audio,transcription,english_translation,speaker_id,duration,medical_terms,split
audio/Speaker_2/Speaker2-1.wav,hello diet plays a veri veri important role in all diabetic and heart patients for example if the patient dey on diabetic medications but dey consume mango juice or sweets or chocolates him blood sugar levels no go ever dey under control the same applies for hypertension and heart disease dis go get implications suggesting that the medications no dey effective but in reality the diet bo dey followed and the patient no dey compliant the worst consequence na that the number of medications will increase which in turn dey worse for the patient himself,hello diet plays a very important role in all diabetic and heart patients for example if the patient is on diabetic medications but is consuming mango juice or sweets or chocolates his blood sugar levels will never be under control the same applies for hypertension and heart disease this will have implications suggesting that the medications are not effective but in reality the diet is not being followed and the patient is non compliant the worst consequence is that the number of medications will increase which in turn is worse for the patient himself,Speaker_2,47.14,"['diet', 'medications']",train
audio/Speaker_2/Speaker2-2.wav,hello doctor one year ago i took five emergency contraceptive tablets within six months and two of dem were taken within a week i be now trying to conceive will the previous intake of emergency contraceptive tablets affect my chances of getting pregnant now wetin i suppose do to increase my chances of getting pregnant abeg help me,hello doctor one year ago i took five emergency contraceptive tablets within six months and two of them were taken within a week i am now trying to conceive will the previous intake of emergency contraceptive tablets affect my chances of getting pregnant now what should i do to increase my chances of getting pregnant please help me,Speaker_2,26.47,"['emergency', 'contraceptive', 'tablets']",train
audio/Speaker_2/Speaker2-3.wav,the exact cause of allergies fit be determined through allergy tests many things fit increase allergies including mustard coconut walnuts groundnuts almonds and soy no dey use toxic soaps shampoos or creams use olive oil for application and cooking apply calamine lotion to the skin in exposed areas and take fexofenadine for itching,the exact cause of allergies can be determined through allergy tests many things can increase allergies including mustard coconut walnuts groundnuts almonds and soy do not use toxic soaps shampoos or creams use olive oil for application and cooking apply calamine lotion to the skin in exposed areas and take fexofenadine for itching,Speaker_2,30.31,"['exposed', 'areas', 'fexofenadine']",train
audio/Speaker_2/Speaker2-4.wav,my cousin get enlarged spleen e get platelets for am and doctors in delawna give her veri veri low odds of surviving surgery however e dey get bigger and bigger she don decide to try to find a surgeon who fit remove her spleen you dey prey on people wey dey desperate to make money,my cousin has an enlarged spleen it has platelets in it and doctors in delaware give her very low odds of surviving surgery however it is getting bigger and bigger she has decided to try to find a surgeon who can remove her spleen you are preying on people who are desperate to make money,Speaker_2,22.3,"['cousin', 'enlarged', 'sp', 'platelets']",train
audio/Speaker_2/Speaker2-5.wav,hello doctor i injured my nose around nine years ago while i been dey play basketball i developed a deviated septum and sinus problems from dat time i underwent surgery for both conditions about three and a half years ago and i started feeling almost normal and cured recently two days ago i get a moderate blow to the outer bone of my nose simultaneously i be also suffering from a cold nasal blockage and a sore throat now e fit dey coincidental as well i been wan know e fit dey related to the blow to my nose,hello doctor i injured my nose around nine years ago while playing basketball i developed a deviated septum and sinus problems from that time i underwent surgery for both conditions about three and a half years ago and i started feeling almost normal and cured recently two days ago i had a moderate blow to the outer bone of my nose simultaneously i am also suffering from a cold nasal blockage and a sore throat now this may be coincidental as well i wanted to know can this be related to the blow to my nose,Speaker_2,41.23,"['nose', 'deviated', 'septum', 'sinus', 'surgery', 'half', 'moderate', 'blow', 'sore']",train
audio/Speaker_2/Speaker2-6.wav,i be sixty two years old i don do three implants previously which have failed in my lower jaw the right side of the lower jaw get bone height of only four millimeters additionally the other bone no get good height my doctor tok say dat three to four implants dey possible abi make i undergo a bone graft or suppose i consider smaller implants,i am sixty two years old i have had three implants previously which have failed in my lower jaw the right side of the lower jaw has a bone height of only four millimeters additionally the other bone does not have a good height my doctor says that three to four implants may be possible should i undergo a bone graft or should i consider smaller implants,Speaker_2,26.02,"['sixty', 'jaw', 'other', 'bone']",train
audio/Speaker_2/Speaker2-7.wav,hello doctor today na cycle day six yesterday i start to dey take clomiphene citrate for cycle days five to nine cycle day ten dey scheduled for cervical polypectomy the night before i dey instructed to take misoprostol i fit try conceive dis month right after the cervical polyp removal the polyp dey very small in the cervix,hello doctor today is cycle day six yesterday i started taking clomiphene citrate for cycle days five to nine cycle day ten is scheduled for cervical polypectomy the night before i am instructed to take misoprostol can i try to conceive this month right after the cervical polyp removal the polyp is very small in the cervix,Speaker_2,26.71,"['clomiphene', 'citrate', 'misoprostol', 'cervical', 'poly', 'polypectomy']",train
audio/Speaker_2/Speaker2-8.wav,hi i been dey wonder if possibility of pregnancy dey my boyfriend been dey rub en penna on my vagina and was fingering me he noticed dat he ejaculated as soon as he moved away from my vagina possibility dey also if he gets an erection and fluid comes out of en penna and he rubs it on my vagina any chance dey of getting pregnant,hi i was wondering if there is a possibility of pregnancy my boyfriend was rubbing his penis on my vagina and was fingering me he noticed that he ejaculated as soon as he moved away from my vagina could there be a possibility also if he gets an erection and fluid comes out of his penis and he rubs it on my vagina is there a chance of getting pregnant,Speaker_2,27.46,"['rubbing', 'ejaculated', 'erection', 'vagina']",train
audio/Speaker_2/Speaker2-9.wav,milk allergy you suppose not introduce external milk or dairy products before two years only breast milk dey recommended and the additional diet suppose dey free of milk and dairy these na early symptoms and fit show up in the future if you continue dat way and you suppose dey avoid antibiotics for the first two years of life,milk allergy you should not introduce external milk or dairy products before two years only breast milk is recommended and the additional diet should be free of milk and dairy these are early symptoms and can flare up in the future if you continue this way and you should avoid antibiotics for the first two years of life,Speaker_2,24.46,"['antibiotics', 'first']",train
audio/Speaker_2/Speaker2-10.wav,hello welcome to the clinic because of the muscular spasm such pain dey most likely and de condition fit be best treated with acetaminophen and chlorzoxazone three times a day along with local application of rubefacient i hope say dis go help,hello welcome to the clinic because of the muscular spasm such pain is most likely and this condition can be best treated with acetaminophen and chlorzoxazone three times a day along with local application of rubefacient i hope this helps,Speaker_2,23.35,"['acetaminophen', 'chlorzoxazone', 'rubefacient']",train
audio/Speaker_2/Speaker2-11.wav,diagnosing a pulmonary nodule fit be a tricky endeavor the best approach na to determine the likelihood of the nodule being fitcerous or malignant having a smoking history dey of course the strongest risk factor for fitcer the presence of atypical cells also dey concerning for the possibility of fitcer although dis by itself no dey diagnostic at dis point you fit decide between removal of the nodule versus very close monitoring of the nodule with serial computed tomography scans removal of the nodule fit involve removing an entire lobe or just a segment depending on its size monitoring with computed tomography sfits na an option but you suppose discuss am with your doctor more about the characternatics of the nodule they fit get other factors wey go lead your doctor to feel dat leaving the nodule there dey risky to summarize both serial computed tomography sfits and removal of the nodule na options which one you choose suppose dey based on the characternatics of the nodule your risk factors and the changes of the nodule on serial computed tomography scans i dey hope say dis dey provide small clarity to your situation,diagnosing a pulmonary nodule can be a tricky endeavor the best approach is to determine the likelihood of the nodule being cancerous or malignant having a smoking history is of course the strongest risk factor for cancer the presence of atypical cells is also concerning for the possibility of cancer although this by itself is not diagnostic at this point you can decide between removal of the nodule versus very close monitoring of the nodule with serial computed tomography scans removal of the nodule may involve removing an entire lobe or just a segment depending on its size monitoring with computed tomography scans is an option but you should discuss with your doctor more about the characteristics of the nodule there may be other factors that led your doctor to feel that leaving the nodule there is risky to summarize both serial computed tomography scans and removal of the nodule are options which one you choose should be based on the characteristics of the nodule your risk factors and the changes of the nodule on serial computed tomography scans i hope this provides some clarity to your situation,Speaker_2,92.71,"['nodule', 'ypical', 'cells', 'serial', 'computed', 'tomography']",train
audio/Speaker_2/Speaker2-12.wav,hello based on your description you get muscle wey injure there fit be a snapping of the muscle over the bone or a partial tear in the muscle u no get any need to worry if na me i go wait small and apply a lot of ice to the injured very frequently every two hours for fifteen minutes no stretching of the injured area for the next forty eight hours avoid loading the area for the next couple of days and support am with a compression bandage once the movements become pain free then proceed to do strengthening exercises for the gluteus muscles and gradually load the injured area like moving your leg from outside to inside i hope e dey helpful for you abeg reach out again if you need any further assistance in dat regard,hello based on your description you have injured a muscle there could be a snapping of the muscle over the bone or a partial tear in the muscle there is no need to worry if i were you i would wait for a while and apply a lot of ice to the injured area frequently every two hours for fifteen minutes no stretching of the injured area for the next forty eight hours avoid loading the area for the next couple of days and support it with a compression bandage once the movements become pain free then proceed to do strengthening exercises for the gluteus muscles and gradually load the injured area such as moving your leg from outside to inside i hope this is helpful for you please reach out again if you need any further assistance in this regard,Speaker_2,53.78,"['snapping', 'muscles', 'tear', 'while', 'leg']",train
audio/Speaker_2/Speaker2-13.wav,i dey currently undergo intervertebral differential dynamics therapy for two herniated discs for my lower back and one for the cervical naa dis na my third week and all i feel na pain over the whole of my back and ribs with no relief in the affected area they tok say after two weeks i go feel some relief and now e dey near three weeks and some days like today i feel physically ill,i am currently undergoing intervertebral differential dynamics therapy for two herniated discs in my lower back and one in the cervical area this is my third week and all i feel is pain over the whole of my back and ribs with no relief in the affected areas they said that after two weeks i would feel some relief and i am now nearing three weeks and some days like today i feel physically ill,Speaker_2,30.86,['cervical'],train
audio/Speaker_2/Speaker2-14.wav,i dey diagnosed with peptic ulcer and i dey on rabeprazole and lesuride and i dey quite comfortable now i no fit take the medicine because i dey in a place where these medicines no dey available you fit suggest any alternate medicine for the last two days i tried omeprazole but e no dey give me any relief abeg advice,i was diagnosed with a peptic ulcer and i was on rabeprazole and lesuride and i was quite comfortable now i couldn t take the medicine because i am in a place where these medicines are not available could you suggest any alternate medicine for the last two days i tried omeprazole but it is not giving any relief please advise,Speaker_2,26.5,"['rabeprazole', 'lesuride', 'omeprazole']",train
audio/Speaker_2/Speaker2-15.wav,hello doctor my name na mridula i be twenty five years old i get polycystic ovary syndrome for three years i wan get belle and it dey delay my follicles neva develop to the required size i been get advice to take ovacet and ubiphene once a day today na day eight and i dey really worried last cycle i get intrauterine insemination done but e no really work for me what na my chances dis time,hello doctor my name is mridula i am twenty five years old i have polycystic ovary syndrome for three years i want to conceive and it is getting delayed my follicles do not develop to the required size i have been advised to take ovacet and ubiphene once a day today is day eight and i am really worried last cycle i had intrauterine insemination done but it did not work for me what are my chances this time,Speaker_2,46.3,"['polycystic', 'ovary', 'syndrome', 'ubiphene', 'intrauterine', 'insemination']",train
audio/Speaker_2/Speaker2-16.wav,retrolisthesis na just a descriptive term dat indicates one bone dey misaligned on mri more posteriorly than e suppose be but e no dey tell you why e dey happen e get many reasons e fit occur but the only treatment to correct it na surgical however e dey happens to many people and most people treat the pain symptomatically as you take do am e get many options besides pregabalin if you dey concerned about the side effects you suppose discuss am further with your prescribing doctor,retrolisthesis is just a descriptive term that indicates one bone is misaligned on mri more posteriorly than it should be but it does not tell you why this is happening there are many reasons this can occur but the only treatment to correct it is surgical however this happens to many people and most people treat the pain symptomatically as you have there are many options besides pregabalin if you are concerned about the side effects you should discuss this further with your prescribing doctor,Speaker_2,36.46,"['bone', 'mri', 'pregabalin']",train
audio/Speaker_2/Speaker2-17.wav,hello you for don sprain your upper back for dat fall i dey suggest make you meet with your doctor for further investigation and management,hello you may have sprained your upper back in that fall i suggest you meet with your doctor for further investigation and management,Speaker_2,9.82,['sprained'],train
audio/Speaker_2/Speaker2-18.wav,hello there the revascularization sometimes dey take time to work depending upon the rehabilitation and medication in tandem while sometimes the muscles dey unable to revive even after a revascularization process your brother fit be put through a dobutamine thallium test to reach a conclusion hope dat helps,hello there the revascularization sometimes takes time to work depending upon the rehabilitation and medication in tandem while sometimes the muscles are unable to revive even after a revascularization process your brother can be put through a dobutamine thallium test to reach a conclusion hope that helps,Speaker_2,33.79,"['revascularization', 'sometimes', 'muscles', 'unable', 'revive', 'test']",train
audio/Speaker_2/Speaker2-19.wav,since blood loss no dey i suppose the problem dey with the absorption of iron before conducting costly tests it dey better to try parenteral iron supplementation after due precautions in a hospital setup which fit help you to some extent e get some conditions wey fall under iron refractory iron deficiency anemia,since there is no blood loss i suppose the problem is with the absorption of iron before conducting costly tests it is better to try parenteral iron supplementation after due precautions in a hospital setup which may help you to some extent there are some conditions that fall under iron refractory iron deficiency anemia,Speaker_2,29.9,[],train
audio/Speaker_2/Speaker2-20.wav,hello doctor i be twenty one year old mother of a ten month old i get been diagnosed with generalized anxiety disorder borderline personality disorder and major depression i been dey experience what sounds like my voice telling me horrible things about myself and the people around me for quite some time now however in the past year dis voice been dey tell me to do horrible and awful things to myself and other people the other night e do me like something completely took over my mind and body and i did something terrible wey fit have affect my whole life abi dem diagnose me wrongly,hello doctor i am a twenty one year old mother of a ten month old i have been diagnosed with generalized anxiety disorder borderline personality disorder and major depression i have been experiencing what sounds like my voice telling me horrible things about myself and the people around me for quite some time now however in the past year this voice has been telling me to do horrible and awful things to myself and others the other night it felt like something completely took over my mind and body and i did something terrible that could have affected my whole life have i been wrongly diagnosed,Speaker_2,45.07,"['borderline', 'personality']",train
audio/Speaker_2/Speaker2-21.wav,dey been tell me say i get kidney stones the thing shock me cos say i no i get no symptoms before i been go do ultrasound because my ribs been dey pain me bad bad and i dey loose weight they been dey strain my urine and all wetin i dey see na little black things wey look like splinters wetin dey happen,i was told i have kidney stones this was a shock to me due to the fact i have no symptoms i went to get an ultrasound because my ribs were hurting badly and i had a lot of weight loss they are having me strain my urine and all i see are little black things that look like splinters what is going on,Speaker_2,25.27,"['ribs', 'hurting', 'little', 'things']",train
audio/Speaker_2/Speaker2-22.wav,very good question first of all i wan know hin feeding schedule and wetin u dey give am if your baby dey formula fed then constipation na often a problem associated with formula feeding however if babies dey on their mother s milk then they fit get bowel movements frequently or they fit pass stool everi two three days but the stools dey soft if you feel novalac dey helpful adjusting the proper dosage suppose resolve the problem,very good question first of all i want to know his feeding schedule and what you are giving him if your baby is formula fed then constipation is often a problem associated with formula feeding however if babies are on their mother s milk then they may have bowel movements frequently or they may pass stool every two three days but the stools are soft if you feel novalac is helpful adjusting the proper dosage should resolve the problem,Speaker_2,35.02,"['constipation', 'novalac']",train
audio/Speaker_2/Speaker2-23.wav,at dis point you suppose do x ray most often the cause na still musculoskeletal so a trial of physical therapy suppose dey in order injections fit also help local muscle trigger point injections fit be done in the office or dem fit refer for spinal epidural steroid injections performed with x ray guidance,at this point you should have an x ray done most often the cause is still musculoskeletal so a trial of physical therapy would be in order injections could also help local muscle trigger point injections can be done in the office or you could be referred for spinal epidural steroid injections performed with x ray guidance,Speaker_2,26.66,"['injections', 'referred', 'spinal', 'steroid']",train
audio/Speaker_2/Speaker2-24.wav,hello my papa been get massive heart attack yesterday he enter cardiac arrest once we reach de hospital and suffered another one he now dey for intensive care and dey sedated for now he dey breathe by himself but the doctorstok say they go need to help hin heart people dey surive dis,hello my dad had a massive heart attack yesterday he went into cardiac arrest upon arrival at the hospital and suffered another one he is now in intensive care and is being kept sedated for now he was breathing by himself but the doctors said they needed to help his heart do people survive this,Speaker_2,23.86,"['heart', 'attack', 'cardiac', 'arrest']",train
audio/Speaker_2/Speaker2-25.wav,good day doctor i been dey experience fever condition i treated malaria on november 24th but i still feel feverish at night and in for morning i get run another test and there no get malaria and i no dey pregnant the symptom dey make me very uncomfortable abeg help loveth,good day doctor i have been experiencing this feverish condition i treated malaria on november 24th but i still feel feverish at night and in the morning i have run another test and there is no malaria and i am not pregnant this symptom makes me very uncomfortable please help loveth,Speaker_2,24.02,"['feverish', 'malaria', 'night']",train
audio/Speaker_2/Speaker2-26.wav,skin lightening na practically a myth no fall for am you fit not ultimately make the skin lighter e get a genetic component wey you no fit change no soaps lotions or creams dey likely to work at most you fit use sunscreen lotions when you dey take the baby outside just dey maintain healthy lifestyle and a proper diet and things go dey alright,skin lightening is practically a myth so do not fall for it you cannot ultimately make the skin lighter it has a genetic component that you cannot change no soaps lotions or creams are likely to be effective at most you can use sunscreen lotions when you take the baby outside just maintain a healthy lifestyle and a proper diet and things will be at their best,Speaker_2,27.31,['sunscreen'],train
audio/Speaker_2/Speaker2-27.wav,hi welcome to hcm i fit understand your concerns these na symptoms of a stomach infection abeg make the doctor examine ur pikin,hi welcome to hcm i can understand your concerns these are symptoms of a stomach infection please have the child examined by a doctor,Speaker_2,12.34,['stomach'],train
audio/Speaker_2/Speaker2-28.wav,hi i dey happy to see dat you don frame your question almost very well except you neva tell me your sex dat would have ruled out one cause but as of now i fit frame only two diagnoses acute pancreatitna or scoliosna get your full blood count done lipase and amylase levels urine test for the presence of sugar in it and a computed tomography scan as a last resort we fit consider magnetic resonance cholangiopancreatography for scoliosis go for an x ray postero anterior view and a lateral one cobb s angle measurement suppose do the job hope dat helps i go dey happy to help you again,hi i am happy to see that you have framed your question nearly perfectly except you haven t told me your sex that would have ruled out one cause but as of now i can frame only two diagnoses acute pancreatitis or scoliosis get your full blood count done lipase and amylase levels urine test for the presence of sugar in it and a computed tomography scan as a last resort we can consider magnetic resonance cholangiopancreatography for scoliosis go for an x ray postero anterior view and a lateral one cobb s angle measurement should do the job hope that helps i am happy to help you again,Speaker_2,67.42,"['acute', 'pancreatitis', 'full', 'blood', 'count', 'lipase', 'amylase', 'test', 'computed', 'tomography', 'magnetic', 'resonance', 'cobb', 'angle', 'measurement']",train
audio/Speaker_2/Speaker2-29.wav,hi i don go through your case regestrone no dey help with conception but e dey helps to maintain pregnancy once you conceive just wait for your normal menstrual period and if e no occur abeg do a hormonal profile and a baseline ultrasound of the pelvis,hi i have gone through your case regestrone does not help with conception but it helps in maintaining pregnancy once you conceive just wait for your normal menstrual period and if it does not occur kindly do a hormonal profile and a baseline ultrasound of the pelvis,Speaker_2,20.62,"['regestrone', 'hormonal', 'ultrasound', 'period']",train
audio/Speaker_2/Speaker2-30.wav,abeg mention the computed tomography brain report the reason for the stroke also needs to be evaluated in detail to prevent further strokes poor viion fit be due to the stroke which fit involve the brain area responsible for vision therefore further investigation and management dey needed,please mention the computed tomography brain report the reason for the stroke also needs to be evaluated in detail to prevent further strokes poor vision might be due to the stroke which could have involved the brain area responsible for vision therefore further investigation and management are needed,Speaker_2,24.7,[],train
audio/Speaker_2/Speaker2-31.wav,hi i wan know if e get any permanent cure for lumbar spondylosis if a patient no dey willing to undergo surgery she fit spend her lifetime without any pain by taking medications and ample rest her motion go dey restricted in the growing years the patient in reference dey suffer from l5 s1 grade two lumbar spondylosis since december two thousand and nine till date and na a sixty year old female from india abeg clarify,hi i want to know if there is a permanent cure for lumbar spondylosis if a patient is not willing to undergo surgery can she spend her lifetime without any pain by taking medications and ample rest will her motion be restricted in the growing years the patient in reference is suffering from l5 s1 grade two lumbar spondylosis since december two thousand and nine till date and is a sixty year old female from india please clarify,Speaker_2,35.26,"['lumbar', 'medications', 'motion', 'is', 'sixty', 'female']",train
audio/Speaker_2/Speaker2-32.wav,hi dis fit be due to infection wey dey cause swelling or a para umbilical hernia go do ultrasound of the abdominal wall to see wetin e be if na hernia you suppose get it operated on,hi this can be due to an infection causing swelling or a para umbilical hernia get an ultrasound of the abdominal wall to see what it is if it is a hernia you should get it operated on,Speaker_2,16.87,"['infection', 'swelling', 'ultrasound', 'abdominal']",train
audio/Speaker_2/Speaker2-33.wav,good morning if u dey get constant pain as u dey go down stairs and no pain as u dey climb stairs it fit be due to spondylolisthesis considering the age and history of injury with constant pain you need to be investigated ultimately your treatment na bed rest with your back exercises thank you,good morning if there is pain during descending stairs and no pain during climbing stairs it could be due to spondylolisthesis considering the age and history of injury with constant pain you need to be investigated ultimately your treatment is bed rest with your back exercises thank you,Speaker_2,25.63,[],train
audio/Speaker_2/Speaker2-34.wav,twenty years ago i been think say i get a serious disease and the stress from dat made my nerves go bad i get nausea dizziness a spinning sensation and a severe stutter dey prescribe amitriptyline by my doctor and i slowly started todey go back to normal however if i miss one day of amitriptyline i go become as sick as i been dey twenty years ago after doing plenti plenti research i believe say i get nerve damage in my vestibular system u fit give me your opinion on wetin i get and wetin i suppose do,twenty years ago i thought that i had a serious disease and the stress from this made my nerves go bad i have nausea dizziness a spinning sensation and a severe stutter i was prescribed amitriptyline by my doctor and i slowly started to get back to normal however if i miss one day of amitriptyline i become as sick as i did twenty years ago after doing a lot of research i believe that i have nerve damage in my vestibular system could you give me your opinion on what i have and what i should do,Speaker_2,37.58,"['disease', 'severe', 'amitriptyline', 'sick', 'damage']",train
audio/Speaker_2/Speaker2-35.wav,hello my son dey eighteen years old yesterday he was scratched by my pet dog while playing the scratch dey on his arm and blood comot small the dog has been vaccinated yearly but dat time the due date was one and a half months ago so i missed its vaccination my dog dey okay does my son need a rabies vaccination or a tetanus injection,hello my son is eighteen years old yesterday he was scratched by my pet dog while playing the scratch was on his arm and it oozed a little the dog has been vaccinated yearly but this time the due date was one and a half months ago so i missed its vaccination my dog is okay does my son need a rabies vaccination or a tetanus injection,Speaker_2,32.66,"['eighteen', 'scratched', 'arm']",train
audio/Speaker_2/Speaker2-36.wav,i been do foot surgery approximately seven weeks ago to remove a bone spur and cystwey dey on the top my foot e go well until two weeks ago five weeks post surgery when it became infected i dey on my second round of antibiotics e dey heal but i still get fluid and swelling around the incision u think say dat time frame for healing an infection dey normal at what point you go consider to dey get second opinion,i had foot surgery approximately seven weeks ago to remove a bone spur and cyst on the top of my foot it went well until two weeks ago five weeks post surgery when it became infected i am on my second round of antibiotics it is healing but i still have fluid and swelling around the incision do you think this time frame for healing an infection is normal at what point would you consider getting a second opinion,Speaker_2,35.26,"['foot', 'surgery', 'bone', 'cyst', 'post', 'fluid', 'swelling']",train
audio/Speaker_2/Speaker2-37.wav,a lot of things dey cause my heart to hurt almost like e dey enlarge and all of a sudden e no get enough room for my chest for example when i go for a run clean around the house or even when i baff e just starts dat huge thumping dat increases in speed and then it dey hard to breathe i understand running and why dat fit happen but why also with everiday activities i get iron deficient anemia and tend to dat as needed but e fit get anything to do with am,a lot of things cause my heart to hurt almost like it is enlarging and all of a sudden it doesn t have enough room in my chest for example when i go for a run clean around the house or even when i take a bath it just starts this huge thumping that increases in speed and then it is hard to breathe i understand running and why that can happen but why also with everyday activities i have iron deficient anemia and tend to that as needed but could that have anything to do with it,Speaker_2,41.71,"['heart', 'iron', 'deficient', 'anemia']",train
audio/Speaker_2/Speaker2-38.wav,my three year old son had soft stools in the morning sticky then in the afternoon he suddenly got a fever of thirty nine degrees celsius he was eating drinking milk and playing i give am sponge bath and administered paracetamol the fever subsided but returned again after four hours exceeding thirty nine degrees celsius he now dey a little bit inactive and taking less fluid he weighs seventeen kilograms,my three year old son had soft stools in the morning sticky then in the afternoon he suddenly got a fever of thirty nine degrees celsius he was eating drinking milk and playing i gave him a sponge bath and administered paracetamol the fever subsided but returned again after four hours exceeding thirty nine degrees celsius he is now a little bit inactive and taking less fluid he weighs seventeen kilograms,Speaker_2,30.98,"['stools', 'fever', 'degrees', 'sponge', 'bath', 'paracetamol', 'after', 'inactive']",train
audio/Speaker_2/Speaker2-39.wav,i apply hair dye for my hair and it immediately began to burn so i wash am comot however i dey still experiencing episodes of shortness of breath and dizziness i get used hair dye before so i no dey sure if dat na part of the reaction or if i just dey get panic attacks,i applied hair dye to my hair and it immediately began to burn so i washed it out however i am still experiencing episodes of shortness of breath and dizziness i have used hair dye before so i am unsure if this is part of the reaction or if i am just having panic attacks,Speaker_2,20.06,"['shortness', 'breath', 'immediately']",train
audio/Speaker_2/Speaker2-40.wav,hello u get any idea how long a person has to live once dey tell am say e get liver failure my sister get triple negative breast fitcer which has spread to the liver the hospital has confirmed her liver dey fail but i dey wonder if na days or weeks,hello do you have any idea how long a person has to live once they have been told they are in liver failure my sister has triple negative breast cancer which has spread to the liver the hospital has confirmed her liver is failing but i wonder if it is days or weeks,Speaker_2,19.63,"['liver', 'sister', 'breast']",train
audio/Speaker_2/Speaker2-41.wav,my right bottom wisdom tooth dey trying to erupt through the skin but e dey unable to do so on its own i will be getting it surgically removed in a few months in the meantime i need to relieve the pain the tooth gets infected everi once in a while and now my right tonsil dey swollen and in a lot of pain wetin i fit do if i no comot de wisdom tooth in time e fit do any damage to its surroundings,my right bottom wisdom tooth is trying to erupt through the skin but is unable to do so on its own i will be getting it surgically removed in a few months in the meantime i need to relieve the pain the tooth gets infected every once in a while and now my right tonsil is swollen and in a lot of pain what can i do if i don t take the wisdom tooth out in enough time can it do any damage to its surroundings,Speaker_2,33.38,"['surgically', 'removed', 'infected', 'while', 'tonsil', 'swollen']",train
audio/Speaker_2/Speaker2-42.wav,i dey fifty five years old and i been dey experience lower back pain in the middle of my back and lower abdominal pain daily the abdominal pain dey severe early in the morning just before i get a bowel movement the back pain dey range from mild to severe during the night and when i dey on my feet for long periods of time,i am fifty five years old and have been experiencing lower back pain in the middle of my back and lower abdominal pain daily the abdominal pain is severe early in the morning just before i have a bowel movement the back pain ranges from mild to severe during the night and when i am on my feet for long periods of time,Speaker_2,24.82,"['abdominal', 'severe', 'early', 'morning', 'mild', 'feet']",train
audio/Speaker_2/Speaker2-43.wav,oga my son dey almost two years old and e dey get frequent fevers for almost two months the fever comes everi five to seven days we been dey go see doctors and dem dey tell us say dat na just an infection and prescribed him antibiotic syrup however we noticed the fever again yesterday reaching one hundred and two degrees abeg help us,sir my son is almost two years old and has been getting frequent fevers for almost two months the fever comes every five to seven days we have been going to doctors and they are telling us that it is just an infection and prescribed him antibiotic syrup however we noticed the fever again yesterday reaching one hundred and two degrees please help us,Speaker_2,26.74,"['frequent', 'fever', 'fevers', 'infection', 'antibiotic', 'degrees']",train
audio/Speaker_2/Speaker2-44.wav,hi i be twenty eight and dey suffer from high blood pressure all my blood reports dey normal and if i take medicine for blood pressure i no dey feel well however if i take alprox a medicine for sleep i feel relaxed i think e dey purely related to over masturbating na like that everi time my blood pressure na one hundred and fifty one hundred and sixty and i feel dizzy and also have tightness in my right leg,hi i am twenty eight and suffering from high blood pressure all my blood reports are normal and if i take medicine for blood pressure i do not feel well however if i take alprox a medicine for sleep i feel relaxed i think it is purely related to over masturbating is it like that every time my blood pressure is one hundred and fifty one hundred and sixty and i feel dizzy and also have tightness in my right leg,Speaker_2,29.59,"['high', 'blood', 'medicine', 'all', 'pressure', 'dizzy', 'tightness']",train
audio/Speaker_2/Speaker2-45.wav,i been dey get a lot of foot pain in my left foot it occurs only after i sit for a while and then stand the toe next to the big toe on my left foot dey veri stiff and no dey as flexible as the others on my foot i get been diagnosed with diabetes and want to know if dat possibly be the cause of the pain in my foot,i am having a lot of foot pain in my left foot it occurs only after i sit for a while and then stand the toe next to the big toe on my left foot is very stiff and is not as flexible as the others on my foot i have been diagnosed with diabetes and want to know if this is possibly the cause of the pain in my foot,Speaker_2,23.14,"['foot', 'sit', 'toe', 'stiff', 'flexible', 'diabetes']",train
audio/Speaker_2/Speaker2-46.wav,i get a bump on the right side of my clitoral hood it has been there for a few weeks e no dey pain when i touch am i neva had sexual intercourse before make i dey worried also i dey constantly in the pool because of my job e go get dat something to do with it,i have a bump on the right side of my clitoral hood it has been there for a few weeks it does hurt when i touch it i have never had sexual intercourse before should i be worried also i am constantly in the pool because of my job could that have something to do with it,Speaker_2,19.63,[],train
audio/Speaker_2/Speaker2-47.wav,hello siri i dey twenty eight years old and recently got married now i dey plan to undergo circumcision as the skin dey get stuck while we dey having sexual intercourse abeg let me know if i do not undergo the circumcision what dey the chances of my wife becoming pregnant without the circumcnision,hello siri i am twenty eight years old and recently got married now i am planning to undergo circumcision as the skin is getting stuck while we are having sexual intercourse please let me know if i do not undergo the circumcision what are the chances of my wife becoming pregnant without the circumcision,Speaker_2,23.3,"['recently', 'got', 'married', 'stuck', 'wife']",train
audio/Speaker_2/Speaker2-48.wav,hello sometimes it fit take a few more weeks for the lump and numbness to resolve it dey always the body dat heals we the doctors and medications just help to expedite the recoveri process,hello sometimes it can take a few more weeks for the lump and numbness to resolve it is always the body that heals we the doctors and medications just help to expedite the recovery process,Speaker_2,18.62,"['sometimes', 'lump', 'numbness']",train
audio/Speaker_2/Speaker2-49.wav,hi i be a twenty five year old female for the past three months i been dey experience an outbreak of cystic acne dat starts ten days prior to my periods four to five days after my periods i get clear skin except for marks left by the previous acne abeg help before dat i dey get maybe one or two normal pimples but it has just gotten worse now the dermatologist don prescribe for me minlox fifty twice a day for ten days but the pharmacist give me flexon instead which dey improve my skin i fit take dat everi time before my periods,hi i am a twenty five year old female for the past three months i have been experiencing an outbreak of cystic acne that starts ten days prior to my periods four to five days after my periods i have clear skin except for marks left by the previous acne please help before this i would get maybe one or two normal pimples but it has just gotten worse now the dermatologist had prescribed me minlox fifty twice a day for ten days but the pharmacist gave me flexon instead which did improve my skin can i take this every time before my periods,Speaker_2,42.74,"['cystic', 'acne', 'normal', 'minlox', 'twice', 'flexon']",train
audio/Speaker_2/Speaker2-50.wav,hello based on the veri history e resemble angioedema which be a form of allergic reaction dis type of allergic reaction dey cause concern most of the time dis type of reaction dey related to food allergies e dey strongly adviced to avoid any allergens wey dey suspected to cause the allergy due to the swelling of the tongue e fit fall back and obstruct the airway keep her under constant observation she suppose sleep on her side to avoid the tongue falling back and obstructing the airway,hello based on the very history it looks like angioedema which is a form of allergic reaction this type of allergic reaction is a cause for concern most of the time this type of reaction is related to food allergies it is strongly advised to avoid any allergens that are suspected to cause the allergy due to the swelling of the tongue it may fall back and obstruct the airway keep her under constant observation she should sleep on her side to avoid the tongue falling back and obstructing the airway,Speaker_2,37.06,['sleep'],train
audio/Speaker_2/Speaker2-51.wav,i be a type one diabetic and i get severe chronic bladder infections with inflammation of my left kidney my kidney was so inflamed at one point dat i no fit button my pants i dey hospitalized recently and dey tell me the day i dey discharged dat i dey near kidney failure when i arrived now when i start hurting in my lower back i no fit even massage or touch the area because e de pain to de touch am abi make i dey more concernedabout dis or e get anything i fit do to help myself i no fit afford to see a doctor right now,i am a type one diabetic and i have had severe chronic bladder infections with inflammation of my left kidney my kidney was so inflamed at one point that i could not button my pants i was hospitalized recently and was told the day i was discharged that i was near kidney failure when i arrived now when i start hurting in my lower back i can t even massage or touch the area because it hurts to touch it should i be more concerned about this or is there anything i can do to help myself i can t afford to see a doctor right now,Speaker_2,40.46,"['type', 'diabetic', 'severe', 'chronic', 'bladder', 'infections', 'inflammation', 'kidney', 'inflamed', 'discharged', 'failure']",train
audio/Speaker_2/Speaker2-52.wav,yes it suppose pay am attention immediately it dey possible asmall benign cyst dat has recently become infected it fit be a small abscess or even a small tumor like condition kindly go examine am by a gynecologist before taking any medication all the best,yes it should be paid attention to immediately it is possibly a small benign cyst that has recently become infected it could be a small abscess or even a small tumor like condition kindly get examined by a gynecologist before taking any medication all the best,Speaker_2,23.02,"['benign', 'cyst', 'tumor']",train
audio/Speaker_2/Speaker2-53.wav,i be a twenty three year old male i recently discovered dat both of my nipples dey veri sore to the touch and felt like there was a hard lump behind them i didn t think much about it until i squeezed them and a clear like fluid came out naturally i became nervous and researched possible causes one of the major causes i found was gynecomastia i get not noticed any enlargement of the area around the nipple the nipple just dey semi swollen and still veri tender to the touch another cause i found was male breast fitcer but the symptoms no match what i get going on e fit be gynecomastia does it progress and get worse could it be something else,i am a twenty three year old male i recently discovered that both of my nipples were very sore to the touch and felt like there was a hard lump behind them i didn t think much about it until i squeezed them and a clear like fluid came out naturally i became nervous and researched possible causes one of the major causes i found was gynecomastia i have not noticed any enlargement of the area around the nipple the nipple is just semi swollen and still very tender to the touch another cause i found was male breast cancer but the symptoms do not match what i have going on if it is gynecomastia does it progress and get worse could it be something else,Speaker_2,60.46,"['sore', 'lump', 'nervous', 'gynecomastia', 'enlargement', 'nipples', 'breast']",train
audio/Speaker_2/Speaker2-54.wav,hello the movable lump generally no be a concern and if it dey due to a sting e go dey alright wit time still consider the possibility of a lipoma as the lump dey movable incidentally e fit dey related,hello the movable lump is generally not a concern and if it is due to a sting it will resolve with time still consider the possibility of a lipoma as this is movable incidentally the bite might have been related,Speaker_2,18.14,['bite'],train
audio/Speaker_2/Speaker2-55.wav,hi my sista dey pregnant for seven weeks she been carry belle with twins but she took cytotec and she bled for only one when she did a pregnancy test she still dey pregnant with the other baby inside her and now she wan keep the other one e go get any side effects on the baby,hi my sister is pregnant for seven weeks she was pregnant with twins but she took cytotec and she bled for only one when she did a pregnancy test she was still pregnant with the other baby inside her and now she wants to keep the other are there any side effects on the baby,Speaker_2,22.66,['sister'],train
audio/Speaker_2/Speaker2-56.wav,allergies fit cause vertigo allergies dey treated by avoiding allergens and using antihistamines like montelukast and levocetirizine in combination at times a short course of oral steroids fit dey necessary,allergies may cause vertigo allergies are treated by avoiding allergens and using antihistamines like montelukast and levocetirizine in combination at times a short course of oral steroids may be necessary,Speaker_2,19.78,"['allergens', 'antihistamines', 'montelukast', 'levocetirizine', 'short', 'course', 'steroids']",train
audio/Speaker_2/Speaker2-57.wav,sir my age na thirty years and i been dey masturbate since i be thirteen years old i actually did it ten times per day i felt veri tired while doing it but i continued now my bones deyveri weak my memory deyweak and i fit not get sleep at night my family deyasking me for marriage but i feel unable to have sexual intercourse please sir give me correct advice,sir my age is thirty years and i have been masturbating since i was thirteen years old i actually did it ten times per day i felt very tired while doing it but i continued now my bones are very weak my memory is weak and i could not get sleep at night my family is asking me for marriage but i feel unable to have sexual intercourse please sir give me correct advice,Speaker_2,32.54,"['per', 'tired']",train
audio/Speaker_2/Speaker2-58.wav,pikin girl eleven years old get swollen knees sent home while waiting on lyme disease test and i think say juvenile rheumatoid arthritis tests they tok say they think say na juvenile rheumatoid arthritis na three or four days now knees dey darker purple all of her legs dey webbed like you fit see all of the blood wey dey her veins and capillaries,child girl eleven years old has swollen knees sent home while waiting on lyme disease test and i think juvenile rheumatoid arthritis tests they said they think it is juvenile rheumatoid arthritis it s been three or four days now knees are darker purple all of her legs are webbed like you can see all of the blood in her veins and capillaries,Speaker_2,35.86,"['eleven', 'swollen', 'sent', 'home', 'knees', 'legs', 'webbed']",train
audio/Speaker_2/Speaker2-59.wav,hello there i understand your concern you neva mention your age a wide pulse pressure indicates dat you dey probably close to sixty years old and possibly a long term hypertensive you dey perhaps given diuretics to bring your blood pressure and swelling down you need a brain scan make dem check whether you for don embolize perhaps from one of your heart valves you may need anticoagulants then abeg go get have a detailed check up planned for yourself,hello there i understand your concern you have not mentioned your age a wide pulse pressure indicates that you are probably close to sixty years old and possibly a long term hypertensive you were perhaps given diuretics to bring your blood pressure and swelling down you need a brain scan to ascertain whether you might have embolized perhaps from one of your heart valves you may need anticoagulants then please have a detailed check up planned for yourself,Speaker_2,33.38,"['wide', 'pulse', 'pressure', 'diuretics', 'brain', 'scan', 'anticoagulants']",train
audio/Speaker_2/Speaker2-60.wav,yes i dey currently experience premature ejaculation and i been dey wonder if it fit be a sign of low testosterone currently i be a fifty two year old male i be in good health six feet tall and weigh two hundred and five pounds lately i dey always seem tired with no energy and sometimes feel low for no reason,yes i currently experience premature ejaculation and was wondering if it could be a sign of low testosterone i am currently a fifty two year old male i am in good health six feet tall and weigh two hundred and five pounds lately i always seem to be tired with no energy and sometimes feel low for no reason,Speaker_2,21.43,"['premature', 'ejaculation', 'tired', 'feel', 'low']",train
audio/Speaker_2/Speaker2-61.wav,hi i be eleven and just curious about something everi once in a while but veri rarely i get this weird feeling in my chest like i need to cough bad bad but i don t i dey try to force a yawn or something just to get it out but it usually ends up making me gag you fit tell me anything about dat,hi i am eleven and just curious about something every once in a while but very rarely i get this weird feeling in my chest like i need to cough really badly but i don t i try to force a yawn or something just to get it out but it usually ends up making me gag could you tell me anything about that,Speaker_2,22.7,"['while', 'cough', 'yawn']",train
audio/Speaker_2/Speaker2-62.wav,hello i get tested positive for the purified protein derivative test and the pulmonologist advised me to take combined rifampicin and isoniazid for four months after taking it for fourteen days i been experience dizziness and on the fifteenth day i started to have an allergic reaction all over my body he prescribed allergy medications but i still get some allergy symptoms even while taking these medications my question na do i still need to continue these medications,hello i have tested positive for the purified protein derivative test and the pulmonologist advised me to take combined rifampicin and isoniazid for four months after taking it for fourteen days i experienced dizziness and on the fifteenth day i started to have an allergic reaction all over my body he prescribed allergy medications but i still have some allergy symptoms even while taking these medications my question is do i still need to continue these medications,Speaker_2,34.82,"['positive', 'protein', 'rifampicin', 'isoniazid', 'fourteen', 'dizziness', 'fifteenth', 'allergic', 'reaction', 'allergy', 'symptoms']",train
audio/Speaker_2/Speaker2-63.wav,i be a female aged twenty five i dey diagnosed with a hole in my heart from birth which dey successfully surgically corrected at age seven i get normal health since then and i don engage in everi type of physical endurance sports and activities such as dance etc i dey get married now and i go like know if e get surgery wey go get any bearing on my married life or safe pregnancy etc,i am a female aged twenty five i was diagnosed with a hole in my heart at birth which was successfully surgically corrected at age seven i have had normal health since then and have engaged in all sorts of physical endurance sports and activities such as dance etc i am getting married now and would like to know if this surgery would have any bearing on my married life or safe pregnancy etc,Speaker_2,31.78,['female'],train
audio/Speaker_2/Speaker2-64.wav,hi my father in law dey eighty seven years old and we dey informed he deyin the end stage of congestive heart failure two days ago he go into rehabilitation after a two week hospital stay they called yesterday and sent him back to the hospital with a bloody tarry stool he deyweak they give am two blood transfusions and he looked a bit yellow yesterday wetin u t think the prognosis be at dis point,hi my father in law is eighty seven years old and we were informed he is in the end stage of congestive heart failure two days ago he went into rehabilitation after a two week hospital stay they called yesterday and sent him back to the hospital with a bloody tarry stool he is weak they gave him two blood transfusions and he looked a bit yellow yesterday what do you think the prognosis is at this point,Speaker_2,32.71,"['hospital', 'yellow']",train
audio/Speaker_2/Speaker2-65.wav,hi there my husband just stepped out onto our patio and he stepped on something he deynot sure what it was and all of a sudden he feels a stinging and tingling sensation from hdeytoes to hdeyfoot i must add dat he deyalso under a lot of stress and at the same time he deymaking work phone calls is it related or did he get bitten,hi there my husband just stepped out onto our patio and he stepped on something he is not sure what it was and all of a sudden he feels a stinging and tingling sensation from his toes to his foot i must add that he is also under a lot of stress and at the same time he is making work phone calls is it related or did he get bitten,Speaker_2,27.46,['stinging'],train
audio/Speaker_2/Speaker2-66.wav,hello doctor i been dey experiencing an itching problem since last month my family doctor prescribed me itchmosol after using it the problem was cured but after a few days it recurred repeatedly the shape dey somewhat cloudy and it affects my lap exactly near the penna how fit i cure it,hello doctor i have been experiencing an itching problem since last month my family doctor prescribed me itchmosol after using it the problem was cured but after a few days it recurred repeatedly the shape is somewhat cloudy and it affects my lap area exactly near the penis how can i cure it,Speaker_2,22.58,"['itching', 'problem', 'recurred', 'lap', 'area']",train
audio/Speaker_2/Speaker2-67.wav,hello lower abdominal pain with swelling and a history of ovarian cysts you need a reevaluation of your ovarian cysts pain dey mostly associated with ovarian cysts,hello lower abdominal pain with swelling and a history of ovarian cysts you need a reevaluation of your ovarian cysts pain is mostly associated with ovarian cysts,Speaker_2,13.66,"['abdominal', 'swelling']",train
audio/Speaker_2/Speaker2-68.wav,hi there everi operation carries a one percent risk of infection the surgeon go do his best to prevent postoperative infection but still a small group of patients go get infected e dey unfortunate but true you just need to get back to the surgeon for treatment,hi there every operation carries a one percent risk of infection the surgeon will do his best to prevent postoperative infection but still a small group of patients will get infected this is unfortunate but true you just need to get back to the surgeon for treatment,Speaker_2,20.83,[],train
audio/Speaker_2/Speaker2-69.wav,thank you for asking when there dey any kind of pain dat one dey experience and bearing it hard the heartbeat increases later on headache starts and one fit dey feel dizzy all these na de symptoms dat dey just consequences of tolerating the pain and will go away soon any symptomatic medication gives good results rest also dey equally important u no need worry have a nice day,thank you for asking when there is any kind of pain that one is experiencing and bearing it hard the heartbeat increases later on headache starts and one may feel dizzy these are all symptoms that are just consequences of tolerating the pain and will go away soon any symptomatic medication gives good results rest is also equally important there is no need to worry have a nice day,Speaker_2,30.02,"['headache', 'dizzy']",train
audio/Speaker_2/Speaker2-70.wav,hello well there deymany causes for headaches at such an age such as anemia refractive errors migraine and psychological factors i believe dat what deycommon deycommon however you need to check what tests they have done for her in the hospital the results and their diagnosna as she needed to be admitted and thdeydeysomething serious,hello well there are many causes for headaches at such an age such as anemia refractive errors migraine and psychological factors i believe that what is common is common however you need to check what tests they have done for her in the hospital the results and their diagnosis as she needed to be admitted and this is something serious,Speaker_2,28.27,['headaches'],train
audio/Speaker_2/Speaker2-71.wav,my brother dey experience serious itching for en private parts and scratches en body all the time which dey prevent am from sleeping well additionally he dey go toilet to urinate almost ten times from nine zero pm to five zero am when he attempts to urinate only a veri small amount comes out after several minutes of waiting,my brother is experiencing serious itching in his private parts and scratches his body all the time which prevents him from sleeping well additionally he has to go to the toilet to urinate almost ten times from nine zero pm to five zero am when he attempts to urinate only a very small amount comes out after several minutes of waiting,Speaker_2,23.86,"['serious', 'itching', 'private', 'parts']",train
audio/Speaker_2/Speaker2-72.wav,hi doctor i be sixteen years old i just recently discovered dat i get scoliosna i do not know much about it but i will tell you what i know my scoliosdeycurrently get only a three degree curve and i dey pretty confident it is c shaped curve although i no dey sure wetin u dey think the chances dat my scoliosis go develop into adulthood u think say e go stop progressing once i don grow finish,hi doctor i am sixteen years old i just recently discovered that i have scoliosis i do not know much about it but i will tell you what i know my scoliosis currently has only a three degree curve and i am pretty confident it is a c shaped curve although i am not sure what do you think are the chances that my scoliosis will develop into adulthood do you think it will stop progressing once i am fully grown,Speaker_2,35.3,['scoliosis'],train
audio/Speaker_2/Speaker2-73.wav,hi how long u don get dis lump if it dey of short duration it fit be a cyst as you have rightly noticed if it deyof long duration consider a lipoma,hi how long have you had this lump if it is of short duration it can be a cyst as you have rightly noticed if it is of long duration consider a lipoma,Speaker_2,13.22,['lump'],train
audio/Speaker_2/Speaker2-74.wav,hi u fit rinse ur mouth after everi meal with warm water including a pinch of salt and alum e go dey veri useful u fit increase the number of rinses whenever u have time try opening ur mouth slowly dis suppose dey included in ur regular mouth exercises brush ur teeth slowly everi day and night before going to bed dis fit prove very helpful for u try am for three to four days do not put ur finger or try to press the bump according to u u no fit see any cavity or black spot in any of ur teeth so efit dey very helpful,hi you can rinse your mouth after every meal with warm water including a pinch of salt and alum this will be quite useful you can increase the number of rinses whenever you have time try opening your mouth slowly this should be included in your regular mouth exercises brush your teeth slowly every day and night before going to bed this can prove quite helpful for you try it for three to four days do not put your finger or try to press the bump according to you you cannot see any cavity or black spot in any of your teeth so it may be quite helpful,Speaker_2,36.1,['cavity'],train
audio/Speaker_2/Speaker2-75.wav,thank u for reaching out i fit understand ur problem ur main worry na ur old doctor who was veri helpful to u but no worry the new doctor go also treat u in the same way u just need to explain everehing to ur new doctor in detail just relax everything go dey alright,thank you for reaching out i can understand your problem your main worry is your old doctor who was very helpful to you but do not worry the new doctor will also treat you in the same way you just need to explain everything to your new doctor in detail just relax everything will be okay,Speaker_2,16.58,[],train
audio/Speaker_2/Speaker2-77.wav,hi my eleven month old get a veri veri stuffy nose and cold sweats his skin color dey normal he has been having veri hard dark stools for the past couple of weeks and also has no teeth yet but they deyvnaible underneath the gums my biggest worry deythe cold sweats and rock hard stools,hi my eleven month old has a very very stuffy nose and cold sweats his skin color is normal he has been having very hard dark stools for the past couple of weeks and also has no teeth yet but they are visible underneath the gums my biggest worry is the cold sweats and rock hard stools,Speaker_2,25.94,"['eleven', 'cold', 'past', 'couple', 'no', 'teeth']",train
audio/Speaker_2/Speaker2-78.wav,hello doctor i be using a high dosage of krill oil to combat concentration problems e seems to work on the cell membrane and e appears to improve the electrical signaling because electrical signals pass through the cell membrane however if i improve the electrical signaling will thdeyimpact the heart will my heart pump stronger if the electrical signals from the brain to the heart become stronger do i need to monitor my blood pressure for example or does the kill oil only work on the brain s electrical signaling and not the heart,hello doctor i am using a high dosage of krill oil to combat concentration problems it seems to work on the cell membrane and it appears to improve the electrical signaling because electrical signals pass through the cell membrane however if i improve the electrical signaling will this impact the heart will my heart pump stronger if the electrical signals from the brain to the heart become stronger do i need to monitor my blood pressure for example or does the krill oil only work on the brain s electrical signaling and not the heart,Speaker_2,42.19,"['high', 'dosage', 'cell', 'membrane', 'improve', 'stronger', 'brain']",train
audio/Speaker_2/Speaker2-79.wav,yes dis isveri common and na sign of severe irreversible brain damage e deycalled multifocal myoclonus,yes this is very common and is a sign of severe irreversible brain damage it is called multifocal myoclonus,Speaker_2,13.75,"['severe', 'multifocal']",train
audio/Speaker_2/Speaker2-80.wav,for pain and swelling in the ankle u fe take any painkiller such as akilos p or combiflam along weh calcium supplements and multiveamins apply a crepe bandage or do hot water fomentation over the affected naa,for pain and swelling in the ankle you can take any painkiller such as akilos p or combiflam along with calcium supplements and multivitamins apply a crepe bandage or do hot water fomentation over the affected area,Speaker_2,22.34,"['painkiller', 'swelling', 'take', 'combiflam', 'calcium', 'supplements', 'crepe']",train
audio/Speaker_2/Speaker2-81.wav,i get braces and there deyonly a single spot between two of my bottom teeth in the front where e deypretty tricky to clean a part of my gum seems to have grown up between the brackets e deynot currently causing me any pain but e looks almost as if i get a bacon be from a salad stuck in my teeth should cleaning e a be better help thdeygo away or suppose i contact my orthodontnat,i have braces and there is only a single spot between two of my bottom teeth in the front where it is pretty tricky to clean a part of my gum seems to have grown up between the brackets it is not currently causing me any pain but it looks almost as if i have a bacon bit from a salad stuck in my teeth should cleaning it a bit better help this go away or should i contact my orthodontist,Speaker_2,28.06,"['braces', 'gum', 'cleaning']",train
audio/Speaker_2/Speaker2-82.wav,hi there e resemble skin problem e dey veri difficult to assess the situation weh the information provided please visit a skin specialist good luck,hi there it seems like a skin problem it s very difficult to assess the situation with the information provided please visit a skin specialist good luck,Speaker_2,11.62,[],train
audio/Speaker_2/Speaker2-83.wav,my thirteen month old son was diagnosed with croup on tuesday night thereno get more barking cough or stridor after giving him the prescribed steroids and he seems to be sleeping eating and feeling better however he get runny nose and a wet cough now with lots of green mucus i need to go back see doctor,my thirteen month old son was diagnosed with croup on tuesday night there is no more barking cough or stridor after giving him the prescribed steroids and he seems to be sleeping eating and feeling better however he now has a runny nose and a wet cough with lots of green mucus do i need to go back to the doctor,Speaker_2,29.42,"['thirteen', 'barking', 'cough', 'stridor', 'feeling', 'runny', 'nose', 'go']",train
audio/Speaker_2/Speaker2-84.wav,hello welcome to the health center i really appreciate ur concern thdeyrepresents an allergic manifestation e fe be due to an autoimmune response or e fe be due to a viral infection in eeher of these cases the condeion deyself limeing and will resolve on es own but e fe be managed symptomatically as far as the eching deyconcerned antihnatamines fe be used both locally and orally i recommend taking levocetirizine ten milligrams three times a day and using calamine lotion for local application i hope thdeyinformation helps,hello welcome to the health center i really appreciate your concern this represents an allergic manifestation it could be due to an autoimmune response or it could be due to a viral infection in either of these cases the condition is self limiting and will resolve on its own but it can be managed symptomatically as far as the itching is concerned antihistamines can be used both locally and orally i recommend taking levocetirizine ten milligrams three times a day and using calamine lotion for local application i hope this information helps,Speaker_2,50.59,"['antihistamines', 'milligrams', 'calamine']",train
audio/Speaker_2/Speaker2-85.wav,e dey itchy because of the healing process inflammation dey cause an itchy sensation and avoiding scratching e go help in healing otherwise a permanent scar go occur take aspirin to reduce inflammation and help decrease the pain if u do not improve in a week seeing ur doctor may be advised,it is itchy because of the healing process inflammation causes an itchy sensation and avoiding scratching it will help in healing otherwise a permanent scar may occur take aspirin to reduce inflammation and help decrease the pain if you do not improve in a week seeing your doctor may be advised,Speaker_2,21.1,"['itchy', 'inflammation', 'permanent', 'scar', 'aspirin']",train
audio/Speaker_2/Speaker2-86.wav,my wife was diagnosed with central pontine myelinolysna we felt she was recovering but she has regressed lately with emotional breakdowns wey dey come on in the spur of the moment we no fit get in to see a neurolognat right away we get appointment on december nineteen any advice go dey appreciated,my wife was diagnosed with central pontine myelinolysis we felt she was recovering but she has regressed lately with emotional breakdowns that come on in the spur of the moment we can t seem to get in to see a neurologist right away we do have an appointment on december nineteen any advice would be appreciated,Speaker_2,24.86,"['wife', 'regressed', 'emotional', 'breakdowns']",train
audio/Speaker_2/Speaker2-87.wav,hi i am from saudi arabia i been dey on cipralex twenty milligrams for about two years and i still feel like i need am i go like to ask u about the safety of cipralex during pregnancy as i dey plan carry belle if e dey safe wetin be the allowed dosage abeg,hi i am from saudi arabia i have been on cipralex twenty milligrams for about two years and i still feel like i need it i would like to ask you about the safety of cipralex during pregnancy as i am planning to get pregnant if it is safe what is the allowed dosage please,Speaker_2,21.26,"['cipralex', 'milligrams']",train
audio/Speaker_2/Speaker2-88.wav,the chances of her being pregnant dey veri remote as she was using contraception and u no ejaculate even then if she dey doubtful make she go take pregnancy test to confirm or rule out the possibility,the chances of her being pregnant are very remote as she was using contraception and you did not ejaculate even then if she is doubtful have her take a pregnancy test to confirm or rule out the possibility,Speaker_2,16.3,"['pregnancy', 'test']",train
audio/Speaker_2/Speaker2-89.wav,i dey hit on the shin above the ankle with a softball over a week ago the bruising don dey get beta but i dey still get severe pain when i dey walk after moments of rest although e dey improve after the initial steps e get knot in the center of the bruising is e possible to have a fracture,i was hit on the shin above the ankle with a softball over a week ago the bruising seems to finally be improving but i still have severe pain when walking after moments of rest although it does improve after the initial steps there is a knot in the center of the bruising is it possible to have a fracture,Speaker_2,21.58,"['severe', 'fracture']",train
audio/Speaker_2/Speaker2-90.wav,u suppose see ur doctor immediately for further evaluation u fit dey experiencing a reactivation of ur previous tuberculomas and u fit require another round of treatment u no suppose delay even if the headaches improve especially if u deyinclined to take over the counter analgesics as they make the headaches beta but no go address the bacillus infection if e don reactivate good luck i go appreciate ur best star rating if i get provided u with useful information,you should see your doctor immediately for further evaluation you may be experiencing a reactivation of your previous tuberculomas and may require another round of treatment you should not delay even if the headaches improve especially if you are inclined to take over the counter analgesics as they may alleviate the headaches but will not address the bacillus infection if it has reactivated good luck i would appreciate your best star rating if i have provided you with useful information,Speaker_2,33.62,"['headaches', 'bacillus']",train
audio/Speaker_2/Speaker2-91.wav,hello doctor my doctor suggested using contact lenses instead of glasses for me i get small eyes i be not able to remove the lenses and i find e difficult to put them in as well the doctor suggested dat i vnae everi week to clean the lenses is he right is sleeping weh lenses safe i get heard many people say dat e deynot good wearing lenses for long hours in a dusty naa deyalso not recommended please help me thdeydeymy first time wearing contact lenses,hello doctor my doctor suggested using contact lenses instead of glasses for me i have small eyes i am not able to remove the lenses and i find it difficult to put them in as well the doctor suggested that i visit every week to clean the lenses is he right is sleeping with lenses safe i have heard many people say that it is not good wearing lenses for long hours in a dusty area is also not recommended please help me this is my first time wearing contact lenses,Speaker_2,39.31,['lenses'],train
audio/Speaker_2/Speaker2-92.wav,e looks like a fistula or sinus tract in ur abdominal wall e dey basically treated by sinus tract marsupialization weh normal granulation tissue i recommend u consult a surgeon and undergo sonography with tract exploration,it looks like a fistula or sinus tract in your abdominal wall it is basically treated by sinus tract marsupialization with normal granulation tissue i recommend you consult a surgeon and undergo sonography with tract exploration,Speaker_2,18.1,"['fistula', 'sinus', 'tract', 'abdominal', 'marsupialization', 'normal', 'consult', 'surgeon']",train
audio/Speaker_2/Speaker2-93.wav,hi oga my girlfriend and i get sex on january thirty one two thousand and thirteen and webeen use condom her last period was from january twenty five to january thirty after having sex within two hours she took unwanted seventy two after taking unwanted seventy two she experienced bleeding for two hours on february five two thousand and thirteen her next expected period date was february twenty six but as of march five two thousand and thirteen she neva see her period is there any chance she fit dey carry belle we no want pikin as we be students so abeg tell us and help us understand when she go see her period abeg reply as soon as possible as we dey veri tense oga,hi sir my girlfriend and i had sex on january thirty one two thousand and thirteen and we used a condom her last period was from january twenty five to january thirty after having sex within two hours she took unwanted seventy two after taking unwanted seventy two she experienced bleeding for two hours on february five two thousand and thirteen her next expected period date was february twenty six but as of march five two thousand and thirteen she has not gotten her period is there any chance of pregnancy we do not want a baby as we are students so please tell us and help us understand when she will have her period please reply as soon as possible as we are very tense sir,Speaker_2,48.94,['bleeding'],train
audio/Speaker_2/Speaker2-94.wav,my right arm dey pain me whenever i dey try to do simple things like put a blanket on at night and my head always hurt e start to dey happen a while ago and i no dey sure about wetin dey wrong i no dey chop much meat lately because i hate how e dey taste maybe i no dey get enough iron,my right arm hurts whenever i try to do simple things like put a blanket on at night and my head always hurts it started happening a while ago and i am not sure what is wrong i haven t been eating much meat lately because i hate how it tastes maybe i am not getting enough iron,Speaker_2,22.58,"['arm', 'hurts', 'head']",train
audio/Speaker_2/Speaker2-95.wav,hi my niece dey pregnant wit a baby boy wey dey due in march they recently found out dat the baby only get three heart chambers and dey dey send her go ohio for a cesarean section on february five i no sure say she get health insurance and i dey concerned dat she and the baby no go receive the necessary care to save the baby i dey consider covering the necessary medical expenses and am wondering wetin dey fit do save the small pikin s life abeg advise,hi my niece is pregnant with a baby boy due in march they recently found out that the baby only has three heart chambers and are sending her to ohio for a cesarean section on february five i don t think she has health insurance and i am concerned that she and the baby won t receive the necessary care to save the baby i am considering covering the necessary medical expenses and am wondering what can be done to save this little child s life please advise,Speaker_2,36.94,"['niece', 'ohio', 'cesarean', 'section']",train
audio/Speaker_2/Speaker2-96.wav,e looks like u been dey suffer some kind of arrhythmia e fit be atrial fibrillation or supraventricular tachycardia u need a full cardiac evaluation with an electrocardiogram and echocardiography get back to me with the reports,it looks like you suffered some kind of arrhythmia it could be atrial fibrillation or supraventricular tachycardia you need a full cardiac evaluation with an electrocardiogram and echocardiography get back to me with the reports,Speaker_2,21.74,"['atrial', 'fibrillation', 'supraventricular', 'tachycardia', 'full', 'evaluation', 'electrocardiogram', 'echocardiography']",train
audio/Speaker_2/Speaker2-97.wav,how long does esophageal fecer take to develop as a result of untreated gastroesophageal reflux dnaease i dey twenty six years old and i don get untreated gastroesophageal reflux disease for at least five years i get had a persistent cough which dey dey worse for morning for at least five years i dey at risk for esophageal fecer,how long does esophageal cancer take to develop as a result of untreated gastroesophageal reflux disease i am twenty six years old and have had untreated gastroesophageal reflux disease for at least five years i have had a persistent cough which is worse in the morning for at least five years am i at risk for esophageal cancer,Speaker_2,25.42,"['does', 'untreated', 'gastroesophageal', 'reflux', 'disease', 'persistent']",train
audio/Speaker_2/Speaker2-98.wav,hello fissures in the anus dey occur mainly due to constipation if u fit avoid constipation u fit prevent them from occurring occasionally consuming a non vegetarian diet no go affect u if u include plenty of fiber in ur diet for the time being until ur fissure heals u go need to refrain from chicken and fish for long term management include plenty of fiber in ur diet and increase ur water consumption,hello fissures in the anus occur mainly due to constipation if you can avoid constipation you can prevent them from occurring occasionally consuming a non vegetarian diet will not affect you if you include plenty of fiber in your diet for the time being until your fissure heals you need to refrain from chicken and fish for long term management include plenty of fiber in your diet and increase your water consumption,Speaker_2,27.94,"['fissures', 'anus', 'constipation', 'occasionally', 'non']",train
audio/Speaker_2/Speaker2-99.wav,hello while dis fit be a simple concussion the fact dat u don get headaches for a week worries me u need to have a doctor check u out and see if an mri of ur brain deynecessary to make sure u do not have an intracranial hemorrhage,hello while this could be a simple concussion the fact that you have had headaches for a week worries me you need to have a doctor check you out and see if an mri of your brain is necessary to make sure you do not have an intracranial hemorrhage,Speaker_2,19.66,"['headaches', 'check', 'mri', 'brain']",train
audio/Speaker_2/Speaker2-100.wav,hello chances depend upon whether he get any shortness of breath or not and him heart function in percentage if both of these dey fine and the liver no dey severely damaged then he get fairly good life expectancy the holes fit also dey closed with angiographic techniques depending upon the size and location of the holes,hello chances depend upon whether he has any shortness of breath or not and his heart function in percentage if both of these are fine and the liver is not severely damaged then he has a fairly good life expectancy the holes could also be closed with angiographic techniques depending upon the size and location of the holes,Speaker_2,23.86,"['shortness', 'breath']",train
audio/Speaker_2/Speaker2-101.wav,hello last october i get accident wit atv and i break my arm dem put metal plate for my arm for di outer bone any time i go gym and exercise di arm dey swell well well no pain just swelling i no want dem remove di plate so any help wey go make me avoid dat one go good,hello i broke my arm last october in an all terrain vehicle accident i had to get a metal plate put in my arm on the outer bone whenever i go to the gym and work out it always swells up and becomes very large there is no pain just swelling i really do not want to have the plate removed so any help to avoid that would be nice,Speaker_2,21.14,['arm'],train
audio/Speaker_2/Speaker2-102.wav,pain and blood for urine normally dey come from stone so we advise make you do ct scan for kidney ureter and bladder after dem check am dem go decide di right surgery like percutaneous nephrolithotomy ureteroscopy or retrograde intrarenal surgery whichever one wey fit,pain and blood in urine is commonly due to stones therefore a computed tomography of the kidneys ureters and bladder is advised and after the evaluation a further plan should be made for surgery such as percutaneous nephrolithotomy ureteroscopy or retrograde intrarenal surgery which is appropriate,Speaker_2,23.02,"['urine', 'computed', 'tomography', 'kidneys', 'bladder', 'retrograde', 'intrarenal']",train
audio/Speaker_2/Speaker2-103.wav,hello my nine year old pikin wey be girl get two dark freckles for her palm one for di skin between her thumb and finger and one for her private part i think na for di hood of clitoris she show me before and e still dey dere i wan know whether dis one dey normal,hi my nine year old daughter has two dark freckles on the palm of her hand one on the skin between her thumb and forefinger and she also has one on her genitals i think it is known as the hood of the clitoris she pointed it out to me once and it is still there is this normal,Speaker_2,19.06,['dark'],train
audio/Speaker_2/Speaker2-104.wav,hello doctor my name na muriyam from south korea i do ivf twelve days ago but yesterday my pregnancy test show negative from yesterday i dey see brown discharge wit lower belle pain but e no be my period abeg any chance say i still get pregnancy or don finish abeg answer me,hi doctor i am muriyam from south korea i had my first in vitro fertilization twelve days ago but yesterday i received a negative pregnancy test since yesterday i have been experiencing brown spotting with lower abdominal pain but it is not my period is there any chance of pregnancy or is it over please please answer me,Speaker_2,21.07,"['yesterday', 'negative', 'brown', 'spotting', 'abdominal']",train
audio/Speaker_2/Speaker2-105.wav,hello doctor yesterday i do di thing for di beginning for one to two minutes for three to four entries no condom after dat we use condom and di man release semen after masturbating for ten minutes i fit get pregnant from pre ejaculatory fluid,hello doctor i had intercourse yesterday in the beginning there was no condom for one to two minutes during three to four penetrations after that the condom was used and semen was released after masturbating for ten minutes can i get pregnant from pre ejaculatory fluid,Speaker_2,20.14,['minutes'],train
audio/Speaker_2/Speaker2-106.wav,hello first you need to know which particular antibiotic go work for di bacteria wey cause infection dem go take test urine culture and sensitivity to know am after dat you fit take di correct antibiotic,hello you first need to know that the bacteria which has caused the infection is sensitive to which particular antibiotic this can be determined by a test specifically a urine culture and sensitivity and then you can take the specific antibiotic,Speaker_2,16.34,['infection'],train
audio/Speaker_2/Speaker2-107.wav,di size of tonsils no go reduce just because dem don enlarge before if tonsils get infection dem suppose treat am wit antibiotic no be to just look di size,the size of the tonsils does not necessarily decrease once they become enlarged infection of the tonsils should be treated with antibiotics rather than focusing solely on their size,Speaker_2,12.94,"['tonsils', 'infection', 'antibiotics']",train
audio/Speaker_2/Speaker2-108.wav,i break three ribs about one year ago when i dey play golf dem also tell me say i get osteoporosis for my spine i do infusion and i dey take calcium regular i feel well well i think my ribs don heal but recently after spin class and exercise di area wey i break di ribs dey pain me when i hit golf ball di impact dey hurt i need to worry say i break di ribs again,i broke three ribs about a year ago from playing golf i have also been diagnosed with osteoporosis of the spine i had an infusion and have been taking calcium consistently i was feeling really good and thought my ribs were healed but recently after a spin class and exercise the area where i had broken my ribs feels painful when i hit a golf ball the impact hurts should i be worried that i re broke my ribs,Speaker_2,27.55,"['osteoporosis', 'feeling', 'ribs']",train
audio/Speaker_2/Speaker2-109.wav,hello doctor i marry two days ago my penis harden as we dey do foreplay but after sometime e come soft and small i no fit enter abeg na health problem or na fear of first time wetin i suppose do abeg advise me,hello doctor i got married two days ago my penis became erect while doing foreplay however after some time it became loose and smaller i could not penetrate is there any issue with my health or is this due to fear of the first time how should i approach this please advise,Speaker_2,17.3,"['penis', 'loose']",train
audio/Speaker_2/Speaker2-110.wav,shortness of breath dey worry me plenty my cardiologist tell me say we don check everything wey fit kill you so push through am di pulmonologist say i no get asthma but i don take asthma medicine for over twenty years i get early signs of chronic obstructive pulmonary disease copd wetin be di next step,i have a lot of shortness of breath my cardiologist said we have ruled out anything that will kill you so push through it the pulmonologist said i do not have asthma although i have been on asthma medications for over twenty years i have early signs of chronic obstructive pulmonary disease what is the next step,Speaker_2,22.39,[],train
audio/Speaker_2/Speaker2-111.wav,you need check yourself for arrhythmia irregular heartbeat di way you dey feel lightheaded sometimes fit be from your rhythm problem you need do electrocardiogram ecg and holter monitoring dat one go help us know which kind rhythm problem we dey deal wit and wetin to do next abeg bring di holter report come back to me,you need to check yourself for arrhythmias your episodes of lightheadedness may be due to your rhythm issue you need to get an electrocardiogram and holter monitoring done that will provide an idea of what kind of rhythm issue we are dealing with and what the next steps should be please get back to me with the holter report,Speaker_2,25.87,"['lightheadedness', 'electrocardiogram', 'monitoring']",train
audio/Speaker_2/Speaker2-112.wav,how old you be you get any heart problem or any risk factor for heart disease dis kind thing fit happen from gastritis or acidity problem wey dey more likely for your case,your age do you have any heart problems or any risk factors for heart disease it can occur in gastritis or acidity problems as well which is more likely in your case,Speaker_2,13.46,"['heart', 'problems', 'gastritis', 'acidity']",train
audio/Speaker_2/Speaker2-113.wav,hello i be eighteen years old i get about ten bumps for my body wey look and feel like ant bite but i no see any ant for my house and i no dey outside plenty today i notice one big lump under some stretch mark for my outer thigh e no dey pain or itch any idea wetin e fit be,hello i am eighteen years old and have had about ten bumps all over that look and feel like ant bites however i have not seen any ants in my house and i do not spend much time outside today i noticed a very large lump underneath some stretch marks on my outer thigh it does not hurt or itch any ideas on what it may be,Speaker_2,21.74,"['eighteen', 'bumps', 'very', 'large', 'lump', 'stretch', 'marks', 'outer', 'hurt']",train
audio/Speaker_2/Speaker2-114.wav,normally for pikin wey dey breastfeed stool dey frequent and e dey soft because breast milk get less solid and intestine movement dey fast dis pikin ever breastfeed before or dem dey give am formula direct because breast milk na di best for pikin for your pikin soy milk dey make stool thick make you check wit di doctor wey prescribe am whether you dey mix correct amount of water when you dey prepare di formula for di red string wey you see check whether stool hard whether e mix wit blood or small blood follow after stool if so talk to doctor about changing di formula for now you fit rub petroleum jelly for di anus two to three times per day,normally in a breastfed child stools are frequent and on the liquid side as the amount of solids in breast milk is less and intestinal movements are faster was he ever breastfed or directly fed with formula because breast milk is best for infants in the case of your child soy milk is providing a thicker consistency to stools check with the prescriber if you are mixing the correct amount of water while preparing the formula for the red strings check his stools to see if they are hard mixed with blood or followed by a slight amount of blood if so consult with the doctor about changes in the formula in the meantime you can apply petroleum jelly two to three times a day at the anal opening,Speaker_2,48.31,"['frequent', 'less', 'intestinal', 'movements', 'stools', 'petroleum', 'jelly']",train
audio/Speaker_2/Speaker2-115.wav,swelling fit come from many different diseases or disorders you suppose see your primary care doctor first to confirm say you no get kidney liver or heart failure,swelling is caused by many different diseases or disorders you should see your primary care doctor to make sure you do not have kidney liver or heart failure first,Speaker_2,11.26,"['swelling', 'see', 'primary', 'care', 'doctor']",train
audio/Speaker_2/Speaker2-116.wav,hello i be fifteen year old girl wey overweight well well food dey comfort me but lately i fit hardly swallow three bites of food because i dey fear say i go choke i don choke plenty times for di last few months on food and e dey worse now almost every other bite dey feel like e dey stuck for my throat and e dey fear me well well i don dey take prilosec for three days now and my doctor talk say i go feel beta soon nothing dey change abeg help me,hello i am a fifteen year old female who is very overweight and food is sort of a comfort for me as of late i can barely swallow three bites of food out of fear of choking i have choked many times in the past few months on food but it seems to be getting worse just about every other bite of food i take feels like it gets stuck in my throat and as it may seem it is very frightening i have been taking prilosec for about three days now and my doctor said i should feel better soon nothing is happening please help me,Speaker_2,32.06,"['female', 'swallow', 'choked', 'prilosec']",train
audio/Speaker_2/Speaker2-117.wav,i just get dis red blotches for my arms especially for my underneath forearms dem dey worse after i shower and sometimes dem dey itch dem no dey raised or scab like and dem dey disappear and come back everyday e don last for some days and e dey worry me my sister get dis before me and i get am one or two days later you know how to treat dis and wetin e be,i recently acquired these red blotches on my arms mostly on my underneath forearms they get worse after i shower and sometimes itch they are not raised or scab like and they appear to go away and come back every day it has been going on for about a few days and it is really bothering me my sister had this before me and i got it about a day or two later do you know how to treat this and what it is,Speaker_2,29.18,"['blotches', 'raised']",train
audio/Speaker_2/Speaker2-118.wav,my five year old daughter get red blotchy irregular shape and slightly raised rash wey dey for di folds of her body including her vaginal area and extending far back between her buttocks her underarms almost cover completely some spots dey for di rest of her body e dey itch well well she get bad cough and sometimes water dey come from her eye i give her allergy medicine wetin dis fit be,my five year old daughter has a red blotchy irregularly shaped and slightly raised rash concentrated in the folds of her body including her vaginal area and extending far back between her buttocks her underarms are almost completely covered with it there are also some spots on the rest of her body it s really itchy she has a bad cough accompanying it and sometimes watery eyes i have given her allergy medication what could it be,Speaker_2,28.75,"['ly', 'shaped', 'slightly', 'raised', 'rash', 'vaginal', 'area', 'underarms', 'spots', 'cough', 'watery']",train
audio/Speaker_2/Speaker2-119.wav,since you be athlete and runner e good make you do proper medical check up you fit dey suffer from tendinosis meniscal injury or condition wey dem call popliteal cyst di treatment go depend on wetin be di main cause,since you are an athlete and a runner it is advisable for you to undergo a proper medical check up you could be suffering from tendinosis a meniscal injury or a condition called a popliteal cyst and the treatment will depend on the underlying cause,Speaker_2,19.42,[],train
audio/Speaker_2/Speaker2-120.wav,hello as i check your case e look like di problem dey related to your stomach most likely na gastritis so you fit take antacid now,hello in reviewing your case it seems that you are experiencing issues related to your stomach most likely it is gastritis so you can take an antacid right now,Speaker_2,10.22,[],train
audio/Speaker_2/Speaker2-121.wav,hello based on your symptoms e look like you get serious kidney infection you no fit do anything by yourself because e need strong treatment abeg go see your doctor as soon as possible,hi as per your symptoms it looks like you have a severe kidney infection you cannot do anything by yourself as it requires vigorous treatment please meet with your doctor as soon as possible,Speaker_2,13.1,"['severe', 'kidney']",train
audio/Speaker_2/Speaker2-122.wav,for three days now i dey feel burning pain for lower belle right for center plus tiredness last night and only dis morning i dey sweat sometimes e first start when i get gas and when i pass am i feel small relief but di pain no go away even when i shit e no help no pain or burning when i dey urinate and no fever today my vaginal area dey feel hot but no burning and no discharge i just dey feel generally not fine i suppose mention say i do radical hysterectomy twenty nine years ago i be fifty seven years old female,i have had a lower abdominal burning ache right in the center for three days with fatigue last night and only this morning there were bouts of sweating it appeared at first when i had gas and when i passed it i felt better but the pain does not go away moving my bowels did not help there is no pain or burning during urination and no fever today the vaginal area seems to be heated but not burning and there is no discharge i just generally feel unwell i should mention that i had a radical hysterectomy twenty nine years ago i am fifty seven years old and female,Speaker_2,47.54,"['abdominal', 'ache', 'center', 'morning', 'burning', 'vaginal', 'hysterectomy']",train
audio/Speaker_2/Speaker2-123.wav,laktrum get colostrum inside wey dey normally for breast milk when woman deliver e dey help boost immunity well you fit continue to take am no problem at all,laktrum contains colostrum which is normally found in breast milk at the time of delivery it is a good immune booster you can continue it further there is no harm at all,Speaker_2,14.86,['breast'],train
audio/Speaker_2/Speaker2-124.wav,if you no get pregnant e fit take some days before your period come after you stop di pills but if your period no show for one week abeg do urine pregnancy test no need for blood test for now you fit wait and do di test again after some days,it may take a few days to get your period after stopping the pills if you are not pregnant however if you do not get your period for a week please perform a urine pregnancy test there is no need for a blood test at this stage you can wait and repeat the test after a few days,Speaker_2,17.5,[],train
audio/Speaker_2/Speaker2-125.wav,hello i dey use oral contraceptive pill wey dem call ethinyl estradiol i don almost finish di second pack but for di second pack i forget to take three tablets i go take di last tablet tomorrow friday and wait seven days without taking any tablet my question be say since i don miss three tablets i get risk to become pregnant,hello i am using an oral contraceptive pill called ethinyl estradiol i have almost finished the second packet but in the second packet i forgot to take three tablets i will take the last tablet tomorrow friday and wait seven days without taking any tablets my question is since i have missed three tablets am i at risk of becoming pregnant,Speaker_2,25.46,"['oral', 'contraceptive', 'pill', 'ethinyl']",train
audio/Speaker_2/Speaker2-126.wav,hello doctor i marry one month ago and since dat time we dey try to do di thing my husband and i both be virgins di first attempt no work and as time dey go we try more but until now any time he enter me i dey feel pain and e dey seem like im penis no dey enter complete as if something dey block am from entering well plus burning sensation even when we use lubricant when we try doggy style position i no feel anything only air dey enter and i no get any pleasure at all abeg help me,hello doctor i got married one month ago and since then we have been trying to have sexual intercourse my husband and i are both virgins however the first attempt did not succeed and with time we have tried more but until now every time he penetrates me i experience pain and feel that his penis is not entering fully as if there are barriers preventing him from entering correctly along with a burning sensation even when using lubricant when we try the doggy style position i do not feel anything only air enters and i experience no pleasure at all kindly help,Speaker_2,38.74,"['sensation', 'air']",train
audio/Speaker_2/Speaker2-127.wav,i dey do leg press and my thighs come down too far and hit my rib cage very hard my right side compress and i feel one big snapping and popping sensation dis happen four days ago and e still dey pain me to breathe my side dey sore well well if i push di ribs e dey make crunching sound dis one na broken ribs or torn cartilage,i was doing leg presses and my thighs came down too far and hit my rib cage very hard my right side compressed and i felt a large snapping and popping sensation this was four days ago and it still hurts to breathe it is very very sore on my side i can push the ribs and it makes a crunching sound are they broken ribs or torn cartilage,Speaker_2,27.26,"['leg', 'presses', 'thighs', 'rib', 'cage', 'side', 'broken']",train
audio/Speaker_2/Speaker2-128.wav,my mama be seventy nine years old she don dey healthy well well all her life except say she get mild thyroid disease and she be beta thalassemia carrier six months ago she start to dey feel shortness of breath whether she exercise or not and her saliva reduce because of dat recently she dey feel pressure for di tip of her tongue tip of her nose and her forehead plus blurry vision everything chest x ray echocardiogram ct scan and blood test all dey normal dem don clear her of sjögren s syndrome pulmonary embolism heart problems and hypertension everything clear you get any suggestion,my mother is seventy nine years old she has been perfectly healthy her whole life except for mild thyroid disease and being a beta thalassemia carrier six months ago she developed shortness of breath with and without exercise and a reduction of saliva secondary to that recently she has experienced pressure at the tip of her tongue the tip of her nose and her forehead accompanied by blurry vision everything from chest x rays echocardiograms computed tomography scans and blood tests are all normal she has been cleared of sjögren s syndrome pulmonary embolism cardiac issues and hypertension all clear do you have any suggestions,Speaker_2,49.1,"['mother', 'mild', 'thyroid', 'beta', 'thalassemia', 'shortness', 'breath', 'saliva', 'pressure', 'tip', 'chest', 'echocardiograms', 'computed', 'tomography', 'blood', 'tests', 'normal']",train
audio/Speaker_2/Speaker2-129.wav,di symptoms wey you describe dey suggest upper respiratory tract infection wit wheezing dis one fit happen if you expose to cold weather or some allergens i advise say you do chest x ray you suppose also let doctor examine you,the symptoms that you have described are suggestive of an upper respiratory tract infection with wheezing this can occur due to exposure to cold temperatures or certain allergens i suggest you have a chest x ray done an examination by a doctor should also be performed,Speaker_2,17.11,"['symptoms', 'respiratory', 'tract', 'infection', 'chest', 'ray', 'examination']",train
audio/Speaker_2/Speaker2-130.wav,dear user concerning your question i want to tell you say recurrent diarrhea fit get many causes for your son im age food allergy fit make intestine move too fast wey go cause diarrhea and vomiting you suppose check whether there is any particular food wey when im eat am im symptoms increase so you fit avoid dat food also if your son don get intestinal infection before or serious gastroenteritis e fit don damage di intestinal lining wey go cause poor digestion and recurrent diarrhea dis condition fit take time to improve gradually because e dey self limiting if your son dey eat unhealthy fatty or spicy food dat one fit also cause dis symptoms again e good make you do stool culture and widal test to check for salmonella infection wey fit cause typhoid or another intestinal infection both viral and bacterial intestinal infections need to be managed to solve dis problem i hope dis information help you i wish you and your son happy life,dear user regarding your question i would like to inform you that recurrent diarrhea can have several causes at your son s age allergy to food can cause the intestinal movement to increase rapidly resulting in diarrhea and vomiting you should monitor whether there is a particular food that when consumed increases his symptoms so you can avoid that food additionally if your son had an intestinal infection in the past or experienced severe gastroenteritis it may have caused damage to the intestinal epithelium leading to maldigestion and recurrent diarrhea this condition may take some time to improve gradually as it is self limiting if your son consumes unhealthy fatty or spicy foods these may also cause these symptoms furthermore it would be advisable to conduct a stool culture and widal test to check for salmonella infection causing typhoid or another intestinal infection both viral and bacterial intestinal infections should be managed to resolve this issue i hope this information helps you i wish you and your son a happy life,Speaker_2,78.91,"['urrent', 'dia', 'diarrhea', 'recurrent', 'consumed', 'stool', 'culture', 'widal', 'test', 'salmonella', 'infection', 'typhoid', 'viral', 'bacterial', 'infections']",train
audio/Speaker_2/Speaker2-131.wav,you go need documentation for dat one including x rays and different opinions from doctors to qualify for disability and even wit dat e no easy dis one fit also be reason why you go take anti inflammatory drugs like at least naproxen and there be some expensive injectable medications wey fit really reduce pain,you will need documentation for that including x rays and various opinions from physicians to qualify for disability and even then it is not easy this would also be a reason to be on anti inflammatories such as at least naproxen and there are some very expensive injectable medications that can really lower pain,Speaker_2,25.34,[],train
audio/Speaker_2/Speaker2-132.wav,hello thank you for asking i really appreciate your concern if i be your doctor i go treat you wit di following medicines one dicyclomine wit acetaminophen three times per day two ciprofloxacin five hundred milligrams three times per day three chlorodiazepoxide three times per day if dis one no work den we need to consider other possible diagnoses i hope dis information help you have a good day,hi thank you for asking i really appreciate your concern if i were your doctor then i would treat you with the following medications one dicyclomine with acetaminophen three times a day two ciprofloxacin five hundred milligrams three times a day three chlorodiazepoxide three times a day if this does not produce a response then other differential diagnoses need to be considered i hope this information helps you have a good day,Speaker_2,32.42,"['dicyclomine', 'acetaminophen', 'ciprofloxacin', 'milligrams', 'chlorodiazepoxide']",train
audio/Speaker_2/Speaker2-133.wav,hello dis one likely dey from acidity and gastritis you suppose avoid fatty oily and spicy food after eating take walk instead of resting eat small small meals plenty times instead of heavy meal keep regular sleep routine and avoid stress add plenty green leafy vegetables and fruits for your diet if you smoke or drink alcohol stop am you suppose get prescription for pantoprazole forty mg or esomeprazole and domperidone combination before breakfast once per day for two weeks if you no get enough relief you fit add syrup sucralfate or gelusil two teaspoons three times per day for one week i hope dis help you and come back to me if you get any questions,hello this is likely due to acidity and gastritis you should avoid a fatty oily and spicy diet take a walk after eating instead of resting have multiple small meals instead of heavy meals maintain regular sleep habits and avoid stress include lots of green leafy vegetables and fruits in your diet avoid smoking and alcohol if any you should be prescribed the medication pantoprazole forty mg or an esomeprazole and domperidone combination before breakfast once a day for two weeks if you are not adequately relieved you should add syrup sucralfate or gelusil two teaspoons three times a day for a week i hope this helps you and get back to me if you have any doubts,Speaker_2,59.26,"['spicy', 'walk', 'multiple', 'heavy', 'medication', 'pantoprazole', 'mg', 'esomeprazole', 'domperidone', 'syrup', 'sucralfate', 'gelusil']",train
audio/Speaker_2/Speaker2-134.wav,my nine year old son just remove cast from im arm because of greenstick fracture for im forearm di cast dey above di elbow my son dey very active for contact sports and im want to go back immediately wetin be di minimum rest period wey i suppose allow before im go back to full contact activities,my nine year old son has just had his arm removed from a cast for a greenstick fracture of his forearm the cast was above the elbow my son is very active in contact sports and wants to get straight back into it what is the minimum rest period i should look at before he resumes full contact activities,Speaker_2,22.63,"['removed', 'cast']",train
audio/Speaker_2/Speaker2-135.wav,my sixteen month old grandson bite me quick quick for my neck above my collarbone left side one big lump like golf ball appear emergency ultrasound show hematoma di lump no don change size for two weeks now i don try warm compress but e dey disturb me when i dey try to sleep wetin i fit do,my sixteen month old grandson bit me rather quickly on my neck above my collarbone left side a huge golf ball appeared a stat ultrasound showed a hematoma the lump hasn t changed in size for two weeks now i have tried warm compresses but it is annoying while trying to sleep what can i do,Speaker_2,27.1,"['ultrasound', 'hematoma', 'lump']",train
audio/Speaker_2/Speaker2-136.wav,yes you suppose do am di discharge also need to be checked to make sure no infection dey take antispasmodics to relieve pain and go see your doctor as soon as possible,yes you should the discharge also needs to be checked to make sure there is no infection take antispasmodics for pain relief and meet with your doctor at the earliest opportunity,Speaker_2,16.75,"['discharge', 'meet']",train
audio/Speaker_2/Speaker2-137.wav,hello madam since dem don remove your uterus and ovaries di chance say you go get endometriosis dey very small e go beta if you go see another gynecologist try to take muscle relaxant for temporary relief things go improve,hello madam with the uterus and ovaries being removed there is very little chance of you getting endometriosis it would be better to visit another gynecologist try taking a muscle relaxant for temporary relief things will improve,Speaker_2,19.15,"['muscle', 'relaxant']",train
audio/Speaker_2/Speaker2-138.wav,when i be twelve years old i fall flat for my back i be twenty five now and di pain still dey and i believe e dey worse e dey feel like my spine dey stiff for di left side around di middle my hand and foot muscles sometimes dey cramp and i now get bad posture also sometimes when i bend down for one or two minutes e become stiff and i need to push my back wit my hand to stand straight again e also dey feel like i get ball or small piece of bone for inside,when i was twelve i fell flat on my back i am twenty five now and still have pain and i believe it is getting worse it feels like my spine is stiff on the left side around the middle my hands and feet muscles sometimes cramp and i now have bad posture also sometimes when i am bent over for a minute or two it becomes stiff and i have to push my back with my hands to stand straight again it also feels like i have a ball or a small piece of bone,Speaker_2,35.11,"['spine', 'stiff', 'feet']",train
audio/Speaker_2/Speaker2-139.wav,hello doctor my daughter be nineteen months old and today she pass dark black putty stool she don dey take iron supplement for anemia for three and half months now and i never see stool like dis before i suppose take her go emergency department for check up,hello doctor my daughter is nineteen months old and she passed a dark black putty stool today she has been taking iron supplements for anemia for three and a half months now and i have never seen a stool like this before should i get her checked at the emergency department,Speaker_2,19.9,"['dark', 'black', 'put', 'stool', 'iron', 'supplements', 'half', 'checked']",train
audio/Speaker_2/Speaker2-140.wav,e don be forty one days since my last period i don take plenty pregnancy tests and all of dem show say i no get pregnant two nights ago i dey sit for my dorm room and i almost faint for no reason i come dey sweat and hot well well and i lost my sight for about one minute my stomach dey feel bloated as well wetin dey happen,it has been forty one days since my last period i have taken multiple pregnancy tests and they have all indicated that i am not pregnant two nights ago i was sitting in my dorm room and came extremely close to passing out for no apparent reason i became very sweaty and hot and i lost my eyesight for about a minute my stomach feels bloated as well what is going on,Speaker_2,24.5,"['dorm', 'room', 'lost', 'eyesight', 'been']",train
audio/Speaker_2/Speaker2-141.wav,my five year old grandson dey get anxiety attack several times per week di attacks dey happen after im come back from visiting im mama he dey get serious fit when she come pick am he dey run away from her hide and sometimes comot from im car seat i feel say we need take am to child psychiatrist but because he be only five we no fit find anybody wey go see am wetin you suggest,my five year old grandson is having anxiety attacks several times a week the attacks happen after he comes back from visiting with his mother he has a severe fit when she comes to pick him up running away from her hiding and sometimes getting out of his car seat i feel we need to take him to a child psychiatrist but because he is only five we cannot find one to see him what do you suggest,Speaker_2,26.5,"['anxiety', 'attacks', 'severe', 'fit']",train
audio/Speaker_2/Speaker2-142.wav,hello i don dey use genette thirty five for sixteen days now i don notice say my metabolism dey work very fast lately my stomach dey start to misbehave every afternoon dis one fit be side effect of genette thirty five also i want know my chance of getting pregnant if i take di pill between seven am and seven thirty am every weekday and eight am on weekends how dis time difference affect di effectiveness of di pills,hello there i have been using genette thirty five for sixteen days now i have observed that my metabolism is working exceptionally fast lately my stomach starts acting up every afternoon is this by any chance one of the genette thirty five side effects also i would like to know what my chances are of getting pregnant if i take the pill between seven zero am and seven thirty am every weekday and at eight zero am on weekends how much does this time difference affect the effectiveness of the pills,Speaker_2,29.66,"['sixteen', 'metabolism']",train
audio/Speaker_2/Speaker2-143.wav,hello and welcome to hypertrophic cardiomyopathy since your husband don do implantable cardioverter defibrillator and ablation wey you say dey successful i want inform you say im prognosis dey good because im now get good ejection fraction and no recurrent ventricular tachycardia just remind am make he dey regular wit im medicines and doctor appointments,hello and welcome to hypertrophic cardiomyopathy since your husband had an implantable cardioverter defibrillator and an ablation which you say is successful i would like to inform you that he has a good prognosis as he now has a good ejection fraction and no recurrent ventricular tachycardia just remind him to be regular with his medications and doctor appointments,Speaker_2,30.74,"['hypertrophic', 'able', 'cardioverter', 'defibrillator', 'good', 'ejection', 'fraction', 'recurrent', 'ventricular']",train
audio/Speaker_2/Speaker2-144.wav,hello no take any chest pain lightly go do electrocardiogram and chest x ray first to rule out heart problem,hello there do not take any chest pain lightly go for an electrocardiogram and a chest x ray to rule out a cardiac cause first of all,Speaker_2,8.26,"['chest', 'electrocardiogram', 'ray', 'cardiac']",train
audio/Speaker_2/Speaker2-145.wav,i be hepatitis a patient i dey scared well because my bilirubin dey decrease and increase e don almost three months my bilirubin now be two point eight one week before e be one point eight abeg help me dis one na serious problem di doctor say my liver function tests dey okay but i dey tension abeg help me,i am a hepatitis a patient i am so scared because my bilirubin is decreasing and increasing it has been almost three months my bilirubin is now two point eight before one week it was one point eight please help me is this a serious problem the doctor said my liver function tests were okay but i have tension please help me,Speaker_2,24.62,"['hepatitis', 'bilirubin', 'point', 'liver']",train
audio/Speaker_2/Speaker2-146.wav,hello my two upper third molars dey grow and i feel pain for di whole gum wey fit dey affect my right lateral incisor e don be ten days wey i ignore di tingling pain for my right lateral incisor and gum thinking say na normal wisdom tooth growth but yesterday i see abscess for my hard palate and when i check myself i find small cavity dis one fit be infection wey need root canal treatment any remedy wey fit calm di abscess without removing di tooth abeg advise,hi there my two upper third molars have been growing and i felt pain in the entire stretch of gum possibly affecting my right lateral incisor it has been ten days since i ignored the tingling pain in my right lateral incisor and gum thinking it was normal wisdom tooth growth however yesterday there has been an abscess on my hard palate and upon my own inspection i found a slight cavity could it possibly be an infection needing root canal treatment is there any remedy to soothe the abscess without extraction please advise,Speaker_2,34.46,"['third', 'lateral', 'abscess', 'infection']",train
audio/Speaker_2/Speaker2-147.wav,hello doctor i be forty three year old woman i get lump wey be like marble for my right tonsil plus difficulty to swallow and pain my tonsil don swell for over eight weeks and di lymph nodes for my neck dey slightly swell i don dey treat oral thrush and i dey take nystatin oral suspension now abeg help me,hello doctor i am a forty three year old female i have a marble sized lump on the right tonsil with difficulties in swallowing and pain i have had a swollen tonsil for over eight weeks and the lymph nodes in my neck are slightly swollen i was under treatment for oral thrush and am currently taking nystatin oral suspension please help me,Speaker_2,24.46,"['marble', 'sized', 'lump', 'tonsil', 'swallowing', 'swollen', 'tons', 'lymph', 'nodes', 'oral', 'thrush', 'nystatin']",train
audio/Speaker_2/Speaker2-148.wav,hello you suppose wash am wit antiseptic soap or solution and keep am clean you fit apply antibacterial ointment like mupirocin to avoid infection you suppose avoid more injury and wear loose fitting underwear make e heal if you fit upload photo i go fit tell you more accurately i wish you good health and quick recovery,hello you should wash it with antiseptic soap or solution and keep it clean you can apply antibacterial ointment like mupirocin to avoid infection you should avoid further injury and wear loose fitting underwear let it heal if you can upload a photo i will be able to tell you more accurately wishing you good health and a speedy recovery,Speaker_2,22.22,"['wash', 'mupirocin', 'good', 'health']",train
audio/Speaker_2/Speaker2-149.wav,hello thank you for reaching out to me i really appreciate your concern di tubercular infection need to be confirmed wit all possible investigations if you feel say e necessary go get second opinion di different possible diagnoses need to be considered for symptom relief you fit take diclofenac fifty mg sustained release once per day i hope dis information help you have a nice day,hi thank you for reaching out to me i really appreciate your concern the tubercular infection needs to be confirmed by means of all the possible investigations if you feel it is necessary do seek a second opinion the differential diagnoses need to be taken into consideration for symptomatic relief you can take diclofenac fifty mg sustained release once a day i hope this information helps you have a nice day,Speaker_2,27.34,"['differential', 'mg']",train
audio/Speaker_2/Speaker2-150.wav,juvenile rheumatoid arthritis or some inflammatory arthritis fit happen for younger age groups abeg wait for di test results she go need medicine to control her pain and swelling if e be say na juvenile rheumatoid arthritis cause am,juvenile rheumatoid arthritis or some inflammatory arthritis can occur in younger age groups please wait for the test results she will need medication to control her pain and swelling if it is due to juvenile rheumatoid arthritis,Speaker_2,16.66,"['inflammatory', 'arthritis', 'younger', 'medication', 'swelling', 'juvenile']",train
audio/Speaker_2/Speaker2-151.wav,hello i want advice i don lose plenty of my hair and over di past years i don manage to gain some back but not all wetin i fit take to restore all my hair again e possible take note say i don take rogaine biotin centrum revivogen pantogar platelet rich plasma injection oil masks creastim and plenty other treatments,hi i want advice i have lost a lot of my hair and throughout the past years i have managed to gain some of it back but not all what can i take to restore all my hair again is it possible taking into consideration that i have taken rogaine biotin centrum revivogen pantogar platelet rich plasma injection oil masks creastim and many other treatments,Speaker_2,22.66,[],train
audio/Speaker_2/Speaker2-152.wav,your aunt fit take tramadol tablets because dem go relieve her pain you fit contact tata memorial centre for mumbai at least once,your aunt can take tramadol tablets as they will relieve her pain you may contact the tata memorial centre in mumbai at least once,Speaker_2,10.06,"['aunt', 'tramadol', 'memorial', 'centre', 'mumbai']",train
audio/Speaker_2/Speaker2-153.wav,my daughter be thirteen years old and she dey suffer from chronic abdominal pain we don keep food diary remove dairy take lactase enzyme supplement and go counseling thinking say na stress cause am nothing dey work sometimes she dey constipate but lately she dey get plenty diarrhea we do lab test to rule out celiac disease and plenty other conditions di only abnormal level na low vitamin d adding vitamin d go take her pain away dem tell me say her primary care doctor no go refer her to gastroenterologist unless two or more of dese lab tests be abnormal,my daughter is thirteen years old and suffers from chronic abdominal pain we have kept food diaries cut out dairy taken lactase enzyme supplements and gone to counseling thinking it was stress related nothing works sometimes she experiences constipation but lately there has been a lot of diarrhea we had laboratory tests checked to rule out celiac disease and a host of other conditions the only abnormal level was low vitamin d will supplementing vitamin d take her pain away i was told her primary care physician will not refer her to a gastroenterologist unless two or more of these laboratory tests were abnormal,Speaker_2,42.55,"['thirteen', 'chronic', 'abdominal', 'laboratory', 'tests', 'checked', 'celiac', 'disease', 'low', 'vitamin', 'primary', 'care', 'physician', 'refer', 'gastroenterologist']",train
audio/Speaker_2/Speaker2-154.wav,i do laparoscopic surgery for incisional hernia but because di mesh need to attach to bone for di pelvic area e no succeed since i know say surgery go need to happen again i need doctor wey accept blue cross and i prefer laparoscopic surgery pass open surgery e go good to know whether dis procedure don ever succeed before,i had laparoscopic surgery for an incisional hernia but because the mesh needs to attach to bone in the pelvic area i was not successful knowing that surgery has to take place again i need a doctor who accepts blue cross and i prefer laparoscopic surgery over open surgery it would be nice to know if there has ever been success with this procedure,Speaker_2,26.78,"['laparoscopic', 'surgery']",train
audio/Speaker_2/Speaker2-155.wav,no dear tightening of di stomach no be from chronic obstructive pulmonary disease but e fit be from di diclofenac wey you dey take diclofenac na very strong pain medicine and e fit cause plenty gastritis wey fit lead to feeling of bloating tightening and even sometimes nausea and vomiting,no dear tightening of the stomach is not due to chronic obstructive pulmonary disease however it can be due to your intake of diclofenac diclofenac is a very strong medication for pain and can cause a lot of gastritis which can lead to a sensation of bloating tightening and even sometimes nausea and vomiting,Speaker_2,21.1,"['tightening', 'stomach', 'disease', 'medication', 'obstructive', 'nausea']",train
audio/Speaker_2/Speaker2-156.wav,hello i be fifty five year old man overweight by sixty pounds i dey feel pain for my left side above di hip bone about three inches i feel pain when i breathe deep i recently twist my ankle about eight days ago when i dey move firewood from di bush and e don hard to walk two days ago i fall from ladder onto scaffolding and i get pain for my left lower leg to my ankle now di top of my foot don turn black and blue from big toe to middle toe i dey take metoprolol two times per day and lasix twenty milligrams,hi i am a fifty five year old male overweight by sixty pounds i am having pain in my left side above the hip bone approximately three inches i feel pain when breathing deeply i recently twisted my ankle about eight days ago while moving firewood out of the woods and it has been hard to walk two days ago i had a high fall from a ladder onto scaffolding and i have pain in my left lower leg to my ankle now the top of my foot is black and blue from the big toe to the middle toe i am on metoprolol twice a day and lasix twenty milligrams,Speaker_2,36.94,"['side', 'above', 'hip', 'leg', 'metoprolol', 'foot', 'twice', 'lasix', 'milligram']",train
audio/Speaker_2/Speaker2-157.wav,my son be one and half years old he suppose receive im first booster today oral poliovirus vaccine plus diphtheria pertussis and tetanus vaccine and haemophilus influenzae type b booster vaccine but just last week he receive mesporin one gram intravenous shots for five days straight wey end on june 30th because he get fever e dey okay to give am dese booster vaccines today he no get fever now just small cough sometimes,my son is one point five years old he is due to receive his first booster oral poliovirus vaccine plus diphtheria pertussis and tetanus vaccine and haemophilus influenzae type b booster vaccine today however only last week he received mesporin one gram intravenous shots for five consecutive days ending on june 30th since he had a fever is it okay to give him these booster vaccines today he does not have a fever now just a little cough sometimes,Speaker_2,30.7,"['booster', 'gram', 'fever', 'cough']",train
audio/Speaker_2/Speaker2-158.wav,hello i be twenty two year old healthy woman i dey fit and i dey exercise anytime time permit for di past few months i don dey experience chest pains sometimes e sometimes start from jaw area and move down to my back and chest dem know me as person wey dey worry and dem don diagnose me wit anxiety problems dis one fit be side effect or e more serious,hi i am a twenty two year old healthy female i am fit and exercise whenever time permits for the past few months i have periodically experienced chest pains it sometimes starts in the jaw area and moves down to my back and chest i am known to be a worrier and have been diagnosed with anxiety problems could this be a side effect or is it more serious,Speaker_2,28.1,"['chest', 'jaw']",train
audio/Speaker_2/Speaker2-159.wav,i miscarry at ninety days of my pregnancy and i do another uterine cleanup after di first miscarriage since dat time my menstrual cycle don become irregular and i want to conceive again i don take clomid but i no see any improvement abeg advise me on di cause and di way forward,i had a miscarriage at ninety days of my conception and underwent another uterine cleanup after the first miscarriage since then my menstrual cycles have become irregular and i want to conceive again i have taken clomid but have seen no improvement please advise me on the cause and the way forward,Speaker_2,21.55,"['miscarriage', 'conception', 'uterine']",train
audio/Speaker_2/Speaker2-160.wav,hello welcome to health care management e beta to see spinal surgeon but orthopedic surgeon fit manage you well wit medicine and physiotherapy,hi welcome to the health care management it is better to see a spinal surgeon however you can be very well managed by an orthopedic surgeon with medication and physiotherapy,Speaker_2,9.74,"['managed', 'medication']",train
audio/Speaker_2/Speaker2-161.wav,hello tramadol na opioid analgesic wey dem dey use to treat pain for rheumatoid arthritis dem fit use am for long term but di chance of physical dependence dey high for acute cases for immediate relief you fit take nonsteroidal anti inflammatory drugs for long term relief other measures suppose also dey take like using heat or ice to reduce pain and stiffness exercising to stretch and strengthen di muscles of your back shoulders and abdomen doing physical therapy to help increase your flexibility strength and balance your physical therapist fit teach you exercise program wey you fit follow for home massage fit help reduce muscle tension and pain and improve blood flow steroid injections fit help reduce swelling and relieve pressure on nerves and nerve roots but evidence wey show say dese injections fit help control back pain dey small abeg consider to give positive feedback as credit for my work and let me know if you get any more questions,hi tramadol is an opioid analgesic used to treat pain in rheumatoid arthritis it can be used for the long term but there are higher chances of physical dependence in acute cases for immediate relief you can take nonsteroidal anti inflammatory drugs for long term relief other measures should be taken as well such as using heat or ice to reduce pain and stiffness exercising to stretch and strengthen the muscles of your back shoulders and abdomen engaging in physical therapy to help increase your flexibility strength and balance your physical therapist may teach you an exercise program that you can follow at home massage can help reduce muscle tension and pain and improve blood flow steroid injections can help reduce swelling and relieve pressure on nerves and nerve roots but there is little evidence showing that these injections can help control back pain please consider providing positive feedback as a credit for my work and let me know if you have any further questions,Speaker_2,70.03,"['tramadol', 'nonsteroidal', 'stiffness', 'feedback', 'therapy', 'massage', 'injections', 'swelling']",train
audio/Speaker_2/Speaker2-162.wav,insulin no dey cause dis one you need check your heart and kidney function to evaluate di swelling high sugar level dey affect di kidneys abeg do your renal function test electrocardiogram and two dimensional echocardiogram to rule out target organ damage wey diabetes cause,insulin does not cause this you need to check the status of your heart and kidney functions to evaluate the swelling high sugar levels affect the kidneys please get your renal functions electrocardiogram and two dimensional echocardiogram done to rule out target organ damage caused by diabetes,Speaker_2,20.02,"['insulin', 'kidneys', 'dimensional', 'echocardiogram', 'organ']",train
audio/Speaker_2/Speaker2-163.wav,i get ten week old baby since dem born am she get one small lump wey be like purple and e look like bruise for her back up near her shoulder blade e look like bruise from injection but dem never give am injection for dat place before,i have a ten week old baby since she was born she has had a really small lump that is sort of purple and bruised looking on her back up near her shoulder blade it looks just like a bruise from being given an injection but she has never been given one there,Speaker_2,15.91,"['lump', 'purple', 'her', 'shoulder', 'bruised']",train
audio/Speaker_2/Speaker2-164.wav,misplaced epidural dey common but e no fit cause everything di ears no dey connect directly to di spine e be like flipping switch for bathroom and di car start,a misplaced epidural is common but it certainly cannot cause everything the ears are just not connected directly to the spine it is like flipping a switch in the bathroom and the car starting,Speaker_2,12.1,['ears'],train
audio/Speaker_2/Speaker2-165.wav,dear miss di sperm only dey viable after intercourse for maximum of three days dat na why e no likely say you go become pregnant,dear miss the sperm only stays viable after intercourse for a maximum of three days that s why it is not likely that you will become pregnant,Speaker_2,10.58,[],train
audio/Speaker_2/Speaker2-166.wav,hello as i understand your son dey suffer from bronchial asthma di medicine wey your doctor prescribe dey perfectly fine and go benefit am for di long term e safe to use am for extended period,hello as i understand your son is suffering from bronchial asthma the medicine your doctor has prescribed is perfectly fine and will benefit him in the long term it is safe to use it for an extended period,Speaker_2,14.18,[],train
audio/Speaker_2/Speaker2-167.wav,hello your son most likely get muscle strain i want make you give am rest for ten days rub ice for di muscles wey dey tender give am pain reliever for five days feel free to contact me again if you need,hello your son most probably has a muscle strain i would like you to give him rest for ten days apply ice on tender muscles give him pain relievers for five days feel free to contact me again if needed,Speaker_2,15.67,['rest'],train
audio/Speaker_2/Speaker2-168.wav,my husband just do examination for life insurance you fit tell me wetin dis mean chris im recent examination talk say elevated liver functions gamma glutamyl transferase thirty seven serum glutamate oxaloacetate transaminase twenty four serum glutamate pyruvate transaminase sixty one elevated cholesterol ratio cholesterol ratio four point nine seven six you know wetin di ratios suppose to be,my husband just had an examination for life insurance can you tell me what this means chris recent examination said elevated liver functions gamma glutamyl transferase thirty seven serum glutamate oxaloacetate transaminase twenty four serum glutamate pyruvate transaminase sixty one elevated cholesterol ratio cholesterol ratio four point nine seven six do you know what the ratios are supposed to be,Speaker_2,38.38,"['elevated', 'liver', 'functions', 'glutamyl', 'transferase', 'serum', 'glutamate', 'oxaloacetate', 'transaminase', 'pyruvate', 'sixty', 'cho', 'cholesterol', 'point']",train
audio/Speaker_2/Speaker2-169.wav,my daughter shanila nehlin thirteen years old dem don diagnose am wit thirty degree cobb angle towards left scoliosis and lumbar lordosis wey x ray find for september two thousand and twelve we retrieve another x ray from two thousand and seven and find say di spine just dey start to turn left but we no fit foresee dis one and take action because we no know about dis condition for di last six months she don dey do treatment through exercise for scoliosis but x ray show hardly any improvement now wetin we suppose do,my daughter shanila nehlin thirteen years old has been diagnosed with a thirty degree cobb angle towards left scoliosis and lumbar lordosis found by x ray in september two thousand and twelve we retrieved another x ray from two thousand and seven and found the spine just starting to turn left but we were unable to foresee this and take measures since we were unaware of such a condition for the last six months she has been undergoing treatment through exercises for scoliosis but hardly any improvement has been found by x ray now what should we do,Speaker_2,42.31,"['degree', 'cobb', 'angle', 'scolio', 'lumbar', 'lord', 'ray', 'spine']",train
audio/Speaker_2/Speaker2-170.wav,hello when i wake up my saliva dey come out yellowish orange and when i spit hard some blackish matter dey come out from my mouth dis one start four years ago when my tonsils start to misbehave since dat time my saliva sometimes turn yellow and for morning my tongue dey cover wit yellow coating abeg help me,hi when i wake up my saliva comes out yellowish orange and when i spit hard some blackish matter comes out of my mouth this started four years ago when my tonsils started acting up since then my saliva sometimes turns yellow and in the morning my tongue is covered with a yellow coating please help me,Speaker_2,21.58,[],train
audio/Speaker_2/Speaker2-171.wav,i be twenty six years old and i marry last year we don dey try to conceive for di last four months but nothing don happen i don also do check up wit gynecologist she talk say di eggs no dey fertilize for my body i no understand her she tell me make i no tense she talk say we go follow treatment plan e dey okay,i am twenty six years old and got married last year we are trying to conceive for the last four months but there has been no result i have also had a check up with a gynecologist she said that the eggs are not fertilized in me i don t understand her she told me not to get tense she said that we will follow a treatment plan is it okay,Speaker_2,22.27,"['got', 'married', 'up']",train
audio/Speaker_2/Speaker2-172.wav,hello you need to see doctor for examination and chest x ray to rule out pneumonia or lung cancer otherwise dis one fit be caused by gastric acid reflux and i go recommend say dem put you on either ranitidine or esomeprazole for dat one,hello you need to see a doctor for an examination and a chest x ray to rule out pneumonia or lung cancer otherwise this could be caused by gastric acid reflux and i would recommend putting you on either ranitidine or esomeprazole for that,Speaker_2,22.34,"['examination', 'chest', 'ray', 'pneumonia', 'lung', 'ranitidine', 'esomeprazole']",train
audio/Speaker_2/Speaker2-173.wav,about one month ago i find lump right under my jaw about two weeks later e disappear around dat same time lump under my chin show up e dey small painful but e no disturb me well well now dat one don disappear but i fit feel small lump for my neck wey dey small lower than di jaw for di left hand side anything wey i suppose worry about,about a month ago i found a lump right under my jaw about two weeks later it vanished around that same time a lump under my chin showed up it was a little painful but didn t bother me all that much now that one has vanished but i can feel a small lump on my neck a little lower than the jaw on the left hand side is there anything i should be worried about,Speaker_2,26.47,"['lump', 'chin', 'jaw']",train
audio/Speaker_2/Speaker2-174.wav,do scaphoid view of wrist x ray and rule out scaphoid bone fracture dat bone fracture no dey common but e dey dangerous and dem suppose rule am out,do a scaphoid view of an x ray of the wrist and rule out a scaphoid bone fracture that bone fracture is not common but it is dangerous and should be ruled out,Speaker_2,11.9,"['scaphoid', 'wrist', 'bone', 'fracture']",train
audio/Speaker_2/Speaker2-175.wav,hello how you dey doctor i get daughter wey be ten months old and today she pass pale stool two times i dey worried well well i give her avocado for di first time e fit be from dat one her stool no be white e be like light brown and pale e hard to explain,hello how are you doctor i have a daughter who is ten months old and she had pale stool today two times i am very worried i gave her avocado for the first time could it be from that her stool is not white it is kind of light brown and pale it is hard to explain,Speaker_2,20.35,"['pale', 'stool', 'light', 'brown']",train
audio/Speaker_2/Speaker2-176.wav,my eleven year old daughter don develop dark spots for her knuckles over di past month or so dis one fit be sign of specific disease like diabetes she no be overweight but family history dey for my side and my husband side di dark spots dey for both hands,my eleven year old daughter has developed dark spots on her knuckles over the past month or so could this be a sign of a specific disease such as diabetes she is not overweight but there is a family history on both my side and my husband s side the dark spots are on both hands,Speaker_2,18.02,"['dark', 'spots', 'knuckles', 'past']",train
audio/Speaker_2/Speaker2-177.wav,i know dis person wey get hernia wey big like melon dem talk say dem no fit go emergency room because dia medical service no cover am dem mention say dem need to do some electrical procedure to remove am dis one true and wetin be im options,i know this person who has a hernia as big as a melon they said they cannot go to the emergency room because their medical service does not cover it they mentioned that they had to undergo some electrical procedure in order to remove it is this true and what are his options,Speaker_2,20.86,"['hernia', 'emergency', 'room']",train
audio/Speaker_2/Speaker2-178.wav,my two year old grandson get sickness and diarrhea recently and even though dat one don pass he still dey behave strangely he no go let anybody near am except im mama and he dey get upset when she wipe im bottom no rash dey but e look like he dey feel pain,my two year old grandson had sickness and diarrhea recently and while this has now passed he is still behaving oddly he won t let anyone near him except his mother and he gets very upset when she wipes his bottom there is no rash but he appears to be in pain,Speaker_2,18.55,"['sickness', 'diarrhea']",train
audio/Speaker_2/Speaker2-179.wav,di last few weeks don tire me well well di last few days don tire me even more i don dey fall asleep while watching television reading and even for computer last night and today i don notice say even di smallest activity wey i do dey make my heart pound sometimes i fit feel am for my neck and i always fit hear am for my ears di doctor no dey today and i dey worried i hope to see di doctor tomorrow or i suppose go emergency room tonight,the last few weeks have been exceptionally tiring the last few days have been even more so i have been falling asleep while watching television reading and even at the computer last night and today i have noticed that even the slightest bit of activity i do causes my heart to pound at times i can feel it in my neck and i can always hear it in my ears the doctor was not in today and i am worried i hope to see the doctor tomorrow or should i head to the emergency room tonight,Speaker_2,31.9,"['last', 'activity', 'emergency', 'room']",train
audio/Speaker_2/Speaker2-180.wav,my platelet count be zero hemoglobin eleven point nine packed cell volume thirty six point four mean corpuscular volume seventy and mean corpuscular hemoglobin twenty two i get redness for di tip of my tongue and one colorless blister for di tip of my tongue some boils also dey for di back of my tongue sensation dey for di frontal part of my tongue dis one don continue for one month wetin fit be di reason,my platelet count is zero hemoglobin eleven point nine packed cell volume thirty six point four mean corpuscular volume seventy and mean corpuscular hemoglobin twenty two i have redness at the tip of my tongue and one colorless blister at the tip of the tongue there are also some boils on the back of the tongue there is a sensation in the frontal part of the tongue this has been continuing for one month what could be the reason,Speaker_2,30.98,"['platelet', 'count', 'hemoglobin', 'eleven', 'point', 'redness', 'tip', 'tongue', 'colorless', 'blister', 'sensation']",train
audio/Speaker_2/Speaker2-181.wav,hello na which kind allergy or seasonal attack you dey take therapy for you no mention am despite dis one you talk say you get side effect of lichen planus you suppose ask about symptoms instead of diagnosing yourself dat one na doctor work e beta for you to go see dermatologist and show am your skin i no fit comment on dat one sorry,hi for what kind of allergy or seasonal attacks are you taking therapy you haven t mentioned it despite this you said you had a side effect of lichen planus you should ask about symptoms rather than making a diagnosis yourself that s the doctor s job it is better for you to go to a dermatologist and show him your skin appearance i can t comment on that sorry,Speaker_2,25.7,"['allergy', 'attacks', 'dermatologist']",train
audio/Speaker_2/Speaker2-182.wav,dese days dem dey do color doppler sonography for female reproductive organs including uterus ovaries and fallopian tubes dis assessment dey necessary to rule out any pelvic pathology wey fit dey cause pain for lower back di mri scan of di spine suppose don give clues to any spinal disease if e show nothing dat na why your doctor fit dey look for pelvic pathology,these days color doppler sonography is performed for female reproductive organs including the uterus ovaries and fallopian tubes this assessment is necessary to rule out any pelvic pathology that may be causing pain in the lower back the magnetic resonance imaging scan of the spine should have provided clues to any spinal disease if it was negative that is likely why your doctor might be looking for pelvic pathology,Speaker_2,28.3,"['color', 'doppler', 'sonography', 'performed', 'magnetic', 'resonance', 'imaging', 'spine']",train
audio/Speaker_2/Speaker2-183.wav,try to use muscle relaxant ointment and apply hot fomentation around di painful areas if dis one no help take oral muscle relaxants together wit painkiller taking only painkiller no go work,try using a muscle relaxant ointment and apply hot fomentation around the painful areas if this does not help take oral muscle relaxants along with a painkiller taking only a painkiller will not be effective,Speaker_2,17.11,"['oral', 'muscle', 'relaxants']",train
audio/Speaker_2/Speaker2-184.wav,i do vasectomy about one year ago and since dat time i don dey feel pain for top of my left testicle i don take antibiotics for infection now apart from di testicle pain for top i also dey get chest pain and stomach pain wetin dis fit be my doctor talk say di epididymis probably need to be removed but dat one go cause dese problems,i had a vasectomy performed about a year ago and have been experiencing pain on top of my left testicle since then i have had antibiotics for an infection now with the testicle pain at the top i am also having chest pain and pain in my stomach what could this be my doctor said the epididymis probably needs to be removed but would that cause these problems,Speaker_2,26.78,"['vasectomy', 'testicle', 'antibiotics', 'chest', 'epididymis']",train
audio/Speaker_2/Speaker2-185.wav,hello my stomach don dey pain me since dis morning i first feel hungry dis morning and because of di pain i chop some food but di pain continue den i feel full i take di medicine wey dem call soothe wey be like pepto bismol two doses but e no seem to help,hi my stomach has been painful since this morning i felt hungry this morning first and because of the pain i ate some food but the pain continues then i felt full i took the medicine called soothe which is similar to pepto bismol in two doses but it didn t seem to help,Speaker_2,21.46,"['stomach', 'hungry', 'ate', 'painful']",train
audio/Speaker_2/Speaker2-186.wav,my semen dey brownish color and watery i dey wonder wetin cause am and how much i suppose to worry also wetin i fit do to cure di problem i be forty two year old man wit liver disease i dey on treatment for hepatitis c now dis one fit connect to di problem,my semen is a brownish color and watery i am wondering what this is caused by and how alarmed i should be also what can i do to cure the problem i am a forty two year old male with liver disease i am currently on treatment for hepatitis c could this have anything to do with the problem,Speaker_2,19.54,"['semen', 'brownish', 'male', 'liver']",train
audio/Speaker_2/Speaker2-187.wav,e fit be viral fever wey suppose go down by itself for about one week but if e continue pass one week or if any other symptoms like irritability less activity crying when urinating or refusing to chop develop take am go see doctor,it may be a viral fever which should subside on its own in about a week however if it goes on for more than a week or if any associated symptoms such as irritability decreased activity crying during urination or refusal to eat develop get him evaluated by a doctor,Speaker_2,22.1,[],train
audio/Speaker_2/Speaker2-188.wav,hello thank you for reaching out i really appreciate your concern based on di information wey you give i go say dis condition dem call am gynecomastia because of your age dis one sometimes dey happen for dis age group and di most likely cause na higher amount of estrogen but no need to worry about dis one e go resolve by itself no need to do anything or think too much about am take care and have a nice day,hi thank you for reaching out to me i really appreciate your concern based on the information provided i would say that this condition is known as gynecomastia given your age this sometimes occurs in this age group and the most probable cause would be a higher amount of estrogen however there is no need to worry about this it will resolve on its own no need to do anything or to think too much about it take care and have a nice day,Speaker_2,28.15,[],train
audio/Speaker_2/Speaker2-189.wav,e go clear well for ct scan only radiologist or surgeon after dem see am during operation fit tell wetin e be no worry e be ninety percent chance say na stones di chance say e be solid cyst hemangioma part of kidney wey no dey work or tumor dey small,it will be very clear in the computed tomography scan only a radiologist or surgeon after seeing it in operation can tell what it is don t worry it is ninety likely to be stones the chances of it being a solid cyst hemangioma a non functioning part of the kidney or a tumor are rare,Speaker_2,24.19,['tumor'],train
audio/Speaker_2/Speaker2-190.wav,hello i get nine month old pikin wey recently get serious flu so her pediatrician put am on antibiotics wey don cause mild diarrhea she go finish di antibiotic course tomorrow i suppose give her any probiotics like enterogermina to fight di negative effects of di antibiotics,hello i have a nine month old who recently got the flu very badly so her pediatrician placed her on antibiotics which have caused mild diarrhea she is finishing the course of antibiotics tomorrow should i give her any probiotics like enterogermina to counteract the negative effects of the antibiotics,Speaker_2,24.79,"['flu', 'mild', 'antibiotics', 'probiotics']",train
audio/Speaker_2/Speaker2-191.wav,sometimes because of genetic disorders fetal loss fit happen also when mama thyroid hormone level high pregnancy loss fit happen,sometimes due to genetic disorders fetal loss can occur additionally when maternal thyroid hormone levels are high pregnancy loss can happen,Speaker_2,10.78,"['fetal', 'loss', 'thyroid', 'hormone', 'pregnancy']",train
audio/Speaker_2/Speaker2-192.wav,hello my fifteen month old pikin just fall and hit im cheekbone for di stair i only fit put ice for di area for few seconds because he dey cry too much and no gree make i touch am now he dey sleep and from wetin i see im cheek dey red well well and he get purple blue line under im eye wey start from im temple how much i suppose to worry,hi my fifteen month old child just fell and hit his cheekbone on the stair i could only put ice on the area for a few seconds because he was crying too hard and would not let me now he is sleeping and from what i see his cheek is very red and he has a purple blue line under his eye starting from his temple how worried should i be,Speaker_2,25.22,['cheekbone'],train
audio/Speaker_2/Speaker2-193.wav,hello yes you get obsessive thought especially obsessional phobias you dey relate dese thoughts to something worse wey fit happen for dis period try to tell yourself stop to dese thoughts anytime dem enter your mind and ask yourself whether anything happen di way your mind dey suggest or wetin you dey fear dis mean say you don stuck to your thoughts and don develop fear say something worse fit happen so e beta to tell stop to dese thoughts and keep yourself busy wit daily activities also go for walk everyday for at least thirty to forty five minutes watch your response for di next week if you no fit control am den dem fit start medication,hi yes you have an obsessive thought especially obsessional phobias you are relating these thoughts to something worse that might happen during this period try to say stop to these thoughts every time they come into your mind and ask yourself if there is anything that happened in the way your mind suggests or for which you are afraid this means you are so stuck to your thoughts and have developed a fear that something worse might happen so it is better to say stop to these thoughts and keep yourself busy with daily activities additionally go for a walk daily for at least thirty to forty five minutes observe your response in the next week if you cannot control it then medication can be started,Speaker_2,48.07,"['obsessional', 'phobias', 'these', 'thoughts', 'daily']",train
audio/Speaker_2/Speaker2-194.wav,her weight gain dey acceptable feeding every four to five hours dey fine as well but i go suggest make you try to breastfeed as much as possible make di baby suck first anytime she hungry breast milk na di best,her weight gain is acceptable feeding every four to five hours is also fine but i would suggest you try to initiate breastfeeding as much as possible let the baby suck first whenever she is hungry breast milk is the best,Speaker_2,17.14,['breastfeeding'],train
audio/Speaker_2/Speaker2-195.wav,i get tooth infection and dem give me antibiotics last month e finish about two weeks ago i no get dentist appointment until di end of di month but for di past week i don dey feel tingling for my arm for di side wey my cavity dey and now my arm and fingers don swell i suppose go emergency room,i have a tooth infection and was given antibiotics last month they ran out about two weeks ago i m not scheduled for a dentist appointment until the end of the month but for the past week i ve been getting a tingling feeling in my arm on the side where my cavity is and now my arm and fingers are swollen should i go to the emergency room,Speaker_2,20.78,"['tooth', 'infection', 'antibiotics', 'tingling', 'feeling', 'arm', 'cavity', 'fingers', 'emergency', 'room']",train
audio/Speaker_2/Speaker2-196.wav,inhalers dey generally safe because di dose wey dem give dey very small doctors fit get different opinions on di type of medication based on dia experience if any factors dey wey dey make am worse try to avoid dem i hope she no get anemia and she no get eosinophilia normally di attacks go calm down after some time,inhalers are generally safe as the dose administered is very small doctors may have different opinions on the type of medication used depending on their experience if there are any aggravating factors try to avoid those i hope she is not anemic and does not have eosinophilia usually the attacks subside after some time,Speaker_2,24.19,['inhalers'],train
audio/Speaker_2/Speaker2-197.wav,starting antihypertensive medication na second line approach to manage high blood pressure lifestyle management and exercise suppose be tried first for your case if you don already try dese general measures before starting ramipril den stopping ramipril no go benefit you but if you start ramipril before trying di general lifestyle measures den stopping ramipril fit help you reach your blood pressure target for mild hypertension for dat case ramipril suppose stop gradually reducing di dose over one week while you already dey do lifestyle measures,starting antihypertensive medications is a second line approach to manage high blood pressure lifestyle management and exercise should be tried first in your case if you have already exhausted these general measures before starting ramipril then stopping ramipril may not be beneficial however if you started ramipril before trying the general lifestyle measures then stopping ramipril may help you achieve your blood pressure target for mild hypertension in that case ramipril should be stopped gradually tapering down the dose over a week while already implementing lifestyle measures,Speaker_2,41.78,"['antihypertensive', 'medications', 'ramipril']",train
audio/Speaker_2/Speaker2-198.wav,when i finally notice i dey experience symptom wey be like sore throat after i chop sushi e no be sore throat but e feel more like pain anytime i try to swallow e dey leave me uncomfortable and i feel like i need to cough to ease di pain i dey get allergy,when i finally noticed i experience a symptom similar to a sore throat after eating sushi it is not a sore throat but it feels more like pain every time i try to swallow it leaves me uncomfortable and i feel the need to cough to ease the pain am i having an allergy,Speaker_2,22.58,"['symptom', 'sore', 'throat']",train
audio/Speaker_2/Speaker2-199.wav,hello welcome to hcm chemotherapy get side effects but dia management don improve well for di last twenty years plenty side effects wey dem no fit avoid before now dem fit prevent or control dem well no reliable way to predict how patients go react to chemotherapy some go get very mild side effects others no get at all while some people go report different symptoms you suppose talk to her doctor and mention dese side effects so dat im go fit manage dem i hope dis one go help your friend,hello welcome to hcm chemotherapy has side effects but their management has improved considerably over the last twenty years many side effects that were once inevitable can now be either prevented or effectively controlled there is no reliable way to predict how patients may react to chemotherapy some experience very mild side effects others have none at all while some individuals report various symptoms you should talk to her doctor and mention these side effects so that he can manage them i hope this will help your friend,Speaker_2,36.31,"['chemotherapy', 'side', 'effects']",train
audio/Speaker_2/Speaker2-200.wav,hello thank you for sharing your previous condition no relate to di shortness of breath wey you dey experience now e fit be from panic attack or e fit relate to anxiety and depression dis one go be alright as soon as you come out of dis situation have a nice day,hi thank you for sharing your previous condition is not related to the shortness of breath you are experiencing right now it could be due to some kind of panic attack or may be related to anxiety and depression this will be all right as soon as you come out of this situation have a nice day,Speaker_2,17.54,"['shortness', 'breath', 'panic', 'attack']",train
audio/Speaker_2/Speaker2-201.wav,hello after one month e no likely say di surgery get complications but you fit do ultrasound to follow up and see whether anything dey wrong also adhesions wey form after surgery fit cause some pain,hi after one month it is not likely that the surgery had complications however you could get an ultrasound to follow up and see if there is something wrong additionally adhesions formed after surgery can cause some pain,Speaker_2,14.14,['ultrasound'],train
audio/Speaker_2/Speaker2-202.wav,hello welcome to health care management forum di depo provera injection fit cause delayed period and irregular period breast tenderness fit be from di depo provera shot to be extra careful you suppose repeat di pregnancy test after one week and if possible do ultrasound best wishes,hello welcome to the health care management forum the depo provera injection can cause delayed periods and irregular periods breast tenderness can be due to the depo provera shot to be extra careful you should repeat the pregnancy test after a week and if possible get an ultrasound done best wishes,Speaker_2,21.14,"['injection', 'delayed', 'periods', 'irregular', 'breast', 'tenderness', 'ultrasound']",train
audio/Speaker_2/Speaker2-203.wav,i get red and purple swollen area around my tailbone wey dey become unbearable to sit walk or even move e start from di very top of where di sacrum begin and di swelling be about di size of my hand i don go see some doctors and dem no know wetin e be oh and i be thirty seven weeks pregnant,i have a red and purple swollen area around my tailbone that is becoming unbearable to sit walk or just move it starts at the very top of where the sacrum begins and the swelling is about the size of my hand i have been to a few doctors and they do not know what it is oh and i am thirty seven weeks pregnant,Speaker_2,20.23,"['red', 'swollen', 'tailbone', 'sacrum', 'swelling']",train
audio/Speaker_2/Speaker2-204.wav,i do protected sex wit one lady but i finger her and she do oral sex for me on may 18th three days later i notice say my lymph nodes for my right leg swell small after some weeks until now i dey experience light colored stool colored urine and weight loss i suspect say hepatitis don affect me abeg i want know whether any of dese symptoms relate to hiv,i had protected sex with a lady but i fingered her and she performed oral sex on me on the 18th of may three days later i experienced slightly swollen lymph nodes in my right leg a couple of weeks later until now i am experiencing light colored stool colored urine and weight loss i suspect i am affected with hepatitis please i want to know if any of these symptoms are related to human immunodeficiency virus,Speaker_2,28.54,"['slightly', 'swollen', 'lymph', 'nodes']",train
audio/Speaker_2/Speaker2-205.wav,e appear to me say you don develop acute back strain because di muscles dey spasm dem dey look tight i know say dis condition dey cause serious pain first rest for bed no bend your back or walk unless necessary also take painkiller and muscle relaxant like myoril or myospaz applying heat through cloth or water go also help,it appears to me that you have developed an acute back strain because the muscles are in spasm they appear tight i know that this condition causes severe pain first take bed rest do not bend your back or walk unnecessarily also take painkillers and a muscle relaxant like myoril or myospaz applying heat through a cloth or water will also help,Speaker_2,27.79,"['acute', 'muscles', 'severe', 'painkillers', 'muscle', 'relaxant', 'myoril', 'myospaz']",train
audio/Speaker_2/Speaker2-206.wav,my ovaries don enlarge and dem show plenty small follicles wey arrange for di outside no dominant follicle dey see di stromal echogenicity don increase no adnexal mass dey see no free fluid for pouch of douglas wetin all dis mean any serious problem for conceiving baby,my ovaries are enlarged in size and show multiple small follicles arranged peripherally no dominant follicle is seen the stromal echogenicity is increased no adnexal mass is seen there is no free fluid in the pouch of douglas what does it all mean is there any serious problem for conceiving a baby,Speaker_2,24.86,"['multiple', 'small', 'follicles', 'stromal', 'nexal', 'mass', 'free', 'fluid', 'baby']",train
audio/Speaker_2/Speaker2-207.wav,hello when you come to hospital wit dis kind treatment of radiation and chemotherapy di lesions go resolve well well but because of radiation person fit feel some hardening of tissues but dis one also go resolve over time person need plenty patience and willpower dey important here i hope dis information help take care,hello when coming to the hospital with such treatment of radiation and chemotherapy the lesions resolve to a far extent but due to radiation one can feel some hardening of tissues however this also resolves over time one needs to have a lot of patience and willpower matters here i hope this information helps take care,Speaker_2,23.26,['lesions'],train
audio/Speaker_2/Speaker2-208.wav,maybe dis other knee only need hemiarthroplasty or partial knee replacement if only one side of di knee dey affected alone abeg confirm wit your surgeon because im fit perform am under epidural anesthesia and not general anesthesia wey go need inpatient care nothing to fear,maybe this other knee needs only hemiarthroplasty or partial knee replacement if only one side of the knee is affected singularly please confirm with your surgeon as he may be performing under epidural anesthesia and not general anesthesia for which inpatient care is needed there is nothing to fear,Speaker_2,22.78,"['other', 'knee', 'replacement']",train
audio/Speaker_2/Speaker2-209.wav,di swelling wey you talk about seem to be lymph node enlargement generally because of some infection or injury wey happen for leg take some antibiotics like amoxiclav six hundred and twenty five milligrams two times per day for one week after food e likely go reduce other possibilities na lipoma and femoral hernia,the swelling in question seems to be lymph node enlargement generally due to some infectious focus or injury sustained on the leg take some antibiotics like amoxiclav six hundred and twenty five milligrams twice daily for a week after meals it is likely to subside other possibilities are lipoma and femoral hernia,Speaker_2,22.66,"['swelling', 'lymph', 'node', 'infectious', 'focus', 'antibiotics', 'amoxiclav', 'milligrams', 'twice', 'daily', 'lipoma']",train
audio/Speaker_2/Speaker2-210.wav,hello i be twenty seven years old and i don dey try to conceive for di last eight months i dey get irregular period so my doctor prescribe susten two hundred milligrams progesterone soft gel for vaginal use two tablets everyday for ten days every month starting from di 16th day of my cycle now i dey get regular period my question be i go ovulate regularly as well my ovulation go also dey induced like my period,hi i am twenty seven years old and trying to conceive for the last eight months i was having irregular periods so my doctor prescribed me susten two hundred milligrams progesterone soft gel for vaginal use two tablets daily for ten days every month starting from the 16th day of my cycle now i am having regular periods my question is am i going to ovulate regularly as well will my ovulation also be induced as my periods are,Speaker_2,29.02,"['conceive', 'irregular', 'milligrams', 'progesterone', 'tablets', 'daily']",train
audio/Speaker_2/Speaker2-211.wav,hello abeg no stress just by looking at di endometrial thickness e no really possible to know whether you don conceive or not blood test and serial follow up go dey more appropriate also some other tests go need to be done to see whether any problem dey wit your fertility,hello please don t be stressed just by looking at the endometrial thickness it is not really possible to say if you have conceived or not a blood test and serial follow up would be more appropriate furthermore a couple of other tests would need to be done to see if there is any problem with your fertility,Speaker_2,22.15,"['endometrial', 'blood', 'test']",train
audio/Speaker_2/Speaker2-212.wav,hello doctor i be twenty seven years old woman and i weigh one hundred and thirty pounds i get history of smoking small less than one pack per day for ten years and i quit one month ago i dey concerned about finger clubbing i don notice new curvature for my nails over di last few months wey no dey before e dey mostly for my index fingers and small for my middle fingers according to schamroth test i get very small window i dey really concerned dis one fit be early sign,hello doctor i am twenty seven years old female and weigh one hundred and thirty pounds i have a history of smoking slightly less than one pack a day for ten years and quit a month ago i am concerned about finger clubbing i have noticed a new curvature in my nails over the last few months that was not present before it is mostly in my index fingers and slightly in my middle fingers according to schamroth s test i have a very small window i am really concerned could this be an early sign,Speaker_2,34.82,"['weigh', 'smoking', 'slightly', 'less', 'pack', 'quit', 'curvature']",train
audio/Speaker_2/Speaker2-213.wav,welcome steve abeg take di following medications tablet metoclopramide and capsule nexium forty milligrams once because e be post operative e most likely from di immobility of di gastrointestinal tract let me know which medications you dey take now thank you,welcome steve please take the following medications tablet metoclopramide and capsule nexium forty milligrams once since it is post operative it is most likely due to the immobility of the gastrointestinal tract let me know what medications you are currently on thank you,Speaker_2,22.27,"['tablet', 'metoclopramide', 'capsule', 'milligrams', 'medications']",train
audio/Speaker_2/Speaker2-214.wav,i do hip replacement for two thousand and nine i don also do back surgery my back dey do well finally but my hip dey prevent me from walking without my cane my hip dey hurt me seriously well di pain dey start from my waist and go down my leg but mostly e dey right around di hip area i dey go doctor tomorrow bursitis,i had my hip replaced in two thousand and nine i have also had back surgery my back is finally doing great but my hip is preventing me from walking without my cane my hip hurts extremely badly the pain starts at my waist and goes down my leg but mostly it is right around the hip area i am going to the doctor tomorrow bursitis,Speaker_2,27.1,"['hip', 'waist', 'leg', 'going']",train
audio/Speaker_2/Speaker2-215.wav,hello recently i do my follicular study di results be as follows right ovary twenty two x sixteen point six mm left ovary four point two mm dem tell me to come on di 12th day of my menstrual cycle di above study dem do am on my 10th day abeg explain di above results and whether any problem dey wit conceiving,hi recently i did my follicular study its results are as follows right ovary twenty two x sixteen point six mm left ovary four point two mm they told me to come on the 12th day of my menstrual cycle the above study was performed on my 10th day please explain the above results and whether there is any problem with conceiving,Speaker_2,28.15,"['sixteen', 'point', 'th']",train
audio/Speaker_2/Speaker2-216.wav,hello since your urine pregnancy test show positive two times after you miss your period e mean say you dey pregnant di bleeding wey you dey confuse wit your period likely be dark brown for color wey no be like normal period and e likely be implantation bleeding after pregnancy if you want to be sure you fit do serum beta hcg test if di hcg levels pass five milli international units per milliliter den you surely dey pregnant,hello as your urine pregnancy test is positive twice after your missed periods it indicates that you are pregnant the bleeding that you are confusing with your menses is likely to be dark brown in color unlike normal menses and is likely to be an implantation bleeding post pregnancy if you wish to be conclusive you may get a serum beta human chorionic gonadotropin test done if the human chorionic gonadotropin levels are more than five milli international units per milliliter then you are surely pregnant,Speaker_2,34.1,"['test', 'positive', 'bleeding', 'dark', 'brown', 'serum', 'gonadotropin', 'milli', 'international', 'units', 'per']",train
audio/Speaker_2/Speaker2-217.wav,i be seven weeks pregnant and today na my first appointment last night i wake up to use bathroom and during and right after urinating heavy strong pressure dey no burning no spotting no bleeding e only last few seconds but e feel like my cervix or uterus dey come out wetin be dis,i am seven weeks pregnant and today is my first appointment last night i got up to use the bathroom and during and right after urinating there was heavy strong pressure there was no burning no spotting or bleeding it only lasted a few seconds but it felt like my cervix or uterus was coming out what is this,Speaker_2,22.39,"['pregnant', 'cervix']",train
audio/Speaker_2/Speaker2-218.wav,good afternoon my wife dey suffer from gastric issues dem don give her mukta shakti vashma kam dudha rasa giloy sat mukta tishti avipattikar churna and udar amrit vati she dey pregnant now we fit continue dese medications she also dey suffer from worms now we fit give her medication for dat one,good afternoon my wife is suffering from gastric issues she has been given mukta shakti vashma kam dudha rasa giloy sat mukta tishti avipattikar churna and udar amrit vati she is pregnant now can we continue these medications she is also suffering from worms now can we give her medication for that,Speaker_2,24.55,"['wife', 'worms', 'medications']",train
audio/Speaker_2/Speaker2-219.wav,because of sudden irritation of di nerves no need to worry if e continue for long time you fit go see neurophysician,due to sudden irritation of the nerves there is no need to worry if it persists for a long time you can meet a neurophysician,Speaker_2,8.74,['irritation'],train
audio/Speaker_2/Speaker2-220.wav,hello i no think say di lesions na indicator of cancer for dis case rule out pemphigus vulgaris because injury wit plant products fit cause am add broad spectrum antibiotic vitamin c and anti inflammatory medication for dis case use prednisolone for longer time,hello i do not think the lesions are an indicator of cancer in this case rule out pemphigus vulgaris as injury with plant products can cause it add a broad spectrum antibiotic vitamin c and anti inflammatory medication in this case use prednisolone for a longer time,Speaker_2,21.07,"['lesions', 'antibiotic', 'vitamin', 'medication', 'prednisolone']",train
audio/Speaker_2/Speaker2-221.wav,i don get dis leg pain for five years e start for my lower back and e extend down to just above my ankle i don manage di pain wit pain medication but i dey about to lose access to di pain medication e dey become very painful and i no know how to get relief from dis pain i dey use veterans affairs for my medical needs and i really no fit get any help from dem at dis point anything go help,i have had this leg pain for five years it started in my lower back and extends down to just above the ankle i have managed my pain with pain medication but i am about to lose access to the pain medication it gets very painful and i am at a loss for relief from this pain i used the veterans affairs for my medical needs and really cannot get any help from them at this point anything would be helpful,Speaker_2,30.46,"['leg', 'above', 'ankle', 'painful', 'affairs']",train
audio/Speaker_2/Speaker2-222.wav,hello i understand your concern i no know any condition wey dem call dark spots perhaps dem dey refer to clots for di left ventricle but i no go sure of di terminology wey your cardiologist use i no think say e be anything serious and i hope he no become too depressed i hope dat one help,hello there i understand your concern i am not aware of any entity known as dark spots perhaps they are referring to clots in the left ventricle but i won t be sure of the terminology used by your cardiologist i do not think it is anything serious and i hope he does not become too depressed i hope that helps,Speaker_2,24.26,"['dark', 'ventric']",train
audio/Speaker_2/Speaker2-223.wav,hello you suppose know say not every time wey breathing dey trouble mean na asthma you no suppose self diagnose because dat one na doctor work you need to go see your physician do examination first and den follow di treatment wey he suggest,hello you should know that not every instance of troubled breathing is asthma all the time you should not self diagnose as that is the job of a doctor you need to go to your physician get examined first and then follow the treatment that he suggests,Speaker_2,18.07,"['troubled', 'breathing']",train
audio/Speaker_2/Speaker2-224.wav,hello doctor i be very paranoid person di smallest thing wey happen to me dey make me go search am for internet and stress over am one of my main problems na to dey freak out about going to sleep and waking up feeling worse for example yesterday i get eyelash for my eye and e be so close to my cornea but e no touch am after dat i go dey always go bathroom to check whether anything dey for my eye di constant touching make my eye dey sore and i dey fear to fall asleep and wake up blind i end up sleeping at five am i dey wonder whether you get any tips to help me no dey fear to sleep for night,hello doctor i am a very paranoid person the smallest thing that happens to me leads me to search it up on the internet and stress over it one of my main problems is freaking out about going to sleep and waking up feeling worse for example yesterday i got an eyelash in my eye and it was so close to my cornea but it did not touch it after that i would constantly go to the bathroom to check if there was something in my eye the constant touching led to my eye being sore and i was afraid to fall asleep and wake up blind i ended up sleeping at five am i was wondering if you had any tips to help me not be afraid to sleep at night,Speaker_2,43.3,['eyelash'],train
audio/Speaker_2/Speaker2-225.wav,i dey worried about my papa he don dey get nosebleed every morning and very painful head wey dey pain am pass normal headache he come home yesterday from walk and im eyes dey red and he no dey feel well at all wetin dis fit be i no know whether e relate to am but he also get copd,i am worried about my dad he has had nosebleeds every morning and a very painful sore head more painful than a normal headache he came home yesterday from a walk and his eyes were bloodshot and he wasn t feeling well at all what could this be i don t know if it is anything to do with it but he also has chronic obstructive pulmonary disease,Speaker_2,24.19,"['nosebleeds', 'morning', 'painful']",train
audio/Speaker_2/Speaker2-226.wav,i be forty five years old five years ago i do operation for my spinal cord because of slipped disc wey dey touch di nerves wey cause pain for my left leg now after five years i dey experience serious back pain doctors advise me to do traction since i no get di old leg pain again abeg advise,i am forty five years old five years ago i had an operation on my spinal cord for a slipped disc that was touching the nerves which caused pain in my left leg now after five years i am experiencing severe back pain doctors advised me to undergo traction since i do not have any old leg pain please advise,Speaker_2,20.78,"['spinal', 'cord', 'slipped', 'disc', 'leg', 'severe']",train
audio/Speaker_2/Speaker2-227.wav,hypertension dey caused by di stiffening of blood vessels as di age of di patient increase blood vessels start to gather calcium other minerals and fat cells dis one dey cause increased stiffening wey dey lead to increase for blood pressure,hypertension is caused by the stiffening of blood vessels as the age of the patient increases blood vessels start to accumulate calcium other minerals and fat cells this causes increased stiffening leading to an increase in blood pressure,Speaker_2,19.9,"['hypertension', 'stiffening']",train
audio/Speaker_2/Speaker2-228.wav,palpitations fit relate to plenty diseases concerning di heart hormones psychology etc make we assume say dem diagnose you wit anxiety disorder di causes for your repeated palpitations fit be due to one irregular medication two dose changes three causes wey need further investigation e g pheochromocytoma i hope dis one help,palpitations can be related to many diseases concerning the heart hormones psychology etc assuming that you were diagnosed with anxiety disorder the causes for your repeated palpitations may be due to one irregular medication two dose changes three causes which require further investigation e g pheochromocytoma i hope this helps,Speaker_2,26.74,['palpitations'],train
audio/Speaker_2/Speaker2-229.wav,i dey thirty eight weeks pregnant wit high blood pressure and my heart dey race even as i just dey lie down here i go hospital last night because of my headache and small blurred vision and dem monitor me for some hours dem no really tell me anything and dem send me go dis morning di baby dey move but no be as much as normal i get small headache and my heart dey race why dis one dey happen,i am thirty eight weeks pregnant with high blood pressure and my heart is racing just while i am lying here i went to the hospital last night because of my headache and slightly blurred vision and they monitored me for a couple of hours they didn t really tell me much and sent me on my way this morning the baby is moving just not as much as normal i have a slight headache and my heart is racing why is this happening,Speaker_2,28.78,"['high', 'went', 'hospital', 'headache', 'slightly', 'slight']",train
audio/Speaker_2/Speaker2-230.wav,hello two factors dey play here wey fit be responsible for di abdominal swelling first kidney function dey necessary to remove excess body fluid together wit waste so when di kidneys no dey function properly dem no fit remove di fluid wey dey lead to accumulation for di body secondly di liver dey produce proteins wey dey keep di fluid for di blood vessels when di liver become dysfunctional e no dey produce di required proteins especially albumin and therefore e no fit keep di fluid for di vessels wey dey cause fluid to leak into di peritoneal cavity i hope dat one answer your question,hi there are two factors at play here that may be responsible for the abdominal swelling first kidney function is necessary to excrete excess body fluid along with wastes so when the kidneys do not function properly they cannot excrete the fluid leading to accumulation in the body secondly the liver produces proteins that keep the fluid in the blood vessels when the liver becomes dysfunctional it does not produce the required proteins specifically albumin and therefore cannot retain the fluid in the vessels causing fluid to extravasate into the peritoneal cavity i hope that answers your question,Speaker_2,44.06,"['abdominal', 'kidneys', 'liver', 'extravasate', 'peritoneal']",train
audio/Speaker_2/Speaker2-231.wav,since she take di emergency contraceptive pill on time no need to worry also you do di thing during her safe period delay for period after taking emergency contraceptive pill fit be from hormonal imbalance if she no get her period within seven days abeg go see your gynecologist,as she took the emergency contraceptive pill on time there is no need to worry moreover you had sexual intercourse during her safe period a delay in period after taking the emergency contraceptive pill can be due to hormonal imbalance if she does not get her period within seven days please visit your gynecologist,Speaker_2,21.02,"['sexual', 'intercourse', 'contraceptive']",train
audio/Speaker_2/Speaker2-232.wav,hey sorry dear but according to your condition you suppose continue wit your current treatment no other option dey for primolut,hey sorry dear but according to your condition you should continue with your current treatment there is no other option for primolut,Speaker_2,10.18,[],train
audio/Speaker_2/Speaker2-233.wav,hello today i notice say my five year old daughter im vein for her right leg dey very visible she don dey complain sometimes say her legs dey pain we don talk to her pediatrician about dis before and she talk say na just growing pain i dey small worried whether dat one get something to do wit her legs hurting she still dey wake up for middle of night dey complain say her legs dey pain,hi today i noticed my five year old daughter s vein on her right leg looked very visible she has been complaining now and then that her legs hurt we have talked to her pediatrician about this before and she said it is just growing pains i am kind of worried if that has something to do with her legs hurting she still wakes up in the middle of the night complaining about her legs hurting,Speaker_2,23.47,"['leg', 'complaining', 'legs']",train
audio/Speaker_2/Speaker2-234.wav,yes i dey take sprintec twenty eight birth control and for my last pack i miss pills but i take dem di next day den i start my period one week earlier than i suppose to well i don dey take my pill regularly but i don dey on my period for twenty eight days now my papa be registered nurse and e don do am for over twenty years i dey for my last week of blue pills and den i go start my period next week so i fit just go ahead and replace dis week wit my period week and see whether dat one go help,yes i take sprintec twenty eight birth control and on my last pack i missed pills but took them the next day i then started my period a week earlier than i should have well i ve been taking my pill regularly but i have been on my period for twenty eight days now my dad is a registered nurse and has been for over twenty years i m in my last week of blue pills and then i start my period next week so could i just go ahead and replace this week with my period week and see if that helps,Speaker_2,36.74,['dad'],train
audio/Speaker_2/Speaker2-235.wav,dis one probably no be cancer avoid eating and brushing for di side wey dem remove teeth for one week take antibiotics and painkillers for five days dis bump for your gum fit be from some trauma during di extraction if your problems no resolve within one week you need to go see your dentist,this is probably not cancer avoid eating and brushing on the side where teeth were removed for one week take antibiotics and analgesics for five days this bump on your gum may be due to some trauma during the extraction if your problems do not resolve within a week you need to visit your dentist,Speaker_2,18.14,"['eating', 'teeth', 'removed', 'antibiotics', 'analgesics', 'bump', 'gum', 'trauma']",train
audio/Speaker_2/Speaker2-236.wav,for c5 moderately severe degenerative disc disease and disc space narrowing dey fairly severe stenosis of di right neural foramen dey because of uncovertebral osteophyte diffuse bulge dey for c5 c6 and mild central spinal stenosis di anteroposterior diameter of di spinal canal be about eight point two millimeters wetin better to do i suppose see spinal surgeon or neurosurgeon,at c5 there is moderately severe degenerative disc disease and disc space narrowing there is fairly severe stenosis of the right neural foramen due to uncovertebral osteophyte there is a diffuse bulge at c5 c6 and mild central spinal stenosis the anteroposterior diameter of the spinal canal is about eight point two millimeters what is better to do should i see a spinal surgeon or a neurosurgeon,Speaker_2,37.15,"['disc', 'moderately', 'degenerative', 'disease', 'fairly', 'stenosis', 'neural', 'foramen', 'uncovertebral', 'diffuse', 'bulge', 'mild', 'spinal', 'canal', 'surgeon']",train
audio/Speaker_2/Speaker2-237.wav,dear patient dem don already diagnose you wit pelvic inflammatory disease wey fit lead to both abdominal pain and back pain also you don do abdominal surgery wey fit result for adhesions of di peritoneum since you dey experience numbness for your left lower limb wey associate wit back pain possibility dey say nerve compression for your back dey because of disc prolapse i kindly recommend say you do mri of di lumbosacral spine to rule out di possibility of disc prolapse and also go see gastroenterologist to address your abdominal pain,dear patient you have already been diagnosed with pelvic inflammatory disease which can lead to both abdominal pain and back pain additionally you have undergone abdominal surgery which might result in adhesions of the peritoneum since you are experiencing numbness in your left lower limb associated with back pain there is a possibility of nerve compression in your back due to disc prolapse i kindly recommend that you get an investigation for an mri of the lumbosacral spine to rule out the possibility of disc prolapse and also visit a gastroenterologist to address your abdominal pain,Speaker_2,43.1,"['pelvic', 'abdominal', 'adhesions', 'numbness', 'limb', 'nerve', 'compression', 'mri', 'lumbosacral', 'spine', 'gastroenterologist']",train
audio/Speaker_2/Speaker2-238.wav,i get pain for my right jaw when i dey try to open am to chop supper dis one just start and even though i chew for my left side e still dey pain but no be as bad as when i first try to open am dis one brand new e no dey pain earlier today yesterday my right molar dey tender one time when i try to bite down on am but e go away and never return,i had pain in my right jaw when i was trying to open it to eat supper this has just started and even though i chewed on my left side it still hurts but not as badly as when i was initially trying to open it this is brand new it was not hurting earlier today yesterday my right molar was tender once when i tried to bite down on it but it went away and has not returned,Speaker_2,27.82,"['jaw', 'molar']",train
audio/Speaker_2/Speaker2-239.wav,over di last few months my husband im tongue dey swell up during night and e dey huge for morning e fit take whole day to go back to normal i dey sure say e no be allergic reaction to anything because he no don eat anything different he don always snore i dey concerned because he get cancerous spot remove from im face just under di eye about three years ago and i dey wonder whether he get more cancer you fit help abeg i sorry i no get money to pay you,over the last few months my husband s tongue swells up during the night and is huge in the morning it can take all day to go back to normal i am sure it is not an allergic reaction to anything as he has eaten nothing different he has always snored i am concerned as he had a cancerous spot removed from his face just under the eye about three years ago and was wondering if he has more cancer can you help please i am sorry i have no money to pay you,Speaker_2,34.1,"['swells', 'up', 'night', 'huge', 'allergic', 'reaction', 'cancerous', 'spot', 'removed', 'face', 'under', 'eye']",train
audio/Speaker_2/Speaker2-240.wav,sometimes di cough dey continue for some days even after pneumonia don resolve and i usually advise my patients to continue wit steam inhalation if you get allergic tendency and you don experience prolonged cough and cold wit seasonal changes for di past den inhaler therapy for ten to fifteen days go definitely help,sometimes the cough persists for a few days even after the resolution of pneumonia and i usually advise my patients to continue with steam inhalation if you have an allergic tendency and have experienced prolonged cough and cold with seasonal changes in the past then inhaler therapy for ten to fifteen days will definitely help,Speaker_2,22.9,"['sometimes', 'cough', 'persist', 'allergic', 'tendency', 'prolonged', 'cold', 'seasonal', 'continue']",train
audio/Speaker_2/Speaker2-241.wav,hello my name na avinash and dem recently discharge me from hospital where dem admit me for treatment of infection and cystitis of di urinary bladder e don be four days since dem discharge me and i don dey feel pain for di area around my right kidney since yesterday you fit suggest wetin to do for dis situation as i dey far from doctor and i no fit go immediately,hello there my name is avinash and i was recently discharged from the hospital where i was admitted for the treatment of an infection and cystitis of the urinary bladder it has been four days since my discharge and i have been feeling pain in the area around my right kidney since yesterday can you suggest what to do in this situation as i am far from a doctor and cannot go immediately,Speaker_2,27.22,"['discharged', 'hospital', 'admitted', 'infection', 'urinary', 'kidney']",train
