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PranavHarshan

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[ { "from": "human", "value": "Source: Patient: hi there, I just went to the pharmacy and did a blood pressure test, first time was 130/95 second time was 120 90 and the third time was 120/88. The day before I did a test and was 140/97. I'm 42 and was 120/80 just four months ago. Should I be concerned? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry. I'll try to explain you something and give you my opinion. You should know that blood pressure fluctuates in different situations and this is quite normal. It changes during emotional stress, physical activity and different situations of our metabolism like eating, sleeping ect.We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. So to clarify this situation, if I was your treating doctor I would recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze and a holter pressure monitoring to evaluate your values during day and night. After all this we can judge if we are dealling whith hypertension and how to treat it. Hope I was helpfull. Best regards, Dr.Ervina" }, { "from": "gpt", "value": "Target: Are varying blood pressure a cause for concern?" } ]

[ { "from": "human", "value": "Source: Patient: hi, am ,mabel am 30 yrs old and am six week pregnant,but i had UTI and my doctor gave me augmentin 625 yesteday evening i took it,but this money i dnt feel that pregnancy symptoms anymore.no morning sickness and nausea,although am not spotting or bleeding.its it a miscarriage?or its d augmentin. Doctor: HiI have gone tbrough your complaints.dont think as lack of pregnancy symptoms after start of augmentin is miscarriage..some times you may feel better.its not mandatory that everyday it would be there nausea and vomiting .if you feel fear go for scan or consult the Dr regarding doppler to hear heart beat.Thank youRegardsVasundhara" }, { "from": "gpt", "value": "Target: Could lack of pregnancy symptoms be due to Augmentin?" } ]

[ { "from": "human", "value": "Source: Patient: I have been feeling sick lately, with more and more symptoms showing themselves. After googling my symptoms I learned that I have almost all of the symptoms of a person with lymphoma. The only symptom that I can say I don't have is weight loss. I am not jumping to the conclusion that I have lymphoma, but I would like to know what type of doctor I should go to in order to receive tests that will tell me what is happening with my health. Do I need a blood test? Doctor: You have not mentioned your symptoms in detail. Do you have any lymph nodes palpable in the body. What about fever, night sweats.I would suggest that you see a GP (General Physician) for your detailed history, clinical examination and baseline investigations before any specialist consultation." }, { "from": "gpt", "value": "Target: Do I have Lymphoma?" } ]

[ { "from": "human", "value": "Source: Patient: I have been having discomfort in my left side and genital area. I also have had itching around the scrotum and an occasional red bum here and there. No discharge from the penis or pain when urinating but it does feel as if I need to use the bathroom when i do not have to. Doctor: Hi,From history it seems that you might be having fungal infection on your scrotal area.Apply anti-fungal cream or lotion locally.Go for one oral anti-fungal medicine course.Keep local part clean, dry and airy.Ok and take care." }, { "from": "gpt", "value": "Target: What could cause red bumps and itchiness around scrotum?" } ]

[ { "from": "human", "value": "Source: Patient: I developed a swollen lymph node in my neck area under my left ear about three weeks ago. It grew quickly overnight, but then came down dramatically after taking antibiotics for ten days. It has gone down quite significantly and keeps going down every day...I cannot see it anymore, but I can feel a small swollen area under my skin. Went to the the ENT doctor two days ago and all checked out fine...no cancer in tonsils, mouth, vocal cords, throat, etc. But they want to do an excissional biopsy to remove the lymph node and check it for cancer. Makes sense? Also, I am taking pantoprazole, simvastatin, lisinopril, amlodipine and coreg...could any of these medications have caused the swollen lymph node? Doctor: Hi, Welcome to Health care magic forum. The reasons for such a growth of a lymph node may be some infection, in the surrounding area. As the infection is controlled the lymph node has receded. The palpable node may persist for little longer. If you are attending the E.N.T. surgeon after the treatment of the enlarged gland by some else, the surgeon might be thinking that you are having the pain in spite of the cure of the gland. Or he would have found some thing in the mouth. Any how once he speaks, it is better to have the biopsy to exclude the possibility of malignancy. Take more of green leafy vegetables, pulses, sprouts,and protein rich foods to have a good health. Wishing for a quick and complete recovery. Thank you." }, { "from": "gpt", "value": "Target: What causes swollen lymph node? Should I undergo excisional biopsy to remove it or check for cancer?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is 26 years old. Severe headachces -no quality of life-they overdrsined her brain 2 years ago and she has dearly suffered. they did ct after ct and always said shunt is working fine. Even with her head sunken in-finally she gave up with the debilitating pain and just went to bed. About 4 weeks ago they did a icp test and she had numbers that went from -13 and - 22. They put in a shunt assist devise and it is still killing her when she stands up. she wishes everyday GOD would take her. Please help and advise what we need to do. They are doing a partial shunt revision tomorrow and putting it in her chest...will this help her? if not does she have the right to ask them to take it out and let her go? Doctor: Hello. Thanks for asking from HCM.I can understand your concern. It is very sad that your daughter has suffered so much. From your history it is clear that she is having \"Shunt overdarinage syndrome\" and her intracranial pressure (ICP) is very low. One good point in your daughter case is that she is conscious and oriented.Shunt over drainage is a managable condition. Usually it resolves on its own with some time. But it did not happen in your daughter's case. She has already taken painkiller and bed rest for last 2 years and it has failed. Ask her to take plenty of fluids to prevent dehydration and low pressure. We have to give her next line of treatment. I am giving you few options which we do at our hospital: Shunt ligation trial - It is a little bit crude method. We tie shunt just above clavicle and observe patient. You can ask it from your doctor. If her symptoms progressively improve and she does not develop signs of raised intracranial pressure (ICP), it can be left as such. No further treatment will be needed except regular follow up. But if it fails and she develop features of raised ICP, then other options should be considered: High pressure shunt - It is a type of shunt device in which brain fluid (CSF) is drained only if pressure is high (usually more than 100mm H2O). Thus it prevents oevrdrainage of CSF and relieves pain. : Programmable ventricle-peritoneal shunt - This type of shunt has the advantage of adjustment of opening pressure according to intracranial pressure (low or high) using external magnetic device. According to your question, it appears that this device has been used in your daughter. If not, you can ask for it. : Endoscopic third ventriculostomy - In this procedure, surgeon makes an opening in third ventricle (natural CSF reservoir) and establishes communication between it and CSF draining region of brain. But it can only be done in case of dilated ventricles. While in case of over drainage, ventricles are very narrow. To attempt this procedure, shunt ligation and dilatation of ventricle can be done if patient can safely tolerate. Advantage is complete disappearance of over drainage symptoms.: Lastly change VP shunt into ventricle-cardiac shunt - It leads to shortening of shunt length and thus \"siphon effect\" or negative suction pressure. It leads to less overdrainage. But ventricle-cardiac shunt has more chances of other complications like blockade/cardiac complications/infection. You can discuss all these possibilities with doctor. Hope it will help you. Don't be disappointed. Thanks. Take care." }, { "from": "gpt", "value": "Target: Does partial stunt revision help in treating headaches?" } ]

[ { "from": "human", "value": "Source: Patient: I have shortness of breath back pain that came upon me suddenly. had a ct scan shows Left lung Granaloma right lung subpleural atelectasis in lower part of lung also with left adrenal thickening. had a lung function test that I failed and showed no asthma.. sending me to lung dr. dr said not serious enough to put me in the hospital. he mentioned asbestos exposure? concerned about it could be something serious breathing not getting better. could this be cancer ? Doctor: HiI am sorry for your situationAsbestosis sometimes after 20 years can turn in cancer itself.You should be in close contact with the pulmonologist and do not smoke WishesDr.Jolanda" }, { "from": "gpt", "value": "Target: What does this CT scan report indicate?" } ]

[ { "from": "human", "value": "Source: Patient: Hey i'm 18, 5ft 10in, weigh 12 st, i fainted at the weekend and got told it was only because i hardly ate anything and i consumed alot of alochol. but right now when my hearts beating it kinda feels as if there is like bubbles popping in my chest, i dont know if the incident had anything to do with this but can you help me on to what the feeling is? Doctor: it seems you are alcoholic and you are having palpitations. Reason could be simple like increased awareness of one heart beat or may be some heart problem.you being alcoholic at risk of heart disease so it's advisable to get once heart auscultation done and if needed echocardiography. Also get your hb checked. try to refrain from alcohol." }, { "from": "gpt", "value": "Target: Suggest remedy for heart ailments" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I am 42 years old and have been having periods where I feel as if I am hungry for air, sometimes I can catch it and sometimes it is as if I could get just a little bit I would be satisfied but can't. I then try to push all of the air out of my lungs and take a deep breath and I can catch it then. The thing is it doesn't seem to happen all of the time. It seems to happen more toward the evening then anyother time. I usually walk about two miles a day at about 15 min per mile and it doesn't seem to bother me while I am walking but I do find myself taking deep breaths every now and then. I am over weight (300) and have sleep apnea and sleep with a Cpap machine. I went to the Dr and he seems to think it is stress but I told him I am as stress free now as I have ever been so he listened to my lungs and said they sounded clear but set me up for a stress test and a lung Xray. I am wondering what this could be, I am worried it could be cancer or something. I used to smoke but have quit for alost 3 years now. Thanks for any insite you might give. Doctor: Hello! Welcome to HealthcareMagic! Causes of your breathlessness: 1. Your Cpap setting is low according to your weight. 2. You have developed COPD as a new era of diseases apart from sleep apnea. 3. Stress may be also cause. Rule out these things. Hope this clarifies your concerns. Thank you for the query. Take care varanasichestclinic.com" }, { "from": "gpt", "value": "Target: What causes breathlessness, sleep apnea with excessive weight?" } ]

[ { "from": "human", "value": "Source: Patient: I am 59, and recently had surgery to remove a very large lipoma from my back. The surgery was done in an operating room due to the large size of the lipoma. I have a severe allergy to latex - type 1 IgE mediated with anaphylaxis, and strict latex precautions were in place. I also have severe asthma secondary to the latex allergy. I was intebated. When I was extabated, I had trouble breathing. The Anesth gave me an updraft of epinepherine, and I turned blue, and my O2 sat dropped to 70%. The epi was stoped and I recovered, but had severe chest pain. I was admitted and had the chest pain again the following morning. Evidently I showed an atypical rise in my Troponin T levels, with a negative CKMB. I also had some EKG changes. I was transferred to the large medical center, and was evaluated quite extensively - all was negative (stress echo, nuclear stress, )no angiogram was done. I was on a nitro drip and also on heparin IV. Nothing showed except this elevated troponin t level, and they discharged me without a real diagnosis after 24 hours. What do you think happened to me? Could I be allergic to epinepherine? I also showed some fluid around the heart - ? why? Doctor: Large liopma usually operated in general anesthesia and use of epinephrine or adrenaline is common nowadays, as it causes vasoconstriction which has advantages during g surgery,your chest tightness or breathing difficulty may be bcuz of this, tropoini T level is elevated in coronary artery disease but u had negative cpkmb,ECG was wnl,normal echo and TMT,so no need to get worry about heart problem.Fulid collection can be the side effect of adrenaline, will subside after few days but u can Consult cardiac physician further." }, { "from": "gpt", "value": "Target: Suggest therapy for allergy & asthma" } ]

