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Description stringlengths 32 173	Patient stringlengths 13 4.41k	Doctor stringlengths 62 2.28k	text stringlengths 150 2.4k
Description: Is nose bleed in a toddler a matter of concern?	Patient: My 2 year old has had a nose bleed almost every day for 2 weeks also developed a rash I believe to be eczema or heat rash and he also suffers asthma attack’s but hasn’t had one lately however this week I’ve had to buy piriton as he had been dealing with hay fever symptoms. Is he just really unlucky to have all of these allergies and should I be worried about the nose bleeds?	Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For nose bleed when it bleeds hold baby in sitting head stooping forward and pinching the nose or apply ice or cold water externally on node. It will control bleeding. For finding cause of nose bleed more detailed history and physical exam is needed. Sometimes it can occur with cold cough or nose picking habits especially in children with allergies. Generally allergies get worse with allergen exposure. Keep bed sheets and Pillow cover clean or you can wrap it in plastic so that the dust doesn't come out when child sleep. Wash curtains at least once in 2 weeks. Keep dust and smoke exposure as less as possible. Do pest control. Keep dogs, cats and pet out of house. Hope I have answered your query. Let me know if I can assist you further.	<s>[INST] Description: Is nose bleed in a toddler a matter of concern? [/INST] Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For nose bleed when it bleeds hold baby in sitting head stooping forward and pinching the nose or apply ice or cold water externally on node. It will control bleeding. For finding cause of nose bleed more detailed history and physical exam is needed. Sometimes it can occur with cold cough or nose picking habits especially in children with allergies. Generally allergies get worse with allergen exposure. Keep bed sheets and Pillow cover clean or you can wrap it in plastic so that the dust doesn't come out when child sleep. Wash curtains at least once in 2 weeks. Keep dust and smoke exposure as less as possible. Do pest control. Keep dogs, cats and pet out of house. Hope I have answered your query. Let me know if I can assist you further. </s>
Description: Suggest treatment for severe upper back pain	Patient: I have had back pain for a while, upper back pain, most likely caused from my job. I tend to crack my back a lot for comfort and pain relief. I had trouble cracking it and literally tried so hard that it feels like I pulled a muscle in my chest. It is in the upper chest area, left side, closer to my collarbone. It hurts more when I lay in bed than at any other time.	Doctor: For treatment of back pain you can take some pain killer like ultracet-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shalcal-d or toscal-gem once daily. Take some multivitamin like metilda-af or neurobian-plus once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advice you to sleep on a plain surface.	<s>[INST] Description: Suggest treatment for severe upper back pain [/INST] Doctor: For treatment of back pain you can take some pain killer like ultracet-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shalcal-d or toscal-gem once daily. Take some multivitamin like metilda-af or neurobian-plus once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advice you to sleep on a plain surface. </s>
Description: What causes painful hard red lump near the small toe?	Patient: hello doctor, i currently have been diagnosed with gout in my foot, on the small toe area. i have started to manage that but know i have a hard red lump that has formed about 2cm below the end of the small toe towards the ankle. it hurts when touched but doesn t feel like its there when i havnt got a shoe or sock on. thanks james	Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have gouty arthritis with lump formation. Lump is due to gouuty deposits. You should go for excision biopsy of that lump. Also check your serum uric acid level. You should take low protein diet. Drug like allopurinol may be taken for gout. It will help to decrease uric acid level. Ibuprofen like drug is useful for symptomatic releif. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.	<s>[INST] Description: What causes painful hard red lump near the small toe? [/INST] Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have gouty arthritis with lump formation. Lump is due to gouuty deposits. You should go for excision biopsy of that lump. Also check your serum uric acid level. You should take low protein diet. Drug like allopurinol may be taken for gout. It will help to decrease uric acid level. Ibuprofen like drug is useful for symptomatic releif. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>
Description: Suggest treatment for yellowish penile discharge with bad odor	Patient: I m a male and 32 years old. one month before I observed smegma under my foreskin of penny. It was white color hard particles and difficult to remove. Two days after it came yellow color liquid like matter with very bad odor. I washed away them. after two three days it was observed that cheese like particles under my foreskin. I informed this to a doctor and he adviced me to washed it with anti bacterial soap. I did that but those cheese like particles formed again and again and it was itchy and with bad smell. for two weeks these symtoms last. After two weeks I felt like flu and tired and muscle pain in legs. But when I went to hospital when this symtoms start they checked and told me my blood pressue normal and no fever. But I felt like flu and chill, dizziness. Then my urine checked but no any infection found. After two days I went to hospital again because of same reason. I wanted to check my HIV status also. But it was only one month after sex with unknown partner. but I used condoms. In that day doctor told me it is due to stress. After week (1st of July) I again went to hospital for same problem. In that time i had a pain when urinating, penny gland was red color and itchy, itchy in groin area also, flu like symtoms, fatigue and muscle pain. Again blood pressure and temperature were normal. My urine and blood tested. No infection found from reports. Doctor checked my penny and suspicios some STD. I was given Doxycycline 100mg two times per day for seven days and clotrimazole cream. But problems was not solved. Last saterday I again went hospital. Doctor checked my penny and told it is now OK. I also feel now penny is OK apart little pain from end of penny tip in sometime. Doctor given meazithromycin capsule 400mg two tmes per day for three days and fluconosole 200mg 1 capsule. Today also i feel like flue and mscle pain. last few days i felt little sweat in night time. I expect kind advice. Also I did HIV rapid test on 30th day after last sex.	Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is good to know that you are under treatment, please continue to take the prescribed medications, make sure that the sexual partners should also get treated with medications. Penile discharge can be an indication of STD but it does not mean you necessarily have it. If you are sexually active with multiple partners you should go for comprehensive STD testing. Avoid sex till you get well. Get Urinalysis, culture sensitivity test done, your treatment will depend upon your diagnosis. Hope I have answered your query. Let me know if I can assist you further.	<s>[INST] Description: Suggest treatment for yellowish penile discharge with bad odor [/INST] Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is good to know that you are under treatment, please continue to take the prescribed medications, make sure that the sexual partners should also get treated with medications. Penile discharge can be an indication of STD but it does not mean you necessarily have it. If you are sexually active with multiple partners you should go for comprehensive STD testing. Avoid sex till you get well. Get Urinalysis, culture sensitivity test done, your treatment will depend upon your diagnosis. Hope I have answered your query. Let me know if I can assist you further. </s>
Description: Are tiredness,constant thirst and frequent urination symptoms of diabetes?	Patient: Hello, I'm a 14 year old girl, and I just want to know if I have diabetes or not. The other day, I saw a commercial on TV with three symptoms of diabetes. They were: being tired all the time, constant thirst, and urninateing frequemtly. I know for a fact that I've been expiriencing the first two, but I'm not so sure about the third. Being cautious, I looked online and it also said the same thing, and an added symptom, tingly hands and feet, My right hand has been a having a tingly sensation, mostly my thumb, but I may just be being over cautious. I also told my friend that has diabetes about how tired and thirst I've been. I never once told him I thought I had diabetes, and he just told me about an hour ago that I need to go see a doctor to see if I have diabetes. I'm just so scared and I need answers. My parents won't take me to a doctor and they don't believe me either. They say its school that's been making me tired, but I just finished my Spring Break, and I was just as tired. Does it seem like I have diabetes, and if so, how can I make my parents believe me? I really just want the first question answered, but both would be much appreciated. Thank you!	Doctor: hi! I totally understand your concerns. it's better to be over cautious than to miss something as significant as diabetes. if you feel so you should get your blood tests done.it will give you a clear picture.	<s>[INST] Description: Are tiredness,constant thirst and frequent urination symptoms of diabetes? [/INST] Doctor: hi! I totally understand your concerns. it's better to be over cautious than to miss something as significant as diabetes. if you feel so you should get your blood tests done.it will give you a clear picture. </s>
Description: How long will it take to heal after a dimple surgery?	Patient: I am interested in having dimple surgery. I am 24 years old. I am concern if dimple surgery will affect my face when I m older when my face starts to lose its elasticity. Also since incision is made inside, how long exactly will it be able heal? I understand eating might be a problem post op.	Doctor: Hello, It takes around ten days for complete healing. The inner part of the cheek is highly vascular and thus healing will be faster. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician	<s>[INST] Description: How long will it take to heal after a dimple surgery? [/INST] Doctor: Hello, It takes around ten days for complete healing. The inner part of the cheek is highly vascular and thus healing will be faster. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>
Description: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?	Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.	Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.	<s>[INST] Description: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? [/INST] Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>
Description: What causes vomiting and loose motion in children?	Patient: My kid is 2 1/2 years old, since yesterday evening suddenly he started vomiting and loose motion, even water also he is vomiting. I have taken him to pediatrician yesterday and he gave non metrogyl. but no effect till no. baby is passing motion like water. Pls help	Doctor: Hello,Your baby is probably suffering from gastroenteritis resulting in diarrhea and vomiting. Most of the cases are due to viral infection. You will have to make sure that your baby doesn't get dehydrated. Continue ORS solution and feed as frequently as possible.ORS is the most important part of treatment. For vomiting you may add syrup Ondansetron. If baby is becoming weak and lethargic you should consult your pediatrician and ask of intravenous fluids.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad	<s>[INST] Description: What causes vomiting and loose motion in children? [/INST] Doctor: Hello,Your baby is probably suffering from gastroenteritis resulting in diarrhea and vomiting. Most of the cases are due to viral infection. You will have to make sure that your baby doesn't get dehydrated. Continue ORS solution and feed as frequently as possible.ORS is the most important part of treatment. For vomiting you may add syrup Ondansetron. If baby is becoming weak and lethargic you should consult your pediatrician and ask of intravenous fluids.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad </s>
Description: What does this WBC count of 12.1 indicate?	Patient: Hi I wanted to ask if a white blood count of 12.1 is a concern and I always have a bit of a high white blood count and have a 4.2 lym abs and my calcium is 10.9, my doctor doesn t plan to check this any further, well I thought this was free that s what it said but I guess not and I cannot afford any money don t have none. Thank you anyway	Doctor: Hello and welcome to HCM,The normal white blood cell count is between 4000 to 10,000 per cubic millimeter.A count of 12,100 per cubic millimeter is slightly raised value.Raised white blood cell count is seen in infections.Lymphocyte count is 4.2 is also an elevated count.Lymphocytes are increased in viral infections and certain chronic inflammatory conditions.You need to consult your primary healthcare provider for clinical assessment, relevant investigations and thus treatment.Thanks and take careDr Shailja Puri	<s>[INST] Description: What does this WBC count of 12.1 indicate? [/INST] Doctor: Hello and welcome to HCM,The normal white blood cell count is between 4000 to 10,000 per cubic millimeter.A count of 12,100 per cubic millimeter is slightly raised value.Raised white blood cell count is seen in infections.Lymphocyte count is 4.2 is also an elevated count.Lymphocytes are increased in viral infections and certain chronic inflammatory conditions.You need to consult your primary healthcare provider for clinical assessment, relevant investigations and thus treatment.Thanks and take careDr Shailja Puri </s>