audio/Speaker_2/Speaker2-242.wav,i no even sure at dis point my twenty two year old daughter no don dey well for di last six months and dem don test her for autoimmune deficiency di only thing wey come back na mannan binding lectin deficiency she just see her allergist today and he and di other doctor decide say she need to stop her allergy shots and medication dem retest her today and her allergies dey better but she still get issues wit dust mites and some others she get mononucleosis dis past december and she don recover from dat one but we no know wetin to do at dis point i know say we no be crazy and i know say something dey happen,i am not even sure at this point my twenty two year old daughter has not been well for the last six months and she has been tested for autoimmune deficiency the only thing that came back was a mannan binding lectin deficiency she just saw her allergist today and he and the other doctor decided she needs to come off her allergy shots and medication she was retested today and her allergies are better but she still has issues with dust mites and a few others she contracted mononucleosis this past december and has recovered from that but we do not know what to do at this point i know we are not crazy and i know there is something going on,Speaker_2,51.98,['mononucleosis'],train
audio/Speaker_2/Speaker2-243.wav,i get some type of heart problem i believe dem call am valvular insufficiency i don dey want tattoo for years now and i dey wonder if i take extremely good care of my tattoo e go dey okay to get one i no don talk to my heart doctor for seven years because i no get di money he talk say e very possible for me to outgrow my condition i never get any problems wey fit relate to dis condition i dey very active and i dey for good health dem require me to take amoxicillin five hundred milligrams before i go to dentist and i go take dese pills before i get my tattoo as well you think say getting tattoo go dey okay,i have some type of heart problem i believe it is called valvular insufficiency i have been wanting a tattoo for years now and i am wondering if i take extremely good care of my tattoo would it be okay to get one i have not talked to my heart doctor in seven years because i have not had the money he said it was very possible for me to outgrow my condition i have never had any problems that could be related to this condition i am very active and in good health i am required to take amoxicillin five hundred milligrams before i go to the dentist and i would take these pills before getting my tattoo as well do you think getting a tattoo would be okay,Speaker_2,49.39,"['amoxicillin', 'milligrams']",train
audio/Speaker_2/Speaker2-244.wav,hello doctor my marriage dey fixed for 29th october my doctor prescribe primolut n five milligrams my actual period dey on di 31st for which day i suppose start to take am when di side effects go dey expected na for di first day or di last day i suppose stop di tablet abeg answer me soon because today na 23rd october i want am for di 29th and 1st november as well,hi doctor my marriage is fixed for 29th october my doctor prescribed primolut n five milligrams my actual period is on the 31st on which day should i start taking it when will the side effects be expected is it on the first day or the last day that i should stop the tablet please answer me soon because today is 23rd october i want it for the 29th and 1st november as well,Speaker_2,29.14,"['primolut', 'milligram', 'first']",train
audio/Speaker_2/Speaker2-245.wav,my daughter be seven years old she don dey suffer from lower abdominal pain and she don show high antibody levels for her blood wey dey indicate say she fit get celiac disease she dey suffer di most pain for morning when she wake up and when she go toilet to urinate or shit dis pain more likely relate to celiac disease or to her bowels,my daughter is seven years old she has been suffering from lower abdominal pain and has shown high antibody levels in her blood indicating that she may have celiac disease she suffers the most pain in the morning when she wakes up and when she goes to the toilet to urinate or have a bowel movement is this pain more likely related to celiac disease or her bowels,Speaker_2,22.87,"['abdominal', 'high', 'antibody', 'celiac', 'goes', 'disease']",train
audio/Speaker_2/Speaker2-246.wav,i get skin rash and i dey itch well well i also get dizziness lightheadedness and joint pain i need to crack my knuckles now to feel better i never crack anything before e be like extra fluid dey for my joints by eight pm i dey absolutely tired and i literally no fit move,i have a skin rash and am extremely itchy i also have dizziness lightheadedness and achy joints i have to crack my knuckles now to feel better i have never cracked anything it s like there is extra fluid in my joints by eight pm i am absolutely exhausted and literally cannot move,Speaker_2,21.34,"['rash', 'itchy', 'dizziness', 'lightheadedness', 'cracked', 'exhausted', 'cannot']",train
audio/Speaker_2/Speaker2-247.wav,i go suggest make you put pressure for di bleeding point if e dey superficial e go stop if e dey deep or internal you need to go hospital immediately for your case i go conduct wound pus culture and sensitivity prothrombin time and activated partial thromboplastin time to look for any coagulation disorder some medications like aspirin and clopidogrel fit also be responsible tranexamic acid capsules dey also helpful,i would suggest putting pressure on the bleeding point if it is superficial it will stop if it is deep or internal you need to go to the hospital immediately in your case i would conduct a wound pus culture and sensitivity prothrombin time and activated partial thromboplastin time to look for any coagulation disorder some medications such as aspirin and clopidogrel can also be responsible tranexamic acid capsules are also helpful,Speaker_2,37.3,"['hospital', 'wound', 'medications', 'case', 'clopidogrel', 'tranexamic']",train
audio/Speaker_2/Speaker2-248.wav,di eruptions fit be because of allergic reaction to di medicines you suppose stop di medicines di diagnosis of rheumatoid arthritis need more investigations according to your symptoms e no seem to be rheumatoid arthritis,eruptions could be because of an allergic reaction to the medicines you should stop the medicines the diagnosis of rheumatoid arthritis needs more investigations according to your symptoms it does not seem to be rheumatoid arthritis,Speaker_2,15.1,[],train
audio/Speaker_2/Speaker2-249.wav,okay abeg provide details about your pain if you dey for pain for which posture you dey feel small relief sitting standing walking lying down for your back or abdomen you get burning when you dey urinate,okay please provide details about your pain if you are in pain in what posture do you feel somewhat better sitting standing walking lying down on your back or abdomen do you have burning during urination,Speaker_2,18.34,['burning'],train
audio/Speaker_2/Speaker2-250.wav,my girlfriend and i do di thing without protection di day after her period i dey really scared say she fit get pregnant i use withdrawal method but i know say i far from orgasm after i pull out i no ejaculate until about ten minutes later i know about pre ejaculate fluid and i urinate at least three times before sex i know for fact say i urinate before we do di thing abeg help me wetin be di probability say she get pregnant i no know whether dis one go help but we dey for pool before sex dat one fit also help wash sperm out of di penis,my girlfriend and i had unprotected sex the day after her period i am really scared she might be pregnant i used the withdrawal method but i know i was far from orgasm after i pulled out i didn t ejaculate until about ten minutes later i am aware of pre ejaculate fluid and i urinated at least three times before sex i know for a fact i urinated before we had intercourse please help me what is the probability she is pregnant i don t know if this helps but we were in the pool before sex does that also help wash sperm out of the penis,Speaker_2,43.39,"['girlfriend', 'ejaculate', 'wash']",train
audio/Speaker_2/Speaker2-251.wav,hello dis one resemble early disc disease of di cervical spine wit associated myofascial pain dis one fit don happen because of your new job habits poor posture and prolonged sitting positions nothing to worry about first evaluate di spine wit neurosurgeon and if e dey fine active physiotherapy go help your problem to settle down get well soon,hello this resembles early disc disease of the cervical spine with associated myofascial pain this may have been precipitated by your new job habits poor posture and prolonged sitting positions there is nothing to worry about first evaluate the spine with a neurosurgeon and if it is fine active physiotherapy will help your problem to settle down get well soon,Speaker_2,26.23,"['cervical', 'spine', 'myofascial', 'active', 'physiotherap']",train
audio/Speaker_2/Speaker2-252.wav,hello for such cases you need to apply cold packs frequently dis one usually dey reduce swelling rest and avoid anxiety abeg go see dentist if symptoms continue abeg no irritate or press di area swelling typically dey reduce within two three days hope dis one help,hello in such cases you have to apply cold packs frequently this usually reduces swelling take rest and avoid anxiety please do visit a dentist if symptoms persist please do not irritate or impinge the area swelling typically subsides within two three days hope this helps,Speaker_2,22.3,"['cold', 'packs', 'dentist', 'symptoms', 'irritate', 'swelling']",train
audio/Speaker_2/Speaker2-253.wav,dear doctor my daughter be five years old and she suffer from jaundice for february two thousand and thirteen for dat time her total bilirubin be two mg dl aspartate aminotransferase be one hundred and ten iu l alanine aminotransferase be four hundred and thirty seven iu l and alkaline phosphatase be three hundred and fifty one iu l after fifteen days her total bilirubin be zero point seven mg dl aspartate aminotransferase be thirty five iu l alanine aminotransferase be fourteen iu l and alkaline phosphatase be two hundred iu l but after eight months she sometimes dey complain of pain for her stomach after dat i do ultrasound and di report indicate mild hepatomegaly and minimal pelvic ascites wetin dis mean and wetin be di remedy abeg tell me thank you,dear doctor my daughter was five years old and suffered from jaundice in february two thousand and thirteen at that time her total bilirubin was two mg dl aspartate aminotransferase was one hundred and ten iu l alanine aminotransferase was four hundred and thirty seven iu l and alkaline phosphatase was three hundred and fifty one iu l after fifteen days her total bilirubin was zero point seven mg dl aspartate aminotransferase was thirty five iu l alanine aminotransferase was fourteen iu l and alkaline phosphatase was two hundred iu l however after eight months she sometimes complains of pain in her stomach after that i had an ultrasound done and the report indicated mild hepatomegaly and minimal pelvic ascites what does this mean and what is its remedy please tell me thank you,Speaker_2,61.03,"['jaundice', 'total', 'bilirubin', 'aspartate', 'aminotransferase', 'iu', 'alanine', 'alkaline', 'phosphatase', 'zero', 'point', 'fourteen', 'ultrasound', 'mild', 'hepatomegaly', 'pelvic', 'ascite']",train
audio/Speaker_2/Speaker2-254.wav,hello mold allergy wey air conditioning unit dey worsen na good possibility but hotel rooms dey famous for housing dust mites and dust allergy fit dey likely skin test for mold dust and cockroach need to dey done to rule out dese allergies if you dey use any eye mascara or face cleaning products you need to do patch test to rule out delayed chemical hypersensitivity skin prick test and patch test dey different so you need to see allergist or dermatologist to sort dis one out,hello mold allergy aggravated by air conditioning units is a good possibility but hotel rooms are notorious for harboring dust mites and a dust allergy would be likely skin tests for molds dust and cockroach need to be done to exclude these allergies if you are using any eye mascara or facial cleaning products you need to get a patch test in order to exclude a delayed chemical hypersensitivity skin prick tests and patch tests are different so you need to see an allergist or a dermatologist to sort this out,Speaker_2,36.79,"['tests', 'molds', 'patch', 'test', 'delayed', 'chemical', 'prick']",train
audio/Speaker_2/Speaker2-255.wav,i be thirteen years old and just about one or two hours ago e become very hard for me to breathe at least e feel like am i need to take deep breath and when i do am e never feel like i dey take enough air also my back dey feel strange i no know whether e dey pain or whether e feel stretched my parents no dey smoke and i dey very fit also i no don exercise since yesterday i hate dis feeling wetin i do,i am thirteen years old and just about an hour or two ago it became very hard for me to breathe at least it feels like it is i have to take deep breaths and when i do it never feels like i am taking in enough air also my back feels strange i don t know if it hurts or if it feels stretched my parents do not smoke and i am very fit additionally i haven t exercised since yesterday i hate this feeling what do i do,Speaker_2,31.46,"['thirteen', 'an', 'hour', 'or', 'exercised']",train
audio/Speaker_2/Speaker2-256.wav,when i dey masturbate my penis dey become erect properly but during di thing e dey lose im hardness for some minutes and den e just comot i recently start to do di thing but i still manage to maintain hardness for one or two minutes before e become soft and start to comot abeg help,when i masturbate my penis becomes erect properly but during sexual intercourse it loses its hardness in a couple of minutes and then it just comes out i recently started having sex but still managed to maintain hardness for a minute or two before it becomes softer and starts to come out please help,Speaker_2,20.74,"['penis', 'loses', 'hardness', 'couple', 'minutes', 'recently', 'softer']",train
audio/Speaker_2/Speaker2-257.wav,start immediately and do di thing for alternate days you fit also buy ovulation prediction kit cheers,start right away and have intercourse on alternate days you may also buy an ovulation prediction kit cheers,Speaker_2,8.54,[],train
audio/Speaker_2/Speaker2-258.wav,hello doctor i dey do my first intrauterine insemination wit my husband because e don be three years since we marry i get two days of di intrauterine insemination procedure and today na my seventh day for di past two or three days i don dey feel heaviness for my lower abdomen e no be like pain but rather uncomfortable feeling i dey worried about wetin dis fit be also for di first day of di intrauterine insemination i experience cramp for my lower side and i feel di same way but wit small more intensity for my second day of di intrauterine insemination after dat i dey alright until di fifth day,hi doctor i have my first intrauterine insemination with my husband as it has been three years since we are married i have two days of the intrauterine insemination procedure and today is my seventh day for the past two or three days i have been feeling heaviness in my lower abdomen it is not like pain but rather an uncomfortable feeling i am worried about what this could be also on the first day of the intrauterine insemination i experienced cramps on my lower side and i felt the same way but with slightly more intensity on my second day of the intrauterine insemination after that i was alright until the fifth day,Speaker_2,46.18,"['or', 'first', 'cramps', 'alright']",train
audio/Speaker_2/Speaker2-259.wav,hello i don dey get pain for my left side and stomach area for about two weeks now e no be terrible pain but e be like ache sometimes small pinches e no feel like organ or anything but e dey pain from my hip area up my side and around my rib cage sometimes for between my rib cage area for my lower chest e dey more uncomfortable pass anything else but i no know whether e be pulled muscle or wetin help abeg,hello i have been having pains in my left side and stomach area for about two weeks now it s not terrible pain but kind of more like aches sometimes mild pinches it doesn t feel like an organ or anything but it hurts from my hip area up my side and around my rib cage sometimes in between my rib cage area on my lower chest it s more uncomfortable than anything else but i don t know if it s a pulled muscle or what help please,Speaker_2,32.71,"['pains', 'side', 'stomach', 'area', 'aches', 'sometimes', 'hurts', 'hip', 'up', 'terrible', 'rib', 'cage', 'pulled', 'muscle']",train
audio/Speaker_2/Speaker2-260.wav,hello doctor abeg answer i be thirty two years old and i don dey try for baby for one year dem give me clomiphene one hundred milligrams for five days starting from day five and dem also advise me to take injection of human chorionic gonadotropin five thousand units for di 14th day kindly advise wetin be di side effects of di hcg injection and also your advice on di same,hello doctor please answer i am thirty two years old and have been trying for a baby for one year i was given clomiphene one hundred milligrams for five days starting from day five and have also been advised to take an injection of human chorionic gonadotropin five thousand units on the 14th day kindly advise what the side effects of the human chorionic gonadotropin injection are and also your advice on the same,Speaker_2,30.07,"['clomiphene', 'milligrams', 'injection', 'thousand', 'units']",train
audio/Speaker_2/Speaker2-261.wav,e go take some time before di inflammation go down i go advise you to consider taking non steroidal anti inflammatory drug for di pain dis one go take some time to heal continue wit di medication,it will take some time for the inflammation to subside i will advise you to consider taking a non steroidal anti inflammatory drug for the pain this will take some time to heal continue with the medication,Speaker_2,13.82,"['inflammation', 'non', 'steroidal', 'anti', 'inflammatory', 'drug']",train
audio/Speaker_2/Speaker2-262.wav,i dey take losartan and carvedilol and my heart rate dey stay for mid 50s i suppose worry about dis one and how i fit make my heart rate increase my blood pressure don dey good around one hundred and twenty over seventy i be sixty year old man wey dey about fifty pounds overweight but i dey exercise three times per week and i dey lose weight and i dey diet,i am on losartan and carvedilol and my heart rate stays in the mid 50s should i worry about this and how can i get my heart rate up my blood pressure has been good around one hundred and twenty over seventy i am a sixty year old male who is about fifty pounds overweight but i am working out three times a week and am losing weight and dieting,Speaker_2,26.66,"['losartan', 'heart', 'rate', 'blood', 'pressure', 'sixty', 'male', 'pounds']",train
audio/Speaker_2/Speaker2-263.wav,actually since e don be two months after your injury no internal injury fit dey again but e always better to know whether issue dey immediately after di injury now di problem fit be local hematoma wey be swelling wey blood full am so dem fit suggest course of antibiotics and also x ray,actually since it is two months past your injury there cannot be any internal injury but it is always better to know if there was an issue immediately after the injury now the problem could be a local hematoma which is a blood filled swelling so a course of antibiotics and also an x ray could be suggested,Speaker_2,24.26,"['local', 'antibiotics']",train
audio/Speaker_2/Speaker2-264.wav,hello sometimes i dey experience wetin i dey call zingers wey dey start from my neck and spread to di right side of my scalp wey include pain for my right ear di pain dey intense and e last for about one minute den e slowly go down you get any suggestions about wetin fit cause dis one,hello i occasionally experience what i call zingers that originate from my neck and radiate into the right side of my scalp which includes pain in my right ear the pain is intense and lasts for about a minute then slowly subsides do you have any suggestions as to what might cause this,Speaker_2,20.23,"['zingers', 'minute']",train
audio/Speaker_2/Speaker2-265.wav,hello i get dis pimple like thing for di side of my nipple e dey pain and mucus dey come out from am plus some blood i no fit make am go away di pain start from di middle of di nipple wit lump inside den after some time e form into pimple for di side of my nipple,hi i have this pimple like thing on the side of my nipple it hurts and also has mucus and some blood discharging from it i can t get it to go away the pain started from the middle of the nipple with a lump inside then after a while it formed into a pimple on the side of my nipple,Speaker_2,21.02,"['thing', 'hurts', 'lump']",train
audio/Speaker_2/Speaker2-266.wav,i get irregular period di doctor prescribe diane thirty five for me i take am for three years i marry one year ago i want to conceive di doctor give me stimufol on di third day of my period di egg rupture on di 14th day but i no get pregnant yet now di egg no dey for ovulation di doctor give me modus ten mg and talk say make i take clomiphene on di third day of my period i suppose continue dis process i no want to take tablets now i don tire well well,i have irregular periods the doctor prescribed me diane thirty five i had taken it for three years i got married one year ago i want to conceive the doctor gave me stimufol on the third day of my period the egg ruptured on the 14th day but i am not pregnant yet now the egg is not in ovulation the doctor gave me modus ten mg and said to take clomiphene on the third day of my period should i continue this process i do not want to take tablets now i am really fed up,Speaker_2,36.26,"['stimufol', 'third', 'mg', 'clomiphene', 'tablets', 'fed']",train
audio/Speaker_2/Speaker2-267.wav,my husband don get cold since tuesday e start wit cough and e don become worse some mucus dey im eyes get plenty pressure and dem dey burn he don dey run fever all day wit di highest temperature of one hundred point nine degrees fahrenheit he don dey take dayquil and nyquil for di last twenty four hours but dem no seem to dey help wetin e fit be,my husband has had a cold since tuesday it started with a cough and has gotten worse there has been some mucus his eyes have a lot of pressure and are burning he has been running a fever all day with the highest temperature of one hundred point nine degrees fahrenheit he has been taking dayquil and nyquil for the last twenty four hours but they don t seem to be helping what could it be,Speaker_2,28.06,"['cold', 'cough', 'eyes', 'fever', 'point', 'degrees', 'nyquil']",train
audio/Speaker_2/Speaker2-268.wav,di symptoms wey you describe dey show two possibilities either di pain na from ligament tear or e fit be from small chip fracture wey fit don happen from di ligament wey pull bone chip comot for people wey get diabetes healing after trauma dey happen very slowly e good say you don ice di area but i must advise you to take am immediately to doctor because delay fit lead to more damage and di pain go become worse,the symptoms you describe indicate two possibilities either the pain is from a ligament tear or it might be due to a small chip fracture which may have occurred from the ligament pulling a bone chip off in individuals with diabetes healing after trauma occurs very slowly it is good that you have iced the area but i must advise you to take him immediately to a doctor as a delay might lead to further damage and exacerbation of pain,Speaker_2,28.7,"['ligament', 'tear']",train
audio/Speaker_2/Speaker2-269.wav,hello i get swollen lymph node for di left side of my neck e dey tender and e dey move complete blood count esr and peripheral blood film all dey within normal limits fine needle aspiration cytology also show normal results but di lymph node don dey for more than one month and e no dey reduce instead after di fine needle aspiration cytology e don swell more and e dey painful too i do di procedure almost one week ago wetin i suppose do abeg,hi i have a swollen lymph node on the left side of my neck it is tender and mobile complete blood count erythrocyte sedimentation rate and peripheral blood film are all within normal limits fine needle aspiration cytology also showed normal results however the lymph node has been present for more than a month and does not subside rather after the fine needle aspiration cytology it has swollen more and is painful too i had the procedure almost a week ago what should i do please,Speaker_2,37.1,"['swollen', 'lymph', 'node', 'peripheral', 'blood', 'film', 'normal', 'aspiration', 'cytology', 'almost']",train
audio/Speaker_2/Speaker2-270.wav,my heart just start to palpitate some days ago i get heart murmur when i dey sit down e dey stop to palpitate but when i start to walk around di house my heart dey race dey flutter and dey palpitate until i sit down den e stop but if i move e start again,my heart just started palpitating a few days ago do i have a heart murmur when sitting down it stops palpitating but when i start walking around the house my heart races flutters and palpitates until i sit down then it stops but if i move it starts again,Speaker_2,20.26,"['heart', 'palpitating']",train
audio/Speaker_2/Speaker2-271.wav,my seven year old son dey complain about stomach ache and den while he dey watch television im nose start to bleed he talk say he no dey feel good but he no dey run fever di nosebleed come suddenly and e hard to stop any connection between di two and i suppose be concerned,my seven year old son was complaining about a stomach ache and then while watching television his nose started bleeding he said he does not feel good but he is not running a fever the nosebleed came out of the blue and was hard to stop is there any connection between the two and should i be concerned,Speaker_2,20.11,['nosebleed'],train
audio/Speaker_2/Speaker2-272.wav,you dey suffer from high blood pressure or any lung problems e no be matter of worry di heart get two conduction systems right and left and for your case di right one no dey function dis one usually dey happen for patients wit high blood pressure or e fit happen as person dey old so basically we need to look for causes for am as i mention above or for most cases na age related change,are you suffering from high blood pressure or any lung problems it is not a matter of worry the heart has two conduction systems right and left and in your case the right one is not functioning this usually occurs in patients with high blood pressure or may occur with aging so basically we have to look for causes for it as i mentioned above or in most cases it is an age related change,Speaker_2,29.35,"['high', 'blood', 'pressure']",train
audio/Speaker_2/Speaker2-273.wav,hello i dey keep getting dizzy and sometimes i dey vomit without any warning i no know when e go happen or when e go stop i don go see specialists and i don do tests but nothing don show dis one don dey happen for di past two years my papa suffer from reflux wey result for stomach cancer,hi i keep getting dizzy and sometimes i vomit without any warnings i don t know when it is going to happen or when it is going to stop i have been to specialists and undergone tests but nothing has shown up this has been happening for the past two years my dad suffered from reflux that resulted in stomach cancer,Speaker_2,21.19,"['dizzy', 'sometimes', 'vomit', 'specialists', 'dad']",train
audio/Speaker_2/Speaker2-274.wav,dear patient how you take reach di diagnosis of muscle tear e only fit confirm by mri report according to your history di pain for di right lower ribs and stomach after di exercise fit be from muscle sprain di treatment na rest for one week and no exercise wey concern di stomach and chest during dis period start to take four hundred milligrams of ibuprofen three times per day for pain relief ice application dey help to reduce inflammation,dear patient how did you come to the diagnosis of a muscle tear it can only be confirmed by a magnetic resonance imaging report according to your history the pain in the right lower ribs and stomach after the exercises may be due to a muscle sprain the treatment is rest for one week and no exercises pertaining to the stomach and chest during this period start taking four hundred milligrams of ibuprofen three times a day for pain relief ice application helps in reducing inflammation,Speaker_2,33.43,"['muscle', 'tear', 'ribs', 'stomach', 'chest', 'milligrams', 'ibuprofen']",train
audio/Speaker_2/Speaker2-275.wav,after dem tell you say your heart no dey normal anxiety dey completely normal plenty times when something no appear to dey normal we no fit know wetin dat one go mean later small valve leaks sometimes dem tolerate am for lifetime ecg findings fit also be just something wey you suppose know about left bundle branch block na one of dose things anytime somebody request ecg from you you suppose warn dem say you already know say e dey present e also get uncertain importance for long term but e good to get somebody listen to your heart and review im overall importance to you every some years just in case you change or we learn something for di meantime,after being told that your heart is not normal anxiety is completely normal many times when something does not appear to be normal we cannot know what that will mean later minor valve leaks are sometimes tolerated for a lifetime electrocardiogram findings may also be just something you should be aware of a left bundle branch block is one of those things any time someone requests an electrocardiogram from you you should warn them that you already know it is present it also has uncertain importance long term however it is a good idea to have someone listen to your heart and review its overall importance to you every few years just in case you change or we learn something in the meantime,Speaker_2,48.55,"['anxiety', 'electrocardiogram']",train
audio/Speaker_2/Speaker2-276.wav,plenty medications fit make asthma worse after di reaction three weeks dey required to return to normal you fit add singulair ten mg two times per day and tossex one teaspoon two times per day for three weeks together wit your routine medication you go be okay,many medications can exaggerate asthma after the reaction three weeks are required to return to normal you can add singulair ten mg twice daily and tossex one teaspoon twice daily for three weeks along with your routine medication you will be okay,Speaker_2,20.47,"['medications', 'singulair', 'mg', 'twice', 'daily', 'tossex']",train
audio/Speaker_2/Speaker2-277.wav,one infant wey be thirty seven weeks old dem deliver am by cesarean section and dem discharge am from one connecticut hospital when he be ten days old two days later he dey lethargic and he get fever when dem readmit am to hospital he get multiple brain abscess wey citrobacter koseri cause after prolonged sickness di baby die second infant wit normal pregnancy and delivery die from citrobacter koseri meningitis after short sickness nine infants for di hospital nursery get umbilical cord colonization by citrobacter koseri environmental cultures show nothing for hospital equipment wey dem test how you fit identify di source of infection and wetin be im normal habitat,a thirty seven week old infant was delivered by cesarean section and discharged from a connecticut hospital when he was ten days old two days later he was lethargic and had a fever when he was readmitted to the hospital he had multiple brain abscesses caused by citrobacter koseri after a prolonged illness the baby died a second infant with a normal pregnancy and delivery died of citrobacter koseri meningitis after a short illness nine infants in the hospital nursery had umbilical cord colonization by citrobacter koseri environmental cultures were negative for hospital equipment tested how do you identify the source of infection and what is its normal habitat,Speaker_2,56.62,"['delivered', 'cesarean', 'section', 'discharged', 'connecticut', 'hospital', 'lethargic', 'readmitted', 'multiple', 'brain', 'died', 'citrobacter', 'koseri', 'meningitis', 'umbilical', 'environmental', 'cultures', 'negative']",train
audio/Speaker_2/Speaker2-278.wav,well i be fourteen year old girl and my friend im baby brother about three years old urinate for my pants while i dey sit for chair i take shower immediately and change my clothes but i dey worried wetin if some urine enter my body i go get pregnant wetin go happen,well i am a fourteen year old girl and my friend s baby brother about three years old urinated on my pants while i was sitting on a chair i took a shower right away and changed my clothes but i am worried what if some urine went inside me will i get pregnant what will happen,Speaker_2,20.9,['fourteen'],train
audio/Speaker_2/Speaker2-279.wav,dese fit be benign tumor like conditions like neurofibroma or lipoma no much to worry about for di worst case dese fit be hematoma from injury or sebaceous cyst all the best,these could be benign tumor like conditions such as neurofibroma or lipoma there is not much to worry about in the worst case these could be hematomas due to injury or sebaceous cysts all the best,Speaker_2,16.39,"['tumor', 'neurofibroma', 'injury']",train
audio/Speaker_2/Speaker2-280.wav,hello i just want to know say i take emergency contraceptive pill on february 27th and after dat i experience small bleeding now i feel like my period don start i fit take meftal spas right now why dis small bleeding happen e relate to pregnancy for any way i suppose take meftal spas every month i no fit bear di pain without am and my blood pressure dey go lower and di lower abdominal pain dey intolerable abeg help me,hi i just wanted to know that i took an emergency contraceptive pill on february 27th and after that i experienced some slight bleeding now i feel like my period has started can i take meftal spas right now why did this slight bleeding occur does it relate to pregnancy in any way should i take meftal spas every month i cannot bear the pain without it and my blood pressure goes lower and the lower abdominal pain is intolerable please help me,Speaker_2,34.82,"['emergency', 'contra', 'meftal', 'spa', 'bleeding', 'spas', 'blood', 'pressure']",train
audio/Speaker_2/Speaker2-281.wav,why social security disability no go allow me to remove hanging skin but dem allow me to do gastric bypass to get healthy dem suppose pay because to me e suppose be di last step of di transformation di hanging skin and stretch mark na reminders of all wey i don pass through you know any good plastic surgeon wey dey do pro bono work i hope i fit get advice without charge i dey on social security disability and i no fit afford am,why won t social security disability allow me to remove hanging skin but allowed me to have gastric bypass to get healthy it should pay because to me it should be the last step of the transformation the hanging skin and stretch marks are reminders of all i have gone through do you know a good plastic surgeon who does pro bono work i hope i can get advice without a charge i m on social security disability and cannot afford it,Speaker_2,36.79,"['remove', 'gastric', 'bypass']",train
audio/Speaker_2/Speaker2-282.wav,hello welcome to hcmi i really appreciate your concern e fit no be arthritis but e fit be neurogenic pain and di chances of sciatica dey likely you fit take di pain reliever but di underlying cause go be matter of concern and for dat one e better to do mri test i hope dis information help,hi welcome to hcmi i really appreciate your concern it may not be arthritis but it could be neurogenic pain and the chances of sciatica are likely you can of course take the pain reliever but the underlying cause would be a matter of concern and for that it is better to get an mri test done i hope this information helps,Speaker_2,26.14,['mri'],train
audio/Speaker_2/Speaker2-283.wav,hello ankitaji welcome to healthcare management because you get irregular period e fit be from deficiency of progesterone or other hormonal imbalance so first make your period regulate wit di medication wey you dey take and after your period become regular den go do ovulation study for di growth and development of di follicle okay goodbye,hi ankitaji welcome to healthcare management as you have irregular periods it may be due to a deficiency of progesterone or other hormonal imbalances so first let your periods be regulated with the medication you are taking and after your periods become regular then go for an ovulation study for the growth and development of the follicle okay goodbye,Speaker_2,26.18,"['progesterone', 'medication', 'welcome', 'lation', 'study']",train
audio/Speaker_2/Speaker2-284.wav,do your ecg and complete cardiac checkup wit two dimensional echocardiogram and treadmill test of di heart if dat one dey normal den consider gastritis or indigestion never take such things lightly,get your electrocardiogram and complete cardiac checkup done with two dimensional echocardiogram and treadmill test of the heart if that is normal then consider gastritis or indigestion never take such things lightly,Speaker_2,16.46,"['electrocardiogram', 'cardiac', 'checkup', 'dimensional', 'echocardiogram', 'treadmill']",train
audio/Speaker_2/Speaker2-285.wav,to get kidney and liver failure at di same time probably suggest infection or another acute event i go suggest make you transfer am to higher center because we no suppose give up as e be matter of life if he need dialysis for life den ethical emotional and moral values go come into di picture but for now e better to transfer am and if he need dialysis den peritoneal dialysis na di best option all the best if you get any questions feel free to contact me,having simultaneous kidney and liver failure probably suggests infection or another acute event i would suggest that you shift him to a higher center as we should not give up because it s a matter of life if he needs lifelong dialysis then ethical emotional and moral values will come into the picture but at present it is better to shift him and if he needs dialysis then peritoneal dialysis is the best option all the best if you have any questions feel free to contact me,Speaker_2,37.39,"['liver', 'failure', 'infection']",train
audio/Speaker_2/Speaker2-286.wav,home remedy make oil by boiling neem leaf for mustard oil until all di leaves become black den filter am and apply dat oil for di affected area treatment one take panchanimbadi churna one teaspoon wit water two times per day two take pranacharya allergin capsule one capsule two times per day three take pranacharya charm vikarasav two teaspoons wit water two times per day four apply marichyadi oil for di affected area,home remedy make an oil by boiling neem leaves in mustard oil until all the leaves become black then filter it and apply that oil on the affected area treatment one take panchanimbadi churna one teaspoon with water twice a day two take pranacharya allergin capsule one capsule twice a day three take pranacharya charm vikarasav two teaspoons with water twice a day four apply marichyadi oil on the affected area,Speaker_2,43.63,"['boiling', 'filter', 'twice', 'pranacharya', 'allergin', 'marichyadi', 'oil']",train
audio/Speaker_2/Speaker2-287.wav,hello doctor i dey experience sudden piercing pain for my sternum and small region to di left of am just above di heart i only feel dis pain sometimes when i lift something or when i bend today i carry my one year old nephew for my arms for about fifteen minutes and when i bend down to put am down i feel dis sudden intense pain around my sternum dis one dey intermittent and i don dey get dis problem for di past one month sometimes,hello doctor i am experiencing a sudden piercing pain in my sternum and a small region to the left of it just above the heart i only feel this pain occasionally when i lift something or bend today i held my one year old nephew in my arms for about fifteen minutes and when i bent down to put him down i felt this sudden intense pain around my sternum this is intermittent and i have been having this problem for the past one month occasionally,Speaker_2,31.15,"['sudden', 'piercing', 'sternum', 'above', 'occasionally', 'intense']",train
audio/Speaker_2/Speaker2-288.wav,hello i don get high pulse rate for di past some days and my doctor for house talk say e be from my high fever but my fever don go and di pulse rate still dey high now my wrist pulse dey cause sharp pain when e dey pulse dis one suppose be any concern,hello i have had a high pulse rate for the past few days and my doctor at home said it was due to my high fever however my fever is gone and the pulse rate is still high now my wrist pulse is causing a sharp pain when it pulses should this be of any concern,Speaker_2,19.1,"['high', 'pulse', 'rate', 'fever', 'wrist', 'sharp']",train
audio/Speaker_2/Speaker2-289.wav,i wake up dis morning wit pain for di front and back abdominal area my menstrual cycle dey about to begin but i never feel pain like dis before when i try to sit down completely i get sharp pain dis one dey really hurt me you know wetin di problem fit be,i woke up this morning with pains in the front and back abdominal area my menstrual cycle is about to begin but i have never felt pains like this before when i try to sit down completely i get a sharp pain this is really hurting me do you know what the problem could be,Speaker_2,19.06,"['morning', 'pains', 'abdominal', 'sharp']",train
audio/Speaker_2/Speaker2-290.wav,i start to vape some time ago because i dey struggle without cigarette as i stop as diabetic now i get palpitations pale skin wit rash for di corners of my mouth dem don check me and my diabetes dey fine but i don lose small weight and people don notice i feel say di vaping na di main cause of dis but i no sure as i dey get terrible depression because i be lifelong wheelchair bound paraplegic as well,i started vaping some time ago as i was struggling without cigarettes due to stopping as a diabetic now i have palpitations pale skin with a rash on the corners of my mouth i have been checked and my diabetes is fine but i have lost a little weight and people have noticed i do feel that the vaping is the main cause of this but i am not sure as i do get terribly depressed being a lifelong wheelchair bound paraplegic as well,Speaker_2,33.46,"['time', 'palpitations', 'rash', 'diabetes', 'lost', 'weight', 'vaping', 'depressed', 'wheelchair', 'bound', 'paraplegic']",train
audio/Speaker_2/Speaker2-291.wav,my husband dey experience extreme back pain he don dey lie down but when he try to get up small time ago he almost faint he turn pale so i make am lie back down he start to sweat and come feel nauseous dis one normal wetin i suppose do dese symptoms warrant trip to emergency room,my husband is experiencing extreme back pain he has been lying down but when he tried to get up a little while ago he almost passed out he turned pale so i made him lie back down he started to sweat and became nauseous is this normal what should i do do these symptoms warrant a trip to the emergency room,Speaker_2,24.74,"['extreme', 'sweat', 'nauseous']",train
audio/Speaker_2/Speaker2-292.wav,hello doctor dem diagnose my wife wit tuberculosis meningitis and she dey on antitubercular therapy for di past six months dem do ct scan and e show say di lesions don spread but her general condition don improve she no get headache or fever now why dese lesions don spread kindly advise,hello doctor my wife was diagnosed with tuberculosis meningitis and is on antitubercular therapy for the past six months a computed tomography scan was done and it showed that the lesions have spread but her general condition has improved she now has no headaches or fever why have these lesions spread kindly advise,Speaker_2,24.46,"['wife', 'tuberculosis', 'meningitis', 'computed', 'tomography', 'lesions', 'headaches']",train
audio/Speaker_2/Speaker2-293.wav,sir my papa used to get problems wit im spine and he suffer den as he progress and come better he start to jog plenty for hard surface for hilly area now he don start to limp for one year and e get problems wit im right hand as well e no fit move and e seem like e don paralyze dis one na neurological problem,sir my father used to have problems with his spine and had suffered then as he progressed and became better he started jogging a lot on hard surfaces in hilly terrain now he has started to limp for a year and has problems with his right hand as well it cannot move and seems paralyzed is this a neurological problem,Speaker_2,25.87,"['father', 'spine', 'jogging', 'hilly', 'limp', 'hand', 'cannot', 'move', 'neurological']",train
audio/Speaker_2/Speaker2-294.wav,any chance say i fit get pregnant after dem fix my fallopian tubes i be thirty five year old woman wey dem cut tie and burn my fallopian tubes eight years ago yesterday i think say i don start my period but today and even now no blood dey for di past four days i don get headache and pain for di left side of my back wetin dey wrong,is there a chance i can be pregnant after my fallopian tubes were fixed i am a thirty five year old female who had my fallopian tubes cut tied and burned eight years ago yesterday i thought i had started my period but today and even now there is no blood for the past four days i have had a headache and pain on the left side of my back what is wrong,Speaker_2,26.9,"['female', 'headache']",train
audio/Speaker_2/Speaker2-295.wav,nothing but activity and preventing infection to maintain di full range of motion soon after surgery dey important as well as di quality of di material wey dem use to create di joint to avoid being overweight and to do physiotherapy dey also essential,nothing but activity and preventing infection maintaining the full range of motion soon after the surgery is important as is the quality of the material from which the joint is created avoiding being overweight and participating in physiotherapy are also essential,Speaker_2,18.14,['joint'],train
audio/Speaker_2/Speaker2-296.wav,hello i don notice for di last several months or more say bony knob dey to di right of di central occipital protuberance for my skull e dey hard no be soft so i dey guess say na bone and e no dey pain but e seem like e dey slowly grow for size i suppose be concerned,hello i have noticed in the last several months or more that there is a bony knob to the right of the central occipital protuberance in my skull it is hard not squishy so i am guessing it is bone and it does not hurt however it seems to be slowly growing in size should i be concerned,Speaker_2,21.82,"['last', 'several', 'or', 'bony', 'central', 'occipital', 'protub']",train
audio/Speaker_2/Speaker2-297.wav,hello doctor i do root canal treatment nine years ago at first i dey feel free of any problems but for di last three years i don dey suffer from infection inside di gum beside dat tooth e dey swollen dere sometimes e burst and white liquid dey come out how i fit cure am,hi doctor i had a root canal treatment nine years ago at first i was feeling free of any problems however for the last three years i have been suffering from an infection inside the gum beside that tooth it is swollen there sometimes it bursts and a white liquid comes out how can i cure it,Speaker_2,19.94,"['infection', 'sometimes']",train
audio/Speaker_2/Speaker2-298.wav,welcome to healthcaremagic for pregnancy to happen both partners suppose get normally functioning reproductive system wit normal reports and dem suppose do normal sexual intercourse,welcome to healthcaremagic for pregnancy to occur both partners should have a normally functioning reproductive system with normal reports and engage in normal sexual intercourse,Speaker_2,18.22,"['normally', 'reproductive', 'system']",train
audio/Speaker_2/Speaker2-299.wav,hello wit di family history of cancer and di symptoms wey you describe e dey very important to do investigations like ct scan of di abdomen colonoscopy and diagnostic laparoscopy dese go help us to get proper diagnosis to provide appropriate treatment,hi with the family history of cancer and the symptoms you have described it is imperative to have investigations like a computed tomography scan of the abdomen colonoscopy and diagnostic laparoscopy these will help us to obtain a proper diagnosis to provide appropriate treatment,Speaker_2,21.82,"['computed', 'tomography', 'colonoscopy']",train
audio/Speaker_2/Speaker2-300.wav,hello dis one na classical finding of pseudocyesis wey mean di feeling of pregnancy you fit abeg go do ultrasound to confirm dis one dey happen because of strong desire to become mother again,hi this is a classical finding of pseudocyesis meaning the feeling of pregnancy you may please go for ultrasonography to confirm this occurs due to a strong desire for motherhood again,Speaker_2,15.74,['ultrasonography'],train
audio/Speaker_2/Speaker2-301.wav,tingling and burning na signs of deficiency wey fit relate to essential vitamins or micronutrients you suppose take some multivitamin and mineral tablets for seven days and see whether e go help condition fit improve wit dis simple measure but if e no improve den go see your doctor and discuss your concerns,tingling and burning are signs of deficiency which could be related to essential vitamins or micronutrients you should take some multivitamin and mineral tablets for a period of seven days and see if it helps conditions may improve with this simple measure but if it doesn t then see your doctor and discuss your concerns,Speaker_2,21.79,"['tingling', 'burning', 'multivitamin', 'tablets', 'period']",train
audio/Speaker_2/Speaker2-302.wav,di difference for di measurements of di stones no dey significant di treatment for gallbladder calculi na surgery to remove am,the difference in measurements of the stones is not significant the treatment for gallbladder calculi is surgical removal,Speaker_2,10.39,['calculi'],train
audio/Speaker_2/Speaker2-303.wav,my stomach start to disturb me i notice say e dey very tender for di upper part when i check for mirror i find about four very dark odd shaped bruises close to blood vessels dem dey pain and dem dey very tender i no hit or run into anything wey fit cause bruise,my stomach began bothering me i noticed it was very tender in the upper part when i looked in the mirror i found about four very dark odd shaped bruises close to blood vessels they hurt and are very tender i have not hit or run into anything to cause bruising,Speaker_2,21.5,"['tender', 'very']",train
audio/Speaker_2/Speaker2-304.wav,my name na mitchell i get pressure and pain for my lower back and waistline for front di feeling of wanting to shit dey become worse around five am every morning and i get dark brown smelly urine wey look bubbly wit film for top of di water i don go emergency room three times but no help dem test me for uti and e come out negative i recently get shingles and i get four vertebrae wey dey bulge for my back as well as spina bifida from birth i no fit sleep more than four five hours and di pain for my lower back and front waist dey become so bad say i need to get up wetin dis fit be,my name is mitchell i have pressure and pain in my lower back and waistline in front the feeling of having a bowel movement gets worse around five am every morning and i have dark brown smelly urine that looks bubbly with a film on top of the water i have been to the emergency room three times with no help i got tested for a urinary tract infection and it turned out negative i recently had shingles and have four vertebrae bulging in my back as well as spina bifida from birth i cannot sleep more than four five hours and the pain in my lower back and front waist gets so bad that i have to get up what could this be,Speaker_2,54.02,"['pressure', 'waistline', 'worse', 'dark', 'brown', 'urine', 'emergency', 'room', 'urinary', 'bulging', 'sleep', 'front', 'waist']",train
audio/Speaker_2/Speaker2-305.wav,my pikin she be three years old one month ago she get high grade fever and serious stomach pain swelling dey for her intestine so she take antibiotics for five days after dat her activities return to normal but nowadays her body temperature no dey normal i mean e dey between ninety eight and ninety nine degrees fahrenheit for di last two to three days she dey complain of stomach pain again she get milk allergy most of di time she dey complain after she drink milk,my child she is three years old one month ago she had a high grade fever and severe stomach pain there was swelling in her intestine so she was on antibiotics for five days after that her activities returned to normal but nowadays her body temperature is not normal i mean it is between ninety eight and ninety nine degrees fahrenheit for the last two to three days she is again complaining of stomach pain does she have a milk allergy most of the time she complains after milk intake,Speaker_2,38.14,"['high', 'fever', 'severe', 'stomach', 'swelling', 'antibiotics', 'body', 'temperature', 'ninety', 'degrees']",train
audio/Speaker_2/Speaker2-306.wav,i dey experience premature ventricular contractions everyday all of a sudden nobody fit tell me why sometimes dem dey as frequent as every two to three heartbeats e dey make me cough and i dey feel terrible my doctor dey keep saying say nothing to worry about but i dey wonder why dem don suddenly start,i am experiencing premature ventricular contractions on a daily basis all of a sudden no one can tell me why sometimes they are as frequent as every two to three heartbeats it makes me cough and i feel terrible my doctor keeps saying there is nothing to worry about but i am wondering why they have suddenly started,Speaker_2,26.23,"['premature', 'ventricular', 'contractions', 'daily', 'sometimes']",train
audio/Speaker_2/Speaker2-307.wav,di darkness dey from di pressure points for di knees and e no go lead to permanent discoloration if proper care dey take you fit clean wit cleanser like cetaphil and apply di same moisturizer for di area,the darkness is due to the pressure points over the knees and it will not lead to permanent discoloration if proper care is taken you can clean with a cleanser like cetaphil and apply the same moisturizers over the area,Speaker_2,17.78,"['discoloration', 'cleanser', 'cetaphil', 'moisturizers']",train
audio/Speaker_2/Speaker2-308.wav,which of your counts dey low if na white blood cell count or platelet count colonoscopy no dey required normally if your hemoglobin dey low den dem fit do am but non invasive procedure like ultrasound dey better if your doctor suspect any mass lesion or bleeding from di colon den colonoscopy dey useful but as routine colonoscopy no dey required,which of your counts is low if it is the white blood cell count or platelet count a colonoscopy is not required routinely if your hemoglobin is low then it can be done but a non invasive procedure like ultrasound is preferred if your doctor suspects any mass lesion or bleeding from the colon then a colonoscopy is useful however just as a routine a colonoscopy is not required,Speaker_2,30.31,"['white', 'platelet', 'colonoscopy', 'hemoglobin', 'ultrasound', 'mass', 'les']",train
audio/Speaker_2/Speaker2-309.wav,hello di possibilities na two one na seizure and di other na syncope seizure dey caused by abnormal electrical discharge inside di brain and syncope dey caused by reduced blood supply to di brain both of dese fit dey triggered for di circumstances wey your wife dey experience episodes more information about di episodes dey needed to know di cause also some tests like mri scan and eeg fit dey required during di evaluation good luck,hello the possibilities are two one is a seizure and the other is syncope a seizure is caused by abnormal electrical discharge within the brain and syncope is caused by reduced blood supply to the brain both of these can be triggered in the circumstances that your wife is experiencing episodes further information about the episodes is needed to ascertain the cause also a few tests such as magnetic resonance imaging scan and electroencephalography may be required during the evaluation good luck,Speaker_2,32.42,"['seizure', 'syncope', 'abnormal', 'electrical', 'discharge', 'brain', 'wife', 'tests', 'magnetic', 'resonance', 'imaging', 'electroencephalography']",train
audio/Speaker_2/Speaker2-310.wav,di foul smelling discharge fit be from di disease itself but sometimes infection wey add to am fit dey present for such cases course of antibiotics fit help together wit vaginal douching ciprofloxacin tablet two times per day,the foul smelling discharge can be due to the disease itself but sometimes a superimposed infection may be present in such cases a course of antibiotics can help along with vaginal douching ciprofloxacin tablet two times a day,Speaker_2,19.58,"['superimposed', 'infection', 'antibiotics', 'ciprofloxacin', 'tablet']",train
audio/Speaker_2/Speaker2-311.wav,sir i be twenty six years old i don suffer from polio disease since i be one year old i fit walk and run small for short distance but my left leg dey about one point five inches shorter pass my right leg wey dey frustrate me when somebody call me lame e dey completely spoil my concentration any solution dey available for dis one rajneesh mall,sir i am twenty six years old i am suffering from polio disease since i was one year old i was able to walk and run a little for short distances but my left leg is about one point five inches shorter than my right leg which frustrates me when someone calls me lame it completely ruins my concentration are there any solutions available for this rajneesh mall,Speaker_2,27.91,"['polio', 'disease', 'leg']",train
audio/Speaker_2/Speaker2-312.wav,hello i just read about your mother condition you mention say all her joints dey swollen so if na di small joints of di hands together wit di other major joints you go need to check for rheumatoid arthritis even though she old well swollen joints need elastic bandaging after pain cream application cold packs fit dey applied if di swelling dey recent if dis one don dey happen for some time den di hands and feet fit dey immersed for warm salt water for some time too much swelling mean say fluid don gather wey need to dey remove by needle apart from di regular painkillers she go need medications like celecoxib or meloxicam,hi i just read about your mother s condition you have mentioned that all her joints are swollen so if it is the small joints of the hands along with the other major joints you will need to check for rheumatoid arthritis even though she is much older swollen joints need elastic bandaging after pain cream applications cold packs may be applied if the swelling is recent in case this has been going on for a while then the hands and feet can be immersed in warm salt water for a while excessive swelling means fluid collection which needs to be aspirated by a needle apart from the regular painkillers she will need medications like celecoxib or meloxicam,Speaker_2,49.42,"['joints', 'swollen', 'painkillers', 'cold', 'packs', 'swelling', 'excessive', 'celecoxib']",train
audio/Speaker_2/Speaker2-313.wav,sir my brother wey be forty eight years dey feel pain when he dey urinate before dem suspect say na stone cause am but for di ultrasound report doctors talk say fat don accumulate for di testes and dem fit remove am by operation abeg suggest whether he suppose go for di operation or whether medicines dey available for dis problem dis problem fit lead to any other serious problems for di future,sir my brother aged forty eight years feels pain while urinating earlier it was suspected that it was due to a stone but on the ultrasound report doctors said that fat has accumulated in the testes and this can be removed by an operation please suggest if he should go for the operation or if medicines are available for this problem can this problem lead to any other severe problems in the future,Speaker_2,28.78,['fat'],train
audio/Speaker_2/Speaker2-314.wav,no worry di bone scan na non interventional non painful quick investigation dis one dey important to detect di presence of abnormal mass swelling or tissue you suppose do am and wait for di results without worry i hope you dey well,don t worry the bone scan is a non interventional non painful quick investigation this is important in detecting the presence of abnormal masses swelling or tissue you should undergo it and wait for the results without worry i hope you are well,Speaker_2,19.63,['non'],train
audio/Speaker_2/Speaker2-315.wav,hello my eleven month old pikin don get cold on and off for four weeks i don take am to im pediatrician some times but i no receive anything for relief he normally dey take pulmicort and albuterol for wheezing but now he get cough and e dey hard for am to sleep di cough dey so serious say e almost dey make am gag when e dey cough wetin i fit give for relief,hi my eleven month old has had a cold on and off for four weeks i have taken him to his pediatrician a couple of times but have not received anything for relief he is normally on pulmicort and albuterol for wheezing but now he has a cough and is having a hard time sleeping the cough is so severe that it almost makes him gag while coughing what can i give for relief,Speaker_2,28.9,"['eleven', 'cold', 'pediatrician', 'couple', 'coughing', 'severe', 'gag']",train
audio/Speaker_2/Speaker2-316.wav,hello doctor i be twenty seven years old my icsi treatment dey ongoing after twelve days of embryo transfer my beta hcg level be seven point eight three and after three days e be thirty one point eight three but at fourteen days after embryo transfer i experience small blood spotting my doctor start hcg five thousand injection and den no spotting happen again good possibility dey for pregnancy,hello doctor i am twenty seven years old my intracytoplasmic sperm injection treatment is ongoing after twelve days of embryo transfer my beta human chorionic gonadotropin level was seven point eight three and after three days it was thirty one point eight three however at fourteen days post embryo transfer i experienced slight blood spotting my doctor started a human chorionic gonadotropin five thousand injection and then no spotting occurred is there a good possibility for pregnancy,Speaker_2,31.39,"['intracytoplasmic', 'beta', 'chorionic', 'gonadotropin', 'point', 'fourteen']",train
audio/Speaker_2/Speaker2-317.wav,i dey for my week five i don dey spot and bleed for di past some days my gynecologist give me duphaston ten milligrams to take two times per day and injection i dey wonder how long i go continue to spot and bleed when i suppose go back to see my gynecologist i no get pain for my uterus i fit still go work or i need to rest for bed,i am at my week five i have been spotting and bleeding for the past few days my gynecologist gave me duphaston ten milligrams to be taken twice daily and an injection i wonder how much longer i will be spotting and bleeding when should i go back to see my gynecologist i have no pain in my uterus can i still go to work or do i need to be on bed rest,Speaker_2,27.98,"['bleeding', 'duphaston', 'milligrams', 'twice', 'daily']",train
audio/Speaker_2/Speaker2-318.wav,hello di change for taste fit be from radiotherapy pet scan at twelve weeks na good indicator for disease assessment mild activity no mean anything to worry about abeg follow your oncologist im advice blood test no go help well e only for prognostic purpose but hpv titer fit dey done for any case you go be fine no worry i believe say dem don cure you of di disease,hello the alteration in taste may be due to radiotherapy a positron emission tomography scan at twelve weeks is a good indicator for disease assessment mild activity does not signify anything concerning please follow your oncologist s advice a blood test will not be very helpful it is only for prognostic purposes but a human papillomavirus titer can be done in any case you will be fine do not worry i believe you have been cured of the disease,Speaker_2,41.26,"['positron', 'emission', 'tomography', 'mild', 'blood', 'test', 'papillomavirus']",train
audio/Speaker_2/Speaker2-319.wav,hello desttar abeg accept my concerns for you l4 l5 and l5 s1 disc bulge without any neural compression no fit dey cause your left hip pain because no neural compromise dey e simple like dat similarly c5 c6 disc protrusion wit just thecal compression and no nerve compression no fit dey cause your shoulder pain mri findings like yours fit dey seen for plenty normal people i hope dis one help,hello desttar please accept my concerns for you l4 l5 and l5 s1 disc bulges without any neural compression could not be causing your left hip pain as there is no neural compromise it s as simple as that similarly a c5 c6 disc protrusion with just thecal compression and no nerve compression could not be causing your shoulder pain mri findings like yours can be seen in many normal individuals i hope this helps,Speaker_2,39.22,"['disc', 'bulge', 'neural', 'compression', 'nerve', 'shoulder', 'mri']",train
audio/Speaker_2/Speaker2-320.wav,hello i be twenty years old i marry and i dey try to get pregnant now i don late for twelve days and i don dey experience lower back pain mood swing loss of appetite nausea and discomfort for di left side of my ovary together wit cramp wey dey come and go i take test one week after intercourse and i get very faint positive result two days later i take another test and i get negative result i dey confused i do di thing on di 5th and now e be end of di month,hello i am twenty years old married and currently trying to get pregnant i am twelve days late and have been experiencing lower back pains mood swings loss of appetite nausea and discomfort on the left side of my ovary along with cramps that come and go i took a test a week after intercourse and received a very faint positive result two days later i took another test and received a negative result i am confused i had intercourse on the 5th and now it is the end of the month,Speaker_2,35.26,"['married', 'late', 'loss', 'appetite', 'discomfort', 'cramps', 'test', 'intercourse']",train
audio/Speaker_2/Speaker2-321.wav,pale stool wit abdominal pain and nausea fit be sign of liver infection wetin be di color of di urine any yellowish tinge dey for di conjunctiva di pikin suppose dey examined by doctor and further investigation you fit go tomorrow morning,pale stool with abdominal pain and nausea could be a sign of a liver infection what is the color of the urine is there any yellowish tinge in the conjunctiva the child should be examined by a doctor and further investigated you can go tomorrow morning,Speaker_2,20.06,"['pale', 'stool', 'abdominal', 'nausea', 'liver', 'yellowish', 'conjunctiva']",train
audio/Speaker_2/Speaker2-322.wav,if you no get any symptoms den e dey normal e fit sometimes dey normal or e fit be from artifacts angulation issues or old infection for di worst case e fit be pneumonia but for dat one you need to dey symptomatic no need to worry and no treatment dey required,if you do not have any symptoms then it is normal it can sometimes be normal or it may be due to artifacts angulation issues or an old infection in the worst case scenario it could be pneumonia but for that you need to be symptomatic there is no need to worry and no treatment is required,Speaker_2,20.38,['treatment'],train
audio/Speaker_2/Speaker2-323.wav,no no side effects dey for quitting masturbation na just say you need to control your emotions and turn your mind to other things,no there are no side effects of quitting masturbation it s just that you have to control your emotions and divert your mind to other things,Speaker_2,8.86,[],train
audio/Speaker_2/Speaker2-324.wav,i get car accident eight weeks ago i get neck and lower back pain i don go see doctor and i don do ct scan wey show degeneration of di lower spine i also dey suffer from concussion after di accident my abdomen and chest dey hurt i get diarrhea and i still dey experience am sometimes i also get burning when i dey urinate well i still dey get dese cramping feelings dis one normal eight weeks after accident i be forty eight years old and i no don get period for two years i do blood test wey show two years ago say i don go through menopause pregnancy no dey question also i never get lower back pain before why now,i was in a car accident eight weeks ago i have neck and lower back pain i have been to a doctor and have had computed tomography scans which showed degeneration of the lower spine i am also suffering from a concussion after the accident my abdomen and chest hurt i had diarrhea and still experience it occasionally i also had burning when i urinated well i am still having these cramping feelings is this normal eight weeks after an accident i am forty eight years old and have not had a period in two years i had a blood test which showed two years ago that i went through menopause pregnancy would be out of the question also i have never had lower back pain before why now,Speaker_2,49.1,"['doctor', 'computed', 'tomography', 'degeneration', 'abdomen', 'chest', 'diarrhea', 'burning', 'blood', 'test']",train
audio/Speaker_2/Speaker2-325.wav,i fall for my head from nine feet up for ladder on monday morning i ice and take advil immediately apart from plenty bruise for my body from hitting di ladder as i dey fall down i don dey feel okay now almost four days later i dey feel small dizziness i suppose go emergency room no blurry vision,i fell on my head from nine feet up a ladder on monday morning i iced and took advil immediately besides a lot of bruising on my body from hitting the ladder on the way down i ve been feeling okay now almost four days later i m feeling slightly dizzy should i go to the emergency room no blurry vision,Speaker_2,23.35,"['dizzy', 'blurry']",train
audio/Speaker_2/Speaker2-326.wav,hello for dis current situation i go ask you to choose specialist wey train for high risk pregnancy or wey fit manage such cases if your attending doctor show no concern about your problem abeg seek second opinion di viability of di pregnancy suppose dey established through transvaginal sonogram if any hemorrhage dey observed di need to start hormone supplements must dey considered absolute bed rest and to avoid all strenuous activity including sexual intercourse dey mandatory if needed serial titers of serum beta hcg fit dey taken because good progress of di pregnancy dey observed when doubling titers dey happen every two three days hope dis one help,hi in the current scenario i would ask you to choose a specialist who is trained in high risk pregnancies or who can manage such cases if your attending doctor shows no concern regarding your problem please seek a second opinion the viability of the pregnancy should be established through a transvaginal sonogram if there is any hemorrhage observed the need to initiate hormone supplements must be considered absolute bed rest and avoidance of all strenuous activity including sexual intercourse are mandatory if needed serial titers of serum beta human chorionic gonadotropin may be taken as good progress of the pregnancy is observed when there are doubling titers every two three days hope this helps,Speaker_2,49.58,"['high', 'risk', 'pregnancies', 'hormone', 'absolute', 'serum', 'gonadotropin', 'good', 'doubling']",train
audio/Speaker_2/Speaker2-327.wav,hello i be twenty three years old and i dey suffer from lumbar spine disc compression i don dey take medication for two months i do pelvic traction and interferential therapy for one week and i dey feel better but i no fit continue di traction and interferential therapy and i dey notice say no improvement for my condition and i believe say di problem don become worse i suppose consider surgery,hi i am twenty three years old and suffering from lumbar spine disc compression i have been taking medications for two months i had undergone pelvic traction and interferential therapy for a week and was feeling better however i could not continue the traction and interferential therapy and i am noticing no improvement in my condition and i believe the problem has only worsened should i consider surgery,Speaker_2,33.55,"['lumbar', 'spine', 'medications', 'interferential', 'feeling', 'better']",train
audio/Speaker_2/Speaker2-328.wav,hello back pain mainly get mechanical causes den for some cases disc prolapse or constriction dey for di canals wey di nerve dey come from or swelling of di membrane of di joints of di spine fit dey only examination and investigation fit determine di cause,hi back pain has mainly mechanical causes then in a few cases there is disc prolapse or constriction in the canals from which the nerve comes alternatively there could be swelling of the membrane of the joints of the spine only examination and investigation can determine the cause,Speaker_2,22.1,"['mechanical', 'disc', 'prolapse', 'constriction', 'swelling']",train
audio/Speaker_2/Speaker2-329.wav,hello as dem don diagnose you wit avascular necrosis of di hip di ball of your hip joint don collapse wey dey lead to shortening of di affected limb you probably go need total hip replacement after which both of your limbs suppose to dey equal i think dis one go help you,hi as you are diagnosed with avascular necrosis of the hip the ball of your hip joint has collapsed leading to the shortening of the affected limb you will probably require a total hip replacement after which both of your limbs should be equal i think this will be of help to you,Speaker_2,22.63,"['avascular', 'hip']",train
audio/Speaker_2/Speaker2-330.wav,hello i take home pregnancy test and e show positive so i take six cytotec to abort am i bleed small for one day den i get spotting but i no see any clot blood e be di fifth day and my breast still dey pain and i get cramp but only small spotting i still dey pregnant or di tablets work,hi i took a home pregnancy test and it was positive so i took six cytotec to abort it i bled a little for one day then i had spotting but i did not see any clot blood it is the fifth day and my breasts still hurt and i have cramps but only a little spotting am i still pregnant or did the tablets work,Speaker_2,25.1,"['home', 'pregnancy', 'test', 'bled', 'breasts', 'hurt', 'tablets']",train
audio/Speaker_2/Speaker2-331.wav,hello morphine dey use as strong analgesic wit due precautions but e get nothing to do wit blood alcohol level,hello morphine is used as a strong analgesic with due precautions but it has nothing to do with blood alcohol level,Speaker_2,9.43,['morphine'],train
audio/Speaker_2/Speaker2-332.wav,my wife do back surgery for july for spinal stenosis and herniated disc after di surgery she fall and fracture her spine dem repair di spine and dem need to go lower for di spine because di original location don fracture now for di past three months she don dey experience very bad leg pain and foot burning when she sit for wheelchair,my wife had back surgery in july for spinal stenosis and a herniated disc after the surgery she fell and fractured her spine the spine was repaired and they had to go lower in the spine since the original location was fractured now for the past three months she has been experiencing very bad leg pain and foot burning when she sits in a wheelchair,Speaker_2,28.27,"['wife', 'spinal', 'stenosis', 'herniated', 'spine', 'past', 'leg', 'foot', 'burning']",train
audio/Speaker_2/Speaker2-333.wav,hello erectile dysfunction get plenty causes and i go suggest make you get yourself fully assessed by local expert before you proceed wit further management and avoid self medication now to address your problem erectile dysfunction fit dey caused by diabetes hypertension anxiety and high cholesterol even as age dey increase and heavy smoking you get any of dese conditions if yes den you need to remove dose factors first to maintain good diet and exercise fit help resolve di issue tirdly product wey dem call natural viagra dey available for market dem don approve im safety so you fit use am as well but e no go relieve di actual underlying cause wey dey very important to consider,hello erectile dysfunction has many causes and i would suggest that you get yourself fully assessed by a local expert before proceeding with further management and avoiding self medication now addressing your problem erectile dysfunction can be caused by diabetes hypertension anxiety and high cholesterol even with increasing age and heavy smoking do you have any of these conditions if yes then you need to eliminate those factors first maintaining a good diet and exercise may help resolve the issue thirdly a product known as natural viagra is available on the market its safety has been approved so that can be used as well but it will not relieve the actual underlying cause which is of utmost importance to consider,Speaker_2,62.3,"['erectile', 'dysfunction', 'diet', 'natural', 'viagra']",train
audio/Speaker_2/Speaker2-334.wav,hello i get twins dem be two months old mama milk no dey enough so doctors advise us to use lactogen one we use am for one and half months but now we don start cow milk di babies dey easily digest di milk and no health issues dey so i want to ask whether cow milk dey safe and whether e fit help dem gain weight because my twins weigh two point five kilograms each,hi i am having twins they are two months old mother s milk is not sufficient so doctors advised us to use lactogen one we used it for one and a half months but now we have started cow s milk the babies are easily digesting the milk and there are no issues with their health so i want to ask if cow s milk is safe and if it can help them gain weight because my twins weigh two point five kilograms each,Speaker_2,30.14,['twins'],train
audio/Speaker_2/Speaker2-335.wav,my son born wit red spot for im lower back above im buttocks right above im crack about di size of dime he be one year old now and another small spot appear about di size of pea he just learn to crawl and e dey pull himself up and dey walk along furniture and push toy but my concern na wetin cause di red spot,my son was born with a red spot on his lower back above his buttocks right above his crack about the size of a dime he is one year old now and another little spot appeared about the size of a pea he just learned to crawl and is just now pulling himself up and walking along furniture and push toys but my concern is what caused the red spot,Speaker_2,25.99,[],train
audio/Speaker_2/Speaker2-336.wav,my husband don get lump wey appear for front of im right ear and e dey become bigger he don do two surgeries for skin cancer for im scalp wey require radical surgery di lump fit relate to di cancers since one never heal completely dis one na gland for di area of di ear,my husband has had a lump appear in front of his right ear and it is getting larger he has had two surgeries for skin cancers on his scalp which required radical surgery could the lump be related to the cancers since one has not completely healed is this a gland in the area of the ear,Speaker_2,23.95,"['lump', 'surgeries']",train
audio/Speaker_2/Speaker2-337.wav,hello i be student nurse and i dey work on my nursing care plan i need to provide rationale for abnormal lab values well i get patient wey dem diagnose wit intracerebral hemorrhage he get low lab values for red blood cells three point three three hematocrit thirty three point six and hemoglobin ten point nine also my patient get high chloride level of one hundred and twelve i need help to come up wit rationales for dese abnormalities i think say di red blood cells hematocrit and hemoglobin dey low because of di cerebral hemorrhage wey dey cause bleeding for inside and around di brain,hello i am a student nurse and i am working on my nursing care plan i have to provide a rationale for abnormal lab values well i have a patient who is diagnosed with an intracerebral hemorrhage he has low lab values in red blood cells three point three three hematocrit thirty three point six and hemoglobin ten point nine additionally my patient has a high chloride level of one hundred and twelve i need help coming up with rationales for these abnormalities i figured that the red blood cells hematocrit and hemoglobin are low due to the cerebral hemorrhage resulting in bleeding in and around the brain,Speaker_2,43.1,"['abnormalities', 'low', 'lab', 'values', 'red', 'blood', 'cells', 'point', 'hematocrit', 'hemoglobin', 'high', 'chloride', 'hemorrhage', 'bleeding']",train
audio/Speaker_2/Speaker2-338.wav,dis one na my second implanon and e expire at di beginning of february i don do unprotected sex but my question be i get chance to get pregnant also when i remove am and put new one dat one go cause me any problems wit infertility since dat one go be nine years of being on birth control consecutively,this is my second implanon and it expired at the beginning of february i have had unprotected sex but my question is do i have a chance of getting pregnant also when i get it removed and get a new one put in will that cause me any problems with being infertile since that will be nine years of being on birth control consecutively,Speaker_2,22.18,"['unprotected', 'removed']",train
audio/Speaker_2/Speaker2-339.wav,hello doctor i get pain for di back left of my body and i get pain for di back of my head dese days i dey wake up automatically for midnight and i get feeling of reduced breathing i be asthma patient and i dey use budesonide two hundred inhaler dis one dey from my asthma problem or something else,hello doctor i have pain in the back left of my body and i have pain at the back of my head nowadays i am waking up automatically during midnight and i have a feeling of having reduced breathing i am an asthma patient and i use a budesonide two hundred inhaler is this due to my asthma problem or something else,Speaker_2,25.9,"['head', 'asthma']",train
audio/Speaker_2/Speaker2-340.wav,i dey get pain for my stomach wey no gree make i sleep so i go bathroom and sit for toilet when i look inside di toilet feces dey and blood dey i wipe and more blood dey but no pain so i remove di thought of torn anus i go use restroom again about five minutes later to see whether bleeding still dey but everything return to normal no blood and no pain for my stomach i suppose go emergency room or see doctor,i was having pain in my stomach that wouldn t let me sleep so i went to the bathroom and sat on the toilet when i looked inside the toilet there was feces as well as blood i wiped and there was more blood but no pain so i eliminated the thought of a torn anus i went to use the restroom again about five minutes later to see if there was still bleeding but everything was back to normal no blood and no pain in my stomach should i go to the emergency room or see a doctor,Speaker_2,29.81,"['stomach', 'went', 'bathroom', 'feces', 'emergency', 'room']",train
audio/Speaker_2/Speaker2-341.wav,hello and welcome to health care management letrozole and duphaston go help wit ovulation dem give obimet to reduce insulin level wey fit cause ovulation problems you fit try follicular monitoring together wit timed intercourse try to exercise keep your weight for check and no stress,hi and welcome to health care management letrozole and duphaston will help with ovulation obimet is given to reduce insulin levels which can cause ovulation problems you can try follicular monitoring along with timed intercourse try to exercise keep your weight in check and be stress free,Speaker_2,24.86,"['letrozole', 'duphaston', 'obimet', 'insulin']",train
audio/Speaker_2/Speaker2-342.wav,i get bad cough and anytime i cough my left kidney dey pain why also small background wey fit get nothing to do wit am but my left kidney na double chamber system and i don get kidney stones before di only problem be say e no dey pain unless i cough and di pain dey almost unbearable e feel like stabbing pain,i have a bad cough and every time i cough my left kidney hurts why also just a little background that may have nothing to do with it but my left kidney is a double chamber system and i have had kidney stones the only problem is that it doesn t hurt unless i cough and the pain is almost unbearable it feels like stabbing pain,Speaker_2,26.18,"['kidney', 'stabbing']",train
audio/Speaker_2/Speaker2-343.wav,my fourteen month old niece get tendency to bounce and den go very rigid wit her eyes closed e dey seem like she dey for semi conscious state e dey worrying to witness and dem need to carry her from her chair or wherever she dey sit to relieve di rigidity e be something wey we suppose seek medical help for or na just from her constant bouncing,my fourteen month old niece has a tendency to bounce and then go very rigid with her eyes closed seeming to be in a semi conscious state it is quite worrying to witness and she has to be picked up out of her chair or wherever she is sitting to relieve the rigidity is it something that we should seek medical help for or is it just brought on by her constant bouncing,Speaker_2,25.39,"['niece', 'bounce', 'go', 'very', 'rigid', 'semi', 'conscious', 'state']",train
audio/Speaker_2/Speaker2-344.wav,i sorry about your problems but concerning di ct scan if na simple calcification wit no other findings no reason for am to cause dose headaches,i am sorry about your problems however regarding the computed tomography scan if it was a simple calcification with no other findings there is no reason for it to cause those headaches,Speaker_2,14.26,[],train
audio/Speaker_2/Speaker2-345.wav,i dey hear my heartbeat for my left ear dis one don dey happen for about six months and e just dey keep getting louder as time dey go i no get any infection for my inner ear and my teeth dey fine my dentist think say e fit be tooth infection but e no be so dem all fine as well di heartbeat sound dey constant you get any idea wetin dis fit be,i hear my heartbeat in my left ear this has been happening for about six months and it just keeps getting louder as time goes on i do not have any infection in my inner ear and my teeth are fine my dentist thought maybe it could be a tooth infection but to no avail they were all fine as well the heartbeat sound is constant do you have any idea what this might be,Speaker_2,22.66,"['heartbeat', 'infection', 'inner', 'teeth']",train
audio/Speaker_2/Speaker2-346.wav,hello my thirteen month old daughter dey get rash for night e dey only for her stomach and sides and e look like small red bumps wit white head e dey itch well well and she get scratch mark all over her sides but for daytime e dey completely disappear doctors think say na outdoor allergy but she no don go outside for over one week i no change any other detergent and i only dey use di free and clear brands any ideas,hi my thirteen month old daughter is getting a rash at night it is only on her stomach and sides and looks like little red bumps with white heads it is very itchy and she has scratch marks all over her sides but in the daytime it is completely gone doctors thought it was just an outdoor allergy but she hasn t been outside in over a week i haven t changed any other detergents and only use the free and clear brands any ideas,Speaker_2,36.1,"['thirteen', 'rash', 'stomach', 'scratch', 'marks']",train
audio/Speaker_2/Speaker2-347.wav,hello my baby be six months old until three months i breastfeed her but since i need to return to work i start to give her buffalo milk as well as other solid food like khichdi ragi and fresh fruit pulp etc buffalo milk dey harmful for her abeg advise whether i fit change to nan one,hello my baby is six months old until three months i breastfed her but since i had to return to work i started giving her buffalo milk as well as other solid foods like khichdi ragi and fresh fruit pulp etc is buffalo milk harmful for her please advise whether i can switch to nan one,Speaker_2,23.74,['baby'],train
audio/Speaker_2/Speaker2-348.wav,hello i appreciate your concern to apply ice na best if inflammation dey dem fit manage am wit four hundred milligrams of ibuprofen three times per day e fit cause clot to form under di skin if dis one happen e fit take small longer time to resolve great care need to dey take to prevent infection and for preventive basis dem fit start antibiotics i hope dis information help,hello i appreciate your concern applying ice is best if inflammation is present it can be managed with four hundred milligrams of ibuprofen three times a day it may cause the formation of a clot beneath the skin if this occurs it may take a little longer to resolve great care needs to be taken to prevent infection and on a prophylactic basis antibiotics can be started i hope this information helps,Speaker_2,29.71,"['inflammation', 'milligrams', 'antibiotics']",train
audio/Speaker_2/Speaker2-349.wav,i just recently about three weeks ago start to experience tightness for my chest mucus for my throat cough wit hardly anything coming out and di worst back pain for di middle of my shoulder blade together wit weakness for my arms i be heart patient but i never get dis severe pain for my back and for my arms before e last for about three or four long minutes and den i dey tired my brother nearly die from childhood asthma so e dey run for my family i now dey find am hard to do wetin i always do because i dey fear say e go happen e dey quite frightening dis one na asthma,i just recently about three weeks ago started experiencing tightness in my chest mucus in my throat a cough with hardly anything coming up and the worst back pain in the middle of my shoulder blades along with weakness in my arms i am a heart patient but i have never had this severe pain in my back and in my arms it lasts for about three or four long minutes and then i am exhausted my brother nearly died from childhood asthma so it runs in my family i now have a hard time doing what i always do because i am scared it will happen it s quite frightening is this asthma,Speaker_2,43.78,"['tightness', 'mucus', 'cough', 'shoulder', 'blades', 'weakness']",train
audio/Speaker_2/Speaker2-350.wav,hello doctor my son be six months old and im stool don dey green for di past eight to ten days we do stool test and di result show twenty thirty pus cell he dey normal and active but he dey pass loose green stool after almost every feed wey be six seven times per day he dey on breast milk before he dey pass stool once every three four days dem don advise me not to give am any antibiotics since he dey active wetin you advise,hello doctor my son is six months old and his stool has been green for the past eight to ten days we did a stool test and the result showed twenty thirty pus cells he is normal and active but he passes loose green stools after almost every feed that is six seven times a day he is on breast milk earlier he used to pass stool once every three four days i have been advised not to give him any antibiotics since he is active what do you advise,Speaker_2,33.62,"['green', 'pu', 'loose', 'stools', 'antibiotics']",train
audio/Speaker_2/Speaker2-351.wav,hello i recently start to play sports again and anytime i run di area right above my ankle up to my knee dey feel like e dey rip away from di bone but only for di back of my leg i don try to roll dem out stretch better and hot water soak and nothing seem to help i suppose be concerned,hi i recently started playing sports again and every time i run the area right above my ankle up to my knee feels as though it is ripping away from the bone but only in the back of my leg i have tried rolling them out stretching better and hot water soaks and nothing seems to help should i be concerned,Speaker_2,23.47,"['above', 'ankle', 'leg']",train
audio/Speaker_2/Speaker2-352.wav,you dey concerned say dog scratch fit need additional treatment apart from cleaning di wound you fit also use over the counter topical antibiotics like neosporin to reduce di risk of infection if di wound become red swell or develop pus discharge den i suggest you suppose seek doctor attention for oral antibiotics i hope dis one answer your question if you get any more questions abeg contact us again,you are concerned that dog scratches may need additional treatment other than cleaning the wounds you could also use over the counter topical antibiotics like neosporin to reduce the risk of infection if the wounds become red swollen or develop purulent discharge then i suggest you should seek attention from a doctor for oral antibiotics i hope this answers your question if you have any further questions please contact us again,Speaker_2,30.67,"['other', 'counter', 'topical', 'antibiotics', 'neosporin']",train
audio/Speaker_2/Speaker2-353.wav,you fit dey experience ganglion cyst of di tendon sheath or di wrist your orthopedic surgeon fit remove am,you could be experiencing a ganglion cyst of the tendon sheath or the wrist this can be excised by your orthopedic surgeon,Speaker_2,9.26,"['ganglion', 'cyst']",train
audio/Speaker_2/Speaker2-354.wav,hello i get three month old daughter and she don get some dark patches wey appear for her body she get sixteen for total she no get dem when dem born am i don dey read for here and di marks look small like neurofibromatosis abeg you fit give me some help,hello i have a three month old daughter and she has had some dark patches appear on her body she has sixteen in total she did not have them when she was born i have been reading on here and the marks look a little like neurofibromatosis please could you give me some help,Speaker_2,20.71,['neurofibromatosis'],train
audio/Speaker_2/Speaker2-355.wav,di causes of anemia for newborn fit be abo or rh incompatibility enzyme deficiency mama disease infection like rubella and parvovirus spherocytosis and anemia of prematurity among others your doctor go do investigations like coombs test hemoglobin electrophoresis enzyme test liver function test kidney function test and viral pcr to determine di exact cause,the causes of anemia in neonates may be abo or rh incompatibility enzyme deficiency maternal diseases infections such as rubella and parvovirus spherocytosis and anemia of prematurity among others your doctor will conduct investigations such as the coombs test hemoglobin electrophoresis enzyme tests liver function tests kidney function tests and viral polymerase chain reaction to determine the exact cause,Speaker_2,34.42,"['kidney', 'function', 'viral', 'polymerase', 'chain', 'reaction']",train
audio/Speaker_2/Speaker2-356.wav,actually probiotics get role for prevention of antibiotic associated diarrhea studies no don show any proven role of probiotics for treatment of antibiotic associated diarrhea also if your baby get antibiotic associated diarrhea you just need to stop di antibiotics e go cure di diarrhea for most cases,actually probiotics have a role in the prevention of antibiotic associated diarrhea studies have not shown any proven role of probiotics in the treatment of antibiotic associated diarrhea furthermore if your baby has antibiotic associated diarrhea you just need to stop the antibiotics it will cure the diarrhea in most cases,Speaker_2,23.59,"['probiotics', 'baby', 'diarrhea']",train
audio/Speaker_2/Speaker2-357.wav,your injury don get reinfection you fit take another course of antibiotics like tablet cefixime or taxim one hundred milligrams two times per day together wit tablet vitamin c five hundred milligrams two times per day for five days di scar go take at least three weeks to disappear you fit apply topical ointment of mupirocin three times per day,your injury has experienced a reinfection you can take another course of antibiotics such as tablet cefixime or taxim one hundred milligrams twice daily along with tablet vitamin c five hundred milligrams twice daily for five days the scar will take at least three weeks to disappear you can apply a topical ointment of mupirocin three times daily,Speaker_2,26.5,"['tablet', 'cefixime', 'taxim', 'milligrams', 'vitamin', 'twice', 'daily', 'scar', 'topical', 'mupirocin']",train
audio/Speaker_2/Speaker2-358.wav,my husband and i don dey try to get pregnant since may 1st and i still dey get my period every month i know say we no don try for long time but we get our first pikin without trying and once we think say we ready to get another one e seem like we no fit wetin we fit do,my husband and i have been trying to get pregnant since may 1st and i have still had my period every month i know we haven t been trying for very long but we had our first child without trying and once we thought we were ready to have another one it seems like we aren t able to what can we do,Speaker_2,19.7,[],train
audio/Speaker_2/Speaker2-359.wav,if dem don diagnose your mother wit migraine beta blocker like propranolol go help well provided say no contraindication dey you need to upload di following reports one blood pressure and pulse rate and regularity two any edema or shortness of breath three non contrast ct of di head and complete blood count apart from dat abeg provide history of any abnormalities wey dem detect for any old routine investigations like kidney function test lipid profile liver function test eye examination echocardiography etc,if your mother has been diagnosed with migraine a beta blocker like propranolol will be very helpful provided there is no contraindication to it you need to upload the following reports one blood pressure and pulse rate and regularity two any edema or dyspnea three non contrast computed tomography of the head and complete blood count besides that please provide a history of any abnormalities detected in any old routine investigations such as kidney function tests lipid profile liver function tests eye examination echocardiography etc,Speaker_2,44.18,"['beta', 'blocker', 'propranolol', 'blood', 'pressure', 'pulse', 'rate', 'regularity', 'edema', 'dyspnea', 'non', 'computed', 'tomography', 'head', 'abnormalities', 'kidney', 'liver', 'eye', 'echocardiography']",train
audio/Speaker_2/Speaker2-360.wav,hello based on your husband im medical history e seem like he dey experience acneiform eruption wit some infected lesions as well ketoconazole na antifungal medication wey get no role for dis condition unless case of pityrosporum folliculitis dey for such instance dem normally dey use other antifungals i recommend say he go see dermatologist because he fit need oral antibiotics like minocycline or e fit need isotretinoin therapy depending on di severity together wit topical preparations wey contain benzoyl peroxide e also important to note say sudden acne eruption fit be side effect of some oral medications like steroids antidepressants painkillers etc so he suppose stop dose ones if any relevant history dey,hi based on your husband s medical history it seems like he is experiencing an acneiform eruption with a few infected lesions as well ketoconazole is an antifungal medication that has no role in this condition unless there is a case of pityrosporum folliculitis in such instances other antifungals are typically used i recommend that he visit a dermatologist as he may need oral antibiotics like minocycline or may require isotretinoin therapy depending upon the severity along with topical preparations containing benzoyl peroxide it is also important to note that a sudden acne eruption can be a side effect of certain oral medications like steroids antidepressants painkillers etc therefore he should discontinue those if there is any relevant history,Speaker_2,69.98,"['acneiform', 'eruption', 'infected', 'lesions', 'ketoconazole', 'antifungal', 'antifungals', 'oral', 'antibiotics', 'minocycline', 'isotretinoin', 'benzoyl', 'sudden', 'ac', 'steroids', 'antidepressants', 'painkillers']",train
audio/Speaker_2/Speaker2-361.wav,about two months ago i do right jump split i immediately hear loud pop and di pain dey unbearable for about four days i dey limp as i dey walk i don dey take naproxen but e still dey pain as i dey stretch now e still dey pain e dey pain too much to try to do my right split or right leap e dey for di center of my right buttock if i try to stretch my leg or do anything similar i feel immediate pain abeg help,about two months ago i did a right jump split i immediately heard a loud pop and the pain was unbearable for about four days i limped as i walked i have been taking naproxen but it still hurts as i stretch now it still hurts it hurts too much to try to do my right split or right leap it is in the center of my right buttock if i try to extend my leg or do anything similar i feel immediate pain please help,Speaker_2,31.7,['jump'],train
audio/Speaker_2/Speaker2-362.wav,i get back pain across di waist area of my back i don get fever and chills wit dis one i also get soreness for my left chest shoulder arm and leg my leg no want to move like dem normally dey move e hard to climb step and i fit hardly enter and comot from car since dis one happen,i have back pain across the waist area of my back i have had a fever and chills with this i also have soreness in my left chest shoulders arms and legs my legs did not want to move like they normally do it is hard to climb steps and i can hardly get in and out of the car since this has happened,Speaker_2,21.74,"['waist', 'fever', 'chills', 'soreness', 'legs']",train
audio/Speaker_2/Speaker2-363.wav,i don pass seven days after intrauterine insemination and from my fourth day i don notice clear line for di bikini area di next day some inches from my belly button indentation dey if i look at my abdomen where di uterus dey i get crescent like shape for my skin wey dey outline di area i know e sound confusing but i fit actually get di start of something for inside,i am seven days past intrauterine insemination and as of my fourth day i have noticed a noticeable line in the bikini area the following day a few inches from my belly button there was an indentation if i look at my abdomen where the uterus is i have a crescent like shape on my skin outlining the area i know it sounds confusing but can i actually have the start of something in there,Speaker_2,28.63,['belly'],train
audio/Speaker_2/Speaker2-364.wav,di antibiotics no dey needed for asthma steroids dey increase blood pressure if you dey take blood pressure control medication di salt for dat medication dey increase asthma so we need to correlate dis one according to your history you fit take antihistamine like montelukast ten milligrams three times per day bronchodilator syrup and antacid gel three times per day you fit take antihistamine and bronchodilator inhaler as needed abeg control your blood pressure wit medication wey no dey increase allergies,the antibiotics are not needed in asthma steroids increase blood pressure if you are taking blood pressure control medication the salt in that medication increases asthma so we have to correlate this according to your history you can have an antihistamine like montelukast ten milligrams three times a day bronchodilator syrups and antacid gel three times a day you can have antihistamines and bronchodilator inhalers as needed please control your blood pressure with medication that does not increase allergies,Speaker_2,38.66,"['antibiotics', 'steroids', 'antihistamines', 'montelukast', 'milligrams', 'bronchodilator', 'antacid', 'gel', 'medication']",train
audio/Speaker_2/Speaker2-365.wav,hello my seven month old girl get some whitish to yellowish discharge wey dey come out from her eye e dey gather every hour or so and e dey collect back after we clean am when she sleep and wake up di discharge dey spread to her eyelid i suppose be worried and wetin you advise,hi my seven month old girl has some whitish to yellowish discharge coming out of her eye it gathers every hour or so and collects back after we clean it off when she sleeps and wakes up the discharge spreads to her eyelids should i be worried and what do you advise,Speaker_2,22.46,"['girl', 'hour', 'or', 'so']",train
audio/Speaker_2/Speaker2-366.wav,hello i fit understand your concern but to directly think about lung cancer at dis age no suppose be your attitude even though you get history of smoking e always better to rule out di causes instead of to dey dwell on dem abeg do chest x ray ecg fasting and postprandial blood sugar blood pressure measurement and complete blood count dis one go give you fair idea di further course of action fit dey decided after di reports stay positive chop healthy and avoid smoking abeg rule out diabetes as well i wish you good health,hello i can understand your concern however directly thinking about lung cancer at this age should not be your attitude despite your history of smoking it is always better to rule out the causes rather than dwelling on them please do a chest x ray an electrocardiogram fasting and postprandial blood sugars blood pressure measurement and a complete blood count this would give you a fair idea the further course of action can be decided after the reports stay positive eat healthy and avoid smoking please rule out diabetes as well wishing you good health,Speaker_2,40.7,"['chest', 'diabetes']",train
audio/Speaker_2/Speaker2-367.wav,hello i suggest make you do resting ecg and echocardiography dese na good assessments to do after complicated pregnancy,hello i suggest that you perform a resting electrocardiogram and an echocardiography these are good assessments to conduct after a complicated pregnancy,Speaker_2,10.1,"['resting', 'electrocardiogram', 'echocardiography']",train
audio/Speaker_2/Speaker2-368.wav,high heart rate wit tremor and heaviness for di head dey require urgent hospitalization we need to check di pulse and blood pressure and we suppose also monitor im level of consciousness together wit to check im blood sugar level dese fit be warning signs for heart attack or stroke,high heart rate with tremors and heaviness in the head requires urgent hospitalization we need to check the pulse and blood pressure and we should also monitor his level of consciousness along with checking his blood sugar levels these may be warning signs for a heart attack or stroke,Speaker_2,18.34,"['heart', 'rate', 'tremors', 'heaviness', 'head']",train
audio/Speaker_2/Speaker2-369.wav,according to your symptoms e seem say you dey suffer from compression of di lateral cutaneous nerve of di thigh di nerve normally dey compress because of tight belt or clothes you no need to worry just start to wear loose fitting clothes for waist level or you fit tie your belt above di level of di umbilicus mild analgesic like ibuprofen and pregabalin go help i hope dis one help i hope dis one answer your question if you get additional questions or follow up questions den abeg no hesitate to write to us i go happy to answer your questions i wish you good health,according to your symptoms it seems you are suffering from compression of the lateral cutaneous nerve of the thigh the nerve usually gets compressed due to tight fitting belts or clothes you need not worry just start wearing loose fitting clothing at the waist level or you can tie your belt above the level of the umbilicus mild analgesics such as ibuprofen and pregabalin would help i hope this helps i hope this answers your question if you have additional questions or follow up questions then please do not hesitate to write to us i will be happy to answer your questions wishing you good health,Speaker_2,38.3,"['compression', 'lateral', 'cutaneous', 'nerve', 'thigh', 'compressed', 'ibuprofen', 'pregabalin']",train
audio/Speaker_2/Speaker2-370.wav,hello dis one no look like bone fracture e fit be soft tissue injury to di ligament nerve or muscle or meniscal injury abeg go do mri scan to rule out di problem meet wit orthopedic surgeon,hi this doesn t look like a bony fracture it may be a soft tissue injury to the ligament nerve or muscle or a meniscal injury please go for an mri scan to rule out the problem meet with an orthopedic surgeon,Speaker_2,15.82,['mri'],train
audio/Speaker_2/Speaker2-371.wav,i fit feel my heart dey beat for my chest e start some weeks ago and sometimes e dey worse pass other times sometimes e feel like e dey beat for di top of di heart den half second later e dey beat for di bottom of di heart i dey notice am more when i dey sit for sofa for evening but e dey happen for other times of di day as well,i can feel my heart beating in my chest it started a couple of weeks ago and sometimes it is worse than others sometimes it feels like it beats at the top of the heart then half a second later beats at the bottom of the heart i notice it more when i am sitting on the sofa in the evenings but it does happen at other times of the day as well,Speaker_2,21.31,"['sometimes', 'half', 'second', 'later', 'beats']",train
audio/Speaker_2/Speaker2-372.wav,first of all do chest x ray to rule out di cause of dat one you fit go do bronchoscopic removal of dat foreign body,first of all get a chest x ray to rule out the cause of that you can go for bronchoscopic removal of that foreign body,Speaker_2,9.62,['chest'],train
audio/Speaker_2/Speaker2-373.wav,hello if i be your friend i go go hospital and do examination i like to ask whether any ulcer dey for her leg or any other wound or such things wey dey cause itching i hope she get well soon,hi if i were your friend i would go to the hospital and get myself examined i would like to ask if there are any ulcers on her legs or any other wounds or such things that cause itching i hope she gets well soon,Speaker_2,13.66,"['hospital', 'ulcers', 'legs']",train
audio/Speaker_2/Speaker2-374.wav,di monthly injection dey better no six month injection dey available but injection wey dem dey give once every three months dey none dey superior pass di other,the monthly injection is better there are no six month injections available but there are injections given once every three months none is superior to the other,Speaker_2,11.83,['injections'],train
audio/Speaker_2/Speaker2-375.wav,you fit use hot water pack or moist heat wit wet washcloth but make sure say e no too hot so you no go burn yourself you fit also use ice pack to relieve pain but no use am directly wrap am for towel and den use am use only one method at a time and you fit do dis one two to three times together wit light stretching wey go help relieve pain i wish you good health,you can use a hot water pack or moist heat with a wet washcloth but make sure that it is not too hot so you do not burn yourself you can also use an ice pack to relieve pain but do not use it directly wrap it in a towel and then use it use only one method at a time and you can perform this two to three times along with light stretching which will help relieve pain i wish you good health,Speaker_2,27.98,"['moist', 'heat']",train
audio/Speaker_2/Speaker2-376.wav,i stop to take my depo provera injection about one week ago i do unprotected sex one week ago and now i get unusual headache back pain cramp bloating and stomach pain for my upper and lower abdomen i don dey on depo provera for one year dese symptoms fit dey caused by my stopping of depo provera or i fit get pregnant,i stopped getting my depo provera injection about a week ago i had unprotected sexual intercourse a week ago and now i have unusual headaches back pain cramps bloating and stomach pains in my upper and lower abdomen i had been on depo provera for a year could these symptoms be caused by my stopping depo provera or could i be pregnant,Speaker_2,25.03,"['depo', 'provera', 'injection', 'sexual', 'intercourse', 'headaches', 'stomach', 'pains', 'prove']",train
audio/Speaker_2/Speaker2-377.wav,abdominal pain for lupus fit be from serositis bowel supplying vessel ischemia or condition wey dem call renal vein thrombosis but before we investigate dese possibilities always rule out some common conditions like stomach ulcer etc if your nephrologist dey satisfied wit your response to medication nothing to worry about abeg no use terms like chemotherapy because dis one no be cancer and you go do well for di future as long as you respect your disease and you dey sincere for your treatment i hope i don clarify your doubts abeg feel free to ask questions if you get any all the best,abdominal pain in lupus could be due to serositis bowel supplying vessel ischemia or a condition called renal vein thrombosis however before investigating these possibilities always rule out a few common conditions like stomach ulcers etc if your nephrologist is satisfied with your response to medications there is nothing to worry about please do not use terms like chemotherapy because this is not cancer and you will do well in the future provided you respect your disease and are sincere in your treatment i hope i have clarified your doubts please feel free to ask questions if you have any all the best,Speaker_2,45.58,"['abdominal', 'chemotherapy']",train
audio/Speaker_2/Speaker2-378.wav,my son faint last saturday and before dat one he dey for bed dey feel very tired he tell me say he need chocolate so i give am and all of a sudden im energy level go up i take am go doctor dem run blood test and im blood sugar level be thirty five wetin fit dey wrong wit am,my son fainted last saturday and before that he was in bed feeling very tired he told me he needed chocolate so i gave it to him and all of a sudden his energy level went up i took him to the doctor they ran a blood test and his blood sugar level was at thirty five what could be wrong with him,Speaker_2,22.42,"['faint', 'energy', 'blood', 'sugar']",train
audio/Speaker_2/Speaker2-379.wav,dear patient triamterene dey act as potassium sparing agent so e dey increase serum potassium instead of to reduce am your symptoms fit relate to ion abnormalities so i suggest make you do blood gas analysis to make sure say no hyperkalemia or hyponatremia dey also e dey known to cause dizziness and fatigue blood gas go allow your doctor to change di therapy according to di findings let me know,dear patient triamterene acts as a potassium sparing agent thus it increases serum potassium rather than reduces it your symptoms may be related to ion abnormalities therefore i suggest doing a blood gas analysis to ensure there is no hyperkalemia or hyponatremia moreover it is known to cause dizziness and fatigue blood gases will allow your doctor to modify the therapy according to the findings let me know,Speaker_2,35.59,"['triamterene', 'potassium', 'blood', 'gas', 'analysis', 'hyperkalemia', 'thus', 'dizziness']",train
audio/Speaker_2/Speaker2-380.wav,i be forty eight year old woman i get burning sensation for my hands and feet over one year ago my hba1c be five point eight wit fasting glucose reading of ninety i dey chop healthy i get small sweet and i exercise five to six times per week i get very small body fat also e dey very cold for where i live any thoughts,i am a forty eight year old female i have a burning sensation in my hands and feet over one year ago my hemoglobin a1c was five point eight with a fasting glucose reading of ninety i eat healthily have some sweets and exercise five to six times a week i have very little body fat also it is very cold where i live any thoughts,Speaker_2,30.82,"['sensation', 'hemoglobin', 'glucose', 'point', 'fasting', 'eat', 'exercise']",train
audio/Speaker_2/Speaker2-381.wav,hello my son be five years old and he don dey get phlegm wit mild cough for over two weeks last week when i take am go doctor he prescribe respinil syrup two days ago he get fever and i take am go doctor and he prescribe levolin azithral cetirizine syrup and crocin syrup incase of fever im temperature dey at one hundred and three degrees fahrenheit and e dey reduce gradually but i dey search information about levolin and azithral for google and e seem like dem dey for cough but he no get cough now na only di phlegm dey cause di fever i just dey wonder which medication di doctor prescribe go help reduce di phlegm,hi my son is five years old and he has been having phlegm with a mild cough for over two weeks last week when i took him to a doctor he prescribed respinil syrup two days ago he had a fever and i took him to the doctor and he prescribed levolin azithral cetirizine syrup and crocin syrup in case of fever his temperature is at one hundred and three degrees fahrenheit and it is gradually reducing however i was searching for information on levolin and azithral on google and it seems that they are for cough but he does not have a cough now it is only the phlegm that is causing the fever i was just wondering which medication the doctor prescribed would help reduce the phlegm,Speaker_2,51.31,"['phlegm', 'mild', 'cough', 'respinil', 'levolin', 'crocin', 'degrees', 'fahre', 'medication']",train
audio/Speaker_2/Speaker2-382.wav,hello i be twenty three year old girl five point five feet tall and i weigh forty four kilograms two months ago i get typhoid fever wey i take antibiotics and i recover some days ago i experience abdominal and gastric pain i go doctor and i start to take acid reducer syrup appetite stimulant syrup and medications wey contain di salt of esomeprazole forty milligrams and domperidone maleate twelve point seven two milligrams after i take di medications my stool turn pale yellow color now i want to know whether dis change dey from di medications or whether any serious problem dey which kind food i suppose chop,hi i am a twenty three year old girl five point five feet tall and weigh forty four kilograms two months ago i had typhoid fever for which i took antibiotics and recovered a few days ago i experienced abdominal and gastric pain i went to the doctor and started taking an acid reducer syrup an appetite stimulant syrup and medications containing the salt of esomeprazole forty milligrams and domperidone maleate twelve point seven two milligrams after taking the medications my stool turned a pale yellow color now i want to know if this change is due to the medications or if there is any serious problem what kind of food should i eat,Speaker_2,51.62,"['antibiotics', 'abdominal', 'gastric', 'doctor', 'medications', 'esomeprazole', 'milligrams', 'domperidone', 'maleate', 'point', 'milligram', 'stool', 'pale', 'yellow']",train
audio/Speaker_2/Speaker2-383.wav,hello i fit answer your health queries right now my twenty one month old daughter hit her head for fall about one hour ago she dey act normally she dey play chop and talk but her lips dey small blue especially di top one i suppose be concerned about dis one,hi may i answer your health queries right now my twenty one month old daughter hit her head in a fall about an hour ago she is acting quite normally playing eating and talking but her lips are a little blue especially the top one should i be concerned about this,Speaker_2,18.58,[],train
audio/Speaker_2/Speaker2-384.wav,hello i dey come directly to my point right from my puberty i don dey involved in masturbation and dis one don cause plenty problems for my life like back pain loss of memory and concentration issues as well as general weakness now abeg help me and give me some tips to reverse dese bad effects,hello i am coming directly to my point right from my puberty i have been involved in masturbation and this has caused many problems in my life like back pain loss of memory and concentration issues as well as general weakness now please help me and provide me with some tips to reverse these ill effects,Speaker_2,23.02,[],train
audio/Speaker_2/Speaker2-385.wav,smelly loose stool fit be from infection as well as post antibiotic treatment e likely say you must don get am when you dey handle di pikin and dia belongings,smelly loose stools can be due to infection as well as post antibiotic treatment it is likely that you must have contracted it when you were handling the child and their belongings,Speaker_2,11.35,"['smelly', 'loose', 'stool']",train
audio/Speaker_2/Speaker2-386.wav,hello i be sixty seven years old and for recent ultrasound scan di radiologist notice cyst for di upper pole of my right kidney wey measure three point three centimeters and cyst for di lower pole of my left kidney wey measure three point three by two point four centimeters serum creatinine be zero point nine di nephrologist talk say e dey quite common and nothing to worry about kindly let me know your opinion,hi i am sixty seven years old and in a recent ultrasound scan the radiologist noticed a cyst on the upper pole of my right kidney measuring three point three centimeters and a cyst on the lower pole of my left kidney measuring three point three by two point four centimeters serum creatinine is zero point nine the nephrologist said it is quite common and nothing to worry about kindly let me know your opinion,Speaker_2,29.98,"['sixty', 'ultrasound', 'cyst', 'serum', 'creatinine', 'zero', 'point']",train
audio/Speaker_2/Speaker2-387.wav,my wife wey be forty six years old get disorder for her l5 l6 vertebrae di gap between dem don decrease well well doctors diagnose dis condition as disorder wey don dey present since birth and dem prescribe some exercises but she don neglect dese exercises anytime she feel small better she forget to do dem now i think di situation don become worse even though she dey do di exercises now you fit suggest whom and where i suppose contact for kolkata i no want to do any surgical treatment because she don already suffer three surgeries two for di birth of my two sons and one for di removal of fibroid wey involve di removal of her ovary and uterus k ghosh,my wife who is forty six years old has a disorder in her l5 l6 vertebrae the gap between them has decreased significantly doctors diagnosed this condition as a disorder that has been present since birth and prescribed a few exercises however she has neglected these exercises whenever she feels somewhat better she forgets to do them now i think the situation has further worsened although she is now doing the exercises could you please suggest whom and where i should contact in kolkata i do not want to undergo any surgical treatment as she has already suffered three surgeries two for the birth of my two sons and one for the elimination of a fibroid involving the removal of her ovary and uterus k ghosh,Speaker_2,56.23,"['treatment', 'sons']",train
audio/Speaker_2/Speaker2-388.wav,hello dear yes ureaplasma fit dey transmitted through hot tub or dirty swimming pool di possibility say you get am from dat hot tub dey high but you fit don get am long time ago and you no know about am sometimes women fit get ureaplasma for long time without knowing dem dey treat am wit antibiotics mainly doxycycline so make sure you continue wit di antibiotic treatment and finish di full course of treatment to avoid complications i wish you all the best,hello dear yes ureaplasma can be transmitted through hot tubs or dirty swimming pools the possibility that you got it from that hot tub is high however you could have had it a long time ago and did not know about it sometimes women can have ureaplasma for a long time without knowing it is treated with antibiotics mainly doxycycline so make sure you continue with the antibiotic treatment and finish the full course of treatment to avoid complications wishing you all the best,Speaker_2,32.62,"['ureaplasma', 'sometimes', 'women', 'doxycycline', 'antibiotics']",train
audio/Speaker_2/Speaker2-389.wav,hello considering your age your problem dey more postural pass structural for di short term use hot water fomentation for fifteen minutes three times per day correct your posture no use mobile phone or laptop for long periods also minimize di use of television and reading go see good physiotherapist for specific stretching and strengthening exercise,hi considering your age your problem is more postural than structural for the short term use hot water fomentation for fifteen minutes three times a day correct your posture do not use mobile phones or laptops for long periods also minimize the use of television and reading visit a good physiotherapist for specific stretching and strengthening exercises,Speaker_2,24.58,['stretching'],train
audio/Speaker_2/Speaker2-390.wav,dis type of pain normally dey occur because of fractured rib or bruise for di rib and e normally take time before e go away even if you take regular analgesic e fit take even up to six months if e become too troublesome get nerve block from pain specialist after you do x ray of di chest,this type of pain usually occurs due to a fractured rib or a bruise on the rib and it usually takes a while before going away even if you take regular analgesics it may take even up to six months if it becomes too troublesome get a nerve block from a pain specialist after you get an x ray of the chest,Speaker_2,20.71,"['fractured', 'rib', 'bruise', 'while', 'nerve', 'block']",train
audio/Speaker_2/Speaker2-391.wav,hello doctor i do my first cataract surgery for di right eye four years ago now dis year i just do cataract surgery for di left eye just today after three days of my second cataract surgery for di left eye di vision for my right eye no dey clear when i dey look at contact names for my phone from close up dem dey appear blurry i no dey understand why my unoperated right eye don become like dis after di recent surgery for my left eye for both eyes i get toric intraocular lenses and di surgery na phacoemulsification for both abeg advise me,hello doctor i had my first cataract surgery in the right eye four years ago now this year i just had cataract surgery in the left eye just today after three days of my second cataract surgery in the left eye the vision in my right eye is not clear when i am looking at contact names on my phone from close up they appear blurry i am not understanding why my unoperated right eye has become like this after the recent surgery in my left eye in both eyes i have toric intraocular lenses and the surgery is phacoemulsification in both please advise me,Speaker_2,40.99,"['eye', 'toric']",train
audio/Speaker_2/Speaker2-392.wav,my sister get stomach cancer dem operate on her and she no fit keep food down only liquid her face dey swollen and lump dey under her chin dem tell her say she get lymphoma cancer she don get major pain she dey travel two weeks after her major surgery dat one good for her,my sister has stomach cancer they operated on her and she can t keep food down just liquids her face is swollen and there is a lump under her chin they told her she has lymphoma cancer she has had major pain she travels two weeks after her major surgery is that good for her,Speaker_2,17.86,"['sister', 'face', 'lump', 'after']",train
audio/Speaker_2/Speaker2-393.wav,hello and welcome to di clinic some illnesses like typhoid fit cause weakness and hair loss e dey generally temporary and new hair go grow back as di body dey recover so no worry you fit take capsule like biotin ten milligrams everyday for two months as supplement for hair also apply hair oil for night to di scalp do dis one regularly and keep for mind say e go take around one month to see results as your hair loss dey reduce and new hair dey grow you fit also check your hemoglobin and iron level as low level fit also make di problem worse maintain nutritious diet get rest and avoid stress and pollution no use harsh chemicals or styling products for your hair you fit use hair4u shampoo and conditioner as well no worry keep dese tips for mind and you go see improvement but get patience hope dis one help,hello and welcome to the clinic certain illnesses like typhoid can cause weakness and hair loss it is generally temporary and new hairs will grow back as the body recovers so don t worry you can take a capsule like biotin ten milligrams daily for two months as a supplement for hair also apply a hair oil at night to the scalp do this regularly and keep in mind that it will take around a month to see results as your hair loss reduces and new hair grows you can also check your hemoglobin and iron levels as low levels can also aggravate the problem maintain a nutritious diet get rest and avoid stress and pollution do not use harsh chemicals or styling products on your hair you can use hair4u shampoo and conditioner as well don t worry keep these tips in mind and you will see improvement but be patient hope this helps,Speaker_2,56.26,"['illnesses', 'typhoid', 'weakness', 'hairs', 'biotin', 'milligrams', 'daily', 'around', 'hair', 'loss', 'hemoglobin', 'iron']",train
audio/Speaker_2/Speaker2-394.wav,hello i just turn forty seven last month i don get dis pain for di right side of my abdomen for two years now i don do tests including ultrasound and ct scan wey come back normal i dey go do laparoscopy next month and during dat surgery my doctor go remove my fallopian tube e dey necessary to do dis test,hi i just turned forty seven last month i have had this pain on my right side of my abdomen for two years now i had tests done including an ultrasound and a computed tomography scan which came back normal i am having a laparoscopy next month and during that surgery my doctor will remove my fallopian tube is it necessary to have this test,Speaker_2,24.1,"['turned', 'side', 'abdomen', 'tests', 'ultrasound', 'computed', 'tomography']",train
audio/Speaker_2/Speaker2-395.wav,i fall about two weeks ago and i try to stop di fall wit my hands i notice some pain after some days i no get any insurance but my wrist don dey pain me e fit be broken or fractured i be fifty seven years old i get small mild pain and e dey pain me to lift some things for work i dey really worried,i fell about two weeks ago and tried to stop the fall with my hands i noticed some pain after a few days i do not have any insurance but my wrist has been hurting me could it be broken or fractured i am fifty seven years old i do have some mild pain and it hurts to lift some things at work i am really worried,Speaker_2,19.66,"['fell', 'wrist']",train
audio/Speaker_2/Speaker2-396.wav,hello i don get rash between my thighs for di past month when i scratch am e dey become worse and e dey burn di area dey red and small bumps dey for am i no know wetin dis be i also notice say odor dey come from di rash as well abeg help me solve dis issue normal antifungal cream fit help or i need to use specific cream,hi i have had a rash between my thighs for the past month when i scratch it it gets worse and burns the area is red and has small bumps on it i do not know what this is i also noticed that there is an odor coming from the rash as well please help me solve this issue can a normal antifungal cream help or do i need to use a specific cream,Speaker_2,22.7,"['rash', 'between', 'thighs', 'bumps']",train
audio/Speaker_2/Speaker2-397.wav,my husband don dey suffer from jaundice for di last three days we learn say care suppose dey for two to three months concerning food water etc i want to know whether we fit do di thing during dis time as my husband want to but i don deny am abeg advise,my husband has been suffering from jaundice for the last three days we learned that there should be care for two to three months regarding food water etc i want to know if we can have intercourse during this time as my husband wants to but i have denied him please advise,Speaker_2,18.43,['jaundice'],train
audio/Speaker_2/Speaker2-398.wav,i be type ii diabetic taking norco fit raise my blood sugar level i recently get severe cervical pain and i take three five milligram norcos i dey wired and i no fit sleep all night and for di next twenty four to thirty six hours i feel nauseous and i get headache both symptoms of high blood sugar ken,i am a type ii diabetic can taking norco raise my blood sugar levels i recently had severe cervical pain and took three five milligram norcos i was wired and could not sleep all night and for the next twenty four to thirty six hours i felt nauseous and had a headache both symptoms of high blood sugar ken,Speaker_2,23.02,"['norco', 'raise', 'severe', 'cervical', 'milligram', 'nor', 'next', 'nauseous', 'high']",train
audio/Speaker_2/Speaker2-399.wav,di problems wey you dey face fit relate to di breast lump get am checked as soon as possible first do mammogram and biopsy to rule out whether e dey benign or malignant if benign check vitamin d3 and b12 level di pains fit be from vitamin d3 deficiency if malignant di pains most likely dey from metastasis do pet ct scan,the problems you are facing may be related to the breast lump get it checked as soon as possible initially perform a mammogram and biopsy to rule out whether it is benign or malignant if benign check vitamin d3 and b12 levels the pains can be due to a vitamin d3 deficiency if malignant the pains are most likely due to metastasis perform a positron emission tomography computed tomography scan,Speaker_2,29.66,"['mammogram', 'biopsy', 'vitamin', 'pains', 'metastasis', 'positron', 'emission', 'tomography', 'computed']",train
audio/Speaker_2/Speaker2-400.wav,hello after stroke lower chance of recovery dey but good physiotherapy and medical care go definitely help improve di chances of recovery e dey depend on di type of brain damage and di motivation of di patient for further improvement,hello there after a stroke there is a lower chance of recovery but good physiotherapy and medical care will definitely help improve the chances of recovery it depends on the type of brain damage and the motivation of the patient for further improvement,Speaker_2,15.22,"['physiotherapy', 'medical', 'care']",train
audio/Speaker_2/Speaker2-401.wav,hello i don get really horrible pregnancy i go dey glad when e finish to be honest last week i dey get sharp pain for my vagina and every now and den dem dey come back but i don get really bad back pain for di last five days and diarrhea for di last two days dem put me on sickness tablet three weeks ago because i don lose over one stone for weight and i no get energy you think say my baby dey come soon,hi i have had a really horrible pregnancy i will be glad when it is over to be honest last week i was getting sharp pains in my vagina and every now and then they come back but i have had really bad back pain for the last five days and diarrhea for the last two days i was put on sickness tablets three weeks ago as i had lost over a stone in weight and had no energy do you think my baby is coming soon,Speaker_2,30.67,"['glad', 'sharp', 'pains', 'vagina', 'last', 'diarrhea', 'sickness']",train
audio/Speaker_2/Speaker2-402.wav,stage iv pancreatic cancer e don metastasize to di kidneys and di bowels dey blocked yesterday she dey cough blood she dey under hospice care i know say you no fit give exact date of death nobody fit but any way you fit provide update on where we dey,stage iv pancreatic cancer it has metastasized to the kidneys and the bowels are blocked yesterday she was coughing up blood she is under hospice care i know you cannot give an exact date of death no one can but is there any way you could provide an update on where we are,Speaker_2,20.11,"['pancreatic', 'kidneys', 'bowels']",train
audio/Speaker_2/Speaker2-403.wav,hello i receive my thyroid peroxidase antibody test results back wit value of two hundred and seventy four my nurse talk say di normal range dey for di negatives i dey go do ivf so i dey receive medication my question be whether dis one go affect di process for any way and whether anything additional i suppose do to make sure say dis one no go harm our chances to get pregnant,hello i received my thyroid peroxidase antibody test results back with a value of two hundred and seventy four my nurse said the normal range is in the negatives i am going to have in vitro fertilization done so i am receiving medication my question is whether this will affect the process in any way and if there is anything additional i should do to ensure that this will not harm our chances of getting pregnant,Speaker_2,24.55,"['thyroid', 'peroxidase', 'antibody', 'test', 'normal', 'vitro', 'fertilization']",train
audio/Speaker_2/Speaker2-404.wav,dem diagnose me for two thousand and eight wit taste dysgeusia i do gastric bypass surgery for late two thousand and eight i now get pain for my upper abdomen everyday i don also gain about thirty five pounds i feel say i don reach di end of my rope wit dis pain i dey go emergency room about once per month abeg help,i had been diagnosed in two thousand and eight with taste dysgeusia i had gastric bypass surgery in late two thousand and eight i now have pain in my upper abdomen daily i have also gained about thirty five pounds i feel i am at the end of my rope with this pain i am at the emergency room about once a month please help,Speaker_2,22.22,"['diagnosed', 'surgery', 'abdomen', 'emergency', 'room']",train
audio/Speaker_2/Speaker2-405.wav,hello i be twenty four year old woman about one week ago i notice lump for di right side of my neck near my jawbone e no dey pain e just dey small bothersome my mama talk say e fit be my thyroid because my hands and feet dey sweat plenty and i don dey feel tired more often lately i just no sure whether e be emergency or whether e fit wait because i no get insurance,hi i am a twenty four year old female about a week ago i noticed a lump on the right side of my neck near my jawbone it does not hurt it is just somewhat bothersome my mother says it could be my thyroid because my hands and feet sweat a lot and i have been feeling tired more often lately i am just not sure if it is an emergency or if it can wait because i have no insurance,Speaker_2,23.83,"['lump', 'jawbone', 'feet', 'sweat', 'tired']",train
audio/Speaker_2/Speaker2-406.wav,hello dis one dem call am gastrointestinal reflux dis one dey indicate say you contract intestinal infection especially for di junction of di small intestine wit di large intestine and appendix you fit abeg do routine blood test especially for typhoid another possibility of appendicitis need to dey excluded by ultrasound examination of di whole abdomen start antibiotic treatment together wit metronidazole under di directives of physician continue for minimum of five days see di results if typhoid dey positive insist on twenty one days of therapy if dem suspect appendicitis ask whether surgery dey required now or after delay wit medical management,hi this is called a gastrointestinal reflux this indicates that you contracted an intestinal infection particularly at the junction of the small intestine with the large intestine and appendix you may please undergo routine blood tests particularly for typhoid another possibility of appendicitis has to be excluded by an ultrasound examination of the whole abdomen start antibiotic treatment along with metronidazole under the directives of a physician continue for a minimum of five days see the results if typhoid is positive insist on twenty one days of therapy if appendicitis is suspected ask if surgery is required now or after a delay with medical management,Speaker_2,47.14,"['small', 'intestine', 'large', 'int', 'appendicitis', 'ultrasound', 'antibiotic', 'metronidazole', 'typhoid', 'surgery']",train
audio/Speaker_2/Speaker2-407.wav,i get pain behind my lower rib wey dey worse when i breathe deep when i lie for my left side di pain dey come for waves and e dey constant e don dey happen for di past three days e seem less acute now but di pain when i dey lie for di left side dey quite severe,i have pain behind my lower ribs that worsens when i breathe deeply when i lie on my left side the pain comes in waves and is constant it has been happening for the past three days it seems less acute now but the pain when lying on the left side is quite severe,Speaker_2,16.87,"['behind', 'ribs', 'waves']",train
audio/Speaker_2/Speaker2-408.wav,welcome to di heart and circulatory medicine clinic pain wey dey last for two to three seconds no dey indicate cardiac disease e no be coronary artery disease but since you dey experience pain during stress and you be smoker abeg do ecg and chest x ray together wit blood pressure measurement i recommend say you reduce your smoking and lose weight if you dey overweight if all tests come back normal abeg do stress echocardiography,welcome to the heart and circulatory medicine clinic pain lasting for two to three seconds is not indicative of cardiac disease it is not coronary artery disease however since you experience pain during stress and you are a smoker please get an electrocardiogram and chest x ray along with blood pressure measurements i recommend that you reduce your smoking and lose weight if you are overweight if all tests come back normal please undergo stress echocardiography,Speaker_2,29.3,"['electrocardiogram', 'chest', 'ray', 'lose', 'weight', 'stress']",train
audio/Speaker_2/Speaker2-409.wav,hello doctor i want to know some things about di clitoris one how di clitoris dey work and how e dey help women reach orgasm two which kind signals e dey send to di brain three which psychological effects e fit get four why people dey tend to misunderstand di most about am,hello doctor i want to know a few things about the clitoris one how does the clitoris work and how does it help women achieve orgasm two what kind of signals does it send to the brain three what are the psychological effects it might have four why do people tend to misunderstand the most about it,Speaker_2,17.78,['clitoris'],train
audio/Speaker_2/Speaker2-410.wav,orange blood you get your period on time e dey normal wey last about three to four days if di pregnancy test dey negative i think you no get pregnant,orange blood did you have your periods on time was it normal lasting about three to four days if the pregnancy test is negative i think you are not pregnant,Speaker_2,11.02,"['pregnancy', 'test']",train
audio/Speaker_2/Speaker2-411.wav,why my stomach dey pain me after i chop and why i no fit shit regular or at all hi i be nineteen year old man wey don dey experience stomach problem after chopping recently i dey find am very hard to go toilet but urination dey fine i need to force myself to shit but very small or nothing dey come out my stomach dey pain me when i dey sleep for night to di extent say i no fit sleep dis one don dey happen for some days wetin dey wrong with me,why does my stomach hurt after eating and why can i not have regular bowel movements or at all hi i am a nineteen year old male who has recently been experiencing stomach problems after eating i have significant difficulty going to the bathroom but urination is fine i have to force myself to have a bowel movement but very little or none comes out my stomach hurts when i sleep at night to the extent that i cannot sleep this has been happening for a couple of days what is wrong with me,Speaker_2,30.38,"['stomach', 'hurt', 'bowel', 'movements', 'nineteen', 'male', 'problems', 'hurts', 'sleep']",train
audio/Speaker_2/Speaker2-412.wav,hello for age wey pass sixty urinary tract infection dey common because of reduced local immunity near di private part you fit take her go see urologist for di best treatment i hope dis one help,hello at age over sixty urinary tract infections are common due to reduced local immunity near the genitals you can take her to a urologist for the best treatment i hope this helped,Speaker_2,15.46,"['urinary', 'infections', 'reduced', 'local', 'immunity', 'urologist']",train
audio/Speaker_2/Speaker2-413.wav,hello di red spot for your buttock wey dey bleed when you pop am and don reduce for size with moisturizer application dey indicate say na psoriasis apply diprosalic ointment together with di moisturizer until e go down we fit use intralesional steroid for one solitary sore take atarax twenty five milligrams for night to stop di itching,hi the red spot on your buttock that is bleeding when popped and has decreased in size with the application of moisturizer indicates that it is psoriasis apply diprosalic ointment along with the moisturizer until it subsides we can use intralesional steroids for a solitary lesion take atarax twenty five milligrams at night to relieve itching,Speaker_2,26.71,"['buttock', 'bleeding', 'decreased', 'size', 'diprosalic', 'intralesional', 'steroids', 'solitary', 'atarax', 'milligrams', 'at']",train
audio/Speaker_2/Speaker2-414.wav,you suppose use preparations wey dem make with unsaturated oil e beta to choose sunflower oil and avoid foods like cashew and groundnut plus junk foods,you should use preparations made with unsaturated oils it is better to opt for sunflower oil and avoid foods like cashews and groundnuts in addition to junk foods,Speaker_2,11.38,[],train
audio/Speaker_2/Speaker2-415.wav,i dey eleven weeks pregnant and for di last one month or so i don get small fever for di last seventy two hours e don dey constant my urine and blood test come back fine all i get na dis small fever wey dey come with di usual fever body pain,i am eleven weeks pregnant and for the last month or so i have had a slight temperature for the last seventy two hours it has been constant my urine and blood tests came back fine all i have is this slight temperature accompanied by the usual fever aches and pains,Speaker_2,16.78,"['eleven', 'last', 'slight', 'urine', 'blood', 'tests', 'fever']",train
audio/Speaker_2/Speaker2-416.wav,based on di details wey you give e appear say na infection possibly boil if e small local antibiotic ointment go help if e big and e dey pain den you go need systemic antibiotics di recurrence of breast cancer especially for dat area no dey common,according to the details you provided it appears to be an infection possibly a boil if it is small a local antibiotic ointment would help if it is large and painful then you will require systemic antibiotics the recurrence of breast cancer especially in that region is not common,Speaker_2,20.62,['breast'],train
audio/Speaker_2/Speaker2-417.wav,do ultrasound to check kidney stone and chest x ray to check fluid wey don gather for lung until dat time take muscle relaxant wey fit help you with di pain,perform an ultrasound to diagnose renal stones and a chest x ray to diagnose fluid collection in the lungs until then take a muscle relaxant which can help you with the pain,Speaker_2,12.22,"['ultrasound', 'renal', 'stones', 'chest', 'ray', 'fluid', 'muscle', 'relax']",train
audio/Speaker_2/Speaker2-418.wav,di day i do my mammogram i experience serious itching for di left side blister develop den more red itchy spot follow three days later dem diagnose me with shingles e don be one month no pain dey but di rash don spread to my stomach and hairline e dey itchy but e no look like shingles i take acyclovir for one week after di diagnosis i still dey get some red spot but no blister dis one fit be some kind of reaction to radiation,the day i had my mammogram i experienced intense itching on the left side a blister developed followed by more red itchy spots three days later i was diagnosed with shingles it has been a month there is no pain but the rash has spread to my stomach and hairline it is itchy but does not look like shingles i took acyclovir for a week after the diagnosis i am still getting some red spots but no blisters could this have been some kind of reaction to radiation,Speaker_2,33.02,"['itching', 'blisters', 'red', 'later', 'rash', 'stomach', 'hairline', 'acyclovir']",train
audio/Speaker_2/Speaker2-419.wav,hello doctor i get question on tuesday i go test with my fiancé for covid nineteen because we think say im papa fit get am as plenty infection dey for im work we no show any symptom but to dey safe we go since dat day i no see am just in case today i receive my result and i be negative but he be positive dat one mean say di virus fit still reach me i suppose go back to work tomorrow and i no don show any symptom i need to test again as i mention i no don see am since dat day,hello doctor i have a question on tuesday i went to get tested with my fiancé for covid nineteen because we thought his father might have had it as there were many infections at his job we showed no symptoms but to be safe we went since that day i have not seen him just in case today i received my results and i was negative but he was positive does that mean the virus can still reach me i was supposed to go back to work tomorrow and i have shown no symptoms do i need to get tested again as i mentioned i have not seen him since that day,Speaker_2,34.58,['fianc'],train
audio/Speaker_2/Speaker2-420.wav,yes you dey at risk your hernial scar fit tear because of di pregnancy abeg mention how many weeks pregnant you be if e less than twelve weeks den i advise you to consider stopping dis pregnancy finally i hope i don answer your question if you get any more questions i go happy to help if you no get any clarification you fit close di discussion and rate di answer i wish you good health,yes you are at risk your hernial scar may rupture due to the pregnancy please mention how many weeks pregnant you are if it is less than twelve weeks then i advise you to consider terminating this pregnancy finally i hope i have answered your question if you have any further inquiries i will be happy to help if you do not have any clarifications you can close the discussion and rate the answer i wish you good health,Speaker_2,25.58,[],train
audio/Speaker_2/Speaker2-421.wav,hello i be twenty nine years old i get two year old daughter last year i insert copper t and now i dey face problem of delayed period my last period start on july twenty nine and i still dey wait for am dis delay dey expected or e fit indicate say copper t don fail wetin i suppose do,hi i am twenty nine years old i have a two year old daughter last year i inserted a copper t and now i am facing the problem of delayed periods my last period started on july twenty nine and i am still waiting for it is this delay expected or could this indicate a failure of the copper t what should i do,Speaker_2,19.46,"['copper', 'failure']",train
audio/Speaker_2/Speaker2-422.wav,much of di pain wey we dey see appear to relate to wetin dey happen when you poke somebody if moving di elbow dey cause pain den even for dat case i think dis one likely be nerve pain di most common path na from di neck go across di shoulder come down di outside of di arm go to di elbow and go to di outer hand dis one likely be c5 radiculopathy from pinched nerve for di neck,much of the pain we are seeing appears related to what happens when you poke someone if moving the elbow causes pain then even in that case i think this is likely to be nerve pain the most common pathway is from the neck across the shoulder down the outside of the arm to the elbow and to the outer hand this is likely c5 radiculopathy from a pinched nerve in the neck,Speaker_2,28.39,['radiculopathy'],train
audio/Speaker_2/Speaker2-423.wav,hello you dey experience symptoms of sciatica avoid to bend forward or carry heavy load avoid to sit for hard chair apply hot water bottle for di area of pain for di buttock and lower back if e dey your sciatic nerve dey compress and we fit need to look for di source of di compression and make dem treat you as soon as possible by orthopedic surgeon kindly take painkiller muscle relaxant like combination of diclofenac and thiocolchicoside once or two times per day also take combination of pregabalin seventy five milligrams and methylcobalamin for pain relief,hello there you are experiencing symptoms of sciatica avoid bending forwards or lifting weights avoid sitting on hard chairs apply a hot water bottle to the region of pain in the buttock and lower back if present your sciatic nerve is being compressed and we may need to look for the source of the compression and get you treated as soon as possible by an orthopedic surgeon kindly take a painkiller muscle relaxant such as a combination of diclofenac and thiocolchicoside once or twice a day also take a combination of pregabalin seventy five milligrams and methylcobalamin for pain relief,Speaker_2,42.31,"['sciatica', 'painkiller', 'compression', 'treated', 'there', 'pregabalin', 'seventy', 'milligrams', 'methylcobalamin']",train
audio/Speaker_2/Speaker2-424.wav,i get shoulder pain wey dey come and go well well i no fit make di pain come back on demand but e feel like small shooting pain for my right shoulder no too far from my rotator cuff and deltoid muscle wetin you think e fit be and wetin fit don cause am,i have shoulder pain that is extremely intermittent i cannot reproduce the pain on demand but it feels like a tiny shooting pain in my right shoulder not too far from my rotator cuff and deltoid muscle what do you think it might be and what may have caused it,Speaker_2,16.51,"['shoulder', 'tiny', 'deltoid']",train
audio/Speaker_2/Speaker2-425.wav,my two three year old nephew twist to im right and fall for ground he no go put weight for im right leg foot he go crawl for im knee but when he stand he no go step with di right leg foot leg length dey equal and knee height dey same when he dey sit for long time or lie down for back im right foot dey small point inside he no get tenderness for di ankle at all but very small,my two three year old nephew twisted to his right and fell to the floor he will not put weight on his right leg foot he will crawl on his knees but when he stands he will not step onto the right leg foot leg length is equal and knee height is even when sitting for a long time or lying supine his right foot is slightly pointed in he has no tenderness at the ankle but very little,Speaker_2,28.18,"['equal', 'knee', 'height', 'pointed', 'tenderness']",train
audio/Speaker_2/Speaker2-426.wav,hello e no go get any negative effect for your future pregnancy instead e go increase di success rate for di continuation of pregnancy,hi it will not have any negative effects on your future pregnancy instead it will increase the success rate for the continuation of pregnancy,Speaker_2,11.26,[],train
audio/Speaker_2/Speaker2-427.wav,you dey take di pills back to back or you dey get pill free period to take di pills back to back fit sometimes cause breakthrough bleeding for between cycles wey fit sometimes be heavy wetin you fit do na to stop di pills do review ultrasound and restart di pills after your next period,are you taking the pills back to back or are you having the pill free period taking the pills back to back may sometimes cause breakthrough bleeding in between cycles which can sometimes be heavy what you can do is stop the pills get a review ultrasound done and restart the pills after your next period,Speaker_2,21.31,"['pills', 'bleeding', 'ultrasound']",train
audio/Speaker_2/Speaker2-428.wav,my brother be fifty two years old di doctor don prescribe am neurobion after di third disc issue but he stop to take am one and half years ago he don start to show symptoms of dizziness and loss of consciousness dey faint suddenly and sometimes dey sleep for long hours he don do di necessary imaging test and mri planning for di brain and nerves and everything dey normal any relationship with neurobion dey,my brother is fifty two years old the doctor had prescribed him neurobion after the third disc issue but he stopped taking it a year and a half ago he has started to show symptoms of dizziness and loss of consciousness suddenly fainting and sometimes sleeping for long hours he has undergone the necessary imaging tests and magnetic resonance imaging planning for the brain and nerves and everything was normal is there a relationship with neurobion,Speaker_2,26.42,"['brother', 'dizziness', 'loss', 'consciousness', 'fainting', 'imaging', 'tests', 'magnetic', 'resonance']",train
audio/Speaker_2/Speaker2-429.wav,tuberculosis medication suppose dey used for minimum of nine months di chance of recurrence dey high for abdominal tuberculosis first use pantoprazole for two weeks to rule out gastritis den consider di possibility of tuberculosis recurrence if you want confirmation go do ultrasound sputum tuberculosis test and chest x ray to confirm whether di tuberculosis don reduce or not i hope i dey helpful if you get any doubt let me know,tuberculosis medication should be used for a minimum of nine months the chance of recurrence is high in abdominal tuberculosis first use pantoprazole for two weeks to rule out gastritis then consider the possibility of tuberculosis recurrence if you want confirmation go for an ultrasound sputum tuberculosis test and chest x ray to confirm whether the tuberculosis has subsided or not i hope i am helpful if you have any doubts let me know,Speaker_2,32.66,"['medication', 'chest', 'ray']",train
audio/Speaker_2/Speaker2-430.wav,for my opinion you need to check your spleen first after you rule dis one out you fit consider neuropathy from cervical cancer or di radiotherapy good luck,in my opinion you need to check your spleen first after you rule this out you can consider neuropathy from cervical cancer or the radiotherapy good luck,Speaker_2,11.86,['spleen'],train
audio/Speaker_2/Speaker2-431.wav,hello about five days ago i notice say di veins for di back of my hand dey much more pronounced e dey hot for where i dey and i think say dis one fit just be from di heat veins dey swell when hand dey down but dem dey contract when hand dey up wey dey fairly normal for plenty people between dat time and now i don develop major carpal tunnel symptoms for both hands i almost positive say na carpal tunnel true true but wetin dey concern me na di pronounced hand veins dis one na normal symptom wey dey together with carpal tunnel,hello about five days ago i noticed that the veins on the backs of my hands are much more pronounced it is hot where i am and i thought that this was possibly just due to the heat veins swell when hands are down but contract when raised which is fairly normal for many people between that time and now i have developed major carpal tunnel symptoms in both hands i am almost positive that it is indeed carpal tunnel but what concerns me is the pronounced hand veins is this a normal symptom in conjunction with carpal tunnel,Speaker_2,39.55,"['veins', 'backs', 'swell', 'carpal']",train
audio/Speaker_2/Speaker2-432.wav,hello i think e no fit relate to soil or rock abeg go check yourself with gynecologist do thyroid profile prolactin level and ultrasound to examine your uterus and ovary you fit try ovulation induction with timed intercourse to conceive talk to your doctor about dis one i hope e help,hi i think it cannot be related to soil or rock please get yourself evaluated by a gynecologist have a thyroid profile prolactin level and an ultrasound done to examine your uterus and ovaries you can try ovulation induction with timed intercourse for conceiving talk to your doctor regarding this i hope it helps,Speaker_2,20.9,"['evaluated', 'thyroid', 'ultrasound', 'cannot', 'timed', 'intercourse']",train
audio/Speaker_2/Speaker2-433.wav,hello you dey suffer from recurrent urinary tract infection abeg explain di bacterial infection wey you get and di medications wey you take also abeg explain di reason why you dey take aspirin,hello you are suffering from a recurrent urinary tract infection please explain the bacterial infection you had and the medications you took also please explain the reason for taking aspirin,Speaker_2,12.34,"['recurrent', 'urina', 'bacterial']",train
audio/Speaker_2/Speaker2-434.wav,some days ago i develop sudden two inch diameter area of bruise and swelling for di back of my calf e appear to associate with bulging vessel some tenderness dey e don become less tender now and e appear to dey clear up small several days after e start any idea wetin dis be,a few days ago i developed a sudden two inch diameter area of bruising and swelling at the back of my calf it appears to be associated with a bulging vessel there was some tenderness it is now less tender and appears to be clearing up slightly several days after its onset any idea what this is,Speaker_2,17.98,"['sudden', 'inch', 'bruising', 'swelling', 'bulging', 'tenderness', 'several', 'after']",train
audio/Speaker_2/Speaker2-435.wav,my seventeen year old son don dey dizzy for months we think say e fit be im vision so he get glasses but he still dey dizzy lately he don dey experience too much hunger and e no dey feel like himself he talk say after he chop he feel very weak and tired and he no fit concentrate at all he get rolandic epilepsy when he be small but he don dey without medication for years and e never get another seizure again any thoughts ecg dey scheduled for monday,my seventeen year old son has been dizzy for months we thought it may be his vision so he got glasses but he is still dizzy lately he has been experiencing excessive hunger and doesn t feel like himself he says that after he eats he feels very lethargic and fatigued and cannot concentrate at all he has had rolandic epilepsy when he was younger but has been without medication for it for years and hasn t had another seizure either any thoughts an electrocardiogram is scheduled for monday,Speaker_2,30.72,"['dizzy', 'excessive', 'hunger', 'feel', 'lethargic', 'fatigued', 'cannot', 'concentrate', 'rolandic', 'epilepsy', 'medication', 'seizure', 'thoughts', 'electrocardiogram']",train
audio/Speaker_2/Speaker2-436.wav,i be twenty seven years old and i do circumcision six days ago di healing process dey go well but i don notice three to four lumps for di shaft under my skin dem be di size of pea and dem dey located about half inch away from any of di area wey dem cut abeg advise me,i am twenty seven years old and had a circumcision six days ago the healing process is progressing well but i have noticed three to four lumps on the shaft under my skin they are the size of a pea and are located about half an inch away from any of the area that was cut please advise me,Speaker_2,19.54,"['circumcision', 'lumps']",train
audio/Speaker_2/Speaker2-437.wav,my five month old pikin get thirty seven point five degrees celsius she vomit last night but since dat time she never vomit again she get appetite and she chop four times today wetin dey concern me na di very visible veins between di temporal and frontal lobes for both sides i don give her rectal suppository of acetaminophen eighty milligrams and e seem to dey help with di fever but di appearance never change e dey common to see veins like dis,my five month old has thirty seven point five degrees celsius had vomited last night but since then she hasn t vomited she had an appetite and ate four times today what concerns me are the very visible veins between the temporal and frontal lobes on both sides i have given her rectal suppositories of acetaminophen eighty milligrams and it seems to be helping with the fever but the appearance hasn t changed is it common to see veins like this,Speaker_2,29.3,"['vomited', 'veins', 'temporal', 'frontal', 'lobes', 'rectal', 'acetaminophen', 'eighty', 'milligram']",train
audio/Speaker_2/Speaker2-438.wav,i don dey take birth control pills for di last twenty two days starting from october twenty two i choose to do di day one start since october twenty two i never stop bleeding i think dem call am breakthrough bleeding but e don dey go on for almost one month so i dey small concerned i don get light cramp for dese last few days and last night di cramp dey small more painful i take di pills at eight pm every night and dem call dem ortho cyclen low some background information i take plan b pill for di end of september almost one month before i start di birth control pills,i have been taking birth control pills for the last twenty two days starting october twenty two i chose to do the day one start since october twenty two i haven t stopped bleeding i think it s called breakthrough bleeding but it s been going on for almost a month so i am a little concerned i have had light cramps these last few days and last night the cramp was a little more painful i take the pills at eight pm every night and they are called ortho cyclen low some background information i took a plan b pill at the end of september almost a month before starting the birth control pills,Speaker_2,40.39,"['birth', 'control', 'pills']",train
audio/Speaker_2/Speaker2-439.wav,lisinopril fit help but e no go cause fluttering you no need to go emergency room you fit see your medical doctor or cardiologist with appointment if di fluttering continue,lisinopril can help but not cause fluttering you do not need to go to the emergency room you may see your medical doctor or cardiologist with an appointment if the fluttering continues,Speaker_2,12.5,['lisinopril'],train
audio/Speaker_2/Speaker2-440.wav,i dey experience chest and upper abdomen discomfort den hot flash follow come end with chills lately i don start to get headache nausea and constipation because of di chest discomfort dem do test wey show calcium for di aorta but i understand say no symptom of heart attack dey dese symptoms na perimenopause or something else,i am experiencing chest and upper abdominal discomfort followed by hot flashes ending with chills lately i have started to have headaches nausea and constipation due to the chest discomfort a test was done that showed calcium in the aorta but i understood there are no symptoms of a heart attack are these symptoms of perimenopause or something else,Speaker_2,24.7,"['chest', 'abdominal', 'hot', 'chills', 'headaches', 'constipation', 'calcium', 'perimenopause']",train
audio/Speaker_2/Speaker2-441.wav,e don be forty one days since my last period i don take plenty pregnancy test and all of dem show say i no get pregnant two nights ago i dey sit for my dorm room and i nearly faint for no reason i come sweat and hot well well and i lost my sight for about one minute my stomach dey feel bloated as well wetin dey happen,it has been forty one days since my last period i have taken multiple pregnancy tests and they have all indicated that i am not pregnant two nights ago i was sitting in my dorm room and came extremely close to passing out for no apparent reason i became very sweaty and hot and i lost my eyesight for about a minute my stomach feels bloated as well what is going on,Speaker_2,21.55,"['dorm', 'room', 'lost', 'eyesight', 'been']",train
audio/Speaker_2/Speaker2-442.wav,hello na which kind allergy or seasonal attack you dey take therapy for you never mention am despite dis one you talk say you get side effect of lichen planus you suppose ask about symptoms instead of diagnosing yourself dat one na doctor work e beta for you to go see dermatologist and show am your skin i no fit comment on dat one sorry,hi for what kind of allergy or seasonal attacks are you taking therapy you haven t mentioned it despite this you said you had a side effect of lichen planus you should ask about symptoms rather than making a diagnosis yourself that s the doctor s job it is better for you to go to a dermatologist and show him your skin appearance i can t comment on that sorry,Speaker_2,22.78,"['allergy', 'attacks', 'dermatologist']",train
audio/Speaker_2/Speaker2-443.wav,dese days dem dey do color doppler sonography for female reproductive organs including uterus ovary and fallopian tube dis assessment dey necessary to rule out any pelvic pathology wey fit dey cause pain for lower back di mri scan of di spine suppose don give clue to any spinal disease if e show nothing dat na why your doctor fit dey look for pelvic pathology,these days color doppler sonography is performed for female reproductive organs including the uterus ovaries and fallopian tubes this assessment is necessary to rule out any pelvic pathology that may be causing pain in the lower back the magnetic resonance imaging scan of the spine should have provided clues to any spinal disease if it was negative that is likely why your doctor might be looking for pelvic pathology,Speaker_2,27.34,"['color', 'doppler', 'sonography', 'performed', 'magnetic', 'resonance', 'imaging', 'spine']",train
audio/Speaker_2/Speaker2-444.wav,try to use muscle relaxant ointment and apply hot fomentation around di painful areas if dis one no help take oral muscle relaxant together with painkiller to take only painkiller no go work,try using a muscle relaxant ointment and apply hot fomentation around the painful areas if this does not help take oral muscle relaxants along with a painkiller taking only a painkiller will not be effective,Speaker_2,13.34,"['oral', 'muscle', 'relaxants']",train
audio/Speaker_2/Speaker2-445.wav,i do vasectomy about one year ago and since dat time i don dey experience pain for top of my left testicle i don take antibiotics for infection now apart from di testicle pain for top i also dey get chest pain and stomach pain wetin dis fit be my doctor talk say di epididymis probably need to be removed but dat one go cause dese problems,i had a vasectomy performed about a year ago and have been experiencing pain on top of my left testicle since then i have had antibiotics for an infection now with the testicle pain at the top i am also having chest pain and pain in my stomach what could this be my doctor said the epididymis probably needs to be removed but would that cause these problems,Speaker_2,24.34,"['vasectomy', 'testicle', 'antibiotics', 'chest', 'epididymis']",train
audio/Speaker_2/Speaker2-446.wav,hello my stomach don dey pain me since dis morning i first feel hungry dis morning and because of di pain i chop some food but di pain continue den i feel full i take di medicine wey dem call soothe wey be like pepto bismol two doses but e no seem to help,hi my stomach has been painful since this morning i felt hungry this morning first and because of the pain i ate some food but the pain continues then i felt full i took the medicine called soothe which is similar to pepto bismol in two doses but it didn t seem to help,Speaker_2,17.54,"['stomach', 'hungry', 'ate', 'painful']",train
audio/Speaker_2/Speaker2-447.wav,my semen dey brownish color and watery i dey wonder wetin cause am and how much i suppose to worry also wetin i fit do to cure di problem i be forty two year old man with liver disease i dey on treatment for hepatitis c now dis one fit connect to di problem,my semen is a brownish color and watery i am wondering what this is caused by and how alarmed i should be also what can i do to cure the problem i am a forty two year old male with liver disease i am currently on treatment for hepatitis c could this have anything to do with the problem,Speaker_2,18.1,"['semen', 'brownish', 'male', 'liver']",train
audio/Speaker_2/Speaker2-448.wav,e fit be viral fever wey suppose go down by itself for about one week but if e continue pass one week or if any other symptoms like irritability less activity crying when urinating or refusing to chop develop take am go see doctor,it may be a viral fever which should subside on its own in about a week however if it goes on for more than a week or if any associated symptoms such as irritability decreased activity crying during urination or refusal to eat develop get him evaluated by a doctor,Speaker_2,16.7,[],train
audio/Speaker_2/Speaker2-449.wav,hello thank you for reaching out i really appreciate your concern based on di information wey you give i go say dis condition dem call am gynecomastia because of your age dis one sometimes dey happen for dis age group and di most likely cause na higher amount of estrogen but no need to worry about dis one e go resolve by itself no need to do anything or think too much about am take care and have a nice day,hi thank you for reaching out to me i really appreciate your concern based on the information provided i would say that this condition is known as gynecomastia given your age this sometimes occurs in this age group and the most probable cause would be a higher amount of estrogen however there is no need to worry about this it will resolve on its own no need to do anything or to think too much about it take care and have a nice day,Speaker_2,27.14,[],train
audio/Speaker_2/Speaker2-450.wav,e go clear well for ct scan only radiologist or surgeon after dem see am during operation fit tell wetin e be no worry e be ninety percent chance say na stone di chance say e be solid cyst hemangioma part of kidney wey no dey work or tumor dey small,it will be very clear in the computed tomography scan only a radiologist or surgeon after seeing it in operation can tell what it is don t worry it is ninety likely to be stones the chances of it being a solid cyst hemangioma a non functioning part of the kidney or a tumor are rare,Speaker_2,19.06,['tumor'],train
audio/Speaker_2/Speaker2-451.wav,hello i get nine month old pikin wey recently get serious flu so her pediatrician put am on antibiotics wey don cause mild diarrhea she go finish di antibiotic course tomorrow i suppose give her any probiotics like enterogermina to fight di negative effects of di antibiotics,hello i have a nine month old who recently got the flu very badly so her pediatrician placed her on antibiotics which have caused mild diarrhea she is finishing the course of antibiotics tomorrow should i give her any probiotics like enterogermina to counteract the negative effects of the antibiotics,Speaker_2,21.19,"['flu', 'mild', 'antibiotics', 'probiotics']",train
audio/Speaker_2/Speaker2-452.wav,sometimes because of genetic disorders fetal loss fit happen also when mama thyroid hormone level high pregnancy loss fit happen,sometimes due to genetic disorders fetal loss can occur additionally when maternal thyroid hormone levels are high pregnancy loss can happen,Speaker_2,9.38,"['fetal', 'loss', 'thyroid', 'hormone', 'pregnancy']",train
audio/Speaker_2/Speaker2-453.wav,hello my fifteen month old pikin just fall and hit im cheekbone for di stair i only fit put ice for di area for few seconds because he dey cry too much and no gree make i touch am now he dey sleep and from wetin i see im cheek dey red well well and he get purple blue line under im eye wey start from im temple how much i suppose to worry,hi my fifteen month old child just fell and hit his cheekbone on the stair i could only put ice on the area for a few seconds because he was crying too hard and would not let me now he is sleeping and from what i see his cheek is very red and he has a purple blue line under his eye starting from his temple how worried should i be,Speaker_2,22.42,['cheekbone'],train
audio/Speaker_2/Speaker2-454.wav,hello yes you get obsessive thought especially obsessional phobia you dey relate dese thoughts to something worse wey fit happen for dis period try to tell yourself stop to dese thoughts anytime dem enter your mind and ask yourself whether anything happen di way your mind dey suggest or wetin you dey fear dis mean say you don stuck to your thoughts and don develop fear say something worse fit happen so e beta to tell stop to dese thoughts and keep yourself busy with daily activities also go for walk everyday for at least thirty to forty five minutes watch your response for di next week if you no fit control am den dem fit start medication,hi yes you have an obsessive thought especially obsessional phobias you are relating these thoughts to something worse that might happen during this period try to say stop to these thoughts every time they come into your mind and ask yourself if there is anything that happened in the way your mind suggests or for which you are afraid this means you are so stuck to your thoughts and have developed a fear that something worse might happen so it is better to say stop to these thoughts and keep yourself busy with daily activities additionally go for a walk daily for at least thirty to forty five minutes observe your response in the next week if you cannot control it then medication can be started,Speaker_2,49.51,"['obsessional', 'phobias', 'these', 'thoughts', 'daily']",train
audio/Speaker_2/Speaker2-455.wav,her weight gain dey acceptable feeding every four to five hours dey fine as well but i go suggest make you try to breastfeed as much as possible make di baby suck first anytime she hungry breast milk na di best,her weight gain is acceptable feeding every four to five hours is also fine but i would suggest you try to initiate breastfeeding as much as possible let the baby suck first whenever she is hungry breast milk is the best,Speaker_2,16.22,['breastfeeding'],train
audio/Speaker_2/Speaker2-456.wav,i get tooth infection and dem give me antibiotics last month e finish about two weeks ago i no get dentist appointment until di end of di month but for di past week i don dey feel tingling for my arm for di side wey my cavity dey and now my arm and fingers don swell i suppose go emergency room,i have a tooth infection and was given antibiotics last month they ran out about two weeks ago i m not scheduled for a dentist appointment until the end of the month but for the past week i ve been getting a tingling feeling in my arm on the side where my cavity is and now my arm and fingers are swollen should i go to the emergency room,Speaker_2,19.27,"['tooth', 'infection', 'antibiotics', 'tingling', 'feeling', 'arm', 'cavity', 'fingers', 'emergency', 'room']",train
audio/Speaker_2/Speaker2-457.wav,inhaler dey generally safe because di dose wey dem dey give dey very small doctor fit get different opinion on di type of medication based on dia experience if any factor dey wey dey make am worse try to avoid dem i hope she no get anemia and she no get eosinophilia normally di attack go calm down after some time,inhalers are generally safe as the dose administered is very small doctors may have different opinions on the type of medication used depending on their experience if there are any aggravating factors try to avoid those i hope she is not anemic and does not have eosinophilia usually the attacks subside after some time,Speaker_2,25.54,['inhalers'],train
audio/Speaker_2/Speaker2-458.wav,starting antihypertensive medication na second line approach to manage high blood pressure lifestyle management and exercise suppose be tried first for your case if you don already try dese general measures before starting ramipril den stopping ramipril no go benefit you but if you start ramipril before trying di general lifestyle measures den stopping ramipril fit help you reach your blood pressure target for mild hypertension for dat case ramipril suppose stop gradually reducing di dose over one week while you already dey do lifestyle measures,starting antihypertensive medications is a second line approach to manage high blood pressure lifestyle management and exercise should be tried first in your case if you have already exhausted these general measures before starting ramipril then stopping ramipril may not be beneficial however if you started ramipril before trying the general lifestyle measures then stopping ramipril may help you achieve your blood pressure target for mild hypertension in that case ramipril should be stopped gradually tapering down the dose over a week while already implementing lifestyle measures,Speaker_2,34.06,"['antihypertensive', 'medications', 'ramipril']",train
audio/Speaker_2/Speaker2-459.wav,when i finally notice i dey experience symptom wey be like sore throat after i chop sushi e no be sore throat but e feel more like pain anytime i try to swallow e dey leave me uncomfortable and i feel like i need to cough to ease di pain i dey get allergy,when i finally noticed i experience a symptom similar to a sore throat after eating sushi it is not a sore throat but it feels more like pain every time i try to swallow it leaves me uncomfortable and i feel the need to cough to ease the pain am i having an allergy,Speaker_2,18.07,"['symptom', 'sore', 'throat']",train
audio/Speaker_2/Speaker2-460.wav,hello welcome to hcm chemotherapy get side effects but dia management don improve well for di last twenty years plenty side effects wey dem no fit avoid before now dem fit prevent or control dem well no reliable way to predict how patients go react to chemotherapy some go get very mild side effects others no get at all while some people go report different symptoms you suppose talk to her doctor and mention dese side effects so dat im go fit manage dem i hope dis one go help your friend,hello welcome to hcm chemotherapy has side effects but their management has improved considerably over the last twenty years many side effects that were once inevitable can now be either prevented or effectively controlled there is no reliable way to predict how patients may react to chemotherapy some experience very mild side effects others have none at all while some individuals report various symptoms you should talk to her doctor and mention these side effects so that he can manage them i hope this will help your friend,Speaker_2,38.54,"['chemotherapy', 'side', 'effects']",train
audio/Speaker_2/Speaker2-461.wav,hello thank you for sharing your previous condition no relate to di shortness of breath wey you dey experience now e fit be from panic attack or e fit relate to anxiety and depression dis one go be alright as soon as you come out of dis situation have a nice day,hi thank you for sharing your previous condition is not related to the shortness of breath you are experiencing right now it could be due to some kind of panic attack or may be related to anxiety and depression this will be all right as soon as you come out of this situation have a nice day,Speaker_2,16.58,"['shortness', 'breath', 'panic', 'attack']",train
audio/Speaker_2/Speaker2-462.wav,hello after one month e no likely say di surgery get complications but you fit do ultrasound to follow up and see whether anything dey wrong also adhesions wey form after surgery fit cause some pain,hi after one month it is not likely that the surgery had complications however you could get an ultrasound to follow up and see if there is something wrong additionally adhesions formed after surgery can cause some pain,Speaker_2,13.03,['ultrasound'],train
audio/Speaker_2/Speaker2-463.wav,hello welcome to health care management forum di depo provera injection fit cause delayed period and irregular period breast tenderness fit be from di depo provera shot to be extra careful you suppose repeat di pregnancy test after one week and if possible do ultrasound best wishes,hello welcome to the health care management forum the depo provera injection can cause delayed periods and irregular periods breast tenderness can be due to the depo provera shot to be extra careful you should repeat the pregnancy test after a week and if possible get an ultrasound done best wishes,Speaker_2,22.03,"['injection', 'delayed', 'periods', 'irregular', 'breast', 'tenderness', 'ultrasound']",train
audio/Speaker_2/Speaker2-464.wav,i get red and purple swollen area around my tailbone wey dey become unbearable to sit walk or even move e start from di very top of where di sacrum begin and di swelling be about di size of my hand i don go see some doctors and dem no know wetin e be oh and i be thirty seven weeks pregnant,i have a red and purple swollen area around my tailbone that is becoming unbearable to sit walk or just move it starts at the very top of where the sacrum begins and the swelling is about the size of my hand i have been to a few doctors and they do not know what it is oh and i am thirty seven weeks pregnant,Speaker_2,20.98,"['red', 'swollen', 'tailbone', 'sacrum', 'swelling']",train
audio/Speaker_2/Speaker2-465.wav,i do protected sex with one lady but i finger her and she do oral sex for me on may 18th three days later i notice say my lymph nodes for my right leg swell small after some weeks until now i dey experience light colored stool colored urine and weight loss i suspect say hepatitis don affect me abeg i want know whether any of dese symptoms relate to hiv,i had protected sex with a lady but i fingered her and she performed oral sex on me on the 18th of may three days later i experienced slightly swollen lymph nodes in my right leg a couple of weeks later until now i am experiencing light colored stool colored urine and weight loss i suspect i am affected with hepatitis please i want to know if any of these symptoms are related to human immunodeficiency virus,Speaker_2,24.38,"['slightly', 'swollen', 'lymph', 'nodes']",train
audio/Speaker_2/Speaker2-466.wav,e appear to me say you don develop acute back strain because di muscles dey spasm dem dey look tight i know say dis condition dey cause serious pain first rest for bed no bend your back or walk unless necessary also take painkiller and muscle relaxant like myoril or myospaz applying heat through cloth or water go also help,it appears to me that you have developed an acute back strain because the muscles are in spasm they appear tight i know that this condition causes severe pain first take bed rest do not bend your back or walk unnecessarily also take painkillers and a muscle relaxant like myoril or myospaz applying heat through a cloth or water will also help,Speaker_2,26.23,"['acute', 'muscles', 'severe', 'painkillers', 'muscle', 'relaxant', 'myoril', 'myospaz']",train
audio/Speaker_2/Speaker2-467.wav,my ovaries don enlarge and dem show plenty small follicles wey arrange for di outside no dominant follicle dey see di stromal echogenicity don increase no adnexal mass dey see no free fluid for pouch of douglas wetin all dis mean any serious problem for conceiving baby,my ovaries are enlarged in size and show multiple small follicles arranged peripherally no dominant follicle is seen the stromal echogenicity is increased no adnexal mass is seen there is no free fluid in the pouch of douglas what does it all mean is there any serious problem for conceiving a baby,Speaker_2,22.46,"['multiple', 'small', 'follicles', 'stromal', 'nexal', 'mass', 'free', 'fluid', 'baby']",train
audio/Speaker_2/Speaker2-468.wav,hello when you come to hospital with dis kind treatment of radiation and chemotherapy di lesions go resolve well well but because of radiation person fit feel some hardening of tissues but dis one also go resolve over time person need plenty patience and willpower dey important here i hope dis information help take care,hello when coming to the hospital with such treatment of radiation and chemotherapy the lesions resolve to a far extent but due to radiation one can feel some hardening of tissues however this also resolves over time one needs to have a lot of patience and willpower matters here i hope this information helps take care,Speaker_2,25.68,['lesions'],train
audio/Speaker_2/Speaker2-469.wav,maybe dis other knee only need hemiarthroplasty or partial knee replacement if only one side of di knee dey affected alone abeg confirm wit your surgeon because im fit perform am under epidural anesthesia and not general anesthesia wey go need inpatient care nothing to fear,maybe this other knee needs only hemiarthroplasty or partial knee replacement if only one side of the knee is affected singularly please confirm with your surgeon as he may be performing under epidural anesthesia and not general anesthesia for which inpatient care is needed there is nothing to fear,Speaker_2,18.38,"['other', 'knee', 'replacement']",train
audio/Speaker_2/Speaker2-470.wav,di swelling wey you talk about seem to be lymph node enlargement generally because of some infection or injury wey happen for leg take some antibiotics like amoxiclav six hundred and twenty five milligrams two times per day for one week after food e likely go reduce other possibilities na lipoma and femoral hernia,the swelling in question seems to be lymph node enlargement generally due to some infectious focus or injury sustained on the leg take some antibiotics like amoxiclav six hundred and twenty five milligrams twice daily for a week after meals it is likely to subside other possibilities are lipoma and femoral hernia,Speaker_2,21.43,"['swelling', 'lymph', 'node', 'infectious', 'focus', 'antibiotics', 'amoxiclav', 'milligrams', 'twice', 'daily', 'lipoma']",train
audio/Speaker_2/Speaker2-471.wav,hello i be twenty seven years old and i don dey try to conceive for di last eight months i dey get irregular period so my doctor prescribe susten two hundred milligrams progesterone soft gel for vaginal use two tablets everyday for ten days every month starting from di 16th day of my cycle now i dey get regular period my question be i go ovulate regularly as well my ovulation go also dey induced like my period,hi i am twenty seven years old and trying to conceive for the last eight months i was having irregular periods so my doctor prescribed me susten two hundred milligrams progesterone soft gel for vaginal use two tablets daily for ten days every month starting from the 16th day of my cycle now i am having regular periods my question is am i going to ovulate regularly as well will my ovulation also be induced as my periods are,Speaker_2,28.22,"['conceive', 'irregular', 'milligrams', 'progesterone', 'tablets', 'daily']",train
audio/Speaker_2/Speaker2-472.wav,hello abeg no stress just by looking at di endometrial thickness e no really possible to know whether you don conceive or not blood test and serial follow up go dey more appropriate also some other tests go need to be done to see whether any problem dey wit your fertility,hello please don t be stressed just by looking at the endometrial thickness it is not really possible to say if you have conceived or not a blood test and serial follow up would be more appropriate furthermore a couple of other tests would need to be done to see if there is any problem with your fertility,Speaker_2,16.87,"['endometrial', 'blood', 'test']",train
audio/Speaker_2/Speaker2-473.wav,hello doctor i be twenty seven years old woman and i weigh one hundred and thirty pounds i get history of smoking small less than one pack per day for ten years and i quit one month ago i dey concerned about finger clubbing i don notice new curvature for my nails over di last few months wey no dey before e dey mostly for my index fingers and small for my middle fingers according to schamroth test i get very small window i dey really concerned dis one fit be early sign,hello doctor i am twenty seven years old female and weigh one hundred and thirty pounds i have a history of smoking slightly less than one pack a day for ten years and quit a month ago i am concerned about finger clubbing i have noticed a new curvature in my nails over the last few months that was not present before it is mostly in my index fingers and slightly in my middle fingers according to schamroth s test i have a very small window i am really concerned could this be an early sign,Speaker_2,32.9,"['weigh', 'smoking', 'slightly', 'less', 'pack', 'quit', 'curvature']",train
