Datasets:

Shankhadeep144

/

medical_bot

like 0

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does the lymph nodes on my chest indicate? Patient:Hello I had CT scan last month on my abdomen, pelvic & chest last month. Was told on Monday I have swelling in my abdomen and lymph nodes on my chest. Now I have to get a 2nd CT scan with contrast .. Does this mean I have cancer ? By the way I had the whipple procedure 8 months ago for a benign tumor. [/INST] Doctor:Hello Welcome to the HealthcareMagic For lump in abdomen and enlarged lymph node further investigation needed in form of biopsy to reach up to exact diagnosis. In histopathology examination from biopsy it will be clear whether lesion is Benign or malignant. Take care Hope this solves your concern Provide me your CT scan report to comment further </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is there any treatment for Interstitial lung disease ? Patient:Whether there is any treatment/ medicine for Interstitial lung disease which can cure this disease? My mother (58 yrs) is suffering in Interstitial lung disease since last 3 months. Chest X-ray showed B/L infiltrates, ANA -ve, RA -ve, Colonoscopy showed rectal+recto sigmoid ulcer, HRCT showed interstitial lung disease. HRCT chest was reviewed to find extensive interstitial thickening with GGO NSIP like picture. Transbronchial biopsy revealed non-specific interstitial fibroisis. ECHO showed border line LVH, diastolic dysfunction, mild TR, IVC engorged, respiratory variation absent, turbulent flow seen at draining site of hepatic vein. Patient was having postural change in BP with reeling of head & tinnitus . She is taking the following medicines: Tab Pan (40), Tab Thyronorm (25 mcg), Cap Gemcal (500 mg), Cap Alpha D3, Tab Stemetil MD (5), Tab Stugeron (25), Tab Nurvmax (75), Tab Dilzem CD (90), Tab Mucomix (600), tab Azuran (50 mg), Syp Looz, Tab Rivotril (0.5), tab Gemidro (150), Tab Prednisolone (40 mg), tab Vertin (24), Cap Orofer XT, calcirol Granules. All the doctors are saying there is no medicine for this disease & the above medicines are only to give her relief not to cure the disease. I am really feeling hopeless. If really there is any treatment for the same? Please help me. [/INST] Doctor:Thanks for the query Your doctors are telling the truth thre is only symptomatic treament fr the ILD, prednisolone which has been given is to reduce or rather slow down the worsening of the ILD, if u r in europe/USA lung transplantaton can be tried but they are expensve U r in the right treatment for the ILD Have a healthy living </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Could heart rate be affected by the inability to manage pain caused from herniated disk? Patient:phisicians is needed C-4 n C-7. are all fused. I also have a herniatef disk lower bsck. i moved too loiisiania n now i cant find a pain msnsgment doc. I hsbe been on meds since 1989. And educated ..liver fllare up caused my nuero. to put. me on opjiates n muscle relaxer since 1996. I been off my mefs . n bedridden. for two mths. what can I do to get a doctor. er says i need a foc asap. plus im trying too settle my workcomp. case of 1989. since 1993 in state of ct. know attorney will take it so im doing it my self. this is why i dont have a doctor. please advice. my heart rate at. 190 over 80. alot. pain is erratic n acute. [/INST] Doctor:Yes, heart rate can be elevated due to the impact of severe pain. The pain is also probably provoking anxiety. So you should seek treatment/medications to calm your system, such as anti-anxiety treatment. And since that involves seeing a doctor, you should be evaluated for inherent high blood pressure as well. And of course, better control of the pain will allow for less shock to your system, so getting back on your pain meds will help that also. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Hard lumps under skin in armpits, bleeding, recurring condition. Cancer? Patient:I am a 53 year old female. For the last couple of months I have been getting hard lumps under the skin under both of my armpits. When I squeeze them they are very painful but nothing comes out except blood . One will go away but shortly after I find another. At the present time, I have 2 under my left arm and 1 under my right arm. Could this be cancer? [/INST] Doctor:hi abhart, no this is not a cancer, these are simple boils due to pulling of hairs. you can use ibupfren plus paracetamol or diclofenac plus paracetamol combination for pain . Also do not try to squeeze them. If pus present use antibiotics for it. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes tremors despite a normal metabolic panel? Patient:My daughter takes lamictal and haldal for 1.5 years. Within past year, She trembled, fell down and can not get up twice and has to go to emergency room. The last emergency room visit was on Sept 24, this year. She also had neurologist follow up. Her metabolic panel, Vit 12, and vit D lab results were all within normal ranges. She continued to have trembles and could not get up from the chair due to no support from muscle, knee ankles etc. etc. Are these toxic side effects due to Lamictal and/or Haldo? [/INST] Doctor:Hello,Yes, it could be from the Haldol. It has movement disorder side effects. Please tell her Haldol prescriber about these issues.Hope I have answered your query. Let me know if I can assist you further.Regards,  Dr. Kathy Robinson </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What are chances of conception in a woman having pcos and tsh under control ? Patient:i am married woman ,may age is 28 ,having pcos and tsh 1.4 trying to concieve,husbands reports are OK,trying from 8 months and just now tsh become normal so how much time it will take to conceive ? [/INST] Doctor:Hi Welcome to HealthcareMagic. Its not exactly possible to estimate the time for conception.In fact , the normal conception itself needs combination and coincidence of several factors.So , it is important that you leave it to nature when it happens and follow the treatment regularly ad your part of it. In PCOS , once your hormones are regulated , with ovarian stimulation it happens to conceive in 3 - 6 months of time in many women. If you need more information feel free to mail me. Good luck & Take care </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Medication other than tussq syrup to stop dry irritating cough in child? Patient:hi my daughter,aged 10years,weight 28kg is havng dry irritating cough since last 4 days. giving her tussq syrup every 4 hours. the cough comes back . she is having disturbed nights and not able to sleep properly. is there anything else i can give her to help her. i am trying home remedies too like ginger, honey and steam.... but nothing works. [/INST] Doctor:Hello. I just read through your question.I would consider the diagnosis of seasonal allergy. You can use Zyrtec (cetirizine) or Claritin (loratidine) once per day. Both medications are over the counter. Even if it is not allergy, either one of these medications will help. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for kidney problem with low hemoglobin level Patient:my wife has kidney problem. her creatnine is 4.3 and hemoglobin is 8.6. her blood pressure is 170/100. she is taking sodamint tablets one bcomplex capsule one iron capsule and an injection for hemoblobin once in a month.plz suggest me f there is some other treatment except dylisis or transplant. because these are very costly. [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your description it seems like your wife is having chronic kidney disease (CKD). The hemoglobin level is low because the kidneys are not functioning properly. If the creatinine level is still keep a higher range even after treating with Soda Mint and diuretics, dialysis is the next possible option. Repeated dialysis will be needed twice or thrice in a week to excrete all the waste products from you body. If you can afford transplant is the best option. Wishing you good health. Thanks. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: How to confirm if infected by rabies? Patient:We just took our dog a bath, it seriously doesn t want to take a bath so it screams so loud, it also jumps like crazy. Later on I saw something in my legs, its a light scratch from that dog. He s vaccinated once for anti rabies. Do I need to go to the doctor? Or have I been infected of the rabies? [/INST] Doctor:Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that if your dog is vaccinated there is no need to worry to you. But if the dogs vaccination schedule is out of time then it is required for you take complete the rabies Vaccine schedule. If your dog is fine for 10 days its further believed that dog is free from the rabies.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Why is my 5 yrs old passing white mucus in stool? Patient:My son is almost 5 yrs old. passing white mucus in stool.. no complaints of stomach pain. has a mild cold, blocked nose. eating normal. it happened for 2 days or so, stopped for a week and again started. frequency of passing stool is normal. stool quality is ok, not watery but seems to be little looser than his normal stool [/INST] Doctor:Hi,Thank you for asking question on health care magic.Mucous is normally secreted in the colon to facilitate free passage of stools.there nothing to worry about it if asymptomatic.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes anxiety post Epidural steroid shot? Patient:I had an epidural steroid shot on Sept 22 and again on October 6. The pain is gone, but now I m dealing with a lot of anxiety... jumpy, hyper vigilant, nervous wreck, mood swings and hot flashes. I am taking Xanax to deal with it, but I just stopped taking percale and now I m taking another med that could be habit forming. Trying to deal... I guess I d like to know how long this should last? [/INST] Doctor:Hi.I had gone through your query.It may be due to co morbid with physical illness or may associated with procedure of epidural injection.It is short lasting in most of cases.Xanax in mild dose is very useful to deal with it.Alternative options is etizolam which is very less habit forming potential. You can take it as and when require. If you have frequent mood changes then mild dose of SSRI is also advisable.Exercise/ meditations/ sleep/ healthy diet etc can help.Better to consult psychiatrist and get further assistance.I hope i have answered your query.Thank you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Has eczema, been coughing, dry cough, had reflux, has fever. On nasal drop. Is it asthma or bronchitis? Patient:Hi, my daughter has eczema and has been coughing for three months approx. it started off as a wet cough and then became a dry one. She also had a nasal drip.Brought her to doc four times! Antibiotics, diphenel DM and cotrimazole were recommended on diff occasions. Doc thought she may have allergies last time she visited. Scared to give her more antibiotics. She has a fever since yesterday afternoon. She is 17 months and is also teething. Plz help. Thanx. P.s. doc told me today she may b too young for a scan. In my country I don't think they do sputum or nasal smear tests. She had reflux up to a year and also may have dysphagia since she has difficulty in swallowing clear liquids from a cup or bottle. i have managed this slightly by spooon feeding. cereals r tolerated as well as solids but not liquids. I'm wondering if it is asthma, bronchitis, a hole into heart, allergies etc.plz advise [/INST] Doctor:the EXACT THEORY SAYS BIT IS ALLERGIC AS ECZEMA IS ALSO ALLERGIC AS TIME GOES OTHER SYSTEN ARE INVOLVED LIKE RESPIRATORY