Description: Is a high blood pressure with headache of concern?	Patient: I'm 38, 5'-10" and weigh 210#. Whenever I go to the doctor my blood pressure is usually around 128 over 85. Over the past week I've had a head ache that I can't get rid of and my wife told me I needed to get my blood pressure checked. So at lunch I stopped at Wal-Mart and checked at there customer station. It said it was 165 over 115 with a pulse of 125. Should I be concerned?	Doctor: hi dearmy suggestion is to get your B.P cheked up again manually by a doctor or nursemany time due to sensor problem automatic machines give false readinga suden rise in systolic(upper ) blood pressure can be explained but a sudden change of diastolic b.p from prehypetensive stage to grade 3 severe hypertension can not be expalined and is possible in rare case scenariosbefore suggesting any medications or test my advise is that get your blood pressure checked up manually at three occasions seperated by few hours .	<s>[INST] Description: Is a high blood pressure with headache of concern? [/INST] Doctor: hi dearmy suggestion is to get your B.P cheked up again manually by a doctor or nursemany time due to sensor problem automatic machines give false readinga suden rise in systolic(upper ) blood pressure can be explained but a sudden change of diastolic b.p from prehypetensive stage to grade 3 severe hypertension can not be expalined and is possible in rare case scenariosbefore suggesting any medications or test my advise is that get your blood pressure checked up manually at three occasions seperated by few hours . </s>
Description: Suggest treatment for mouth breathing due to enlarged adenoids in a child	Patient: We are living in Bangalore and my 4 year old son have enlarged Adenoid (for last year and half). Due to this he s prone to cold and his body resistance to infection is little low. We consulted few ENT specialists w.r.t removal of enlarged Adenoid via surgery. We got mixed opinions on that. As I understand Adenoid is first level of defense in the respiratory track and it s removal can have unfavorable consequences in longer run. Also there s chance of getting it back between age 6-8 yrs. We are following Homeopathy & Ayurvedic treatment (off and on) for last year or so. My son is some-what better w.r.t frequency of getting infections. But still he snores a lot and breaths with open-mouth most of the times. We are just worried if this prolong mouth-breathing will do some damage to his internal organs and ears (due to some-what frequent chest & ear infection).	Doctor: Hi, Your child sleeps with mouth open, this means that the tonsils are quite large at the age of 4 years. If there is difficulty in breathing or not able to swallow anything then the child should be operated. Tonsillectomy is a common operation and there are some minor complications like nasal discharge, sorethroat, ear ache, but these symptoms usually subside over 3 weeks. In my opinion, you should go for tonsillectomy. I hope this has helped you. Take care. Regards Dr Deepak Patel, MD Pediatrics	<s>[INST] Description: Suggest treatment for mouth breathing due to enlarged adenoids in a child [/INST] Doctor: Hi, Your child sleeps with mouth open, this means that the tonsils are quite large at the age of 4 years. If there is difficulty in breathing or not able to swallow anything then the child should be operated. Tonsillectomy is a common operation and there are some minor complications like nasal discharge, sorethroat, ear ache, but these symptoms usually subside over 3 weeks. In my opinion, you should go for tonsillectomy. I hope this has helped you. Take care. Regards Dr Deepak Patel, MD Pediatrics </s>
Description: Suggest remedy for frequent bouts of cold	Patient: i have had an allergy like symptoms for a while, my nose is constantly clogged. yesterday i caught a cold from my brother i think, and today when i woke up, my nose was jammed up, as i blew into it, bright red blood was all over the mucus, it lasted till the late afternoon. my throat feels kind of sensitive somehow, should i worry?	Doctor: Hi, cold is a viral infection that spreads through erosol means by air.yes you are right what you caught from cold may be by your brother's cold.It is impossible for humans to get immuned to this cold because every time different type virus causes infection. The good thing is it affects to nose and throat mainly by running nose, congestion, blocked nose,throat pain,cough which mostly subsides by itself.If not then u can take symptomatic treatment available OTC along with steam inhalation,saline nebulizer,avoid cold products and u will be alright.	<s>[INST] Description: Suggest remedy for frequent bouts of cold [/INST] Doctor: Hi, cold is a viral infection that spreads through erosol means by air.yes you are right what you caught from cold may be by your brother's cold.It is impossible for humans to get immuned to this cold because every time different type virus causes infection. The good thing is it affects to nose and throat mainly by running nose, congestion, blocked nose,throat pain,cough which mostly subsides by itself.If not then u can take symptomatic treatment available OTC along with steam inhalation,saline nebulizer,avoid cold products and u will be alright. </s>
Description: Can any online doctor advise on semen analysis report?	Patient: Dear sir, How are you now? This is Mahbubur Rahman from Bangladesh. I have collected my semen analysis report and it is Sperm count:53.2 Million/ml Motility: Incubation Active motile: 50% Sluggishly motile: 20% Non motile: 30% Pus cells: 1-2/hpf RBC:1-3/hpf Morphology Normal: 80% Abnormal: 20% Chemical Examination: Fructose: Present May I know some thing about it?	Doctor: hiiii,.Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/hpf and RBC 1-3/hpf>> within NORMAL limit.Your overall semen analysis report is normal. Take healthy diet and avoid stress.All the best.	<s>[INST] Description: Can any online doctor advise on semen analysis report? [/INST] Doctor: hiiii,.Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/hpf and RBC 1-3/hpf>> within NORMAL limit.Your overall semen analysis report is normal. Take healthy diet and avoid stress.All the best. </s>