[ { "from": "human", "value": "Source: Patient: over the past 4 or 5 months I have a day or two occasionally that I am nauseous and generally do not feel well. Often vertigo is present. The weird thing is my daughter (adult who does not live with me has been experiencing the same thing). Could it be some viral thing that just won't go away? She feels bad more often than I do, but for me it is about every 2 or 3 weeks. Doctor: HelloNausea of long duration on and off is not viral infection.It is most probably gastritis which can cause acidity, nausea and vomiting. Another cause could be infection of the gastrointestinal tract which could have caused nausea.However other causes like vestibular diseases have to be ruled out as there is vertigo.Hope this helpsRegards" }, { "from": "gpt", "value": "Target: What causes episodes of nausea and sickness?" } ]

[ { "from": "human", "value": "Source: Patient: My 5 year old come home 5 hours ago with a 103.1 F temp with fever welts on her body. Gave her 1 1/2 tsp Motrin and now at 97.4. Cries when I take her temp. in her ears and I check temp from both ears to ensure accuracy. She has nut and egg allergies and I feared allergic reaction, but now I m wondering if this is an ear infection? Doctor: Hi.... what you are quoating is called toxic urticaria. Sometimes any simple viral illness can cause this sort of allergic reaction in the body along with high fever. I suggest you continue giving Paracetamol or Ibuprofen for fever. If the Rash or allergic reaction is persisting even after few hours, I suggest you to give Hydroxyzine. But this is a prescription drug and you will require a doctor's prescription for it.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes fever welts in child?" } ]

[ { "from": "human", "value": "Source: Patient: Had shock like electric on left arm to my index finger,my dr.says it s tendon rupture and then send me to ortho. Ortho says that I have nerve pinched. I have this pain what to do ? I don t have strength in my hand and when walking swing does not like . Doctor: Hello, Thanks for your query.Treatment:-- Avoiding aggravating factors like pressure on elbow- Avoiding full flexion- avoidance of pressure with elbow pads- Night splints to prevent elbow flexion- Avoidance of repetitive movements- nonsteroidal anti-inflammatory drugs for pain reliefI do hope that you have found something helpful and I will be glad to answer any further query.Take care" }, { "from": "gpt", "value": "Target: What to do for pinched nerve?" } ]

[ { "from": "human", "value": "Source: Patient: hai my name is ram and my sperm count is 55millon/ml and active motile is 50% ,sluggishly motile 20%. non motile is 30%, normal forms are 75%,abnormal forms 25% ,pus cells are 03 - 04/HPF,epithelial cell 01-02/HPF, RBC IS nill and my weight is 70kg and height is 5.5\" ,my age is 30 what are chances to be a father for me plz tell me Doctor: Hi,I have checked your semen analysis mentioned values and below is my opinion. It seems to be absolutely normal in respect of sperm count, motility and Morphology. The active motility of sperm should be at least 32%.So don't worry about your semen analysis report and you seems to be potential for becoming father. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician" }, { "from": "gpt", "value": "Target: What does this sperm analysis for fertility indicate?" } ]

[ { "from": "human", "value": "Source: Patient: when i cross my left leg over the right , mid-calf area.. I believe the posterior artery has a small blockage as the entire foot turns bluish/white, when removed i notice the pink color returning, had a femoral bypass surgery as the Iliac artery was blocked and could not stent.. do i have a problem? Doctor: dear sir/Mam yes you may have a problem go and check with your doctor. keep in mind that some vascular problem needs to be checked in time with no delays." }, { "from": "gpt", "value": "Target: Why do feet turn bluish?" } ]

[ { "from": "human", "value": "Source: Patient: MRI of Lumbar spine. 43 yr old female. work as EMT. due to start paramedic course in 8 weeks. My quesion is, afetr 2 weeks of severe pain and restricted sitting, standing, walking, i feel much better past 5 days. I now only have numbness right foot, sore achilles, numb back of right thigh, transcient, tingling, r leg and occasional lumbar spine pain(mild). Can i start gentle exercise?if so, what?.im usually fit, and do spin bike classes, and weight classes. Can i swim? should i do stretches yet? i have been told by g.p to sat off front line a+ e work as an emt for at least a month. Do you agree i need this much rest to heal? thank you Carole B. P.S i had slipped epyhises as an 11 yr old . I still have pins in both hips, with slight laft leg shortening. Will this play a factor in my back?, posture, alignment???? T1weighted, T2 weighted and inversion recovery sagittal images were obtained, in addition to axial images. At the L5/S1, there is degenerative disc disease and a large right paracentral posterior disc extrusion. The extruded disc material measures 1.5 cm in diameter and it is compressing and displacing posteriorly the right S1 nerve root as it exits the theca. There is also compression of the anterior theca but no significant compression of the left S1 nerve root. At L3/L4 level, there is a very small left paracentral posterior annular disc tear and bulge. No significant thecal or nerve root compression is seen at this level. The signal intensity and height of this disc are preserved. No abnormality of the remaining lumbar inverterbral discs has been demonstrated. No intrathecal abnormality is seen. There is a mild scoliosis of the lumber spine convex to the left. Conclusion: 1. At L5/S1level, there is degenerative disc disease and a large right paracentral posterior disc extrusion as described. 2. Very small left paracentral posterior annular disc tear at the L3/L4 level. 3. Mild scoliosis, Doctor: Since you have persistent numbness and tingling over the feet and you recovered from an acute sciatica, its better to avoid exercising now. You can start spine extension exercises after the pain and everything is gone for at least 3 weeks. The L5-S1 paracentral disc extrusion could be irritating the nerve root exiting there and supplying the outer border of the sole and back of the leg and thigh. Do you also feel weakness in plantarflexing/dorsiflexing the ankle and great toe?" }, { "from": "gpt", "value": "Target: What does this MRI for Lumbar spine indicate?" } ]

[ { "from": "human", "value": "Source: Patient: hi doc,2 month back me and my fiance were involved in physical activity but we did not involve in intercoursebut my fiance now is having a feeling that she is pregnant as she has missed her periods for continuous three months, one month from before we were involved physically.please suggest me the best way to clarify our doubts regarding pregnancy. is it too late if at all she is pregnant by any chance? Doctor: Hello dear,I understand your concern.In my opinion as the true intercourse did not occur the chances of pregnancy is rare.But the cause of missed period should be evaluated. Usually after a week of missing a period urine pregnancy test is done.But now as it is 3 months I suggest you to consult doctor for physical examination and ultrasound if needed for definite diagnosis.The pregnancy might be rare as per your history but the cause of missed periods should be ruled out.Avoid stress as it also causes hormonal imbalance and make the cycles irregular.Best regards...." }, { "from": "gpt", "value": "Target: What are the chances of pregnancy with out an intercourse?" } ]

[ { "from": "human", "value": "Source: Patient: IA few days ago I had a tender little painful to touch area on neck area behind left lower ear lobe, it has been spreading and now is bothersome without touching, but when I lightly touch it hurts and feels in one spot worse and like it is a bulging vessel? Is this something that could be serious Doctor: Hi, You may be having lymph node inflammation. We call it lymphadenitis. This happens when you have sore throat or mouth ulcer. Lymph nodes are organs which protects spread of infection. So when you have sore throat drainage of fluid to lymph nodes leads to inflammation and swelling. treatment is to treat the cause and lymph node swelling will reduce. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What do pain and tenderness behind the neck indicate?" } ]

[ { "from": "human", "value": "Source: Patient: Good Day, this is Paulo Perianes, I'm 22 years old, an architect and works full-time. My weight is 120 lbs and my height is 5'7 1/2 \", im just wondering even if I eat plenty, my weight dont change, then last week and today, two of my friends told me that i look thinner, why is it happening? and what should i do? by the way I do smoke, thank you. Doctor: Hello PauloThis could be due to the work-place related stress. I would advice you to take small meals at short intervals. You can also increase fatty food in your diet. If you feel that your appetite is decreased, you can take syrup cyproheptadine 2tea spoons twice daily.Thanks." }, { "from": "gpt", "value": "Target: What causes unexplained weight loss?" } ]

[ { "from": "human", "value": "Source: Patient: where can i have my titanium jaw plates remove i dont longer want then in my body its been almost 8 years and i am going crazy and ick just thinking that they need be there foreveer plus one of them pop out and i can feel it see it and drives me razyy sorry i just never though they could be removed if i knew before does anyone ca recomend a doctor specializd in this procedure thanks ohh and do you know the aerage price for this procedure Doctor: Hello,Thanks for writing to us.I have read your concern.You have not mentioned from where you had the treatment undergone.I would suggest you to visit an or al-ma xillofacial surgeon and get a thorough clinical as well as x-ray evaluation done.Based on the prognosis of treatment,titanium jaw plates has to be either replaced or removed.Meanwhile,avoid application of heavy forces on jaws.Maintain oral hygiene well.Take care." }, { "from": "gpt", "value": "Target: Titanium jaw plates to be removed, pops out. Need details regarding the procedure" } ]

[ { "from": "human", "value": "Source: Patient: My father had a accident 2 months ago.He is in hospital.he had a brain operation and till today he is senseless.What should we do?Today his condition is very serious.yesterday night his heart was blocked 3 times.We are not a rich person.We are not getting what should we do now? Doctor: i am very sorry to hear that.really sorry for his condition.your next step should depend upon some factors like is he in Intensive Care Unit (survival only with life support) ? or he is just unconscious but is alive without life support? but anyway GCS below 3 or unconscious for such a long period is really not a very good sign.but if you believe in God and fate then you may already know that we all will die one day.have your faith and plese try to understand that regaining consciousness or death is largely dependent on fate at this stage apart from the doctors utmost tries.but i would really suggest if is in ICU now which is really costly for you then put your trust on God and let him go.beacuse at this stage regaining consciousness is really unlikely." }, { "from": "gpt", "value": "Target: What is the treatment for senseless patient after accident?" } ]

[ { "from": "human", "value": "Source: Patient: hello!Doctor, i m trying to conceive since two yrs.i have 1 ectopic and two miscarrige,i was not conceive from last yrs.now i took clomid and my fisrt follicular study is Rt 10 mm-Lt 16mm,endo thickness is 6.1 mm,pls advise when can i conceive and what sould be endo thichness for conception?? Doctor: Hi,Welcome to HealthcareMagic . .This cycle once follicle size become nore then 19mm you may take hcg injection which helps in follicle rupture and 3 days from that you should have daily twice intercourse minimum. This will increase your chances if pregnancy. For conception endometrium should be more then 10mm. For that you may take sildanafil or progesterone tablet keeping daily one inside vagina for 5 days. This increases blood supply and endometrial thickness. Hope I have been helpful .RegardsDr.Deepika Patil" }, { "from": "gpt", "value": "Target: What can I conceive as per my follicular study?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Dr., I get the dizzy feeling after walking a little. I feel my body is moving towards one side and also there is pressure on my forehead , some tingling sensation. I have high B.p - 160/90 now on medications and controlled to 120/80 .Medicine is MET-XL . I was also detected with hypo thyroidism- TSH -4.6 now on thronorm- 25 mcg also hav some iron tablets -Autrin . Does these medicines have anything to do with dizzyness which did not subside even after starting throid medicines and b.p. medicines. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, autrin has nothing to do with this dizziness. By your history and description, we should definitely rule out brain pathology like early heamorrhage, ischemia etc. Your all symptoms like head pressure, dizziness, sensations of body moving toward one side (imbalance) etc are common symptoms of brain pathology. And hypertension is a risk factor for such diseases. So get done MRI brain to rule out this. If MRI is normal then no need to worry much. Sometimes vitamin B12 deficiency can also cause similar symptoms. So also get done vitamin B12 level and if deficiency then you will need supplements. In any case, strict control of blood pressure is needed. Strict salt restriction in diet is also needed. Don't worry, you will be alright, but first rule out brain pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: While under medication for Hypertension and hypothyroidism, what could sudden dizziness indicate?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Hello sir my name is shael i am study in bsc mlt which conditions the count of platelet cells are low or plz send me some images of low platelet count and how it has done Doctor: Hi, dearI have gone through your question. I can understand your concern. There are many conditions associated with low platelet count. Most common is viral fever and malaria. Aplastic or Hypoplastic bome marrow, immune thrombocytopenic purpura, most of leukemia all can leads to low platelet count. 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: Which conditions are associated with low platelet count?" } ]