audio/Speaker_2/Speaker2-474.wav,welcome steve abeg take di following medications tablet metoclopramide and capsule nexium forty milligrams once because e be post operative e most likely from di immobility of di gastrointestinal tract let me know which medications you dey take now thank you,welcome steve please take the following medications tablet metoclopramide and capsule nexium forty milligrams once since it is post operative it is most likely due to the immobility of the gastrointestinal tract let me know what medications you are currently on thank you,Speaker_2,20.3,"['tablet', 'metoclopramide', 'capsule', 'milligrams', 'medications']",train
audio/Speaker_2/Speaker2-475.wav,i do hip replacement for two thousand and nine i don also do back surgery my back dey do well finally but my hip dey prevent me from walking without my cane my hip dey hurt me seriously well di pain dey start from my waist and go down my leg but mostly e dey right around di hip area i dey go doctor tomorrow bursitis,i had my hip replaced in two thousand and nine i have also had back surgery my back is finally doing great but my hip is preventing me from walking without my cane my hip hurts extremely badly the pain starts at my waist and goes down my leg but mostly it is right around the hip area i am going to the doctor tomorrow bursitis,Speaker_2,23.5,"['hip', 'waist', 'leg', 'going']",train
audio/Speaker_2/Speaker2-476.wav,hello recently i do my follicular study di results be as follows right ovary twenty two x sixteen point six mm left ovary four point two mm dem tell me to come on di 12th day of my menstrual cycle di above study dem do am on my 10th day abeg explain di above results and whether any problem dey wit conceiving,hi recently i did my follicular study its results are as follows right ovary twenty two x sixteen point six mm left ovary four point two mm they told me to come on the 12th day of my menstrual cycle the above study was performed on my 10th day please explain the above results and whether there is any problem with conceiving,Speaker_2,21.94,"['sixteen', 'point', 'th']",train
audio/Speaker_2/Speaker2-477.wav,hello since your urine pregnancy test show positive two times after you miss your period e mean say you dey pregnant di bleeding wey you dey confuse wit your period likely be dark brown for color wey no be like normal period and e likely be implantation bleeding after pregnancy if you want to be sure you fit do serum beta hcg test if di hcg levels pass five milli international units per milliliter den you surely dey pregnant,hello as your urine pregnancy test is positive twice after your missed periods it indicates that you are pregnant the bleeding that you are confusing with your menses is likely to be dark brown in color unlike normal menses and is likely to be an implantation bleeding post pregnancy if you wish to be conclusive you may get a serum beta human chorionic gonadotropin test done if the human chorionic gonadotropin levels are more than five milli international units per milliliter then you are surely pregnant,Speaker_2,28.7,"['test', 'positive', 'bleeding', 'dark', 'brown', 'serum', 'gonadotropin', 'milli', 'international', 'units', 'per']",train
audio/Speaker_2/Speaker2-478.wav,i be seven weeks pregnant and today na my first appointment last night i wake up to use bathroom and during and right after urinating heavy strong pressure dey no burning no spotting no bleeding e only last few seconds but e feel like my cervix or uterus dey come out wetin be dis,i am seven weeks pregnant and today is my first appointment last night i got up to use the bathroom and during and right after urinating there was heavy strong pressure there was no burning no spotting or bleeding it only lasted a few seconds but it felt like my cervix or uterus was coming out what is this,Speaker_2,20.95,"['pregnant', 'cervix']",train
audio/Speaker_2/Speaker2-479.wav,good afternoon my wife dey suffer from gastric issues dem don give her mukta shakti vashma kam dudha rasa giloy sat mukta tishti avipattikar churna and udar amrit vati she dey pregnant now we fit continue dese medications she also dey suffer from worms now we fit give her medication for dat one,good afternoon my wife is suffering from gastric issues she has been given mukta shakti vashma kam dudha rasa giloy sat mukta tishti avipattikar churna and udar amrit vati she is pregnant now can we continue these medications she is also suffering from worms now can we give her medication for that,Speaker_2,20.3,"['wife', 'worms', 'medications']",train
audio/Speaker_2/Speaker2-480.wav,because of sudden irritation of di nerves no need to worry if e continue for long time you fit go see neurophysician,due to sudden irritation of the nerves there is no need to worry if it persists for a long time you can meet a neurophysician,Speaker_2,7.39,['irritation'],train
audio/Speaker_2/Speaker2-481.wav,hello i no think say di lesions na indicator of cancer for dis case rule out pemphigus vulgaris because injury wit plant products fit cause am add broad spectrum antibiotic vitamin c and anti inflammatory medication for dis case use prednisolone for longer time,hello i do not think the lesions are an indicator of cancer in this case rule out pemphigus vulgaris as injury with plant products can cause it add a broad spectrum antibiotic vitamin c and anti inflammatory medication in this case use prednisolone for a longer time,Speaker_2,18.67,"['lesions', 'antibiotic', 'vitamin', 'medication', 'prednisolone']",train
audio/Speaker_2/Speaker2-482.wav,hello ovulation dey happen thirty six hours or one point five days after di chorionic gonadotropin injection for pregnancy chances to dey high sperm suppose reach di fallopian tube before di egg do so do di thing from di same day of di injection sperm dey stay alive for di fallopian tube for three days but e only remain viable for one day all the best,hi ovulation occurs thirty six hours or one point five days after the chorionic gonadotropin injection for pregnancy chances to be high sperm should reach the fallopian tube before the egg does therefore have intercourse from the same day of the injection sperm stays alive in the fallopian tube for three days but remains viable for only one day all the best,Speaker_2,29.59,"['ovulation', 'gonadotropin']",train
audio/Speaker_2/Speaker2-483.wav,i start to bleed yesterday and i dey pregnant i wake up today still dey bleed with mild abdominal cramp i go do internal scan and dem talk say i be five weeks along di sac dey for di right place and my cervix dey fine i need to go back for two weeks for another scan i just pass blood clot and di cramp don stop now but i notice something wey look like small tissue e be white and about one centimeter long i don miscarry,i started bleeding yesterday and i am pregnant i woke up today still bleeding with mild abdominal cramps i went for an internal scan and they said i was five weeks along the sac is in the right place and my cervix is fine i have to go back in two weeks for another scan i have just passed a blood clot and the cramps have now stopped but i noticed something that looked like a bit of tissue it was white and about one centimeter long have i miscarried,Speaker_2,33.1,"['bleeding', 'mild', 'abdominal', 'internal', 'scan', 'place', 'cramps']",train
audio/Speaker_2/Speaker2-484.wav,i don get enlarged lymph node for my neck i don do fine needle aspiration ct scan ultrasound and blood work and di doctor talk say e no be cancer but e don become so big say dem fit feel am against my windpipe and up to my jawbone e dey pain me to turn my head and when i turn am e seem to put pressure for my windpipe i often dey run fever of ninety nine point eight to one hundred point five degrees fahrenheit dis one don dey go on for three years dem don try medications and nothing don help any idea of wetin fit dey happen,i have had an enlarged lymph node in my neck i have had fine needle aspiration performed a computed tomography scan ultrasounds and blood work done and the doctor says it is not cancerous however it has gotten so big that it can be felt against my windpipe so to speak and up to my jawbone it is painful to turn my head and when i do it seems to put pressure on my windpipe i often run fevers of ninety nine point eight to one hundred point five degrees fahrenheit this has been going on for three years medications have been tried and nothing has helped any ideas on what could be going on,Speaker_2,40.34,"['enlarged', 'needle', 'aspiration', 'ultrasounds', 'fahrenheit', 'jawbone', 'fevers', 'ninety', 'point', 'degrees', 'medications']",train
audio/Speaker_2/Speaker2-485.wav,medication rarely dey increase di sperm count you suppose consider to do ivf cycle if you wish to get pikin also you suppose consider to freeze semen sample in case your analysis become worse,medications rarely increase the sperm count you should consider undergoing an in vitro fertilization cycle if you wish to have children additionally you should consider freezing a semen sample in case your analysis worsens,Speaker_2,13.22,"['medications', 'fertilization', 'cycle']",train
audio/Speaker_2/Speaker2-486.wav,hello omeprazole no dey cause dizziness no worry about dat one continue di medication helicobacter pylori after negative test no dey likely to cause dese symptoms yes viral infection dey cause fever malaise body pain headache etc e dey generally self limiting you fit take paracetamol for di symptoms to help reduce dem if serious body pain dey together with weakness and change for urine color you need to see doctor immediately i hope my answer help you if you get any more questions i go happy to help you,hi omeprazole does not cause dizziness do not worry about that continue the medication helicobacter pylori after a negative test is less likely to cause these symptoms yes viral infections cause fevers malaise body aches headaches etc it is generally self limiting you can take paracetamol for the symptoms to help reduce them if there are severe body aches associated with weakness and a change in urine color you need to see a doctor immediately i hope my answer helps you if you have any more queries i would be happy to help you,Speaker_2,33.91,"['omeprazole', 'dizziness', 'malaise', 'body', 'ache', 'headaches', 'paracetamol', 'severe', 'weakness']",train
audio/Speaker_2/Speaker2-487.wav,eleven days ago i slip for ice and fall forward my shin take di brunt of di fall right below my knee and down to di ankle e pain immediately and e hard to put pressure to stand up no bruise dey and small swelling dey e still dey pain to touch and even when e small bump against any kind material including cloth immediate pain and burning sensation dey e go reduce after five to ten minutes when i dey sit down e dey burn and e feel very heavy as if fluid don gather my body go absorb dis fluid by itself,eleven days ago i slipped on the ice and fell forward my shin took the brunt of the fall right below my knee and down to the ankle it immediately hurt and was difficult to put pressure on to stand up there was no bruising and some swelling it still hurts to the touch and even when lightly bumped against any type of material including clothing there is immediate pain and a burning sensation it will subside after five to ten minutes when sitting sedentary it does burn and feels very heavy as though there is fluid built up will my body absorb this fluid on its own,Speaker_2,34.66,"['shin', 'below', 'knee', 'ankle', 'hurts']",train
audio/Speaker_2/Speaker2-488.wav,madam i sorry to hear about your daughter im problems attention deficit disorder or adhd dey treatable with medication but all di behaviors need behavior therapy wey psychologist or mental health professional go facilitate i know e go hard to train her but e go benefit her for di long run so abeg get patience she go improve anger management and other measures fit dey implemented,madam i am sorry to hear about your daughter s problems attention deficit disorder or attention deficit hyperactivity disorder is treatable with medications but all the behaviors need behavior therapy to be facilitated by a psychologist or mental health professional i know it will be difficult to train her but it will benefit her in the long run therefore please have patience she will improve anger management and other measures can be implemented,Speaker_2,29.11,"['attention', 'deficit', 'anger', 'management']",train
audio/Speaker_2/Speaker2-489.wav,my husband be eighty four years old and he get stage four congestive heart failure diabetes kidney wey no dey function well copd faulty valve and he get pacemaker last december dem diagnose am with elephantiasis and recently dem remove one thousand six hundred milliliters of water from di left side and one thousand five hundred milliliters of water from di right side he dey scheduled to go on wednesday to remove more water from di left side wetin you think be im life expectancy surgery too risky because of im age and condition,my husband is eighty four years old and has stage four congestive heart failure diabetes low functioning kidneys chronic obstructive pulmonary disease a faulty valve and has a pacemaker last december he was diagnosed with elephantiasis and recently had one six hundred milliliters of water removed from the left side and one five hundred milliliters of water removed from the right side he is scheduled to go in on wednesday to have more water removed from the left side what do you think his life expectancy is surgery is too risky due to his age and condition,Speaker_2,39.74,"['eighty', 'stage', 'cong', 'low', 'functioning', 'kidney', 'chronic', 'obstructive', 'pulmonary', 'disease', 'elephantiasis', 'milliliters', 'surgery']",train
audio/Speaker_2/Speaker2-490.wav,dis one fit be normal behavior during your pregnancy but you need to be careful say you no dey for anxiety state all di time,this may be quite normal behavior during your pregnancy however you need to be careful that you are not in an anxiety state all the time,Speaker_2,8.83,"['anxiety', 'state']",train
audio/Speaker_2/Speaker2-491.wav,i dey use veet hair removal cream for my legs yesterday and no too long after dem come irritate now sometimes dem dey itch well well and red spot dey cover dem for di back of my legs large red area wey dey small raised dey as well wetin i suppose do i don cover my legs with sudocrem as somebody suggest and di irritation don go age seventeen weight i no sure height five feet two inches medical history i allergic to penicillin,i was using veet hair removal cream on my legs yesterday and not long after they became irritated now occasionally they become very itchy and are covered in red spots on the back of my legs there are large areas of red that are slightly raised as well what should i do i have covered my legs in sudocrem as suggested by someone and the irritation has gone age seventeen weight not sure height five feet two inches medical history allergic to penicillin,Speaker_2,31.42,"['veet', 'hair', 'removal', 'cream', 'legs', 'irritated', 'raised']",train
audio/Speaker_2/Speaker2-492.wav,hello i be thirty nine year old mama of five boys i don dey experience pain sometimes for my stomach and sometimes for my chest dis one only dey seem to happen when i start to get upset di pain dey get worse and i really no fit afford to dey down my household go scatter i just want to know wetin dey wrong and how i fit fix am,hello i am a thirty nine year old mother of five boys i have been experiencing pain sometimes in my stomach and sometimes in my chest this only seems to happen when i start to get upset the pain is getting worse and i really can t afford to be down my household would fall apart i just want to know what is wrong and how i can fix it,Speaker_2,23.18,['stomach'],train
audio/Speaker_2/Speaker2-493.wav,hello doctor i do umbilical hernia repair eleven days ago e go fine but ten days later when i lie down my belly button pop out one inch and den go back down di next morning my belly button dey out half inch my surgeon talk say make i just wait some days to see whether e go back down i need to know whether i suppose wait or go in right away di belly button dey small tender,hello doctor i had an umbilical hernia repair eleven days ago it went fine but ten days later when i laid down my belly button popped out one inch and then went back down the next morning my belly button was out half an inch my surgeon said to just wait a couple of days to see if it goes back down i need to know if i should wait or get in right away the belly button is a little tender,Speaker_2,24.38,"['eleven', 'later', 'popped', 'inch']",train
audio/Speaker_2/Speaker2-494.wav,hello e fit be menopausal symptoms calcium and vitamin d deficiency sometimes spinal nerve injury fit also cause back pain similar to di one wey dey happen after cs delivery she fit start with hypericum 1m taking five pills two times per week and rhus tox two hundred pills for morning afternoon and evening also she suppose take calcarea phosphorica 6x three tablets for morning afternoon and night take dese medications for at least one week and give me detailed follow up i dey sure say she go feel better with dese medications,hi it might be menopausal symptoms calcium and vitamin d deficiency sometimes spinal nerve injury can also cause back pain similar to that experienced after a cesarean section delivery she can start with hypericum 1m taking five pills twice a week and rhus tox two hundred pills in the morning noon and evening additionally she should take calcarea phosphorica 6x three tablets in the morning noon and night take these medications for at least one week and provide me with a detailed follow up i am sure she will feel better with these medications,Speaker_2,42.7,"['spinal', 'nerve', 'injury', 'cesarean', 'section', 'calcarea', 'phosphorica', 'medications']",train
audio/Speaker_2/Speaker2-495.wav,hello welcome to hcm for your case di best option appear to be surgical correction because of di diffuse disc bulge wey dey compress di nerve if dem no treat am for long time di nerve fit damage beyond repair to wear cervical collar na alternative but i believe surgery na better option for any case abeg follow di advice of your neurosurgeon,hello welcome to hcm in your case the best option appears to be surgical correction because of the diffuse disc bulge which is compressing the nerve if left untreated for a long time the nerve may be damaged beyond repair wearing a cervical collar is an alternative but i believe surgery is a better option in any case please follow the advice of your neurosurgeon,Speaker_2,24.55,[],train
audio/Speaker_2/Speaker2-496.wav,hello i dey work for state correctional institution and while i dey conduct cell search i prick my thumb with sewing needle wey one inmate keep for im bed sheet di inmate know say i go enter im room before i enter because of im suspicious behavior earlier for di day make we suppose say he prick himself with di needle and leave am for im bed sheet for me to get stuck with am wetin be my chances of contracting anything,hello i work in a state correctional institution and while conducting a cell search i pricked my thumb with a sewing needle that an inmate had in his bed sheet the inmate knew i was going to enter his room prior to my entering due to his suspicious behavior earlier in the day suppose he pricked himself with the needle and left it in his bed sheet for me to get stuck with it what are my chances of contracting anything,Speaker_2,29.9,[],train
audio/Speaker_2/Speaker2-497.wav,doctor five days ago i do pregnancy test i get positive result but some days later i get my period but e no be normal e be light red so i take another test and i get negative result even di blood test become negative i still dey pregnant or not,doctor five days ago i had a pregnancy test i received a positive result however a few days later i got my period but it was not normal it was light red so i took another test and i got a negative result even the blood test became negative am i still pregnant or not,Speaker_2,17.98,"['positive', 'negative', 'blood', 'test']",train
audio/Speaker_2/Speaker2-498.wav,hello i get some papules with whitish scale for di form of ring for di mons pubis and inner thigh areas i don get dis problem for one week and i just notice say e dey get bigger pass before e dey itch well well no bleeding and no pus na just di ring of whitish bump wey dey grow bigger each day i never get dis before i want know wetin e be because e no seem like folliculitis to me i also really want know whether e be sexually transmitted disease or just fungal infection abeg help me with how to treat dis infection,hello i have a few papules with a whitish scale in the form of a ring on the mons pubis and inner thigh areas i have had this problem for a week and i just noticed that it is getting bigger than before it is very itchy with no bleeding and no pus it is just the ring of whitish bumps that grows larger each day i have never had this before i want to know what it is because it doesn t seem like folliculitis to me i also really want to know if it is a sexually transmitted disease or just a fungal infection please help me with how to treat this infection,Speaker_2,39.58,"['papules', 'whitish', 'scale', 'mons', 'pubis', 'inner', 'thigh', 'bleeding', 'sexually', 'transmitted', 'disease']",train
audio/Speaker_2/Speaker2-499.wav,my baby boy be nine months old and im weight be eight point five kilograms from di 7th month until now he never gain weight i start to use nan pro from di 3rd month until now i fit change to lactogen instead of nan pro abeg suggest which one dey best for my baby im weight gain,my baby boy is nine months old and his weight is eight point five kilograms from the 7th month until now he has not gained weight i started using nan pro from the 3rd month to the present can i switch to lactogen instead of nan pro please suggest which one is best for my baby s weight gain,Speaker_2,20.74,"['baby', 'boy', 'weight', 'point', 'nan', 'pro', 'lactogen']",train
audio/Speaker_2/Speaker2-500.wav,well e seem like some underlying connective tissue pathology dey cause all dese symptoms pulmonary hypertension raynaud s and blue lip all dey point towards constricted blood vessel wey dey cause decreased blood supply wey dey lead to dese symptoms repeat echocardiogram with pulmonary artery pressure values fit determine di severity of your pulmonary hypertension,well it seems like there is some underlying connective tissue pathology causing all these symptoms pulmonary hypertension raynaud s and blue lips all point towards constricted blood vessels causing decreased blood supply leading to these symptoms a repeat echocardiogram with pulmonary artery pressure values can determine the severity of your pulmonary hypertension,Speaker_2,28.3,"['echocardiogram', 'pulmonary']",train
audio/Speaker_4/Speaker4-1.wav,hi primolut n no be the right medicine to bring back your fertility abeg no use am for that go meet your doctor make dem prescribe the correct ovulation medicine for you you fit track your ovulation by doing ultrasound repeatedly then try am naturally when the time reach,hi primolut n is not the correct medication to bring back fertility please consult your doctor regarding medications for ovulation you can track your ovulation through repeated ultrasounds and then try naturally around the time of ovulation,Speaker_4,23.69,"['primolut', 'consult', 'medications', 'ultrasounds']",train
audio/Speaker_4/Speaker4-2.wav,hi take am easy no panic the matter no serious at all but she go need to do follow up ultrasound after three to six months sha if the pelvis size reach eight millimeters or more dem go need to do diethylenetriamine pentaacetic acid renogram for her since ureteric dilation no dey e mean say high grade reflux no dey so abeg relax no let fear catch you,hi relax it is nothing to worry about however she needs a follow up ultrasound after three to six months if the pelvis size increases from eight millimeters or more she will require a diethylenetriamine pentaacetic acid renogram the absence of ureteric dilation rules out high grade reflux so kindly relax,Speaker_4,32.61,"['ultrasound', 'pelvis', 'size', 'diethylenetriamine', 'pentaacetic', 'acid', 'ureteric']",train
audio/Speaker_4/Speaker4-3.wav,i don dey take lescol xl eighty for four years now the last blood test wey i do show say my creatinine level na zero point six but normal range suppose be zero point seven to one point five on top of that my gamma glutamyl transferase level don shoot up reach one hundred and fourteen while normal suppose be eight to seventy eight na the lescol xl eighty cholesterol medicine wey i don dey take for four years dey cause all this wahala i be sixty eight years old five feet three inches and i weigh one hundred and forty two pounds,i have been on lescol xl eighty for four years now my last blood test showed a creatinine level of zero point six while the normal range should be zero point seven one point five additionally my gamma glutamyl transferase level is high at one hundred and fourteen while the normal range should be eight seventy eight am i having issues because of the cholesterol medication lescol xl eighty that i have been on for four years i am sixty eight years old five feet three inches tall and weigh one hundred and forty two pounds,Speaker_4,39.28,"['lescol', 'eighty', 'blood', 'test', 'creatinine', 'zero', 'gamma', 'glutamyl', 'transferase', 'high', 'sixty']",train
audio/Speaker_4/Speaker4-4.wav,you don think to change your soap oil cream or shampoo you don add any new medicine like fever medicine cold medicine pain reliever or multivitamin all those things fit be the cause of this problem avoid mustard oil coconut oil walnut oil groundnut oil almond oil and soybean oil you fit apply olive oil and cook with am too try find the cause and make sure the room temperature dey between twenty five to thirty five degrees celsius you fit take ebastine ten milligrams plus atarax ten milligrams at night for three weeks apply fluticasone and histocalamine continue the treatment for three weeks until you find wetin dey cause am,can you think of changing any soap oil cream or shampoo have you introduced any medication for fever cold pain or multivitamins all these can cause this issue avoid using mustard oil coconut oil walnut oil groundnut oil almond oil and soybean oil you can apply olive oil and use it for cooking check for the cause and keep the room temperature between twenty five to thirty five degrees celsius you can take ebastine ten milligrams plus atarax ten milligrams at night for three weeks you can apply fluticasone and histocalamine continue this treatment for three weeks until you find an answer,Speaker_4,46.75,"['medication', 'between', 'degrees', 'ce', 'cream', 'milligrams', 'atarax', 'fluticasone', 'histocalamine']",train
audio/Speaker_4/Speaker4-5.wav,i be fifty seven years old and dem don diagnose me with hepatitis c for this past one month my weight don increase sharp sharp e dey show mostly around my belle area i never get weight problem before in my life i always dey around one hundred and thirty pounds but six weeks ago my weight just jump reach one hundred and sixty five pounds like magic i no get pain just the discomfort say my clothes no dey fit me again and i feel like i carry big jelly jelly belle around,i am a fifty seven year old who has been diagnosed with hepatitis c i have experienced rapid weight gain in the last month primarily around my midsection i have never had weight problems before i have always hovered around one hundred and thirty pounds but six weeks ago my weight skyrocketed to one hundred and sixty five pounds i do not have any pain just the discomfort of growing out of my clothes and the feeling of having the appearance of a bowlful of jelly,Speaker_4,34.91,"['hepatitis', 'rapid', 'weight', 'gain', 'problems', 'pounds', 'discomfort']",train
audio/Speaker_4/Speaker4-6.wav,i get one baby wey be sixteen months old he develop lump for the left side of im belly button i think say e dey constipate so i dey massage im lower belle but the pikin dey cry when i go change am na then i see the lump that na yesterday story today the thing don turn red and the lump dey harder than yesterday he even do toilet this morning so e no be constipation abeg shed light on wetin this thing be na hernia,i have a sixteen month old baby he developed a bump to the left of his belly button i thought he was constipated and was massaging his lower abdomen and he was crying when i went to change him i found the lump that was yesterday today it is red and the lump is harder than yesterday he also had a bowel movement this morning so i don t think it is constipation can you shed some light on this hernia,Speaker_4,34.41,"['sixteen', 'bump', 'constipated', 'lump', 'bowel', 'movement', 'constipation', 'hernia']",train
audio/Speaker_4/Speaker4-7.wav,my daughter dey suffer from vagina itching and pain constantly she be ten years old we don try warm water soak desitin petroleum jelly and all kinds of cream but nothing dey give her relief dem dey currently treat her for pinworms even though the doctors no sure say na that one dey cause the wahala i just want something to ease her symptoms while dem dey figure out the real problem abeg help the pikin dey miserable,my daughter frequently suffers from vaginal itching and pain she is ten years old we have tried warm water soaks desitin petroleum jelly and other creams but nothing relieves her symptoms she is currently being treated for pinworms although the doctors do not know for sure that is what is causing the problem i just want something to help her with the symptoms until the issue can be resolved please help she is miserable,Speaker_4,32.71,"['vaginal', 'itching', 'desitin', 'treated']",train
audio/Speaker_4/Speaker4-8.wav,food allergy fit dey i recommend make you do blood serum test for specific antibodies the test go check all the different foods wey you dey chop you go get clear result because you no fit detect am yourself do blood serum test or prick test those ones be the best after that plan your diet according to the result so the problem no go come back again,food allergies may be present i recommend getting a blood serum test for specific antibodies for various foods you eat you will get results as it is not possible to detect them yourself get blood serum or prick tests as they are best accordingly plan your diet to prevent recurrences in the future,Speaker_4,27.06,"['food', 'allergies', 'blood', 'serum', 'antibodies', 'diet']",train
audio/Speaker_4/Speaker4-9.wav,from how you describe am e look like you dey experience lack of concentration this fit happen because you no dey interested in the subject or you fit dey enter depression how you dey feel most of the time i need to know you dey always get vex quick and feel unhappy any relationship wahala with somebody wey you love abeg mention all of dem so i fit help you well,from your description it appears you are experiencing a lack of concentration which can happen due to a lack of interest in the subject or you may be suffering from depression how do you feel often i need to know are you always irritable and unhappy do you have any problems in a relationship with someone you love most kindly mention all these,Speaker_4,27.84,"['irritable', 'unhappy']",train
audio/Speaker_4/Speaker4-10.wav,any protein fit start to react with your body proteins once you don develop allergy to am even shrimp fit do am this thing fit happen to anybody at any age and anytime you need to avoid am from now on so the allergy no go worsen for the itching and other allergy symptoms take antihistamine medicine e go bring relief,any protein can start reacting with the body protein to which you have developed an allergy including shrimp this can happen at any time and at any age you need to avoid that in the future to prevent an allergy to get relief from allergic symptoms use antihistamine medication,Speaker_4,25.01,[],train
audio/Speaker_4/Speaker4-11.wav,hi i be twenty two year old female and i dey sexually active i get itchy areas around my vagina near the opening and also near the clitoris i even get extra fold of skin on the itchy side near the clitoris my yansh area dey also itch me and around there dey small thick whitish yellow discharge wey get smell like yeasty fish wetin be the matter and how i go make am go e dey itch me and the smell dey too much,hi i am a sexually active twenty two year old female i have itchy areas on my vagina near the opening and also near the clitoris i have an extra fold of skin on the itchy side of the clitoris i also have anal itching and anal discharge that is minimal but thick whitish yellow and smells like yeasty fish what is it and how do i make it go away it itches and smells,Speaker_4,34.46,"['active', 'itchy', 'vagina', 'opening', 'near', 'clit', 'anal', 'itching', 'minimal', 'thick', 'whitish', 'yellow', 'it', 'itches']",train
audio/Speaker_4/Speaker4-12.wav,my name na aravind i marry three years ago i dey do sex with my wife every day but anytime we do am the semen wey come out dey very small i do semen analysis and the count na only two million e dey very low abeg help me how i fit increase my sperm count i dey chop well but every time i do am with my wife the semen dey finish within one hour,i am aravind i got married three years ago i have sexual intercourse with my wife every day but whenever i have sex the semen volume is low i had a semen analysis and the count was only two million please help me on how i can increase my sperm count i eat well but whenever i have intercourse with my wife the semen lasts for only one hour,Speaker_4,26.16,"['got', 'married', 'sexual', 'intercourse']",train
audio/Speaker_4/Speaker4-13.wav,my baby dey eleven weeks old and i dey breastfeed am for the past one week him stool don dey come out green on and off we do stool test for the lab and the result show say the white blood cell count high meaning say the pikin dey fight infection which bacteria fit be cause this infection apart from that he no get fever and he no dey vomit wetin be our next step,my eleven week old breastfed baby has had green stools on and off for a week we did a stool laboratory test and it came back with a high white blood cell count which means he is fighting an infection what bacteria could be causing the infection otherwise he has no fever and is not vomiting what should be our next step,Speaker_4,29.64,"['baby', 'stool', 'laboratory', 'test', 'high', 'fever']",train
audio/Speaker_4/Speaker4-14.wav,e fit be allergic reaction but the diagnosis dey lean more to angina pectoris do all your medical tests first electrocardiogram and treadmill test na must do if dem rule am out then you fit consider say na allergy,it could be allergic but the diagnosis leans more towards angina pectoris get all your investigations done an electrocardiogram and a treadmill test are a must if ruled out then you can consider allergies,Speaker_4,18.87,"['angina', 'electrocardiogram', 'treadmill', 'test']",train
audio/Speaker_4/Speaker4-15.wav,my period don dey behave funny and abnormal lately one week before the bleeding start i dey experience serious cramps for my lower belle area i normally no dey cramp unless say na first day of period and even that one dey bearable my vagina dey just ache anyhow i no start when i suppose and now when period finally come e dey light but the blood dey dark black clotted and jelly like my tampon no even fit absorb am i dey fear say maybe i dey pregnant since i late but now i no even sure which problem to worry about wetin dey happen to me,my period has been acting very abnormal lately a week prior to bleeding i was experiencing severe lower abdominal cramps and i never cramp unless it is on the first day of my period but those cramps are very bearable my vagina was also just aching i didn t start when i was supposed to and now my period is light but the blood coming out is clotted jelly like and dark black my tampon won t even absorb it i was scared i was pregnant when i was late but now i m not sure if i should be worried about that or not what is going on,Speaker_4,42.63,"['severe', 'vagina']",train
audio/Speaker_4/Speaker4-16.wav,sir my friend don dey admitted for one hospital for jamshedpur india she dey the high dependency unit she get accident and dem admit her on monday 11th march her reports show say she get multiple brain hemorrhages the retina don fix and blood don clot inside her brain the doctors even say the brain don die wetin be her chances of survival wetin we suppose do next abeg advise us,sir my friend is admitted to a hospital in jamshedpur india in the high dependency unit she met with an accident and was admitted here on monday 11th march her reports indicate that she has multiple brain hemorrhages the retina is fixed and there is clotting of blood in the brain the doctors here have also said the brain is dead what are the chances of her survival what should we do next,Speaker_4,29.29,"['admitted', 'hospital', 'th', 'march', 'multiple', 'brain', 'retina', 'clotting', 'blood']",train
audio/Speaker_4/Speaker4-17.wav,hello you come health centre because of overwork and serious fatigue you fit dey experience dizziness but there fit no be any medical reason behind am the best thing na to rest well for few days and cut down your workload e go help i assure you,hello you came to the health center because of the overwork and fatigue you might be experiencing dizziness there may not be any pathological reason behind this it is better to have a rest for a few days and cut down the workload i hope this information helps,Speaker_4,18.07,"['came', 'center', 'dizziness']",train
audio/Speaker_4/Speaker4-18.wav,hello my patient normally e take between two to six weeks for wounds to close depending on the type of sutures dem use for dissolving stitches e usually take two to three weeks for am to fully close up your best bet na to ask your doctor directly because the size of the scar fit make the healing take longer time,hello patient normally it takes anywhere from two to six weeks depending on the sutures that were used for dissolvable stitches it usually takes around two to three weeks for it to be fully closed your best bet is to ask your doctor because the size of the scar could prolong recovery,Speaker_4,23.19,[],train
audio/Speaker_4/Speaker4-19.wav,for my own opinion the symptoms wey you dey describe sound like splenomegaly this lump fit be cyst or e fit be because of steroid use all the best to you,in my opinion you are describing symptoms of splenomegaly this lump could be either a cyst or due to the use of steroids good luck,Speaker_4,12.69,"['splenomegaly', 'lump', 'cyst']",train
audio/Speaker_4/Speaker4-20.wav,i think say this matter fit be complete abortion abeg dey careful do ultrasound quick quick to check if fetus still dey there or not,i think that this might be a case of complete abortion so be careful get an ultrasound done and see if the fetus is still there or not,Speaker_4,9.25,['ultrasound'],train
audio/Speaker_4/Speaker4-21.wav,hello doctor this problem don dey follow me for years bad smell dey come from my nose whenever i dey breathe i don dey desperate for any help at all in start after i sick for secondary school my tonsils done dey infected and dem swell up the infection come back several times until e reach point where i stop dey fall sick i no dey sick for couple of years now but i still dey get infections sometimes and the smell no gree go,hello doctor i have had this problem for years where a bad smell comes from my nose when i breathe i am desperate for any type of help it started after i got sick in high school my tonsils were infected and enlarged the infection came back a few more times until i was unable to get sick again i have not been sick in a couple of years but i still get infections sometimes,Speaker_4,35.06,"['bad', 'tonsils', 'infections']",train
audio/Speaker_4/Speaker4-22.wav,hello welcome to health care management i appreciate say you dey concerned about your mama s health if her bladder dey distended e mean say either something dey block the free flow of urine from her bladder or there fit be problem with how the bladder wall muscles dey contract this fit happen because of urethritis from recent infection or strictures from old infections the bladder wall fit don thicken because of urinary infection or some other lesion whether benign or not fit be the cause transvaginal ultrasound with post micturition volume check go help them arrive at proper diagnosis i wish her speedy recovery,hello welcome to health care management i appreciate your concern for your mother s health if her bladder is distended it means that either there is some lesion interfering with the free flow of urine from her urinary bladder or there may be some problem with the contraction of the bladder wall muscles this can occur with urethritis if she had a recent infection or with strictures from old infections there may be some thickening of the urinary bladder wall from a urinary infection or it can be due to other lesions benign or otherwise a transvaginal ultrasound examination with post micturition volume will help to arrive at a proper diagnosis i wish her a quick recovery,Speaker_4,47.95,"['lesions', 'your', 'bladder', 'infections', 'thickening', 'ultrasound']",train
audio/Speaker_4/Speaker4-23.wav,well i don carry kidney stones wahala for forty years now each kidney get two big stones measuring eight millimeters each urinary infections don dey come more and more frequently last month alone i do antibiotic treatment three times i no fit continue like this i dey diabetic i get high blood pressure high cholesterol and arthritis on top of everything somebody recommend blemaren to me i no know if e safe to take or where to buy am the person wey recommend am buy am from germany,well i have a forty year history of kidney stones with multiple stones each kidney has two large ones measuring eight millimeters each i have had numerous urinary infections that are becoming more frequent last month i underwent antibiotic treatment three times i can t continue like this i am diabetic have high blood pressure high cholesterol and arthritis anyway somebody recommended blemaren i don t know if it is okay to take and where to buy it the person recommending it bought it from germany,Speaker_4,35.88,"['multiple', 'stones', 'kidney', 'measuring', 'infections', 'antibiotic']",train
audio/Speaker_4/Speaker4-24.wav,hello there as body dey grow old wetin dey happen be say the general tone of your muscles dey begin fall your muscles dey become more slack and loose in dey usually show for your face as wrinkles and your arms and thighs fit become less firm the same thing dey happen to your abdominal muscles and that na why people begin to notice they don develop small belle most likely na this thing dey happen to you since the love handle area dey very prominent e dey more noticeable no need to worry yourself about am at all,hello there with aging what happens is that the general tone of your muscles starts to become less that means that your muscles start to become more slack this generally manifests itself as wrinkles on the face loosening of the muscles over your arms and thighs etc so the same process is happening to your abdominal muscles which basically results in people noticing that they have a paunch belly most likely this is what is happening with you since the area where the love handles are present is quite prominent this makes it more noticeable when you are concerned there is no need to worry about it,Speaker_4,37.53,"['wrinkles', 'abdominal']",train
audio/Speaker_4/Speaker4-25.wav,mild blue discoloration and swelling fit be sign of circulation problem if you dey smoke abeg stop am now do hot water fomentation and make sure you dey exercise your fingers and wrists go meet physician make dem advice you,mild blue discoloration and swelling may be due to circulation problems if you smoke then stop it do hot water fomentation and exercise your fingers and wrists take the advice of a physician,Speaker_4,18.97,"['mild', 'blue', 'disco', 'swelling']",train
audio/Speaker_4/Speaker4-26.wav,e fit just be strain you need anti inflammatory medicine if e no improve go see your doctor sharp sharp,it may be a strain so you should be on anti inflammatory medication if it does not help see your physician,Speaker_4,9.35,[],train
audio/Speaker_4/Speaker4-27.wav,hello doctor i get question about my heart rate when i dey sleep sometimes when i check my heart rate tracker for night i dey see say my heart rate don spike reach average of one hundred and thirty to one hundred and sixty beats per minute and e dey happen plenty throughout the night but i still dey sleep e no dey wake me up i dey worried say something wrong dey happen abeg explain this thing to me,hello doctor i have a question about my heart rate when i have been sleeping i occasionally see on my heart rate tracker that my heart rate spikes at night to an average of around one hundred and thirty to one hundred and sixty beats per minute a lot during the night however i am still sleeping and it does not wake me up and i am worried something is wrong could you kindly explain,Speaker_4,26.06,"['heart', 'rate', 'tracker', 'spikes', 'sixty', 'beats', 'per', 'minute', 'lot', 'sleeping']",train
audio/Speaker_4/Speaker4-28.wav,i do in vitro fertilization for january two thousand and twelve but after four months i get missed abortion for december two thousand and twelve now i dey prepare to do frozen embryo transfer and my worry be whether the frozen embryo na from the same cycle because i dey fear say e fit carry the same abnormalities and the same thing fit happen again e wise to go ahead with frozen embryo transfer or make i start fresh cycle abeg advise me,i underwent in vitro fertilization in january two thousand and twelve but after four months i had a missed abortion in december two thousand and twelve now i am going for a frozen embryo transfer and my question is whether the frozen embryo is from the same cycle as i believe it may have the same abnormalities and the same situation may happen again is it wise to proceed with the frozen embryo transfer or should i consider a fresh cycle please advise,Speaker_4,32.14,"['vitro', 'fertilization', 'frozen']",train
audio/Speaker_4/Speaker4-29.wav,calf pain and tenderness fit be deep vein thrombosis of the calf muscle that na one of the rare complications wey birth control pills fit cause abeg do doppler study of the lower limb to rule out thrombosis no joke with this one abeg,calf pain and tenderness may be due to deep vein thrombosis of the calf muscle which is a rare complication of birth control pills please obtain a doppler study of the lower limb to rule out thrombosis do not ignore it,Speaker_4,20.22,"['calf', 'tenderness', 'thrombosis', 'doppler', 'study', 'limb']",train
audio/Speaker_4/Speaker4-30.wav,i do computed tomography scan of my lower back and nothing show up but i still dey get serious lower back pain and pain wey dey shoot down my right leg my left hip don start to give me serious trouble too this back wahala don dey with me for the past one year but e don reach point where e dey hurt just to stand up for morning and i no fit walk or sit for more than few minutes before the burning pain go catch me you get any idea wetin dey happen,i had a computed tomography scan on my lower back and it did not show anything but i still have severe lower back pain and pain shooting down my right leg my left hip is starting to hurt really badly i have been having problems with my back for the past year but it has gotten to the point where it hurts to get up in the mornings and i cannot walk for more than a few minutes or sit for more than a few minutes because it starts burning so badly do you have any ideas,Speaker_4,33.68,"['computed', 'tomography', 'scan', 'severe', 'leg', 'hip', 'hurts', 'walk', 'minutes', 'sit']",train
audio/Speaker_4/Speaker4-31.wav,hello doctor my teeth dey scattered everywhere and i don want braces for long time but dentists dey always tell me to wait until the teeth fall out because dem no want put me under anesthesia to remove all of them but dem no even notice say i get one tooth wey dey grow out from the gum in two different directions and e dey cause me serious pain right now i dey take quetiapine and fluoxetine,hello doctor my teeth are all over the place and i have wanted braces for years but the dentists keep telling me i need to wait until my teeth fall out as they will not put me to sleep to take them all out however they have not even noticed that i have a tooth that grows out of the gum in two separate directions and it causes me a lot of pain currently i am taking quetiapine and fluoxetine,Speaker_4,32.51,"['braces', 'dentists', 'quetiapine', 'fluoxetine']",train
audio/Speaker_4/Speaker4-32.wav,hi i be twenty seven years old i don carry two babies before i no dey pregnant and i no dey plan get pregnant again for the past two days serious cramps don dey torment me i dey feel like say i dey get contractions but i no dey pregnant at all the pain dey start from the middle of my stomach and dey spread all over my belle i also dey feel pain for my bladder but i no get bladder infection e feel like somebody dey yank am out the pain dey too much abeg help me i need advice,hi i am twenty seven years old i have had two babies i am not pregnant and do not expect to become pregnant ever again for the past two days i have been having severe cramps it feels like i am having contractions but i am not pregnant the pain starts in the middle area of my stomach and radiates all over my abdomen i have also been experiencing pain in my bladder but there is no bladder infection it feels like somebody is pulling it out which is very painful i need some advice please help me,Speaker_4,37.11,"['pregnant', 'cramps', 'contractions', 'painful', 'stomach', 'bladder']",train
audio/Speaker_4/Speaker4-33.wav,hi no panic e go go pass with time this na most likely the weed effect wey don catch up with you the effects suppose clear within twelve to twenty four hours try to calm down and stay for room with dim light if the symptoms no dey go down you fit take one tablet of lorazepam one milligram whenever you need am,hi don t worry this will wean off with time this is probably the effect of the marijuana that you have consumed the effects should diminish in twelve to twenty four hours try to calm yourself and stay in a dimly lit room if the symptoms are not getting controlled then you can take one tablet of lorazepam one milligram whenever needed,Speaker_4,25.76,"['tablet', 'lorazepam', 'milligram']",train
audio/Speaker_4/Speaker4-34.wav,if the diarrhea no stop take loperamide two tablespoons immediately chop banana with am if you dey take iron and calcium supplements abeg stop dem for few days,if it is not controlled you can take loperamide two tablespoons immediately take a banana along with it if you are taking iron and calcium supplements then stop them for a few days,Speaker_4,13.14,['loperamide'],train
audio/Speaker_4/Speaker4-35.wav,do mri of the pelvis and bring the report we need rule out plenty things before we fit talk about your question properly,get an mri of the pelvis and get back to us with the report a lot of things need to be ruled out before commenting on your question,Speaker_4,9.17,"['mri', 'pelvis']",train
audio/Speaker_4/Speaker4-36.wav,my son dey about seven weeks old he no dey cry or make noise when he dey urinate but this morning he wake up and e look like small blood dey inside him urine make i carry am go see pediatrician or straight to emergency room or he go be okay,my son is about seven weeks old he does not cry when urinating or fuss when he does he did however wake up this morning with what looked like a tiny bit of blood in his urine should i be taking him to see his pediatrician or to the emergency room or will he be fine,Speaker_4,18.77,"['wake', 'morning', 'emergency', 'room']",train
audio/Speaker_4/Speaker4-37.wav,hi lakshmi chickenpox no fit happen two times e dey impossible once pikin get am the body go develop immunity against am for life this one fit be insect bite or viral rash real chickenpox dey come with mild to moderate fever the lesions first look like pimples then fluid go form inside them then e go burst and form scab within five to six days you no fit mistake am at all all the best,hi lakshmi definitely it cannot be chickenpox both times one attack provides immunity to the child it may be an insect bite or a viral rash chickenpox lesions are accompanied by mild to moderate fever the lesions initially look like pimples but later become filled with fluid inside which ruptures and forms a scab over five to six days it cannot be mistaken all the best,Speaker_4,31.61,"['lesions', 'mild', 'ruptures', 'scab']",train
audio/Speaker_4/Speaker4-38.wav,hi i just notice tonight say sores dey for the very back of my tongue them dey three dimensional some less developed ones dey show for the side of my mouth too the tissue under my tongue done swell and the veins don turn dark purple the back of my tongue dey white and patchy my boyfriend get genital warts but you think say these bumps fit be from hpv i don take all three gardasil vaccine shots if i no fit get health appointment for one week e safe to wait without treatment,hi i just noticed tonight sores at the very back of my tongue that are three dimensional and there are some less developed but still prevalent ones on the side of my mouth the tissue underneath my tongue seems swollen and the veins have turned dark and purple the back of my tongue is really white and kind of patchy my boyfriend has genital warts as well but do you think that the bumps are from human papillomavirus i have had all three human papillomavirus gardasil vaccine shots if i can t get a health appointment for a week is it safe to wait that long without treatment,Speaker_4,38.76,"['sores', 'very', 'tongue', 'developed', 'tissue', 'veins', 'genital', 'bumps', 'papillomavirus']",train
audio/Speaker_4/Speaker4-39.wav,when person dey cough and overuse the accessory muscles of respiration e dey cause pain for the collarbone area because some of those accessory muscles dey connect directly to the clavicle bone,excessive use of accessory muscles of respiration during coughing leads to pain in the collarbones as a few accessory muscles are inserted in the clavicle bone,Speaker_4,13.79,"['coughing', 'collarbones', 'accessory']",train
audio/Speaker_4/Speaker4-40.wav,hi monika you never mention which tablet she don dey take for many years from the symptoms wey you describe e look like she fit dey develop anxiety disorder even though e dey rare at her age e still possible also consider how old she be now she fit dey enter early stages of memory problem wey dem dey call dementia both conditions need proper monitoring by psychiatrist and correct medicine,hi monika you have not mentioned which tablet she has been taking for many years many of the symptoms you have described here look like she might be developing an anxiety disorder even though it is rare to develop this at her age it could still be a possibility considering her current age she might also be in the beginning stages of developing memory problems which is called dementia both conditions need monitoring by psychiatrists and prescription of medication,Speaker_4,28.81,['symptoms'],train
audio/Speaker_4/Speaker4-41.wav,i dey fourteen weeks after my operation i don dey exercise for gym since early june i dey attend weight training and yoga classes few times a week e don dey go smoothly for the most part except few times when my belle area dey give me small discomfort and i dey skip tonight i bend down make i pick ball for my dog and i feel something pull just above my navel it scare me now i dey lie down i suppose worry i no dey feel pain but i dey afraid to use my abdominal muscles right now,i am fourteen weeks post operative i have been exercising at the gym since the beginning of june attending weight training classes and yoga classes a few times a week it has been going well for the most part although i skipped a few times when i was feeling uncomfortable in my abdominal area tonight i bent over to pick up a ball for my dog and i felt a pull just above my navel it scared me now i am laying down should i be concerned i am not in pain but i am worried about using my abdominal muscles right now,Speaker_4,39.83,"['exercising', 'uncomfortable', 'abdominal', 'pull', 'above', 'navel']",train
audio/Speaker_4/Speaker4-42.wav,fistula normally no be symptom of cancer except the cancer don advance go far ovarian cancer dey present general symptoms like belle pain vomiting constipation and feeling of fullness e no dey specific wetin your doctor dey think fit dey correct make sure you go for proper examination,a fistula is usually not a symptom of cancer it is only seen when it is advanced ovarian cancer presents nonspecific symptoms such as abdominal pain vomiting constipation and a feeling of fullness in the stomach etc whatever your doctor thinks may be right and therefore please get examined,Speaker_4,21.27,"['fistula', 'nonspecific', 'abdominal', 'fullness']",train
audio/Speaker_4/Speaker4-43.wav,okay na so the matter stand i don dey try get another baby and on july third i try to conceive but today when i go toilet i see say i dey bleed and my period no supposed to come until the 19th of every month so my question be say wetin dey cause this bleeding when my period no due until the 19th,okay here is my problem i have been trying to have another baby and on the third of july i tried to conceive however today when i went to the bathroom i noticed that i was bleeding and my period does not usually come until the 19th of every month so my question is what could be the reason for my bleeding if my period does not come until the 19th,Speaker_4,22.91,['bleeding'],train
audio/Speaker_4/Speaker4-44.wav,my fiancée get allergy to fake metals so if she wear jewelry wey no be real gold or silver she go break out with small white itchy bumps wherever the jewelry touch her skin she dey so sensitive say even the metal button inside her jeans dey cause reaction but lately these bumps don start to appear all over her body i dey try figure out whether this one na the same metal allergy or something else entirely,my fiancée is allergic to fake metals so if she wears jewelry that is not real gold or silver she breaks out in these small white itchy bumps where the jewelry touched she is so sensitive to it that even the metal button on the inside of her jeans causes a breakout however recently these bumps have been appearing all over her body i am trying to figure out if it is related to the metal allergy or something completely different,Speaker_4,30.64,"['bumps', 'jeans']",train
audio/Speaker_4/Speaker4-45.wav,hi beverly somebody wey get narcissistic personality disorder dey always need constant admiration and dem no get empathy for others at all such people dey behave like say them dey superior and dem dey look down on others if person truly get narcissistic personality disorder that attitude go show towards everybody including close family but lack of empathy no dey exclusive to narcissistic people alone other personality types fit also show am i suggest make you try to talk to the person and convince am to see a psychiatrist best wishes,hi beverly a person with narcissistic personality disorder does have the need for constant admiration and usually a complete lack of empathy toward others such individuals often display a snobbish attitude and are frequently condescending toward others if a person is suffering from narcissistic personality disorder such behavior will be generalized toward all including close family members that said the lack of empathy is not exclusive to narcissistic individuals and can occur in other personality types as well i would suggest you talk to the person concerned and perhaps try to convince her to meet with a psychiatrist best wishes,Speaker_4,39.56,['empathy'],train
audio/Speaker_4/Speaker4-46.wav,anxiety attacks dey very common after traumatic experience this girl go need cognitive behavioral therapy abeg take her go psychiatrist she need proper psychological therapy so dey attacks no go happen again,anxiety attacks are quite common after traumatic events the girl needs cognitive behavioral therapy please take her to a psychiatrist she needs proper psychological therapy to prevent these attacks,Speaker_4,17.47,"['anxiety', 'attacks', 'psychological', 'therapy']",train
audio/Speaker_4/Speaker4-47.wav,three years ago dem diagnose me with prostate cancer before the surgery my psa level na one point nine one year after surgery e dey one point two my doctor send me for full radiation treatment six months after radiation my psa level continue dey rise every three months e dey go up as of last month e reach ten point six next month i go see my doctor again and of course i need another psa test wetin i suppose ask my doctor,three years ago i was diagnosed with prostate cancer my prostate specific antigen level was one point nine before surgery one year after surgery my prostate specific antigen level was one point two my doctor sent me for a full course of radiation treatment six months after radiation my prostate specific antigen level kept going up every three months my level is now ten point six as of last month next month i have to see my doctor of course i need one more prostate specific antigen test what should i ask my doctor,Speaker_4,34.78,"['point', 'after', 'prostate']",train
audio/Speaker_4/Speaker4-48.wav,i no think say cerebral palsy and back pain get direct connection the only possible link na if the muscle weakness don cause bad posture i suggest say you do spine x ray for now you fit take muscle relaxant like myospaz or myoril to ease the discomfort,i do not think that cerebral palsy can be correlated with back pain the only reason could be a change in posture due to muscle weakness i would suggest you get a spine x ray in the meantime you can take a muscle relaxant like myospaz or myoril,Speaker_4,22.02,"['cerebral', 'palsy', 'change', 'posture', 'spine', 'muscle', 'relaxant']",train
audio/Speaker_4/Speaker4-49.wav,hi the truth be say thyroid problem fit make conception difficult but once your thyroid levels dey normal with medication e no go be problem again the thyronorm tablet go help you conceive as for deviry tablet dem normally no dey give am to women wey wan get pregnant you fit stop am and start dey try make you get pregnant i hope say i done answer your question well,hi actually thyroid problems do result in difficulty conceiving but if your thyroid profile is normal with medication it will not be a problem the thyronorm tablet will help you in getting pregnant regarding the deviry tablet it is generally not given to patients who want to conceive you can stop this tablet and try for pregnancy i hope i have answered your question,Speaker_4,26.91,['thyroid'],train
audio/Speaker_4/Speaker4-50.wav,hello your knee pain fit be because the muscles wey dey support your knee joint no dey strong or stable enough i suggest say you start stability program and make sure you dey do proper warm up and cool down to avoid future wahala the program fit include exercises like bridging clamshells single leg sideways lifts step ups and squats start without weights then gradually add weight as you dey get comfortable for clamshell exercise hold each leg for at least nineteen seconds repeat six times per leg for other exercises do fifteen reps each continue dey ice your knee at least three times a day wear good training shoes i hope say e help you if you need further clarification abeg come back,hello your knee pain could be due to a lack of stability and strength in the muscles supporting your knee joint i would suggest that you start a stability program and ensure to properly do a good warm up and cool down to avoid any future issues the stability program can include exercises like bridging clamshells single leg lifts sideways step ups and squats initially start these exercises without weights and as you become comfortable gradually increase the load the clamshell exercise should have the leg held in a resisted position for at least nineteen seconds and repeated six times for each leg all other exercises can be done for fifteen repetitions each keep icing your knee frequently at least three times a day prefer good training shoes i hope this is helpful for you kindly revert back in case you need any further clarification,Speaker_4,53.3,"['knee', 'stability', 'clamshells', 'single', 'leg', 'muscles', 'resisted', 'position', 'nineteen', 'seconds', 'icing']",train
audio/Speaker_4/Speaker4-51.wav,hi sir i come from pakistan i marry four years ago and i dey thirty six years old now i get azoospermia and the doctors wan make i do fine needle aspiration but i no wan do am abeg tell me if any medicine fit cure this thing if yes abeg prescribe am for me i go dey very grateful abeg help me,hi sir i am from pakistan i got married four years ago and i am thirty six years old now i have a problem of azoospermia and doctors told me to undergo fine needle aspiration however i do not want to do it please tell me if i can be cured with any medicine if yes then please prescribe it to me i would be thankful to you please help me,Speaker_4,27.19,"['got', 'azoospermia', 'fine', 'needle']",train
audio/Speaker_4/Speaker4-52.wav,from how you describe am e look like she dey suffer from obsessive compulsive disorder abeg take her go see psychiatrist dem go help with the right medication no panic ocd na very common condition and doctors fit treat am well,from your description it appears she is suffering from obsessive compulsive disorder kindly visit a psychiatrist who can help with medications don t worry it is a very common disorder and easily treatable,Speaker_4,19.22,"['obsessive', 'compulsive', 'disorder', 'psychiatrist']",train
audio/Speaker_4/Speaker4-53.wav,hello duphaston na medicine way dem dey give to prevent miscarriage or spontaneous abortion since the scan only dey show the sac and the fetus no dey visible yet risk of possible abortion dey to prevent am dem don prescribe duphaston for you the nausea and vomiting na normal thing na hormone surge dey cause am abeg no stop dey take duphaston under any circumstance that medicine fit be the thing wey go save your baby best wishes,hello duphaston is given to prevent a possible miscarriage or spontaneous abortion as only the sac is observed and not the fetus inside there is a risk of a possible abortion to avoid this duphaston has been prescribed the nausea or vomiting is due to a hormonal surge and is expected please do not discontinue duphaston at any cost it could very well save your baby s life best wishes,Speaker_4,31.46,"['nausea', 'vomiting']",train
audio/Speaker_4/Speaker4-54.wav,hello i get asthma and i dey take augmentin steroids and voltarol through nebulizer but at night i still dey feel like i no fit breathe my chest dey congested i no dey sleep well and i dey sit upright throughout i don tire i go my doctor yesterday and after she use her machine on me i feel relief but when i reach house i no get the same result i just start the prescriptions yesterday my ribs dey ache me i don dey hospitalized before my asthma dey always worsen whenever i catch cold,hello i have asthma and i am on augmentin steroids and voltarol via nebulizer yet at night i feel like i can t breathe i am congested not sleeping and sitting upright i am exhausted i went to my doctor yesterday and she used her machine and i felt i got relief but at home i am not getting the same results as with her i just started my prescriptions yesterday my ribs hurt i have been hospitalized in the past my asthma gets worse if i catch a cold,Speaker_4,39.13,"['augmentin', 'steroids', 'voltarol', 'breathe', 'ribs']",train
audio/Speaker_4/Speaker4-55.wav,why my knees dey always make popping sound every time i bend them i dey only sixteen years old and my knees don dey do this thing since normally i no dey feel pain but for a while now i don dey need to pop them to get relief so either way pain go catch me pain if i no pop them and pain if i pop them no win,why do my knees pop every time i bend them i am only sixteen years old and my knees have always popped i do not usually experience pain but for a while now i have had to pop them or try to in order to relieve the pain so either way i might have pain pain if i do not pop them and pain if i do,Speaker_4,23.34,"['knees', 'pop', 'while', 'popped']",train
audio/Speaker_4/Speaker4-56.wav,wetin you dey feel dey normal but e no be blood wey dey rush to your head na your legs dey get the rush when you stand up your heart dey beat fast make in try restore the low blood pressure within few seconds you no need any cardiac testing all results go come out normal premature ventricular contractions during exercise dey abnormal but your tests dey normal if in dey frequent too much you fit get holter monitor,your feelings are normal however it is not blood rushing to your head but to your legs when you get up the fast heart rate is trying to restore low blood pressure in a few seconds you do not need any cardiac testing if you do these will be normal premature ventricular contractions during exercise are abnormal but your tests are normal if they are frequent you may get a holter monitor,Speaker_4,31.24,"['blood', 'legs', 'heart', 'rate', 'pressure', 'premature', 'ventricular', 'contractions']",train
audio/Speaker_4/Speaker4-57.wav,this one dey look like pus from infected wound he need go seek medical attention immediately at minimum he go need antibiotics and he fit also need surgical cleaning of the wound i hope he go get well quick,this is likely pus from an infected wound he should seek medical attention immediately this will require antibiotics at the very least and may require surgical debridement of the wound as well i hope he does well,Speaker_4,16.07,"['pus', 'antibiotics', 'debridement']",train
audio/Speaker_4/Speaker4-58.wav,i don dey get yeast infections and bacterial vaginosis every month for about one year now i treat them but they dey always come back sharp sharp e fit be the soap i dey use or i fit be say i dey too sensitive down there so infections dey catch me easily this thing dey stress me too much and dey make me feel insecure about myself abeg somebody help me,i have been getting yeast infections and bacterial vaginosis every month for about a year i have gotten them treated but they always come right back could it be something i am using maybe soap or could i be severely sensitive down there that i catch infections easily this is really stressful and makes me feel very insecure about myself please help me,Speaker_4,27.61,"['bacterial', 'about', 'severely', 'sensitive', 'infections']",train
audio/Speaker_4/Speaker4-59.wav,i dey get on and off pain for the lower left side of my body for dey belt level passing gas dey relieve am small for a while we dey in process of moving house and i strain myself few days ago i be fifty seven year old man and i get diverticulitis some years back but this current pain no be anywhere near as bad e dey lower and more towards the front,i have sporadic pain on the lower left side about belt level passing gas relieves it for a while i should point out that we are in the process of moving and i did strain myself several days ago i am fifty seven years old male and had diverticulitis several years ago this pain is nowhere near as bad much lower and toward the front,Speaker_4,27.61,"['about', 'belt', 'strain', 'diverticulitis']",train
audio/Speaker_4/Speaker4-60.wav,sir my brother wey be fifty eight years old dey suffer from tuberculosis and he dey smoke well well before he weigh forty eight kilograms he don dey sick for two months now first dem treat am for malaria after he test positive then dem diagnose am with tuberculosis he dey take rifampicin and ethambutol but no improvement dey dem refer am to another doctor wey prescribe brophyline hundred brm hundred ssc four and carmax after just two days for the new medicine he dey experience dizziness and vomiting where i suppose carry am go for proper treatment i dey from assam,sir my brother who is fifty eight years old is suffering from tuberculosis and he was a heavy smoker his weight is forty eight kilograms for the last two months he has been ill initially he underwent treatment for malaria after testing positive thereafter he was diagnosed with tuberculosis he was taking rifampicin and ethambutol but there was no improvement he was referred to another doctor who prescribed him brophyline one hundred brm one hundred ssc four and carmax after taking the medication for two days he is feeling dizziness and vomiting where should i go for treatment i am from assam,Speaker_4,51.63,"['weight', 'malaria', 'rifampicin', 'ethambutol', 'brother', 'medication', 'dizziness', 'vomiting']",train
audio/Speaker_4/Speaker4-61.wav,i don dey carry pain for the muscles way dey for the back of my neck for one and half years now i no know the reason but when i rest well e dey reduce small small i be twenty eight years old five feet eleven inches tall and i weigh fifty six kilograms i no get any other medical condition abeg tell me wetin fit dey cause am,i have had pain in the muscles on the backside of my neck for one point five years i don t know the reason but when i take good rest it reduces to some extent my age is twenty eight years i am five feet eleven inches tall and i weigh fifty six kilograms i have not had any other medical problems please tell me what could be the reasons for this,Speaker_4,24.16,"['muscles', 'backside', 'point']",train
audio/Speaker_4/Speaker4-62.wav,hi my name na danny francis i come from ascension island i don dey go to doctor for the island but dem no dey give me satisfactory answers na that make me come online to look for doctor wey fit really help me for the past six months i don dey suffer from pain for my neck wey dey radiate down my right arm with pins and needles for my hand abeg tell me wetin the problem fit be and which medicine i fit take i dey look forward to your reply i sorry say i no get credit card but i really need answers badly,hi my name is danny francis i am from ascension island i have been going to the doctor on the island but i don t seem to get any suitable answers that s why i am online looking for a doctor who can help me for the last six months i have been troubled with pain in my neck radiating down my right arm and experiencing pins and needles in my hand could you please tell me what could be the problem and what medication i can take to help me i look forward to hearing from you i m sorry i don t have a credit card and i really need some answers,Speaker_4,43.31,['doctor'],train
audio/Speaker_4/Speaker4-63.wav,yes extreme heat and extreme cold both fit worsen asthma symptoms so wetin happen to you na very normal thing,yes extreme heat and extreme cold can exacerbate asthmatic symptoms so it is very common for what happened to you,Speaker_4,10.52,['extreme'],train
audio/Speaker_4/Speaker4-64.wav,hello doctor abeg guide me on how i go take travel during pregnancy i dey for the third month of pregnancy ten weeks and i wan travel go my parents house the journey na about fourteen hours by train abeg advise me on the correct time wey i fit travel,hello doctor could you please guide me about traveling during pregnancy actually i am in the third month ten weeks of pregnancy now but i want to travel to my parents house which is around a fourteen hour train journey so please advise me on the correct time to travel,Speaker_4,17.04,[],train
audio/Speaker_4/Speaker4-65.wav,hi i understand the confusion wey you dey feel after pap smear way no normal followed by normal colposcopy yes you go still dey do screening regularly because catching cancer early fit save your life the other option nah to discuss am with your gynaecologist whether hysteroscopy or laparoscopy go help or whether hysterectomy na option also discuss whether ct scan or mri fit give better information i fit help resolve the uncertainty once and for all,hi i can understand the confusion you experience once you have the abnormal pap smear and then a normal colposcopy yes it is necessary every time as timely detection of cancer is lifesaving the second option is to discuss with your gynecologist whether to go for hysteroscopy or laparoscopy and the role of hysterectomy also discuss the possible role of computed tomography or magnetic resonance imaging in detection this may help to further clarify the matter forever,Speaker_4,41.33,"['confusion', 'abnormal', 'pap', 'computed', 'tomography', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_4/Speaker4-66.wav,my six year old pikin just enter house with wetin look like bug bite marks for him armpit area and all around him groin and the side of him penis don swell up and turn red wetin kind bug dey cause this kind thing na fleas chiggers ants he say e dey itch am i need carry am go doctor,my six year old just came into the house with what looks like bug bite marks in his armpit area and all around his groin area and the side of his penis is swollen and red what kind of bug causes this fleas chiggers ants what can i do he says it itches do i need to take him to the doctor,Speaker_4,23.54,"['bug', 'bite', 'marks', 'armpit', 'area', 'side', 'his', 'penis', 'swollen', 'fleas', 'doctor']",train
audio/Speaker_4/Speaker4-67.wav,hello doctor i be twenty four years old and i get pearly penile papules around my scrotum many people don dey tell me say na because of some illegal affair but i swear i never do anything like that the only thing i do na masturbation abeg guide me on wetin i suppose do now the thing dey haunt me too much and i just wan remove am sharp sharp,hello doctor i am twenty four years old and i have pearly penile papules around my scrotum many are saying it is due to some illegal affair or something like that but i swear i haven t done anything like that except for masturbation so please guide me on what i should do now it s haunting me a lot and i need to remove it as soon as possible,Speaker_4,24.19,"['pearly', 'penile', 'scrotum', 'illegal', 'affair', 'remove']",train
audio/Speaker_4/Speaker4-68.wav,hello welcome to hcm rabies na one hundred percent killer disease but e dey one hundred percent preventable if you do the right treatment in time dog na one of the main carriers of rabies virus and dem fit give am to human through bite according to the world health organization categorization this bite na category iii my advice be one make you wash the wound under running water two make you take rabies immunoglobulin zero point five milliliters three make you take rabies vaccine injections for days zero three seven and twenty eight four apply rabies serum around the wound passively five make you consider oral antibiotics like augmentin tablet thank you,hello welcome to hcm rabies is one hundred fatal but it is one hundred preventable with proper and adequate treatment dogs are known reservoirs of the rabies virus and can transmit rabies by biting humans according to the world health organization s categorization of animal bites this is categorized as category iii i would suggest you one clean the wound under running water two receive the rabies immunoglobulin zero point five milliliters three active immunization with the rabies vaccine on days zero three seven and twenty eight four passive immunization with rabies serum around the wound five consider oral antibiotics like tablet augmentin thank you,Speaker_4,54.9,"['rabies', 'virus', 'clean', 'passive', 'oral', 'antibiotics', 'augmentin']",train
audio/Speaker_4/Speaker4-69.wav,my daughter get fever and the mri come back negative for acl pcl mcl and lcl tears no joint effusion dey she don stay off her knee make she fit play for the state basketball tournament she play with brace for limited minutes she dey experience very serious pain and after long icing white raised areas don appear on her knee and e dey burn when you touch am na this reaction to ice and swelling she need to go emergency room,my daughter has a fever and the magnetic resonance imaging was negative for anterior cruciate ligament posterior cruciate ligament medial collateral ligament and lateral collateral ligament tears there is no joint effusion she has stayed off her knee in order to participate in the state basketball tournament she played with a brace for limited minutes she is experiencing extreme pain and after lengthy icing her knee has developed raised white areas and it burns when touched is this a reaction to ice and swelling does it require a trip to the emergency room,Speaker_4,34.78,"['magnetic', 'resonance', 'imaging', 'negative', 'anterior', 'cruciate', 'posterior', 'medial', 'collateral', 'lateral', 'ligament', 'knee', 'burns', 'ice', 'swelling', 'trip', 'emergency', 'room']",train
audio/Speaker_4/Speaker4-70.wav,hi since you be virgin and you no know much about these things e go better make you go see gynaecologist she go examine you and tell you exactly wetin dey happen and wetin to do instead of to dey carry wrong ideas for head e better make you get proper education from doctor,hi since you are a virgin and your knowledge is limited it is better to see a gynecologist as she would examine you and tell you exactly what the right course of action is and diagnose if anything is wrong instead of living with a misconception it is better to be educated about your lack of knowledge,Speaker_4,19.42,['virgin'],train
audio/Speaker_4/Speaker4-71.wav,hi i be forty three year old woman two weeks ago i start to dey feel pain for the left side of my middle back i think say na my kidney then the pain move go dey front i go hospital and dem find say my haemoglobin level na eight point three the pain still dey wetin i suppose do i don dey anaemic for almost two years now i dey take iron treatment but my condition dey get worse and my period no dey even dey heavy,hi i am a forty three year old woman two weeks ago i started experiencing pain in the left side of my middle back which i thought was related to my kidneys then the pain moved to the front i went to the hospital and my hemoglobin level was eight point three the pain is still there what can i do i have been anemic for almost two years i have been receiving iron treatment but my condition is getting worse and my periods are not heavy,Speaker_4,33.21,"['middle', 'went', 'hemoglobin', 'point', 'woman', 'condition']",train
audio/Speaker_4/Speaker4-72.wav,hi my name na juan sanchez this morning i dey inside car and i bend down to pick something serious sharp pain just catch me e start from my lower belle and shoot all the way down to my private parts i dey home now and the sharp pain still dey around my lower stomach near my belly button,hi my name is juan sanchez starting today in the morning i was in the car and i bent down to grab something a really sharp pain occurred the pain was in the lower part of my stomach and went all the way down to my private area i m home now and i still feel these sharp pains near my lower stomach near my belly button,Speaker_4,23.11,"['today', 'sharp', 'pains', 'part', 'stomach', 'home', 'belly']",train
audio/Speaker_4/Speaker4-73.wav,hello doctor my daughter go ice skating last month and she fall few times but she manage stand up and continue skating the next day i see bruises on her legs especially around the knee but after few days them clear she say she still dey feel small pain but she fit walk move around and even jump so i think say e fine but now i notice say she no fit fully stretch the leg out she fit move around with am but she say when she stretch am too much the pain dey come back wetin you think the problem be e break we no fit do x ray because of lockdown,hello doctor my daughter went ice skating last month and she fell a few times but she was able to stand up and skate again the next day i saw bruises on her legs especially in the knee area but that disappeared after a few days she mentioned that she still feels some pain but she can walk move around and jump with it so i thought it was fine however recently i noticed that she cannot stretch it to its maximum although she can move around with it she says there is still pain when she stretches it too much what do you think is the problem it is not broken right we cannot have it x rayed due to the lockdown,Speaker_4,45.5,"['ice', 'skating', 'skate', 'bruises', 'knee']",train
audio/Speaker_4/Speaker4-74.wav,hello kell blood group na a minor blood group system the major ones na abo and rh kell antigens fit dey problematic during blood transfusion or dem fit no cause any issue at all so dem no need any specific treatment anytime your child need blood transfusion the blood bank go find the right match based on crossmatch report abeg tell me your partner s blood group and your first child s blood group too if the mother na rh negative and the baby na rh positive there fit be risk of haemolytic disease of the newborn wey go require anti d,hello the kell blood group is a minor blood group system abo and rh are referred to as major blood group systems kell antigens can be antigenic and may create a problem during a blood transfusion or they may not create any problem at all therefore there is no need for a specific treatment whenever your child requires a blood transfusion the blood bank should find the suitable blood based on the crossmatch report please mention the blood group of your partner and your first child if the mother is rh negative and the child is rh positive then there is a chance of developing hemolytic disease of the newborn which requires anti d,Speaker_4,46.08,"['group', 'hemolytic', 'disease']",train
audio/Speaker_4/Speaker4-75.wav,muscle pain and weakness na well known side effects of the vaccine but anaemia fit happen for different reasons the side effects dey normally go away with time but i don already dey two months i suggest say make you go see your family doctor for proper examination and tests alternative therapy like homeopathy fit also help with these symptoms,muscle ache and weakness are known side effects of the vaccine anemia can be due to various reasons though usually such side effects go away with time but it has been two months now i would suggest you see your family doctor and get yourself examined and tested first alternative therapy such as homeopathy can help you with these symptoms,Speaker_4,27.74,"['muscle', 'ache', 'weakness', 'anemia']",train
audio/Speaker_4/Speaker4-76.wav,hi my sister get plenty very itchy bright red grape sized lumps for her vaginal and rectal areas she say the itching dey like serious torture she squeeze one of the bumps and some grey stuff come out that na the only one wey pop none of them get proper head on them she don carry these bumps for about five days today as she just park her car she suddenly start to do serious projectile vomiting without warning i no know if all these things dey connected,hi my sister has several extremely itchy and very red grape sized lumps in her vaginal and rectal areas she said the itching can be just horrendous she squeezed one of the bumps and some gray material came out that was the only one that popped but none of them have a head on them she has had these bumps for about five days today she had just parked her car and without warning she experienced projectile vomiting i don t know if these problems could be related,Speaker_4,37.66,"['sister', 'extremely', 'sized', 'lump', 'vaginal', 'rectal', 'itching', 'gray', 'parked', 'projectile']",train
audio/Speaker_4/Speaker4-77.wav,hello there i recently get chest infection wey dey slowly cleare up but now i dey feel pain about five out of ten for the back of my calf muscles e feel like shooting stabbing glassy kind of pain the same thing dey happen for my lower arm near my hand i don dey feel these pains since this morning on the right side of my body and my left foot and face don start to swell small i still dey feel normal though i don dey deal with asthma flu and hay fever for four days and i don dey use inhaler and hay fever tablets,hello there i have recently had a chest infection that is slowly subsiding however i now have a pain of five on a scale of ten in the back of my calf muscles in my leg it feels like a shooting stabbing glassy pain and also in my lower arm near my hand i have had these pains since maybe this morning on the right hand side of my body and my left foot is swelling along with my face a little i feel normal though i have had my asthma flu and hay fever for four days and have used an inhaler and hay fever tablets as well,Speaker_4,43.71,"['chest', 'infection', 'pains', 'calf', 'arm', 'foot', 'swelling', 'face', 'inhaler']",train
audio/Speaker_4/Speaker4-78.wav,i don dey live with multiple sclerosis for almost thirty years after all this time my family just dey pretend like the condition no dey there sometimes i wan shout am out loud but e go cause unnecessary drama i no want their pity i just want make them to understand say this thing no dey go anywhere it dey with me forever,i have had multiple sclerosis for almost thirty years after this long my family just seems to ignore it sometimes i want to scream it out but that would seem too confrontational i don t want them to feel sorry for me i just want them to understand that it does not go away,Speaker_4,23.79,['sclerosis'],train
audio/Speaker_4/Speaker4-79.wav,i don dey get pain on my right side just below my ribcage on and off for couple of months now last week dey particularly bad last year dem tell me say i get small cyst on my liver i go see my gastroenterologist couple of months ago he do ultrasound and say he no fit see anything,i have been having pain in my right side below my rib cage on and off for a couple of months now last week it was really bad i was told last year that i had a small cyst on my liver i went to my gastroenterologist a couple of months ago and he did an ultrasound and said he couldn t see anything,Speaker_4,23.39,"['side', 'below', 'rib', 'cage', 'couple', 'last', 'cyst', 'gastroenterologist', 'ultrasound']",train
audio/Speaker_4/Speaker4-80.wav,hi painless blood for urine suppose dey investigated properly no joke with am the doctor need consider factors like whether you dey smoke whether you work with harmful chemicals and your family history of kidney disease or cancer no dey fear sometimes e fit just be simple uti mild trauma or small stone but abeg do the following tests so proper treatment fit start urine routine and microscopy abdominal ultrasound and abdominal ct scan,hi painless hematuria must be evaluated thoroughly and some factors must be taken into consideration such as smoking occupational exposure to certain substances and family history of kidney disease or cancer do not be scared sometimes it is something simple like a urinary tract infection mild trauma in the urinary tract or a mild stone please get the following investigations done so that proper treatment can be initiated urine routine and microscopic examination abdominal ultrasound and abdominal computed tomography scan,Speaker_4,38.43,"['painless', 'sometimes', 'mild', 'abdominal', 'computed', 'tomography']",train
audio/Speaker_4/Speaker4-81.wav,hello my name na brenda i be fifty one years old i do knee replacement surgery for february 14th i get problems with swelling and bending the knee so after ten weeks dem do manipulation i still dey deal with swelling and pain and i only fit bend am to about one hundred to one hundred and two degrees my doctor say i dey do fine but something inside me say something no right i still dey go therapy twice a week and dey do home therapy twice a day i dey get plenty crunching and shooting pains when i bend am wetin i suppose do,hello my name is brenda i am fifty one years old and had knee replacement surgery on february 14th i had problems with swelling and getting my knee to bend so they performed manipulation after ten weeks i am still having problems with swelling and pain and i have only been able to bend it to around one hundred one hundred and two degrees my doctor said i am doing fine but i feel like something is wrong i still go to therapy twice a week and do therapy at home twice a day i have a lot of crunching and points of shooting pain when bending what should i do,Speaker_4,44.68,"['swelling', 'knee', 'twice', 'home', 'crunching', 'points', 'shooting']",train
audio/Speaker_4/Speaker4-82.wav,hi since the baby dey itch constantly and dey scratch herself even with mittens on e likely na allergic skin condition also the crust wey dey form na sign of eczema some mild topical steroid cream or oral antihistamine go help also try to remove any known allergens like the pillow wey you mention,hi since the baby is constantly itchy and tends to scratch herself even with mittens on it is likely to be an allergic skin condition also the development of crust is a sign of eczematous disease some topical low dose steroid cream or oral antihistamines should help also try to remove any known allergens like the pillow as you mentioned in your case,Speaker_4,27.54,"['itchy', 'scratch', 'herself', 'topical', 'low', 'dose', 'steroid', 'cream', 'oral', 'antihistamines']",train
audio/Speaker_4/Speaker4-83.wav,unlike most people i dey turn pale after exercise even when e hot all my blood counts dey normal and i no dey feel dizzy but lately after about forty minutes of exercise my energy level dey drop i also dey notice say i dey get short of breath more i get childhood asthma but no serious issue until now the shortness of breath no dey feel like asthma and wheezingno dey you get idea of wetin dey happen,unlike most people i turn pale after exercise even in the heat all of my blood counts are okay and i do not feel dizzy however more recently i have been lagging in energy levels after about forty minutes of exercise i am also finding myself more short of breath i had childhood asthma but i have not had any major issues until now the shortness of breath does not feel like my asthma did and there is no wheezing do you have any ideas why,Speaker_4,32.34,"['pale', 'blood', 'counts', 'dizzy', 'energy', 'levels', 'shortness', 'breath']",train
audio/Speaker_4/Speaker4-84.wav,hello this condition dem dey call am pericardial effusion e fit develop as complication of pericarditis and that na wetin dey cause her chest pain at her age we need to check for autoimmune diseases like rheumatoid arthritis,hello this condition is called pericardial effusion and can be caused as a sequel to pericarditis this is the reason behind her chest pain at her age we have to check for any autoimmune diseases like rheumatoid arthritis,Speaker_4,20.42,"['pericardial', 'pericarditis', 'chest']",train
audio/Speaker_4/Speaker4-85.wav,hello doctor me and my partner do sex yesterday we dey use condom but he change am three times on the last one he remove am because he feel like he wan release but the urge go away after he pull out then he say make i help am with my hand and he release small amount e no plenty at all afterwards i notice say the tip of the last condom done tear i dey scared say maybe him pre cum liquid enter me he say no but most men no dey even know when their fluid dey comes out i dey ovulate last week and i no sure whether make i take plan b or make i leave am i also dey fear the side effects,hello doctor i and my partner had sexual intercourse yesterday we were using condoms but he changed the condom three times already on the last one he took it off because he felt like he needed to ejaculate but it went away after he pulled out he then asked me to masturbate him and he ejaculated a little not even a lot i realized that the tip of the condom was ripped i was scared about the possibility of his pre ejaculate fluid going inside me he says no but most men do not even feel when their fluid comes out i was ovulating last week and i do not know if i should take the plan b pill or not i am also scared of the side effects,Speaker_4,43.81,"['sexual', 'intercourse']",train
audio/Speaker_4/Speaker4-86.wav,your electrophoresis report say the result dey consistent with plasma cell dyscrasia but e no specify whether na myeloma or monoclonal gammopathy way we no know about yet you go need further investigation make you know exactly which condition you get way go depend on your monoclonal immunoglobulin levels and your symptoms abeg do monoclonal immunoglobulin levels test bone marrow study and skull x ray scan dey needed also to check for lytic lesions your creatinine and albumin levels dey also important one thing clear you go need more investigation for plasma cell dyscrasia abeg proceed with am and treat accordingly,your electrophoresis report states that it is consistent with plasma cell dyscrasia however it does not specify whether it is myeloma or monoclonal gammopathy of undetermined significance you will need further investigation to confirm the disease you have it depends on your monoclonal immunoglobulin levels and your symptoms please get monoclonal immunoglobulin levels a bone marrow study and an x ray of the skull a scan is also needed to determine if you have any lytic lesions the creatinine level and albumin level are also important one thing is certain you need further investigation for plasma cell dyscrasia please proceed with that and take treatment accordingly,Speaker_4,54.75,"['electrophoresis', 'myeloma', 'gammopathy', 'scan', 'creatinine', 'albumin', 'treatment']",train
audio/Speaker_4/Speaker4-87.wav,hello pain for the right lower abdomen wey dey worsen with movement dey most point to inflamed appendix or twisted ovarian cyst those na the most common causes i advise you make to do urgent abdominal ultrasound to find wetin dey cause and make you decide wetin you go do next,hello the pain in the right lower abdomen that increases with movement is suggestive of an inflamed appendix or a twisted ovarian cyst as the most common causes i would advise you to have an urgent ultrasound of the abdomen to ascertain the cause and determine further management,Speaker_4,22.99,"['abdomen', 'increases', 'movement', 'inflamed', 'appendix', 'twisted', 'ovarian', 'cyst', 'urgent', 'ultrasound']",train
audio/Speaker_4/Speaker4-88.wav,low blood pressure fit cause serious tiredness body weakness and plenty of non specific complaints if your blood pressure dey low you go need go find out the cause and go see doctor you go need do blood test to check haemoglobin vitamin b12 vitamin d3 calcium thyroid function and glucose level those results fit give clues about wetin dey do you,low blood pressure can cause lethargy malaise severe weakness fatigue and nonspecific complaints if your blood pressure is low you need to find out the cause of it and need to see a doctor for that get your blood checked for hemoglobin vitamin b12 vitamin d3 calcium thyroid function and glucose level all of this may help to provide some clues regarding your illness,Speaker_4,29.29,"['low', 'blood', 'pressure', 'malaise', 'severe']",train
audio/Speaker_4/Speaker4-89.wav,i get pigmentation mostly for my forehead and uneven bumpy skin because of spots how i fit take improve my facial skin tone i read say lemon juice potato rose water basil orange rind and cream wey you chop all dey work but which combination dey best i dey confused i be fair skinned woman i fit tan but i no dey burn and i dey forty one years old i be chef so heat from work dey always hit my face,i have pigmentation mainly on my forehead and uneven bumpy skin due to spots how can i improve my facial skin tone i have read that lemon juice potato rose water basil orange rind and cream you eat all work but what is the best combination i am confused i am a white female i tan but never burn and my age is forty one i am a chef so my face gets hot at work too,Speaker_4,36.63,"['pigmentation', 'white', 'tan', 'chef']",train
audio/Speaker_4/Speaker4-90.wav,hi i don start to dey get rash e start near my waist but e don spread go my yansh armpits sides of my body and legs when anything touch am e dey itch like fire and after bath e go dey red hot e don already be one week some parts dey look better but others don spread further i don dey stay inside house with three dogs wey dey climb all over me any idea wetin dey cause am,hi i have started to get a rash it started near my waist but has now spread to my buttocks armpits sides of my body and legs it gets very itchy when touched and is bright red after a bath i have had it for a week now some parts look better while other parts have spread i have stayed in the house with three dogs that are all over me any idea,Speaker_4,32.06,"['buttocks', 'armpits']",train
audio/Speaker_4/Speaker4-91.wav,hi if dey symptoms dey come sometimes but i no dey interfer with your daily life no worry too much go see doctor and rule out any medical cause when person dey depressed memory fit become affected dem dey call dis pseudodementia once depression treated the memory go improve on its own i hope you no dey take substances like alcohol if you dey take am please stop with help of a psychiatrist,hi if these symptoms are present at times without interfering with your daily activities do not worry get a physician s opinion and rule out any possible medical cause in a depressed state a person may experience memory disturbances which we call pseudodementia if depression is treated it will improve by itself i hope you do not use any substances like alcohol as you did not mention it if it is present stop using the substance with the help of a psychiatrist,Speaker_4,34.68,['depression'],train
audio/Speaker_4/Speaker4-92.wav,i do operation for cyst five months ago but now i dey feel pain for my lower back waist and thigh my doctor dey say e dey okay but i no fit carry out my daily activities at home i no fit sit for long or waka for long stretch wetin i suppose do abeg suggest something for me nandita chatterjee,i had an operation for a cyst five months ago but now i am feeling pain in my lower back waist and thigh my doctor is saying that it is okay but i cannot do my daily job at home i cannot sit for a long time and cannot walk for a while what can i do now please suggest me nandita chatterjee,Speaker_4,28.56,"['cyst', 'waist', 'sit', 'walk']",train
audio/Speaker_4/Speaker4-93.wav,i get cat bite about two weeks ago it dey very minor no redness no swelling and e no even pain at the time i was get dey bite through blanket and two quilts i get only small scab but today my foot dey pain me even though there redness dey or heat i get pins and screws inside that foot my question be how long e go take before infection start dey show,i had a cat bite about two weeks ago it was very minor with no redness no swelling and it wasn t even sore at the time i was bitten while my foot was under a blanket and two quilts i had a very small scab today my foot is painful but there is no redness or heat i have pins and screws in that foot my question is how long would it take for an infection to show up,Speaker_4,37.01,"['redness', 'sore', 'foot', 'infection']",train
audio/Speaker_4/Speaker4-94.wav,my grandfather dey seventy eight years old and he don survive six major strokes he get foley catheter wey cause urinary tract infection wey land am for hospital while we dey there we find out say the bottom half of him heart don die and the part wey still dey work na only twenty percent dem take am off blood thinners for one week so he fit undergo surgery to put catheter directly inside him bladder wetin be the chance say in go survive,my grandfather is seventy eight years old and the victim of six major strokes he has a foley catheter which has caused a urinary tract infection that put him in the hospital while there we found out that the bottom half of his heart is dead and the part that is still functioning is only at twenty percent they took him off his blood thinners for the next week so he can undergo surgery to put a catheter directly in his bladder what kind of survival rate does he have,Speaker_4,32.94,"['grandfather', 'foley', 'urinary', 'infection', 'heart', 'next', 'catheter']",train
audio/Speaker_4/Speaker4-95.wav,i dey do mri tomorrow afternoon to check for possible pinched nerve my left tricep dey operate at about ten percent capacity and my left pectoral dey feel weak i also dey feel constant dull aching pain for my left scapula trapezius and neck wetin you fit tell me about this kind of situation,i am getting an mri tomorrow afternoon to diagnose a possible pinched nerve my left tricep is at about ten capacity and my left pectoral muscle feels weak i am also feeling constant dull achy pain in my left scapula trapezius and neck what can you tell me about this,Speaker_4,25.84,"['mri', 'tomorrow', 'afternoon', 'tricep', 'capacity', 'pectoral', 'muscle', 'constant', 'scapula']",train
audio/Speaker_4/Speaker4-96.wav,for conditions way dey like this the ayurvedic approach to treate vata and pitta imbalance with herbal remedies don dey very successful make you boost the body s resistance against allergens and make you cure dey condition for my own patients i dey usually recommend make dem start turmeric and neem leaf powder immediately and add manjishtha herbal capsules make dem use am control the problem e dey safe and e no dey harmful at all you fit ask me direct questions for further guidance i believe e go help your father in law too,in such conditions the ayurvedic approach to treating vata and pitta vitiation by way of herbal remedies has often been highly successful in raising general resistance in the body against such allergens as well as curing the conditions for my own patients i advise starting turmeric and neem leaf powder immediately and adding manjishtha herbal capsules for controlling the problem it is harmless and safe for further guidance you may seek consideration through direct questions i hope it helps your father in law too it will,Speaker_4,43.23,[],train
audio/Speaker_4/Speaker4-97.wav,for about one month now severe itching don just start from nowhere on my inner thighs left side of my belle right hip area and upper right side of my chest the only thing wey start to clear am na steroids but immediately i stop dey take am the itching return worse than e dey before e dey wake me up for middle of night i never use any new medicine lotion or detergent so i no think say na allergy,for about a month now i have had a sudden onset of severe itching on my inner thighs left side of my abdomen right hip area and upper right side of my chest the only treatment that began to clear it up was steroids the minute i stopped taking them the itching returned even worse than before i am waking up in the middle of the night from it i haven t used any new medications lotions or detergents so i don t think it is allergies,Speaker_4,29.76,"['sudden', 'severe', 'itching', 'inner', 'hip', 'side']",train
audio/Speaker_4/Speaker4-98.wav,my husband don dey carry very serious constant lower back pain for about two weeks when i look at the area i fit see veins standing out clearly over the painful spot the doctor we see say na bruise but e dey look more like blood poisoning to me the veins dey very visible and dey branch out like tree now the pain don move to the exact same spot on the right side too he dey also get hot flashes he no dey like doctors at all and i dey very worried about him health,my husband has had extreme constant lower back pain for approximately two weeks looking at his back there are visible veins over the area that is in pain the doctor we saw said it was a bruise but it reminded me of blood poisoning as the veins are very visible and tree branch like the pain has now moved to the exact same place on the right side he has hot flashes also he is very leery of doctors and i am extremely worried about his health,Speaker_4,41.48,"['constant', 'visible', 'veins', 'tree', 'branch', 'hot', 'flashes']",train
audio/Speaker_4/Speaker4-99.wav,yes i be thirty eight year old woman wey don dey experience back pain on both sides from mid to upper back for the past day and half the pain start on thursday after i dey play for the snow with my twin that same afternoon i get fever of one hundred degrees fahrenheit and the back pain start i been dey take extra strength tylenol the fever no come back after that first day wetin fit be the reason for the back pain,yes i am a thirty eight year old female who has been experiencing bilateral back pain in my mid to upper back for the last day and a half the pain began on thursday after i played in the snow with my twin later that afternoon i had a fever of one hundred degrees fahrenheit and the back pain started i have been taking extra strength tylenol for the pain i haven t had a fever except for the first day what could the back pain be a symptom of,Speaker_4,34.33,"['female', 'bilateral', 'mid', 'played', 'snow', 'fever', 'degrees', 'extra', 'tylenol']",train
audio/Speaker_4/Speaker4-100.wav,hi my son don dey refuse food for more than two months now he dey only eat very small amounts he just turn five years old last week i notice say him urine dey darker than normal for the past three evenings he don dirty him trousers tonight i check the toilet and him stool dey cream coloured him face also dey look pale so i put am on multivitamins abeg wetin you think dey wrong,hi my son has been off his food for over a couple of months only really wanting to eat small amounts he just turned five years old i noticed last week that his urine was darker for the last three evenings my son has soiled his trousers i looked in the toilet tonight and his stool is more like a cream color he also looks pale in the face so i started him on multivitamins what do you think,Speaker_4,31.11,"['cream', 'pale']",train
audio/Speaker_4/Speaker4-101.wav,the pain and swelling na because uric acid levels don rise too high you no suppose just stop the medicine suddenly continue taking am or you fit try alternative medicine like homeopathy with long term use of homeopathic medicine you go begin dey feel relief,the pain and swelling are due to an increase in uric acid levels you should not suddenly stop the medication you should continue taking the medication or you can use an alternative medicine like homeopathy you will find relief after long term use of homeopathic medicines,Speaker_4,20.44,"['swelling', 'increase', 'uric', 'acid']",train
audio/Speaker_4/Speaker4-102.wav,i don dey take depo provera shot for about six months now i read say other women dey experience the same problem while on depo provera i dey wonder if e dey unhealthy or if i suppose contact my gynaecologist immediately this thing don dey happen for about three weeks i don dey with the same guy for almost one year we no rough and we only do sex once a week,i have been on the depo provera shot for about half a year i have read about other women experiencing the same problem while on the depo provera shot i was wondering if this is unhealthy or if i should contact my gynecologist right away this has been going on for about three weeks i have been with the same guy for a month shy of a year we are not rough and only have sexual intercourse once a week,Speaker_4,24.96,"['depo', 'provera', 'shot', 'half', 'sexual', 'intercourse']",train
audio/Speaker_4/Speaker4-103.wav,hi last month my period start for 18th of november but this month the 18th don pass and nothing dey happen e dey two days late abeg tell me any homemade remedy wey go help bring my period quick abeg reply me urgently i really need help,hi last month my periods started on eighteen november but this month the 18th date has passed and i did not get my periods i mean it is two days late could you please tell me any homemade remedies to bring on my periods soon please reply urgently i need your help,Speaker_4,21.47,[],train
audio/Speaker_4/Speaker4-104.wav,hello e look like say you get serious hit on your thigh if to say nah me i go do x ray of my thigh first to rule out any fracture even if nah hairline fracture i recommend say you put ice for that painful area frequently at least six to eight times per day for the days way dey come make you wrap dey thigh with compression bandage and make you give the leg better rest dem suppose give you anti inflammatory tablets before also make you apply anti inflammatory gel on top of your thigh once the pain done fully go down make you gently stretch the front thigh muscles and continue dey put ice for some days i hope say e go help abeg come back if you need more help,hello it seems you had a very bad hit in your thigh if i were you i would have an x ray done for my thigh to rule out any fracture maybe a hairline i would recommend a lot of icing in the painful area frequently at least six to eight times a day for the next couple of days keep your thigh wrapped with a compression bandage and i would like you to give as much rest as possible to the injured leg you should have been given some anti inflammatory tablets earlier apply some anti inflammatory gel on the top of your thigh once the pain gets reduced completely i would gently stretch the front thigh muscles and ice them for a couple of days hope this is helpful for you kindly revert back in case you need any further help in this regard,Speaker_4,50.83,"['ray', 'thigh', 'icing', 'painful', 'stretch', 'front', 'ice', 'revert']",train
audio/Speaker_4/Speaker4-105.wav,well this fit be sign of seizures diabetes or worm infestation ear nose and throat specialist must examine this pikin e need thorough evaluation,well it may be a manifestation of seizures diabetes or worm infestation evaluation by an ear nose and throat specialist is a must the child needs to be evaluated thoroughly,Speaker_4,13.49,[],train
audio/Speaker_4/Speaker4-106.wav,as you talk say you dey frequently suffer from anxiety this fit be case of sudden anxiety or panic attack wey dey cause this kind thing but psychiatrist suppose properly evaluate you before dem talk about any other thing,as you stated that you frequently suffer from anxiety this could be due to sudden anxiety or panic attacks which may lead to such conditions however this must be evaluated by a psychiatrist before labeling you with this issue,Speaker_4,14.44,['anxiety'],train
audio/Speaker_4/Speaker4-107.wav,i dey thirty seven weeks pregnant with constant lower back pain i take hot shower for thirty six minutes tried pillows behind my back and lie down in different positions but nothing dey work i don cry three times today because of the pain the pain dey even go down my thighs this one fit be labour,i am thirty seven weeks along with consistent lower back pain i took a hot shower for thirty six minutes tried using pillows behind my back and laid in multiple positions but nothing is helping i have been in tears three times today due to the pain i am also experiencing pain down my thighs could this be labor,Speaker_4,23.81,"['consistent', 'minutes', 'laid', 'tears', 'today']",train
audio/Speaker_4/Speaker4-108.wav,hello welcome to our clinic i really appreciate say you dey concerned this thing dey related to heart condition way de before then the symptoms way dey now need proper investigation if the test results show something unusual then e fit this dey cardiac related but the most common causes fit be muscle pain acid problem stress or allergic condition i hope say e go help,hello welcome to our clinic i really appreciate your concern if this is related to a pre existing cardiac illness then the present symptoms need to be ruled out only if the relevant tests are remarkable could it be something other than cardiac illness related symptoms the most probable causes could be muscular pain hyperacidity stress or an allergic condition i hope this information helps,Speaker_4,31.81,['muscular'],train
audio/Speaker_4/Speaker4-109.wav,hi my baby dey one month old i start dey give her formula feeds seven days ago because my breast milk no enough for her but since i start lactogen one she don start vomiting after every feed whether na formula or breastmilk even after burping her she still dey bring up milk wetin i suppose do,hi my baby is one month old i started giving her formula feeds seven days ago as my milk was insufficient for her however after starting lactogen one she has started vomiting after every feed she brings up milk regardless of whether it is a formula feed or breast feed she vomits out milk even after burping her what should i do,Speaker_4,24.79,"['baby', 'formula']",train
audio/Speaker_4/Speaker4-110.wav,hello i do fallopian tube cutting and cauterisation almost two years ago right after my cs delivery last month i get my normal period but this month i don dey two weeks late i dey experience lower abdominal pain and sometimes back pain wey dey come and go i dey very regular and whenever i get belly pain my period usually follow quick but this time i still dey wait and nothing dey happen fit be say i dey pregnant,hello i had my fallopian tubes cut and cauterized almost two years ago after a cesarean section last month i had my regular period this month i am about two weeks late i am experiencing lower abdominal pain and sometimes back pain that comes and goes i am very regular and if i have abdominal pain my period usually follows right after however this time i am still waiting for it and nothing could i be pregnant,Speaker_4,34.93,"['fallopian', 'tubes', 'cut', 'cauterized', 'cesarean', 'section', 'abdominal']",train
audio/Speaker_4/Speaker4-111.wav,low sperm count alone no be wetin stops pregnancy the sperm must be active and motile too a proper check up with an obstetrician go clear your doubts for general vitality and energy herbal aphrodisiacs nah e be the safest option no side effects no toxicity for my thirty years of practice many couples wey dey struggle don become happy after taking the herbal route you need further advice or treatment package abeg ask directly,low sperm count is not a hindrance to causing pregnancy sperm should be active and motile a proper check up of the pregnancy by an obstetrician will clear your doubts however for virility and vigor herbal aphrodisiacs are the best option they are safe non toxic and have no side effects in my career of three decades many couples who faced difficulties have become happier after opting for the herbal approach do you need further advice treatment or a package please ask a direct question,Speaker_4,40.13,"['low', 'sperm', 'count', 'herbal', 'aphrodisiac']",train
audio/Speaker_4/Speaker4-112.wav,the pain for your lower belle fit no dey connected to your gynaecological history at all e fit be enteritis i recommend say you try something like antibiotics and anti spasmodics,the pain in the lower abdomen may not be related to your gynecological history this could be enteritis and i recommend trying a course of antibiotics and anti spasmodics,Speaker_4,14.34,"['abdomen', 'antibiotics', 'spasmodics']",train
audio/Speaker_4/Speaker4-113.wav,if to say nah me be the doctor way dey treat you i go tell you make you maintain good posture because these kind symptoms dey usually come from bad posture i go treat am with fifty milligrams of diclofenac once everyday e go also dey good make you do spine imaging make you rule out spinal degeneration i hope say e help,if i were your treating physician i would advise you to maintain good posture because such symptoms are likely to occur due to poor posture i would treat this case with fifty milligrams of diclofenac once a day it is better to get a spine imaging study done to rule out spinal degenerative disease i hope this information helps,Speaker_4,42.13,"['posture', 'milligrams', 'diclofenac', 'spine', 'spinal']",train
audio/Speaker_4/Speaker4-114.wav,hello i get extremely itchy lower legs around and above my ankles usually for the area where sock elastic dey grip the leg i don notice say hair dey fall out on both legs i done try anti itch creams like polysporin but no improvement the constant scratching don make my legs red and at night i dey have this strong urge to just keep rubbing the area with my feet,hello i have extremely itchy lower legs around and above the ankles usually in the area where the elastic from socks grips the leg i have experienced general hair loss on both legs i tried anti itching creams such as polysporin with no relief my legs are turning red from the constant scratching and at night i feel an urge to continuously rub the area with my feet,Speaker_4,37.13,"['itchy', 'legs', 'itching', 'cream', 'polysporin', 'red', 'rub']",train
audio/Speaker_4/Speaker4-115.wav,since the rest of your body dey clean this fit be stage two or stage three breast cancer you go need chemotherapy and radiotherapy whether you need hormonal therapy go depend on your estrogen and progesterone receptor status if both dey positive your chances of survival dey good more than fifty percent five year survival dey for stages wey no reach stage four,since the rest of the body is clean you perhaps have stage two or stage three breast cancer you need chemotherapy and radiotherapy hormonal therapy depends on estrogen receptor and progesterone receptor status you have good chances of survival if estrogen receptor and progesterone receptor are positive survival depends on many factors there is more than a fifty five year survival rate for other stages apart from stage four,Speaker_4,28.96,['chemotherapy'],train
audio/Speaker_4/Speaker4-116.wav,i be woman in my late twenties wey get two wahala at the same time number one when i dey aroused i dey feel serious pain for my lower belle wey no dey ever go away e dey reach ten on pain scale and i dey double over wetin fit dey cause am number two whenever i try to masturbate to ease the pain e no dey work at all i no dey fit reach orgasm during masturbation i don develop frustration for am and i still dey stick with the pain i no know wetin to do again,i am a woman in my late twenties experiencing two problems one i experience severe pain in my lower abdomen when i am aroused which does not get relieved i double up and cannot get comfortable often feeling a level ten on the pain scale what could be causing that two masturbation attempts to relieve this do not work i cannot seem to orgasm during masturbation at all i have grown a distaste for it in the end and am still stuck in pain i have no idea what to do,Speaker_4,38.83,"['woman', 'severe', 'abdomen', 'level', 'orgasm', 'distaste']",train
audio/Speaker_4/Speaker4-117.wav,my son dey seven years old and he be special needs pikin he dey take epilepsy medicine but now he dey also suffer from back pain and spasms he no dey sleep well and dey cry even while sleeping if he lie on his side he get small relief and sitting also help but he still dey cry wetin i suppose do abeg help me,my son aged seven years is a differently abled child he is on medication for epilepsy but now he is suffering from back pain and spasms he is not sleeping properly and is crying while sleeping turning on his side provides him some relief and sitting helps as well but he is continuously crying what should i do please help me with this,Speaker_4,27.44,"['crying', 'sitting']",train
audio/Speaker_4/Speaker4-118.wav,i get pcos i been dey take obimet five hundred milligrams for the past year i try two follicular cycles in december last year with siphene fifty milligrams first time growth dey okay second time growth no proper and i stop am now this cycle i dey see spotting for one or two days today na day twenty doctor suggest i take duphaston ten milligrams for two weeks e safe to start am now i wan begin follicular cycle next month my weight na fifty seven kilograms height na five feet three inches and my cycle na thirty five days,i have polycystic ovary syndrome i was under obimet five hundred milligrams for the last year i have tried two follicular cycles in last december with siphene fifty milligrams the first time the growth was okay but the second time the growth was not proper and after that i stopped it now i am getting spotting this cycle for one or two days this is my 20th day the doctor suggested that i take duphaston ten milligrams for two weeks so is it okay to take it now i want to start my follicular cycle next month so is it okay to take it now my weight is fifty seven kilograms and my height is five feet three inches i have a menstrual cycle of thirty five days,Speaker_4,46.13,"['milligrams', 'last', 'december', 'siphene', 'milligram', 'growth', 'proper', 'weight', 'kilograms', 'height', 'menstrual', 'cycle']",train
audio/Speaker_4/Speaker4-119.wav,i get crohn s disease wey na inflammatory bowel disease ibd dey different from ibs but dem dey similar only colonoscopy fit confirm ibd i be nineteen year old female and i don experience similar pain before i dey get heaviness for my chest and pain on my upper right side your gallbladder dey on the upper right side of your belle and your pancreas dey at the centre of your upper belle both fit feel like chest pain gallstones fit cause pancreatitis which simply be swelling of the pancreas i get gallstones and pancreatitis before and removing my gallbladder fix everything for safety you fit go emergency room for gallbladder ultrasound and lipase level check,i have crohn s disease which is an inflammatory bowel disease inflammatory bowel disease is different from irritable bowel syndrome but similar inflammatory bowel disease can only be determined by a colonoscopy i am only nineteen years old i am also female and i have experienced pain similar to this i had heaviness in my chest and pain in my upper right side it turns out your gallbladder is located in the upper right side of your abdomen and your pancreas is located in the center of your upper abdomen which can feel like pain in your chest both of these could cause intense abdominal pain if you have gallstones gallstones can cause pancreatitis which in simple terms is swelling of your pancreas it just so happens that i had gallstones and pancreatitis and it was relieved by the removal of my gallbladder just to be safe you might want to go to the local emergency room and get an ultrasound of your gallbladder and have them check your lipase levels,Speaker_4,56.42,"['crohn', 'irritable', 'bowel', 'syndrome', 'nineteen', 'heaviness', 'chest', 'gallbladder', 'side', 'abdomen', 'pancreas', 'abdominal', 'gallstones', 'swelling', 'emergency', 'room', 'ultrasound']",train
audio/Speaker_4/Speaker4-120.wav,dear sir i don understand your concerns wetin you dey experience na something dem dey call psychosomatic disorder but no need to panic depression and bipolar disorder fit dey treated well but modern medicines often dey come with side effects consider yoga and pranayama breathing exercises like art of living six day workshop all these problems fit clear with time if you go put in the effort,dear sir i have understood your concerns this is called psychosomatic disorders but there is no need to worry depression and bipolar disorders can be cured very easily but if you go for modern medicines some side effects will be present consider yoga and pranayama breathing exercises such as the art of living six day workshop all your problems can be cured very easily,Speaker_4,31.91,"['depression', 'bipolar', 'disorders']",train
audio/Speaker_4/Speaker4-121.wav,i accidentally go clip the skin way dey scrotum while i dey use clippers e take off the upper layer of skin the size of a capital letter o i hit a tiny blood vessel and e no dey stop dey bleed i get bandage and clamp on am i hold am for two hours but as soon as i remove the clamp the bleeding start again i don clamp new bandage this wahala don dey go on for four to five hours now,i accidentally clipped the skin on my scrotum while using clippers it took off the upper layer of skin the size of a capital letter o i hit a tiny blood vessel and it won t stop bleeding i have a bandage and a clamp on it i had it on for two hours but as soon as i took it off it started bleeding again so i have clamped a new bandage this has been going on for four to five hours,Speaker_4,35.26,"['scrotum', 'layer']",train
audio/Speaker_4/Speaker4-122.wav,i dey twenty five years old last year i fall for accident and injure my back i go see orthopaedic doctor he give me antibiotic medicine and explain say the injury site na where blood dey coagulate and after some days blood wey dey stale and smell go come out but e never fully heal now some kind of infection still dey come out from there the doctor say na pilonidal sinus,i am twenty five years old last year i fell in an accident i injured my back then i went to an orthopedic doctor he suggested some antibiotic medication he told me that my injury site is where the blood coagulates after some days it would come out with fetid blood however it has not fully recovered now some infection is coming out from there the doctor said it is a pilonidal sinus,Speaker_4,36.56,"['orthopedic', 'antibiotic', 'infection']",train
audio/Speaker_4/Speaker4-123.wav,hi my partner dey feel really sick she dey get hot and cold flashes her sight dey go blurry and her cheeks dey feel burning her period don stop even though she get implant she don use this implant four times before and she dey usually see her period every two weeks she never get one for nearly two months now and she dey experience serious mood swings and bleeding after sex,hi my partner feels really sick and she keeps getting hot and cold flushes her eyesight goes funny and she has burning cheeks her periods have stopped even though she has the implant she has had the implant four times before and used to have a period every two weeks she hasn t had one for nearly two months now and she has been experiencing rapid mood changes and bleeding after having sexual intercourse,Speaker_4,29.94,"['cold', 'eyesight', 'implant', 'rapid', 'mood', 'changes', 'bleeding']",train
audio/Speaker_4/Speaker4-124.wav,i get invasive cervical cancer for 1980 at the age of twenty eight dem treat am with radical hysterectomy and lymphadenectomy recently a pap test show abnormal cells and dem refer me for colposcopy this fit be return of the cervical cancer how common this thing dey happen after thirty three years,i had invasive cervical cancer in one thousand nine hundred and eighty at the age of twenty eight and was treated with a radical hysterectomy and lymphadenectomy recently a pap test has shown abnormal cells and i have been referred for a colposcopy could this be a recurrence of my cervical cancer how common is this after thirty three years,Speaker_4,30.56,"['invasive', 'cervical', 'age', 'radical', 'hyst', 'lymphadenectomy', 'pap', 'test', 'abnormal', 'referred']",train
audio/Speaker_4/Speaker4-125.wav,hello i see your concern the symptoms dey very similar for heat stroke and hypoglycemia but you never mention sweating and that na main symptom of hypoglycemia also metformin dey very rarely cause hypoglycemia so no worry about the medicine e most likely na heat stroke abeg stay for cool places,hello i see your concern these symptoms are quite similar to each other for heat stroke and hypoglycemia however you do not have any history of sweating which is a main symptom in hypoglycemia one thing i want to mention here is that you do not need to worry about the medication metformin has a very rare episode of hypoglycemia associated with it so please be sure that it is heat stroke and stay in cool places,Speaker_4,30.81,"['hypoglycemia', 'metformin']",train
audio/Speaker_4/Speaker4-126.wav,this fit be due to spondylitis you need to do hot fomentation alongside neck exercises also make sure say your posture dey correct at all times,this may be due to spondylitis you need to take heat fermentation along with neck exercises you also need to maintain proper posture,Speaker_4,15.42,"['heat', 'fermentation']",train
audio/Speaker_4/Speaker4-127.wav,hi at your age carrying twenty five kilograms like that dey commendable but e too much this thing na chronic pain from overuse stop dey take too many pain tablets abeg check your serum creatinine levels stop dey carry those heavy loads as we dey age our joints bones and body no fit endure as much try pregabalin or tramadol for pain relief also make you check your shoulder joints for any changes good luck,hi at your age the load of twenty five kilograms that you are unloading is really appreciated this is a sort of hyperuse chronic pain do not take so many tablets for pain please check your serum creatinine levels stop carrying those heavy loads as age advances the endurance and tolerance capacities of the joints bones and the body decrease try using pregabalin tablets or tramadol to relieve the pain cross check your shoulder joints for any changes good luck,Speaker_4,36.16,"['kilograms', 'serum', 'creatinine', 'appreciated', 'pregabalin', 'tramadol', 'shoulder', 'joints']",train
audio/Speaker_4/Speaker4-128.wav,my aunty don dey carry one problem for one year she dey suffer from constant headaches sleep disturbances with sudden awakening because of vibration wey she dey feel for her arms and legs she also dey hear sounds for her ears from nowhere and she dey get difficulty breathing her ct scan report show mild changes consistent with diffuse brain atrophy wey come with aging wetin be this condition and wetin dey cause am,my aunt has had a problem for one year she suffers from continuous headaches sleep disturbances associated with sudden awakenings due to vibrations in body parts like her arms and legs she also has sounds in her ears without any source and difficulty in breathing the computed tomography scan reports mild changes of diffuse senile brain atrophy what is this and what is the cause,Speaker_4,34.48,"['aunt', 'continuous', 'headache', 'sleep', 'disturbances', 'sudden', 'awakenings', 'vibrations', 'parts', 'sounds', 'source', 'difficulty', 'computed', 'tomography', 'mild', 'diffuse', 'sen', 'brain']",train
audio/Speaker_4/Speaker4-129.wav,i get cancer for my c5 vertebra i wait nine months for radiation treatment and now i dey get seizures the mri report talk say scattered t2 prolongation foci for the cerebral white matter my headaches dey terrible sometimes after seizures i forget the days before and after them my family say sometimes i dey act normal but sometimes i dey behave strangely talking about things wey never happen forgetting dates and conversations i been dey hospitalised during my first seizure but i no remember any thing way happen na this be the cause and them be normal seizures,i have had cancer in my c5 vertebra i had to wait nine months for radiation treatments and now i have seizures the magnetic resonance imaging report says that there are scattered foci of t2 prolongation in the cerebral white matter i have horrible headaches sometimes when i have my seizures i forget the days before and after them my family says that i act normal sometimes but crazy like talking about things that haven t happened or not remembering dates what i have said and what has been told to me i was in the hospital during my first seizure but i don t remember talking to anyone or going there or coming home is this the cause and are these normal seizures,Speaker_4,47.8,"['cancer', 'magnetic', 'resonance', 'imaging', 'cerebral', 'headaches', 'happened', 'hospital', 'normal', 'seizures']",train
audio/Speaker_4/Speaker4-130.wav,some mornings i dey urinate plenty of times but only for morning i dey get sharp pain for my left side at least once or twice a week i dey also feel nausea dey belch and dey feel bloated i be thirty year old female my periods dey range from five to fourteen days in a month wetin fit be the cause of these things,some days i have frequent urination in the mornings only i get pain in my left side at least once or twice a week sharp at times i feel nausea burping and feel bloated i am female age thirty i have been getting sharp pain sometimes it s light on the left side of my stomach i feel bloated experience nausea and my periods go from five days to fourteen days in a month what could be the cause,Speaker_4,27.94,"['frequent', 'side', 'sharp', 'nausea']",train
audio/Speaker_4/Speaker4-131.wav,your age no allow me to give you specific medical advice without permission from your parent or guardian abeg make one of your parents or guardians rephrase your question and confirm say dem dey speak on your behalf as a minor,your age precludes me from being able to give you specific medical advice without parental or guardian permission please have one of your parents or guardians rephrase your question and indicate that they are proxying for a minor child,Speaker_4,18.47,['parents'],train
audio/Speaker_4/Speaker4-132.wav,hello based on the symptoms wey you dey describe this fit be appendicitis abeg go the emergency room sharp sharp and see a surgeon for proper treatment the fact say you miss your period no necessarily mean say you dey pregnant you fit take pregnancy test to confirm am but most importantly go emergency room immediately make you find out the real cause so you fit get timely treatment i hope say e help you,hello based on the symptoms you are describing it might be appendicitis therefore you should go to the emergency room and consult a surgeon for the right treatment although you may have missed your periods this does not necessarily mean you are pregnant you can take a pregnancy test to confirm your pregnancy ultimately go to the emergency room immediately to identify the underlying causes of your issues to receive timely treatment i hope this helps,Speaker_4,28.99,"['emergency', 'room', 'test']",train
audio/Speaker_4/Speaker4-133.wav,hello based on the history you give me i fit draw few conclusions about your fast heartbeat one you get anxiety issues two you get hormonal issues like pheochromocytoma but before we jump into conclusion you go need physical examination and basic tests like ecg first,hello based on the history you provided i can conclude a few things regarding your increased heartbeat one anxiety issues two hormonal issues such as pheochromocytoma however before jumping to conclusions you should get a physical examination and undergo routine tests like an electrocardiogram,Speaker_4,25.61,"['anxiety', 'physical', 'examination', 'electrocardiogram']",train
audio/Speaker_4/Speaker4-134.wav,i don dey suffer from serious sciatica pain for my left leg for some time now and e dey get worse i also dey deal with haemorrhoids wey dey get worst and i don also notice small blood in my stool today the blood quantity done plenty small i also dey feel bloated but i no gain weight i be forty eight year old woman no mind me i think say this site dey free because i no get money,i have been experiencing severe sciatica pain in my left leg for some time and it is getting worse i have also suffered from hemorrhoids which seem to be worsening and i have noticed small amounts of blood in my stool until today there was a much larger amount i have also noticed bloating in my stomach but have not experienced any weight gain i am a forty eight year old female never mind i thought this site was free because i do not have any money,Speaker_4,34.23,"['severe', 'leg', 'been', 'stomach']",train
audio/Speaker_4/Speaker4-135.wav,hi the type of dey testicular cancer must dey specified you mention say marker dey but which kind marker dey rise suppose dey stated you likely dey talk about testicular germ cell tumour stem cell transplant fit de for patient way done achieve complete remission after high dose chemotherapy there fit be fair chance of cure if your doctors dey recommend am follow their direction double transplant still dey investigational not much mature data dey available yet but e dey worth trying if your doctors believe say e dey appropriate for your case,hi the type of testicular cancer should be mentioned you have mentioned the marker but which marker is rising should be specified probably you are referring to testicular germ cell tumor a stem cell transplant can be performed in a patient who is in complete remission after high dose chemotherapy there is always a fair chance of achieving a cure if your doctors are recommending this you should follow their direction a double transplant is still an investigational approach there is not much mature data available at this time however this option can definitely be tried if your doctors believe it is appropriate,Speaker_4,43.71,['remission'],train
audio/Speaker_4/Speaker4-136.wav,wetin dey cause low iron saturation levels i don do plenty tests for the past six months upper endoscopy colonoscopy and pill camera all normal i also do gallbladder removal with no complications but my iron saturation test dey low at seven i done do two iron infusion treatments already and i dey about to start the third one this week sometimes dem no fit find wetin dey cause am i go continue iron infusions for the rest of my life,what causes low iron saturation levels i have had many tests done in the recent past over the last six months and all are normal upper endoscopy colonoscopy and pill camera swallow i also had my gallbladder removed with no postoperative issues however my iron saturation test is low at seven i have received iron infusion treatments twice now and i am about to start round three this week is the etiology sometimes just unknown will i have to continue to have periodic iron infusions for the rest of my life,Speaker_4,32.39,"['swallow', 'tests', 'gallbladder', 'iron']",train
audio/Speaker_4/Speaker4-137.wav,hi i do gallbladder removal four months ago for the past few weeks i dey get short sharp shocking pains on the left side of my chest just below my collarbone e dey happen sometimes when i dey chop other times e go just come and stop me sharp sharp because of the shock of it abeg tell me wetin this fit be and how i fit get relief,hi i had my gallbladder removed four months ago and for the last few weeks i have been experiencing short sharp and quite shocking pains to the left hand side of the center of my chest just below my collarbone i sometimes feel it while eating but other times it just comes and always stops me in my tracks as the pain shocks me could you advise what this may be a symptom of and what i can do to relieve the pain,Speaker_4,25.26,"['gallbladder', 'removed', 'short', 'sharp', 'pains', 'hand', 'side', 'center', 'other']",train
audio/Speaker_4/Speaker4-138.wav,hello him dey experience gynecomastia abeg take am go see surgeon and do hormone level tests make una manage well,hello he is experiencing gynecomastia please consult a surgeon and have his hormone levels tested for proper management,Speaker_4,11.69,"['gynecomastia', 'consult', 'hormone', 'levels']",train
audio/Speaker_4/Speaker4-139.wav,dear sir oxford knee dey get very specific indications e fit only work if one compartment of the knee dey affected since you done already replace one joint the other joint go most likely need total joint replacement,dear sir the oxford knee has very specific indications and it can only be used if one compartment of your knee is affected since you already have one joint replaced the other joint will also probably need total joint replacement,Speaker_4,16.89,['oxford'],train
audio/Speaker_4/Speaker4-140.wav,unfortunately the body na the best and only healing machine wey we get despite everything way medicine don achieve the outcome go depend on the type of damage wey cause the symptoms but for most cases the maximum time a person go continue to see recovery na one to two years at eleven years there likely little left wey medicine fit do to restore function make you talk give the neurologist about the prognosis for return of function enough information no dey here to give you clear answer make you and your family focus on other ways to help am communicate and move around,unfortunately the body itself is the best and only healing and restorative process we have despite all of our medicine it depends on the type of damage that caused the symptoms but in most cases the latest a person will continue to see recovery is one to two years at eleven years there is likely little left that can be done to restore function talk to your neurologist about the prognosis for the return of function as there is not enough information provided here to help you and your family should focus on other ways to help him communicate and mobilize,Speaker_4,47.7,[],train
audio/Speaker_4/Speaker4-141.wav,hello yes abeg attach your liver function test results so we fit review am,hello yes please attach your liver function tests for review,Speaker_4,7.45,['liver'],train
audio/Speaker_4/Speaker4-142.wav,this thing fit be sexual infection you go need do culture test the antibiotic of choice na doxycycline for treating this kind condition abeg give five star rating,this could be a sexual infection you need to have a culture done the antibiotic of choice is doxycycline to help treat these conditions please leave a five star rating,Speaker_4,16.72,['doxycycline'],train
audio/Speaker_4/Speaker4-143.wav,i get two year old daughter wey don dey fight some kind of illness for couple of weeks the thing wey dey worry me most be say she no dey eat anything and she dey complain say her tummy dey hurt her very badly she even dey beg to go to bed because of the pain any suggestions on wetin to do,i have a two year old daughter who has been fighting something for the past couple of weeks the thing that i am concerned about is that she is not eating anything and complains that her tummy hurts really badly she even asks to go to bed because it hurts so much any suggestions,Speaker_4,24.39,"['tummy', 'hurts', 'go', 'bed']",train
audio/Speaker_4/Speaker4-144.wav,the medicine dem prescribe dey completely appropriate e dey perfectly fine to go ahead with am considering your age and say you don dey try for one year e go only makes sense make you follow the prescribed treatment just make sure say your husband do semen analysis before you start and do regular follicular studies throughout no worry relax yourself everything go dey fine,the medication prescribed is absolutely appropriate there is no harm in proceeding with that considering your age and that you have been trying for a year now it suggests that you should go for the prescribed treatment just ensure that your husband s semen analysis is also done before starting your treatment and take up regular follicular studies don t worry and relax everything will be fine,Speaker_4,31.51,['medication'],train
audio/Speaker_4/Speaker4-145.wav,good evening madam you notice any difference in how she dey waka or she dey lean to one side if her hips no dey even e fit mean say problem dey with the bones around the hip or some fixed deformity around the hip this fit cause lordosis in the lumbar region of the spine wey na the spine compensating for the hip problem e no dey related to the neck problem at all i advise you make you go see orthopaedic surgeon for complete evaluation sharp sharp this na the right time to address am you fit send me the pictures and reports so i fit guide you well well,good evening madam do you observe any difference in her walking or is she leaning to one side hips not being even indicates that there may be some problem with the bones around the hip or any fixed deformities around the hip this can cause lordosis in the lumbar region of the spine which is due to compensation for the hip problem it is in no way related to the neck problem i advise you to meet with an orthopedic surgeon and undergo a complete evaluation of the problem as this is the right time you can send me the pictures and reports so i can conclude and guide you properly,Speaker_4,45.65,"['leaning', 'hips', 'fixed', 'deformities']",train
audio/Speaker_4/Speaker4-146.wav,because of vomiting your child don develop gas for in system wey dey cause all those fluid sounds you dey hear the thing don clear on its own no need to worry again,because of vomiting your child has developed gas which is causing lots of fluid sounds to you it has resolved automatically and you do not have to worry about it,Speaker_4,12.27,"['fluid', 'sounds']",train
audio/Speaker_4/Speaker4-147.wav,you need confirm say the infection no damage the kidney you fit see am with kidney ultrasound if the symptoms dey improve you fit wait and watch otherwise e better to go see doctor sharp sharp,you need to be sure that the infection has not damaged the kidney which can be seen on an ultrasound scan of the kidneys if symptoms are improving then wait otherwise it is better to visit a doctor,Speaker_4,15.89,"['infection', 'kidneys']",train
audio/Speaker_4/Speaker4-148.wav,i don dey get knee pain on the outer side of my knee i done go see doctor two times and dem do x rays dem say nothing dey wrong but the problem be say i get hard lump wey dey appear whenever i bend my knee the lump only dey visible when the knee dey bent e no dey ball shaped e kind of run along the outside of the knee i know say e no normal because e appear couple of months ago and e dey disappear when i straighten my leg e dey frustrating because e dey always pain me after physical activities like running or sports any help,so i have had knee pain on the lateral side of my knee i had it checked out by a doctor twice and they took x rays they said nothing was wrong the problem is i have a hard lump that appears when i bend my knee only when bending is the lump noticeable it is not like a ball it kind of runs through the outside of my knee it is hard and i know it is not normal because it appeared a couple of months ago and goes away when i straighten my knee it is frustrating because it hurts after doing physical activities like running or playing sports any help,Speaker_4,43.56,"['knee', 'lateral', 'hard', 'lump', 'away', 'physical', 'activities', 'running', 'playing']",train
audio/Speaker_4/Speaker4-149.wav,hello i get dent on the left side of my back almost at the base of my rib the dent dey very obvious like a dimple where the skin don pucker in dey thing dey make me nervous for several reasons i no sure whether you need my medical history to give me answer,hello i have a dent on the left side of my back almost at the base of my rib there is a very noticeable dent or should i say dimple where the skin has puckered it has me nervous for several reasons i am not sure if you need a brief medical history,Speaker_4,22.59,['dent'],train
audio/Speaker_4/Speaker4-150.wav,you must do echocardiogram ecg alone no be diagnostic test for this kind condition you fit also do complete blood count to check for anaemia for the meantime make you stick to soft food and also make you rest well,you must do an echocardiogram as the electrocardiogram is not a diagnostic test for this condition you may also do a complete blood count for anemia until then keep eating soft food and rest,Speaker_4,17.97,"['echocardiogram', 'electrocardiogram', 'blood', 'count', 'eating', 'soft', 'food']",train
audio/Speaker_4/Speaker4-151.wav,hello e fit be some kind of muscle strain from poor posture for work or when you dey sleep abeg follow ergonomic practices at work you fit put hot water bottle on the painful area take painkiller like ibuprofen two hundred milligrams two times everyday with food and you go take am for like five days,hello it could be some sort of muscle strain in that area due to poor posture at work or while sleeping please follow ergonomic practices at work you can apply a hot water bottle to the painful area take a painkiller such as ibuprofen two hundred milligrams twice a day with meals for about five days,Speaker_4,25.06,"['muscle', 'strain', 'poor', 'posture', 'ibuprofen', 'milligrams', 'twice']",train
audio/Speaker_4/Speaker4-152.wav,hello doctor i be forty five year old woman i dey feel nervous sometimes and sleep dey escape me i get sticky saliva for my throat way dey feel acidic any time the covid nineteen situation dey stress me i dey find am hard to relax and all these symptoms dey come back i dey take probiotics and moringa capsules,hello doctor i am a forty five year old female i feel nervous sometimes and i cannot sleep i have sticky saliva in my throat that feels like acidic stock every time i feel worried about the covid nineteen situation i have a hard time relaxing and these symptoms start to happen again i take some probiotics and moringa capsules,Speaker_4,25.39,"['nervous', 'sticky', 'saliva', 'throat', 'probiotics', 'moringa']",train
audio/Speaker_4/Speaker4-153.wav,yes the pill suppose dey protect you right now but abeg let your doctor know about the bleeding,yes you should be protected by the pill at this time but you should tell your doctor about the bleeding,Speaker_4,6.97,[],train
audio/Speaker_4/Speaker4-154.wav,stress fit cause palpitations but stomach pain dey unusual stomach pain with back pain go need proper evaluation e fit be gastritis or overexertion rest antacids and dietary changes fit give you relief,stress can cause palpitations but stomach pain is unusual stomach pain with backache needs evaluation it could probably be due to gastritis or overexertion rest antacids and dietary management can provide relief,Speaker_4,16.94,"['stomach', 'gastritis', 'dietary', 'management']",train
audio/Speaker_4/Speaker4-155.wav,go get expert opinion the pain dey look like e dey come from the disc e dey follow postural pattern you must see spinal or orthopaedic specialist make dem do proper diagnosis until then make sure you limit your activities no bend forward no carry heavy things no sit below knee level and make you change your lifestyle based on physiotherapist advice medicines rest and physiotherapy together go bring recovery,take expert opinion the pain seems to be originating from the disc it follows a postural pattern a spinal or orthopedic opinion is required for diagnosis until then limit your activities avoid forward bending weight lifting sitting below the level of the knees and modify your lifestyle and activity techniques according to the physiotherapist s advice medications rest and physiotherapy together will help you recover from it,Speaker_4,34.08,"['spinal', 'physiotherapy']",train
audio/Speaker_4/Speaker4-156.wav,the pregnancy test dey correct since you get your period you no dey pregnant if you do sex right after your period end you no go get pregnant because you no dey ovulate at that time plus the emergency contraceptive pill dey reduce chances of pregnancy by ninety five percent,the pregnancy test is correct since you got your period then you are not pregnant if you had sexual intercourse just after your period ended then you won t get pregnant as you are not ovulating at this time also taking the emergency contraceptive pill decreases the chances of getting pregnant by ninety five,Speaker_4,20.82,"['pregnancy', 'test', 'sexual', 'intercourse', 'pregnant', 'emergency']",train
audio/Speaker_4/Speaker4-157.wav,e look like you dey deal with anal fissures try laxatives and high fibre diet to prevent straining during toilet you fit also apply lignocaine gel with steroid for pain relief sitz bath go also help avoid spicy food if you dey mostly sedentary start some exercise the back pain go likely ease up too low dose painkillers and back strengthening exercises na all you go need for now,you seem to have a problem with anal fissures you should try laxatives and a diet rich in fiber to avoid straining during bowel movements also you can apply lignocaine gel with a steroid for pain relief a sitz bath may also help you avoid spicy food start some exercises if you have a sedentary lifestyle the back pain may also subside subsequently low dose painkillers along with back strengthening exercises are all that you require at present,Speaker_4,38.13,"['diet', 'straining', 'steroid', 'painkillers', 'sitz', 'bath', 'exercises', 'low', 'dose']",train
audio/Speaker_4/Speaker4-158.wav,hello i no think antibiotics dey necessary right now but if he dey see blood for his mucus he fit still get posterior nosebleed and he need go see doctor to check am the hoarseness that laryngitis usually na viral and no need antibiotics,hello i don t think there is an indication for antibiotics at this point but if he has blood in his mucus he may still be having a posterior nosebleed and for that reason he needs to have a doctor check this out laryngitis the hoarseness is generally a viral condition and doesn t require antibiotics,Speaker_4,25.56,['hoarseness'],train
audio/Speaker_4/Speaker4-159.wav,my daughter dey eleven and she don dey wet the bed for as long as i fit remember she almost never go a whole night without wetting dey bed she try desmopressin and e no help at all we don use alarms we done try wake her up and her doctor say nothing we fit do except wait for her to grow pass am she dey miss sleepovers and overnight trips with friends because of this wahala wetin else we fit do,my daughter is eleven and has always wet the bed she rarely ever goes a night without wetting she has tried desmopressin and it did not help at all we have gone through periods of using alarms waking her up and her doctor said there is nothing we can do but wait until she grows out of it she is skipping overnight trips and sleepovers with friends constantly what else can we do,Speaker_4,30.39,"['eleven', 'desmopressin', 'skipping', 'sleepovers']",train
audio/Speaker_4/Speaker4-160.wav,my mri at l4 l5 show say my ligamentum flavum dey thicken bilateral facet hypertrophy and my leftward disc done bulge with annular tear wey no cause spinal canal stenosis but dey cause left lateral recess narrowing and mild left neuroforaminal stenosis wetin all this mean right now i dey feel tingling and numbness for both legs and feet,my magnetic resonance imaging at l4 five showed ligamentum flavum thickening bilateral facet hypertrophy and a leftward disc bulge with an annular tear resulting in no spinal canal stenosis left lateral recess and mild left neuroforaminal stenosis what does this mean it has resulted in tingling and numbness in both legs and feet,Speaker_4,38.33,"['magnetic', 'resonance', 'imaging', 'ligamentum', 'flavum', 'bilateral', 'leftward', 'disc', 'bulge', 'tear', 'spinal', 'mild', 'neuroforaminal', 'tingling', 'numbness', 'both', 'legs']",train
audio/Speaker_4/Speaker4-161.wav,hello my daughter fall from her chair and hit the top of her head near her soft spot she dey twenty three months old she get big bump there but e done go down now when you touch where she hit e feel very hard and i no know if i suppose dey worried e don already be six days since the incident happen,hello my daughter fell out of her chair and hit the top of her head near her soft spot she is twenty three months old she had a big bump there but it went down and now when you feel where she hit her head it feels really hard and i don t know if i should be concerned it has been six days since this happened,Speaker_4,26.69,[],train
audio/Speaker_4/Speaker4-162.wav,hello i dey take birth control and normally my period dey very regular but last month i dey a week late and this month i also done dey dey a week late so far i take pregnancy test and e come back negative i also been dey under serious stress my boyfriend benn dey sick i just resume back at college and my dad get involved in a car accident fit be that stress na why my period dey late,hello i take birth control and i am normally rather regular with my period but last month i was a week late and now this month i am also a week late so far i have taken a pregnancy test and got a negative result i have also been stressed lately my boyfriend was ill i just started back at college and my dad was in a car accident could stress be why my period is late,Speaker_4,34.16,"['negative', 'stressed']",train
audio/Speaker_4/Speaker4-163.wav,hello welcome to health care management no worry at all i think say this thing na just phase pikin this age dey go through peak of temper tantrums and e fit be the whole story she dey learn how to express herself and dey watch how her parents go react try to stay calm and explain to her why her behaviour no correct also no let her sit in front of tv for too long,hello welcome to health care management don t worry i think it is just a phase at this time temper tantrums are at their peak and this might be the reason she is learning how to express herself and observing the reactions of her parents try to stay calm and explain to her why her actions are wrong also do not let her spend too much time in front of the television,Speaker_4,29.64,"['temper', 'tantrums', 'how', 'express', 'herself']",train
audio/Speaker_4/Speaker4-164.wav,make you date your pregnancy from the last time you see your period if e dey five to six weeks from lmp with no embryonic pole or fetal heartbeat visible consider am as missed abortion assuming the pregnancy dey inside the womb small spotting fit suggest threatened abortion and e fit need progesterone support but weekly ultrasound dey required make you monitor am,date your pregnancy by the last menstrual period if it is five to six weeks from the last menstrual period and there is no embryonic pole or fetal cardiac activity consider it a missed abortion this is when the pregnancy is intrauterine slight spotting may suggest a threatened abortion and may require progesterone support but weekly ultrasound is required,Speaker_4,31.91,"['weekly', 'ultrasound']",train
audio/Speaker_4/Speaker4-165.wav,okay my mom na heart patient she get second heart attack for january and two days ago she do exercise tolerance test the doctor advise us make we consider bypass surgery because she get three blocked valves abeg the exercise tolerance test fit describe the actual condition way valves dey,okay my mom is a heart patient she had a second heart attack in january and two days ago she underwent the exercise tolerance test the doctor advised us to consider bypass surgery because my mom has three blocked valves can you tell me if the exercise tolerance test can describe the condition of the valves,Speaker_4,22.71,"['heart', 'attack', 'exercise']",train
audio/Speaker_4/Speaker4-166.wav,pain when you dey go toilet fit be due to anal fissure or stool way dey hard your paediatrician need do per rectal examination pain and pus during urination fit be uti and constipation na risk factor for that go do urine microscopy and culture,pain while defecating may be due to an anal fissure or passing hard stool you should contact your pediatrician for a per rectal examination pain and pus discharge during urination may be due to a urinary tract infection constipation is a risk factor for that you should go for urine microscopy and culture,Speaker_4,25.86,"['rectal', 'pus', 'discharge', 'fissure', 'constipation']",train
audio/Speaker_4/Speaker4-167.wav,hi exhaustion na common symptom of both hypothyroidism and anaemia your haemoglobin no dey dangerously low but e still need attention once both abnormalities dey corrected your energy go return back best wishes,hi exhaustion is a symptom of hypothyroidism and also anemia your hemoglobin levels are not too low but will still require some amount of attention correction of both of these abnormalities should help rid you of your exhaustion best wishes,Speaker_4,22.74,"['exhaustion', 'hypothyroidism', 'hemoglobin']",train
audio/Speaker_4/Speaker4-168.wav,my question be this i dey get lower back pain wey dey come and go maybe once every other week to once a week e dey feel like throbbing cramps on both sides wey dey last for like one minute before e go disappear sometimes i also dey feel like i need go toilet but no be everytime,your question i am having lower back problems that come and go i would say once every other week to once a week it feels like a throbbing cramp on both sides lasting for about a minute before they go away sometimes i get the urge to have a bowel movement but that is not all the time,Speaker_4,22.29,"['other', 'minute', 'sometimes']",train
audio/Speaker_4/Speaker4-169.wav,because of this i think you need go see diabetologist make in put your blood sugar under control the dizziness and pins and needles you dey feel fit be because of high blood sugar,with this i think you have to visit a diabetologist for control of your blood sugar these symptoms of dizziness and pins and needles might be due to your increased blood sugar,Speaker_4,15.07,"['dizziness', 'pins', 'needles']",train
audio/Speaker_4/Speaker4-170.wav,hello you dey anaemic and e fit cause headaches and temporary blackouts the fact say you dey eat those unusual food items fit be a sign of pica wey dey common in people with iron deficiency e go take many weeks to build up iron levels from oral iron supplements if you no dey pregnant the delay in your cycle nah likely because you no ovulate for the previous cycle i advise make you go lab tests and make you follow up with your primary doctor for the other symptoms,hello you are anemic which can cause headaches and blackouts in your vision the consumption of those food products could be a sign of pica which is common in people with iron deficiency it can take many weeks to build your iron levels back up with oral iron if you are not pregnant the delay in your menstrual cycle is likely due to not ovulating during your previous cycle i would advise further evaluation with laboratory work and to follow up with your primary physician for the other symptoms you are having,Speaker_4,37.96,"['headaches', 'blackouts', 'many', 'iron']",train
audio/Speaker_4/Speaker4-171.wav,hello regarding the pain and the creatinine levels e fit be that excess medicine intake don push up your creatinine also exercises like core stability pelvic floor strengthening and spine strengthening go help reduce the pain physical therapy fit guide you through am safely physical therapy tools like therapeutic ultrasound and tens therapy go also help reduce pain and spasms if you follow the rehab plan properly success rate dey between ninety and ninety nine percent by god s grace i wish you speedy recovery,hello as you mentioned regarding the pain and the creatinine levels it may be possible that you are consuming more medications which has led to the increase in the levels of creatinine additionally performing exercises such as core stability pelvic floor strengthening spine strengthening etc will help improve the pain under the guidance of physical therapy these exercises can be performed and muscle strength can be achieved also the use of physical agents such as therapeutic ultrasound therapy and transcutaneous electrical nerve stimulation therapy will help reduce the pain and spasms usually if the rehabilitation plan is followed properly patients recover with a success rate of ninety ninety nine with the grace of god i wish you a speedy recovery,Speaker_4,42.01,"['performing', 'spine', 'transcutaneous', 'recovery']",train
audio/Speaker_4/Speaker4-172.wav,hello heavy period usually no dey happen with intact ongoing pregnancy sometimes the menstrual cycle fit vary small small due to temporary hormone changes wey often dey sort itself out within a couple of cycles these variations fit come from sudden weight change stress certain medicines or infections if you still dey doubt about pregnancy abeg do serum beta hcg test and transvaginal sonogram i hope say e help,hello a heavy period usually does not happen with an intact pregnancy there can be slight variations in the menstrual cycle occasionally due to transient hormone imbalances which often settle down in a couple of cycles these can be due to sudden weight fluctuations stress certain medications and infections if you are still in doubt about the possibility of a pregnancy please get an assessment of the serum beta human chorionic gonadotropin titers and a transvaginal sonogram i hope this helps,Speaker_4,35.01,"['heavy', 'slight', 'variations', 'menstrual', 'cycle', 'transient', 'sudden', 'serum', 'transvaginal']",train
audio/Speaker_4/Speaker4-173.wav,i be twenty two year old way no dey smoking and i be female i don dey experience pins and needles tremors and weakness sensations for months now for the past one week e don worsen my doctor run tests before and say everything dey normal in no find dey cause i get appointment with neurologist for monday i just want know wetin this thing fit be,i am a twenty two year old female non smoker i have been experiencing pins and needles tremors and some weakness sensations for months in the last week it has worsened my doctor has run tests before and said everything came back normal and couldn t find a cause i have an appointment with a neurologist on monday i am just wondering what this could be,Speaker_4,29.94,"['non', 'smoker', 'tremors', 'weakness', 'normal']",train
audio/Speaker_4/Speaker4-174.wav,i dey feel electric shock suddenly from my lower body all the way up to my brain wetin dey follow am nah like one or two seconds of dizziness this thing don dey happen since last month i dey read too much on laptop and the shock dey even happen while i dey read sometimes i also feel dey pain inside my head,i feel an electric shock all of a sudden from my lower body to my brain and kind of dizziness for a second or two it keeps coming since last month i read too much on my laptop it comes when i am reading as well sometimes there is also pain in my brain,Speaker_4,24.64,"['electric', 'shock', 'all', 'sudden', 'body', 'brain', 'dizziness']",train
audio/Speaker_4/Speaker4-175.wav,overnight urine fit concentrate and form jelly like substance inside the diaper if the baby no show any other symptom and him urine stream dey clear no need to worry about anything,overnight urine can concentrate and form a jelly like substance in the diaper if he is otherwise symptom free and has a clear urine stream there is no need to worry,Speaker_4,14.97,"['overnight', 'symptom', 'free']",train
audio/Speaker_4/Speaker4-176.wav,you fit use culture result treat loose stools way dey happen well well if dem need am dem fit consider intravenous antibiotics the go test the stool for reducing substances if positive make dem switch to lactose free formula,recurrent loose stools could be treated based on the culture reports and if required intravenous antibiotics may be considered stools should be tested for reducing substances and if positive lactose free formulas should be used,Speaker_4,20.69,"['recurrent', 'loose', 'intravenous', 'antibiotics', 'stools', 'lactose']",train
audio/Speaker_4/Speaker4-177.wav,hello doctor i dey produce too much vaginal discharge the discharge get smell not fishy but kind of sweet i no fit properly describe am e no dey burn or itch the discomfort na just how much e dey produce plus i fit smell am myself e dey white and clear,hello doctor i am producing a lot of vaginal discharge the discharge does have a smell but it is not fishy it kind of smells sweet i am not sure how to describe it there is no burning or itchy feeling it is just uncomfortable how much i produce and i can smell it it is also white and clear,Speaker_4,23.96,['itchy'],train
audio/Speaker_4/Speaker4-178.wav,welcome to hcm asthma no get permanent cure because e dey mostly dey allergic in origin you need to dey vigilant about triggers like dusty and smoky environments and seasonal changes for my opinion rotacaps dey better than inhalers because the dose delivery dey more effective for people way dey inhale actively take montelukast during episodes but if you combine am with levocetirizine e go work well you fit take rabeprazole or pantoprazole for acidity avoid triggers and keep sure say you see your doctor regularly,welcome to hcm there is no permanent cure for asthma because it is most likely allergic you need to be vigilant about triggering factors such as dusty and smoky environments as well as seasonal changes in my opinion the use of rotacaps offers more advantages than inhalers data also suggests that the availability of an effective dose is greater with rotacaps for those who can inhale actively you can take montelukast during episodes but it will be more beneficial when combined with levocetirizine you can take rabeprazole or pantoprazole for acidity try to avoid triggering factors and maintain regular follow up with your doctor,Speaker_4,50.88,"['montelukast', 'levocetirizine', 'rabeprazole', 'pantoprazole']",train
audio/Speaker_4/Speaker4-179.wav,any history of allergy or asthma for una family her symptoms fit be infection related bronchospasm or asthma she fit get hyperactive airways make una do peak expiratory flow rate and spirometry for am,is there a history of allergy or asthma in the family her symptoms may be due to infection associated bronchospasm or asthma she might be experiencing hyperactive airway get her peak expiratory flow rate and spirometry done,Speaker_4,22.02,"['allergy', 'or', 'infection', 'peak', 'ex', 'flow', 'rate', 'spirometry']",train
audio/Speaker_4/Speaker4-180.wav,hello based on wetin dey yourt history this tin dey look like lymph node antibiotics and anti inflammatory medicine under doctor s guidance go resolve the issue,hello based on the history you have provided this appears to be a lymph node a simple course of antibiotics and anti inflammatory medications under the guidance of a doctor will resolve the issue,Speaker_4,13.64,"['antibiotics', 'anti', 'inflammatory', 'medications']",train
audio/Speaker_4/Speaker4-181.wav,this thing fit be gum infection since swelling dey present abeg see your doctor early if you leave am e fit become serious trouble,it can be a gum infection as swelling is also present please see your doctor early for this as it can be troublesome,Speaker_4,10.02,"['gum', 'swelling']",train
audio/Speaker_4/Speaker4-182.wav,i don dey experience very painful burning sensations way dey start from my left buttock and e dey go all the way down to the top of my foot i fit only waka few steps before the pain become unbearable i only dey sleep for few hours at a time and e dey difficult to even sit for one hour i no dey find any comfortable position my entire left leg dey feel numb i done go do six chiropractic visits but no improvement dey i get mri scan booked and i dey wait to see orthopaedic specialist for my hip or sciatica i just dey nervous about everything,i have been experiencing really bad burning pains starting at my left buttock and going down to the top of my foot i can only walk a few feet before it becomes unbearable i only sleep a few hours at a time and can sit for only an hour each time i just cannot find that one spot for relief additionally my entire left leg feels numb i have been to chiropractors for six visits with no relief i have a magnetic resonance imaging scan and am waiting to see an orthopedic specialist regarding my iliopsoas or sciatica and i am just nervous,Speaker_4,49.2,"['buttock', 'top', 'foot', 'walk', 'feet', 'sleep', 'visits', 'leg', 'chiropractors', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_4/Speaker4-183.wav,hello cannabis dey increase melatonin levels some studies show say melatonin fit boost the immune system but definitive proof no dey yet the connection between lymphoma and melatonin levels na difficult territory so i no fit make any firm comments about harmful or beneficial effects of am,hello cannabis increases the level of melatonin the relationship between melatonin and immune enhancement has been studied there are some results supporting its immune enhancing properties but definitive proof is lacking anyway the relationship between lymphoma and melatonin levels is difficult to ascertain no comments on the harmful effects can be made,Speaker_4,26.26,[],train
audio/Speaker_4/Speaker4-184.wav,hi my partner don develop itchy red rash on his arms and stomach he take cocodamol wey his doctor give am for pain yesterday and shortly after he start to feel nauseous break into sweat and feel like him head dey spin he notice the rash today abeg help,hi my partner has had an itchy red rash appear on his arms and stomach he took some cocodamol given by his doctor for pain relief yesterday and shortly after he felt nauseous and started sweating then became faintheaded he noticed the rash today please help,Speaker_4,23.94,"['itchy', 'rash', 'arms', 'cocodamol', 'nauseous', 'faintheaded']",train
audio/Speaker_4/Speaker4-185.wav,hi this fit be a boil or abscess wey dey form doctor go examine am prescribe antibiotics and other medicines and determine whether na just boil or whether e dey part of a fistula in ano,hi this can probably be due to a boil or an impending abscess by showing this to a doctor he will receive a prescription for antibiotics and other medications and get a diagnosis as to whether this is just a boil or part of a fistula in ano,Speaker_4,17.89,"['boil', 'antibiotics']",train
audio/Speaker_4/Speaker4-186.wav,i don dey get painful itch under the skin of my thumb e start there but now i dey feel constant pain wey dey come and go for the palm just below the thumb area and it dey travel up my arm my thumb dey painful and sore when i press on am this wahala don dey for about three weeks now,i have had a painful itch under the skin in my thumb it started there but now i have constant pain that comes and goes in the palm just under my thumb and it travels all the way up my arm my thumb is painful and sore when i put pressure on it this has been ongoing for about three weeks,Speaker_4,23.19,"['painful', 'itch', 'constant', 'arm', 'thumb', 'sore']",train
audio/Speaker_4/Speaker4-187.wav,my daughter s triglyceride number na three hundred and eighty six she dey twelve years old she no dey overweight she dey very active and she dey eat healthy i get one doctor way dey tell me say the cholesterol dey extremely high and another doctor say e dey normal and make i no worry three hundred and eighty six e dey normal or high for triglycerides,my daughter s triglyceride number was three hundred and eighty six she is twelve years old not overweight very active and eats healthily i have one doctor telling me her cholesterol is extremely high and a second doctor telling me her cholesterol is normal and that there is no need to worry i am wondering if three hundred and eighty six is considered a high or normal level for triglycerides,Speaker_4,30.51,"['triglycerides', 'overweight', 'cholesterol', 'high', 'normal', 'triglyceride']",train
audio/Speaker_4/Speaker4-188.wav,for situation wy you de get risk of either vertebral bone fracture or even prolapsed disc dey proper examination and investigations go be the key to diagnosing the pain and to decide how to treat am,in circumstances such as yours there is a possibility of either fracturing the bones of your vertebral column or even a prolapsed disc examination and investigations are key to diagnosing the pain and determining the treatment,Speaker_4,18.62,"['vertebral', 'column', 'examination']",train
audio/Speaker_4/Speaker4-189.wav,hello yes certainly the bones go need dey splinted this go reduce the pain and help the fracture heal faster,hello yes certainly the bones will need to be splinted this will decrease pain and help in the fast healing of the fracture,Speaker_4,9.65,[],train
audio/Speaker_4/Speaker4-190.wav,i do unprotected sex with my boyfriend so we take plan b to be safe few days later we do very rough sex again the first few rounds we use protection but then we stop and he just pull out now i dey bleed e dey red at first but now e dey dark brown e fit be pregnancy i no understand wetin dey happen to me,i had unprotected sexual intercourse with my boyfriend so we obtained the plan b pill to be safe a few days later we had very rough sexual intercourse the first few times were protected but then we did not use protection and he just pulled out now i am bleeding and it was red at first but now it is dark brown could this be pregnancy i do not know what is wrong with me,Speaker_4,23.89,[],train
audio/Speaker_4/Speaker4-191.wav,e no be cancer e most likely na upper respiratory tract infection way don cause tonsil infection and swelling with proper antibiotics for five days and salt water gargling everything go improve,it is not cancer it is probably related to upper respiratory tract infection and the tonsils are infected and enlarged with proper treatment of antibiotics for five days and saltwater gargling this will improve,Speaker_4,15.74,"['tonsils', 'antibiotics']",train
audio/Speaker_4/Speaker4-192.wav,since you no give much information about her not even her age or any other health condition all i fit say be say she must increase her physical activity to help control her blood sugar diet control and exercise dey work together with insulin and medicine medicine alone no dey enough without diet and exercise make sure she chop healthy low fat high fibre food avoid fried and oily food sugar and sweets eat more fresh fruits and vegetable salads walking na the best exercise thirty minutes of brisk walking three to four times a week dey very effective use glucometer to check blood glucose before and after meals and before and after exercise to see how well diet and exercise dey work adjust portion sizes and food choices as needed make you manage calorie intake i hope this go give you better idea of how to handle diabetes,as you have not mentioned much about her such as her age or any other health problems all i can say is that she must try to increase her physical activity to control her blood sugar levels dietary control as well as exercise helps in managing blood sugar in addition to insulin and medications as they work only when diet and exercise are also combined with them make sure she eats a healthy low fat high fiber diet avoiding fried and oily foods sugar and sweets as well as including fresh fruits and vegetable salads helps in lowering blood sugar walking is the best way to increase physical activity thirty minutes of brisk walking is advised three to four times a week to control blood sugar use a glucometer to monitor blood glucose levels before and after meals and before and after exercise to check how effectively diet and exercise are working make any necessary changes to the diet and control portion sizes of meals to reduce calorie intake i hope this will give you an idea of how to manage diabetes in a better way,Speaker_4,64.12,"['lowering', 'fat', 'high', 'fiber']",train
audio/Speaker_4/Speaker4-193.wav,hi my name na h i be forty seven years old and i weigh eleven stone i never dey sick or broken any bone before this one i get my left big toe fused and two screws put in this thing happen on the 9th of november two thousand and thirteen and e still dey small sore how long before i fit wear steel toe boots again for work for how long i go dey off work nah work accident and i dey get full pay so no financial worry many thanks h,hi my name is h i am forty seven years old and weigh eleven stone i have had no illnesses or broken bones before i have had my left big toe fused together and had two screws put in as well this was on 9th november two thousand and thirteen and is still a bit sore how long will it be before i can wear steel toe caps again for work in other words how long will i be off work it was an accident at work and i am getting full pay so no worries there many thanks h,Speaker_4,41.66,"['illnesses', 'big', 'toe', 'screw', 'th', 'november']",train
audio/Speaker_4/Speaker4-194.wav,hi i dey carry unbearable pain for the base of my tailbone and red sore lump dey inside my butt crack i no fit sit on am or lie down without almost screaming in pain i no fit see doctor right now because i dey travel wetin i fit do to ease the pain,hi i have excruciating pain at the bottom of my tailbone with a red sore lump inside my butt crack i can t sit on it or lay down as i will be literally screaming in pain i can t visit a doctor as i am traveling at the moment what can i do to ease the pain,Speaker_4,19.34,"['excruciating', 'lay']",train
audio/Speaker_4/Speaker4-195.wav,how long person fit carry genital warts without knowing my husband and i don dey together for five years one year and half ago dem tell him in get genital warts e no show any sign he tell me say nah me give am to him without knowing e fit be true or he dey cheat on me,how long can a person go without knowing they have had genital warts my husband and i have been together for five years and a year and a half ago my husband was told he has genital warts i have no signs of them he told me that i must have given it to him without knowing it could that be true or did he cheat on me,Speaker_4,19.39,['half'],train
audio/Speaker_4/Speaker4-196.wav,hello i don dey experience serious pain on the right side of my lower belly the pain dey travel to my back and down my leg too i don dey menstruate for the past three days and the pain don dey become worse i dey also get unusual headaches dizziness and nausea when i put all my weight on the right leg the pain dey reduce small wetin fit dey cause all this,hello i have been having severe pain on the right side of my lower abdomen the pain travels to my back and also down my leg i have had my period for the last three days and the pain has gotten more severe i am experiencing unusual headaches dizzy spells and nausea when i transfer all my weight onto my right leg it eases the pain a little what could be the cause of this,Speaker_4,31.56,"['severe', 'unusual', 'headache', 'dizzy']",train
audio/Speaker_4/Speaker4-197.wav,hi your history and findings dey more suggestive of cervical spine problem wey dey cause the right sided pain the lump fit no get direct connection with wetin you dey experience abeg go do mri scan of the cervical spine,hi your history and findings are more suggestive of a cervical spine problem causing the right sided pain the lump may not have a direct bearing on the condition you are experiencing please go for a magnetic resonance imaging scan of the cervical spine,Speaker_4,17.07,"['cervical', 'lump', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_4/Speaker4-198.wav,nausea and vomiting fit be side effects of both antibiotics and painkillers new dentures take time to adjust but if you dey get localised pain swelling or redness that fit be sign of infection,nausea and vomiting can be caused by antibiotics and painkillers a new denture takes time to adjust but if you have localized pain swelling or redness it could be a sign of infection,Speaker_4,16.47,"['nausea', 'vomiting', 'antibiotics', 'denture']",train
audio/Speaker_4/Speaker4-199.wav,hi forceful sneeze fit make a previously small unnoticed hernia to suddenly become painful e fit also be lower rib fracture muscle spasm or in rare cases a thoracic disc problem abeg go see doctor immediately to find out wetin dey cause am and make you get proper treatment,hi a forceful sneeze can cause a previously small unnoticed hernia to become painful there can also be a fracture of the lower ribs a muscle spasm or rarely an issue with the disc in the thoracic region it is advisable to see a doctor immediately to ascertain the cause and undergo investigations and management,Speaker_4,22.84,"['forceful', 'sneeze', 'unnoticed', 'hernia', 'fracture', 'disc']",train
audio/Speaker_4/Speaker4-200.wav,hello there you fit apply hot water bottle to the area where muscle spasms dey also take combination of painkiller and muscle relaxant both dey available over the counter at the pharmacy,hello there you can apply a hot water bottle to the area of muscle spasms also take a combination of painkillers and muscle relaxants available over the counter at the pharmacy,Speaker_4,13.87,"['muscle', 'painkillers', 'relaxants']",train
audio/Speaker_4/Speaker4-201.wav,well for kidney stones many herbal remedies wey dey work dey but for gallstones i dey sorry to say none of them fit guarantee result take care of yourself,well for kidney stones there are many successful herbal remedies but i am sorry to say that none for gallstones can guarantee success take care,Speaker_4,13.64,['gallstones'],train
audio/Speaker_4/Speaker4-202.wav,hi abeg sorry in advance because my question dey general i be pharmacy student and i need prepare a presentation for my toxicology class my question be if a patient dey breathe e mean say in heart still dey work in other words when we talk about abc b nah sign of c,hi and i apologize because my question is general i am a pharmacy student and i have to prepare a presentation for my toxicology class my question is if a patient is breathing does it mean that the heart is still working in other words when we are talking about abc is b a sign of c,Speaker_4,22.89,['pharmacy'],train
audio/Speaker_4/Speaker4-203.wav,hi i be twenty one year old female about two weeks ago i discover say inside the shower say i get two very tiny bumps for my perineum i often get small cuts there from wiping too hard when i go toilet finish the bumps dey together dem dey for line dem no fit pop and dem no dey hurt at all i only notice them for shower i search online and all i see na genital warts wey dey confuse me i don dey with same partner for two years and we both dey do regular check ups i take the gardasil vaccine at twelve i book appointment to see gynaecologist next week but the matter dey on my mind,hi i am a twenty one year old female about two weeks ago i realized in the shower that i had two very tiny bumps on my perineum i often get cuts in that area from wiping too hard after defecating the bumps are together almost in a line they cannot be popped and they do not hurt at all i only notice them in the shower i looked online and all i see is genital warts which makes me confused i have had the same partner for two years and we both get regular check ups i received the gardasil vaccine at twelve years old i made an appointment to see an obstetrician gynecologist next week but it is on my mind and bothering me,Speaker_4,50.13,"['bumps', 'perineum', 'genital']",train