Description: What could abdominal pain, burning around anus with soft stools suggest?	Patient: I have been having sever lower left abdominal pain for several weeks. I just started having intense burning of my anus after bowel movements. It is not from straining or hemeroids. Stools are soft but still cause intense burning. What is causing this?	Doctor: HIWell come to HCMSuch symptoms are suggestive of taking some spicy food and increasing acid secretion in my opinion this condition can be treated with some antacid liquid which contain some local anesthetic have this solution four times in day, hope this information helps.	<s>[INST] Description: What could abdominal pain, burning around anus with soft stools suggest? [/INST] Doctor: HIWell come to HCMSuch symptoms are suggestive of taking some spicy food and increasing acid secretion in my opinion this condition can be treated with some antacid liquid which contain some local anesthetic have this solution four times in day, hope this information helps. </s>
Description: Suggest remedy for breathing problems	Patient: hello .. 6 years ago .. it was 4rth day of my period..bathing time i used my finger just like master bating but i didn t want to do such type of bad activity ..so when i felt that it was orgasm (excitement ) time i tried to stop such activity...orgasm time i tried to stop my excitement & that time i felt something strange . after that i felt my urine was not coming out clearly & flow was so weak & slow...i felt that it was coming slowly & it comes only from my right side of vagina ...at the same time i felt some abdominal activity in my stomach( thorax side area).. & after that activity it made a swallow area( in my lungs side area) for that i feel obstruction in taking breath in the middle of my thorax ..i am 25 year old girl & that condition is still remained..& this condition has created a lots of problem for me like- can t taking breathing properly,feeling heavy in my thorax,weakness, blood deficiency ,tiredness , stop growing with age prob,.neck beating , feeling always obstruction in taking breath& yess urine is not clearly come out still now.. but my period is at time..thanks waiting of ur reply	Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of stress and anxiety related symptoms is more. But better to rule out Pulmonary causes for your symptoms. So get done chest x ray and PFT (Pulmonary Function Test). If both are normal then no need to worry for Pulmonary causes. Possibility of anxiety related symptoms is more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. So avoid stress and tension. Be relax and calm. 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.	<s>[INST] Description: Suggest remedy for breathing problems [/INST] Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of stress and anxiety related symptoms is more. But better to rule out Pulmonary causes for your symptoms. So get done chest x ray and PFT (Pulmonary Function Test). If both are normal then no need to worry for Pulmonary causes. Possibility of anxiety related symptoms is more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. So avoid stress and tension. Be relax and calm. 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. </s>
Description: Suggest treatment for swelling and pain on knuckle	Patient: Hi.So a few weeks ago i was hand digging out a weed in my garden. As i was fisting my right hand and pressing down to get that stubborn weed out (and i did) i felt a horrible pain shoot threw my middle fingers middle knuckle. I thought mayb i pressed down on a rock or something equally hard with a point on it. . When i took the gloves off i discovered a little bit of swelling and it was really sore. Now just over 2 weeks latee there is a bruised type lump on top of the knuckle and it hurts quite a lot when pressure is put on it. Should i go see my family doctor?	Doctor: You need to see you primary care doctor to make sure you did not fracture anything in your hand, as well make sure there are no signs of infection.	<s>[INST] Description: Suggest treatment for swelling and pain on knuckle [/INST] Doctor: You need to see you primary care doctor to make sure you did not fracture anything in your hand, as well make sure there are no signs of infection. </s>
Description: What are the chances of pregnancy after taking birth control pill within 10 hours of an unprotected sex?	Patient: Hi, I am taking levest and am on the third week (I take 3 packs together so I only get 4 periods a year) I had unprotected sex a few days ago and had forgotten to take my pill that day. I took it when I got home, it had been 10 hours since I should have taken it. Am I at risk of pregnancy? From what I read in the leaflet	Doctor: Hi, if you have missed only one pull and taken it within 12 hours, I don't think you are at a risk of pregnancy. But if you don't want any chance of pregnancy, emergency pills are also there which you can take after consulting a doctor. Hope I have answered your question. if you have any other query I will be happy to help. Regards Dr khushboo	<s>[INST] Description: What are the chances of pregnancy after taking birth control pill within 10 hours of an unprotected sex? [/INST] Doctor: Hi, if you have missed only one pull and taken it within 12 hours, I don't think you are at a risk of pregnancy. But if you don't want any chance of pregnancy, emergency pills are also there which you can take after consulting a doctor. Hope I have answered your question. if you have any other query I will be happy to help. Regards Dr khushboo </s>
Description: Does Nexito usage have any side effects?	Patient: Hi,I am taking treatment for ocd since 10 years, before i am taking nexito 10mg almost for 7years couple of months back i am feeling sleeplessness and have some negative thoughts i went to doctor he changed nexit and prescribed me the zosert 50mg, i am taking it now but i feel my BP is increased due to Zosert but doctor not agreed he prescribed on losar25mg daily, i want to know whether i should continue with the same treatment or can i ask my doctor to nexito 10 mg only because i am very comfortable with that, and also my bad cholestral is also high.Regards,Joshi	Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The treatment you are receiving is OK and you should not worry about that. Your Psychiatrist knows your condition better and he is the right judge here in your case. Even if you anyone wants to prescribe you some medicines, the details you gave are not sufficient. Therefore trust your doctor and make sure you consume the prescribed medicines. 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.Hope this answers your query. Available for further clarifications.Good luck.	<s>[INST] Description: Does Nexito usage have any side effects? [/INST] Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The treatment you are receiving is OK and you should not worry about that. Your Psychiatrist knows your condition better and he is the right judge here in your case. Even if you anyone wants to prescribe you some medicines, the details you gave are not sufficient. Therefore trust your doctor and make sure you consume the prescribed medicines. 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.Hope this answers your query. Available for further clarifications.Good luck. </s>