[ { "from": "human", "value": "Source: Patient: Recently, my dry couph has developed a wheezing sound. Is this something to be concerned about??? I am currently visiting in AZ, but I live in No. MN. Age is 79, Normally, the couph disappears in the dry air here in AZ however, not this year. It s bothersome! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The wheezing is due to bronchi spasm from atmospheric changes. * I recommend additional intake of bronchodilator and steroid medications after clinical examination. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes excessive wheezing while treating dry cough?" } ]

[ { "from": "human", "value": "Source: Patient: my husband has been coughing up blood for a year and also smokes 2 packs a day for over 40 years, a xray he took of his chest shows a spot on his lung and nodules on his left lung, he also has unexplained back pain for ovr a year, he is 58 and will not follow up with other treatments, we saw 2 er doctors, and his regular doctor, his back pain is not getting better, and ziz think he is in more pain than he lets on, am afraid for my husband, I am 49, and we have 2 children, please help, Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Your husband is hav hemoptysis (blood in sputum), spot and nodule in lungs and chronic pain backache. He is heavy smoker.So possibility of lung cancer is more likely. Lung cancer is known to spread in vertebra and cause chronic backache.So taken him to pulmonologist and get done CT thorax and MRI brain to diagnose lung cancer and bone (vertebra) metastases.Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks." }, { "from": "gpt", "value": "Target: Suggest remedy for persistent back pain and blood while coughing" } ]

[ { "from": "human", "value": "Source: Patient: I leaned over a metal arm of a chair to reach something on the floor. Did this to the side not front and heard a pop noise under the rib cage. It s been a week and I m feeling more pain today. What should I do for this? Thought for a rib injury there was nothing to do but wrap it up and take it easy....no?! Doctor: Hello,Probably there Could be a fracture Injury to your ribs. If such a patient comes to me in my clinic, I suggest him/her X-ray Chest (AP View) and review with a General Surgeon. If you have any further queries related to this medical condition you can get back to me.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah" }, { "from": "gpt", "value": "Target: What causes a sudden cracking noise under the rib- cage while leaning forward?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I am a 19 year old girl , about a week ago i experienced lower abdominal pain . The pain subsided for a while but last night I had gotten sick several times and the pain returned. Now I feel sick and my apetite is gone. I m very tired and moody as well. Please help me get answers... Doctor: Hi,dr.kumud hear,you should take lite food in lunch.early morning you should take warm water with pinch of jinjer juice,warm the paining abdominal partwith hot bag .Take one glass luke warm water after lunch.ISUBGOL POWDER -take one spoon with plane water at bed time.take care ,thanks" }, { "from": "gpt", "value": "Target: Having lower abdominal pain. Feeling sick, tired and loss of appetite. What should be done?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, How do you do? I am Annie, I have bloodpreasure problem and taking medication, recently I discovered that my pulse is 122 and it is going on a very long time. I do have hypothyroidism and the blood test show my TSH, T2 T3 absolutely normal. My mother died recently in heart disease but I never had a heart problem, what is wrong with me if my pulse, my heart racing all the time? Doctor: Hello, hypothyroid doesn't cause high heart rate but it can cause lower heart rate. If u r having persistent tachycardia, get done ecg and we will see what to do. All d best!" }, { "from": "gpt", "value": "Target: Is racing pulse in hypothyroid patient a symptom of heart problem?" } ]

[ { "from": "human", "value": "Source: Patient: Hi doctor, Im 26yrs old, female, got married last month we are planning to postpond our pregnancy 3 to 4 months. My doubt is shall i put loop before child birth is there any health problem will arise becos of this. my periods dates will be around 12th or 13th of everymonth. please advise me on this issue. my husband were using condoms but we feel that is there any other possible way without condoms like that. Doctor: Hallow Dear, If you are planning to postpone your pregnancy for just 3-4 months, intrauterine device like CuT or Loop is not a suitable birth control method for you. It should be used when you are trying to differ the pregnancy for more that a year or more. For you, the most suitable birth control method is either condom or birth control pills. Hope this helps you,Dr. Nishikant Shrotri" }, { "from": "gpt", "value": "Target: Does loop affect fertility?" } ]

[ { "from": "human", "value": "Source: Patient: Hi doc, I have pcos and I have been taking 21 days medication as long as i remember until feb, in March my periods came on time in April they were delayed by a week and since i was traveling I contacted my gync n she prescribed me sysron N for a week . I last took sysron on 22nd of April and waiting for my periods since then also we had unprotected sex while I was on sysron . Is there any chance of getting pregnant while taking sisron if No how many days should I wait for bleeding .. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Sysron N contains synthetic progesterone, it helps in delaying periods till the time you take the tablets. After you stop the tablets, you can expect the withdrawal bleeding sometimes in one week to 10 days. But sysron N will not provide any contraceptive effect when taken for short period. As you stopped oral contraceptive pills before using the sysron and not used any protection, the possibility of pregnancy cannot be excluded. So, you can wait for one more week for withdrawal bleeding, if you do not get bleeding, please go for urine pregnancy test once to rule out the possibility of pregnancy. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Is pregnancy possible while on Sysron-N?" } ]

[ { "from": "human", "value": "Source: Patient: My son age is 4 years.last 5 months he usually suffered fever with cold and cough after 25 days approximately. My doctor gave Altacef syrup for 10 days and he is now normal.doctor did test and found throat infection but doctor gave chericob syrup with multivitamin syrup from last 10 days sir we r worried about so many medicine gave is it safe treatment pls reply Doctor: Hi,Thanks and welcome to HCM .The doctor gave you the correct medicine and you response also.But if you want to be doubly sure get a throat swab for microscopic examination and culture and sensitivity .That will give you the infection caused by specific organism and the medicine to which it is sensitive.Hope this reply serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam." }, { "from": "gpt", "value": "Target: Is it safe to give Chericob syrup along with multivitamin syrup to 4 years old child?" } ]

[ { "from": "human", "value": "Source: Patient: Am 29years old i took three contraceptive pills ten hours before having sex,could i be pregnant?i was on pill but when the pack finished i stopped and i was not having sex but when i thought of having sex its when i took three of them but it was before sex.could i be pregnant? Doctor: HelloThanks for writing to us with your health concern.That is not the way to use pills for birth control.You have to be on the regular pill pack to have the contraceptive benefits.For emergency contraception, distinct set of pills with other distinct formulations are available.So yes there is a risk of pregnancy, particularly if you were mid cycle, around your peri ovulatory days.Please use regular contraception in future.Do take a pregnancy test if you skip your periods.Take care." }, { "from": "gpt", "value": "Target: Is pregnancy possible while on contraceptive pills?" } ]

[ { "from": "human", "value": "Source: Patient: Hi,I am 22 and had undergone a surgery to remove a horizontally impacted third molar on my lower left jaw.The surgery was performed on 6th May and the area has healed completely.I had no pain during or after the surgery but since last few days I am experiencing a dull throbbing pain on my left side.I cant pinpoint the exact location of the pain but its there.It goes away only with painkillers only to return after after 6-7 hours later.My surgeon suggested a digital OPG and I am attaching a scanned copy of the same.Please help as my doctor is unable to find any problem clinically :-(.OPG:- WWW.WWWW.WW Doctor: Hi,Welcome to HCM forum,Few days after extraction you are having pain. This pain seems to be related to other teeth.So, OPG will make it easy to rule out the reason of pain.This dull, throbbing pain can also be due to gum disease.Consult dentist to rule out the reason and go for a particular treatment thenWishing you cure soonTake care" }, { "from": "gpt", "value": "Target: Underwent surgery to remove impacted molar. Have pain. Suggested digital OPG. Advice?" } ]

[ { "from": "human", "value": "Source: Patient: I am extremely depressed and do not want to continue living. I have exprerienced many episodes of trauma, of many varieties, and have flashbacks, etc. I'm sure you don't want to hear all of that. The thing is, I've decided to end it all . . . I do not believe for one instant that there is someone who can help. PLEASE prove me wrong Doctor: Dear, We understand your concernsI went through your details. You are ready to listen to someone to prove yourself wrong about your decision, in itself is called HOPE. You see, You are still hopeful. That is the true spirit.If I said, all these are part of life, you have to forget past, you have to adjust, you need to be hopeful etc, you never are going to accept. You then say, I heard all these and I don't want any new sermon. Just give me something NEW.That NEW is renewed HOPE. Across the world, everyone knows, one day or other, they all will have to die. No one knows when. No one knows what tomorrow brings. Still all are hopeful. They set alarm to get up next morning. They set plans for tomorrow. They set targets. All hope (false hope) that everything will be alright. All these in spite of knowing that tomorrow is uncertain. That is HOPE. When billions of people can live with HOPE, Why can't you?If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Happy New Year. Take care." }, { "from": "gpt", "value": "Target: Suggest remedy for severe anxiety and depression" } ]

[ { "from": "human", "value": "Source: Patient: hi I am a 23 year old lady who about a week ago noticed a rash on my shoulder and a red bump on my neck/collourbone it hurts and itches like crazy.I went to the dovtos and they gave me antibiotics but it still hurts and now I have black dots in the middle of the red dots what is this the doc said hmmm iv nevet seen that befor Doctor: HiWelcome It might be folliculitis but needs examination to confirm.Kindly see local doctor for examination and confirmation, or upload pictures that will give us better idea.Hope this helps Take care" }, { "from": "gpt", "value": "Target: What causes a rash on shoulder blade and bump on the neck?" } ]

[ { "from": "human", "value": "Source: Patient: I just moved into a new apartment on a military base with my husband in new orleans. I've lived in a small town in Utah my whole life up until now. When I first got here I had a couple of really bad panic attacks. I'm terrified to leave my house. And it's preventing me from living my life and I don't know what to do. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You know your condition. Panic attacks for you are not new. Panic attacks are caused basically by anxiety. Anxiety is a disorder and not disease. You must understand that.Are you under treatment for anxiety or panic attacks? Are you under therapy? If yes, fine. By now you must have learned how to overcome panic attacks. If not you should.Learn to relax. Positively imagine etc are some of the CBT techniques used to overcome panic attacks. I can help you overcome these. Post a premium question giving all your details and I shall help you overcome panic attacks and anxiety.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: How to overcome panic attacks after moving to a new place?" } ]