audio/Speaker_4/Speaker4-204.wav,hello doctor abeg you fit tell me why i dey feel dizzy or disoriented when my brain expect something to happen but e no happen for example if i try to click somewhere on my computer but e freeze before i notice and the click no work i go feel disoriented and dizzy my vision go jolt and my head go pound for couple of minutes this thing dey happen quite often usually when i no fully focus i be twenty six year old male i don dey experience this for as long as i fit remember i currently dey take thyroxine for hashimoto s disease,hello doctor can you tell me why i feel dizzy or disoriented when my brain expects something to happen but it does not for example if i try to click somewhere on my computer but it freezes before i notice causing the click to be ineffective i feel disoriented and dizzy it jolts my vision and makes my head pound for a couple of minutes this happens quite often usually when i am not fully paying attention i am twenty six years old and male i have had this problem for as long as i can remember currently i am taking thyroxine for hashimoto s disease,Speaker_4,43.43,"['feel', 'dizzy', 'disoriented', 'freezes', 'jolts']",train
audio/Speaker_4/Speaker4-205.wav,i get serious eye pain and headache on top of that i dey feel numbness for my legs and hands my legs dey pain me so much say i no fit even stand still i don dey carry this problem for six months the pain dey start from behind my eyes and go the back of my head my legs dey hurt from hips reach my feet,i have severe eye pain and also a headache i experience numbness in my legs and hands my legs hurt so much that i cannot stand still i have been having this problem for six months my pain starts from behind my eyes and goes to the back of my head my legs hurt all the way from my hips to my feet,Speaker_4,23.59,"['severe', 'eye', 'numbness', 'legs', 'hurt', 'behind', 'eyes', 'head']",train
audio/Speaker_4/Speaker4-206.wav,my fifteen month old baby s stool dey green i dey give am formula milk nan three he no dey show interest in solid foods like idli or rice but he dey take small amounts sometimes so i dey give am cerelac four with dal and vegetables as his main food i dey very confused about the stool colour but e no dey smell e normal once a day abeg you fit clear my doubts about the colour,my fifteen month old baby s stool is green i am giving him formula milk nan three he is not interested in eating solid foods like idli or rice but he sometimes has a little so i am giving him cerelac four with dal and vegetables which is his main food i am very confused about the color of his stool but there is no smell it is normal once a day i have concerns about the color please can you clarify my doubt,Speaker_4,32.26,"['baby', 'formula', 'rice']",train
audio/Speaker_4/Speaker4-207.wav,thank you for contacting hcm i really appreciate your concern based on the history way you provide i want say this if you be medical student you suppose already know say to treat metastasis no be as simple as to treat fever with paracetamol if this na metastasis we suppose find the primary malignancy location first na total team effort and no be something wey we fit properly addresse for this forum i hope say this information help you have a nice day,thank you for asking to hcm i really appreciate your concern based on the history provided here i would say that if you are a medical student then you should know that treating metastasis is not that easy it is not like treating a fever with antipyretics if this is metastasis then the primary lesion of malignancy needs to be found out it is a total team effort and it is not possible to suggest anything through this forum i hope this information helps you have a nice day,Speaker_4,40.91,"['metastasis', 'fever']",train
audio/Speaker_4/Speaker4-208.wav,hi my name na maria i dey work for hospital with rotating shift schedules we don dey on the graveyard shift for seven months now for the first three months i dey fine but as time dey go i don start to feel serious upper back pain recently i also start to notice yellowish phlegm even though i no get any cough,hi i m maria working at a hospital with shifting schedules it has already been seven months since we were assigned to the graveyard shift for the last three months i have been okay but as the succeeding months have progressed i have felt severe upper back pain recently i have noticed yellowish phlegm but i do not have any cough,Speaker_4,28.46,"['hospital', 'severe']",train
audio/Speaker_4/Speaker4-209.wav,i think say after i mop my tile floor about one week ago i get up after about twenty minutes e pain me really badly for the next couple of days i feel better small over the weekend but now i no fit walk without pain trying to use the treadmill dey like serious torture sitting dey okay but standing and bending over dey make me cry,i feel that after mopping my tile floor about a week ago i was able to get up after about twenty minutes it hurt really badly the next couple of days i felt a little better over the weekend but now i can t walk without pain trying to walk on the treadmill is excruciating sitting is okay but standing and bending over is so painful that i cry,Speaker_4,24.96,"['mopping', 'walk', 'sitting', 'standing', 'bending']",train
audio/Speaker_4/Speaker4-210.wav,dear patient treatment for scoliosis depend on how much the spine don curve since he dey fifteen the usual treatment na brace and physiotherapy we also need investigate the cause like wedge or hemi vertebrae if the curvature don reach more than thirty degrees or underlying pathology dey surgery go dey needed abeg make you see expert spine surgeon way dey near make in evaluate you properly scoliosis dey completely curable with right treatment and he go fit continue all his sports even after surgery all the best,dear patient the treatment of scoliosis depends upon the degree of curvature of the spine since he is fifteen the usual treatment is with a brace and physiotherapy we also have to search for the cause of scoliosis such as wedge vertebrae or hemivertebrae if there is pathology leading to scoliosis and curvature greater than thirty degrees it should be treated surgically please visit an expert spine surgeon nearby and get it done scoliosis is completely curable with proper treatment and he can continue all his sports activities even after surgery all the best,Speaker_4,39.58,"['scoliosis', 'brace', 'physiotherapy', 'hemivertebrae', 'spine']",train
audio/Speaker_4/Speaker4-211.wav,an old fracture no dey likely cause new problems at this time but if you dey worried about the helmet causing future issues start regular exercises make you strengthen your neck and shoulder muscles,an old fracture is unlikely to cause any problems at this time to alleviate concerns that the helmet may cause issues in the future you should start regular exercises to strengthen your neck and shoulder muscles,Speaker_4,14.22,"['fracture', 'shoulder']",train
audio/Speaker_4/Speaker4-212.wav,hello i understand your concern but abeg no jump to conclusion of lung cancer that possibility dey very low other smoking related conditions like pleurisy lung infection or bronchitis dey far more likely so abeg tell me one how long you don dey smoke two how many cigarettes you dey smoke per day three you dey experience breathlessness give me answers to those questions so i fit guide you better i go dey happy to help,hello i can understand your concern first of all do not jump to conclusions about lung cancer because the possibility of it is very low the likelihood of other smoking induced lung diseases such as pleurisy lung infection bronchitis etc is much more probable so please let me know one how long have you been smoking two how many cigarettes do you smoke per day three do you experience breathlessness please reply with the answers to the questions above so that i can guide you better i will be happy to help you further,Speaker_4,33.58,"['lung', 'breathlessness']",train
audio/Speaker_4/Speaker4-213.wav,tell me one you dey asthmatic two dem born your baby prematurely,tell me one are you asthmatic two was your baby delivered prematurely,Speaker_4,6.77,"['asthmatic', 'baby', 'delivered']",train
audio/Speaker_4/Speaker4-214.wav,hi how body as you describe am this thing nah the beginning of labour pain usually the cervix wey be the mouth of the womb dey slightly to the left labour pains normally last few seconds and then come back again no panic small vaginal discharge with this pain mean the cervix dey gradually open to confirm if na true labour feel the top of your womb and try press am with your fingers when pain no dey you fit feel the baby parts when pain come the womb go tighten up and i go dey hard like stone you no go feel the baby parts again just having pain alone no be emergency watch out for four things one fetal movement you suppose feel at least four movements after every meal two pain if e dey come more frequent and e dey last longer three leaking you go feel thick fluid wetting your clothes e dey different from normal discharge four bleeding obvious red bleeding for any of these make you seek medical help no panic if na your first pregnancy true labour make you delivery dey usually takes about twelve hours for second pregnancy about six to eight hours all the best,hi how are you doing today as you said it is most probably the beginning of labor pain usually the cervix the mouth of the uterus is slightly to the left pain usually lasts for a few seconds only but reappears do not worry minimal vaginal discharge with this pain indicates that the cervix is gradually opening to confirm about the pain just feel the top of the uterus trying to indent with your fingers when there is no pain you can feel the baby parts when you experience pain the uterus contracts and becomes stony hard you will not feel the baby parts just having pain is not an emergency just note four points one movement you should feel at least four movements after each meal two pain if it is frequent and lasts longer three leak you will feel thick fluid just wetting your clothes not minimal discharge four bleeding obvious red color you will need medical help in all these situations do not panic if this is your first pregnancy it takes about twelve hours for the baby to come out after true labor pain and six to eight hours if it is your second all the best,Speaker_4,92.58,"['seconds', 'cervix']",train
audio/Speaker_4/Speaker4-215.wav,hello i don dey experience plenty gas lately wey dey cause fluttering sensation for my lower chest area i dey think say e dey come from my heart but i believe say e no be cardiac i also dey get frequent heartburn so i been dey take omeprazole for that my stomach don feel better but my stool dey loose with copper colour and e dey float i no sure if na allergy or wetin,hello i have been experiencing a lot of gas lately which is causing a fluttering feeling in my lower chest area i keep thinking it s my heart but i don t believe it is coming from my heart i have also been getting heartburn frequently so i have been taking omeprazole pills for that my stomach feels better but my stool is quite loose and has a copper color and it just floats i am not sure if i have an allergy or what,Speaker_4,31.61,"['chest', 'floats', 'allergy']",train
audio/Speaker_4/Speaker4-216.wav,hi i done go through the comprehensive medical history wey you write about your daughter the tongue biting and urinating during episodes nah signs of seizures the probable diagnosis na epilepsy tongue biting no dey happen in syncope though urinary incontinence dey rarely possible there i suggest make she start empirical antiepileptic therapy and make una watch for response i wish her good response to the medicine,hi i have gone through your daughter s comprehensive medical history written by you the tongue bite and urination indicate that these episodes are seizures the probable diagnosis would be epilepsy a tongue bite is not seen in syncope though urinary incontinence may be rarely observed i suggest that she should be put on empirical antiepileptic therapy and be observed for response i wish her a good therapeutic response to the medications,Speaker_4,31.11,"['urinary', 'inc', 'incontinence', 'antiepileptic', 'therapy']",train
audio/Speaker_4/Speaker4-217.wav,you suppose dey alert but no need to panic entirely moles wey dey grow rapidly suddenly change size or start to bleed na signs wey need oncologist attention,you should be concerned but do not be worried moles growing rapidly or a sudden increase in size or bleeding are all signs that need an oncologist s attention,Speaker_4,12.92,"['moles', 'bleeding']",train
audio/Speaker_4/Speaker4-218.wav,you fit no dey pregnant you fit confirm am by using a urine pregnancy test kit at home if two lines appear you fit dey pregnant you go need confirm am further with ultrasound sonography,you may not be pregnant you can confirm your pregnancy using a urine pregnancy test kit if two lines appear then you may be pregnant you need to further confirm it with a sonography,Speaker_4,15.52,[],train
audio/Speaker_4/Speaker4-219.wav,you suppose give cereals to a baby when e dey three months of age complementary feeding suppose start only when in reach six months,you should not give cereals to a baby at three months of age complementary feeding should be started at six months of age,Speaker_4,9.97,"['baby', 'feeding']",train
audio/Speaker_4/Speaker4-220.wav,hi i dey scared to death i survive breast cancer at forty and the very next year after total hysterectomy i develop infection during ct scan at emergency room dem find small pancreatic lesion my surgeon aspirate am and e come out benign but two months ago i start dey get pain for my mid to lower right abdomen with bloated feeling i try both regular and open mri scan but claustrophobia no let me complete either one now i get a new mri appointment with valium beforehand and ativan in the same iv line as my contrast i dey scared about wetin dey wrong with me and also scared say the ativan no go dey enough to get me through the procedure,hi i am scared to death i survived breast cancer at forty and then the next year after having a complete hysterectomy i developed an infection during a computed tomography scan in the emergency room a small pancreatic lesion was found my surgeon aspirated it and found it to be benign but two months ago i started having pain in my mid to lower right abdomen accompanied by a bloated feeling i have tried both a regular and an open magnetic resonance imaging scan but i have been too claustrophobic to get through either now i have an magnetic resonance imaging scan rescheduled with valium beforehand and ativan in the same intravenous line as my contrast i am scared of what may be wrong and i am scared that the ativan may not be enough to get me through the procedure,Speaker_4,62.22,"['computed', 'tomography', 'small', 'pan', 'lesion', 'mid', 'abdomen', 'regular', 'open', 'magnetic', 'resonance', 'imaging', 'valium', 'ativan', 'intravenous']",train
audio/Speaker_4/Speaker4-221.wav,hello doctor i do gallbladder removal yesterday ever since i wake up from the anaesthesia i don get cough the cough dey cause serious pain for my belly area i call the surgeon s office but dem say i need to see my primary doctor for the cough say e no dey related to the surgery i read online say post surgery cough dey common the pain wey the coughing dey cause for my stomach dey too much,hello doctor i had my gallbladder removed yesterday ever since i woke up from the anesthesia i have had a cough my stomach hurts as a result of the continuing cough i called the surgeon s office to find out why this is happening and to get stronger pain medication but they said i need to see my primary doctor for the cough as it is not related i have read that people have coughs after surgery it is causing so much pain in my stomach,Speaker_4,30.96,"['gallbladder', 'removed', 'stomach', 'hurts', 'called', 'surgeon', 'office', 'coughs']",train
audio/Speaker_4/Speaker4-222.wav,hello there any mass way we find for the kidney go dey treated as cancerous until proper investigation prove otherwise other possible diagnoses nah benign tumour renal tuberculosis or fungal mass you go need staged investigation plan start with the basics complete blood count kidney function tests liver function tests urine routine and urine test for malignant cells further investigation go depend on those results,hello there any mass of the kidney should be considered as malignant until proven otherwise other differential diagnoses would include benign tumor renal tuberculosis or fungal mass you would need a staged investigation profile to document the possibilities start from basic investigations complete blood count kidney function tests liver function tests urine routine and urine for malignant cells further investigation will depend on the results,Speaker_4,37.16,"['kidney', 'renal']",train
audio/Speaker_4/Speaker4-223.wav,post surgical wound healing fit cause that kind of blackening also since he dey on blood thinners he dey more prone to bruising,post surgical wound healing can lead to such blackening additionally due to blood thinners he is more prone to bruising,Speaker_4,13.84,"['wound', 'healing']",train
audio/Speaker_4/Speaker4-224.wav,most of the time them dey benign and harmless but e depend on the nature of the cancer and in characteristics post surgery monitoring go involve regular serum thyroglobulin levels and serial ultrasound scans to see if dem dey grow if dem need am or if suspicious findings show your primary doctor fit consider iodine scans,most often they could be benign or harmless however it depends on the nature of the cancer and its characteristics post surgery monitoring involves serum thyroglobulin levels and serial ultrasound scans to see if they are increasing in size if required or in the case of suspicious findings iodine scans may be considered by your primary doctor,Speaker_4,28.84,"['serum', 'thyroglobulin', 'levels', 'serial', 'ultrasound', 'iodine']",train
audio/Speaker_4/Speaker4-225.wav,start dey stretch your shoulder and upper back muscles and make you add rotation of your upper trunk and ribcage this go definitely reduce your pain also do shoulder shrugs and bracing exercises strengthen your lower trapezius and rhomboid muscles while stretching your pectoralis muscles,you should start stretching your shoulder and upper back muscles and add rotation of the upper trunk and ribcage this will definitely reduce your pain add shoulder shrugging and bracing exercises and strengthen your lower trapezius and rhomboid muscles while stretching your pectoralis muscles,Speaker_4,20.87,"['stretching', 'shoulder', 'rotation', 'trunk', 'ribcage', 'trapezius', 'rhomboid']",train
audio/Speaker_4/Speaker4-226.wav,hi not going to doctor na separate issue wetin dey more important to understand be say a fishy smelling discharge from scrotal swelling fit mean say a connection dey between the abscess and the anus or rectum that na fistula in ano wey dey very difficult to diagnose and treat if dem no treat am now e go recur later getting proper diagnosis and treatment now fit make his future life much more comfortable the bleeding from the anus fit dey comefrom the internal opening of this fistula so abeg convince am make e go see surgeon way go examine him internally now and prescribe proper antibiotics and anti inflammatory medicine sitz bath in warm water high fibre diet and mild laxative dey also very important,hi not going to a doctor is a different issue what is more important to understand is that a fishy smelling discharge from the scrotal swelling can be due to a connection between this abscess and the anus or rectum this is called a fistula in ano which is very difficult to diagnose and treat there will be a recurrence later on if you get a proper diagnosis and treatment now this can make his future life comfortable the bleeding per anus can be from the internal opening of this fistula so please persuade him to see a surgeon who can perform an internal examination now and prescribe appropriate antibiotics and anti inflammatory medications a sitz bath in warm water a high fiber diet and a mild laxative are a must,Speaker_4,61.7,"['scrotal', 'swelling', 'fistula', 'bleeding', 'per', 'anus', 'internal', 'examination', 'antibiotics', 'sitz', 'bath', 'mild']",train
audio/Speaker_4/Speaker4-227.wav,abeg do blood tests for complete blood count blood sugar uric acid and thyroid profile any history of morning stiffness or similar condition dey your family abeg make i know the result,please conduct some blood tests for complete blood count blood sugar uric acid and thyroid profile is there any history of morning stiffness or similar illnesses in your family please let me know,Speaker_4,14.77,"['blood', 'tests']",train
audio/Speaker_4/Speaker4-228.wav,pain on the right side fit be due to liver swelling from various conditions gallbladder disease or right kidney stone all these conditions fit also cause loss of appetite and vomiting so abeg do thorough abdominal ultrasound with kidney ureter and bladder imaging,pain on the right side may be due to swelling in the liver caused by several conditions gallbladder disease or right sided renal stones all these conditions are associated with loss of appetite and vomiting therefore you should go for a thorough abdominal ultrasound with kidney ureter and bladder imaging,Speaker_4,21.14,"['swelling', 'liver', 'gallbladder', 'renal', 'loss', 'appetite', 'abdominal', 'ultrasound']",train
audio/Speaker_4/Speaker4-229.wav,hi my ten year old son don dey diagnosed with immune thrombocytopenic purpura he done receive one immune globulin infusion already his platelet count don drop again to about thirty two thousand i be his mother i get o negative blood and i dey rh positive i fit donate my bone marrow to help him bone marrow transplant fit help his disorder i dey very worried and i ready to do anything wetin i fit do,hi my ten year old son has been diagnosed with immune thrombocytopenic purpura he has received one infusion of immune globulin already his platelet count is low again around thirty two zero i am his mother i have o negative blood i am rh positive also can i donate my bone marrow to help him can he receive bone marrow to help his disorder i am so worried i am willing to do anything to help him what can i do,Speaker_4,39.63,"['immune', 'thrombo', 'bone', 'globulin', 'platelet', 'count', 'low']",train
audio/Speaker_4/Speaker4-230.wav,hello doctor my husband do wisdom tooth extraction because the lower jaw counterpart no erupt he be thirty five years old he no dey experience any problem right now any precautions way we go take the extraction dey necessary sorry for asking late i just dey curious,hello doctor my husband had his wisdom tooth extracted because the counterpart on the lower jaw had not erupted he is thirty five years old he is not experiencing any problems at the moment but are there any precautions we should be taking was the extraction necessary sorry for asking this too late but i am just curious,Speaker_4,19.27,"['tooth', 'jaw', 'extraction']",train
audio/Speaker_4/Speaker4-231.wav,for the past eight years i don dey carry serious stress people often tell me say my pulse dey fast but doctors never send me for further testing my blood pressure dey great my normal resting heart rate dey around one hundred beats per minute but e don reach one hundred and nine before i notice say when i dey distracted and no dey think about my troubles my heart rate dey drop by twelve beats within ten minutes e still dey indicate tachycardia i be fifty seven years old five feet five and i dey weigh one hundred and thirty pounds,for the past eight years there has been significant stress in my life i am often told that my pulse is fast but doctors have never sent me for further testing my blood pressure is great my typical heart rate is around one hundred beats per minute but has gone up to one hundred and nine i notice that if i am distracted and not thinking about the troubles in my life my heart rate goes down by twelve beats within ten minutes does this still indicate tachycardia i am fifty seven years old five feet five inches tall and weigh one hundred and thirty pounds,Speaker_4,40.41,"['pulse', 'blood', 'pressure', 'heart', 'rate', 'beats', 'per', 'minute', 'tachycardia']",train
audio/Speaker_4/Speaker4-232.wav,hello i hope say you dey well ct scan no be the recommended follow up tool for gallbladder polyp conventional abdominal ultrasound every six to twelve months be the right approach with special attention to any behaviour change growth or development of gallstones ct scan of the abdomen dey more useful for actual gallbladder cancer where e go better assess vascular invasion and extra organ spread to help decide treatment,hello i hope you are well computed tomography is not a study indicated in the follow up of a gallbladder polyp the study indicated is a conventional abdominal ultrasound every six to twelve months with special attention to behavior growth and presence of lithiasis the abdominal computed tomography is useful in cases of gallbladder cancer since it can better assess the vascular and extra organic invasion to decide which treatment to implement,Speaker_4,31.64,"['computed', 'tomography', 'gallbladder', 'conventional', 'abdominal', 'ultrasound']",train
audio/Speaker_4/Speaker4-233.wav,hello i dey get constant pain for my lower right side during and after sex and e don dey go on for about four months now e feel like somebody dey grab something inside and no dey let go i done remove my appendix couple of years ago so that one no be the issue abeg help me understand wetin this fit be,hello i have a constant pain in my lower right side during and after sexual intercourse it has been going on for about four months now it feels like someone is clenching onto something and not letting go i had my appendix removed a couple of years ago so it is not that please let me know,Speaker_4,24.61,"['constant', 'side', 'clenching', 'onto', 'something', 'appendix', 'removed']",train
audio/Speaker_4/Speaker4-234.wav,palpitations or racing heart usually develop when abnormality in how the heart dey generate or conduct electrical impulses them fit interfere with daily life and routine activities sometimes only hollow feeling or fluttering occur without any actual heart disease you need go get ecg during the episode if possible or make you wear twenty four hour holter monitor to confirm whether any rhythm disturbance dey if rhythm problem dey you go likely need a beta blocker,palpitations or a fast heartbeat usually develop when there are abnormalities in pulse generation or conduction in the heart they can hinder daily activities and routine work sometimes only a hollow feeling occurs without actual heart disease you need to have an electrocardiogram during the episode if possible or a twenty four hour holter monitor recording to confirm any rhythm disturbance if there is a disturbance you will require a beta blocker,Speaker_4,39.28,"['palpitations', 'pulse', 'hollow', 'feeling', 'electrocardiogram', 'beta']",train
audio/Speaker_4/Speaker4-235.wav,my friend faith don dey on chemotherapy for almost four years for pancreatic cancer for the past four weeks plenty problems don come at once first na pancreatitis then she get flu shot wey cause different illnesses last thursday after chemo she become very sick her kidneys dey pain her her lower back dey hurt her stomach dey pain she get low grade fever and she dey describe serious headache on the left side wey dey worse than migraine she also get orange urine and stool wetin all this thing mean,my friend faith has been on chemotherapy for almost four years she has pancreatic cancer in the last four weeks she has experienced numerous problems first she had pancreatitis then she received a flu shot which caused various illnesses last thursday she had her chemotherapy and became very sick her kidneys hurt she has low back pain her stomach hurts she has a low grade fever and she reports a really bad headache on the left side of her head that is worse than a migraine she also has orange urine and stool what does this all mean,Speaker_4,39.46,"['chemotherapy', 'pancreatic', 'flu', 'kidneys', 'stomach', 'low', 'headache', 'side', 'her', 'head', 'orange']",train
audio/Speaker_4/Speaker4-236.wav,i dey seventy four years old i test positive for tuberculin skin test at age twelve before basketball game and again at twenty two during military enlistment physical i dey react badly to isoniazid therapy my liver panel jump from twenty three to two hundred and eleven now i dey on rifampin wetin suppose be my top five concerns going forward,i am seventy four years old i tested positive on my tuberculin skin test when i was twelve years old pre basketball and at age twenty two years old during my military pre enlistment physical i reacted poorly to isoniazid therapy my liver panel went from twenty three to two hundred and eleven i am now on rifampin what should be my top five concerns,Speaker_4,41.93,"['seventy', 'positive', 'tuberculin', 'test', 'pre', 'basketball', 'isoniazid', 'therapy', 'liver', 'rifampin']",train
audio/Speaker_4/Speaker4-237.wav,she no suppose take ibuprofen on empty stomach take ranitidine tablet along with am to protect the stomach,she should not take ibuprofen on an empty stomach take a tablet of ranitidine along with this,Speaker_4,10.45,"['ibuprofen', 'tablet', 'ranitidine']",train
audio/Speaker_4/Speaker4-238.wav,hello i done go through your question and i understand your concern you supposed to dey a bit worried but not too much you fit take nitrofurantoin one tablet three times daily after meals for five to seven days because the infection still dey there for normal gut bacteria restoration take enterogermina one sachet twice daily for five days then vizylac one capsule once daily for one month to treat dysbiosis add enzyme syrup for better food absorption for gas and bloating give one charcoal tablet daily for five days to absorb toxins and gases i hope say this thing answer your question if you get more questions no hesitate to write am i go dey happy to answer you i dey wish you and your baby good health,hello i have gone through your question and understand your concerns you should be worried but not too much you may give nitrofurantoin one tablet three times a day after meals for five to seven days because he still has an infection for normal flora you can give enterogermina one sachet twice a day for five days then vizylac one capsule once a day for one month for the treatment of dysbiosis please add enzyme syrup for better absorption of food for flatulence you can give one tablet of charcoal daily for the absorption of toxins and gases for five days i hope this answers your question if you have additional questions or follow up questions then please do not hesitate to write to us i will be happy to answer your questions wishing you and your baby good health,Speaker_4,60.27,"['nitrofurantoin', 'tablet', 'gone', 'twice', 'vizylac', 'daily', 'toxins']",train
audio/Speaker_4/Speaker4-239.wav,i don dey suffer from lower back pain wey dey send burning sensation along my waistline i dey sleep sitting up so i fit stand up easily when i need use the bathroom to try walk dey cause serious pain wey dey stop me in my tracks the pain dey only on my right side i also be type 2 diabetic with osteoarthritis wetin i fit do to get back to living pain free i also no fit lift my right arm because of severe pain,i have suffered from lower back pain that sends a burning sensation along the waistline i stay in bed as sitting up while sleeping in order to get up when i need to use the bathroom it hurts when i try to walk and the pain will stop me in my tracks it is only on the right side of my body i am also a type two diabetic and i have osteoarthritis what can i do to get me back to being pain free i also cannot lift my right arm due to severe pain,Speaker_4,32.66,"['stay', 'sitting', 'up', 'sleeping', 'hurts', 'arm']",train
audio/Speaker_4/Speaker4-240.wav,hello i done review the symptoms you mention but you no provide how long he don dey take the medicines anyway opioids dey typically prescribed for acute post surgical pain relief for just the first few days if e don be more than one week since the surgery no reason dey to continue opioids make you switch to simple painkillers like tramadol and paracetamol he no go feel the need for opioids anymore,hello i have reviewed the symptoms you have mentioned but you did not provide the duration he has been taking the medications anyway opiates are prescribed for acute pain relief following surgery mainly for the first few days only if it has already been more than a week since his surgery then there is no need to continue taking these medications shift him to simple painkillers like tramadol and paracetamol this way he will not feel any need for opiates,Speaker_4,30.49,"['opiates', 'painkillers', 'tramadol', 'paracetamol']",train
audio/Speaker_4/Speaker4-241.wav,dear friend welcome to health care management this thing fit dey related to alcohol consumption if you no dey consume alcohol i suggest say you do the following one viral markers test two abdominal ultrasound three complete liver function tests make you stay healthy,dear friend welcome to health care management it could be due to alcohol consumption if you do not consume alcohol i would suggest the following one viral markers two ultrasound of the abdomen three complete liver function tests stay healthy,Speaker_4,18.54,"['viral', 'markers', 'ultrasound', 'liver']",train
audio/Speaker_4/Speaker4-242.wav,i dey get shortness of breath and pain on the lower right side of my back when i breathe in especially when i dey sit or lie down in the evening i also dey get pinched nerve problem for my neck wey dey cause neck and shoulder pain unfortunately i dey travel right now,i have shortness of breath and pain in the lower right side of my back when breathing in while sitting or lying down in the evening i also have a problem with a pinched nerve in my neck that is causing pain in my neck and shoulder unfortunately i am traveling,Speaker_4,18.74,"['shortness', 'breath', 'side', 'sitting', 'lying', 'down', 'pinched', 'nerve', 'shoulder']",train
audio/Speaker_4/Speaker4-243.wav,any ayurvedic treatment wey no go require intestinal transplant my friend mistakenly drink toilet cleaner acid wey badly damage his intestine the doctors say dem go need to transplant his intestine abeg help any treatment option without transplant dey and if transplant must happen ayurvedic treatment fit help him fully recover afterwards,is there any treatment without intestinal transplantation in ayurveda actually by mistake my friend consumed toilet cleaner acid which badly damaged his intestine the doctors will have to transplant his intestine please help me if there is any treatment without intestinal transplantation or if transplantation is needed then after transplantation can he be completely cured by ayurvedic treatment,Speaker_4,28.49,[],train
audio/Speaker_4/Speaker4-244.wav,my nine year old son see doctor this past monday the doctor say his sinuses don get very swollen and blocked the diagnosis na sinus infection and seasonal allergies my son dey also complain of stomach pain the doctor examine his belly and no find anything it don be almost five days and he still dey very uncomfortable at school he dey take amoxicillin and loratadine anything way we fit do to help with the belly pain,my nine year old son saw a doctor this past monday the doctor said his sinuses were very swollen and clogged the diagnosis was a sinus infection and seasonal allergies my son was also complaining about stomach pain the doctor examined his abdomen and did not find anything it has been almost five days and he is so uncomfortable at school the treatment is amoxicillin and loratadine is there anything we can do for the abdominal pain,Speaker_4,37.31,"['sinuses', 'swollen', 'seasonal', 'stomach', 'abdomen', 'almost', 'amoxicillin', 'loratadine', 'abdominal']",train
audio/Speaker_4/Speaker4-245.wav,i get stomach pain from lifting heavy gas cylinder at home sometimes the pain dey in my back usually below my chest and toward the left side of my body this pain dey always come when i pick up or lift heavy things abeg provide solution i don already try many medicines,i have pain in my stomach due to lifting a heavy cylinder at home sometimes the pain is in my back and usually below my chest and towards the left part of my body this pain always comes when i pick up or lift heavy things please provide a remedy as i have taken all the medications,Speaker_4,18.64,"['stomach', 'heavy', 'sometimes', 'below', 'chest']",train
audio/Speaker_4/Speaker4-246.wav,hi dem don diagnose me with migraines before but the recent episodes don dey strange the pain dey start at the base of my skull in the spine e dey feel like knives with heavy pressure then e go spread throughout my head during these headaches my eyes dey twitch with my heartbeat and nothing i fit do to stop am i go do mri scan soon and i get optometrist appointment coming up any help go dey appreciated,hi i have been diagnosed with migraines in the past but the recent events have been very strange the pain starts at the base of my skull in my spine feels like knives and a lot of pressure then moves to the rest of my head during these headaches my eyes twitch with my heartbeat and there is nothing i can do to stop it i am going for a magnetic resonance imaging scan soon and have an appointment with an optometrist coming up any help would be greatly appreciated,Speaker_4,32.01,"['migraines', 'skull', 'spine', 'knives', 'magnetic', 'resonance', 'imaging', 'scan']",train
audio/Speaker_4/Speaker4-247.wav,i dey fifteen years old and this morning i wake up with painful lump for my right armpit yesterday i get my period with very painful cramps the lump fit dey connected to my period abeg help i dey very worried say this thing fit be breast cancer or some kind of infection,i am fifteen years old and today i woke up with a lump in my right armpit that is quite painful yesterday i got my period and i always have very painful cramps could this have something to do with that please help i am very worried i may have breast cancer or some type of infection,Speaker_4,18.02,"['lump', 'breast']",train
audio/Speaker_4/Speaker4-248.wav,make you do complete hepatitis profile and liver enzyme tests if you test positive for hepatitis b e dey serious and you go need to start treatment immediately,get your complete hepatitis profile along with liver enzymes if you are tested positive for hepatitis b then it is of concern as you would have to start treatment immediately,Speaker_4,12.49,[],train
audio/Speaker_4/Speaker4-249.wav,e fit be a thick fluid collection effusion wey the ultrasound miss or it fit be mass lateral view x ray fit help clarify the diagnosis,it may be a thick effusion that is missed on ultrasonography or a mass a lateral view would help in arriving at a diagnosis,Speaker_4,11.59,"['thick', 'eff']",train
audio/Speaker_4/Speaker4-250.wav,welcome to hcm this thing fit be symptom of coronary artery disease abeg urgently check your blood pressure do ecg echocardiography and chest x ray for posteroanterior view no delay at all also check your blood sugar levels,welcome to hcm it could be a symptom of coronary artery disease please undergo blood pressure check electrocardiogram echocardiography and chest x ray in posteroanterior view as soon as possible do not delay also get assessed for blood sugar level,Speaker_4,16.07,"['electrocardiogram', 'chest']",train
audio/Speaker_4/Speaker4-251.wav,hi this tin no dey come from your infection or your lymph nodes you fit done pull a neck muscle but you fit also get a disc problem for your neck this thing go need proper evaluation to determine if you go need cervical mri,hi this isn t from your infection or your lymph nodes you may have a pulled neck muscle but you may also have a disk problem in your neck so you need to have this evaluated to see if you need a magnetic resonance imaging scan of your neck,Speaker_4,16.64,[],train
audio/Speaker_4/Speaker4-252.wav,sex na serious exercise if you fit climb one flight of stairs without becoming short of breath then your heart go dey strong enough for sexual activity but if you feel any shortness of breath chest pain dizziness or palpitations if you dey get sex make you stop immediately and make you go seek medical attention,sex is very vigorous exercise if you are able to climb a flight of stairs without becoming short of breath at all your heart should theoretically be healthy enough for sexual activity of course if you feel any shortness of breath chest pain dizziness or palpitations you should stop and seek medical attention,Speaker_4,21.04,"['climb', 'short', 'breath', 'shortness', 'chest']",train
audio/Speaker_4/Speaker4-253.wav,i dey on implanon and i never see my period for one year out of nowhere i get cramps and the next morning i wake up dey bleed also i dey take topamax wey i know say e dey reduce the effectiveness of birth control wetin be the chances say i fit get pregnant,i am on implanon and haven t had my period in a year out of nowhere i got cramps and the next morning woke up with bleeding also i have been taking topamax which i know decreases the effect of the birth control what are the chances i could get pregnant,Speaker_4,22.49,"['cramps', 'next', 'morning', 'topamax']",train
audio/Speaker_4/Speaker4-254.wav,my six year old son done finish his last dose of antibiotics this morning last monday dem diagnose am with strep throat and he also develop hand foot and mouth disease all rashes don clear and he no dey complain but just now he been dey outside and he dey walk in front of his twelve year old brother when plastic bat hit him for head he no cry he just come inside and lie down on the couch his eyes look glassy and he feel warm to touch i check his temperature ninety nine point nine degrees fahrenheit then one hundred degrees but he dey hungry he eat three slices of pizza and he dey up and playing now fit be from the hit or he dey sick again,my six year old son took his last dose of antibiotics this morning last monday he was diagnosed with strep throat and came down with hand foot and mouth disease all rashes are gone and he has no complaints shortly ago he was outside and walked in front of his twelve year old brother when a plastic bat hit him in the head he did not cry but came in and got on the couch he had glassy eyes and felt warm to the touch i checked his temperature and it was ninety nine point nine degrees fahrenheit then i checked again and it was one hundred degrees fahrenheit he was hungry and ate three pieces of pizza and now is up playing could this be from the hit or is he sick again,Speaker_4,54.15,"['antibiotics', 'last', 'monday', 'rashes', 'shortly', 'outside', 'cry', 'glassy', 'eyes', 'temperature', 'ninety', 'point', 'degrees', 'fahre', 'fa', 'sick']",train
audio/Speaker_4/Speaker4-255.wav,the accident wey you get cause injury to multiple bones but you fit also done injure your lower back especially the disc for that time when you get severe injury you fit no notice disc pain immediately because you dey carry so much overall pain as you start to bear weight the bulging disc begin dey cause pain also abnormal posture from the injury dey put extra load on the lower back joints wey dey increase pain further,you had an accident that resulted in injury to multiple bones however you might have sustained injury to your lower back at that time especially in the disc in a severe injury you might not have noticed pain due to disc prolapse as you have started bearing weight the disc might have been bulging causing pain another factor is that abnormal posture leads to abnormal weight bearing which increases the load across the lower back leading to pain across the joint,Speaker_4,31.46,['disc'],train
audio/Speaker_4/Speaker4-256.wav,i dey six months pregnant and my husband dey show symptoms wey look like prostatitis he also dey get mild night sweats my ob gyn diagnose me with uti and i dey on antibiotics sex dey put the baby at risk he no fit ejaculate right now he say when he try e dey itch him seriously,i am six months pregnant and my husband is experiencing symptoms that seem to be prostatitis he is also having some mild sweating at night i have been diagnosed with a urinary tract infection by my obstetrician gynecologist and i am on antibiotics is sex putting the baby at risk he cannot ejaculate right now he says it itches really badly when he tries,Speaker_4,23.74,"['symptoms', 'mild', 'sweating', 'urinary', 'infection', 'ejaculate', 'itches']",train
audio/Speaker_4/Speaker4-257.wav,hello i be forty year old female wey dey smoke two days ago i just pass out for my bathroom for no obvious reason when i wake up i no know wetin happen recently i also get vein burst for my left calf muscle these two incidents fit dey connected and which kind of doctor way i go see for this kind of situation,hello i am a forty year old smoking female and two days ago i passed out in my bathroom for no apparent reason when i awakened i did not know what had happened i also had a vein in my left calf muscle burst earlier could these two incidents be related and what type of doctor would i see for a situation like this,Speaker_4,22.81,"['passed', 'out', 'bathroom', 'calf', 'muscle']",train
audio/Speaker_4/Speaker4-258.wav,molluscum contagiosum dey completely disappear after treatment and no dey come back unlike hpv wey dey remain in the body even after treatment dem de use cryotherapy for molluscum contagiosum too and the lesions no come back after treatment e dey different from hpv,molluscum contagiosum once it disappears will not come back after treatment whereas human papillomavirus remains even though it has been treated cryotherapy is given even for molluscum contagiosum and the lesions do not come back unlike human papillomavirus,Speaker_4,23.11,"['papillomavirus', 'cryotherapy', 'lesions']",train
audio/Speaker_4/Speaker4-259.wav,hello i believe say even if you no dey breastfeed you fit still become pregnant early so you fit take urine pregnancy test two weeks after unprotected sex,hello i believe that if you are not breastfeeding then you can become pregnant early as well therefore you can take a urine pregnancy test after two weeks of unprotected intercourse,Speaker_4,10.3,['unprotected'],train
audio/Speaker_4/Speaker4-260.wav,hi to help you well i need to first know which part of the body the tuberculosis dey nah the lung tb bone tb or lymph node tb,hi to help you better i need to know first of all what organ of the body that person has tuberculosis in is it tuberculosis of the lungs tuberculosis of the bone or tuberculosis of the lymph nodes,Speaker_4,11.89,['tuberculosis'],train
audio/Speaker_4/Speaker4-261.wav,no the surgery no supposed to dey cause pain at this point there fit be some vertebral degeneration way de happen back pain fit come from body weight injury or the spine itself your calf muscles fit dey tight e fit dey contribute to the pain make you apply hot pack to your calves and back for ten to fifteen minutes make you do ankle and toe movements stretching the calf muscles go help too when the pain settle down back exercises go dey beneficial ultrasound therapy and laser therapy go help well well make you avoid brisk walking for few days until the pain reduce and make you go for proper check up,no there is no reason to have pain because of the surgery there might be some degeneration of your vertebra back pain can be caused by body weight injury or issues with the spine itself your calf muscles may be tight which is why it hurts apply a hot pack on your calf muscles and back for ten to fifteen minutes do ankle and toe movements stretching your calf muscles will also help back exercises later when the pain subsides will also be beneficial ultrasound and laser therapy will help you a lot avoid brisk walking for a few days until the pain subsides and get a check up as well,Speaker_4,41.61,"['calf', 'hot', 'pack', 'minutes', 'stretching', 'laser', 'therapy']",train
audio/Speaker_4/Speaker4-262.wav,i wake up this morning and i see say my right cheek done swell e get red mark and e dey pain me to touch like pimple way big but when i bend my head down the swollen cheek dey feel heavy i dey wonder if na ingrown hair or food allergy to something i chop last night and pimple just happen to coincide,i woke up this morning and my right cheek is swollen i have a red mark and it hurts to touch like a big pimple however when i bend my head down the swollen cheek feels heavy i was wondering if it is an ingrown hair or a food allergy to something i ate last night and a pimple just happened to be there,Speaker_4,22.79,"['morning', 'cheek', 'red', 'mark', 'pimple']",train
audio/Speaker_4/Speaker4-263.wav,i dey take one laveta m capsule at night my doctor prescribe am when i tell am say i dey experience wheezing attacks at night i don get asthma diagnosis for eight years now i just wan know how long i suppose continue dey take this tablet,i am using one laveta m capsule per night i was prescribed this medicine when i told my doctor that i am experiencing wheezing attacks at night i have been diagnosed with asthma for eight years so i just wanted to know how long i should continue with this tablet,Speaker_4,16.14,"['capsule', 'wheezing', 'attacks']",train
audio/Speaker_4/Speaker4-264.wav,we lose our baby at twenty weeks and five days my wife start dey bleed and we rush go hospital the bleeding continue and after some time her water break the doctor check through the vagina and find the cord lying there inside dem induce labour to bring out the baby as quickly as possible knowing say the baby no go survive you get any idea why this thing happen so suddenly,we lost our baby at twenty weeks and five days my wife started bleeding and we rushed to the hospital the bleeding continued and some time later her water broke the doctor checked through the vagina and saw the cord lying in the vagina and they had to induce labor to retrieve the baby as soon as possible knowing the baby would not survive do you have any suggestions on reasons why this happened so suddenly,Speaker_4,27.26,"['baby', 'wife', 'rushed', 'some', 'time']",train
audio/Speaker_4/Speaker4-265.wav,e depend on whether he get a reversible condition or not better to get second opinion before starting dialysis unless you already dey receive care from your family doctor,it depends on whether he has a reversible condition or not it is better to obtain a second opinion before proceeding with dialysis unless you are receiving treatment from your family doctor,Speaker_4,13.49,"['reversible', 'condition']",train
audio/Speaker_4/Speaker4-266.wav,i don dey carry back pain since last autumn as a university rower i go see a sports medicine orthopaedist initial suspicion na stress fracture but mri show degeneration at l5 s1 and herniations at l2 l3 and l4 l5 i don try prescriptions cortisone injections and physiotherapy little improvement for december part of my right thigh go numb just skin deep and e never go away this week during training the numbness get worse and i experience muscle weakness for my thigh like somebody remove the muscle i no sure wetin to do next,i have had back pain since last fall as a collegiate rower i was seen by a sports medicine orthopedist the initial thought was a stress fracture an mri showed degeneration at l5 s1 and herniations at l2 l3 and l4 l5 i have had prescriptions cortisone shots and physical therapy with little help in december part of my right thigh went numb but only skin deep and it hasn t gone away this week during practice the numbness of the surface became more prominent and i had weakness as if someone had taken the muscle out of my thigh i m not sure what to do now,Speaker_4,45.53,"['mri', 'degeneration', 'last', 'herniations', 'collegiate', 'thigh', 'numbness', 'muscle']",train
audio/Speaker_4/Speaker4-267.wav,make you avoid hockey for now until you fully feel one hundred percent with no headache for most people symptoms like these dey mprove within few days to a couple of weeks you suppose dey fine,avoid hockey for now until you feel back to one hundred without a headache otherwise most symptoms improve over a few days to weeks and you should be fine,Speaker_4,14.14,['symptoms'],train
audio/Speaker_4/Speaker4-268.wav,hello i don dey live with pleurisy since i be pikin e don dey with me for many years lately i don start dey cough up blood and i don come down with bronchitis my skin don take on a more bluish shade though it always been dey slightly purple tinged for as long as i fit remember i need advice because i no know if thing fit be tuberculosis i never dey tested for it and plenty of my symptoms fit match tb,hello i have pleurisy and have had this for many years ever since i was a child lately i have been coughing up blood and have contracted bronchitis my skin has taken on a more blue shade although it has always been tinged purple for as long as i can remember i need some advice on what to do because i do not know if it could be caused by tuberculosis since i have never been tested for it and a lot of the symptoms are related to my diagnosis,Speaker_4,35.46,"['pleurisy', 'coughing']",train
audio/Speaker_4/Speaker4-269.wav,human chorionic gonadotropin hcg dey give me breast cancer or i go harm my liver given say i get hepatitis c i get hepatitis c and i do interferon treatment three years ago wey no work breast cancer also dey on my mother s side of the family i done get three lumpectomies all benign hcg goput me at greater risk for breast cancer or e go worsen my hepatitis c i currently no dey take any hormones because of my breast cancer history wetin you go tell me about this hormone,will human chorionic gonadotropin cause me to get breast cancer or will it hurt my liver with hepatitis c i have hepatitis c and underwent interferon treatment three years ago which did not work additionally i have had breast cancer in my mother s side of the family i have had three lumpectomies all benign will human chorionic gonadotropin hurt me regarding breast cancer or my hepatitis c i currently do not take hormones due to my breast cancer history what about this hormone,Speaker_4,42.91,"['liver', 'gonadotropin', 'hormones', 'breast']",train
audio/Speaker_4/Speaker4-270.wav,hello doctor my fiancé use him finger and rub him penis on my vagina we no get intercourse and i no sabi if semen dey on his penis or fingers i dey on my fifth day of period the bleeding stop on the second day i get regular menstrual cycle four days later i notice plenty white sticky mucus for the evening when na my ovulation day i fit still get pregnant from this penetration no dey i dey also experience lower back pain belly pain fast heartbeat and stomach issues i dey very worried,hello doctor my fiancé fingered and rubbed his penis on my vagina there was no intercourse and i have no clue if there was semen on his penis or fingers i was on the fifth day of my period the bleeding stopped on the second day i have a regular menstrual cycle four days later i experienced a high quantity of white sticky mucus in the evening when is my ovulation day can i still get pregnant there was no intercourse i am experiencing lower back and abdominal pain a high heartbeat and gastric issues i am worried,Speaker_4,39.13,"['fianc', 'bleeding', 'abdominal', 'high']",train
audio/Speaker_4/Speaker4-271.wav,c4 c5 dey mild to moderate disc height loss with two millimeter central disc protrusion the spinal canal dey mildly narrowed with slight indentation for the thecal sac but neural foramina dey patent c5 c6 also dey show mild to moderate disc height loss with one to two millimeter broad based disc protrusion but spinal canal and neural foramina dey patent here wetin all of this mean for my health,c4 c5 mild to moderate disc height loss with a two millimeter central disc protrusion the spinal canal is mildly narrowed with slight indentation of the thecal sac the neural foramina are patent c5 c6 there is also mild to moderate disc height loss with a one to two millimeter broad based disc protrusion but the spinal canal and neural foramina are patent what does this mean,Speaker_4,39.66,"['mildly', 'moderate', 'disc', 'height', 'loss', 'central', 'slight', 'indentation', 'thecal', 'neural']",train
audio/Speaker_4/Speaker4-272.wav,my friend don dey brain dead she only dey breathe six breaths per minute her whole body don swell up she don come off life support how long she fit survive for this condition,my friend is brain dead and is only breathing six breaths per minute her whole body is swollen she is off life support how long can she live in this condition,Speaker_4,15.02,"['breaths', 'whole', 'body', 'swollen', 'long']",train
audio/Speaker_4/Speaker4-273.wav,hello there dem take me go hospital for ambulance because of chest pain i be forty eight years old and i no feel well throughout the day i wake up with chest pain wey disappear but later that evening the pain return more severe when i reach hospital and dem do blood test my troponin level dey at ten by ten am by one am a second test show say the troponin don jump to one thousand five hundred dem check my heart with angiogram dem no find any damage then dem rule out lung clot too all of dem dey negative why i get such high troponin levels,hello there i was taken to the hospital by ambulance with chest pain i am forty eight years old and did not feel well all day i woke up with chest pain which disappeared but later that evening the chest pain became more severe upon arrival at the hospital after a blood test my troponin level was ten at ten am then a further test was conducted at one am and my troponin level increased to one five hundred my heart was tested with an angiogram and no damage was found i then had a check to ensure i did not have a lung clot and all results were negative why did i have such a high troponin level in my blood,Speaker_4,49.5,"['taken', 'hospital', 'ambulance', 'chest', 'arrival', 'troponin', 'increased', 'heart', 'angiogram', 'damage', 'check', 'lung', 'high']",train
audio/Speaker_4/Speaker4-274.wav,hi this na my question i dey twenty weeks pregnant and i know say as pregnancy progress vaginal discharge suppose increase but for the past three to four days i notice say the discharge don reduce significantly almost nothing dey come out this thing nah something i suppose dey worried about,hi my question is this i am twenty weeks pregnant and i know that as pregnancy progresses you are supposed to experience an increase in vaginal discharge however in the last three or four days i have had a significant decrease in discharge almost to the point of no discharge is this something that i should worry about,Speaker_4,21.69,[],train
audio/Speaker_4/Speaker4-275.wav,psoriasis according to research way dey new na a chronic inflammatory reaction wey certain common foods wey we chop regularly fit trigger if you wan understand am better go get blood serum tests for milk wheat potato chickpeas eggs nuts rice and other common foods wey you chop daily eliminate them from your diet based on the results and you go see improvement within few weeks dexamethasone no dey recommended instead try methotrexate two point five milligrams twice weekly plus the antihistamine ebastine ten milligrams daily apply calamine lotion mixed with salicylic acid ointment directly for the affected skin,psoriasis in newer studies is described as a chronic inflammatory reaction caused by one or more common foods that we consume if you want to know more you need to get blood serum tests for milk wheat potato chickpeas eggs nuts rice or any common food you eat daily eliminate them from your diet according to the test results and you will recover in a few weeks dexamethasone is not recommended instead you can take methotrexate two point five milligrams twice a week and add the antihistamine ebastine ten milligrams daily apply calamine lotion on the skin mixed with salicylic acid ointment locally on the affected areas of the skin,Speaker_4,52.0,"['dexamethasone', 'methotrexate', 'point', 'milligrams', 'twice', 'antihistamine', 'daily', 'calamine', 'reaction', 'salicylic', 'acid']",train
audio/Speaker_4/Speaker4-276.wav,hi i dey on cerazette and for the past four days i no dey feel like myself at all i dey struggle to sleep at night feeling tired during the day and generally just feeling off now i dey also experience wetin dey feel like strong period pains together with serious lower back ache i fit dey pregnant,hi i am on cerazette and for the last four days i haven t felt like myself i have been struggling to sleep at night feeling tired during the day and experiencing general feelings of unwellness i now have what feels like period pains quite strong along with a really bad lower back ache could i be pregnant,Speaker_4,20.17,"['last', 'struggling', 'sleep', 'tired', 'period']",train
audio/Speaker_4/Speaker4-277.wav,hello doctor i be twenty year old female my height nah five feet two inches weight sixty five kilograms i do sex with my fiancé few days ago and i dey sexually active before that too i never see my period last month and this go be the second month if e no come i don take plenty tests and all come back negative i no wan visit any doctor abeg advise me on wetin i fit take to bring my period also just in case i dey pregnant how i fit resolve am quickly with medication make i no go see doctor abeg help me,hello doctor i am twenty years old with a height of five feet two inches and a weight of sixty five kilograms i had sexual intercourse with my fiancé a few days ago and i was active even before that i did not have my period last month and this will be the second month if my period does not come i have tested numerous times and the results were negative i do not want to visit any doctor please advise what i should take that can help me with my period also in case i am pregnant how can i resolve it with quick medication without going to any doctor please help,Speaker_4,39.21,"['weight', 'medication']",train
audio/Speaker_4/Speaker4-278.wav,hello doctor i dey abroad right now specifically for mauritius i arrive five days ago and mosquitoes don bite me all over now i get a lump under my chin wey dey pain me when i look up and when i touch am i no know wetin to do,hello doctor i am abroad at the moment and actually in mauritius i arrived five days ago and have been bitten all over by mosquitoes i now have this lump underneath my chin which hurts when i look up and when i touch it i am not sure what to do,Speaker_4,15.59,"['abroad', 'lump']",train
audio/Speaker_4/Speaker4-279.wav,i get treatment for trichomoniasis on saturday the doctor give me injection for my yansh and also write prescription i fill the prescription on monday and start dey take the medicine for the first time that same monday but i also do sex with my boyfriend that same monday dem never treat am i fit dey reinfected even though i just start my trichomoniasis medicine on day one and do sex the same day,i was treated for trichomoniasis on saturday the doctor gave me a shot in the buttocks and provided me with a prescription to be filled i filled the prescription on monday also i started taking the medication for the first time on monday but i had sexual intercourse with my boyfriend that same day he has not been treated can i be reinfected even though i just started taking my medication for trichomoniasis on the first day and had sexual intercourse that same day,Speaker_4,29.66,"['trichomoniasis', 'buttocks', 'medication', 'sexual', 'intercourse', 'reinfected']",train
audio/Speaker_4/Speaker4-280.wav,i sprain my ankle seven days ago and i still dey feel tingling on the top of my foot i don sprain am many times over the years but this one na the worst by far it take about two days before i fit waka again make i just ride am out or the tingling dey there for a specific reason,so i sprained my ankle seven days ago and i am still experiencing tingling on the top of my foot i have sprained it many times over the years but this is the worst it took about two days for me to be able to walk on it should i ride it out or is the tingling still present for a reason,Speaker_4,19.72,['tingling'],train
audio/Speaker_4/Speaker4-281.wav,yes you fit start dey try to conceive from now e fit just take a bit more time because of hormonal imbalance but once the hormones balance out you go dey able to conceive,yes you can try to conceive from now it may take some more time because of hormonal imbalance but if it is corrected you will be able to conceive,Speaker_4,12.04,[],train
audio/Speaker_4/Speaker4-282.wav,i don dey carry low back pain and upper back pain for twenty seven years opioids no dey help and most muscle relaxants no dey help either mri show two nerves dey impinged on the lower left side and my sacroiliac joint dey extremely painful the pain dey get worse every day and i dey almost ready to give up i no fit bear am much longer my days consist of lying down ten to twelve times a day just make i get enough relief make i do basic housework and cooking i be disabled registered nurse and i dey desperately seek relief i dey very angry at this constant pain clydia jackson,i have suffered from low back pain and upper back pain for twenty seven years opiates do not help and most muscle relaxants do not help either a magnetic resonance imaging scan shows that i have two nerves impinged on the lower left side and the sacroiliac joint is very painful the pain is worsening and i am ready to give up i cannot bear this pain much longer my days consist of lying down ten to twelve times a day to get some relief in order to do the basic tasks related to housekeeping and cooking i am a disabled registered nurse and i am desperately seeking relief from this pain i am angry at this constant pain clydia jackson,Speaker_4,46.8,"['opiates', 'muscle', 'relaxants', 'magnetic', 'resonance', 'imaging', 'nerves', 'impinged', 'sacroiliac', 'joint', 'painful', 'lying', 'down']",train
audio/Speaker_4/Speaker4-283.wav,hello e go dey related to trauma if you no dey experience any pain or weakness you fit try apply ice pack and try rest the area if e no improve go see orthopaedic doctor,hello it could be due to trauma so if you are not experiencing any pain or weakness then you can try applying an ice pack and giving it some rest for a while if it still does not go away then you can go see an orthopedic doctor,Speaker_4,13.54,[],train
audio/Speaker_4/Speaker4-284.wav,the main concern here na pancreatic cancer no be liver cancer stage four disease mean say the person fit get weeks not months our focus now go be on how to provide comfort by reducing his suffering and pain fot this short time that na wetin we dey call palliative care make we let am do things he enjoy way go provide some positive psychological strength nursing homes wey specialise in caring for terminally ill patients dey if possible he go dey under their care,the critical issue is about pancreatic cancer not liver cancer stage four disease means the survival time is less than weeks our duty now is to determine how we can provide comfort by alleviating his problems and suffering during this short period this is called palliative treatment doing things that he wants will provide him with some form of positive psychological strength there are nursing homes that specialize in caring for terminally ill patients it is better if possible for him to be under the care of these professionals,Speaker_4,35.76,"['stage', 'nursing', 'homes']",train
audio/Speaker_4/Speaker4-285.wav,your symptoms dey suggest say you get problem in the cervical spine or brain abeg go see a neurologist make in run proper evaluation you fit need mri scan of both your neck and brain,your symptoms are suggestive of a problem in the cervical spine or brain kindly meet a neurologist for evaluation you may need a magnetic resonance imaging scan of your neck and brain,Speaker_4,13.24,"['magnetic', 'resonance', 'imaging']",train
audio/Speaker_4/Speaker4-286.wav,dear friend pancreatitis go dey properly treated and wetin dey cause am go dey removed no be to manage am for pain make una get her proper pancreatitis treatment and the pain go resolve on its own however for pain relief for pancreatitis specifically tramadol dey preferred make una discuss with her doctor about getting tramadol prescription good luck,dear friend pancreatitis should be treated and its cause should be removed your focus should not be only on relieving pain get her proper treatment for pancreatitis her pain will resolve spontaneously however we prefer to use tramadol for pain relief in cases of pancreatitis you may discuss with your doctor regarding obtaining a prescription for tramadol good luck,Speaker_4,27.84,['tramadol'],train
audio/Speaker_4/Speaker4-287.wav,fever for few days dey very normal after bcg vaccination way dem dey give at birth papule forming and later turning into pustule usually take three weeks to three months so no panic dear,a fever for a few days is very common after the bacillus calmette guérin vaccination given immediately after birth papule followed by pustule formation will normally take three weeks to three months so do not worry dear,Speaker_4,17.44,"['fever', 'pustule']",train
audio/Speaker_4/Speaker4-288.wav,since you already dey thirty nine weeks and the amniotic fluid level dey borderline between six and seven for my opinion e dey better to dey admitted for labour induction also make you watch the fetal movements carefully,as you are already thirty nine weeks and the amniotic fluid is borderline at six to seven it is better to get admitted for induction of labor in my opinion also carefully monitor the fetal movements,Speaker_4,17.97,['admitted'],train
audio/Speaker_4/Speaker4-289.wav,good afternoon sir my question concern one of my patients nah eighty year old with severe back pain and body aches they no wan do further investigation they only want relief i fit prescribe methylcobalamin injection five hundred milligrams every alternate day or once a week total of four injections for leg pain make i give test dose first or make i give am directly she fit handle five hundred milligrams for her age i dey doubt whether i should prescribe five hundred milligrams or five hundred micrograms wetin go happen if i skip the test dose abeg clarify for me sir,good afternoon sir my question is one of my patients who is eighty years old is suffering from severe back pain and body ache they are not interested in doing further treatment for it they only want relief can i prescribe methylcobalamin injection five hundred milligrams every alternate day or once a week for a total of four injections for leg pain should i administer a test dose or can i give it directly can she take five hundred milligrams at this age i doubt if i should prescribe five hundred milligrams instead of five hundred micrograms what will happen if the test dose is not given please clarify sir,Speaker_4,43.93,"['eighty', 'severe', 'body', 'methylcobalamin', 'injection', 'milligrams', 'injections', 'leg', 'microgram']",train
audio/Speaker_4/Speaker4-290.wav,the first stage of wound repair na a very complex process vasodilation happen and blood vessel wallsgo become leaky way go cause fluid to move outside the vessels this slow down blood flow acute inflammatory cells specifically neutrophils go gather at the site of injury these cells contain primary and secondary granules wey release many substances including cytokines and chemokines all of go play important roles for the healing process,the first stage of repair is a very complex process vasodilation occurs and vascular channels become leaky so fluid goes outside resulting in the slowing of blood flow acute inflammatory cells specifically neutrophils accumulate at the site of injury they have primary and secondary granules which secrete many substances all these substances including cytokines and chemokines play roles in this process,Speaker_4,37.91,"['vascular', 'leaky', 'slowing']",train
audio/Speaker_4/Speaker4-291.wav,i be forty nine years old about five feet six inches tall and i dey weigh approximately seventy four kilograms i just start dey experience knee pain when i dey ride my bicycle but yesterday when i go work out at the gym things get complicated everything dey fine until i try the exercise wey you go do with elbows flared out and pull weights downward i feel pain for my right elbow when i try am the more i do am the less painful e dey be but the next morning every movement dey cause pain,i am forty nine years old about five feet six inches tall and weigh approximately seventy four kilograms i have just started experiencing some pain in my knees when i ride my bike but yesterday i began working out at the gym everything was going fine until i tried the exercise where my elbows are pointed out from my body and i pull the weights down there was pain in my right elbow as i attempted to do it it seems to become less painful the more i did it but the next morning it was hurting with all movement,Speaker_4,37.11,"['painful', 'knees', 'elbow', 'next', 'morning', 'hurting']",train
audio/Speaker_4/Speaker4-292.wav,my baby dey four months and three weeks old normally she dey fully breastfed but nine days ago i introduce formula milk once at night before she sleep for the past three days she don start to pass soft green stool i dey normal or i make i see doctor if e dey normal how long this green colour go last,my baby is four months and three weeks old normally she is breastfeeding and since nine days ago i have introduced formula milk once a day before she goes to bed since three days ago she has had a soft green bowel movement is it normal or do i need to see a doctor if it is normal how long will the green color last,Speaker_4,23.89,"['baby', 'formula', 'milk']",train
audio/Speaker_4/Speaker4-293.wav,signs and symptoms dey suggest herpes zoster shingles along with oral acyclovir add tramadol capsule and ondansetron the intense burning pain dey because of spinal nerve involvement and the best option to combat this severe pain na nerve facet block,signs and symptoms suggest herpes zoster along with oral acyclovir add capsule tramadol and ondansetron it is due to spinal nerve involvement that is why the pain is so intense and burning a nerve facet block is the best option to combat this severe pain,Speaker_4,26.64,"['oral', 'capsule', 'tramadol']",train
audio/Speaker_4/Speaker4-294.wav,hi my name na greg i do back surgery for two thousand and six e dey good for a while but now i dey fall down constantly because of nerve pain e dey feel like somebody dey hit my back with an axe this na wetin dem tell me i get disc disease at l4 l5 and l5 s1 with facet hypertrophy and neural foraminal narrowing wey dey compress the exiting l4 and l5 nerve roots for both sides,hi my name is greg i had back surgery in two thousand and six it was good for a while but now i am falling down all the time from nerve pain it feels like being hit in the back with an axe this is what i have been told i have disc disease at l4 l5 and l5 s1 with facet hypertrophy and neural foraminal narrowing impinging upon the exiting l4 and l5 nerve roots bilaterally,Speaker_4,32.76,"['surgery', 'falling', 'down', 'disc', 'disease', 'while', 'facet', 'hypertrophy', 'neural', 'foraminal', 'narrowing']",train
audio/Speaker_4/Speaker4-295.wav,given the nature of the pain this thing dey look like spondylosis to confirm am make you do x ray you fit also start some exercises and take painkillers if you need am,given the nature of the pain it seems to be spondylosis to confirm you should have an x ray you can also do some exercises and take painkillers if necessary,Speaker_4,12.69,['painkillers'],train
audio/Speaker_4/Speaker4-296.wav,thank you i get enlarged spleen and liver i done lose eleven kilograms and before now i dey feel great walking regularly and i dey eat healthy one week ago i start enhanced p2 detox and yucca blend fibre for the past two days i dey feel discomfort in the liver area feeling generally unwell with headaches and depression i also get bipolar disorder type two which dey stable on medication i dey wonder whether i go continue with the detox denise,thank you i have an enlarged spleen and liver have lost eleven kilograms and was feeling great walking and eating healthy a week ago i started on an enhanced p2 detox and yucca blend fiber in the last two days i have experienced discomfort in the liver area and have been feeling unwell with headaches and depression i also suffer from bipolar disorder type two which has been under control with medication i am wondering if i should continue with the detox denise,Speaker_4,37.06,"['enlarged', 'spleen', 'enhanced', 'detox', 'discomfort', 'liver', 'headaches', 'bipolar', 'disorder']",train
audio/Speaker_4/Speaker4-297.wav,my daughter just get hand cast for a finger broken in two places she suppose fly tomorrow initially dem tell her make in no fly then dem put slits in the cast and tell her to carry a butter knife on the plane and open the cast if swelling start the flight na from los angeles to seattle make she really no fly or how long she suppose wait before flying we go need her home on time for christmas,my daughter just got a hand cast for a finger broken in two places she is supposed to fly tomorrow so initially they told her not to fly and then put slits in the cast and told her to take a butter knife on the plane and remove the cast if swelling starts the flight is from los angeles to seattle should she not fly or how long should she wait to fly we want her up on time for christmas,Speaker_4,29.59,"['butter', 'knife', 'remove', 'cast']",train
audio/Speaker_4/Speaker4-298.wav,nosebleed no be good sign but the fact say she no lose consciousness na something positive a ct scan for the head dey advisable to rule out any bleeding inside the skull,a nosebleed is not a good sign but she did not have any loss of consciousness which is a good sign a computed tomography scan of the head is advisable as it can rule out any bleeding inside the skull,Speaker_4,12.57,"['computed', 'tomography', 'head']",train
audio/Speaker_4/Speaker4-299.wav,hi if to say you mention whether the surgery dey open or laparoscopic et go help me give better answer anyway the most probable cause na gastric ulcer you fit confirm am by upper gi endoscopy as a precaution i go also advise abdominal ultrasound to check the pancreas liver and to see if any long gallbladder duct stump dey among other things,hi your mentioning the type of surgery whether open or laparoscopic would have helped me to answer better anyway the probable causes are the most probable is a gastric ulcer this can be diagnosed by upper gastrointestinal endoscopy as a precaution i would also advise you to undergo ultrasonography to check the status of the pancreas and liver and to see if there is a long stump of the gallbladder duct and so on,Speaker_4,28.89,"['open', 'laparoscopic', 'gastric', 'pancreas', 'liver', 'gallbladder']",train
audio/Speaker_4/Speaker4-300.wav,hi for the past approximately six years whenever i sit down unless i lean as far to the left as i can the skin on my right side dey feel like e dey pinched between my ribs lately i notice say when i push on my right ribs one dey shift out of place and e go remain like that for the rest of the day every time i try to breathe,hi so for the last approximately six years there are times when i sit down and unless i lean to the left as much as i can the skin on my right side feels like it is being pinched in between my ribs lately i have noticed that if i push my ribs on my right side one will fall out of place and will do so for the rest of the day when i try to breathe,Speaker_4,26.21,"['ribs', 'out', 'place', 'rest']",train
audio/Speaker_4/Speaker4-301.wav,hello nexium no dey work for arrhythmia e dey work for acidity and acid reflux but plenty patients get reflux disease wey dey cause symptoms similar to cardiac arrhythmia like palpitations and chest pain so the doctor likely start put you on am for that reason i hope say this thing help if you get further doubts abeg get back to me,hello nexium does not work for arrhythmia but works for acidity and reflux many patients have reflux disease and the symptoms are often similar to cardiac arrhythmia such as palpitations and chest pain so considering this the doctor might have started this medication i hope this helps you and please get back to me if you have any doubts,Speaker_4,30.21,"['palpitations', 'chest']",train
audio/Speaker_4/Speaker4-302.wav,hi welcome to health care you fit safely use contraceptive pill no wahala just know say e no dey protect against sexually transmitted infections e also no go permanently affect your fertility,hi welcome to health care you can safely use the contraceptive pill it will not protect against sexually transmitted diseases fertility is not affected by the pills,Speaker_4,15.69,[],train
audio/Speaker_4/Speaker4-303.wav,i get big bruise on my calf with a hard knot for the centre the bruise dey gradually fade after few weeks the knot still dey there with small circles around it but now i notice say my ankle don start to swell for the past few days before that i dey already feel discomfort for the bottom of my knee and on top of my foot into the ankle all these things fit dey connected or make i no worry my other leg dey perfectly fine,i have a big bruise on my calf with a knot in the center the bruise is fading after a few weeks it still has a few little circles around the knot however i noticed that i have had some swelling in that ankle over the last few days before that i experienced quite a bit of discomfort towards the bottom of my knee and on the top of my foot into my ankle are these possibly all connected or should i not worry about it my other leg is fine,Speaker_4,35.63,"['bruise', 'calf', 'after', 'swelling', 'ankle', 'discomfort', 'other', 'leg']",train
audio/Speaker_4/Speaker4-304.wav,hi i be kulsum i dey twenty two years old and i dey eight weeks pregnant after four years of marriage i finally get pregnant today i eat sabudana without knowing say pregnant women no supposed to eat am e dey safe everybody dey tell me say you suppose only eat sabudana after eight months of pregnancy the thing don worry me abeg advise me,hi i am kulsum i am twenty two years old and i am eight weeks pregnant after four years of marriage i got pregnant today i was not aware that during pregnancy we should not eat sabudana so is it safe i am very worried after eating that because everyone says that we should only eat sabudana after eight months please suggest me,Speaker_4,29.79,[],train
audio/Speaker_4/Speaker4-305.wav,the symptoms you mention dey mostly suggest some kind of gastric infection for which you fit take antibiotics preferably oflox oz or zifi oz after expert advice also make you take cyclopam or meftal spaz for severe stomach cramps and omez d or rekool d on empty stomach thirty minutes before meals for vomiting make you apply volidup gel locally to reduce back pain,the symptoms you have mentioned are mostly suggestive of some gastric infection for which you can take some antibiotics preferably oflox oz or zifi oz after expert advice along with cyclopam or meftal spaz for severe stomach pain you can take omez d or rekool d on an empty stomach half an hour before meals for vomiting use volidup gel for local application to reduce back pain,Speaker_4,37.68,"['symptoms', 'gastric', 'cyclopam', 'meftal', 'spaz', 'severe', 'stomach', 'omez', 'rekool']",train
audio/Speaker_4/Speaker4-306.wav,hello you get a knee injury from two days ago but you been dey able to walk since even though e dey hurt initial management na to rest the joint and manage pain and swelling hemarthrosis in my opinion since na twisting injury soft tissue damage fit dey but usually no immediate intervention dey needed here na wetin you fit do one apply intensive ice packs regularly over the injured joint make you keep pain and swelling minimal two make you use knee brace to keep the knee in extension and limit movement for now three start anti inflammatory medicine way go suit your body four after ice therapy you fit use local analgesic spray make you wait two weeks for acute pain and swelling to settle after that make you run proper knee examination and possibly mri go dey needed to understand the exact injury,hello you have a history of a knee injury from two days ago but you have been able to ambulate after the injury even though it is painful for you the initial management is to give rest to the affected joint and try to limit pain and hemarthrosis in my opinion since it is a twisting injury there may be some soft tissue injury usually no immediate intervention is required you can do the following things one use intensive ice packs for local application over the injured joint to keep pain and swelling to a minimum two a knee brace can be used to hold the knee in extension and restrict movements initially three you can start with anti inflammatory medication according to your body s suitability four a local analgesic spray can also be used after ice therapy we will wait for the next two weeks until acute pain and swelling have subsided after that a thorough examination of your knee joint will be required to understand the exact injury and possibly a magnetic resonance imaging scan will be required,Speaker_4,66.05,"['ambulate', 'joint', 'painful', 'injured', 'swelling', 'knee', 'next', 'acute']",train
audio/Speaker_4/Speaker4-307.wav,hello good evening yes pregnancy fit happen even with the pill because no contraceptive dey one hundred percent them get failure rate of one to two percent from now on monitor your period and repeat urine pregnancy test after one week if the test come out positive do ultrasound to confirm the gestational sac in the meantime period fit also come with some delay sometimes,hello good evening yes pregnancy can occur despite the pills because they are not one hundred effective with a failure rate of one two from now on you should monitor your period and repeat the urine pregnancy test after one week if the pregnancy test is positive then you can go for an ultrasound to see the gestational sac and only then will you get confirmation about your pregnancy however in the meantime periods can also start with some unusual delay,Speaker_4,29.74,['ultrasound'],train
audio/Speaker_4/Speaker4-308.wav,any soothing moisturising agent like raw milk wey contain fat go work just fine here,any soothing moisturizing agent such as raw milk which contains fat will work here,Speaker_4,7.12,[],train
audio/Speaker_4/Speaker4-309.wav,human papillomavirus hpv na viral infection wey fit cause cancerous lesions for the genitals the vaccine dey provide protection against some of the most common hpv subtypes but no be all of them so even with vaccination the possibility still dey just with lower incidence,human papillomavirus or hpv is a viral infection that can cause cancerous lesions in the genitals if you have received the vaccination it does provide protection against some of the most common subtypes of the virus but not all forms of hpv hence the possibility is always present despite vaccination although the incidence will be lower,Speaker_4,21.67,"['hpv', 'cancerous', 'genitals']",train
audio/Speaker_4/Speaker4-310.wav,microgynon fit affect the quality and quantity of breast milk small amounts of steroids fit pass into breast milk the american academy of pediatrics say e dey safe during breastfeeding the half life dey between twelve to fifty hours as for suprefact very few sources discuss am some suggest avoiding it during breastfeeding since e fit pass into breast milk the half life na eighty minutes i hope this help,the use of microgynon can affect the quality and quantity of breast milk a small amount of steroids is passed into the breast milk the american academy of pediatrics says it is safe with nursing the half life is twelve to fifty hours very few sources discuss suprefact some suggest not to take it if you are breastfeeding since it passes into the breast milk its half life is eighty minutes i hope this helps,Speaker_4,35.56,['steroids'],train
audio/Speaker_4/Speaker4-311.wav,i dey feel uncomfortable for the right lower part of my belly by uncomfortable i mean say i dey feel something heavy sitting there when i sleep on that side the feeling dey worsen and my hips dey ache fit be appendicitis or my hips just shift from my heavy backpack i no get clue at all,i have been feeling uncomfortable in the right lower part of my abdomen by uncomfortable i mean that i feel something heavy there when i sleep if i lie on the side of the discomfort the feeling worsens and my hips hurt is it an appendicitis issue or are my hips just dislocated from my heavy backpack i have no clue,Speaker_4,21.72,"['uncomfortable', 'heavy', 'hips']",train
audio/Speaker_4/Speaker4-312.wav,okay i get condition way dem dey call lam and yesterday i experience chest pains serious shortness of breath and very severe chest pains way dey feel like someone tightening a sock around me e dey feel like electric shock for the armpit area and my arm feel tired and heavy i dey exhausted feeling like a vice grip dey squeez my chest and even after the pain ease i still dey sore,okay i have lam and yesterday i experienced chest pains shortness of breath and severe chest pains with a sock like feeling i felt an electric shock in the armpit area and a sensation that my arm is tired i am worn out and feel like a vice grip is around my chest making me sore even after the pain is gone,Speaker_4,29.74,"['chest', 'shortness', 'breath', 'severe', 'pains', 'sock', 'electric', 'shock', 'armpit', 'area', 'worn', 'out', 'vice', 'grip', 'sore']",train
audio/Speaker_4/Speaker4-313.wav,i get quarter sized lump on the top of my left forearm you no fit easily see am from outside but when you run your hand over the area you fit feel am and e dey painful i go give am a six out of ten on pain scale bruising or visible mark no dey i just notice am about a week ago and i dey curious about wetin e fit be,i have a quarter sized lump on the top of my left forearm it isn t too noticeable on the outside but when i rub over it i can feel it and it is painful on a scale of one to ten i would say it is a six there is no bruising or mark on this area i just noticed it about a week ago or so and i am curious about what it might be,Speaker_4,27.46,"['lump', 'forearm']",train
audio/Speaker_4/Speaker4-314.wav,hi thank you for your question i dey sorry to say that removing basal cell carcinoma no be the cause of lymph node swelling the swelling na directly from the malignancy itself abeg see your oncologist i wish you speedy recovery good day,hi thank you for asking i am really sorry to say that the removal of basal cell carcinoma will not cause the swelling of the lymph node but the malignancy itself would be responsible for this swelling please consult with your oncologist i wish you a rapid recovery have a good day,Speaker_4,21.12,"['cell', 'carcinoma', 'swelling']",train
audio/Speaker_4/Speaker4-315.wav,i been dey on cerazette since february two thousand and ten and two weeks ago i miss one pill and i dey more than twelve hours late to take the next one i then have sex and since then i dey experience symptoms way dey feel like pregnancy symptoms i do test e come out negative i fit be missing those pills just dey mess up my body chemistry or i fit still dey pregnant,i have been on cerazette since february two thousand and ten and two weeks ago i missed taking one and was more than twelve hours late in taking it again i had sexual intercourse and i have been experiencing symptoms similar to pregnancy i did a test and it was negative could it just simply have messed my body up or could i still be pregnant,Speaker_4,30.21,"['cerazette', 'late']",train
audio/Speaker_4/Speaker4-316.wav,hello doctor i dey experience menstrual like pain but when i go toilet na only a small amount of blood wey dey later stop i take pregnancy test and e come out negative my last period nah january twenty sixth and lasted about seven days wetin fit be the problem doctor,hello doctor i am experiencing menstrual pain but when i go to the bathroom there is only a small amount of blood that then stops i have taken a pregnancy test and it came out negative my last period was on january twenty six and lasted for about seven days what could be the problem doctor,Speaker_4,24.76,[],train
audio/Speaker_4/Speaker4-317.wav,high white blood cell count mean inflammation dey somewhere high triglycerides fit also dey connected to diabetes the triglyceride level na my biggest concern here abeg go see your physician as soon as possible,a high white blood cell count indicates inflammation and high triglycerides may be associated with diabetes my primary concern is the very high triglyceride level you need to see your physician,Speaker_4,18.04,"['high', 'white', 'blood', 'cell', 'count', 'tri', 'triglycerides']",train
audio/Speaker_4/Speaker4-318.wav,yes abeg make sure you do pregnancy test anytime period dey late if the result come out positive and you no wan continue with the pregnancy make your wife see a gynaecologist who fit properly help her,yes it is very important to get a pregnancy test done anytime the period is late if the test is positive and you do not want to continue with the pregnancy please visit a gynecologist who will be able to help your wife,Speaker_4,15.62,['positive'],train
audio/Speaker_4/Speaker4-319.wav,i get two stents placed for my heart three months ago i also get serious heart disease my legs and feet don swell up and dey pain me seriously when i wake up every morning my toes and the tops of my feet dey look purplish as the day dey go the colour dey disappear but the leg pain never leave me,i had two stents placed in my heart about three months ago i also have significant heart disease my legs and feet are swollen and hurt badly when i wake up my toes are a purplish color along with the tops of my feet as i get going during the day the color goes away but the pain in my legs never does,Speaker_4,23.39,"['stents', 'legs', 'feet', 'swollen', 'toes']",train
audio/Speaker_4/Speaker4-320.wav,hello the history of gallbladder tubes and ovary removal done dey noted the typical lower belly pain wey dey worsen with breathing pressure and full bladder dey suggest possible peritonitis i advise blood tests to check for infection urine analysis and stool analysis ultrasound dey also recommended to look for any pus collection after the surgery if peritonitis dey present and not resolving you fit need exploratory laparotomy or laparoscopy to find and treat the cause,hello the history of gallbladder and tubes and ovary removal is noted the typical pain in the lower abdomen which increases on breathing pressure and a full bladder indicates possible peritonitis i would advise undergoing tests including blood work to check for infection urine analysis and stool analysis ultrasonography is recommended to detect any collection pocket of pus after the surgery if peritonitis is present and not resolving you may need exploratory laparotomy or laparoscopy to determine and treat the cause,Speaker_4,45.93,"['gallbladder', 'ultrasonography', 'pus', 'peritonitis', 'laparotomy']",train
audio/Speaker_4/Speaker4-321.wav,hi thank you for reaching out for your health just no panic everything go be alright this thing go beyond simple indigestion e look like acid related problem way go clear up soon with omeprazole forty milligrams plus domperidone take just one tablet for evening for at least six weeks very important make you keep your anxiety levels very low no stress at all sleep well chop more alkaline foods avoid smoking and alcohol and no drink coffee before bed you go definitely see improvement have a nice day,hi thank you for asking about your health concerns just do not worry everything will be okay this is not just indigestion but could be an acid related problem and should resolve soon with the use of omeprazole forty milligrams and domperidone start this medication just one tablet in the evening for at least six weeks one more thing that is very important is to keep your anxiety levels very low no stress at all try to sleep well eat more alkaline foods avoid smoking and alcohol and do not consume coffee before bedtime you will definitely have a good result have a nice day,Speaker_4,43.51,"['indigestion', 'acid', 'related', 'problem', 'omeprazole', 'milligram', 'domperidone', 'tablet', 'stress']",train
audio/Speaker_4/Speaker4-322.wav,this thing dey usually happen for peripheral vascular disease if your doctor done run the relevant tests and in find nothing no need to worry if you dey smoke quit sharp sharp and avoid extreme cold try methylcobalamin vitamin b12 tablets daily for few days and watch how your body go respond,this usually happens in peripheral vascular disease and if your doctor has conducted tests for these with no findings there is nothing to worry about if you smoke then quit and avoid extreme cold climate conditions try taking methylcobalamin vitamin b12 tablets daily for a few days and wait and watch,Speaker_4,25.64,"['tests', 'methylcobalamin', 'vitamin', 'tablets', 'daily']",train
audio/Speaker_4/Speaker4-323.wav,car hit me for two thousand and twelve and i sustain tibial plateau fracture for my left knee atrophy enter into my quadriceps and i dey slowly develop knot like pain in my back wey dey radiate to my upper left thigh sometimes the pain dey on the right side too na nerve dey cause this i dey use muscle pain rub every day,i was hit by a car in two thousand and twelve and sustained a tibial plateau fracture in my left knee atrophy set in my quadriceps and i have slowly increased from a knot like pain in my back to my upper left thigh it is mostly on the left side but sometimes on the right is it a nerve causing this i use muscle pain relief rub every day,Speaker_4,29.71,"['tibial', 'knee', 'atrophy', 'quadriceps', 'knot', 'sometimes', 'nerve', 'muscle']",train
audio/Speaker_4/Speaker4-324.wav,i dey experience constant stomach bloating after meals i don dey take pancreoflat and happi d for ten days and i dey feel better but bloating still dey come sometimes eating only rice no cause bloating but when i eat chapati or high fibre food the bloating return e fit dey connected to kidney or thyroid issues i no get those conditions only uric acid at seven percent,i am experiencing constant stomach bloating after meals i have been taking pancreoflat and happi d for ten days and am feeling better but the bloating does occur sometimes a diet consisting solely of rice does not cause bloating but eating chapati or a fiber rich diet results in bloating could this be related to kidney problems or thyroid issues i do not have any such problems currently except for uric acid levels at seven,Speaker_4,32.01,"['fiber', 'rich', 'diet', 'kidney', 'thyroid']",train
audio/Speaker_4/Speaker4-325.wav,hi i don dey on depo for almost one year now and my next shot is due august first but my yearly check up appointment na the 7th so i go do am then my nipples don dey sore and i no fit tolerate am na the shot dey cause this i do sex one week ago but my boyfriend no release inside me so i no think say e na pregnancy symptom,hi i have been on depo for almost a year now and i am due for a shot on august one but i am going to the doctor for my yearly check up and shot on the 7th i don t think i can tolerate the soreness of my nipples is it the shot causing this i had sex a week ago but my boyfriend did not ejaculate inside me so i don t think it is a symptom of pregnancy,Speaker_4,29.71,"['almost', 'shot', 'doctor']",train
audio/Speaker_4/Speaker4-326.wav,hello i be thirty four year old female wey don develop facial rash and rashes for my upper and lower arms wey dey itch seriously my doctor think say na allergic reaction and tell me make i go see allergist for further evaluation my husband just break out with rash for his forehead yesterday and my twelve year old daughter develop rash for her chest wetin you think this thing fit be,hello i am a thirty four year old female who has developed a facial rash and rashes on my upper and lower arms that itch intensely my doctor thinks it is an allergic reaction to something and told me to visit an allergist for further evaluation my husband broke out with a rash on his forehead just yesterday and my twelve year old daughter has developed a rash on her chest what do you think this could be,Speaker_4,29.29,"['female', 'facial', 'rash', 'rashes', 'arms', 'itch']",train
audio/Speaker_4/Speaker4-327.wav,i dey experience increased stomach bloating especially for the lower left side of my belly which dey visibly more swollen wetin dey cause am i been dey use vibration fitness machine e fit dey contribute also couple of weeks ago whenever i eat i dey feel significant pain for my lower chest,i have been experiencing increased bloating in my stomach particularly in the lower left side of my abdomen which is definitely more swollen what causes that i have been using a vibration fitness exercise machine could that be contributing to the issue also a couple of weeks ago whenever i ate i was feeling significant pain in my lower chest area,Speaker_4,21.02,"['increased', 'bloating', 'couple', 'chest']",train
audio/Speaker_4/Speaker4-328.wav,hi dem diagnose my daughter with transient synovitis she dey twenty months old before the diagnosis she dey very active but na limp i notice first plus pain during diaper change i also notice say her pain dey always worse in the morning and as the day go she become more active but not fully one hundred percent e dey consistent with transient synovitis,hi my daughter has been diagnosed with transient synovitis she is twenty months old before being diagnosed she was very active however it was a limp i noticed and pain when changing her diaper i have also noticed that her pain is worse in the morning and throughout the day she becomes quite active but not one hundred is this a sign of this condition,Speaker_4,31.99,"['transient', 'limp', 'worse']",train
audio/Speaker_4/Speaker4-329.wav,hello successful conception typically dey take three to six months adding a healthy diet and regular exercise to help manage weight go also improve your chances,hello it takes three to six months for a successful pregnancy to occur you can add a healthy diet and regular exercise to reduce weight for better results,Speaker_4,11.49,['regular'],train
audio/Speaker_4/Speaker4-330.wav,after surgery the only approved treatment for stomach carcinoma na chemotherapy specifically 5 fluorouracil based regimens and radiotherapy no other therapist way dem approve,the only treatment for stomach carcinoma after surgery is chemotherapy which is five fluorouracil based and radiotherapy no other therapies are approved,Speaker_4,17.69,"['other', 'therapies']",train
audio/Speaker_4/Speaker4-331.wav,i believe he dey suffer from agitated depression he need antidepressants and low doses of antipsychotic medication,i think he is suffering from agitated depression he needs to be given antidepressants and low doses of antipsychotics,Speaker_4,10.2,"['agitated', 'antidepressants']",train
audio/Speaker_4/Speaker4-332.wav,i be fifty nine year old woman wey don do five back surgeries for pennsylvania i only dey spend six months of the year in plant city florida about one month ago i start to develop serious pain for my lower back wey dey shoot all the way down my right leg into my foot combined with very stiff neck and terrible headaches since i no dey my regular place i no know which doctor to see here the last time i see my neurosurgeon nah four years ago and he say i get failed back syndrome the pain medicines no even dey help this time around abeg advise me where to go and wetin to do,i am a fifty nine year old woman who has had five back operations in pennsylvania i only live in plant city florida six months out of the year about a month ago i started experiencing severe pain in my lower back that radiates all the way down my right leg into my foot along with a very stiff neck and awful headaches since i do not live here i do not know where to go for treatment the last time i saw my neurosurgeon was about four years ago and he said that i have a failed back i have difficult periods and go through a lot of pain and usually a couple of trips to the chiropractor help me this time the pain medications do not even help can you advise me where to go and what to do,Speaker_4,43.51,"['woman', 'severe', 'down', 'headaches', 'chiropractor']",train
audio/Speaker_4/Speaker4-333.wav,hi i take emergency contraceptive pill for may 6th two thousand and fourteen after one week i get my period but for more than one month after that my period no come so my doctor tell me make i take gynacet tablets for three days and my period come then again after another month my period no come so the doctor prescribe gynacet for five days plus myo inositol also called procare for three months plus amycordial syrup but i still never see my period abeg wetin i suppose do now,hi i took the emergency contraceptive pill on may six two thousand and fourteen after a week i got my period however i did not get my period for more than a month so my doctor advised me to take gynacet tablets for three days after which i got my period again after one month i did not get my period so the doctor advised me to take gynacet for five days and myo inositol tablets also known as procare for three months along with amycordial syrup however i still have not gotten my period please suggest what i should do now,Speaker_4,38.41,"['emergency', 'contraceptive', 'pill', 'gynacet', 'tablets', 'myo', 'inositol', 'amycordial']",train
audio/Speaker_4/Speaker4-334.wav,abeg describe exactly where the stomach pain dey e dey above or below the navel e dey on the left or right side also make you mention any other symptoms like changes in stool vomiting or fever e fit be stomach upset from antibiotic use e fit also dey related to her menstrual cycle way dey common in girls during the early stages of their period,please elaborate on the location of the pain in the stomach such as whether it is above or below the belly button on the right or left side etc also please mention any other associated symptoms such as bowel movements vomiting or fever it may be due to an upset stomach after antibiotic usage it may be related to her menstrual cycle which is common during the initial stages in some girls,Speaker_4,24.24,"['upset', 'antibiotic']",train
audio/Speaker_4/Speaker4-335.wav,acute ear infection no dey cause vertigo e dey only affect the middle ear at most she fit need referral to a paediatric neurologist for further evaluation,acute ear infections do not cause vertigo since they only involve the middle ear at most she may need a referral to a pediatric neurologist for further evaluation,Speaker_4,11.92,"['acute', 'ear', 'infections', 'vertigo', 'middle', 'referral', 'pediatric', 'neurologist']",train
audio/Speaker_4/Speaker4-336.wav,wearing diaper dey affect my baby s penis growth my baby dey nine months old he dey wear diaper all day and five to six hours at night i keep him without diaper during sleep and put it back on in the morning e dey affect his penis growth at all i dey really worried and go be very grateful if you go give me clear answer,does wearing a diaper have any effect on my baby s penis growth my baby is nine months old and he wears a diaper all day and at night for five to six hours i keep him without a diaper when he is sleeping and in the morning i put the diaper back on does it have any effect on his penis growth i am really concerned and would be very thankful to you for answering me,Speaker_4,22.69,"['baby', 'diaper', 'penis']",train
audio/Speaker_4/Speaker4-337.wav,hi you mention say your cycles dey regular twenty eight day duration since your period start for december 2nd ovulation typically dey happen around december 16th give or take two days so ovulation on december 5th dey very unlikely the symptoms you dey experience nah likely from normal hormonal fluctuations for regular cycles pregnancy dey unlikely during the first eight and last eight days no need to panic but if you still dey worried you fit take pregnancy test or do abdominal ultrasound to confirm,hi you mentioned that your cycles are regular with a twenty eight day duration since your periods started on december 2nd ovulation typically occurs around december 16th plus or minus two days therefore it is unlikely to experience ovulation on december 5th the symptoms you are experiencing are mostly due to hormonal changes pregnancy does not usually occur during the first eight days and the last eight days of the cycle for individuals with regular periods there is no need to feel anxious however if you are still concerned you may consider taking a pregnancy test or undergoing an abdominal ultrasound,Speaker_4,44.25,[],train
audio/Speaker_4/Speaker4-338.wav,i break my leg about thirteen years ago the break happen for the inside of the leg a bulge that look like a soft knot dey there but e dey very tender and always dey painful sometimes e dey swell more depending on which shoes i wear or how long i been stand i done do x ray and mri and nothing dey show up abeg help me,i broke my leg about thirteen years ago and where the break was on the inside of the leg there is a bulge that looks like a knot and seems kind of soft to the touch but it is very tender and always painful sometimes it swells more than others depending on what shoes i wear and if i have been on my feet for a while can you please help i have had an x ray and mri and nothing is showing up,Speaker_4,26.86,"['bulge', 'knot', 'ray']",train
audio/Speaker_4/Speaker4-339.wav,hi i dey six weeks and three days pregnant i don dey feel lower belly pain on the left side near the groin for the past five days i do scan two days ago and the pregnancy dey fine the doctor say make i take paracetamol for the pain but e no dey effective e dey seem like muscle pain because when i sit the pain reduce but with any movement e dey come back strong i no know wetin to do i done go emergency department twice and i done see gynaecologist nobody fit me why the pain dey there abeg help me,hi i am six weeks and three days pregnant i have had lower abdominal pain on the left side near the groin for the past five days i had a scan two days ago and my pregnancy is normal the doctor told me to take paracetamol to relieve the pain but it is not effective it seems like it is muscle pain because if i am sitting the pain is less but with every movement the pain is severe i do not know what to do i have been to the emergency department twice and met with a gynecologist as well but nobody could tell me why the pain is there please help me,Speaker_4,38.16,"['abdominal', 'near', 'groin', 'scan', 'paracetamol', 'muscle', 'emergency', 'department']",train
audio/Speaker_4/Speaker4-340.wav,hello i just read your question ear wax dey normal some people just produce more than others typically the longer wax dey inside the ear the darker e go become and the more firmly e go stick most likely when you pull am out you go cause a tiny abrasion way go produce the small amount of blood you see e go heal almost immediately which explain why your son dey fine afterwards no need to rush to the paediatrician,hello i just read through your question wax in the ear is not abnormal some individuals produce more than others typically the longer the wax remains in the ear the darker it gets and the more tightly it adheres most likely when you pulled it out it caused a very small abrasion that produced the small amount of blood you observed these heal almost instantly which is why your son behaved fine afterward therefore there is no need to be concerned or rush to your pediatrician,Speaker_4,31.29,['abnormal'],train
audio/Speaker_4/Speaker4-341.wav,hi sometimes during stitching for operative wound tiny nerve fibres dey involved and e dey cause this kind of sensation if noother problem dey no worry just ignore am e go disappear on its own with time,hi sometimes during stitching an operative wound there is involvement of tiny nerve fibers which give this type of sensation if there is no other problem don t worry neglect it it will disappear in the future,Speaker_4,18.44,['involvement'],train
audio/Speaker_4/Speaker4-342.wav,i get small lump on my left leg calf muscle maybe the size of a marble you fit see am when i flex the calf i notice am about a week ago and i think say e don get bigger since then e no dey pain me i be thirty two year old female the lump dey about four inches below the back of my knee any idea wetin e fit be,i have a small lump on my left leg calf muscle maybe the size of a marble you can see it when i flex my calf i noticed it a week ago and i want to say it has gotten bigger since i found it it does not hurt i am a thirty two year old female it is about four inches from the back of my knee do you have any idea what it could be,Speaker_4,24.69,"['small', 'lump', 'leg', 'calf', 'it']",train
audio/Speaker_4/Speaker4-343.wav,hi you go need get proper evaluation with physical examination and x rays there fit be fracture e go need immediate attention,hi you need to have this evaluated with an examination and x rays you could well have a fracture so it needs immediate attention,Speaker_4,11.39,[],train
audio/Speaker_4/Speaker4-344.wav,hi na sam be this my girlfriend and i do unprotected sex on the second day of her period and now we dey confused about whether she fit get pregnant personfit really get pregnant during their period she get regular monthly period last month na the 19th and this month her second day na today any infections dey the blood released during menstruation abeg suggest medicine if needed way go prevent pregnancy and any infections thanks a lot,hi this is sam my girlfriend and i had unprotected sex during the second day of her period and now we are confused about whether she could get pregnant is it possible to get pregnant during her period she gets her period every month regularly for example last month she got it on the 19th and this month the second day is today are there any infections in the blood released during menstruation kindly suggest any medicine if required to avoid pregnancy and infections thanks a lot,Speaker_4,33.58,"['girlfriend', 'infections']",train
audio/Speaker_4/Speaker4-345.wav,hey i do skin tag removal on friday the tag nah the size of a grape dem tell me say scar go dey but wetin my options be nah to make the scar less noticeable also the skin around where the tag dey dey small red and inflamed right now e dey normal how long e go remain like that,hey i had a skin tag removed on friday it was the size of a grape i was told that there was going to be a scar but i was wondering what my options are to make it less noticeable also the skin around the skin tag is a little red and inflamed is this normal how long is it going to be like that,Speaker_4,22.56,[],train
audio/Speaker_4/Speaker4-346.wav,you fit dey experience rebound swelling a reaction way dey caused by cortisol suppression from the high dose steroids you dey likely on after the brain surgery wey you don stop make your doctor know about this change things suppose improve within the next week or so,you may be experiencing a rebound phenomenon of swelling due to cortisol suppression from the high doses of steroids you were probably on for the brain surgery which have now been discontinued you should notify your physician of this change but things should improve over the next week or so,Speaker_4,22.64,"['rebound', 'swelling', 'cortisol', 'high', 'doses', 'steroids']",train
audio/Speaker_4/Speaker4-347.wav,i dey take nifedipine for high blood pressure and dem put me on a low sodium low potassium diet i also been dey take three six hundred and fifty milligram sodium bicarbonate tablets daily as per doctor s instruction now i learn say sodium bicarbonate actually increase sodium for the body why dem go give me that after putting me on a low sodium diet,i am taking nifedipine for high blood pressure and have been placed on a low sodium low potassium diet i have also been taking three six hundred and fifty milligram tablets of sodium bicarbonate daily at the doctor s direction now i learn that this medication actually increases the amount of sodium in the body why would you give me that after putting me on the diet,Speaker_4,28.06,"['nifedipine', 'high', 'blood', 'pressure', 'low', 'milligram', 'tablets', 'sodium', 'bicarbonate', 'medication', 'increases']",train
audio/Speaker_4/Speaker4-348.wav,i get painful lump for the inside of my cheek the pain dey also go to my jaw near my ear like fluid dey fill up there when i press near my ear liquid dey come out through the lump inside my mouth and e keep dey fill back up the gland on the same side for my neck done also swell,i have a painful lump on the inside of my cheek there is a pain in my jaw next to my ear as if fluid is filling up when i press on the pain by my ear liquid comes out of the lump in my mouth and it keeps filling up my gland on the same side in my neck is swollen,Speaker_4,22.79,"['painful', 'lump', 'cheek', 'jaw', 'gland']",train
audio/Speaker_4/Speaker4-349.wav,hello i get very painful lump for my head wey done dey there for couple of weeks i see my doctor last friday and he think say na sebaceous cyst he put me for antibiotics but today it don get bigger and e dey extremely sore pus no dey inside wetin you think,hello i have a very painful lump on my head that has been there for a couple of weeks i went to my doctor last friday and he said he thought it was a sebaceous cyst and put me on antibiotics however it is bigger today and very very sore it does not have any pus in it what do you think,Speaker_4,19.99,"['lump', 'went', 'doctor', 'sebaceous', 'ceous', 'cyst', 'pus']",train
audio/Speaker_4/Speaker4-350.wav,hello need no dey to take the pregnancy termination kit without first confirming pregnancy especially since you take am before your expected period e fit interfer with your hormones and caused this delay self medication to induce abortion dey contraindicated abeg see specialist immediately for thorough evaluation make you do blood pregnancy test and transvaginal ultrasound if you no dey pregnant you fit need hormone treatment to bring back your period i hope say this help,hello there is no need to take the medical termination of pregnancy kit without even detecting pregnancy you have done this even before your expected period this could have interfered with your hormones hence this delay self medication to induce a medical abortion is contraindicated please see a specialist immediately for a thorough evaluation get a blood test for pregnancy and also a transvaginal sonogram if negative for pregnancy you may need a course of hormones to help induce a period hope this helps,Speaker_4,34.58,['transvaginal'],train
audio/Speaker_4/Speaker4-351.wav,dizziness and vertigo nah different things inner ear disturbance fit cause both mitral valve prolapse usually no cause any symptoms breathlessness na the main complaint in most patients and while it fit rarely cause dizziness e dey very uncommon if your doctor don diagnose vertigo no do any physical rehabilitation therapy until e fully settle vertigo treatment nah in two stages one acute attack anti vertigo medicines like betahistine and prochlorperazine maleate two chronic phase vestibular rehabilitation therapy and physiotherapy for suspected vertigo caloric testing and pure tone audiometry dey advised,dizziness is very different from vertigo inner ear disturbances can cause vertigo and dizziness mitral valve prolapse usually remains asymptomatic breathlessness is the main symptom in most patients although it can cause dizziness it is very rare if your physician has diagnosed it as vertigo then do not undergo any physical rehabilitation therapy until it fully settles down the treatment of vertigo is done in two stages one acute attack anti vertigo medications are given such as betahistine and prochlorperazine maleate two chronic phase vestibular rehabilitation therapy and physical therapy are indicated if vertigo is suspected caloric testing and pure tone audiometry are advised,Speaker_4,56.05,"['dizziness', 'inner', 'ear', 'disturbances', 'vertigo', 'mitral', 'valve', 'asymptomatic', 'breathlessness', 'acute', 'betahistine', 'prochlorperazine', 'chronic', 'phase', 'rehabilitation', 'physical', 'pure', 'tone', 'audiometry']",train
audio/Speaker_4/Speaker4-352.wav,my toddler don dey carry intestinal virus for two weeks she dey vomit every morning when she wake she also dey bloated and she don dey deal with constipation before she even dey take miralax for it i suppose still dey worried wetin i fit do about the bloating her belly dey feel so tight help,my toddler has had an intestinal virus for two weeks she vomits every morning when she wakes she is also bloated and has had constipation problems in the past she also takes miralax for the constipation should i still be worried what can i do about the bloating it feels like her belly is so tight help,Speaker_4,23.71,"['toddler', 'morning', 'bloated', 'miralax', 'belly']",train
audio/Speaker_4/Speaker4-353.wav,sir my name na ranjeet twenty nine years old married and i dey suffer from renal failure i don dey do dialysis for the past ten months my sister come donate her kidney but she fail the compatibility test now i no get matching blood type for my family i dey look for non related donor transplant abeg guide me on which hospitals dey do non related transplants wetin the cost be and which documents dem go need abeg help me thanks,sir i am ranjeet twenty nine years old married suffering from renal failure i have been undergoing dialysis for the last ten months my sister came to donate her kidney but she failed the test now i do not have a matching blood group in my family i am looking for a non related transplant please guide me about hospitals where non related transplants occur the cost and the documents required please guide me thanks,Speaker_4,30.31,['dialysis'],train
audio/Speaker_4/Speaker4-354.wav,hi no eating shrimp or crab and feeling sick no be mind thing some people dey truly allergic to certain foods and e real the best treatment for food allergy na simply avoiding that food but good medicines dey also help abeg contact your dermatologist for further advice,hi no it is not a mind thing that you ate shrimp or crabs and got sick it may happen that a person has an allergy to certain foods and becomes ill the best treatment for this kind of allergy is to avoid contact with these foods although there are good medicines available in the market please contact your dermatologist for further advice,Speaker_4,20.99,"['ate', 'allergy', 'certain', 'foods']",train
audio/Speaker_4/Speaker4-355.wav,yes the montair lc wey dem give you contain levocetirizine wey likely dey cause your excessive sleepiness i go recommend make you switch to combination of fexofenadine and montelukast plus a topical nasal spray with azelastine and fluticasone for preventive treatment of allergic rhinitis,yes the montair lc given to you contains levocetirizine which is likely causing you to feel very sleepy i recommend switching to a combination of fexofenadine and montelukast along with a topical nasal spray containing azelastine and fluticasone for preventive therapy for allergic rhinitis,Speaker_4,28.66,"['montair', 'levocetirizine', 'fexofenadine', 'montelukast', 'topical', 'nasal', 'azelastine', 'fluticasone']",train
audio/Speaker_4/Speaker4-356.wav,hi i dey struggle with allergies but i no know exactly wetin i dey allergic to e usually start with itching for my head then by the next morning my face don swell so bad that i no fit see out of my eyes my arms and back dey also dey affected wetin dey bother me more recently be that when i get hot those same bulging rash like bumps dey appear for my face like terrible bulging acne but once my face cool down they disappear wetin i fit do abeg help me,hi i struggle with allergies and i am not sure what i am allergic to it normally starts with itching of the head and when i wake up the next morning my face is so swollen that i cannot see out of my eyes including my arms and back what bothers me is that lately when i get hot that same bulging rash seems to appear on my face it looks like i have terrible bulging acne but when my face cools down it disappears what can i do please help,Speaker_4,36.78,"['itching', 'face', 'swollen', 'arms', 'bulging', 'rash', 'terrible']",train
audio/Speaker_4/Speaker4-357.wav,he go start anticoagulant and statin therapy abeg make you attach a copy of the mri for further comments sir,therapy with anticoagulants and statins should be given to him please attach a copy of the magnetic resonance imaging for further comments sir,Speaker_4,10.52,"['anticoagulants', 'statins', 'attach', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_4/Speaker4-358.wav,i dey experience strange sensations behind my thigh sometimes worse in the morning and also for my calf muscle e no dey feel like muscle soreness nah something different i get stenosis and arthritis for my back but i no think say na sciatica because the sensation dey in both legs and it no dey shoot downward,i have strange sensations behind my thigh sometimes it is worse in the morning and is in my calf muscle it is not muscle soreness but a different sensation i do have stenosis and arthritis in my back but i do not think it is sciatica as the pain is in both legs and it does not shoot down the legs,Speaker_4,27.79,"['strange', 'sometimes', 'morning', 'calf', 'muscle', 'stenosis', 'arthritis', 'both', 'legs']",train
audio/Speaker_4/Speaker4-359.wav,sir my father na chronic alcoholic and he dey also experience occasional seizures he recently get chest infection with total leukocyte count of zero the infection don come under control but the concern be say he dey respond very slowly to things dey stare at one spot dey seem confused and dey reply very late he dey also get occasional shivering for his hands legs and cheeks his sodium and potassium dey low at first but now dey under control he don dey sick for one month,sir my father is a chronic alcoholic sometimes seizures happen to him as well he was suffering from a chest infection recently with total leukocyte count zero now the infection is under control the problem is that he responds very slowly and stares at only one place as if he is confused or something and replies very late shivering occurs sometimes in his hands legs and cheeks sodium and potassium levels were low in the initial stage but now they are under control he has been ill for one month,Speaker_4,41.28,"['sometimes', 'seizures', 'chest', 'infection', 'total', 'leukocyte', 'very', 'slowly', 'confused', 'shivering', 'sodium', 'potassium']",train
audio/Speaker_4/Speaker4-360.wav,hi i don dey take birth control pills for about eight years and i been dey on a new pill since last summer for the past few days i dey notice light brown discharge when i wipe i no get any cramping i just dey wonder wetin e fit be my period no supposed to come for another ten days this thing never happen to me before,hi i have been on birth control pills for about eight years now and i have been on a new pill since last summer well the past few days i have noticed a light brown discharge when i wipe i am not having any cramping or anything i am just wondering what it could be i shouldn t start my period for about ten more days i have never had this happen before,Speaker_4,22.91,"['discharge', 'cramping']",train
audio/Speaker_4/Speaker4-361.wav,couple of weeks ago my nipple start to itch and dey small tender i no really think much about am but today as i dey prepare for shower my nipple dey sore i examine myself and i discover a lump and my breast dey also very tender i be fifty one years old,a couple of weeks ago my nipple was itching and it was somewhat tender i never really thought about it after that as i was getting ready to shower today my nipple was sore i checked myself and i found a lump my breast is also very tender i am fifty one years old,Speaker_4,20.37,"['nipple', 'itching', 'breast']",train
audio/Speaker_4/Speaker4-362.wav,hello i dey about eight weeks pregnant and for the past two days i dey see brown discharge when i wipe after using the bathroom today i experience two period like cramps my breasts no dey tender and i no really have other symptoms i call my doctor but dem seem unbothered i dey start to worry say this fit be miscarriage,hello i am about eight weeks pregnant and for the last two days i have been seeing brown discharge when i wipe after using the bathroom today i have experienced two period like cramps i do not have tender breasts or really any other symptoms i called the doctor but they seemed as if they did not care i am getting worried it may be a miscarriage,Speaker_4,25.26,"['last', 'period', 'tender', 'breasts', 'called']",train
audio/Speaker_4/Speaker4-363.wav,i think i get asthma attack i no fit breathe at all and i no fit catch my breath now my arms and hands dey tingling and i dey feel confused and dizzy i don get two transient ischaemic attacks before and i also dey deal with anxiety and panic attacks make i call ambulance or make i go hospital,i think i just had an asthma attack i couldn t breathe nor could i catch my breath now my arms and hands are tingling and i feel confused and dizzy i have had two transient ischemic attacks in the past as well as suffer from anxiety and previous panic attacks should i call an ambulance and go to the hospital,Speaker_4,26.76,"['arms', 'confused', 'transient', 'ischemic']",train
audio/Speaker_4/Speaker4-364.wav,if the patient dey fully conscious and dey behave normal major brain bleed dey very unlikely minor bleeds typically no dey produce symptoms and e fitt no even require treatment,if the patient is conscious and engaging in all normal activities a brain bleed is unlikely minor bleeds do not typically produce symptoms and they may not require treatment,Speaker_4,13.07,"['conscious', 'brain']",train
audio/Speaker_4/Speaker4-365.wav,wetin dey under the collarbone i get lump there wey dem detect on a pet scan i originally get the scan because of a lump i feel just above the collarbone on the right side of my neck but dem say they spot another one behind my collarbone on the same side wetin dem dey call that area of the body,what is under the collarbone i have a lump there detected by a positron emission tomography scan i was getting the scan for a lump i felt which is just above the collarbone on the right side of my neck but they said they saw one behind my collarbone on the same side what is that area called,Speaker_4,21.69,"['collarbone', 'lump', 'above', 'behind']",train
audio/Speaker_4/Speaker4-366.wav,the mild pain fit dey related to pelvic inflammatory disease as you done already suspect take antibiotics and make you ask your boyfriend make em take the same course if you no see improvement ultrasound go help clarify the diagnosis,the mild pain could be due to pelvic inflammatory disease as you have rightly thought take a course of antibiotics and ask your boyfriend to take the same course if there is no relief an ultrasound may help you to obtain a proper diagnosis,Speaker_4,18.72,"['mild', 'pelvic', 'ultrasound']",train
audio/Speaker_4/Speaker4-367.wav,hi i get my bottom wisdom teeth removed for the 23rd of september tonight i dey feel pain on my right side i go bathroom grab torch and look inside i see a hole and even to touch am dey hurt e dey very red and e dey bleed for about ten seconds when i put gauze there i dey scared i never get this kind of procedure before and i no know wetin to expect,hi i had my bottom wisdom teeth removed on the 23rd of september tonight i felt some pain on my right side i went to the bathroom grabbed a light and looked inside i saw a hole and it hurt to even touch it it is very red and bled for about ten seconds when i put gauze in my mouth but i m scared i have never had anything like this done so i do not know what to think right now,Speaker_4,34.33,"['bottom', 'wisdom', 'teeth', 'removed', 'scared', 'seconds']",train
audio/Speaker_4/Speaker4-368.wav,my baby boy get jaundice after birth he go through phototherapy and after blood test dem discharge us dem born am on the 20th of december by c section he now dey two weeks and two days old i still see his eyes dey yellow and the inside of his mouth also yellow i dey concerned make i call midwife he dey feed well,my baby boy got jaundice after birth he went through phototherapy and after a blood test we were discharged he was born on the 20th of december by cesarean section he is now two weeks and two days old i still see his eyes yellow and the inside of his mouth yellow i am concerned should i call the midwife he is feeding well,Speaker_4,24.86,"['baby', 'boy', 'jaundice', 'born', 'cesarean', 'eyes', 'inside', 'his', 'mouth']",train
audio/Speaker_4/Speaker4-369.wav,e fit be simple ganglion cyst lipoma or some benign cystic growth way dey press on nearby nerve endings wey dey cause the pain nothing to panic about abeg just go see a general surgeon,it could be a simple ganglion or a lipoma or some benign cystic growth compressing on your nerve endings that cause pain there is no need to worry please meet with a general surgeon,Speaker_4,16.14,"['lipoma', 'benign', 'compressing', 'nerve', 'endings']",train
audio/Speaker_4/Speaker4-370.wav,hi i don carry four pregnancies right now i dey seventeen days late i get tubal ligation one and half years ago for about two weeks now i been dey feel like my period wan start serious cramps and lower back pain but nothing dey come e fit dey possible say i dey pregnant,hi i have had four pregnancies right now i am seventeen days late i had a tubal ligation a year and a half ago i have been feeling like i am going to start for about the last two weeks i have bad cramps and lower back pain but i am not getting my period is it possible to be pregnant,Speaker_4,25.14,"['seventeen', 'late', 'cramps']",train
audio/Speaker_4/Speaker4-371.wav,hi first check to confirm whether the electric shock cause any bone damage do x ray if everything dey fine then e likely nah muscle soreness for which you fit take muscle relaxant like zerodol mr twice daily for five to seven days,hi first get checked to see if the shock has caused any damage to your bones get an x ray for that if your x ray is fine then it is due to muscle soreness for which you can use muscle relaxants like zerodol mr two times a day for five to seven days,Speaker_4,19.99,"['ray', 'relaxants', 'muscle', 'zerodol']",train
audio/Speaker_4/Speaker4-372.wav,welcome to health care management regarding gulkand scientifically dem no prove am effective for infertility you fit take am if e no dey harmful to you for increasing sperm count certain supplements dey needed vitamin b12 folic acid zinc copper selenium molybdenum l lysine minerals vitamin e and others also make you consider doing ultrasound ovulation study and plan accordingly you go definitely conceive with time best wishes,welcome to health care management it is difficult to say regarding gulkand because scientifically it has not been proven effective for infertility you can take it if it is not harmful to your body certain medications are required to increase sperm count such as vitamin b12 folic acid zinc copper selenium molybdenum l lysine minerals vitamin e and other supplements please consider undergoing an ultrasound ovulation study and plan accordingly you will definitely conceive best wishes,Speaker_4,38.18,"['medications', 'vitamin', 'folic', 'acid', 'because', 'selenium']",train
audio/Speaker_4/Speaker4-373.wav,dem admit my sister for kidney problem and dem find say she get lupus nephritis she recover well and come home but after one month dem readmit her with persistent fever for the fifth day she start to have continuous seizures and now she dey on ventilator they do cerebrospinal fluid test too abeg give advice immediately i go be very grateful many thanks anu,my sister was admitted for a kidney problem and they found that she was affected by lupus nephritis now she is fine but again after a month she was admitted due to continuous fever on the fifth day she experienced continuous seizures and now she is under ventilation they are also conducting a cerebrospinal fluid test please advise immediately that would be great and i would be very thankful many thanks anu,Speaker_4,32.81,"['sister', 'admitted', 'continuous', 'fifth']",train
audio/Speaker_4/Speaker4-374.wav,hi i get eight year old grandson wey dem dey investigate for celiac disease the condition dey present on three sides of the family blood work today show elevated vitamin b12 and iron levels he no dey take any vitamin supplements and he dey very picky with food no dey eat much at all he also get adhd and dey on adderall wetin fit explain the elevated levels,hi i have an eight year old grandson being checked for celiac disease it is present on three sides of the family some blood work came back today with elevated vitamin b12 and iron levels he takes no vitamin supplements and is not much of an eater he is very picky he also has attention deficit hyperactivity disorder and is on adderall what could be some reasons for the increase,Speaker_4,30.14,"['celiac', 'elevated', 'vitamin', 'iron', 'supplements', 'attention', 'deficit', 'hyperactivity', 'disorder']",train
audio/Speaker_4/Speaker4-375.wav,hello e dey okay say you take both pills together as soon as you remember am but abeg no miss any more pills this cycle otherwise you no go dey protected about taking a pill from the wrong row as long as e dey the same colour e dey fine if you fit still take the saturday pill from the missed row before moving on continue from there if you dey confused about the whole thing just abandon this pack and make you start fresh with a new one from your next cycle make you use extra protection for the rest of this cycle,hello it is okay that you took both pills at the same time as soon as you remembered however do not miss any more pills in this cycle or you will not be protected regarding taking the wrong pill from a different row as long as it is the same color it is fine if you remember to take the saturday pill from the row you missed before you can continue if you are confused abandon this pack and start a new pack from your next cycle use extra protection for the remainder of this cycle,Speaker_4,37.91,['saturday'],train
audio/Speaker_4/Speaker4-376.wav,i be thirty four year old female weighing forty five kilograms height nah one hundred and thirty centimetres i dey suffer from pain for the joint of my right hand index finger with swelling for that finger pain for my left elbow joint pain for both ankles and pain for both soles of my feet this thing don dey happen for three days with no fever my mother get a history of seronegative rheumatoid arthritis i dey take painkillers but still dey get difficulty walking abeg suggest treatment,i am a thirty four year old female weighing forty five kilograms and my height is one hundred and thirty centimeters i am suffering from pain in my right hand finger at the metatarsal joint with swelling in my right index finger pain in my left elbow joint pain in both ankles and pain in both soles this has been ongoing for three days with no fever my mother has a history of seronegative rheumatoid arthritis i am taking painkillers and having difficulty while walking kindly suggest treatment,Speaker_4,38.26,"['painkillers', 'hand', 'finger', 'metatarsal', 'swelling', 'elbow', 'both', 'sole', 'mother']",train
audio/Speaker_4/Speaker4-377.wav,hi my mother dey seventy six years old and dem tell her say she get pancreatic cancer she also get tumour in her abdomen pressing on her gallbladder her skin dey itch and she dey look yellowish dem tell her she go survive the surgery to remove the tumour how long she fit manage this way wetin we suppose expect,hi my mother who is seventy six years old has been told she has pancreatic cancer with this she has a tumor in her abdomen pressing on her gallbladder and her skin is itchy and has a yellow appearance my mom has been told that she will survive the operation to remove the tumor how long will she be able to continue this way,Speaker_4,31.11,"['seventy', 'pancreatic', 'tumor', 'abdomen', 'gallbladder', 'itchy', 'yellow']",train
audio/Speaker_4/Speaker4-378.wav,this fit be from concussion injury the damage fit only show on ct scan after few days a repeat ct scan need dey,this could be due to a concussion injury it may manifest in a computed tomography scan after a few days a repeat computed tomography scan needs to be performed,Speaker_4,11.1,"['computed', 'tomography', 'after']",train
audio/Speaker_4/Speaker4-379.wav,hello i just read your question the most common reason for that complaint na irritation around the urethral opening which fit be from the shower as you talk since he dey fine now no need to change his routine unless e happen again,hello i just read through your question the most common reason for his complaint is irritation around the urethral opening this very well could have been from the shower as you say now that he is well i would not change his routine unless it happens again,Speaker_4,18.22,['your'],train
audio/Speaker_4/Speaker4-380.wav,hello pale stool na one of the normal variants though e no dey common if e persist e suggest blockage somewhere in the bile duct biliary tree which dey cause bilirubin to stay in the liver and make the stool pale we go consider hepatitis or biliary obstruction for different levels if i dey physiological it go improve on its own without treatment whether e dey serious or not depend on the underlying cause e fit be normal variant or e fit dey related to biliary disease without treatment long standing biliary obstruction fit eventually lead to cirrhosis the possible conditions go include physiological issues acute hepatitis or extrahepatic biliary obstruction i go recommend liver function tests full blood count amylase test and abdominal ultrasound make you continue your normal diet and come back with the results,hello a pale stool is one of the normal variants of stool although it occurs infrequently if persistent it indicates an obstruction in the biliary tree leading to stasis of the bilirubin in the liver and causing the stool to be pale we should consider hepatitis or obstruction of the biliary system at a different level if this is physiological it will improve without any specific intervention it may or may not be serious as i explained above it depends on the cause of the pale stool it can be a normal variant or related to biliary disorders initially it may not be associated with cirrhosis but later on in the case of long standing obstruction of the biliary tree it may cause cirrhosis possible conditions include physiological issues acute hepatitis or extrahepatic biliary obstruction i recommend performing liver function tests a complete blood count amylase tests and an abdominal ultrasound you can continue your normal diet and return with the reports,Speaker_4,73.69,"['obstruction', 'stasis', 'liver']",train
audio/Speaker_4/Speaker4-381.wav,i be young adult with anxiety but i no been go see doctor about am i notice say i get a bad habit of cracking my joints every ten to fifteen minutes throughout the day i also say when the weather dey cold my joints dey start to hurt any suggestions,i am a young adult and have anxiety but have not gone to the doctors about it i have noticed that i have a horrible habit of cracking my joints every ten to fifteen minutes throughout my entire day i realized that my joints hurt when the weather is too cold any suggestions,Speaker_4,20.47,"['am', 'anxiety', 'joints', 'hurt']",train
audio/Speaker_4/Speaker4-382.wav,i do angiogram on monday and dem diagnose me with coronary artery spasms my cardiologist dismiss am and say e dey common in young women he put me for calcium channel blocker and nitroglycerin and tell me make i return to my normal life i wan know more about warning signs to watch for because i read say the risk of heart attack and sudden death fit dey elevated but he seem to think say e no be big deal,i had an angiogram on monday and was diagnosed with coronary artery spasms my cardiologist really dismissed it and said it s common in young females he put me on a calcium channel blocker and nitroglycerin and said to return to normal i would like to know more about what to watch for as i have read about an increased risk of heart attack and sudden death but he seems to think it s no big deal,Speaker_4,32.51,"['angiogram', 'coronary', 'cardiologist', 'calcium', 'channel', 'blocker', 'nitroglycerin', 'heart', 'attack']",train
audio/Speaker_4/Speaker4-383.wav,yes a foreign body granuloma fit be the simple explanation for the swelling do scan so we fit know exactly wetin e be,yes a foreign body granuloma could be a simple cause for swelling get a scan so we can know exactly what it is,Speaker_4,11.47,"['foreign', 'body', 'granuloma', 'scan']",train
audio/Speaker_4/Speaker4-384.wav,hello the baby s current weight dey absolutely normal for her birth weight no need to worry about am at all e dey perfectly normal for babies to bring up small amounts of milk after feeding even after burping na standard occurrence if nah real problem the baby s weight no go dey increase since her weight dey normal for her age i think everything dey fine also note say burping suppose dey for about ten minutes for it to be effective laryngomalacia na condition where the muscles of the larynx dey weak causing a stridor sound during breathing e no be serious condition and typically resolve around eight months of age sometimes low calcium levels fit cause similar stridor like sound so check the baby s calcium levels if low calcium supplementation go dey needed,hello the current weight of the child is absolutely normal according to the birth weight of the child there is no need to worry about this babies often spit a very small amount of milk after feeding even after burping this is a normal occurrence if it were problematic then the weight of the child would not increase since the weight of the child is normal for her age i think this is normal and we should not worry about it additionally work should be done for around ten minutes for effective results laryngomalacia is a condition in which the muscles of the larynx are weak resulting in a stridor sound during breathing this is not a serious issue laryngomalacia usually resolves around eight months of age sometimes calcium levels can be low which may cause a stridor like sound so calcium levels should be checked in the child if they are low then calcium supplementation needs to be started,Speaker_4,66.67,"['minutes', 'laryngomalacia', 'stridor', 'calcium']",train
audio/Speaker_4/Speaker4-385.wav,i do unprotected sex two days before the first part of my medical abortion after the abortion was completed i fit still get pregnant i know say sperm fit survive up to six days but i no sure wetin dey happen to sperm while you already dey pregnant,i had unprotected sex two days before the first part of my medical abortion procedure after my abortion was complete would it be possible for me to get pregnant i know sperm can live up to six days but i am not sure what happens to sperm while you re pregnant,Speaker_4,18.24,[],train
audio/Speaker_4/Speaker4-386.wav,your history of allergies suggest say your skin don also become involved since eczema itself na an allergic condition if you wan get rid of am go for allergy testing and immunotherapy to address both your respiratory and skin systems this time around you fit also done mix am with scabies wey dey look like allergy and e fit spread from person to person for a household apply crotamiton hydrochloride ointment twice daily and use emulsified scabicide lotion at night all over your body for ten days other family members with the same issue fit use am too take antihistamine as needed for itching every time you change your clothes boil them for warm water before wearing dem again also change bed sheets pillow covers etc daily boiling them before you reuse dem scabies typically dey clear within three weeks with proper medication,your history of allergies suggests that your allergy has involved the skin because eczema is also allergic if you want to get rid of these go for allergy tests and immunotherapy to address both respiratory and skin systems this time you might have mixed scabies which also look like allergies and it spreads from one person to another in the family you can treat it locally by applying crotamiton hydrochloride ointment twice daily and using emulsified scabicide lotion at night on the whole body for ten days these can also be applied to other family members having this issue you can take an as needed antihistamine for itchiness every time you change clothes boil them in warm water and then use them again you also have to change bed sheets pillow covers etc every day and reuse them by boiling them in water it takes three weeks for scabies to go away with medication,Speaker_4,71.72,"['eczema', 'tests', 'immunotherapy', 'allergies', 'crotamiton', 'hydrochloride', 'twice', 'daily', 'scabicide', 'antihistamine', 'boiling']",train
audio/Speaker_4/Speaker4-387.wav,hi ethinyl estradiol no go help you get pregnant you need specific ovulation stimulating medicines talk to your doctor about am but before starting anything go get yourself evaluated first make you do thyroid profile prolactin levels and ovarian ultrasound make your partner also do semen analysis,hi i think ethinyl estradiol will not help you in getting pregnant you need to take some medications for ovulation talk to your doctor regarding this you should also get yourself evaluated first do a thyroid profile prolactin levels and an ultrasound for your ovaries additionally conduct a semen analysis of your partner,Speaker_4,25.26,"['ethinyl', 'medications', 'talk', 'thyroid', 'profile', 'ultrasound', 'semen']",train
audio/Speaker_4/Speaker4-388.wav,gradually try to quit smoking make you take a mild painkiller like paracetamol five hundred milligrams as needed if the pain no improve then a chest x ray go de needed,gradually try to quit smoking take some analgesic like paracetamol five hundred milligrams as needed if the pain still persists then a chest x ray should be done,Speaker_4,14.92,"['analgesic', 'paracetamol', 'milligrams', 'chest']",train
audio/Speaker_4/Speaker4-389.wav,i dey dey breathless just climbing one flight of stairs i no fit even lie flat on my back without feeling breathless i get ventricular septal defect from birth but the cardiologists say e small and no be the cause pulmonary function test show say obstruction dey my lungs but the lung specialist no think say i get asthma or copd since i never smoked and i dey only thirty three years old some echocardiograms show pulmonary valve narrowing but then the heart specialist say na the left to right shunt flow through the hole nah the issue not the valve abeg help me i feel like dem dey pass me from one doctor to another without any real answer,i become breathless walking up one flight of stairs i cannot lie on my back at all or i become breathless i have a ventricular septal defect from birth but the cardiologists said that it is not causing my breathlessness and tiredness as it is small a pulmonary function test showed an obstruction in my lungs but the lung specialist does not think i have asthma or chronic obstructive pulmonary disease as i have never smoked and i am only thirty three years old some echocardiograms have shown narrowing of the pulmonary valve but then the heart specialist said it was not that but rather the flow of the left to right shunt through the hole please help i have been passed from pillar to post and through all sorts of tests,Speaker_4,59.15,"['breathlessness', 'ventricular', 'septal', 'defect', 'tiredness', 'pulmonary', 'function', 'test', 'obstruction', 'asthma', 'obstructive', 'disease', 'echocardiograms', 'shunt']",train
audio/Speaker_4/Speaker4-390.wav,hello doctor for the past three months i don dey experience vaginal infection but all the tests done come back negative including vaginal swab and urine test wey dem do last month i wan know whether a vagina fit shut down or close psychologically for example if a woman no wan have sex with someone abeg explain this possibility to me,hello doctor i noticed that for the past three months i have had a vaginal infection however all the tests have been negative including the vaginal swab and urine tests which were done last month i would like to know whether the vagina can close due to psychological reasons for example when one does not want to have sexual intercourse with someone please explain,Speaker_4,25.36,['vaginal'],train
audio/Speaker_4/Speaker4-391.wav,hello e sound like say you fit dey deal with some kind of bleeding disorder alongside endometriosis you need do abdominal ultrasound during your period and coagulation profile also get factor vii and factor ix levels checked the knee pain fit or fit no dey related to internal joint bleeding and iron deposition inside the knee,hello you are probably suffering from some kind of bleeding diathesis along with endometriosis you need to get an abdominal ultrasound during your periods and a coagulation profile along with this you should also get factor vii and factor ix of your blood evaluated the knee pain may or may not be due to intra articular bleeding and deposition of iron in the knee,Speaker_4,29.24,"['bleeding', 'abdominal', 'ultrasound', 'factor', 'vii', 'ix', 'knee', 'intra', 'iron']",train
audio/Speaker_4/Speaker4-392.wav,hi welcome to healthcare management i understand your concern you need do chest x ray and ecg make you identify the cause,hi welcome to healthcare management i can understand your concerns you need to do a chest x ray and an electrocardiogram to determine the cause,Speaker_4,10.32,"['chest', 'ray', 'electrocardiogram']",train
audio/Speaker_4/Speaker4-393.wav,your pain description dey sound like migraine with aura but go ahead with the mri scan and ophthalmology check up first if all of dem come back normal then do routine blood tests including esr crp blood sugar and ecg for treatment of these types of headaches amitriptyline ten milligrams once daily naproxen five hundred milligrams twice daily for three days and zolmitriptan nasal spray for severe headache episodes,your description of pain again appears like a migraine with aura however you will go for the magnetic resonance imaging scan and ophthalmology check up if all these are negative then do a routine blood check up with erythrocyte sedimentation rate c reactive protein blood sugar check up and electrocardiogram treatment for these types of headaches is amitriptyline ten milligrams once daily naproxen five hundred milligrams twice daily for three days and zolmitriptan nasal spray if the headache is severe,Speaker_4,38.33,"['migraine', 'magnetic', 'resonance', 'imaging', 'scan', 'blood', 'check', 'up', 'headaches', 'amitriptyline', 'milligrams', 'naproxen', 'twice', 'daily', 'zolmitriptan', 'nasal']",train
audio/Speaker_4/Speaker4-394.wav,about four to five weeks ago dem diagnose me with urinary tract infection the culture show klebsiella infection i complete a course of ciprofloxacin and i feel fine nah until last week now i dey experience serious stomach cramping with diarrhoea this new problem fit dey connected to the uti wey i just treat,about four to five weeks ago i was diagnosed with a urinary tract infection the culture showed a klebsiella infection i completed a round of antibiotics ciprofloxacin and felt fine that is until last week i have been experiencing severe abdominal cramping now with diarrhea could i have caught this problem from the urinary tract infection i had,Speaker_4,25.24,"['urinary', 'tract', 'culture', 'ciprofloxacin', 'severe', 'abdominal', 'cramp', 'diagnosed', 'infection']",train
audio/Speaker_4/Speaker4-395.wav,i don dey carry upper back and shoulder pain for years mri no dey detect anything i dey also feel the pain just above my breast i notice say the right side of my chest the side wey dey pain me dem get more prominent bone structure than the left side,i have had upper back and shoulder pain for years magnetic resonance imaging cannot detect anything i feel the pain just above my breast as well i have noticed that the side with the pain that is the right side of my chest shows that my bone structure protrudes more than the left side,Speaker_4,18.72,"['shoulder', 'magnetic', 'resonance', 'imaging', 'above', 'breast', 'bone', 'structure']",train
audio/Speaker_4/Speaker4-396.wav,my sister get psychiatric problem and she don dey under treatment for the last six months but she don stop dey take her medication even when we book appointment she dey refuse to go and she dey make silly excuses she dey very preoccupied with thoughts about her own life and dey afraid of death she no go bathe for days at a time and she dey spend all her time watching videos on her phone once she start dey talk about her problems she no go stop easily she dey wash her hands repeatedly very roughly and she dey clean her tongue so aggressively that e fit peel the skin my whole family don almost reach breaking point because of her situation,my sister has a psychiatric problem she has been under treatment for the last six months but she has stopped taking her medication despite our booking an appointment she refuses to meet the doctor and makes silly excuses she is very concerned about her own life and is scared of death she does not bathe for days and is busy on her mobile phone watching videos once she starts talking about all the problems in her life she does not stop easily she washes her hands very roughly to clean them thoroughly and cleans her tongue so much that it could peel the skin off her tongue my whole family is going to be destroyed because of her,Speaker_4,47.23,"['sister', 'washes', 'cleans']",train
audio/Speaker_4/Speaker4-397.wav,i get type ii diabetes since nineteen ninety five for many years i manage am well with just diet and exercise for the past five years i add lantus once daily bydureon once weekly and metformin my hba1c levels dey run between six point five and eight i dey check regularly with no major issues except neuropathy for my feet neurologist prescribe medicine for am but e make me feel unwell so i stop am my balance don become more affected than before and i dey look for vitamins or something way fit help,i have had type ii diabetes since one thousand nine hundred and ninety five it was controlled well with diet and exercise for a number of years in the last five years i have added lantus once daily and bydureon once weekly along with metformin my hemoglobin a1c levels run from six point five to eight checked regularly by my doctor with no major problems except for neuropathy in my feet a neurologist prescribed medication but it made me feel unwell so i discontinued it my balance has been affected more than in the past and i am looking for vitamins or something that may help,Speaker_4,44.33,"['type', 'ii', 'diabetes', 'diet', 'exercise', 'lantus', 'daily', 'bydureon', 'weekly', 'metformin', 'hemoglobin', 'balance', 'vitamins']",train
audio/Speaker_4/Speaker4-398.wav,dear patient this thing be stress fracture of your tibia or a muscle pull since you been dey exercise for three weeks your bones done dey under unusual stress wey fit cause small invisible fractures way no dey show on normal x ray i advise x ray of the involved tibia and fibula for both anteroposterior and lateral views make una look for fracture lines avoid treadmill for one week make you give the tibia rest drink milk daily with vitamin d supplements if the pain no improve within one week mri of the leg go be needed all the best,dear patient this could be a stress fracture of your tibia or a muscle pull since you have been exercising for the last three weeks it puts stress on your bones which are not accustomed to such extraordinary stress this can lead to minor fractures in the bone which are often not visible on an x ray i would like to advise an x ray of the involved tibia and fibula in anteroposterior and lateral views to look for any fracture lines please avoid the treadmill for one week to give your tibia some rest consume milk every day along with vitamin d supplements if your pain does not improve within a week an mri of the involved leg will be required all the best,Speaker_4,42.36,"['stress', 'fracture', 'patient', 'exercising', 'minor', 'lateral', 'views', 'vitamin', 'mri', 'leg']",train
audio/Speaker_4/Speaker4-399.wav,i don dey on bioidentical hormones for about ten years i be sixty years old i just start dey experience some light bleeding episodes twice each about two weeks apart i dey wonder if the stress of our recent move to a new city fit done trigger am i use transdermal creams and i recently reduce the amount of progesterone cream hoping say e fit help i spot yesterday thinking say another cycle fit dey start again but e only last one day and stop any thoughts or suggestions,i have been on bioidentical hormones for about ten years i am sixty years old i just started having some light cycles of bleeding twice each two weeks apart i am wondering if stress could have precipitated this as we just underwent a move to a different city i use transdermal creams and just reduced the amount of the progesterone cream somewhat hoping it might help i spotted yesterday thinking another cycle was starting again but it only lasted a bit for one day and then stopped any suggestions or comments,Speaker_4,38.73,"['bioidentical', 'hormones', 'light', 'cycles', 'transdermal']",train
audio/Speaker_4/Speaker4-400.wav,hello i understand your concern yes your son go need rabies vaccinations but you fit give the first three doses on days zero three and seven until the 10th day make you keep close eye on the dog if nothing happen to the dog by then your son no need the remaining two doses the incubation period of rabies dey between two months and two years yes he go also need tetanus injection i hope say e answer your question if you go need more clarification abeg write to us,hello i understand your concern yes your son needs rabies vaccinations but you can give him the first three doses on days zero three and seven until the 10th day you should keep a watch on your dog if nothing happens to your dog your son does not need two more doses of rabies the incubation period of rabies is two months to two years yes he also needs a tetanus injection i hope this answers your question if you have additional questions please do not hesitate to write to us,Speaker_4,38.63,[],train
audio/Speaker_4/Speaker4-401.wav,my teeth dey loose my gums don swell up some of my teeth don start to dey decay and dem dey slowly spread apart i dey brush every single day but i think say i fit get gum disease i no wan tell my boyfriend because i dey embarrassing and e no dey attractive at all i no fit even smile in front of am my teeth don dey make me feel very insecure i dey only nineteen years old wetin i suppose do,my teeth are loose i have swollen gums some of my teeth have rotted and they have slowly started to space apart i brush every single day but i think i might have gum disease i don t want to tell my boyfriend because it s embarrassing and not attractive i can t smile in front of him my teeth are making me insecure i m only nineteen what can i do,Speaker_4,30.34,"['swollen', 'gum']",train
audio/Speaker_4/Speaker4-402.wav,hi dear i understand your concern you fit relax a bit nah normal behaviour for babies dem no know how to swallow saliva yet just put small napkins or bib for under her chin their salivary glands dey very active at this stage i wish you and your daughter better health,hi dear i understand your concern you should be worried but not too much it is normal behavior for babies they don t know how to swallow it just put some napkins under her chin their salivary glands work very actively i wish you and your daughter good health,Speaker_4,21.97,[],train
audio/Speaker_4/Speaker4-403.wav,i don dey carry very heavy feeling for my chest for about three weeks now i dey constantly nauseous and dizzy i dey fatigued and i dey sleep at any opportunity anywhere anytime i get headache wey no dey gree go away and the whole thing dey feel like a scary situation i been wan go emergency room also pregnancy dey possibility but i no dey quite sure say nah em,i have had a very heavy feeling in my chest for about three weeks now i am very nauseous and dizzy and i am fatigued and just overwhelmingly sleepy i fall asleep everywhere and anywhere i have a headache that will not go away and it s such a scary feeling i have wanted to go to the emergency room also pregnancy is a possibility but i am not quite sure that would be it,Speaker_4,30.91,"['nauseous', 'fatigued', 'fall', 'asleep', 'headache']",train
audio/Speaker_4/Speaker4-404.wav,dear sir i be rituraj twenty six years old for the past few days i don dey experience burn when i dey urinate and today i notice say the urine don turn red i wan know if this fit be kidney stone and whether himalaya cystone go dey effective for this situation sir abeg reply quick the pain dey too much i already done try some medicine but e no work,dear sir i am rituraj and i am twenty six years old for a few days i have been suffering from burning urine and today i noticed the urine is red in color sir i wanted to know if there is a possibility of a stone in the kidney and if himalaya cystone is effective in this situation sir please reply quickly because it hurts a lot sir i have already taken medicine but it didn t work,Speaker_4,31.61,['kidney'],train
audio/Speaker_4/Speaker4-405.wav,hello no she no suppose stop the low molecular weight heparin injection she suppose continue am make e use good brand like enoxaparin with aspirin one hundred and fifty milligrams daily with wetin dey her medical history we no fit afford to take chances if she stop am she go face high risk of early onset hypertension poor foetal growth low amniotic fluid and possibly even bleeding during the pregnancy you need dey very careful about this,hello no she should not stop low molecular weight heparin injection and should instead take a good brand either enoxaparin or low molecular weight heparin along with aspirin one hundred and fifty milligrams as her previous history is such that we should not ignore it if not taken then she is at high risk for early development of high blood pressure slow growth of the baby low amniotic fluid level around the baby and at times bleeding can occur during pregnancy therefore you have to be very careful,Speaker_4,37.41,"['slow', 'heparin', 'injection', 'enoxaparin', 'aspirin', 'milligram', 'bleeding']",train
audio/Speaker_4/Speaker4-406.wav,today i been dey feel wetin seem like a dull or faint heartbeat after lunch i feel strange and dizzy small e last for about one hour i dey feel fine now eight hours later but any concern about the heart dey make me uneasy this no be the first time e happen e done happen about three times in the past five months,i have had what feels like a dull or faint heart rate today after lunch i felt strange and a bit dizzy it lasted for about an hour i feel okay now eight hours later but i get concerned when it is about your heart this is not the first time it has happened about three times in the last five months,Speaker_4,24.49,"['dull', 'strange', 'dizzy', 'okay']",train
audio/Speaker_4/Speaker4-407.wav,i just receive my follicle report i dey day nine of my cycle e show left ovary way get follicles way dey measure 14mm x 12mm and 17mm x 14mm right ovary show multiple developing follicles way dey average 10mm in diameter endometrial thickness na five point three mm i know there still dey time for growth but i get good chances of conceiving this cycle,i received my follicle report just now on the 9th day of my cycle and it shows the left ovary with sizes 14mm x 12mm and 17mm x 14mm the right ovary shows multiple developing follicles averaging 10mm in diameter and the endometrial thickness is five point three mm i know there is still time for growth but do i have chances of conceiving this cycle,Speaker_4,35.56,"['follicle', 'report', 'know', 'th', 'ovary', 'mm', 'multiple', 'follicles', 'endometrial', 'al', 'thickness', 'point']",train
audio/Speaker_4/Speaker4-408.wav,hello i do myectomy of the heart for january twenty fifth i get very serious swelling afterwards and i beeen dey take lasix all of am clear up i been dey off lasix for about four days now and i notice say the swelling don return e no too bad but e dey visible make i take more lasix to bring the swelling down,hello i had a myectomy of the heart on january twenty five i had major swelling and was taking lasix and it all went away i have been off lasix for about four days and i noticed the swelling is back it s not too bad but noticeable should i take more pills to reduce it,Speaker_4,29.44,"['myectomy', 'major', 'swelling', 'pills']",train
audio/Speaker_4/Speaker4-409.wav,i done remove teeth wey become infected and i take antibiotics then another teeth get infected and i remove am within the same month now i don lose weight i get ulcer on my tongue and i get pus pockets around my front teeth my white blood cell count dey high and dem admit me for a bone marrow test because them suspect leukaemia this thing fit be cellulitis,i had a tooth extracted that became infected and i took antibiotics another tooth became infected and was removed within the same month now i have lost weight have an ulcer on my tongue and pus pockets on my front teeth my white blood cell count is high and i was admitted to the hospital for a bone marrow test suspecting leukemia could this be cellulitis instead,Speaker_4,29.96,"['tooth', 'extracted', 'removed', 'ulcer', 'pus', 'white', 'blood', 'cell', 'count', 'admitted', 'hospital', 'bone', 'marrow', 'test', 'cellulitis']",train
audio/Speaker_4/Speaker4-410.wav,e fit be many things the most likely cause na renal stone the pain way you describe dey very typical of am second possibility na acute muscle spasm third possibility na acute panic reaction since this na the first episode you fit observe for now without stress but abeg never use dangerously hot water e fit cause harm if e happen again go see physician and do ultrasound investigation,it could be many things the first possibility is a renal stone the pain you described is typical of that another possibility is an acute muscle spasm a third possibility is an acute panic reaction since this was the first episode you can ignore it however never use such warm water as it can be dangerous if it happens again see a physician and have an investigation such as an ultrasound done,Speaker_4,32.56,"['renal', 'muscle', 'panic']",train
audio/Speaker_4/Speaker4-411.wav,i dey experience pain for my left armpit e come suddenly at first nah just little discomfort but now e dey very hard to move my arm without serious pain e dey feel like something full and heavy dey inside there i no know wetin to do and i no wan see doctor because i no get health insurance wetin fit dey wrong,i am having pain in my left armpit it came on quickly at first it hurt a little but now it is really hard to move my arm without experiencing pain it feels like there is something inside it feels full i do not know what to do i do not want to see a doctor because i have no health insurance what could be wrong,Speaker_4,24.34,"['arm', 'armpit']",train
audio/Speaker_4/Speaker4-412.wav,e fit be pollen way dey affect your eye sometimes fixed spots of allergy fit exist for one eye and those spots flare up when you expose yourself to allergens it possible say you have reactive spots in one eye way dey aggravate for allergen exposure abeg confirm am for eye doctor side these areas dey too sensitive for self treatment,so there may be pollen affecting your eyes sometimes there are fixed spots and an allergic reaction occurs in that particular spot when the allergen is exposed so it is possible you have spots in one eye and those spots may aggravate upon exposure to allergens get confirmed from an eye doctor as these are sensitive areas and should not be treated by self medication,Speaker_4,28.31,"['pollen', 'sometimes', 'fixed', 'allergic', 'reaction', 'spots', 'eye', 'doctor']",train
audio/Speaker_4/Speaker4-413.wav,this type of pain usually dey come from prolonged untreated acidity acid peptic disease wey don lead to oesophageal inflammation this thing dey cause intermittent swelling of lymph nodes for the left side of the neck to confirm am you go need do endoscopy,such pains usually are a result of prolonged untreated acidity due to acid peptic disease leading to esophageal inflammation this leads to intermittent swelling of lymph nodes on the left side of the neck to confirm you need an endoscopy to be performed,Speaker_4,21.42,"['pains', 'prolonged', 'acid', 'peptic', 'disease', 'esophageal', 'swelling', 'lymph', 'nodes', 'endoscopy']",train
audio/Speaker_4/Speaker4-414.wav,i find fairly large lump inside my vaginal wall and smaller bumps dey around am i never get anything like this before e start after the birth of my youngest daughter it dey painful during and after sex and e dey get worse e dey grow larger wetin i fit be i fit be polyps,i found that i have a pretty good size lump up inside my vaginal wall and small little bumps around it i never had anything like that until after my youngest daughter it also hurts during and after sex additionally it is getting worse getting larger what is it polyps,Speaker_4,23.21,"['pretty', 'good', 'size', 'lump', 'vaginal', 'wall', 'small', 'bumps', 'hurts', 'little']",train
audio/Speaker_4/Speaker4-415.wav,hello doctor dem diagnose me with schizophrenia and dem prescribe olanzapine antipsychotic i don take am for two to three years i dey wonder if alternative treatment route or another possible cure dey i no dey experience the positive effects even after all this time and the negative effects dey burden me i fit safely come off this medication,hello doctor i have been diagnosed with schizophrenia and have been prescribed the antipsychotic medication olanzapine i have been taking it for two to three years i was wondering if there is an alternative route to treatment or if there is another solution for a possible cure i do not want to deal with the negative effects i have not experienced any of the positive effects for the two to three years that i have taken olanzapine can i come off the medication,Speaker_4,30.19,"['schizophrenia', 'olanzapine']",train
audio/Speaker_4/Speaker4-416.wav,hello these generalised symptoms fit get plenty possible causes abeg check your thyroid levels calcium iron profile potassium blood sugar blood urea creatinine and vitamin b12 start with good multivitamin and make you get methylcobalamin one thousand micrograms injection on alternate days for ten days make dem give am intramuscularly,hello these generalized symptoms could have many causes please check your thyroid levels calcium levels iron profile potassium levels sugar levels blood urea creatinine levels and vitamin b12 levels start with a good multivitamin tablet and an injection of methylcobalamin one thousand micrograms on alternate days for ten days administered intramuscularly,Speaker_4,31.24,"['calcium', 'iron', 'potassium', 'sugar', 'multivitamin', 'tablet', 'injection', 'methylcobalamin', 'thousand', 'micrograms', 'alternate', 'intramuscularly']",train
audio/Speaker_4/Speaker4-417.wav,hello electric shock like pains for the neck with accompanying headaches usually dey related to cervical spondylitis disc prolapse or nerve compression the one sided nature of the pain fit be because the compression dey on that particular side make you repeat both ecg and cervical neck mri the previous ones dey too old to dey relevant now also make you check your blood pressure and thyroid profile abeg go see neurologist to properly investigate make you take care and good luck,hello shocking pains in the neck accompanied by headaches are mostly related to cervical spondylitis prolapse or compression the pain can be one sided due to compression on that side an electrocardiogram and cervical neck mri should be repeated as what you had done previously is not valid given the duration is very long please check your blood pressure and thyroid profile please visit a neurologist to rule out your problems take care and good luck,Speaker_4,40.53,"['pains', 'headaches', 'cervical', 'sided', 'compression', 'electrocardiogram', 'mri', 'blood', 'pressure', 'thyroid', 'neurologist']",train
audio/Speaker_4/Speaker4-418.wav,make you slowly introduce soft foods like cooked and mashed vegetables such as potato and carrot mashed rice and toor dal for semi solid form make you gradually increase the quantity and by one year the child go dey take his full diet,slowly start to give soft foods like cooked and mashed vegetables such as potato and carrot smashed rice and toor dal in a semisolid state these should be increased gradually in quantity and by one year the child should be trained to take all his diet,Speaker_4,19.39,"['cooked', 'potato', 'smashed']",train
audio/Speaker_4/Speaker4-419.wav,activation for the hypothalamic pituitary adrenal axis cortisol levels way done increase and certain biological psychological or social vulnerabilities all dey combine to predispose people to conditions way dey related to stress,the hypothalamic pituitary adrenal axis activation increased cortisol levels and vulnerabilities predispose individuals to stress these vulnerabilities can be biological psychological or social,Speaker_4,21.32,"['cortisol', 'vulnerabilities']",train
audio/Speaker_4/Speaker4-420.wav,hi i get a strange question my wife no see her period for six months we think say na stress we been de get sex on and off during that time and she no see her period we then no get sex for about one month and one week when we finally get sex again i release inside her the very next day she start something way dey behave exactly like her period she say e dey feel like one and e end like one it don dey about two weeks since then and now she dey feel nauseous we both think she fit dey pregnant but the day i suppose leave she end the period wetin you think,hi i have a weird question my wife has not had a period for six months we thought it was due to stress we had sexual intercourse off and on during that time and she did not have a period we didn t have sexual intercourse for about one month and a week when we had intercourse again i did ejaculate inside her the next day she started something like her period she said it feels like one so it acted like one and ended like one it has been about two weeks since that happened and now she feels like she wants to throw up we are both thinking she might be pregnant but the day i had to leave she ended her period,Speaker_4,44.43,"['wife', 'sexual', 'intercourse', 'have']",train
audio/Speaker_4/Speaker4-421.wav,hi my daughter done develop red spots with yellow heads for her stomach and the tops of her legs she dey complain of headache and stomach pain and she dey feel a bit nauseous but nothing serious no fever she done get chickenpox before and i think these ones dey different,hi my daughter has red spots with a yellow head on her stomach and the top of her legs she has complained of a headache and stomach pain feeling nauseous but nothing serious there is no fever she has had chickenpox before i think these are different,Speaker_4,21.92,"['yellow', 'stomach', 'top', 'headache', 'nauseous', 'fever']",train
audio/Speaker_4/Speaker4-422.wav,dear doctor my husband dey carry terrible lower back pain the pain dey so bad he no fit stand for long at all he done do several tests and he dey on medication but nothing dey give him relief his legs don swell up and when you press them the skin dey form dent abeg wetin this thing fit be,dear doctor my husband has terrible pain in his lower back this pain is so bad he cannot stand for long he has had several tests done and is currently on medication but without relief his legs are swollen and when you press them it creates a dent please what could this be,Speaker_4,22.04,['legs'],train
audio/Speaker_4/Speaker4-423.wav,my two year old get lump fot his gum beige coloured lump way dey sit just above his front tooth i no sure wetin cause am he hit his mouth about a year ago and in been bleed badly i take am go dentist back then the tooth dey loose but e dey okay the dentist tell me make i watch out for something like pimple above the teeth as e fit become abscessed,my two year old has a lump on his gumline and it is a beige colored lump above his front tooth i am not sure what it could be from he hit his mouth about a year ago and was bleeding really badly i took him to the dentist and his tooth was loose but it was okay they told me to look out for something like a pimple above his tooth as it could get abscessed,Speaker_4,30.71,"['lump', 'beige', 'colored']",train
audio/Speaker_4/Speaker4-424.wav,hello i just read your question people with reduced vision dey squint when them no dey wear glasses because squinting help the eye lens focus for the image laser surgeries available but dem no dey do am for this age group for now the best option na glasses or contact lenses,hello i just read through your question people with decreased visual acuity tend to squint when they are not wearing their glasses because this helps bend the lens of the eye into a position that focuses the image there are laser surgeries available for this but these are not typically done in this age group until then the best treatment is glasses or contact lenses,Speaker_4,21.82,"['visual', 'acuity', 'squint', 'glasses', 'laser', 'surgeries']",train
audio/Speaker_4/Speaker4-425.wav,my eight year old son get three lumps knots behind his right ear on the skull i notice them last night now one dey on the back of the right side for the skull and two smaller ones dey at the centre base of his skull make i take him to the emergency room now the ones behind the ear dey tender when you touch am,my eight year old son had three knots behind his right ear on his skull that i noticed last night now he has one on the back of the right side of his skull and two small ones in the center of his neck at the base of his skull do i need to take him to an emergency room the ones behind the ear are tender to the touch,Speaker_4,22.02,"['his', 'skull']",train
audio/Speaker_4/Speaker4-426.wav,dear patient haemangiomas dey usually harmless and dem dey discover am by accident they normally no dey cause back pain however at the size you describe am e fit dey contribute to your back pain haemangiomas dey in various parts of the body safe treatment dey available now with minimal side effects the best approach na feeding artery occlusion radioactive material is injected into the artery way dey supply the haemangioma blocking it and causing the growth to shrink fibrosis interventional radiologists dey perform this procedure abeg contact one of them,dear patient hemangiomas are usually asymptomatic and are incidental findings they do not cause back pain however a size like yours may be a reason for your back pain hemangiomas are related and found in many parts of the body nowadays safe treatment is available for them without side effects the best option is feeding artery occlusion in this procedure radioactive material is injected into the main artery up to the feeding artery of the hemangioma leading to its occlusion which results in fibrosis of the hemangioma it is performed by interventional radiologists and you can contact one of them,Speaker_4,51.75,"['hemangiomas', 'asymptomatic', 'feeding', 'fibrosis']",train
audio/Speaker_4/Speaker4-427.wav,hi elevated white blood cell count mean say the body dey fight something usually infection elevated platelets fit also result from infections tumours and other conditions your doctor fit dey suspect possible tumour recurrence abeg discuss this thing directly with your doctor,hi elevated white blood cell count indicates increased proliferation of fighting cells which commonly occurs due to infections elevated platelets can also be caused by infections tumors etc your doctor may be considering tumor recurrence please talk to your doctor regarding this,Speaker_4,21.14,"['elevated', 'white', 'blood', 'cell', 'count', 'increased', 'platelets']",train
audio/Speaker_4/Speaker4-428.wav,hello i go advise you make you put her on medication immediately the thought of harming a child no suppose dey lightly even if she fit never do am intentionally you no get idea how powerful intrusive thoughts fit become please ensure say she dey on medication and dey for active therapy i no fit stress this thing enough your therapist dey right to take the steps way the take i understand say this situation dey difficult but nah dey the right thing to do for your baby until she dey stable please no leave the child alone with her no ignore this advice e dey always better make you dey cautious,hello i would advise you to start her on medications the thought of hurting your child should not be taken lightly of course she would never do it herself but you have no idea how powerful these thoughts can be please make sure she is on medication and in therapy i cannot stress this enough your therapist is not wrong in taking such a step i can understand it is a difficult situation to be in but it is the right thing for your baby please until she is stable do not leave your child alone with her and ensure she is on medication and in therapy please do not ignore my or your therapist s advice it is always better to be cautious,Speaker_4,42.36,[],train
audio/Speaker_4/Speaker4-429.wav,hello you get stiffness for your elbow way sometimes dey travel to your wrist and your job involve heavy lifting given the stiffness the pain pattern and your work demands this thing dey sound like tennis elbow to me make you take pain relievers for few days and make you avoid heavy lifting for now sometimes this condition dey self limiting and fit no need further intervention,hello you have stiffness in your elbow and sometimes it travels to your wrist your job involves heavy weight lifting given the stiffness in your elbow especially with pain and the nature of your job i am inclined to think in terms of tennis elbow you should take pain relievers for a few days and avoid heavy weight lifting for the time being sometimes the problem is self limiting and may not require anything further,Speaker_4,28.44,"['stiffness', 'sometimes', 'wrist']",train
audio/Speaker_4/Speaker4-430.wav,hello my girlfriend was diagnosed with gastritis three weeks ago dem give her medication and she feel better but one week later she start to dey vomit seriously again she don dey vomit non stop for the past two days and dem re admit her the doctors say they no know wetin the problem be and they just do ultrasound anyone fit explain wetin fit dey happen,hello my girlfriend was diagnosed with gastritis three weeks ago she was given medication and she was feeling better however a week later she started vomiting quite severely again she has been vomiting continuously for the past two days and has been admitted to the hospital again the doctors say they do not know what the problem is they have now done an ultrasound test can anyone explain to me what the problem could be,Speaker_4,28.34,"['girlfriend', 'gastritis', 'medication', 'vomiting', 'past', 'admitted', 'hospital', 'ultrasound']",train
audio/Speaker_4/Speaker4-431.wav,hello doctor i get crooked teeth four on top and four on the bottom i wan know wetin i fit do to straighten them i also recently start to dey experience gum bleeding and bad breath and some yellow decay dey form inside my lower four teeth,hello doctor i have crooked teeth four on the top and four on the bottom i want to know what should be done to fix them i have recently started facing the problem of gum bleeding and a bad smell from my mouth there are some yellow decays inside my lower four teeth,Speaker_4,17.09,"['gum', 'decays']",train
audio/Speaker_4/Speaker4-432.wav,hello doctor my daughter dey one month and twenty six days old her birth weight nah three point zero five kilograms her current weight na four point four kilograms she dey spit up milk after burping sometimes dem diagnose her with laryngomalacia i wan know this thing nah concern or not,hello doctor my daughter is one month and twenty six days old her birth weight was three point zero five kilograms her current weight is four point four kilograms she spits up milk after burping as well she has been diagnosed with laryngomalacia i wanted to know whether it is a matter of concern or not,Speaker_4,24.01,"['birth', 'weight', 'point', 'zero', 'laryngomalacia']",train
audio/Speaker_4/Speaker4-433.wav,hi lucky welcome to the healthcaremagic forum pregnancy usually dey happen around the time of ovulation wey typically dey at the midpoint of the menstrual cycle bleeding after intercourse usually dey rule out pregnancy but e no dey one hundred percent conclusive how long sex last get nothing to do with chances of pregnancy ejaculation containing sperm nah wetin dey required for conception,hi lucky welcome to the healthcaremagic forum usually pregnancy occurs around the time of ovulation which is typically midway through the menstrual cycle bleeding after intercourse usually rules out pregnancy but it is not one hundred conclusive the duration of sexual intercourse has nothing to do with the likelihood of pregnancy ejaculation containing sperm is required for conception,Speaker_4,30.66,['bleeding'],train