IN THIS CASEACTUALLY CHILD NEED MOTHERS MILK FOR 2 YEARS AND AFTER 2 YEARS NO NEED FOR MILKAS WE ADD MILK AND DIARY MANY CHILDREN ARE IN THE GRIP OF ALLERGIES AND NOBODY THINK ABOUT ITIF YOU WITHDRAW MILK AND DIARY THE SYMPTOMPS WILL START DISAPPEARING YOUR BOTH BRONCHITIS AND ECZEMA WILL GO ON DECRESING AND YOU CAN ADD VEGETABLES FRUITS CEREALS AND JUICESTILL YOU GET RESPONSE OF MILK WITHDRAWL YOU CAN GIVE SYMPATOMATIC RX </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What can be the diagnosis for my flu like symptoms ? Patient:Hello, I believe I recently came down with the flu as it started suddenly with a sore throat and body aches through the upper back and neck . Spent yesterday with a mild fever and lots of coughing. I am an asthmatic so the added inflammation in my bronchial passageways is less than pleasant to say the least. Today I feel like I am on the up&up and the cough is no longer producing white sputum , but when I cough hard there is a metallic-type taste in my mouth. I figured it s normal since I spent the better part of 48 hours, day and night, hacking my lungs out. Anyway, is this normal or something to be concerned about? Thanks so much! -Jonathon [/INST] Doctor:Hi, Viral fevers are known to be debilitating and sap a person's energy quickly. They manifest as anything from colds, to cough, to fever, to gastric disturbance and body aches. Altered taste in the mouth, or in your case, metallic taste is one of the symptoms of a viral infection because a virus can affect your sense of taste. Also, since you are an asthmatic, it is also possible that this added infection has caused you to breathe predominantly from your mouth making it dry, thereby giving a metallic tinge. Dehydration is also known to affect taste buds. Just make sure you drink lots of fluids, eat healthy meals and get adequate sleep and rest. All the best! dr.neharv@gmail.com </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Spinal x-ray shows cervical stenosis and cervical spondylosis. Treatment? Patient:I HAD CERVIC SPINE X-RAY TODAY AND THE RESULT ARE -1- ANTERIOR OSTEOPHYTES ARE SEEN AT C4, 2- THE INTERVERTEBRAL DISC SPACES ARE NOT NARROWED, 3- THERE IS NARROWING OF THE RIGHT C5-C6 FORAMINA. THE IMPRESSION IS MILD CERVICAL STENOSIS , RIGHT C5-C6 and CERVICAL SPONDYLOSIS PLEASE EXPLAIND THIS TO ME AND IS THERE TREATMENT FOR THIS AND HOW LONG? WHO WILL HELP ME BACK TO NORMAL CONDITION AGAIN? [/INST] Doctor:Hi, Thank you for posting your query. First of all, I would like to tell that the interpretation of x-rays can be complete, only if we have the clinical data. So, the impression below is only based on the x-rays. The x ray of the cervical spine (neck region) shows degenerative changes, and osteophytes formation. The disc spaces are reduced suggestive of bulging of discs and compression of nerves (originating there) and traveling to the arm and forearms. This may lead to neck or arm pain, tingling or numbness of arms, etc. The treatment would depend on your symptoms, and in most cases, it would consist of physiotherapy and medications (such as pregabalin or gabapentin). Please consult a neurologist for opinion and detailed treatment planning. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Heart palpitation with excess sweating and heavy breathing. Could this be exertion onset of Asthma ? Patient:I get heart papatations excess sweating and heavy breathing after doing any type of exertion vacuuming mopping doing laundry I had a total thyroidemecty 10 2009 due to papillary thyroid cancer I am on SYNTHROID 125 MCG TAB LETLIOTHYRONINE SOD 125 MCG TAB first thing in morn for thyroid replacement then 1 hr later I take LANSOPRAZOLE DR 30 MG CAPSULE METOPROLOL SUCC ER 50 MG TAB for rapid heartbeat LISINOPRIL 10 MG TABLET for hypertension FLUOXETINE HCL 40 MG CAPSULE for depression , and ADDERALL XR 30 MG CAPSULE for EDS due to narcolepsy. At about 3 hrs later I drink 1 5 hr energy. At bedtime I take 6mg melatonin and AMITRIPTYLINE HCL 50 MG TAB for sleep problems due to narcolepsy,ALPRAZOLAM XR 1 MG TABLET for anxiety, JANUVIA 100 MG TABLET for type 2 diabetes ,1 81mg aspirin and 2 stool softeners. And lastly I change my HRT patch twice weekly which is VIVELLE-DOT 0.05 MG PATCH. I feel like this is possibly asthma onsert by exertion but I am not sure. Any info. anyone can give me will be appericated. [/INST] Doctor:Its not Asthma. Its all due to your Hypertension, Thyroid replacement and Depression. However to confirm you may have your Spirometry done. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for severe lower abdominal pain Patient:I m 36 and I ve undergone a total hysterectomy (via DiVinci) almost 4yrs ago w/ vaginal mesh. My bowel was also knicked during the surgery. For the last year I have been having lower abdominal pains and most recently, I have this pain on my right side especially when I am sitting.. 2 ultrasounds in the last year with nothin mentioned except a fatty liver(which isn t located in the lower abdominal/pelvic area where my pain is)..any ideas? [/INST] Doctor:Hi.Thanks for your query.Read and understood your history about hysterectomy by da vinchi robotic and there was nick at the bowel .The most probable cause of pain in the right lower abdomen can be adhesion or enteritis.I would advise you to undergo contrast enhance CT scan of the whole abdomen. To find the cause and get treated properly. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Having pain in my scrotum after having sex or cycling for long. Can you suggest any treatments? Patient:Hello doctor, I am a 33 year old married man, and I was hit by a cricket ball on my scrotum while playing cricket two years ago. I consulted a doctor, and he told me that there is nothing to worry after seeing no swelling. The sensitive pain lasted for 10 days, after which it vanished. But after few months, I experienced pain after cycling for 10 km. I experienced the same kind of pain again a few times after cycling. So, I went to the doctor again, who suspected it to be a varicocele. He asked me to get a scrotum scan. After seeing the results, he said that there is nothing to worry. I have attached the report. I have pain after having sex for the second or third time during a day, which started after the scrotum injury. Please help. Thank you. [/INST] Doctor:Hello. I have seen the attached report (attachment removed to protect patient identity). Thanks. For more information consult a urologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Is it necessary to take emergency contraceptive pill after unprotected sex? Patient:Hello doctor, I had unprotected sex during the last days of my periods when the bleeding had stopped. After a day, I started bleeding again in spots (not a lot). I have not taken a contraceptive pill yet. I am confused if I should take a pill or not. If I do not take a pill tomorrow, will it lead to pregnancy? Is there any chance of pregnancy or is it nothing to worry about? [/INST] Doctor:Hi. It is normally happening as in the last third or fourth days the bleeding stops and after 12 hours, some spotting again is observed. It is usual. In case of activity, some pressure also locally develops and it can show spotting if residual is there and that still had to come in form of spotting in recent cycle 's end or in form of brown blood in the start of coming or next cycle. If you have been having irregular cycles and had intermenstrual or postcoital spotting previously then better to take I-pill for your satisfaction as you have not mentioned the complete history. In the case of cervical, endometrial polyp, any cervical pathology or endometriosis can have post-coital bleed, but for that also you have not given history. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: How can pain and psoriasis on the feet be treated? Patient:My feet have been hurting badly lately. I am 60 years old and a hard worker. I m on my feet alot, always have been. It alternates between the heel , arch, ball and toes. The skin gets red and scaly at times too. Biopsies said psoriasis. The hurt is deep in the tissue and no one knows what s going on. What should I do? Would a ct or MRI help diagnose? [/INST] Doctor:Hello, The pain is due to arthritis secondary to psoriasis also known as psoriatic arthritis. As a first line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes strange bruise like rashes on the buttocks ? Patient:My son has a strange bruise like rash on his bottom. The only other symptom he had is a little vomiting yesterday. The rash looks like little speckled spots of bruises all over. He has had no falls or trauma to the area. Thank you for any help you can give. [/INST] Doctor:Hi, Your son seems to have developed a vasculitic skin rash. It may resemble a bruise in appearance.Such lesions can occur over body due to various reasons like intake of various drugs, due to certain food stuffs or due to some infections in the body.Buttocks and legs are common sites for appearance of such vasculitic lesions.I would suggest that you should see a nearby dermatologist soon for its early diagnosis and management.Hope it .helpsDr Geetika Paul </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Do I need medicine for triglyceride level of 423? Patient:Hi doctor, My triglyceride level is 423. Do I need a medicine to bring it down? If yes, then which one? [/INST] Doctor:Hi. For further information consult an internal medicine physician online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Jerking nerves on temple when chewing food. Painful. Due to wisdom teeth? Patient:Hello,This might sound very weird. It has been two years and this thing happen to me very very rarely when I am chewing food. When I am chewing food, the nerves on my right side of the temple (forehead) jerks or i don't know other words to describe it. It is very painful for a while. Do these things happen due to wisdom teeth? Is there any connection? [/INST] Doctor:Hi, Thank you for posting your query. Your symptoms may be related to aberrant nerve regeneration, after partial facial nerve paralysis earlier in childhood. These jerking movements are referred to as synkinesia/synkinesis. There is no need to worry. If they are troublesome, please consult a neurologist for treatment. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Could history of fracture in C7 cause sensitive area at the nape? Patient:I have a strange sensitive area on the left side of the back of my neck. It is just below the base of the skull. It feels very sensitive to the touch. I have full range of movement in my neck, although when I look upwards, I feel the pain of the sensitive skin. I fractured the C7 vertebrae about 12 years ago, but I was wondering if this could be related [/INST] Doctor:This is unlikely to be due to your old C7 fracture. But there is chance that you might be having problem in the other cervical vertebrae (either undetected at that time or new one). C1 and C2 pathology can produce similar symptom. Hence you should consult someone and undergo the necessary imaging. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Will Koch's disease cause irregular and painful periods? Patient:Hello doctor, My wife is suffering from irregular and painful periods from more than a year. We went to the doctor, and he told us to perform several tests like serum vitamin, serum prolactin, thyroid function, hemogram, calcium level, and Mantoux test. The reports, which I have attached, showed the level of vitamin D3 and calcium to be low. Her hemoglobin level is 11.5 g/dL, and Mantoux test is also positive. Is it a form of Koch's disease? She was prescribed AKT-4, Ondem MD, Betnesol, and Neurobion forte. But after she started taking them, she has some allergic reaction. Her body has become red, and she has eruptions, which are itching. She has a burning sensation in her stomach. I want to know if this is a reaction to the medicines. What does this Koch's disease mean? [/INST] Doctor:Hello. This is a case of irregular, painful periods, which is not uncommon among the woman who has not become a mother yet. Get the USG and biopsy done. Stop steroids and ATD (anti-tuberculosis drugs). For more information consult an obstetrician and gynaecologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What are the early signs and symptoms of pregnancy? Patient:My girlfriend is worried she might be pregnant. We had sex 3 months ago on her period. Since then shes had two regular periods. This month, shes over a week late. Shes had no morning sickness, no sex-drive changes, no cravings or appetite changes, no fatigue, and only mild increase in weight and belly size (due to moving in with her grandparents and eating better.) How likely is it she is actually pregnant? [/INST] Doctor:HelloThanks for trusting us with your health concern.There is a zero percent likelihood of her actually being pregnant.She has had two regular periods after the act of intercourse.All the other symptoms are non specific.Please tell her she just cannot be pregnant.Take care </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for soreness and pain in the heel Patient:Hi, I was playing indoor soccer back at the end of March when I sprained my ankle, pretty bad. I heard a loud pop and my ankle swelled almost immediately and was black and blue and swollen for a couple weeks. I iced it pretty religiously for a few days and did started stretching exercises as soon as I could. After a few weeks it still didn t feel right (I ve sprained both ankles several times before) so I went to see my doctor who took an x-ray to see if it was broken or if there was an avulsion. He didn t see anything and told me to stay off of it for 6 weeks. So I did. Since then I ve been back to playing soccer and now I m started to train for a half marathon and I noticed by the bottom of my heel, by my Achilles, it s very sore and somewhat painful. I am just wondering if this has to do with my previous injury or the fact that I m running a lot more or if it was never properly diagnosed.......It is very tight when I stretch the Achilles but all other range of motion is just like my other ankle. Should I see a doctor and if so, would it be best to see a sports medicine doctor or someone besides the family doctor? Or should I stay off a week and ice again and see what happens? Any advice you could offer would be great. Thank you, KK [/INST] Doctor:Hi, Thanks for your query. Burning pain could be due to nerve compression. Consult a neurologist for proper management. You may require mri. Hope this helps you. Warm regards. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Could horrible back pain and cramps be due to labor? Patient:Hi. I think I might be in labor. I m 38 weeks and 5 days. I m having horrible back pain and cramps similar to menstral cramps. I m been timing my contractions for about an hour, and they are about 6 to 8 minutes apart. The contractions themselves are not painful, but I m in pain in other areas (like I said the cramps and back pain). The pain is pretty continuous. Am I in labor? [/INST] Doctor:hi, Thanks for the query. Labor pain is uterine contraction with severe pain, that tightens your abdomen & the pressure is going down wards. It comes intermittently( The gap between two pains being surprisingly painless), the gap between two pains go on decreasing & the pain time goes on increasing. You have constant pain in back ( due to loose pelvic ligaments being stretched by down ward movement of fetus)along with mild cramps & uterine tightening.. to push the baby down in pelvis... as a preparation of child birth. You will have true labor pains within a week or two. Thanks. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Taken duramin, late in period, want to conceive Patient:I really want to fall pregnant but I m talking duramine I am 10 days latwith my period but I m not pregnant . How long is duramine in my system after I stop taking it please [/INST] Doctor:Hi,The half-life of the drug is about 25 hours. So, you can expect the drug to stay in your body for a day or two after you stop it. It is better to avoid pregnancy so long as you are on the drug. If you are regular with your periods, then you should test for pregnancy since you have a delayed period ( as you just said that you are not pregnant but did not give the reason). Hope your query is answered. Take care. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Having weakness in legs, breathlessness on climbing stairs, anaemic, low vitamin d. Asthma symptoms? Patient:Hello I ve been having leg weakness and shortness if breath climbing upstairs ... I m ok goin down ... I also notice my legs hurt or are weak when on a treadmill goin up a hill... Please help! Growing up I had asthma but it went away n my 20,s. it s inheritary . Also I know I m borderline anemia n my vitamin d is alway extremely low when I go to Dr [/INST] Doctor:It is Wheat allergy Go for IGg test and Blood serum test for wheat speciic antibodies get other foods tested as precaution go for slit therapy after results </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes a knot in the leg leading to swelling in ankle? Patient:I have a knot in my lower inside calf that is causing my leg and ankle to swell. I have had an MRI and a ultra sound and both have come back with no answeres. The knot on my leg is hard and about 1 in in lenght and 3 in width. I need to know who I should contact next to see if someone can tell me what is wrong. [/INST] Doctor:Hi, In my opinion, you should consult a first orthopaedic surgeon to examine and decide what it is. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes breathlessness with coldness? Patient:my boyfriend woke up last night and he couldnt breathe and was freezing cold. He tried to take a breath and felt like he wasnt getting any air. He also tried to use his inhaler because he does have asthma and he couldnt even hold it in for 2 seconds. Why would he not be able to breathe and be freezing cold? [/INST] Doctor:Hi, its simple to understand that how asthmatic patients can't or becomes difficult to breath.Our tracheobronchial tree consists of smooth muscle fibers, and any muscle get contracts or spasm with effect on cold and just opposite to warm or hot, it relaxesNow, if any one who is already have their tracheobronchial muscles allergic to spasm( like in asthma)and in addition when they get cold air,this smooth muscles begin to contract leading to constriction of tracheobronchial tree turned into unable to get air exchange and difficulty in breathing.Inhalers makes this muscles relaxed or dilatation in medical terms within seconds. That's the beauty of allopathic drugs.Hope u understand.Good bye </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for asthma and parkinsons disease Patient:My smother is 60 years old and is suffering from asthama since 30 years. Most of the period she has been treated with steriods. Recently since 3 years she is suffering from parkinsons disease which is now progressed. This time she has chest infection and with productive cough si she is taking cefurxime 400 mg. For cough may i give her acifyl syrup as the only syrup is available at home this time [/INST] Doctor:I have gone through your problem..When similar type patientt came to me..I first check proper anti-asthmatic medication and its technique.Most commonly patients use right drug in wrong technique.MDI drug must be used with SPACER in right technique..for this visit any pulmonologist.Asthma is easily controllable disease if you use drug in proper way.For prevention of recurrent chest infection ..You may give PNEUMOCOCCAL and INFLUENZA vaccine after consulting with your treating physician.Thank you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suffering from mental illness, kindly suggest her Patient:my mom is suffering from mental illness for the past 5 years she thinks as if someone is looting everything from ours and something strange will happen always there is a fear angry towards something she is also very adamant she doesnt act like normal people dont mingle with people ,thinks that all were bad. .during the time of depression her negative thinking gets bigger and she doesnt eat properly this is the situation of our family we are suffering a lot along with her............ my question whether this can be cured 100% or she will be in this stage for her whole life. she is also under treatment and taking medicine, but it attacks her frequently. [/INST] Doctor:Hi, welcome to health care magic forum, your mother is having illusions and hallucinations, this is a mental problem which can be treated 100% with homeopathy, there are many reasons why people suffer from such kind of problems,other modes can give you only sedatives which will make her sleep. i want you to have a watch to this video and that how very severe cases of such kind of hallucinations and delusions are treated very effectively with Homeopathy after seeing this video you can decide what to do, for more info mail us at info@drkackerhomeopathy.com or visit us at www.drkackerhomeopathy.com </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. I need a psychologist to interpret the results of my memory test. Can you help? Patient:Hello doctor, I have memory problems, severe acting out during sleep, vivid dreams with shouting and screaming. I need a psychologist to interpret a memory test and discuss the results. [/INST] Doctor:Hello. Best Regards. For more information consult a psychologist counsellor online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes headaches, bi-temporal and occipital pain with eye discharge? Patient:A 4 1/2 year old boy. Complaining of headaches for the last 6 days. Usually complains of bi-temporal pain. Today was also complainif of pain in the back of the head in addition to usual complaint. Jumping made the back of the head pain worse. This evening noticed a slight sticky discharge on the corner of right eye closest to the nose. No other symptoms are reported. Was constipated for the first three days of head aches. [/INST] Doctor:Hi,Welcome to the HCMBrief answer ...it could be either orbital infection or increased intracranial pressure.Detailed answer..Since headache at this age to that extent with visual problem alarms signs of raised intracranial pressure ,which can be because of vessels problem or any mass in the brain or it could also be benign raised intracranial pressure where no cause is known.As he is also getting discharge , orbital infection has to be ruled out, because it can spread to brain.I would suggest get MRI brain done and discuss with a neurologist further.Also get a swab test of discharge done ,as orbital infection may need antibiotic course accordingly for treatment.Regards Dr.Maheshwari </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for obesity from ADHD medication Patient:My daughter is on oxcarbazepine 300mg. she was taking focalin and adderall because of her ADHD. she has a new doctor and she put her on this medication with her focalin she has gained so much weight now and she is becoming so agitated. I have tried to talk to her doctor and because my daughter is of age she does not want to hear what I have to say. I asked her to review her file she had been on the other meds for over ten years and that was the only way she made it through school. Although she is twenty in age she is just not there yet her mind is still like a child s mind. [/INST] Doctor:Oxcarbazepine can produce weight gain in some of the patients.You can talk to your Doc for the same. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is Tylenol advisable for fever in a child? Patient:My 5 year old has had a fever for 8 hours. Taken 3 10 ml doses of Children’s Tylenol every 4 hours. His fever has gone from 101.3 at 3 pm to 102 at 10 pm. Should I bring him to the doctor in the morning? Anything I should be looking for between now and then? [/INST] Doctor:you may give him ibuprofen ....it’s more effective...and yes please if you can show him to the doctor in the morning to know what causes this fever </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for severe chest pain in a teenager Patient:hi my daughter is 16 and yesterday she started complaining about a sharp chest pain on her left side but she said was hurting when touching took her to a walk in clininc dr checked her lungs heart beat and blood pressure he said all was good and told her to take some advil or tynelol...what could it be since she never has health problems [/INST] Doctor:Thanks for your question on Health Care Magic. I can understand your concern. Possibility of musculoskeletal pain is more at her age of 16 years. Heart diseases are very rare at young age and her blood pressure and pulse are normal, so heart related diseases are extremely unlikely. She is having tenderness (pain on touching), this is characteristic feature of musculoskeletal pain. So ask her to avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Painkiller and muscle relaxant drugs will also helpful. Application of warm water pad on affected areas is also helpful. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for chest pain while suffering from pulmonary embolism Patient:Hello, I have severe chest pain on the right side of my chest and I cannot sleep. I am 19 years of age and a year before, I was admitted to the hospital and was told I may have a blood clot ( pulmonary embolism, or something along those lines) I was injected with a blood thinner and told to come back IF i was bleeding blood, what should i do? [/INST] Doctor:Hey there,If its paining you must consult ER again.Get done reports if clot is again developed or not?? </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the treatment for severe abdominal pain? Patient:Hello, my mom felt down the first time on the 28th of January and the Xray for the pelvis, hips and chest show no problem ...afterward she felt down, as she was trying to walk without walker, till today another two times but since the last fall that dates back to 12th of February noon time she s having a pain in her abdoman when she moves and there is a bruse on her back left side ...she s taking paracetamol for pain, could it be a spleen problem? [/INST] Doctor:Hi.Thanks for your query. Read and understood the history you have provided about your Mother, of falls, pain in the abdomen on moving and a bruise on the back. Paracetamol alone may not be sufficient and she may need additional painkillers or other medicines as may be necessary on physical examination by a Doctor. Pain in abdomen on movement may be associated with some internal problem like spleen or any other organ for that matter.The best way:Ultrasonography of the whole abdomen and pelvis and a CT scan of the abdomen to confirm ; if required Diagnostic Laparoscopy can help in some cases. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for 80% blockage below the stent in distal region of LAD Patient:I had a stent inserted in the mid lad 2 years ago. A few months ago I started having the same symptoms that I had before the heart Cath that showed a 90 percent blockage. After another heart Cath 2 months ago, I have 80 percent blockage below the stent in the distal region of the lad. I m going to cardio on Friday to learn the game plan. What are your ideas? [/INST] Doctor:as i understand , the reason of having a redo cath was you were symptomatic , so the lesion warrants some treatment .depending how large is the LAD and the territory supplied by it , most importantly you should optimise your anti anginal medication , beta blockers , nitrate s sos nicorandil , ranolazine or trimetazidine depending on the country you reside . it the territory supplies is significant an redo angioplasty and if yo are diabetic and other features of coronary angiogram shows high rate of restenosis , a LIMA bypass to Lad should be the option.Regards Dr. Priyank Mody </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Having lower back pain. What could be the reason? Patient:Hi, i want to ask you what probably the cause of my lower back pain. I have problem with it since mid last year, it's not that bad, sometimes it feels okay but sometimes it's really painful that i have a problem where i have to bend ( tie my shoes, etc). I have already do the urine test, the result turns out good. I also have already get the x-ray scan, and it also good. Well, i have a slightest pain in my lower left stomach, and i'm a woman. Do this have any relation with it? What could be the cause of it? Or could be this be a somatization? [/INST] Doctor:Hi,As per your your description the cause of lower low back pain seems to be muscular. You need muscle relaxants, Analgesic gel for local application,along with physiotherapy and exercises to get rid of you problem. Further you should undertake consultation from Orthopaedic surgeon near to your place. However getting done MRI would give a better idea about reason for your back pain.Take careDr Anoop khandelwal </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: How to treat bradycardia? Patient:my 25 yr old son told us he thought he had a heart attack yesterday and since my husband is a mobile xray tech he had an ekg machine here and did one with the following: vent rate 45 bph, pr interval 152 ms, QRS duration 104 ms, QT/QTc 476/420 ms and P-R-T axes 38 -5 22. I know he has bradycardia but I want to know if he shows any other problems here? He told me he doesn't think he needs to see a doc [/INST] Doctor:Hi,Bradycardia is not normal to have, it needs to be evaluated. First he should undergo thyroid test and potassium, magnesium levels, he may need holter monitoring as well. I guess he is not on any medicine. Is he an athlete, because sometimes athlete can have low heart rate and it's normal for them.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for severe pain in body and joints Patient:Hello doctor i m 32 years, 55 kg., unmarried. I took Osteofos 75 mg. and Caluft-g for 3 years, Nucoxia 60mg. for 1 year and now i have started Sazo 500 mg. for severe pain in all the joints in my body. I have no improvement even with exercises and diet modification. When will i get well ? [/INST] Doctor:Hello, Your symptoms seem to be related to rheumatoid arthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using Ice compresses for local application. I suggest physical therapy and exercise daily. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: I have pimples due to body heat and oily skin Patient:I am 25 now. Now-a-days i am getting pimples continuously at my face . I have an oily type of skin . Usually i will get the pimples only during the periods not often. but now-a-days i am getting pimples more often. I had a doubt like, i am under follicular study treatment so I am taking tablets regularly. Will that be a reason for getting pimples at my face?I am doing home treatments to avoid pimples. But i am not getting the solution. How to prevent this? Kindly help me out by giving some suggestions. [/INST] Doctor:Hello .. .Ayshwarya garu.....welcome to HCM....according Ur complaint....these acne are common during fertility treatment ......because all hormonal medicines are comedogenic...hence U are getting....after cessation of treatment , automatically it disappears.........in meanwhile U do one thing go for safe treatment that is topical one, otherwise , these tablets will interfere your anti-infertility treatment...,hence safer one is..1) morning times use Clindamycin gel.., 2) night times use...Adaplene gel for one month will get good result 3) washing the face three times daily with Triclosan soap (awailable as Acnil,Acnederm or Acnerest).4) take some instructions like..avoid oily foods, take fresh fruits and plenty of oral fluids without sugar...ok ..wish U get good recovery... </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Blood tests show elevated MCV. Is this the cause of irreversible liver disease ? Patient:hi 3 months ago my partner had a routine set of blood tests taken and all normal with exception of mcv which was elevated to 109 he has had a repeat teast done after 2 months and levels reduced to 104vAlthough he is not a heavy drinker he does have over the recommended levels by approx 50% ie 30 - 35 units a week During the 2 months he did reduce these levels a bit and mcv reduced to 104 He has now reduced his levels significantly as the tests have shocked him and made him look more honestly at his intake. Is it likely that with these results he will have irreversible liver disease or with consistent reduction are matters likely to resolve [/INST] Doctor:Hi Ruth. There are more specific tests for liver function such as liver enzymes and bilirubin. MCV tells us more about red blood count. ALso liver ultrasound should be done to see is there any sign of liver cirrhosis. I am sure it will resolve because liver is an organ with the highest potency of regeneration and only cirrhosis is irreversible,but onlx exscssive drinking for more than 10 years leads to it. It doesnt mean that he can still drink. It is bad for whole oragnism, not just for the liver. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes pain in chest? Patient:Hi I m a 29 year old women in general good health I m a mother of 3 , but lately I ve been feeling a burning sensation on my left side mainly on my chest , when I sleep it wakes me up pain comes and goes and runs into my arm have been feeling tired more than usual & can t bare to Hold my young one in my arms to raise my arms to brush my hair it hurts have been feeling this for now 2 days my dad suffered from congestive heart failure he past away from this 3yrs ago and my mom suffers from mass (some kind of fattening that forms under the breast tissue and if not taken care of can form to ditching serious). Please help what can be wrong :(. [/INST] Doctor:Thanks for your question on HCM.I can understand your problem.In my opinion,you are having GERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause for your chest pain.So get done ECG first. If ECG is normal then no need to worry much for cardiac cause.GERD appears more in your case.It is due to laxity of gastroesophageal sphincter.Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain.Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Avoid large meals, instead take frequent small meals. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: I am feeling sleepy after taking of tryptomer 5mg. is it a bad indication ? Patient:I am 24 yrs,female, body wt. 38kg and prescribed to take 5 mg tryptomer for antidepression yesterday for 10 days , i have taken the medicine last nite, i am feeling sleepy from the morning, is it a bad indication ? anjali [/INST] Doctor:thanks for choosing health care magic.any drug given for depression needs time to get adjusted,your body will get used to this within some days.After taking this tablet for the first time this is normal.So do not worry and continue the drug.Do not stop or changes the dose without asking your doctor. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What type of fever cause loss in appetite and sore throat? Patient:My daughter is one, 2 days ago she lost her appetitw and isnt interested in milk or water. Iv getten her to eat a little today but shes constantly screaming. She occasionally has a slight temperature which dissapeara quick enough but thus morning she was all wobbly/shakey. Im just a bit concearned (lots concearned!) shes losing her voice through crying and now sounds rattley... [/INST] Doctor:Hi...by what you quote I feel your kid is having a upper respiratory infection or laryngitis. That's why the kid is losing voice too. Because of upper respiratory inflammation the kid is finding it difficult to swallow.I suggest - 1. Rapid streptococcal antigen test. If its positive - go ahead with antibiotics - Amoxycillin for 10 days.2. If it's negative - do a throat swab cultures and start antibiotics... If culture is negative stop antibiotics. If positive continue antibiotics for 10 days.3. Treat fever and pain with oral Paracetamol.Regards - Dr. Sumanth </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for severe allergic rhinitis and constant sneezing Patient:I suffer from severe allergic rhinitis,constant sneezing, with watering of eyes the moment I come to Bangalore from Pune especially in the monsoon.What investigation and treatment should I undergo? -Prashant S. age - 48yrs. Height - 172cm. wEIGHT - 74KGS. NO SIGNIFICANT MEDICAL HISTORY [/INST] Doctor:You should start your treatment with simple Anti-allergic like Levo Cetrizine. And you should avoid dust,pollen,smoky atmosphere. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for red circular rash on armpits and inner thigh Patient:I have a red circular rash under both armpits and now on my inner thigh. My doctor was treating it with clotrimazole and betamethasone. The one on my inner thigh I ve just noticed it. What can I fo you get the stuff gone ?? I m really not liking it at all. [/INST] Doctor:Hi, I can understand the frustration you are going through, let me help you find a solution to the rashes. These rashes are caused due to increased sweating which create a moist environment for the fungus to grow in. Which could lead to itchiness, redness and patches of dry scaly skin around the border. These could be contagious as well. Hence ways to prevent this are: 1. Maintain a proper hygiene 2. Avoid sharing of towels or clothes(personal belongings) 3. Over the counter antifungal ointments and steroid base creams will help 4. Avoid hot showers 5. Keep the areas dry as much as possible 6. Try to lose weight as reducing folds in these areas can help prevent occurrence and discomfort. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vignan Rachabattuni, General & Family Physician </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Does surgical removal of cervical rib cause complications? Patient:I have a pulsatile mass in my neck, which was recently diagnosed as being a post-stenotic dilatation of the subclavian artery secondary to a pair of cervical ribs (only the right side is symptomatic). I have been advised to have the right cervical rib removed and was wondering what the recovery time of the operation is and what the possible sequalae of having it removed would be? Thanks very much [/INST] Doctor:Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* The surgical removal of cervical rib will not cause any complications in expert thoracic surgeon`s hands , rather it will remove all the symptoms currently suffered from it .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards . </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. For how long should I take Kalachikai powder to overcome PCOD problem? Patient:Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Doctor:Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes hard lump on upper side of abdomen? Patient:Hello, about a few days ago I noticed a large bruise around my left upper side of my abdomen. There was no pain and still there s no pain. The bruise recently went away, but in the same area I now feel a small hard lump that feels like a hard small bean. I getting worried.. I don t remember falling or bumping into something sharp. Any answers will help. Thanks [/INST] Doctor:hi.it might just be a fibrotic tissue or a simple cyst. but if you wanted to make sure, even if you're not experiencing any other symptoms, just have it checked by a physician. an abdominal ultrasound or scan might also be considered if needed.hope this helps.good day!!~dr.kaye </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? Patient:Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Doctor:Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Should a fatty lump be removed if asymptomatic? Patient:I have what seems to be a blob of free floating fat along my ribcage. It appeared a couple of months ago, and hasn't caused me any pain, but I finally had it ultrasounded last week. The tech told me that it 'moved' when she was trying to scope it, which she said was a good thing, and she thought it was just fat. Is there any reason to have this lump removed if it isn't causing any problems? [/INST] Doctor:hi.based from your description, it could possibly be a lipoma (a fatty tissue deposit). it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. if it is growing in size and bothering you and your daily functions, definitive management is excision biopsy.hope this helps.good day!!~dr.kaye </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Will urinating just after sex cause problems during conception ? Patient:Hi Doctor .. This is manjula. im 23 years old..weight 46,height 5.3. after having the sex..immediatly im going to bathroom for urion..is there any problem? we are planning for a baby.. so please clarify my doubt? [/INST] Doctor:Hi Manjula,Welcome to HCM.Since you are trying for conception, it would be better that you do not getup immediately after intercourse, otherwise the semen will flow out and reduce the chances of pregnancy. Wait for at least 15 minutes after intercourse, lying on your back, before you leave bed. More over husband on top position for intercourse has better chances of conceiving.Wish you all the best. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes painful irritated skin on buttocks? Patient:I have irriated skin on my butt and butt crack ...its very painful it feels like a sunburn ..I am a rock truck driver and I am constantly in motion and at the end of the day its unbearable ...please suggest something to cure or relieve the pain n burning.. thanks.. YYYY@YYYY [/INST] Doctor:Thanks for your Query at HCM!First I suggest you to take rest for few days in this condition. You can apply some anti-bacterial cream on your wound. You can do sitz bath(person sits with warm lukewarm water upto the hips). I suggest you to avoid sitting in same posture for long time take breaks in between. What is your weight? You might need weight reduction if obese.I hope it would solve your problem.Take care. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for fibrolipoma Patient:Hi. I am 30yrs old female and was diagnosed in 2011 with a fibrolipoma on my upper back. It was present on my back for several years prior but only smaller. It is now a huge mass about 7* 8 inches. It continues to grow and sometimes painful. Which type of doctor and what would be the best treatment if this condition. Would appreciate any advice and guidance. Thank you. [/INST] Doctor:Hi and welcome to HCmyou need to see general or plastic surgeon and it should be removed surgically. this is benign lesion but it usually tend to grow so it must be removed and sent to phd analysis. Wish you good health. Regards </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes wheezing and cough with aching bones and flu like symptoms? Patient:i started one night with wheezing and cough mostly felt on the right side when i lay down. after about 2 or 3 nights wheezing went away. this all happen at night when i lay down along with aching bones, flue like symptoms. Than came the sharp pain in my chest bone and shoulder blades, than again happened when i lay down at night. my dr. put me on a puffer now seems not to be so bad. still feeling very tired. [/INST] Doctor:Hi,Welcome to health care magic,This symptoms of wheezing and cough with bone pain or flu could be upper respiratory infection or acute bronchitis.It can be diagnosed clinically but you must undergo routine blood investigation with sputum R/ M and C/S,chest x- ray to rule out any other pathology of lungs.You might require long course of antibiotics (amoxyllin with chavulanic acid or cephalosporins) with other supportive treatment like bronchodilators (steroids,beta agonists,anticholinergics) inhalers or nebulizers with steam inhalation frequently.Consult pulmonologist who will take complete medical history and thoroughly respiratory system examination to identify the actual cause.Regards, </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for spider bite Patient:Hi I believe I had gotten bitten by a spider or another type of insect on the base of my skull while sleeping. Now I have a nodule behind my ear and lumps on the base of my skull with some swelling and have noticed up higher on my skull I now have some dents I have never noticed. [/INST] Doctor:Hi, dearI have gone through your question. I can understand your concern.You may have spider bite. You should clean that site with soap water. Apply ice to reduce swelling and pain. If you have pain then you can take ibuprofen and antihistaminic drug as and when required.If you have any sign of infection on then wound then antibiotics are needed otherwise nothing to worry. Just be relaxed.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes stomach pain, chest pain, diarrhoea and sweating? Patient:Since Thursday night I ve been waking up while I am sleeping due to stomach pains and constant sweating throughout my body. It s weird because my room is at room temperature and it s typically very cold outside. I also just got my monthly visit yesterday, and I ve been having diarrhea for the past two weeks. I ve been getting alot of goosebumps and chest pain, I ve been feeling very weak, and my head hurts. Do you have an idea of what these symptoms mean? [/INST] Doctor:Hi,Welcome to the HCM.First of all I would like to ask that if you taking any medicines? Since some medicines can cause these symptoms as side effects.Else you may need to rule out thyroid problem,for that get a thyroid profile done first and discuss further.These symptoms can happen because of changes in body metabolism,which can be effected by thyroid hormones deranged level.For chest pain get an ECG done first andif it is normal ,you may try antiacids medicine,as some time acidity can cause epigastric pain ,which feels like chest pain.Hopefully,my answer will be helpfull.Regards,Dr.Maheshwari </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes frequent fever, cold and cough in a child? Patient:hello sir my daughter is three and a half year old and we hadcame last november only but from that time only every now and then she had the problem of frequent fever ,cold and cough although ive consulted alot many pedatrician in bangalore but still im not finding any improvement [/INST] Doctor:Hello.Thank you for asking at HCM.I went through your daughter's history.I would like to ask some additional questions here, like - how frequent? what is the duration of each episode? does every episode always has fever? is the fever high or low? does she ever has wheezing or fast breathing? etc.However, I am trying my best to help you from the history you have provided.For a child below 5 years of age, it is "normal" to get around 6-8 cough-cold infections per year, especially in our country, as she is frequently exposed to new infections from peers and friends and from environment. These infections usually start with fever, usually moderate to high.However, if he has frequent cough and cold without significant fever, each time lasting usually a week or more, I would suggest allergy. I would suggest daily montelukast and levocetirizine for treatment and prevention of respiratory allergy.Avoidance of dusts-smoke-air pollution-cold air currents will help, so as a nutritive diet rich in vitamins and minerals. Please use antibiotics only for infections, not for allergic episodes.Hope this will be helpful to you.Wish your daughter the best of the health.Regards. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can anyone check my semen report? Patient:hello sir,please find my semen report and advicesperm count 31ml active motile 13%sluggish motile 29%non motile 58%double tail 2%double head 1%amorphous form 3%pus cells 10-12/hpfrbcs 1-3/hpfepi cells nilvolume 2.8mlliquification time 28minreaction alkaline [/INST] Doctor:HelloThanks for query.Thanks for query.Your semen analysis report suggests Oligoasthenoterratospermia meaning ther by that all the important parameters of your semen like sperm count,motility of sperms and morphology of the sperms are abnormal and below the range of normal values compared to WHO standards.Presence of 10-12 pus cells suggest infection of either seminal Vesicle or Prostate.Take antibiotics like Doxicycline twice daily for one month and repeat semen analysis after completion of course of antibiotic.Dr.Patil. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Butt bump hurts while on trampoline, can't fold legs while laying, walking. What's this ? Patient:I get on my trampoline regularly, and about 3 weeks ago or so I noticed that whenever I did the butt bump it hurt, but that was the only time. Since I also run and play sports I m used to getting up and my ankle hurts or something else, but by the next day it s gone, so I didn t think much about my butt. It stopped hurting when I went down on my butt after a couple days. But I noticed Tuesday, 4 days ago, whenever I sat back against my chair at school it hurt, so when I got home I took Ibuprofen . It didn t seem to occur at home but of course we don t have hard chairs, but when I attempted to run it hurt a little, so I stopped. The next day at school the pain was about the same so I tried to avoid rubbing up against the back of the chairs. The next day I thought It was feeling much better, but I had gym. Which is why I believe the pain is much worse now. Now it s not just at school and running, but it s walking, bending, I can t lay on my back, I can t fold my legs laying on my stomach like I usually do, I ve just been sleeping on my side. I checked the area yesterday, (it s around the top of my buttcrack) and there s a red bump with rashing around it. I m going to the doctor some time this week, but I ve looked my symptoms up online and found some scary stuff, so if you could please tell me if this sounds familiar I d highly appreciate it, thanks. [/INST] Doctor:Excessive exercise can csuse the condition u are explaining.stop strenous exercise and rest is needed .go to your physiotherapist and take proper advice </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does a sore lump on the head along with red spots and areas on the forehead indicate? Patient:I recently noticed a lump in the top left of my head. It was extremely sore to touch...and now a week later is approx the size of pea...way smaller, less painful. At that same time I had 2 red spots appear on my forehead that were painful and a small red area at the left temple (on hairline), also painful. Also, pain behind my left eye, more toward the outer edge, in front of my left ear (now gone), and scalp in the left area is very sensitive to touch and actually hurts. I am perplexed. I have never experienced symptoms like this before [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.This indicates possible inflammatory lesion either infected sebaceous cyst or boil.You need to get it confirmed by clinical examination or photo pic evaluation to decide future line of action to cure it.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. How to overcome my self-harming behaviour? Patient:Hi doctor,I am suffering from self-harming behavior. Whenever I feel emotional, I am doing it without my knowledge. It happens all the time. I am very scared to go and meet a doctor, so I diced to come here. I am just confused. Please help. [/INST] Doctor:Hello. For further information consult a psychiatrist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes persistent cough, vomiting and dizziness? Patient:Hello, I m a 19 year old female. To explain my problem I have to go a few years back. And please ignore the grammar mistakes, my English is not so good. So when I was 11 years old, I had a lung infection and the treatment went for a long time. After the treatment I was totally fine, but cough and cold would appear every winter since then. It would only stay during the winter and then it would go away. But from the last two years I m experiencing it during all the months. The cough didn t go even during the summer season. The cough thing is always staying with me. I ignored the problem, as it was only cough and cold. Now since the last 2-3 weeks, I m feeling nauseous and dizzy. I even vomited several times. When I feel too dizzy that I feel like I would fell, the vomiting sensation starts. I feel that it has something to do with my cough, which has continously stayed for a long time now. And I also stay a bit depressed. I think it is not bronchitis, coz I ve taken the medicine for that and it s not working. I m not sure what is it, please help! [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.According to the history, this might be an allergic cough due to several allergens. Please discuss with your doctor. I hope I have answered your query. Let me know if you have any further questions. Take care.Regards,Dr. Jnikolla </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Numbness in hands, feet and lightheadedness. Is this anxiety attack or something else? Patient:Sudden numbness in hands, then feet, then heat surge through body that then went away. I was driving, so I pulled over and got out the car. I was light headed and felt like I was going to faint. Had light pressure, like a hand pushing on the upper part of my chest. Felt really weird. My husband picked me up and took me to the doc. He said it was an anxiety attack and to come back tomorrow if it persisted. It's been several hours and I still feel the same. I looked up anxiety attacks and don't have the impending doom symptom they refer to. Do you have any idea why this is happening? Was afraid I was having a heart attack, but didn't have any chest pain. I'm 48 years old and have a family history of heart disease. My mother died at age 57 from heart failure. I also had blockage in my right iliac artery and had a kissing stent put in one year ago as of last week.Very disappointed that the fee was not mentioned up front. I went through all this for nothing. Thanks for wasting my time. [/INST] Doctor:HiYou should check you blood pressure for some days.And you need to do a lipid profile also.Have to rule out lipid disorder and hypertension.If you have lipid disorder you should also rule out hypothyroidism.Better have a physician consultation and rule out all.Hope this may helpyou.thanks </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for alcohol addiction Patient:my brother age 26, was very angry and very tensed and hitting all the family members at home while using alcohol. He does not sleep in night and he didnt eat any food. only liquid like Tea and Juice and bakery items he eat. we cannot tolerate at all. so please give a good suggestion. [/INST] Doctor:COUNSELING ALONG WITH MEDICATION IS NEEDED FOR DE ADDICTION.FIRST OF ALL , WE HAVE TO MANAGE WITHDRAWL FEATURE, AND THEN START ANTI CRAVING MEDICATION.IF ANY CO MORBID PSYCHIATRIC ILLNESS IS THERE, PROPER MANAGEMENT OF MAKE CO MORBID ILLNESS SHOULD BE DONE.PHYSICAL EVALUATION IS MUST FOR LIVER ,KIDNEY,BSL. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Are there any chances of getting pregnant based on the report ? Patient:pcod irregular periods 37x31mm cyst in LT ovary on11july its my first day. 7x7mm inRTovary and 11x12mm inLT ovary on22 july 12day. 11x12mm inRTovary and 8x9mm inLT ovary on27july 17day. 1 what does this mean? 2 IS ovulation happen this time? 3 slow and late growth of follicle as in my case .ISany chance of getting preganant? 4 what to do now? 5 plssssssssssss answer soon [/INST] Doctor:Hello Thanks for query Wait for next cycle ,as in PCOD sub fertility occurs ,ovulation is not good ,and there si no dominant follicle. Hope I have answered your question well to your satisfaction. Wish you speedy complete recovery at the earliest. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can a hydrosalpinx turn cancerous? Patient:I am 50 years of age and had a total hysterectomy and bowel resection after I was diagnosed with bowel cancer...two years ago. I am now in remission. I managed to keep my left ovary and tube but now have a hydrosalpinx and have recently had a blood marker test but do not have the results as yet. I do have pain radiating from this area daily. As I have had 3 caesarean sections my gynaecologist is saying that an operation may not be possible due to adhesions. 1. What I need to know is can a hydrosalpinx turn cancerous? What other facts do I need to know? [/INST] Doctor:Hi,Thanks for writing in.Hydrosalpinx is a condition where there is fluid collection in the tubes. As you have had a bowel cancer, there is less likelihood of having a cancer in the tubes if this finding is present for many months. It is important to know if you suffer from low immunity and whether there could be a chronic infection like tuberculosis due to which you are having this problem of fluid collecting in your tube.However a cancer in the tube can cause obstruction and hydrosalpinx. Most primary fallopian tube cancers arise from ampulla with endoluminal growth that leads to obstruction and distension of the fallopian tube (hydrosalpinx), which explains why the majority of these patients are rarely asymptomatic. As you do not have symptoms due to hydrosalpinx there is no concern. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does these semen analysis indicate? Patient:My husban did a semen analysis this is the result. Ph-10, volume- 2.0ml, colour- greyish white, odour- odourless, viscosity- slighty viscous, liquefaction- within 1 hour, opacity- opaque, ephithelial-+, pus cell- 3- 4 lpf, red cell- nil, motility- active (60%) sliggish (20%) dead (20%), count -90 * 10 cou/ml, remarks- normospermia. Pls what does the result mean, [/INST] Doctor:Hi, dearI have gone through your question. I can understand your concern. Your semen analysis report suggest that you have normal sperm count and motility. Your sperm morphology is also normal. So overall you have normal semen analysis report. You are fertile and able to become father. No need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. How long should my husband and I wait to try for a baby if we did cocaine? Patient:Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Doctor:Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does a paiful lump on buttocks indicate? Patient:Sir. I am from Pakistan . actually I was in hurry .I was sliped on the tiles .and my ass strikes with earth .so with passage of time I fell no pain .so after 4 months the appearance of small ball like hard material was filled in ass .where the striking is performed ...so I censured with a doctor that he advice me for operation so my father forced me for operation .it was my unwillingness .so after operation I fell completely relief .so after 5 month .the other side of my ass .same thing is formed like small ball like tumor .in that I fell a pain for some time but alot so I take a diclofanic.then relief.so please advice for medicine that combust my that small ball like structures .plzzz my study is very disturb due to this ....plz [/INST] Doctor:Welcome to health care magic. 