[ { "from": "human", "value": "Source: Patient: my daughter is one years old and came home from the daycare center yesterday with small pimple looking bumps all over her body and around her lips on her face. There are larger bumps and penny sized open wounds in her diaper area. Also there is a bad open wound from her rectum up to her vaginal area. Can you possibly help me figure out what is going on? Doctor: Thanks for follow up. Your daughter can have any diseases: chicken pox or streptococcal infection-streptodermia,impetigo,scabies, mollusks,lice are insects. You should see this pictures in google and compare, because it is difficult to diagnose without photo. It is also necessary to visit doctor and show her rash. You can handle this rash with alcohol/spirit/ and if it is like as purulent bumps-apply chloramphenicol 1%, it will also helpful for wounds in her diaper area, it can give 1 min a little burning, but then she will feel relief. Try to keep her without diapers till recovery.I need more details how rash appears, did she feel itching? If she has itching then give to her antihistamine syrup-desloratadineBest regards, recovery soon" }, { "from": "gpt", "value": "Target: What could it be if child is having small bumps all over body?" } ]

[ { "from": "human", "value": "Source: Patient: hey i am a 21 year old female about 125lbs and i tore my abdominal wall on the right side just below my rib cage about a year ago. about 5 months ago i noticed a lump where the tear occurred. it is not painful to touch but it burns/aches after any physical activity. is it a hernia? I am an avid rock climber, is it alright to continue climbing? Doctor: welcome to Health care magic.1.Hernias are also seen as an abdominal mass.2.But needs to evaluate first weather its mass or hernia.3.Can be confirmed by an ultrasound scan.4.Only then one can say if you can climb or not.5.Get an ultrasound abdomen pelvis done and find out the sours of the problem.Anything to ask ? do not hesitate. Thank you." }, { "from": "gpt", "value": "Target: Can lumps in abdomen suggest hernia?" } ]

[ { "from": "human", "value": "Source: Patient: Usually during the night I get a strange and somewhat painful feeling in my heart. ((Sometimes when I'm trying to sleep and other times when I'm just sitting and doing nothing)) Sometimes it feels like it's tightening. Other times it just feels . . . strange. Sorta like it's not pumping correctly. I'm not sure how exactly to explain it. I'm an 18 year old girl. When I mention this to my parents they just tell me to calm down and suggest that it might be a panic attack or the beginning of one. though I'm sure it isn't a panic attack since I've experience those and they are not alike. Doctor: Hi,welcome to HCM..Thanks for writing to us.It is very unlikely to have the prodrome of heart attack at your age.In some particular group of people there may be cardiac symptoms at such a young age,such as:1.persons with previous history of some cardiac disease.2.athletes3.cocaine abusers It may be a case of panic attack,but you should go for the following preliminary tests in order to rule out any cardiac cause:1.EKG2.Routine blood investigations including CBC,serum urea ,creatinine, lipid profile,random blood sugar. If there is any abnormality in the test results you can consults your doctor. Hope I have answered your query.Stay fit,good luck." }, { "from": "gpt", "value": "Target: Could feeling of tightening of heart with pain be panic attacks?" } ]

[ { "from": "human", "value": "Source: Patient: My 98 yo Mother in skilled nursing; has dementia. Suffers from Hi Bld Pres. diagnosed with Diabetes 3 years ago. I want to understand the side affects of her medications. = 5 with 2 that are intermittent. How do I proceed with obtaining this information from you? Doctor: Hi, Thanks for your question. Noted your. I want to know - - Current medication she is taking. - Level of blood pressure. - Current blood sugar levels. In such a case there is a need for Detailed physical examination. Depending upon it following investigations may be suggested - Complete Blood Count. - Renal Function Test including Urea, creatinine, electrolytes. - Liver Function Test including Bilirubin, liver enzymes. - Blood sugar levels Fasting, Post-prandial, HbA1c. - Urine examination. - Brain imaging. Hope this helps." }, { "from": "gpt", "value": "Target: Suggest treatment for dementia in a diabetic" } ]

[ { "from": "human", "value": "Source: Patient: I am a 19 year old female and I have a weird question. I have seen several specialists and they have no idea what is wrong with me. One said it was seizures but had no evidence of it. For the past few years now I have been having \"blackouts.\" I call them this because I haven't heard of anything like them before. They are brought on for no reason, although they have happened more frequently and gotten more severe since I had my son 8 months ago. They consist of me going blind in both eyes and sometimes I get a headache, my ears ring, and parts of my head go numb (most of the time in my mouth and ears). I do not pass out and can still move, talk, and have my eyes open (though I cannot see anything). One time I fell down and started twitching but it hasn't happened again since. What could this be!? Doctor: Hi,Thank you for posting your query.The most likely diagnosis in your case is migraine with visual aura. It is common to have blindness in visual aura, which is followed by headaches. The episode with twitching is likely to have been a seizure attack. It is not uncommon for migraine and seizure to co-exist as both have common underlying causes, and some medications used for treating migraine and seizures are also common.In your case, the best drugs to treat your problem would be either topiramate or divalproex.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com" }, { "from": "gpt", "value": "Target: Suffering with recurring blackouts, instances of headache, ringing ears, blindness for few minutes. Cause?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I m a women at 43 years, I have big pain on my lower abdomen, I am on menstruation, usual I have big pain, but now it s very big, when I try to make a massage in the left side of lower I feel more pain.It s too much for now.What medication I can buy ? I m in Hagley. Thank you. Doctor: HelloThis type of pain associated with menstruation is known as dysmenorrhea i.e. painful menses. When such patient visit in my clinic with these symptoms I advise them to take \"aceclofenac& drotaverine hydrochloride combination according to necessity . If pain is very severe as in your case take aceclofenac+ tramadol combination . If pain is moderate type I advise them to take mefenamic acid+ diccyclomin hydrochloride tablet . All these drugs mentioned are in combination will provide instant relief . But some sedation will develop so please take some rest for 3-4 hours . Hope information will help you." }, { "from": "gpt", "value": "Target: What is the medication for lower abdominal pain?" } ]

[ { "from": "human", "value": "Source: Patient: Went to the cardiologist yesterday for a yearly ultrasound to check my tricuspid valve leak that they found last year for any changes. Well now they told me I have an enlarged right chamber ventricle. Is this dangerous and something to worry about? My doctor told me not to worry to much about it, just to come back in another year for another ultrasound. Please tell me what can cause this enlargement? Doctor: Hello, I would explain that an enlarged right ventricle could be related to different possible causes, including a lung disorder or a shunt. I would like to directly review your cardiac ultrasound report in order to give a more professional opinion. I would also recommend performing a chest X-ray study and pulmonary function tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist" }, { "from": "gpt", "value": "Target: What causes enlarged right chamber ventricle?" } ]

[ { "from": "human", "value": "Source: Patient: Yesterday I slightly injured my left hand playing with one of my kids... Last night as I tried to sleep I noticed my my left arm/hand was mildly achy... My hand is fine today but the feeling in my left arm is still present although not all the time - I notice it the most when I sneeze - the feeling goes down my left arm and into my hand and my hand feels tingly - I am 39 years old and over weight with a thyroid condition that is not properly taken care of with medication. I don t know if the initial injury is the cause of the discomfort or if it s something that I need to have checked out. Doctor: Hello, A tingly feeling in the hand after injury may be due to anxiety, bone fracture, pinched nerve in the wrist (or carpal tunnel syndrome) but it can be also the sign of developing CAD/ Neuropathy. You are suggested to get clinically examined by a GP. You will be treated if it is due to anxiety, pinched nerve, injury or fracture. If developing CAD or Neuropathy is suspected/detected you will be referred to a cardiologist or a Neurologist. You will have to go through a series of Blood & Imaging tests to detect the pathology causing you discomfort. Your treatment will depend on the severity of the pathology detected. You can take Acetaminophen or Naproxen, one sos when needed for relief. Take vitamin B6, B12, folic acid rich food or supplements to reduce tingly feeling. If diabetic control your blood glucose levels at all cost. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nupur K, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes tingly feeling in hand while sneezing?" } ]

[ { "from": "human", "value": "Source: Patient: sir, i have got occipital neuralgia nerve damage during hair transplant treatment and suffering from a long time over 1 year and got many kinds of primary treatments as injections and physiotherapic treatments and now searching for a surgon. from : INDIA rply early as possible. thaank you. Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.This can be corrected surgically please share the reports Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care." }, { "from": "gpt", "value": "Target: Suffering from occipital neuralgia nerve damage during hair transplant" } ]

[ { "from": "human", "value": "Source: Patient: Hi, i was told that i am infected with tape worm... how do i know that which type of tape worm has been living in my body and how did they decided that it is a tape worm? MRI report : small 6mm hypointense lesion with mild surrounding edema in the right high parietal region. I would appreciate if you can send me the article which exactly matches my MRI findings that says that it is a tape worm... Doctor: Hi, Thanks for posting in HCM. Tapeworm infection is the infestation of the digestive tract by a species of parasitic 'cestodal flatworm' called tapeworms. Six types of tapeworms are known to infect people. They are usually identified by the animals they come from - for example, Taenia saginata from beef, Taenia solium from pork, and Diphyllobothrium latum from fish. To diagnose a tapeworm infection, the following needs to be done:1. Stool sample analysis by microscopic identification for eggs or tapeworm segments. It may require 2 to 3 stool analysis done regularly to look for the tapeworm infestation. 2. Blood test to detect antibodies your body may have produced to fight tapeworm infection. 3. Imaging studies such as CT or MRI scans, X-rays, or ultrasounds of cysts, may suggest invasive tapeworm infection. Hope the information provided would be helpful. All the best." }, { "from": "gpt", "value": "Target: How to identify the type of tapeworm living in my body?" } ]

[ { "from": "human", "value": "Source: Patient: I have a 56 year old son who suffers from panic attacks and depression and was prescribed Valproate 200mg and Cymbaltra 60mg which he takes every morning after breakfast. He has been on this medication for five years without review and is marginally better in regard to panic attacks but is completely negative about life. He also has problems concentrating and remembering things. Are these drugs causing the memory and confusion of his mind? Would he be better on Zoloft ? He had a professional career but has not been able to return to work at all. He is on a disability pension. I am concerned about any side effects of the drugs he is now taking as well as the fact they do not seem to be productive in results. Doctor: HelloHe is on valproate 200 mg and cymbalta or duloxetine 60 mg for last 5 years without review. He started these medicine for panic attacks and depression. As per my opinion there should be regular consultation from a psychiatrist when patient is given medicines but you didnt consult a Psychiatrist. The dose of valproate is very low considering his age. 200 mg doses daily dont help in controlling mood symptoms and this is a very low dose. He is having memory problem, problems in concentrating so his symptoms are also not under control. I would advise you to consult a Psychiatrist again and then discuss about any change in medicines. There is no use in giving improper doses or medicines without proper psychiatrist cover.Thanks" }, { "from": "gpt", "value": "Target: Have panic attacks, depression. Prescribed valproate, cymbaltra. Are these drugs causing memory and confusion of mind?" } ]

[ { "from": "human", "value": "Source: Patient: My pinky toe has a swollen lump on the top of the knuckle. Its not on the bottom of my foot the top only. I am concerned because I am on my feet all day. The right foot is the culprate, I noticed it about 2 weks ago. Any idea wha it might be?. I am a male of 26 years of age ad not over weight. I am adopted so i do not know what could be hereditary. Please help. Doctor: hi.based from your description, it could be callous formation secondary to contact with your shoes, especially if it's too tight or the size is not right for your foot. fibroma, tendon cysts, arthritic and gouty lesions must also be ruled-out. a consult with your doctor is best for physical examination and clinical evaluation. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye" }, { "from": "gpt", "value": "Target: Suggest remedy for swollen lump on the top of knuckle of pinky toe" } ]