audio/Speaker_4/Speaker4-434.wav,the medicines way you dey take nah the best according to international allergy guidelines continue dey take them without worry as for permanent cure e fit dey possible after allergy test to identify and eliminate avoidable triggers for allerge way no fit avoid like seasonal pollen and dust sublingual immunotherapy na the best option based on my treatment success with patients,the medications you are taking are the best according to international guidelines for allergies you can continue them to answer your second question a permanent cure may be possible after undergoing allergy tests to identify and eliminate avoidable allergens for unavoidable allergens such as seasonal pollens and dust consider sublingual immunotherapy which is the best option in these cases according to my treatment success,Speaker_4,31.91,['medications'],train
audio/Speaker_4/Speaker4-435.wav,circulating immune complexes nah allergens bound together with their antibodies identifying them na very difficult task and for many cases they no fit dey identified at all you think say your doctor know this and no dey tell you the honest answer be say finding the exact allergen dey very hard because almost anything in this world fit be allergen,circulating immune complexes are allergens along with their antibodies identifying them is a difficult task and in many circumstances they may not be identifiable do you think that your doctor knows about this and is not telling you no it is very difficult to find allergens since anything physical on earth can be an allergen,Speaker_4,27.51,"['immune', 'complexes']",train
audio/Speaker_4/Speaker4-436.wav,the gallbladder dey always dey troublesome when e get stones and infection from blockage dey make everything worse but after removal symptoms dey usually come from poor fat digestion because the gallbladder bile wey dey digest fat no longer dey there you need to follow a fat free non oily diet and take antacid tablet every morning for empty stomach as for the liver e fit still function fully even if ninety eight percent of am dey damaged the remaining two percent go work like an entire liver so no need to worry even if liver function proteins dey elevated,the gallbladder is always troublesome when it has stones and infection causes problems due to obstruction however when removed symptoms are often due to indigestion of fats because of the absence of gallbladder bile which digests fats you have to follow a fat free non oily non fatty diet and take antacid tablets every morning on an empty stomach the liver can function fully even if it is ninety eight damaged the remaining two of the liver can work just like a complete liver so there is no need to worry even if the liver function proteins are elevated,Speaker_4,47.98,"['gallbladder', 'troublesome', 'infection', 'symptoms', 'indigestion', 'fat', 'tablets', 'liver']",train
audio/Speaker_4/Speaker4-437.wav,delayed speech fit come from various causes some of which dey related to brain development the mri findings you mention dey mostly non specific but you fit see am for certain brain development disorders thorough developmental evaluation dey needed looking at all areas of development no be only speech,delayed speech may be due to various causes some of which may be related to brain development the mri findings you mention are mostly non specific but may be seen in some defects of brain development it is necessary to do a detailed evaluation of the child to look for other developmental issues apart from the speech delay,Speaker_4,22.26,"['mri', 'non', 'specific']",train
audio/Speaker_4/Speaker4-438.wav,i don dey get serious lower back pain for my right side and now it don spread go my lower right abdomen too e done de go on for about a week to ten days and e dey get worse and e dey spread further no fever or chills just intense pain e hard to turn twist or lie for my right side even bumps for car dey make the pain worse,i have had severe lower back pain on the right side and it is now also on the lower right side of my abdomen it has been present for about a week to ten days and is getting worse and spreading there is no fever or chills just intense pain it is difficult to turn or twist or lie on my right side even jostling in the car intensifies the pain,Speaker_4,25.46,"['severe', 'about', 'fever', 'chills']",train
audio/Speaker_4/Speaker4-439.wav,you need go see the same doctor or consider make you see physiotherapist who fit guide you through specific exercises try exercises for calf muscles and feet for calves make you do ankle and toe movements for feet try make you pick up small marbles from the floor with your toes make you use contrast bath technique alternating hot and cold water to reduce swelling make you elevate your feet above heart level to help reduce swelling venous return nah often the key issue for this kind of swelling or dvt follow proper lower limb exercise routines and your problem go almost dey completely resolved,you need to see the same doctor or you may even visit a physical therapist who can help guide you through some exercises try doing exercises for the calf muscles and feet for calf muscles you can perform ankle toe movements and for feet you can pick up some small marbles off the floor with your toes do use the contrast bath technique as it will help ease the swelling elevate your feet above the level of your heart and the swelling will reduce venous return is often a significant issue in swelling or deep vein thrombosis please follow the proper exercises for the lower limbs and i can say your problem will be almost solved,Speaker_4,53.55,"['calf', 'ankle', 'feet', 'swelling']",train
audio/Speaker_4/Speaker4-440.wav,i just get lower back surgery and some nerves dey compressed for my left leg my left leg no dey pain at all but my right leg dey pain me and the last two toes dey numb the doctor say most of the work nah the right side dem dey on and say e go stop in few days nah truth in dey talk,i just had lower back surgery and some nerves were pinched in my left leg my left leg has no pain but my right leg has pain and the last two toes are numb the doctor said the work was mainly done on the right side and that this should stop in a few days is this true,Speaker_4,23.34,"['leg', 'side']",train
audio/Speaker_4/Speaker4-441.wav,my eleven year old son s penis don swell just below the head the swollen area dey red slightly tender itchy and somewhat painful he been dey complaining about itching last night before bed and when i check am then nah just a bit red but i no swell up i tell am to leave am alone but this morning e don become very swollen and red any idea how to handle this dad,my eleven year old son s penis is swollen just below the head the swollen area is red a little tender itchy and somewhat painful he complained about it being itchy last night before bed when examining it it was a little red but not swollen we told him to leave it alone this morning it is very swollen and red any ideas on how to proceed dad,Speaker_4,30.99,"['penis', 'swollen', 'below', 'head', 'little']",train
audio/Speaker_4/Speaker4-442.wav,hello i get ingrown toenail wey i don see the doctor about multiple times the pain dey so serious that i no fit even wear socks and wearing shoes and walking sometimes dey unbearable the toe dey leaky with pus coming out wetin i go do i no fit get doctor until january,hello i have an ingrown toenail that i have seen a doctor about multiple times it is extremely painful to the point that i cannot wear socks and it hurts to wear shoes and walk sometimes it is leaky and has pus coming out of it what should i do i cannot get to the doctor until january,Speaker_4,24.19,"['walk', 'pus']",train
audio/Speaker_4/Speaker4-443.wav,hello my name na kim and i done do echocardiogram the results show say i get mild left atrial dilatation mildly thickened mitral valve trace mitral regurgitation trace tricuspid regurgitation right ventricular systolic pressure of forty two millimetres of mercury and trace pulmonic regurgitation abeg explain wetin all of this mean for me,hello my name is kim and i had an echocardiogram performed the results indicate that the left atrium is mildly dilated the mitral valve is mildly thickened there is trace mitral regurgitation trace tricuspid regurgitation present the right ventricular systolic pressure is forty two millimeters of mercury and trace pulmonic regurgitation please explain what all this means,Speaker_4,32.64,"['echocardiogram', 'atrium', 'mitral', 'trace', 'ventricular', 'millimeters']",train
audio/Speaker_4/Speaker4-444.wav,i do unprotected sex and think i fit dey pregnant so i take pregnancy test when the time seemed right but e come out negative i been dey experience terrible headaches and even get bladder infection i now just get my period but my menstrual blood dey orange na sign of pregnancy be this or something else dey wrong with me,i had unprotected sex and thought i was pregnant so i took a pregnancy test when i thought the time was right but it came back negative i have been having horrible headaches and even a bladder infection i just got my period but my menstrual blood is orange is that a sign of pregnancy or is there just something wrong with me,Speaker_4,26.06,"['unprotected', 'sex', 'pregnancy', 'test', 'headaches', 'bladder']",train
audio/Speaker_4/Speaker4-445.wav,rapid heartbeat get plenty possible causes stress cold weather heavy exercise and more so i recommend say you do echocardiography first make you rule out any structural heart issue then take concor tablet once daily make you use am control the heart rate,rapid heartbeat has many causes such as stress cold weather and heavy exercise therefore you may need to undergo echocardiography first to exclude organic causes and take concor tablet once per day to control this heartbeat,Speaker_4,21.24,"['concor', 'tablet', 'per']",train
audio/Speaker_4/Speaker4-446.wav,i dey get cramping for my right side in the middle of the night and i been dey go to the bathroom three times during the night next morning i wake up with cramp way dey shift to the left side and i still dey go to the bathroom frequently i take ibuprofen and e help with the pain but the frequent urination no stop now this morning i get lower back pain and still dey go to the bathroom a lot abeg help me,i am experiencing cramping in the middle of the night on the right side and have been using the bathroom three times during the night i woke up the next morning with cramping on the left side and still using the bathroom frequently i took an ibuprofen which helped with the pain but i am still using the bathroom a lot now this morning i have pain in my lower back and am still using the bathroom frequently please help me,Speaker_4,29.56,"['cramping', 'next', 'morning', 'ibuprofen']",train
audio/Speaker_4/Speaker4-447.wav,i be thirty five year old woman with no history of painful periods or lower belly problems for the past three days i don dey experience lower belly pain e dey dull aching and intense i wake up without am but from around noon it start to come back very strong and dey last through the rest of the day and night unless i take painkiller i dey on day twenty of my cycle and i no dey on birth control pills i dey get regular sex e fit dey related to any of those factors,i am a thirty five year old woman with no medical history of painful menstrual periods or lower abdominal problems for the past three days i have experienced lower abdominal pains which are dull aching and intense i do not wake up with them but after twelve pm i start to experience really severe pains that last for the rest of the day and night unless i take a painkiller i am on day twenty of my menstrual cycle and am not on birth control pills i have regular intercourse could this be related,Speaker_4,38.26,"['woman', 'past', 'abdominal', 'after', 'pm', 'really', 'severe', 'pains', 'rest', 'night']",train
audio/Speaker_4/Speaker4-448.wav,hello welcome to the healthcare consultation this thing fit be infective boil and e need treatment with cefdinir three hundred milligrams twice daily for five days plus ibuprofen four hundred milligrams twice daily also take levocetirizine ten milligrams three times a day for local application use povidone iodine ointment e suppose clear with the given treatment for safety make you also do blood sugar test have a nice day,hello welcome to the healthcare consultation this could be an infective boil and this needs to be treated with three hundred milligrams of cefdinir twice a day for five days and four hundred milligrams of ibuprofen twice a day additionally take ten milligrams of levocetirizine three times a day for local application you can use povidone iodine ointment this should resolve with the given treatment for safety it is better to get a blood sugar test done have a nice day,Speaker_4,36.53,"['milligrams', 'cefdinir', 'twice', 'ibuprofen', 'levocetirizine', 'povidone', 'blood', 'sugar', 'test']",train
audio/Speaker_4/Speaker4-449.wav,a formula fed baby dey get more frequent bowel movements than a breastfed baby so no panic about the stool colour but abeg do stool analysis to confirm everything dey fine,the bottle fed infant has more bowel movements than a normally breast fed infant so do not be worried about the color of the stool you must perform a stool analysis,Speaker_4,13.59,[],train
audio/Speaker_4/Speaker4-450.wav,good evening when fluid accumulate inside the belly dem dey call am ascites and e fit dey caused by plenty things including congestive heart failure kidney failure liver cirrhosis and cancers of abdominal organs you need go see doctor urgently for thorough examination and investigation i hope i don answer your question if you need more help i dey available,good evening fluid accumulation in the abdomen is called ascites and can be the result of many conditions for example congestive heart failure renal failure liver cirrhosis and other causes like cancer of abdominal organs you need to urgently see a doctor for a detailed examination and investigation i hope i answered your question i will be happy to help you if you have more questions,Speaker_4,29.04,"['fluid', 'accumulation', 'abdomen', 'ascites', 'congestive', 'abdominal', 'see']",train
audio/Speaker_4/Speaker4-451.wav,i done do total thyroidectomy one month ago for papillary thyroid cancer the cancer no spread to surrounding lymph nodes but this week i notice say one lymph node under my jaw don swell up small i also get slight neck pain red skin and a stuffed ear feeling like i dey come down with cold i suppose dey concerned,i had a total thyroidectomy one month ago due to papillary thyroid cancer the cancer hasn t spread to surrounding lymph nodes this week i noticed one of the lymph nodes under my jaw is a little swollen i also have slight pain in my neck accompanied by red skin and a feeling of my ears being stuffed like i am getting a head cold is there cause for concern,Speaker_4,26.99,"['thyroidectomy', 'lymph', 'nodes', 'slight', 'ears', 'head']",train
audio/Speaker_4/Speaker4-452.wav,hello abeg specify the antibiotics wey dem prescribe for you and how long you use them the lymph nodes for your neck still dey swollen you fit feel them you get fever or any bleeding issues any culture sensitivity test de done on a throat swab or any other blood investigation dey,hello please explain the antibiotics that were prescribed for you and how long you used them please state whether the lymph nodes in your neck are still swollen can you palpate them please explain if you have had a fever or any bleeding problems were any culture sensitivity tests of the throat swab performed or any other blood investigations conducted,Speaker_4,23.59,"['antibiotics', 'fever', 'culture', 'sensitivity', 'tests', 'throat', 'blood']",train
audio/Speaker_4/Speaker4-453.wav,hello sir my father done do transurethral resection of the prostate turp for benign prostatic hyperplasia two months ago but after the operation he get proteus infection and since then he dey frequently develop urinary tract infections he still dey complain of lower belly pain loss of taste and feeling like he no finish dey urinate today the ultrasound report show say ninety millilitres of residual urine and five millimetres of bladder wall thickening abeg wetin fit be his diagnosis now and which treatment options dey available,hello sir my father underwent transurethral resection of the prostate for benign prostatic hyperplasia two months ago but soon after the operation he had a proteus infection and thereafter he is often developing urinary tract infections he still complains of lower abdominal pain tastelessness and incomplete voiding and today the ultrasound report showed ninety milliliters of residual volume and five millimeters of bladder wall thickening so i want to know what his diagnosis may be and what treatment is available for it,Speaker_4,50.38,"['father', 'prostate', 'benign', 'pro', 'operation', 'proteus', 'infection', 'urinary', 'abdominal', 'bladder']",train
audio/Speaker_4/Speaker4-454.wav,hi yes this fit be something serious and you already done try the right initial approach the most likely diagnosis remain deep umbilical granuloma or umbilical fistula connected to either the intestine or the urinary bladder although this na a congenital condition e fit dey present at any point in life the best way forward na exploratory laparoscopy to examine the umbilicus from inside check for any connection to internal organs and remove the entire tract if e dey present,hi yes this can be something serious as you have already tried something correctly the probable diagnosis is still a deep seated umbilical granuloma or an umbilical fistula which is connected to either the intestine or urinary bladder although this is a congenital condition it can manifest at any time in a person s lifetime the best way to proceed is exploratory laparoscopy preferably to include the examination of the umbilicus and the internal connection with any organ and to excise the whole tract if it is present,Speaker_4,42.83,"['umbilical', 'umbilicus']",train
audio/Speaker_4/Speaker4-455.wav,hi i get a ten year old brother who dey weigh twenty eight kilograms he dey experience chest and respiratory tract infections with symptoms of bronchial asthma he get fever of about one hundred and two degrees fahrenheit i don give am ibugesic plus syrup one hundred millilitres about two tablespoons i think the medicine no dey work because he still dey feel warm i give am the medicine around two am if the fever no come down wetin i fit do again,hi i have a brother who is ten years old and weighs twenty eight kilograms he is experiencing chest and respiratory tract infections and has symptoms of bronchial asthma he had a fever around one hundred and two degrees fahrenheit i have given him ibugesic plus syrup one hundred milliliters around two tablespoons i think the medicine may not work because he is still warm i administered the medication around two am if the fever does not go down what can be done,Speaker_4,34.38,"['brother', 'chest', 'respiratory', 'tract', 'infections', 'fever', 'degrees', 'ibugesic', 'done', 'medication']",train
audio/Speaker_4/Speaker4-456.wav,because of long term excess body weight fat don accumulate throughout your body as fat build up the skin dey stretch out and when the fat dey lost the skin dey tend to sag and loosen specific exercises for the neck and face area dey way go effectively tone those regions,due to a long duration of being overweight you develop an accumulation of fat throughout your body with accumulating fat your skin stretches out and when you lose this fat your skin tends to sag and loosen there are certain exercises specifically related to the neck and face that can definitely tone your face and neck,Speaker_4,20.19,['face'],train
audio/Speaker_4/Speaker4-457.wav,hi thank you for asking i understand your concern i think you fit dey under wrong impression here you done do semen analysis if yes you need go check the total sperm count for that sample if the count is low then that na something to address if you no do the test then nothing dey to worry about yet i hope this information help have a nice day,hi thank you for asking i can understand your problem i think you are under the wrong impression did you send your semen for analysis if yes then you need to see the total number of sperm in that sample if this is low then it needs to be considered if you have not done the test then you need not worry about this i hope this information helps you have a nice day,Speaker_4,28.36,[],train
audio/Speaker_4/Speaker4-458.wav,i done do blood work and my ferritin level dey for two i dey very low the natural medicine doctor give me nah iron injection last week and put me on iron supplement i done do another iron injection two days ago but i dey feel very unwell make i go see my regular internal medicine doctor make i find out wetin dey happen what about these injections i go need blood transfusion my haemoglobin na eleven point five haematocrit thirty five point one mcv seventy eight point one white blood cell count nah three point five,i had blood work done and my ferritin was at two the natural medicine doctor gave me an iron injection last week and an iron supplement i had another iron injection two days ago i feel very bad should i go to my regular internal medicine doctor to see what is going on what about the injections do i need a transfusion hemoglobin eleven point five hematocrit thirty five point one mean corpuscular volume seventy eight point one white blood cell count three point five,Speaker_4,46.68,"['blood', 'work', 'ferritin', 'natural', 'medicine', 'doctor', 'iron', 'injection', 'internal', 'hemoglobin', 'eleven', 'point', 'seventy', 'white', 'cell']",train
audio/Speaker_4/Speaker4-459.wav,yes you dey right na full term pregnancy so e better to terminate am now otherwise e fit affect the other foetus,yes you are right it is a full term pregnancy so it is better to terminate the pregnancy otherwise it may affect the other fetus,Speaker_4,9.75,[],train
audio/Speaker_4/Speaker4-460.wav,hello taking echinacea dey perfectly fine no harm dey am e fit actually help boost your immune system function,hello your consumption of echinacea is fine there is no harm in that and it can help boost your immune system function,Speaker_4,10.15,[],train
audio/Speaker_4/Speaker4-461.wav,hi doctor i don dey experience pain for my lower right belly area since yesterday my parents think say nah just gas bloated stomach i also dey struggle to urinate well or pass stool and whenever i manage to pass stool my lower right belly dey hurt me seriously na appendicitis be this or some other stomach condition,hi doctor i am having abdominal pain in my lower right abdomen since yesterday and my parents thought it is just a bloated stomach i cannot also urinate well or pass stools whenever i pass stools my lower right abdomen hurts so badly is this appendicitis or another stomach disease,Speaker_4,22.46,"['abdominal', 'abdomen', 'urinate', 'hurts', 'appendicitis']",train
audio/Speaker_4/Speaker4-462.wav,hello abeg take levocetirizine and wait for two hours if you fit measure your blood pressure and pulse every thirty minutes e go dey helpful if symptoms no improve after two hours or e they worsen go the emergency room them go check your vital signs and keep you under observation if need dey i hope my answer help you if you get more questions i dey ready to answer,hello please take levocetirizine and wait for two hours if you can measure your blood pressure and pulse every thirty minutes that would be good if the problem persists for more than two hours or if symptoms worsen go to the emergency room they will check your vital parameters and if required you will be kept under observation i hope my answer helps you if you have any more queries i would be happy to answer,Speaker_4,29.14,"['levocetirizine', 'blood', 'pressure', 'symptoms']",train
audio/Speaker_4/Speaker4-463.wav,hello doctor my mother dey eighty years old she dey five feet tall and she dey weigh forty kilograms she no get diabetes or hypertension her breathing dey normal and her diet dey okay she dey chop two to three chapatis she been dey suffer from cramps for her legs and hands for the past year she been dey on methylcobalamin one thousand five hundred micrograms once daily with becozinc multivitamin for six months and she get about twenty percent improvement abeg you fit suggest any additional medicine,hello doctor my mother is eighty years old her height is five feet and her weight is forty kilograms she has no history of diabetes or hypertension her respiratory system is normal her diet is normal consisting of two or three chapatis she has been suffering from cramps in her legs and hands for the last year she has been advised to take methylcobalamin one thousand five hundred micrograms once daily with becozinc multivitamin for the last six months there has been about a twenty relief from this treatment can you please advise any other medicine,Speaker_4,45.93,"['mother', 'weight', 'diet', 'cramps', 'legs', 'methylcobalamin', 'thousand', 'micrograms', 'daily', 'becozinc', 'multivitamin']",train
audio/Speaker_4/Speaker4-464.wav,hi i appreciate your effort in seeking medical advice for such difficult circumstances based on the symptoms and signs way you describe for your father e dey look like he fit get developed postoperative bladder neck contracture which na a fairly common complication after this kind of surgery however cystoscopy dey needed to confirm this and treatment go dey done for the same time i wish him speedy recovery goodbye,hi i appreciate your effort in seeking medical advice in such distressing circumstances well going by your father s symptoms and signs it seems that he has developed a postoperative bladder neck contracture quite a common complication however to confirm this a cystoscopy has to be done and treatment can be done in the same sitting as well i wish you a speedy recovery goodbye,Speaker_4,37.48,"['postoperative', 'bladder', 'contract', 'cystoscopy', 'treatment']",train
audio/Speaker_4/Speaker4-465.wav,hi norethisterone nah wetin dem dey usually give for three weeks and the dose de dey tapered each week three times daily for the first week twice daily for the second week and once daily for the third week but abeg confirm this with the doctor who prescribed am since treatment approaches fit vary,hi usually norethisterone should be given for three weeks and the dose is tapered with each week take it three times a day for the first week twice a day for the next week and once a day for the third week however you should confirm with your doctor who has prescribed this since their treatment methods may vary,Speaker_4,27.36,"['norethisterone', 'twice']",train
audio/Speaker_4/Speaker4-466.wav,no worry steroids dey cause temporary disruption in brain neurotransmitters wey fit lead to depression or anxiety as side effect but once she stop the use steriods she go return to normal soon,don t worry steroids cause temporary disturbances in brain neurotransmitters which may lead to depression or anxiety however she will return to normal life shortly after stopping the steroids,Speaker_4,13.64,"['steroids', 'temporary', 'brain']",train
audio/Speaker_4/Speaker4-467.wav,hi my fourteen year old daughter get rash way dey only on the left side of her stomach and one foot i take her go locum gp wey never see such rash before e first look like allergic rash then it change to raised abnormally shaped rashes wey the gp say get small yellow dots this nah some kind of infestation anyway he prescribe lyclear but i dey unsure about giving it to her since say i dey specifically for pubic lice and scabies,hi my daughter who is fourteen has a rash that is only on the left side of her stomach and one foot i took her to a locum general practitioner who has never seen such a rash it appeared like an allergy rash then changed to raised abnormally shaped rashes which the general practitioner said had little yellow dots is this some kind of infestation anyway he has prescribed lyclear which i am unsure about giving her as it is for pubic lice and scabies,Speaker_4,33.21,"['rashes', 'side', 'stomach', 'raised', 'abnormally', 'shaped', 'rash', 'only']",train
audio/Speaker_4/Speaker4-468.wav,hi i don dey tired of listening to my mother s daily complaints about the side effects of radiation she recently undergo cancer surgery dem diagnose am with squamous cell carcinoma of the buccal mucosa they operate am before the condition become fatal since she na very religious woman she enjoys reading holy books from all three major religions she no fit eat through her mouth anymore and she currently dey feed through peg tube,hi i am tired of my mother s daily complaints about her radiation effects she recently underwent cancer surgery she was diagnosed with squamous cell carcinoma in her buccal mucosa she was operated on before the problems could become fatal since she is a very religious lady she often reads the holy books of all three major religions she cannot eat through her mouth and is currently using a percutaneous endoscopic gastrostomy tube,Speaker_4,36.66,"['squamous', 'cell', 'carcinoma', 'buccal', 'operated', 'religious', 'percutaneous', 'endoscopic']",train
audio/Speaker_4/Speaker4-469.wav,my sister get complications during delivery for my niece my niece s upper arm bone get completely fractured into two pieces during the delivery wey dey sit about one inch apart and dem never set together the arm go heal correctly on its own or the bone go need to properly set first,my sister had problems delivering my niece my niece ended up with a broken upper arm bone during delivery the bone is completely fractured into two pieces they are sitting about one inch away from each other and are not set together so the arm will mend correctly should the arm be set so the bone will heal correctly,Speaker_4,21.72,"['niece', 'inch', 'away', 'from', 'each', 'other', 'set', 'heal']",train
audio/Speaker_4/Speaker4-470.wav,hi doctor i get small cyst and dem diagnose me with polycystic ovarian disease i been dey take kalarchikkai with pepper and honey making small balls and eating them for the past twenty eight days first time i get my period after twenty eight days and second time i get am after just thirteen days e dey normal i fit continue like this for forty eight days or make i stop now please suggest,hi doctor i have a small cyst the doctor told me that i have polycystic ovarian disease i have been taking kalarchikkai with pepper and honey making small balls for the past twenty eight days the first time i got my period after twenty eight days and the second time i got it after thirteen days is this normal can i continue the medication for forty eight days or should i stop please suggest some ideas,Speaker_4,35.06,['medication'],train
audio/Speaker_4/Speaker4-471.wav,hello dem recently diagnose me with a slightly dilated pancreatic duct i dey get upper belly pain way no relate to eating ct scan with contrast come back normal but my doctor still want make i go see gastroenterologist e really dey necessary e dey age related my routine blood work also come back normal,hello i have recently been diagnosed with a slightly dilated pancreatic duct i have upper abdominal pain that isn t associated with eating i had a computed tomography scan with contrast that came back normal but my doctor wants me to see a gastrointestinal doctor anyway is this really necessary couldn t this just be age related routine blood work was also normal,Speaker_4,27.14,"['abdominal', 'computed', 'tomography', 'scan', 'contrast', 'blood', 'work']",train
audio/Speaker_4/Speaker4-472.wav,hello cardiomegaly simply mean mild enlargement of the heart most of the time na just an artifact or nah illusion on the x ray nothing serious to worry about but to be completely sure you fit do echocardiogram to confirm say everything dey fine,hello cardiomegaly means enlargement of the heart and it is mild most of the time it is an artifact or illusion on the x ray so there is no need to worry at all still to be doubly sure you can get an echocardiogram done which will clear any doubts,Speaker_4,20.72,"['enlargement', 'echocardiogram']",train
audio/Speaker_4/Speaker4-473.wav,if she dey behave completely normal and no loss of consciousness or vomiting dey then emergency room no dey necessary just apply ice pack for the area and observe carefully for one day if any new symptoms appear then make you take her to emergency room,if she is behaving normally and there is no loss of consciousness or vomiting then the emergency room is not necessary just apply some ice pack on the area and observe for a day if any new symptoms arise then you can take her to the emergency room,Speaker_4,19.22,"['behaving', 'loss', 'consciousness', 'pack']",train
audio/Speaker_4/Speaker4-474.wav,i dey twenty years old my lips dey very dark how i fit make them look pink also i get scars for my face wey i wan make dem clear and i wan my skin tone make i dey fairer which cream i suppose use for my lips abeg also suggest one for my face,my age is twenty years my lips are very dark how can i make them pink also there are scars on my face that i want to remove and i would like to make my skin tone fairer which cream should i use to make my lips pink please also suggest a cream for my face,Speaker_4,18.12,"['scars', 'face', 'lips']",train
audio/Speaker_4/Speaker4-475.wav,no for transplant patients nosebleeds and headaches nah very serious warning signs she must be evaluated for possible fungal infection immediately no ignore am she needs ct scan evaluation all the best if you need more clarification abeg contact me anytime,no in transplant patients bleeding from the nose and headaches are very dangerous symptoms and she should be evaluated for any fungal infection do not neglect it she needs evaluation with a computed tomography scan all the best if you have any questions feel free to contact me,Speaker_4,22.16,"['bleeding', 'nose', 'headaches', 'computed', 'tomography']",train
audio/Speaker_4/Speaker4-476.wav,hi doctor today na my day twelve going for my first intrauterine insemination this cycle i get right ectopic pregnancy last year my left ovary follicle na twenty millimetres and my endometrial thickness na seven point nine millimetres my gynaecologist advise me make i take the fertigyn ten thousand injection tonight this injection go delay the follicle from rupturing what if e rupture before i take the injection abeg advise me,hi doctor it is my day twelve going for my first intrauterine insemination this cycle i had a right ectopic pregnancy last year the follicle on the left side is twenty millimeters and the endometrial thickness is seven point nine millimeters my gynecologist has advised me to take the injection fertigyn ten thousand this evening will this injection postpone the rupture of the follicle what if it ruptures before i take the injection please advise,Speaker_4,41.31,"['intrauterine', 'follicle', 'injection', 'fe', 'thousand', 'rupture', 'ruptures']",train
audio/Speaker_4/Speaker4-477.wav,hello eating strange things like raw rice or ice dey most likely indicate iron deficiency anaemia i strongly advise you make you go see your doctor for a full blood count and measurement of haemoglobin and iron levels for your body based on the results the doctor go prescribe the right iron dosage for you i hope this answers your question,hello eating strange things like raw rice or ice most probably indicates that you could have iron deficiency anemia i strongly suggest that you go to your doctor to have a full blood count and measurements of hemoglobin and iron in your body accordingly the doctor will prescribe the suitable dosage of iron for you i hope i answered your inquiry,Speaker_4,24.54,"['eating', 'iron', 'deficiency', 'go', 'doctor', 'full', 'blood', 'count', 'hemoglobin']",train
audio/Speaker_4/Speaker4-478.wav,i be twenty two year old male dem diagnose me with duodenal ulcers three months ago and i been dey on esomeprazole they tell me say the ulcers done dey healed but i dey still experience serious pain for my lower central belly area near the navel and another spot about two inches below it the pain dey vary in intensity but e dey constant e dey come as a stabbing sensation way dey get worse after i eat and when i lie down i done see two internal medicine doctors wey no find anything i also see gastroenterologist wey done run blood tests upper endoscopy colonoscopy capsule endoscopy ct scan abdominal x rays and ultrasound all come back negative,i am a twenty two year old male i was diagnosed with duodenal ulcers three months ago and have been on esomeprazole i have been told the ulcers are now healed but i have been experiencing severe pain in my lower central abdomen near the navel and another spot about two inches below it the pain varies in severity but is generally a constant source of discomfort it manifests as a stabbing sensation that worsens after i eat and when i am in certain positions such as lying down i have seen two internal medicine doctors but they have not found anything i have also visited a gastroenterologist who performed blood tests an upper endoscopy colonoscopy capsule endoscopy computed tomography scan abdominal x rays and an ultrasound all of which have come back negative,Speaker_4,57.67,"['denal', 'ulcers', 'esomeprazole', 'severe', 'near', 'navel', 'stabbing', 'sensation', 'eat', 'gastroenterologist', 'colonoscopy']",train
audio/Speaker_4/Speaker4-479.wav,nearly everyone go experience some kind of dental problem at some point for their life sometimes e dey come from how you care for your teeth or neglect them other times na just genetics the good news be say advances in dental care done make dental visits almost pain free most dental problems fit dey prevented easily brushing twice daily flossing every day eating properly and attending regular dental check ups dey essential for keeping your teeth healthy educating yourself about common dental problems and wetin dey cause dem go also go a long way to preven them,almost everyone faces a dental problem at some point in their lives sometimes dental issues are caused by the care you take of your teeth or lack thereof while other times they are caused simply by your heredity the good news is that advances in dental care have made going to the dentist nearly pain free dental problems are never any fun but most of them can be easily prevented brushing twice a day flossing daily eating properly and regular dental check ups are essential in preventing dental problems educating yourself about common dental problems and their causes can also go a long way in prevention,Speaker_4,40.16,"['sometimes', 'dental', 'twice', 'flossing']",train
audio/Speaker_4/Speaker4-480.wav,dear natalie a faint positive test fit get several possible explanations including a false positive i recommend say you repeat the test after one week morning midstream urine go give the best result,dear natalie there may be various causes for this faint positive test it may also be a false positive i recommend that you take a repeat test after a week morning midstream urine is ideal for the test,Speaker_4,19.27,['after'],train
audio/Speaker_4/Speaker4-481.wav,hello your arm pain fit be due to biceps muscle soreness or stiffness i suggest plenty of icing on the biceps and the painful area along with gentle stretching of the biceps and forearm muscles also do gentle massage for the entire biceps muscle no lift weights with that arm for at least three days if you get any anti inflammatory medicine prescribed previously go ahead and take them i hope this help come back if you need more guidance,hello your arm pain could be due to biceps soreness or stiffness i suggest you do a lot of icing on the biceps and the painful area along with gentle stretching of your biceps and forearm muscles additionally gentle massage of the entire biceps muscle is recommended do not lift weights with that hand for at least three days in case you have any anti inflammatory medication prescribed to you earlier take them i hope this is helpful for you kindly get back to me if you need any further assistance in this regard,Speaker_4,34.08,"['arm', 'biceps', 'sore', 'stiffness', 'stretching', 'forearm', 'massage', 'muscle', 'anti', 'inflammatory', 'medication']",train
audio/Speaker_4/Speaker4-482.wav,hi i still be virgin but whenever i insert my fingers inside my vagina i feel almost completely numb i no dey feel anything except the natural ridges on the vaginal wall wetin dey wrong with me i really need to understand wetin this thing mean the situation dey worry me seriously,hi so i am still a virgin but whenever i put my fingers inside my vagina it is completely numb i cannot feel anything other than the lumps on my vaginal wall what is wrong with me i really need to know what is going on what does it mean this problem worries me,Speaker_4,20.02,"['lumps', 'vaginal']",train
audio/Speaker_4/Speaker4-483.wav,my husband dey twenty four years old he don dey experience moderate joint pain chills and vomiting for weeks now he no fit keep anything down for the past few days and he dey get worse his lips dey turn blue every time he vomit e no be flu because this thing don dey go on for about two months now,my husband is twenty four years old he has been experiencing moderate pain in his joints and chills with vomiting for weeks he hasn t been able to keep anything down for the last few days and seems to just keep getting worse as time goes by his lips turn blue every time he vomits it s not influenza because it has been like two months,Speaker_4,22.71,"['moderate', 'joints', 'chills', 'vomiting', 'able', 'keep', 'anything', 'down']",train
audio/Speaker_4/Speaker4-484.wav,this kind of pain go definitely disrupt your normal life abeg go see your doctor as soon as possible and make you do chest x ray e fit be lung or pleural condition,this type of pain surely disrupts your day please consult your doctor and get a radiograph of your chest region at the earliest opportunity as this could indicate a lung or pleural pathology,Speaker_4,12.62,"['consult', 'radiograph', 'chest', 'lung']",train
audio/Speaker_4/Speaker4-485.wav,yes as a paediatrician i go advise you make you follow the expert opinion way orthopaedic specialist give you if you still dey doubt go see another orthopaedic specialist with all your previous reports,yes as a pediatrician i would suggest that you follow the expert opinion given by an orthopedic specialist if you have doubts visit another orthopedic specialist with all previous reports,Speaker_4,15.17,[],train
audio/Speaker_4/Speaker4-486.wav,hi there a burning sensation especially for night na sign of carpal tunnel syndrome if pressing for the wrist joint dey cause pain burning or tingling for the fingers e help confirm carpal tunnel syndrome i hope this help,hi there a burning sensation especially at night is a sign of carpal tunnel syndrome if pressure over the wrist joint causes pain burning sensation or paresthesia in the fingers then it confirms carpal tunnel syndrome i hope this helps,Speaker_4,20.62,"['carpal', 'pressure', 'wrist', 'joint', 'paresthesia']",train
audio/Speaker_4/Speaker4-487.wav,i discover a pea sized lump for my inner right thigh few days way done pass i notice am during self examination after shower e dey painless no itching no redness when i press am e no dey hurt make i dey concerned or make i just dey watch am i be forty seven year old man with generally good health and i no dey smoke,i have discovered a pea sized lump on my inner right thigh a few days ago while doing a simple external physical examination on my own after a shower it is painless and does not itch or show redness at all i press it and it is not painful should i be concerned or just keep watch on it i am a man of forty seven years old overall health is good and i do not smoke,Speaker_4,27.11,"['lump', 'inner', 'thigh', 'physical', 'examination', 'painless', 'redness', 'man']",train
audio/Speaker_4/Speaker4-488.wav,hello i done note all your details most of your readings dey completely normal mild mitral regurgitation aortic regurgitation and tricuspid regurgitation nah perfectly normal findings and dem get nothing to do with your vsd since the defect dey closed and no shunt flow for the echocardiogram your left ventricular ejection fraction dey normal right ventricular hypertrophy no dey or pulmonary pleural effusion no need to worry at all your reports dey perfectly fine your risk of needing open heart surgery for the near future na basically the same as a healthy person relax you dey absolutely normal,hello i have noted all your details most of your parameters are absolutely normal mild mitral regurgitation aortic regurgitation and tricuspid regurgitation are perfectly normal findings and have nothing to do with your ventricular septal defect as the ventricular septal defect is closed and there is no shunt flow seen in the echocardiogram the left ventricular ejection fraction is normal there is no right ventricular hypertrophy or pulmonary pleural effusion you need not worry your reports are perfectly fine and you should not be concerned your possibility of having open heart surgery in the near future is almost the same as a normal person at present don t worry you are perfectly normal,Speaker_4,50.25,"['parameters', 'mild', 'mit', 'normal', 'ventricular', 'shunt', 'flow', 'ejection', 'fraction', 'hypertrophy', 'pulmonary', 'pleural', 'effusion', 'open', 'surgery']",train
audio/Speaker_4/Speaker4-489.wav,hello injections and tablets go help reduce the size of the keloids but dem no fit fully remove them surgical excision nah the best option though chance of recurrence still dey abeg make you consult plastic surgeon for second opinion,hello injections and tablets may help reduce the size of keloids but they cannot completely regress them surgical excision is the best option although there is still a chance of recurrence please consult a plastic surgeon for a second opinion,Speaker_4,19.62,"['injections', 'tablets', 'surgical', 'excision', 'consult', 'plastic', 'surgeon']",train
audio/Speaker_4/Speaker4-490.wav,hi my recent mri show say i get disc herniation for the c5 c6 level way dey measure approximately four millimetres i been dey experience neck pain headaches pressure for the back of my head numbness for my left arm and hand and for the past few days dizziness my orthopaedic doctor give me trigger point injections into the muscles about three weeks ago e reduce my neck pain but i still dey get headaches head pressure and dizziness them say surgery no be the right option for me wetin i suppose do,hi my recent magnetic resonance imaging has shown that i have a disc herniation in the c5 c6 region measuring approximately four millimeters i have been experiencing neck pain headaches pressure at the back of my head numbness in my left arm and hand and for the last few days dizziness my orthopedic doctor administered some trigger point injections into the muscles about three weeks ago which has reduced the pain in my neck but i still have the headaches head pressure and dizziness they said surgery is not a good idea for me what do you suggest i should do,Speaker_4,38.11,"['magnetic', 'resonance', 'imaging', 'disc', 'herniation', 'region', 'headaches', 'pressure', 'numbness', 'arm', 'trigger', 'point', 'muscles', 'surgery']",train
audio/Speaker_4/Speaker4-491.wav,my baby dey four months old she dey poop about ten to twelve times every day after every hiccup or cough she dey release small amount of liquid stool wey dey cause diaper rash e dey normal to pass stool after coughing she also still dey get hiccups two to three times daily even after i burp her how i fit reduce or stop all of this,my baby is four months old she poops about ten to twelve times daily after every hiccup or cough she leaves a small amount of liquid stool this is causing her diaper rash is it common to poop a small amount after coughing she gets hiccups two to three times daily still after burping her how do i stop it,Speaker_4,24.41,"['baby', 'hiccup', 'daily']",train
audio/Speaker_4/Speaker4-492.wav,the area between my chest and stomach dey pain me for about five minutes at a time i also dey experience shortness of breath wetin this thing fit be and one more thing i get lump behind my ear i fit dey connected to my headaches i dey sixteen years old i weigh forty four kilograms and my height dey about five feet five inches,the part between my chest and stomach hurts for five minutes i also experience shortness of breath what could it be and one more thing i have this lump behind my ear is it somehow the cause of my headache i am sixteen years old and weigh forty four kilograms my height is about five feet five inches,Speaker_4,23.39,"['chest', 'stomach', 'shortness', 'breath', 'lump', 'headache', 'sixteen']",train
audio/Speaker_4/Speaker4-493.wav,hi my nine year old daughter don start to complain of pain for the inner part of her right knee she say e dey ache when she run or jog but usually dey fine when she just dey waka she been get growing pains for different spots over the past year or so but never for the knee before only this one leg done dey trouble her for the past two weeks she no remember knocking or hitting it anywhere,hi my nine year old daughter has started complaining of pain in the inner area of her right knee she says it aches when she runs or jogs but is usually fine when walking she has had growing pains in various spots in the last year or so but not in her knee it s only the one leg that has been troubling her for the last two weeks she doesn t recall hitting or knocking it around to have caused the pain,Speaker_4,31.51,"['pains', 'area', 'knee', 'aches', 'leg', 'hitting', 'knocking']",train
audio/Speaker_4/Speaker4-494.wav,this kind of pain usually dey come from urinary tract infection which fit or fit no dey connected to stone for the urinary tract,this type of pain occurs due to a urinary tract infection which may or may not be associated with a stone in the tract,Speaker_4,9.6,[],train
audio/Speaker_4/Speaker4-495.wav,hello in general human beings dey tend to place expectations on themselves and on others too e dey natural to feel upset when things no go as we plan or hope but e dey important to keep those feelings under control and no let them run your life if you feel your frustration dey interfering with your peace of mind and daily functioning i suggest make you visit psychiatrist regular counselling sessions go help daily exercise go also help maintain emotional balance you fit also learn basic relaxation techniques makeyou use am calm yourself during high stress moments best wishes,hello in general human beings have a habit of expecting from themselves as well as from others it is natural for one to become upset when things do not go as wished however it is important to keep such feelings under control and not let them hinder our lives if you feel that your upset is interfering with your ability to live a stress free life i suggest you consider visiting a psychiatrist regular supportive sessions would help you exercising daily would also help you maintain your calm you can learn some basic relaxation exercises to calm yourself down during acute stress situations best wishes,Speaker_4,41.61,"['upset', 'supportive', 'sessions', 'exercising', 'daily']",train
audio/Speaker_4/Speaker4-496.wav,i get lower back pain about one month ago e come suddenly the doctor say nah probably a pulled muscle and in give me steroid plus exercises way i go do the pain settle after one week and i dey fine until today i been dey waka down the stairs and as my foot hit the first step i feel instant burning pain for my lower back return now i fit barely waka without serious pain ibuprofen no even dey help nah something way i suppose go get checked immediately or e go just be another wasted trip to the doctor,i had lower back pain about a month ago and it came on all of a sudden the doctor said it was probably just a pulled muscle and gave me a steroid and exercises to do the pain subsided after a week and all was good again until today i was walking down the stairs and as soon as my foot hit the first stair i felt instant burning and pain in my lower back again and now i can hardly walk without being in severe pain ibuprofen isn t even touching the pain is this something that i should have checked immediately or is it going to be another wasted trip to the doctor,Speaker_4,41.71,"['pulled', 'muscle', 'steroid', 'walking', 'instant', 'burning', 'ibuprofen']",train
audio/Speaker_4/Speaker4-497.wav,well make you avoid milk and all dairy products you fit start syrup liv fifty two on a daily basis make you repeat the tests after one week improvement go dey visible and then treatment fit dey properly adjusted,well avoid milk and dairy products syrup liv fifty two can be started on a daily basis get the tests repeated after one week then improvement can be seen and treatment can be rationalized,Speaker_4,17.44,"['daily', 'improvement']",train
audio/Speaker_4/Speaker4-498.wav,i be sixty years old height nah one hundred and sixty five centimetres weight nah seventy five kilograms i get asthma and bronchiectasis after recent road traffic accident dem give me morphine for severe pain management my blood ethanol reading come out at five point six yet i no dey consume any alcohol for three weeks before that test the morphine treatment fit done affect the alcohol blood reading,i am sixty years old with a height of one hundred and sixty five centimeters and a weight of seventy five kilograms i have medical issues including asthma and bronchiectasis after a recent traffic accident i experienced trauma and was given morphine to alleviate severe pain my blood ethanol reading was five point six yet i had not consumed any alcohol for three weeks prior would the alcohol blood reading have been compromised by morphine treatment,Speaker_4,32.91,"['sixty', 'centimeters', 'blood', 'ethanol', 'reading', 'point']",train
audio/Speaker_4/Speaker4-499.wav,hello doctor i be thirty two year old woman my recent pelvic mri show say i get four centimetre subserosal fibroid way dey undergo myxoid necrobiosis my question be this kind of fibroid need surgically removal if yes the surgery go pose any risks for the uterus and e dey safe to try get pregnant while i dey carry this fibroid,hello doctor i am a thirty two year old woman my latest pelvic magnetic resonance imaging showed that i have a four cm subserosal fibroid that is undergoing myxoid necrobiosis my question is does this type of fibroid need to be removed if yes does the surgery have any risks for the uterus is it fine to get pregnant while having this fibroid,Speaker_4,30.41,"['pelvic', 'magnetic', 'resonance', 'imaging', 'cm', 'subserosal', 'fi']",train
audio/Speaker_4/Speaker4-500.wav,i don dey experience pain and heaviness for my left arm for about one hour now i dey feel sick to my stomach my fingers dey tingle and i get pain for my upper back the arm pain dey get worse and dey radiate up to my shoulder i fit dey get heart attack i also dey feel some tightness for my chest,i have been having left arm pain and heaviness for about an hour i feel sick to my stomach there is tingling in my fingers and i have pain in my upper back the pain in my arm is getting worse and radiating up to my shoulder could i be having a heart attack i also experience some tightness in my chest,Speaker_4,21.54,"['arm', 'heaviness', 'sick', 'tingling', 'heart', 'attack', 'tightness']",train
audio/Speaker_5/Speaker5-1.wav,no dey get enough rest okay okay so e dey continue for most part of the day hmm hmm hmm then,not having adequate rest okay okay so that continues for better part of the day hmm hmm hmm then,Speaker_5,8.81,[],train
audio/Speaker_5/Speaker5-2.wav,make you take am 2 times in one day abeg na one antibiotic wey dem dey call azithromycin,2 times in a day please have an antibiotic named azithromycin,Speaker_5,7.96,"['antibiotic', 'azithromycin']",train
audio/Speaker_5/Speaker5-3.wav,500 mg also because you dey feel weak take zincovit once in a day,500 mg also because you re feeling weak take zincovit once in a day,Speaker_5,7.36,"['weak', 'zincovit']",train
audio/Speaker_5/Speaker5-4.wav,the patient get fever headache back pain leg pain and body pain all over i recommend make dem give dolo 650 tablet 3 times a day for 6 days and i still want give pantop dsr for 7 days make patient come back after 12 days and give thyroxine 25 mcg for 15 days,patient has fever headache back pain leg pain all over the body i recommend to give dolo 650 tablet thrice a day for 6 days and i also want to give pantop dsr for 7 days ask patient to come after 12 days and give thyroxine 25 mcg for 15 days,Speaker_5,23.83,"['fever', 'headache', 'leg', 'dolo', 'tablet', 'thrice', 'after', 'thyroxine', 'mcg']",train
audio/Speaker_5/Speaker5-5.wav,gelusil tablet and plenty other drugs then make patient come back after 7 days,gelusil tablet and many more drugs and see after 7 days,Speaker_5,7.61,"['gelusil', 'tablet', 'drugs']",train
audio/Speaker_5/Speaker5-6.wav,hello the patient get fever headache and body pain all over the body and plenty things still dey happen i recommend make e do antigen test i dey suspect dengue and the patient suppose take dolo 650 and pantop dsr 40,hello the patient has fever headache body ache all over the body and there s also so much happening i recommend him to do antigen test i m suspecting dengue and the patient should take dolo 650 the patient should take pantop dsr 40,Speaker_5,17.94,['headache'],train
audio/Speaker_5/Speaker5-7.wav,and i still want give pantop dsr 40 then give some eno for 5 days and make the patient come see me after 10 days,and i want to also give pantop dsr 40 and then give some eno for 5 days and ask the patient to come and see me after 10 days,Speaker_5,11.03,['eno'],train
audio/Speaker_5/Speaker5-8.wav,the patient get headache fever depression and leg pain i want prescribe dolo 650 for the patient,patient has headache fever depression leg pain i want to prescribe giving patient dolo 650,Speaker_5,7.53,['leg'],train
audio/Speaker_5/Speaker5-9.wav,for the medicine take thyroxine also take dolo 650 avoid outside food get proper bed rest and dey go morning walk regularly the next follow up na within one week,for the medicine take thyroxine also take dolo 650 avoid eating outside food take proper bed rest and go for morning walks regularly next follow up is scheduled within a week,Speaker_5,13.93,"['thyroxine', 'follow']",train
audio/Speaker_5/Speaker5-10.wav,plus there been this issue of stomach ache so we want give am digene because i no think say na big problem,plus there was this issue of stomach ache and yeah so we want to give him digene because i don t think it s a problem it s a big problem,Speaker_5,9.58,[],train
audio/Speaker_5/Speaker5-11.wav,and there still been this problem of headache and we do eye checkup but no problem dey there then e still get wheezing and sneezing so we dey give am sinus antibiotics and cetrizine too,and then there was also this problem of headaches and we did eye checkups and there is no problem so and there is a problem of wheezing and sneezing so we re giving him sinus antibiotics uh and also cetrizine,Speaker_5,12.65,"['headaches', 'eye', 'checkups', 'wheezing', 'sneezing', 'sinus', 'antibiotics', 'cetrizine']",train
audio/Speaker_5/Speaker5-12.wav,so e be like say the patient really dey sad e no fit wake up in the morning and e dey feel weak we do blood test and na thyroid matter so we dey give am thyroxine,so it seems like the patient is seems really sad and is not able to wake up in the morning and feels energy less and we did a blood test so it s thyroid so we re administering him thyroxine,Speaker_5,11.71,"['sad', 'able', 'wake', 'up', 'morning', 'energy', 'thyroid']",train
audio/Speaker_5/Speaker5-13.wav,take am in the morning and evening with warm water another suggestion na make you do complete blood count test oh yes i forget continue your thyroxine thyronorm tablet,in the morning and evening with warm water another suggestion is to get yourself tested for complete blood count oh yeah i forgot continue your thyroxine thyronorm tablet,Speaker_5,13.67,['thyroxine'],train
audio/Speaker_5/Speaker5-14.wav,one for morning one for evening all these medicines you suppose take after food my advice na make you dey gargle,one in the morning one in the evening all of these you should take after food my advice is that you do gargling,Speaker_5,8.64,[],train
audio/Speaker_5/Speaker5-15.wav,that one of course go be as soon as you wake up for morning i think say you still dey feel small fatigue or gastritis,which would be obviously as soon as you get up in the morning i think you re feeling a little bit of fatigue as well or gastritis,Speaker_5,10.17,['fatigue'],train
audio/Speaker_5/Speaker5-16.wav,so take some pantop and there is one eye drop wey dem dey call,so take some pantop and there is an eye drop called,Speaker_5,6.16,['pantop'],train
audio/Speaker_5/Speaker5-17.wav,allegra you suppose take am once in a day get one zincovit too zincovit you suppose take am 2 times in a day,allegra you should take again once in a day get one zincovit as well zincovit you should have 2 times in a day,Speaker_5,10.09,[],train
audio/Speaker_5/Speaker5-18.wav,make we prescribe azithromycin for you too and allegra 120 mg azithromycin you suppose take am once in a day,let s prescribe you azithromycin also allegra 120 mg azithromycin you take once in a day,Speaker_5,8.89,"['azithromycin', 'allegra']",train
audio/Speaker_5/Speaker5-19.wav,use pataday make e calm your eyes and for your back use volitra lotion at the end of the day before you go bed thank you,pataday put that to ease off your eyes and in the back use volitra lotion at the end of the day before you go to the bed thank you,Speaker_5,11.37,[],train
audio/Speaker_5/Speaker5-20.wav,zerodol and calpol,zerodol and calpol,Speaker_5,22.72,[],train
audio/Speaker_5/Speaker5-21.wav,give the patient dolo 650 tablet 3 times a day give pantop dsr give pantoprazole give glimepiride give metformin give thyroxine also gelusil tablet eno sachet and still recommend volini and then,give patient dolo 650 tablet 3 times a day give pantop dsr give pantoprazole give glimepiride give metformin give thyroxine also gelusil tablet eno sachet also recommend volini and then,Speaker_5,25.88,"['dolo', 'pantop', 'glimepiride', 'metformin', 'thyroxine', 'gelusil', 'volini']",train
audio/Speaker_5/Speaker5-22.wav,you know for 3 days 3 times a day and volini tube one kind cream for him head pain,you know 3 days 3 times a day and volini tube volini sort of cream for his head pain,Speaker_5,9.41,['head'],train
audio/Speaker_5/Speaker5-23.wav,the patient report fever back pain leg pain and headache all kinds of pain i dey diagnose am with dengue e suppose do complete health checkup and dengue anti g antibody gen and antigen test also i recommend make e take dolo tablet for,patient has reported fever back pain leg pain headache all sorts of pains i am diagnosing him with dengue he should get complete health checkup and dengue anti g antibody gen and antigen test done also i recommend him to take dolo tablet for,Speaker_5,19.65,"['fever', 'leg', 'health', 'check', 'antibody', 'dolo', 'tablet']",train
audio/Speaker_5/Speaker5-24.wav,e dey suffer from allergy depression fever and headache take dolo 650 and allegra e still get cancer and e don get covid for some days take vomistop take eno avoid outside food avoid oily food sleep at least 6 to 8 hours,suffering from allergy depression fever headache take dolo 650 allegra he is also suffering from cancer has covid for a couple of days take vomistop take eno take avoid eating outside food avoid eating oily food sleep for at least 6 to 8 hours,Speaker_5,26.39,"['covid', 'sleep']",train
audio/Speaker_5/Speaker5-25.wav,e dey suffer from allergy depression fever and headache take dolo 650 and allegra e still get cancer and e don get covid for some days take vomistop take eno avoid outside food avoid oily food sleep at least 6 to 8 hours,suffering from allergy depression fever headache take dolo 650 allegra he is also suffering from cancer has covid for a couple of days take vomistop take eno take avoid eating outside food avoid eating oily food sleep for at least 6 to 8 hours,Speaker_5,25.88,"['covid', 'sleep']",train
audio/Speaker_5/Speaker5-26.wav,take metformin take a to z multivitamin capsules wetin again take thyroxine 25 mcg tablet 3 times a day,take metformin take a to z multivitamin capsules what else take thyroxine 25 mcg tablet thrice a day,Speaker_5,12.48,"['metformin', 'multivitamin', 'thyroxine', 'mcg', 'tablet']",train
audio/Speaker_5/Speaker5-27.wav,thanks,thanks,Speaker_5,2.24,[],train
audio/Speaker_5/Speaker5-28.wav,my suggestion na make you do small gargling for morning as soon as you wake up also avoid spicy food,my suggestion is you should do a little bit of gargling in the morning as soon as you get up also avoid spicy food,Speaker_5,6.59,[],train
audio/Speaker_5/Speaker5-29.wav,your symptoms dey suggest say you get urti infection e suppose dey okay within one week,your symptoms suggest that you have a urti infection and should be fine within a week s time,Speaker_5,7.79,"['your', 'within']",train
audio/Speaker_5/Speaker5-30.wav,so make we prescribe one zincovit for you once in a day for your eyes use pataday eye drops,so let s prescribe you one zincovit once in a day for your eyes use pataday eye drops,Speaker_5,8.81,[],train
audio/Speaker_5/Speaker5-31.wav,give am dolo give am allegra also make sure say you gargle with warm water,give me give him dolo give him allegra also make sure that you gargle using warm water,Speaker_5,8.04,[],train
audio/Speaker_5/Speaker5-33.wav,and no junk food,and avoid junk food,Speaker_5,3.01,[],train
audio/Speaker_5/Speaker5-34.wav,patient no dey okay with dolo 650 patient dey drink alcohol like 5 times for one week and e still dey smoke i prescribe crocin 650 and i suggest make e do cbc lab test,patient is allergic to dolo 650 patient consumes alcohol 5 times a week currently smokes i prescribe crocin 650 and i suggest getting cbc lab test done,Speaker_5,15.38,"['dolo', 'is', 'crocin', 'cbc']",train
audio/Speaker_5/Speaker5-35.wav,pulse na 25 per minute body temperature na 32 patient get kidney stones,pulsary 25 per minute body temperature 32 patient is currently having kidney stones,Speaker_5,6.68,"['pulsary', 'per', 'minute', 'body', 'temperature', 'kidney']",train
audio/Speaker_5/Speaker5-36.wav,diabetes dey family father get diabetes patient don get am for about 3 years,diabetes for father diabetes in medical conditions since 3 years,Speaker_5,7.02,"['diabetes', 'since']",train
audio/Speaker_5/Speaker5-37.wav,take dolo 650 tablet 3 times for one day after food for 5 days take panto dsr 40 once daily before breakfast for 6 days also take gelusil tablet eno sachet calpol and glimepiride,dolo 650 tablet thrice a day after meals for 5 days panto dsr 40 for 6 days once a day before breakfast and give gelusil tablet give eno sachet and also take calpol take glimepiride,Speaker_5,17.6,"['dolo', 'tablet', 'give']",train
audio/Speaker_5/Speaker5-38.wav,take zecuf cough syrup 3 times for one day for 5 days take allegra 120 mg 2 times for one day for 5 days and take vitamin d and b 3 times for one day for one week,zecuf cough syrup 3 times a day for 5 days allegra 120 mg 2 times a day for 5 days and vitamin d and b 3 times a day for a week,Speaker_5,16.4,"['cough', 'allegra', 'mg', 'vitamin']",train
audio/Speaker_5/Speaker5-39.wav,advice be say make you take steam rest well and just relax small,advices is take some steam and take rest and have fun whatever,Speaker_5,5.65,[],train
audio/Speaker_5/Speaker5-40.wav,you get cold blocked nose and cough the issue fit be influenza for about 3 days or e fit be dengue or malaria make you do lab test for dengue and malaria,cold blocked nose and cough the possible diagnosis is it could be influenza since 3 days or it could be dengue or malaria lab investigation of dengue and malaria suggested for the patient,Speaker_5,11.8,"['cold', 'nose', 'influenza', 'investigation', 'dengue', 'malaria']",train
audio/Speaker_5/Speaker5-41.wav,her lab result show say vitamin b12 na 300 mg per ml and hba1c na 6 she get fever and throat pain,her lab results say vitamin b12 is 300 mg per ml and hba1c is 6 she has symptoms of fever pain in throat,Speaker_5,11.54,"['lab', 'results', 'mg', 'per', 'ml', 'hba']",train
audio/Speaker_5/Speaker5-42.wav,hello patient name na arya and e be 30 years old make e take dolo 650 3 times daily for the next 3 days and take crocin for one week if needed,hey hello patient s name is arya and he is 30 years old patient should take dolo 650 three times a day for the next three days and he should take crocin for the next one week sos,Speaker_5,12.73,"['dolo', 'next', 'crocin']",train
audio/Speaker_5/Speaker5-43.wav,no chop junk food i prescribe dolo 650 for next 5 days patient mama get hypertension for the past 5 years,do not eat junk food i prescribe dolo 650 for next 5 days patient s mother is having hypertension since last 5 years,Speaker_5,11.28,['dolo'],train
audio/Speaker_5/Speaker5-44.wav,patient get serious body pain abeg rest well and drink plenty water,patient is having severe body ache please take rest and drink lots of fluids,Speaker_5,7.1,['severe'],train
audio/Speaker_5/Speaker5-45.wav,i think sey make you do hba1c lab test join,i also prescribe hba1c lab test,Speaker_5,7.27,[],train
audio/Speaker_5/Speaker5-46.wav,consultation patient get small fever headache and body pain i prescribe dolo 650 for the next 5 days abeg take care,consultation patient is having mild fever headache and body ache i prescribe him dolo 650 for the next 5 days please take care,Speaker_5,10.35,['mild'],train
audio/Speaker_5/Speaker5-47.wav,and come see me after 7 days,and come see me after 7 days,Speaker_5,3.77,['after'],train
audio/Speaker_5/Speaker5-48.wav,make sure say you take one every day for your back apply volitra lotion or gel for lower back before you sleep,make sure that you have one every day for your back put some volitra lotion slash gel on the lower back before you go to bed,Speaker_5,10.35,[],train
audio/Speaker_5/Speaker5-49.wav,after lunch do warm water gargle for morning and evening also take azithromycin na antibiotic e go help if bacteria infection dey,post lunch take do warm water gargles morning and evening also azithromycin it s an antibiotic it ll help if there are any bacterial infections,Speaker_5,13.08,['azithromycin'],train
audio/Speaker_5/Speaker5-50.wav,3 times for one day take allegra 120 mg for your infection and allergy once for one day,3 times in a day allegra 120 mg for your infection and allergies once in a day,Speaker_5,9.07,['mg'],train
audio/Speaker_5/Speaker5-51.wav,make you come for follow up after 3 days medicines wey you go take be dolo 500 3 times daily for 5 days pantz 3 times daily before food for 3 days telma 40 3 times daily for 5 days,follow up appointment should be taken three days later medicines to be taken are dolo 500 three times a day for five days pantz three times a day before for three days telma 40 three times a day for five days,Speaker_5,18.2,"['follow', 'dolo', 'pantz', 'telma']",train
audio/Speaker_5/Speaker5-52.wav,make you dey come regularly for follow up to check your thyroid level and blood pressure,regular follow up visits to monitor thyroid levels and blood pressure,Speaker_5,7.1,"['follow', 'up', 'visits', 'thyroid']",train
audio/Speaker_5/Speaker5-53.wav,take one tablet every morning on empty stomach continue as doctor prescribe am make you do regular tsh test to monitor thyroid level join,frequency one tablet daily in the morning on an empty stomach duration continue as prescribed additional instructions regular tsh tests to monitor thyroid levels,Speaker_5,12.91,"['tablet', 'daily', 'duration', 'regular']",train
audio/Speaker_5/Speaker5-54.wav,patient name na mr zee age na 45 years gender na male prescription date na 7 september 2024 diagnosis na hypothyroidism and hypertension drugs wey dem give am be thyroxine sodium thyronorm 50 mcg,patient name is mr zee his age is 45 years gender male prescription is dated 7 september 2024 so diagnosis is hypothyroidism and hypertension prescriptions are thyroxine sodium thyronorm 50 mcg,Speaker_5,22.55,"['hypertension', 'thyroxine', 'thyronorm', 'mc']",train
audio/Speaker_5/Speaker5-55.wav,okay take ultracet only if headache too much you fit take pantop for morning before food,ok and tablet ultracet sos only if you re feeling very severe headache samajh gaya you can take tablet pantop ok in the morning before food,Speaker_5,9.15,"['tablet', 'ultra', 'severe', 'headache']",train
audio/Speaker_5/Speaker5-56.wav,take hifenac p tablet once daily after lunch for 7 days and make patient come back after 1 week no clear diagnosis yet but i dey suspect dengue since na dengue season,hifenac p tablet once a day after lunch for 7 days and the patient should come to me after 1 week to show again and there is no diagnosis as such but i m suspecting that there might be a dengue since it s a dengue season,Speaker_5,14.53,"['hifenac', 'tablet', 'after', 'dengue']",train
audio/Speaker_5/Speaker5-57.wav,okay patient report fever and stomach pain for 3 days and family history show say mama get hypertension and papa get diabetes mellitus type 2 i advise make patient take dolo 650 tablet 3 times daily for fever,okay patient has reported fever he has reported stomach pain since 3 days and patient has a family history of hypertension wherein his mother has hypertension and also his father is suffering from diabetes mellitus type 2 i advise patient to take dolo 650 tablet 3 times a day for fever i want to him to take,Speaker_5,18.11,"['stomach', 'hypertension', 'dolo', 'tablet']",train
audio/Speaker_5/Speaker5-58.wav,fever yes i don get fever for the past 2 days no other problem,fever yeah fever from last two days i am facing fever also no other complaints any,Speaker_5,6.76,['fever'],train
audio/Speaker_5/Speaker5-59.wav,so doctor i get chest problem i no fit breathe well and i get fever wey high for 2 days doctor you dey cough patient yes small cough dey,so yeah doctor i have a problem in my chest i m not able to breathe properly and i have a very high fever also from the last two days do you have any cough yeah little bit of cough i have,Speaker_5,11.28,"['not', 'able', 'breathe', 'properly', 'very', 'high', 'fever', 'cough']",train
audio/Speaker_5/Speaker5-60.wav,i think say na the only chronic issue be that okay fine thank you thank you so i go stop this,and i think that s the only chronic issue okay fine thank you thank you so i ll stop this,Speaker_5,8.72,[],train
audio/Speaker_5/Speaker5-61.wav,ok theek hai i go just prescribe these medicines take am for 5 days then come back tablet grenil twice a day after food,ok theek hai i ll just prescribe these medicines take it for 5 days and then come back tablet grenil twice a day after food,Speaker_5,15.89,"['tablet', 'twice']",train
audio/Speaker_5/Speaker5-62.wav,so i recommend make e take dolo anytime e get fever only when fever come also allegra 120 mg once every day after food preferably for night and because e dey complain of sore throat make e dey gargle,so i recommend him to take dolo whenever he has a fever only when he gets fever also allegra 120 mg once every day after food preferably in the night also because he s complaining of sore throat so he should do gargle,Speaker_5,18.62,['allegra'],train
audio/Speaker_5/Speaker5-63.wav,take eno take gasofast next follow up go be within one week and patient fit call anytime e feel low,take eno take gasofast next follow up will be scheduled within a week and a patient can call whenever he feels low,Speaker_5,9.32,"['follow', 'within', 'call']",train
audio/Speaker_5/Speaker5-64.wav,in general consultation,in general consultation,Speaker_5,3.52,[],train
audio/Speaker_5/Speaker5-65.wav,dey well,take care,Speaker_5,3.6,['care'],train
audio/Speaker_5/Speaker5-66.wav,i suggest make e do cbc blood test haemoglobin blood test hba1c test then consult after 5 days,i suggest him to take cbc blood test haemoglobin blood test hba1c test and consult after 5 days,Speaker_5,10.52,"['haemoglobin', 'hba', 'consult']",train
audio/Speaker_5/Speaker5-67.wav,fever temperature na 50 c and don last 3 days i advise patient make e rest,fever with the temperature 50 â c and since 3 days i advise the patient to take rest,Speaker_5,8.89,[],train
audio/Speaker_5/Speaker5-68.wav,hi i prescribe make patient take dolo 650 and patient is diagnosed with,hi i prescribed the patient to take dolo 650 and the patient is diagnosed with,Speaker_5,8.21,['dolo'],train
audio/Speaker_5/Speaker5-69.wav,if i dey record audio na the same processing dey happen e go take 20 millisecond store am measure activity when e reach optimal level e go cut am store for s3,if i am recording a audio it s the same processing happening it is 20 millisecond coming it is storing that 20 millisecond measuring activity when there is an optimal amount it chops and it stores in s3,Speaker_5,14.44,['chops'],train
audio/Speaker_5/Speaker5-70.wav,tablet before breakfast and thyronorm 50 mcg tablet before breakfast and patient suppose avoid exercise and oily food patient suppose come back after one week,tablet before breakfast and thyronorm 50 mcg tablet before breakfast and patient should avoid exercise and eating oily food patient should come to me after one week,Speaker_5,14.01,"['tablet', 'thyronorm', 'mcg', 'breakfast', 'exercise']",train
audio/Speaker_5/Speaker5-71.wav,patient mama get diabetes mellitus type 2 patient suppose do complete body health checkup since na malaria season make e do malaria antigen test and dengue antigen test check if na that dey cause fever meanwhile patient fit take dolo 650 tablet 3 times a day after meals for 6 days patient suppose continue pantop dsr 40 mg tablet before breakfast for 20 days patient suppose continue temisartan,patient mother has diabetes mellitus type 2 patient should do complete body health checkup also since it s a malaria season patient should do malaria antigen test and dengue antigen test to see if that is causing the fever meanwhile patient can take dolo 650 tablet 3 times a day after meals for 6 days patient should continue pantop dsr 40 mg tablet before breakfast for 20 days patient should continue temisartan,Speaker_5,32.28,"['diabetes', 'mellitus', 'malaria', 'antigen', 'test', 'dengue', 'dolo', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-72.wav,patient na follow up case of body pain e get fever since 3 days e dey feel fatigue nausea and acidity patient vitals normal more or less pulse na 76 bpm temperature na 100 degree celsius spo2 na 98 percent patient get hypertension since 6 years and thyroid since 2 years,patient is a follow up case of body pain he has fever since 3 days patient is feeling fatigued nausea and has acidity patient vitals are normal more or less pulse is 76 bpm temperature is 100 degree celsius spo2 is 98 degree percentage and the patient has a history of hypertension since 6 years and he has thyroid since 2 years,Speaker_5,27.92,"['body', 'fever', 'fatigued', 'normal', 'pulse', 'bp', 'degree', 'celsius', 'spo', 'hypertension']",train
audio/Speaker_5/Speaker5-73.wav,e don finsih,that s about it,Speaker_5,3.01,['it'],train
audio/Speaker_5/Speaker5-74.wav,so azithromycin go good once every day for eyes since dem dey dilate make e use pataday pataday eye drops three times a day,so azithromycin should be good once every day for his eyes because they were dilating a lot why don t you have pataday pataday eye drops three times a day,Speaker_5,13.76,"['good', 'dilating']",train
audio/Speaker_5/Speaker5-75.wav,morning and evening with warm water put small salt inside just to make sure you no get bacterial infection make i prescribe antibiotic too,morning and evening with warm water also put a little bit of salt in it i think just to avoid any kind of bacterial infection let me prescribe an antibiotic as well,Speaker_5,12.73,"['morning', 'antibiotic']",train
audio/Speaker_5/Speaker5-76.wav,amlodopine amlodipine amlowas 5 mg 1 tablet once daily for morning continue as e dey prescribed dey monitor blood pressure regularly avoid too much salt advice follow balanced diet rich in fibre and low in sodium do moderate exercise like walking at for at least 30 minutes daily,amlodopine amlodipine amlowas 5 mg 1 tablet once daily in the morning continue as prescribed monitor blood pressure regularly avoid excessive salt intake advise follow balance diet rich in fibre and low in sodium engage in moderate physical activities such as walking for at least 30 minutes daily,Speaker_5,23.91,"['amlodopine', 'amlodipine', 'amlowas', 'daily', 'blood', 'pressure', 'rich', 'moderate', 'physical', 'activities', 'walking']",train
audio/Speaker_5/Speaker5-77.wav,e dey spread oh okay that one no sound good make i check am and the cough wey you talk since when e start like cough don start when i think almost 5 days now 5 days yeah yeah e dey happen when you lie down or anytime when i sit or stand up from lying down okay na that time e dey happen,like it s spreading oh okay that doesn t sound good okay let me let me look at it and cough jo aapne bola yeh like aapko kab se hai like cough kab se ho raha hai yeh i think almost paanch din almost ho gaye hain paanch din se ho raha hai yeah yeah and is it something like do you have this cough when you are lying down or anytime when when i when i get in a sitting position while lying down like when i just stand up okay that time it,Speaker_5,23.06,"['cough', 'lying', 'down']",train
audio/Speaker_5/Speaker5-78.wav,so i dey hear small wheezing i think say wheezing dey okay make i recommend chest ct scan go do am once then come back make we see how to continue,so i can hear mild wheezing i think uh there is some wheezing present okay let me let me recommend like chest ct scan aap ek baar woh karwa ke aaiye and uske baad dekhte hain ke kya you know how do we take it forward,Speaker_5,15.12,"['mild', 'whee', 'wheezing', 'chest', 'ct']",train
audio/Speaker_5/Speaker5-79.wav,no issue from pollution okay make we no take risk make we do pollen anti allergy test make we do am then be sure also i go like do physical examination check if wheezing dey,pollution ki vajah se koi bhi issues hua nahi hai okay ek kaam karte hain like every city is different let s not take chances let s do one pollen anti allergy test let s let s do it and then be confident about it sure also i think i would like to do a physical examination to see if there is wheezing and all so okay let s say as a doctor if i m performing some tests,Speaker_5,18.37,"['physical', 'examination', 'would', 'tests']",train
audio/Speaker_5/Speaker5-80.wav,after 7 days come back with reports on 7th may,after 7 days and come with reports on 31st sorry 7th on may okay,Speaker_5,5.99,"['after', 'st', 'sorry', 'th', 'okay']",train
audio/Speaker_5/Speaker5-81.wav,okay,okay,Speaker_5,2.15,[],train
audio/Speaker_5/Speaker5-82.wav,right now e don work well for english and hindi e fit work for other languages but dem still dey test am from our side na hindi and english dem test pass,right now it is battle tested for english and hindi it might work for other languages but that is something that we are in the process of testing so yeah but from our side the testing that we have done is for hindi and english,Speaker_5,12.73,"['battle', 'tested']",train
audio/Speaker_5/Speaker5-83.wav,turn am on no need make e robotic doctors no need talk robotic but accuracy dey higher when environment quiet and conversation structured doctors go adapt so accuracy go improve,turn it on it doesn t matter like it doesn t have to be robotic we don t have to ask doctors that hey they have to be like be very robotic about it but the accuracy is of course higher when they are sort of when the environment is relatively quieter when things the conversation is more structured right and hopefully like when doctors are using it they will also know and then sort of get tuned to ke woh kaise bolte hain toh accuracy achhi aaye,Speaker_5,18.54,['higher'],train
audio/Speaker_5/Speaker5-84.wav,s2 normal no murmurs on examination breathe in well well okay so bilateral air entry dey,baaki s2 is normal no murmurs on examination thoda gehri saans lijiye ek baar okay so there is bilateral air entry,Speaker_5,11.45,"['baaki', 'murmurs', 'bilateral']",train
audio/Speaker_5/Speaker5-85.wav,respiratory system clear no focal neurological deficits and no penile discharge so i think say e fit be case of,respi is also clear and focal neurological deficits and no penile discharge so i think that s okay i think it might be a case of,Speaker_5,12.31,"['respi', 'focal', 'neurological', 'deficit']",train
audio/Speaker_5/Speaker5-86.wav,after this come back with cbc test report when one week don reach you hear so we don do full discussion now i dey ask patient if e get any other problem for tooth wetin kind pain patient get,after this come come with a cbc test report after a week okay à à ¾ so just we had a complete formal discussion and now i m asking patient do you have any other problem in the tooth what type of pain the patient is coming,Speaker_5,20.24,[],train
audio/Speaker_5/Speaker5-87.wav,three times a day for twelve days then show me after one week don pass,three times a day for twelve days and show me after one week,Speaker_5,7.44,[],train
audio/Speaker_5/Speaker5-88.wav,patient get stomach pain headache leg pain the leg pain dey pass through back of thigh patient get history of spondylolisthesis currently e don improve patient also get acl for left knee i recommend make e take tendolife tablet,patient has stomach pain headache leg pain wherein leg pain is flowing through his back of the thigh patient has had history of spondylolisthesis currently it s recuperated patient also has an acl of the left knee i recommend patient taking tendolife tablet for,Speaker_5,23.15,"['stomach', 'leg', 'spondylolisthesis', 'tendolife', 'tablet']",train
audio/Speaker_5/Speaker5-89.wav,so if something dey happen and staff come if i don check everything okay your temperature normal 99 1,so let s say there is something going on staff comes and let s say if i ve done all the things to okay your temperature is normal 99 1,Speaker_5,10.17,"['temperature', 'normal']",train
audio/Speaker_5/Speaker5-90.wav,so that one dey okay your bp sef dey normal normal na 138 by 88 heart rate na 88 bpm spo2 na 98 weight na 78 kgs,so that s okay your bp is also more or less normal it s 138 by 88 heart rate is 88 bpm spo2 is 98 weight is 78 kgs,Speaker_5,18.11,"['bpm', 'or', 'less', 'normal', 'heart', 'rate', 'bp', 'spo', 'weight']",train
audio/Speaker_5/Speaker5-91.wav,and i think say your bmi dey small high 26 3 so we go see wetin we fit do about am but you get any sickness history or anything,and i think your bmi is slightly elevated 26 3 so we ll we ll see what to do about it but any history of any disease or anything,Speaker_5,13.42,"['bmi', 'any', 'history', 'disease']",train
audio/Speaker_5/Speaker5-92.wav,respiratory clear bilateral air entry dey cns no focal neurological deficit for local exam no penile discharge no costovertebral angle tenderness,respiratory clear bilateral air entry cns no focal neurological deficit local exam mein no penile discharge no costovertebral angle tenderness,Speaker_5,17.0,"['bilateral', 'cns', 'local', 'exam', 'costovertebral']",train
audio/Speaker_5/Speaker5-93.wav,yeah so this na chrome extension wey we dey use do demo and for the end we go show how e fit help fill prescription proper e no need make e robotic talk because for real life plenty interruptions dey,yeah so so this is a chrome extension where we are sort of demoing and then we ll also at the end of it we ll show like how this can be sort of leveraged to fill literally the prescription elements one thing is like like it doesn t have to be a robotic or a you know only medical conversations because in reality there are so many things going on here and there there are so many interruptions from staff and like we will,Speaker_5,18.2,"['chrome', 'extension']",train
audio/Speaker_5/Speaker5-94.wav,generally make you keep active lifestyle and come show me after five days or once report come out just whatsapp me,and in general i think keep a sort of active lifestyle and come show to me after five days we ll see or also also jaise hi report aati hai toh mujhe ek baar whatsapp kar,Speaker_5,10.6,['after'],train
audio/Speaker_5/Speaker5-95.wav,okay bilateral air entry dey cns no focal neurological deficits and no penile discharge or costovertebral angle tenderness,okay so there is bilateral air entry cns no focal neurological deficits and no penile discharge or any costovertebral angle tenderness,Speaker_5,13.16,"['bilateral', 'cns', 'focal', 'costovertebral']",train
audio/Speaker_5/Speaker5-96.wav,for now patient fit take dolo 650 three times daily after meals for 6 days and pantop dsr 40 mg once daily before breakfast avoid oily food rest well and in case of emergency,in the meanwhile patients can take dolo 650 three times a day after meals for 6 days and patients should take pantop dsr 40 mg tablet for 6 days before breakfast once a day and i advise patients to not have oily food take enough rest and in case of any emergency,Speaker_5,19.48,"['dsr', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-97.wav,chest exam show raz for base small unusual and rhonchi for both lungs lung function test and pheno show elevated value diagnosis na uncontrolled asthma treatment go start,chest examination shows raz in the bases which is a little unusual and diffuse rhonchi on both lung fields my asse we asked for a lung function test which shows so and so so and so and so and so we also asked for a pheno which is showing an elevated value overall diagnosis is uncontrolled asthma at this point he will be treated,Speaker_5,19.39,"['chest', 'examination', 'raz', 'diffuse', 'rhonchi', 'lung', 'pheno', 'elevated']",train
audio/Speaker_5/Speaker5-98.wav,take am for 4 weeks then come back if delay happen continue treatment other meds include b c d nutrition and lifestyle advice don dey given,taken for a period of 4 weeks after which he s supposed to visit us in case he becomes delayed the treatment is to be continued other medications include b c and d non medical aspects which is important is nutritional precautions which have been conveyed lifestyle precautions which have been conveyed and given to him as an addendum and at the same time if this,Speaker_5,13.59,"['nutritional', 'precautions', 'lifestyle']",train
audio/Speaker_5/Speaker5-99.wav,if e continue we go check triggers like psychological or exercise factors preventive care include vaccination and flu shot follow up in 4 weeks,continues we have to get into other aspects such as what are the precipitating factors including psychological or exercise regimens which may improve his overall condition preventive aspects include vaccination and the flu shot has been recommended to him and he has been asked to follow up in 4 weeks end of consultation,Speaker_5,12.05,['vaccination'],train
audio/Speaker_5/Speaker5-100.wav,b and c details no too clear patient stable ent show blocked nose dns right side airway small tight but oropharynx normal,b and c odd and further details are not known on examination he is otherwise stable the ent examination shows a congested nose with the dns to the right and oral examination shows slightly crowded airway but with a normal oropharynx,Speaker_5,15.12,"['ent', 'examination', 'congested', 'nose', 'oral', 'slightly', 'airway', 'normal']",train
audio/Speaker_5/Speaker5-101.wav,e get night symptoms wey dey disturb sleep but no tuberculosis no hypertension no diabetes no allergies,he also has night symptoms which is disturbing his sleep and he has no other issues with chronic diseases such as tuberculosis he s young and not a hypertensive or a diabetic and he has no specific allergies medications include taken so far include a,Speaker_5,9.32,"['night', 'symptoms', 'young', 'or', 'diabetic', 'medications']",train
audio/Speaker_5/Speaker5-102.wav,i dey give am number make e call me and make e come back after 7 days,see i m giving his number to call me and patient should come to me after 7 days,Speaker_5,6.76,[],train
audio/Speaker_5/Speaker5-103.wav,i advise make patient do ct mri patient look pale so make e do full body check and iron profile test,i advise patient to do ct mri also patient seems to be pale so i advise him to take complete body health checkup i also want to analyse iron levels so patients should do complete iron profile test,Speaker_5,11.63,"['ct', 'iron']",train
audio/Speaker_5/Speaker5-104.wav,patient get stomach pain since 3 days and strong headache since one month previous headaches dey throbbing i dey suspect migraine,patient reported stomach pain since 3 days he also reported severe headache which is happening since a month patient in the past have had episodes of headaches wherein there was a throbbing pain i m suspecting migraine but to make any decision,Speaker_5,11.37,"['stomach', 'severe', 'headaches', 'throbbing', 'migraine']",train
audio/Speaker_5/Speaker5-105.wav,follow up after 5 days,follow up after 5 days,Speaker_5,3.26,['after'],train
audio/Speaker_5/Speaker5-106.wav,and small body pain since yesterday write crocin 500 mg twice daily after food for 2 days then sos benadryl syrup 5 ml twice daily,and mild body ache since one day uh please write medications crocin 500 mg twice a day after food for 2 days then sos for fever benadryl syrup 5 ml twice a day,Speaker_5,15.98,"['mild', 'body', 'ache', 'crocin', 'mg', 'twice', 'after', 'ml']",train
audio/Speaker_5/Speaker5-107.wav,e dey worse when person lie down better when e dey move running nose since 2 days with small headache,increases on lying down decreases on walking around and running nose since 2 days associated with mild headache,Speaker_5,8.04,"['lying', 'decreases', 'walking', 'around', 'running', 'mild', 'headache']",train
audio/Speaker_5/Speaker5-108.wav,after food for 5 days steam inhalation 3 4 times daily neurobion fort once daily afternoon salt water gargle 3 times daily,after food for 5 days steam inhalation 3 to 4 times a day for 5 days neurobion fort once a day in the afternoon after food for 5 days salt water lukewarm gargle thrice a day for 5 days,Speaker_5,14.78,"['neurobion', 'afternoon', 'thrice']",train
audio/Speaker_5/Speaker5-109.wav,write fever since 5 days dey come and go no chills no rigors productive cough since 3 days,write fever since 5 days intermittent without any diurnal variation without chills without rigors cough productive since 3 days,Speaker_5,10.86,"['fever', 'cough']",train
audio/Speaker_5/Speaker5-110.wav,on gina 3 protocol treatment include counselling and inhalers like foracort 200 two puffs twice daily,on a gina 3 protocol the treatment will include education and counselling which is also being done with using aids given to him and additionally we will start inhalers on him the inhalers include foracort 200 two puffs twice a day synchro breathe,Speaker_5,12.39,"['gina', 'foracort']",train
audio/Speaker_5/Speaker5-111.wav,equivert 24mg tablet dey treat inner ear problem mnires disease causing dizziness tinnitus hearing loss,equivert 24mg tablet is used to prevent and treat a disorder of the inner ear known as mnires disease the symptoms include dizziness vertigo ringing in the ears tinnitus and loss of hearing probably caused by fluid in the ear,Speaker_5,12.73,"['equivert', 'inner', 'ear', 'mnires', 'dizziness', 'ringing', 'loss', 'hearing']",train
audio/Speaker_5/Speaker5-112.wav,cefurica 250mg tablet na antibiotic for infections like lungs ear throat urinary tract skin bones,cefurica 250mg tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs e g pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,Speaker_5,12.48,"['infections', 'lungs', 'nasal', 'cefurica']",train
audio/Speaker_5/Speaker5-113.wav,after infection clear tissue damage remain dem reconstruct am with alt flap 40 cm by 12 cm,after the infection was eradicated a large soft tissue deficit was present this deficit was reconstructed with an alt flap design in with a length of 40 cm and a width of 12 cm,Speaker_5,10.77,"['infection', 'large', 'soft', 'tissue', 'deficit', 'cm']",train
audio/Speaker_5/Speaker5-114.wav,torcilin 20 tablet dey treat hypertension na calcium channel blocker e dey reduce risk of heart attack and stroke,torcilin 20 tablet is a medicine used to treat high blood pressure hypertension it belongs to a class of medicines known as a calcium channel blocker which helps to lower blood pressure this helps prevent heart attacks and strokes,Speaker_5,10.09,"['torcilin', 'tablet', 'high', 'pressure', 'calcium', 'channel', 'blocker']",train
audio/Speaker_5/Speaker5-115.wav,zyrova 5 tablet na statin wey dey reduce cholesterol and heart disease risk,zyrova 5 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,11.45,[],train
audio/Speaker_5/Speaker5-116.wav,sulpra 100mg tablet dey treat schizophrenia affecting thinking and behaviour,sulpra 100mg tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave,Speaker_5,9.66,"['mg', 'tablet', 'mental', 'disorder', 'hallucinations', 'delusions', 'think']",train
audio/Speaker_5/Speaker5-117.wav,44 years ago snake bite patient and dem tie leg for 3 months stop venom spread,forty four years ago the patient was bitten by a snake and the area below the left knee joint was tied with a string and maintained for 3 months to prevent the spread of snake venom,Speaker_5,10.35,"['below', 'knee', 'joint', 'string', 'maintained']",train
audio/Speaker_5/Speaker5-118.wav,on exam dem see lump for right breast no other serious history,on physical examination a palpable mass was noted in the right breast without other remarkable findings she had no remarkable medical history or familial history,Speaker_5,6.93,"['palpable', 'mass', 'breast']",train
audio/Speaker_5/Speaker5-119.wav,folic acid na 8 32 ng ml red cell distribution width 53 5 fl ldl cholesterol na 73 66 mg dl,folic acid the value is 8 32 ng ml red cell distribution width sdrdw sd the value is 53 5 fl ldl cholesterol the value is 73 66 mg dl,Speaker_5,17.85,"['ng', 'ml', 'fl', 'mg']",train
audio/Speaker_5/Speaker5-120.wav,after the dentist been examine the patient well well e come diagnose am with chronic periodontitis and pulpitis for the second upper incisor for left side the dentist been advise am make she keep better oral hygiene and say dem fit remove the tooth later,after thorough examination of the patient the dentist diagnosed it as chronic periodontitis and pulpitis of the left upper second incisor the dentist advised her oral hygiene and extraction at a later date,Speaker_5,21.78,"['chronic', 'period', 'pulpitis', 'extraction']",train
audio/Speaker_5/Speaker5-121.wav,repadone 1mg tablet na prescription medicine wey dem dey use treat schizophrenia one mental disorder wey fit make person dey see or believe things wey no real and e fit still affect how person dey reason behave and fit cause mania,repadone 1mg tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_5,18.62,"['repadone', 'tablet', 'medicine', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_5/Speaker5-122.wav,the patient been dey admitted for one secondary care hospital 3 months before because e been dey complain of discomfort for the right lower jaw and small swelling after that dem been do biopsy and histology been confirm say na ameloblastic carcinoma,the patient had already been admitted to a secondary care hospital 3 months earlier with complaints of right mandibular discomfort and slight tumefaction a biopsy was then performed and the diagnosis of ameloblastic carcinoma was made histologically,Speaker_5,21.44,"['admitted', 'secondary', 'care', 'hospital', 'earlier', 'mandibular', 'discomfort', 'slight', 'biopsy', 'ameloblastic', 'carcinoma']",train
audio/Speaker_5/Speaker5-123.wav,gabastar m 300mg 500mcg tablet na combination medicine wey dem dey use treat neuropathic pain this medicine dey reduce pain by controlling the calcium channel activity for the nerve cells,gabastar m 300mg 500mcg tablet is a combination medicine used for the treatment of neuropathic pain this medicine decreases pain by modulating calcium channel activity of the nerve cells,Speaker_5,16.49,"['gabastar', 'mg', 'tablet', 'calcium', 'channel']",train
audio/Speaker_5/Speaker5-124.wav,nuclear positron emission tomography computed tomography show plenty foci for the lymph nodes around the paratracheal left supraclavicular para aortic and right inguinal regions e still show hypermetabolic activity for both lung parenchyma and the left tenth rib,nuclear positron emission tomography computed tomography showing multiple foci involving lymph nodes at the paratracheal left supraclavicular para aortic and right inguinal regions there was also hypermetabolic activity involving bilateral lung parenchyma and left tenth rib,Speaker_5,29.2,"['nuclear', 'positron', 'emission', 'tomography', 'computed', 'multiple', 'lymph', 'nodes', 'paratracheal', 'aortic', 'inguinal', 'hypermetabolic', 'bilateral', 'lung', 'parenchyma', 'tenth', 'rib']",train
audio/Speaker_5/Speaker5-125.wav,the figure show overview of all the diagnostic and treatment measures wey dem take and the outcome as time dey go the patient been do abdominal sonography on 25 october 2013 and na there dem been see one tumorous mass of 3 5 x 2 cm,figure shows an overview of all diagnostic and therapeutic measures taken and their outcome over time the patient had an abdominal sonography on 25 october 2013 where a tumorous mass of 3 5 2 cm was detected,Speaker_5,27.33,"['abdominal', 'sonography', 'october', 'tumorous', 'mass', 'cm']",train
audio/Speaker_5/Speaker5-126.wav,glime 1mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus for adults e belong to one group of medicines wey dem dey call sulfonylureas and e dey help control blood sugar level for people wey get diabetes,glime 1mg tablet is a medicine used to treat type 2 diabetes mellitus in adults it belongs to a group of medicines called sulfonylureas and helps control blood sugar levels in people with diabetes,Speaker_5,18.03,"['glime', 'mg', 'tablet', 'type', 'diabetes', 'mellitus', 'sulfonylureas', 'sugar']",train
audio/Speaker_5/Speaker5-127.wav,the symptoms of sciatica been start since 6 months before and later she been go another hospital where dem been do x ray and mri of the lumbar spine the result been show small canal stenosis for the lumbar spine,symptoms of sciatica had begun 6 months ago and then she visited another hospital and x ray and mri of the lumbar spine was performed these showed slight canal stenosis of the lumbar spine,Speaker_5,18.62,"['sciatica', 'visited', 'hospital', 'ray', 'mri', 'lumbar', 'spine', 'slight', 'canal']",train
audio/Speaker_5/Speaker5-128.wav,rbc value no dey available ast sgot the value na 4237 0 u l transferin saturation calculated the value na 30 31,rbc value is not available ast sgot the value is 4237 0 u l transferin saturation calculated the value is 30 31,Speaker_5,17.34,['transferin'],train
audio/Speaker_5/Speaker5-129.wav,for more than four years dem been dey treat am with assisted reproductive technologies like artificial insemination and in vitro fertilization during the time wey dem been dey treat her infertility cytological review and colposcopic biopsy been show one invasive nonkeratinizing squamous cell carcinoma scc,she had been treated with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years during her treatment for infertility cytological review followed by colposcopic biopsy revealed an invasive nonkeratinizing squamous cell carcinoma scc,Speaker_5,28.69,"['artificial', 'insemination', 'vitro', 'fe', 'cytological', 'review', 'colposcopic', 'biopsy', 'invasive', 'nonkeratinizing', 'squamous', 'cell', 'carcinoma']",train
audio/Speaker_5/Speaker5-130.wav,clinical examination been show upper limb hypertension and the blood pressure for both arms almost the same 180 100 mm hg for him past history dem been repair coarctation of the aorta about 30 years ago,clinical examination revealed upper limb hypertension with similar blood pressures in both arms 180 100 mm hg his past history included repair of coarctation of aorta about 30 years ago,Speaker_5,22.89,"['clinical', 'examination', 'blood', 'pressures', 'both', 'mm', 'aorta']",train
audio/Speaker_5/Speaker5-131.wav,precontrast axial ct scan show one big round expansile mass wey get lower attenuation than the facial muscles and e center for the right maxillary sinus with plenty calcifications,precontrast axial ct scan shows a large round expansile mass hypoattenuating to the facial muscles and centered in the right maxillary sinus with plenty of calcifications,Speaker_5,18.37,"['axial', 'ct', 'large', 'round', 'ex', 'mass', 'facial', 'muscles', 'maxillary', 'sinus', 'calcifications']",train
audio/Speaker_5/Speaker5-132.wav,dem first been bring am come the gynaecological unit because she been get constant abdominal pain since delivery the patient been see the birth as traumatic but the reports been show say no complication been happen during the vaginal delivery,she was first presented to the gynaecological unit with constant abdominal pain since delivery the birth had been experienced as traumatic by the patient but reports documented no complications during the vaginal delivery,Speaker_5,20.93,"['presented', 'gynaecological', 'unit', 'constant', 'abdominal', 'complications']",train
audio/Speaker_5/Speaker5-133.wav,the patient get history of chronic alcohol use and that one lead to liver damage and lack of proper nutrients for body for the past 5 years now the patient no been drink alcohol and overall health don improve well well,patient has a history of chronic alcohol consumption leading to liver damage and nutritional deficiencies they have since abstained from alcohol for the past 5 years showing significant improvement in overall health,Speaker_5,15.81,"['chronic', 'liver', 'abstained']",train
audio/Speaker_5/Speaker5-134.wav,dem been do ct abdomen and pelvis with contrast to evaluate hypercortisolism e show new low density liver lesions wey dem no been see 3 months before and that one fit with metastases e still show new bilateral adrenal hyperplasia,ct abdomen pelvis with contrast obtained for evaluation of hypercortisolism note the presence of new low density liver lesions not seen 3 months prior consistent with metastases also new bilateral adrenal hyperplasia,Speaker_5,27.5,"['ct', 'abdomen', 'pelvis', 'contrast', 'low', 'density', 'liver', 'lesions', 'bilateral']",train
audio/Speaker_5/Speaker5-135.wav,nova cv 500mg 125mg tablet na penicillin type antibiotic wey dey help your body fight infection wey bacteria cause dem dey use am treat infection for lungs like pneumonia ear nasal sinus urinary tract skin and soft tissue,nova cv 500mg 125mg tablet is a penicillin type of antibiotic that helps your body fight infections caused by bacteria it is used to treat infections of the lungs e g pneumonia ear nasal sinus urinary tract skin and soft tissue,Speaker_5,25.79,"['mg', 'tablet', 'infections', 'lungs', 'nasal', 'your']",train
audio/Speaker_5/Speaker5-136.wav,thyrogear 125mcg tablet na medicine wey dem dey use treat underactive thyroid gland wey be hypothyroidism e dey replace the hormone wey your thyroid gland no dey produce enough and e dey help regulate your body energy and metabolism,thyrogear 125mcg tablet is a medicine used to treat an underactive thyroid gland hypothyroidism it replaces the hormone which is not being produced by your thyroid gland in sufficient quantity and helps regulate your bodys energy and metabolism,Speaker_5,20.5,"['tablet', 'hypothyroidism']",train
audio/Speaker_5/Speaker5-137.wav,dem been diagnose am with behet disease when she be 34 years old she been get recurrent mouth ulcer recurrent genital ulcer and pseudofolliculitis with acne like nodules she no been get any eye lesion,she was diagnosed with behet disease at the age of 34 years she presented with recurrent oral ulceration recurrent genital ulceration and pseudofolliculitis with characteristic acneiform nodules she had no eye lesions,Speaker_5,20.41,"['behet', 'disease', 'age', 'recurrent', 'oral', 'genital', 'pseudofolliculitis', 'characteristic', 'eye']",train
audio/Speaker_5/Speaker5-138.wav,almox 250 capsule na penicillin type antibiotic wey dem dey use treat different kinds of bacterial infections e dey work well for infection of throat ear nasal sinuses respiratory tract like pneumonia urinary tract skin and soft tissue and typhoid fever,almox 250 capsule is a penicillin type of antibiotic used to treat a variety of bacterial infections it is effective in infections of the throat ear nasal sinuses respiratory tract e g pneumonia urinary tract skin and soft tissue and typhoid fever,Speaker_5,17.26,"['nasal', 'respiratory', 'urinary']",train
audio/Speaker_5/Speaker5-139.wav,she no been get any symptoms the chest x ray been show one tumor shadow for the upper middle area of the right lung with pleural effusion and another tumor shadow for the upper area of the left lung,she did not have any symptoms the chest x ray showed a tumor shadow in the upper middle field of the right lung with pleural effusion and a tumor shadow in the upper field of the left lung,Speaker_5,15.12,"['chest', 'ray', 'tumor', 'shadow', 'lung', 'pleural', 'effusion']",train
audio/Speaker_5/Speaker5-140.wav,transthoracic echocardiography show for the parasternal short axis view around the aortic valve level one myxoma of 24 x 17 mm ao mean aorta ra mean right atrium and rv mean right ventricle,transthoracic echocardiography parasternal short axis view at the level of the aortic valve reveals a 24 17 mm sized myxoma arrow ao aorta ra right atrium rv right ventricle,Speaker_5,26.64,"['transthoracic', 'parasternal', 'aortic', 'valve', 'mm', 'myxoma', 'rv']",train
audio/Speaker_5/Speaker5-141.wav,olzox 40 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,olzox 40 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,18.96,"['olzox', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-142.wav,vascular ultrasonography show say before operation for the upper part of the right arm of subject 1 the brachial artery divide high into radial and ulnar arteries dem still see 2 radial veins one ulnar vein and the basilic vein,vascular ultrasonography preoperative vascular ultrasonography at the proximal right upper arm of subject 1 demonstrates high arterial bifurcation of brachial into radial and ulnar arteries also seen are 2 radial veins one ulnar vein and the basilic vein,Speaker_5,20.84,"['vascular', 'ultrason', 'ultrasonography', 'arm', 'high', 'arterial', 'bifurcation', 'brachial', 'radial', 'basilic']",train
audio/Speaker_5/Speaker5-143.wav,each time wey the problem show he been dey go see general practitioner and analgesic with antibiotics been dey calm the condition but later the symptoms been come worse so he been come our oral surgery clinic for consultation,he visited a general practitioner each time and the condition was resolved with analgesic and antibiotics however his symptoms got worse and he attended our oral surgery clinic for consultation,Speaker_5,18.71,"['visited', 'general', 'practitioner', 'antibiotics', 'symptoms', 'oral', 'surgery', 'clinic']",train
audio/Speaker_5/Speaker5-144.wav,the patient get known drug allergy since 2015 and the reaction dey come with rash and breathing difficulty the patient still dey allergic to dust and get history of steroid induced hyperglycemia the patient still been get bad reaction to one previous medicine before,the patient has a known drug allergy since 2015 presenting with rash and respiratory distress additionally the patient is allergic to dust with a history of steroid induced hyperglycemia the patient has also experienced adverse reactions to a previous medication,Speaker_5,23.06,"['drug', 'allergy', 'rash', 'steroid', 'induced', 'hyperglycemia', 'adverse', 'reactions']",train
audio/Speaker_5/Speaker5-145.wav,thyrox 88 tablet na medicine wey dem dey use treat underactive thyroid gland wey be hypothyroidism e dey replace the hormone wey your thyroid gland no dey produce enough and e dey help regulate your body energy and metabolism,thyrox 88 tablet is a medicine used to treat an underactive thyroid gland hypothyroidism it replaces the hormone which is not being produced by your thyroid gland in sufficient quantity and helps regulate your bodys energy and metabolism,Speaker_5,17.68,"['thyrox', 'tablet', 'hypothyroidism']",train
audio/Speaker_5/Speaker5-146.wav,absolute lymphocytes count the value na 4093 0 10 3 mm3 blood sugar random the value na 102 3 mg dl volume the value na 20 0 ml,absolute lymphocytes count the value is 4093 0 10 3 mm3 blood sugar random the value is 102 3 mg dl volume the value is 20 0 ml,Speaker_5,23.32,"['mm', 'mg', 'ml']",train
audio/Speaker_5/Speaker5-147.wav,the patient get history of steroid induced hyperglycemia chronic allergy wey the trigger no clear and statin induced myopathy plus dem been report one amlodipine induced reaction with hypotension and edema and because of that dem been stop the medicine,the patient has a history of steroid induced hyperglycemia chronic allergy with unknown triggers and statin induced myopathy additionally an amlodipine induced reaction with hypotension and edema was reported which led to the medication being stopped,Speaker_5,24.51,"['induced', 'hyperglycemia', 'amlodipine', 'reaction', 'hypotension', 'edema', 'medication']",train
audio/Speaker_5/Speaker5-148.wav,leecast m 5mg 10mg tablet na combination medicine wey dem dey use treat allergy symptoms like runny nose blocked nose sneezing itching swelling watery eyes and congestion,leecast m 5mg 10mg tablet is a combination medicine used in the treatment of allergic symptoms such as runny nose stuffy nose sneezing itching swelling watery eyes and congestion or stuffiness,Speaker_5,14.78,"['mg', 'tablet', 'runny', 'stuffy', 'itching', 'congestion']",train
audio/Speaker_5/Speaker5-149.wav,he talk say dem been try remove ear wax for him left ear many times for different ent clinics but e no been work even though dem been use alkaline ear drops,he gave a history of multiple failed ear wax removal in his left ear that had been performed at several ent clinics despite the use of alkaline ear drops,Speaker_5,13.76,"['ear', 'wax', 'removal', 'been']",train
audio/Speaker_5/Speaker5-150.wav,p p blood sugar the value na 227 34 mg dl total protein the value na 6 6 g dl urine colour value no dey available,p p blood sugar the value is 227 34 mg dl total protein the value is 6 6 g dl urine colour value is not available,Speaker_5,18.37,['mg'],train
audio/Speaker_5/Speaker5-151.wav,valzaar 20mg tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,valzaar 20mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,20.07,"['tablet', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-152.wav,chest x ray been show say one bent kirschner wire don shift from the right clavicle e been dey 9 cm long and the tip dey inside the mediastinal shadow black arrow,chest x ray showed migration of a bent kirschner wire from the right clavicle it was 9cm in length with its tip in the mediastinal shadow black arrow,Speaker_5,15.98,"['chest', 'ray', 'bent', 'kirschner', 'wire', 'cm', 'mediastinal']",train
audio/Speaker_5/Speaker5-153.wav,nitravet 10 tablet na prescription medicine wey dem dey use treat insomnia dem dey usually use am together with other medicines e dey relax the brain and e dey help treat people wey get problem with their sleeping habit,nitravet 10 tablet is a prescription medicine used for treating insomnia it is generally used in combination with other medicines it relaxes the brain and helps to treat people who have problems with their sleeping habits,Speaker_5,17.17,['nitravet'],train
audio/Speaker_5/Speaker5-154.wav,urea creatinine ratio the value na 44 45 ratio unsaturated iron binding capacity the value na 292 0 ug dl salmonella typhi h th value no dey available,urea creatinine ratio the value is 44 45 ratio unsaturated iron binding capacity the value is 292 0 ug dl salmonella typhi h th value is not available,Speaker_5,18.71,"['urea', 'creatinine', 'ug', 'salmonella', 'not', 'available']",train
audio/Speaker_5/Speaker5-155.wav,absolute monocyte count the value na 0 16 10 3 mm3 absolute lymphocyte the value na 1610 0 10 3 mm3 gfr estimated the value na 72 0 ml min 1 73_m2,absolute monocyte count the value is 0 16 10 3 mm3 absolute lymphocyte the value is 1610 0 10 3 mm3 gfr estimated the value is 72 0 ml min 1 73_m2,Speaker_5,33.56,"['absolute', 'mm', 'ml', 'min']",train
audio/Speaker_5/Speaker5-156.wav,for him past medical history e been get hypertension vertigo one old concussion and history of fractured jaw early after the stroke e been develop serious dysphagia including problem to manage secretion,his past medical history included hypertension vertigo a remote concussion and history of a fractured jaw he developed significant dysphagia early following his stroke including difficulty with secretion management,Speaker_5,18.79,"['remote', 'dysphagia']",train
audio/Speaker_5/Speaker5-157.wav,biselect 2 5 tablet belong to one group of medicines wey dem dey call beta blockers dem dey use am treat high blood pressure angina wey be heart related chest pain and irregular heart rhythm wey be arrhythmia e still dey help prevent future heart attack and migraine,biselect 2 5 tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension angina heart related chest pain irregular heart rhythms arrhythmia it also helps to prevent future heart attacks and to prevent migraines,Speaker_5,22.63,"['tablet', 'beta', 'angina', 'chest']",train
audio/Speaker_5/Speaker5-158.wav,moxivin lb 500mg 125mg tablet na combination medicine wey dem dey use treat different kinds of bacterial infection e dey fight the microorganisms to stop their growth and stop the infection from spreading more,moxivin lb 500mg 125mg tablet is a combination medicine that is used to treat various types of bacterial infections it fights against the microorganisms to prevent their growth and further spread of the infection,Speaker_5,17.17,"['mg', 'tablet']",train
audio/Speaker_5/Speaker5-159.wav,computed tomography of the abdomen for the second presentation been show mild upper abdominal periaortic stranding with mural thickening of the aorta red arrow wey resemble the left common carotid artery from the original computed tomography of her neck fig 1,computed tomography of the abdomen on second presentation revealing mild upper abdominal periaortic stranding with mural thickening of the aorta red arrow similar in appearance to the left common carotid artery from the original computed tomography of her neck fig 1,Speaker_5,20.59,"['computed', 'tomography', 'abdomen', 'mild', 'abdominal', 'periaortic', 'stranding', 'mural', 'aorta', 'common', 'carotid', 'artery']",train
audio/Speaker_5/Speaker5-160.wav,b mode sonographic image of the eye for axial plane show measurement of the lens thickness white arrow as the anechoic space between the echogenic anterior and posterior lens capsules wey cursors mark,b mode sonographic image of the eye axial plane showing measurement of the lens thickness white arrow as the anechoic space between the echogenic anterior and posterior lens capsules delimited by cursors,Speaker_5,19.05,"['mode', 'sonographic', 'eye', 'thickness', 'white', 'plane', 'lens', 'capsule']",train
audio/Speaker_5/Speaker5-161.wav,tapentadol na analgesic wey dem dey prescribe for moderate to severe acute pain tapentadol dey work by changing the way the body dey respond to pain when person no suppose take tapentadol,tapentadol is an analgesic prescribed for moderate to severe acute pain tapentadol works by changing the way the body responds to pain when should tapentadol not to be taken,Speaker_5,11.54,['moderate'],train
audio/Speaker_5/Speaker5-162.wav,telzun h 80mg 12 5mg tablet get two medicines inside and both of them dey help control high blood pressure dem dey usually use am when one medicine alone no dey control the blood pressure well,telzun h 80mg 12 5mg tablet contains two medicines both of which help to control high blood pressure it is generally used when one medicine alone is not controlling the blood pressure effectively,Speaker_5,20.16,"['telzun', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-163.wav,ethambutol na antibacterial agent wey dem dey prescribe for tuberculosis tb ethambutol dey stop the growth of tb cells when person no suppose take ethambutol e no good for patients wey get known optic neuritis wey be optic nerve inflammation and hypersensitivity,ethambutol is an antibacterial agent prescribed for tuberculosis tb ethambutol stops the growth of tb cells when should ethambutol not to be taken contraindicated in patients with known optic neuritis optic nerve inflammation and hypersensitivity,Speaker_5,24.0,"['ethambutol', 'optic', 'neuritis', 'inflammation']",train
audio/Speaker_5/Speaker5-164.wav,e talk say one week before e been get one episode of macroematuria with no fever and normal bowel function dem been send am go urological department for consultation,he referred that one week earlier he experienced an episode of macroematuria with no fever and regular bowel function he was sent to urological department for a consultation,Speaker_5,14.78,"['macroematuria', 'fever', 'regular', 'bow', 'sent', 'urological', 'department']",train
audio/Speaker_5/Speaker5-165.wav,telinor 40mg tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,telinor 40mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,18.62,"['mg', 'tablet', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-166.wav,the patient get standing job and that one dey help better posture and circulation pass sedentary desk job the patient still be driver and that work need long sitting so e fit add to lower back pain if person no dey do regular stretching exercise,patient has a standing job which promotes better posture and circulation compared to a sedentary desk job patient is also a driver which requires prolonged sitting and may contribute to lower back pain if not accompanied by regular stretching exercises,Speaker_5,18.45,"['better', 'posture', 'circulation', 'prolonged', 'sitting']",train
audio/Speaker_5/Speaker5-167.wav,dem been take this plain abdominal radiograph during intercurrent sepsis and e been show plenty calcification for the parenchyma of both native kidneys arrows one thing to note be say neither of the transplanted kidneys never calcify yet open arrows,this plain abdominal radiograph was taken at a time of intercurrent sepsis and demonstrated florid calcification of the parenchyma of both native kidneys arrows of note neither transplanted kidney has yet calcified open arrows,Speaker_5,24.25,"['plain', 'abdominal', 'radiograph', 'sepsis', 'florid', 'calcification', 'parenchyma', 'kidneys']",train
audio/Speaker_5/Speaker5-168.wav,the patient been get history of recurrent abdominal pain for the last two years each episode been dey come with severe central abdominal pain together with vomiting because of these episodes dem been admit am many times,the patient had a history of recurrent abdominal pain for the last two years each episode was characteristic of severe central abdominal pain along with vomiting he had multiple admissions as a result of these episodes,Speaker_5,15.72,"['abdominal', 'severe', 'multiple', 'admissions']",train
audio/Speaker_5/Speaker5-169.wav,the image been show the oval foramen wey dey for the upper third of the mandibular ramus inside the condyle and e dey penetrate the ophthalmic branch of the trigeminal ganglion toward the medial corner of the oval foramen arrow,the image showed the oval foramen located at the upper third of the mandibular ramus inside of the condyle penetrating the ophthalmic branch of the trigeminal ganglion toward the medial corner of the oval foramen arrow,Speaker_5,24.68,"['oval', 'mandibular', 'condyle', 'ophthalmic', 'trigeminal', 'ganglion', 'foramen']",train
audio/Speaker_5/Speaker5-170.wav,magnetic resonance imaging scan of the cervical spinal cord for the intramedullary abscess on admission this sagittal t2 weighted image show one expansile intramedullary area with increased t2 signaling for the spinal cord from c2 to c5,magnetic resonance imaging scan of the cervical spinal cord of the intramedullary abscess upon admission this sagittal t2 weighted image shows an expansile intramedullary area of increased t2 signaling present in the spinal cord from c2 to c5,Speaker_5,23.49,"['magnetic', 'resonance', 'imaging', 'cervical', 'spinal', 'cord', 'intramedullary', 'abscess', 'sagittal', 'tal', 'weighted', 'image', 'expansile']",train
audio/Speaker_5/Speaker5-171.wav,flatulex 250mg capsule na medicine wey dem dey use treat bloating and abdominal pain e dey relieve discomfort and pain wey excess gas for the stomach and intestines cause for conditions like flatulence and post operative gaseous distention,flatulex 250mg capsule is used in the treatment of bloating and abdominal pain it relieves discomfort and pain caused by excessive gas in the stomach and intestines in conditions such as flatulence and post operative gaseous distention,Speaker_5,17.43,"['mg', 'capsule', 'abdominal', 'discomfort', 'excessive', 'stomach', 'intestines', 'flatulence', 'post']",train
audio/Speaker_5/Speaker5-172.wav,for him past history dem been do high anterior resection of the rectum for our hospital because of intussusception wey peutz jeghers polyposis cause fig e been stay for hospital for 1 month after the procedure,his past history involved a high anterior resection of the rectum in our hospital due to intussusception caused by peutz jeghers polyposis fig he was hospitalized for 1 month after the procedure,Speaker_5,20.07,"['high', 'anterior', 'resection', 'rectum', 'hospitalized', 'intussusception', 'polyposis']",train
audio/Speaker_5/Speaker5-173.wav,display of end systolic image from apical 4 chamber view after six months of treatment with pioglitazone the white thicker arrow dey indicate the newly developed moderate mitral regurgitation,display of end systolic image from apical 4 chamber view after six month of treatment with pioglitazone the white thicker arrow indicates the newly developed moderate mitral regurgitation,Speaker_5,18.28,"['end', 'systolic', 'after', 'pioglitazone', 'moderate']",train
audio/Speaker_5/Speaker5-174.wav,alzitin 5 tablet na medicine wey dem dey use treat alzheimer s disease e dey help slow down the progression of moderate to severe alzheimer s by improving memory and thinking,alzitin 5 tablet is a medicine used in the treatment of alzheimer s disease it helps to slow down the progression of moderate to severe alzheimer s by improving memory and thinking,Speaker_5,15.38,"['tablet', 'moderate', 'alzheimer']",train
audio/Speaker_5/Speaker5-175.wav,euthyrox 25 tablet na medicine wey dem dey use treat underactive thyroid gland wey be hypothyroidism e dey replace the hormone wey your thyroid gland no dey produce enough and e dey help regulate your body energy and metabolism,euthyrox 25 tablet is a medicine used to treat an underactive thyroid gland hypothyroidism it replaces the hormone which is not being produced by your thyroid gland in sufficient quantity and helps regulate your bodys energy and metabolism,Speaker_5,19.99,"['euthyrox', 'hypothyroidism']",train
audio/Speaker_5/Speaker5-176.wav,the patient food too full of junk food and that one dey raise concern for obesity high blood pressure and higher risk of cardiovascular disease the patient no dey smoke and that one good for overall lung health and lower risk of respiratory problem,patient s diet is high in junk food leading to concerns about obesity high blood pressure and increased risk of cardiovascular disease patient is a non smoker which is beneficial for overall lung health and reduced risk of respiratory issues,Speaker_5,17.26,"['diet', 'junk', 'non', 'smoker', 'lung']",train
audio/Speaker_5/Speaker5-177.wav,ivercid 3mg tablet na antiparasitic medicine dem dey use am treat parasitic infection for your intestinal tract skin and eyes your doctor go explain how you go take ivercid 3mg tablet and the quantity wey you need,ivercid 3mg tablet is an antiparasitic medication it is used to treat parasitic infections of your intestinal tract skin and eyes your doctor will explain how to take ivercid 3mg tablet and how much you need,Speaker_5,19.48,"['tablet', 'antiparasitic']",train
audio/Speaker_5/Speaker5-178.wav,hbalc the value na 6 1 unconjugated i d bilirubin the value na 0 36 mg dl mchc the value na 34 2 g dl,hbalc the value is 6 1 unconjugated i d bilirubin the value is 0 36 mg dl mchc the value is 34 2 g dl,Speaker_5,19.13,"['unconjugated', 'mg']",train
audio/Speaker_5/Speaker5-179.wav,neurozide pn 75mg 10mg tablet na combination medicine wey dem dey use treat neuropathic pain this medicine dey reduce pain by stopping the movement of pain signals go the brain,neurozide pn 75mg 10mg tablet is a combination medicine used for the treatment of neuropathic pain this medicine decreases the pain by stopping the movement of pain signals to the brain,Speaker_5,18.54,"['neurozide', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-180.wav,noncontrast enhanced axial ct image been show one soft tissue mass m for front of the descending colon white arrow and dem still been note small amount of ascites black arrow,noncontrast enhanced axial ct image demonstrated a soft tissue mass m anterior to the descending colon white arrow a small amount of ascites was noted black arrow,Speaker_5,16.92,"['noncontrast', 'enhanced', 'axial', 'ct', 'soft', 'tissue', 'mass', 'descending', 'colon', 'small', 'amount', 'ascites']",train
audio/Speaker_5/Speaker5-181.wav,sagittal cervical proton density weighted pdw mri for day 3 after trauma or admission been show intact but displaced c2 c3 disc wey dey protrude enter the intraspinal canal and dey cause cord compression,sagittal cervical proton density weighted pdw mri on day 3 post trauma admission showing an intact but displaced c2 c3 disc protruding into the intraspinal canal and causing cord compression,Speaker_5,24.17,"['sagittal', 'cervical', 'proton', 'density', 'weighted', 'pdw', 'mri', 'post', 'trauma', 'admission', 'intact', 'displaced', 'disc', 'intraspinal', 'canal', 'cord']",train
audio/Speaker_5/Speaker5-182.wav,sobinix ds 1000mg tablet na prescription medicine wey dem dey use treat indigestion e be antacid wey dem dey use relieve acid indigestion heartburn and gas,sobinix ds 1000mg tablet is a prescription medicine used in the treatment of indigestion it is an antacid which is used to relieve acid indigestion heartburn and gas,Speaker_5,11.71,"['tablet', 'indigestion']",train
audio/Speaker_5/Speaker5-183.wav,regions wey dem use determine msd dem been determine the gray density of the palatal process and the soft palate for one 4 x 4 mm area dem been determine the gray density of the suture for one rectangle wey 6 mm wide,regions used to determine msd the gray density of the palatal process and the soft palate was determined in a 4x4 mm area the gray density of the suture was determined in a 6 mm wide rectangle,Speaker_5,21.78,"['gray', 'palatal', 'process', 'soft', 'palate', 'mm']",train
audio/Speaker_5/Speaker5-184.wav,biafine na water based emulsion wey dem dey prescribe for different kinds of wounds biafine dey provide moist environment for the healing process when person no suppose use biafine e no good for patients wey get bleeding wounds allergic rashes and known hypersensitivity,biafine is a water based emulsion prescribed for various types of wounds biafine provides a moisturizer environment for the healing process when should biafine not to be taken contraindicated in patients with bleeding wounds allergic rashes and known hypersensitivity,Speaker_5,19.65,['rashes'],train
audio/Speaker_5/Speaker5-185.wav,she get headache wey been dey worsen for three months with vertigo nausea and vomiting wey no been respond to analgesics or vestibular sedatives her symptoms been first start twelve years before as diffused mild headache wey been dey continue through the day,she presents with worsening headache for three months with associated vertigo nausea and vomiting not responding to analgesics or vestibular sedatives her symptoms initially started twelve years ago as a diffused mild headache which persisted through the day,Speaker_5,19.9,"['headache', 'vomiting', 'symptoms', 'diffused', 'mild']",train
audio/Speaker_5/Speaker5-186.wav,feminizing surgery wey dem still dey call gender affirming surgery or gender confirmation surgery involve procedures wey dey help align the body better with person gender identity feminizing surgery get different options like top surgery to increase breast size,feminizing surgery also called gender affirming surgery or gender confirmation surgery involves procedures that help better align the body with a person s gender identity feminizing surgery includes several options such as top surgery to increase the size of the breasts,Speaker_5,22.21,['surgery'],train
audio/Speaker_5/Speaker5-187.wav,enbucrilate or n butyl 2 cyanoacrylate na surgical tissue adhesive wey dem dey use seal wounds skin lacerations and surgical incisions enbucrilate na safe and painless alternative to sutures and staples,enbucrilate or n butyl 2 cyanoacrylate is used as a surgical tissue adhesive to seal wounds lacerations of the skin and surgical incisions enbucrilate is a safe and painless alternative to sutures and staples,Speaker_5,22.29,"['enbucrilate', 'butyl', 'cyanoacrylate', 'painless']",train
audio/Speaker_5/Speaker5-188.wav,the speech and language therapy team been investigate the child before because of hypernasal speech and the palatal studies been normal there no been get any other previous medical or family history wey matter,the child had previously been investigated for hypernasal speech by the speech and language therapy team with normal palatal studies there was no other previous medical or family history of note,Speaker_5,17.0,"['hypernasal', 'speech', 'normal', 'or', 'family', 'history']",train
audio/Speaker_5/Speaker5-189.wav,the patient no dey smoke and that one good well well for overall lung health and lower risk of respiratory disease the food wey the patient dey chop mostly na milk based products and that one dey provide important nutrients like calcium protein and vitamins,patient is a non smoker which is excellent for overall lung health and reduced risk of respiratory diseases diet consists primarily of milk based products providing essential nutrients like calcium protein and vitamins,Speaker_5,17.77,"['non', 'smoker', 'lung']",train
audio/Speaker_5/Speaker5-190.wav,for ct of abdomen coronal plane dem see subscapular hepatic hypodensities and inferior lateral renal densities the blue arrows dey point to the subscapular hepatic hypodensities the red arrows along the renal fascia dey point to the inferior lateral renal nodular densities,subscapular hepatic hypodensities and inferior lateral renal densities visualized on ct of abdomen coronal plane subscapular hepatic hypodensities are indicated by the blue arrows inferior lateral renal nodular densities are indicatedby the red arrows along the renal fascia,Speaker_5,27.16,"['subscapular', 'hepatic', 'hypodensities', 'inferior', 'lateral', 'ct', 'renal', 'nod']",train
audio/Speaker_5/Speaker5-191.wav,dem been do abdominal mri to identify one solid mass wey get irregular lobulated shape for the right upper quadrant and the diameter na 20 cm figure biopsy and pathology examination no been reach any conclusion,abdominal mri was conducted to identify a solid mass with an irregular lobulated configuration located in the right upper quadrant with a diameter of 20 cm figure biopsy and pathology examinations came to no conclusion,Speaker_5,18.45,"['abdominal', 'mri', 'solid', 'mass', 'irregular', 'lo', 'quadrant', 'biopsy', 'pathology', 'examinations']",train
audio/Speaker_5/Speaker5-192.wav,clindinol 20mg tablet na medicine wey dem dey use treat high blood pressure hypertension e belong to one class of medicines wey dem dey call calcium channel blocker and e dey help lower blood pressure that one dey help prevent heart attack and stroke,clindinol 20mg tablet is a medicine used to treat high blood pressure hypertension it belongs to a class of medicines known as a calcium channel blocker which helps to lower blood pressure this helps prevent heart attacks and strokes,Speaker_5,18.96,"['clindinol', 'mg', 'tablet', 'calcium', 'channel', 'blocker']",train
audio/Speaker_5/Speaker5-193.wav,deflage 6mg tablet belong to one group of medicines wey dem dey call steroids dem dey use am treat different diseases and conditions like allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,deflage 6mg tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_5,15.81,"['deflage', 'mg', 'tablet', 'steroids']",train
audio/Speaker_5/Speaker5-194.wav,rbc count the value na 4 31 10 6 mm3 glucose fasting plasma the value na 103 3 mg dl homocysteine the value na 11 4 umol l,rbc count the value is 4 31 10 6 mm3 glucose fasting plasma the value is 103 3 mg dl homocysteine the value is 11 4 umol l,Speaker_5,24.08,"['rbc', 'mm', 'mg', 'umol']",train
audio/Speaker_5/Speaker5-195.wav,anteroposterior radiograph of the left shoulder been show type v lateral clavicle fracture with small superior displacement of the proximal segment the cc ligament been intact and e been attach to the inferior clavicle fracture fragment,anteroposterior radiograph of the left shoulder demonstrating a type v lateral clavicle fracture with slight superior displacement of the proximal segment the cc ligament was intact and attached to the inferior clavicle fracture fragment,Speaker_5,20.24,"['anteroposterior', 'radiograph', 'shoulder', 'fracture', 'slight', 'superior', 'displacement', 'cc', 'inferior', 'clavi']",train
audio/Speaker_5/Speaker5-196.wav,one african american woman for 22 weeks gestation been present for another hospital with vaginal bleeding her obstetric history been significant for 2 therapeutic abortions and 1 spontaneous abortion during prenatal care dem been note say the fetus get unilateral dysplastic kidney,african american woman at 22 weeks gestation presented with vaginal bleeding to an outside hospital her obstetric history was significant for 2 therapeutic abortions and 1 spontaneous abortion during prenatal care the fetus was noted to have a unilateral dysplastic kidney,Speaker_5,27.5,"['african', 'american', 'woman', 'gestation', 'presented', 'vaginal', 'bleeding', 'fetus', 'unilateral']",train
audio/Speaker_5/Speaker5-197.wav,the patient get known history of many food allergies including reactions to ethambutol and fluoroquinolone antibiotics the patient still been get recurrent drug allergies before with history of bad reactions to different medicines,the patient has a known history of multiple food allergies including reactions to ethambutol and fluoroquinolone antibiotics additionally the patient has experienced recurrent drug allergies with a history of adverse reactions to various medications,Speaker_5,20.5,"['ethambutol', 'fluoroquinolone', 'recurrent', 'adverse']",train
audio/Speaker_5/Speaker5-198.wav,zithrocin 500mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for adults and children,zithrocin 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_5,15.81,"['zithrocin', 'mg', 'infections', 'respiratory']",train
audio/Speaker_5/Speaker5-199.wav,glimiprime m 2 tablet belong to one category of medicines wey dem dey call anti diabetic drugs e be combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,glimiprime m 2 tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_5,22.04,"['glimiprime', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_5/Speaker5-200.wav,rosuvel 5mg tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,rosuvel 5mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,10.43,"['rosuvel', 'tablet']",train
audio/Speaker_5/Speaker5-201.wav,cipzen 5mg tablet na medicine wey dem dey use treat pain and inflammation e dey help relieve pain and swelling for postoperative wounds and inflammatory diseases person fit take cipzen 5mg tablet with or without food,cipzen 5mg tablet is used in the treatment of pain and inflammation it helps relieve pain and swelling in postoperative wounds and inflammatory diseases cipzen 5mg tablet can be taken with or without food,Speaker_5,14.95,"['tablet', 'swelling', 'wounds']",train
audio/Speaker_5/Speaker5-202.wav,the cough been dry e no been get connection with position and e no been join with chest pain or hemoptysis the cough been get episodes wey e dey worsen but after some time e been calm down by itself without treatment e no been get history of fever or any other serious symptom,the cough was dry not related to position and not associated with chest pain or hemoptysis the cough had episodes of exacerbation that subsided after some time without treatment he gave no history of fever or any other significant symptom,Speaker_5,23.66,"['exacerbation', 'fever']",train
audio/Speaker_5/Speaker5-203.wav,azithral xl 200 liquid na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for adults and children,azithral xl 200 liquid is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_5,15.89,"['azithral', 'antibiotic', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_5/Speaker5-204.wav,the patient talk say her bowel last open 2 days before and since then she no been fit pass any flatus and abdominal bloating been dey increase her medical history been include well controlled type 2 diabetes mellitus hypercholesterolemia and hypertension,patient reported that her bowels were last open 2 days ago and has since been unable to pass any flatus with increasing abdominal bloating her medical history included well controlled type 2 diabetes mellitus hypercholesterolemia and hypertension,Speaker_5,22.55,"['bowels', 'open', 'pass', 'any', 'flatus', 'type', 'diabetes', 'mellit']",train
audio/Speaker_5/Speaker5-205.wav,zipod cv 200 mg 125 mg tablet na combination of two medicines dem dey prescribe am treat respiratory tract infections e dey treat the infection and e dey stop the microorganisms from growing and spreading more,zipod cv 200 mg 125 mg tablet is a combination of two medicines it is prescribed to treat respiratory tract infections it treats the infection and prevents further growth and spread of the microorganisms,Speaker_5,18.28,"['zipod', 'cv', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-206.wav,neo mercazole 10 tablet belong to one group of medicine wey dem dey call anti thyroid agents dem dey use am treat hyperthyroidism e dey reduce the amount of thyroid hormones wey the thyroid gland dey produce,neo mercazole 10 tablet belongs to a group of medicine called anti thyroid agents it is used in the treatment of hyperthyroidism it reduces the amount of thyroid hormones produced by the thyroid gland,Speaker_5,16.06,['mercazole'],train
audio/Speaker_5/Speaker5-207.wav,lariza 500mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for adults and children,lariza 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_5,15.72,"['lariza', 'mg', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_5/Speaker5-209.wav,thyroxee 50mcg tablet na medicine wey dem dey use treat underactive thyroid gland wey be hypothyroidism e dey replace the hormone wey your thyroid gland no dey produce enough and e dey help regulate your body energy and metabolism,thyroxee 50mcg tablet is a medicine used to treat an underactive thyroid gland hypothyroidism it replaces the hormone which is not being produced by your thyroid gland in sufficient quantity and helps regulate your bodys energy and metabolism,Speaker_5,23.23,"['mcg', 'tablet', 'hypothyroidism']",train
audio/Speaker_5/Speaker5-210.wav,serum uric acid the value na 6 1 mg dl gamma glutamyl transferase ggt the value na 47 0 u l average estimated glucose plasma the value na 122 63 mg dl,serum uric acid the value is 6 1 mg dl gamma glutamyl transferase ggt the value is 47 0 u l average estimated glucose plasma the value is 122 63 mg dl,Speaker_5,26.05,"['serum', 'ur', 'mg', 'gamma', 'glucose']",train
audio/Speaker_5/Speaker5-211.wav,tenoclor 25 tablet na combination of two medicines wey dem dey use treat hypertension high blood pressure e dey help control blood pressure when one medicine alone no dey work well,tenoclor 25 tablet is a combination of two medicines used to treat hypertension high blood pressure it helps to control blood pressure when a single medication is not effective,Speaker_5,12.91,"['tenoclor', 'tablet']",train
audio/Speaker_5/Speaker5-212.wav,kebifix 200 lb tablet na combination medicine wey dem dey use treat different kinds of bacterial infection e dey fight the microorganisms to stop their growth and stop the infection from spreading more,kebifix 200 lb tablet is a combination medicine that is used to treat various types of bacterial infections it fights against the microorganisms to prevent their growth and further spread of the infection,Speaker_5,12.91,"['lb', 'tablet']",train
audio/Speaker_5/Speaker5-213.wav,eklot 500 tablet na medicine wey dem dey use treat bleeding dem dey use am prevent or reduce bleeding for conditions like abnormal blood loss during period and dysfunctional uterine bleeding,eklot 500 tablet is used in the treatment of bleeding it is used to prevent or reduce bleeding in conditions like abnormal blood loss during periods and dysfunctional uterine bleeding,Speaker_5,13.84,"['eklot', 'tablet', 'bleeding', 'abnormal', 'dysfunctional', 'uterine']",train
audio/Speaker_5/Speaker5-214.wav,thin slab maximum intensity projection view of the left anterior descending lad artery for computed tomography angiography been reveal myocardial bridging for the mid lad artery black arrow dem been measure the depth as 1 4 mm between the two small white arrows,thin slab maximum intensity projection view of the left anterior descending lad artery shown on computed tomography angiography revealing the myocardial bridging of the mid lad artery black arrow its depth was measured as 1 4 mm between the two small white arrows,Speaker_5,24.94,"['thin', 'slab', 'maximum', 'intensity', 'projection', 'view', 'anterior', 'descending', 'lad', 'artery', 'computed', 'tomography', 'myocardial', 'mid', 'depth', 'mm']",train
audio/Speaker_5/Speaker5-215.wav,the patient get known history of skin allergy dust allergy and statin induced myopathy plus dem don report one amlodipine induced reaction wey dey come with rash and cardiovascular symptoms,the patient has a known history of skin allergy allergic to dust and statin induced myopathy additionally an amlodipine induced reaction has been reported presenting with rash and cardiovascular symptoms,Speaker_5,15.64,"['allergy', 'allergic', 'dust', 'statin', 'induced', 'myopathy', 'amlodipine', 'reaction', 'rash']",train
audio/Speaker_5/Speaker5-216.wav,gapathy nt 100mg 10mg tablet na combination medicine wey dem dey use treat neuropathic pain this medicine dey reduce pain by stopping the movement of pain signals go the brain,gapathy nt 100mg 10mg tablet is a combination medicine used for the treatment of neuropathic pain this medicine decreases the pain by stopping the movement of pain signals to the brain,Speaker_5,17.51,"['mg', 'tablet']",train
audio/Speaker_5/Speaker5-217.wav,past medical history been show say dem been operate the patient three times to close the orocutaneous fistula with local flaps but none of those operations been work,past medical history revealed that the patient was operated three times to close the orocutaneous fistula by local flaps however none of these operations were successful,Speaker_5,12.22,"['orocutaneous', 'fistula']",train
audio/Speaker_5/Speaker5-218.wav,one hard tender pulsatile mass been dey palpable for the right subclavian area with serious bruising right subclavian pulse been dey palpable but no pulse no been dey after that point,a hard tender pulsatile mass was palpable in the right subclavian area with significant bruising there was a palpable right subclavian pulse with no pulses distal to this,Speaker_5,16.4,"['hard', 'tender', 'pulsatile', 'mass', 'subclavian', 'palpable']",train
audio/Speaker_5/Speaker5-219.wav,alparazole 0 5mg tablet belong to one class of medicines wey dem dey call benzodiazepines na prescription medicine wey dem dey use treat anxiety e dey change brain activity calm the brain and relieve panic attacks by relaxing the nerves,alparazole 0 5mg tablet belongs to a class of medicines known as benzodiazepines it is a prescription medicine used to treat anxiety it alters brain activity calms it and provides relief from panic attacks by relaxing the nerves,Speaker_5,21.44,"['mg', 'tablet', 'benzodiazepines', 'panic', 'attacks']",train
audio/Speaker_5/Speaker5-220.wav,ecotor 10mg tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,ecotor 10mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,11.2,['tablet'],train
audio/Speaker_5/Speaker5-221.wav,the patient presentation been acute and e been come with nausea chills and cold sweating the patient been look pale and even though her mental status been alert systolic blood pressure been 60 mmhg and diastolic blood pressure been 40 mmhg,the patient s presentation was acute accompanied by nausea chills and cold sweating the patient appeared pale and while her mental status was alert systolic blood pressure was 60 mmhg and diastolic blood pressure was 40 mmhg,Speaker_5,23.74,"['presentation', 'mental', 'status', 'blood']",train
audio/Speaker_5/Speaker5-222.wav,stayhappi telmisartan metoprolol succinate 40mg 50mg tablet na medicine wey dem dey use treat high blood pressure as e dey lower blood pressure e dey help prevent future heart attack and stroke,stayhappi telmisartan metoprolol succinate 40mg 50mg tablet is a medicine used for treating high blood pressure by lowering the blood pressure it helps in preventing future heart attack and stroke,Speaker_5,19.22,"['stayhappi', 'telmisartan', 'metoprolol', 'succinate', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-223.wav,physical examination been show say the patient skin color and sclera been normal but dem fit feel one mass for the upper right abdomen the patient no been receive any relevant intervention before,a physical examination showed that the skin color and sclera of the patient were normal however a mass could be felt in the upper right abdomen the patient had received no relevant interventions prior,Speaker_5,13.5,"['physical', 'examination', 'normal', 'mass']",train
audio/Speaker_5/Speaker5-224.wav,dynapar s 50mg 10mg tablet na combination of two medicines dem dey use am reduce pain and inflammation for conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,dynapar s 50mg 10mg tablet is a combination of two medicines it is used to reduce pain and inflammation in conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,Speaker_5,20.24,"['mg', 'tablet', 'inflammation']",train
audio/Speaker_5/Speaker5-225.wav,tramazide p 325mg 37 5mg tablet na pain relieving medicine dem dey use am for different conditions like muscle ache back pain joint pain menstrual cramps and toothache person fit take tramazide p 325mg 37 5mg tablet with or without food,tramazide p 325mg 37 5mg tablet is a pain relieving medicine it is used in various conditions such as muscle ache back pain joint pain menstrual cramps and toothache tramazide p 325mg 37 5mg tablet can be taken with or without food,Speaker_5,22.63,"['mg', 'tablet', 'muscle', 'joint', 'tramazide']",train
audio/Speaker_5/Speaker5-226.wav,voltaflam 50 tablet na pain relieving medicine dem dey use am treat pain swelling stiffness and joint pain for conditions like rheumatoid arthritis osteoarthritis and acute musculoskeletal injuries,voltaflam 50 tablet is a pain relieving medicine it is used to treat pain swelling stiffness and joint pain in conditions like rheumatoid arthritis osteoarthritis and acute musculoskeletal injuries,Speaker_5,21.61,"['voltaflam', 'stiffness', 'joint', 'acute']",train
audio/Speaker_5/Speaker5-227.wav,flucian 150mg tablet belong to one group of medicines wey dem dey call antifungals e dey work by stopping fungus growth and dem dey use am treat infection for mouth throat vagina and other parts of the body including fingernails and toenails,flucian 150mg tablet belongs to a group of medicines called antifungals it works by stopping the growth of fungus and is used to treat infections of the mouth throat vagina and other parts of the body including fingernails and toenails,Speaker_5,17.09,"['flucian', 'tablet', 'infections']",train
audio/Speaker_5/Speaker5-228.wav,t 98 paediatric drops na medicine wey dem dey use relieve pain and reduce fever dem dey use am treat many conditions like headache body ache toothache and common cold,t 98 paediatric drops is a medicine used to relieve pain and to reduce fever it is used to treat many conditions such as headache body ache toothache and common cold,Speaker_5,11.2,[],train
audio/Speaker_5/Speaker5-229.wav,epilive 250 tablet na anti epileptic medicine wey dem dey use treat seizures fits for epilepsy person fit use am alone or together with other medicines e dey help prevent seizures for as long as person continue to take am,epilive 250 tablet is an anti epileptic medicine used to treat seizures fits in epilepsy it can be used alone or along with other medicines it helps to prevent seizures for as long as you continue to take it,Speaker_5,21.69,['seizures'],train
audio/Speaker_5/Speaker5-230.wav,parasafe 1000mg tablet na medicine wey dem dey use relieve pain and reduce fever dem dey use am treat many conditions like headache body ache toothache and common cold,parasafe 1000mg tablet is a medicine used to relieve pain and to reduce fever it is used to treat many conditions such as headache body ache toothache and common cold,Speaker_5,13.16,"['mg', 'tablet']",train
audio/Speaker_5/Speaker5-231.wav,the patient get history of statin induced myopathy one suspected acetaminophen allergy since 2020 and dust allergy wey dem don know for several years plus the patient get food allergy wey fit trigger anaphylactic reaction,the patient has a history of statin induced myopathy a suspected acetaminophen allergy since 2020 and a dust allergy known for several years additionally the patient has a food allergy that can trigger anaphylactic reactions,Speaker_5,19.82,"['acetaminophen', 'allergy', 'dust', 'food']",train
audio/Speaker_5/Speaker5-232.wav,weight the value na 70 0 kg neutrophils percentage the value na 62 3 prothrombin time pt the value na 11 5 s,weight the value is 70 0 kg neutrophils percentage the value is 62 3 prothrombin time pt the value is 11 5 s,Speaker_5,19.9,"['kg', 'neutrophils']",train
audio/Speaker_5/Speaker5-233.wav,bilirubin direct the value na 0 1 mg dl blood sugar random the value na 548 0 mg dl t protein the value na 6 83 g dl,bilirubin direct the value is 0 1 mg dl blood sugar random the value is 548 0 mg dl t protein the value is 6 83 g dl,Speaker_5,19.31,"['bilirubin', 'mg']",train
audio/Speaker_5/Speaker5-234.wav,itbor 100mg capsule belong to one group of medicines wey dem dey call antifungals e dey work by stopping fungus growth and dem dey use am treat infection for mouth throat vagina and other parts of the body including fingernails and toenails,itbor 100mg capsule belongs to a group of medicines called antifungals it works by stopping the growth of fungus and is used to treat infections of the mouth throat vagina and other parts of the body including fingernails and toenails,Speaker_5,16.49,"['mg', 'capsule', 'antifungals', 'infections', 'throat', 'vagina']",train
audio/Speaker_5/Speaker5-235.wav,the patient get standing job wey e don maintain for the past 2 years and that one dey allow more physical activity and better cardiovascular health the patient dey stand for 1 to 2 hours every day and that one dey help better posture and muscle tone,patient has a standing job which they have maintained for the past 2 years allowing for increased physical activity and improved cardiovascular health they stand for 1 to 2 hours per day promoting better posture and muscle tone,Speaker_5,21.18,[],train
audio/Speaker_5/Speaker5-236.wav,levokem 250mg tablet na antibiotic wey dem dey use treat bacterial infection dem still dey use am treat infection for urinary tract nose throat skin soft tissues and lungs like pneumonia,levokem 250mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_5,18.96,"['levokem', 'mg', 'tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_5/Speaker5-237.wav,diagnostic ultrasound wey dem still dey call sonography or diagnostic medical sonography na imaging method wey dey use sound waves produce image of structures inside your body,diagnostic ultrasound also called sonography or diagnostic medical sonography is an imaging method that uses sound waves to produce images of structures within your body,Speaker_5,17.6,"['diagnostic', 'waves']",train
audio/Speaker_5/Speaker5-238.wav,cardiac ablation dey use heat or cold energy create small scars for the heart to block irregular electrical signals and restore normal heartbeat dem dey use this procedure correct heart rhythm problems arrhythmias,cardiac ablation uses heat or cold energy to create tiny scars in the heart to block irregular electrical signals and restore a typical heartbeat the procedure is used to correct heart rhythm problems arrhythmias,Speaker_5,19.56,"['cold', 'energy', 'tiny', 'scars', 'heartbeat']",train
audio/Speaker_5/Speaker5-239.wav,enteca 0 5 mg tablet na medicine wey dem dey use treat hiv infection and chronic hepatitis b virus hbv infection e dey stop the virus from multiplying for human cells,enteca 0 5 mg tablet is used in the treatment of hiv infection and chronic hepatitis b virus hbv infection it prevents the multiplication of virus in human cells,Speaker_5,16.4,"['enteca', 'mg', 'tablet', 'hiv', 'chronic', 'hepatitis', 'virus']",train
audio/Speaker_5/Speaker5-240.wav,bilefix 300 tablet na medicine wey dem dey use dissolve some kinds of gallstones prevent make dem no form and treat one kind of liver disease wey dem dey call primary biliary cirrhosis,bilefix 300 tablet is a medicine used to dissolve certain types of gallstones to prevent them from forming and to treat a type of liver disease called primary biliary cirrhosis,Speaker_5,17.94,"['bilefix', 'tablet', 'liver', 'biliary']",train
audio/Speaker_5/Speaker5-241.wav,anagrelide na platelet reducing medicine wey dem dey prescribe for thrombocythemia this medicine dey work by slowing down platelet production for body when person no suppose take anagrelide e no good for patients wey get severe liver disease and hypersensitivity,anagrelide is a platelet reducing agent prescribed for thrombocythemia this medication works by slowing the production of platelets in the body when should anagrelide not to be taken contraindicated in patients with severe liver disease and hypersensitivity,Speaker_5,20.5,"['anagrelide', 'liver']",train
audio/Speaker_5/Speaker5-242.wav,dulox 20mg tablet na prescription medicine wey dem dey use treat depression anxiety disorder diabetic nerve pain fibromyalgia wey be condition where general pain and tenderness dey for body neuropathic pain and stress urinary incontinence,dulox 20mg tablet is a prescription medicine used in the treatment of depression anxiety disorder diabetic nerve pain fibromyalgia a condition in which there are generalized pain and tenderness in the body neuropathic pain and stress urinary incontinence,Speaker_5,21.61,"['dulox', 'tablet', 'fibromyalgia', 'generalized', 'tenderness', 'stress']",train
audio/Speaker_5/Speaker5-243.wav,for that time e feel one pop and left knee pain been start immediately plain films and magnetic resonance imaging mri been show anterior dislocation of the proximal tibiofibular joint,at the time he felt a pop and developed immediate onset of the left knee pain plain films and magnetic resonance imaging mri revealed anterior dislocation of the proximal tibiofibular joint,Speaker_5,21.27,"['pop', 'immediate', 'knee', 'plain', 'films', 'magnetic', 'resonance', 'imaging', 'mri', 'anterior', 'dislocation', 'tibiofibular']",train
audio/Speaker_5/Speaker5-244.wav,dem been do second catheter angiogram because the patient clinical condition been worsen for the transverse section of the abdomen note the big haematoma star with retroperitoneal layering of the remaining contrast white arrow from the first catheter angiogram,a second catheter angiogram was made due to the patient s clinical deterioration on the transverse section of the abdomen note the large haematoma star with retroperitoneal layering of the residual contrast white arrow from the first catheter angiogram,Speaker_5,25.62,"['catheter', 'haematoma', 'residual', 'contrast', 'white']",train
audio/Speaker_5/Speaker5-245.wav,brufen 600 tablet na pain relieving medicine dem dey use am treat many conditions like headache fever period pain toothache colds and mild arthritis e still be common ingredient for many cold and flu remedies,brufen 600 tablet is a pain relieving medicine it is used to treat many conditions such as headache fever period pain toothache colds and mild arthritis it is also a common ingredient in many cold and flu remedies,Speaker_5,16.66,[],train
audio/Speaker_5/Speaker5-246.wav,ubimax 0 4mg tablet na alpha adrenergic antagonist wey dem dey use treat benign prostatic hyperplasia e dey help relieve symptoms like difficulty to pass urine but e no dey reduce the size of the prostate,ubimax 0 4mg tablet is an alpha adrenergic antagonist that is used in the treatment of benign prostatic hyperplasia it helps to relieve symptoms like difficulty in passing urine however it does not decrease the size of the prostate,Speaker_5,21.27,"['ubimax', 'tablet', 'alpha', 'adrenergic', 'antagonist']",train
audio/Speaker_5/Speaker5-247.wav,e still been complain of intermittent hair loss and oral ulcers wey been dey come back about one year before dem been hospitalize the patient for one local hospital because of the same reason and routine urine tests been show microscopic hematuria and proteinuria,he also complained of intermittent hair loss and recurrence of oral ulcers approximately one year prior the patient was hospitalized at a local hospital for the same reason and routine urine tests indicated microscopic hematuria and proteinuria,Speaker_5,21.35,"['hair', 'loss', 'oral', 'prior', 'hospitalized', 'local', 'hospital', 'urine', 'tests', 'microscopic', 'hem', 'proteinuria']",train
audio/Speaker_5/Speaker5-248.wav,dicloran a 50 mg 650 mg tablet na pain relieving medicine dem dey use am reduce pain and inflammation for conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,dicloran a 50 mg 650 mg tablet is a pain relieving medicine it is used to reduce pain and inflammation in conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,Speaker_5,27.67,"['dicloran', 'mg', 'tablet', 'inflammation']",train
audio/Speaker_5/Speaker5-249.wav,reactin 50 tablet na pain relieving medicine dem dey use am treat pain swelling stiffness and joint pain for conditions like rheumatoid arthritis osteoarthritis and acute musculoskeletal injuries,reactin 50 tablet is a pain relieving medicine it is used to treat pain swelling stiffness and joint pain in conditions like rheumatoid arthritis osteoarthritis and acute musculoskeletal injuries,Speaker_5,19.13,"['reactin', 'joint', 'acute']",train
audio/Speaker_5/Speaker5-250.wav,one 50 year old man get high grade extragastrointestinal stromal tumor for the mesentery axial contrast enhanced computed tomography image show one mass with cystic area white arrow and engorged vascular structures black arrow,a 50 year old male with a high grade extragastrointestinal stromal tumor in the mesentery axial contrast enhanced computed tomgraphy image showing a mass with cystic area white arrow and engorged vascular structures black arrow,Speaker_5,23.23,"['male', 'high', 'extragastrointestinal', 'stromal', 'tumor', 'axial', 'contrast', 'enhanced', 'computed', 'tomgraphy', 'mass', 'orged', 'vascular', 'structures']",train
audio/Speaker_5/Speaker5-251.wav,triolvance 40 tablet na combination of medicines wey dem dey use treat hypertension high blood pressure when one medicine alone no dey work well e dey help lower high blood pressure so e dey reduce chance of future heart attack and stroke,triolvance 40 tablet is a combination of medicines used to treat hypertension high blood pressure when a single medication is not effective it helps to lower high blood pressure thus reduces chances of future heart attack and stroke,Speaker_5,17.09,"['triolvance', 'tablet', 'hypertension', 'high', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-252.wav,vogliboz 0 3 tablet na medicine wey dem dey use treat type 2 diabetes mellitus e dey help control high blood sugar level for your body after each meal,vogliboz 0 3 tablet is a medicine used to treat type 2 diabetes mellitus it helps control the high blood sugar levels in your body after each meal,Speaker_5,16.49,"['vogliboz', 'type', 'diabetes']",train
audio/Speaker_5/Speaker5-253.wav,beta bloc 5mg 50mg tablet na medicine wey dem dey use treat hypertension high blood pressure na combination of two medicines wey dey control blood pressure when one medicine alone no dey work well,beta bloc 5mg 50mg tablet is used to treat hypertension high blood pressure this is a combination of two medicines that controls blood pressure when a single medication is not effective,Speaker_5,17.6,"['mg', 'tablet']",train
audio/Speaker_5/Speaker5-254.wav,azicern 500mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for adults and children,azicern 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_5,13.5,"['azicern', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_5/Speaker5-255.wav,valzaar 40 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,valzaar 40 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,17.17,"['valzaar', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-256.wav,the patient talk say the lesion been first start 6 months before and e been increase for size and dey give am more discomfort e been look fit and well and e no been dey on any medicine,the patient stated that the lesion had first occurred 6 months back which had increased in size and giving him more discomfort he was apparently fit and well and not on any medications,Speaker_5,14.19,"['lesion', 'increased', 'fit', 'well']",train
audio/Speaker_5/Speaker5-257.wav,himcet l 5mg tablet belong to one group of medicines wey dem dey call antihistamines dem dey use am treat different allergic conditions like hay fever conjunctivitis some skin reactions like eczema hives and reactions to bites and stings,himcet l 5mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis some skin reactions such as eczema hives and reactions to bites and stings,Speaker_5,16.15,"['himcet', 'tablet']",train
audio/Speaker_5/Speaker5-258.wav,ontop further evaluation deformity been dey for the ipsilateral shoulder joint and asymmetry been dey compared with the opposite side one anterior globular bony swelling been dey palpable with well defined margins,on further evaluation there was deformity in ipsilateral shoulder joint and asymmetry was present as compared to opposite side there was an anterior globular bony swelling palpable with well defined margins,Speaker_5,19.31,"['deformity', 'ipsilateral', 'shoulder', 'joint', 'asymmetry', 'opposite', 'anterior', 'bony', 'swelling', 'palpa']",train
audio/Speaker_5/Speaker5-259.wav,madopar 250 tablet na prescription medicine wey dem dey use treat parkinson s disease e dey help reduce too much shaking by slowing down body movements,madopar 250 tablet is a prescription medicine used in the treatment of parkinson s disease it helps to reduce excessive shaking by slowing down the body movements,Speaker_5,13.93,"['madopar', 'tablet', 'parkinson', 'shaking']",train
audio/Speaker_5/Speaker5-260.wav,brivetoin 75mg tablet na anti epileptic medicine wey dem dey use treat seizures fits for epilepsy person fit use am alone or together with other medicines e dey help prevent seizures for as long as person continue to take am,brivetoin 75mg tablet is an anti epileptic medicine used to treat seizures fits in epilepsy it can be used alone or along with other medicines it helps to prevent seizures for as long as you continue to take it,Speaker_5,20.5,"['brivetoin', 'mg', 'tablet', 'seizures']",train
audio/Speaker_5/Speaker5-261.wav,pioglit 7 5 tablet na medicine wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes that one dey help prevent serious complications of diabetes like kidney damage and blindness,pioglit 7 5 tablet is a medicine used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes this helps to prevent serious complications of diabetes like kidney damage and blindness,Speaker_5,15.12,"['pioglit', 'type', 'diabetes', 'mellitus', 'sugar', 'kidney']",train
audio/Speaker_5/Speaker5-262.wav,total leucocytes wbc count the value na 5340 0 10 3 mm3 red blood cell value no dey available ldl cholesterol the value na 97 6 mg dl,total leucocytes wbc count the value is 5340 0 10 3 mm3 red blood cell value is not available ldl cholesterol the value is 97 6 mg dl,Speaker_5,20.76,"['total', 'leucocytes', 'wbc', 'cholesterol', 'mg']",train
audio/Speaker_5/Speaker5-263.wav,relmisart c 40mg 12 5mg tablet get two medicines inside and both of them dey help control high blood pressure when blood pressure come down e dey help reduce your risk of heart attack or stroke for future,relmisart c 40mg 12 5mg tablet contains two medicines both of which help to control high blood pressure lowering blood pressure helps to reduce your risk of having a heart attack or a stroke in the future,Speaker_5,17.0,"['mg', 'tablet', 'lowering', 'pressure', 'heart', 'attack', 'stroke']",train
audio/Speaker_5/Speaker5-264.wav,ambrican 5 tablet na prescription medicine wey dem dey use treat pulmonary arterial hypertension high pressure for the blood vessels wey carry blood from heart go lungs,ambrican 5 tablet is a prescription medicine used to treat pulmonary arterial hypertension high pressure in the blood vessels that carry blood from the heart to the lungs,Speaker_5,16.4,"['ambrican', 'pulmonary', 'tension', 'high', 'pressure', 'blood']",train
audio/Speaker_5/Speaker5-265.wav,pd gesic 50mg 325mg tablet na pain relieving medicine dem dey use am reduce pain and inflammation for conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,pd gesic 50mg 325mg tablet is a pain relieving medicine it is used to reduce pain and inflammation in conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,Speaker_5,20.16,"['mg', 'tablet', 'inflammation']",train
audio/Speaker_5/Speaker5-266.wav,hista 120mg tablet belong to one group of medicines wey dem dey call antihistamines dem dey use am treat different allergic conditions like hay fever conjunctivitis and some skin reactions like eczema hives and reactions to bites and stings,hista 120mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis and some skin reactions such as eczema hives and reactions to bites and stings,Speaker_5,17.77,"['mg', 'tablet', 'reactions']",train
audio/Speaker_5/Speaker5-267.wav,before e been fit and well and e be relatively affluent new zealander at first him wife been notice small small loss of motivation and increase for the time wey e been dey spend on everyday tasks,he was previously fit and well and a relatively affluent new zealander initially his wife noticed an insidious loss of motivation and an increase in time spent over everyday tasks,Speaker_5,16.23,"['wife', 'insidious', 'loss', 'motivation']",train
audio/Speaker_5/Speaker5-268.wav,the patient get known penicillin allergy since childhood and the reaction dey come with anaphylaxis plus the patient get drug allergy with history of rash and breathing difficulty and pollen allergy with seasonal rhinitis and conjunctivitis,the patient has a known penicillin allergy since childhood presenting with anaphylaxis additionally a drug allergy with a history of rash and respiratory distress and a pollen allergy with seasonal rhinitis and conjunctivitis,Speaker_5,19.56,"['anaphylaxis', 'drug', 'rash', 'pollen', 'seasonal']",train
audio/Speaker_5/Speaker5-269.wav,adenosine stress cmr image show extensive perfusion defect for the anterior and inferolateral wall of lv dark area for patient wey get t2dm this figure na original one and e base on data from mavrogeni et al,adenosine stress cmr image showing extensive perfusion defect in anterior and inferolateral wall of lv dark area in a patient with t2dm this figure is original and based on data from mavrogeni etal,Speaker_5,23.49,"['cmr', 'extensive', 'perfusion', 'defect', 'inferolateral', 'wall', 'lv', 'dark', 'area', 'stress']",train
audio/Speaker_5/Speaker5-270.wav,fexita 120mg tablet na anti allergy medicine wey dem dey use treat allergy symptoms like runny nose congestion or blocked nose sneezing itching swelling and watery eyes e still dey help treat skin allergies with itching redness or swelling,fexita 120mg tablet is an anti allergy medicine used in the treatment of allergic symptoms such as runny nose congestion or stuffiness sneezing itching swelling and watery eyes it also helps treat skin allergies with itching redness or swelling,Speaker_5,18.96,"['fexita', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-271.wav,valparex 500mg tablet belong to one group of medicines wey dem dey call anti epileptics dem dey use am treat conditions like epilepsy and bipolar disorder e dey work by preventing extreme mood swings and abnormal brain signals wey dey trigger seizures fits,valparex 500mg tablet belongs to a group of medicines called anti epileptics it is used to treat conditions such as epilepsy and bipolar disorder it works by preventing extreme mood swings and abnormal brain signals that trigger seizures fits,Speaker_5,21.95,"['valparex', 'mg', 'tablet', 'extreme', 'mood', 'swings', 'abnormal', 'seizures']",train
audio/Speaker_5/Speaker5-272.wav,tccs with doppler spectrum been show tachyarrhythmia with changing cardiac output volumes for one 50 year old patient the patient been experience 5 hours of mild facial paralysis and weakness for the left arm mri been confirm one small cardioembolic right mca infarction not shown,tccs with doppler spectrum revealing tachyarrhythmia with changing cardiac output volumes in a 50 year old patient the patient experienced 5h of mild facial paralysis and weakness of the left arm mri confirmed a small cardioembolic right mca infarction not shown,Speaker_5,28.18,"['tccs', 'doppler', 'spectrum', 'tachyarrhythmia', 'changing', 'cardiac', 'output', 'mild', 'facial', 'weakness', 'mri', 'small', 'cardioembolic', 'mca', 'infarction']",train
audio/Speaker_5/Speaker5-273.wav,salbair neb 0 63 transpules belong to one group of medicines wey dem dey call fast acting bronchodilators or relievers dem dey use am treat symptoms of asthma and chronic obstructive pulmonary disease copd like coughing wheezing and shortness of breath,salbair neb 0 63 transpules belongs to a group of medicines called fast acting bronchodilators or relievers it is used to treat the symptoms of asthma and chronic obstructive pulmonary disease copd such as coughing wheezing and feeling short of breath,Speaker_5,19.39,"['chronic', 'copd']",train
audio/Speaker_5/Speaker5-274.wav,there no been get any associated pain or history of trauma before the swelling appear for examination na one firm swelling wey dey move freely for the posterior triangle of the neck and e measure 1 cm by 1 cm,there was no associated pain or history of trauma prior to appearance of the swelling on examination it was a firm freely mobile swelling in the posterior triangle of the neck measuring 1 cm 1 cm,Speaker_5,18.2,"['swelling', 'cm']",train
audio/Speaker_5/Speaker5-275.wav,gabatin 100 capsule na medicine wey dem dey use relieve pain wey nerve damage neuropathic pain cause because of different conditions like diabetes shingles herpes zoster infection spinal cord injury and others,gabatin 100 capsule is a medicine used to relieve the pain caused by nerve damage neuropathic pain due to various conditions like diabetes shingles herpes zoster infection spinal cord injury etc,Speaker_5,13.5,"['gabatin', 'capsule', 'nerve', 'damage']",train
audio/Speaker_5/Speaker5-276.wav,the patient get history of statin induced myopathy amlodipine induced edema and known allergy to mandelic acid since 2015 wey dey come with rash and breathing difficulty plus the patient don get drug induced adverse reactions before,the patient has a history of statin induced myopathy amlodipine induced edema and a known allergy to mandelic acid since 2015 presenting with rash and respiratory distress additionally the patient has experienced drug induced adverse reactions,Speaker_5,19.39,"['statin', 'allergy', 'mandelic', 'acid', 'rash']",train
audio/Speaker_5/Speaker5-277.wav,cilvas t 10mg 40mg tablet get two medicines inside and both of them dey help control high blood pressure e dey lower blood pressure by relaxing the blood vessels and making am easier for your heart to pump blood round your body,cilvas t 10mg 40mg tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_5,14.7,"['cilvas', 'mg', 'tablet', 'lowers', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-278.wav,esitor 10mg tablet na medicine wey dem dey prescribe well well to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder e be one type of antidepressant wey dem dey call selective serotonin reuptake inhibitor ssri,esitor 10mg tablet is widely prescribed to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder it is a type of antidepressant known as a selective serotonin reuptake inhibitor ssri,Speaker_5,15.21,"['tablet', 'antidepressant', 'selective', 'serotonin', 'reuptake', 'inhibitor']",train
audio/Speaker_5/Speaker5-279.wav,her breast symptoms been start 5 years before and e been dey worsen she no been fit go hospital because she been expect say e go heal by itself and she been fear say dem fit discover cancer and death fit follow,her breast symptoms arose 5 years ago and had been worsening she could not visit a hospital because she expected for naturally healing and feared noticing cancer and death,Speaker_5,12.22,"['symptoms', 'hospital']",train
audio/Speaker_5/Speaker5-280.wav,escada plus 0 5mg 10mg tablet na prescription medicine wey dem dey use treat anxiety disorder na combination medicine wey dey calm the brain by reducing the abnormal and too much activity of the nerve cells,escada plus 0 5mg 10mg tablet is a prescription medicine used to treat anxiety disorder it is the combination medicine that calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_5,15.55,"['escada', 'mg', 'tablet', 'excessive']",train
audio/Speaker_5/Speaker5-281.wav,terbiskin 250 tablet belong to one group of medicines wey dem dey call antifungals dem dey use am treat many different fungal infections of skin and nails including ringworm e dey work by killing the fungus wey cause the infection,terbiskin 250 tablet belongs to a group of medicines called antifungals it is used to treat a wide range of fungal infections of the skin and nails including ringworm it works by killing the fungus that causes the infection,Speaker_5,15.47,"['terbiskin', 'antifungals', 'infections']",train
audio/Speaker_5/Speaker5-282.wav,during him convalescence e been get second pea arrest and dem been successfully resuscitate am again telemetry been show atrial flutter with atrioventricular conduction wey been slow down well well to ventricular rates as low as 34 beats per minute,during his convalescence he had a second pea arrest from which he was again successfully resuscitated telemetry revealed atrial flutter with atrioventricular conduction that slowed markedly to ventricular rates as low as 34 beats per minute,Speaker_5,27.16,"['pea', 'telemetry', 'atrial', 'flutter', 'atrioventricular', 'conduction', 'slowed', 'ventricular', 'rates', 'beats']",train
audio/Speaker_5/Speaker5-283.wav,measurement of the diameter of the left ventricular outflow yellow line from the parasternal long axis view during systole directly under the base of the aortic leaflets and from the internal surfaces of the interventricular septum and the posterior aortic wall,measurement of the diameter of the left ventricular outflow yellow line from the parasternal long axis view during systole directly below the base of the aortic leaflets and from the internal surfaces of the interventricular septum and the posterior aortic wall,Speaker_5,23.74,"['below', 'base', 'aortic', 'interventricular', 'septum']",train
audio/Speaker_5/Speaker5-284.wav,jalra 100mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy diet and regular exercise to control blood sugar level,jalra 100mg tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_5,14.78,"['jalra', 'mg', 'tablet', 'type', 'diabetes']",train
audio/Speaker_5/Speaker5-285.wav,vitcross 150mg tablet na antiparasitic medicine dem dey use am treat worm infections e dey work by killing the worms and that one dey treat your infection,vitcross 150mg tablet is an antiparasitic medication it is used in the treatment of worm infections it works by killing the worms and this treats your infection,Speaker_5,13.25,['tablet'],train
audio/Speaker_5/Speaker5-286.wav,verzin 8mg tablet na medicine wey dem dey use prevent and treat one disorder of the inner ear wey dem dey call mnires disease the symptoms include dizziness vertigo ringing for the ears tinnitus and hearing loss probably because of fluid for the ear,verzin 8mg tablet is used to prevent and treat a disorder of the inner ear known as mnires disease the symptoms include dizziness vertigo ringing in the ears tinnitus and loss of hearing probably caused by fluid in the ear,Speaker_5,18.2,"['verzin', 'tablet', 'inner', 'ear', 'mnires', 'dizziness', 'ringing', 'tinnitus', 'loss', 'hearing']",train
audio/Speaker_5/Speaker5-287.wav,dexibuprofen na non steroidal anti inflammatory drug wey dem dey prescribe for moderate to severe pain like dysmenorrhea toothache and osteoarthritis by blocking cox action e dey reduce symptoms of pain and inflammation when person no suppose take dexibuprofen,dexibuprofen is a non steroidal anti inflammatory drug prescribed for moderate to severe pain such as dysmenorrhea toothache osteoarthritis by blocking cox s action it reduces the symptoms of pain and inflammation when should dexibuprofen not to be taken,Speaker_5,23.91,"['dexibuprofen', 'moderate']",train
audio/Speaker_5/Speaker5-288.wav,for september 2008 dem been diagnose breast cancer by needle biopsy when screening mammography been identify one abnormal cluster of calcifications for september 2008,in september 2008 breast cancer was diagnosed by needle biopsy when an abnormal cluster of calcifications was identified by a screening mammography in september 2008,Speaker_5,15.04,"['breast', 'needle', 'biopsy', 'abnormal', 'cluster', 'calcifications', 'screening', 'mammography']",train
audio/Speaker_5/Speaker5-289.wav,sizodon 4 tablet na prescription medicine wey dem dey use treat schizophrenia one mental disorder wey fit make person dey see or believe things wey no real and e fit still affect how person dey reason behave and fit cause mania,sizodon 4 tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_5,18.45,"['sizodon', 'medicine', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_5/Speaker5-290.wav,she been dey for serious distress and she no been fit support the weight of her arm dem been admit am for one cot with specially designed contraption to rest her left upper limb wey weigh 31 kg,she was in distress unable to bear the weight of her arm and was admitted in a cot with a specially designed contraption to rest her left upper limb weighing 31 kg,Speaker_5,23.15,"['admitted', 'cot', 'specially', 'designed', 'contraption', 'limb']",train
audio/Speaker_5/Speaker5-291.wav,stator gold 75mg 10mg 75mg capsule na medicine wey dem dey use prevent heart attack na combination of medicines wey dey stop clot formation for the blood vessels e still dey help reduce high cholesterol and triglyceride levels,stator gold 75mg 10mg 75mg capsule is used for prevention of heart attack it is a combination of medicines that prevent clot formation in the blood vessels it also helps to reduce increased cholesterol and triglycerides levels,Speaker_5,25.11,"['mg', 'clot', 'formation', 'cholesterol', 'triglycerides']",train
audio/Speaker_5/Speaker5-292.wav,femotidine 20mg tablet na antacid e dey reduce the amount of acid wey your stomach dey produce dem dey use am treat and prevent heartburn indigestion and other symptoms wey too much acid for the stomach cause,femotidine 20mg tablet is an antacid it reduces the amount of acid produced by your stomach it is used to treat and prevent heartburn indigestion and other symptoms caused by too much acid in the stomach,Speaker_5,19.39,"['femotidine', 'mg', 'tablet', 'indigestion']",train
audio/Speaker_5/Speaker5-293.wav,her clinical and surgical history no been get any problem and the patient no been mention any other symptoms physical examination only been show tenderness during palpation of the right upper abdominal quadrant laboratory blood examination been show results within normal limits,her clinical and surgical history were free and the patient did not mention any other symptoms physical examination only revealed tenderness during palpation of the right upper abdominal quadrant laboratory blood examination showed results within normal limits,Speaker_5,19.39,"['physical', 'examination', 'tenderness', 'patient', 'abdominal', 'laboratory', 'blood', 'normal']",train
audio/Speaker_5/Speaker5-294.wav,pruvict 1 tablet na prescription medicine wey dem dey use treat constipation e dey increase the release of certain chemical wey improve movement of food inside the intestine and e dey help increase gastric emptying of both liquid and solid,pruvict 1 tablet is a prescription medicine used in the treatment of constipation it increases the release of certain chemical that improves the movement of food inside the intestine and helps to increase gastric emptying of both liquid and solid,Speaker_5,20.41,"['pruvict', 'constipation', 'gastric']",train
audio/Speaker_5/Speaker5-295.wav,levesam 750 tablet na anti epileptic medicine wey dem dey use treat seizures fits for epilepsy person fit use am alone or together with other medicines e dey help prevent seizures for as long as person continue to take am,levesam 750 tablet is an anti epileptic medicine used to treat seizures fits in epilepsy it can be used alone or along with other medicines it helps to prevent seizures for as long as you continue to take it,Speaker_5,20.67,"['levesam', 'seizures']",train
audio/Speaker_5/Speaker5-296.wav,etofree 400mg tablet na pain relieving medicine e dey help well well reduce pain and inflammation for conditions like rheumatoid arthritis osteoarthritis and acute pain person suppose take etofree 400mg tablet for the dose and duration wey doctor advise,etofree 400mg tablet is a pain relieving medicine it effectively alleviates pain and inflammation in conditions like rheumatoid arthritis osteoarthritis and acute pain etofree 400mg tablet should be taken in the dose and duration as advised by your doctor,Speaker_5,23.15,"['etofree', 'mg', 'tablet', 'inflammation']",train
audio/Speaker_5/Speaker5-297.wav,lntrio 10 tablet na combination of medicines wey dem dey use treat hypertension high blood pressure when one medicine alone no dey work well e dey help lower high blood pressure so e dey reduce chance of future heart attack and stroke,lntrio 10 tablet is a combination of medicines used to treat hypertension high blood pressure when a single medication is not effective it helps to lower high blood pressure thus reduces chances of future heart attack and stroke,Speaker_5,20.24,"['lntrio', 'tablet', 'hypertension', 'high', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-298.wav,olmeblu 20 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,olmeblu 20 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,20.84,"['olmeblu', 'tablet', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-299.wav,she no been get any history of fever but she talk say she lose about 6 kilos for the same period she still mention say she been undergo cesarean section for one private clinic 6 months before,she denied any history of fever while she reported a weight loss of around 6 kilos over the same period she also mentioned that she had undergone a cesarean section in a private clinic 6 months ago,Speaker_5,15.47,"['weight', 'loss', 'kilos', 'cesarean', 'section', 'clinic']",train
audio/Speaker_5/Speaker5-300.wav,the patient get history of alcohol use but e don recently stop drinking and that one show positive lifestyle change but the patient previous alcohol intake been dey every day and that one fit get long term effect on liver function and overall health,patient has a history of alcohol consumption but has recently stopped drinking indicating a positive lifestyle change however the patient s previous alcohol intake was on a daily basis which can have long term effects on liver function and overall health,Speaker_5,18.03,"['alcohol', 'consumption', 'liver']",train
audio/Speaker_5/Speaker5-301.wav,her early pregnancy no been get any problem and dem no been do ultrasound examination for the first trimester for examination her vital signs been stable and tenderness been dey for the right iliac fossa and right lumbar region,her early pregnancy was uneventful and ultrasound examination had not been performed in the first trimester on examination her vital signs were stable and tenderness was present in the right iliac fossa and right lumbar region,Speaker_5,19.31,"['uneventful', 'ultrasound', 'examination', 'vital', 'signs', 'stable', 'tenderness', 'iliac']",train