1.The history and symptoms suggest that there was an infective collection / abscess on one side of the the buttocks / gluteal muscles.2.Which i guess operated / incision and drainage followed by a course of antibiotic course and treated. 3.Similar lesion is seen on the apposite side - which does needs an incision and drainage and followed by medication.4.The possibilities of being follicle infection with collection. 5.An ultrasound will help to evaluate the nature of the lesion, its source and extensions.Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Is my father's bladder bleeding due to taking Aspirin and Plavix? Patient:Hello doctor, I am writing on behalf of my sick father. Last year, he suffered a brain stroke on the right side of the brain, which caused paralysis on his left side of the body. A week after that, he was diagnosed with heart blockage, which needed a bypass procedure. After treatment, he started recovering and walking with a tripod, but he still not able to gain movement of the hand. We just found out that five days before the stroke, he stopped all his medications (Aspirin, cholesterol medicine, Co-diovan, and Avodart). Now, he is on other medications (Tritace 5 mg, Ramipril, Plavix, Aspirin, Feromin, Avodart, Crestor, and Rabezole). He has been suffering from constant bladder bleeding and enlarged prostate, and he is not able to do any operations as his condition does not allow it. He had 20 blood transfusions so far. The doctors are recommending to stop one of the medications after one year of the stroke, which is next week, and they are suggesting to stop Aspirin or Plavix. We would like a second opinion. [/INST] Doctor:Hello. I read your query and understand your concerns. I hope this helps you. If you have more questions feel free to write back to me. Revert with more information to a neurologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the permanent solution for continuous sneezing? Patient:why do continuon sneezing when till treatment continuon , not repeat problem what can be possible its that child time to create problem since i am old 10 year ,since then it is being problem and my younger brother same problem but not my sister ,is this parrent problem so please tell me about this topic [/INST] Doctor:Hello,Welcome to HCM,Sneezing is due to irritation of the nasal mucosa by irritants like dust,mites,infections and chemicals.Sneezing due to allergies are certainly the result of both genetic and environmental factors.The release of histamines will triggers symptoms of allergy.If it is due to environmental factor we can identify the irritants and can prevent exposure to that irritants.You can undergo Skin prick Test to know the allergen causing these symptoms.Thank you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for a red and round rash on shoulder? Patient:MY 10 YEAR OLD DAUGHTER HAS DEVELOPED A DARK RED SOLID RED CIRCLE RASH ON HER SHOULDER IT IS SLIGHTLY RAISED THICKEND A BIT, Size OF A QUARTER, I HAVE PUT LOTRIMIN SPRAY THINKING MAYBE IT IS A FUNGUS, ALSO USED NEOSPORIN. STILL NOT HEALING . ONLY SYMPTOM IS ITCHING AT THIS POINT. [/INST] Doctor:your daughter has probably fixed drug eruption occurs after some drugs to which your daughter might be allergic to drugs this mostly disappear on its own or needs some treatment can send photo of that so that we can advise accordingly </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Please explain the poisonous effect of phenol ingestion. Patient:Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Doctor:Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the cause of contracting muscles in the abdomen? Patient:Hi, may I answer your health queries right now ? Please type your query here... i went to the emergency room a couple of weeks ago with like contracting muscles in my mid section of my stomach witch went all around through my back, they did a ct scan said there was some inflamed fatty tissue in my stomach [/INST] Doctor:HiIn my opinion your ct scan report is no clearThere is no disease like"some inflammed tissue in stomach"-pain abdomen referred to back is always serious-pancreatitis ?-perforating ulcer?Better you go for -gastric endoscopy Advise to consult a specialistThanks-consult a surgeon </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Had unprotected sex on the day of period. No symptoms of pregnancy. Still pregnant? Patient:My girlfriend and I had sexual intercourse but we had sex on her period day i didnt use a condom.after a few weeks i asked has she had any symptoms she said no no tender breasts no fatigue no nausea no anything and shes suppose to get her period tomorrow is it possiable she can still be pregnant if i didnt cum in her and she hasnt been feeling any symptoms [/INST] Doctor:Hi, thanks for query. first of all in my opinion always use a condom it will not only protect you from pregnancy but from STD also,so never do sex with out condom. there is no safe time to do sex without condom,chances of pregnancy always be there. because you have sex in period day and not ejaculated inside chances of pregnancy are very less. wait for next period if it not come go and consult gynae to rule out pregnancy. don't wory. take care. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Does umbilical hernia cause leg and arm pain? Patient:my 2.5 year old son has been pointing to his belly button and crying that it hurts. He also cries out in pain that his leg hurts also and sometimes his arm. What could be possible causes? He does have a small umbilical hernia but other than that nothing else. Thanks. [/INST] Doctor:Lower abdominal pain, change in skin color and tenderness at the site, an irreducible swollen hernia, abdominal distension and/or fever may all be signs complications ,of an umbilical hernia and require immediate surgical attention. However, usually spinal hernias can have neurological symptoms such as sciatica, incontinence, problems walking, numbness, pain or tingling in the limbs.I think there are no connection with umbilical hernia. It seems he had colics, give him Charcoal 1 tablet and fennel.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 and baby good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes cough with mild headaches & breathing problems? Patient:Hello doctor, my name is Swapna I have a 4 year old daughter. She is having cough while eating, sneezing nose, mild headaches at sometimes, and reathing problem dring sleep. I had consulted an ENT specialist and he said that my daughter is having epilloids (which I am heairng for the first time) and has to be removed surgically. Can you please give me an overview of what exactly epilloids are and is there any alternative other than surgical process to get them cured [/INST] Doctor:Hello dear Swapna , hi* Epilloid is a term for 3 dimensional geometric figure resembling a flattened shape .* By the symptoms narration it seems more likely to be adenoids or nasal turbinates more likely .* Advsiable to consult with prescription of doctor as scanned copy herewith as an attachment to evaluate it further more precisely in depth .Hope this may help you .Regards . </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does spondylotic changes at mid- lower cervical spine mean? Patient:i have recently been told i have spondylotic changes at the mid - lower cervical spine with osteophytic spurring and mild disc space narrowing at c5/c6. What doe this mean? i have a lot of pain in my neck and suffer from pins and needles in my hands, especially the right hand. [/INST] Doctor:Hi, thanks for posting your concern in the HCM. Simply speaking, cervical spondylosis refers to a condition in which there is mechanical wearing of the intervertebral disc cushions due to lose of hydration and elasticity. The surrounding ligaments also lose their elasticity. There is biomechanical incompetence. The joint space narrows down, annulus bulges forward and facets override.There may be abnormal growths or spurs on the bones of the spine.Gradually one or more nerve roots are compressed resulting in radicular pain, tingling, numbness in the distribution of the affected nerve.For rehabilitation and conservative management, immobilisation of the cervical spine is the mainstay of treatment. Traction may be applied although it has no proven benefit in cervical pain. Superficial and deep heat therapy to the local tissue may help. Analgesics and muscle relaxants may also be taken. In case of progressive neurodeficit, intractable pain or documented compression of nerve root(s) surgical intervention may be needed. For any further questions, please write back to us. Regards.Dr. Kaushik </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Can you tell me if there are signs of cancer in my mother's MRI? Patient:Hello doctor, I need to have my mother’s MRI read by a radiologist. Her doctor ordered her to have an MRI done and she had one done yesterday. My mother has had neck pain for at least a year now and her doctor believes the problem is arthritis, but not sure. My mother went to a physical therapist and had several shots in her neck for pain, but that did not solve the problem. I have sent the files of the MRI. [/INST] Doctor:Hi.I have read through your query in detail and have gone through the MRI (attachment removed to protect patient identity). Please find my observations below. In conclusion, pain in the neck is possible with this kind of an MRI finding and might be considered a finding that is to be managed medically. Surgery is not required in this case as the findings are mild.Physiotherapy and nerve pain relief medicines are the first treatment of choice. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Are Folic acid and HCG shot safe to be taken for blood clot during pregnancy? Patient:Hi doctor, I am 10weeks pregnant my doctor did the scanning and said that baby is good but there is some blood clots for that they gave hcg inj and said that next week also will give . I had an history of miscarriage in the last pregnancy hence they gave ecosprin, duphaston medicines so far. Now they told me to stop ecosprin and they gave duphaston twice a day and folic acid tab with first dose of hcg inj. Doctor m waorried a lot about clot will it be clear by taking of hcg injection plz clarify me . [/INST] Doctor:Inj hcg will not clear the clot but inj hcg will prevent uterus from contracting and prevent abortion.Ecosprin helps in preventing spontaneous clot formation in blood vessel.Ecosprin is stopped now because as younalready have developed clot that means that you had some minor bleeding so by stopping ecosprin further bleeding is prevented.Duphaston will also keep the uterus in relaxed state and prevent abortion.Folic acid prevents brain abnormalities in baby (neural tube defects ).hence folic acid is given </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Diagnosed with spinal stenosis, degenerative cervical changes, have pain and weakness in both legs, lower back pain. How can I cure it? Patient:i have not been told I have spinal stenosis although it has been seen in x rays however leg pain both legs and then also low back pain and weakness in legs at times. also have been told there might have been some degenerative cervical changes however new doctor has said there was not anything there. pain is worse what can I do. I am a male and im only 39 [/INST] Doctor:HiThank you for your question.For the weakness you feel in your legs and persistent back pain I would recommend getting an MRI of your lower back sooner rather than later. Low back is more likely to be the cause because neck problems usually present late in 50s and 60s. Also clinical examination by a neurologist or spine surgeon can help to distinguish between neck and low back problems.Please let me know if I can be of further assistance. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes soft lump on upper lift? Patient:I have a soft sort of lump on my upper lift that has been there for a couple years but recently over the past 5 or 6 months has gotten more noticible. It does not hurt and I can stretch it out and see a sort of purple or dark color under it. Any thoughts on what this might be [/INST] Doctor:HiWelcome.I have gone through your query.It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice.Hope this helps.Take care </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for fracture in humerus as rod didn t fix it Patient:I am Swadhin . My mother is 62 years old . She was operated thrice for Rt. sided Humerous fracture. First time the operation was done with a steel rod to fix the bone. But there was no success . Again the rod was removed by operationb. Then the third time again a rod was placed there again. Now it is about 6 months later , the hand is infected and the bone is still same as the earlier , no joinining . Doctor said that this is now a case of osteiomeliteus . What will be the result at last. I am hope less. The treatment is running for about 2 YEARS..Please give me suggesstion to overcome this. I am from India , West Bengal. [/INST] Doctor:Hello,I can understand your concerns. It looks that your mother is suffering from infective non union. Looking at complete details the present treatment is Ilizarov fixation. The present implant (If it is there) have to be removed & bone should be cleaned of dead and infected part. Then this fixation can help very well. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can shortness of breath and sleep apnea be due to agent orange exposure? Patient:I was in vietnam from 1969 - 1970 and stationed in Danang where they used agent orange. I am also diagonosed with being sterile and now also have sleep apna. I also have one eye that will be open when I sleep , have high blood pressure,have had part of my large intestines cut out, and shortness of breath. Could this have been caused by exposure to the agent orange? [/INST] Doctor:Thanks for your question on Healthcare Magic.I can understand your concern.Agent orange exposure for 1 year may cause bronchitis an breathing difficulty.But I don't think this exposure is the cause for your sleep apnea, one eye opened during sleep and bowl resection and hypertension.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes high fever with sinus congestion? Patient:my 5 yr old has had a fever of 38-39 degree s for the past 5 days. Ibuprofen takes it down to 37.5- 37.9. He has energy again once the fever is down. The only symptoms he has are, sinus congestion, thick creamy nasal drainage and raw looking nostrils with small amount of bloody drainage at times. Should I take him to see a doctor and if so how long should I wait? [/INST] Doctor:Hi... for me to answer this question I need to know how many days of fever is this. If it is only 2-3 days you can wait as this seems to be a viral infection. But it is more than 5-6 day you better take the kid to his pediatrician.Regards - Dr. Sumanth </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Why do periods get delayed after first time sex? Patient:Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Doctor:Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes a painful lump on the labia majora? Patient:I have a lump on my labia majora. It s bean sized and it is under the skin and is moveable. Feels kind of like a little ball. I don t know what it could be? I ve never had this happen before? It s been here for a few weeks maybe a month? I m not sure but I thought it would go away and it hasn t. It doesn t hurt bit it s weird and uncomfortable and I don t know what this is please help. Is it a cyst, or a pimple or a ingrown hair? It s only on the right side. [/INST] Doctor:HiWelcome to the websiteFrom your description, you could be suffering from a cyst in your skin (of the labium).Most of these are harmless, but if it is worries you consult a local doctor and get it removed. A very simple procedure is usually sufficient.Then the pathology report can help you be sure what it is.Hope that helps.You can also follow up with a well lit picture of the problem site for more information on the same. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for pain across pubic bones Patient:My questions i have pain accross the ovaries just above the pubic bone it feels like dull jabbing pain my outer pelvib bones is also hurting mr i do have a 50 mm * 40 mm which has not been identified what kind cyst it is could the cyst be causing me this pain [/INST] Doctor:hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As you mentioned you have pain across the public region, the pain can be due to the cyst which is unknown or may be due to inflammation of the muscle.I will advice to keep the area clean and also do some pelvic floor Strengthening exercises as it will help the muscles to be strong to hold the Sacroiliac joint in position to provide good stability.Also, with the exercises it can be possible that the cyst may disappear too.It is even possible that there is a weakness in the spine and needs an assessment of the muscles. Post which perfroming exercises for the same will help further to reduce the pain.in my clinical practice I have seen cases with such issues. And with physical therapy they respond wellRegardsJay Indravadan Patel </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What I should do to get pregnant ? Patient:Hi, I'm a married 24 year old female. My hubby is 29 years old and we have been trying to get pregnant for quite a while now. My problem is that I have PCOS. I cant even tell you when the last time I had a period was! (It's been quite a long time!). I also dont ovulate. My doctor had put me on birth control to help, but I ended up bleeding for almost 2 monthes straight and they have to give me pills to make me stop, so we didnt do that again. Now I'm just trying to figure out what I should do to get pregnant. I dont have health insurance anymore so I'm trying to do this one my own. Are there any items I can take that dont need a prescription that is help me to ovulate and get pregnant ? [/INST] Doctor:There are no such over the counter preparations. But there are drugs to treat PCOS. Once it is treated, your fertility chances shall improve. So I suggest you to meet your gynec and be on regular follow up for that. You shall need some ovulating and anti PCOS syndrome to do that. Discuss about metformin also. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes delayed periods after protected sex? Patient:Hi Doctor, I lost my virginity with my husband 3 weeks ago. Now, I have 2 days delay for my period. Although I used condoms, I afraid I become pregnant. I also feel pain in my breasts. Do you think having some delay is normal after loosing virginity or I may become pregnant? Thanks, Mary [/INST] Doctor:Hello dear,I understand your concern.In my opinion there might be rarely any chance for pregnancy as the condom was intact.The risk increases with slippage or breakage of condom.As nothing happened such you need not worry.Usually pregnancy signs like nausea ,vomitings,increased urination,sore breasts start 2 weeks after missed period.And the urine pregnancy test gives accurate results a week after missed period.I suggest you to go for pregnancy test if period is delayed still.And stress regarding the thought of pregnancy or any might also delay the period.So relax and check for the period.However the chances of pregnancy are less.Best regards...Dr Srilatha </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for blot clots in veins Patient:My dtr-in-law in Dallas, w/ Protein S deficiency (and 6 years after giving birth to Quadruplets) still suffers from blood clots. She now has several problematic clots in a vein on the left side of her neck a surgeon was unable to remove. (It took three surgeries to clear the right side). She also has some in her shoulder and chest. They think she had an adverse reaction to Heparin whiuch helped cause these. Can you help? What method would you recommend, one of the treatment w suction methods, laser, or what. And where, by whom? [/INST] Doctor:Hi, dear. I have gone through your question. I can understand your concern. She is thrombophilic patient. She has high chance of clotting the blood. She should take warferrin regularly. PT with INR measurements is necessary. Her INR should remain between 2 to 3. You can consult haematologist for this treatment. Consult haematologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes tiredness and light headed after surgery on liver cancer? Patient:good afternoon Dr, I have liver cancer and had the operation to remove half of my liver January. I am recover OK but still feel tired and got light headed. would you please tell me what should i do to help this light headed. Thank you Kind regards Lam [/INST] Doctor:hi and welcome. well it may persist for some time since liver surgery is an extensive surgical procedure and it affects our physiological functions. Just be patient for now </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: How to get rid of dandruff and hair fall? Patient:hello dr i'm 21 yrs old i'm having lots of hair fall n also having dandruf so wat can u suggest me i'm suffering from hair fall n dandruff n due to tis dandruff i'm havin lots of pimples so wat can do will u sugest me any thing [/INST] Doctor:Hi. Welcome To HealthcareMagic It is clear that you are loosing hair from dandruff. So se Selson shampoo 3 times a week for 1 month. Reduce stress Eat healthy Do exercise. Pimples can be reduced by reducing dandruff. Use benzyl peroxide cream daily. Use antibiotic soap for face. Id the acne is severe u need antibiotic creams and oral antibiotics Regards, Dr. Jagdish </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest medication for cold & allergy Patient:my son is 7 years 6month old. he having alergic problem. when he eats any cold item he gets sneezing. if he gets more cough then he gets wheezing. always morning when he get up he gets cold. can u suggest me good medicine. my son is studying in 2nd std. [/INST] Doctor:hello, in my opinion he has allergic rhinitis where on can show series of sneezes followed by running nose. some precautions are do not expose to chilled climate , redduce d frequency of ice cream and curds, avodence of dust. In my opinion u can try avamys( fluticasone) nasal sprey once daily for 1 month and tab.montair 5mg( montelukast) at bed time for 1 month. u need to sees an ent surgeon for any allergic polyp. all d best. </s>