[ { "from": "human", "value": "Source: Patient: Hi...my name is Brenda. In August 2012, I suffered a massive stroke, at our local hospital they found I had a ruptured brain aneurysm and two unruptured aneurysm. After two days there I was transported by ambulance to Buffalo, 207 miles away. I underwent four major brain surgeries in thirty-six hours. The ruptured aneurysm was clipped and the other two were coiled. I have had three or four CT scans since. The doctors here say everything is ok but on an appointment in Buffalo with my neurosurgeon in November 2012, said I had a brain tumor.....no one here sees a brain tumor and I am doing good. Are the CT scans reliable and what do I need to know about the coils Doctor: I have gone thriugh your question abd understand your concern.The treatment you got is excellent. This means that you are totally out of risk for any further hemorrhagic stroke. If the doctors see nothing but coils on the CT you should be quite sure that there is nothing to worry about. Of course, an MRI would be a better exam than CT to be 100 % sure.To date, there is no evidence that titanium clipps used for surgery, nor the coils, are related to any tumor transformation. It means that the percentuages that you a brain tumor (cinsidering the treatment and the CT scans performed) are equal to anyone else.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "from": "gpt", "value": "Target: What are the symptoms of brain tumor?" } ]

[ { "from": "human", "value": "Source: Patient: Hi there, I found a lump on my right testicle about the beginning of the year and didnâ??t take any notice of it but the past few weeks i have been very worried, The lump is a bit bigger than a pea and i have not noticed really of it getting bigger but i may be wrong. I had testicle correction surgery at the age of three years and it was on the left. Yesterday i went and saw Urologist and got a blood test and Ultra-sound of the testicle. Today i just received a phone call informing me that my blood count came back NORMAL but the lump is pretty suspicious still and he wants to go ahead and remove it Tomorrow at 8am which all seems so full on and fast to me. I am only 19 years old Iâ??m healthy donâ??t smoke ever but do drink alcohol most weekends. I was wondering if you could PLEASE help me out on a second opinion of the matter? Kind Regards Jack Doctor: Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-Epididymal Cyst of the Testes / or could be from Spermatocele/ or could be Hydrocele also.The cause of this lump in your case needs details of the clinical findings and USG/Blood Tests.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist" }, { "from": "gpt", "value": "Target: What causes lump on right testicle?" } ]

[ { "from": "human", "value": "Source: Patient: hi im not really sure if anyone is actualy there but i have paranoia .... my gf went out to a club with her friends and im extremely worried she is going to do something with another guy i know i should trust her i know i shouldnt be worried but i cant help it... and worse case scenario even if she doess something i want her to know i do love her and i am changing for her so i was wondering what can i do to relieve the stress , anxiety ,and paranoia? Doctor: If these symptoms are debilitating you should consider consulting a psychiatrist. Medication and psychotherapy should be able to help you manage these symptoms. Sometimes couples therapy can help as well. Best of luck. I hope this information helps to guide you. Do feel better!" }, { "from": "gpt", "value": "Target: Paranoia, stress, anxiety about trust issues in a relationship. How are these prevented?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 39 year old female with these symptoms for over a year: Uncontrolled high blood pressure, nausea, right side/flank pain, blue color to hands and feet, feeling of being frozen, shortness of breath, occasional blurred vision and memory fog. My doctor has done an EKG, stress test and chest CT. All tests were normal. I m up to 50mg Metoprolol BID and still having really high BP s and these symptoms. Can someone please figure out what is wrong with me. I m scared. Doctor: Hi,welcome to Healthcare magic.Thanks for posting your question on this forum.I understand your query and concern.Many of your symptoms are related to high blood pressure uncontrolled.Its important that Metoprolol dose is increased to 100mg SR taken once a day and 50 mg at bed time.Likewise a complete ultrasound of the abdomen is needed to document any renal pathology responsible for flank pain.Fundoscopy is must in your case to document hypertensive retinopathy.I advise you to have a baseline ECG and 2 dimensional echo on the follow up to have a recent quick review of your cardiac functional reserve.Consult an expert cardiologist for further expert management.Post your further queries if any.Thank you." }, { "from": "gpt", "value": "Target: What causes shortness of breath , nausea and high blood pressure?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I recently tested for diabetes with a local lab here in Chonburi Thailand the results are: FSB 261 HbA1c 12.9 Is this bad? I have no other classic symptoms of Diabetes, I excersise every day I walks briskliy for 6 kms and play badminton 3 times per week for 1.5 hours a session, I dont smoke and eat a healthy diet, I am 63 years of age Doctor: Hi, Thanks for posting in HCM. I understand your concern. Fasting glucose levels with 261mg/dl is quite high as normally it should be less than 110mg/dl. Your HbA1c levels also with 12.9% is extremely high indicating poor control of glucose over the last 3 months, as it should be below 6.6%. Although you do not have symptoms pertaining to diabetes and doing good amount of exercise with healthy diet, it is advisable for you to get treated by means of medications by consulting Diabetologist promptly. Hope the information provided helps. All the best. Regards, Dr.Ashakiran.S., MBBS., MD." }, { "from": "gpt", "value": "Target: What would cause high FBS levels in a person who exercises regularly?" } ]

[ { "from": "human", "value": "Source: Patient: yes i fell 7 days ago and landed on both knees really hard i weigh 240 lbs they were sore for a few days and turned black and purple last night my ankles started sewlling i elevated them and the swelling whent down some but not all the way had to work and the swelling started again i dont have insurance to go to a doctor is there anything i can do at home to get rid of this Doctor: Hello, Thanks for posting your query. Rest and protect an injured or sore area. When resting, place a small pillow under your knee. Ice will reduce pain and swelling. Apply ice or cold pack for 10 to 20 minutes,3 or more times a day. Compression, or wrapping the injured or sore area with an elastic bandage will help decrease swelling. Elevate the injured or sore area on pillows while applying ice and anytime you are sitting or lying down. There are many vitamins and natural supplements you can take to help rebuild cartilage and increase blood flow. wishing you good health. Regards. Dr. Saurabh gupta" }, { "from": "gpt", "value": "Target: Knee injury, soreness, purple discoloration, ankle swelling. Home remedy to prevent swelling?" } ]

[ { "from": "human", "value": "Source: Patient: I had ERCP to remove stent 3 days ago. Yesterday afternoon I noticed small red pinprick rash on legs from ankle to thigh..not itchy. took children s claritin--1 tsp, as am higly allergic to almost everything. Rash does not itch, but places on chest and back have red circles where they places the sticky discs for monitors--alway get these from the sticky disks. i have only had this similar type rash on legs before when out in sun. Also, a little trouble breathing, but do not want to use inhaler or take more claritin. Maybe just anxiety? Doctor: Hi..dear cstevens.., Thanks for choosing HCM.., ERCP is....Endoscopic retrograde cholangiopancreatography is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. Through the endoscope, the physician can see the inside of the stomach and duodenum, and inject dyes into the ducts in the biliary tree and pancreas so they can be seen on X-rays..., Here using dye contains IODINE, it will allergic to few members...,So U got this.., U consult good dermatologist, he can treat and follow up the case.., So meanwhile use...Tab..ALLEGRA 180 mg daily..., Apply Clobetasol and gentamycin cream....thanQ" }, { "from": "gpt", "value": "Target: What could be the reason for small red pinprick rashes on legs , chest and back after an ERCP which are not itchy and have little breathing trouble?" } ]

[ { "from": "human", "value": "Source: Patient: Greetings, I just recently had a EKG and it was reported as slight inferior repolarization disturbance, consider ischemia, LV overload aspecific change Boarderline ECG. I am 53 y.o., and very athletic. My cholesterol readings were a bit high but it was due to my HDL being higher than normal. (Cholesterol-210, HDL-74, LDL 133). (Weight 170/Height 67 , muscular and high endurance). I just retired from the special ops navy community. I will be doing a follow up with a cardiologist. Never had any heart issues and there s nothing noted in my family history. Doctor: Hi, Though I wish I could see the actual ECG, the report you mention is often given when there is a small abnormality in the T wave. Most often this is a normal variant, meaning that there is nothing wrong with your heart, some people just have this abnormality. Your cardiologist will probably ask you about any symptoms you have had, especially chest pain. If you had any previous ECG's it would be helpful to compare them. However, given the rest of your history, if there's no chest pain, I would say there is nothing to worry about. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Aaron Branch, General & Family Physician" }, { "from": "gpt", "value": "Target: Are slight inferior repolarization disturbance and high HDL a matter of concern?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doctor,My son is 1.5 years old.he got few reddish pimple in his scalp a year back.We met with doctor and he advised for dettol wash and keep hair clean and not to use any Oil.He given some anti bacterial cream to apply on scalp.After few days all the pimple gone but again this reappears after 1 month.This is now a regular practice as its happening every 20-25 days.And it looks like very itching,Even due to itching he is not able to sleep.We met with many doctors and all has given some antibiotics,some cream and all.We met with Homeopathic doctor too.Aftre treatment these acnes goes for few days and again resurfaces.Its happening only in Scalp and fews on his foot too.This increases once he travel through train or car.Please guide.Thanks,Saurabh Doctor: hi saurabh your son has seborrhoeic dermatitis ,needs to stop all oil application on hair,body during massage,even after stopping the redness and itching continues then apply him betnovate-n oint twice/thrice ,will help him" }, { "from": "gpt", "value": "Target: What causes recurrent reddish pimples on scalp?" } ]

[ { "from": "human", "value": "Source: Patient: my 5 year old will start coughing every night close to bed time. She is not always laying down when this happens. She also has this every morning. She has had tubes in her ears, tonsils and adnoids already removed. I hate the thought of giving her cold meds every night....thoughts. Doctor: Hi,Welcome to HCM,The symptoms you quoted are suggestive of a hyperactive airway disease which in simple terms means allergic symptoms something similar to asthma. The cough can be due to hyperreactivity of your child's airways. Her adenoids and tonsils been removed puts her in the list of highly sensitive child because her immunity power would have been decreased. Your child needs to see a pediatrician and If I were him, would have started you child on inhalers which can be of great help for her in reducing her discomfort. Happy to help with any further queries. Take care." }, { "from": "gpt", "value": "Target: What causes constant cough in the night in children?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Doctor, My TIFFA scan taken at 23 weeks says right renal pelivi calyectasis 6.88 mm. And there was a follow up scan taken during 30 weeks. In this it says Both Kidneys: Mild pominence of renal pelvis noted on both sides. right Side AP diameter measures 4.55 mm Left side AP diameter measures 8.7 mm and Urinary baldder is distended. Could you please explain me this. worried about baby and this is my first pregnancy Doctor: HiI do understand your worry. But if the amniotic fluid index is normal and if there is only mild prominence of pelvis hopefully there usually should not be a problem. Most likely scenario is of normal pregnancy and labour and any mild problem in the child can be easily handled after the birth of the child." }, { "from": "gpt", "value": "Target: TIFFA scan shows renal pelvic calyectasis. Could you explain?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have been diagnosed with left epididymitis a few weeks ago and was given Bactria DS and 600 milligram Tylenol twice daily. The pain is gone but the swelling still remains. It also feels like there s a mass right on top of left epididymis. How long does this normally take to recover from? Doctor: Usually we give antibiotics for about 6-8 weeks in cases of epididymitis, and if we are giving Bactrim DS, the antibiotics may need to be given even for 10-12 weeks. The infection is likely to resolve by that time, but the swelling of the epididymitis usually will remain and there will always be a difference between the two sides which should not be a worry. You can get a repeat scanning of your scrotum after three months of treatment to know if the vascularity in the inflamed epididymis has come to normal." }, { "from": "gpt", "value": "Target: How long does it take to recover from epididymitis?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doctor Grief,My name is Harold 73 years oldHad hemoriod surgery 9 years ago that was painful, now they hurt again painful sometimes.I have used hem creams and tuckswhat can i do, dont want surgery again, live by myself. Got a walk in shower no tubTHANK YOU FOR ANY HELP YOU CAN GIVEHarold Doctor: Hi,It seems that you developed hemorrhoids on another site.There are three places in anal canl where hemorrhoids can occur at 2, 7 and 11 o'clock position.So you are cured of hemorrhoids with surgery at one place.Now there might be having hemorrhoid on another site.Consult surgeon and get examined.avoid constipation.Ok and take care." }, { "from": "gpt", "value": "Target: What should I do to avoid repeating hemorriod surgery while the earlier surgery still painful?" } ]