audio/Speaker_5/Speaker5-302.wav,for this proton density sagittal image dem observe abnormal shape wey dem define as irregular wavy contour for the margin of the anterior cruciate ligament,in this proton density sagittal image an abnormal shape is observed which is defined as an irregular wavy contour of the margin of the anterior cruciate ligament,Speaker_5,16.83,"['proton', 'density', 'abnormal', 'shape', 'irregular', 'anterior', 'cruciate']",train
audio/Speaker_5/Speaker5-303.wav,ampigard 375mg tablet na antibiotic medicine wey dey help the body fight infections wey bacteria cause dem dey use am treat infections of the urinary tract and ear otitis media as well as gonorrhea,ampigard 375mg tablet is an antibiotic medicine that helps the body fight infections caused by bacteria it is used to treat infections of the urinary tract and ear otitis media as well as gonorrhea,Speaker_5,22.21,"['ampigard', 'tablet', 'infections', 'urinary', 'tract', 'ear']",train
audio/Speaker_5/Speaker5-304.wav,for more than four years dem been dey treat am with assisted reproductive technologies like artificial insemination and in vitro fertilization during the time wey dem been dey treat her infertility cytological review and colposcopic biopsy been show one invasive nonkeratinizing squamous cell carcinoma scc,she had been treated with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years during her treatment for infertility cytological review followed by colposcopic biopsy revealed an invasive nonkeratinizing squamous cell carcinoma scc,Speaker_5,29.46,"['artificial', 'insemination', 'vitro', 'fe', 'cytological', 'review', 'colposcopic', 'biopsy', 'invasive', 'nonkeratinizing', 'squamous', 'cell', 'carcinoma']",train
audio/Speaker_5/Speaker5-305.wav,examination been show reduced air entry for the left side and later chest radiograph been show wetin look like consolidation for that lung and air filled bowel loops inside the chest further ultrasound examination still been identify intrathoracic ipsilateral kidney,examination showed decreased air entry on the left side and a subsequent chest radiograph showed what looked like a consolidation of that lung and air filled bowel loops inside the chest and a further ultrasound examination also identified intrathoracic ipsilateral kidney,Speaker_5,24.0,"['examination', 'decreased', 'air', 'entry', 'chest', 'radiograph', 'consolidation', 'lung', 'filled', 'bowel', 'loops', 'ultrasound']",train
audio/Speaker_5/Speaker5-306.wav,trika 1 tablet belong to one class of medicines wey dem dey call benzodiazepines na prescription medicine wey dem dey use treat anxiety e dey change brain activity calm the brain and relieve panic attacks by relaxing the nerves,trika 1 tablet belongs to a class of medicines known as benzodiazepines it is a prescription medicine used to treat anxiety it alters brain activity calms it and provides relief from panic attacks by relaxing the nerves,Speaker_5,19.39,"['trika', 'panic']",train
audio/Speaker_5/Speaker5-307.wav,telsant am 40 tablet get two medicines inside and both of them dey help control high blood pressure e dey lower blood pressure by relaxing the blood vessels and making am easier for your heart to pump blood round your body,telsant am 40 tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_5,17.68,"['tablet', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-308.wav,s para typhi antigen ah value no dey available average blood glucose the value na 303 44 mg dl random blood sugar the value na 85 7 mg dl,s para typhi antigen ah value is not available average blood glucose the value is 303 44 mg dl random blood sugar the value is 85 7 mg dl,Speaker_5,22.12,['mg'],train
audio/Speaker_5/Speaker5-309.wav,cortisol the value na 4 5 ug dl bile pigments bilesalts value no dey available 8 albumin the value na 4 73 g dl,cortisol the value is 4 5 ug dl bile pigments bilesalts value is not available 8 albumin the value is 4 73 g dl,Speaker_5,17.94,"['cortisol', 'ug']",train
audio/Speaker_5/Speaker5-310.wav,the patient get history of alcoholism and e no don drink alcohol for the past 5 years dietary habits include frequent eating of outside food and that one dey raise concern about nutritional imbalance and possible gastrointestinal problems,patient has a history of alcoholism having abstained from alcohol for the past 5 years dietary habits include frequent consumption of outside food leading to concerns over nutritional imbalance and potential gastrointestinal issues,Speaker_5,23.15,"['abstained', 'from', 'alcohol']",train
audio/Speaker_5/Speaker5-311.wav,the swelling been increase for size fast fast involve the eyelid the whole orbit and later reach the forehead e still been dey pain am from time to time she been start to lose vision for her left eye gradually until e complete loss one month later,swelling increases in size rapidly involving eyelid entire orbit and subsequently to the forehead it also becomes intermittently painful she started to loss her left eye vision gradually until it completely loss one month later,Speaker_5,19.48,"['swelling', 'increases', 'size', 'loss', 'eye', 'vision']",train
audio/Speaker_5/Speaker5-312.wav,evaluation been show one wound for the lower left back and for the mons pubis dem been do exploratory laparotomy and resection of the sigmoid colon left ovary and fallopian tube with colostomy,an evaluation revealed a wound at the lower left back and at the mons pubis exploratory laparotomy and resection of the sigmoid colon left ovary and fallopian tube with a colostomy was performed,Speaker_5,20.24,"['wound', 'mons', 'pubis', 'laparotomy', 'resection', 'fallopian', 'colostomy']",train
audio/Speaker_5/Speaker5-313.wav,rosycap asp 10mg 150mg tablet na combination of two medicines wey dem dey use prevent heart attack and stroke this medicine dey reduce the bad cholesterol ldl and triglyceride fat levels e still dey reduce blood clot formation,rosycap asp 10mg 150mg tablet is a combination of two medicines used to prevent heart attack and stroke this medicine reduces the bad cholesterol ldl and triglycerides fats levels moreover it also decreases the formation of blood clots,Speaker_5,21.18,"['rosycap', 'mg', 'tablet', 'terol', 'ldl', 'triglycerides', 'fats']",train
audio/Speaker_5/Speaker5-314.wav,arpimune me 25mg capsule na medicine wey dem dey use prevent your body from rejecting new organ after liver kidney or heart transplant e dey work by weakening your immune system so your body no go attack the new organ,arpimune me 25mg capsule is used to prevent your body from rejecting a new organ after a liver kidney or heart transplant it works by weakening your immune system so that your body does not attack the new organ,Speaker_5,19.82,"['arpimune', 'mg', 'capsule']",train
audio/Speaker_5/Speaker5-315.wav,ultrarex 37 5mg 325mg tablet na combination of two pain killer medicines wey dey work together to relieve pain dem dey use am relieve moderate to severe pain,ultrarex 37 5mg 325mg tablet is a combination of two pain killer medicines which act together to relieve pain it is used to relieve moderate to severe pain,Speaker_5,17.43,"['mg', 'tablet']",train
audio/Speaker_5/Speaker5-316.wav,the patient get nose piercing wey appear well healed and no get any sign of inflammation or infection there no been get any history of radiation exposure or treatment,patient has a nose piercing which appears well healed and without any signs of inflammation or infection there is no history of radiation exposure or treatment,Speaker_5,14.87,"['nose', 'well', 'inflammation', 'radiation']",train
audio/Speaker_5/Speaker5-317.wav,azax 250 tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for adults and children,azax 250 tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_5,14.36,"['azax', 'tablet', 'antibiotic', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_5/Speaker5-318.wav,zootex 5mg tablet belong to one group of medicines wey dem dey call antihistamines dem dey use am treat different allergic conditions like hay fever conjunctivitis some skin reactions like eczema hives and reactions to bites and stings,zootex 5mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis some skin reactions such as eczema hives and reactions to bites and stings,Speaker_5,19.82,"['mg', 'tablet']",train
audio/Speaker_5/Speaker5-319.wav,hcqs 200 tablet na medicine wey dem dey use treat autoimmune conditions like rheumatoid arthritis and systemic lupus erythematosus e dey slow down the progression of the disease and e dey relieve pain swelling and redness,hcqs 200 tablet is used in the treatment of autoimmune conditions such as rheumatoid arthritis and systemic lupus erythematosus it slows down the progression of the disease and provides relief from pain swelling and redness,Speaker_5,22.21,"['rheumatoid', 'arthritis']",train
audio/Speaker_5/Speaker5-320.wav,one 30 year old female patient get mild symptoms ct show one single patch of ground glass opacity for the superior segment of the left lower lobe box ct mean computed tomography,a 30 year old female patient with mild symptoms ct shows a single patch of ground glass opacity in the superior segment of the left lower lobe boxct computed tomography,Speaker_5,18.96,"['female', 'mild', 'boxct', 'single', 'ground', 'glass', 'opacity', 'superior', 'segment', 'lobe', 'computed', 'tomography']",train
audio/Speaker_5/Speaker5-321.wav,lafutidine na antacid wey dem dey prescribe for ulcer lafutidine dey suppress gastric acid secretion when person no suppose take lafutidine e no good for breastfeeding women wetin be the dosage of lafutidine for adult po the recommended dose na 10mg two times daily,lafutidine is an antacid prescribed for ulcer lafutidine suppresses gastric acid secretion when should lafutidine not to be taken contraindicated to breastfeeding women what is the dosage of lafutidine adult po the recommended dose is 10mg twice daily,Speaker_5,31.93,"['lafutidine', 'po', 'mg']",train
audio/Speaker_5/Speaker5-322.wav,glycinorm m 80 tablet belong to one category of medicines wey dem dey call anti diabetic drugs e be combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,glycinorm m 80 tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_5,23.23,"['glycinorm', 'type', 'diabetes', 'mellitus']",train
audio/Speaker_5/Speaker5-323.wav,e talk say na local pain e get and the pain no dey radiate the patient medical history no been get previous infections surgeries or other diseases the mass for the arm been solid and relocatable,he reported about local pain without radiation the patients medical history was without previous infections surgeries or other diseases the mass in the arm presented solid and relocatable,Speaker_5,15.72,"['local', 'surgeries', 'mass', 'arm']",train
audio/Speaker_5/Speaker5-324.wav,myazi 500mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for adults and children,myazi 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_5,17.34,"['bacterial', 'infections', 'respiratory']",train
audio/Speaker_5/Speaker5-325.wav,preoperative computed tomography scan for case 4 dem been detect one huge tumor for the posterior mediastinum wey project to both sides of the intrathoracic space the tumor been surround the esophagus,preoperative computed tomography scan in case 4 a huge tumor was detected in the posterior mediastinum which projected on either side of the intrathoracic space the esophagus was surrounded by the tumor,Speaker_5,21.78,"['computed', 'tomography', 'posterior', 'mediasti', 'intrathoracic', 'esophagus']",train
audio/Speaker_5/Speaker5-326.wav,valance 250 tablet na medicine wey dem dey use treat epilepsy e dey help prevent and control seizures fits dem still dey use am prevent migraine sometimes dem dey use am treat bipolar disorder,valance 250 tablet is a medicine used to treat epilepsy it helps prevent and control seizures fits it is also used in the prevention of migraine occasionally it is used to treat bipolar disorder,Speaker_5,19.22,['seizures'],train
audio/Speaker_5/Speaker5-327.wav,sorafenib na kinase inhibitor wey dem dey prescribe for renal cell carcinoma kidney cancer and hepatocellular carcinoma liver cancer sorafenib dey reduce tumor growth and replication when person no suppose take sorafenib hypersensitivity wetin be the dosage of sorafenib,sorafenib is a kinase inhibitor prescribed for renal cell carcinoma kidney cancer hepatocellular carcinoma liver cancer sorafenib decreases tumor growth and replication when should sorafenib not to be taken hypersensitivity what is the dosage of sorafenib,Speaker_5,31.51,"['sorafenib', 'tumor']",train
audio/Speaker_5/Speaker5-328.wav,ritehist 10 tablet na medicine wey dem dey use treat anxiety and e dey help person relax before or after surgery dem still dey use am treat skin allergy symptoms like itching swelling and rashes for conditions like eczema dermatitis and psoriasis,ritehist 10 tablet is used to treat anxiety and helps to get relaxed before or after surgery it is also used to treat symptoms of skin allergy like itching swelling and rashes in conditions such as eczema dermatitis and psoriasis,Speaker_5,22.46,"['tablet', 'anxiety', 'relaxed', 'ritehist', 'rashes']",train
audio/Speaker_5/Speaker5-329.wav,avenclav 625 tablet na penicillin type antibiotic wey dey help your body fight infections wey bacteria cause dem dey use am treat infections of the lungs like pneumonia ear nasal sinus urinary tract skin and soft tissue,avenclav 625 tablet is a penicillin type of antibiotic that helps your body fight infections caused by bacteria it is used to treat infections of the lungs e g pneumonia ear nasal sinus urinary tract skin and soft tissue,Speaker_5,24.85,"['avenclav', 'infections', 'lungs', 'nasal', 'urinary']",train
audio/Speaker_5/Speaker5-330.wav,magnetic resonance imaging been show one mass of 2 8 cm for the right periadrenal area with small high signal intensity for t2 weighted image the mass been touch and compress the right adrenal gland for lateral side and the inferior vena cava for medial side arrow,magnetic resonance imaging showing 2 8 cm sized mass in right periadrenal area with slightly high signal intensity in t2 weighted image mass abuts against and compresses right adrenal gland laterally and inferior vena cava medially arrow,Speaker_5,26.56,"['magnetic', 'resonance', 'imaging', 'cm', 'mass', 'periadrenal', 'area', 'adrenal', 'gland', 'inferior', 'vena', 'cava']",train
audio/Speaker_5/Speaker5-331.wav,past medical history only been significant for hypertension and gastroesophageal reflux disease for the time of diagnosis the patient no been get symptoms like diarrhea hypoglycemia intractable peptic ulcer weight loss fever or migratory skin rash,past medical history was only significant for hypertension and gastroesophageal reflux disease at the time of diagnosis patient denied symptoms such as diarrhea hypoglycemia intractable peptic ulcer weight loss fever or migratory skin rash,Speaker_5,21.95,"['intractable', 'migratory']",train
audio/Speaker_5/Speaker5-332.wav,intravenous pyelogram been show filling defects arrow for the right proximal ureter wey correspond to fibroepithelial polyps dem still no been observe the distal ureter by the fifth hour after dem administer contrast material,ntravenous pyelogram showing filling defects arrow in right proximal ureter corresponding to fibroepithelial polyps distal ureter is not still observed at fifth hour after administration of contrast material,Speaker_5,25.62,"['pyelogram', 'filling', 'defects', 'mal', 'ureter', 'distal', 'fifth', 'hour', 'after']",train
audio/Speaker_5/Speaker5-333.wav,the pain been start small small e been dey come and go e been happen mostly for night and e been dey increase as time dey go for visual analog scale na 6 10 and e been dey for the front part of the left hip,the pain was insidious in onset intermittent occurred predominantly at night progressively increasing with time 6 10 on a visual analog scale and was present over the anterior aspect of the left hip,Speaker_5,18.03,"['predominantly', 'at', 'night', 'increasing', 'visual', 'analog']",train
audio/Speaker_5/Speaker5-334.wav,dem been treat am with external beam radiotherapy to 60 gy in 30 fractions over 6 weeks according to icru 50 dem been use two lateral parallel opposed fields to treat the nasopharynx and upper neck,she was treated with external beam radiotherapy to 60 gy in 30 fractions over 6 weeks in accordance to icru 50 two lateral parallel opposed fields were used to treat the nasopharynx and upper neck,Speaker_5,24.94,"['external', 'beam', 'radiotherapy', 'lateral', 'parallel', 'opposed', 'fields', 'nasopharynx']",train
audio/Speaker_5/Speaker5-335.wav,for 2009 dem been diagnose am with gastroesophageal reflux disease and she been start to take prescription medicine for that condition during regular follow up examination chest x ray been show one mass lesion for one part of the left lower lung field,in 2009 she was diagnosed with gastroesophageal reflux disease and began taking prescription medication for that condition during a regular follow up examination a chest x ray revealed a mass lesion in a portion of the left lower lung field,Speaker_5,19.48,"['gastroesophageal', 'reflux', 'disease', 'prescription', 'medication', 'follow', 'chest', 'ray', 'lesion', 'lung']",train
audio/Speaker_5/Speaker5-336.wav,hecort 6 tablet belong to one group of medicines wey dem dey call steroids dem dey use am treat different diseases and conditions like allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,hecort 6 tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_5,17.68,"['hecort', 'tablet', 'steroids']",train
audio/Speaker_5/Speaker5-337.wav,there no been get any history of cognitive impairment she been get many medical conditions including atrial fibrillation type 2 diabetes mellitus obstructive sleep apnea and recent mitral valve repair wey postoperative delirium come complicate,there was no history of cognitive impairment she suffered from multiple medical conditions including atrial fibrillation type 2 diabetes mellitus obstructive sleep apnea and a recent mitral valve repair complicated by postoperative delirium,Speaker_5,22.72,"['type', 'diabetes', 'mellitus', 'obstructive', 'ructive', 'sleep', 'mitral']",train
audio/Speaker_5/Speaker5-338.wav,clasitil 500 tablet na antibiotic medicine wey dem dey use treat bacterial infections for your body e dey effective for infections of the lungs like pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,clasitil 500 tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs e g pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,Speaker_5,21.95,"['antibiotic', 'infections', 'lungs', 'nasal', 'your']",train
audio/Speaker_5/Speaker5-339.wav,noncontrast enhanced axial ct image been show one soft tissue mass m for front of the descending colon white arrow and dem still been note small amount of ascites black arrow,noncontrast enhanced axial ct image demonstrated a soft tissue mass m anterior to the descending colon white arrow a small amount of ascites was noted black arrow,Speaker_5,16.4,"['noncontrast', 'enhanced', 'axial', 'ct', 'soft', 'tissue', 'mass', 'descending', 'colon', 'small', 'amount', 'ascites']",train
audio/Speaker_5/Speaker5-340.wav,the patient get many food allergies with history of severe reactions pollen allergy since childhood amlodipine induced edema and known drug induced rash plus the patient no dey tolerate steroids and e dey come with symptoms of adrenal suppression,the patient has multiple food allergies with a history of severe reactions pollen allergy since childhood amlodipine induced edema and a known drug induced rash additionally the patient is intolerant to steroids presenting with symptoms of adrenal suppression,Speaker_5,24.43,"['food', 'allergies', 'pollen', 'allergy']",train
audio/Speaker_5/Speaker5-341.wav,axial t1 been show diffuse hyperintense signal because of post biopsy hemorrhage for the right pz arrowheads with area wey no get t1 hyperintense blood asterisks and that one match the pca lesions wey be t1 hemorrhage exclusion sign,axial t1 diffuse hyperintense signal due to the post biopsy hemorrhage in the right pz arrowheads with area free of t1 hyperintense blood asterisks matched the pca lesions t1 hemorrhage exclusion sign,Speaker_5,27.07,"['diffuse', 'hyperintense', 'signal', 'biopsy', 'hemorrhage', 'pz', 'area', 'free', 'asterisks', 'lesions']",train
audio/Speaker_5/Speaker5-342.wav,e talk say dem been try remove ear wax for him left ear many times for different ent clinics but e no been work even though dem been use alkaline ear drops,he gave a history of multiple failed ear wax removal in his left ear that had been performed at several ent clinics despite the use of alkaline ear drops,Speaker_5,13.42,"['ear', 'wax', 'removal', 'been']",train
audio/Speaker_5/Speaker5-343.wav,piracet 800mg tablet na prescription medicine wey dem dey use treat alzheimer s disease stroke and memory loss for parkinson s disease dem still fit use am treat age related memory loss and head injury,piracet 800mg tablet is a prescription medicine used in the treatment of alzheimer s disease stroke and memory loss in parkinson s disease it can also be used to treat age related memory loss and head injury,Speaker_5,17.26,"['piracet', 'mg', 'tablet', 'stroke']",train
audio/Speaker_5/Speaker5-344.wav,repace 100 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,repace 100 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,18.62,"['repace', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-345.wav,sensiclav 625 tablet na penicillin type antibiotic wey dey help your body fight infections wey bacteria cause dem dey use am treat infections of the lungs like pneumonia ear nasal sinus urinary tract skin and soft tissue,sensiclav 625 tablet is a penicillin type of antibiotic that helps your body fight infections caused by bacteria it is used to treat infections of the lungs e g pneumonia ear nasal sinus urinary tract skin and soft tissue,Speaker_5,23.32,"['infections', 'lungs', 'nasal', 'urinary']",train
audio/Speaker_5/Speaker5-346.wav,zalat 2 5mg tablet na one type of diuretic medicine wey be water pill this medicine dey reduce excess fluid for the body and dem dey use am treat edema fluid overload wey relate to heart liver kidney or lung disease,zalat 2 5mg tablet is a type of diuretic water pill medicine this medicine reduces excess fluid levels in the body and is used to treat edema fluid overload associated with heart liver kidney or lung disease,Speaker_5,20.16,"['mg', 'tablet', 'edema', 'fluid', 'overload', 'lung']",train
audio/Speaker_5/Speaker5-347.wav,levepsy 1000 tablet na anti epileptic medicine wey dem dey use treat seizures fits for epilepsy person fit use am alone or together with other medicines e dey help prevent seizures for as long as person continue to take am,levepsy 1000 tablet is an anti epileptic medicine used to treat seizures fits in epilepsy it can be used alone or along with other medicines it helps to prevent seizures for as long as you continue to take it,Speaker_5,18.45,['seizures'],train
audio/Speaker_5/Speaker5-348.wav,normalip 10 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,normalip 10 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,12.65,"['tablet', 'cholesterol']",train
audio/Speaker_5/Speaker5-349.wav,the pre operative ct scan been show one 15 4 mm stone for the lower calix of the left kidney metal wires for the renal parenchyma been close to the stone dem no been identify any coiling material for the collecting system or inside the stone,the pre operative ct scan revealed a 15 4 mm stone in the lower calix of the left kidney metal wires in the renal parenchyma were adjacent to the stone coiling material in the collecting system or within the stone was not identified,Speaker_5,22.72,"['ct', 'scan', 'mm', 'calix', 'kidney', 'renal', 'parenchyma', 'collecting']",train
audio/Speaker_5/Speaker5-350.wav,sentinel node biopsy na procedure wey dem dey use check whether cancer don spread e fit show whether the cancer cells don comot from where dem start and spread go the lymph nodes,sentinel node biopsy is a procedure to see if cancer has spread it can tell whether the cancer cells have broken away from where they started and spread to the lymph nodes,Speaker_5,13.33,['biopsy'],train
audio/Speaker_5/Speaker5-351.wav,telpres 40 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,telpres 40 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,18.88,"['tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-352.wav,one isoechoic nodule with small cystic changes for one 47 year old woman the isoechoic nodule of 40 mm get smooth margin ovoid shape parallel orientation and focal minimal cystic change arrow the final diagnosis been benign follicular nodule,an isoechoic nodule with minimal cystic changes in a 47 year old woman the isoechoic nodule 40 mm has a smooth margin ovoid shape parallel orientation and focal minimal cystic change arrow the final diagnosis was benign follicular nodule,Speaker_5,27.84,"['isoechoic', 'nodule', 'minimal', 'cystic', 'changes', 'mm', 'smooth', 'focal']",train
audio/Speaker_5/Speaker5-353.wav,nmr of breasts for t2 been show spiculated nodular lesion for the right breast dem observe contiguity of the lesion with skin and invasion of the thoracic wall under am,nmr of breasts in t2 showing spiculated nodular lesion in the right breast contiguity of lesion with skin and invasion of subjacent thoracic wall is observed,Speaker_5,16.66,"['nmr', 'spiculated', 'lesion', 'contiguity', 'invasion', 'thoracic', 'wall']",train
audio/Speaker_5/Speaker5-354.wav,dem observe one big dark brown melanocytic nevus wey cover about half of the trunk and different sizes of nevus from several millimetres to several centimetres all over the patient body,dark brown colored large melanocytic nevus that covered about 1 2 of the trunk and various sized nevus ranging from several millimetre to several centimetre were observed throughout the whole body of the patient,Speaker_5,17.43,"['dark', 'brown', 'colored', 'large', 'mel', 'trunk']",train
audio/Speaker_5/Speaker5-355.wav,computerized tomography of the chest na computerized tomography image of the thorax and mediastinum wey dem take after dem intubate the patient the image been show extensive retropharyngeal haematoma a there still been get evidence of right pleural effusion b,computerized tomography of the chest computerized tomography image of the thorax and mediastinum taken after the patient was intubated the image shows extensive retropharyngeal haematoma a there is also evidence of a right pleural effusion b,Speaker_5,26.56,"['computerized', 'tomography', 'thorax', 'mediastinum', 'extensive', 'retropharyngeal', 'pleural', 'effusion']",train
audio/Speaker_5/Speaker5-356.wav,urine creatinine the value na 34 0 mg dl tsh ultrasensnsitive eclia the value na 1 49 uiu ml hba1c glycated hemoglobin the value na 6 0,urine creatinine the value is 34 0 mg dl tsh ultrasensnsitive eclia the value is 1 49 uiu ml hba1c glycated hemoglobin the value is 6 0,Speaker_5,30.74,"['mg', 'tsh', 'ultra', 'uiu', 'ml', 'glycated']",train
audio/Speaker_5/Speaker5-357.wav,one common blood test wey be blood urea nitrogen bun test dey show important information about how well your kidneys dey work bun test dey measure the amount of urea nitrogen wey dey your blood,a common blood test the blood urea nitrogen bun test reveals important information about how well your kidneys are working a bun test measures the amount of urea nitrogen that s in your blood,Speaker_5,22.12,"['bun', 'nitrogen']",train
audio/Speaker_5/Speaker5-358.wav,needle biopsy na procedure wey dem dey use collect sample of cells from your body for laboratory testing common needle biopsy procedures include fine needle aspiration and core needle biopsy,a needle biopsy is a procedure to obtain a sample of cells from your body for laboratory testing common needle biopsy procedures include fine needle aspiration and core needle biopsy,Speaker_5,15.98,"['common', 'needle', 'fine', 'aspiration', 'core']",train
audio/Speaker_5/Speaker5-359.wav,tenormin 50 tablet belong to one group of medicines wey dem dey call beta blockers dem dey use am treat high blood pressure hypertension angina wey be heart related chest pain and irregular heart rhythm wey be arrhythmia,tenormin 50 tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension angina heart related chest pain irregular heart rhythms arrhythmia,Speaker_5,21.35,"['tenormin', 'tablet', 'beta', 'blockers', 'angina', 'chest', 'irregular']",train
audio/Speaker_5/Speaker5-360.wav,olmin 20 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,olmin 20 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,19.56,"['olmin', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-361.wav,cenoza a 75mg 75mg capsule na combination of two antiplatelet medicines or blood thinner wey dem dey use reduce the formation of harmful blood clots for blood vessels that one dey help prevent heart attack or stroke for people wey get heart disease,cenoza a 75mg 75mg capsule is a combination of two antiplatelet medicines or blood thinner used to reduce the formation of harmful blood clots in blood vessels this helps to prevent a heart attack or stroke in people with heart disease,Speaker_5,21.27,"['cenoza', 'mg', 'antiplatelet', 'medicines', 'thinner', 'blood', 'clots', 'heart', 'attack', 'stroke']",train
audio/Speaker_5/Speaker5-362.wav,the patient talk say e dey drink alcohol every day and that one dey raise concern about liver function and possible development of alcoholic liver disease the food too full of junk food and that one dey add to high cholesterol level and weight gain,patient reports consuming alcohol on a daily basis leading to concerns over liver function and potential development of alcoholic liver disease diet is high in junk food contributing to elevated cholesterol levels and weight gain,Speaker_5,18.54,"['consuming', 'alcohol', 'diet', 'elevated', 'cho']",train
audio/Speaker_5/Speaker5-363.wav,omees 20mg capsule na medicine wey dey reduce the amount of acid wey your stomach dey produce e dey help treat acid related diseases of the stomach and intestine like heartburn acid reflux and peptic ulcer disease,omees 20mg capsule is a medicine that reduces the amount of acid produced in your stomach it helps treat acid related diseases of the stomach and intestine such as heartburn acid reflux and peptic ulcer disease,Speaker_5,18.37,"['mg', 'capsule', 'related', 'stomach', 'peptic', 'ulcer']",train
audio/Speaker_5/Speaker5-364.wav,she been first notice the mass by herself during her last pregnancy at 18 weeks e been dey increase small small especially during the postpartum period and she no been get any other symptoms she been get 2 pregnancies and both of them been end by cesarean deliveries because of obstetric indications,she noted the mass first by herself during her last pregnancy at 18 weeks it was gradually increasing in size especially during the postpartum period with no other symptoms she had 2 pregnancies ended by cesarean deliveries for obstetric indications,Speaker_5,24.68,"['mass', 'increasing', 'size']",train
audio/Speaker_5/Speaker5-365.wav,six years after the index operation the patient been start to get symptoms wey no been respond to oral analgesics medical history been include hypertension coronary artery disease cardiac insufficiency and renal insufficiency wey no need dialysis,six years after the index operation the patient started with symptoms that were not able to respond to oral analgesics medical history included hypertension coronary artery disease cardiac insufficiency and renal insufficiency without requiring dialysis,Speaker_5,20.5,"['after', 'symptoms', 'oral', 'hypertension', 'coronary', 'artery', 'disease']",train
audio/Speaker_5/Speaker5-366.wav,dem been diagnose am with primary hyperoxalosis and because of that she been undergo liver and kidney transplant for the same setting some years later dem been diagnose am with intestinal type diffuse large b cell lymphoma,she was diagnosed with primary hyperoxalosis for which she underwent same setting liver and kidney transplant a few years afterward she was diagnosed with intestinal type diffuse large b cell lymphoma,Speaker_5,19.05,"['primary', 'hyperoxalosis', 'liver', 'kidney', 'intestinal', 'diffuse', 'large']",train
audio/Speaker_5/Speaker5-367.wav,glucose fasting the value na 92 0 mg dl 11 gamma gt the value na 4 4 u l rbc countred blood cell count the value na 4 85 10 6 mm3,glucose fasting the value is 92 0 mg dl 11 gamma gt the value is 4 4 u l rbc countred blood cell count the value is 4 85 10 6 mm3,Speaker_5,27.84,"['glucose', 'mg', 'mm']",train
audio/Speaker_5/Speaker5-368.wav,his symptoms been first start when e be 16 years old e first notice serious weakness when e been dey for the 10th grade e been go hunting and e been stay for squatting position for long time around 45 minutes,his symptoms first started at age 16 he first noticed significant weakness when he was in the 10th grade he had gone hunting and had maintained a squatting position for a prolonged period of time around 45 minutes,Speaker_5,18.79,"['weakness', 'squatting', 'position']",train
audio/Speaker_5/Speaker5-369.wav,cilaheart 20 tablet na medicine wey dem dey use treat high blood pressure hypertension e belong to one class of medicines wey dem dey call calcium channel blocker and e dey help lower blood pressure that one dey help prevent heart attack and stroke,cilaheart 20 tablet is a medicine used to treat high blood pressure hypertension it belongs to a class of medicines known as a calcium channel blocker which helps to lower blood pressure this helps prevent heart attacks and strokes,Speaker_5,19.82,"['cilaheart', 'calcium', 'channel', 'blocker']",train
audio/Speaker_5/Speaker5-370.wav,intragastric balloon placement na weight loss procedure wey involve putting saline filled silicone balloon inside your stomach that one dey help you lose weight by limiting how much you fit chop and making you feel full faster,intragastric balloon placement is a weight loss procedure that involves placing a saline filled silicone balloon in your stomach this helps you lose weight by limiting how much you can eat and making you feel fuller faster,Speaker_5,17.34,"['intragastric', 'balloon', 'placement', 'saline', 'filled', 'weight']",train
audio/Speaker_5/Speaker5-371.wav,cross sectional ct image of abdomen and pelvis been show air inside the gall bladder wall wey be typical sign of emphysematous cholecystitis dem still been note chronic calcific pancreatitis changes,crosssectional ct image of abdomen and pelvis showing air within gall bladder wall a typical sign of emphysematous cholecystitis also noted are chronic calcific pancreatitis changes,Speaker_5,25.53,"['crosssectional', 'abdomen', 'pelvis', 'air', 'gall', 'bladder', 'emphysematous', 'chronic', 'cal', 'pancreatitis', 'changes']",train
audio/Speaker_5/Speaker5-372.wav,she been get similar big lump for 2013 and 2017 and dem been remove the tumour two times somewhere else biopsy been show one well differentiated liposarcoma,she had had a similar large lump in 2013 and 2017 and had twice undergone excision of the tumour elsewhere biopsy revealed a well differentiated liposarcoma,Speaker_5,20.24,"['lump', 'excision', 'tumour', 'biopsy', 'well']",train
audio/Speaker_5/Speaker5-373.wav,awake brain surgery wey dem still dey call awake craniotomy na one type of procedure wey dem dey do for the brain while you dey awake and alert dem dey use awake brain surgery treat some brain and neurological conditions including some brain tumors or epileptic seizures,awake brain surgery also called awake craniotomy is a type of procedure performed on the brain while you are awake and alert awake brain surgery is used to treat some brain neurological conditions including some brain tumors or epileptic seizures,Speaker_5,21.87,"['awake', 'brain']",train
audio/Speaker_5/Speaker5-374.wav,oxyfedrine na vasodilator wey dem dey prescribe for angina pectoris when person no suppose take oxyfedrine e no good for patients wey get increased blood flow or volume change narrowing of the aortic valve and hypersensitivity wetin be the dosage of oxyfedrine,oxyfedrine is a vasodilator prescribed for angina pectoris when should oxyfedrine not to be taken contraindicated in patients with increased blood flow or volume change narrowing of aortic valve and hypersensitivity what is the dosage of oxyfedrine,Speaker_5,24.0,['oxyfedrine'],train
audio/Speaker_5/Speaker5-375.wav,total red blood cell count the value na 5 9 10 6 mm3 rbc count the value na 5 86 10 6 mm3 sars cov2 covid 19 value no dey available,total red blood cell count the value is 5 9 10 6 mm3 rbc count the value is 5 86 10 6 mm3 sars cov2 covid 19 value is not available,Speaker_5,29.72,"['total', 'red', 'blood', 'cell', 'mm', 'rbc', 'sars', 'cov', 'not', 'available']",train
audio/Speaker_5/Speaker5-376.wav,one 36 year old woman get puerperal abscess 12 weeks after delivery breast sonogram show 5 x 3 cm small lobulated hypoechoic collections with posterior enhancement inside the right lower outer quadrant and needle wey dem insert for aspiration,a 36 year old woman with puerperal abscess 12 weeks after delivery breast sonogram shows 53 cm slightly lobulated hypoechoic collections with posterior enhancement within the right lower outer quadrant and inserted needle for aspiration,Speaker_5,27.5,"['woman', 'puerperal', 'abscess', 'after', 'breast', 'sonogram', 'cm', 'outer', 'quadrant']",train
audio/Speaker_5/Speaker5-377.wav,nukast 10 tablet na combination medicine wey dem dey use treat allergy symptoms like runny nose blocked nose sneezing itching swelling watery eyes and congestion e still dey reduce inflammation for the airways and e dey make breathing easier,nukast 10 tablet is a combination medicine used in the treatment of allergic symptoms such as runny nose stuffy nose sneezing itching swelling watery eyes and congestion or stuffiness it also reduces inflammation in the airways and make breathing easier,Speaker_5,20.67,"['nukast', 'allergic', 'symptoms', 'runny', 'stuffy', 'itching', 'inflammation', 'airways']",train
audio/Speaker_5/Speaker5-378.wav,vertitoss 16mg tablet na medicine wey dem dey use prevent and treat one disorder of the inner ear wey dem dey call mnires disease the symptoms include dizziness vertigo ringing for the ears tinnitus and hearing loss probably because of fluid for the ear,vertitoss 16mg tablet is used to prevent and treat a disorder of the inner ear known as mnires disease the symptoms include dizziness vertigo ringing in the ears tinnitus and loss of hearing probably caused by fluid in the ear,Speaker_5,20.33,"['vertitoss', 'inner', 'ear', 'mnires', 'dizziness', 'ringing', 'tinnitus', 'loss', 'hearing']",train
audio/Speaker_5/Speaker5-379.wav,direct bilirubin the value na 0 1 mg dl serum triglycerides the value na 95 0 mg dl urine ketones value no dey available,direct bilirubin the value is 0 1 mg dl serum triglycerides the value is 95 0 mg dl urine ketones value is not available,Speaker_5,20.93,"['direct', 'mg', 'serum', 'urine']",train
audio/Speaker_5/Speaker5-380.wav,telmisartan and amlodipine combination get calcium channel blocker and angiotensin ii receptor blocker inside and dem dey prescribe am for high blood pressure telmisartan dey relax blood vessels and e dey improve blood flow when person no suppose take telmisartan and amlodipine,telmisartan and amlodipine combination contains calcium channel blocker and angiotensin ii receptor blocker prescribed for high blood pressure telmisartan relaxes blood vessels and improves blood flow when should telmisartan and amlodipine not to be taken,Speaker_5,24.25,"['telmisartan', 'amlodipine', 'calcium', 'channel', 'angiotensin']",train
audio/Speaker_5/Speaker5-381.wav,total thyroxine t4 the value na 8 87 ug dl s paratyphi bh value no dey available mean cosrpuscular volume mcv the value na 96 1 fl,total thyroxine t4 the value is 8 87 ug dl s paratyphi bh value is not available mean cosrpuscular volume mcv the value is 96 1 fl,Speaker_5,24.68,"['total', 'thyroxine', 'ug', 'fl']",train
audio/Speaker_5/Speaker5-382.wav,trapex 2 tablet na prescription medicine wey dem dey use treat short term anxiety e dey help reduce the abnormal and too much activity of the nerve cells and e dey calm the brain,trapex 2 tablet is a prescription medicine used to treat short term anxiety it helps to decrease the abnormal and excessive activity of the nerve cells and calms the brain,Speaker_5,16.92,"['trapex', 'tablet', 'abnormal', 'excessive']",train
audio/Speaker_5/Speaker5-383.wav,she no been get any significant past medical or surgical history and no been get history of similar trauma clinical examination been show swelling for the knee and tenderness for the lateral side of the proximal tibia,she had no significant past medical or surgical history nor a history of similar trauma clinical examination showed swelling of the knee and tenderness over the lateral aspect of the proximal tibia,Speaker_5,17.77,"['no', 'significant', 'past', 'medical', 'or', 'surgical', 'history', 'nor', 'clinical', 'examination', 'swelling', 'knee', 'tenderness']",train
audio/Speaker_5/Speaker5-384.wav,testosterone cypionate injection na male sex hormone wey dem dey prescribe for primary hypogonadism and hypogonadotropic hypogonadism testosterone dey work by replacing or adding to the testosterone wey the body normally dey make when person no suppose take testosterone cypionate injection,testosterone cypionate injection is a male sex hormone prescribed for primary hypogonadism and hypogonadotropic hypogonadism testosterone works by replacing or supplementing the testosterone that is naturally made in the body when should testosterone cypionate injection not to be taken,Speaker_5,33.98,"['injection', 'cypionate']",train
audio/Speaker_5/Speaker5-385.wav,artcure 80mg 480mg tablet na combination medicine wey dem dey prescribe to treat malaria e dey fight the infection by preventing the parasites from growing inside the body artcure 80mg 480mg tablet na prescription medicine,artcure 80mg 480mg tablet is a combination medicine that is prescribed to treat malaria it fights against the infection by preventing the growth of the parasites inside the body artcure 80mg 480mg tablet is a prescription medicine,Speaker_5,26.64,"['artcure', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-386.wav,life pride 1mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus for adults e belong to one group of medicines wey dem dey call sulfonylureas and e dey help control blood sugar level for people wey get diabetes,life pride 1mg tablet is a medicine used to treat type 2 diabetes mellitus in adults it belongs to a group of medicines called sulfonylureas and helps control blood sugar levels in people with diabetes,Speaker_5,18.71,"['tablet', 'type', 'diabetes', 'mellitus', 'sulfonylureas', 'sugar', 'levels']",train
audio/Speaker_5/Speaker5-387.wav,serutan 212 5mg tablet na medicine wey dem dey use treat pancreatic enzyme deficiency e be pancreatic enzyme supplement wey dey help for digestion this medicine still dey reduce how often person dey stool and stomach discomfort,serutan 212 5mg tablet is used to treat pancreatic enzyme deficiency it is a pancreatic enzyme supplement that helps in digestion this medicine also reduces stool frequency and stomach discomfort,Speaker_5,23.15,"['serutan', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-388.wav,abdominal ct examination wey dem take 9 days after cessation of the lc and 5 days after the operative hartsmann procedure radio opaque deposits still dey inside the colon and dem still visible inside the colostomy arrow,abdominal ct examination taken 9 days after cessation of the lc and 5 days after the operative hartsmann procedure radio opaque deposits are still present within the colon and also visible within the colostomy arrow,Speaker_5,21.87,"['abdominal', 'ct', 'after', 'lc', 'radio', 'opaque', 'deposits', 'colon']",train
audio/Speaker_5/Speaker5-389.wav,nucort 5mg tablet na steroid dem dey use am treat wide variety of medical conditions like severe allergic reactions asthma rheumatic disorders and skin and eye disorders,nucort 5mg tablet is a steroid it is used for treatment of wide variety of medical conditions such as severe allergic reactions asthma rheumatic disorders and skin and eye disorders,Speaker_5,15.38,"['nucort', 'mg', 'tablet', 'severe']",train
audio/Speaker_5/Speaker5-390.wav,ceff 250mg capsule na antibiotic medicine wey dem dey use treat bacterial infections for your body e dey effective for infections of the lungs ears throat urinary tract skin soft tissues bones and joints,ceff 250mg capsule is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs ears throat urinary tract skin soft tissues bones and joints,Speaker_5,21.18,"['antibiotic', 'bacterial', 'infections', 'your']",train
audio/Speaker_5/Speaker5-391.wav,esopen dsr capsule na prescription medicine wey dem dey use treat gastroesophageal reflux disease acid reflux and indigestion by relieving symptoms like heartburn stomach pain or irritation,esopen dsr capsule is a prescription medicine used to treat gastroesophageal reflux disease acid reflux and indigestion by relieving the symptoms such as heartburn stomach pain or irritation,Speaker_5,19.13,"['gastroesophageal', 'lux', 'disease', 'indigestion']",train
audio/Speaker_5/Speaker5-392.wav,she been faint for school earlier that day and dem been send am go house that afternoon she been vomit once and rest for bed she been wake up during the night dey scream because of pain,she had fainted at school earlier in the day and been sent home that afternoon she had vomited once and rested in bed she woke during the night screaming in pain,Speaker_5,12.73,"['fainted', 'earlier', 'vomited', 'rested']",train
audio/Speaker_5/Speaker5-393.wav,phenobarbital na barbiturate wey dem dey prescribe for seizures and as sedative to relieve anxiety phenobarbital dey work by slowing activity for the brain when person no suppose take phenobarbital hypersensitivity wetin be the dosage of phenobarbital,phenobarbital is a barbiturate prescribed for seizures and as a sedative to relieve anxiety phenobarbital works by slowing activity in the brain when should phenobarbital not to be taken hypersensitivity what is the dosage of phenobarbital,Speaker_5,28.44,"['seizures', 'phenobarbital']",train
audio/Speaker_5/Speaker5-394.wav,epoprostenol na prostaglandin wey dem dey prescribe for pulmonary arterial hypertension this medicine dey relax blood vessels when person no suppose take epoprostenol e no good for people wey get congestive heart failure lung swelling and hypersensitivity wetin be the dosage of epoprostenol,epoprostenol is a prostaglandin prescribed for pulmonary arterial hypertension the medication relaxes blood vessels when should epoprostenol not to be taken contraindicated in people with congestive heart failure lung swelling and hypersensitivity what is the dosage of epoprostenol,Speaker_5,32.02,"['epoprostenol', 'pulmonary', 'lung', 'swelling']",train
audio/Speaker_5/Speaker5-395.wav,escita 10mg tablet na medicine wey dem dey prescribe well well to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder e be one type of antidepressant wey dem dey call selective serotonin reuptake inhibitor ssri,escita 10mg tablet is widely prescribed to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder it is a type of antidepressant known as a selective serotonin reuptake inhibitor ssri,Speaker_5,22.63,"['escita', 'mg', 'tablet', 'antidepressant', 'selective', 'serotonin', 'reuptake', 'inhibitor']",train
audio/Speaker_5/Speaker5-396.wav,nitro 100mg capsule na antibiotic wey dey fight bacteria dem dey use am treat and prevent uncomplicated urinary tract infections e dey work by killing the bacteria wey cause the disease but e no go treat viral infection,nitro 100mg capsule is an antibiotic that fights bacteria it is used to treat and prevent uncomplicated urinary tract infections it works by killing the bacteria that cause such disease but it will not treat a viral infection,Speaker_5,20.07,[],train
audio/Speaker_5/Speaker5-397.wav,switglim mv 1mg 500mg 0 3mg tablet belong to one category of medicines wey dem dey call anti diabetic drugs e be combination of medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,switglim mv 1mg 500mg 0 3mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_5,27.5,"['mg', 'tablet', 'type', 'diabetes', 'mellitus']",train
audio/Speaker_5/Speaker5-398.wav,eurythmic 200mg tablet na medicine wey dem dey use treat different kinds of serious irregular heartbeat arrhythmia like fibrillation and tachycardia e be anti arrhythmic type of medicine and e dey quickly restore your heart to steady and regular rhythm,eurythmic 200mg tablet is used to treat various types of serious irregular heartbeat arrhythmia such as fibrillation and tachycardia it is an anti arrhythmic type of medicine and rapidly restores your heart to a steady and regular rhythm,Speaker_5,26.05,"['eurythmic', 'mg', 'tablet', 'heartbeat', 'tachycardia', 'steady', 'irregular']",train
audio/Speaker_5/Speaker5-399.wav,nafodil 50 tablet na alpha adrenergic antagonist wey dem dey use treat benign prostatic hyperplasia e dey help relieve symptoms like difficulty to pass urine but e no dey reduce the size of the prostate,nafodil 50 tablet is an alpha adrenergic antagonist that is used in the treatment of benign prostatic hyperplasia it helps to relieve symptoms like difficulty in passing urine however it does not decrease the size of the prostate,Speaker_5,21.44,"['nafodil', 'tablet', 'alpha', 'adrenergic', 'prostatic']",train
audio/Speaker_5/Speaker5-400.wav,the overlying gastric mucosa been normal except for small elevation and no associated symptoms no been dey him medical and family histories no been get anything serious complete blood count and serum chemistry tests been normal,the overlying gastric mucosa was normal except for a slight elevation and no associated symptoms were present his medical and family histories were unremarkable a complete blood count and serum chemistry tests were normal,Speaker_5,22.04,"['gastric', 'normal', 'complete', 'blood', 'count', 'serum', 'chemistry']",train
audio/Speaker_5/Speaker5-401.wav,azulix 1 tablet na medicine wey dem dey use treat type 2 diabetes mellitus for adults e belong to one group of medicines wey dem dey call sulfonylureas and e dey help control blood sugar level for people wey get diabetes,azulix 1 tablet is a medicine used to treat type 2 diabetes mellitus in adults it belongs to a group of medicines called sulfonylureas and helps control blood sugar levels in people with diabetes,Speaker_5,20.76,"['azulix', 'tablet', 'type', 'diabetes', 'mellitus', 'sulfonylureas']",train
audio/Speaker_5/Speaker5-402.wav,claricet 250mg tablet na antibiotic wey dem dey use treat different kinds of infections e dey effective for most infections of respiratory tract ear nose throat lungs and skin,claricet 250mg tablet is an antibiotic used to treat various types of infections it is effective in most infections of the respiratory tract ear nose throat lungs and skin,Speaker_5,18.37,"['claricet', 'mg']",train
audio/Speaker_5/Speaker5-403.wav,atorica 20 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,atorica 20 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,13.16,"['atorica', 'tablet']",train
audio/Speaker_5/Speaker5-404.wav,liam 0 25mg tablet na prescription medicine wey dem dey use treat short term anxiety and insomnia e dey bind to specific receptor sites for the brain and calm the brain because of that e dey provide effective relaxation to the brain,liam 0 25mg tablet is a prescription medicine used to treat short term anxiety and insomnia it binds to specific receptor sites in the brain and calms the brain therefore it provides effective relaxation to the brain,Speaker_5,19.39,"['mg', 'tablet', 'anxiety', 'brain']",train
audio/Speaker_5/Speaker5-405.wav,the last repair of inguinal hernia been 7 months before and na then e need mesh placement e been come emergency department with serious stabbing pain for the right lower abdomen and pelvis area for 3 weeks,the last repair of inguinal hernia was 7 months ago in which he required mesh placement he presented to the emergency department with an excruciating stabbing pain in the right lower abdomen and pelvis area for 3 weeks,Speaker_5,17.6,"['repair', 'inguinal', 'hernia', 'presented', 'emergency', 'department', 'excruciating', 'stabbing', 'abdomen', 'pelvis']",train
audio/Speaker_5/Speaker5-406.wav,acetohexamide na medicine wey dem dey use treat type 2 diabetes mellitus to control high blood sugar level together with diet and exercise acetohexamide dey stimulate the pancreas to release insulin so person no suppose use am for type 1 diabetes mellitus,acetohexamide is used to treat type 2 diabetes mellitus for controlling the high blood sugar level together with diet and exercise acetohexamide stimulates the pancreas to secrete insulin and hence it should not be used in type 1 diabetes mellitus,Speaker_5,21.78,"['acetohexamide', 'type', 'diabetes', 'mellitus', 'high', 'blood', 'sugar', 'pancreas', 'insulin']",train
audio/Speaker_5/Speaker5-407.wav,the patient been undergo total thoracoscopic epicardial ablation without any intraoperative or postoperative complications after that dem been do percutaneous postprocedural electrophysiologic evaluation wey include confirmation of pulmonary vein isolation and cavotricuspid isthmus block on the tenth postoperative day,the patient underwent a total thoracoscopic epicardial ablation without any intraoperative or postoperative complications followed by a percutaneous postprocedural electrophysiologic evaluation that included confirmation of pulmonary vein isolation and a cavotricuspid isthmus block on the tenth postoperative day,Speaker_5,32.02,"['total', 'thoracoscopic', 'ablation', 'postoperative', 'electrophysiologic', 'evaluation', 'pulmonary', 'block']",train
audio/Speaker_5/Speaker5-408.wav,evaquik 1mg tablet na prescription medicine wey dem dey use treat constipation e dey increase the release of certain chemical wey improve movement of food inside the intestine and e dey help increase gastric emptying of both liquid and solid,evaquik 1mg tablet is a prescription medicine used in the treatment of constipation it increases the release of certain chemical that improves the movement of food inside the intestine and helps to increase gastric emptying of both liquid and solid,Speaker_5,19.05,"['tablet', 'constipation', 'gastric']",train
audio/Speaker_5/Speaker5-409.wav,e get medical history of ventricular septal defect wey join pulmonary stenosis and dem been diagnose am when e be 15 years old him parents been refuse surgical treatment and follow up been stop since then,he has a medical history of ventricular septal defect associated with pulmonary stenosis diagnosed at 15 years old with surgical treatment refused by his parents and with interrupted follow up since then,Speaker_5,17.26,"['pulmonary', 'stenosis', 'surgical', 'treatment', 'parents', 'follow']",train
audio/Speaker_5/Speaker5-410.wav,arpizol 10 tablet na antipsychotic medicine dem dey use am treat schizophrenia one mental disorder wey fit make person dey see or believe things wey no real and e fit still affect how person dey reason behave and fit cause mania,arpizol 10 tablet is an antipsychotic medicine it is used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_5,20.16,"['arpizol', 'tablet', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_5/Speaker5-411.wav,oricox t 60mg 4mg tablet na combination of two medicines wey dem dey use treat pain because of muscle spasm e dey improve movement of muscles and e dey relieve pain and discomfort wey relate to muscle spasms,oricox t 60mg 4mg tablet is a combination of two medicines used in the treatment of pain due to muscle spasm it improves the movement of muscles and provides relief from pain and discomfort associated with muscle spasms,Speaker_5,19.82,"['oricox', 'mg', 'tablet', 'movement', 'discomfort', 'muscles']",train
audio/Speaker_5/Speaker5-412.wav,piopar mf 15mg 500mg tablet na combination medicine wey dey help control blood sugar level dem dey use this medicine together with diet and exercise to improve blood sugar control for adults wey get type 2 diabetes mellitus,piopar mf 15mg 500mg tablet is a combination medicine that helps control blood sugar levels this medicine is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus,Speaker_5,21.01,"['piopar', 'mf', 'mg', 'tablet', 'blood', 'sugar', 'type', 'diabetes']",train
audio/Speaker_5/Speaker5-413.wav,rosat 20 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,rosat 20 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,10.52,"['rosat', 'tablet']",train
audio/Speaker_5/Speaker5-414.wav,turbovas 40 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,turbovas 40 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,10.86,"['turbovas', 'tablet']",train
audio/Speaker_5/Speaker5-415.wav,dexamethasone intravitreal implant na corticosteroid wey dem dey prescribe for macular edema after branch retinal vein occlusion brvo or central retinal vein occlusion crvo when person no suppose take dexamethasone intravitreal implant,dexamethasone intravitreal implant is a corticosteroid prescribed for macular edema following branch retinal vein occlusion brvo or central retinal vein occlusion crvo when should dexamethasone intravitreal implant not to be taken,Speaker_5,26.22,"['dexamethasone', 'corticosteroid', 'edema', 'branch', 'retinal', 'vein', 'central']",train
audio/Speaker_5/Speaker5-416.wav,vofid 0 2mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus e dey help control high blood sugar level for your body after each meal,vofid 0 2mg tablet is a medicine used to treat type 2 diabetes mellitus it helps control the high blood sugar levels in your body after each meal,Speaker_5,15.04,"['vofid', 'mg', 'type', 'diabetes']",train
audio/Speaker_5/Speaker5-417.wav,rosovas 20mg tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,rosovas 20mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,10.69,['tablet'],train
audio/Speaker_5/Speaker5-418.wav,etipax 0 5mg tablet na prescription medicine wey dem dey use treat short term anxiety and insomnia e dey bind to specific receptor sites for the brain and calm the brain because of that e dey provide effective relaxation to the brain,etipax 0 5mg tablet is a prescription medicine used to treat short term anxiety and insomnia it binds to specific receptor sites in the brain and calms the brain therefore it provides effective relaxation to the brain,Speaker_5,19.39,"['etipax', 'mg', 'tablet', 'anxiety', 'brain']",train
audio/Speaker_5/Speaker5-419.wav,upper gastrointestinal small bowel follow through for 4 hours been show dilated loops of proximal small bowel and no progress of contrast reach the colon and that one suggest small bowel obstruction,upper gastrointestinal small bowel follow through at 4 hours showing dilated loops of proximal small bowel and no progression of contrast through to the colon suggestive of small bowel obstruction,Speaker_5,16.66,"['gastrointestinal', 'bowel', 'dilated', 'loops', 'small', 'progression', 'contrast']",train
audio/Speaker_5/Speaker5-420.wav,the patient been smoke before but e stop the habit 5 years ago and that one don improve lung function well and reduce risk of respiratory diseases the food too full of junk food and that one dey lead to higher calorie intake obesity and possible cardiovascular complications,patient was previously a smoker having quit the habit 5 years ago which has significantly improved lung function and reduced risk of respiratory diseases diet is high in junk food leading to increased calorie intake obesity and potential cardiovascular complications,Speaker_5,23.74,['diet'],train
audio/Speaker_5/Speaker5-421.wav,telvas ln 80 tablet get two medicines inside and both of them dey help control high blood pressure e dey lower blood pressure by relaxing the blood vessels and making am easier for your heart to pump blood round your body,telvas ln 80 tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_5,17.94,"['tablet', 'lowers', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-422.wav,pulmonext 5 tablet na prescription medicine wey dem dey use treat pulmonary arterial hypertension high pressure for the blood vessels wey carry blood from heart go lungs,pulmonext 5 tablet is a prescription medicine used to treat pulmonary arterial hypertension high pressure in the blood vessels that carry blood from the heart to the lungs,Speaker_5,13.59,"['pulmonext', 'high', 'pressure']",train
audio/Speaker_5/Speaker5-423.wav,nocturin 2 5mg tablet na medicine wey dem dey use treat overactive bladder e dey relieve urinary symptoms like frequent urination urgent need to urinate and inability to control urination,nocturin 2 5mg tablet is used in the treatment of overactive bladder it relieves urinary symptoms like frequent urination urgent need to urinate and inability to control urination,Speaker_5,15.38,"['nocturin', 'mg', 'tablet']",train
audio/Speaker_5/Speaker5-424.wav,this part of the abdominopelvic ct wey dem take before the preexploratory laparotomy been show hypodense spherical and ovoid locules arrows inside the mesentery and close to the small bowel arrowhead,this portion of an abdominopelvic ct taken prior to the preexploratory laparotomy demonstrates hypodense spherical and ovoid locules arrows within the mesentery and adjacent to the small bowel arrowhead,Speaker_5,20.33,"['abdominopelvic', 'ct', 'hypodense', 'portion', 'locules', 'arrows', 'mesentery', 'small', 'bowel', 'arrowhead']",train
audio/Speaker_5/Speaker5-425.wav,rabiros it 20 mg 150 mg capsule na combination medicine wey dem dey use treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving acidity symptoms like heartburn stomach pain or irritation,rabiros it 20 mg 150 mg capsule is a combination medicine used to treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving the symptoms of acidity such as heartburn stomach pain or irritation,Speaker_5,24.43,"['rabiros', 'mg', 'reflux', 'disease', 'acid', 'peptic', 'ulcer']",train
audio/Speaker_5/Speaker5-426.wav,patient get mass for the left low lobe for bulls eye projection the coaxial needle dey enter for the point of the skin wey dem indicate and e align with the target point circle,patient with left low lobe mass bulls eye projection the coaxial needle is entering in the point of the skin indicated and aligned with the target point circle,Speaker_5,15.89,"['low', 'lobe', 'bulls', 'projection', 'point']",train
audio/Speaker_5/Speaker5-427.wav,cerevate 90mg tablet na prescription medicine wey dem dey use treat stroke head injury and alzheimer s disease dem fit use am alone or together with other medicines depending on the illness wey dem dey use am for,cerevate 90mg tablet is a prescription medicine used in the treatment of stroke head injury and alzheimer s disease it may be used alone or in combination with other medicines depending on the illness it is being used for,Speaker_5,15.89,"['cerevate', 'tablet']",train
audio/Speaker_5/Speaker5-428.wav,x ray imaging been show osteoblastic bone destruction for the left distal tibia mri been show mixed high and low signal intensity with visible periosteal reaction and one anterior soft tissue swelling,x ray imaging showed osteoblastic bone destruction of the left distal tibia mri showed a mixed high and low signal intensity with a visible periosteal reaction and an anterior soft tissue swelling,Speaker_5,16.32,"['ray', 'imaging', 'osteoblastic', 'bone', 'destruction', 'distal', 'tibia', 'mri', 'high', 'low', 'visible', 'perios', 'anterior', 'soft', 'tissue']",train
audio/Speaker_5/Speaker5-429.wav,the patient na smoker and e dey smoke about 20 cigarettes every day with 15 year history of the habit long standing for many hours often more than 6 hours every day don increase risk of varicose veins and lower limb discomfort,patient is a smoker consuming approximately 20 cigarettes per day with a 15 year history of the habit prolonged standing for extended periods often exceeding 6 hours per day has led to increased risk of varicose veins and lower limb discomfort,Speaker_5,18.03,"['consuming', 'varicose', 'limb']",train
audio/Speaker_5/Speaker5-430.wav,amimind 50 tablet na prescription medicine wey dem dey use treat schizophrenia one mental disorder wey fit make person dey see or believe things wey no real and e fit still affect how person dey reason and behave,amimind 50 tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave,Speaker_5,15.55,"['amimind', 'tablet', 'mental', 'disorder', 'hallucinations', 'delusions', 'think']",train
audio/Speaker_5/Speaker5-431.wav,covatil 250 tablet na antibiotic medicine wey dem dey use treat bacterial infections for your body e dey effective for infections of the lungs like pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,covatil 250 tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs e g pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,Speaker_5,19.99,"['covatil', 'tablet', 'antibiotic', 'bacterial', 'infections', 'lungs', 'nasal', 'your']",train
audio/Speaker_5/Speaker5-432.wav,the patient na regular smoker and e dey smoke about 20 cigarettes every day with 15 year history of the habit that one don increase risk of respiratory problems and cardiovascular issues,patient is a regular smoker consuming approximately 20 cigarettes per day with a 15 year history of the habit this has led to an increased risk of respiratory issues and cardiovascular problems,Speaker_5,16.75,"['regular', 'consuming', 'cigarettes', 'per']",train
audio/Speaker_5/Speaker5-433.wav,dem been first diagnose am with leg liposarcoma 5 years before and e been undergo complete resection even though e get history of liposarcoma for him leg e no been develop any abdominal symptoms,he was first diagnosed as leg liposarcoma 5 years before and underwent complete resection despite of history of liposarcoma in his leg he never developed any abdominal symptoms,Speaker_5,17.26,"['leg', 'liposarcoma', 'before', 'complete', 'res']",train
audio/Speaker_5/Speaker5-434.wav,hyq 400 tablet na medicine wey dem dey use treat autoimmune conditions like rheumatoid arthritis and systemic lupus erythematosus e dey slow down the progression of the disease and e dey relieve pain swelling and redness,hyq 400 tablet is used in the treatment of autoimmune conditions such as rheumatoid arthritis and systemic lupus erythematosus it slows down the progression of the disease and provides relief from pain swelling and redness,Speaker_5,17.68,"['rheumatoid', 'arthritis']",train
audio/Speaker_5/Speaker5-435.wav,solicept 10 tablet na muscarinic antagonist wey dem dey use treat overactive bladder e dey relieve urinary symptoms like frequent urination urgent need to urinate and inability to control urination,solicept 10 tablet is a muscarinic antagonist that is used in the treatment of overactive bladder it relieves urinary symptoms like frequent urination urgent need to urinate and inability to control urination,Speaker_5,18.62,"['solicept', 'tablet', 'muscarinic', 'antagonist', 'urinary', 'symptoms']",train
audio/Speaker_5/Speaker5-436.wav,cosart 50 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,cosart 50 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,18.96,"['high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-437.wav,follow up radiograph of the abdomen been show tiny metallic densities for the region of the ureter and the pelvicalyceal system arrows dem still see densities over the lower lumbar spine and the pelvis arrowheads,follow up radiograph of the abdomen shows tiny metallic densities in the region of the ureter and the pelvicalyceal system arrows densities are also seen over the lower lumbar spine and the pelvis arrowheads,Speaker_5,17.77,"['follow', 'radiograph', 'abdomen', 'tiny', 'metallic', 'densities', 'ureter', 'pelvicalyceal', 'system', 'lumbar', 'spine', 'pelvis', 'arrowheads']",train
audio/Speaker_5/Speaker5-438.wav,during the procedure dem been identify one small stone for the bladder wey likely pass come from the kidney and dem been remove am dem been send the stone for analysis but dem no been fit identify wetin e contain even after repeat analysis,during the procedure a small stone in the bladder was identified presumably passed from the kidney and it was removed the stone was sent for analysis and its constituents were unable to be identified even after repeat analysis,Speaker_5,18.03,['small'],train
audio/Speaker_5/Speaker5-439.wav,medical history been show say the patient been dey receive treatment under one gynecologist for menopausal symptoms dental history been show say the patient don dey edentulous since 2 years and been dey experience the problems wey dem mention above since 1 year,medical history revealed that the patient was undergoing treatment under a gynecologist for menopausal symptoms dental history revealed patient was edentulous since 2 years and had been experiencing above problems since 1 year,Speaker_5,21.52,"['edentulous', 'above', 'problems']",train
audio/Speaker_5/Speaker5-440.wav,she been get past history of hyperlipidemia chest computed tomography scan been show one cystic lesion wey attach to the body of her pancreas and dem been make diagnosis of cystic pancreatic tumor blood tests no been show inflammation or anemia,she had a past history of hyperlipidemia a chest computed tomography scan showed a cystic lesion attached to the body of her pancreas and a diagnosis of cystic pancreatic tumor was made blood tests showed neither inflammation nor anemia,Speaker_5,21.78,"['hyperlipidemia', 'chest', 'computed', 'tomography', 'lesion', 'cystic', 'tumor', 'blood', 'tests', 'inflammation']",train
audio/Speaker_5/Speaker5-441.wav,teledin am 40mg 5mg tablet get two medicines inside and both of them dey help control high blood pressure e dey lower blood pressure by relaxing the blood vessels and making am easier for your heart to pump blood round your body,teledin am 40mg 5mg tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_5,18.11,"['teledin', 'am', 'mg', 'tablet', 'lowers', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-442.wav,him history been important because e receive deceased donor kidney transplant for 1991 for 1992 e been undergo bilateral native nephrectomy and for 2007 dem been do transplant nephrectomy because of chronic allograft nephropathy,his history is significant for receiving a deceased donor kidney transplant in 1991 in 1992 he underwent bilateral native nephrectomy and in 2007 a transplant nephrectomy was performed for chronic allograft nephropathy,Speaker_5,25.36,"['deceased', 'kidney', 'bilateral', 'native', 'nephrectomy', 'transplant', 'allograft']",train
audio/Speaker_5/Speaker5-443.wav,losar ch 12 5 tablet na combination of two medicines e dey help control high blood pressure in different ways if person no treat high blood pressure e fit lead to heart attack stroke and kidney failure,losar ch 12 5 tablet is a combination of two medicines it helps to control high blood pressure in different ways if high blood pressure is not treated it can lead to heart attacks strokes and kidney failure,Speaker_5,18.45,"['losar', 'tablet']",train
audio/Speaker_5/Speaker5-444.wav,there no been get any other associated complaints like nausea vomiting or abdominal pain preanesthetic evaluation been show no previous surgeries or hospitalization no medicine use no history of any other chronic illness or associated congenital anomalies airway examination been normal,there were no other associated complaints such as nausea vomiting or abdominal pain preanesthetic evaluation revealed no previous surgeries or hospitalization no medication no history of any other chronic illness or associated congenital anomalies airway examination was normal,Speaker_5,23.06,"['vomiting', 'abdominal', 'preanesthetic', 'evaluation', 'anomalies', 'no', 'history', 'any', 'other', 'chronic', 'illness', 'airway', 'examination']",train
audio/Speaker_5/Speaker5-445.wav,e been show one mass like lesion for the right l5s1 foramen and dem been consider diagnosis of hernia or tumour over 1 month period dem been manage the patient clinically with analgesics and the symptoms resolve small,it showed a mass like lesion at the right l5s1 foramen and a diagnosis of hernia or tumour was considered over a 1 month period the patient was managed clinically with analgesics with partial resolution of symptoms,Speaker_5,20.41,"['mass', 'les', 'foramen', 'hernia', 'tumour', 'analgesics']",train
audio/Speaker_5/Speaker5-446.wav,skin biopsy na procedure wey dem dey use remove cells from the surface of your body so dem fit test am for lab dem dey use skin biopsy most times to diagnose skin conditions,a skin biopsy is a procedure to remove cells from the surface of your body so that they can be tested in a lab a skin biopsy is used most often to diagnose skin conditions,Speaker_5,14.53,"['remove', 'biopsy']",train
audio/Speaker_5/Speaker5-447.wav,revulant 1000mg tablet na medicine wey dem dey use manage angina wey be heart related chest pain e dey help prevent new angina attacks but e no dey stop acute attack once e don start,revulant 1000mg tablet is a medicine used for the management of angina heart related chest pain it helps to prevent new attacks of angina but it does not stop an acute attack once it has started,Speaker_5,17.17,"['mg', 'tablet', 'angina', 'chest']",train
audio/Speaker_5/Speaker5-448.wav,starcet 5mg tablet belong to one group of medicines wey dem dey call antihistamines dem dey use am treat different allergic conditions like hay fever conjunctivitis some skin reactions like eczema hives and reactions to bites and stings,starcet 5mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis some skin reactions such as eczema hives and reactions to bites and stings,Speaker_5,17.94,['tablet'],train
audio/Speaker_5/Speaker5-449.wav,of 200 tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections of urinary tract nose throat skin soft tissues and lungs like pneumonia,of 200 tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_5,15.89,"['urinary', 'lungs']",train
audio/Speaker_5/Speaker5-450.wav,ct neck axial cut postcontrast soft tissue window been show well defined oval shaped mass wey involve the lobe of the right parotid gland the lesion been show increase for density after iv contrast media injection,ct neck axial cut postcontrast soft tissue window well defined oval shaped mass involving the lobe of the right parotid gland the lesion shows an increase in density after iv contrast media injection,Speaker_5,21.35,"['axial', 'cut', 'soft', 'tissue', 'window', 'well', 'oval', 'mass', 'parotid', 'lesion', 'increase']",train
audio/Speaker_5/Speaker5-451.wav,the features of the mass for us been consistent with hd and dem been diagnose am as three cysts hepatic renal and retroperitoneal our patient no been get history of liver disease kidney disease or pain for him right abdominal quadrants,the features of the mass on us were consistent with hd and it was diagnosed as three cysts hepatic renal and retroperitoneal our patient had no history of liver or kidney disease or pain in his right abdominal quadrants,Speaker_5,19.73,"['hd', 'hepatic', 'renal', 'retroperitoneal']",train
audio/Speaker_5/Speaker5-452.wav,diphen 25mg capsule na antihistaminic medicine dem dey use am treat symptoms of nasal allergy like sneezing runny nose itching and watery eyes dem still fit use am treat insomnia and motion sickness,diphen 25mg capsule is an antihistaminic medicine it is used to treat symptoms of nasal allergy such as sneezing runny nose itching and watery eyes it may also be used to treat insomnia and motion sickness,Speaker_5,18.79,"['diphen', 'capsule', 'itching', 'watery']",train
audio/Speaker_5/Speaker5-453.wav,repadone 1mg tablet na prescription medicine wey dem dey use treat schizophrenia one mental disorder wey fit make person dey see or believe things wey no real and e fit still affect how person dey reason behave and fit cause mania,repadone 1mg tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_5,14.78,"['repadone', 'tablet', 'medicine', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_5/Speaker5-454.wav,blood sugar random the value na 104 8 mg dl uric acid the value na 5 1 mg dl plateletcritpct the value na 0 3,blood sugar random the value is 104 8 mg dl uric acid the value is 5 1 mg dl plateletcritpct the value is 0 3,Speaker_5,20.93,"['mg', 'uric', 'plateletcritpct']",train
audio/Speaker_5/Speaker5-455.wav,dem been diagnose egpa 12 years before when e been present with asthma exacerbation wey join extremity petechiae purpura and digital infarcts as well as amaurosis and temporal artery swelling,the diagnosis of egpa had been done 12 years before when he presented with asthma exacerbation associated with extremity petechiae purpura and digital infarcts as well as amaurosis and temporal artery swelling,Speaker_5,22.89,"['egpa', 'before', 'presented', 'exacerbation', 'purpura', 'digital', 'infarcts', 'amaurosis', 'temporal', 'artery']",train
audio/Speaker_5/Speaker5-456.wav,pentobarbital na barbiturate wey dem dey prescribe for insomnia and seizures pentobarbital dey slow down the activities of the brain and nervous system when person no suppose take pentobarbital,pentobarbital is a barbiturate prescribed for insomnia and seizures pentobarbital slows the activities of brain and nervous system when should pentobarbital not to be taken,Speaker_5,15.72,[],train
audio/Speaker_5/Speaker5-457.wav,aldactone plus 25mg 20mg tablet na combination of two medicines wey dem dey use reduce excess fluid for the body while e dey maintain potassium balance dem dey use am treat edema fluid overload and some cases of hypertension,aldactone plus 25mg 20mg tablet is a combination of two medicines used to reduce excess fluid levels in the body while maintaining the potassium balance it is used to treat edema fluid overload and some cases of hypertension,Speaker_5,23.06,"['aldactone', 'mg', 'tablet', 'medicines']",train
audio/Speaker_5/Speaker5-458.wav,the patient get chronic allergy to pollen with history of amlodipine induced edema plus the patient been stop taking some medicines before and that one fit show possible drug sensitivities,the patient has a chronic allergy to pollen with a history of amlodipine induced edema additionally the patient has stopped taking certain medications in the past indicating potential drug sensitivities,Speaker_5,16.4,"['amlodipine', 'medications']",train
audio/Speaker_5/Speaker5-459.wav,rapo d 30mg 20mg tablet na combination medicine wey dem dey use treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving acidity symptoms like heartburn stomach pain or irritation,rapo d 30mg 20mg tablet is a combination medicine used to treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving the symptoms of acidity such as heartburn stomach pain or irritation,Speaker_5,18.88,"['rapo', 'mg', 'tablet', 'reflux', 'disease', 'acid', 'peptic', 'ulcer']",train
audio/Speaker_5/Speaker5-460.wav,ct scan been show irregular area wey get slightly higher density the largest cross section diameter been 5 2 cm by 4 8 cm and the ct value been a little higher than the intravesical ct value some punctate calcification still been dey for the edge and inside the hyperdense area,ct scan shows an irregular slightly higher density the largest cross section diameter was 5 2 cm4 8 cm and its ct value was slightly higher than the intravesical ct value there was some punctate calcification on the edge and inside the hyperdense area,Speaker_5,27.5,"['section', 'cm', 'punctate', 'calcification']",train
audio/Speaker_5/Speaker5-461.wav,triiodothyronine t3 the value na 124 7 ng dl r d w cv the value na 13 4 alt sgpt the value na 18 0 u l,triiodothyronine t3 the value is 124 7 ng dl r d w cv the value is 13 4 alt sgpt the value is 18 0 u l,Speaker_5,21.78,"['triiodothyronine', 'ng']",train
audio/Speaker_5/Speaker5-462.wav,no significant disease no been mention for the anamnesis dem been diagnose the patient with gingivitis and dem been treat am with non steroid anti inflammatory drug and oral rinsing with chlorhexidine the patient condition no been improve well well,no significant diseases were mentioned in the anamnesis the patient was diagnosed with gingivitis and treated with a non steroid anti inflammatory drug and oral rinsing with chlorhexidine the condition of the patient did not improve significantly,Speaker_5,19.48,"['diseases', 'non', 'steroid', 'anti', 'inflammatory', 'drug', 'oral', 'chlorhexidine']",train
audio/Speaker_5/Speaker5-463.wav,roslen 20 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,roslen 20 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,10.52,"['roslen', 'tablet']",train
audio/Speaker_5/Speaker5-464.wav,atorfit 40 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,atorfit 40 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,13.93,"['atorfit', 'tablet']",train
audio/Speaker_5/Speaker5-465.wav,rolistat 10 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,rolistat 10 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,8.81,['tablet'],train
audio/Speaker_5/Speaker5-466.wav,t3 total the value na 1 14 ng dl eosinophil absolute count the value na 0 36 10 3 mm3 serum chloride the value na 102 0 mmol l,t3 total the value is 1 14 ng dl eosinophil absolute count the value is 0 36 10 3 mm3 serum chloride the value is 102 0 mmol l,Speaker_5,24.17,"['ng', 'mm', 'serum', 'mmol']",train
audio/Speaker_5/Speaker5-467.wav,yogamet gmp 2 tablet na combination medicine wey dey help control blood sugar level dem dey use this medicine together with diet and exercise to improve blood sugar control for adults wey get type 2 diabetes mellitus,yogamet gmp 2 tablet is a combination medicine that helps control blood sugar levels this medicine is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus,Speaker_5,18.71,"['yogamet', 'gmp', 'blood', 'sugar', 'type', 'diabetes']",train
audio/Speaker_5/Speaker5-468.wav,hisone 5 tablet belong to one group of medicines wey dem dey call corticosteroids dem dey use am treat many different diseases and conditions like severe allergic reactions allergic conditions cancer and skin and eye disorders,hisone 5 tablet belongs to a group of medicines called corticosteroids it is used to treat a variety of diseases and conditions such as severe allergic reactions allergic conditions cancer and skin and eye disorders,Speaker_5,17.77,"['hisone', 'tablet', 'corticosteroids', 'severe']",train
audio/Speaker_5/Speaker5-469.wav,preoperative abdominal x ray film dilated loops of small bowel been dey for the upper abdomen dilated cecum or massively dilated small bowel loop been dey for the right lower abdomen hollow arrow fetal bony silhouette been outlined with solid arrows,preoperative abdominal x ray film dilated loops of small abdomen in the upper abdomen dilated cecum or massively dilated small bowel loop in right lower abdomen hollow arrow fetal bony silhouette is outlined with solid arrows,Speaker_5,23.74,"['abdominal', 'ray', 'dilated', 'abdomen', 'cecum', 'massively', 'solid']",train
audio/Speaker_5/Speaker5-470.wav,megabid 500mcg 75mg capsule na prescription medicine wey dem dey use treat neuropathic pain e dey reduce pain by modulating the calcium channel activity of nerve cells this medicine still dey protect nerve fibers and heal damaged nerve cells,megabid 500mcg 75mg capsule is a prescription medicine used for the treatment of neuropathic pain it decreases the pain by modulating calcium channel activity of the nerve cells this medicine also protects nerve fibers and heal damaged nerve cells,Speaker_5,24.85,"['megabid', 'mcg', 'mg', 'calcium', 'channel']",train
audio/Speaker_5/Speaker5-471.wav,zyrova 5 tablet belong to one group of medicines wey dem dey call statins dem dey use am lower cholesterol and reduce the risk of heart disease,zyrova 5 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_5,11.28,[],train
audio/Speaker_5/Speaker5-472.wav,this right lateral radiograph been show collapse of the intrathoracic trachea for the carina black arrow as well as collapse of the cranial and caudal segments of the bronchus of the left cranial lung lobe white arrows,this right lateral radiograph demonstrates collapse of the intrathoracic trachea at the carina black arrow as well as collapse of the cranial and caudal segments of the bronchus of the left cranial lung lobe white arrows,Speaker_5,19.48,"['lateral', 'radiograph', 'collapse', 'intrathoracic', 'trachea', 'carina', 'arrows', 'cranial', 'caudal', 'segments', 'bronchus', 'lung']",train
audio/Speaker_5/Speaker5-473.wav,lorzin 2mg tablet na prescription medicine wey dem dey use treat short term anxiety e dey help reduce the abnormal and too much activity of the nerve cells and e dey calm the brain,lorzin 2mg tablet is a prescription medicine used to treat short term anxiety it helps to decrease the abnormal and excessive activity of the nerve cells and calms the brain,Speaker_5,15.72,"['lorzin', 'tablet', 'abnormal', 'excessive']",train
audio/Speaker_5/Speaker5-474.wav,dem been examine the patient and dem been see rudimentary cartilage for the right side with missing malformed ear the left side ear been normal and no other congenital anomaly no been dey except microtia,the patient was examined and the presence of rudimentary cartilage was seen on right side with missing malformed ear the left side ear was normal and there was no other congenital anomaly present except microtia,Speaker_5,17.0,"['rudimentary', 'cartilage', 'side']",train
audio/Speaker_5/Speaker5-475.wav,the patient dey stand for long periods many times and that one dey increase risk of varicose veins and lower limb discomfort alcohol use na daily habit and e fit cause liver damage and disturb sleep pattern,patient engages in prolonged standing for extended periods leading to increased risk of varicose veins and lower limb discomfort alcohol consumption is a daily habit potentially causing liver damage and disrupting sleep patterns,Speaker_5,14.36,"['prolonged', 'varicose', 'veins', 'limb']",train
audio/Speaker_5/Speaker5-476.wav,nitrosun 10 tablet na prescription medicine wey dem dey use treat insomnia dem dey usually use am together with other medicines e dey relax the brain and e dey help treat people wey get problem with their sleeping habit,nitrosun 10 tablet is a prescription medicine used for treating insomnia it is generally used in combination with other medicines it relaxes the brain and helps to treat people who have problems with their sleeping habits,Speaker_5,15.29,['nitrosun'],train
audio/Speaker_5/Speaker5-477.wav,olcet 5mg tablet belong to one group of medicines wey dem dey call antihistamines dem dey use am treat different allergic conditions like hay fever conjunctivitis some skin reactions like eczema hives and reactions to bites and stings,olcet 5mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis some skin reactions such as eczema hives and reactions to bites and stings,Speaker_5,16.92,['tablet'],train
audio/Speaker_5/Speaker5-478.wav,since the age of 21 e don get many episodes of weakness and e dey often happen after strenuous exercise e been come emergency room on december 15 2012 with sudden onset paralysis after e participate for cricket match,since the age of 21 he has multiple episodes of weakness frequently following strenuous exercise he came to the emergency room on december 15 2012 with sudden onset paralysis following participating in a cricket match,Speaker_5,20.41,"['age', 'multiple', 'episodes', 'weakness', 'strenuous', 'came', 'emergency', 'room', 'december', 'sudden', 'onset', 'paralysis']",train
audio/Speaker_5/Speaker5-479.wav,e been get history of right tongue cancer wey dem surgically treat 20 years before through right partial glossectomy right modified radical neck dissection and reconstruction with left radial forearm free flap followed by adjuvant radiation therapy,he had a history of right tongue cancer surgically treated 20 years ago via right partial glossectomy right modified radical neck dissection and reconstructed with a left radial forearm free flap followed by adjuvant radiation therapy,Speaker_5,22.38,"['tongue', 'cancer', 'glossectomy', 'radical', 'reconstructed', 'radial', 'had']",train
audio/Speaker_5/Speaker5-480.wav,the patient get standing job and e don dey so for the past 5 years this kind prolonged standing posture fit cause lower back pain and circulation problems if person no dey take regular breaks and do stretching exercises,patient has a standing job which has been the case for the past 5 years this prolonged standing posture can lead to lower back pain and circulatory issues if not accompanied by regular breaks and stretching exercises,Speaker_5,15.12,"['prolonged', 'rculatory', 'issues']",train
audio/Speaker_5/Speaker5-481.wav,levotroy 500mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections of urinary tract nose throat skin soft tissues and lungs like pneumonia,levotroy 500mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_5,16.49,"['tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_5/Speaker5-482.wav,dolostat r 200mg 20mg capsule na combination of two medicines dem dey use am reduce pain and inflammation for conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,dolostat r 200mg 20mg capsule is a combination of two medicines it is used to reduce pain and inflammation in conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,Speaker_5,18.88,"['dolostat', 'mg', 'capsule', 'inflammation']",train
audio/Speaker_5/Speaker5-483.wav,levroxa 750mg tablet na anti epileptic medicine wey dem dey use treat seizures fits for epilepsy person fit use am alone or together with other medicines e dey help prevent seizures for as long as person continue to take am,levroxa 750mg tablet is an anti epileptic medicine used to treat seizures fits in epilepsy it can be used alone or along with other medicines it helps to prevent seizures for as long as you continue to take it,Speaker_5,18.96,"['tablet', 'seizures']",train
audio/Speaker_5/Speaker5-484.wav,azilday 40 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent future heart attack and stroke this medicine still dey help preserve kidney function for patients wey get diabetes,azilday 40 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_5,20.16,"['azilday', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_5/Speaker5-485.wav,doxolin 400mg tablet na medicine wey dem dey use treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder one lung disorder where airflow to the lungs dey blocked,doxolin 400mg tablet is used to treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder a lung disorder in which flow of air to the lung is blocked,Speaker_5,15.21,"['doxolin', 'tablet', 'asthma', 'chronic', 'obstructive', 'pulmonary', 'disorder', 'lung', 'flow']",train
audio/Speaker_5/Speaker5-486.wav,the patient been present with good general health partial edentulism for the upper and lower jaw and removable partial prostheses,the patient presented with a good state of general health with partial edentulism of the upper and lower jaw and with removable partial prostheses,Speaker_5,10.77,"['good', 'health', 'jaw', 'removable', 'partial']",train
audio/Speaker_5/Speaker5-487.wav,the pre operative ct scan been show one 15 4 mm stone for the lower calix of the left kidney metal wires for the renal parenchyma been close to the stone dem no been identify any coiling material for the collecting system or inside the stone,the pre operative ct scan revealed a 15 4 mm stone in the lower calix of the left kidney metal wires in the renal parenchyma were adjacent to the stone coiling material in the collecting system or within the stone was not identified,Speaker_5,22.29,"['ct', 'scan', 'mm', 'calix', 'kidney', 'renal', 'parenchyma', 'collecting']",train
audio/Speaker_5/Speaker5-488.wav,zoterb 250mg tablet belong to one group of medicines wey dem dey call antifungals dem dey use am treat many different fungal infections of skin and nails including ringworm e dey work by killing the fungus wey cause the infection,zoterb 250mg tablet belongs to a group of medicines called antifungals it is used to treat a wide range of fungal infections of the skin and nails including ringworm it works by killing the fungus that causes the infection,Speaker_5,17.51,"['zoterb', 'tablet', 'antifungals', 'infections']",train
audio/Speaker_5/Speaker5-489.wav,e no been get any medical history him lifestyle been include 1500 ml of beer every day and 40 cigarettes every day for the past 40 years,he had no medical history his lifestyle has included 1500 ml beer consumption per day and 40 cigarettes per day for the past 40 years,Speaker_5,16.06,"['no', 'medical', 'history']",train
audio/Speaker_5/Speaker5-490.wav,e been go one nearby hospital and dem been refer am come our institute where dem been make working diagnosis of bone tumor the plain radiograph been show one osseous lesion for the left posterior pelvis,he visited a nearby hospital that referred him to our institute where a working diagnosis of a bone tumor was made the plain radiograph shows an osseous lesion on the left posterior pelvis,Speaker_5,18.45,"['visited', 'hospital', 'referred', 'institute', 'bone', 'tumor', 'plain', 'radio', 'osseous', 'lesion']",train
audio/Speaker_5/Speaker5-491.wav,the first episode been happen when she be 22 months old after respiratory tract infection for that time dem been note say her creatine kinase ck serum concentration na 250 000 u l the family history been show say both parents been well,the first episode occurred at the age of 22 months following a respiratory tract infection at that time her creatine kinase ck serum concentration was noted to be 250 000 u l the family history indicated that both parents were well,Speaker_5,22.55,"['age', 'respiratory', 'tract', 'creatine', 'serum', 'concentration']",train
audio/Speaker_5/Speaker5-492.wav,the evening before e reach the emergency department e been notice swelling around him chest and neck e been worse the next morning and that one make am come hospital,the evening before arrival at the emergency department he noticed swelling around his chest and neck it was worse the next morning precipitating his presentation to hospital,Speaker_5,13.42,"['swelling', 'chest']",train
audio/Speaker_5/Speaker5-493.wav,computed tomography scan of the metastatic tumor the computed tomography scan been show one 6 5 x 6 0 cm mass wey dey compress the gastric antrum and body and that one suggest metastatic node of the omentum,computed tomography scan of the metastatic tumor the computed tomography scan shows a 6 56 0 cm mass compressing the gastric antrum and body suggestive of a metastatic node of the omentum,Speaker_5,22.29,"['computed', 'tomography', 'metastatic', 'cm', 'mass', 'compressing', 'gastric']",train
audio/Speaker_5/Speaker5-494.wav,abdominal computed tomography scan been show lumpy low density shadows around the upper middle intestine 86 mm by 42 mm in size and dem no been observe any enhancement case 4,abdominal computed tomography scan reveals lumpy low density shadows around the upper middle intestine 86 mm 42 mm in size and no enhancement was observed case 4,Speaker_5,19.22,"['abdominal', 'computed', 'tomography', 'lumpy', 'low', 'density', 'shadows', 'middle', 'intest', 'mm', 'enhancement']",train
audio/Speaker_5/Speaker5-495.wav,teno 50mg tablet belong to one group of medicines wey dem dey call beta blockers dem dey use am treat high blood pressure hypertension angina wey be heart related chest pain and irregular heart rhythm wey be arrhythmia,teno 50mg tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension angina heart related chest pain irregular heart rhythms arrhythmia,Speaker_5,21.35,"['tablet', 'beta', 'blockers', 'angina', 'chest', 'irregular']",train
audio/Speaker_5/Speaker5-496.wav,dem been do the scan with philips brilliance 64 slice multidetector ct scanner dem been administer nonionic contrast media ultravist 300 with volume of 100 ml through pressure injector at rate of 3 5 ml min,the scan was done using a philips brilliance 64 slice multidetector ct scanner nonionic contrast media ultravist 300 in a volume of 100 mls were administered via pressure injector at a rate of 3 5 ml min,Speaker_5,27.24,"['philips', 'brilliance', 'slice', 'multidetector', 'ct', 'nonionic', 'contrast', 'media', 'ultravist', 'pressure', 'injector']",train
audio/Speaker_5/Speaker5-497.wav,preoperative cervical radiography lateral view of the cervical radiograph for the admission day been show severe destruction of the vertebral bodies and kyphotic changes for the c5 c7 vertebral levels,preoperative cervical radiography lateral view of the cervical radiograph on the admission day revealed severe destruction of the vertebral bodies and kyphotic changes at the c5c7 vertebral levels,Speaker_5,21.35,"['cervical', 'radio', 'lateral', 'admission', 'severe', 'destruction', 'vertebral', 'bodies', 'kyphotic', 'changes']",train
audio/Speaker_5/Speaker5-498.wav,aquiris 6 25mg tablet na diuretic medicine wey be water pill wey dem dey use treat hypertension high blood pressure this medicine dey reduce excess fluid for the body and e dey treat edema fluid overload wey relate to heart liver kidney or lung disease,aquiris 6 25mg tablet is a diuretic water pill medicine used to treat hypertension high blood pressure this medicine reduces excess fluid levels in the body and treats edema fluid overload associated with heart liver kidney or lung disease,Speaker_5,25.02,"['mg', 'tablet', 'edema', 'overload']",train
audio/Speaker_5/Speaker5-499.wav,the patient get history of statin induced myopathy skin allergy since childhood and known dust allergy for several years plus the patient no dey tolerate some drugs and e dey come with rashes and breathing difficulty,the patient has a history of statin induced myopathy skin allergy since childhood and a known dust allergy for several years additionally the patient is intolerant to certain drugs presenting with rashes and respiratory distress,Speaker_5,17.77,"['dust', 'allergy', 'rashes']",train
audio/Speaker_5/Speaker5-500.wav,luramax 40 tablet na prescription medicine wey dem dey use treat schizophrenia one mental disorder wey fit make person dey see or believe things wey no real and e fit still affect how person dey reason and behave,luramax 40 tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave,Speaker_5,16.83,"['luramax', 'tablet', 'mental', 'disorder', 'hallucinations', 'delusions', 'think']",train
audio/Speaker_7/Speaker7-1.wav,hi doctor my bilirubin level na 1 7 and i also get allergic reaction the doctor don give me wysolone 10 milligrams to take only when e increase or as needed i dey careful with my food because of jaundice so i fit take that tablet abi,hi doctor my bilirubin level is mentioned as one point seven and i also have an allergic reaction the doctor has given wysolone ten milligrams to use as needed if it increases i am currently careful with my food for jaundice so i can take that tablet right,Speaker_7,17.46,"['bilirubin', 'allergic', 'wysolone', 'milligrams', 'jaundice']",train
audio/Speaker_7/Speaker7-2.wav,my five year old pikin body temperature dey low 96 6 degrees fahrenheit and she dey complain of headache and small dizziness we dey live for place where pollen level high but she never show allergy symptoms before i suppose worry about the low temperature e fit be low blood pressure cold or migraine,my five year old has a low body temperature of ninety six point six degrees fahrenheit and is complaining of a headache and feeling a little dizzy we live in an area where the pollen count is high but she has not shown symptoms of allergies ever before should i be concerned about the temperature is this low blood pressure a cold or a migraine,Speaker_7,21.62,"['low', 'body', 'temperature', 'ninety', 'point', 'degrees', 'fahrenheit', 'headache', 'pollen', 'count', 'allergies']",train
audio/Speaker_7/Speaker7-3.wav,i dey take meow almost every weekend and i don dey worry because i don dey get kidney problem and i dey pass blood when i dey urinate i get urinary tract infection all the time and sometimes i end up for hospital dey take morphine because of the kidney pain i also notice say my personality don change and i don lose almost five stone for one year abeg you fit help me or reassure me say no be the meow be the cause,i take meow almost every weekend and i am getting worried as i have been having problems with my kidneys and urinating blood i have constant urinary tract infections and sometimes end up in the hospital on morphine because of the pain in my kidney i have also noticed my personality has changed and i have lost almost five stone in a year please could you help me or reassure me that it is not the meow,Speaker_7,28.07,"['worried', 'kidneys', 'infections', 'sometimes', 'hospital', 'morphine']",train
audio/Speaker_7/Speaker7-4.wav,hi abeg reply and send picture of the lump when e come also send copy of the ct scan report and the scanned images of the ct scan plates for meantime try avoid positions wey dey make you cough so that e no go cause complications from the problem you fit also use abdominal belt until dem find the exact cause and start proper treatment thank you feel free to ask more questions so we fit help address this serious painful problem,hi please reply and send a photograph of the lump when it comes also send a copy of the computed tomography report and the scanned photographs of the computed tomography plates in the meantime try to avoid coughing positions to prevent complications from the issue consider using an abdominal belt until a definitive cause is found and treatment is started thank you feel free to ask more questions to address this serious painful problem,Speaker_7,30.02,"['coughing', 'positions', 'abdominal', 'belt']",train
audio/Speaker_7/Speaker7-5.wav,good morning doctor for the past few days i no fit burp i dey also feel like my heart dey beat fast and when i dey rest i dey hear plenty active sound for my abdomen wetin fit be the problem and e get any relief or medicine wey fit help me burp well well,good morning doctor these past few days i have been unable to burp i have this feeling of a pounding heart and i can hear hyperactive sounds throughout my abdomen when i am at rest what seems to be the problem is there any relief or medications that would help me to burp completely,Speaker_7,17.07,"['hyperactive', 'sounds', 'abdomen', 'medications', 'burp']",train
audio/Speaker_7/Speaker7-6.wav,hi i dey eight months pregnant and i dey always get strong urge to chop raw rice my doctor don give me iron tablets but the urge still dey continue people dey tell me say if i dey chop raw rice my baby fit come born with powder like substance for him skin i really appreciate your kind advice about this matter thanks,hi i am eight months pregnant and i have this urge to eat raw rice quite often my doctor prescribed iron tablets however my urge still seems to continue many people tell me that by eating raw rice my baby would be born with a powder like substance on his skin your kind advice in this regard is highly appreciated thanks,Speaker_7,20.43,"['eating', 'iron', 'baby']",train
audio/Speaker_7/Speaker7-7.wav,nineteen month old pikin start fever yesterday around 101 degrees fahrenheit i also notice red rash for her bottom which i think say na diaper rash and for the folds of her knees and elbows today the fever don go she dey behave like she dey fine but the rash don dey spread go down her legs and don reach her ankles any idea wetin fit be this,nineteen month old started with a fever around one hundred and one degrees fahrenheit yesterday i also noted a red rash on the bottom which i thought was a diaper rash and in the crevices of the knees and elbows today the fever is gone she acts like she feels great and the rash is spreading down her legs and is on her ankles any ideas,Speaker_7,24.87,"['nineteen', 'fever', 'degrees', 'fahre', 'rash', 'knees', 'legs']",train
audio/Speaker_7/Speaker7-8.wav,try use ankle binder and paraffin wax bath give am small trial if the symptoms still dey continue then ankle fusion fit dey considered wey go remove your pain completely the fracture don old and your x ray show early arthritis so no go to do any surgery for the fracture again the aim of the treatment na just to reduce and control pain,give a trial of an ankle binder and a paraffin wax bath if symptoms are persistent then ankle fusion should be considered which will relieve your pain completely the fracture is old and your x ray shows early arthritis so there is no benefit to doing any surgery for the fracture the treatment goal is pain relief,Speaker_7,23.73,"['wax', 'ray']",train
audio/Speaker_7/Speaker7-9.wav,follow your family doctor advice,follow your family physician s advice,Speaker_7,3.53,[],train
audio/Speaker_7/Speaker7-10.wav,hi my name na helen i don dey suffer serious bloating and discomfort for left side of my neck and i dey also feel like to vomit as if something dey my throat wey dey stuck i still dey experience tightness for my chest i dey take omeprazole twenty milligrams for belle ulcer but this thing dey happen more often after i don chop or even anytime i dey rest or dey do something,hi my name is helen i have been suffering from severe bloating and discomfort in the left side of my neck as well as feeling like throwing up because something is stuck in my throat i also experience tightness in my chest i take omeprazole twenty milligrams for a stomach ulcer but this is happening more regularly after eating or just at any time while resting or doing things,Speaker_7,25.08,"['severe', 'discomfort', 'throwing', 'up', 'tightness', 'from', 'milligrams', 'eating', 'any', 'time', 'resting']",train
audio/Speaker_7/Speaker7-11.wav,hi i just find out for june say i dey one week pregnant and i miscarry but i no even know say i dey pregnant then my old gynecologist quickly put me on depo provera injection but i stop am because i get serious back pain and i begin dey feel sick from am i still experience very heavy and irregular bleeding from the injection since that time i never see my period again for nine months my boyfriend and i dey nack without condom and recently he don dey release inside me several times fit be say i dey pregnant i get all the signs of pregnancy including strong headache and sometimes i dey feel hot for some nights and cold for other nights abeg i need your advice,hi i just found out in june that i was one week pregnant and had a miscarriage but i didn t know i was pregnant then my old gynecologist put me on the depo provera shot right away but i went off of it because i had major extreme back pain and felt ill from it additionally i experienced really bad irregular heavy bleeding from it since then i haven t gotten a period in nine months my boyfriend and i have been having sex without protection and lately he has been ejaculating inside me multiple times could i be pregnant i have all the symptoms of pregnancy including really bad headaches and alternating feelings of warmth and cold on different nights may i ask for your advice,Speaker_7,43.82,"['depo', 'provera', 'really', 'irregular', 'headaches', 'alternating', 'cold', 'different']",train
audio/Speaker_7/Speaker7-12.wav,quickly put ice pack and compress for the affected area na loose soft tissue area so e fit swell after and that one fit cause wahala later give her small mild anti inflammatory pain relief like combination of mefenamic acid and acetaminophen later she fit develop stricture wey fit still cause problem if swelling or bleeding come happen again make she go see doctor,immediately apply ice packing and compress to the affected area it is a loose soft tissue area and it might swell afterwards which may create problems also give her a mild anti inflammatory analgesic like a combination of mefenamic acid and acetaminophen later on she might develop a stricture which may cause problems if swelling or bleeding occurs again see a doctor,Speaker_7,30.37,"['loose', 'mild', 'anti', 'inflammatory', 'analgesic', 'mefenamic', 'acid', 'acetaminophen', 'stricture', 'swelling', 'bleeding']",train
audio/Speaker_7/Speaker7-13.wav,normally gallbladder dey contract after person don chop but na mostly when fatty food dey involved so if you wan avoid pain as much as possible after eating try avoid any kind fatty meals orange juice or any citrus fruits juice fit cause heartburn or stomach discomfort but e no suppose trigger gallbladder attack if you start to get fever together with the pain go straight go emergency room,usually the gallbladder contracts after eating but this is mainly with any type of fat therefore if you want to avoid pain as much as possible after eating then avoid any sort of fatty meals orange juice or any citrus fruits juices can cause you to experience heartburn or stomach discomfort but should not trigger a gallbladder attack if you experience any fever along with the pain go straight to the emergency room,Speaker_7,28.31,"['gallbladder', 'contracts', 'fever']",train
audio/Speaker_7/Speaker7-14.wav,i dey almost sure say i get kidney stone e don dey pain me steady for one week now e dey feel like say one big ball dey inside my kidney anyway the pain dey manageable small but e dey very annoying especially when i cough or sneeze if i cough sharp pain go just hit me but sneezing dey almost unbearable this one mean say the stone don start to leave the kidney and e go dey cause pain all through as e dey pass how long again i go expect this pain to last and e go still worse pass this,i am pretty positive i have a kidney stone it has been hurting consistently for a week now it feels like a softball is inside my kidney anyway the pain is somewhat manageable but annoying especially when i cough or sneeze coughing definitely sends sharp pain but the sneezing is almost unbearable does this mean the stone is just starting to leave the kidney and is it going to cause pain the entire way it passes how much longer should i expect this to hurt and will it get worse,Speaker_7,36.32,"['coughing', 'sneeze', 'stone']",train
audio/Speaker_7/Speaker7-15.wav,hi i get one hundred and forty six cubic centimeter cyst for my left ovary and i no get any symptoms at all doctor talk say e be like chocolate cyst i don marry and i dey try get belle i dey fear laparoscopy and the risks wey follow am if i carry belle without removing the cyst any danger or risk dey like miscarriage or pain abeg help me i really confuse,hi i have a one hundred and forty six cubic centimeter cyst on my left ovary with no symptoms at all the doctor said it seems like a chocolate cyst i am married and trying to get pregnant i am scared of the laparoscopy and the risks involved is there any danger or risk such as miscarriage or pain if i become pregnant without removing the cyst please help i am so confused,Speaker_7,28.17,"['cyst', 'symptoms']",train
audio/Speaker_7/Speaker7-16.wav,you dey suffer from one systemic inflammatory sickness wey dem dey call ankylosing spondylitis and na bilateral sacroiliitis dey cause your pain make you go do hla b27 test you need to do x ray of your pelvis with both sacroiliac joints anti inflammatory medicines like etoricoxib and indometacin go help,you are suffering from a systemic inflammatory disorder of ankylosing spondylitis and bilateral sacroiliitis is the cause of your pain get hla b27 test done an x ray of the pelvis with both sacroiliac joints is required anti inflammatory medications with etoricoxib and indometacin are helpful,Speaker_7,28.26,"['systemic', 'inflammatory', 'disorder', 'ankylosing', 'spondylitis', 'bilateral', 'sacroiliitis', 'hla', 'test', 'ray', 'pelvis', 'sacroiliac', 'joints', 'anti', 'medications', 'etoricoxib']",train
audio/Speaker_7/Speaker7-17.wav,hello sir you are welcome to health care management i understand your problem tobacco and alcohol dey reduce immunity too so you need stop am if na your habit take protein powder with milk two times daily get enough sleep and control stress chop plenty fruits green leafy vegetables nuts seeds etc take cyproheptadine syrup three times daily after food ten milliliters walk every day for one hour i hope say my answer satisfy you thank you,hello sir welcome to health care management i understand your problem tobacco and alcohol also reduce immunity you have to stop that if you have that habit take protein powder with milk twice a day get enough sleep and manage stress eat plenty of fruits green leafy vegetables nuts seeds etc take cyproheptadine syrup three times a day after food ten milliliters walk every day for one hour i hope you are satisfied with my answer thank you,Speaker_7,36.2,"['protein', 'powder', 'cyproheptadine']",train
audio/Speaker_7/Speaker7-18.wav,no i no think say there be urgent need for exploration just because of fast heart rate and all that you need to do thorough check of your heart well well before you start anything like exploration,no i do not think there is an urgent need for exploration based solely on a fast heart rate etc you need to undergo a thorough evaluation of your heart before embarking on anything like exploration,Speaker_7,13.77,['evaluation'],train
audio/Speaker_7/Speaker7-19.wav,hello i don dey suffer from back pain since i born my second pikin and e don dey worse now my grandmother get problem of crumbling spine and i dey fear say i fit get am too i don still dey get serious headache and i dey feel somehow sick small for the past one month you think say this one na something to worry about,hello i have been suffering from back pain since having my second child but it has been getting worse my grandmother had a crumbling spine and i am worried i may have it as well i have also been experiencing really bad headaches and feeling slightly sick over the last month do you think this is something to worry about,Speaker_7,20.87,"['grandmother', 'headaches', 'sick']",train
audio/Speaker_7/Speaker7-20.wav,i don do torted testicle operation since yesterday and the pain and swelling for my testicle area still dey manageable but now i don begin feel pain for my neck and my belle and e dey pain me when i move or cough both places dey very tender and i dey wonder if you sabi wetin fit dey cause this,i am one day post torted testicle operation and the pain and swelling are manageable in the testicular area however i have since developed pain in my neck and abdomen which hurts when i move or cough they are both extremely tender and i was wondering if you knew what this could be,Speaker_7,21.01,"['swelling', 'testicle']",train
audio/Speaker_7/Speaker7-21.wav,hello make you know say menstrual irregularity fit happen because of birth control so the irregular period fit be from the birth control wey your partner dey use i go advise make una wait another one week or so and if she still no see her period by then make una do urine pregnancy test with early morning urine sample but for my own opinion e no too likely best wishes,hello you should know that menstrual irregularities can occur as a result of birth control and so the irregularity could have happened because of the birth control that your partner is using i recommend waiting for another week or so and if she does not have her period by then proceed with a urine pregnancy test using an early morning urine sample however in my opinion it seems unlikely best wishes,Speaker_7,26.61,"['menstrual', 'another', 'pregnancy', 'test', 'early', 'morning']",train
audio/Speaker_7/Speaker7-22.wav,i dey get small small red bumps wey dey show for my lower arm from my wrist reach my elbow as time dey go more of them dey come out two of them don swell and dey bruise my arm this one don make my whole arm dey feel like say e dey throb with pain you get idea wetin this fit be or you still need more explanation,i am having small red bumps appear on my lower arm from my wrist to my elbow more of them have appeared over time two of them have swollen and are bruising my arm this has made my entire arm feel like it has a throbbing pain do you have any idea of what this could be or do you need more of a description,Speaker_7,22.59,['bumps'],train
audio/Speaker_7/Speaker7-23.wav,hi i don go accident and emergency on monday night with serious kidney pain i no sure if na kidney stones or kidney infection i don do all the tests and i don take trimethoprim antibiotics wey i don finish now with painkillers but i still dey get back ache and stomach ache i don get diarrhea wey fit be from the antibiotics the ache wey dey my kidney suppose don go abi e go take sometime after i finish the antibiotics,hi i have been to accident and emergency on monday night with severe kidney pain i am not sure if it was kidney stones or a kidney infection i have had all the tests done and taken trimethoprim antibiotics which i have now finished along with painkillers however i still have a very achy back and stomach ache i have had diarrhea probably from the antibiotics should the achy pain in my kidney have gone or does it take a while after finishing antibiotics,Speaker_7,30.7,"['severe', 'kidney', 'tests', 'trimethoprim', 'painkillers', 'achy', 'stomach', 'antibiotics']",train
audio/Speaker_7/Speaker7-24.wav,sorry i no know anybody personally but if you search for rheumatologist for chennai you go fit find somebody,sorry i do not know anyone personally but if you search for a rheumatologist in chennai you should be able to find someone,Speaker_7,8.03,[],train
audio/Speaker_7/Speaker7-25.wav,my three month old baby dey like say e get blood spots just under the skin for her hands one for each side at first i think say na small scratch from her nail or something but when i look well e dey under the skin for the palm of her hands e still fit be from her small nail because she no even fit enter anything she never even fit grab well yet she just dey clench her fists and wan hold things e fit be something serious,my three month old baby seems to have blood spots right under the skin on her hands one on each side i thought it was a little scratch from her nail or something but upon closer inspection it is actually under the skin on the palm of her hands it may still be from her little nail because she could not have gotten into anything she can hardly even grasp yet she does clench her fists and wants to grab could this be more serious,Speaker_7,31.79,"['baby', 'blood', 'spots', 'under', 'scratch', 'clench', 'fists']",train
audio/Speaker_7/Speaker7-26.wav,hello doctor i be man twenty five years old from india i don dey suffer itching problem for my right palm and sole for the past three weeks i be student and i never come across any chemical reaction my skin dey peel and come off like flakes and both my finger and toe nails don crack abeg suggest some remedy for me,hello doctor i am a male twenty five years old from india i have been suffering from an itching problem on my right palm and sole for the past three weeks i am a student and i have never come across any chemical reaction my skin is coming off in flakes and both my finger and toe nails are cracked kindly suggest some remedies,Speaker_7,21.66,"['itching', 'palm', 'sole', 'finger']",train
audio/Speaker_7/Speaker7-27.wav,dem find one echogenic focus for the right ventricle of my baby heart during my twenty week ultrasound i don dey panic about am my doctor talk say everything else for the anatomy ultrasound look normal and dem don refer me go see specialist to do another scan this one na something i suppose worry about,an echogenic focus was found in the right ventricle of my baby s heart during my twenty week ultrasound i have been panicking about this my doctor said everything else on the anatomy ultrasound looked normal and is sending me to a specialist to have another sonogram done is this something i should be worried about,Speaker_7,22.43,"['ventricle', 'baby', 'heart', 'ultrasound', 'normal', 'specialist']",train
audio/Speaker_7/Speaker7-28.wav,neck tightness and difficulty breathing together with itchy face and neck fit more likely be allergy to cat hair or food i dey nurse one kitten back to health but i get allergy and my nose dey itch because of am e no dey come inside i dey keep am outside and i dey change my clothes and wash my hands every time i touch am i recently chop plenty cheese even though i know say i no suppose since i get intolerance but e never affect me like this before e fit just be say i don take too much recently,would tightness in the neck and difficulty breathing along with an itchy face and neck be more likely to be an allergy to cat hair or food i am nursing a kitten back to health but i am allergic and have an itchy nose because of him he never comes inside i keep him outside and change my clothes and wash my hands every time i touch him i recently ate a lot of cheese even though i know i shouldn t since i have an intolerance but it never affected me this way before could it be just having too much recently,Speaker_7,34.25,"['tightness', 'ergy', 'cat', 'hair', 'itchy', 'nose']",train
audio/Speaker_7/Speaker7-29.wav,e just show for my hand from nowhere after i wake up from sleep i see this strange dent for my left hand e still get small lump join am e no dey pain me when i touch am but if i use am hit door handle for that same spot serious pain go dey and e just dey make me wonder because i no notice am until some time later i ask one teacher for my rop class wetin e fit be and e talk say e fit be muscle cyst for my hand but when i check picture of muscle hand cyst e no resemble am e more like small dent but i still feel small bump around the area wetin this one fit be me and my mama dey curious,it showed up on my hand out of nowhere after i woke up from sleeping i saw this strange dent on my left hand it is also a lump it does not hurt when i touch it but if i hit it on what is usually a doorknob at that spot terrible pain occurs and it just makes me wonder because i did not notice it until a while later i asked a teacher in my rop class what it was and he said it could be a muscle cyst in my hand but i looked at pictures of muscle hand cysts and it looks different it has more of a small dent appearance to it but i do feel a bump around where it is what could this be my mom and i are curious,Speaker_7,45.19,"['hit', 'strange', 'dent', 'lump', 'terrible', 'muscle', 'bump']",train
audio/Speaker_7/Speaker7-30.wav,you talk say the tubes coil small but you no mention whether dem open or block if the tubes block no other option again than in vitro fertilization if the tubes healthy and open you fit consider natural conception with treatment or intrauterine insemination,you said the tubes are mildly coiled but did not mention whether they are patent or blocked if the tubes are blocked there is no other choice than in vitro fertilization if the tubes are healthy and patent you may consider natural conception with treatment or intrauterine insemination,Speaker_7,18.44,['conception'],train
audio/Speaker_7/Speaker7-31.wav,hi you are welcome to hcma based on the treatment wey dem give you and how you describe am e dey like say you get allergic cough wey don last for three months you suppose continue to use the inhaler for some time together with montair tablets as e go help reduce your cough,hi welcome to hcma as per your description of the treatment given to you it seems you have an allergic cough that has persisted for three months you should continue with the inhaler for some time along with montair tablets as that would help decrease your cough,Speaker_7,18.0,"['allergic', 'cough', 'persisted', 'time']",train
audio/Speaker_7/Speaker7-32.wav,no this one no possible heart na muscular organ no worry e no fit ever turn black besides you must open chest before you fit see the colour of the heart so how your girlfriend go take know say her heart dey turn black na unclear question no need to worry about am,no this is impossible the heart is a muscular organ don t worry it can never turn black moreover you have to cut open the chest to see the color of the heart so how can your girlfriend know that her heart is turning black it is a vague question do not worry about it,Speaker_7,19.48,['girlfriend'],train
audio/Speaker_7/Speaker7-33.wav,i no dey feel okay since tuesday after i play rounders i dey short of breath i get headache and pain for the back of my head and my appetite don reduce sometimes i only feel better when i don chop i dey experience bad indigestion and i dey take painkillers every four hours and rennie after food i never take rennie for two days now and i dey cough come out white phlegm then later yellow one i dey vomit small but e dey foamy i get possible asthma and i forget to use my inhaler but i dey gradually better small small i dey always feel tired,i have not been feeling right since tuesday after playing rounders i was out of breath had pain in my head and the back of my head and my appetite has been off at times i only feel better when i have eaten i have been experiencing bad indigestion and i have been taking painkillers every four hours and rennie after food i have not had any rennie for two days and i have been spitting up white and then yellow phlegm i was sick but it was foamy i do have possible asthma and i have forgotten to take my inhaler but i m getting better i feel tired all the time,Speaker_7,39.57,"['painkillers', 'feel', 'better', 'tired']",train
audio/Speaker_7/Speaker7-34.wav,i no get allergy to poison ivy but i burn one brush pile wey get am about six hours ago i get small irritation my breathing short small and my eyes dey burn and dey swell small i use albuterol inhaler but e make me start cough badly i need to worry say this thing fit worsen later or turn serious or even life threatening after i sleep and by morning,i am not allergic to poison ivy but i burned a brush pile covered with it about six hours ago i have some irritation shortness of breath is mild and my eyes are burning and feeling puffy i used an albuterol inhaler and it made me start coughing very badly do i need to worry about this worsening later or becoming severe and even fatal after i go to sleep and in the morning hours,Speaker_7,26.17,"['shortness', 'breath', 'eyes', 'puffy', 'allergic', 'coughing', 'sleep']",train
audio/Speaker_7/Speaker7-35.wav,hello i don go through your question and i fit understand your concern yes if the root structure strong and e never resorb dem fit do root canal treatment after that if the crown structure don badly damage dem go do another procedure wey dem dey call post and core treatment so no need for you to worry,hello i have gone through your question and i can understand your concern yes if the root structure is strong and not resorbed root canal treatment can be performed after that if the crown structure is grossly damaged they will perform another procedure called post and core treatment so you need not worry,Speaker_7,20.62,['crown'],train
audio/Speaker_7/Speaker7-36.wav,sir i dey undergo treatment for polycystic ovaries my uterus size na six point five by three cm and the endometrium na four point two mm on day nine my follicle study report show say both right and left ovaries get plenty small follicles and on day eleven the left ovary get one dominant follicle wey measure one point three three by one cm the right ovary no get dominant follicle i dey very worried whether i still get chance to get pregnant or not,sir i am undergoing treatment for polycystic ovaries my uterus measures six point five x three cm and the endometrium is four point two mm on day nine my follicle study report showed that both the right and left ovaries had multiple small follicles and on day eleven the left ovary has a single dominant follicle measuring one point three three x one cm the right ovary does not have a dominant follicle i am very worried about whether i have chances to get pregnant or not,Speaker_7,36.01,"['point', 'mm', 'multiple', 'dominant', 'ovary']",train
audio/Speaker_7/Speaker7-37.wav,stress fit increase allergy but e less likely say na im cause eczema some food fit dey cause am allergy fit develop anytime from any substance make you see allergy specialist make dem help find the cause and treat am for now i go give you these tips take warm water avoid mustard coconut walnut groundnut and soybean oils use olive oil for cooking and to apply for body avoid harsh soaps shampoos and creams apply clindamycin mix with fluticasone for the affected area you fit take allegra 120 when itching dey worry you,tension increases allergies but it is less likely to be the cause of eczema some food items may be causing it allergies can develop at any time with any substance get advice from an allergy specialist to find out the cause and treat it at present i give these tips take warm water avoid mustard coconut walnut groundnut and soybean oils use olive oil for cooking and application avoid toxic soaps shampoos and creams apply clindamycin mixed with fluticasone on the affected area you can take allegra one hundred and twenty as needed for itching,Speaker_7,47.35,"['tension', 'allergies', 'eczema', 'clindamycin', 'fluticasone']",train
audio/Speaker_7/Speaker7-38.wav,hi dear i don go through your question and i understand your concern na medicine wey doctors like well well the name na amoxicillin clavulanate or augmentin and e dey very effective for streptococcal infections i hope say i don answer your question if you get more question no waste time to call us i dey always dey happy to help i wish you beta health without antibiotics,hi dear i have gone through your question and understand your concern it is a favorite medicine of doctors which is named amoxicillin clavulanate or augmentin and it is still highly effective against streptococcal infections i hope i answered your question if you have more questions then don t hesitate to contact us i am always happy to help wishing you excellent health without antibiotics,Speaker_7,28.77,['named'],train
audio/Speaker_7/Speaker7-39.wav,my twelve year old daughter complain today say whenever she turn her head to the side e dey feel like say skin behind her ear go tear i don check am no redness or obvious spot dey but when you run finger go up behind the ear just reach the bone area you go feel soft lump and she talk say e dey very painful just under that place any idea wetin this fit be,my twelve year old daughter has complained only today that when she turns her head to the side it feels as though the skin behind her ear is going to tear i have had a look and there is no redness or obvious spot but as you run your finger up behind the ear just as you get to the bone there is a soft lump and she said it is extremely painful just under there any ideas would be helpful,Speaker_7,24.98,[],train
audio/Speaker_7/Speaker7-40.wav,my papa get clostridioides difficile e don dey for him body for some time but dem just discover am now he don get kidney failure abnormal heart rate and dem don remove polyps from him colon before him bowel no dey move well at all laxatives no dey really help am only sometimes e go work small him stomach no dey empty and food no dey digest properly he suppose continue medicine for another one month but dem talk say him get plenty other medical problems wey dey work against am him even flatline before and dem bring am back this clostridioides difficile go fit get better,my dad has clostridioides difficile he has had it for a while but they just found it he has had kidney failure an abnormal heart rate and he has had polyps removed from his colon his bowels do not move hardly at all laxatives do not help every now and then they will his stomach does not empty and food does not digest he has to be on medication for it for another month but they said he has a lot of other medical problems working against him he flatlined and they brought him back will the clostridioides difficile get better,Speaker_7,43.31,"['dad', 'bowels', 'removed']",train
audio/Speaker_7/Speaker7-41.wav,i dey get random feeling like say knife dey try stab my heart e no scattered e dey very focused and that one dey make the pain worse this thing don start to worry me sometimes e go so bad reach say i go stop wetin i dey do just sit down or dey breathe hard wetin dey wrong with me,i have random feelings that a knife is trying to stab through my heart it isn t scattered it is very focused and that makes it hurt a lot more this is starting to worry me sometimes it is so bad that i stop what i am doing and just sit there or breathe very hard what is wrong,Speaker_7,20.99,[],train
audio/Speaker_7/Speaker7-42.wav,hello even though you fit no like medicine and doctors i go advise make you do blood test and go see medical doctor for check up all the best,hello although you may not like medicine and doctors i suggest you have blood tests done and visit a medical doctor for a check up all the best,Speaker_7,10.29,"['blood', 'tests', 'medical', 'doctor']",train
audio/Speaker_7/Speaker7-43.wav,no worry as this one na harmless condition like bursa or hematoma if e still dey worry you you fit go do fine needle aspiration cytology test make dem confirm am all the best,not to worry as this is a benign condition like a bursa or a hematoma if it really worries you you can go for a fine needle aspiration cytology test for confirmation all the best,Speaker_7,13.26,"['hematoma', 'needle', 'aspiration', 'cytology', 'test']",train
audio/Speaker_7/Speaker7-44.wav,four days ago i start to dey feel very strong burning sensation for the soft palate area of my mouth e dey worse when i dey chew and e usually reduce when i stop to chop the burning no dey happen again now but the roof of my mouth dey very sore and the back of my throat red small e dey a bit uncomfortable to swallow but no be say e don stop me from eating i never get this kind symptoms before so i dey a bit worried any idea wetin this fit be,four days ago i started experiencing a very intense burning sensation in the soft palate area of my mouth it was made worse by chewing and often subsided after i stopped eating the burning sensation is no longer occurring but the roof of my mouth is very sore and the back of my throat is a bit red it is a little uncomfortable for me to swallow but not so much that i cannot eat i have never had symptoms like this before so i am a bit concerned any ideas what it could be,Speaker_7,31.02,"['very', 'intense', 'soft', 'palate', 'subsided', 'roof', 'mouth', 'throat', 'symptoms']",train
audio/Speaker_7/Speaker7-45.wav,my son dey three point five years old and this morning i notice say him penis dey somehow different the head glans don come out completely from the foreskin and the glans dey red for one side e look like say insect bite am abeg guide me we suppose go see pediatrician we fit give am avil,my son is three point five years old and this morning i noticed that his penis looks a little unusual the glans was completely exposed from the foreskin and the glans is red on one side it seems as if an insect has bitten him please guide me should we visit a pediatrician can we give him avil,Speaker_7,20.06,"['morning', 'penis']",train
audio/Speaker_7/Speaker7-46.wav,if body dey scratch you everywhere you fit use scaboma or calamine lotion after you don consult dermatologist together with avil tablet or cetirizine tablet after food to reduce how the itching dey bad you also fit take rantac tablet or famotidine tablet when stomach empty if pain and inflammation dey worry you too you fit take combiflam tablet or brufen tablet after food every eight to twelve hours taking bath with warm water go still help give you relief from body itching,for itching all over the body you should use scaboma or calamine lotion after consulting with a dermatologist along with taking tablet avil or tablet cetirizine after meals to reduce the severity of your itching you can also take tablet rantac or tablet famotidine on an empty stomach if pain and inflammation are also disturbing you then you can take tablet combiflam or tablet brufen after meals every eight to twelve hours taking a bath with warm water will also help you get relief from whole body itching,Speaker_7,35.39,"['itching', 'scaboma', 'calamine', 'tablet', 'avil', 'cetirizine', 'rantac', 'famotidine', 'inflammation', 'combiflam', 'br', 'bath']",train
audio/Speaker_7/Speaker7-47.wav,e no too early to know trust me i find out when i dey three months pregnant because of all the early signs just do one test wey fit detect am five days before your expected period,it is not too early to tell trust me i found out when i was three months along because of all the early signs just get a test that is five days prior to your expected menstrual period,Speaker_7,12.26,"['test', 'prior']",train
audio/Speaker_7/Speaker7-48.wav,i go advise make you do mri of the cervical spine to check if cervical stenosis or pinched nerve dey your neck the numbness and tingling for your arms together with small discomfort dey suggest say problem dey with the nerves for your neck,i would order an mri of the cervical spine to evaluate for possible cervical stenosis or a pinched nerve in your neck the numbness and tingling in your arms along with some discomfort suggest that there is an issue with the nerves in your neck,Speaker_7,15.28,"['mri', 'cervical', 'spine', 'stenosis', 'pinched', 'numbness', 'tingling']",train
audio/Speaker_7/Speaker7-49.wav,e normal well well your gums must don get injury during the surgery na why callus show sharp bone wey dey show during healing no be problem e dey normal because e go still reshape imself as healing dey go on,it is absolutely normal your gums must have been hurt during the surgery and hence a callus appeared sharp bone appearing during healing is acceptable as it is remodeled during the healing process,Speaker_7,16.05,"['gums', 'callus', 'sharp', 'bone']",train
audio/Speaker_7/Speaker7-50.wav,i don get bad spasm from my left shoulder blade reach across my back the pain dey very strong and e start after i get diarrhea and after that i still dey get constant gas e dey come suddenly no warning at all i be thirty one years old and i dey five feet five inches tall e don happen twice now and this second time the pain even worse pass before,i have had a bad spasm from my left shoulder blade across my back the pain is quite bad and preceded by diarrhea and afterwards there is constant gas it comes on quickly with no warning i am thirty one years old and five feet five inches tall it has happened twice now and the pain is worse this time,Speaker_7,24.91,"['shoulder', 'blade']",train
audio/Speaker_7/Speaker7-51.wav,hello i dey wonder if the contraceptive pill wey i dey take fit dey cause my serious mood swings i fit just dey very upset or angry and even behave somehow over small small things i go dey talk things wey i normally no go talk to my partner like say i no love am which no make sense and no fair if i stop am completely things go better na microgynon 30 i dey take,hello i m wondering if the contraceptive pill i am on could be causing my severe mood swings i can become very upset or angry and somewhat psychotic over very minor things i say things i would not normally say to my partner like i do not love him which is ridiculous and unfair would things improve if i came off it completely it is microgynon thirty,Speaker_7,26.77,"['contraceptive', 'angry', 'psychotic', 'microgynon']",train
audio/Speaker_7/Speaker7-52.wav,hello if the diagnosis of morton s neuroma correct once this neuroma start to dey painful i dey fear say non surgical treatment no go give you steady relief from the symptoms however you still fit go see podiatrist and see how e go be,hello if the diagnosis of morton s neuroma is correct once this neuroma becomes painful i am afraid that a non surgical treatment will not provide you with consistent symptom relief however you are welcome to see a podiatrist and see what happens,Speaker_7,17.21,"['morton', 'neuroma', 'surgical', 'treatment', 'symptom']",train
audio/Speaker_7/Speaker7-53.wav,i do ultrasound scan and the result show say the abdominal organs normal the uterus don enlarge because of subserosal echogenic masses of different sizes the endometrium na zero point four four centimeters thick and linear the adnexa and ovaries normal the cul de sac clean the urinary bladder normal and dem see uterine fibroids i fit get belle,i did an ultrasound scan and the result shows that the abdominal organs are normal the uterus is enlarged by subserosal echogenic masses of different sizes the endometrium is zero point four four centimeters thick and linear the adnexa and ovaries are normal the cul de sac is free the urinary bladder is normal and there are uterine fibroids can i get pregnant,Speaker_7,29.86,"['ultrasound', 'abdominal', 'uterus', 'enlarged', 'subserosal', 'echo', 'endometrium', 'centimeters', 'adnexa']",train
audio/Speaker_7/Speaker7-54.wav,i get deep cut for my index finger about one and a half months ago i do surgery to repair the damaged nerve and dem hold the finger still for two weeks my finger dey heal fine now but e very stiff and no dey straight again i know say i no damage ligament so i dey think say na scar tissue dey make am stiff like that how long e go take before my finger go dey move better again,i had a deep laceration of my index finger about one and a half months ago i underwent surgery to repair the damaged nerve and was immobilized for two weeks my finger is healing fine now but is very stiff and is not straight anymore i know i haven t damaged the ligament so i am guessing it is the scar tissue that is making my finger very stiff how long will it take for my finger to have better motion,Speaker_7,29.02,"['laceration', 'index', 'finger', 'surgery', 'nerve', 'immobilized', 'healing']",train
audio/Speaker_7/Speaker7-55.wav,the symptoms wey you mention match gastroesophageal reflux disease you suppose continue the medicine as doctor advise you try dey give small small food often make she dey sleep with her head raised if the symptoms still dey continue even after three to four days do another chest x ray and ultrasound scan of the abdomen,the symptoms you mention are consistent with gastroesophageal reflux disease you should continue the medications as advised by the doctor try to provide small and frequent meals let her sleep in an elevated position if the symptoms persist even after three to four days perform a repeat chest radiograph and ultrasound scan of the abdomen,Speaker_7,24.75,"['symptoms', 'gastroesophageal', 'medications', 'small', 'chest', 'radiograph', 'ultrasound']",train
audio/Speaker_7/Speaker7-56.wav,e fit be meniscal injury based on how you describe am the meniscus na like shock absorber for knee every knee get two of them if injury involve twisting the meniscus fit tear and normally e no dey heal by itself you need more check up with mri scan and you suppose go see orthopedic surgeon,it may be a meniscal injury based on your history the meniscus is like a shock absorber in the knee every knee has two of them with a twisting type of injury the meniscus can get torn and generally does not heal by itself you need further evaluation with magnetic resonance imaging and should see an orthopedic surgeon,Speaker_7,22.59,"['meniscal', 'shock', 'absorber', 'twisting', 'meniscus', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_7/Speaker7-57.wav,my doctor do procedure two days ago to check my tubes and ovaries because he suspect say na ectopic pregnancy he no see anything but i get four week sac wey no change for four days i still get one sac of fluid too i don dey bleed for five days with red blood and one mass wey still dey bleed till now,my doctor performed a procedure two days ago to examine my tubes and ovaries because he suspected it was an ectopic pregnancy he did not see anything but i have a four week sac that has not changed in four days i also have a sac of fluid i have been bleeding for five days with red blood and one mass that is still bleeding now,Speaker_7,23.08,"['tubes', 'ovaries', 'sac', 'bleeding', 'mass']",train
audio/Speaker_7/Speaker7-58.wav,my gums don turn white between my teeth so e dey look like light pink triangle shapes also around my canine teeth my gums look swollen for both sides and the surface dey look flat for the past two days small clear bumps don show for inside my lower lip i dey very scared say this one fit dey serious wetin be this,my gums have turned white between my teeth making them look like light pink triangles additionally around my canine teeth my gums appear swollen on both sides with a flat looking surface over the past two days small clear bumps have developed on the inside of my lower lip i am terrified that this might be serious what could it be,Speaker_7,22.48,"['swollen', 'sides', 'flat', 'looking', 'surface', 'past']",train
audio/Speaker_7/Speaker7-59.wav,we get one year old pikin wey get meconium aspiration when dem born am e get about eight teeth and e never sleep through night since e dey very clingy to him mama recently e get croup about one week ago the cough don stop but now e get fever of thirty nine degrees celsius we go see doctor and dem give am antibiotics one milliliter of penicillin and paracetamol we don see pediatricians naturopaths and general practitioners e no fit rest at all and e dey look like say e dey pain am,we have a one year old who had meconium aspiration at birth he has about eight teeth and has not slept through the night yet he is very clingy to his mother recently he had croup about a week ago the coughing has ceased but he now has had a fever of thirty nine degrees celsius we went to the doctor and he was put on antibiotics one milliliter of penicillin and paracetamol we have seen pediatricians naturopaths and general practitioners he can t seem to rest at all and seems like he is in pain,Speaker_7,36.11,"['croup', 'coughing', 'fever', 'degrees', 'went', 'penicillin', 'paracetamol', 'can', 'seem', 'rest', 'at', 'all']",train
audio/Speaker_7/Speaker7-60.wav,hello my name na alexis and i dey get bruises for my legs wey dey like nickel to quarter size and dem no too dark but dem dey pain me dem dey disappear by the next day also the back of my knee don start to dey pain me and the pain strong well well i wan know wetin fit be the cause of this i no dey chop meat e fit get anything to do with am,hello my name is alexis and i keep getting bruises on my legs that are nickel to quarter sized and not very dark yet painful they will be gone the next day also the back of my knee has started to hurt it is very painful i wanted to know why this could be happening i do not eat meat could that have anything to do with it,Speaker_7,24.61,"['bruises', 'legs', 'nickel', 'quarter', 'sized', 'knee']",train
audio/Speaker_7/Speaker7-61.wav,my papa dey sixty six years old and e don get kidney problem for the past three months e dey on hemodialysis and e still be diabetic e dey take insulin before food him bowel movement dey regular but him urine no dey regular e only dey come after he don take laxatives abeg guide me,my father is sixty six years old and he has had kidney problems for the last three months he is on hemodialysis and he is also diabetic he is taking insulin before eating his bowel movements are regular but urine output is not regular it only comes after taking laxatives please guide me,Speaker_7,23.34,"['father', 'sixty', 'kidney', 'problems', 'insulin', 'bowel', 'movements', 'urine', 'output']",train
audio/Speaker_7/Speaker7-62.wav,i don dey take augmentin for the past six days because of upper respiratory infection and i don develop asthma on the other hand i dey feel fine now my doctor give me asmanex to treat the asthma i still get four more days of augmentin to take i fit stop am now i mention say i dey sing opera,i have been taking augmentin for six days for an upper respiratory infection and have developed asthma i now feel fine otherwise my doctor gave me asmanex to treat the asthma i still have four more days of augmentin to take can i stop now did i mention that i sing opera,Speaker_7,20.71,"['augmentin', 'respiratory', 'infection', 'asthma']",train
audio/Speaker_7/Speaker7-63.wav,hello spasmodic dysphonia na one of the difficult condition to treat and patient motivation dey very important dem always dey try speech therapy and e dey give some improvement botulinum toxin injection for the spastic muscle go give the best result but you still need to continue speech therapy botulinum toxin get how long e dey work so the effect fit last around six to twelve months for that period if dem fit identify wetin dey cause the spasm dem suppose try remove am permanently,hello spasmodic dysphonia is one of the more challenging conditions to treat and patient motivation is very important speech therapy is always attempted and some benefits are observed botulinum toxin injection in the spastic muscle will yield the best results but speech therapy must be continued botulinum toxin has a certain duration of action so the results may last around six to twelve months during that time if the cause of the spasms is identified efforts should be made to eliminate it permanently,Speaker_7,38.03,"['dysphonia', 'spasmodic']",train
audio/Speaker_7/Speaker7-64.wav,you need complete metabolic profile check up using blood tests like calcium uric acid sodium and potassium together with twenty four hour urine test to check how your body dey pass out things like calcium uric acid citrate and oxalate any underlying problem fit show and you fit even get permanent solution to stop kidney stones from coming back for the meantime make sure say you dey drink plenty water so that your urine go reach at least three liters every day,you need a comprehensive metabolic profile check up using some blood tests such as calcium uric acid sodium and potassium along with a twenty four hour urine test to assess the excretion of various elements like calcium uric acid citrate and oxalate any underlying disorder may be identified and you could potentially achieve a permanent cure from the recurrence of kidney stones in the meantime ensure you drink plenty of fluids to maintain a urine output of at least three liters per day,Speaker_7,29.47,"['metabolic', 'profile', 'check', 'up', 'urine', 'test', 'citrate']",train
audio/Speaker_7/Speaker7-65.wav,hi sir you are welcome to the clinic i understand your problem e fit be viral fever with pharyngitis abeg follow this treatment take zerodal sp tablet after breakfast and after dinner and blumox ca625 tablet after breakfast and after dinner dey gargle with salt and hot water avoid outside food and refrigerated things i hope say you understand my advice thank you and have a nice day,hi sir welcome to the clinic i understand your problem it may be a viral fever with pharyngitis please follow this treatment take zerodal sp tablet after breakfast and after dinner and blumox ca625 tablet after breakfast and after dinner gargle with salt and hot water avoid outside and refrigerated items i hope you understand my advice thank you and have a nice day,Speaker_7,30.88,"['viral', 'pharyngitis', 'blumox', 'ca', 'refrigerated']",train
audio/Speaker_7/Speaker7-66.wav,my left testicle don swell and i seem like say i don lose feeling for the head of my penis i no dey get the same sensation during sex like i dey get some years ago i be forty years old and i dey fairly good health no pain dey my testicle or for the head of my penis,my left testicle is swollen and i seem to have lost sensitivity in the head of my penis i can t seem to get the same feeling during sexual intercourse as i did a few years ago i am forty years old and in fairly good health there is no pain in either my testicle or the head of my penis,Speaker_7,18.09,['testicle'],train
audio/Speaker_7/Speaker7-67.wav,hi how you dey well my mama dey eighty five years old she get serious stomach pain so my sister wey dey live with us rush am go hospital emergency room dem do plenty tests and dem find small spot for her spleen wey fit be cancer before she dey complain say most food no get taste except sweet things so she dey prefer sweets recently she dey tell me say all food don dey taste sweet this one fit be side effect of cancer if yes wetin be her chance to survive this right fit diet reverse am abeg give us your best advice we go really appreciate am,hi how are you well my mother is eighty five years old she had severe stomach pain so my sister who lives with us rushed her to the hospital s emergency room they ran many tests and found a small spot on her spleen that might be cancer in the past she complained that most foods with the exception of those that are sugary and sweet have hardly any taste so she prefers mostly sweets recently she tells me that all food tastes sweet could this be a side effect of cancer if so what are her chances of surviving this could the right diet reverse this please give us your best advice we would really appreciate it,Speaker_7,42.45,"['severe', 'stomach', 'rushed', 'tests', 'spleen']",train
audio/Speaker_7/Speaker7-68.wav,thirteen year old girl with small history of exercise induced asthma don present two times for seven days with seizure activity her eyes dey roll back for head she dey cough she get strong muscle stiffness she lose consciousness serious chest pain like something dey crush am high blood pressure fast heart rate pupils don open wide blurred vision and she no fit talk the episodes last for twenty to twenty five minutes she no get any other illness before e fit be epilepsy or maybe pulmonary embolism,thirteen year old female with a mild history of exercise induced asthma presented twice in seven days with seizure activity her eyes were rolling back in her head she was coughing had forced muscle stiffness loss of consciousness crushing chest pain elevated blood pressure elevated heart rate dilated pupils blurred vision and an inability to speak the episodes lasted twenty to twenty five minutes there is no previous history of other illnesses could it possibly be epilepsy or a pulmonary embolism,Speaker_7,36.22,"['thirteen', 'exercise', 'presented', 'loss', 'consciousness', 'chest', 'elevated', 'episodes', 'pulmonary', 'embolism']",train
audio/Speaker_7/Speaker7-69.wav,hypothyroidism surely dey cause problem for getting belle we need to check your thyroid stimulating hormone level and e suppose be less than two point five before pregnancy so that the pregnancy go safe from start to finish for the meantime we need to check both husband and wife to see if any other problem dey wey dey stop pregnancy if dem find anything we go treat am too good luck,hypothyroidism definitely causes problems in conception we need to check your thyroid stimulating hormone level and it should be less than two point five before pregnancy to ensure a safe journey throughout pregnancy in the meantime we need to assess both the husband and wife to determine whether there are any other additional problems that prevent pregnancy if found we need to treat that problem as well good luck,Speaker_7,22.34,"['hypothyroidism', 'less', 'point']",train
audio/Speaker_7/Speaker7-70.wav,hi i think say you suppose go do fetal echocardiogram and level two scan too e go give you detailed information about the baby no jump to conclusion before that e fit be normal finding like ovarian cyst or urachal cyst so wait for the scan i hope say e help,hi i think you should go for a fetal echocardiogram and a level two scan as well it will provide you with detailed information about the baby do not jump to any conclusions before that it can be a normal finding such as some ovarian cyst or urachal cyst so wait for the scan i hope it helps,Speaker_7,18.04,"['echocardiogram', 'level', 'normal', 'cyst']",train
audio/Speaker_7/Speaker7-71.wav,typhoid na bacterial infection wey fit spread go different parts of body and e fit cause symptoms for those organs too e fit be say your lungs dey involved na why you get chest pain and cough just because fever don stop and you dey feel better within one week e too early to say say typhoid don clear because the bacteria fit still dey inside body for long time by the way you don hear story of typhoid mary e interesting and very educational so continue the treatment wey your doctor give you for few more days e go still help your lungs recover take acetaminophen to reduce chest pain if e too strong by the way i congratulate you if you don stop smoking and you dey maintain am but if you wan live longer and better life no ever start again,typhoid is a bacterial infection that can sometimes spread to different parts of the body causing symptoms in those organs as well the lungs are probably involved in your body causing chest pain and cough just because the fever is gone and you are feeling better within one week it is too early to say that you are rid of typhoid as the organism can continue to harbor in the body for a longer time by the way have you heard the story of typhoid mary it is fascinating yet very educational so continue the therapy suggested by your physician for a few more days it will also help your lungs recover take acetaminophen to help reduce pain in your chest if it is severe by the way i congratulate you if you have quit smoking and persist in that but if you wish to live longer and happier do not ever start again,Speaker_7,50.06,"['typhoid', 'symptoms', 'lungs', 'chest', 'fever', 'acetaminophen']",train
audio/Speaker_7/Speaker7-72.wav,i dey get discomfort under my breasts where bra line dey even when i no wear bra e dey come and go i still dey feel am for upper rib area for both sides e seem like say e dey happen after i finish one particular inhaler wey i dey use i just turn fifty and e dey really dey scare me,i am having discomfort underneath the breasts where the bra line would be even when not wearing one it comes and goes i also feel it in the upper rib area on both sides it seems to happen after i run out of a particular inhaler i use i just turned fifty and it s freaking me out,Speaker_7,18.44,"['discomfort', 'breasts', 'it', 'rib', 'area']",train
audio/Speaker_7/Speaker7-73.wav,hello doctor i get question about total protein count for blood urine and saliva my question be say person total protein count fit change well well based on how much protein food wey dem dey chop or e no dey change unless person get illness like muscle damage when i talk total protein count i dey refer to wetin dem dey calculate for biuret test,hello doctor i have a question about total protein count in blood urine and saliva my question is does someone s total protein count change significantly based on how much protein rich food they eat or does someone s total protein count not change unless they have an illness such as muscle damage when i say total protein count i am referring to what is calculated in a biuret test,Speaker_7,25.45,"['total', 'protein', 'count', 'biuret']",train
audio/Speaker_7/Speaker7-74.wav,e fit be more like cholelithiasis or gallbladder stones chances say na diverticulosis less likely but hernia pain usually dey happen lower pass ribs almost near pelvic bone under your beltline,it could be more indicative of cholelithiasis or gallbladder stones the chances of diverticulosis are less likely but hernia pain usually occurs much lower than the ribs almost above the pelvic bone under your beltline,Speaker_7,17.0,"['gallbladder', 'nia']",train
audio/Speaker_7/Speaker7-75.wav,thank you for asking from wetin i understand the history wey you give suggest say na hypersensitivity reaction and this condition fit dey managed with levocetirizine tablet ten milligrams three times daily if the swelling too much you fit try ibuprofen tablet four hundred milligrams three times daily i hope say this information help you have a nice day,thank you for asking from what i understand the given history is suggestive of a hypersensitivity reaction and this condition can be managed with the tablet levocetirizine ten milligrams three times a day if the swelling is excessive then the tablet ibuprofen four hundred milligrams three times a day can be tried i hope this information helps have a nice day,Speaker_7,22.94,"['tablet', 'levoceti', 'milligrams', 'swelling', 'ibuprofen']",train
audio/Speaker_7/Speaker7-76.wav,hello the most important thing na your posture if e no correct then you need to fix how you dey sit and how you dey sleep if your work na plenty sitting for desk make sure say every two hours you relax small you fit use hot water bag or apply warm moist heat with wet cloth but make e no too hot so you no go burn yourself add back strengthening exercises and also exercises to strengthen your arms hands and shoulders you still fit consider physiotherapy i wish you good health,hello the most important factor is your posture if it is incorrect then you should correct your sitting and sleeping posture if you do a lot of sitting work at your desk make sure to relax every two hours you can use a hot water bag or apply moist heat with a wet washcloth ensuring that it is not too hot to avoid burns incorporate back strengthening exercises as well as exercises to strengthen your arms hands and shoulders you may also consider physical therapy i wish you good health,Speaker_7,34.37,[],train
audio/Speaker_7/Speaker7-77.wav,hello pain for upper left side of your belly fit be from spleen injury but as you talk say you don do x ray and blood tests and dem normal i go advise make you go do ultrasound scan if the ultrasound result normal you no need to worry unless you develop fever if ultrasound come normal you fit ask your family doctor to give you muscle relaxant to reduce the strain i hope say this one help you,hello upper left abdominal pain could be due to a spleen injury however as you mentioned you had your x ray and blood tests done and they were normal i would like to suggest that you get an ultrasonography done if the ultrasonography results are normal then you do not need to worry unless you develop a fever with the normal ultrasonography reports you can ask your family physician to prescribe a muscle relaxant to alleviate this strain i hope this helps you,Speaker_7,25.8,"['abdominal', 'spleen', 'ray', 'blood', 'tests', 'ultrasonography', 'muscle', 'relaxant']",train
audio/Speaker_7/Speaker7-78.wav,hello this one fit be cardiac arrhythmia like paroxysmal supraventricular tachycardia or atrial fibrillation where heart rate dey suddenly increase and also suddenly drop blood pressure dey fall during these episodes and person fit feel dizziness fainting blackout or sometimes syncope usually ecg go look normal because dem dey do am between episodes ecg wey dem do during the episode go show abnormality you need twenty four hour holter monitoring so abeg go see cardiologist for these tests also hemoglobin and thyroid tests suppose dey done to try stop the episode you fit try cough hard any stress or anxiety dey involved if yes e fit still be stress related until your full check up finish you fit ask local doctor give you cipralex la 20 mg once daily if all these no work the last option na electrophysiological study which na invasive test wey fit diagnose and even treat the arrhythmia permanently for most cases,hello this can be a cardiac arrhythmia such as paroxysmal supraventricular tachycardia or atrial fibrillation in which the heart rate suddenly increases and also suddenly decreases blood pressure falls during these episodes and one experiences dizziness fainting blackouts or sometimes syncope usually the electrocardiogram is normal as it is often conducted in between episodes an electrocardiogram performed during episodes will show abnormalities you will need twenty four hour holter monitoring so please visit a nearby cardiologist for these investigations additionally hemoglobin and thyroid tests should be conducted in order to abort such episodes you should try to cough hard is there any stress or anxiety associated if yes this could be stress related as well until your evaluation is complete you can ask your local doctor for tablets of cipralex la twenty mg once a day if none of the above is successful then the last option is electrophysiological studies which is an invasive test that can diagnose and treat the arrhythmia permanently in most cases,Speaker_7,75.42,"['paroxysmal', 'atrial', 'fibrillation', 'heart', 'rate', 'blood', 'pressure', 'electrocardiogram', 'hour', 'hemoglobin', 'thyroid', 'tests', 'cough', 'stress', 'anxiety', 'tablets', 'associated', 'mg']",train
audio/Speaker_7/Speaker7-79.wav,hello there from how you describe am e look like say your foreskin short and that one dey make am hard to pull back and e usually dey cause pain normally foreskin movement suppose no dey painful and e dey usually retract during erection if e dey cause discomfort e better make you do circumcision which na simple procedure,hello there from your description it looks like you have a short foreskin which causes difficulty in retraction and is usually associated with pain movement of the foreskin should be painless and usually it retracts during an erection if it is causing discomfort then it is better to undergo circumcision which is a simple procedure,Speaker_7,21.55,['foreskin'],train
audio/Speaker_7/Speaker7-80.wav,hi my boyfriend don dey get serious side pain and testicle pain for more than one month now doctors don test am for almost everything but dem say dem no sabi wetin dey cause the pain e don bad reach say sometimes e no fit waka wetin fit dey cause this,hi my boyfriend has been having chronic side and testicle pain for over a month now the doctors tested him for nearly everything and said they had no clue what was causing his pain it is so bad he can t walk at times what could be causing this,Speaker_7,18.46,['walk'],train
audio/Speaker_7/Speaker7-81.wav,hello i just read through your question the most likely cause of the discomfort for this case na strained muscle e fit don happen during activity or even during sleep considering her sleep position warm compresses usually dey speed up the healing time however the discomfort go go on in own as the muscle loosens up no need to dey overly concerned,hello i just read through your question the most likely cause of the discomfort in this case is a strained muscle it could have happened during an activity or even during sleep considering her sleep position warm compresses usually speed up the healing time however the discomfort will resolve on its own as the muscle loosens up there is no need to be overly concerned,Speaker_7,24.71,['discomfort'],train
audio/Speaker_7/Speaker7-82.wav,your symptoms dey suggest meniscal tear you need to see orthopedic surgeon wey go do mri scan to confirm the diagnosis depending on the grade and where the tear dey dem fit treat am without surgery or with surgery,your symptoms suggest a meniscal tear you need to see an orthopedic surgeon who would perform an magnetic resonance imaging scan to confirm the diagnosis based on the grading and location of the tear it can be treated conservatively or by surgery,Speaker_7,15.77,"['orthopedic', 'surgeon', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_7/Speaker7-83.wav,hello doctor i been get ear infection for my left ear about a month ago and my doctor prescribed amoxicillin twice a day for a week e no tey i go back and the ear infection con move gomy right ear and my left ear still bad so she prescribe z pak for five days i finish my z pak last week and i dey generally okay but i still dey feel izzy small if i dey sit down when that one go comot,hello doctor i had an ear infection in my left ear about a month ago and my doctor prescribed amoxicillin twice a day for a week i went back shortly after and the ear infection moved to my right ear and my left ear was not any better so she prescribed a z pak for five days i finished my z pak last week and i am better overall but i still feel a little dizzy when sitting down when will that go away,Speaker_7,30.23,"['ear', 'infection', 'amoxicillin', 'went', 'pak', 'dizzy']",train
audio/Speaker_7/Speaker7-84.wav,hello e fit be allergic or e fit be vascular symptom until dem check for person e dey hard to determine whether na allergic or vascular only ankle tightness or blotchy sores alone no go provide enough information to follow you fit do one of two things first try to do hot water fermentation and then ankle toe movements if things better dat one good if not then you need to see doctor and seek further advice regarding which tests to do,hello it can be allergic or it can be a vascular symptom until it is checked in person it is tough to determine whether it is allergic or vascular only ankle tightness or blotchy sores alone does not provide enough information to follow you can do one of two things first try doing some hot water fermentation and then some ankle toe movements if things get better that will be good if not then you can meet a physician and seek further advice regarding which tests to conduct,Speaker_7,33.13,"['ankle', 'blotchy', 'sore', 'hot', 'water', 'fermentation']",train
audio/Speaker_7/Speaker7-85.wav,since you don already get transient ischemic attack you need dey on medication i dey assume say dem don do computed tomography scan or magnetic resonance imaging of your brain echocardiography electrocardiogram carotid artery doppler and blood sugar tests you need aspirin but make e be lower dose pass 325 milligram and you go still need atorvastatin for cholesterol and to prevent stroke you must dey check your blood pressure frequently transient ischemic attack dey often connect with heart problems so you need dey very careful about chest pain and make dem evaluate you if you ever feel am if any of those tests never still do abeg make you go do am also healthy lifestyle regular exercise and low fat diet go help you well well,since you have already had a transient ischemic attack you need to be on medication i guess a computed tomography scan or magnetic resonance imaging of the brain echocardiography electrocardiogram carotid artery doppler and blood sugar tests must have been done you need aspirin a lower dose than three hundred and twenty five milligrams and atorvastatin as well for cholesterol and stroke prevention blood pressure should be checked frequently a transient ischemic attack is often associated with heart problems so you should be vigilant about chest pain and should be evaluated if you experience any if any of the above tests have not been done please get them done also a healthy lifestyle regular exercise and a low fat diet will help,Speaker_7,57.33,"['transient', 'is', 'computed', 'tomography', 'magnetic', 'resonance', 'imaging', 'electrocardiogram', 'blood', 'sugar', 'aspirin', 'milligram', 'attack', 'pressure', 'chest']",train
audio/Speaker_7/Speaker7-86.wav,my eleven year old pikin collect vaccine yesterday and right now e dey feel pain e say him arm dey pain am like six for scale of one to ten i give am tylenol and i rub menthol for him arm e still dey feel pain i suppose carry am go emergency room wetin i suppose do why him dey feel pain him arm look normal no swelling dey there,my eleven year old received a vaccine yesterday and right now he is in pain he says his arm hurts a six on a scale of one to ten i gave him tylenol and rubbed his arm with menthol he is still in pain should i take him to the emergency room what should i do why is he in pain his arm looks fine there is no swelling,Speaker_7,22.34,"['eleven', 'vaccine', 'arm', 'tylenol', 'room']",train
audio/Speaker_7/Speaker7-87.wav,some years back when i dey baff i apply dettol wey be antiseptic directly for my penis at first i feel burning pain for my foreskin but after some days the pain con comot even after some years i still get spots and small pimples wey resemble bumps for my foreskin how i fit take remove them,a few years back while bathing i applied dettol which is an antiseptic directly on my penis initially i felt a burning pain on my foreskin however after a few days the pain went away even after a few years i still have spots and pimples that resemble bumps on my foreskin how can i get rid of these,Speaker_7,19.76,"['dettol', 'burning', 'foreskin', 'spots', 'pimples']",train
audio/Speaker_7/Speaker7-88.wav,this sudden worsening of vision fit or fit no dey related to arthralgia since rheumatoid arthritis dey normal but eye specialist suppose check am quick quick in case na eye problem correction need to happen as soon as possible also abeg go see rheumatologist take the treatment dem prescribe for lipedema and lymphedema best wishes,this sudden worsening of vision may or may not be related to arthralgia since rheumatoid arthritis is normal but there should be a check up by an eye specialist at the earliest in case it is an eye problem correction should be done as soon as possible also please see a rheumatologist take the prescribed treatment for lipedema and lymphedema best wishes,Speaker_7,24.75,"['worsening', 'vision', 'arthralgia', 'rheumatoid', 'arthritis', 'check', 'up']",train
audio/Speaker_7/Speaker7-89.wav,dear patient e be like say you get back sprain wey need proper rest avoid running for one week and take painkiller like diclofenac two times daily then slowly slowly start dey increase your running so your muscles go fit adjust to the strain,dear patient it seems you have a back sprain which needs proper rest avoid running for a week and take painkillers like diclofenac twice a day then start gradually increasing running so that your muscles get adjusted to the strain,Speaker_7,14.98,"['running', 'painkillers', 'diclofenac', 'twice', 'muscles']",train
audio/Speaker_7/Speaker7-90.wav,hello this one no sound like blockage again unless you get other symptoms like belly swelling nausea or vomiting to confirm the diagnosis i go advise say make you do radiological contrast study for your intestines that one go show clear understanding the pain fit come from infection for the intestines or e fit be ureter stone for the same side wey ultrasound suppose don rule out,hello this does not sound like a blockage again unless you have associated symptoms of abdominal distension nausea or vomiting to assure the diagnosis i would advise undergoing radiological contrast studies for the intestines this will provide a clear understanding the pain can be due to an infection of the intestines or possibly a ureteral stone the same side that the ultrasound must have ruled out,Speaker_7,21.46,"['blockage', 'radiological', 'contrast', 'assure']",train
audio/Speaker_7/Speaker7-91.wav,elephantiasis rarely dey affect both legs e likely say na recurrent increase in water retention for body if e need dey go hospital many times for this problem then make you ask your doctor make e refer you go nephrologist ask the nephrologist whether e go better and make the person dey happier with once daily or once every other day single exchange peritoneal dialysis you go surprise well well with the result of the treatment good luck life expectancy fit be few years one to five years,elephantiasis rarely affects both legs he is likely suffering from recurrent increases in water retention in his body if he needed repeated hospital visits for this problem then ask your doctor to refer you to a nephrologist ask the nephrologist whether he will be healthier and happier with once daily or once every other day single exchange peritoneal dialysis you will be pleasantly surprised with the results of the treatment good luck life expectancy is a few years one five years,Speaker_7,34.46,"['elephantiasis', 'recurrent', 'increases', 'water', 'retention', 'visits', 'healthier', 'daily', 'other', 'single', 'peritoneal']",train
audio/Speaker_7/Speaker7-92.wav,hello i get appointment for hysteroscopic myomectomy for few days time and i want confirm if e no go affect my chance to get belle negatively dem don see submucosal fibroid wey measure 23 1 millimetres by 22 4 millimetres posterior intramural fibroid wey measure 35 1 millimetres by 31 millimetres and anterior intramural fibroid wey measure 31 1 millimetres by 28 millimetres,hello i am scheduled for a hysteroscopic myomectomy in a few days and want to confirm if it won t have a negative effect on my ability to get pregnant a submucosal fibroid has been seen measuring twenty three point one millimeters by twenty two point four millimeters a posterior intramural fibroid measuring thirty five point one millimeters by thirty one millimeters and an anterior intramural fibroid measuring thirty one point one millimeters by twenty eight millimeters,Speaker_7,32.32,"['hysteroscopic', 'myomectomy', 'posterior', 'point', 'millimeters']",train
audio/Speaker_7/Speaker7-93.wav,hi sir welcome to hcg i understand your problem well well tusq d lozenges dey available too use am and you go get better result i hope say you dey satisfied with my answer thank you have a nice day,hi sir welcome to hcg i understand your problem clearly tusq d lozenges are also available use that and you will get better results i hope you are satisfied with my answer thank you have a nice day,Speaker_7,16.07,[],train
audio/Speaker_7/Speaker7-94.wav,one tendon wey dey on top my collarbone don swell e dey give me dull but very annoying pain i manage endure the pain for almost eight months and e come make my whole left side lock i go see chiropractor e be like say e help small but now i dey get back pain wey i no get before i start the visits plus the tendon for my collarbone still dey pain me and i know say if i go back work my left side go just lock again wetin you think say i fit do,a tendon running over my collarbone is inflamed giving me dull but irritating pain i pushed through the pain for nearly eight months and it caused my entire left side to lock up i went to a chiropractor and that seemed to help but now i have back pain i did not have prior to the visits also the tendon over my collarbone still hurts and i know if i go back to work i will just end up with a locked up left side again any ideas on what i should do,Speaker_7,31.11,"['collarbone', 'dull', 'tendon']",train
audio/Speaker_7/Speaker7-95.wav,dem sey make i go do semen analysis test i go lab but i feel serious shame i enter the room dem give me for the test but i no fit get erection for many minutes my heart begin beat fast later i begin rub myself anyhow i come release quick quick with very small erection when result come out dem write say sperm count zero this thing don really pain me well well wetin i go do now nobody for my family get problem of not being able to born pikin,i was asked to have a semen analysis test i went to the lab but i noticed great embarrassment i entered the procedure room but could not achieve an erection for many minutes my heart rate increased then i started rubbing wildly i ejaculated very quickly with a very minimal erection the test report said sperm count nil i am very upset what should i do now there is no family history of infertility,Speaker_7,32.23,"['semen', 'erection', 'heart', 'rate', 'rubbing', 'sperm', 'count']",train
audio/Speaker_7/Speaker7-96.wav,i dey always get this strong strong feeling of déjà vu and e don begin dey fear me i no know wetin i go do but i need help some people wey i tell say e no be big deal but some say make i go talk to somebody i no know anybody wey dey experience am as often or as clear like me abeg help me,i constantly have a really strong sense of déjà vu and it is starting to scare me i do not know what to do but i need help some of the people i have told say it is no big deal but some say that i need to go talk to somebody i do not know anyone who experiences it as often or as clearly as i do please help,Speaker_7,21.01,['vu'],train
audio/Speaker_7/Speaker7-97.wav,i dey always get this strong strong feeling of déjà vu and e don begin dey fear me i no know wetin i go do but i need help some people wey i tell say e no be big deal but some say make i go talk to somebody i no know anybody wey dey experience am as often or as clear like me abeg help me,i constantly have a really strong sense of déjà vu and it is starting to scare me i do not know what to do but i need help some of the people i have told say it is no big deal but some say that i need to go talk to somebody i do not know anyone who experiences it as often or as clearly as i do please help,Speaker_7,19.83,['vu'],train
audio/Speaker_7/Speaker7-98.wav,e fit be say nerve for your elbow joint dey compressed try no dey move your elbow too much keep am straight as you fit if you dey use hot pack e go help reduce the pain small if after one week the pain still no go then you need go see orthopaedic specialist wey fit tell you make you do x ray or electromyography i hope say this one help you,it could be nerve compression at your elbow joint don t move your elbow much keep it straight as much as possible taking hot packs will give you relief to some extent even after a week if the pain does not go away then you need to visit an orthopedic specialist who might ask you to undergo an x ray or electromyography i hope you find this helpful,Speaker_7,27.26,"['nerve', 'compression', 'elbow', 'move', 'hot', 'packs', 'relief', 'orthopedic']",train
audio/Speaker_7/Speaker7-99.wav,if cervical spine x ray come out normal you suppose do nerve conduction test for the axillary nerve make dem also do x ray for your pelvis to rule out ileocecal joint arthritis take gabapentin one hundred milligrams by mouth three times every day,if the cervical spine x ray was normal a nerve conduction test should be done of the axillary nerve an x ray of the pelvis should be done to exclude ileocecal joint arthritis take gabapentin one hundred milligrams orally three times daily,Speaker_7,17.79,"['cervical', 'spine', 'ray', 'nerve', 'conduction', 'test', 'axillary', 'pelvis', 'ileocecal', 'joint', 'gabapentin', 'milligrams', 'oral']",train
audio/Speaker_7/Speaker7-100.wav,hello from wetin you describe e look more like fungal infection this kind infection dey quick come back again abeg keep the area clean well well and make your partner treat too avoid sex for now if e must happen use condom both of una suppose do the treatment at the same time later give update with details and pictures,hello it is more likely a fungal infection based on the description provided it is prone to recurrence please keep the area clean and also treat your partner avoid sexual intercourse use condoms if needed both of you should take the treatment simultaneously follow up with details and photographs,Speaker_7,21.85,"['fungal', 'infection', 'treatment']",train
audio/Speaker_7/Speaker7-101.wav,hello i get dark circles under my eyes i dey chop correct healthy food and i dey sleep well for night small tension dey for my life i don try cucumber slices but e no work i don try many things already abeg suggest wetin i fit do make the dark circles comot this thing dey make me feel sad well well abeg help me,hello i am having dark circles under my eyes i am eating healthy food and i always have good sleep at night there is a little bit of tension in my life i have not had any results from using cucumber slices i have already tried a lot so please suggest something i can do to make the dark circles disappear i am really feeling sad about this please help me,Speaker_7,19.55,"['dark', 'circles', 'eating', 'healthy', 'food']",train
audio/Speaker_7/Speaker7-102.wav,hello i just read your question i dey sorry say your daughter no dey well fever alone no be reason to rush go emergency room make una try control the fever with acetaminophen and ibuprofen sometimes if you put cool cloth for her forehead e fit help too then when next chance show carry her go meet pediatrician wey go fit check and know wetin dey cause the fever,hello i just read through your question i am sorry to hear that your daughter is not well a fever alone is not a reason to visit an emergency room we do our best to control the fever with acetaminophen and ibuprofen sometimes cool compresses applied to the forehead can also help then at the next opportunity she can be taken to the pediatrician who can diagnose the cause of the fever,Speaker_7,25.1,"['fever', 'alone', 'acetaminophen', 'ibuprofen', 'taken']",train
audio/Speaker_7/Speaker7-103.wav,he don vomit am unless e dey in throat he must don coughed am out wey make the medicine dey inside in nose and e must don come out,he has vomited it out or else it must be in his throat he must have coughed it out resulting in the pill being in his nostril and then it must have come out,Speaker_7,7.48,[],train
audio/Speaker_7/Speaker7-104.wav,i step on top nail two days ago everywhere dark that time so i no know whether the nail rust or not the place swell small and red the nail enter like quarter inch inside i no even know when last i take tetanus injection but my muscles dey tight and my ribs dey pain me e possible say na tetanus i get,i stepped on a nail two days ago it was dark outside and i do not know if it was rusty or not it is a little bit swollen and red it went in about a quarter of an inch i do not know when i had my tetanus shot last but my muscles are tight and my ribs hurt is it possible that i have tetanus,Speaker_7,20.76,"['ribs', 'rusty']",train
audio/Speaker_7/Speaker7-105.wav,my friend just go do check up for him heart because e dey feel pain doctor tell am say he get hole for him heart wey start since when he small dem tell am make e no worry just make e avoid too much oily food and stop smoking dem say the hole go heal itself naturally abeg help me wetin i suppose do,my friend recently had a check up on his heart because he was feeling pain the doctor told him that he has a hole in his heart which started at a young age he was advised not to worry just to avoid eating too many oily foods and to stop smoking the hole will be automatically repaired naturally kindly help me please what should i do,Speaker_7,18.69,[],train
audio/Speaker_7/Speaker7-106.wav,my daughter wey dey sixteen years dey get very serious back pain wey dey stop her from normal activity she don get am for three weeks now and the pain dey constant plus sometimes she dey get sharp shooting pain wey dey strong well well she still dey feel pain for her arms too and she dey lose plenty hair during bath time and when she dey comb am she do parathyroidectomy when she dey eleven years old wey dem remove four parathyroid glands one get adenoma and three dey large she get five parathyroid glands total so one remain her symptoms dey very similar to wetin happen that first time but she don do blood tests for calcium and parathyroid hormone and dem deynormal wetin fit dey cause this kind pain for her spine both lower back and upper back,my daughter aged sixteen is presenting with severe and disabling back pain she has had this for three weeks with constant pain along with regular severe shooting pains she also experiences pain in her arms and is losing a lot of hair during bath time and while brushing she had a parathyroidectomy at the age of eleven during which four parathyroid glands were removed one of which had an adenoma and three were enlarged she has five parathyroid glands in total so one was left her symptoms are very similar to when this first occurred but she has had both calcium and parathyroid hormone blood tests both of which are normal what could be causing such pain in her spine both lower and upper back,Speaker_7,51.53,"['severe', 'pains', 'arms', 'losing', 'lot', 'hair', 'parathyroidectomy', 'adenoma', 'calcium']",train
audio/Speaker_7/Speaker7-107.wav,well i dey try get opinion about my daughter she fall from stairs about one week ago and at first she look normal but i don notice say she don dey cry more and she don start get diarrhoea and now she dey vomit i no know if e fit relate to head injury or something else i wan carry her go emergency room but i no sure wetin i go do,well i was trying to get an opinion on my daughter she fell down the stairs about a week ago and seemed normal but i have noticed she cries more and has started with diarrhea and now vomiting i do not know if this could be related to trauma to the head or something else i wanted to go to the emergency room but do not know what to do,Speaker_7,21.29,"['fell', 'cries', 'diarrhea']",train
audio/Speaker_7/Speaker7-108.wav,hello sir my problem be say i get pain for my lower back for the past three months e dey better small after like four or five days then e go come back again after night emission and return back to the same level wey e start from abeg tell me how many times night emission dey normal for one month,hello sir my problem is that i have pain in my lower back for the past three months it recovers a little after four or five days and then it returns after a night of nocturnal emission to the earlier position from where it began please tell me how many times a nocturnal emission is normal in a month,Speaker_7,19.5,"['past', 'recovers', 'emission', 'earlier', 'position', 'nocturnal', 'normal']",train
audio/Speaker_7/Speaker7-109.wav,hello e look like say you sprain the ligaments for your ankle but since e don reach two weeks and you still get swelling and pain you need do x ray for your ankle and foot to rule out avulsion injury where small bone pieces fit get pulled off the numbness wey dey your two small toes na because pressure dey on small nerve wey dey run along outside edge of your foot go reach the toes this one go better with time tie elastic bandage and dey raise the leg when you dey rest,hello you seem to have sprained the ligaments of the ankle however since it has been two weeks and you still have swelling and pain you will need an x ray of the ankle and the foot to rule out avulsion injuries in which bony fragments can get pulled off numbness of the two small toes is from pressure on a small nerve that runs along the outer border of the foot to the toes this will get better with time apply an elastic bandage and elevate while at rest,Speaker_7,27.26,"['sprained', 'swelling', 'ray', 'ankle', 'foot', 'injuries', 'bony', 'numbness', 'elastic', 'bandage']",train
