin (IVIG) can be used on a regular basis to maintain a trough level of 400-500 mg/dL in adults. A dose of 400-600 mg/kg every 2-4 weeks is usually required. In patients with structural lung damage, a trough level of 700-800 mg/dL is required.2)Cyclosporin A has been successfully used in patients with CVID and lymphoid interstitial pneumonitis. The administration of anti-CD20 monoclonal antibody has been used to treat autoimmune thrombocytopenia and neutropenia.3)Antimicrobial therapy should be initiated at the first sign of infection. A narrow spectrum of drugs should be used when culture and sensitivity results are available. The prophylactic use of antibiotics should be avoided because of an increased risk of infection with fungi or other resistant organisms.Specific therapy is often necessary to target the organ system involved. For instance, patients with chronic lung disease often develop airway obstructive disease that requires treatment with inhaled corticosteroids and other asthma medications4)Surgery is required to treat the complications of common variable immunodeficiency (CVID). Chronic sinusitis may require endoscopic sinus surgery. Severe autoimmune thrombocytopenia or hemolytic anemia can be treated with splenectomy. Biopsy should be considered to exclude infection or malignancy in enlarging lymph nodes.If you have any doubts let me know.Thanks" }, { "from": "gpt", "value": "Target: How to cure CVID condition?" } ]