[ { "from": "human", "value": "Source: Patient: Good afternoon. I have a male friend who was diagnosed with high liver enzymes after blood work taken. Has been sweating profusely, had stomach pains and was admitted to hospital. They discharged him because the Doctor figured it was a virus. Is now on meds. but still sweating. What can my friend do to help elevate this problem and help in in the healing process. Thank you for your time. Doctor: Thank you for your query.It seems as a panic attack after the blood was drawn. presentation is profuse sweating, palpitation, rapid heart rate. It happens to certain patients when blood is drawn out.Give him oral hydrated solution OR lemon water once or twice. That is it.NOTHING to WORRY.convince him that there is NOTHING wrong and he is all good. He would be normal soon.besides, what medication is he taking and why?hope he gets well soonregards,Dr Tayyab Malik" }, { "from": "gpt", "value": "Target: Suggest treatment for profuse sweating" } ]

[ { "from": "human", "value": "Source: Patient: i went for blood work and the Dr told me i have an inflamed liver, he wants me to get an ultrasounds ASAP. i read some of the symptoms but not sure what it all means... shoulder pain, right abdomen pain, flactulance, indigestion, heartburn, very tired, bloating... should i be concerned? can it be caused by too many toxins in my body (i have a few abscessed teeth) Doctor: Hi.Thanks for posting query at HCM.Test recommended:1. H.pylori urea breath test2. liver enzymes3. lipid profile4. ESR5. endoscopy if age greater than 50 and/or if anemicUsually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.viral hepatitis ( HAV,HBV,HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. further course of action maybe advised after test results. any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik" }, { "from": "gpt", "value": "Target: What causes an inflamed liver?" } ]

[ { "from": "human", "value": "Source: Patient: Hi,my boyfriend has been getting pains in his lower abdomen for the last 4 months or so and sometimes had blood in the toilet bowl. Recently he has been having 'foamy' poo too and appears to have lost a little weight. Please advise, I am very very worried! Doctor: Hi,Thanks for writing to HCM.He may be having a worm infestation. Get him dewormed and he should be fine.Dr. Ashish Verma" }, { "from": "gpt", "value": "Target: What is the remedy for abdominal pain with foamy poop?" } ]

[ { "from": "human", "value": "Source: Patient: 4 1/2 year old grandson c/o pain left side (lower chest belly area). He states it hurts when he touches his side and that it also hurts even when he doesn t touch his side. My daughter took him to his pediatrician few days ago but it was suggested that it may be an acid problem and Mylanta was suggested. This doesn t sound like an gastric issue to me; the way he explains it it sounds more like skeletal tenderness or muscular. It has been bothering him approximately two -three weeks now. Doctor: Hi, Pain in left lower chest area could be due to skeletal problem or muscular pain. Renal stone or constipation also causes pain sometimes so get him checked by a pediatrician again. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician" }, { "from": "gpt", "value": "Target: What could be the reason for pain in the left lower chest and belly area?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, my name's Brian and am a 23 year old male. For the past year I've been suffering from depression and anxiety. It's a constant struggle to become \"normal\" again and live my life freely and as happy as I once have. I've seen multiple doctors and have taken multiple tests. The only thing I haven't done is talk to a psychiatrist about my issues, which I have a scheduled appointment coming next month. Basically, I'm looking for any kind of help and fast so I can put these troubles to a lasting end. I've felt lightheaded for a year now on a constant basis. The only time it seems to wear away is when I first awake in the morning, and when I start getting tired at night. I receive \"shocking\" feelings through my body from time to time and have also felt heart palpitations on and off. It's all very scary, but I've been told that it's nothing more than my anxiety and possibly stress. I've had blood tests, a CAT Scan, an Echocardiogram, ECG testing, and even wore a heart monitor for a 2 week period. All of which with the results coming back normal. It feels like I'm only fighting myself. I recently discovered that I'm slightly agoraphobic as well. My symptoms worsen any time I find myself in public places or large buildings. I just want these problems to go away as quick as possible because this past year for me has been a living nightmare. It even prohibits me from continuing with my education and work. Please help me. Any advice will be much appreciated and as soon as you can. Thank you so much. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely opine Anxiety and depression are not diseases but mental disorders. In most of the cases, mental disorders cute itself when time passess. For maximum simple psychological treatment should work and very few requires psychiatric medicines. Psychotherapy helps you to alter your life style so as to suit yourself with anixety triggering situation. Yoga and meditation streamlines your metbolisam and thinking style. A trained psychologist is the right person for you. Only when a psychologist sys, you should visit a psychiatrist for medicines. Don't worry. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: Suggest treatment for depression and anxiety" } ]

[ { "from": "human", "value": "Source: Patient: I woke up yesterday morning the area around my left collarbone was very sore and tender. This morning when I woke up it was still sore and I felt a small lump about the size of a pea that moves all around right near /on the binge. I am very scared it is something bad. I called my dr this am but he won't be in until tomorrow. Doctor: Hi.This is either a lipoma or a sebaceous cyst. You can try antibiotics and anti-inflammatory medicines as advised by your Doctor.Wait and watch.FNAC sometimes helps for a diagnosis.If it does not resolve it is better to get this removed (excised) for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis- makes you tension-free that it is not a cancer." }, { "from": "gpt", "value": "Target: What is the pea sized lump near my collarbone?" } ]

[ { "from": "human", "value": "Source: Patient: My baby is 22 months old. She got her head hit with corner of one wooden table. We put ice and it was not that much swelling. In few minutes her body temprature started in increase. Now after 6 hours her temprature under the armpit is 38.4 We gave her paracetamol (125 mg suppository twice in 4 Hours). What could be the reason for this high fever. She just recoverd from bad throat a weeks back. At that time also she was having high fever. Does this accidenet (hit on her head) cause this high fever ? Kindly advice.... Doctor: Hello, Concussion can rarely cause fever. Consult a pediatrician at the earliest and get evaluated. A CT scan of the head is required to rule out intracranial causes. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Could high fever be due to the head injury?" } ]

[ { "from": "human", "value": "Source: Patient: I have been previously diagnosed with DJD, IVDS, Sciatica in left lower extremity. I have chronic lower back pain, numbness on my front left thigh, sharp shooting pains in my left leg to my foot, sharp shooting pain in my left buttock. I have more recently been having the same type shooting pains in my right leg, although not as intense as in the left, and more severe pain in my lower back. I had a recent MRI that showed... Finding:Alignment of lumbar spine, height, an signal intensity of vertebral bodies is maintained. Disk space narrowing with hypointense T2 signal is present at L5-S1 level. Conus medullaris ends at L1-L2 level. No mass or abnormal signal intensity within conus medullaris is seen.-- At L3-L4 level no bulging disk, foraminal or central spinal stenosis.-- At L4-L5 level an asymetric bulging disk, to the right, is noted. There is an abutment upon the root of the right L4 nerve. Mild arthrosis is noted.-- At L5-S1 level focal central broad-based disk protrusion is seen with slight compression upon the anterior thecal sac. There is an abutment upon the roots of right S1 nerve. There is also close proximity/an abutment upon the roots of L5 nerve. There are short pedicles with lateral orientation. Mild hypertrophy of the facet joints is seen.Impression:1. Focal central disk protrusion at L5-S1 level with compression upon the roots of S1 nerve and abutment of roots of L5 nerve.2. Short pedicles indicative of congenital spinal stenosis.3. Multilevel facet arthrosis.Can someone help explain in lay terms the MRI results? Do the findings line up with my previous diagnoses and do they explain the more recent pains in my right leg? Thanks for your input. Doctor: Hello. Thanks for writing to us. The findings of your MRI are consistent with a degenerative disc disease with the nerve root compression at the level of lower spine., The symptoms that you have described are related to these findings. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal drtayal72@gmail.com" }, { "from": "gpt", "value": "Target: Have lower back pain, numbness in thigh, leg pain. MRI shows facet arthrosis. Meaning?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, My partner is paralysed and confined to a wheelchair for the last 30 years. We used to encourage her to walk as much as possible using a frame in the house but a fall 2 years ago left her with a broken ankle. Due to this she has not been walking and now she has difficulty taking even two steps.She has also swollen feet and is getting cramp in her legs more often. I was wondering if a circulation booster would be beneficial? Doctor: Hi, There is possibility of shoulder pathology that may radiate to arm and chest. The other possibility is muscle spasm that occurs because of taking cold bath after exercising. You need to do warm saline fomentation along with rest, it it is a spasm it will recover in a week. It the pain persists you need to get a shoulder and neck X-ray and an MRI done to reach a diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon" }, { "from": "gpt", "value": "Target: Suggest treatment for disability due to paralysis" } ]

[ { "from": "human", "value": "Source: Patient: About a week ago, I slipped on ice and fell very hard on my tailbone on a concrete floor. I have pain (not too severe) in the lower and mid back, and also in the tailbone area, but I have also developed nausea and a sickly feeling for the past couple of days. Could this just be from the painkillers I am taking? I am currently taking Prodeine Forte and Naproxen (2-3 tablets per day, combined). Doctor: Hello,I read carefully your query and understand your concern. The symptoms can be related to side effects of Naproxen which is an anti-inflammatory medication. I recommend to use a gastric protector such as Prilosec in the morning before breakfast. I also recommend to use Ondasteron in case that the nausea continue.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician" }, { "from": "gpt", "value": "Target: Could the nausea be due to prodeine forte and naproxen?" } ]

[ { "from": "human", "value": "Source: Patient: my 21yr old daughter has had pins and needles in hands and arms alson under her chin and bottom lip,she has been dieting doing the scarsdale diet and has been working out at the gym 3times a week no other sympton apart from feeling a little tired. can you help Doctor: Hi, The dieting has probably caused a deficiency of vitamin B12. Please get her blood test for vitamin B12 and let us also know the report. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon" }, { "from": "gpt", "value": "Target: Any suggestion for having pins and needles in hands/arms/under chin/bottom lip?" } ]

[ { "from": "human", "value": "Source: Patient: I am looking for EECP treatment for my grandmother who is 76 years old, is a diabetic patient and is a heart patient too. She a 2 blocks. Doctor has mentioned bypass surgery for her, but due to her conditions we cannot perform it on her. And she too is not willing for it. Can you please let me if this treatment is safe for her and what would be the cost of this treatment? Can you also suggest a good place for this treatment in bangalore. Thanks. Doctor: Hello , There are no benefits except psychological help that some form of treatment is given of EECP. All the studies to prove any efficacy has been found to be negative and so as a cardiologist I would not recommend EECP ( it's like quack treatment ) . Rather continue medications and consider angioplasty ( non invasive means ) for the same . The avg cost of EECP which may constitute 5 to 6 sittings is is 12 - 15 thousands . Regards Dr. Priyank Mody" }, { "from": "gpt", "value": "Target: how safe is EECP treatment in elderly diabetic females?" } ]