Description: What could cause cramp in legs, cold feet, lightheadedness and neck pain after intake of alcohol?	Patient: I am a 23 year old male and after drinking alcohol I notice that my legs cramp and feet feel cold, sometimes the cramping also effects my hands. I also have lightheadedness and neck pain which I have had for serval years and have been tested for several things and have not figured out the cause for the neck pain or lightheadedness.	Doctor: I understand your symptoms, but some investigations should be done to reach the diagnosis. Serium ionized and non ionized calcium, caervical spine x ray should be done.	<s>[INST] Description: What could cause cramp in legs, cold feet, lightheadedness and neck pain after intake of alcohol? [/INST] Doctor: I understand your symptoms, but some investigations should be done to reach the diagnosis. Serium ionized and non ionized calcium, caervical spine x ray should be done. </s>
Description: What causes sore lump on vagina?	Patient: On the left side of my virgina I have a quarter size lump that sometimes itch and be sore. I had this lump for a month. Sometimes it doesn't bother me at all. On the right side of my virgina I have a smal it hy bump. It went away and came back. What is this?	Doctor: Hi,It seems that you might be having yeast infection in vagina and now there is super-added bacterial infection.Apply triple acting cream locally.Go for one antibiotic medicine course for 3-5 days.Keep local hygiene proper.Ok and take care.	<s>[INST] Description: What causes sore lump on vagina? [/INST] Doctor: Hi,It seems that you might be having yeast infection in vagina and now there is super-added bacterial infection.Apply triple acting cream locally.Go for one antibiotic medicine course for 3-5 days.Keep local hygiene proper.Ok and take care. </s>
Description: What causes pain in feet and skin sensitivity?	Patient: I periodically get deep pain in the bones of my feet, knee, or hips along with severe skin sensitivity. There is nothing on my skin but it feels like a severe sunburn. Sometimes I only have skin pain. It only happens in one place at a time. It lasts for a day or two. Sometimes the pain in the side of the knee or toes feels stiff or tight and causes me to limp. It s worse if I have been inactive then try to walk or get up from sitting. I have genital herpes. Could this be related somehow?	Doctor: Hello!Thank you for asking on HCM!Your symptoms could be related to different possible causes like peripheral neuropathy or chronic inflammation. For this reason, I would recommend consulting with your GP and performing some tests: - a nerve conduction study to exclude polineuropathy- complete blood count, PCR, ESR for inflammation. Further tests may be needed to establish the right diagnosis and treatment options. Hope to have been helpful!Best wishes, Dr. Aida	<s>[INST] Description: What causes pain in feet and skin sensitivity? [/INST] Doctor: Hello!Thank you for asking on HCM!Your symptoms could be related to different possible causes like peripheral neuropathy or chronic inflammation. For this reason, I would recommend consulting with your GP and performing some tests: - a nerve conduction study to exclude polineuropathy- complete blood count, PCR, ESR for inflammation. Further tests may be needed to establish the right diagnosis and treatment options. Hope to have been helpful!Best wishes, Dr. Aida </s>
Description: Q. For how long must I take Ayurveda therapy for rheumatoid arthritis?	Patient: Hello doctor, I have rheumatoid arthritis and take Trikata, Sinhanad guggul and Shalaki. I also use psyllium and ginger tea. I take massage with sesame oil and maharanayana oil. For how long must I take this therapy to feel better? Is this therapy alright? How is your experience with rheumatoid arthritis?	Doctor: Hello. I just read your query. The medications you are taking are all good, but rheumatoid arthritis is an autoimmune disease. So, you have to take medicine for a long term. The effect of rheumatoid arthritis varies from patient to patient. In some people, after taking proper medicine, further damage to joints can be prevented. However, in some, it persists even after taking medicine. So, I advise you to follow your doctor's advise and keep on repeating your investigations after some time. Also, do ask your physician about Panchakarma therapy. It is also very helpful in rheumatoid arthritis. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online -->	<s>[INST] Description: Q. For how long must I take Ayurveda therapy for rheumatoid arthritis? [/INST] Doctor: Hello. I just read your query. The medications you are taking are all good, but rheumatoid arthritis is an autoimmune disease. So, you have to take medicine for a long term. The effect of rheumatoid arthritis varies from patient to patient. In some people, after taking proper medicine, further damage to joints can be prevented. However, in some, it persists even after taking medicine. So, I advise you to follow your doctor's advise and keep on repeating your investigations after some time. Also, do ask your physician about Panchakarma therapy. It is also very helpful in rheumatoid arthritis. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online --> </s>
Description: What causes abdominal pain,delayed periods and weight gain?	Patient: Hello I have gained weight especially in my abdomen, my period used to be very punctual, but the last two periods were very far apart 31 days between periods and then 54 days between periods. I have been suffering pain in the left pelvic bone or around it and sometimes I have difficulty walking due to the pain on my left side. I am 41 yrs. old and I have two children.	Doctor: hithank you asking HCMWITH REGARDS TO YOUR PAIN IT MAY BE RELATED WITH OVARIAN PROBLEMS , so I recommend to do abdominal ultrasound or vaginal ultrasound and consult OBGYN. wishing you all the bestdr. klerida	<s>[INST] Description: What causes abdominal pain,delayed periods and weight gain? [/INST] Doctor: hithank you asking HCMWITH REGARDS TO YOUR PAIN IT MAY BE RELATED WITH OVARIAN PROBLEMS , so I recommend to do abdominal ultrasound or vaginal ultrasound and consult OBGYN. wishing you all the bestdr. klerida </s>