audio/Speaker_7/Speaker7-110.wav,hello methylcobalamin no get any analgesic effect so e no fit give pain relief,hello methylcobalamin has no analgesic properties so it would not provide any pain relief,Speaker_7,7.55,['methylcobalamin'],train
audio/Speaker_7/Speaker7-111.wav,i get five year old daughter wey vomit early this morning before she chop again this afternoon after she don chop and again this evening before she sleep after food she no dey show any sign of sickness she no get fever and she no dey complain of pain she just no like the vomiting,i have a five year old daughter who vomited first thing this morning before eating this afternoon after eating and this evening before bedtime after eating she is not showing any signs of discomfort has no fever and is not complaining of pain she just doesn t like vomiting,Speaker_7,15.91,"['vomited', 'morning']",train
audio/Speaker_7/Speaker7-112.wav,hello me and my girlfriend nack without condom last night around 3am she take emergency contraceptive pill about 14 hours later but the thing be say i no release inside her i just dey worry say my pre ejaculate fit still affect something her period suppose come this week,hello my girlfriend and i had unprotected sex last night around three am she took the emergency contraceptive pill about fourteen hours later but here s the thing i didn t ejaculate inside her i m just worried about my pre ejaculate having any effect her period is due this week my email is yyyy yyyy,Speaker_7,16.83,"['girlfriend', 'am', 'emergency', 'fourteen', 'ejaculate']",train
audio/Speaker_7/Speaker7-113.wav,e start with pain under my shoulder blade e dey pain when i breath in deep the next day i get full body massage and within one and a half hours after the massage e con dey like say i get flu although i no get fever that na one week ago and now i get cough wey dey com with yellow mucus i get asthma but i no get any wheezing the entire time,it started with a pain under my shoulder blade it hurt when i breathed in deeply the next day i had a full body massage and within one and a half hours after the massage it felt like i had the flu although i had no fever that was a week ago and now i have a cough that is productive with yellow mucus i have asthma but i have had no wheezing the entire time,Speaker_7,19.92,"['hurt', 'full', 'within', 'half', 'cough', 'wheezing']",train
audio/Speaker_7/Speaker7-114.wav,i dey twenty nine years old i dey try get belle i get mild polycystic ovary syndrome first cycle of clomiphene citrate i take for days five to nine i dey do follicular study for day thirteen my doctor give me human chorionic gonadotropin injection today na day fifteen follicle size be twenty three by twenty one millimetres and endometrium be eight millimetres when i fit likely ovulate,i am twenty nine years old trying to conceive having mild polycystic ovary syndrome first cycle of clomiphene citrate taken on days five nine i am undergoing a follicular study on day thirteen my doctor injected me with human chorionic gonadotropin injection it is day fifteen the follicle size is twenty three twenty one millimeters and the endometrium is eight millimeters when am i likely to ovulate,Speaker_7,31.23,"['mild', 'clomiphene', 'citrate', 'thirteen', 'injected', 'human', 'gonadotropin']",train
audio/Speaker_7/Speaker7-115.wav,i dey thirty years old i weigh ninety five kilograms and my height na one point eight meters sometimes especially for night i dey feel say my heart rate dey go up and e dey feel like say my heart stop small e dey pain me small and i dey also get slight shortness of breath also when i chop especially during daytime after i don eat i dey feel strange like my stomach and chest dey compressed i still dey get headache too,i am thirty years old weigh ninety five kilograms and am one point eight meters tall sometimes especially at night i feel my heart rate go up and it feels like my heart stops it hurts a bit and i am getting a little short of breath also when i eat especially during the day after i eat i feel weird and it feels like my stomach and chest are compressed i also get headaches,Speaker_7,27.19,"['heart', 'rate', 'stomach', 'headaches']",train
audio/Speaker_7/Speaker7-116.wav,doctor i get tuberculosis last year and i take treatment for three months after the treatment i come dey pregnant e get possibility say the tb medicine make my egg dey fertile e don reach five years since we marry and i never get belle until i receive tuberculosis treatment,doctor i had tuberculosis last year and it took three months of treatment after the treatment i became pregnant is there a possibility that the tuberculosis medication caused my egg to become fertile it has been five years since we got married and i never became pregnant until i received tuberculosis treatment,Speaker_7,17.09,"['tuberculosis', 'egg']",train
audio/Speaker_7/Speaker7-117.wav,i no fit talk for sure since plenty things dey wey fit cause pancreatic cancer and liver problems too the main advice for you be make you avoid things wey dey cause fatty liver and make you continue your treatment and dey do follow up with ultrasound every six months,i cannot say for certain since there are a number of causes of pancreatic cancer and liver issues as well the main advice for you is to avoid the causes leading to fatty liver and to continue treatment and follow up with ultrasounds every six months,Speaker_7,15.0,"['pancreatic', 'liver', 'ultrasounds']",train
audio/Speaker_7/Speaker7-118.wav,wetin fit cause pain for abdomen especially for right groin for person wey still be virgin fit be colitis ovarian cyst enteritis appendicitis and typhlitis simple ultrasound fit show plenty of the problems the rest fit be found using ct scan for abdomen and pelvis this one serious because at your age you no suppose dey get this kind pain at all,the causes of pain in the abdomen particularly the right groin in a virgin can be colitis ovarian cysts enteritis appendicitis and typhlitis simple ultrasonography can detect many problems the rest can be found using a computed tomography scan of the abdomen and pelvis this has to be considered serious as there should not be such pains at your age at all,Speaker_7,27.33,"['pains', 'groin', 'ultrasonography', 'computed', 'tomography', 'abdomen', 'appendicitis']",train
audio/Speaker_7/Speaker7-119.wav,i put copper intrauterine device four days ago i don get my period but i still get thick brown discharge something wey i no get the day i do the fitting or the day after my urine dey smell and i dey get lower abdominal pain and e dey worse for evening i try feel the strings but i no fit find am e normal like this,i had a copper intrauterine device fitted four days ago i have gotten my period but i also have thick brown discharge which i did not have the day i had the device fitted or the day after my urine smells and i have lower abdominal pain which is much worse in the evening i tried to feel for the strings but was unsuccessful is this normal,Speaker_7,23.15,"['copper', 'intrauterine', 'device', 'abdominal']",train
audio/Speaker_7/Speaker7-120.wav,wetin dey cause abdominal pain plenty you get any other problem like nausea vomiting or fever i go advise make you go see doctor make dem check you because e hard to know the exact cause without proper history and detailed check up,the causes of abdominal pain are multiple do you have any other complaints such as nausea vomiting or fever i would suggest visiting a doctor to get an opinion as it is difficult to tell what the cause is without detailed case taking,Speaker_7,14.95,"['abdominal', 'visiting']",train
audio/Speaker_7/Speaker7-121.wav,hello madam well this kind bleeding fit be sign of biochemical pregnancy loss many times this kind thing dey happen naturally but people no dey really remember am e often be nature way of removing pregnancy wey no go survive so no need to worry although e fit be say your cycle just scatter small because of hormonal imbalance but since you don already get heavy flow the chance of pregnancy now small well well so you fit continue your third cycle of clomid good luck bye bye,hello madam well this type of bleeding can be a symptom of a biochemical pregnancy loss often these occurrences are natural but we tend to forget them these are frequently nature s process of elimination of non viable conceptions so there is nothing to worry about alternatively this could be a disturbance in your cycle due to hormonal imbalance however since you have already had a heavy flow the chances of pregnancy at this point are remote therefore you can continue with the third cycle of clomid good luck goodbye,Speaker_7,31.32,['bleeding'],train
audio/Speaker_7/Speaker7-122.wav,if your hepatitis b virus don dey inactive for many years e no likely say na am dey cause your abnormal liver enzymes based on your history of gastric sleeve surgery you dey at risk of getting fatty liver disease this one very common for people wey lose weight quick quick so after bariatric surgery e very likely say you fit develop fatty liver if the fat for liver cause inflammation inside the liver itself dem dey call am nash or non alcoholic steatohepatitis but to make sure say na this be the problem you still need do more blood tests to rule out other causes you need follow up with your liver doctor or gastroenterologist,if your hepatitis b virus has been inactive for so many years this is unlikely to be the source of your abnormal liver enzymes given your history of a gastric sleeve procedure you are at risk for developing fatty liver disease this is very common in individuals who lose weight rapidly therefore after having bariatric surgery you are very likely to develop fatty liver if the fat in the liver produces inflammation within the liver itself it is then called nash or non alcoholic steatohepatitis however to ensure this is the problem further blood tests need to be done to rule out other sources you need to follow up with your liver doctor or gastroenterologist,Speaker_7,48.81,"['hepatitis', 'virus', 'fatty', 'weight', 'liver', 'inflammation', 'nash', 'non', 'steatohepatitis', 'blood', 'tests']",train
audio/Speaker_7/Speaker7-123.wav,dear friend statins wey you dey take fit cause liver enzymes to rise i no really see any need to do mri scan for this time you suppose do complete liver function test and also do ultrasound of your abdomen make you follow up with us e fit be say dem go need adjust your statin dose stay healthy,dear friend statins which you are taking can cause elevation in liver enzymes i really don t see any point in getting a magnetic resonance imaging scan at this point in time you should get a complete liver function test and an ultrasound of your abdomen review with us your statin dose may have to be modified stay healthy,Speaker_7,19.55,"['magnetic', 'resonance', 'imaging', 'liver', 'ultrasound']",train
audio/Speaker_7/Speaker7-124.wav,i do appendix operation four weeks ago because of serious pain for right side near my pompoo even though dem say the appendix itself normal dem say e just wrap around my liver this night i don start get the same strong pain for the same place again i suppose go emergency room,i had my appendix removed four weeks ago because of severe pain on the right side of my belly button even though the appendix was normal it was just wrapped around my liver they said i started having the same bad pains in the same spot tonight should i go to the emergency room,Speaker_7,19.09,"['appendix', 'removed', 'severe', 'pains']",train
audio/Speaker_7/Speaker7-125.wav,hi i get stomach pain for right side about one year ago i do endoscopy and dem find say i get hernia acid reflux and helicobacter pylori i take medication and i come dey fine six months later i do ultrasound and dem no find anything again except 4mm polyp for my gallbladder now doctor want make i do ct scan but i dey fear to do am,hi i had a stomach ache on the right side about a year ago i had an endoscopy and found that i have a hernia acid reflux and helicobacter pylori i took medication and then i was fine six months later i had an ultrasound and nothing was found other than a 4mm polyp on the gallbladder now the doctor wants me to get a computed tomography scan and i am afraid to do it,Speaker_7,22.96,"['stomach', 'ache', 'endoscopy', 'mm', 'gallbladder', 'computed', 'tomography']",train
audio/Speaker_7/Speaker7-126.wav,hello from the complaints wey you describe e fit be viral fever with gastritis or urinary tract infection i go advise make you do urine routine and microscopy test to confirm the diagnosis,hello based on the complaints you have described it may be a viral fever with gastritis or a urinary tract infection i recommend conducting a urine routine and microscopy test to confirm the diagnosis,Speaker_7,13.31,"['viral', 'fever', 'gastritis', 'urinary', 'routine', 'microscopy', 'test']",train
audio/Speaker_7/Speaker7-127.wav,dear parent from wetin you describe your pikin don dey suffer fever for past two weeks and you dey give am anamol suppository paracetamol dey reduce fever but e no be the actual treatment if he don get fever for this long plus loss of appetite i go advise make you carry am go see pediatrician sharp sharp make dem investigate am well and start proper treatment,dear parent as per your description your child has been suffering from a fever for the past two weeks and you are giving him anamol suppository paracetamol brings the fever down but it is not the treatment if he has had a fever for this long along with a loss of appetite i would like to suggest that you take him to a pediatrician at once to get him investigated as necessary and start treatment,Speaker_7,22.83,"['fever', 'paracetamol', 'take', 'pediatrician']",train
audio/Speaker_7/Speaker7-128.wav,i understand your problem e fit be nerve compression from the back of the thigh all these symptoms dey look like nerve compression you suppose do physiotherapy treatment lumbar traction some stretching exercises and dem go also give you pain relief treatments,i understand your problem it may be nerve compression from the back of the thigh all these symptoms resemble nerve compression you should undergo physiotherapy treatment lumbar traction some stretching exercises and pain reduction modalities will be available,Speaker_7,14.49,"['nerve', 'compression', 'thigh', 'physiotherapy']",train
audio/Speaker_7/Speaker7-129.wav,i do surgery where dem con put scope inside my throat now i get small bumps for back of my tongue wetin dey wrong dem all get first names for beginning their middle names be biblical names there be j d my biological dad and r c and j c and some others wey i fit don forget,i had surgery with a scope down my throat now i have bumps on the back of my tongue what is wrong they all had initial first names their middle names were biblical names there was j d my biological dad and r c and j c and a few more i probably forgot,Speaker_7,20.92,"['surgery', 'bumps']",train
audio/Speaker_7/Speaker7-130.wav,hello i just do home pregnancy test and e come out negative but i don miss my period and this one never happen before i dey feel sick and i get heartburn just like wetin i experience for my previous pregnancy e necessary to do pregnancy test early morning,hello i have just done a home pregnancy test and it came back negative but i have missed my period which has never happened before i have been feeling sick and have heartburn which is similar to what i experienced during my previous pregnancy do you have to do a pregnancy test first thing in the morning,Speaker_7,16.23,"['home', 'pregnancy', 'test', 'sick']",train
audio/Speaker_7/Speaker7-131.wav,treatment for psoriasis na photochemotherapy where dem dey use ultraviolet rays treat this skin disease ointments too dey available,treatment for psoriasis will be photochemotherapy in which ultraviolet rays are used to treat this skin disease ointments are available,Speaker_7,11.03,[],train
audio/Speaker_7/Speaker7-132.wav,e fit be case of glossitis stomatitis make you dey chop bland food apply glycerin borax three times daily take vitamin b complex forte tablet twice daily or inject vitamin b complex with vitamin b12 one milliliter daily for ten days avoid spices tobacco hot food smoking and alcohol take some antibiotics for body to prevent secondary infection if pain dey take paracetamol three times daily zytee or mucopain if symptoms no better within three weeks then go see ent surgeon make dem rule out herpes labialis oral thrush and consider biopsy of the lesion to check if anything serious dey inside,it could be a case of glossitis stomatitis take a bland diet apply glycerin borax three times daily take vitamin b complex forte tablets twice daily or intramuscular vitamin b complex with vitamin b12 one milliliter daily for ten days avoid spices tobacco hot foods smoking and alcohol take some systemic antibiotics to prevent secondary infection if you experience pain take paracetamol three times daily zytee or mucopain if symptoms do not improve within three weeks then consult an ear nose and throat surgeon to rule out herpes labialis oral thrush and to consider a biopsy of the lesion to rule out any malignancy,Speaker_7,47.95,"['glossitis', 'cerin', 'borax', 'vitamin', 'complex', 'forte', 'tablets', 'twice', 'daily', 'intramuscular', 'milliliter', 'systemic', 'antibiotics', 'paracetamol', 'consult']",train
audio/Speaker_7/Speaker7-133.wav,for my own opinion if the urine clean no burning or pain and lab tests show say everything normal then no problem for sexual intercourse but make person still dey take plenty water after stents don comot,in my opinion if the urine is clear there are no symptoms of burning or pain and laboratory tests are clear then there is no harm in sexual intercourse one should take plenty of fluids after the removal of stents,Speaker_7,12.45,"['laboratory', 'tests']",train
audio/Speaker_7/Speaker7-134.wav,i get mouth ulcer wey don last almost one month now at first e dey pain me but now e no dey pain again the problem be say e don stay for mouth for almost one month without healing the size na about three to four millimetres i fit see say the bottom red and e get yellow ring around am i don go see several doctors including dentist oncologist and dermatology specialists but none of them show worry about am dem say e suppose go but e go take time to heal i really dey worry i dey live for vietnam,i have had an ulcer in my mouth for almost one month now it hurt at first but it does not hurt now the problem is it has been there for almost one month without any sign of healing its size is about three four millimeters i can see that its bottom is red and it is bordered with a quite yellow ring i have gone to several doctors including a dentist oncologist and dermatology specialists but none of them have expressed any concern about it they said it should be gone but it will take a long time to heal i am really worried i am living in vietnam,Speaker_7,32.88,"['ulcer', 'hurt', 'almost', 'yellow']",train
audio/Speaker_7/Speaker7-135.wav,no need to worry too much as this one na harmless condition like sebaceous cyst or neurofibroma if e still dey worry you you fit go do fine needle aspiration cytology test to confirm am all the best,not to worry much as this is a benign condition like a sebaceous cyst or a neurofibroma if it really worries you you can go for a fine needle aspiration cytology test for confirmation all the best,Speaker_7,13.21,"['condition', 'sebaceous', 'cyst', 'fine', 'needle', 'aspiration', 'cytology', 'test']",train
audio/Speaker_7/Speaker7-136.wav,hello na likely say na infection for your intestine you get nausea and vomiting join am or your belle dey swell or dey bloat i go advise make you do course of antibiotics and other supportive medicines as your doctor don recommend,hello this is most likely due to an infection in the intestines is there associated nausea and vomiting distension or bloating i would advise you to undergo a course of antibiotics and supportive medications as recommended by your doctor,Speaker_7,14.16,"['infection', 'intestines', 'nausea', 'distension', 'antibiotics', 'medications']",train
audio/Speaker_7/Speaker7-137.wav,hello doctor i do sti test and doctor tell me say i get antibodies for herpes type one but i no get the virus inside my body i just don dey expose to am e mean say i get infection and these antibodies e go pass to my partner or e go disappear with time i don already attach the report i don already receive treatment for mycoplasma,hello doctor i took a sexually transmitted disease test and the doctor said that i have antibodies for herpes type one but am not infected with the virus i have been exposed does this mean that i am infected and will these antibodies be transferred to my partner or will they disappear over time i have attached the report i have already been treated for mycoplasma,Speaker_7,23.78,"['sexually', 'transmitted', 'disease', 'herpes', 'type']",train
audio/Speaker_7/Speaker7-138.wav,i dey 59 years old and for the last two weeks i don dey experience small small sharp pain wey dey come and go like bee sting for my knuckles mostly for my right small finger and my left index finger i dey very okay health wise and i still dey active you get any idea wetin fit dey cause these sharp pains,i am fifty nine years old and within the last two weeks i have been experiencing occasional short but sharp stinging pain almost like a bee sting in my knuckles mainly in my right pinky and left index fingers i am in pretty good health and active do you have any suggestions as to what might be causing these sharp pains,Speaker_7,20.27,"['occasional', 'short', 'sharp', 'stinging', 'mainly', 'pinky']",train
audio/Speaker_7/Speaker7-139.wav,na infected sebaceous cyst if e small for size start antibiotics and anti inflammatory medication if e large for size like wetin pass two centimeters then na to comot am,it is an infected sebaceous cyst if it is small in size start antibiotics and anti inflammatory medication if it is large in size such as greater than two centimeters then it should be excised,Speaker_7,11.84,"['infected', 'antibiotics']",train
audio/Speaker_7/Speaker7-140.wav,i get pain for my left side of belly e dey mainly for lower to middle front area every morning i dey get water water shit with gas the pain don last for about four months now i dey feel like say that place dey inflamed e dey disturb me when i move body in some certain ways sometimes when i dey walk or sit down i dey see my family doctor full blood count and full metabolic test all normal digital rectal examination and stool test no show blood and doctor talk say physical examination inside the body dey fine i go still see gastroenterologist on august 21 after i follow up with my family doctor i just no really understand wetin dey happen to me the pain dey every day and i only dey get relief when i lie down for night my sleep no really dey disturbed the symptoms dey start after i wake up and begin do activity,i have left abdominal pain localized to the lower to mid front i experience loose stools with gas every morning the pain has been chronic for about four months i feel inflamed in that area it bothers me when moving in particular motions sometimes while walking or sitting down i am seeing my family physician the complete blood count and complete metabolic panel are within normal ranges the digital rectal examination and stool test showed no blood and the physical examination was stated by the doctor to be fine inside i am seeing a gastroenterologist on august twenty one after the follow up with my family physician i am just at a loss for what is happening to me the pain is daily and i only see relief when laying down at night my sleep is pretty much undisturbed the symptoms start after i wake up and become active,Speaker_7,53.73,"['abdominal', 'loose', 'stool', 'chronic', 'inflamed', 'complete', 'blood', 'count', 'metabolic', 'panel', 'normal', 'rectal', 'examination', 'test', 'physical', 'gastroenterologist', 'august', 'follow', 'relief', 'laying', 'sleep', 'symptoms']",train
audio/Speaker_7/Speaker7-141.wav,hello the symptom wey you dey experience na wetin dem dey call hemeralopia this symptom fit come from many different conditions the most common reason for this kind blurring be say central cornea don get opacity or cataract dey block the light rays when pupil contract for bright light i fit tell you say most of these causes dey treatable and dem dey easy to detect during simple eye examination so i go advise you make you go see ophthalmologist if you need more information abeg send me scanned copy of your doctor report i go try my best help you,hello the symptom that you are experiencing is referred to as hemeralopia this symptom can be caused by a number of different conditions the most common mechanism for such blurring involves a central corneal opacity or cataract obstructing central light rays when the pupils are constricted in bright light i can tell you that most of these causes are treatable and can be identified quite easily during a simple eye examination therefore i suggest that you visit an ophthalmologist if you need any further information please send me a scanned copy of your doctor s reports i will do my best to help,Speaker_7,34.37,"['blurring', 'central']",train
audio/Speaker_7/Speaker7-142.wav,my husband get stage four colon cancer wey don spread go liver four out of sixteen lymph nodes show say dem affected he don do surgery to remove the blockage for the colon and the tumors now him thyroid stimulating hormone level na forty nine point two thyroxine level na six point five five and triiodothyronine level na six point two he still dey continue to lose weight how we go know if na cachexia e get,my husband has stage four colon cancer with metastasis to the liver four of the sixteen lymph nodes are positive he had surgery to remove the blockage in the colon and tumors now he has a thyroid stimulating hormone level of forty nine point two thyroxine level of six point five five and triiodothyronine level of six point two he is continuing to lose weight how do we know if he has cachexia,Speaker_7,33.09,"['colon', 'metastasis', 'lymph', 'nodes', 'thyroid', 'stimulating', 'hormone', 'point', 'thyroxine', 'triiodothyronine', 'cachexia']",train
audio/Speaker_7/Speaker7-143.wav,i remove my appendix on may 14th my surgeon talk say make i wait before i go do sexual intercourse until i fit move well i feel fine when i do the intercourse and now don reach one and half week i dey feel nausea dizziness and hot flashes and i just be twenty one years old fit be say na pregnancy or e fit be something else,i had my appendix removed on may 14th my surgeon said to wait to have sexual intercourse until i can move i felt good when i had intercourse and now it has been a week and a half i have been nauseated dizzy and experiencing hot flashes and i am only twenty one could it be pregnancy or could it be something else,Speaker_7,22.71,"['appendix', 'removed', 'nauseated']",train
audio/Speaker_7/Speaker7-144.wav,my daughter dey five and half years old and she weigh twenty seven kilograms she get fever of one hundred and three degrees fahrenheit we try give am crocin ds for seven thirty pm but she vomit am then we give am crocin ds again for ten pm and she still vomit am again i then give am ondem syrup five millilitres now for twelve forty three am she still get fever of one hundred and three degrees fahrenheit i fit give am crocin ds again now even though she never chop anything,my daughter is five point five years old and weighs twenty seven kilograms she is currently having a fever of one hundred and three degrees fahrenheit we tried giving her crocin ds at seven thirty pm but she vomited then we gave her crocin ds again at ten pm and she vomited again i then gave her ondem syrup five milliliters now at twelve forty three am she still has a fever of one hundred and three degrees fahrenheit can i give her crocin ds now even though she is on an empty stomach,Speaker_7,32.18,"['point', 'fever', 'degrees', 'crocin', 'vomited', 'ds', 'ondem']",train
audio/Speaker_7/Speaker7-145.wav,your mantoux test dey make us suspect say e fit be tuberculosis you need to continue with the investigations because e fit show like combined condition go ahead do further tests and start anti tb treatment as your doctor wey dey handle you don advise no worry but make you continue with the investigations,your mantoux test raises suspicion for tuberculosis you should proceed with the investigations as this can present as a combined picture go ahead with further investigations and anti tuberculosis therapy as per your consulting doctor do not worry but proceed with the investigations,Speaker_7,20.06,"['mantoux', 'test']",train
audio/Speaker_7/Speaker7-146.wav,hi i don dey take amethia for almost one year now i dey my reminder pills and i don reach day five but my period never show i accidentally miss some pills before but i take them immediately i remember e fit be say i get belle my sister dey use different type of birth control and she talk say sometimes her period no dey start until thursday or friday,hi i have been taking amethia for almost a year i am on my reminder pills now and on day five and still no period i have accidentally missed a few pills but took them right away could i be pregnant my sister is on a different type of birth control and she said she sometimes doesn t start her period until thursday or friday,Speaker_7,22.45,"['sister', 'doesn']",train
audio/Speaker_7/Speaker7-147.wav,these na blanching rashes or hives wey fit come from some strange viral rash or allergic skin reaction and e go clear with time but non blanching rashes you must show am to doctor sharp sharp for proper diagnosis and treatment,these are blanching rashes or hives which could be due to some exotic viral rash or an allergic skin reaction and will resolve in due course non blanching rashes must be shown to a doctor immediately for diagnosis and treatment,Speaker_7,12.96,"['blanching', 'rashes', 'allergic']",train
audio/Speaker_7/Speaker7-148.wav,e dey hard to predict her lifespan however since you mentioned sey she get widespread disease is unwell and is in the hospital i believe sey she get just a few days to a few weeks remaining,it is hard to predict her lifespan however since you mentioned she has widespread disease is unwell and is in the hospital i believe she has just a few days to a few weeks left,Speaker_7,12.38,[],train
audio/Speaker_7/Speaker7-149.wav,e dey hard to predict her lifespan however since you mentioned sey she get widespread disease is unwell and is in the hospital i believe sey she get just a few days to a few weeks remaining,it is hard to predict her lifespan however since you mentioned she has widespread disease is unwell and is in the hospital i believe she has just a few days to a few weeks left,Speaker_7,10.26,[],train
audio/Speaker_7/Speaker7-150.wav,i dey 22 years old and me and my husband wan born another pikin my period start for april 8 and e end for april 12 me and my husband do sex many times for april 16 and 17 i no too sure about the days wey i dey ovulate wetin be my chances say i don get belle,i am twenty two years old and my husband and i want to have another child i started my period on april 8th and it lasted until april 12th my husband and i had sexual intercourse multiple times on april 16th and 17th i am uncertain about the days when i ovulate what are my chances of being pregnant,Speaker_7,16.9,"['sexual', 'intercourse', 'multiple']",train
audio/Speaker_7/Speaker7-151.wav,i no know wetin bite me but i bin dey inside pond when something for the water bite or sting me after like two days e turn to hard lump under my skin the place still dey feel hot pass the rest of my body e dey scratch before but e no dey scratch again now e be like the size of the tip of my pointing finger wetin i suppose do and i suppose worry about the kind bite wey e be,i do not know what bit me but i was in the pond and something in the water bit or stung me after a couple of days it turned into a hard lump under my skin also it feels feverish compared to the rest of my skin it itched at first but it did not itch after a while it is the size of the pad of my pointer finger what should i do and should i be worried about what kind of bite it is,Speaker_7,26.4,"['lump', 'feverish', 'bit']",train
audio/Speaker_7/Speaker7-152.wav,i wan know wetin dem dey call am when person dey always emotional like i dey cry for small small things and anytime i cry e dey feel like my heart wan burst i dey vex quick quick too and sometimes my anger dey turn to violence if i no fit control am i know say most people dey talk say na bipolar but i feel say e pass that one abeg you fit help me,i was wondering if you could tell me what it is called when i am always emotional like i cry over the smallest things and when i cry i feel like my heart is going to burst i also get angry very quickly and sometimes my anger turns into violence if i cannot control it i know most people say it is being bipolar but i feel like it is much more than that can you please help me,Speaker_7,23.94,['angry'],train
audio/Speaker_7/Speaker7-153.wav,treatment for microcytic and hypochromic anemia na to use iron supplements together with vitamin c supplements so iron go absorb well the correct dose go depend on your baby weight,the treatment for microcytic and hypochromic anemia involves iron supplements along with vitamin c supplements to increase iron absorption the dosage will depend on the weight of your baby,Speaker_7,13.03,"['microcytic', 'hypochromic', 'anemia', 'iron', 'supplements']",train
audio/Speaker_7/Speaker7-154.wav,the hard place fit be because of injury or abscess wey dey cause pain for the baby you suppose go do ultrasound for that hard place make dem check wetin dey cause am,the hard area may be due to trauma or abscess formation which is causing pain for the baby you should go for an ultrasound of this hard area to investigate the cause,Speaker_7,9.89,"['trauma', 'ultrasound']",train
audio/Speaker_7/Speaker7-155.wav,hi i think say no problem if you don get yellow jaundice before e no dey affect fertility wetin you fit do be say make your husband go do hepatitis a b and c test just for normal check up una fit try naturally for six months your husband fit still do semen analysis make dem rule out any problem from him side i hope say i don answer your question,hi i think there is no problem with having had yellow jaundice previously it does not affect fertility what you can do is have your husband undergo a hepatitis a b and c test just for a regular check up you can try naturally for six months a semen analysis of your husband can be done to rule out any problems on his side i hope i have answered your question,Speaker_7,24.71,"['yellow', 'ja']",train
audio/Speaker_7/Speaker7-156.wav,my husband get one growth for middle of him left thigh today e move go up small and e don big pass before e no dey pain am at all i go say e be like golf ball size e hard when you touch am the way e move and come big pass tonight don make us worry wetin you think say e fit be,my husband has had a growth in the middle of his left thigh today it moved upwards and is larger there is no pain associated with this i would say it is the size of a golf ball it is hard to the touch the fact that it moved and seems larger tonight has us concerned what are your thoughts,Speaker_7,20.25,"['growth', 'moved', 'upwards']",train
audio/Speaker_7/Speaker7-157.wav,no the chances small well well since una no really do the proper intercourse plus she still dey her safe period since her period end six days ago,no the chances are negligible as the procedure for intercourse did not occur moreover she was in the safe time period as her period ended six days ago,Speaker_7,11.82,[],train
audio/Speaker_7/Speaker7-158.wav,i get loose stool for one day like three to four times i go see doctor and e give me only sporilac for three days e no give me any other medicine but the loose stool still dey though e don turn semi solid now the doctor still no give me any other tablets i suppose take antibiotics,i had loose stools for one day almost three to four times i went to a doctor and he gave me only sporilac for three days he didn t give me any other tablets however my loose stools are still present they are semi solid now the doctor didn t give me any other tablets should i consider taking any antibiotics,Speaker_7,19.6,"['loose', 'stool', 'semi']",train
audio/Speaker_7/Speaker7-159.wav,my father in law do test today and dem tell am say him blood protein level still too low and say make e continue to dey take coumadin e don dey use coumadin for like one week and half now to control him blood clotting so dem go fit do prostate biopsy for am,my father in law was tested today and advised that his blood protein levels were still too low and he should remain on coumadin he has been on coumadin for about a week and a half to get his clotting controlled in order to allow him to have a prostate biopsy,Speaker_7,19.48,"['blood', 'protein', 'coumadin', 'about', 'half', 'prostate']",train
audio/Speaker_7/Speaker7-160.wav,hi welcome to our clinic if na flu like symptoms then e no get anything to do with your medical or surgery condition instead e fit be viral infection e no get any connection with the surgery wey dem use remove gallstones or gallbladder no need to worry and sometimes e no even need any treatment i hope say this information help you,hi welcome to our clinic if these are flu like symptoms then this is not related to any of your medical or surgical conditions rather this could be due to a viral infection this cannot be attributed to the surgical removal of either gallstones or the gallbladder there is nothing to worry about and sometimes this may not require any treatment i hope this information helps,Speaker_7,22.24,[],train
audio/Speaker_7/Speaker7-161.wav,hi welcome to our clinic if na flu like symptoms then e no get anything to do with your medical or surgery condition instead e fit be viral infection e no get any connection with the surgery wey dem use remove gallstones or gallbladder no need to worry and sometimes e no even need any treatment i hope say this information help you,hi welcome to our clinic if na flu like symptoms then e no get anything to do with any of your medical or surgery condition instead e fit be viral infection e no get connection with the surgery wey dem use remove gallstones or gallbladder no need to worry and sometimes e no even need any treatment i hope this information help you,Speaker_7,20.57,['sometimes'],train
audio/Speaker_7/Speaker7-162.wav,i don dey experience all the symptoms of ovarian cancer but my doctor wey wan refer me go see oncologist think say e fit be fistula between my bladder and bowel i don do surgery for diverticulitis before and dem remove like eight inches wetin you think,i have been experiencing all the symptoms of ovarian cancer but my doctor who is going to send me to my oncologist thinks it may be a fistula between my bladder and bowel i have had surgery for diverticulitis and had eight inches removed what do you think,Speaker_7,17.69,"['fistula', 'bladder', 'diverticulitis']",train
audio/Speaker_7/Speaker7-163.wav,i smash the tip of my finger e no break but e bruise badly under the nail and the nail turn black and purple e don reach some weeks now and i see big white spot dey grow from the base of the fingernail na new nail dey grow come out or e fit be something serious,i smashed the tip of my finger it is not broken but it got badly bruised under the nail which was black and purple it has been a few weeks now and there is a big white spot growing from the base of my fingernail is this just a new fingernail growing in or is it more serious,Speaker_7,17.88,"['badly', 'white']",train
audio/Speaker_7/Speaker7-164.wav,my granddaughter dey sick with fever of 105 degrees fahrenheit her head and neck dey pull go backward and her left leg and left hand curl go her back she get embolism for the occipital part of the brain her doctors no sure the exact cause of this illness abeg you fit help us,my granddaughter is ill with a temperature of one hundred and five degrees fahrenheit her head and neck pulled backward and her left leg and left arm are curled towards her back she has an embolism in the occipital lobe of the brain her doctors are in a quandary as to the exact cause of this illness can you help us please,Speaker_7,17.72,"['granddaughter', 'degrees', 'head', 'embolism', 'occipital']",train
audio/Speaker_7/Speaker7-165.wav,i get round lump for the base of my sternum i no think say e don dey there before e big reach say even if i just rub my hand over am with small pressure i go still feel am e no dey pain unless i press am well well then the pain no dey too strong just mild pain,i have a round lump at the base of my sternum i don t think it has always been there it is big enough that just rubbing my hand over it with minimal pressure i can feel it it is not painful unless i press on it fairly hard then it s not extreme just mild pain,Speaker_7,17.67,"['round', 'lump', 'base', 'sternum']",train
audio/Speaker_7/Speaker7-166.wav,i do hemorrhoid surgery about four weeks ago when dem operate me doctor tell me say my tailbone don break and e dey flap front and back i still dey feel pain down there especially when i wan go toilet or just before i pass stool e fit be from the tailbone or still from the surgery if na so wetin i suppose do the doctor no wan give me more pain pills again and tylenol no dey help at all,i had hemorrhoid surgery about four weeks ago when i was operated on the doctor informed me that i have a broken tailbone that flaps back and forth i am still in pain down there especially when having or about to have a bowel movement could it be from the tailbone or still the surgery if so what do i do the doctor won t prescribe any more pain pills and tylenol isn t cutting it,Speaker_7,24.26,"['hemorrhoid', 'surgery']",train
audio/Speaker_7/Speaker7-167.wav,hello your mama dey right you get problem with your posture go see physiotherapist make dem help you strengthen your upper back and correct your posture use hot water fomentation for fifteen minutes three times daily no dey read for long hours or dey use laptop and mobile phone too much,hello your mother is correct you have issues with your posture seek a physiotherapist s help for strengthening your upper back and correcting your posture use hot water fomentation for fifteen minutes three times a day do not read for long hours or use laptops and mobile phones,Speaker_7,19.5,['mother'],train
audio/Speaker_7/Speaker7-168.wav,hello welcome to health care management association after chronic kidney disease patient fit develop plenty cyst for the kidneys and this condition dem dey call multicystic kidney disease as for polycystic kidney disease e dey actually cause chronic kidney disease by itself polycystic kidney disease na completely different disease and e fit cause kidney failure so difference dey between multicystic kidney disease and polycystic kidney disease,hello welcome to the health care management association after chronic kidney disease patients can develop multiple cysts in the kidneys and this condition is known as multicystic kidney disease as far as polycystic kidney disease is concerned it actually causes chronic kidney disease by itself polycystic kidney disease is altogether a different disease and is a cause of kidney failure there is a difference between multicystic kidney disease and polycystic kidney disease,Speaker_7,30.39,"['multiple', 'cysts', 'kidneys', 'polycystic', 'disease', 'chronic']",train
audio/Speaker_7/Speaker7-169.wav,i dey 37 years old and i do protected sex but the condom comot and my boyfriend finish inside me i take next choice pill two hours later and i take the second one twelve hours after as dem talk am i dey mid cycle day thirteen wetin be the chance say i fit get belle the condom still get spermicide for inside too,i am thirty seven years old and had protected sex but the condom came off and my boyfriend finished inside of me i took the next choice pill two hours later and took the other one twelve hours after as stated i am mid cycle on day thirteen what are the chances that i am pregnant the condom also has spermicide on it,Speaker_7,22.52,"['next', 'choice', 'later', 'condom']",train
audio/Speaker_7/Speaker7-170.wav,i don go through the details wey you provide i feel say steam inhalation go help you well well water as steam go reach deep inside the lungs and go reduce the irritation effect of the chlorine for lysol so e go give you relief you fit take antihistamine tablets like levocetirizine once daily for some few days if you do these things i hope say your symptoms go better within one or two days if e no better e go better make you go see doctor,i have gone through the details you provided i feel that steam inhalation would be helpful for you water in the form of steam will reach deep within the lungs and dilute the irritant effect of the chlorine in lysol which would give you relief you may take some antihistamine tablets like levocetirizine once daily for a couple of days by taking these measures i hope that your symptoms will improve in a day or two in case they do not it would be preferable to visit a doctor,Speaker_7,30.6,"['antihistamine', 'tablets', 'levocetirizine', 'daily']",train
audio/Speaker_7/Speaker7-171.wav,hello there e most likely say you dey suffer from prolapsed intervertebral disc disease abeg start by doing x ray for your spine if that one no show clear result then go do magnetic resonance imaging scan make orthopedic surgeon check and evaluate am try dey lie down for your left side with your knees and hips bent take short five day course of dexamethasone injections under strict supervision start with strong painkiller and muscle relaxant tramadol dey very helpful for this kind condition dey use heating pad the rest of the treatment go depend on the scan result i hope say my advice help you good luck,hello there you are most probably suffering from prolapsed intervertebral disc disease kindly start by getting an x ray of the spine done if this doesn t reveal much then go for a magnetic resonance imaging scan get them evaluated by an orthopedic surgeon try lying down on your left side with your knees and hips flexed take a short five day course of dexamethasone injections under strict supervision start with a potent painkiller and muscle relaxant tramadol is quite helpful in such conditions apply heating pads the rest of the treatment will depend on the report results i hope my advice has helped good luck,Speaker_7,44.47,"['vertebral', 'disc', 'ray', 'spine', 'magnetic', 'resonance', 'imaging', 'lying', 'down', 'knees', 'hips', 'dexamethasone', 'injection', 'painkiller', 'tramadol', 'heating']",train
audio/Speaker_7/Speaker7-172.wav,hi this na radiating pain from the lumbosacral area you no suppose do quick or strong exercise that clicking sound na crepitus and e dey very common for your kind problem abeg go do mri for your lumbosacral spine make dem fit know the exact level of the problem you fit start methylcobalamin 500 milligrams tablet twice daily and pregabalin 75 milligrams once daily for night you go really notice difference,hi this is radiating pain from the lumbosacral region you are not supposed to do brisk and vigorous exercises that clicking sound is called crepitus which is most common with your problem please go for an mri of the lumbosacral spine to know the exact depth of your problem you can start on methylcobalamin five hundred milligrams tablets twice daily and pregabalin seventy five milligrams daily at night you can really see the difference,Speaker_7,33.41,"['lumbosacral', 'brisk', 'vigorous', 'mri', 'min', 'milligrams', 'twice', 'daily', 'pregabalin', 'seventy']",train
audio/Speaker_7/Speaker7-173.wav,hello welcome to healthcaremagic com i don go through your question and i understand your concern about this habit e no get anything to do with your low weight or your face wey slim person fit marry for age twenty dey do sex every day for years if e no get any health problem why e go affect you the only difference na the type of intercourse and e normal for your age e no go affect your health if you wan control this habit you need person wey go stay with you most times as roommate wey fit help reduce your loneliness make sure say na person wey you fit trust i hope say my answer help you abeg give feedback and visit us again if you need more help,hello welcome to healthcaremagic com i have gone through your question and understand your concern about this habit this is not related to your low weight or reduced cheeks a person can be married at the age of twenty and have sexual intercourse daily for years if he does not experience any health issues why would you the only difference is the type of intercourse which is normal at your age it will not affect you health wise if you wish to check your habit you need to have a roommate who will be with you most of the time and can help reduce your loneliness keep in mind that the partner must be someone you can trust i hope my answer helps you please provide your feedback and visit us again if you need any further assistance,Speaker_7,41.94,"['low', 'weight']",train
audio/Speaker_7/Speaker7-174.wav,on december 20 i get physical contact with my girlfriend i release my sperm for her body but i think say my penis fit don touch her vagina after 20 hours she take unwanted 72 on december 24 she bleed and today january 5 she dey bleed again e still get chance say she fit get belle abeg tell me,on december twenty i had physical contact with my girlfriend i released my sperm over her body but i think my penis may have touched her vagina after twenty hours she took unwanted seventy two on december twenty four she had bleeding and today january five she is bleeding again are there any chances of her getting pregnant please tell me,Speaker_7,22.43,[],train
audio/Speaker_7/Speaker7-175.wav,hi i just get my electrocardiogram result e talk say mild abnormal sinus rhythm left atrial abnormality and nonspecific t wave abnormality i don get like three episodes for the last four months where i dey feel burning pain wey dey shoot enter my left hand then go my right hand followed by chest pain e no dey last pass few minutes,hi i just got my electrocardiogram back stating abnormal mild in sinus rhythm left atrial abnormality and nonspecific t wave abnormality i have had three incidents in the last four months where i experience a burning pain that shoots through my left arm and then to my right followed by chest pains this only lasts for a few minutes,Speaker_7,22.66,"['electrocardiogram', 'burning', 'arm', 'chest']",train
audio/Speaker_7/Speaker7-176.wav,no problem dey for sedation and make you do echocardiogram as soon as possible how strong the murmur be no too important pass whether e dey there or e no dey at all,there is no harm in sedation and getting the echocardiogram done at the earliest the intensity of the murmur is less significant than the total presence or absence,Speaker_7,9.08,"['sedation', 'echocardiogram', 'murmur']",train
audio/Speaker_7/Speaker7-177.wav,hi doctor i be twenty two year old girl i dey over masturbate throughout the day i start to masturbating when i dey thirteen years i dey use my finger to romance my clitoris and dey see vaginal discharge every time wey i piss i want to know weda dis over masturbation go dey harmful to my fertility problem go dey for me to get belle for future abeg help,hi doctor i am a twenty two year old female i masturbate excessively throughout the day i started masturbating at age thirteen i use my finger to stimulate my clitoris and see vaginal discharge every time i urinate i want to know if this excessive masturbation will be harmful to my fertility will there be any problems in becoming pregnant in the future please help,Speaker_7,23.1,"['thirteen', 'clitoris', 'discharge', 'masturbate']",train
audio/Speaker_7/Speaker7-178.wav,treatment for spinal stenosis na surgery however the l4 to l5 disc bulge fit just be something wey dem see by chance for the mri scan if you get any weakness for movement or loss of feeling for your leg then you go need surgery for pain use conservative medical treatment take painkiller like myospad d if the pain strong well well and consider physiotherapy,the treatment of spinal stenosis is surgical however the lumbar four to lumbar five disc bulge may be an incidental finding on the magnetic resonance imaging scan if there is any motor weakness or sensory loss in the lower limb then it needs surgery for pain take conservative medical treatment take the painkiller myospad d if there is severe pain and consider physiotherapy,Speaker_7,23.75,"['disc', 'bulge', 'sensory', 'loss', 'severe']",train
audio/Speaker_7/Speaker7-179.wav,hi there from the way you describe am i fit think of two things one na fungal infection wey people dey call ringworm and the second one na eczema you need go see dermatologist make dem give you correct diagnosis because treatment for the two no be the same at all,hi there with your description i can think of two possibilities one is a fungal infection commonly called ringworm and the second is eczema you need to visit a dermatologist to get a proper diagnosis as the treatment for these two is entirely different,Speaker_7,16.42,[],train
audio/Speaker_7/Speaker7-180.wav,hello doctor street dog bite me last week i go hospital and dem give me one tetanus injection and two more doses for day three and day seven today i chop chicken e go cause any effect e get any restriction for eating non vegetarian food for rabies patient or wetin kind food we no suppose chop,hello doctor i was bitten by a street dog last week i went to the hospital and received one tetanus shot and two more doses on the third and seventh day today i ate chicken will it cause any effects are there any restrictions on consuming non vegetarian food for rabies patients or what type of food should we not eat,Speaker_7,21.46,"['went', 'hospital', 'ate']",train
audio/Speaker_7/Speaker7-181.wav,hi i dey live for pakistan and we need urgent kidney transplant for my husband doctors hardly dey advise dialysis but my husband no agree to am abeg tell me the process of transplant and how we fit come india quick quick my husband be 36 years old and him leg dey swell and e dey pass stool diarrhea constantly him creatinine level na 13 9,hi i live in pakistan and we need an immediate kidney transplant for my husband doctors are rarely advising dialysis but my husband does not agree to this please tell me the process of transplantation and how we can come to india as soon as possible my husband is thirty six years old and has swelling in his feet and continuous motion his creatinine level is thirteen point nine,Speaker_7,24.91,"['swelling', 'continuous', 'creatinine', 'thirteen', 'point']",train
audio/Speaker_7/Speaker7-182.wav,dear patient you get neuropathy for your left foot and the loss of ankle reflex na part of the neuropathy from your history you don do back surgery before wetin kind surgery dem do and why dem do am which level for your spine dem operate all these details suppose dey if you know them i think say you get compressive neuropathy wey dey cause all this problem abeg go do mri scan for your spine e go help for diagnosis and how dem go plan further treatment,dear patient you have neuropathy in your left foot and the loss of the ankle reflex is a part of neuropathy according to your history you have undergone back surgery what type of surgery was performed and why was it done at what spinal level was the surgery done all these details should be mentioned if you know about them i think you have compressive neuropathy which is leading to all the problems kindly get a magnetic resonance imaging scan of the spine done and it will help in diagnosis and planning further treatment,Speaker_7,31.09,"['neuropathy', 'loss', 'spinal', 'magnetic', 'resonance', 'imaging', 'spine']",train
audio/Speaker_7/Speaker7-183.wav,i don get two episode of ischemic heart disease for 2001 i dey take my medicine regularly and my left ejection fraction na about 23 32 i suppose go do angiogram moreover i don change my lifestyle and how i dey chop and i dey do exercise every morning my lipid profile and triglycerides dey normal i no get diabetes and i no get high blood pressure my problem nowadays be say i dey get shortness of breath when i dey walk or do any activity,i have had two instances of ischemic heart disease in two thousand and one i am taking medicine regularly and my left ejection fraction is twenty three thirty two should i go for an angiogram moreover i have changed my lifestyle and eating habits and i do routine morning exercises my lipid profile and triglycerides are within normal limits and i am neither diabetic nor have high blood pressure my problem nowadays is shortness of breath during walking or any activity,Speaker_7,33.11,"['ischemic', 'heart', 'disease', 'ejection', 'fraction', 'changed', 'lifestyle', 'routine', 'lipid', 'profile', 'triglycerides', 'normal', 'diabetic', 'high', 'shortness', 'breath']",train
audio/Speaker_7/Speaker7-184.wav,hello this kind pain fit be meckel s diverticulitis na this area dey usually get the strongest pain and e fit dey shift sometimes like you don notice routine tests no too dey easily detect am enteroclysis fit help show the problem as an out pouching another better way na to do diagnostic laparoscopy and then do surgery for anything wey dem fit correct surgically ultrasound and ct scan fit miss am e look like you don already do these tests since you talk say other causes don already rule out,hello such types of pain can be due to meckel s diverticulitis this is the area of maximum pain shifting sometimes as you have noted this is not easily diagnosed by routine tests enteroclysis can help to delineate the defect as an out pouching another effective way is to undergo a diagnostic laparoscopy and have surgery performed for whatever can be surgically corrected ultrasonography and computed tomography scans can miss this it appears you have already had these done as you said the other causes have been ruled out,Speaker_7,36.52,"['diverticulitis', 'laparoscopy', 'ultrasonography', 'computed', 'tomography']",train
audio/Speaker_7/Speaker7-185.wav,you be real doctor my son get problem with him testicle e be 12 years old today e run one mile for gym class and e get severe allergy right now dem put am on prednisone for few days 20 milligrams once daily e fit be say this medicine dey make the testicle dey rise go inside body i suppose carry am go hospital i get another son wey get hernia when e be 3 years old my 12 year old dey in serious pain you get any suggestion,are you a real doctor my son is having a problem with a testicular issue he is twelve years old he ran a mile today in gym class and has severe allergies right now he was placed on prednisone for a few days twenty milligrams once per day is this causing the testicle to rise up into the body should i take him to the hospital i have another son who had a hernia at age three my twelve year old is in a lot of pain do you have any suggestions,Speaker_7,29.16,"['prednisone', 'severe', 'allergies', 'milligrams', 'per', 'another']",train
audio/Speaker_7/Speaker7-186.wav,hello last week i get serious reaction to vagisil medicated wipes today dem diagnose me say i get yeast infection and dem prescribe clotrimazole and betamethasone dipropionate cream plus terconazole cream any of these medicines get ingredients wey be like the one for vagisil i no wan make the situation worse at all,hello i had a terrible reaction to vagisil medicated wipes last week after being diagnosed with a yeast infection today i have been prescribed clotrimazole and betamethasone dipropionate cream and terconazole cream do either of these have ingredients similar to those in vagisil i certainly don t want to make a bad situation worse,Speaker_7,24.66,"['vagisil', 'yeast', 'infection', 'clotrimazole', 'betamethasone', 'dipropionate', 'terconazole']",train
audio/Speaker_7/Speaker7-187.wav,abeg give proper history e get any previous history of surgery if surgery don happen before e fit be surgical clip,please provide a proper history is there any prior history of surgery if surgery has been performed it could be a surgical clip,Speaker_7,7.8,[],train
audio/Speaker_7/Speaker7-188.wav,she fit don develop stent thrombosis some people dey prone to stent thrombosis she dey take her medicine regularly,she might have developed stent thrombosis a few people tend to get stent thrombosis was she on regular medications,Speaker_7,7.22,[],train
audio/Speaker_7/Speaker7-189.wav,hello i don dey get ongoing pain for my lower left abdomen and i just dey come out of my period by the way my periods no dey regular yesterday i get back pain and stool wey get blood and mucus with small pink tint but na small small amount at first my stool dey solid later i begin get watery diarrhea and sharp crampy pain whenever i wan pass stool yesterday the bowel movement pain strong well well e make me dey sweat and dey feel dizzy but i no vomit abeg you fit help me,hello i have had ongoing pain in my lower left abdomen and i am just coming off my period they are irregular by the way yesterday i experienced back pain and bloody mucus stools with pink tinges in very small amounts but initially my stools were solid i had liquid like diarrhea and sharp crampy pain with bowel movements yesterday the bowel movements were so painful causing a lot of sweating and dizziness but there was no vomiting can you help,Speaker_7,30.98,"['ongoing', 'abdomen', 'liquid', 'diarrhea', 'sharp', 'cramp', 'painful', 'bowel', 'movements', 'sweating', 'vomiting']",train
audio/Speaker_7/Speaker7-190.wav,i dey experience difficulty to breathe when cold weather dey when i dey stressed or if the place no get fresh air and dey stuffy most times e just dey happen randomly ventolin inhaler dey help me but scan show say i no get asthma so wetin fit be the problem sometimes i just dey very weak dey struggle for air and i even dey faint,i experience difficulty in breathing when the weather is cold when i am stressed or if the area is stuffy most times it happens just randomly the ventolin inhaler helps but a scan showed i am not asthmatic so what could be the problem sometimes i just get too weak struggling for air and faint,Speaker_7,20.76,"['difficulty', 'breathing', 'ventolin', 'inhaler', 'struggling', 'air']",train
audio/Speaker_7/Speaker7-191.wav,hello no get any effective medicine wey fit cure wet dreams try make your mind dey stable avoid dey watch pornography try dey mingle with your friends chop balanced and nutritious food if your mind dey stable this problem go stop by itself,hello there is no effective medicine to cure nocturnal emissions be mentally stable avoid watching pornography try to mingle with friends eat nutritious food if you are mentally stable this problem will stop by itself,Speaker_7,15.86,[],train
audio/Speaker_7/Speaker7-192.wav,not likely arachnoid cyst dey present from birth because e dey come from malformation of arachnoid tissue e fit be very big but most times e no dey show any symptom you suppose look other places as the real cause of your symptoms,unlikely arachnoid cysts are present when you are born as they are a result of a malformation of arachnoid tissue they can be massive but are always asymptomatic you should look to other areas as the source of your symptoms,Speaker_7,17.67,"['born', 'massive']",train
audio/Speaker_7/Speaker7-193.wav,hi recently i go ride bike and when i reach house i notice say the upper part of my penis head no dey sensitive like before i no too sure if na the bike ride cause am but i just wan know if anybody fit point me in the right direction as to wetin e fit be,hi recently i went on a bike ride and when i got home i noticed there was a lack of sensitivity in the top half of my penis head i m not entirely sure if the bike ride caused it for sure but i was wondering if someone could point me in the right direction as to what it might be,Speaker_7,16.65,"['sensitivity', 'penis']",train
audio/Speaker_7/Speaker7-194.wav,all you need na to build your back muscles with back exercise few times every day together with massage therapy if your work dey make you sit down plenty back stretching exercise go help prevent muscle spasm,all you need is to build up your back muscles with back exercises a few times daily along with massage therapy if you have a sedentary occupation back stretching exercises will prevent spasms,Speaker_7,12.45,['daily'],train
audio/Speaker_7/Speaker7-195.wav,for post traumatic stress disorder two treatment plan dey one na psychological treatment wey include talking therapy hypnotherapy and other treatment wey no involve medicine the second one na pharmacological treatment wey include medicines i think you need both so abeg go see psychologist make dem guide you i hope say this go help you,for post traumatic stress disorder there are two treatment protocols one is psychological treatment which includes talking therapy hypnotherapy and other non medication treatments the second is pharmacological treatment which includes medications i think you need both so please see a psychologist to guide you i hope this will help,Speaker_7,22.52,['there'],train
audio/Speaker_7/Speaker7-196.wav,hi doctor i be social worker and i wan help one person wey name na altaf ali 30 years old wey get chronic kidney failure since e come from very poor family and na the only person wey dey provide for him house e get any way to help am do kidney transplant for free for sri sai baba hospital or you fit suggest any hospital wey kidney transplant fee no go too expensive abeg help am,hi doctor i am a social worker and want to help a person named altaf ali age thirty years with chronic kidney failure since he belongs to a very poor family and is the only breadwinner at his home is there any way to help him with a kidney transplant free of cost at sri sai baba hospital or can you suggest a hospital with minimal charges for a kidney transplant please help him,Speaker_7,29.81,"['social', 'worker', 'very', 'poor', 'family', 'only', 'breadwinner', 'kidney', 'transplant', 'hospital']",train
audio/Speaker_7/Speaker7-197.wav,try mash all vegetables together cook am make you arrange the food well well so that all the vegetable ingredients go reach her body also try dey give her fruits and vegetables as juice,try to mash all vegetables and prepare dishes presenting them in an appealing way so that all the vegetable ingredients reach her also try to give her fruits and vegetables in juice form,Speaker_7,12.35,['juice'],train
audio/Speaker_7/Speaker7-198.wav,blood sugar fit dey go up and down for patient wey dey dialysis or when kidney function don reduce if kidney no dey work well her sugar fit remain low she dey use insulin she need adjust her insulin dose make she no get low blood sugar wetin be her current medicines and the dosage so dem fit adjust other treatment accordingly,blood sugar levels fluctuate in patients on dialysis and when kidney functions are compromised with compromised kidney functions her sugar may remain on the lower side is she using insulin she needs to adjust her insulin dosage to avoid low blood sugar levels what are her current medications and dosages so further medications can be adjusted accordingly,Speaker_7,21.55,"['blood', 'sugar']",train
audio/Speaker_7/Speaker7-199.wav,i start to dey sneeze for morning time and anytime weather change last year na first time e happen like that because before before e no dey happen i wan know wetin fit don go wrong also last year my sleeping and waking time change abeg that one fit be the cause,i started sneezing in the morning and when there is a change in the weather last year for the first time since in the previous years that was not the case i would like to know what could have gone wrong also last year i had a change in my sleeping and waking up times could that be the problem,Speaker_7,17.55,"['sneezing', 'change', 'weather', 'last']",train
audio/Speaker_7/Speaker7-200.wav,sometimes i dey feel pain for top my left breast wey fit climb go my neck reach my ear i don do all the heart tests wey dey dem no see any sign of heart disease e dey come and go i fit stay months without pain then later get wetin i dey call attack na when the pain dey come and go within one full day 24 hours,i sometimes get a pain above my left breast that can radiate up my neck to my ear i have undergone all the heart tests available and there is no sign of heart disease it seems to come and go i can be pain free for months and then have what i call an attack this is when the pain comes and goes over a twenty four hour period,Speaker_7,22.96,"['above', 'breast', 'free']",train
audio/Speaker_7/Speaker7-201.wav,hello i just stop to use nour injection and i dey think say no be say another way dey for me to take get belle quick quick instead of to wait many more months before i go conceive abeg fertility pills dey wey fit help me get belle faster or i really need to wait make my period come first,hi i just stopped using the nour injection and i was thinking isn t there another way for me to get pregnant faster instead of waiting for many more months to conceive could there be fertility pills that could help me get pregnant faster or do i really have to wait to get my periods,Speaker_7,21.15,"['fertility', 'pills']",train
audio/Speaker_7/Speaker7-202.wav,my neck and shoulder area dey pain me well well everywhere dey ache even my arms dey feel like say i do strong upper body workout dem dey sore and weak i dey very tired and weak i start to feel like this since last night and e continue all through today abeg make i go emergency room,i am feeling extremely achy through my neck and shoulder area even my arms feel like i did a hardcore upper body workout and are sore but weak i am so exhausted and weak i started feeling this way last night and all day today should i go to the emergency room,Speaker_7,20.15,"['achy', 'shoulder', 'arms', 'sore', 'exhausted', 'emergency', 'room']",train
audio/Speaker_7/Speaker7-203.wav,dear patient running like that no dey really cause back pain but back pain fit come because of running if sprain happen long time chronic back pain fit still connect with spondylolysis i go advise make you do x ray of your lumbosacral spine for anteroposterior and lateral view to check if any bone problem dey abeg go any radiology center wey near you make dem do am start to take diclofenac and thiocolchicoside together two times daily for pain relief then go see correct orthopedic surgeon with the result all the best,dear patient running as such does not lead to back pain however back pain may be related to running due to a sprain chronic back pain may also be related to spondylolysis i would advise an x ray of the lumbosacral spine in anteroposterior and lateral views to rule out bony abnormalities please visit a radiology center nearby and have it done start taking the combination of diclofenac and thiocolchicoside twice a day for pain relief visit an expert orthopedic surgeon with the report all the best,Speaker_7,42.96,"['running', 'chronic', 'expert', 'lumbosacral', 'spine', 'lateral', 'bony', 'radiology', 'center', 'diclofenac', 'thiocolchicoside']",train
audio/Speaker_7/Speaker7-204.wav,my pikin dey six months now and i dey train am to sleep for him crib tonight e no easy for am at all and e cry for like fifteen minutes i fit calm am make e sleep but as e sleep e dey make sound like person wey dey struggle to breathe every few seconds now e don reach about one hour and e still dey do am abeg i suppose worry,my son is six months old and i am sleep training him in his crib tonight he had a hard time and cried for about fifteen minutes i was able to soothe him to sleep but he fell asleep with a gasping for air sound every few seconds it has been about an hour now and he is still doing it should i be worried,Speaker_7,18.81,"['gasping', 'air', 'sound', 'about', 'an', 'hour']",train
audio/Speaker_7/Speaker7-205.wav,hello i don marry for like three years now but i never get belle i go for check up and my hysterosalpingogram show say my tubes bend small small and the polymerase chain reaction test come out positive for tuberculosis so i take anti tubercular treatment after that i still do diagnostic laparoscopy wey show small fibroma and one very small endometriosis patch for the back side dem do all this for armed forces medical college for pune later my husband transfer go delhi and for there i see one gynecologist wey advise me make i do intrauterine insemination but still i never conceive now i dey wonder wetin be the next step make i take,hello i have been married for the last three years and have not conceived yet i went through evaluation and my hysterosalpingogram showed mildly coiled tubes and the polymerase chain reaction was positive for tuberculosis i took the anti tubercular treatment after that i underwent diagnostic laparoscopy which showed a small fibroma and a very small endometriotic patch on the posterior surface this was done at armed forces medical college in pune after that my husband got transferred to delhi in delhi i consulted a gynecologist who advised me to undergo intrauterine insemination but i still have not conceived i am wondering what to do next,Speaker_7,54.45,"['last', 'hysterosalpingogram', 'coiled', 'tubes', 'polymerase', 'chain', 'reaction', 'anti', 'tubercular', 'fibroma', 'endometriotic', 'armed', 'forces', 'medical', 'college']",train
audio/Speaker_7/Speaker7-206.wav,my pikin wey dey thirteen months dey get one kind rash for him scrotum small small red bumps full there e dey always drag the place and e red well well i sure say e dey scratch am we think say na allergic reaction to whole milk cause am and e dey clear small small abeg wetin i fit put for the scrotum make the itching reduce and make e stop to drag am e don drag am reach point wey e tear hole for him diaper,my thirteen month old appears to have a breakout of some sort on his scrotum with little red bumps he constantly pulls at the area and it appears very red i am certain it is itching we believe he had an allergic reaction to whole milk which appears to be slowly clearing what can i put on the scrotum to ease the itching and the pulling he does he pulled so much that he tore a hole in his diaper,Speaker_7,27.91,"['thirteen', 'breakout', 'scrotum', 'pulling', 'pulled']",train
audio/Speaker_7/Speaker7-207.wav,hello this one fit dangerous well well e fit be say aneurysm for belle don tear dissection or artery don burst na wetin dey cause that kind serious pain wey go make you no fit move abeg rush go hospital sharp sharp no put anything for mouth again and no stress yourself at all,hello this can be dangerous it may be a dissection of an aneurysm in the abdomen or a rupture of an artery causing you such severe pain that you are unable to move please rush to the hospital stop taking anything orally and do not exert yourself,Speaker_7,18.11,"['aneurysm', 'abdomen', 'severe', 'rush']",train
audio/Speaker_7/Speaker7-208.wav,my papa dem just diagnose with adenocarcinoma for the left lower part of him lung and dem see say e don reach one lymph node dem talk say e no fit do surgery or chemotherapy because of other health problems wey e get including chronic obstructive pulmonary disease plus him age wey be eighty nine years abeg wetin this one really mean and how e be for him chances to recover,my father was recently diagnosed with adenocarcinoma in the left lower lobe of his lung with an uptake in a lymph node he is not a candidate for surgery or chemotherapy due to other health issues with chronic obstructive pulmonary disease being one of them and his age of eighty nine what exactly does this mean and what is his prognosis for recovery,Speaker_7,25.57,"['father', 'adenocarcinoma', 'lung', 'chemotherapy', 'chronic', 'obstructive', 'pulmonary', 'disease']",train
audio/Speaker_7/Speaker7-209.wav,hello sir my friend don swallow rat poison and now doctors dey talk say e don late too much her vomiting no dey under control at all she be nineteen years old and she weigh around forty eight kilograms doctors dey say the poison don spread go everywhere for her body she take am two days ago abeg sir suggest any way we fit help her please sir,hello sir my friend has taken rat poison and now doctors are saying it is too late her vomiting is not under control she is nineteen years old and weighs around forty eight kilograms the doctors are saying the poison has spread throughout her body she took it two days ago please suggest a way to help her please sir,Speaker_7,21.36,"['vomiting', 'nineteen']",train
audio/Speaker_7/Speaker7-210.wav,na very important thing be to find out where exactly the problem dey for the brain i suggest make you do mri scan of the brain with contrast report according to orthodox medicine surgery fit dey necessary and further treatment go depend on biopsy result after that radiation therapy fit still be advised for homeopathic medicine e fit help for some cases of brain tumour if you dey interested for homeopathy abeg consult me i go help you,it is most important to determine where the issue is present in the brain i suggest an mri of the brain with a contrast report according to allopathic medicine surgery may be required and further management will depend on the biopsy report after that radiation therapy may be advised in homeopathic medicine there can be usefulness in some cases of brain tumors if you are interested in homeopathy please consult me i will help you,Speaker_7,31.9,"['mri', 'brain', 'radiation', 'therapy']",train
audio/Speaker_7/Speaker7-211.wav,i dey use depo provera injection on and off for three years after i stop am i no see my period for two years i later start to use oral contraceptive pills for five months and my period come start dey regular i stop the pills four months ago but i still never see my period i want make i get belle wetin be the next step wey i fit take,i was on the depo provera injection on and off for three years after i stopped i did not get my period for two years i started using oral contraceptives for five months and got my period regularly i stopped the oral contraceptives four months ago and still have not had my period i want to get pregnant what is the next step,Speaker_7,24.06,"['depo', 'provera', 'injection', 'contraceptives', 'oral', 'contraceptive']",train
audio/Speaker_7/Speaker7-212.wav,hello i don note your history and your worries wetin you dey experience now na say one nevus or mole don dey increase for size and e dey inflame the reason na pregnancy as you suppose know during pregnancy hormone dey change well well especially near delivery time and e dey affect skin for different ways including how mole fit dey look no worry e likely go reduce after you born but e fit still get small infection wey dey contribute to the swelling to control am you fit dey apply mupirocin ointment two times daily e dey help for most cases i sure say you no need to worry too much because we fit still check the exact nature of the mole later abeg no try pull the lesion off because e fit dangerous,hello i have noted your history and concerns what you are currently experiencing is activity in the form of an increase in size and inflammation of a nevus or mole the reason for this is pregnancy as you must be aware there are hormonal changes during pregnancy especially near term that affect the skin in various ways including a difference in the appearance of any moles rest assured the problem is very likely to recede once you deliver however there might be some element of infection contributing to the swelling to control that one needs to apply mupirocin ointment twice a day which helps in most cases i am sure you do not have to worry as the investigation to establish the nature of the mole can be considered at a later date kindly do not try to pull off the lesion as that might be risky,Speaker_7,51.59,"['inflammation', 'mupirocin']",train
audio/Speaker_7/Speaker7-213.wav,my five year old son wake up this morning with one hard lump for the left side of him forehead now for afternoon another bigger lump don show for the right side of him head he dey allergic to grass and he get eczema sometimes if insect bite am e fit swell small small but this time no sign of insect bite just two hard lumps for both sides of him head and e dey pain am small small when you touch am wetin be the best thing wey i fit do,my five year old son woke up this morning with a hard lump on the left side of his forehead now this afternoon he has developed an even larger lump on the right side of his head he is allergic to grass and he does have eczema he occasionally gets a little puffy with an insect bite however there are no traces of an insect bite just two hard lumps on either side of his head that are a little tender to the touch what would be the best thing to do,Speaker_7,28.49,"['morning', 'hard', 'lump', 'even', 'lumps', 'puffy', 'either', 'side', 'his', 'head']",train
audio/Speaker_7/Speaker7-214.wav,welcome to heart care management clinic the expected heart rate for twelve year old boy na between sixty to eighty beats per minute but wetin be the problem with your pikin abeg go emergency room because plenty things fit cause heart rate make e go fast or slow some of them no dey dangerous but some fit serious so your pikin need proper check up,welcome to the heart care management clinic the predicted heart rate of a twelve year old boy is between sixty to eighty beats per minute however what is the problem with your child please visit the emergency room as there are many causes of both rapid and slow heart rates some causes are not dangerous but some can be serious therefore your child needs evaluation,Speaker_7,22.36,"['heart', 'rate', 'boy', 'between', 'sixty', 'eighty', 'beats', 'per', 'minute', 'rapid', 'slow', 'some']",train
audio/Speaker_7/Speaker7-215.wav,i baff hot water wey hot well well na so i dey like am my side and back start to pain me and dey cramp badly so i come out suddenly i just start to feel overwhelmed my chest tight i no fit breathe well and my heart dey beat strong strong abeg na panic attack be that,i took a really hot bath that is how i like them my sides and back started to ache and feel cramped really badly so i got out all of a sudden i felt overwhelmed my chest got tight i became short of breath and my heart was pounding hard was that a panic attack,Speaker_7,20.09,"['ache', 'cramped', 'short', 'breath', 'panic', 'attack']",train
audio/Speaker_7/Speaker7-216.wav,my boyfriend and i dey try to get belle for about five months now i still dey see my monthly period and every test wey i do dey come out negative i stop microgynon pill last march that one fit dey related we both know say him fit get pikin because he get one child with another woman before abeg fit be say na me get the issue,my boyfriend and i have been trying to get pregnant for around five months i am still having my monthly periods and every test i take comes up as negative i came off the microgynon pill last march could that be related we both know he is fertile as he has a child with another woman from the past could it be me,Speaker_7,21.43,[],train
audio/Speaker_7/Speaker7-217.wav,hello doctor i dey twenty six years old and dem don diagnose me with polycystic ovary syndrome for almost four years since last month i don dey try to get pregnant i don do all the tests and right now i get small cyst the doctor check my ovulation this month and tell me say no egg dey grow she prescribe metformin for one month and duphaston for ten days she talk say after my next period we go proceed with injections i dey confused e dey okay make i go ahead with injections for egg growth,hello doctor i am twenty six years old and have been diagnosed with polycystic ovary syndrome for almost four years since last month i have been trying to get pregnant i have undergone all the tests and currently have a small cyst the doctor checked my ovulation this month and told me there is no egg growth she prescribed metformin for one month and duphaston for ten days she mentioned that we will proceed with injections after my next period i am confused is it okay to proceed with injections for egg growth,Speaker_7,33.18,"['polycystic', 'ovary', 'syndrome', 'undergone', 'duphaston', 'injections']",train
audio/Speaker_7/Speaker7-218.wav,hello i sorry say you don dey struggle with this for two months one possible sickness wey dey cause cough plus enlarged hilar lymph nodes na sarcoidosis if your symptoms follow the usual pattern you fit no need extra tests but if e no follow normal pattern you fit need further check up the first step na make you do ct scan of the chest to check the lungs and lymph nodes based on that result bronchoscopy fit still dey required this procedure na when dem go put long tube wey get camera and light for end through your nose or mouth enter airway to check inside and maybe collect sample of lung tissue or lymph node tissue i hope you feel better,hello i am sorry to hear that you have been struggling with this for two months a possible disease characterized by coughing and enlarged hilar lymph nodes is sarcoidosis if your symptoms are typical you may not need any further tests however if your symptoms are not typical you may need further evaluation the first next step would be a computed tomography scan of the chest to evaluate the lungs and the lymph nodes based on this bronchoscopy may be required this procedure involves inserting a long tube with a camera and light at the end of it through the nose or mouth into the airway to inspect the inside of the airway and possibly take samples of lung tissue or lymph node tissue i hope you feel better,Speaker_7,46.23,"['coughing', 'enlarged', 'symptoms', 'computed', 'tomography', 'chest', 'bronchoscopy', 'nose', 'airway', 'lungs']",train
audio/Speaker_7/Speaker7-219.wav,i recommend make you do neck mri scan because your condition fit be cervical spondylosis or disc problem i no even know why dem suspect say na stroke you need to give me more information like your sex age and medical history good luck,i recommend doing a neck magnetic resonance imaging scan as your condition could be cervical spondylosis or a disc issue i have no idea why they suspected a stroke you need to give me more information including your sex age and medical history good luck,Speaker_7,16.65,"['magnetic', 'cervical']",train
audio/Speaker_7/Speaker7-220.wav,hey doctor i knack my girlfriend the very next day after her period finish and we use condom but while i still wear the condom i touch her vaginal lips with pre ejaculate fluid and i small small insert am next morning she start to feel like to vomit get stomach pain headache and she no dey interested in food like before abeg this one na sign of pregnancy abeg help me,hey doctor i had sexual intercourse with my girlfriend the very next day after her menstrual period using condoms however while wearing the condom i touched her vaginal lips with pre ejaculatory fluid and slightly inserted it the next morning she felt like vomiting has stomach pain a headache and is not interested in eating like before is this a sign of pregnancy please help me,Speaker_7,24.24,"['sexual', 'intercourse', 'girlfriend', 'very', 'next', 'after', 'vaginal', 'lips', 'pre', 'ejaculatory', 'fluid']",train
audio/Speaker_7/Speaker7-221.wav,hi ovulation usually dey happen fourteen days before your next period your shortest cycle na twenty five days based on this your expected next period go be around 17th and ovulation go be around 3rd earliest time wey pregnancy fit show for test na eight to eleven days after ovulation so you fit do pregnancy test on the 14th but i still advise make you do am only if your period miss i hope i don answer your question,hi ovulation usually occurs fourteen days before the next period your shortest cycle is twenty five days considering this your expected next period is on the 17th and ovulation is around the 3rd the earliest pregnancy can be detected is eight to eleven days after ovulation so you may take the pregnancy test on the 14th however i advise you to do it only if you miss the period i hope i have answered your concerns,Speaker_7,25.68,"['ovulation', 'fourteen']",train
audio/Speaker_7/Speaker7-222.wav,e most likely dey scream because of the rash wey dey around him anal opening abeg start to dey apply zinc cream and dusting powder make the rash fit heal,he is most likely screaming because of the rash around his anal orifice please start applying a zinc cream and a dusting powder to allow the rash to heal,Speaker_7,11.05,"['rash', 'anal']",train
audio/Speaker_7/Speaker7-223.wav,hi i dey do play play fight with my friend and e hit me well well for chest now i dey feel chest pain anytime i turn or move i no fit lift anything and e hard for me to breathe the pain dey for my chest and e dey shoot go my upper back abeg fit you tell me wetin fit be the problem,hi i was play fighting with a friend and they hit me pretty hard in the chest now i am experiencing chest pain when i turn or move i can t lift anything and it is a little hard to breathe the pain is in my chest and shoots into my upper back can you tell me what might be wrong,Speaker_7,18.62,['chest'],train
audio/Speaker_7/Speaker7-224.wav,hi this fit be dermoid cyst again the best treatment na surgical removal under local anesthesia this one na simple outpatient procedure and na sure way to remove the lump completely abeg go for the surgery because this area need correct precision work and abeg no try any home remedy,hi this can be a dermoid cyst again the best treatment is surgical excision under local anesthesia this is a simple outpatient procedure and a sure fire way to get rid of the lump please pursue surgery as this area requires precision work please do not attempt home remedies,Speaker_7,21.36,[],train
audio/Speaker_7/Speaker7-225.wav,hello doctor i get symptoms wey resemble gonorrhea and chlamydia with long term testicular pain and swelling for the tip the head of the penis dey show unusual colour and sometimes i dey feel pain for lower abdomen urine test show say no sexually transmitted disease dey i don dey wait to see urologist for one year now and now the symptoms dey change and dey worse which dey worry me,hello doctor i have symptoms similar to gonorrhea and chlamydia with chronic testicular pain and swelling at the tip the glans has an unusual color and i sometimes experience pain in the lower abdomen the urine test reveals negative for sexually transmitted diseases i have been waiting to see a urologist for a year and now the symptoms seem to change and are getting worse which is making me worried,Speaker_7,26.52,"['symptoms', 'gonorrhea', 'chronic', 'swelling', 'glans', 'urine', 'test', 'negative', 'sexually', 'transmitted']",train
audio/Speaker_7/Speaker7-226.wav,hello doctor i get symptoms wey resemble gonorrhea and chlamydia with chronic testicular pain and swelling for the tip the glans get unusual colour and sometimes i dey feel pain for lower abdomen urine test show say no sexually transmitted disease dey i don dey wait urologist for one year and now the symptoms dey change and dey worse e dey worry me hi i be thirty two years old i think say i don get belle i get sore and leaking breasts tiredness and small nausea wey dey go once i chop i only get spotting for few hours for the week wey i expect my period i start to get serious pain for my right side and i begin worry because i get mirena intrauterine device i go doctor dem rule out pregnancy but my lower abdomen dey sore when you touch am any small pressure dey cause pain and i still get sharp pain for my side wetin fit be the problem,hi i am thirty two years old i thought i was pregnant i have sore leaky breasts tiredness and a little nausea that goes away after i eat i only had spotting for a few hours during the week i expected my period i started getting severe pains in my right side and began to worry because i have a mirena intrauterine device in place i went to the doctor who ruled out pregnancy but my lower abdomen is sore to the touch any amount of pressure hurts and i still have sharp pains in my side what could be going on,Speaker_7,49.99,"['tiredness', 'nausea', 'severe', 'pains', 'side', 'worry', 'intrauterine', 'abdomen', 'sore', 'sharp']",train
audio/Speaker_7/Speaker7-227.wav,i dey try get belle my last period start for october 11 i later get small spotting for november 5 and 6 i do pregnancy test but e come back negative doctor tell me make i take meprate 5mg for five days but my period still no show so doctor come again advise me make i take regestrone 5mg i dey take the tablets now dey wait make i see wetin go happen abeg wetin you think about this kind situation,i am trying to get pregnant and my last menstrual period was on october 11th i had some spotting on november 5th and 6th and i tested for pregnancy but the result was negative the doctor advised me to take meprate five milligrams for five days but i did not get my period so the doctor again advised me to take regestrone five milligrams i am taking this tablet and waiting to see what will happen please advise me on this situation,Speaker_7,30.72,"['menstrual', 'milligrams', 'pregnant', 'milligram']",train
audio/Speaker_7/Speaker7-228.wav,hello to get belle you suppose nack for middle of your cycle na there the egg dey come out from ovary intercourse wey happen two days before your period no get chance to cause pregnancy to confirm if you don get belle do urine pregnancy test for house wait one more week then do the test again,hello to become pregnant intercourse has to happen in the middle of the cycle that is when the egg will be released from the ovary intercourse two days before your period has no chance of resulting in pregnancy to confirm pregnancy take a urine test at home wait for one more week and then do the test,Speaker_7,16.72,"['before', 'test']",train
audio/Speaker_7/Speaker7-229.wav,for some weeks now i don get pain for my middle back mostly for right side sometimes the pain dey carry go front for rib cage i don go chiropractor like four times normally one visit dey solve am but this one no gree clear i still dey feel pressure for lower belly too i no sure if na from the back pain e dey come the chiropractor talk say na deep tissue pain i get wetin else fit cause this kind thing,for several weeks i have had pain in my middle back mostly on the right side the pain at times goes around to the front rib cage i have been to the chiropractor four times normally one visit takes care of any issue i also feel lower abdominal pressure and wasn t sure if that is just from the pain in my back the chiropractor says i have deep tissue pain what else could this be,Speaker_7,28.03,['middle'],train
audio/Speaker_7/Speaker7-230.wav,hello i think say you dey suffer from chronic idiopathic urticaria abeg check make sure say e no be food wey dey trigger am like allergy from food colour dye or insect bite sting you fit take antihistamine medicine use deworming drug and also apply calamine lotion for the skin wey dey affected,hello i think you are suffering from chronic idiopathic urticaria please rule out food allergens dyes and insect stings use antihistamines a deworming agent and calamine lotion over the lesions,Speaker_7,21.83,"['chronic', 'id', 'calamine']",train
audio/Speaker_7/Speaker7-231.wav,hello these symptoms fit be stomach infection but we still need to rule out appendicitis too abeg make doctor examine the pikin well well make sure wetin dey happen clear,hello these are symptoms of a stomach infection but appendicitis also needs to be ruled out kindly get the child examined by a doctor,Speaker_7,13.19,['appendicitis'],train
audio/Speaker_7/Speaker7-232.wav,hi first thing remember say small lump wey dey move no fit be ovarian cancer e fit just be small lipoma or sebaceous cyst and you for don make am sensitive because you dey touch am too much the hip and back pain fit be post delivery issue abeg go check am and remove am for two reasons one to clear the condition and two to do histopathology test so you go confirm say e no be cancer and your mind go rest,hi first of all remember that a small movable lump cannot be ovarian cancer this may just be a small lipoma or a sebaceous cyst which you may have made sensitive by fiddling with it the hip and back pain can be due to post delivery issues please have this checked and removed for two reasons one to get rid of the condition and two to obtain a histopathological diagnosis which will relieve your anxiety that it is not cancer,Speaker_7,30.21,"['small', 'lump', 'hip', 'removed']",train
audio/Speaker_7/Speaker7-233.wav,i do magnetic resonance imaging mri scan but i no really understand all the big medical words for l4 l5 level dem see small mild disc bulge for back side wey spread small and together with mild wear and tear for the small joint facet e dey start to press the spaces wey nerve dey pass for both sides for l5 s1 level the disc height don reduce small meaning the cushion between the bones don slim small and again there is broad disc bulge for back plus mild joint degeneration and this one too dey press the nerve passage for both sides wetin all this mean be say your lower back discs don get small wear and bulging wey dey slightly affect nerve spaces on both sides but e still mild level,i had an magnetic resonance imaging scan done and don t understand the complex terminology at the l4 l5 level there is a mild posterior broad based disc bulge this along with mild facet degenerative changes is encroaching on the neural foramina on both sides at the l5 s1 level disc height is mildly reduced there is a diffuse posterior disc bulge along with mild facet degeneration this is encroaching on the neural foramina on both sides what does this all mean,Speaker_7,52.96,"['magnetic', 'resonance', 'imaging', 'scan', 'mild', 'posterior', 'broad', 'based', 'disc', 'mildly', 'degenerative', 'diffuse', 'bulge', 'neural', 'foramina']",train
audio/Speaker_7/Speaker7-234.wav,hi i sabi your worry and i glad say i fit guide you since your thyroid stimulating hormone level don dey under control and you dey take your polycystic ovary syndrome medicine regularly e likely say your cycle don dey ovulate normally by now so chance dey say you fit get belle plus your follicular study go still show you how your ovulation dey go and give better information,hi i am aware of your concern and happy to guide you through this because your thyroid stimulating hormone levels are under control and you have been on regular medication for polycystic ovary syndrome it is very likely that your cycles would have been regularly ovulatory by now so it is very likely you can conceive additionally your follicular study will give you information regarding your ovulation,Speaker_7,24.38,"['medication', 'follicular', 'study']",train
audio/Speaker_7/Speaker7-235.wav,my right side back dey pain me all the time but e dey worse when i dey breathe or move around when i cough the pain dey increase if i press body small when i wan cough or move e no dey pain me as much like when i no press am the pain no dey really comot but if i no move e dey bearable small i no fit lie down for my left side because the pain for right side too strong but if i lie for my right side i dey get small relief even though the pain still dey there i don dey worry because e don reach three days now,the right side of my back hurts all the time but it is more painful when i breathe or move around when i cough it hurts more when i put pressure on it to cough or move it doesn t hurt as much as it would if i didn t the pain never goes away but it is bearable if i don t move i cannot lie on my left side because the pain in my right side is unbearable but i find some relief lying on my right side even though the pain is still there i am getting worried i have had it for three days now,Speaker_7,30.44,"['hurts', 'painful', 'relief']",train
audio/Speaker_7/Speaker7-236.wav,primolut na gynecological hormone wey suppose affect your cycle normally abeg go see fertility specialist make dem do proper gynecological examination for you to manage this matter well your husband too need to do some tests including sperm analysis primolut fit even disturb your normal cycle and e fit reduce your chance to conceive small small,primolut n is a gynecological hormone that should normally affect your cycle get a gynecological exam by a fertility specialist to manage this situation your husband also needs to undergo a series of tests including a sperm analysis primolut could actually disturb your normal cycle and might reduce your chances of conception to some extent,Speaker_7,23.27,"['gynecological', 'exam']",train
audio/Speaker_7/Speaker7-237.wav,when i dey travel by bus for long time or i sit down for one position for long time my leg dey swell like 30 more abeg fit tell me why this thing dey happen all my blood tests urine tests liver function tests and lipid profile tests don come back normal wetin be the problem abeg tell me sir,when i travel by bus for a long time or if i sit for a long time in the same position my legs swell thirty more can you tell me why this is happening all my blood tests urine tests liver function tests and lipid profiles are within normal limits what is the problem please tell me sir,Speaker_7,19.11,"['long', 'time', 'position', 'legs', 'swell', 'lipid', 'normal']",train
audio/Speaker_7/Speaker7-238.wav,dear caring father this diffuse spinal pain fit be from vitamin d deficiency and low calcium level since she dey get sharp sharp pain for both lower legs nerve compression too fit dey involved the parathyroid gland dey release hormone calcitonin wey dey help maintain bone strength and density since your daughter don remove that gland e don cause low calcitonin level and as result bone density fit reduce i go advise make una do x ray of the lumbar spine with front anteroposterior and side lateral views make dem check the bone condition dem also need do bone density scan dexa scan to see how strong the bones dey serum tests for calcium phosphorus and alkaline phosphatase too suppose do abeg do all these tests and go see endocrinologist wey dey nearby neck ultrasound to check thyroid condition too dey advised,dear caring father diffuse spinal pain may be due to vitamin d deficiency and low calcium levels since she has shooting pains in both lower limbs nerve compression may also be a factor the parathyroid gland secretes the hormone calcitonin which maintains bone density since your daughter had this gland removed it leads to low calcitonin levels and hence low bone density i would advise performing a radiograph of the lumbar spine with anteroposterior and lateral views to check bony status a dual energy x ray absorptiometry scan of the bone is also advised to check bone density the serum levels of calcium phosphorus and alkaline phosphatase should also be checked please get all these tests done and visit an endocrinologist nearby an ultrasound of the neck to check thyroid status is also advised,Speaker_7,59.28,"['diffuse', 'spinal', 'low', 'calcium', 'shooting', 'pains', 'nerve', 'compression', 'parathyroid', 'cal', 'radiograph', 'lumbar', 'spine', 'anteroposterior', 'dual', 'energy', 'ray', 'absorptiometry', 'scan', 'bone', 'serum', 'alkaline', 'phosphatase', 'ultrasound']",train
audio/Speaker_7/Speaker7-239.wav,the simple answer wey dey hardest but wey dey give better result na diet and exercise but you fit still need make dem check you for sleep apnea if e dey there e go make am very hard to start correct lifestyle you also fit talk to your doctor about medicine wey fit replace xanax without addiction e dey okay sometimes but e no suppose be something wey you dey use regularly,the simple answer is the hardest but most rewarding diet and exercise however you may need to have an evaluation for sleep apnea if present that makes getting started on the right track very tough you may also want to talk to your doctor about a non addicting replacement for xanax it is okay on occasion but should not be used regularly,Speaker_7,23.01,['evaluation'],train
audio/Speaker_7/Speaker7-240.wav,i get this pain above my left eyebrow near the middle of my forehead for about three days now e dey come and e dey go e dey feel like something dey press am as far as i know nothing don hit me or i no knock my head anywhere i no get cold but i get flu one week ago i try pain relief drugs but the pain still dey come back after about one hour if i sit down after i don stand for like ten minutes the pain dey worse and if i stand again e still change abeg help me wetin fit be this,i have this pain above my left eyebrow near the center of my forehead for about three days now it comes and goes it feels like something is applying pressure on it as far as i know i have not been hit by anything or bumped into anything i do not have a cold but i had caught the flu a week ago i tried pain relievers but the pain always comes back in about an hour if i sit after standing for about ten minutes the pain worsens and vice versa help please,Speaker_7,31.51,"['above', 'eyebrow', 'near', 'center', 'forehead']",train
audio/Speaker_7/Speaker7-241.wav,my sister bin dey for bed some nights ago and one ceramic statue wey about one foot fall from headboard shelf hit her for head two bump like egg size show we treat am with ice and painkiller the swelling reduce after one day but she still vomit that night and since then she don dey feel dizzy now she dey feel like say the pain even don increase even though the swelling don go down also her nose sinus dey feel blocked and clear water dey come out from her ear when she lie down for one side any idea wetin fit be this,my sister was in bed a few nights ago and a one foot ceramic statue fell off of her headboard shelf and hit her in the head there were two egg sized bumps which we treated with ice and painkillers the swelling went down after a day but she did vomit that night and has been dizzy ever since now she is experiencing seemingly more pain even though the swelling has lessened also her sinuses feel congested and she has some clear liquid seeping out of her ear when she sleeps on her side any ideas,Speaker_7,34.97,"['sister', 'bed', 'swelling', 'vomit', 'dizzy', 'sinuses', 'clear', 'liquid', 'sleeps']",train
audio/Speaker_7/Speaker7-242.wav,as e be so the itching dey happen because heat don build up for that closed area abeg try avoid going outside for sun you fit use ice cube rub the place wey dey itch make e calm down small also wash the area with cold water two times daily e go help reduce the symptoms,basically the itching is due to the heat developed in the enclosed area avoid going out in the sun and you can use an ice cube on the affected area to soothe it wash the area with cold water twice daily to relieve the symptoms,Speaker_7,17.23,"['itching', 'wash']",train
audio/Speaker_7/Speaker7-243.wav,hello for my own opinion wetin you dey explain na signs say infection dey spread and e most likely dey connected to your teeth you say your tooth break and e even fall comot completely but back teeth get more than one root so e fit be say part of the teeth still dey under the gum i go advise make you go see dentist do x ray and most likely start antibiotic treatment to control the infection make e no spread you go still need remove any remaining teeth wey dey under the gum if the gum area don get injury rinsing with salt water go help am heal and normally you no suppose dey feel more discomfort for your throat like that do you see any small hole or dent for the gum or you dey feel anything hard or like something dey move under the gum e fit be part of the tooth dey act like splinter wey stick inside gum i go still fit help you more if you give more details or ask more questions over the counter anti inflammatory drugs fit give small relief until you see dentist,hello in my opinion you are explaining signs of an infection spreading and it is most likely related to the tooth your tooth broke and you say it completely fell out but a back tooth has multiple roots and part of the tooth may still be under the gum i would suggest you see a dentist take an x ray and most likely start antibiotic treatment to control the spread of infection you would need to extract any remaining root under the gum if you damaged the gum area salt water rinses would help with healing and i would not expect you to be experiencing increased discomfort with your throat do you see an indent or hole in the gum do you feel anything hard or moving under the gum this may be part of the tooth acting like a splinter caught under the gum i would be happy to assist you further if you provide additional details or have more questions over the counter anti inflammatory medications may offer some relief until you can see a dentist,Speaker_7,66.36,"['multiple', 'roots', 'discomfort', 'further']",train
audio/Speaker_7/Speaker7-244.wav,i get well formed cervical rib for my right side dem don suggest say make i do surgery but three years ago i suffer collapsed lung pneumothorax and pneumonia after my food pipe esophagus tear during surgery i dey worried say this one fit add extra risk for me i also get chronic asthma i no really know wetin i suppose do,i have a well formed cervical rib on the right side surgery has been suggested however three years ago i suffered from collapsed lungs pneumothorax and pneumonia following an esophageal tear during surgery i am worried that this would be an additional risk i have chronic asthma i am unsure what to do,Speaker_7,20.32,"['well', 'formed', 'cervical', 'rib', 'surgery', 'collapsed', 'pneumonia', 'esophageal', 'tear']",train
audio/Speaker_7/Speaker7-245.wav,if your doctor don rule out any disease then just do physical therapy massage and use heat packs you fit apply anti inflammatory gel wey you fit buy over the counter for the area do back exercise and avoid lifting heavy weight or bending your body anyhow,if your doctor has ruled out any disease then just take physical therapy massage and heat packs apply local anti inflammatory gels available over the counter do back exercises and avoid weightlifting or bending,Speaker_7,17.95,"['local', 'anti', 'inflammatory', 'gel']",train
audio/Speaker_7/Speaker7-246.wav,i think the problem fit be from your food pipe esophagus e fit don get inflammation infection ulcer and even fit be say something dey grow inside am abeg go do upper gastrointestinal endoscopy e go help detect wetin really dey happen accurately all the best,i think the problem relates to your food canal or the esophagus it could be inflamed infected ulcerated and there might even be a growth kindly go for an upper gastrointestinal endoscopy that could detect the disease accurately all the best,Speaker_7,17.46,"['go', 'gastrointestinal', 'endoscopy']",train
audio/Speaker_7/Speaker7-247.wav,i don dey feel like pulsing or throbbing sensation for back of my neck area for about six years now e dey worst when i wake up for morning i don see heart doctor neurologist and other types of doctors and i don do plenty tests heart blood vessels brain and different kinds of x rays till now no doctor fit still find wetin dey wrong with me abeg you fit help me,i have had a pulsing or throbbing sensation in the back of the neck area for about six years it is at its worst when i wake up in the morning i have seen heart neurologist and other types of doctors and have undergone all kinds of tests heart blood vessels brain and various types of x rays so far no doctor has been able to find out what is wrong with me can you help,Speaker_7,24.03,"['pulsing', 'throbbing', 'area']",train
audio/Speaker_7/Speaker7-248.wav,i be twenty three years old indian girl i don dey suffer from mild to severe stomach pain and hard bowel movement for the last six years after plenty checks and tests one doctor finally diagnose me say one my immunoglobulin e level high reach 620 instead of 120 two i get acute duodenitis but the doctor no give me any medicine abeg help me,i am a twenty three years old indian girl i have been suffering from mild to severe stomach pain and having hard bowel movements for the last six years after several trials and investigations one doctor has finally diagnosed me as follows one i have high immunoglobulin e level at six hundred and twenty as against one hundred and twenty two acute duodenitis but he did not advise any medication kindly help me,Speaker_7,27.35,"['indian', 'mild', 'severe', 'stomach', 'bowel', 'movements', 'immunoglobulin', 'acute', 'duo']",train
audio/Speaker_7/Speaker7-249.wav,hi yes this thing fit happen but e important make you still use other checks like pulse oximeter you fit buy am for online stores but make sure say e correct for his age if e happen again take the reading and call your doctor make you tell them the values,hi yes this can happen but it s important to have other kinds of measures like pulse oximetry you can purchase one in online stores but ensure it is appropriate for his age if it happens again measure and call your doctor to inform them of the values,Speaker_7,15.3,[],train
audio/Speaker_7/Speaker7-250.wav,hello if you see black line for tooth surface e fit be staining or e fit be caries tooth decay if na caries dem fit fill am depending on how deep e don go if na just stain dem fit remove am through scaling if the black colour dey for gum side e fit be subgingival calculus tartar under the gum and dem fit also remove am by scaling so no need to worry too much just go see dentist make dem solve the problem based on wetin you describe i no think say you get chance to need dentures relax your mind i hope say this reply help you have a healthy day,hello the black line if present on the tooth surface can be either due to staining or it can be caries if it is caries you can get it filled based on the depth if it is staining it can be removed by scaling if the black color is in the gum then it can be due to subgingival calculus which can be removed by scaling so there is nothing to be worried about meet a dentist and get your problem solved according to the symptoms you have described i do not believe you have a chance of needing dentures be cool i hope you found some benefit from this reply have a healthy day,Speaker_7,37.43,"['removed', 'black']",train
audio/Speaker_7/Speaker7-251.wav,i get severe bruising for my forearm the only prescription medicine wey i dey take na synthroid i also dey take vitamin and calcium nothing else i do nuclear medicine treatment for my thyroid for 2004 but i dey okay with my medications i no see any clear reason why i get bruise like this wetin fit cause this kind thing,i have severe bruising on my forearms my only prescription medication is synthroid i also take a vitamin calcium and that is all i underwent nuclear medicine treatment on my thyroid in two thousand and four but i am doing well with my medications there is no apparent reason for the bruising what could possibly cause this,Speaker_7,21.46,"['severe', 'bruising', 'synthroid', 'nuclear', 'medicine', 'treatment', 'thyroid']",train
audio/Speaker_7/Speaker7-252.wav,hello that cracking sound na ligaments wey dey snap or slide over bones for the joint if e dey happen small small e no be problem but if e dey happen too much and always e fit cause joint problem later for life doing stretching exercise go help reduce am all the best,hello the cracking sound is actually ligaments snapping over bones at the joints in moderation it is not a problem but if it is persistent it can cause joint problems later in life stretching exercises should help to reduce this all the best,Speaker_7,15.98,"['cracking', 'ligaments']",train
audio/Speaker_7/Speaker7-253.wav,my 85 year old mama get history of atrial fibrillation and polymyalgia she dey take plenty medicine for am including long term warfarin and steroids yesterday she get high fever and body shaking rigor but e reduce after she take paracetamol today she dey very tired and her appetite no good at all abeg i suppose carry am go see general doctor or cardiologist,my eighty five year old mother has a history of atrial fibrillation and polymyalgia she is on many medications for this including long term warfarin and steroids yesterday she had a high fever and a rigor that settled with paracetamol today she is very tired and her appetite is poor should i bring her to the general practitioner or cardiologist,Speaker_7,24.64,"['eighty', 'mother', 'polymyalgia', 'warfarin', 'steroids', 'high', 'fever', 'paracetamol', 'tired', 'appetite', 'general', 'practitioner']",train
audio/Speaker_7/Speaker7-254.wav,my husband fall from roof e injure him left ankle and lower back the back pain dey very severe na normal thing or we suppose carry am go hospital he no wan go him ankle badly sprain but i no sure if e don break na him back dey pain am pass he land for him foot first then e land for him nyash,my husband fell off the roof and he hurt his left ankle and his lower back his back is in severe pain is this okay or should he go to the hospital he does not want to go his ankle is badly sprained but i am not sure if it is broken it is his back that is more painful he landed on his foot and then down on his butt,Speaker_7,18.44,['ankle'],train
audio/Speaker_7/Speaker7-255.wav,hi i don note the history of the fall e fit be say you don get problem for the discs wey dey your spine abeg go do mri scan of the thoracolumbar spine make dem check if anything dey affect the spinal cord you fit also do test for the muscles wey get sprain the pain wey dey your left lower abdomen fit be muscle sprain or e fit be referred pain from spinal cord compression due to disc problem or other issues,hi the history of the fall is noted it is possible that you have developed a problem with the discs of the spinal column get an mri of the thoracolumbar spine to see whether there is a problem with the spinal cord you can also have a study of the muscles that have the sprain the pain in the left lower abdomen can be due to muscle sprain or referred pain from the compressed spinal cord due to a disc or other issues,Speaker_7,27.84,"['spinal', 'mri', 'lumbar', 'spine', 'abdomen']",train
audio/Speaker_7/Speaker7-256.wav,hi doctor i dey 30 years old recently i don dey do stretching exercise to loosen my foreskin the urologist advise me make i use betamethasone to help the exercise or make i do surgery but i no want surgery now i don dey fit see my glans and i notice small small brown spots for there e serious or e normal i really dey worry,hi doctor i am thirty years old i have recently been doing stretching exercises to loosen up my foreskin the urologist advised me to use betamethasone to help with the exercises or get surgery which i do not want i am finally able to see my glands now and have noticed these tiny brown spots is this serious or is it normal i am really worried,Speaker_7,24.71,"['see', 'glands']",train
audio/Speaker_7/Speaker7-257.wav,hello for the past two to three weeks i dey randomly feel waves of pain for the right side of my head sometimes na strong pounding pain but e dey disappear after few minutes i also dey feel like my heart dey drop inside body and i dey experience anxiety and depression my friend think say i fit get high blood pressure since e dey run for my family i dey 31 years old,hello for the past two to three weeks i have been randomly experiencing waves of pain on the right side of my head at times it s a strong pounding pain but it vanishes after a couple of minutes i also feel like my heart is sinking and i experience anxiety and depression my friend thinks i might have high blood pressure since it runs in my family i am thirty one years old,Speaker_7,24.13,['pressure'],train
audio/Speaker_7/Speaker7-258.wav,my 8 year old daughter no wan chop almost all vegetable she dey enter kitchen when i dey cook dey talk say e smell nice but when i put am for her plate she go say e no fine and she no go chop am i don start put blindfold for her when she wan try first bite and usually she go talk say e no bad but once she remove blindfold she no go continue chop am again she go fit chop sweet potato but she dey vomit any other vegetable abeg any suggestion,my eight year old daughter refuses to eat almost every vegetable she will walk into the kitchen when i am cooking and say that smells good but when i put it on her plate she says it looks nasty and refuses to eat it i have started putting a blindfold on her when she tries the first bite and she usually says it is not bad but when she takes the blindfold off she will not take another bite she will eat sweet potatoes but vomits every other vegetable any suggestions,Speaker_7,27.24,"['eat', 'blindfold', 'vomits']",train
audio/Speaker_7/Speaker7-259.wav,my 1 year old pikin just change from formula to cow milk and since then she don get very bad constipation and big big stool wey even need help before e fit comot her stool sometimes maroon colour and sometimes normal colour and the texture dey like baby food or thick thick she dey cry whenever she wan poop even now wey the stool don soft small i know say her body fit don sore and the stool fit dey sting am,my one year old was just switched from formula to cow s milk and has experienced very bad constipation and large stools that required assistance to pass she has stools that are both maroon in color and normal in color but they have a texture similar to baby food or are thicker she cries during bowel movements even now that they are soft i know she is probably sore and the stool could be stinging her,Speaker_7,26.33,"['formula', 'constipation', 'stools', 'maroon', 'normal', 'cries']",train
audio/Speaker_7/Speaker7-260.wav,my son get stomach pain and general feeling say e no well e dey weak e pale and e no get fever all this thing start after stomach flu for beginning of february e still dey feel pain and dem tell us say e fit be mesenteric adenitis e normal say e still dey feel pain like this e be 10 years old,my son has stomach pain and a general feeling of unwellness he is weak pale and does not have a fever this all started with a stomach flu at the beginning of february he is still in pain and we have been told it is probably mesenteric adenitis is it normal for him to still be in pain he is ten years old,Speaker_7,20.99,"['stomach', 'unwellness', 'flu', 'mesenteric']",train
audio/Speaker_7/Speaker7-261.wav,hello i just read your question chlorine wey dey inside swimming pool fit sometimes cause eye problem when e touch the surface of your eyes this effect dey go off by itself after few hours so no need to worry you fit prevent am by wearing goggles or no open your eyes when you dey under water,hello i just read through your question chlorine contained in pools can often cause visual disturbances when it comes in contact with the surface of the eyes this effect resolves on its own after a few hours and is nothing to be concerned about it can be prevented by either wearing goggles or not opening the eyes while underwater,Speaker_7,17.9,"['visual', 'disturbances', 'own', 'after']",train
audio/Speaker_7/Speaker7-262.wav,i be 56 year old woman i weigh 132 pounds and i dey exercise every day i dey experience heart palpitations sour taste for mouth belching and chest pain this symptoms don dey happen for about 4 to 5 weeks now i do electrocardiogram few weeks ago and the result normal i bin dey take 40mg nexium for about 10 years later i gradually switch go zantac but for the past 2 days i don start take nexium again i don dey experience stress and anxiety for about 2 months and e don worse because i dey worry about wetin dey wrong with me the most worrying symptom na the heart palpitations e dey come and go throughout the day i do blood test today but i never get the result yet abeg you get any advice especially about the palpitations,i am fifty six years old female weigh one hundred and thirty two pounds and work out every day i am experiencing heart palpitations a sour taste in my mouth belching and chest pains i have been experiencing these symptoms for about four to five weeks now i had an electrocardiogram a few weeks ago and the results were normal i had been taking forty milligrams of nexium for about ten years and gradually switched to zantac however for the past two days i have started taking nexium again i have been experiencing stress and anxiety for two months exacerbated by worry about what is wrong with me the most worrisome symptom is heart palpitations which come and go throughout the day i had blood work done today but i do not have the results yet do you have any advice especially regarding the palpitations,Speaker_7,51.66,"['sour', 'taste', 'chest', 'electrocardiogram', 'milligrams', 'stress', 'anxiety', 'go']",train
audio/Speaker_7/Speaker7-263.wav,hi i no think say you suppose consider in vitro fertilization ivf for now you fit increase progesterone level with medicine and injections make dem first check you well do thyroid test check prolactin level and also do ultrasound for your uterus and ovaries plus make your husband do semen analysis too if everything normal una fit try ovulation drugs and other medicine wey go help implantation,hi i do not think you should consider in vitro fertilization at this time progesterone levels can be increased with the help of medications and injections you should get yourself evaluated first perform a thyroid profile and tests for prolactin levels as well as an ultrasound for your uterus and ovaries additionally obtain a semen analysis of your husband if everything is normal you can try medications for ovulation and also some medications to support implantation,Speaker_7,25.17,"['fertilization', 'progesterone', 'increased', 'medications', 'thyroid', 'profile', 'prolactin', 'ultrasound', 'uterus', 'semen', 'do']",train
audio/Speaker_7/Speaker7-264.wav,hello this no dey show say na stage d e more likely say na stage c but he still need to do echocardiogram to check ejection fraction that one go give better information about the real stage if even with all the treatment he still dey get symptoms and no fit do any normal activity then dem fit consider am stage d this kind symptoms wey dey come and go fit happen for heart disease and e dey manageable with medicine make sure say him medication dey well optimized him life expectancy too dey depend on the ejection fraction i hope this help,hello this does not indicate stage d this is likely stage c however he needs to undergo an echocardiogram for ejection fraction which would provide information regarding the stage if despite all medical treatment he remains symptomatic and is unable to perform any activities he may be considered stage d such intermittent worsening of symptoms may occur in heart disease which can be managed with medications you should ensure that his medication is optimized his life expectancy also depends on ejection fraction i hope this helps,Speaker_7,36.55,"['echocardiogram', 'symptomatic']",train
audio/Speaker_7/Speaker7-265.wav,i sorry for your wahala but wetin you mean when you talk say you get spots for your brain you don do computed tomography scan or magnetic resonance imaging before the only way to really see multiple sclerosis brain lesions na through magnetic resonance imaging as for the physical signs wey you mention e fit be from fibromyalgia no be say i dey rule out multiple sclerosis na disease wey get many ways e fit show depending on the area wey e affect but na something wey neurologist go suspect through careful examination and history taking then mri go confirm am,i am sorry about your troubles however what do you mean by having spots in your brain have you had a computed tomography scan or magnetic resonance imaging the only way to visualize multiple sclerosis brain lesions is through magnetic resonance imaging as for the physical signs what you mention could be caused by fibromyalgia not that i can exclude multiple sclerosis it is a disease with many forms of presentation according to the affected areas but it is a diagnosis that is suspected by a careful neurological examination and history taking and confirmed by magnetic resonance imaging,Speaker_7,40.05,"['spots', 'computed', 'tomography', 'magnetic', 'resonance', 'imaging', 'multiple', 'lesions', 'sc', 'many', 'forms', 'presentation']",train
audio/Speaker_7/Speaker7-266.wav,hi i just go see dentist for my teeth and he try do root canal after about one hour he tell me say he no fit save the teeth later he say he go schedule appointment next day make dem extract am when i come next day he tell me say my teeth dey small abnormal and e get only one pin instead of two another dentist tell am say he think say e still fit save the teeth that night when i sleep i get very bad teeth pain now my tongue dey feel swollen and my gum dey very sensitive wetin i suppose do,hi i just had my tooth examined by a dentist and he went in to do a root canal an hour later he told me he could not save the tooth afterwards he informed me that he would schedule an appointment the next day to have it extracted when i came in the next day he proceeded to tell me my tooth was a little abnormal and only had one pin instead of two another dentist told him that he thought he could save my tooth when i slept that night i had horrible tooth pain now my tongue feels swollen and my gums are very sensitive what should i do,Speaker_7,33.65,"['tooth', 'horrible', 'tongue', 'swollen', 'gums']",train
audio/Speaker_7/Speaker7-267.wav,as you talk say she dey cough after feeding e fit be say na wrong feeding technique cause am as the milk fit enter her windpipe trachea and she dey try cough am comot abeg check the milk thickness the temperature and the size of the nipple hole because if the hole too big e fit push plenty milk enter her mouth at once but for such small pikin breast milk suppose be the only thing she dey take if no serious reason wey prevent am i also dey assume say her upper airway normal and no be something like partial choanal atresia dey affect am also rule out gastroesophageal reflux especially the h type because e fit be the main cause of this problem,as you have mentioned that she starts coughing after feeding it may be due to a faulty feeding technique as the feed may get into the trachea and she tries to cough it out please check the consistency of the milk the temperature and the size of the nipple hole as a large hole may push an initial large amount into her mouth however such a small child should be given breast milk only if there is no absolute contraindication i also presume that her upper airway is normal and that there is no issue such as partial choanal atresia additionally rule out gastroesophageal reflux most probably the h type which can be the culprit,Speaker_7,41.91,"['coughing', 'faulty', 'feeding', 'technique', 'trachea', 'airway', 'normal']",train
audio/Speaker_7/Speaker7-268.wav,i be evan from bangladesh i want know about meladerm cream how e dey work e good for skin if this product good for skin i go buy am i don dey search for am all over bangladesh but i no fit find am abeg help me answer this question where i fit get am and how much e dey cost,i am evan from bangladesh i want to know about meladerm cream how does it work is it good for skin if this product is good for skin i will purchase it i am searching for this product all over bangladesh but i can t find it please help me by providing this answer where can i find it and how much does it cost,Speaker_7,18.53,[],train
audio/Speaker_7/Speaker7-269.wav,i get reaction to hair dye on saturday i go see my doctor on monday with small itching and he give me antihistamine and diodes yesterday i start to swell mostly for top of my head i go hospital and dem give me steroids 30 grams per day after 24 hours i no dey see well again and my whole face don swell i suppose see improvement within 24 hours after taking steroids,i had a reaction to hair dye on saturday i visited my doctor on monday with mild itching and he gave me an antihistamine and diodes yesterday i started to swell mainly at the top of my head i went to the hospital and was given steroids thirty grams per day twenty four hours later i cannot see properly and my whole face is swollen should i see an improvement within twenty four hours of taking steroids,Speaker_7,24.75,"['visited', 'mild', 'antihistamine', 'swell', 'hospital', 'yesterday', 'grams', 'whole', 'face', 'swollen', 'improvement', 'within', 'steroids']",train
audio/Speaker_7/Speaker7-270.wav,okay my husband and i dey expect baby soon and we plan make the baby sleep for our room with us the only problem be say he dey snore we don try everything strips sprays everything but nothing work abeg earplug dey for small baby wetin be the safest way to handle am,okay my husband and i are soon expecting and we plan for the baby to sleep in our room with us the only problem with that is that he snores we have tried everything strips sprays the works and nothing helps is there an earplug for infants what is the safest way to go,Speaker_7,19.5,['earplug'],train
audio/Speaker_7/Speaker7-271.wav,hi welcome to the health care management clinic yes this fit be allergy to chlorine or viral infection give am paracetamol and antihistamine syrup according to him weight i wish am quick recovery,hi welcome to the health care management clinic yes this could be an allergy to chlorine or a viral infection give him paracetamol and antihistamine syrup according to his weight wish him a speedy recovery,Speaker_7,12.14,"['paracetamol', 'antihistamine', 'syrup']",train
audio/Speaker_7/Speaker7-272.wav,yes this one likely be apple allergy because anything fit suddenly cause reaction anytime he fit use antihistamine for about three weeks to clear am and also apply antihistamine cream for the affected area plus make he avoid apple for future to prevent the allergy from coming back,yes this is likely an apple allergy as anything can react at any time suddenly he can use antihistamines for three weeks to clear this up and apply antihistaminic cream locally additionally he should avoid apples in the future to prevent allergies,Speaker_7,18.11,[],train
audio/Speaker_7/Speaker7-273.wav,i get one relative wey be 6 years old according to the report him eye problem show say ct scan find mild swelling protrusion for left eye proptosis with some unclear mass wey get high density inside the intraconal space of the left eye and e dey press the optic nerve dem no see any clear calcification and e dey suggest say na orbital lymphangioma abeg suggest which kind management and treatment una get for your hospital,i have a relative who is six years old his eye problem as per the report includes computed tomography scan findings of mild left sided proptosis with poorly circumscribed masses of increased density in the intraconal space of the left orbit resulting in compression of the optic nerve there are no obvious foci of calcification suggestive of orbital lymphangioma please suggest management and treatment available in your institution,Speaker_7,29.51,"['relative', 'computed', 'tomography', 'scan', 'mild', 'sided', 'proptosis', 'poorly', 'circumscribed', 'masses', 'intraconal', 'space', 'compression', 'orbital']",train
audio/Speaker_7/Speaker7-274.wav,i don dey feel stomach pain for about one week and half now e dey feel like muscle pain wey person go get after workout but i no dey do workout i buy new mattress small over one month ago and since then my back don dey ache me i dey wonder if that same mattress fit dey cause the stomach pain too,i have been experiencing stomach pain for about a week and a half it feels a lot like muscle pain from working out but i do not work out i got a new mattress a little over a month ago and have been having aching back pain ever since i wondered if the mattress could be causing the stomach pain as well,Speaker_7,21.59,"['stomach', 'muscle', 'aching']",train
audio/Speaker_7/Speaker7-275.wav,ice draw me fall i con hit my leg about two weeks ago now hard lump dey my leg wey dey roughly the length of one finger i also experience some numbness and pain e still dey bruised the pain dey reduce when i no put am weight and dey throb when i put am weight for extended period the lump and numbness na my concerns,i slipped on the ice and hit my leg about two weeks ago now there is a hard lump in my leg roughly the length of a finger i also experience some numbness and pain it is still bruised the pain lessens when i stay off of it and throbs when i put weight on it for an extended period the lump and numbness are my concerns,Speaker_7,23.41,"['leg', 'hard', 'lump', 'numbness', 'throbs']",train
audio/Speaker_7/Speaker7-276.wav,hello i hope say you dey okay e important make dem know the exact diagnosis because treatment and care go depend on the real cause if na biliary problem diet suppose avoid fatty food dairy products and eggs wey be cholecystokinetic foods if na peptic ulcer disease diet suppose avoid acidic spicy and irritating foods alcohol and even smoking,hello i hope you are well it is important to know the precise diagnosis because the treatment and care will vary depending on the cause if it is biliary pathology dietary care should include avoiding fatty foods dairy products and eggs known as cholecystokinetic foods if it is peptic ulcer disease dietary care should include avoiding acidic spicy irritant foods alcohol and even smoking,Speaker_7,28.12,[],train
audio/Speaker_7/Speaker7-277.wav,hello doctor my name na jith i dey send this message for my sister six months ago dem diagnose am with ovarian tumor now she dey take medicine wey dem call elogen after taking this medicine she still fit get chance to get belle for future all of us dey worried about her condition abeg reply me,hello doctor my name is jith i am sending this message for my sister six months ago she was diagnosed with an ovarian tumor now she is taking the medication elogen are there any chances of pregnancy in the future after taking this medicine we are all anxious about her condition kindly reply to me,Speaker_7,20.5,[],train
audio/Speaker_7/Speaker7-278.wav,yes this one fit be food related because the kind food wey you mention fit react with body protein anytime and for any age come cause reaction you fit treat am by taking antihistamine tablets and applying antihistamine ointment for the affected area but some other things too fit trigger am like medicated oil shampoo cream soap and even clothes i go advise make you do blood serum test for specific antibodies to know the exact allergen so you fit know wetin to avoid and stop am from coming back,yes these may be food related as the food you mentioned can react with body proteins at any time and at any age to give reactions you may treat it by taking antihistamine tablets and applying local antihistamine ointment to the affected areas however some other factors can also start reacting such as medicated oil shampoo creams soaps and clothes i recommend getting blood serum tests for specific antibodies to identify allergens to find the cause and avoid further recurrences,Speaker_7,35.53,"['body', 'proteins', 'antihistamine', 'tablets', 'local', 'blood', 'serum']",train
audio/Speaker_7/Speaker7-279.wav,yes this kind thing fit happen for this age floaters too dey very common but abeg go see eye doctor ophthalmologist make dem check am well,yes they may occur at this age also floaters are very common but you should visit an ophthalmologist,Speaker_7,7.5,['floaters'],train
audio/Speaker_7/Speaker7-280.wav,hi your pikin don get eye infection wey dem dey call conjunctivitis you go carry the pikin go meet eye doctor make dem check am,hi your child has developed a conjunctivitis infection you should get the child examined by an ophthalmologist,Speaker_7,7.31,['conjunctivitis'],train
audio/Speaker_7/Speaker7-281.wav,hi i dey twenty two years and i dey travel twenty five kilometres with bus from my house go my office every day i dey feel too tense because the bus dey go slow slow and i dey worry whether i go reach office early or not anytime i tense i dey feel small pain for my back side abeg help me understand why this pain dey happen only when i tense,hi i am twenty two and i travel twenty five kilometers by bus from my house to my office daily i feel very tense because the bus goes very slowly and i worry whether i will reach the office early or not when i feel tense i experience a slight pain in the area of my back please help me understand the reason for the pain which only occurs when i am tense,Speaker_7,21.8,"['tense', 'bus', 'slight']",train
audio/Speaker_7/Speaker7-282.wav,my pain start few weeks ago with pain around my pompoo e dey always be like cramp but sometimes e dey sharp then after some days i begin dey get pain for my right leg wey no dey go even if i lie down few days ago my chest and back come dey pain me my chest dey feel like say person stand on top am for my breastbone now two days ago my throat come sore and swell dem don already check say no be appendicitis and i don remove my gall bladder before i still try take prilosec in case na indigestion or heartburn but e no help,my pain started a few weeks ago with pain around my belly button it constantly feels crampy but sometimes sharp then a couple of days later i began getting pain in my right leg that does not go away when lying down a couple of days ago my chest and back started hurting my chest feels like there is someone standing on it right on the breastbone now two days ago my throat became sore and swollen they have already ruled out appendicitis and i have had my gall bladder removed i have also tried taking prilosec in case it is indigestion or heartburn but it does not help,Speaker_7,36.22,"['belly', 'couple', 'leg', 'chest', 'hurting', 'breastbone', 'throat', 'sore', 'gall', 'bladder', 'prilosec']",train
audio/Speaker_7/Speaker7-283.wav,dear patient see some possible reasons for your pain one liver wahala if liver big e fit dey press diaphragm make you go do liver function test plus complete blood count and make your doctor check you well well two pleurisy water fit gather for chest and e go make you feel heavy simple x ray fit show am the causes of this fluid plenty so your doctor go help narrow am three bowel wahala gas or hard stool wey jam fit cause this kind thing especially if your belle dey full you or you dey struggle to toilet simple x ray fit rule am out other rare causes fit include appendicitis pancreatitis gallstones and kidney stones and the pain for all these dey usually sharp and dey stab,dear patient here are some possibilities for your pain one liver disease an enlarged liver may be pressing on the diaphragm get a liver function test done along with a complete blood count and a physical examination by your general practitioner two pleurisy pleural fluid collection may lead to a heaviness and it can be diagnosed by a simple x ray the causes of pleural effusion are numerous and will have to be narrowed down by your general practitioner three bowel abnormalities gas or fecal impaction may result in this sort of presentation especially if you feel particularly bloated or are having trouble passing stool a simple x ray should rule it out other possible but rare causes can include appendicitis pancreatitis gallstones and kidney stones the pain in all these cases is sharp and stabbing,Speaker_7,49.67,"['liver', 'enlarged', 'complete', 'blood', 'count', 'physical', 'examination', 'heaviness', 'gas', 'possibilities', 'bloated', 'appendicitis']",train
audio/Speaker_7/Speaker7-284.wav,sure sure no suppose chew anything wey no normal but if you just chew small quantity nothing go happen,definitely unusual substances should not be chewed but nothing will happen with a small amount of chewing,Speaker_7,7.69,"['unusual', 'substances']",train
audio/Speaker_7/Speaker7-285.wav,hello you no fit cure fatty liver with only drugs from your history you talk say you dey take multivitamin tablet abeg post picture of the medicine make we check wetin dey inside for fatty liver udiliv 300mg every day fit help i go advise make you follow low fat diet and dey exercise regularly you need control your weight and your body mass index suppose dey within 25 chop fruits wey get plenty vitamin c well well with all these you fit control your fatty liver disease and even treat am,hello fatty liver cannot be treated by medications alone according to your history you are taking a multivitamin tablet kindly post a photo of your medication to check its content for fatty liver udiliv three hundred milligrams daily can be useful i suggest you follow a low fat diet and engage in regular exercise you need to control your weight and your body mass index should be within twenty five consume vitamin c rich fruits in larger amounts with all these efforts you can control your fatty liver and treat it as well,Speaker_7,33.58,"['medications', 'udiliv', 'milligrams', 'daily', 'fat', 'diet', 'within', 'consume', 'vitamin', 'rich', 'fruits', 'fatty']",train
audio/Speaker_7/Speaker7-286.wav,hi i be woman wey dey thirty two years and i get pikin wey dey four and half years me and my husband dey plan to get second baby so we dey nack but wetin i notice after we finish be say some kind discharge come out e cfit be say na him semen if na so e mean say him sperm no enter me at all,hi i am a thirty two year old woman and have a four and a half year old son my husband and i plan to have our second baby so we had sexual intercourse but what i noticed after we had sex is that there was some kind of discharge can this be his semen if it is so does it mean that his sperm has not entered me at all,Speaker_7,19.71,['woman'],train
audio/Speaker_7/Speaker7-287.wav,i get one friend wey get ascites and him leg and feet come swell e lose plenty weight within short time and e look like say him muscle don reduce i carry am go hospital and dem diagnose am with stage four liver disease now e don reach like five months and e dey look fine like normal person and e still dey waka well wetin you think say him life expectancy go be i no sabi any result from lab tests,i have a friend who experienced ascites and swelling of the legs and feet he had lost a lot of weight over a short period of time and looked as if he had lost muscle mass i took him to the hospital and he was diagnosed with stage four liver disease it has been about five months and he looks good and appears perfectly normal and mobile what do you believe his life expectancy will be i don t know the results of any laboratory work,Speaker_7,25.15,"['ascites', 'swelling', 'legs', 'weight', 'muscle', 'took', 'hospital', 'stage', 'liver']",train
audio/Speaker_7/Speaker7-288.wav,you dey perfectly fine no worry at all after one month wey your period miss go do urine pregnancy test e go show whether you get belle or not,you are absolutely fine don t worry after a month of a missed period get your urine pregnancy test done which will show if you are pregnant,Speaker_7,8.38,['test'],train
audio/Speaker_7/Speaker7-289.wav,hello i no think say her problem dey related to dialysis abeg make una check her blood pressure and consider to do ultrasound for abdomen,hello i do not think her problems are related to dialysis please have her blood pressure checked and consider an ultrasound of the abdomen,Speaker_7,8.45,"['blood', 'pressure', 'ultrasound']",train
audio/Speaker_7/Speaker7-290.wav,my mama don dey suffer from ulcerative colitis and abdominal tuberculosis she dey sixty seven years old treatment for ulcerative colitis don dey go on for last five years and tuberculosis treatment don still dey continue since february two thousand and fourteen wey dem detect am e fit cure and how long e go take before dem cure am,my mother has been suffering from ulcerative colitis and abdominal tuberculosis she is sixty seven years old the treatment for ulcerative colitis has been ongoing for the last five years and the tuberculosis treatment has been in progress since february two thousand and fourteen after it was detected is it curable how much time will it take to cure,Speaker_7,23.38,"['mother', 'ulcerative', 'colitis', 'abdominal', 'sixty', 'tive']",train
audio/Speaker_7/Speaker7-291.wav,hi doctor i get plenty stress right now and my anxiety don come back about say i do oral intercourse with one man him no ejaculate but he pre ejaculate fluid i dey use birth control but after the oral sex two days later my period start come early by one week and e last for fourteen days fit i still get pregnant,hi doctor i have a lot of stress going on right now and most of my anxiety is coming back regarding having oral intercourse with a man he did not ejaculate but there was pre ejaculate fluid i am on birth control but after having oral intercourse two days later i started my period which was a week early and lasted for fourteen days can i get pregnant,Speaker_7,20.99,"['stress', 'anxiety', 'oral', 'intercourse', 'later', 'fourteen']",train
audio/Speaker_7/Speaker7-292.wav,hi doctor i get plenty stress right now and my anxiety don come back about say i do oral intercourse with one man him no ejaculate but he pre ejaculate fluid i dey use birth control but after the oral sex two days later my period start come early by one week and e last for fourteen days fit i still get pregnant,get your holter monitoring done so that your whole day profile of heart rhythm can be considered before labeling you as having panic attacks,Speaker_7,22.13,"['er', 'monitoring', 'heart', 'rhythm']",train
audio/Speaker_7/Speaker7-293.wav,you fit start to dey use arnica hair oil just dey apply am for night and wash am for morning e go help your hair grow and reduce hair wey dey fall off,you can start using arnica hair oil just apply it at night and wash it in the morning it will help you grow hair and reduce your hair fall,Speaker_7,9.33,['wash'],train
audio/Speaker_7/Speaker7-294.wav,osgood schlatter disease dis condition dey happen for young people when bones and other parts of knee still dey develop e fit cause painful bump just below knee where tendon from kneecap dey connect to shin bone overdoing exercise and irritation for one point for bottom of knee wey dem dey call tibial tubercle dey often make the place dey pain the pain fit dey come and go with time e dey very common for teenage boys and girls bursitis tendonitis and arthritis self fit also cause knee pain wey no be sports injury,osgood schlatter disease this condition occurs during youth when bones and other parts of the knee are still developing it can cause a painful bump below the knee where a tendon from the kneecap connects to the shin overdoing exercise and irritation at a point on the bottom of the knee called the tibial tubercle often makes this area hurt the ache may come and go over time it is especially common in teenage boys and girls bursitis tendonitis and arthritis may also cause knee pain other than a sports injury,Speaker_7,39.68,"['painful', 'tendon', 'kneecap', 'irritation', 'ache', 'bump', 'arthritis', 'knee']",train
audio/Speaker_7/Speaker7-295.wav,for about six months now i don dey experience sharp shocking pain for right side of my neck e dey come often and e dey pain me well well i still dey get headache too i get similar headache about twelve years ago i go hospital dem do mri x ray and electrocardiogram but dem no see anything dem talk say na growing pains but now e don come back again and i no dey grow again i want know wetin fit be the cause,for about six months now i have been experiencing shocking pains on the right side of my neck i have them frequently and they hurt i have also been getting headaches i had similar headaches about twelve years ago i went to the doctor and had an mri x ray and electrocardiogram but they found nothing and said it was growing pains now they have returned and i am not growing anymore i want to know what it could be,Speaker_7,32.28,"['about', 'shocking', 'pains', 'side', 'headaches', 'went', 'doctor', 'growing']",train
audio/Speaker_7/Speaker7-296.wav,hi wetin you dey feel na normal thing e dey happen after operation and after dem put mirena wey be safe device i no think say you need to worry anyway doctor go still dey follow up with you after some time,hi your symptoms are normal this happens after surgery and after the mirena insertion which is a safe device i think you do not have to worry anyway the doctor will be following up with you after some time,Speaker_7,14.79,[],train
audio/Speaker_7/Speaker7-297.wav,hi dis one dey happen because pressure for belle don increase e dey press the perineum area when person sneeze jump and other similar things no be something wey you need to worry about you fit take simple pain killers like ibuprofen to reduce am if e dey really disturb you if e continue dey go abeg go see general surgeon make dem check am for you,hi this is due to an increase in abdominal pressure compressing the perineum due to sneezing jumping etc it is nothing to worry about you can try simple pain relievers like ibuprofen to reduce it if it is really bothering you if it persists please consult a general surgeon,Speaker_7,22.8,"['increase', 'abdominal', 'pressure', 'com', 'perineum', 'ibuprofen']",train
audio/Speaker_7/Speaker7-298.wav,hello there i go advise make you do x ray for your back sharp sharp if you get stomach problem no take ibuprofen because e fit worsen am in fact that stomach pain fit even be because of the ibuprofen wey you don take treatment one make you rest well for bed no stress yourself two take pain killer like tramadol because e no dey really affect stomach three use muscle relaxer like thiocolchicoside four rub local pain relief gel do gentle massage five wear lumbosacral corset anytime wey you no dey lie down further treatment go depend on the result of the x ray i hope my advice don help you good luck,hello there i recommend that you get an x ray of your back done immediately ibuprofen should be avoided if you are having stomach problems in fact the stomach soreness might be secondary to ibuprofen ingestion treatment one complete bed rest two an analgesic like tramadol as it has negligible gastric side effects three a muscle relaxant like thiocolchicoside four local analgesic gel massage five a lumbosacral corset to be worn while you are not lying down further treatment will depend on the x ray report i hope my advice has helped good luck,Speaker_7,44.51,"['ray', 'ibuprofen', 'stomach', 'sore', 'bed', 'tramadol', 'muscle', 'relaxant', 'thiocolchicoside', 'local', 'massage']",train
audio/Speaker_7/Speaker7-299.wav,hi welcome if dem treat you malaria finish with full course and correct dose then malaria don clear completely no malaria dey again for the fever wey still dey come you fit dey check your temperature like four times every day for at least seven days so you go know whether na real fever or something else dey cause am all the best,hi welcome if you were treated for malaria with a full course and optimal dosage then it has definitely been cured there is no more malaria for the continuing feverishness you may do temperature charting four times a day for at least seven days to determine whether it is actually fever or something else all the best,Speaker_7,21.41,"['malaria', 'full', 'course', 'feverishness', 'temperature', 'charting']",train
audio/Speaker_7/Speaker7-300.wav,abeg go check your filling and root canal again make dem re evaluate am as for the pain you need try new antibiotic and stronger pain killer make e fit reduce,kindly get your filling and root canal re evaluated as for the pain a trial of a new antibiotic and a stronger painkiller is needed,Speaker_7,11.08,"['antibiotic', 'painkiller']",train
audio/Speaker_7/Speaker7-301.wav,i get pain deep inside my right nyash sometimes when i dey waka or just sit down i go feel sharp small twinge like spasm wey dey cause sharp pain no numbness or tingling for anywhere else i still get tender pain for my right elbow and e dey make am small hard for me to grip things well i no know whether the two pains get connection but e be like the strength of the pain dey take turn between the two,i have a pain deep in my right buttock i feel a twinge sometimes when walking or just sitting like a spasm which gives a sharp pain there is no numbness or tingling anywhere else i also have a tenderness pain in my right elbow causing slight difficulty in gripping i don t know whether there is a connection between the two but the severity of the pain seems to alternate between the two,Speaker_7,27.82,"['buttock', 'twinge', 'walking', 'numbness', 'tingling', 'tenderness', 'elbow']",train
audio/Speaker_7/Speaker7-302.wav,my pikin do ultrasound today and the kidney doctor see one dark spot for her left kidney the doctor order make dem do scan immediately the doctor talk say e fit be kidney stone but something dey tell me say e still dey somehow worried wetin else fit be the cause,my daughter had an ultrasound today and the nephrologist found a dark spot on her left kidney the doctor ordered a scan to be done right away the doctor said it could be kidney stones but something tells me that he was somewhat concerned what else could it be,Speaker_7,18.95,"['ultrasound', 'dark', 'kidney']",train
audio/Speaker_7/Speaker7-303.wav,hello the reasons wey relapse fit happen plenty one your food habit like when you dey chop hard food or dey put too much pressure for teeth two if you no use retainer for the time wey dem recommend three internal things like how your lower teeth or jaw align fit dey disturb the upper jaw alignment four other habits like tongue pushing tongue thrusting or mouth breathing if you get am and also wrong way wey you dey brush teeth five i go suggest make you go see another orthodontist since you no dey satisfied with the previous one dem go do orthopantomogram x ray abeg reply with the result then we fit talk further about the treatment plan,hello the reasons for relapse are many one dietary habits including eating hard food and putting excessive pressure on teeth two not using retainers for the suggested duration three internal factors such as the alignment of lower teeth or jaw that might interfere with upper jaw alignment four other habits such as tongue thrusting or mouth breathing if you have any and improper brushing techniques five i would suggest that you consult another orthodontist as you are not satisfied with the previous one an orthopantomogram will be taken please reply back with that we can then further discuss the treatment plan,Speaker_7,48.6,"['jaw', 'consult', 'orthopantomogram']",train
audio/Speaker_7/Speaker7-304.wav,if she don see her monthly period then no chance say she fit get belle from the last time wey una do sexual activity,if she has gotten her period then there are no chances of getting pregnant from your last event of sexual activity,Speaker_7,7.59,[],train
audio/Speaker_7/Speaker7-305.wav,e fit be muscle pain i dey think so since you fall or e fit be say your rib dem just dey inflame you need do chest x ray make dem check whether rib fracture dey if nothing dey you fit start take naproxen 500 milligrams two times daily for five days,it could be muscular pain i suppose since you fell alternatively the ribs might be inflamed you should get a chest x ray done to see if there is any rib fracture if not start taking naproxen five hundred milligrams daily twice a day for five days,Speaker_7,19.23,"['muscular', 'ribs', 'chest', 'naproxen', 'milligrams']",train
audio/Speaker_7/Speaker7-306.wav,hi your sister dey experience seizure wey no dey respond to medicine treatment she need surgery for epilepsy different options dey like corpus callosotomy functional hemispherotomy multiple subpial transections vagus nerve stimulation and amygdaloid hippocampectomy,hi your sister is experiencing resistant seizures that are not controlled with medications she needs surgery for epilepsy various options include corpus callosotomy functional hemispherotomy multiple subpial transections vagus nerve stimulation and amygdaloid hippocampectomy,Speaker_7,22.73,"['sister', 'resistant', 'seizures', 'multiple', 'vagus']",train
audio/Speaker_7/Speaker7-307.wav,i nack on my ovulation day and that one be about six days ago now i think say i dey see small implantation spotting i believe say i get bacterial infection i usually know when e dey happen because e dey come easy for me i get prescription for metronidazole vaginal gel if i don get belle that medicine go disturb the pregnancy or affect am,i had intercourse on my ovulation day and that was about six days ago now i think i experienced some implantation spotting i believe i have a bacterial infection i usually know when i get one because i get them very easily i have a prescription for metronidazole vaginal gel will the medication interrupt the pregnancy if i am pregnant,Speaker_7,25.45,"['metronidazole', 'medication']",train
audio/Speaker_7/Speaker7-308.wav,i get sharp pain for my the side of my right rib e dey feel like stabbing pain and e still dey come with nausea and that heavy full feeling before and after i chop food i get gastroesophageal reflux disease and i recently do hepatobiliary scan wey show 54 i don get gallbladder attacks before and i dey feel like something dey move under where my bra dey sit i dey take dexilant but still i just dey feel discomfort all the time i do scope before dem see reflux and small gastritis i no dey ever really feel fine and i just wish doctor fit correct wetin dey wrong with me,i have sharp pains in my right side in the ribs it feels like stabbing pains along with nausea and a feeling of fullness before and after i eat i have gastroesophageal reflux disease and recently had a hepatobiliary scan that showed a fifty four i have experienced gallbladder attacks and feel like something is moving around under where my bra is i take dexilant and just have discomfort all the time i had a scope that showed the reflux and a little gastritis i never feel good and just wish a doctor could correct what is wrong with me,Speaker_7,38.87,"['sharp', 'pains', 'stabbing', 'nausea', 'fullness', 'gastroesophageal', 'hageal', 'reflux', 'disease', 'hepatobiliary', 'bra', 'discomfort', 'feel', 'good']",train
audio/Speaker_7/Speaker7-309.wav,hi dis one fit be infected sebaceous cyst boil or infected lymph node the swelling wey increase and spread along the line wey you talk na because e burst i go advise make you stop to dey press or pop am no touch am again only hot fomentation take full course of antibiotics and anti inflammatory drugs you go dey alright and the lump fit disappear if e no clear within few days do fine needle aspiration cytology plus blood and urine tests and we fit change antibiotic to another one,hi this may be due to an infected sebaceous cyst a boil or an infected lymph node the swelling increased and spread in the line you explained due to the popping i would advise you to stop popping it do not touch it except for hot fomentation take a course of antibiotics and anti inflammatory medications you will be alright and the lump may vanish if it does not resolve within a few days get a fine needle aspiration cytology done as well as blood and urine tests and we may need to change to another antibiotic,Speaker_7,32.0,"['swelling', 'another', 'lump', 'cytology']",train
audio/Speaker_7/Speaker7-310.wav,my mama dey 56 years old and she don dey suffer cough for about one month plus moderate fever and shortness of breath local doctor prescribe some injections one omeprazole two clavulanate 1 2 grams three dexamethasone and four deriphyllin injections abeg advise whether these injections really necessary for the symptoms wey i mention above thank you,my mother is fifty six years old and has been suffering from a cough for a month along with moderate fever and shortness of breath the local doctor prescribed some injections one omeprazole two clavulanate one point two grams three dexamethasone and four deriphyllin injections kindly suggest whether these injections are essential for the symptoms mentioned above thank you,Speaker_7,27.19,"['mother', 'cough', 'moderate', 'fever', 'shortness', 'breath', 'doctor', 'from', 'clavulanate', 'dexamethasone', 'deriphyllin', 'injections']",train
audio/Speaker_7/Speaker7-311.wav,most overweight women dey usually develop this kind fat lump wey dem dey call lipoma no need to worry e no be anything bad at all e dey totally harmless another thing wey fit be na hernia wey dey show as small lump when person dey strain or exert body but e dey disappear when person lie down sometimes e fit even dey pain to know the difference between the two you need do abdominal ultrasound physical examination fit hard small to tell the difference since you dey overweight body,most overweight females tend to develop this collection of fat lobules which we refer to as lipoma there is nothing to worry about it is totally benign another possibility is that it can be a hernia which presents as a small lump on exertion but disappears when lying down it can be painful sometimes to differentiate between these two conditions an abdominal ultrasound is required physical examination may sometimes be difficult to differentiate as you are obese,Speaker_7,33.44,"['there', 'lump', 'abdominal', 'ultrasound', 'physical', 'examination']",train
audio/Speaker_7/Speaker7-312.wav,i get fatty liver and i dey take drugs like keppra 2000 milligrams carbamazepine 600 milligrams metformin cetapin 2000 milligrams zomelis 50 milligrams and evion 800 milligrams every day i still get small cholesterol issue i get accident four years ago and i injure my head e get any kind food wey fit help reduce fatty liver without adding more medicine,i have fatty liver and i am taking medications like keppra two thousand milligrams carbamazepine six hundred milligrams metformin cetapin two thousand milligrams zomelis fifty milligrams and evion eight hundred milligrams daily i also have minor cholesterol issues i met with an accident four years ago and sustained a head injury is there any kind of food that can help reduce fatty liver without needing more medications,Speaker_7,29.63,"['medications', 'keppra', 'thousand', 'milligram', 'carbamazepine', 'metformin', 'cetapin', 'zomelis', 'evion', 'milligrams', 'cholesterol', 'fatty', 'liver']",train
audio/Speaker_7/Speaker7-313.wav,my papa get prostate cancer right now he dey take honvan today for morning he suddenly cough and later vomit the vomit get fresh blood inside i just want understand whether this one get connection with prostate cancer or na side effect of the honvan tablets,my father is suffering from prostate cancer currently he is taking honvan today he suddenly coughed in the morning and then vomited his vomit contained fresh blood i just want to understand if this is related to prostate cancer or the side effects of the honvan tablet,Speaker_7,17.28,"['father', 'coughed', 'vomited']",train
audio/Speaker_7/Speaker7-314.wav,go see psychiatrist no be something wey be option,see a psychiatrist it s not an option,Speaker_7,4.13,[],train
audio/Speaker_7/Speaker7-315.wav,i just turn my back for small moment my 16 month old pikin remove the safety lock for cabinet and grab bottle of lysol liquid disinfectant the cover tight but e dey damp like say e don enter her mouth i check her body she no dey smell like the cleaner but e nearly scare me die,i turned my back for a second and my sixteen month old got the safety latch off the cabinet and grabbed the bottle of lysol liquid disinfectant the lid was secure but the lid was damp as if it had been in her mouth i checked and she doesn t smell like the cleaner but it nearly scared me to death,Speaker_7,19.46,['sixteen'],train
audio/Speaker_7/Speaker7-316.wav,low white blood cell and low platelet count fit happen for many reasons and most of them fit still dey treatable even simple viral infection fit cause am for example for dengue fever white blood cells and platelets fit also drop so the first thing be say make dem do peripheral blood smear test that one go help give clue about wetin dey happen after that treatment fit follow the right diagnosis,a low white blood cell count and low platelet count may be due to many reasons and most of them are treatable a simple viral infection can lead to this for instance in dengue fever you can also have low white blood cell count and low platelet count so the first thing is to conduct a peripheral blood smear examination which will often provide hints toward the diagnosis after that we can treat accordingly,Speaker_7,27.33,"['low', 'white', 'blood', 'cell', 'count', 'platelet', 'peripheral']",train
audio/Speaker_7/Speaker7-317.wav,e normal small ma no too think am too much sometimes when body dey stress or strain or if sepsis and fever dey heart rate fit increase,it s pretty normal ma am you need not think too much about this sometimes with exertion sepsis and fever can cause a high pulse rate,Speaker_7,9.73,"['sepsis', 'fever', 'high']",train
audio/Speaker_7/Speaker7-318.wav,hi after i read your history e be like say you get urticaria or hives this one na common problem we dey see am plenty for general population so no need to worry plenty things fit make am worse including everyday things for environment you fit take loratadine levocetirizine or fexofenadine every day you fit still apply calamine lotion for the affected skin try avoid hot and humid place and wear cotton clothes,hi after reading your history it appears that you have urticaria or hives this is a common problem and we see many cases in the general population so do not worry about it there are several aggravating factors including daily environmental factors you can take loratadine levocetirizine or fexofenadine daily you can apply calamine lotion to the affected area stay away from hot and humid climates and wear cotton clothing,Speaker_7,28.1,"['your', 'loratadine', 'levocetirizine', 'calamine']",train
audio/Speaker_7/Speaker7-319.wav,if the child dey feel better abeg wait another 24 hours because medicine dey take time before e go show effect continue the current medication for now and schedule another review after 24 hours if the condition still worsen depending on how e be continue the nebulization too,if the child is feeling better please wait for another twenty four hours as medication takes some time to make an impact continue with the medication at present and schedule a review again after twenty four hours if the situation seems to worsen as the case may be continue nebulization,Speaker_7,19.48,['medication'],train
audio/Speaker_7/Speaker7-320.wav,hi thank you for reaching out to me i really appreciate your concern the report wey you bring come here dey okay e dey within normal limits i hope this information don help you have a nice day,hi thank you for reaching out to me i really appreciate your concern the report that is provided here is okay it is within normal limits i hope this information helps you have a nice day,Speaker_7,13.4,[],train
audio/Speaker_7/Speaker7-321.wav,hi my name na michelle i dey very curious i nack with my boyfriend and we don dey nackl well well two days later i notice some pimple for him penis but na only am i dey nack with i go see doctor but e talk say i dey okay e burst the pimples and the place swell e don dey swollen for about four days now,hi my name is michelle i am very curious i had sexual intercourse with my boyfriend and we have been having a lot of sexual activity two days later i noticed some pimples on his penis but he is the only one i have been having sexual intercourse with i went to my doctor but he said i am okay he burst the pimples and it was swollen it has been swollen for about four days now,Speaker_7,20.48,"['sexual', 'intercourse', 'later', 'pimples', 'went', 'swollen', 'about']",train
audio/Speaker_7/Speaker7-322.wav,we don refer am go see asthma doctor because of constant cough na about my grandmother wey be 70 years old the doctor don give asthma drugs but after dem do some tests we find out say she no get asthma now my question be say my grandmother dey always feel very weak and tired all the time she still get joint pain and bad taste for mouth e fit be side effect of the drugs wey dey affect am,we had referred to an asthma doctor for constant coughing it s about my grandmother who is seventy years old the doctor has prescribed asthma medications but after some tests we found out that my grandmother is not suffering from asthma now my question is my grandmother feels very lazy and tired all the time and she even has joint pains and a bad taste in her mouth is it any kind of side effect that is harming her,Speaker_7,25.12,"['referred', 'grandmother', 'tired', 'bad', 'taste']",train
audio/Speaker_7/Speaker7-323.wav,my mouth dey smell well well through the day even though i dey brush two times every day i don notice say after some time i go get strange taste for my mouth and e dey usually disappear when i chop something but e still come back again also i get whitish yellow layer for my tongue and i dey think say na that one dey cause the bad breath abeg doctor help me,my mouth smells very bad all day even though i brush two times a day i have noticed that i get a weird taste in my mouth after some time which generally goes away after eating something but comes back again additionally there is a whitish yellow coating on my tongue which i think might be the reason for the bad breath please help doctor,Speaker_7,21.55,"['brush', 'weird', 'taste']",train
audio/Speaker_7/Speaker7-324.wav,hello i don read your concern for your case taping fit help small to stabilise the joint however kinesio tape mainly dey help to activate or reduce muscle work but e no dey really give strong joint stability if you wan tape better use rigid tape if na me be your doctor i go honestly advise say make you do proper arthroscopic surgery to stabilise the shoulder well then follow correct rehabilitation plan before you go back to sport you need first regain stability full movement range and strength before you start sports again if you really wan just use tape then tape the shoulder in a position wey go limit side lifting and outward rotation but that one no easy to control you also need to stabilise your scapular muscles so the shoulder blade movement go reduce which go still limit shoulder movement but long term this approach no go really make you independent abeg consider proper arthroscopic shoulder stabilization surgery,hello i read your concern in your case taping can help you a little in stabilizing the joint however kinesio tape helps you recruit or inhibit muscles and is of less help in providing stability to the joint if you want to tape then go for rigid tape if you were my patient i would honestly suggest you undergo a good arthroscopic surgery to have your stabilization surgery properly and follow the proper rehabilitation protocol before attempting to start your sport you have to first regain your stability range and strength before reintroducing your sport if you are really keen on just taping then tape your shoulder in a position that limits your sideways lifting and outward rotation of the shoulder which is actually a difficult position to limit stabilize your scapular muscles to limit scapular movement thereby limiting shoulder mobility however in the long run this will not help you become independent just consider getting a good arthroscopic stabilization for your shoulder,Speaker_7,65.6,"['surgery', 'stabilization', 'shoulder', 'muscles']",train
audio/Speaker_7/Speaker7-325.wav,about two weeks ago i dey feel like say i wan vomit my ankle dem dey swell and i dey slightly dizzy i think say i fit get belle but i no sure but now i don see my period and e dey very heavy e don always dey heavy before but this time i still get strong cramps and i no dey get cramps for many years i usually get heavy period but no cramps e fit be ectopic pregnancy or na just because i get anemia and my hemoglobin level low,about two weeks ago i was feeling nauseous had swelling in my ankles and felt slightly dizzy i thought that i might have been pregnant but i am not sure however i have now had my period which is very heavy it has always been heavy but i experienced heavy cramps and i have not had cramps in years i usually have heavy periods but no cramps could this have been an ectopic pregnancy or is it just the fact that i have anemia and my hemoglobin levels are low,Speaker_7,35.71,"['swelling', 'dizzy', 'cramps', 'anemia', 'hemoglobin', 'low']",train
audio/Speaker_7/Speaker7-326.wav,my husband just recently do surgery remove him thyroid because of thyroid cancer dem still find two nearby lymph nodes wey hard and black he grow up dey breathe plenty secondhand smoke when he small we dey wait for the pathology report wetin fit cause the lymph nodes to turn black like that,my husband recently had his thyroid removed due to thyroid cancer two lymph nodes nearby were found to be hard and black he was exposed to a great deal of secondhand smoke throughout childhood we are waiting for the pathology report what could be the causes for the black lymph nodes,Speaker_7,18.72,"['thyroid', 'lymph', 'nodes']",train
audio/Speaker_7/Speaker7-327.wav,my husband get rash for inside him thigh e no dey itch e notice am around 1 30 this morning and e wake up 5 30 with nausea diarrhoea and vomiting i no see any bite mark at all e get any condition wey fit cause both rash and flu like symptoms together he no vomit for about 4 to 6 hours but e drink chicken broth and gatorade around 6 to 7 then e just vomit everything come out,my husband has a rash on his inner thighs it does not itch he noticed it at one thirty this morning and woke up at five thirty with nausea diarrhea and vomiting i do not see any sort of bite is there some condition that causes both a rash and the flu like symptoms he had a period of not vomiting for about four to six hours but had some chicken broth and gatorade at six to seven and just vomited it all up,Speaker_7,26.7,"['rash', 'inner', 'morning', 'vomiting', 'gatorade']",train
audio/Speaker_7/Speaker7-328.wav,hi this one dey look like confusing case small no be say similar lumps dey for throat and cheek for cheek no lymph nodes dey there so the swelling fit be abscess or something similar abeg go do re examination again or go collect second opinion from another doctor,hi this looks to be a bit of a confusing picture there are no similar lumps in the throat and cheek there are no lymph nodes in the cheek and the swelling could be due to an abscess or something similar get yourself re examined or seek another opinion,Speaker_7,18.0,"['lumps', 'nodes', 'swelling', 'abscess']",train
audio/Speaker_7/Speaker7-329.wav,hello considering your age chance say na cancer dey very low no need to worry constipation na very common problem and cancer for this age group no dey likely so abeg no dey think too much about that disease cancer usually dey happen for older age and e dey show with alternating constipation and diarrhoea plus things like blood for stool weight loss and belly pain the pattern go be completely different you fit get constipation wey dey come from hypothyroidism you need do thyroid stimulating hormone test to check how your thyroid dey function for now try eat food wey get fibre plenty like fruits such as apple banana orange green leafy vegetables like spinach and raw cucumber avoid refined foods fatty foods and oily foods drink plenty water and dey do regular exercise take 15 millilitres of lactulose syrup for night before sleep to keep stool soft and use am when necessary,hello considering your age the possibility of having cancer is unlikely there is nothing to worry about constipation is a widespread problem and the chance of cancer is doubtful in this age group therefore do not dwell on this disease cancer usually occurs at an older age and often presents with alternating constipation and diarrhea as well as symptoms such as blood in stools weight loss and abdominal pain the profile would be completely different you may have hypothyroidism induced constipation you should get a thyroid stimulating hormone test to check your thyroid control for that you should eat a high fiber diet with fruits such as apples bananas oranges green leafy vegetables like spinach and raw cucumbers avoid consuming refined foods fatty foods and oily foods you should drink plenty of fluids and engage in regular exercise take fifteen milliliters of syrup lactulose at bedtime to maintain soft stools using it when necessary,Speaker_7,62.86,"['considering', 'constipation', 'abdominal', 'high', 'fiber', 'diet', 'as', 'apples', 'bananas', 'oranges', 'green', 'leafy', 'vegetables', 'milliliters']",train
audio/Speaker_7/Speaker7-330.wav,back pain na very common thing nowadays because most of us no dey move body much and we dey live comfortable life like dey use car everywhere and dey sit down for long time you need dey waka at least 20 minutes every day with comfortable shoes you fit do isometric bending but no twist your back when you dey bend no pick anything from ground while you dey sit for chair and no lift heavy load pranayama breathing exercise dey help well well plus one hour exercise to strengthen back muscles,back pain is very common nowadays as most of us are sedentary and lead luxurious lifestyles such as traveling by car and sitting for long hours a twenty minute walk is essential with comfortable shoes daily isometric bending is allowed do not twist your back while bending do not pick anything up from the ground while seated on a chair and do not lift weights pranayama helps a lot along with one hour of exercise to strengthen back muscles,Speaker_7,29.72,"['lead', 'luxurious', 'lifestyle', 'walk', 'comfortable', 'twist']",train
audio/Speaker_7/Speaker7-331.wav,dear patient your mri report dey show say you get disc prolapse for two levels human spine get bones wey dem dey call vertebrae and between two vertebrae there dey soft cushion wey dem call intervertebral disc and dem dey name am based on where the bones dey so l4 5 disc na the one between l4 and l5 bones and l5 s1 disc na the one between l5 and s1 bones these two discs dey for the lower part of your spine prolapse mean say these discs don shift come out from their normal position and dem dey press structures inside the spinal canal including nerves and cauda equina so your mri show say you get disc prolapse for l4 5 and l5 s1 level with compression of thecal sac and nerve roots to know how serious e be dem need measure canal diameter but that one no dey your report based on your result you need conservative treatment avoid bending forward and lifting heavy things sleep for hard bed take one tablet of diclofenac plus thiocolchicoside combination two times daily and take one tablet of ultracet for night start physiotherapy with one back strengthening exercises two back extension exercises three abdominal strengthening exercises do am regularly and you go get long term relief if e still no help you epidural kenalog injection fit help hope this one don help you,dear patient your mri report is suggestive of disc prolapse at two levels the human spine contains vertebrae and between two vertebrae is the intervertebral disc which is named according to the location of the vertebrae thus the l4 five disc is located between the l4 and l5 vertebrae and the l5 s1 disc is located between the l5 and s1 vertebrae these two discs are located at the bottom of the spine prolapse means these discs have come out of their space and are compressing structures in the spinal canal which includes nerves and the cauda equina therefore your mri report is suggestive of disc prolapse at the l4 five and l5 s1 levels with compression of the thecal matter and nerve roots to assess the severity of the prolapse canal diameters are required which is lacking in your report considering your report you require conservative management avoid forward bending and weight lifting sleep on a hard bed take one tablet of diclofenac plus thiocolchicoside combination twice a day and one tablet of ultracet at bedtime start physiotherapy with one back strengthening exercises two back extension exercises and three abdominal strengthening exercises do this on a regular basis and you will achieve long term relief if you do not benefit from this then an epidural kenalog injection may be worthwhile hope this is helpful,Speaker_7,102.61,"['mri', 'human', 'prolapse', 'discs', 'spinal', 'compression', 'thecal', 'matter', 'twice', 'physiotherapy']",train
audio/Speaker_7/Speaker7-332.wav,i be 52 years old woman i get fibromyalgia thyroid problem wey i dey take 100 milligrams once daily herniated disc for l1 5 high blood pressure and pain for all my joints my right ankle dey swell i dey feel stinging and numbness for my toes i dey get cramps for my hips and e dey very painful when i dey walk i still dey experience numbness for my fingers and hands plus back pain neck pain and headache,i am fifty two years old and female i have fibromyalgia thyroid problems one hundred milligrams once a day herniated disc at levels one five high blood pressure pain in every joint swelling in my right ankle stinging and numbness in my toes cramps in my hips and very painful walking i also experience numbness in my fingers and hands as well as back pain neck pain and headaches,Speaker_7,28.44,"['herniated', 'disc', 'high', 'painful', 'swelling', 'ankle', 'stinging', 'numbness', 'cramps']",train
audio/Speaker_7/Speaker7-333.wav,for my own opinion if no blue colour dey no serious pain dey and no loss of feeling then you dey okay good luck,in my opinion if there is no blue color extreme pain or loss of sensation then you are okay good luck,Speaker_7,7.48,[],train
audio/Speaker_7/Speaker7-334.wav,meningitis dey show with neck stiffness meaning say person no go fit move head properly for different directions if na so e be then you need rush go hospital immediately,meningitis is characterized by neck stiffness which is an inability to move your head in different directions if that is the case then you need to go to the hospital immediately,Speaker_7,10.96,"['stiff', 'hospital']",train
audio/Speaker_7/Speaker7-335.wav,when the pumping power of the heart be about 20 25 the outlook no too good plus if the clot wey dey the left ventricle no dissolve e go make the condition worse with medical treatment he fit still survive for about 1 to 2 years heart transplant fit improve survival reach about 5 to 10 years but that surgery get high risk and only few hospitals fit do am,when the pumping capacity of the heart is twenty twenty five the prognosis is not very good furthermore if the clot in the left ventricle is not dissolved it will further worsen the situation with medical therapy he can survive for one to two years heart transplantation may help to improve his survival to five to ten years however this surgery has a high risk and can be performed only in a few hospitals,Speaker_7,24.13,['pumping'],train
audio/Speaker_7/Speaker7-336.wav,doctor prescribe monticope for my pikin wey be 2 years 8 months old e advise make we avoid dust pollen pets perfume and smoke but my question be say we dey use goodnight mosquito liquid for night that mosquito liquid repellent fit act like allergen wey doctor mention abeg make you let me know,doctor prescribed monticope for my child who is two years and eight months old he advised us to avoid dust pollen pets perfumes and smoke however my question here is that we use goodnight mosquito liquid at night will this mosquito liquid repellent act as an allergen mentioned above kindly let me know,Speaker_7,20.99,['mosquito'],train
audio/Speaker_7/Speaker7-337.wav,hello i don read your concern e dey common say emergency contraceptive pill fit make your menstruation last longer and also delay the next cycle the emergency pill get high amount of hormone progesterone wey dey stop ovulation and at the same time dey disturb normal period if you want regular cycle and you no wan dey worry about pregnancy you fit either use birth control pills or put copper intrauterine device for now you just need wait for your period by the way you no go get pregnant if e just touch the vagina,hello i have read your concern it is a common side effect of the emergency contraceptive pill to have prolonged menstruation and a delayed time for the next cycle the emergency pill contains a high amount of the hormone progesterone which prevents ovulation and at the same time hinders the usual period if you want a regular cycle and do not want to worry about getting pregnant you can either take birth control pills or have a copper intrauterine device inserted for now you need to wait for your period by the way you will not get pregnant if it just touched the vagina,Speaker_7,33.37,[],train
audio/Speaker_7/Speaker7-338.wav,hello yes methotrexate dey help for both psoriasis and rheumatoid arthritis you suppose use am for dose of 7 5 milligrams every week for 4 to 6 weeks before you go see clear improvement dem dey use am for psoriasis only if more than 25 of the body don involve you also need take folic acid to reduce the side effects of methotrexate,hello yes methotrexate helps in both psoriasis and rheumatoid arthritis it should be used in a dosage of seven point five milligrams per week for four to six weeks to see a visible response it is used in psoriasis only if more than twenty five percent of the body is involved folic acid should be used to decrease the side effects of methotrexate,Speaker_7,25.15,"['methotrexate', 'point', 'milligrams', 'per', 'folic', 'acid']",train