[ { "from": "human", "value": "Source: Patient: My doctor recently changed my birth control to marvelon. But when I went to get my prescription filled the pharmacist gave me Apri 21 saying it is the same as marvelon. Can I demand they gave me the pill the doctor has perscribed for me.? I don t feel comfortable taking something a pharmacist uses as his replacement. Doctor: Hello!Thanks for your query.You dont need to worry because these are the same changing only the name.Take them without any doubt.Take care of your self" }, { "from": "gpt", "value": "Target: Is Apri 21 the same as prescribed marvelon?" } ]

[ { "from": "human", "value": "Source: Patient: Whenever I get too nervous I start to get shaky, physically as well as my voice, and my eyes start to tear up. This happens mostly when I m presenting a power point or even receiving criticism sometimes, and it s getting rather annoying, let alone embarrassing, because I ve had to do it much more often lately, and will have to continue for awhile. I think I cry way too easily, is there any way to control these (the tearing mainly) and avoid unnecessary embarrassment? Help! Doctor: Hello Thanks for your query. You appear to suffer from social anxiety disorder which is a common enough problem. I would suggest you contact your psychiatrist for evaluation of anxiety spectrum disorders. Drugs like propranolol as well as anti anxiety agents are useful. Yoga and meditation along with breathing relaxation exercises are useful. Wish you soeedy recovery. Regards Dr Sundar Psychiatrist" }, { "from": "gpt", "value": "Target: Getting nervous and shaky during presentation in front of people. Need help" } ]

[ { "from": "human", "value": "Source: Patient: Hello Dr my son is 18 months old. He is diagnosed suffering from epilepsy . 1. Can epilepsy be diagnosed clearly by ECG or any other tests are required ? 2. how much Levera dose is ideal for him? 3. what timings we should use to give him this medicine? 4. Please provide other precautions that are required to take care with this medicine. Doctor: HIThank for asking to HCMI really appreciate your concern I guess you must have spelled wrongly or understood it wrongly, it is not ECG but this is EEG, yes with the help of EEG the epileptic seizure can be detected easily, the choice of drug is depend upon the nature of seizures and weight of child severity of disease, and the pediatrician takes the great care for this and you would be inform for that, so you need not worry about this, the treatment need to be taken for long time, care should be taken for certain things like child should not go near swimming pool fire work, hope this information helps you, have nice day." }, { "from": "gpt", "value": "Target: Toddler diagnosed with epilepsy. Can epilepsy be diagnosed clearly by ECG or any other tests are required ?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I am wondering if I may have a mild form of tetanus. I impaled the sole of my foot about 3 weeks ago on a metal belt-buckle tine ( about 1/4 in in diameter and 3/4 in long). There was no bleeding so I initially didn t think it pierced the skin although I could feel and hear it enter, like an awl through leather. After looking at the wound under a microscope light I could see a clear + shaped entry. It produced a rather large bruise on the top of my foot for a week or so but that was it. I didn t think anything of it at the time but since have had weird symptoms including: sudden lump in throat and trouble swallowing ( went for dinner with my girlfriend last week and coudn t eat - thought I was going to choke so got a doggie bag) - I thought maybe strep so got anti-b s for that yesterday. Trouble is the swab won t be accurate as I self-medicated with some penicillin I had in the house for a couple of days prior trying to relieve my symptoms. Also, a severe and sudden onset of back pain lasting several days, x-rays showed nothing and it eventually subsided. Slight temp for several days now and also I have frequent ( every 15 - 30 min ) of flash heat/sweating and I know its not menopause as I just had my hormones checked and all is normal. I thought after 6 doses of anti-b s all would be fine but no. I feel like crap, can t get up in the morn and just want to know if I should be thinking of tetanus as the culprit. I don t think I ve had a tetanus shot for about 8 years or more. Had stitches about 7 years ago and remember telling the ER staff that I had had tetanus a couple of years prior so didn t get another at that time. Should I be concerned? The initial wound on the sole of my foot is pretty much healed, no infection that I can tell...a little tender but I am walking on it...just a 1/4 in scab under the skin. Do you think I should go back to the doc? I meant to ask about the foot injury at my last visit but thought it would sound silly. thanx Doctor: hello. tetanus is a fatal disease without life suport caused by a bacterial toxin. initially toxin is formed near wound area and later toxin spreads to whole body. features are irritability, restlessness, locked jaw, fever, initial muscle spasm in the throat and jaw later spread to whole body including respiratory muscles. So until toxin is removed using antitoxins patient has to b put on respiratory support. According to your discription difficulty of swallowing is only one episode. tetanus is a progressive disease so you cant have only one episode of muscle spasm. fever and chills are may be due to the throat infection. some of your symptoms are related with anxiousness too. anyway it is better to get your blood tests done as soon as possible complaining your worries to the doctor. hope this helps. thank you." }, { "from": "gpt", "value": "Target: Suggest treatment for tetanus disease" } ]

[ { "from": "human", "value": "Source: Patient: Have been having back pain btwn shoulder blades for 2 months, last friday developed severe chest pressure mid sternal area more towards right. Dr. did a ct chest discovered enlarged thymus gland, and a HIDA scan that indicated a 26% EF, and a non functioning gallbladder. Chest pain so bad I am needing vicodin 750mg Q4, and yesterday and today have had rusty bloody stools. Doctor is discussing with other docs now. Doctor: Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Hepatobiliary Dysfunction -from Intrathorasic raised pressure from enlarged Thymus-causing chest pains.This functional biliary paralysis- as seen from non-functioning gall bladder,is due to congestion of hepato-biliary system, which is caused by enlarged thymus gland,obstructing hepatic venous and lower body venous drainage.Do's Suggested-Consults with Chest Surgeon and planned thymectomy to decompress the raised intrathorasic pressure,to relieve this congestive hepatobiliary functional failure.Other causes need to be assessed and treated along with enlarged thymus.This plan would reduce your dilemma IBS with Anxiety neurosis.Hope this would help you to plan further of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS" }, { "from": "gpt", "value": "Target: What could enlarged thymus, chest pain and non-functional gall bladder indicate?" } ]

[ { "from": "human", "value": "Source: Patient: My baby is seven months old and was premature a month and a half early...He got angry when I layed him down to play started screaming turned purple so I picked him up and he got stiff and quiet with a purple color..... just for a few seconds and them was normal.....what was it? Doctor: Hello,It is known as Breath holding spell. It is quite common in this age group. A baby tends to get angry and stops breathing for some time. It, in turn, causes cyanosis and bluish discoloration of hands and feet. In such a situation you must stimulate the baby by pinching and soft jerks, which will make him breathe again. It will improve with time when the baby is two years of age. Get a CBC with peripheral smear done to rule out anemia.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Amit Modi" }, { "from": "gpt", "value": "Target: What causes anger in a child?" } ]

[ { "from": "human", "value": "Source: Patient: Hi - I have had elevated wbc for over 3 weeks (19.5) decreased neutrophils, I have unexplained dizziness almost daily. I have a yeast skin infection (confirmed with biopsy). I have neg test on urnalysis,cxr,liver enzymes. Orginally we thought I was having an allergic reaction as I had uncontrol itching in my arms only. I was treated with Prednizone but this had no effect. These symtoms just dont seem to add up to anything I, my fam doc or the determologist can think of. Any ideas? Doctor: HiYou need to do the complete hemogram with peripheral smear. Do check with your doctor if you have any enlarged lymph glands, liver or spleen. Depending on these results your hematologist would proceed to other relavant tests. Take care" }, { "from": "gpt", "value": "Target: Elevated WBC, decreased neutrophils. Dizziness, yeast skin infection. Used Prednizone, no effect. Any ideas ?" } ]

[ { "from": "human", "value": "Source: Patient: hi Doctor.. I am pregnent women and suffering from frequent headache, by the dr advise.. i continued to take crocin, still i am not getting relief, i should take atleast 2-3 tab a day to get relief and that to frequently... please give a suggestion about my headache Doctor: dear,congratulations there r so many reasons for headache common causes for headache are weak eye sight, sinusitis , carries tooth, constipation , extreme change in weather like going out in sun from A/C room, inadequate sleep, irregular diet habit, any emotional problem, migraine .. list can go on.check your pulse & blood pressureI would suggest you to visit a doctor & get yourself checkeddr. Mira Butani" }, { "from": "gpt", "value": "Target: What causes headache during pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: Hi. I'm a 47 year old man and I got my ECG done. I have been told that I need to see a Cardiologist because they detect a blockage. My Rate is 60, PR 180, QRSD 111, QT 432, QTc 432. Under AXIS section it says P 63, QRS 42, T 39. I wasn't told any other information other than to see a Dr. Can you give me any insight as to what is going on. Thanks. Steve Doctor: unfortunately, this is not enough information for me to describe what is going on with your heart. From the results you gave me, it sounds like you have a good working hard. Anyways, if they recommended you to see a cardiologist for a heart block I would highly recommend doing that because occasionally these can worsen. In the meantime you should take aspirin, try to exercise, eat healthy, avoid fast food, avoid tobacco, avoid alcohol, avoid fatty foods, avoid foods that are high in cholesterol, and try to eat more mega threes. You should try to also control all your other medical problems if you have any." }, { "from": "gpt", "value": "Target: Do the ECG results show a heart blockage?" } ]

[ { "from": "human", "value": "Source: Patient: I AM 48 YRS. MY BP WAS 160/I00 I HAVE BEEN TAKING LOTENSYLS-10 MG AND TELMA-H (TELMISTRAN 40MG PLUS 12.5 MG) DAILY IN THE MORNING FOR LAST THREE MONTHS. WHILE THE SYSTOLIC HAS COME DOWN TO AROUND 125 THE DIASYSTOLIC HAS REDUCED TO AROUND 90 ONLY. HOW TO REDUCE DIASYSTOLIC Doctor: Hi,You have good systolic blood pressure already, your diastolic blood pressure is 90 mm Hg, which is not bad, it is borderline.For further reduction I would advise you rather lifestyle changes than add a medication.Try to exercise much, lose weight if you are overweight eat healthy food and eat low sodium food.Take careCome back if you have any further questions" }, { "from": "gpt", "value": "Target: Suggest treatment to reduce diastolic blood pressure" } ]

[ { "from": "human", "value": "Source: Patient: last summer ,on vacation at the river, i jumped from a 30 foot rock I didn't cross my arms over my chest and i am bigger on top. I had a lot of discomfort for about a month afterward.Off and on I still experience some chest discomfort shouldn't this be healed by now? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of musculoskeletal pain is more in your case. Usual time for recovery in such cases is 4-5 weeks. But if don't follow precautions, this discomfort can be seen for prolonged period. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes chest discomfort after jumping from a height?" } ]

[ { "from": "human", "value": "Source: Patient: What are the requirements for donating Kidney . I am 32 yrs old and healthy. I want to give my kidney. Please mail me at YYYY@YYYY . Doctor: Before donating an extensive evaluation would be done to check your fitness You will be tested in detail for Diabetes HTN Kidney disease Hidden viral infection Psychological status" }, { "from": "gpt", "value": "Target: Pre-requisites for kidney donation" } ]