Description: Can I take aspirin regularly to prevent heart attack?	Patient: i am male, age 33, 180cm, 83kg, my LDL is 190(4.88) and HDL is 1.05. I was on Lipitor for two years 10mg. it kept my LDL at 100, but make my legs weak. Now i am off lipitor for the last three months and my legs feel better. in additional to healthy food, is taking aspirin regularly instead can be another solution to prevent heart attack? what is the recommended dosage?	Doctor: hi, if you have discontinued it then you should monitor your lipid profile 3 monthly, do regular exercises, low fat diet.Try other medicine like rosulip 5 mg bedtime and e week after starting you can do cpk test, it will indicate if any sideeffect is there or not. this medicine has got cardio protective effect besides it's cholesterol lowering effect. Advisable to continue life long. At this age Aspirin is not indicated and even if you want to take you take 75 mg bedtime.	<s>[INST] Description: Can I take aspirin regularly to prevent heart attack? [/INST] Doctor: hi, if you have discontinued it then you should monitor your lipid profile 3 monthly, do regular exercises, low fat diet.Try other medicine like rosulip 5 mg bedtime and e week after starting you can do cpk test, it will indicate if any sideeffect is there or not. this medicine has got cardio protective effect besides it's cholesterol lowering effect. Advisable to continue life long. At this age Aspirin is not indicated and even if you want to take you take 75 mg bedtime. </s>
Description: Q. Please suggest treatment for fever with cold in a baby.	Patient: Hi doctor,My baby has a fever for five days with between 101 to 103. She is 10 month old. Doctor prescribe Paracetamol, Azithral, and Meftal P. But there is no impact now. She has a fever with a cold. Please suggest.	Doctor: Hello. Antipyretics like Paracetamol and Meftal P (Mefenamic acid) are to be given in adequate doses to act effectively. Generally, a viral fever can last for 4 to 5 days and it can present with high-grade fever. Please let me know the weight of the child so that I can advise you exact dose. Do cold sponging of the whole body to decrease the temperature. 1.CBC. 2.CRP (C-reactive protein). 3.Malaria antigen test. For more information consult a paediatrician online.--->	<s>[INST] Description: Q. Please suggest treatment for fever with cold in a baby. [/INST] Doctor: Hello. Antipyretics like Paracetamol and Meftal P (Mefenamic acid) are to be given in adequate doses to act effectively. Generally, a viral fever can last for 4 to 5 days and it can present with high-grade fever. Please let me know the weight of the child so that I can advise you exact dose. Do cold sponging of the whole body to decrease the temperature. 1.CBC. 2.CRP (C-reactive protein). 3.Malaria antigen test. For more information consult a paediatrician online.---> </s>
Description: How can addiction to masturbation, reduced physical growth and depression be treated?	Patient: Sir/madum since 14 yrs of age i started masterbation and now i am 20 yrs of age i did masterbation today also, like daily i did for 1- 2 times masterbation in a day and it continued from 14 yrs of age and it continued till i am 20 yrs of age, almost of 7 yrs of masterbation,I want to stop masterbation fully, because if u see me i look as if i am 15 yrs boy, and i am 20 yrs of age and it takes much time to go to no2 toilet for dropout, and , i feel normal but, but i notised is that my body is not growing since many years i have same personality i am single, i did not have sex with any female and i dont have girl friends too, but because of few bad friends, i was let to this habbit of masterbation, i see porn as a thurst and do masterbation, but now I 90% seeing, i am dipressed, want to get restored in health.	Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms, like anxiety and depression are because of excessive masturbation. Usually, masturbation is safe and pleasure giving procedure. But in some case, it can lead to anxiety. You have to avoid watching porn to deal with over-masturbation. Make short term and long term goals and try to achieve it. Avoid staying alone at home. You can consult psychiatrist for examination. Hope I have answered your question. Let me know if I can assist you further.	<s>[INST] Description: How can addiction to masturbation, reduced physical growth and depression be treated? [/INST] Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms, like anxiety and depression are because of excessive masturbation. Usually, masturbation is safe and pleasure giving procedure. But in some case, it can lead to anxiety. You have to avoid watching porn to deal with over-masturbation. Make short term and long term goals and try to achieve it. Avoid staying alone at home. You can consult psychiatrist for examination. Hope I have answered your question. Let me know if I can assist you further. </s>
Description: Q. Can mood swings delay periods?	Patient: Hi doctor, I am a 20 year old female. I had my last period two months back, and since then, I only had little spotting last month. I am facing a bad phase due to horrible mood swings. Please help.	Doctor: Hello. Revert with more information to an internal medicine physician online -->	<s>[INST] Description: Q. Can mood swings delay periods? [/INST] Doctor: Hello. Revert with more information to an internal medicine physician online --> </s>
Description: Suggest remedy for tooth pain during pregnancy	Patient: m having a tooth pain where last 3 month back did filling on same teeth but now m pregnant for 1 n 1/2 month.what medicine i should suggest to relief this pain ?and my second question is i did tooth implantation first section is over n thay gave after 3 month to do second srage procedure,now its time for second procedure is it possible to do or not ?right now m one n half month pregnant.	Doctor: if you take my opinion then I would suggest you not to get worried and yes you can go for the second stage dental procedures as it can't harm your baby	<s>[INST] Description: Suggest remedy for tooth pain during pregnancy [/INST] Doctor: if you take my opinion then I would suggest you not to get worried and yes you can go for the second stage dental procedures as it can't harm your baby </s>
Description: Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal?	Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore.	Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online -->	<s>[INST] Description: Q. l got a sore hard lump after the removal of wisdom tooth. Is it normal? [/INST] Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> </s>
Description: What causes pain in neck and heartbeat sound in ear?	Patient: Hi, may I answer your health queries right now ? Please type your query here... Hello, I have been having pains in my neck for a few months now. It is under my jaw on left side of neck. Seems to be near where you would ckeck pulse. the pain I get comes and goes, but at times is like a throbbing pain. I also have sounds in my left ear that sound like heartbeat but I don t hear it constantly. Could you give me some advise please?	Doctor: Welcome to ' Ask a doctor service ' , You should undergo blood pressure check up and evaluation of anxiety and temporal arteritis .Undergo lab test as ESR .As a precaution , whenever you have such symptoms , go for deep breathing exercises .With Regards , Dr Varinder Joshi .	<s>[INST] Description: What causes pain in neck and heartbeat sound in ear? [/INST] Doctor: Welcome to ' Ask a doctor service ' , You should undergo blood pressure check up and evaluation of anxiety and temporal arteritis .Undergo lab test as ESR .As a precaution , whenever you have such symptoms , go for deep breathing exercises .With Regards , Dr Varinder Joshi . </s>
Description: Can impacted tooth cause dizziness and headaches?	Patient: I have been suffering from dizziness and headaches for 2 months. Did every single check, everything is ok. Only thing I have is one impacted tooth on the top right side, it's really big and it's lying on the 7th.Can this be a cause of my problems? I'm going to oral surgery on Monday.	Doctor: Thanks for using health care magic.Read your query.Tooth pain can cause referred pain to the head and in turn because of that you may feel fatigue and stressed.Get the tooth removed and continue with the medication given and it will be fine.Hope this was helpful.Thanks and regards.	<s>[INST] Description: Can impacted tooth cause dizziness and headaches? [/INST] Doctor: Thanks for using health care magic.Read your query.Tooth pain can cause referred pain to the head and in turn because of that you may feel fatigue and stressed.Get the tooth removed and continue with the medication given and it will be fine.Hope this was helpful.Thanks and regards. </s>
Description: Suggest remedy for severe anxiety and unknown fear while being on rexipra and ventab	Patient: hI ma 25 year old male suffering from anxiety since 1year taking rexipra20and ventab25at night since one year but still I am not cured100percent sumtimes I get unknown fear and I cant travel by trains I had fear of getting choked in trains plzzz help me out	Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through. It seems that even after taking rexipra and ventab your symptoms of anxiety are not improving. It warrants change of anti depressants. Mirtazapine, sertraline, bupropion are certain options. Further along with the medications you will need cognitive behavioural therapy as well. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy	<s>[INST] Description: Suggest remedy for severe anxiety and unknown fear while being on rexipra and ventab [/INST] Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through. It seems that even after taking rexipra and ventab your symptoms of anxiety are not improving. It warrants change of anti depressants. Mirtazapine, sertraline, bupropion are certain options. Further along with the medications you will need cognitive behavioural therapy as well. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy </s>
Description: What does this semen analysis report indicate?	Patient: Hi,I got my semen analysis report and the volume is 2.8 ml and PH 8.0 Viscosity -Moderate, liquefaction - 30 minutes, count 0.2 million/ml motolity, several fields studied shows 1 or 2 motile and 1 or 2 non motile sperms seen. Leucoytes 3 -4 /HPF. Key : Grade A : Rapidly progressive Grade B: Fair to slowly progressive , Grade c: Sluggish, Grade D: Immotile.Abnormal forms < 30%, Motility A+ B> 50% Sperm count, < 20 million sub fertile	Doctor: Hi, Your semen analysis report is not satìsfactory. Count motility and morphology is very very low.You should get a direct check-up with urologist or andrologist to rule out any infection, varicocele or hormonal issues. Accordingly the treatment will help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN	<s>[INST] Description: What does this semen analysis report indicate? [/INST] Doctor: Hi, Your semen analysis report is not satìsfactory. Count motility and morphology is very very low.You should get a direct check-up with urologist or andrologist to rule out any infection, varicocele or hormonal issues. Accordingly the treatment will help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN </s>
Description: Suggest treatment for granuloma	Patient: My nephew just emailed to tell us his 10 yr old son has a granuloma. He had been coughing and the pediatrician sent them to a pediatric radiologist today. He said the radiologist was not too concerned and they will start with a Z Pak and return to the pediatrician Monday. Please tell me what it is and the treatment. Thank you so much!	Doctor: Hi...Z-Pak is azithromuycin and it is a macrolide class of antibiotic. I do not understand why Azithromycin is bieng prescribed for a granuloma. rather I would prefer to investigate for the cause of the granuloma and it depends on where the granuloma is .regards - Dr. Sumanth	<s>[INST] Description: Suggest treatment for granuloma [/INST] Doctor: Hi...Z-Pak is azithromuycin and it is a macrolide class of antibiotic. I do not understand why Azithromycin is bieng prescribed for a granuloma. rather I would prefer to investigate for the cause of the granuloma and it depends on where the granuloma is .regards - Dr. Sumanth </s>
Description: Can i get pregnant if USG shows multiple follicles in ovaries?	Patient: My uterus size 66x38x35 mm rt overy 33x30x21 mm lt overy 33x24x23 mm both overies enlarged and show multiple peripherally placed folicles with increased central echogenic stroma. 16th day of folicular study rt overy contains 12x10 mm & E.T. 6.7 mm It is possible can I conceive?	Doctor: Hi, I think your follicles growth is a little bit slow as you have pcod. So, you may need some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo	<s>[INST] Description: Can i get pregnant if USG shows multiple follicles in ovaries? [/INST] Doctor: Hi, I think your follicles growth is a little bit slow as you have pcod. So, you may need some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo </s>
Description: Is diarrhea after being treated with movicol for chronic constipation in a child normal?	Patient: 3 year old suffering from cronic constipation. has been hospitalised and have had four wash outs. Now on movicol upped the dosage to 3 sashets for 3 days as felt she was bunged up again. It worked but now have alot of diarrhea. Is this normal and what do I do now regarding the dosage.	Doctor: Hi,Thanks and welcome to HCM .Movicol is given for constipation .One of the side effects of Movicol is diarrhea.You have rightly guessed it.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.	<s>[INST] Description: Is diarrhea after being treated with movicol for chronic constipation in a child normal? [/INST] Doctor: Hi,Thanks and welcome to HCM .Movicol is given for constipation .One of the side effects of Movicol is diarrhea.You have rightly guessed it.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. </s>