[ { "from": "human", "value": "Source: Patient: I had protected sex on day 14 of my menstrual cycle. We used a condom and it didn t break or leak. I m not late yet but I m starting to show other early symptoms of pregnancy. Is there something else that causes similar symptoms or should I be worried? Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1] If you have taken proper precautions , then please do not worry.2] Please wait patiently till your expected date of menses.3] If at all you miss the periods, then get morning's first sample of urine checked.4] Even if you get pregnant and do not wish to continue the pregnancy; you can opt for termination with medicines safely till 9 weeks of pregnancy.5] For your information-Common symptoms of pregnancy are—Missed periodsGiddinessNauseaVomitingLoss of appetiteSleepinessFrequent urinationFatigueHeaviness in breast.You may have any of these symptoms.I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam" }, { "from": "gpt", "value": "Target: What are the symptoms of potential pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Sir , I am 30Years now doing masterbating since from last 16 years continousely even i will do 5 times in a day wanna to know is it destroy my life as i think if i fails its the main cause even when i tense ill do it . pls get me away from this Doctor: Hello .It will give a physical stress and pain in the shaft and possiblites of getting addicted to it are there.I would recommend find a partner and try if its makes you feel better.How ever you have to reduce the number of times as it gives a physical stress.Do not hesitate if you have to ask. Hope it helps you. Thank you." }, { "from": "gpt", "value": "Target: How to do I get over masturbation ?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Doc, a month ago it began with a sore throat, it improved and came again , then 15 days later I had nasal congestion . I was diagnosed to have allergy and sinusitis and deviated nasal septum . Although I never had such a situation brefore, and nothing so serious as this cold that I had recently. I am on montelukast sodium tabs and doxycycline and neksium tabs. My nasal congestion is gone. but My throat is yellow and sore and my voice is horse and raspy and wheezing,. please help. WHat it could be. Doctor: hi you are on appropriate treatment. continue with the treatment. yellow discoloration may be due to colours used for the drugs or food. after food have mouth rinse, do salt water gargling. steam inhalation will help. see ENT surgeon if it doesnot improve after 3 days of treatment." }, { "from": "gpt", "value": "Target: Diagnosed allergy, sinusitis and deviated nasal septum. Took medication. Having sore throat, hoarse voice" } ]

[ { "from": "human", "value": "Source: Patient: hi doctor. can mx3 capsule or tea help in the cure of hormonal imbalance? I m having menses for 17days now due to progesterone withdrawal symptoms.i underwent oophorectomy due to endometriotic cysts.i was injected w/ high dose progesterone for 3 months. had no menstruation for 2 months.then when it recurred, i had my menses every 2days.i was advised by my dr.to take oral progesterone but my menses didn t stop.thanks! Doctor: HiMX3 capsule or herbal tea may not be sufficient to alter your hormonal levels.Progesterone containing pills are essential to restore your normal cycles.Kindly rule out other causes such as hypothyroidism or anemia which can also cause hormonal imbalance.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician" }, { "from": "gpt", "value": "Target: Can MX3 capsule or tea help cure hormonal imbalance?" } ]

[ { "from": "human", "value": "Source: Patient: hi , this is nitin from mp katni, sir from past 11-12 years i was suffering from backache, within this period when i wake in morning i had a severe back pain and as the day goes the pain becomes nominal but in this period i can t sit or stand for a long time,but from the past one month the pain has been more in backache and it is all the time, my left leg has all the time strains waist to ankle and in thigh joint the, now i cant stand for more than 2 minutes anywhere, i have been taking medicines and xray was done , as told by doc. all the things are fine my back bone are ok.But he consulted me to have a visit to nagpur and to have consult with rheumatologist,and have a MRI scan, sir kindly suggest me ur valuable guidance that what should i do ,as day by day my pain is becoming unbearable waiting for ur reply. 0000 Doctor: HiThank you for asking HCMI have gone through your query.Your problem is most likely due to nerve compression which can be caused by osteochondrosis or a intervertebral disc herniation.A physical examination with an orthopedician will give clue for that and X ray followed by an MRI will be needed to confirm that.In such condition i treat my patients with NSAIDs like aceclofenac muscle relaxants like thiocolchicoside and neurotropic drugs.I also send them for physiotherapy and muscle strengthening exercises.If no improvement from this or the nerve compression is more then i recommend surgical correction.Hope this may help you.Let me know if you have any further query." }, { "from": "gpt", "value": "Target: Suggest remedy for persistent backache" } ]

[ { "from": "human", "value": "Source: Patient: hi i am always tired and im having alot of abdominal pain which seems to come and go all the time it can last hours but sometimes it lasts for days i have had alot of trouble with abbessess and cysts in my tummy for years and i was steralizesd lasy year i get headaches constantly when having sex it is very painfullnow Doctor: thank you for sharing your complain,dear friend if yuor abdominal pain is reccurent you should go for some investigation with sonography of abdomen also. sonography will clear what problem in abdomen. there may be some infection in abdomen or may be gastritis that can also lead to headache. treatment after proper diagnosis will be much effective.hope this answer will be helpful to you.for more queries plz don't hassitate to ask.get well soon dear frienddr.manu khimani" }, { "from": "gpt", "value": "Target: What causes abdominal pain, headache and tiredness?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, My daughter just had an Appendectomy performed 11 days ago. Her appendix perforated in her, she had a PICC inserted through the arm and is being treated with Zosyn 3 times daily. It has been only 5 day since she was released and felt great for about 3 days returned to most of her normal activities,but for the past 2 days has started to complain and show some of the similar symptoms that caused us to diagnose her with appendicitis; Abdominal pain/Distention on the right lower quadrant and belly button area, Nausea, Vomiting of liquid mucus and a white bubble foam similar as to the foam spit in Acid re-flux, Constipation/ Diarrhea but comes out very little per stool and goes frequently and complains of cramping during this period, has the chills but body is warmer then usually has a constant temperature of 99.9 : 100.5, and greatly decreased appetite as well as fear of constant vomiting of food and pain in belly with a heavy cough in which she will complain that the belly will hurt at times. What I have researched and feel I have diagnosed could be of 3 things Peritonitis, Adhesion , and Irritable Bowel syndrome , with tests still needed to prove one of these theories correct. But based on your expertise, What do u feel needs or can be done to help and assess the current situation for best options? Beside going to emergency as it being the primary option on my to do list. Doctor: Hi As per your query,your daughter got operated for Appendicular perforation.Appendix got perforated and lead to peritonitis.After Appendicectomy,her abdominal cavity has to be washed with Normal saline to clean the peritoneal collection.Then,a drain has to kept from inside to drain the collected fluid outside.If the drain is not kept,fluid that is collected inside will get infected or pus might not be drained completely. So,because of the infection inside,there is pain,vomiting and fever.As she is having distension in right lower quadrant ,there will be some collection at the right lower quadrant or lower abdomen.There will be mucus in stools due to rectal irritation by the pelvic collection. Adhesions after surgery will lead to abdominal distension,vomiting and constipation. Irritable bowel syndrome does not fit here. Consult your Surgeon immediately and get a Plain x ray abdomen in erect posture to rule out intestinal obstruction due to adhesions and Ultrasound abdomen to rule out any Collection inside abdominal cavity. Proceed as per the reports. Wish her speedy recovery. If you come back with above reports,i will clarify further. Regards" }, { "from": "gpt", "value": "Target: Child has abdominal pain, nausea, vomiting and decreased appetite. Had Appendectomy done. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, my dad has been feeling an uncomfortable feeling in his chest. This is going to sound bad but we had White Castle s for dinner. He said he has never felt like this before so we don t know what to do. He has had some tums and some pop but that didn t help either. Please help Doctor: Thanks for your question on HCM.I can understand your problem.In my opinion, your father is having acute gastritis mostly due to eating. But it is better to rule out cardiac cause first.So get done ECG.If ECG is normal then no need to worry much for cardiac cause.It is mostly acute gastritis.Ask him to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals, Instead take frequent small meals.4. Take proton pump inhibitor.Don't worry, he will be alright." }, { "from": "gpt", "value": "Target: What causes chest pain?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Yes I have Pain in the middle of my back right side and under my right side rib cage moves around usually after a meal been going on for weeks has settled down y doctor had an ultrasound done on the kidneys showed no issue Could it be fro Gallstones I would that show gallstones s) or from my gastric bypass surgery I had 7 months ago? Doctor: Hello, It could be due to conditions like costochondritis. As of now you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes pain under the ribcage?" } ]

[ { "from": "human", "value": "Source: Patient: my 2 year old snatch away from my wife holding his wrist area and it seems as though he really hurt himself... My question is should i go get an xray or see if he is seriously injured or if it is something that we the doctors will not be able to much more than we can do on this matter? Doctor: Hi,If baby is alright then do not take the baby to anywhere but take your wife to psychiatrist for such violence on such small baby. Don't mind but do not make your babies suffer for your own personal conflicts. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed" }, { "from": "gpt", "value": "Target: Could the forceful snatching of wrist by a 2 year old be a matter of concern?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have two hard flesh coloured bumps on my penis shaft. They do not hurt or leak any fluid. On the left side of my penis shaft i have what looks to be a skin tag, painless, occasionally itches and has pain, it is also in a fold which points me toward skin tag but I am not sure Doctor: Thanks for asking in healthcaremagic forum It may be a skin tag/wart. So, it is difficult to diagnose without examination. Please visit a dermatologist for examination and further management." }, { "from": "gpt", "value": "Target: What are the two hard flesh colored bumps on the penis shaft?" } ]

[ { "from": "human", "value": "Source: Patient: my child is 9 months old, she has 2+ white cell in her urine, what does that mean and how serious is it my daughter is 9 months old and she has a 2+ white cell in her urine, how serious is it and what does it means Doctor: Dear Scott, Presence of a few white cells in the urine of a girl child is not unusual, unless your baby has excessive crying while urinating, or fever or the urine does not look clear but looks hazy. You should probably is normal. In any case, I would like to know why her urine was tested in the first place. If the doctor was looking for infection, you should check out the report with the doctor." }, { "from": "gpt", "value": "Target: 9 months old baby has 2+ white cells in urine. What does that mean and which treatment is preferable ?" } ]

[ { "from": "human", "value": "Source: Patient: I was playing softball n I got a line drive right to my wrist. I instantly could had no movement in it and it s been a week and I still don t. I went to the er they said it wasn t broken and referred me to a hand specialist but I don t have insurance. Would you have any idea what could be wrong? Doctor: Hello,Welcome to HealthcaremagicThank you for providing the brief history.As there is no fracture this could be either muscular or may be related to the flexor retinaculum at the wrist level. Keep the hand in hot water and do gentle stretching post it. This. Should help improve the wrist movements and hand too. Due to compression of the vessels beneath the flexor retinaculum there might be a possibility of no hand movements. But nothing major to be worried for. You will do well with conservative management.Regards" }, { "from": "gpt", "value": "Target: What prevents hand movement?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, My son who is 8 months old is suffering from light fever, running nose and cold problems.I have promethazine syrup, zanocin syrup, feveril syrup and meftal-p syrup.Since my doctor is out of station, can you guide me which medicine suits him right now. Doctor: many thanks.common cold is viral illness and it is self limiting.there is no medication for urgent care, it takes time.General Advice.- Bed rest-take plenty of liquids and warms soops.-paracetamol for fever.-Antihistamine for congestion.-nasal spray for nasal discharge.prevention if child is high risk or immunocomptomise then need flu shot vaccination or RSV vaccination." }, { "from": "gpt", "value": "Target: Suggest treatment for fever, runny nose and cold" } ]