Description: What causes elevated heart rate after taking Albuterol nebulizer for respiratory disorder?	Patient: 7 year old boy with a resting heart rate of 105 bpm taken apically. No other symptoms or complaints of pain with the only discomfort being an elevated heart rate. He has been treated with albuterol for respiratory issues related to a suspected allergic reaction to dogs. Was given a treatment of albuterol 15 minutes ago. What could cause this issue?	Doctor: Hello, I just read your query. Albuterol which you are using for allergic respiratory problem is a bronchodilator. Bronchodilator usually relaxes muscles of bronchi(airway that conducts air into lungs), as a result makes breathing easier during allergic reaction.* Rapid heart rate or pulse rate is one of the side effects of using albuterol. * You can discuss the thing with your physician and opt out for alternative. But if you can not contact him immediately and other dose is due then for the time being use half respule of albuterol and you can also mix the half respule with normal saline. * But do contact with your treating doctor and go for some other option.* I hope you find my answer helpful.Thank you.	<s>[INST] Description: What causes elevated heart rate after taking Albuterol nebulizer for respiratory disorder? [/INST] Doctor: Hello, I just read your query. Albuterol which you are using for allergic respiratory problem is a bronchodilator. Bronchodilator usually relaxes muscles of bronchi(airway that conducts air into lungs), as a result makes breathing easier during allergic reaction.* Rapid heart rate or pulse rate is one of the side effects of using albuterol. * You can discuss the thing with your physician and opt out for alternative. But if you can not contact him immediately and other dose is due then for the time being use half respule of albuterol and you can also mix the half respule with normal saline. * But do contact with your treating doctor and go for some other option.* I hope you find my answer helpful.Thank you. </s>
Description: Taking Microgynon. Am I still protected if I forgot to take pill?	Patient: Hi I have been on mycrogynan 30 for a year and a half. I usually take my pill around 5-6pm every evening but on thursday I didnt take it until 2am friday morning so I was 8hours late, I forgot to take my pill on friday but took it at 1pm on saturday which means it was 11hours late since my last pill. am I still protected?	Doctor: Hi,Thanks for posting your question here, I will try to answer it to the best of my abilities.When you miss a pill, you have to take 2 pills in order to cover up for the one you've missed. If you have intercourse before taking two pills, yes you can get pregnant.Contraceptives are an easy form of protection, but they only work if you take them regularly.As such I would say it is better to avoid intercourse until you're taking the pill regularly again, for at least two days in a row.I hope this answered your question.	<s>[INST] Description: Taking Microgynon. Am I still protected if I forgot to take pill? [/INST] Doctor: Hi,Thanks for posting your question here, I will try to answer it to the best of my abilities.When you miss a pill, you have to take 2 pills in order to cover up for the one you've missed. If you have intercourse before taking two pills, yes you can get pregnant.Contraceptives are an easy form of protection, but they only work if you take them regularly.As such I would say it is better to avoid intercourse until you're taking the pill regularly again, for at least two days in a row.I hope this answered your question. </s>
Description: Suggest remedy for severe headache and dizziness	Patient: I m a 22 year old female I m 175 pounds. 5 ft 7 in I take levothyroxine 175 mlg. everyday I had my thyroid completely removed @ age 15 I ve had my tonsils removed @ age 17 I ve also have one Fallopian tube removed @ age 16 due to torching I ve had ovarian cysts but nothing every ruptured I recently been prescribed Vyvanse 40 mlg for ADHD Lately ive been having really bad headaches, Any kind of pain killer will NOT help I feel really dizzy a lot of time I also feel nauseous for no reason a lot as well Sometimes when im feeling these ways i have stop what im doing because my eye sight goes crazy and my head feels really strange and when i close my eyes i lose all sense of balance and dont even realize it till i open my eyes and then i feel and see that im leaning and about to fall over	Doctor: Hello!Welcome on Healthcaremagic!Your symptoms seem to be related to Vyvanse adverse effects. It seems that you do not tolerate well this drug. For this reason, I recommend consulting with your doctor and discussing on the possibility to stop this drug. It is also necessary checking your thyroid hormone levels, especially considering the fact that you are taking levothyroxine. Some dose adjustments may be needed. Hope you will find this answer helpful!Best wishes, Dr. Aida	<s>[INST] Description: Suggest remedy for severe headache and dizziness [/INST] Doctor: Hello!Welcome on Healthcaremagic!Your symptoms seem to be related to Vyvanse adverse effects. It seems that you do not tolerate well this drug. For this reason, I recommend consulting with your doctor and discussing on the possibility to stop this drug. It is also necessary checking your thyroid hormone levels, especially considering the fact that you are taking levothyroxine. Some dose adjustments may be needed. Hope you will find this answer helpful!Best wishes, Dr. Aida </s>
Description: What causes fatty liver?	Patient: Hello sir, A week back i did a complete Hemogram blood test.Results showed that my platelet count was 35000 wheras all other counts were normal.Hemoglobin was 16.4. Also had a Urine Routine test and USG of Whole obdomen.My urine test were normal wheras Usg test showed fatty liver..Currently i do not have any sypmtoms or and kind of weakness.I am 33 years old..Kindly suggest	Doctor: hello dearyou have two condtion simultaneously asymptomatic fatty liver at your age is normal and I treat it conservatively with fat free diet and avoidance of alcohol for three monthsif it does not changes then i start statins and ursochol	<s>[INST] Description: What causes fatty liver? [/INST] Doctor: hello dearyou have two condtion simultaneously asymptomatic fatty liver at your age is normal and I treat it conservatively with fat free diet and avoidance of alcohol for three monthsif it does not changes then i start statins and ursochol </s>