audio/Speaker_7/Speaker7-339.wav,no be all your symptoms get connection with mitral valve prolapse once dem don diagnose you with two dimensional echocardiogram you no need any other test again most of your symptoms fit just be because of anxiety,not all of your symptoms are related to mitral valve prolapse once you have been diagnosed with a two dimensional echocardiogram you do not need any other tests most of your symptoms are probably due to anxiety,Speaker_7,14.19,"['symptoms', 'mitral']",train
audio/Speaker_7/Speaker7-340.wav,i don tey find am hard to memorize things for long time i no get any injury or accident before i be 26 year old man i don dey suffer memory problem for long time from childhood i no fit memorize long sentences or multiplication tables anytime i try to memorize something sleep go just dey catch me i no get headache or any head injury but i still no fit remember plenty past things wey my friends dey remember well well na only the ones wey special i dey remember i don always be below average student compare to my friends and that one dey make me feel very depressed i no even fit decide wetin i go do with my career,i have been unable to memorize things for a long time i did not have any injury or accident i am a twenty six year old male i have been suffering from some sort of memory problem for a long time since childhood i have been unable to memorize long sentences or multiplication tables whenever i try to memorize anything i feel sleepy i do not have headaches or any injuries to my head but i am still unable to recall many past events that my friends remember very well the only things that i remember are those that were special i have been a below average student compared to all my friends and that is why i feel very depressed i am unable to decide what to do with my career,Speaker_7,36.46,"['memorize', 'headaches', 'injuries']",train
audio/Speaker_7/Speaker7-341.wav,e fit be sign of hiv i get high white blood cell count one month ago 14 300 for january 14 2010 and my absolute neutrophil count still high at 9 867 everything else normal i dey experience tonsillitis small fever diarrhea and sore throat but i no get skin rash or swollen glands again after 10 days i do another full blood count white blood cell still high but don reduce reach 11 100 and neutrophils still high at 8 103 other things still normal after another 10 days i do again everything come normal white blood cell 8 000 neutrophils 6 000 lymphocytes 1 920 eosinophils zero monocytes 80 basophils zero my fever don go but i still dey worry,could it be a sign of hiv i had a high white blood cell count one month ago of fourteen three hundred on january fourteen two thousand and ten and the absolute count of neutrophils was also high at nine eight hundred and sixty seven everything else is normal i am experiencing tonsillitis low fever diarrhea and sore throat but i have no skin rashes or swollen glands again i had a complete blood count after ten days my white blood cell count was still high but it was eleven one hundred and the neutrophils were again high at eight one hundred and three everything else was normal again i had another complete blood count after ten days and everything was normal white blood cell count eight zero neutrophils six zero lymphocytes one nine hundred and twenty eosinophils zero monocytes eighty basophils zero my fever is gone but i am still worried,Speaker_7,64.09,"['white', 'blood', 'cell', 'count', 'absolute', 'high', 'complete', 'fever']",train
audio/Speaker_7/Speaker7-342.wav,hi sometimes infection wey intestinal amoeba cause fit give this kind symptoms and dem don observe say metronidazole course fit help reduce the symptoms for some cases if both ultrasound and ct scan normal we fit safely do wait and see approach with regular check ups from your family doctor i wish you quick recovery,hi sometimes an infection with intestinal amoeba can give rise to such symptoms and it has been observed that a course of metronidazole can provide symptomatic relief in some cases once both the ultrasound and computed tomography scan are normal we can safely proceed with a wait and watch approach accompanied by intermittent check ups with your family physician wishing you an early recovery,Speaker_7,23.15,"['sometimes', 'infection', 'intestinal', 'amoeba', 'metronidazole', 'symptomatic', 'ultrasound', 'computed', 'tomography', 'wait', 'check', 'ups']",train
audio/Speaker_7/Speaker7-343.wav,hi sometimes infection wey intestinal amoeba dey cause fit give this kind symptoms and dem don observe say metronidazole treatment fit reduce the symptoms for some cases if ultrasound and ct scan both normal we fit do wait and see approach safely with regular check ups from your family doctor i wish you quick recovery,hi welcome i really appreciate your concern there are certain very common conditions associated with nosebleeds the first is a cold condition which is another way of saying it is an allergic condition and the second is idiopathic epistaxis in either of these conditions only conservative treatment is given and in severe cases hospitalization is necessary besides these it is very important to rule out blood disorders and systemic diseases and for that a number of tests need to be done i hope this information helps,Speaker_7,20.04,"['epistaxis', 'tests']",train
audio/Speaker_7/Speaker7-344.wav,hi welcome to health care management from the way you describe your problem e be like say you get mucosal damage after you do anal sex wetin you dey experience fit be anal fissure or fistula in ano abeg no ignore the symptoms you need go see surgeon make dem examine you most likely no be medicine go fit treat this kind condition you go need surgery maybe cryosurgery i hope this information don help you all the best,hi welcome to health care management looking at the description of the problems you are facing it appears that you might have developed mucosal damage after you had anal sex the problems you are experiencing may be due to anal fissures or fistula in ano kindly do not neglect the symptoms you need to get examined by a surgeon regarding this most likely there are no medications to treat such disorders you need to undergo a surgical procedure by means of cryosurgery i hope the information provided is helpful all the best,Speaker_7,28.61,['mucosal'],train
audio/Speaker_7/Speaker7-345.wav,my daughter don dey suffer low back pain for long time but mri no show anything she still get serious body itching pica and we just find out say she get severe anemia her iron level be 19 while normal range na 50 to 170 total iron binding be 521 normal range na 250 to 400 and percentage saturation be 6 while normal range na 20 to 50 e fit be lymphoma,my daughter has suffered from low back pain for a long time but magnetic resonance imaging shows nothing she has extreme itching pica and has just found out she is extremely anemic her iron level was nineteen with a normal range of fifty one hundred and seventy total iron binding was five hundred and twenty one with a normal range of two hundred and fifty four hundred and percentage of saturation was six with a normal range of twenty fifty is lymphoma a possibility,Speaker_7,31.35,"['magnetic', 'resonance', 'imaging', 'nineteen', 'normal', 'total', 'iron', 'binding', 'saturation']",train
audio/Speaker_7/Speaker7-346.wav,hello e be like say your pikin allergy symptoms no dey under control e still fit get infection from some unusual bacteria sinusitis wey these bacteria dey cause fit be the reason why the symptoms dey continue abeg go back see your doctor make dem do proper examination,hello it seems that your child is not in control of her allergy symptoms she could also be infected by an atypical bacterium sinusitis caused by these bacteria could be the reason for the persistent symptoms please return to your doctor and ask for examinations,Speaker_7,18.69,"['bacteria', 'return']",train
audio/Speaker_7/Speaker7-347.wav,hi i dey 44 years old i weigh about 160 pounds i don dey suffer serious back pain i get bulging disc for all the lumbar area i don do 3 steroid injections physiotherapy and nerve test wey show say the pain dey come from l3 now dem wan do nerve burning procedure e get any other suggestion i dey feel pain 24 7,hi i am forty four years old one hundred and sixty pounds i have been suffering from severe pain in my back i have a bulging disc in all of the lumbar area i have had three steroid shots physical therapy and a nerve test done which showed pain coming from l3 now they want to burn the nerve are there any suggestions i am in pain twenty four seven,Speaker_7,23.59,"['sixty', 'pounds', 'severe', 'bulging', 'lumbar', 'steroid', 'nerve', 'test']",train
audio/Speaker_7/Speaker7-348.wav,abeg i nack without condom for thursday morning and day before that time i don dey get menstrual cramps already i take postinor 2 after the sex from thursday reach today wey be monday i never see my period but i dey get serious cramps and discharge wetin fit be the problem doctor,please i had unprotected sex on thursday morning and the day before i was already having menstrual cramps i took postinor two after the intercourse from thursday until today monday i haven t seen my menses but i have been experiencing serious cramps and discharge what could be the problem doctor,Speaker_7,17.6,['unprotected'],train
audio/Speaker_7/Speaker7-349.wav,if you get history of pancreas problem before these present symptoms fit be say the condition don come back again because pancreatic attack dey usually repeat itself i don see plenty cases like this the pancreas fit react to some food proteins and that one fit cause this kind episode if you fit do allergy test identify the proteins wey your body dey react to you fit avoid them so everything go return back to normal,if you have a history of pancreatic involvement the present symptoms may be a recurrence of that condition as pancreatic attacks usually recur i have seen many cases like this the pancreas reacts to particular food proteins which can lead to these episodes if you identify the proteins that react with your body through allergy tests you can eliminate them to restore normal function,Speaker_7,26.26,['pancreatic'],train
audio/Speaker_7/Speaker7-350.wav,hi and welcome to hcm sadly this one dey sound very serious to me clearly e look like terminal stage of liver cancer and na one of the worst kind of cancer nowadays almost no be say anesthesia get serious contraindication again so that one no mean say he don better i no fit predict without full findings but the condition dey very serious i no know why dem do endoscopy maybe dem suspect internal bleeding all in all i wish you good health and i dey hope for the best,hi and welcome to hcm unfortunately this sounds very serious to me obviously this is the terminal stage of liver cancer and this is one of the worst cancers today there are almost no contraindications for anesthesia so it doesn t mean he is better i can t predict without findings but the condition is very serious i don t know the reason for the endoscopy they might suspect internal bleeding perhaps all in all i wish you good health and i hope for the best,Speaker_7,33.85,[],train
audio/Speaker_7/Speaker7-351.wav,hello since your urine pregnancy test come out negative no need to worry at all the delay fit be because of hormonal changes after you take progesterone e fit take like one week or small more before your period go show so relax no stress yourself just wait for about one week and if your period still no come by then go see gynecologist make dem check you and do pelvic scan to know the exact cause abeg come back message me with the results so i fit guide you further,hello since your urine pregnancy test is negative there is nothing to worry about the delay could be due to hormonal changes after taking progesterone it may take a week or so to get your periods so relax and do not worry wait for a week or so and if you do not get your periods by then get yourself checked by a gynecologist and have a pelvic scan done to rule out the exact cause please get back to me with the reports so that i can guide you further,Speaker_7,30.07,[],train
audio/Speaker_7/Speaker7-352.wav,e don tey wey you dey face this difficult problem na obsessive compulsive disorder ocd be this my dear drugs like selective serotonin reuptake inhibitors fit help but the dose wey you dey take now too low to work well abeg go see psychiatrist make dem increase the dose or change am give you fluoxetine,it has been many years that you have been facing a difficult problem it is obsessive compulsive disorder dear selective serotonin reuptake inhibitors help but the dose you are taking is very low to be effective visit a psychiatrist and ask for an increased dose or a change to fluoxetine,Speaker_7,21.5,"['many', 'sessive', 'compulsive', 'selective', 'serotonin', 'reuptake', 'inhibitors', 'psychiatrist', 'increased', 'fluoxetine']",train
audio/Speaker_7/Speaker7-353.wav,hello first thing be say you need rule out pregnancy with proper confirmation test you fit do serum beta human chorionic gonadotropin test and that one go give final answer you still fit do trans vaginal ultrasound scan abeg go see specialist make dem guide you further i hope this information help you good luck,hello firstly you should exclude pregnancy by a definitive confirmatory test you can get a serum beta human chorionic gonadotropin titer and this is conclusive you may also have a trans vaginal sonogram you should see a specialist for further guidance i hope you find this information useful good luck,Speaker_7,19.71,['serum'],train
audio/Speaker_7/Speaker7-354.wav,hi i get pain for right side of my chest and e start when i dey cough or take deep breath i be 60 years old woman active and my health dey relatively okay i just dey concerned small i still get some stomach discomfort for the past one month i think say i need go check am wetin you think i get health insurance,hi i have pain on the right side of my chest and it started when i was coughing and taking a deep breath i am sixty years old female active and in relatively good health i am just a little concerned i have also had some stomach discomfort for the past month i think i should get checked out what do you think i have health insurance,Speaker_7,21.52,"['coughing', 'sixty', 'discomfort']",train
audio/Speaker_7/Speaker7-355.wav,i be 34 year old white man i dey feel pain for left side of my chest around pectoral area sometimes na sharp pain sometimes e dey dull i still dey feel kind weak and the sides of my neck dey pain me any idea wetin fit be the cause i be about 6 feet tall and i weigh around 210 pounds,hi i am a thirty four year old white male i have been experiencing pain in my chest on the left side around the pectoral area sometimes it is a sharp pain and sometimes it is dull i feel kind of weak and the sides of my neck hurt any ideas i am six feet tall and weigh approximately two hundred and ten pounds,Speaker_7,24.66,"['white', 'chest', 'pectoral', 'sometimes', 'sharp']",train
audio/Speaker_7/Speaker7-356.wav,hi dear sir about 6 months ago my wife take evron mr kit and after 4 days she start to bleed that na the second time she dey use that same medicine and about 9 months ago she still use am again we get 2 children and we love her but we dey try for another baby boy we don dey try for the last 6 months but she no get pregnancy e fit be side effect of that medicine or something else thank you,hi dear sir six months ago my wife took evron mr kit and bleeding started after four days that was the second time and nine months ago she also used the same medicine we have two babies and we love her but we want one boy we have been trying for the last six months but she did not get pregnant is this due to any side effects of this medicine or something else thank you,Speaker_7,24.87,['wife'],train
audio/Speaker_7/Speaker7-357.wav,hi i get one problem for night when i dey do soapy i notice say under the head of my penis one lump dey there when i check am well e con dey like sey na where small veins gather i no think am serious so i continue dey do soapy then i notice say around the lump liquid con start to gather when i reach point wey i go release the liquid con increase more and my penis come look like say somebody push half golf ball under my skin e fit be say i burst vein and na blood don just gather there if na so how i fit fix am or e go just clear by tomorrow p s i no dey feel pain when i press the lump,hi i have a problem i noticed tonight when i masturbated that below the head of my penis there was a lump upon inspection it felt like a cluster of vines i did not take it as anything serious so while masturbating i noticed that around the lump fluid began to build up right at the point of ejaculation the fluid increased leaving my penis looking like someone stuffed half a golf ball under my skin could it be that i ruptured a vein and it is just blood buildup if so how can i fix that or is it something that will go away tomorrow p s i feel no pain when i squeeze the lump,Speaker_7,43.14,"['below', 'head', 'penis', 'cluster', 'vines', 'ruptured']",train
audio/Speaker_7/Speaker7-358.wav,i dey wake up now with swelling for the right side of my belle e strong but e no dey pain and e dey comot once i start dey waka around the place don dey pain me now since the last three days e dey draw me and e no dey let me lie down for my right side na so so mess dey my belle and my belle swell and my shit dey water water with small small vomit sometimes,i have woken a couple of mornings recently with swelling in the lower right abdomen it is hard but not painful and goes away once i am moving around i am now experiencing pain in that area over the last three days it throbs aches and i am uncomfortable lying on my right side i am very gassy and have experienced both constipation and loose stools with minor nausea on and off,Speaker_7,23.08,"['swelling', 'abdomen', 'hard', 'painful', 'last', 'throbs', 'aches', 'uncomfortable', 'gassy', 'constipation', 'loose', 'minor', 'nausea']",train
audio/Speaker_7/Speaker7-359.wav,dem say i get streptococcal pharyngitis last two weeks i complete ten days of penicillin my throat and glands dey okay but i get one bad cough and something wey dey like catarrh dey come out even though say catarrh no dey do me my doctor friend tell me to do x ray for chest tomorrow since medicine wey i don dey take no dey help me even sef one small fever dey do me all dis time,my age is thirty two and i am suffering from a cold and cough i am also suffering from sleeplessness the whole night please suggest what i should do eosinophil count shows twenty in my blood i am suffering from eosinophilia with an eosinophil count of twenty please suggest what i should do and what the side effects are,Speaker_7,23.71,"['cold', 'sleeplessness', 'age', 'eosinophil']",train
audio/Speaker_7/Speaker7-360.wav,normally i dey dey active and i dey exercise but e dey like say dese days my body go just dey pain me especially my muscle and my back go dey very tight i dey wake up with back and leg pain and when i get up for morning e go dey ache me if i eat finish sleep go begin catch me and i no dey get power i don try massage to take help the pain wey dey my back i even con start dey get one kindfeeling wey dey like say e dey shoot dey tor tori me for my left hand but na only if i put my hand fro some kind positions e don dey better small small if e get wetin i suppose dey do tell me the last time wey dem examine me na for march 2015 dem do me normal blood work and dem check cholesterol and vitamin d deficiency,i am relatively in good shape athletic and active but it seems recently my body aches constantly specifically more muscle ache and very tightness in my back i wake up with a very sore back and my legs upon standing in the morning are just achy i get very sleepy after i eat and seem to lack energy i have tried massages to help alleviate the soreness in my back i even started getting a shooting tingling sensation down my left arm but only when i put my arm in certain positions that has slowly gotten better any suggestions on what i should be doing let me know my last physical examination was in march two thousand and fifteen normal blood work was done including cholesterol and vitamin d deficiency was checked,Speaker_7,50.48,"['body', 'ache', 'very', 'tightness', 'sore', 'sleepy', 'soreness', 'shooting', 'physical', 'examination', 'normal', 'blood', 'work']",train
audio/Speaker_7/Speaker7-361.wav,i dey 32 years and i dey suffer from cold and cough i still dey get sleepless night abeg tell me wetin i go do eosinophil dey show twenty for my blood i dey get eosinophilia with eosinophil count of twenty abeg tell me wetin i suppose do and wetin be the side effect,my age is thirty two and i am suffering from a cold and cough i am also suffering from sleeplessness the whole night please suggest what i should do eosinophil count shows twenty in my blood i am suffering from eosinophilia with an eosinophil count of twenty please suggest what i should do and what the side effects are,Speaker_7,17.55,"['cold', 'sleeplessness', 'age', 'eosinophil']",train
audio/Speaker_7/Speaker7-362.wav,base on the signs e be like na muscle pull dey do you but i go still suggest make you do ultrasound for kidney ureters and bladder to sure say no be kidney stone be dat for now you fit dey use pain relief gel or spray if the thing still continue then abeg you go need see doctor so that you go do ultrasound,it seems like a muscle pull based on your symptoms but i still suggest getting an ultrasound of the kidneys ureters and bladder to rule out a kidney stone at this point in time you can use a pain relief gel or spray if the problem persists then please see a physician and undergo an ultrasound,Speaker_7,22.5,"['pull', 'ultrasound', 'kidneys']",train
audio/Speaker_7/Speaker7-363.wav,i be 35 years and i get high bp i been dey control am with medicine my creatinine level don raise from one point four to two point five doctor don give me plenty medicine like febuxostat amlodipine furosemide rosuvastatin and moxifloxacin all these medicine wey i come dey take e no go spoil my kidney join,i am thirty five years old i have high blood pressure and it was controlled with medication my creatinine level has raised from one point four to two point five the doctor has started me on too many medications febuxostat amlodipine furosemide rosuvastatin and moxifloxacin taking all these medications will it damage my kidneys further,Speaker_7,31.9,"['creatinine', 'raised', 'point', 'febuxostat', 'amlodipine', 'furosemide', 'rosuvastatin', 'moxifloxacin', 'damage', 'kidneys']",train
audio/Speaker_7/Speaker7-364.wav,e get one white place wen dey under my pumpoo no be just line o e wan dey like oval shape my belle now don reach 36 weeks and i notice am since two weeks now after i baff warm water since the area don dey white but the rest of my belle dey like pink even if i press am e no dey change colour and e go come be like say i no dey feel anything dis is na my second belle,i have a white area below the belly button not just a line but more of a long oval shape i am thirty six weeks pregnant and noticed it about two weeks ago after a warm shower since the area was still white while the rest of my belly was pinkish pressure does not change it and it feels a bit numb this is my second pregnancy,Speaker_7,26.8,"['white', 'belly']",train
audio/Speaker_7/Speaker7-365.wav,hello i go appreciate if you fit send picture e fit be wetin we dey call becker s nevus but i no fit sure until i see am the thing get hair untop too,hello i would appreciate it if you could send a picture it is most likely what we call becker s nevus but i cannot tell you for sure until i see it does it have hair on it as well,Speaker_7,9.26,[],train
audio/Speaker_7/Speaker7-366.wav,hi no be big problem be dat you do not need to dey worry wetin you go do na say i go tell you about one pomade you go dey use am every time after you baff and you go dey rub am like cream call me 9703005423 e dey hundred effective i don use am beforet no worry dey happy,hi that is not a big problem you do not need to worry what you need to do is i will tell you about one lotion use it regularly after your bath and apply it like a cream call me this is my number nine billion seven hundred and three million five thousand four hundred and twenty three it is one hundred effective i have already used that product do not worry be happy,Speaker_7,24.17,[],train
audio/Speaker_7/Speaker7-367.wav,i dey get serious belle pains wen dey dey worse everyday with say i dey feel weak and i dey vomit e don reach some hours now and my period con come and normally e dey heavy normally belle no dey bite me if i dey my period i go need go hospital,i am having extremely severe abdominal pains that are continually getting worse along with feeling weak and nauseous it has been a few hours now and i also got my period which is unusually heavy i do not normally get menstrual cramps do i need to go to the hospital,Speaker_7,16.65,"['extremely', 'severe', 'abdominal', 'pains', 'weak']",train
audio/Speaker_7/Speaker7-368.wav,hello to dey brush teeth well dey important to stop plaque to grow for teeth you don dey use scaling clean your teeth every six months and the thing dey really help you mouthwash dey help to prevent plaque e no get wetin you fit use replace brushing of teeth abeg try make am habit early chlorhexidine mouthwash no be wetin dem dey use for long time because e get side effects,hello brushing properly is very essential to prevent plaque formation you have been getting your teeth cleaned by scaling procedures every six months which is actually helping you mouthwash is an adjunct to prevent plaque formation there is no substitute for brushing teeth please develop this habit as early as possible chlorhexidine mouthwash should not be used for prolonged periods of time as it can result in side effects,Speaker_7,27.19,"['brushing', 'teeth', 'cleaned', 'periods', 'time']",train
audio/Speaker_7/Speaker7-369.wav,dem do me partial hysterectomy some years ago i see lump for my breast last week and e dey pain me i do mammogram and ultrasound and e come out say na normal i still dey get pain i still dey vomit i notice say last night my nipples con dey purple but this morning na normal color i dey take lisinopril and topiramate i no understand wetin dis one fit be,dem do me partial hysterectomy some years ago i see lump for my breast last week and e dey pain me i do mammogram and ultrasound and e come out say na normal i still dey get pain i still dey vomit i notice say last night my nipples con dey purple but this morning na normal color i dey take lisinopril and topiramate i do no understand wetin dis one fit be,Speaker_7,26.84,"['partial', 'hysterectomy', 'lump', 'breast', 'mammogram', 'normal', 'nipples', 'lisinopril', 'topiramate']",train
audio/Speaker_7/Speaker7-370.wav,doctor correct say methicillin resistant staphylococcus aureus na only if person touch person e dey fit transfer i understand why dem give isolation order until when dem fit comot the infection although say standard policy for facilities,the doctor is correct that methicillin resistant staphylococcus aureus can only be transferred from one person to another by touch i do understand the isolation order for now until the infection is eradicated though standard policy for facilities like that,Speaker_7,18.07,"['staphylococcus', 'aureus']",train
audio/Speaker_7/Speaker7-371.wav,my pikin don almost reach eleven months and e still dey wake up to chop for night we don dey give am real food and im no dey select food e dey allergic to cow milk egg white and groundnut we dey use alimentum for now nestum na good supplement food for am im don start to teeth too e get wetin we fit do make e no dey wake up hungry for night,my baby is almost eleven months old and still wakes up in the middle of the night to feed we are feeding him solid foods and he is not picky he is allergic to cow s milk egg white and peanuts we are using alimentum for now is nestum a good supplemental food for him he is also teething is there anything we can do to keep him from waking up at night hungry,Speaker_7,22.06,"['baby', 'solid', 'foods', 'allergic', 'cow', 'milk']",train
audio/Speaker_7/Speaker7-372.wav,base on the injury wey you describe e be like say na ligament injury you get yes you fit still get fracture even if you fit dey move your toes you suppose do x ray for your ankle then go see orthopedist sharp sharp for now you fit dey put ice on top and dey take anti inflammatory medicine like ibuprofen to reduce the pain,based on the nature of the injury you described you seem to have a ligament injury however yes you can still have a fracture even if you are able to wriggle your toes you should get an x ray done of your ankle and see your orthopedist at the earliest meanwhile you can apply ice packs and take anti inflammatory medicine like ibuprofen to reduce your pain,Speaker_7,23.29,"['ligament', 'fracture', 'wriggle', 'ankle', 'ice', 'packs', 'anti', 'inflammatory', 'medicine', 'described']",train
audio/Speaker_7/Speaker7-373.wav,i dey ask this question for one patient currently i be registered nurse for symptom management i fit crush eight milligram tablet of ondansetron and five milligram oxycodone plus i fit crush diovan and nifedipine i dey receive radiation for my thoracic spine and i dey get to dey swallow the medicine them,i am asking this question for a patient i am currently managing as a registered nurse for symptom management can i crush an eight milligram tablet of ondansetron and also a five milligram oxycodone additionally can i crush diovan and nifedipine i am receiving radiation to my thoracic spine and am having difficulty swallowing these pills,Speaker_7,28.1,"['registered', 'nurse', 'milligram', 'tablet', 'ondansetron', 'oxycodone', 'diovan', 'nifedipine', 'radiation', 'thoracic', 'spine']",train
audio/Speaker_7/Speaker7-374.wav,you fit start to dey stop all milk and dairy you go avoid mustard almonds coconut walnuts groundnuts and soy use olive oil for application and use olive oil to cooking do not use milk or nut containing shampoos avoid oily food and creams take methotrexate two point five milligrams as a weekly dose apply clindamycin gel for your face in the morning and retinoic acid zero point two five milligrams for night use calamine lotion in the afternoon follow this routine for three months and then check your improvement,you can start by stopping all milk and dairy products avoid mustard almonds coconut walnuts groundnuts and soy apply olive oil for application and use olive oil for cooking do not use milk or nut containing shampoos avoid oily food and creams take methotrexate two point five milligrams as a weekly dose apply clindamycin gel on your face in the morning and retinoic acid zero point two five milligrams at night use calamine lotion in the afternoon follow this regimen for three months and then reassess,Speaker_7,39.82,"['olive', 'oil', 'methotrexate', 'point', 'milligrams', 'clindamycin', 'zero', 'calamine']",train
audio/Speaker_7/Speaker7-375.wav,hello doctor i no fit decide because my mind dey shake i wan comot from this house go another place but since i don dey this my current house for like three years and half i no really feel like to move fear dey my mind say how e go be whether i go fit adjust for the new place and all that so because of this i no fit decide whether make i move or make i no move and i don dey think about am every time for the past two weeks,hello doctor i am unable to decide due to my wavering mind i need to shift a house from one place to another place however since i have gotten used to my current home for three and a half years i do not feel like moving i have fear in my mind about how it will be whether i will adjust to this new place etc hence due to this i am unable to decide whether i should move or not and i have been thinking about it for the past two weeks all the time,Speaker_7,26.15,['fear'],train
audio/Speaker_7/Speaker7-376.wav,hello first of all i hail you well well for your strong mind to stop to dey smoke cigarette about thrush e fit come for some cases but no be something wey you go fear you fit dey scrape your tongue two times for a day together with brushing and use chlorhexidine mouth wash also use nystatin gel for the place wey the thrush dey for like one week make sure say you dey keep your mouth clean well most important make you dey happy and relax na that be the best medicine i hope say you see something wey go help you for my reply have better correct weekend,hello first of all i congratulate you on your determination to stop smoking cigarettes regarding thrush it can develop in certain cases but there is nothing to worry about you can do tongue scraping twice daily along with brushing and using chlorhexidine mouth rinse also use nystatin gel on the thrush area for about one week maintain good oral hygiene above all be happy and relaxed that is the best medicine i hope you found something beneficial in my reply have a healthy weekend,Speaker_7,38.92,"['scraping', 'nystatin', 'thrush']",train
audio/Speaker_7/Speaker7-377.wav,hi doctor my question na about my daughter wey be eighteen years she don dey inside serious pain for more than one week her lower back and pelvis dey pain her well well after plenty runs go hospital and see local doctor dem tell us say na urinary infection and dem give her antibiotics and pain medicine make she go house but she still dey inside heavy pain and her body no dey okay at all abeg you fit explain wetin dey really happen,hi doctor my question concerns my eighteen year old daughter she has been in crippling pain for over a week lower back and pelvis after numerous trips to the hospital and to the local general practitioner she was told it was a urinary infection and sent home with antibiotics and painkillers she is still in severe pain and is extremely unwell can you shed any light,Speaker_7,28.28,"['eighteen', 'crippling', 'painkillers', 'trips', 'urinary', 'ry', 'infection', 'home', 'antibiotics', 'severe']",train
audio/Speaker_7/Speaker7-378.wav,my pikin wey dey nineteen months get one small lump for the side of her neck you no go see am unless she dey struggle stand up and her head bend small when you touch am e hard small but e dey move move her nose dey run small i think say na allergy and insect bite sef touch near that place few days ago abeg this one na something wey i suppose worry about and i need carry her go doctor sharp sharp,my nineteen month old daughter has a small lump on the side of her neck you cannot see it unless she is straining to get up and her head is slightly tilted it feels somewhat hard but moves around her nose is a little runny from allergies i believe and she had a bug bite close to that area a few days ago is this something i should be concerned about and should i immediately take her to the doctor,Speaker_7,27.79,"['small', 'lump', 'straining', 'get', 'up', 'somewhat', 'hard', 'runny']",train
audio/Speaker_7/Speaker7-379.wav,i dey chop afternoon food on friday when suddenly from nowhere the right side of my neck come begin pain me i no fit turn my head go right at all and even to the left na small small the pain dey only the right side from my shoulder reach under my ear about six hours later i come fit turn my head small and by sunday i don fit turn am well well now the pain don comot and everything dey move normal but i dey wonder wetin really happen e just come suddenly like that and i never experience anything like that before,i was having lunch on friday when suddenly out of the blue the right side of my neck started hurting i could not turn my head to the right and barely to the left the pain was only on the right from my shoulder to below my ear about six hours later i could turn my head slightly and by sunday i was able to turn it completely now there is no more pain and everything turns but i am wondering what happened it was so sudden and i have never had anything like that before,Speaker_7,32.25,['side'],train
audio/Speaker_7/Speaker7-380.wav,if your husband sperm get like four percent normal shape then una fit try conceive naturally but if the normal sperm no reach four percent of the total sperm then e better make una consider assisted method like ivf test tube baby,if your husband has as low as four normal morphology sperm then you can proceed with natural conception if the percentage of normal sperm is less than four of the total sperm then you should consider assisted reproductive techniques such as in vitro fertilization,Speaker_7,14.0,"['normal', 'morphology', 'less', 'vitro']",train
audio/Speaker_7/Speaker7-381.wav,hi i get problem with both my big toes the tip and the bottom just dey numb e don reach like twenty four hours since e start i try check whether na blood flow wahala by pressing am and see how fast e go back to normal colour and e look okay the feeling be like pins and needles like say e dey sleep e just dey more annoying pass anything i notice say the numb feeling dey clear well when i touch my toes for something or when i dey baff and touch the edge of the tub wetin this one fit be and i need go see doctor,hi i am having an issue with both of my big toes they are numb at the very tip and the bottom it has been about twenty four hours since it began i have tested to see if it was due to circulation by pressing and watching how quickly it changes back to the normal color and they seem fine it is a pins and needles sleepy feeling it just feels more annoying than anything i found that the numb feeling is only really noticeable when i touch my toes on something or when in the bath and i touch the edge of the tub what could it be and should i see a doctor,Speaker_7,39.5,"['big', 'pins', 'numb', 'feeling']",train
audio/Speaker_7/Speaker7-382.wav,if the ultrasound show say everything dey okay then chance say na gallbladder problem small but e fit still be acidity or gastric ulcer wey no dey show for normal tests and na endoscopy dem go use confirm am,if the ultrasound is fine the chances of a gallbladder problem are less however it could be due to acidity or a gastric ulcer which do not show anything in any investigations and require endoscopy for confirmation,Speaker_7,15.0,"['ultrasound', 'endoscopy']",train
audio/Speaker_7/Speaker7-383.wav,hello the pain fit come from many reasons main ones be appendicitis right iliac fossa colitis twist for the right fallopian tube ovarian cyst or stone for the urine pipe since dem don already tell you say na diverticulitis you get i go advise make you do abdominal ultrasound scan to rule out other causes,hello the pain could be due to many reasons chiefly being appendicitis right iliac fossa colitis torsion of the right fallopian tube ovarian cyst or some ureteric calculus since you are already diagnosed with diverticulitis i suggest you get an abdominal ultrasound scan done to rule out the causes,Speaker_7,24.85,"['abdominal', 'ultrasound']",train
audio/Speaker_7/Speaker7-384.wav,hi my papa just get im second stroke yesterday him first stroke na for 2004 now him don lose consciousness and he no dey respond he dey sixty six years wetin be him chance to recover him get diabetes and high blood pressure before but dem dey under control him don also do bypass surgery before,hi my father just had a second stroke yesterday he had his first stroke in two thousand and four he has lost consciousness now and is not responding he is sixty six years old what are his chances of recovery he has diabetes and high blood pressure which were under control he has also undergone bypass surgery,Speaker_7,21.43,"['father', 'lost', 'consciousness', 'sixty', 'high']",train
audio/Speaker_7/Speaker7-385.wav,hi you suppose mention how long the lumps don dey there for now no need to worry e fit be infection although lymph node wey get infection normally dey painful anyway continue the antibiotics wey you dey take and if after two weeks the size no reduce then we go need check other possible causes no dey think about lymphoma now because other common things wey we go first rule out,hi the duration of the lumps should be mentioned initially there is nothing to worry about this may be due to an infection although infective lymph nodes are generally painful anyway continue the antibiotic course and if after two weeks the size does not regress then other possibilities need to be ruled out do not think about lymphoma right now because there are other common diagnoses to be ruled out first,Speaker_7,29.07,"['lumps', 'lymph', 'lymphoma']",train
audio/Speaker_7/Speaker7-386.wav,hi there i dey twenty nine years old i weigh twenty two stone and i dey smoke recently i don dey feel my heart dey beat anyhow or like extra beats every morning i dey wake up with dizziness for my head or wetin i fit describe as pressure for my head my heart dey pound and i just no dey feel normal abeg you fit advise me,hi there i am twenty nine years old weigh twenty two stone and i am a smoker i have recently been experiencing heart palpitations or extra heart beats i wake up every day with dizziness in my head or what i can only describe as pressure in my head my heart pounds and i just don t feel right please can you advise,Speaker_7,27.7,['dizziness'],train
audio/Speaker_7/Speaker7-387.wav,i do pregnancy test for house and e come show positive i don dey feel pregnancy symptoms since october but i still dey get my period since that time i also do urine pregnancy test for doctor office for november and both test come back negative so i fit still dey pregnant,i took a home pregnancy test and it came back positive i have been experiencing pregnancy symptoms since october but i had my period since then i also took a urine pregnancy test at the doctor s office in november and both tests came back negative so would i be pregnant,Speaker_7,19.46,"['home', 'pregnancy', 'symptoms', 'urine', 'test', 'doctor', 'office']",train
audio/Speaker_7/Speaker7-388.wav,children dey very prone to gastritis mostly because of stress from school and bullying this gastritis dey cause nausea after dem don chop and e no dey allow pikin finish full meal as e dey cause discomfort and sickness for body children go dey gradually chop small small food and sometimes dem fit still vomit avoid very sour food or very hot food as well as fruit juice for one month try address the stress matter if anything dey cause am give nexpro junior sachet one sachet early morning every day for one month,children are very prone to gastritis mostly due to stress from school and bullying this gastritis causes nausea after eating and does not allow children to consume full meals as it causes discomfort and nausea children gradually take smaller amounts of food and may also occasionally vomit avoid very sour or very hot foods as well as fruit juice for one month try to address the stress factor if any exists give nexpro junior sachet one sachet in the early morning every day for one month,Speaker_7,39.01,"['nausea', 'discomfort']",train
audio/Speaker_7/Speaker7-389.wav,hello i be man and i do nyash masturbation last monday now na thursday and i dey see redness around the entrance of my nyash small pain and my stool don change small apart from that i first think say na infection but i also don take about two hundred milligrams of adderall wey no be doctor prescribe since last friday so i dey wonder you think say this problem fit be infection or e fit relate to the adderall,hello i am a male and practiced anal masturbation last monday it is now thursday and i am experiencing redness around the entry of my anus slight pain and slightly altered stool otherwise i would immediately assume that it was an infection but i have also taken about two hundred milligrams of unprescribed adderall since last friday would you say the problems are related to an infection or the adderall,Speaker_7,30.02,"['male', 'redness', 'slightly', 'milligrams', 'adderall', 'infection']",train
audio/Speaker_7/Speaker7-390.wav,i take blood test to apply for insurance and my white blood cell count come back thirty five per high power field my protein level also come back high at thirty six i no really sure wetin fit be the problem any advice i be forty one years old five feet nine inches and one hundred and seventy pounds and i just do preoperative assessment for routine surgery and e come back normal apart from that i dey pretty healthy,i had to take a blood test to apply for insurance and my white blood cell count came back at thirty five per high power field my protein level came back high at thirty six i am not sure what could be wrong any suggestions i am forty one years old five feet nine inches and one hundred and seventy pounds and just had a preoperative assessment for a routine surgery which came back normal i am pretty healthy otherwise,Speaker_7,29.26,"['blood', 'test', 'white', 'cell', 'count', 'protein', 'level', 'high', 'assessment']",train
audio/Speaker_7/Speaker7-391.wav,if you nack for day five ninety nine percent chance dey say you no go get belle because you only do am during your safe period,if you had sexual intercourse on the fifth day there is a ninety nine percent chance that you will not get pregnant because you had intercourse during your safe period only,Speaker_7,8.82,"['sexual', 'intercourse', 'ninety', 'percent']",train
audio/Speaker_7/Speaker7-392.wav,i be fifty three year old woman and as far back as i fit remember my thumbs dey weak e sound strange but i no fit hold am straight like the rest of my fingers the thumbs dey curve go outside i read somewhere about cortical thumbs for babies i no get any other health problem you get any idea about splinting or exercises wey fit help,i am a fifty three year old woman and as far back as i can remember i have had weak thumbs that sounds strange but i cannot hold them straight with the rest of my fingers the thumbs curve outward i read somewhere about cortical thumbs in babies i do not have any other health problems do you have any ideas on splinting or exercises that might help,Speaker_7,23.36,"['thumbs', 'splinting']",train
audio/Speaker_7/Speaker7-393.wav,i don dey get unusual stomach pain wey dey dey worse for night i don dey feel am for one week now today for my lower right belly i dey feel cold kind sensation like say cold water touch that place i also don lose appetite well well,i have been having unusual stomach pains that seem to worsen at night i have been experiencing this for a week today in my lower right abdomen i can feel a cold sensation it feels like i had a cold glass of water i have also had a significant loss of appetite,Speaker_7,15.56,"['unusual', 'stomach', 'pains', 'cold']",train
audio/Speaker_7/Speaker7-394.wav,this one most likely dey come from sinus congestion try take decongestant medicine to help the headache na wetin some people dey call sinus headache,this is most likely related to sinus congestion try taking decongestants to help with the headache this is what some refer to as a sinus headache,Speaker_7,10.91,"['sinus', 'decongestants']",train
audio/Speaker_7/Speaker7-395.wav,use toothpaste wey dey help tooth sensitivity thermoseal toothpaste dey good for serious sensitivity put thick paste for your teeth leave am for ten minutes then brush am do this three times every day for one week,use toothpaste for sensitivity thermoseal toothpaste is good for severe sensitivity apply a thick paste on your teeth and keep it for ten minutes and then brush do this three times daily for a week,Speaker_7,16.53,"['thermoseal', 'teeth', 'daily']",train
audio/Speaker_7/Speaker7-396.wav,use toothpaste wey dey help tooth sensitivity thermoseal toothpaste dey good for serious sensitivity put thick paste for your teeth leave am for ten minutes then brush am do this three times every day for one week,sexual stimulation even just thinking about it will cause a small amount of secretions this is entirely normal and is not likely to indicate a problem a prostate examination would show that there isn t an issue there are simple tests for sexually transmitted diseases but i suspect that is unlikely,Speaker_7,15.77,[],train
audio/Speaker_7/Speaker7-397.wav,na kneecap dey come out be that that one serious issue well well dem dey call am habitual dislocation of the patella e fit happen because of different things like ligament wey loose kneecap wey dey sit high or femur joint problem and treatment go depend on wetin cause am you get any x ray or mri result where you dey stay,is it the kneecap that is popping out that is a very serious issue it is called habitual dislocation of the patella it may be due to various causes such as laxity high riding patella or femoral condyle dysplasia and treatment depends upon the underlying cause do you have any x rays or magnetic resonance imaging where do you live,Speaker_7,26.05,"['laxity', 'rays']",train
audio/Speaker_7/Speaker7-398.wav,na normal healthy obstetric ultrasound scan report the pikin for womb dey healthy and e weigh one point six kilograms with heart rate of one hundred and fifty beats per minute no need to worry at all,it is a healthy obstetric ultrasound scan report the fetus is healthy and weighing one point six kilograms with a heart rate of one hundred and fifty beats per minute there is no need to worry,Speaker_7,15.67,"['healthy', 'ultrasound', 'fetus', 'weighing', 'point', 'kilograms', 'heart', 'rate', 'beats', 'per', 'minute']",train
audio/Speaker_7/Speaker7-399.wav,while i dey thank you i wan talk say my wife just do general check up and she also do blood test all the results normal except erythrocyte sedimentation rate wey be thirty her age na forty eight and she no get any major health problem apart from post menstrual migraines,while thanking you i would like to state that my wife has recently undergone a general checkup and has had blood tests done out of which all other aspects are normal except for the erythrocyte sedimentation rate which is thirty her age is forty eight and she has no major problems except for post menstrual migraines,Speaker_7,22.45,"['wife', 'normal', 'undergone']",train
audio/Speaker_7/Speaker7-400.wav,i understand your symptoms but you need go see doctor wey specialize for general surgery make dem examine you and check how the swelling take be abeg do am quick quick,i understand your symptoms but you need to visit a doctor specializing in general surgery to examine you and assess the extent of the swelling please do this as soon as possible,Speaker_7,11.54,[],train
audio/Speaker_7/Speaker7-401.wav,hello i nack the other day which na one day after my period finish my boyfriend release inside me after we finish he notice say condom no dey again and he check he realize say the condom dey inside me so chance fit dey sey i get belle i suppose wait make i do test later abi make i go see obstetrician gynecologist immediately,hello i had intercourse the other day which was the day after my period ended my boyfriend ejaculated inside me after we were done he noticed that the condom was missing and felt around he noticed that the condom was inside of me is there a chance that i can be pregnant should i wait to take a test or go to the obstetrician gynecologist,Speaker_7,23.85,"['intercourse', 'condom', 'trician', 'gynecologist']",train
audio/Speaker_7/Speaker7-402.wav,i dey very insecure i no dey sleep well sometimes i go chop plenty food at once or i no go chop at all i born my first pikin seventeen months ago and i still dey breastfeed i be twenty years old and i be single mother when i dey low i really dey low and when i dey high na so e be too i fit get stress within minutes and i go feel hopeless and all that i dey get strange pains for my stomach the father of my daughter dey give me plenty wahala i even don lose interest for sex i feel say i don change,i am very insecure can t sleep much i either eat a lot at once or hardly eat at all i had my first child seventeen months ago and i am still breastfeeding i am twenty and i am a single mother when i am down i am down and the same when i am up i can get stressed in minutes and feel hopeless etc i have strange pains in my stomach i get a lot of hassle from my daughter s father i have even gone off sex i feel i have changed,Speaker_7,34.71,"['sleep', 'stressed', 'strange', 'pains', 'off', 'sex']",train
audio/Speaker_7/Speaker7-403.wav,i fall from small stool and land for my lower back maybe na my tailbone i still hit my head for iron bar my lower back dey very painful i hardly fit walk i no fit bend down or lift any of my legs i get serious pain just above my nyash and head get big sore area with soft slightly sunken part i no sure whether i need go hospital or just rest i no dey feel fine at all,i fell off a short stool and landed on my lower back possibly my tailbone i also hit my head on a metal bar my lower back is so sore that i can barely walk i cannot bend over or lift either leg i have severe pain just above my buttocks my head has a large sore area with a soft sunken spot i am not sure if i need medical attention or just need to rest i am miserable,Speaker_7,31.93,"['sore', 'severe', 'head', 'large']",train
audio/Speaker_7/Speaker7-404.wav,i go hospital and dem tell me say i get lymphadenitis and dem give me antibiotics the doctor say i get chlamydia one sexually transmitted disease long time ago and e fit don come back again i dey worried because i hear say e fit cause cancer but for emergency room dem say i dey okay make i just take the antibiotics wey dem give me doxycycline hyclate and e go kill the germs so i dey okay because i go google this lymphadenitis and i see the word cancer and i come fear well well,i went to the hospital and they said i have lymphadenitis and gave me antibiotics the doctor said i had chlamydia a venereal disease a long time ago and it probably recurred i m worried because i heard it can cause cancer but the emergency room said i m okay just take the antibiotics called doxycycline hyclate and it will kill the germs am i okay because i googled this lymphadenitis and i saw the word cancer and freaked out,Speaker_7,43.54,"['lymphadenitis', 'antibiotics', 'doxycycline', 'cancer']",train
audio/Speaker_7/Speaker7-405.wav,hello normally small small holes dey close by imself as pikin dey grow but if the hole still dey after like three to four years old dem fit close am with device na small procedure be that usually no be something to worry about,hello usually small holes resolve as the baby grows however if the hole persists after three to four years of age it can be closed using a device which is a minor procedure usually there is no cause for concern,Speaker_7,15.49,[],train
audio/Speaker_7/Speaker7-406.wav,hello with history of unprotected sex and abdominal pain after many days this one fit be something wey dey worry e fit be tubal pregnancy as one major cause and you need urgent ultrasound make dem confirm am or rule am out other causes fit be appendicitis salpingitis ovarian cysts and others ultrasound plus blood test urine test and stool test go help find correct diagnosis and then you must take treatment based on wetin dem find,hello with a history of unprotected sex and abdominal pain after so many days this can be a cause for concern this may be a tubal pregnancy as a major cause and you need to get this confirmed or ruled out by an urgent ultrasonography other reasons can include appendicitis salpingitis ovarian cysts and more ultrasonography and tests on the blood urine and stool will help you obtain a diagnosis and you must take treatment accordingly,Speaker_7,33.74,"['unprotected', 'sex', 'abdominal', 'ultrasonography']",train
audio/Speaker_7/Speaker7-407.wav,discharge dey common for pregnancy but brown discharge mean say small bleeding don happen still make she go see gynecologist make dem confirm everything,discharge is common in pregnancy but brown discharge means she had slight bleeding still for confirmation get her checked by a gynecologist,Speaker_7,11.7,['slight'],train
audio/Speaker_7/Speaker7-408.wav,my name na bridget ambrose i be seventeen years old and i no too dey strong physically recently i don start to dey active make i prepare myself for military enlistment when i dey small dem diagnose me asthma but as i grow e almost disappear now when i dey run with my squad today the lower part of my back for left and right side begin pain me now the pain no dey only there again e don reach the upper side of my back when i dey breathe e fit be because of my old asthma or because i no dey fit physically,my name is bridget ambrose i am seventeen years old and not in very good physical shape recently i have begun to become active to prepare myself physically for military enlistment when i was younger i was diagnosed with asthma but as i got older it seemed to be almost gone now though when i was running with my squad today the lower regions of my back on the left and right sides began to hurt now the pain isn t just there it s in the upper sides of my back when i breathe could this be due to my asthma from the past or the fact that i am out of shape,Speaker_7,40.31,"['seventeen', 'regions', 'sides']",train
audio/Speaker_7/Speaker7-409.wav,i dey suffer cervicitis and small liver enlargement i don contact one local woman doctor and she advise me say make i do hysterectomy for ultrasound report no be say dem see any sign of uterine cancer for this kind situation na correct advice be that for me abeg advise me wetin be the proper treatment i suppose do,i am suffering from cervicitis and mild liver enlargement i have contacted a local lady doctor and she advised me to have a hysterectomy there is no sign of uterine cancer in the ultrasound report under such circumstances is this the correct advice for me please advise what should be the right treatment,Speaker_7,25.43,"['cervicitis', 'mild', 'liver', 'hysterectomy', 'uterine']",train
audio/Speaker_7/Speaker7-410.wav,after my hip surgery i notice say my right lower jaw dey sore i go see my dentist think say na abscess he tell me say na exposed bone probably because of the device wey dem use during the surgery i see am again today and he say e don dey increase so he give me mouthwash wey dey numb the pain but the pain still dey there dem fit stitch the gum together,after my hip surgery i noticed my right lower jaw was sore i went to my dentist thinking it was an abscess he said it was exposed bone probably due to the device that was used during surgery i saw him again today and he said it was getting bigger and gave me a mouthwash numbing agent however the pain is still there can the gum be stitched together,Speaker_7,25.03,"['hip', 'jaw', 'went', 'dentist', 'mouthwash']",train
audio/Speaker_7/Speaker7-411.wav,hello i just read your question soft bump no dey too common as long as she dey okay for other things no need to worry the bump even though e soft go still clear with time,hello i just read through your question a soft bump is not uncommon as long as she is otherwise well there is no need for concern the bump even though soft will resolve with time,Speaker_7,13.72,[],train
audio/Speaker_7/Speaker7-412.wav,fever wey reach one hundred and three degrees fahrenheit or pass am suppose make dem check am sharp sharp e better make dem do full blood count and chest x ray to rule out infection for lungs or breathing problem,a fever of one hundred and three degrees fahrenheit or higher should be evaluated immediately it is better to perform a complete blood count and a chest x ray to rule out respiratory infections,Speaker_7,16.05,"['fever', 'degrees', 'fahrenheit', 'higher', 'complete', 'blood', 'count', 'chest', 'ray']",train
audio/Speaker_7/Speaker7-413.wav,hello if you want make knacking last long you fit try apply himcolin gel for the penis na ayurvedic product and usually e no get side effects try avoid stress during sex no use alcohol or marijuana,hello for longer intercourse duration you can try applying himcolin gel on the penis it is an ayurvedic product and is usually devoid of side effects avoid stress during intercourse do not use alcohol or marijuana,Speaker_7,16.35,['himcolin'],train
audio/Speaker_7/Speaker7-414.wav,inhaler fit cause white patches so after you use am gargle your mouth with water every time for like fifteen minutes now you fit also use candid mouthwash,the inhaler can cause white patches therefore after use gargle with water every time for fifteen minutes now a candid mouthwash can be used,Speaker_7,10.38,['white'],train
audio/Speaker_7/Speaker7-415.wav,hello antibiotics as you dey take am fit reduce how birth control pills dey work although that kind effect dey happen more with normal antibiotics and no too dey common with anti malarial drugs you suppose talk to your doctor about am because e still fit better make una use condom for the meantime,hello antibiotics while they are being taken can reduce the effectiveness of birth control pills although that effect is more associated with standard antibiotics and not anti malarial medications you should talk to your doctor about this as it may still be a good idea to use condoms for the time being,Speaker_7,18.99,['antibiotics'],train
audio/Speaker_7/Speaker7-416.wav,hello unprotected sex wey involve ejaculation just before and after period usually dey safe if your previous cycle dey regular for this kind situation chance of pregnancy na almost zero so no need to worry ovulation dey happen about fourteen days before the next expected period and fertile days na between 11th to 18th day for 28 to 30 days cycle abeg try dey practice safe sex for future good luck,hello unprotected sexual intercourse with ejaculation just before and after the period is generally safe if your previous cycle was regular here the chance of being pregnant is almost nil so you have nothing to worry about ovulation occurs fourteen days prior to the expected due date and fertile days are the 11th to 18th days of each twenty eight to thirty day cycle please practice safe sex in the future good luck,Speaker_7,28.24,"['unprotected', 'sexual', 'intercourse', 'ejaculation', 'fourteen', 'prior', 'th']",train
audio/Speaker_7/Speaker7-417.wav,dem don diagnosed me with degenerative disc disease central canal stenosis and i get pain for my whole body if i touch myself or i bump something e dey pain me all my joints dey pain me and i hardly fit stand up or sit down without pain for my chest shoulders legs neck arms and feet e fit also be sign of fibromyalgia i dey inside serious pain,i have been diagnosed with degenerative disk disease central canal stenosis and i have pain throughout my entire body i am sore to the touch or when i bump against something all my joints hurt and i can hardly get up or down without experiencing pain in my chest shoulders legs neck arms and feet could that also be a sign of fibromyalgia i am in terrible pain,Speaker_7,27.52,"['sore', 'touch', 'joints', 'fibromyalgia']",train
audio/Speaker_7/Speaker7-418.wav,hi my baby dey seven months old and since i travel go business trip i no fit breastfeed my baby for the past fifteen days now i notice say my breast milk don reduce na only small small traces dey come and e no dey enough for my baby abeg advise me how i fit bring back my full milk supply this one dey very urgent,hi my baby is seven months old and since i had to go on a business trip i couldn t breastfeed my baby for the past fifteen days now i find that my milk supply has stopped and i only find traces of milk which are not sufficient for my baby please advise me on how to regain my ample milk supply this is very urgent,Speaker_7,20.32,['baby'],train
audio/Speaker_7/Speaker7-419.wav,hi you dey suffer pelvic inflammatory disease you need make gynecologist and gastroenterologist check you you need do ultrasound scan for abdomen pelvis and also transvaginal ultrasound make dem fit give correct diagnosis this one go help us plan proper treatment with correct antibiotic treatment you go recover still keep in mind say if e necessary dem fit suggest surgery,hi you are suffering from pelvic inflammatory disease you need to get yourself checked by a gynecologist and a gastroenterologist you need to undergo ultrasonography of the abdomen pelvis and transvaginal ultrasonography to get a proper diagnosis this will lead us to a proper treatment plan with proper antibiotic coverage you will recover keep in mind the possibility of undergoing surgery if indicated,Speaker_7,28.05,"['pelvic', 'checked', 'ultrasonography', 'antibiotic']",train
audio/Speaker_7/Speaker7-420.wav,at least e look like say she get virus you fit continue to give her paracetamol for fever and sponge her body when her temperature pass one hundred and one degrees fahrenheit give her plenty water and light food wey dey easy to digest if she begin get rash for other part of body or new symptoms show carry her go doctor,at least it seems that she has a virus you can keep giving her paracetamol for her fever and sponge her when her temperature crosses one hundred and one degrees fahrenheit give her plenty of liquids and a light easy to digest diet if she breaks out into a rash elsewhere or has new symptoms take her to the doctor,Speaker_7,23.08,"['paracetamol', 'fever', 'sponge', 'temperature', 'crosses', 'degrees', 'fahrenheit', 'easy', 'rash']",train
audio/Speaker_7/Speaker7-421.wav,just do your semen test if e normal then chance say you no go become father dey very small overall chance of infertility because of orchitis too dey very low e only dey happen if orchitis no receive treatment for very long time,just get your semen examination done if it is normal then there is very little chance of you not becoming a father overall there is also very little chance of infertility due to orchitis it only happens when orchitis remains untreated for a very long time,Speaker_7,22.55,"['semen', 'orchitis']",train
audio/Speaker_7/Speaker7-422.wav,hello i contact doctor and after i do scan she tell me say i get polycystic ovary syndrome she tell me make i take krimson 35 and glyciphage 1 gram tablet so when this polycystic ovary syndrome go cure and e get any serious problem wey fit affect me sorry for my bad english,hello i have contacted a doctor and after undergoing a scan she said that i have polycystic ovary syndrome she told me to take krimson thirty five and glyciphage one gram tablet when will this polycystic ovary syndrome problem be cured and is there any serious problem that will affect me i m sorry for my bad english,Speaker_7,23.82,"['krimson', 'gram']",train
audio/Speaker_7/Speaker7-423.wav,you fit increase the dose reach double but before you change medicine you need know say isolated high diastolic blood pressure dey respond well to salt reduction exercise and weight loss if you dey overweight also thyroid test kidney function test and urine protein test suppose dey done,you can certainly double the dose but before adjusting medication it is important to note that isolated high diastolic blood pressure responds well to salt restrictions exercise and weight reduction if you are overweight additionally a thyroid test kidney function test and urine protein test should be conducted,Speaker_7,21.06,"['blood', 'pressure', 'thyroid', 'kidney', 'function', 'urine', 'protein', 'test']",train
audio/Speaker_7/Speaker7-424.wav,hi me and my partner dey try get pikin i take pregnancy test this afternoon and after three minutes finish i see two pink lines one line faint pass the other one and then about one minute later that faint one con i dey a little confused whether the result na positive or negative,hi my partner and i are trying to conceive i took a pregnancy test this afternoon and there were two pink lines after the three minutes were up one line was more faint than the other and then one minute later it disappeared i am a little confused as to whether it was a positive or a negative result,Speaker_7,24.15,"['pregnancy', 'test', 'pink', 'line', 'faint', 'minute', 'later', 'positive']",train
audio/Speaker_7/Speaker7-425.wav,hello my name na john i weigh one hundred and seventy pounds i be six feet two inches tall and i be twenty one years old i don dey get something wey look like small sore for my scrotum but e don already disappear e stay for like one week before e comot one month earlier i still get similar small bump for the lower part of my penis shaft i dey shave with razor for both my shaft and scrotum normally for shower wetin this simple thing fit be,hello my name is john i weigh one hundred and seventy pounds am six feet two inches tall and i am twenty one years old i have been having what looks like a simple sore on my scrotum but it has already disappeared i had it for a week beforehand a month earlier i had the same simple bump on the lower shaft of my penis i shave with a razor both the shaft and scrotum normally in the shower what could this simple thing be,Speaker_7,27.98,"['sore', 'scrotum', 'shave']",train
audio/Speaker_7/Speaker7-426.wav,my almost four year old pikin dey complain say her neck for back dey pain her and e dey happen maybe once every month for like thirty seconds when e happen she go cry for that same short time and then e go stop she get mri appointment for october 17th you think say e fit be something serious,my almost four year old has complained about a pain in the back of her neck which seems to occur maybe once a month for a duration of thirty seconds this episode makes her cry for the same duration and she stops she has an mri scheduled for october 17th do you think it is something serious,Speaker_7,18.97,"['almost', 'cry', 'mri']",train
audio/Speaker_7/Speaker7-427.wav,i be larry age twenty seven weight sixty kilograms i get history of irregular periods and i don use gynaecoside and confidence before to correct my cycle which later become regular i don marry now and i become pregnant for second month of my marriage but i get premature rupture of membranes and premature delivery around twenty five weeks and i lose my daughter for december 2012 since that time i don dey try conceive again and i do folliculometry this month and dem see say my follicles smaller than normal size abeg help me,i am larry age twenty seven weight sixty kilograms i have a history of irregular periods and i have used gynaecoside and confidence in the past to correct my cycle which was quite regular i am now married and i became pregnant in the second month of my marriage but i experienced a premature rupture of membranes and a premature delivery at about twenty five weeks resulting in the loss of my daughter in december two thousand and twelve since then i have been trying to conceive and had folliculometry this month which revealed that my follicles are smaller in size compared to normal sizes please help,Speaker_7,45.26,"['confidence', 'rupture', 'membranes', 'premature', 'folliculometry', 'smaller', 'normal']",train
audio/Speaker_7/Speaker7-428.wav,hello i fit understand your worry about the symptoms one never try use hand remove shift instead e better make you use shit softener or laxative two this habit of manually removing shift and constipation fit cause anal fissure which be small tear for inside wall of the lower part of the anal canal constipation and manually removing stool fit require proctoscopy and rectal examination for anal fissure you fit use shift softener or laxative pain relief drugs for anal pain and anesthetic ointment make you apply for the area,hello i can understand your concern regarding your symptoms one never attempt to manually remove stool instead it is advisable to use a stool softener or laxatives two the habit of manually removing stool and constipation can develop an anal fissure which is a small tear on the inner wall of the lower part of the anal canal constipation and manual removal of stool may require a proctoscopy and rectal examination for an anal fissure you may consider using a stool softener or laxative analgesics for anal pain and anesthetic medication ointment for local application,Speaker_7,42.45,"['constipation', 'tear', 'removal', 'proctoscopy', 'anesthetic']",train
audio/Speaker_7/Speaker7-429.wav,hello you need do urine routine microscopy and urine culture test to confirm say the infection don clear completely if any infection still remain e fit cause urinary tract infection to come back again the reason for the white particles no too clear but e rarely be something to worry about because e most likely be either pus flakes or mucus from urethra or bladder and none of them need special treatment if your culture show say infection still dey you go need further antibiotics based on the result,hello you need to perform a urine routine microscopy and urine culture test to confirm the eradication of the infection if there is a residual infection left it may cause a recurrent urinary tract infection the cause of the white particles is not clear but it is rarely a cause for concern as it is most likely either pus flakes or mucus from the urethra or bladder neither of which requires any special treatment if your culture suggests an infection further antibiotics will be required based on the report,Speaker_7,32.93,"['urine', 'routine', 'microscopy', 'culture', 'test', 'infection', 'recurrent', 'urinary', 'pus', 'flakes', 'antibiotics']",train
audio/Speaker_7/Speaker7-430.wav,hi i be twenty five years old woman and i marry on march 16th 2014 i dey live for india but i move go united states because my husband dey work there for the past two months i don dey suffer urinary tract infection i don take plenty antibiotics but e no dey clear now the latest report show mild cystitis and enlargement of the pelvicalyceal system of the right kidney wetin this one mean e be sign of any other serious health problem,hi i am twenty five years old female and got married on march 16th two thousand and fourteen i live in india but moved to the united states as my husband works there for the past two months i have been suffering from a urinary tract infection i have taken a lot of antibiotics but i am not getting rid of this now the latest report shows mild cystitis and prominence of the pelvicalyceal system of the right kidney what does this mean is it a symptom of any other major health issue,Speaker_7,33.27,"['fourteen', 'mild', 'cystitis', 'pelvicalyceal']",train
audio/Speaker_7/Speaker7-432.wav,my mama don get diagnosis say she get stage four pancreatic cancer wey don reach liver she also get deep vein thrombosis and we don dey use enoxaparin and rivaroxaban for the past three weeks she dey get headache and her blood pressure na 140 over 87 with pulse rate of 106 e fit mean say na brain bleed,my mother has been diagnosed with stage four pancreatic cancer that has reached the liver she has a deep vein thrombosis and we have been using enoxaparin and rivaroxaban for the past three weeks she has a headache and her blood pressure is one hundred and forty over eighty seven with a pulse rate of one hundred and six could this indicate a brain bleed,Speaker_7,24.33,"['mother', 'stage', 'deep', 'vein', 'thrombosis', 'enoxaparin', 'rivaroxaban', 'headache', 'blood', 'pressure', 'eighty', 'pulse', 'rate', 'brain', 'bleed']",train
audio/Speaker_7/Speaker7-433.wav,hi nosebleed na very common problem dem dey treat am with cauterization and sometimes e fit need to be repeated few times since you just get am few days ago e better make you avoid flight for like three to four weeks if possible continue to use the ointment for your nose for one month then go back make doctor review you this na standard practice everywhere nosebleed use ointment for nose for one month avoid blowing your nose and to dey pick am keep your blood pressure under control and avoid blood thinners,hi nosebleed is a very common problem it is treated with cauterization which may need to be repeated a few times since you had it only a few days ago it might be better to avoid flying for three to four weeks if possible continue using the ointment for one month and then have yourself reviewed by your doctor this is the standard practice everywhere nosebleed use ointment in the nose for one month avoid nose blowing and picking keep blood pressure under control avoid blood thinners,Speaker_7,39.13,['cauterization'],train
audio/Speaker_7/Speaker7-434.wav,we marry for 2004 but we still no get pikin we don try ivf three times for pulse women s hospital for ahmedabad but e no succeed abeg advise us the correct treatment and hospital wey we fit go so we go fit get pikin as i be 36 years old and my wife be 32 years old abeg respond as soon as you fit,we got married in two thousand and four but we still do not have a child we have attempted in vitro fertilization three times at pulse women s hospital in ahmedabad but it has not been successful kindly advise the right treatment and hospital so that we can proceed to have a child as i am thirty six years old and my wife is thirty two years old please advise at your earliest convenience,Speaker_7,22.55,"['vitro', 'pulse', 'women', 'hospital', 'advise', 'wife']",train
audio/Speaker_7/Speaker7-435.wav,three years ago i dey feed stray puppies one of them use him teeth scratch my finger but e no serious that puppy no die after that and i still continue to dey feed dem another day again another puppy still scratch me after that one dem give me rabies vaccine course that puppy too no die but now i dey worried say the first time wey e happen i no take vaccine wetin i fit do now i dey very worried abeg help me,three years ago i was feeding stray puppies one of them scratched my finger with his teeth but it was very minor the puppy didn t die after that and i continued to feed them one day i was scratched again by another puppy i received a rabies vaccination course after that that puppy also didn t die but now i worry that when it happened the first time i didn t get vaccinated what can i do i am very worried please help,Speaker_7,25.61,[],train
audio/Speaker_7/Speaker7-436.wav,hi i do kidney stone operation two weeks ago dem use laser remove am and flush am out because e block for my left side i no know anything as dem put me for operation room i don go hospital three times already i still get another stent for body now and i feel say e dey make me sick my monthly period dey now and i dey feel serious sharp pain i do sex the other day too,hi i had a kidney stone removed two weeks ago with laser surgery and washed out because it was stuck on my left side i was unconscious in the operating room i have been in the hospital three times i have another stent at the moment and i think it is making me ill i have my monthly cycle currently and i am experiencing significant stinging i had intercourse the other day,Speaker_7,22.87,"['removed', 'laser', 'surgery', 'hospital', 'stent', 'intercourse']",train
audio/Speaker_7/Speaker7-437.wav,for pikin wey get fever you fit give am normal food or any food wey e fit chop well make the food get more protein because our body na protein e dey made of and for healing and repair body need better resources meat fish and egg na good source of protein spinach beans pulses and soybeans na vegetable source of protein if she dey vomit make sure say you dey give am oral rehydration solution join am e better make you avoid milk for like one week but if she fit take am without wahala no problem use sponge with normal water to bring down the fever if e pass one hundred degrees fahrenheit,for a child with a fever you can provide the child with a normal diet or anything that the child can tolerate the diet should contain more protein as our body is made of protein and the healing and repair processes require resources meat fish and eggs are sources of protein spinach pulses and soybeans are vegetable sources of protein if she is vomiting be sure to give oral rehydration solution along with it it is better to avoid milk for a week or so but if she can tolerate it there are no issues use sponging with normal temperature water to bring down the temperature if it is greater than one hundred degrees fahrenheit,Speaker_7,38.38,"['normal', 'diet', 'oral', 'greater']",train
audio/Speaker_7/Speaker7-438.wav,e suppose get reason why dem say make you do dialysis for your case dem for don run renal function test for you if you still dey get doubt you fit go seek second opinion from another doctor,there must be an indication for dialysis in your case a renal function test must have been done in your case if you have doubts then you can seek a second opinion,Speaker_7,14.3,"['renal', 'function', 'test']",train
audio/Speaker_7/Speaker7-439.wav,i don dey get kidney stone since i dey seventeen years about forty of dem for correct count but this time the pain wey i dey feel different and plenty food dey make me feel like to vomit for holiday period i chop prime rib and immediately i vomit am i don dey feel very tired and get fever wetin this one come be,i have been having kidney stones since i was seventeen about forty of them to be exact i have been experiencing different pain though and nausea to a lot of different foods over the holiday i had prime rib and immediately vomited afterward i have been really tired and feverish what does this sound like,Speaker_7,21.78,"['nausea', 'prime', 'rib', 'vomited', 'tired', 'feverish']",train
audio/Speaker_7/Speaker7-440.wav,i dey get constant catarrh nose dey block and i dey sneeze with watery eyes because of allergy the catarrh no dey stop my nose dey block and still dey run e dey usually come with watery itchy eyes too the problem dey worse pass during rainy time and cold season you get any suggestion wey go help me solve this problem,i have a constant cold blocked nose and sneezing with watery eyes due to allergies i experience a continuous cold along with a blocked and runny nose this is often accompanied by watery itchy eyes as well the problem seems to occur more during rainy and winter days do you have any suggestions to help me resolve this issue,Speaker_7,19.71,"['blocked', 'sneezing', 'watery', 'eyes', 'continuous', 'runny']",train
audio/Speaker_7/Speaker7-441.wav,hello doctor i just do magnetic resonance imaging scan and ultrasound scan because of acute cholecystitis and dem show say i get many cysts plus one big cyst wey be sixteen cm by twelve cm for my liver abeg you fit tell me if that size big for cyst dem tell me say e need further monitoring e dey show two hepatic cysts wey look like say dem no dey harmful,hello doctor i have recently had a magnetic resonance imaging scan and ultrasound scan for acute cholecystitis and they showed multiple cysts and a sixteen cm x twelve cm cyst in my liver please could you tell me if that is large for a cyst i have been told it needs further surveillance it is showing two benign looking hepatic cysts,Speaker_7,26.35,"['magnetic', 'resonance', 'imaging', 'ultrasound', 'acute', 'multiple', 'cysts', 'sixteen', 'cm', 'cyst', 'cholecystitis', 'benign', 'hepatic']",train
audio/Speaker_7/Speaker7-443.wav,hi about four weeks ago something hit my ankle bone direct my ankle bone still big well well even though e no really swell much and no get colour change the place dey very sensitive to socks bedsheet or anything wey touch am but i still dey waka fine i never fit wear my skate yet you get any idea wetin fit dey happen,hi i was hit directly on the ankle bone with a puck about four weeks ago my ankle bone is still very large though there is not a lot of swelling or discoloration the ankle is sensitive to socks bed sheets or anything it touches but i am able to move around fine obviously i can t fit into my skate just yet do you have any ideas,Speaker_7,20.6,"['ankle', 'bone', 'swelling', 'move', 'around']",train
audio/Speaker_7/Speaker7-444.wav,my left wisdom teeth don start to come out and even though e straight for now e never fully come out the gum wey still cover am dey pain me plus the left side for the back of my mouth dey sore too the other day i notice say small pale yellow pus dey come out from the gum when i press am and now the gum flap don dey loose when e dey shake small part of the gum around the back and side of the molar wey dey front dey move join wetin i go do this one normal,my left wisdom tooth has begun to come through and although it is straight at the moment it has only partially emerged the gum that is still covering it has been sore along with the left side of the very back of my mouth i realized the other day that there was pale yellow pus coming out of the gum when i squeezed it and now the flap is becoming loose when it wobbles a small section of gum around the back and side of the molar in front moves too what should i do is this normal,Speaker_7,6.87,"['wisdom', 'tooth', 'gum', 'pale', 'yellow', 'pus']",train
audio/Speaker_7/Speaker7-445.wav,i fit take hormones after i don get carcinoid before i do hysterectomy for 1999 and oophorectomy for 2012 i get carcinoid wey don chop pass my appendix for 2011 the doctors here no really sabi wetin to do with my case after that carcinoid for 2011 for some reason i dey feel say e no go too good make i use hormone replacement therapy abeg how e be thank you,can you take hormones after having carcinoids i had a hysterectomy in one thousand nine hundred and ninety nine and an oophorectomy in two thousand and twelve i had a carcinoid that had eaten through the appendix in two thousand and eleven the doctors here weren t really sure what to do with me after the carcinoid in two thousand and eleven for some reason i am under the impression it may not be a good idea to use hormone replacement therapy thank you,Speaker_7,29.58,"['hysterectomy', 'oophorectomy', 'carcinoids', 'appendix']",train
audio/Speaker_7/Speaker7-446.wav,e fit be infection or just simple fever wey dem never know the cause before you decide wetin next abeg start dey give am water wey you boil with scent leaf holy basil just like normal water wey e go drink if e fit take small honey mix with pure turmeric abeg give am every eight hours turmeric no get taste so e no go be problem these remedies safe well well and no get side effect dem dey help body build resistance against infection and dem no dey harmful for like two or three days you go start see result you fit continue am for like one week i hope say this one go help you,it could be an infection or may be simple pyrexia of undetermined origin until you decide further please start giving him water boiled with holy basil leaves as if normal water is provided if he can tolerate a little honey mixed with pure turmeric please give it to him every eight hours turmeric is tasteless so there should be no problem these remedies are safe and have no side effects they help build resistance against infections and are harmless in two or three days it will start showing results you may continue for a week or so i hope this helps,Speaker_7,42.84,"['infections', 'pyrexia']",train
audio/Speaker_7/Speaker7-447.wav,hello i dey go for operation on september 4 2012 because i get pre cancerous cells wey dem need to remove and treat i start small chest cough since thursday but i no really dey cough again i just dey feel am for my chest i still dey get hot sweat too i don dey take day and night nurse from pharmacy and e dey help small i still fit go ahead with the operation or i need to call doctor ask or cancel am,hello i am going for an operation on september four two thousand and twelve as i have pre cancerous cells that need to be removed and treated i started with a light chesty cough on thursday but i am hardly coughing at all and just feel it in my chest also i have hot sweats too i have been taking day and night nurse from the pharmacy and it seems to be helping would i still be okay to go ahead with my operation or do i need to call the doctor and ask or cancel,Speaker_7,29.02,"['pre', 'cancerous', 'cells', 'removed', 'light', 'coughing', 'hot', 'sweats', 'thursday']",train
audio/Speaker_7/Speaker7-448.wav,hi i really dey confused i stop depo provera about two months ago and i dey do unprotected sex with my partner plenty times for the first month now my breast dey very sore and swell i dey get mood swing and about three weeks ago i see small light spotting my lower belly too dey feel somehow hard but i don take two pregnancy tests one about three weeks ago and another one few days ago and both come out negative e still possible say i get belle,hi i am really confused i came off the depo provera around two months ago and had unprotected sex with my partner frequently for the first month now i have extremely tender swollen breasts mood swings and about three weeks ago i experienced light spotting my lower abdomen also feels quite hard however i have taken two pregnancy tests one around three weeks ago and another a few days ago and both came out negative could i still be pregnant,Speaker_7,30.49,"['swollen', 'abdomen']",train
audio/Speaker_7/Speaker7-449.wav,hi rash for face belle and leg for fifteen month old pikin fit be measles insect bite or eczema for measles fever go dey and the rash fit stay for like one week if na insect bite fever no go dey and the rash go dey mostly for open parts of the body e better make you attach picture of how the skin take be also e fit be scabies i think say make you carry the pikin go see doctor so that we no go miss anything wey dedy important have a good day,hi a rash on the face stomach and legs in a fifteen month old child can be due to measles insect bites or eczema in measles there is fever and the rash persists for one week in the case of an insect bite there is no fever and the rash is present on exposed parts of the body it would be better if you attach a picture of the skin lesions additionally there is a possibility of scabies i think you should have the child examined by a doctor so that we do not miss any important findings have a good day,Speaker_7,29.74,"['rash', 'legs', 'fever']",train
audio/Speaker_7/Speaker7-450.wav,hi dear if black patches just dey appear on their own dem dey call am melasma if e come after acne na post acne pigmentation dem dey call am the first one small hard to treat but post acne pigmentation dey easy to treat now the main thing wey dey cause am na sunlight but since you get acne problem you no fit just use normal sunscreen because e dey oily so i go suggest make you use suncote na water based sunscreen and e dey very effective thank you,hi dear if black patches appear on their own it is called melasma if they occur after acne it is called post acne pigmentation the first condition is a bit difficult to treat but post acne pigmentation can be treated easily now the main culprit here is sunlight however since you have an acne problem you cannot use a normal sunscreen as it tends to be oily therefore i suggest you use suncote it is a water based sunscreen and very effective thank you,Speaker_7,33.13,"['water', 'based']",train
audio/Speaker_7/Speaker7-451.wav,hello doctor i don get knee pain for the past one week but e no too serious yesterday i go gym and something trigger the pain under my knee since then sometimes i dey feel sharp pinching pain under my right knee if i rub the area one particular spot dey pain me knee brace or anti inflammatory medicine go help my main worry na the cartilage because my papa get problem with inflammation i like know wetin be the best thing to do,hello doctor i have had knee pain for the past week but it is not severe yesterday i went to the gym and something triggered the pain under my knee since then i have experienced a pinching pain under my right knee now and then if i rub the area there is pain in a particular spot would a brace or anti inflammatory medication help my main concern is the cartilage as my dad has a problem with inflammation i would like to know what the best action to take is,Speaker_7,27.49,"['knee', 'pinching', 'under']",train
audio/Speaker_7/Speaker7-452.wav,normally pain like that no suppose dey happen you get any intravenous injection for the place wey the pain dey you suppose do electrocardiogram and if need be do other tests too,there should normally be no such pain did you have any intravenous injection at the site of the pain you should have an electrocardiogram and if required other tests done,Speaker_7,12.31,"['intravenous', 'injection', 'electrocardiogram']",train
audio/Speaker_7/Speaker7-453.wav,every month or so my thirteen year old son dey get serious diarrhoea and e go vomit once that time fever no dey he still dey complain say e mouth dey taste like rotten egg or say even when e belch e burp dey smell taste like rotten egg wetin this fit be and why e dey keep coming back like that,every month or so my thirteen year old son experiences major diarrhea and vomits once he does not run a fever during this time he also complains of having a rotten egg taste in his mouth or that his burps have a rotten egg taste what is this and why does it keep recurring,Speaker_7,21.04,"['thirteen', 'diarrhea', 'vomits', 'fever', 'rotten', 'egg', 'taste', 'burps']",train
audio/Speaker_7/Speaker7-454.wav,hello my mother in law get breathlessness last night and she dey live for parbhani she don do some tests for her echocardiogram dem say na chronic heart disease mild mitral regurgitation mitral stenosis and moderate aortic regurgitation her hemoglobin level na nine and thyroid stimulating hormone level na seven wetin be the treatment for her case,hello my mother in law had breathlessness last night and she lives in parbhani she had the tests in her echocardiogram the impression is chronic heart disease mild mitral regurgitation mitral stenosis and moderate aortic regurgitation her hemoglobin level is nine and thyroid stimulating hormone level is seven what will be the treatment for her,Speaker_7,28.37,"['breathlessness', 'mild', 'moderate', 'hemoglobin', 'thyroid']",train
audio/Speaker_7/Speaker7-455.wav,hi anybody wey tell you say celexa dey change personality no correct e just dey help correct the symptoms wey come from serotonin imbalance for brain e dey reduce anxiety depression and some other mental illness symptoms abeg take am exactly as your doctor prescribe and you no get anything to worry about best wishes,hi whoever has informed you that celexa alters personality was incorrect it simply corrects the symptoms occurring from altered serotonin levels in the brain it alleviates the symptoms of anxiety depression and some other mental illnesses please take it as prescribed by your doctor and you have nothing to worry about best wishes,Speaker_7,21.22,"['celexa', 'altered']",train
audio/Speaker_7/Speaker7-456.wav,i just find out say i get human papillomavirus and e fit turn cervical cancer hi i never still get diagnosis of cervical cancer yet but i dey go do test on march 1 to check if i get am because dem see some cells for my pap test wey look like say e fit be cancer and i get human papillomavirus i don dey feel very weak and like i go faint all day i don already chop dinner but i still dey very weak and now i dey feel sharp pain for my pelvic area wetin i suppose do my mama dey push me make i go hospital,i just found out i have human papillomavirus and may have cervical cancer hi i haven t been diagnosed with cervical cancer yet but i am having a test to check if i have it on march first because they found some cells in my pap test that look like i may have it and i have human papillomavirus i have been feeling really weak and faint all day i have already eaten dinner and i am still feeling really weak and now having sharp pains in my pelvic area what should i do my mom is urging me to go to the hospital,Speaker_7,36.83,"['papillomavirus', 'cervical', 'test', 'march', 'pap', 'weak', 'faint', 'sharp', 'pains', 'pelvic']",train
audio/Speaker_7/Speaker7-457.wav,hello sir dis na my wife follicular study report urinary bladder well filled no sign of stone inside uterus position na anteverted normal size e measure 6 9 x 3 7 x 4 cm shape regular echo fine normal ovaries right ovary size na 2 8 x 1 5 cm left ovary na 3 2 x 1 9 cm both ovaries normal for size and texture right ovary dominant follicle no dominant follicle left ovary dominant follicle 18 x 16 mm endometrial thickness 6 mm pouch of douglas clear for dis report the egg don release or e never release if e never release e mean say doctor dey suggest make we take injection abeg reply me for my mail,hello sir this is my wife s follicular study report urinary bladder well distended no evidence of calculi uterus position anteverted normal in size measured six point nine x three point seven x four centimeters contour regular echo character normal ovaries right ovary measures two point eight x one point five centimeters left ovary measures three point two x one point nine centimeters both ovaries are normal in size and echotexture right ovary dominant follicle no dominant follicle left ovary dominant follicle eighteen x sixteen millimeters endometrial thickness six millimeters pouch of douglas free in the above report is the egg releasing or not if not it means the doctor is giving a suggestion to take an injection please answer it to my email id yyyy yyyy,Speaker_7,57.03,"['wife', 'urinary', 'well', 'normal', 'point', 'centimeters', 'dominant', 'endometrial', 'egg']",train
audio/Speaker_7/Speaker7-458.wav,i get one lump for my ear lobe for about six months today e look like pimple i burst am when i squeeze am e still dey ooze and plenty white matter come out i still squeeze am then one sticky thing wey look like vein come out from the hole e look like say e stuck inside na vein be this one,i had a lump in my earlobe for about six months today it looked as though it was a pimple i popped it when i squeezed it it continued to ooze and a lot of white substance came out i squeezed and then a sticky vein like thing came out from the hole it appears to be stuck is this a vein,Speaker_7,18.53,"['lump', 'earlobe', 'white', 'sticky', 'vein']",train
audio/Speaker_7/Speaker7-459.wav,dear patient you no mention your age the reason for back pain dey depend on how old person be if you still young and you don dey get back pain for just one year the most likely cause na mechanical one meaning say lower back no stable well or muscle weak your pain dey reduce when you rest if yes e mean say na mechanical problem abeg wear lumbosacral belt for four weeks and take tablet zerodol sp two times daily for seven days i go also advise make you dey do back muscle strengthening exercise,dear patient you have not mentioned your age the reasons for back pain vary depending on the age of the patient if you are young and have been experiencing pain for a year only in your back the most probable reason is mechanical which means lower back instability or muscle weakness is your pain relieved after rest if yes then it suggests a mechanical problem please wear a lumbosacral belt for four weeks and take the tablet zerodol sp twice a day for seven days i would also advise back muscle strengthening exercises,Speaker_7,33.34,"['young', 'instability']",train
audio/Speaker_7/Speaker7-460.wav,you dey suffer from coccydynia and the swelling fit be because the bone don stretch if uterus don enlarge e fit make the bone stretch and cause pain ice pack and paracetamol go help use ring cushion when you dey sit down good luck and make you get safe delivery,you are suffering from coccydynia and the swelling might be due to stretching of the bone an enlarged uterus can cause the bone to stretch out and develop pain ice and paracetamol will help use a ring cushion for sitting purposes good luck and have a safe delivery,Speaker_7,19.83,"['swelling', 'stretching', 'enlarged', 'bone', 'ice', 'paracetamol']",train
audio/Speaker_7/Speaker7-461.wav,hello your pikin look like e dey suffer from bacterial tonsillopharyngitis breathing treatment and vapor rub no go help am e need proper antibiotics course and decongestant since this one don dey last long i go suggest make otolaryngology doctor check am well before you start antibiotics,hello your child seems to be suffering from an episode of bacterial tonsillopharyngitis breathing treatments and vapor rub will not help him he needs a proper course of antibiotics and a decongestant since this is a long duration problem i would suggest a proper otolaryngology examination before starting antibiotics,Speaker_7,23.24,"['treatments', 'antibiotics', 'otolaryngology', 'examination']",train
audio/Speaker_7/Speaker7-462.wav,hello doctor my husband get depression diagnosis last year but after some months he come regain motivation small for the last three months now he don start to dey drink alcohol plenty he no wan exercise again he no dey socialise with family members e no get appetite and he no get motivation to do anything he still dey get some memory problems too i don book appointment with psychologist but we go still wait two weeks before we fit see am i dey worry say my husband fit fall down for house when i go work wetin i fit do to help am,hello doctor my husband was diagnosed with depression last year but he managed to become motivated a few months afterward for the last three months he has started to spend more time consuming alcohol refused to exercise or socialize with family members has a lack of appetite and shows no motivation to do anything he also has some memory problems i have booked an appointment with a psychologist but we have to wait for another two weeks before we can see the psychologist i am worried that my husband might fall at home while i am at work what can i do to help him,Speaker_7,32.67,[],train
audio/Speaker_7/Speaker7-463.wav,hi i be twenty five years old my period don delay for three days now i knack about twenty five days ago and i take emergency contraceptive pill the next day today for my urine i see small white or kind brownish thing wey come out i no really know wetin e be abeg help me understand am i fit get belle or na something else,hi i am twenty five years old my period has been delayed for three days now i had sexual intercourse approximately twenty five days ago and took the emergency contraceptive pill the next day today in my urine there was a white or i would say brownish tiny thing that came out i am not sure what it is please help me to understand am i pregnant or is it something else,Speaker_7,21.01,"['sexual', 'intercourse', 'emergency', 'contraceptive', 'pill', 'white']",train
audio/Speaker_7/Speaker7-464.wav,hello if your friend never do magnetic resonance imaging scan for shoulder e need make e do am to check if na tendinitis or rotator cuff tendon tear e fit still need arthroscopic surgery to repair the problem wey e dey face,hello if your friend hasn t had a magnetic resonance imaging scan of the shoulder he needs one to check for tendinitis or a tear of a rotator cuff tendon and he may need arthroscopic surgery to repair the problem he is having,Speaker_7,16.65,"['magnetic', 'resonance', 'imaging', 'tendinitis', 'arthroscopic']",train
audio/Speaker_7/Speaker7-465.wav,retention cyst no be cancer your mri show age related changes wey dem dey see for cervical spondylosis wetin be your complain why you go do mri,a retention cyst is not cancer your mri shows age related changes seen in cervical spondylosis what complaints did you have why did you have an mri,Speaker_7,11.54,"['retention', 'cyst', 'mri', 'age', 'related', 'changes', 'cervical']",train
audio/Speaker_7/Speaker7-466.wav,hello e fit be prostatitis you get history of unprotected sex with new partner before the symptoms start dem don do abdominal ultrasound before abeg attach the reports you get urine culture report you talk say dem don treat you three times which antibiotic dem give you you still dey feel burning after ejaculation too you get diabetes or high blood pressure,hello it can be prostatitis do you have a history of unprotected sex with a new partner before the onset of symptoms has an abdominal ultrasound been done before kindly attach the reports is there any report on urine culture you mentioned that you have been treated three times which antibiotic has been given to you do you have a burning sensation after ejaculation as well are you diabetic or hypertensive,Speaker_7,26.77,"['abdominal', 'ultrasound', 'antibiotic', 'burning', 'sensation', 'ejaculation', 'diabetic', 'which', 'hypertensive']",train
audio/Speaker_7/Speaker7-467.wav,i get stiffness for my left shoulder and e even dey affect my elbow too e dey pain me when i touch am like say nerve don jam inside recently i sleep for foldable bed how i fit ease the pain i suppose take ibuprofen or i just go wait make e go down by itself thank you,i don t think hyoscine is the cause of your discomfort in the right side area on the contrary it is used to relieve pain as are omeprazole and amitriptyline what i would like to know is the indication for the gallbladder removal was it due to gallstones or something else and was it after a biliary colic or not we can understand and explain many of your symptoms after removal,Speaker_7,19.83,"['think', 'discomfort', 'omeprazole', 'amitriptyline', 'gallstones']",train
audio/Speaker_7/Speaker7-468.wav,i get stiffness for my left shoulder and e even dey go reach my elbow too e dey pain me when i touch am like say nerve don jam inside recently i sleep for foldable bed how i fit ease the pain i suppose take ibuprofen or i just go wait make e reduce by itself thank you,i have stiffness in my left shoulder and it also seems to be in my elbow it s painful to touch almost like a trapped nerve i have recently slept on a foldable bed how can i ease the pain should i take ibuprofen or do i just have to wait until it eases thank you,Speaker_7,16.79,['stiffness'],train
audio/Speaker_7/Speaker7-469.wav,hi welcome to health care management wetin your friend suggest na complete nonsense no be only friendship go spoil but you go still enter serious legal wahala the immaturity of both of una don likely cause this kind unacceptable idea if you still go ahead with am you go face plenty problem for future and you go really regret say you do such foolish decision the answer na big no nothing else,hi welcome to the health care management what your friend suggested is outright absurd not only will you lose your friendship but you will also encounter a lot of legal complications the immaturity of both of you has likely led to such an unacceptable idea if you go ahead with this you will face many problems in the future and will seriously regret having made such a foolish decision the answer is a big no and nothing else,Speaker_7,24.91,[],train
audio/Speaker_7/Speaker7-470.wav,this one sound like say you get raynaud disease and say nifedipine wey you dey take no dey help you i go advise make you talk to your doctor again to see if other treatment options dey you fit even qualify for prednisone treatment if your erythema nodosum dey actively dey cause your raynaud disease,this does sound like you have raynaud s disease and that your nifedipine is not helpful i would talk with your doctor again and see if there are other options for treatment you may be a candidate for prednisone therapy if your erythema nodosum is actively causing your raynaud s disease,Speaker_7,22.38,"['raynaud', 'disease', 'talk', 'erythema', 'nodosum']",train
audio/Speaker_7/Speaker7-471.wav,i don dey get pain for middle back right side for three days now e dey pain me when i breathe or when i twist my upper body go left e still dey pain me when i press my hand for back just above my waist e dey feel like say i don pull muscle or ligament,i have been experiencing middle back pain on the right side for three days now it hurts when i breathe or when i twist my upper body to the left it also hurts when i press my hand on the back right above the waist it feels as if i may have pulled a muscle or a ligament,Speaker_7,16.42,"['middle', 'side', 'hurts']",train
audio/Speaker_7/Speaker7-472.wav,hello red and painful bumps wey dey leave black spots for summer dem dey call am perioral dermatitis na too much heat dey cause am use antibiotic and mupirocin ointment to reduce the bumps and use mometasone to reduce the black spots,hello red and painful bumps leaving black spots in summer are called perioral dermatitis it is due to excessive heat use an antibiotic and mupirocin ointment to decrease the bumps and mometasone to decrease the black spots,Speaker_7,20.32,"['painful', 'bumps', 'spots', 'antibiotic', 'mupirocin', 'mometasone', 'black']",train
audio/Speaker_7/Speaker7-473.wav,welcome to healthcaremagic your report normal well well no be anything to worry about only say small pus cells dey there drink plenty water at least four to five liters every day avoid alcohol and stop smoking so that your sperm quality go improve live healthy lifestyle,welcome to healthcaremagic your report is very much normal there is nothing to worry about except for a few pus cells take plenty of water at least four five liters per day abstain from alcohol and quit smoking to improve the quality of your sperm have a healthy lifestyle,Speaker_7,17.0,"['liters', 'quit', 'smoking']",train
audio/Speaker_7/Speaker7-474.wav,no e no get anything to do with your previous accident but if e happen again go do echocardiography to check if any real problem dey for your heart,no it is not related to your previous accident but if it happens again undergo echocardiography to exclude any organic malfunction of the heart,Speaker_7,10.29,[],train
audio/Speaker_7/Speaker7-475.wav,hi i do hysteroscopy last month because of infertility dem talk say my endometrial lining na only five millimeters dem stretch the lining and give me progynova and modus my period suppose dey come every 28 days but i still never see am and i dey worry if my cycle go become irregular or if i fit dey pregnant e don delay about six days now abeg reply me,hi i had a hysteroscopy last month for infertility they said my endometrial lining is only five millimeters they stretched the lining and gave me progynova and modus my periods will occur approximately every twenty eight days however i still did not get my period and i am worried about whether my periods will become irregular or if i am pregnant it has been extended for about six days please reply,Speaker_7,25.54,"['hysteroscopy', 'endometrial', 'irregular']",train
audio/Speaker_7/Speaker7-476.wav,good night doctor my mama dey do dialysis for kidney failure three times every week i wan know if stem cell therapy fit help kidney failure she na fifty years old as e be now she still dey pass urine and she dey feel hungry e possible make my mama do stem cell therapy anywhere for india especially hyderabad e dey possible,good night doctor my mother is on dialysis for kidney failure three times a week i want to know if it is possible for stem cell therapy for kidney failure she is fifty years old as of now she is able to pass urine and feels hungry is it possible for my mother to undergo stem cell therapy anywhere in india especially hyderabad is it possible,Speaker_7,22.59,"['kidney', 'failure', 'able', 'pass', 'urine']",train
audio/Speaker_7/Speaker7-477.wav,i dey twenty three years old i dey suffer from spinal tuberculosis as per my mri report dem say i get spondylodiscitis wey likely be from tuberculosis wey affect t11 t12 and l1 l2 bones and the discs between dem with soft tissue around the area t11 t12 don reduce in height mild scoliosis dey bend towards left side wetin i need to dey careful about while i dey take antitubercular therapy 4 and pyridoxine 10 how long e go take before i go fully recover i fit still continue my work wey require me sit down for seven to eight hours,i am twenty three years old i am suffering from spinal tuberculosis as per the magnetic resonance imaging test report there is spondylodiscitis likely due to tuberculosis involving the t11 t12 and l1 l2 vertebral bodies and intervening discs with a pre and paravertebral soft tissue component the t11 t12 has reduced in height there is mild scoliosis towards the left what all things do i need to keep in mind while taking antitubercular therapy four and pyridoxine ten how long would it take to be fully cured can i continue with doing my job which involves sitting for seven to eight hours,Speaker_7,46.14,"['spinal', 'magnetic', 'resonance', 'spondylodiscitis', 'tuberculosis', 'mild', 'scoliosis', 'antitubercular', 'pyridoxine', 'sitting']",train
audio/Speaker_7/Speaker7-478.wav,i dey sixty four years old my height na five feet seven inches and i weigh two hundred and thirty four pounds i get diabetes chronic obstructive pulmonary disease asthma and low blood pressure my heartbeat no regular and i get neuropathy and e hard for me to move around because my body dey swell my question be say i get small small bumps under my tongue the veins there dey very visible and dey look purple you fit tell me wetin this one be,i am sixty four years old five feet seven inches tall and weigh two hundred and thirty four pounds i am a diabetic and have chronic obstructive pulmonary disease asthma and low blood pressure i have an irregular heartbeat and neuropathy and i find it very hard to move around because i stay swollen my question is about the few small bumps underneath my tongue the veins are very prominent and look purple can you tell me what this is,Speaker_7,30.56,"['heartbeat', 'prominent']",train
audio/Speaker_7/Speaker7-479.wav,small pea size fatty lump dem dey call am lipoma na harmless condition be that if these lump start to dey grow bigger or e begin dey pain you then you need medical attention and dem suppose check am with fine needle aspiration for cytology,small pea sized fatty accumulations are called lipomas it is a benign condition if these tumors start increasing in size or become painful then they need medical attention and should be evaluated with a fine needle aspiration for cytology,Speaker_7,18.62,"['sized', 'fatty', 'accumulations', 'lipomas', 'tumors', 'increasing', 'needle']",train
audio/Speaker_7/Speaker7-480.wav,e no serious e fit be some kind infection usually people wey get ulcer for lower leg dey get swellings wey dem dey call inguinal lymph nodes but if e dey happen too often you suppose go see surgeon you need further check up and evaluation,it is not serious it may be some kind of infection usually people who have ulcers in the lower limbs have swellings called inguinal lymph nodes however if it is very frequent you should meet with a surgeon you need further evaluation,Speaker_7,13.61,"['ulcers', 'limbs', 'swellings']",train
audio/Speaker_7/Speaker7-481.wav,i dey thirty one years old my fiancé senior me by twenty two years the age no dey bother me but both of us want pikin together i know say e no go easy because of his age wetin make i write be say we get one friend wey be nurse even though she no be specialist she dey feel my left side and she talk say she think say one ovary fit block i don get pelvic inflammatory disease before when i be rape victim i know say this kind thing fit cause infertility e get anything wey i fit do to increase my chance if truly one ovary block e fit dey treated,i am thirty one years old my fiancé is older than me by twenty two years the age does not bother me however we both want a child together i know it won t be easy given his age my reason for writing is that we have a friend who is a nurse and though not an expert she was palpating my left side and said she thinks an ovary could be blocked i have had pelvic inflammatory disease before when i was raped i know this causes infertility is there something i can do to increase my chances if i do have a blocked ovary is it something that can be treated,Speaker_7,40.68,"['fianc', 'inflammatory', 'disease']",train
audio/Speaker_7/Speaker7-482.wav,i get bipolar disorder and bipolar depression i don reach thirty nine weeks pregnancy and i fit born anytime from now but i no dey take any medicine for my bipolar condition and i plan to breastfeed my baby wetin i fit do to control my bipolar symptoms since i no dey on medication,i suffer from bipolar disorder and bipolar depression i am thirty nine weeks pregnant and due to deliver any day but i have not taken any medication for my bipolar condition and i plan on breastfeeding my child what can i do to control my bipolar symptoms while not on medication,Speaker_7,17.81,"['bipolar', 'disorder']",train
audio/Speaker_7/Speaker7-483.wav,the most common reasons wey fit cause lump or mass for elbow na pyogenic skin infection bursitis and sebaceous cyst other causes wey rare pass like migraine no dey happen often,the most common causes of an elbow lump or mass are pyogenic skin infection bursitis and sebaceous cyst other possible causes such as migraine are rarer,Speaker_7,15.56,"['elbow', 'lump', 'mass']",train
audio/Speaker_7/Speaker7-484.wav,no need to worry too much because this one na harmless condition like infected sebaceous cyst or neurofibroma if e still dey worry you you fit go do fine needle aspiration cytology test to confirm am all the best,not to worry much as this is a benign condition like an infected sebaceous cyst or a neurofibroma if it really worries you you can go for a fine needle aspiration cytology test for confirmation all the best,Speaker_7,15.21,"['condition', 'infected', 'sebaceous', 'cy', 'neurofibroma', 'fine', 'needle', 'aspiration', 'cytology', 'test']",train
audio/Speaker_7/Speaker7-485.wav,hello if you don dey abstain for long time like that question of pregnancy no even dey arise once you stop the pills protection don finish so you need another kind contraception before you plan to do sex again for now abeg go see specialist make dem treat your sore and urinary infection make you abstain until you fully heal if you still do sexual intercourse when you dey take the last four tablets no need to worry at all because you still dey safe i hope this information help you wish you good health,hello if you have been abstaining for so long the question of conception does not arise once you stop the pills you are no longer protected and you need some other form of contraception before you plan further intercourse for the time being please get your sore and urinary infection treated by a specialist please abstain until you are totally cured if you had sexual intercourse while on the last four tablets then you need not worry at all as you are safe hope you find this information useful wish you good health,Speaker_7,35.25,"['infection', 'sexual', 'intercourse']",train
audio/Speaker_7/Speaker7-486.wav,hi i be runner and i get good running shoes but recently my left knee dey give me serious pain also my left hip dey feel like say e bruise right on top of the bone for just one spot and e dey pain me when i touch am or move am plenty wetin dey happen and wetin i fit do about am,hi i am a runner and i have good running shoes but recently my left knee has been experiencing severe pain additionally my left hip feels like it is bruised right on top of the bone in only one spot and it hurts to touch it or move it a lot what is wrong and what can i do about it,Speaker_7,19.5,"['runner', 'knee', 'severe', 'hip', 'bruised', 'top', 'bone', 'additionally']",train
audio/Speaker_7/Speaker7-487.wav,you get problem with constipation abeg give all the tests and investigations wey you don do you no talk anything about the sickness wey you don dey suffer for six years as you talk before,do you have a problem with constipation please provide all the investigations you underwent you have written nothing about a disease you have been suffering from for six years as you mentioned,Speaker_7,10.38,['constipation'],train
audio/Speaker_7/Speaker7-488.wav,i dey thirty years old now i don dey get acne since i be fourteen the acne dey usually flare up more when i release fluid through masturbation one doctor once give me aldactone 100 milligrams for two months and e clear my skin like magic but when i stop the medicine the acne come start to come back again abeg suggest me cure for this my problem,i am thirty years old now i have been having acne since i was fourteen acne breakouts usually appear more when i ejaculate fluid through masturbation a physician once prescribed me aldactone one hundred milligrams for two months and magically it cleared up my skin when i stopped the medication the acne began to come back again please suggest a cure for my problem,Speaker_7,22.29,"['acne', 'aldactone', 'milligrams']",train
audio/Speaker_7/Speaker7-489.wav,hello yes you get some kind anxiety because of the loss of your coach see e no always be serious problem but still you fit do electrocardiogram and chest x ray to rule out any lung or heart problem the most common issue na anxiety related gastritis,hello yes you have some form of anxiety due to the loss of your coach see it is not always a significant problem however you can definitely have an electrocardiogram and a chest x ray to rule out lung and heart related issues the most common issue is due to anxiety related gastritis,Speaker_7,17.39,"['anxiety', 'electrocardiogram', 'chest', 'lung']",train
audio/Speaker_7/Speaker7-490.wav,i no think say e suppose be big issue but still if you dey feel discomfort e always better make you go see specialist try do costal and deep breathing exercise put your hand for the place wey dey pain you once the muscle recover and e gain strength i believe say you go dey alright,i do not think it should be a big issue still if you feel discomfort it is always better to meet a specialist try doing costal and deep breathing exercises by placing your hand over the painful area once the muscle recovers and gains strength i hope you should be fine,Speaker_7,16.65,['costal'],train
audio/Speaker_7/Speaker7-491.wav,hello your history clear well well the statement say the pain dey very strong and e dey change place itself dey point say the most likely diagnosis na meckel s diverticulitis abeg discuss this matter with your doctor go collect referral to surgical gastroenterologist if ultrasound and ct scan no fit help confirm the diagnosis diagnostic laparoscopy with possible surgery fit be good option you need go back to emergency room,hello your history is very classical the statement the pain is severe and changes locations itself suggests the most probable diagnosis of meckel s diverticulitis please discuss this with your doctor get a referral to a surgical gastroenterologist if the ultrasonography and computed tomography scan do not help in making a diagnosis diagnostic laparoscopy with possible surgical intervention is a good alternative you should return to the emergency room,Speaker_7,28.82,"['severe', 'meckel', 'diverticulitis', 'ultrasonography', 'computed', 'tomography', 'laparoscopy', 'return']",train
audio/Speaker_7/Speaker7-492.wav,muscle weakness and knee stiffness na clearly because say you no dey move body well as you start to dey move after long time e go take small time before the joint go loosen up same way muscles go also need time before dem go regain strength together with knee movement muscles na wetin dey help stabilize your knee so as dem start to dey strong again the problem and discomfort wey concern balance go reduce and clear make you get patience and do physiotherapy e go help well well,muscle weakness and knee stiffness are obviously due to immobility as you start movement after a long time it will take time to loosen up the joint similarly muscles will take time to regain their strength along with knee movement muscles are responsible for stabilizing your knee so as your muscles start to gain strength the problems and discomfort related to equilibrium will be resolved patience and physiotherapy will be helpful,Speaker_7,29.68,"['knee', 'stiffness', 'problems', 'discomfort', 'patience', 'physiotherapy']",train
audio/Speaker_7/Speaker7-493.wav,low fat diet na your best option along with am try maintain correct body weight other remedies or supplements usually no dey work if you get gallstones or you dey get the problem again and again you fit need to remove your gallbladder,a low fat diet is your best option along with that you should try to maintain an ideal body weight other remedies or supplements do not usually work if you have gallstones or experience recurrent problems you may need to have your gallbladder removed,Speaker_7,16.25,"['diet', 'gallstones']",train
audio/Speaker_9/Speaker9-1.wav,my mama dey sixty eight years she get one paralysis attack eight months ago wey affect her left side thank god say her leg don improve she don dey waka small but the problem be say her left hand and shoulder dey pain her and e never show any improvement she don lose weight dey complain of dizziness and she dey very weak her weight na forty three kilograms please abeg advise me,my mother is sixty eight years old she had a paralysis attack eight months ago her left side was affected she has shown improvement in her leg she can walk thank god however her left hand and shoulder are painful and there has been no improvement she has lost weight and complains about dizziness she is weak and her weight is forty three kilograms please advise,Speaker_9,28.61,"['mother', 'sixty', 'paralysis', 'attack', 'side', 'shoulder', 'weight']",train
audio/Speaker_9/Speaker9-2.wav,i be twenty seven years old and i never marry i get this problem but e dey increase and decrease from time to time this thing don really frustrate me apart from this i no get any other health problem abeg how i go take stop am i know say this sickness fit get some side effects like bone problem and chest reduction i think say na because of this problem i dey get those issues,i am twenty seven years old and unmarried i have this problem but it increases and decreases from time to time i am very frustrated because of this i do not have any other health problems please tell me how i can make it stop i know some side effects of this disease such as bone problems and chest decrease i think i have these problems because of this,Speaker_9,27.96,[],train
audio/Speaker_9/Speaker9-3.wav,hello dear i understand your concern this small injury fit don affect the nerves wey dey around your ankle like peroneal and tibial nerves and e fit make you no too feel for some parts wey those nerves dey control but na just possibility be this i go advise make you go see neurologist wey go check you well and fit recommend test like nerve conduction study if need dey i hope say this one help you,hello dear i understand your concern this minor trauma may have caused injury to the nerves around the ankle like the peroneal and tibial nerves which may have led to sensory loss in territories specific to the injured nerves this is just a possibility i can suggest that you visit a neurologist so that they may examine you and recommend nerve conduction studies if needed i hope this helps,Speaker_9,28.63,"['minor', 'sensory', 'loss', 'neurologist', 'studies']",train
audio/Speaker_9/Speaker9-4.wav,hello i wan tell you say i don dey experience this loud banging sound inside my head i dey suffer from depression and anxiety because of long time lower back pain and i dey take medication for am the mri scan of my brain show say everything normal wetin i suppose do and which kind neurologist i suppose go see i don also see ent doctor before and dem tell me make i come back with my mri result this loud sound dey worse anytime i talk hear sound or when i upset abeg make una help me,hi i have been experiencing this loud banging noise inside my brain i am suffering from depression and anxiety due to chronic lower back pain and i am on medication for this problem the magnetic resonance imaging of the brain looked normal what should i do and what type of neurologist should i see i also consulted an ear nose and throat doctor and will have to go back with my magnetic resonance imaging results this loud noise gets worse when i talk listen or get upset please help me,Speaker_9,36.83,"['loud', 'depression', 'anxiety', 'medication', 'magnetic', 'resonance', 'imaging', 'brain']",train
audio/Speaker_9/Speaker9-5.wav,wetin be the size of the stone now you dey feel pain or you dey get problem to piss if the stone no pass ten millimeters and you no get any symptoms no worry dem fit treat am with medicine,what is the size of the stone now are you experiencing pain or difficulty in passing urine if the stone is less than ten millimeters and you have no symptoms do not worry you can be treated medically,Speaker_9,14.61,"['stone', 'difficulty', 'passing', 'urine']",train
audio/Speaker_9/Speaker9-6.wav,hello doctor i dey relationship and i need to give you her background as pikin wey dey grow up they abuse am physically she get some diagnoses but today she open up tell me say she dey get thoughts to hurt people including our one year old pikin i fit swear say she no go ever act on am but we don get therapists wey don call child protective services on us before so now we dey try avoid to talk this kind thing with our therapist she don stop her medication for now and dey wait for her medical marijuana card to come out for the past three years she don try about thirty two different medications and this marijuana na like our last option i just dey look for advice and i go really appreciate,hello doctor i am in a relationship and i need to give you her background as a child growing up she was sexually and physically abused she has a couple of diagnoses however today she confided in me that she was having thoughts of hurting people including our one year old daughter i can guarantee she would never act on it but we have had therapists call child protective services on us so we are trying not to talk to our therapist about this she is also off her medication and waiting for her medical marijuana card to arrive over the past three years she has been on thirty two different medications and the marijuana is basically our last ditch effort i am just looking for advice and it is much appreciated,Speaker_9,48.74,['past'],train
audio/Speaker_9/Speaker9-7.wav,hi i don go through your question and i understand your concern for this area e fit point to different problems and the most common ones na pilonidal cyst or perianal abscess these ones na inflammation wey dey happen for sacral or around anus area and dem usually dey show with pain redness swelling fever and sometimes pus discharge another possible condition na cellulitis but e no too common for that area e fit also happen for sacral region most times bacteria like beta hemolytic streptococcus dey cause am and e usually need antibiotic treatment like augmentin or a combination of ciprofloxacin and metronidazole you fit also apply cold compress take pain relief drugs like non steroidal anti inflammatory drugs such as ibuprofen 400 mg and rest well if within two days e no improve you need go see doctor so dem fit start intravenous antibiotics i hope say this one help answer your question if you still get more questions feel free to ask i wish make you recover quick,hi i have gone through your question and understand your concerns in this area it may indicate several issues and the most common are pilonidal cyst or perianal abscesses these are inflammatory processes in the sacral and perianal area usually manifested with pain redness swelling fever and pus discharge cellulitis is less common and may also be present in the sacral area this is mostly caused by beta hemolytic streptococcus and it necessitates antibiotic treatment with augmentin or a combination of ciprofloxacin and metronidazole you should also apply cold compresses take non steroidal painkillers such as ibuprofen four hundred milligrams and rest if there is no improvement within two days you should see a doctor and have intravenous antibiotics i hope this answers your question if you have additional or follow up questions then please do not hesitate to write to us i will be happy to answer your questions wishing you good health,Speaker_9,83.48,"['cyst', 'perianal', 'sacral', 'cellulitis', 'antibiotics', 'augmentin', 'ciprofloxacin', 'metronidazole', 'cold', 'antibiotic', 'milligram']",train
audio/Speaker_9/Speaker9-8.wav,hello my pikin wake up get bruise for im ear but the day before i dey with am and e no show any sign of injury e no even cry say e dey pain e fit be say na low blood platelet cause am or maybe spider or insect bite the doctor wey we carry am go see talk say na somebody pull im ear but nobody ever pull im ear before,hello my son woke up with a bruise on his ear however the day before i was with him and he did not show any signs of injury or cry in pain could the bruising be due to a low blood platelet count or a spider or insect bite the doctor we took him to said it was a pull on the ear but no one ever pulled him by the ear,Speaker_9,25.03,"['bruise', 'injury']",train
audio/Speaker_9/Speaker9-9.wav,hello i don dey try get pikin recently i don dey experience all the symptoms including the kind bleeding wey some women dey talk say dem dey get e no be like my normal period at all even the color different e dey spotty e dey stop and start and e dey change for amount and timing abeg i dey go mad my mama talk say she get bleeding during one of her pregnancies e fit be say i dey pregnant and na implantation bleeding i dey get or na period like my mama own i really confuse,hello i have recently been trying to have a child i have been experiencing all the symptoms including the bleeding some women report having it is not like my period usually is at all it is even a different color it is spotty and it stops and starts and changes in amount and timing am i just crazy my mother had bleeding during one of her pregnancies could i be pregnant and just having implantation bleeding or a period like my mother had i am very confused,Speaker_9,33.92,['bleeding'],train
audio/Speaker_9/Speaker9-10.wav,lifestyle change go really help together with the medicines wey i don talk before e include make you avoid food wey spice dey well well no dey chop late night food reduce coffee strong tea chocolate and make you stop smoking if you dey smoke also make you dey sleep with your head slightly raised use pillow take prop yourself up,lifestyle modification will help along with the use of the aforementioned medications this includes avoiding spicy food late night meals coffee strong tea chocolate smoking and sleeping in a propped up position,Speaker_9,25.7,"['lifestyle', 'modification']",train
audio/Speaker_9/Speaker9-11.wav,dem schedule me for magnetic resonance imaging scan for my lumbar region i just look my x ray report and e show say the examination of my lumbar spine dey show serious disc space narrowing with sclerosis and spondylosis for l1 l2 level i also see disc space narrowing with spondylosis for l3 l4 level there is small forward slipping of l4 and l5 minimal anterior subluxation i no really get back pain except for cramp and serious sciatica pain for my left hip wey dey go down my leg i dey also get constant cramping for my calves and thighs especially after i don stand for work all day abeg you fit tell me wetin dem fit dey look for,i am scheduled for a magnetic resonance imaging scan of the lumbar region i just looked at my x ray report and it shows that the examination of the lumbar spine demonstrates significant disc space narrowing with sclerosis and spondylosis at the l1 l2 level i also see disc space narrowing with spondylosis at the l3 l4 level there is minimal anterior subluxation of l4 and l5 i have no back pain except for cramping and horrible sciatica pain in my left hip and down my leg i get cramping in my calves and thighs constantly mostly after standing all day can you tell me what they might be looking for,Speaker_9,58.28,"['magnetic', 'resonance', 'imaging', 'lumbar', 'examination', 'disc', 'space', 'narrowing', 'sclerosis', 'spine', 'spondylosis', 'minimal', 'cramping', 'sciatica', 'hip', 'calves', 'thighs']",train
audio/Speaker_9/Speaker9-12.wav,when i stand for long time with tight belt wey dey hold my trouser i dey feel pain for lower right side just below where the belt dey the pain dey even strong sometimes and e dey take time before e go reduce even after i take painkiller and use cold compress abeg e fit be say na my belt dey cause am wetin i dey damage for inside i don do two mri scans and dem no see anything wrong,when i am standing for a period of time with a tight belt holding up my pants i experience pain on the lower right hand side below the belt level this becomes intense and takes time to subside with the aid of painkillers and a cold compress is it my belt what am i damaging i had two magnetic resonance imaging scans and nothing was found,Speaker_9,26.63,"['painkillers', 'hand', 'side', 'below', 'belt', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_9/Speaker9-13.wav,e look like say you fit get asthma you suppose do lung function test and also chest x ray to start with,it looks like you might be having asthma you should get lung function studies and a chest x ray to begin with,Speaker_9,8.1,"['lung', 'chest', 'ray']",train
audio/Speaker_9/Speaker9-14.wav,hi as you don talk am you don do x ray and dem no see any abnormal thing so why you no just do mri e go help show if any soft tissue injury dey meanwhile like you don talk say you dey do physiotherapy for your foot after operation you fit still do exercise for your left leg too because since you don operate your right foot e fit make you dey put more weight for the other side of your body and that one fit cause pain wey fit be temporary as strength dey improve for both your legs i believe say you go get better relief for your left side with god grace you go well soon,hi as you mentioned you have had x rays taken and nothing seems to be abnormal well why don t you just get an mri done it will help to see any soft tissue injuries present in the meantime as mentioned you are undergoing physical therapy for the foot after the operation well how about doing some exercises for the left leg as well since you have had an operation on the right foot there is always a tendency to apply more weight on the other side of the body which can lead to pain that may be temporary as the strength improves in both of your lower limbs i am sure you will find relief on your left side with the grace of god i wish you a speedy recovery,Speaker_9,39.94,"['rays', 'mri', 'injuries', 'therapy', 'foot', 'leg', 'other', 'side', 'strength', 'improves', 'relief']",train
audio/Speaker_9/Speaker9-15.wav,hello i wan know more about the symptoms like wetin dey trigger am and wetin dey make the pain worse most times e dey look like gastritis or reflux disease you dey feel upper belly pain nausea bloating burping or the pain dey increase after you don chop you dey get sour water feeling for throat or burning for chest if yes e fit support that diagnosis you suppose avoid fatty oily and high calorie food after you chop make you waka small instead of to go lie down chop small small meals instead of heavy food maintain regular sleep pattern and try avoid stress make you dey chop plenty green leafy vegetables and fruits if you dey smoke or drink alcohol try stop am you fit take tablet like pan dsr 40 mg before breakfast once daily for two weeks but because of your age e less likely say na heart problem or any serious thing be the cause still you suppose do ecg when the episode happen,hello i need to know more about the symptoms such as precipitating factors factors that increase pain etc mostly it is gastritis and reflux disease do you experience upper abdominal pain nausea bloating burping an increase in pain after eating a sour water feeling in your throat or chest burning if yes it further supports the diagnosis you should avoid a fatty oily and high calorie diet take a walk after eating instead of resting have multiple small meals instead of heavy meals maintain regular sleep habits and avoid stress eat lots of green leafy vegetables and fruits avoid smoking and alcohol if applicable you can be prescribed tablet pan dsr forty milligrams before breakfast once a day for two weeks however considering your age it is less likely to be a cardiac or any other serious cause still you should get an electrocardiogram done during the episode,Speaker_9,69.06,"['gastritis', 'abdominal', 'sour', 'water', 'chest', 'multiple', 'pan', 'ds', 'milligrams', 'before', 'cardiac', 'electrocardiogram']",train
audio/Speaker_9/Speaker9-16.wav,i wake up last thursday i notice say both my arms dey feel like dead arm i also dey get small small tremor for my left arm sometimes for the last two days now my arms and shoulders no just dey normal again dem dey feel strange and affected abeg wetin fit be the problem,i got up last thursday with a dead arm feeling in both of my arms i have some tremors in my left arm from time to time for the last two days my arms and shoulders seem to have been affected leaving my arms and shoulders feeling strange what could this be,Speaker_9,20.09,"['tremors', 'arm', 'arms', 'shoulders']",train
audio/Speaker_9/Speaker9-17.wav,hello the symptoms look like upper respiratory tract infection but if the pikin don stop to dey feed then e fit mean say infection don serious reach sepsis level the child likely go need hospital admission for better care,hello the symptoms are suggestive of an upper respiratory tract infection however if the child has stopped feeding then there is a chance of sepsis the child will probably need admission to the hospital,Speaker_9,14.98,"['respiratory', 'tract']",train
audio/Speaker_9/Speaker9-18.wav,hello my padi get stomach cancer couple months ago dem do operation comot the tumor but dem say the cancer don dey spread recently e don vomit black thing and e say e dey burn am really bad wetin dat one mean e mean say e dey die,hello my friend was diagnosed with stomach cancer a couple of months ago they performed operations to remove the tumor but they say the cancer is spreading he has recently vomited a black substance and he says it burned really badly what does that mean does this mean he is dying,Speaker_9,19.81,['black'],train
audio/Speaker_9/Speaker9-19.wav,my pikin be ten years old e dey pass gas wey get bad smell later e start to dey vomit and e get runny stool doctor give am zanocin 200mg i don give am four tablets but e no better anything wey e chop e go still run stool and vomit i also give am septran two tablets but the loose stool still dey continue abeg advise me whether make i continue zanocin septran or any other medicine,my son is ten years old he was passing gas with a foul odor and later started vomiting and having loose stools the doctor prescribed zanocin two hundred milligrams of which i have given him four tablets but there has been no improvement anything he eats results in loose stools and vomiting i have also given him septran two tablets but the loose stools continue kindly advise whether to continue with zanocin septran or any other medicine,Speaker_9,31.42,"['gas', 'foul', 'odor', 'vomiting', 'loose', 'stool', 'zanocin', 'milligram']",train
audio/Speaker_9/Speaker9-20.wav,hello doctor e get as money stress fit affect person health e get link between financial stress poverty and bad health for body people wey dey always worry about their money matter dem get higher chance to get some kind sickness or disease if person reduce stress level e fit improve body health overall,hello doctor does economic stress affect a person s health is there a link between financial stress poverty and poor overall health do people who worry about their financial status have higher risk levels for certain types of diseases or illnesses can lowering stress levels improve overall physical health,Speaker_9,21.29,"['economic', 'stress', 'higher', 'lowering', 'improve']",train
audio/Speaker_9/Speaker9-21.wav,hello welcome to health care management the symptoms wey you talk here no relate to blood pressure but e fit be functional problem and e fit relate to anxiety and depression you need to support her emotionally and make she try reduce her stress i hope dis information go help you,hello welcome to the health care management the symptoms that are stated here are not related to blood pressure but this could be a functional problem and may be related to anxiety and depression you have to support her morally and ask her to lower her stress i hope this information helps,Speaker_9,18.37,['symptoms'],train
audio/Speaker_9/Speaker9-22.wav,hi doctor i dey use implanon i dey knack and i dey get period for like one year before but e stop about two months ago i still dey knack when i dey see period recently i dey feel somehow i knack like 2 to 3 days ago and i feel sharp pain for my lower belly i dey vomit plenty and i dey really dizzy wetin fit be the problem,hi doctor i am on the implanon i have had sexual intercourse and i was on my period for a year which stopped about two months ago i had sexual intercourse while on my period i have been feeling weird i had sexual intercourse about two to three days ago and experienced a sharp pain in my lower abdomen i vomit a lot and feel really dizzy what could it be,Speaker_9,24.5,"['sexual', 'intercourse', 'sharp', 'abdomen', 'vomit', 'dizzy']",train
audio/Speaker_9/Speaker9-23.wav,abeg make you go do pelvic ultrasound for your wife if she get belle dem go see fetal sac wey get heartbeat if she no get belle nothing go show for the scan,please get a pelvic ultrasound for your wife if she is pregnant then a fetal sac with pulsating heartbeats will appear if she is not pregnant nothing will appear,Speaker_9,12.33,"['pelvic', 'vic', 'ultrasound', 'pulsating']",train
audio/Speaker_9/Speaker9-24.wav,since dem don give am blood thinner the irregular heartbeat fit be atrial fibrillation because dem dey usually give blood thinner for atrial fibrillation to prevent blood clot atrial fibrillation na abnormal heart rhythm wey dey make heart dey beat fast and irregular e fit start as small small episodes later e go dey last longer or even become constant dem go do 24 hour holter monitor test e go record hin heartbeat for 24 hours because palpitations fit be different types like atrial ventricular or sinus tachycardia high blood pressure and coronary artery disease na the most common cause so dem go do detailed check up to find the cause dem also go advise echocardiogram and treadmill test together with the 24 hour holter monitoring yes at the beginning e suppose take am serious,since he was given blood thinners the irregular heartbeats could be atrial fibrillation as blood thinners are usually given in atrial fibrillation to prevent the formation of clots atrial fibrillation is an abnormal heart rhythm characterized by rapid and irregular beating often it starts as brief periods of abnormal beating which become longer and possibly constant over time a twenty four hour holter monitor will be done this will keep a record of his heartbeats for the next twenty four hours as palpitations can be of several types atrial ventricular or sinus tachycardia high blood pressure and coronary artery disease are the most common causes so a detailed check up will be performed to rule out the causes an advised echocardiogram and treadmill test will also be conducted along with twenty four hour holter monitoring yes initially it should be taken seriously,Speaker_9,61.97,"['irregular', 'heartbeat', 'heartbeats', 'fibrillation', 'brief', 'palpitations', 'high', 'coronary', 'artery', 'disease', 'echocardiogram']",train
audio/Speaker_9/Speaker9-25.wav,i think say you fit get nerve compression for your spine so e go better make you go see spine specialist e fit ask you make you do mri scan for your spine to check whether nerve dey compressed or not if the result show say e dey then you go need take gabapentin and methylcobalamin tablets but if mri no show anything then you still need do x ray for your knee to see if something dey cause all dis problem,i think you may be experiencing nerve compression in your spine so it would be better if you see a spine specialist he may ask you to get a magnetic resonance imaging scan of your spine to check whether you have nerve compression or not if the report is positive then you may need to take gabapentin and methylcobalamin tablets i still consider that if nothing appears on the magnetic resonance imaging scan then you need to get an x ray of your knee to see if there is something causing all these issues,Speaker_9,29.44,"['nerve', 'compression', 'spine', 'resonance', 'imaging', 'gabapentin', 'methylcobalamin', 'ray']",train
audio/Speaker_9/Speaker9-26.wav,the tooth wey dey next to my front upper tooth dey sensitive heat and cold dey cause sharp pain for my gum if i knock the tooth e dey pain me but if i hold am steady and tap am e no dey pain again and e no too sensitive dem don fill the tooth before but the filling no seem like e don spoil wetin fit be the problem,the tooth right next to my top front tooth is sensitive heat and cold trigger a sharp pain in my gum if i tap the tooth it hurts but if i hold the tooth still and tap it it no longer hurts and isn t as sensitive the tooth has had a filling before which does not seem to have weakened what could this be,Speaker_9,23.27,[],train
audio/Speaker_9/Speaker9-27.wav,hello i be 18 years old i take plan b pill two weeks ago and for one week now i don dey experience serious side effects but dem don dey reduce small small now and my period come start early small just as i think say i don dey better my left hand come start to dey numb since last night i don dey read things online and i dey worry say e fit be blood clot or heart attack abeg you fit give me answer,hello i am eighteen years old i took a plan b pill two weeks ago and for a week i have been experiencing really bad side effects however those are fading now and i started my period a little early just as i thought i was getting better my left arm started to feel numb ever since last night i have been reading things online and some of my concerns were about a blood clot or a heart attack can you please give me some answers,Speaker_9,29.63,"['eighteen', 'arm', 'numb', 'blood', 'clot']",train
audio/Speaker_9/Speaker9-28.wav,thank you for your question the history wey you give suggest say na trauma cause am the changes for the knee joint fit be because of the injury itself no be say na age matter the knee joint dey very delicate especially the meniscus wey easy to injure e go better make you go see orthopedic surgeon make dem give proper opinion have a nice day,thank you for your question the history itself suggests trauma the changes in the knee joint could be due to the trauma itself and not because of aging the knee joint is very fragile particularly the meniscus which is very vulnerable to injury it is better to have an opinion from the orthopedic surgeon have a nice day,Speaker_9,25.31,"['knee', 'meniscus']",train
audio/Speaker_9/Speaker9-29.wav,hi e no just be about to relieve your chest pain only wey matter dem need to find correct diagnosis for your problem and start proper treatment beta blocker dey good to reduce fast heart rate but if na bradycardia e fit even make the heart beat slower pass to check if sinus pause dey dem need do holter monitoring and echocardiography together with blood tests like free t4 t3 and thyroid stimulating hormone sometimes thyroid problem fit cause irregular heartbeat so no worry too much go do the tests and start treatment based on the result abeg go hospital make dem do all these tests,hi it is not just the relief of your chest pain that is important a diagnosis of your problem and proper treatment need to be initiated a beta blocker is effective in lowering a rapid heart rate but in the case of bradycardia it will further reduce the heart rate to identify if there is any sinus pause holter monitoring and echocardiography need to be performed along with free t4 t3 and thyroid stimulating hormone tests sometimes thyroid function problems may cause an irregular heartbeat so do not worry undergo the tests and start treatment accordingly please go to the hospital for the above tests,Speaker_9,49.81,"['chest', 'beta', 'blocker', 'echocardiography', 'thyroid', 'hospital']",train
audio/Speaker_9/Speaker9-30.wav,the common things wey fit cause your symptoms na diabetes vitamin b12 deficiency thyroid problem and anxiety related mental stress disorders dem need to first check and rule out all these causes well well,the common causes for your symptoms are diabetes vitamin b12 deficiency thyroid problems and anxiety spectrum disorders these causes must be primarily evaluated,Speaker_9,16.58,[],train
audio/Speaker_9/Speaker9-31.wav,hi i stop dianette two weeks ago because e dey cause abnormal bleeding since i stop am i don still get unprotected sex with my boyfriend few times last night na the last time i just dey wonder e fit possible to get pregnant that quick after stopping the pill e still dey my system,hi i came off dianette two weeks ago due to the abnormal bleeding it was causing since stopping i have had unprotected sexual intercourse a few times with my boyfriend last night being the last time i am just wondering if it is possible to get pregnant that soon after stopping the pill will it still be in my system,Speaker_9,24.33,"['dianette', 'abnormal', 'bleeding', 'sexual']",train
audio/Speaker_9/Speaker9-32.wav,my papa get lump wey big like baseball just above hin elbow and below hin armpit the area dey pink and warm e no really dey pain am but e dey worry me wetin fit be dis e get history of something like this before for hin leg and e don get cellulitis several times,my dad has a baseball sized lump just above his elbow and below his armpit the area is pink and warm it isn t really painful but it concerns me what might this be he does have a history of something similar happening in his leg accompanied by cellulitis several times,Speaker_9,22.11,"['above', 'his', 'elbow', 'cellulitis']",train
audio/Speaker_9/Speaker9-33.wav,hi nowadays most menstrual problem dey happen because of polycystic ovarian disease polycystic ovarian disease fit cause change for menstrual cycle cyst for ovary difficulty to get pregnant and other health issues e dey linked with change in female hormones like estrogen and progesterone you need to do abdominal ultrasound and also do tests for estrogen luteinizing hormone follicle stimulating hormone lipid profile and blood sugar also check for hypothyroidism and pelvic inflammatory disease from wetin you describe you don already dey take kalachikai powder with honey kalachikai dey help manage cyst issues naturally continue am take three grams twice daily with honey after food for ninety days along with that you fit also take hyponidd from charak pharmacy two tablets twice daily after food and ashokarishtam fifteen milliliters twice daily with equal water after food avoid spicy food and fried junk food do regular kapalabhati and mandukasana exercise and also pranayama like anuloma viloma nadi shodhana and bhramari,hi nowadays menstrual anomalies mostly occur due to polycystic ovarian disease polycystic ovarian disease may lead to changes in the menstrual cycle a cyst in the ovary difficulty getting pregnant and other health issues polycystic ovarian disease is linked to changes in the levels of certain female hormones such as estrogen and progesterone you should undergo an ultrasound of the abdomen and tests for estrogen luteinizing hormone follicle stimulating hormone lipid profile and blood sugar levels additionally check for hypothyroidism and inflammatory pelvic disorder as per your description you are already taking kalachikai powder with honey kalachikai helps to manage cyst issues naturally you should continue this powder taking three grams twice a day with honey after meals for ninety days along with this you can also take hyponidd from charak pharmacy two tablets twice a day after meals and ashokarishtam fifteen milliliters twice a day with an equal amount of water after meals avoid spicy and fried junk foods perform regular kapalabhati and mandukasana as well as pranayama practices like anuloma viloma nadi shodhana and bhramari,Speaker_9,99.31,"['polycystic', 'estrogen', 'progesterone', 'ultrasound', 'luteinizing', 'kalachikai', 'grams', 'twice', 'tablets', 'after', 'milliliters']",train
audio/Speaker_9/Speaker9-34.wav,yes e fit cause visual blackout because when heart rate too high blood pressure fit drop and blood wey dey go brain go reduce so eye fit go black or person fit faint small you fit do wolff parkinson white pathway ablation wey be permanent treatment option and e get low chance say e go come back again,yes it can lead to visual blackouts because at high heart rates blood pressure falls and blood supply to the brain decreases leading to visual blackouts you can undergo wolff parkinson white pathway ablation which is a permanent solution with a low risk of recurrence,Speaker_9,25.17,"['high', 'blood', 'pressure', 'brain']",train
audio/Speaker_9/Speaker9-35.wav,hello doctor i be 29 years old i don marry for the last 1 5 years my problem be say for the past two weeks i no dey get proper erection during sex erection go come small then e go just disappear quick quick dis thing don dey happen for two weeks now before i dey okay well well i dey take some herbal medicine abeg tell me why this thing dey happen to me right now i no fit get proper erection during sex again na only small one i go get if i watch pornography or something like that i dey under serious stress because of this one more thing be say i dey use penis enlargement oil before but e no too frequent e fit be say na that oil cause this problem abeg suggest the best way to cure am,hello doctor i am twenty nine years old i have been married for the last one point five years my problem is that for the past two weeks i have not been getting proper erections during sex the erection comes a bit and goes away instantly this has been happening for the last two weeks before that i was completely fine i am taking some herbal medicines please suggest to me why this is happening to me right now i cannot achieve any erection during sex only a bit if i watch some pornography or something similar i am under a lot of tension because of this yes one more thing i used to use a penis enlargement oil but very rarely it might be because of that oil that i am having this problem please suggest the best possible option to cure this,Speaker_9,51.36,['erections'],train
audio/Speaker_9/Speaker9-36.wav,e fit be say using crutches dey cause my left hand to go numb and weak i don get high cholesterol and recently dem do stent procedure for my heart through cardiac catheterization i also get heart murmur and high cholesterol my left wrist dey very weak and most of the numbness dey for my thumb and wrist and e dey extend small reach my arm but no pain dey e fit be emergency wey relate to my heart or stroke or na just nerve compression because of crutches use plus aggravation of my carpal tunnel syndrome for my left wrist and tennis elbow for my left elbow,can using crutches cause my left hand to go numb and become dysfunctional i have had high cholesterol and recently underwent a stenting procedure via cardiac catheterization i also have a heart murmur and high cholesterol my left wrist is very weak and most of the numbness is in my thumb and wrist and extends slightly up my arm but there is no pain could this be an emergency related to my heart or a stroke or is it just compression of a nerve due to the use of crutches along with aggravation of my carpal tunnel syndrome in my left wrist and tennis elbow in my left elbow,Speaker_9,44.81,"['crutches', 'hand', 'numbness', 'dysfunctional', 'cholesterol', 'high', 'thumb', 'wrist', 'compression', 'carpal', 'tunnel', 'syndrome', 'tennis', 'elbow']",train
audio/Speaker_9/Speaker9-37.wav,hi i fall and hit inside my thigh just beside my anus very hard one week ago bruise come black and blue but e only last for one week now i get hard lump wey dey pain me when i touch am make i just wait make e go away e go fit go away i suppose worry about am,hi i fell and hit the inside of my thigh just beside my anus really hard a week ago the bruise was black and blue but only lasted a week now i have a hard lump that is painful to the touch should i just wait for it to go away will it go away should i be worried,Speaker_9,21.87,"['inside', 'thigh', 'beside', 'anus', 'bruise', 'lump']",train
audio/Speaker_9/Speaker9-38.wav,hello doctor i don dey get chest discomfort for about 2 to 3 months now e no dey one exact place but right now i dey feel am more for left side na dull achy pain wey no really dey go away i also notice say my lymph nodes don swell for about one week now i no sure if e relate to the chest pain since i don dey get am for months,hello doctor i have had chest discomfort for about two to three months now it is not really in one particular area but right now i feel it more on the left side it is a dull achy pain that does not really go away i have also noticed my lymph nodes swelling for about a week i am not sure if this is correlated to the chest pain since i have had that for months,Speaker_9,25.77,"['chest', 'discomfort', 'dull', 'achy', 'lymph', 'nodes', 'swelling']",train
audio/Speaker_9/Speaker9-39.wav,my 5 year old pikin wake up dey complain say him calf leg dey pain am then i tuck am back for bed but e come start to complain say him head dey pain am serious and him body dey hot small i give am paracetamol later e wake up dey vomit with cramping for belle and e still get small fever e still dey complain say him head dey pain and him leg still sore e don pass like 2 hours since e first wake up,my five year old son woke up complaining of pains in his calves then i tucked him in but he began complaining of a bad headache and started to feel warm to the touch i gave him some paracetamol he then woke up vomiting with a cramping stomach and still has a mild temperature he is still complaining of a headache and sore legs it has been two hours since he first woke up,Speaker_9,29.21,"['pains', 'headache', 'warm', 'paracetamol', 'vomiting', 'cramping', 'stomach', 'sore']",train
audio/Speaker_9/Speaker9-40.wav,hi the swelling and red inflamed welt na infection wey come from injury i think say na contusion bruise injury wey come from blunt and hard object e fit be treated with broad spectrum antibiotic twice daily and anti inflammatory medicine twice daily plus topical ointment wey you go apply two times daily to help am heal you also fit add serrapeptase to reduce the swelling for the wound,hi the swollen and inflamed welt is due to an infection caused by injury i think it is a contusion due to injury from a blunt and hard object it can be treated with a broad spectrum antibiotic twice daily and the use of an anti inflammatory agent twice daily as well as the application of topical ointment twice daily to cure it serrapeptase can be added to relieve the swelling on the wound,Speaker_9,28.93,"['inflamed', 'infection', 'contusion', 'blunt', 'hard', 'broad', 'antibiotic', 'twice', 'daily', 'anti', 'inflammatory', 'agent', 'topical', 'serrapeptase', 'swelling']",train
audio/Speaker_9/Speaker9-41.wav,based on your history e seem say na migraine headache you dey experience since betacap medicine help you small cervical spondylitis no usually dey cause this kind headache,based on your history it seems that you are experiencing migraine pain as you found relief with the use of betacap medication cervical spondylitis does not typically cause this type of headache,Speaker_9,12.86,"['migraine', 'cervical']",train
audio/Speaker_9/Speaker9-42.wav,i do vaginal ultrasound and the result show say i get 5 cm cyst for my right ovary and say my endometrium don thick reach 20 2 mm i be 37 years old and my menstruation don delay for 45 days counting from the first day of my last period i no dey pregnant and i don dey suffer nausea and dizziness for more than one month already i need biopsy test,i had a vaginal ultrasound and the results showed that i have a five centimeter cyst in my right ovary and that my endometrium is enlarged to twenty point two millimeters i am thirty seven years old and i am delayed in my menstruation for forty five days counting from the first day of my last menstruation i am not pregnant and i have been suffering from nausea and dizziness for more than a month already do i need a biopsy test,Speaker_9,28.4,"['vaginal', 'cyst', 'ovary', 'endometrium', 'enlarged', 'point', 'mill', 'delayed', 'nausea', 'dizziness', 'biopsy']",train
audio/Speaker_9/Speaker9-43.wav,your first test no correct because your blood level dey low urine test no fit be negative if e don ever show positive before e mean say the first test na false positive,your first test was incorrect because your blood levels are low urine tests can never be negative if they were once positive it means your first test was a false positive,Speaker_9,16.07,"['blood', 'levels', 'urine', 'tests']",train
audio/Speaker_9/Speaker9-44.wav,i just discover small black mole for my 6 month old baby lower back about one month after i born am dem diagnose me with malignant melanoma only stage 1 i do surgery to remove the cancer but now i dey fear say e fit don spread to am during my pregnancy,i just discovered a tiny black mole on my six month old s lower back about one month after he was born i was diagnosed with malignant melanoma only stage one i had surgery to remove the cancer but i am now fearful it could have spread to him during my pregnancy,Speaker_9,23.92,"['tiny', 'black', 'mole', 'after']",train
audio/Speaker_9/Speaker9-45.wav,you fit use some homeopathic or ayurvedic medicines but no stop allopathic treatment if you suddenly stop allopathic drugs e fit cause rebound seizures,you can use some homeopathic or ayurvedic preparations but do not stop allopathic treatment sudden discontinuation of allopathic medications will cause rebound seizures,Speaker_9,16.49,[],train
audio/Speaker_9/Speaker9-46.wav,i just do ultrasound and the technicians say i get shrunken gallbladder i dey get pain for my right side just under my rib cage for the past several months plus irritated and sore throat but i no dey vomit and my eyes no dey yellow wetin shrunken gallbladder mean,i just had an ultrasound done and the technicians said i have a shrunken gallbladder i have pain in my right side right below the rib cage for the past several months an irritated and sore throat no vomiting and no yellow eyes what does a shrunken gallbladder mean,Speaker_9,21.22,"['ultrasound', 'gallbladder', 'below', 'rib', 'several', 'sore']",train
audio/Speaker_9/Speaker9-47.wav,dear parent i understand your concern but this fit be because of diabetes since e dey run for family diabetes symptoms also include say person go dey thirsty well well and dey hungry plenty you need do blood test to check sugar level this symptoms also fit be urinary tract infection and urine test go confirm am,dear parent i understand your concerns but this might be due to diabetes since it runs in the family diabetes symptoms also include increased thirst and hunger you should have a blood test for the sugar level these symptoms could also be due to a urinary tract infection which needs a urine analysis to be confirmed,Speaker_9,23.64,"['urinary', 'urine', 'analysis']",train
audio/Speaker_9/Speaker9-48.wav,about two weeks ago i think say i experience heart attack but i no go emergency room i still dey suffer different symptoms wey fit be diabetes high blood pressure or result of that heart attack i plan to book appointment this week how i go know the difference for my problems and if na heart attack be that i go still dey okay until my appointment,about two weeks ago i think i experienced a heart attack and did not go to the emergency room i am still suffering from different issues that might be diabetes high blood pressure or symptoms from the heart attack i plan to make an appointment this week how do i know the differences in my problems and if it was a heart attack will i be okay until my appointment,Speaker_9,28.35,"['heart', 'attack']",train
audio/Speaker_9/Speaker9-49.wav,breast cancer get tendency to spread go lungs liver bones and brain but spread go uterus no common the lesion for uterus no relate to breast cancer her pain too fit no relate but e still need further investigation spread go bones need to be ruled out if the tumor size small well well then bone spread no really likely and dem no dey do bone scan as routine check up her pain fit just be normal muscle pain most likely,breast cancer has a propensity to spread to the lungs liver bones and brain spread to the uterus is rare the lesion in the uterus is not related to breast cancer her pain also might not be related but needs further investigation spread to the bones needs to be ruled out if the tumor size is too small then bone spread is extremely unlikely and bone scans are not performed as routine workup her pain might be simple muscle pain most likely,Speaker_9,34.85,"['breast', 'uterus', 'lesion', 'bones', 'tumor', 'muscle']",train
audio/Speaker_9/Speaker9-50.wav,there dey upper airway obstruction mainly for throat because of obesity and this dey reduce oxygen wey go lungs and later go rest of body this kind situation fit cause heart failure leg swelling and reduce lung capacity i recommend say you go do full check up for your heart thyroid and lungs finally you go need use cpap machine continuous positive airway pressure for treatment,there is an upper airway obstruction mainly in the throat due to obesity which causes a reduced oxygen supply to the lungs and subsequently to the body this combined situation can lead to heart failure swollen legs and reduced lung capacity i recommend you go for a complete check up of your heart thyroid and lungs finally you will need to use a continuous positive airway pressure cpap machine for treatment,Speaker_9,29.61,"['obstruction', 'throat', 'reduced', 'lungs', 'continuous', 'positive', 'airway', 'pressure', 'cpap']",train
audio/Speaker_9/Speaker9-51.wav,hello welcome to the clinic your follicles no dey grow you need follicle stimulating hormone injection to stimulate dem make dem grow you also need estrogen to improve your endometrium lining intrauterine insemination go give good result,hello welcome to the clinic your follicles are not growing you need follicle stimulating hormone injection to stimulate their growth you also need estrogen to enhance your endometrium intrauterine insemination will yield good results,Speaker_9,19.83,"['follicles', 'estrogen', 'intrauterine', 'insemination']",train
audio/Speaker_9/Speaker9-52.wav,for the past 2 days i don dey find am hard to take deep breath i only fit do am well when i yawn my heart dey beat very fast with small small activity just few steps my heart go start to race i be 53 year old woman last night i dey sleep i reach over my head just to open window my heart come start to pound very hard when i stand small time i dey feel slight pain for my chest and upper back,for the past two days i have had difficulty taking a deep breath i can only do so if i yawn my heart is beating very fast with the least exertion just a few steps and my heart starts racing i am a fifty three year old woman i was sleeping last night and reached over my head just to open the window and my heart just started pounding very hard when standing for a little bit i feel slight pains in my chest and in my upper back,Speaker_9,28.33,"['slight', 'pains', 'chest']",train
audio/Speaker_9/Speaker9-53.wav,malignant tumors dey spread through local spread blood spread and or lymphatic spread if dem do surgery and remove am before e spread then metastasis fit be prevented but if the condition don advance and metastasis don already happen before surgery then chance say cancer go continue to spread dey high,malignant tumors spread through local spread bloodborne spread and or lymphatic spread if the surgery and removal are performed before the spread then metastasis is prevented however in a more advanced form of the condition when metastasis has already occurred before surgical removal the chances of spread of malignancy are high,Speaker_9,29.26,"['malignant', 'lymphatic', 'removal', 'metastasis']",train
audio/Speaker_9/Speaker9-54.wav,i understand your concern about the red rash on top of the foot there fit be many possible causes for the lump and e need proper physical examination to know exactly wetin e be based on the information you give e look like either allergic dermatitis rash or simple bacterial infection i suggest make you see dermatologist for proper treatment including antibiotics for meantime wash the area well well and apply antibiotic cream like mupirocin or fusidic acid your brother fit take antihistamine like loratadine once daily if itching dey all the best,hi i can understand your concern for the red rash on the top of the foot there can be multiple possibilities for the lump and it requires a close physical examination to diagnose the exact nature of the problem in my view correlating with the facts you have provided it appears to be either an allergic dermatitis rash or a simple bacterial infection i suggest you meet with a dermatologist for proper antibiotic therapy in the meantime you should wash the area properly and apply an antibiotic cream such as mupirocin or fusidic acid your brother can take an antihistamine such as loratadine once a day if itching is present all the best,Speaker_9,45.51,"['red', 'rash', 'examination', 'allergic', 'dermatologist', 'antibiotic', 'wash', 'mupirocin', 'fusidic', 'brother', 'antihistamine', 'close', 'itching']",train
audio/Speaker_9/Speaker9-55.wav,i dey fear say i fit get dementia i be 59 years old about 15 years ago i start to get problem with remembering the correct words my doctors no think say e important now i dey mix up words plenty and i dey misplace things often some years ago my brain mri show white matter lesion or something like that but nobody think say e serious e sound like alzheimer s disease,i am afraid i have dementia i am fifty nine years old around fifteen years ago i developed problems with remembering the right words my doctors did not think it was important now i mess up words constantly and lose things a lot a few years ago my brain magnetic resonance imaging showed a white matter lesion or something but no one thought it was a big deal does this sound like alzheimer s disease,Speaker_9,29.47,"['brain', 'magnetic', 'resonance', 'imaging', 'white', 'matter', 'lesion', 'alzheimer', 'disease']",train
audio/Speaker_9/Speaker9-56.wav,hi i get severe cough and breathing problem especially when i do hard work like climbing stairs i go hospital dem give me medicines like l cin montair lc and ascoril i also do blood test and chest x ray pa view and both come normal but my esr erythrocyte sedimentation rate come high reach 110 i need to worry about this i be 40 years old,hi i had a severe cough and breathing problem associated normally when strenuous work like climbing the stairs is done i got examined and was prescribed medicines like l cin montair lc and ascoril i also had a blood test and a chest x ray posteroanterior view done both the blood test and chest x ray were normal however the erythrocyte sedimentation rate value returned with one hundred and ten is there anything to be worried about i am forty years old,Speaker_9,31.05,"['severe', 'cough', 'breathing', 'problem', 'ascoril', 'blood', 'test', 'chest', 'ray', 'erythrocyte', 'sedimentation', 'rate', 'done']",train
audio/Speaker_9/Speaker9-57.wav,my sister get breast cancer before dem remove am later she start to get ulcer dem give her treatment for am shortly after that she discover say she get 10 cm tumor wey dey press her stomach and she lose 80 pounds last year dem remove one kidney she dey do chemotherapy then later dem find cancer for her spine and dem give her radiation she don do 4 chemotherapy sessions she dey complain constipation and today she say she dey bleed from rectum she suppose do scan in 4 days to check if anything don change we dey fear say she fit get stomach cancer i dey hope say na just ulcer but if cancer don spread more wetin be her prognosis and how soon things fit worsen,my sister had breast cancer and it was removed later she found she had ulcers and they prescribed medication for that shortly thereafter she discovered she had a ten centimeter tumor that was pressing on her stomach and she lost eighty pounds last year they removed her kidney she has been undergoing chemotherapy and then found she had cancer on her spine for which she was given radiation she has taken four treatments of chemotherapy she has been complaining of constipation and today she says she is bleeding from her rectum she is due for a scan in four days to see if there are any changes we are both afraid she has stomach cancer i am hoping it is just an ulcer but if she has more cancer spreading what is her prognosis and how soon,Speaker_9,47.81,"['ulcers', 'medication', 'centimeter', 'tumor', 'eighty', 'pounds', 'chemotherapy', 'constipation', 'bleeding', 'rectum', 'scan']",train
audio/Speaker_9/Speaker9-58.wav,my 3 year old pikin just do gastrojejunostomy tube placement on monday he only dey take one medicine through the gastrostomy tube while everything else dey go through the jejunostomy tube he don dey get fever and last night he no sleep well dey wake up wake up later e come vomit dark brown liquid abeg wetin i suppose do,my three year old just got the gastrojejunostomy tube placed on monday he only takes one medicine through the gastrostomy tube and everything else is through the jejunostomy tube he has been feverish and last night he was up and down all night he eventually vomited dark brown liquid can you please tell me what to do,Speaker_9,29.91,"['omy', 'tube', 'vomited', 'dark', 'brown']",train
audio/Speaker_9/Speaker9-59.wav,you must wait for 6 months after the abortion as you be young you fit conceive naturally on your own however you suppose start to take folic acid before you try get belle again,you must wait for six months after the abortion as you are young you will conceive spontaneously however you should start taking folic acid before getting pregnant,Speaker_9,14.09,"['folic', 'acid']",train
audio/Speaker_9/Speaker9-60.wav,hello mucus wey dey come from rectum with abdominal pain fit suggest proctocolitis amoebic colitis or just infection e probably no get anything to do with climbing i go advise antibiotic like metronidazole plus probiotics and anti spasmodic medicine when pain dey abeg take the full treatment under guidance and prescription from local doctor you go dey fine also try dey chop fresh food and drink boiled and cooled water to avoid waterborne colitis,hello mucus from the rectum with pain in the abdomen is suggestive of proctocolitis amoebic colitis or simply an infection it is probably nothing to do with climbing i would advise an antibiotic metronidazole and probiotics with some anti spasmodic medication when in pain please take the course under the guidance and prescription of a local doctor you will be fine consume fresh foods and boiled and cooled water to avoid waterborne colitis,Speaker_9,41.73,"['rectum', 'abdomen', 'spasmodic']",train
audio/Speaker_9/Speaker9-61.wav,dear patient back pain with urinary tract infection fit be due to pelvic inflammatory disease which na inflammation of the pelvic organs but since you get pain wey dey go both legs the possibility of disc prolapse or spinal canal stenosis dey more likely and e look like different condition from the urinary tract infection you get any difficulty to walk or tingling and numbness for both legs if yes then e also fit point to canal stenosis you need mri scan of lumbosacral spine with full spine screening because e dey show detailed information about discs nerves and bones abeg go nearby radiology center do am then go see spine surgeon with the report meanwhile start diclofenac combined with thiocolchicoside twice daily for pain relief plus vitamin b12 and pregabalin 75 mg at night for 10 days also make dem check you to find the cause of the repeated urinary tract infection,dear patient back pain with a urinary tract infection may be due to pelvic inflammatory disease which is inflammation of the pelvic organs however since you have pain radiating into both legs the possibility of disc prolapse or canal stenosis is more likely and seems to be a different condition from the urinary tract infection are there any difficulties in walking or tingling and numbness in both legs if yes then it also points towards canal stenosis you need to be investigated with an mri of the lumbosacral spine with screening of the whole spine as it provides detailed information about discs nerves and even bones please visit a nearby radiology center to get it done afterward consult a spine surgeon with the report meanwhile start taking diclofenac combined with thiocolchicoside twice a day for pain relief along with vitamin b12 and pregabalin seventy five milligrams at bedtime for ten days additionally get examined to search for the cause of the recurrent urinary tract infections,Speaker_9,77.48,"['urinary', 'pelvic', 'prolapse', 'canal', 'walking', 'tingling', 'numbness', 'both', 'legs', 'mri', 'lumbosacral', 'radiology', 'center', 'spine', 'thiocolchicoside', 'twice', 'vitamin', 'pregabalin', 'seventy', 'milligrams']",train
audio/Speaker_9/Speaker9-62.wav,hold the limb up apply warm compress to the painful areas put buprenorphine patch for skin take ibuprofen 400 mg twice daily for 5 days after food,keep the limb elevated apply warm packs to the painful areas apply a buprenorphine patch to the skin take ibuprofen four hundred milligrams twice a day for five days after meals,Speaker_9,13.33,"['limb', 'elevated', 'buprenorphine', 'ibuprofen', 'milligrams', 'twice']",train
audio/Speaker_9/Speaker9-63.wav,my son be 6 years old all of us dey irritated because of him cough sound especially for night doctor advise make we do chest x ray for the x ray report dem see well defined homogeneous opacity for the lower lung zone near the heart area this one na serious concern or na just mild infection thanks,my son is six years old we all get irritated because of his coughing sound particularly at night the doctor suggested we get an x ray in his chest x ray we received a report of a well defined homogeneous opacity in the lower lung zone in the paracardial location is this a matter of concern or just a mild infection thanks,Speaker_9,21.22,"['coughing', 'chest', 'well', 'defined', 'homogeneous', 'opacity', 'lung', 'zone', 'paracardial', 'mild', 'infection']",train
audio/Speaker_9/Speaker9-64.wav,my 4 year old pikin just get diagnosed with hand foot and mouth disease my 16 month old start to show symptoms today after e just recover from yeast infection last week me their mama i also just start yeast infection medicine since yesterday something wey i never get before for my life all these things fit be related somehow,my four year old was just diagnosed with hand foot and mouth disease my sixteen month old started with the symptoms today after having a yeast infection last week i their mother just started with a yeast infection myself yesterday which i have never had in my life before are these all related in some way,Speaker_9,26.4,"['sixteen', 'symptoms', 'yeast', 'infection']",train
audio/Speaker_9/Speaker9-65.wav,my son be 15 months old and e receive him 15 month vaccination on 19th march he get fever on monday tuesday and wednesday e come dey fine on thursday friday and saturday but fever come return on sunday reach 102 3 f and on monday e shoot up reach 105 1 f he also get cold symptoms him blood test show some abnormal results white blood cells high red blood cells high mean corpuscular hemoglobin low monocytes high and neutrophils also high chest x ray negative ears and throat also normal abeg i need help,my son is fifteen months old and received his fifteen month vaccinations on the 19th of march he has had a fever on monday tuesday and wednesday he was fine on thursday friday and saturday his fever came back on sunday at one hundred and two point three degrees fahrenheit and on monday his fever shot up to one hundred and five point one degrees fahrenheit he also has cold symptoms his blood work shows some abnormal results elevated white blood cells red blood cells low mean corpuscular hemoglobin and monocytes are also elevated neutrophils are also elevated the chest x ray is negative and his ears and throat are negative please help,Speaker_9,49.06,"['va', 'fever', 'fine', 'point', 'degrees', 'monday', 'elevated', 'white', 'low', 'monocytes', 'neutrophils', 'chest', 'ears', 'throat']",train
audio/Speaker_9/Speaker9-66.wav,hello doctor i get pikin wey be 5 years old and him liver don enlarge reach epigastric area and even extend go down into the abdomen malaria test negative and typhoid also negative wetin fit be the cause and how we go manage am,hello doctor i have a child who is five years old and has an enlarged liver which almost occupies the epigastric region and extends downward to the abdomen malaria was tested and was negative and typhoid was negative as well what could be the cause and the management,Speaker_9,17.28,"['child', 'enlarged', 'epigastric', 'region', 'downward', 'abdomen', 'typhoid', 'negative']",train
audio/Speaker_9/Speaker9-67.wav,hello i go happy to help you with your question for abnormal bleeding wey no dey easy control with hormonal therapy e important make you do more thorough check up wey go include one physical examination two ultrasound laboratory tests wey go include thyroid disease test diabetes test and prolactin level 3 pregnancy test i hope say this one help you if you get more questions abeg click the ask me a question link above to directly ask me question,hello i would be happy to help you with your question in the setting of abnormal bleeding that is not being easily controlled with hormonal therapy it is appropriate to undergo a more thorough evaluation that would include one an exam two an ultrasound three laboratory tests that would include testing for thyroid disease diabetes and prolactin levels four a pregnancy test i hope that this helps if you have more questions please click on the ask me a question link above to directly ask me a question,Speaker_9,36.59,"['abnormal', 'bleeding', 'evaluation', 'ultrasound']",train
audio/Speaker_9/Speaker9-68.wav,i fall down stairs on friday and hit my back very hard now na monday and the pain don become worse well well e dey for lower left side no be for spine and anytime i try do anything e dey make me cry in fact when i born twins one year ago e no pain reach this one i don try warm bath ice and painkillers but nothing dey work at all,hello i fell down the stairs on friday and hit my back pretty hard it is now monday and the pain has gotten significantly worse it is on the lower left side not on the spine and when i do anything it brings tears to my eyes in fact when i gave birth to my twins a year ago it didn t hurt this much i have tried a warm bath ice and painkillers and nothing seems to help,Speaker_9,24.08,"['fell', 'painkillers', 'twins']",train
audio/Speaker_9/Speaker9-69.wav,hi if e possible abeg forward few pictures of the affected area for your lips so i fit help you better,hi if possible please forward a few pictures of the affected area of the lips to help me assist you,Speaker_9,6.73,[],train
audio/Speaker_9/Speaker9-70.wav,yes the swelling and pain show say na infection wey no dey respond to the antibiotics wey dem don give i think say she suppose take metronidazole and augmentin i no fit mention the dosage because you never provide the weight of the child,yes the swelling and pain indicate an infection that is not responding to the given antibiotics i think she should be on metronidazole and augmentin i cannot mention the dosage as you have not provided the weight of the child,Speaker_9,14.95,"['swelling', 'infection', 'metronidazole', 'augmentin']",train
audio/Speaker_9/Speaker9-71.wav,hello my boyfriend suddenly dey experience serious pain for both kidney area and small stomach pain after e chop some nutritional bars and drink coconut water he also dey get strong cold chills and body pain even for him face him body dey feel like e dey very hot and dey burn,hello my boyfriend is suddenly experiencing very intense pain in both kidneys and some stomach pain after eating a couple of nutritional bars and coconut water he is also experiencing severe cold chills and body aches even in his face his skin feels to him like it is burning hot as well he has had kidney stones in the past do you have any ideas,Speaker_9,20.87,"['very', 'both', 'kidneys', 'stomach', 'eating', 'severe', 'cold', 'chill', 'body', 'ache', 'burning', 'hot']",train
audio/Speaker_9/Speaker9-72.wav,my 5 month old baby don dey pass watery stool for 6 days now today the stool come turn green we dey china and my wife no gree use western medicine or change the way she dey feed the baby for example if the baby stop for one breast she go quickly change am to the other one so the baby dey mostly get foremilk and very small hindmilk,my five month old baby has had watery stools for six days today the color is green we are in china and my wife refuses to use western medicine or change her feeding routine for instance if he stops feeding from one breast she will change to the other so he is always getting foremilk and very little hindmilk,Speaker_9,24.36,['baby'],train
audio/Speaker_9/Speaker9-73.wav,i dey feel sharp pain for upper left side of my chest whenever i dey stressed smoke or sometimes for no clear reason i don dey smoke for 23 years about one pack per day the pain dey last like 2 to 3 seconds but e sharp reach make i hold my chest i also dey feel tingling for my left shoulder blade wey dey last about one minute my resting heart rate dey always around 110 beats per minute,i experience sharp pains in the upper left side of my chest when i feel stressed smoke or sometimes for no apparent reason i have smoked for twenty three years at a rate of one pack per day the pain lasts about two to three seconds but it can be sharp enough to make me grab my chest i am also experiencing tingling in my left shoulder blade that lasts for about a minute my resting heart rate is consistently around one hundred and ten beats per minute,Speaker_9,30.65,"['sharp', 'pains', 'side', 'chest', 'smoked', 'tingling', 'shoulder', 'blade', 'heart', 'rate', 'beats', 'per']",train
audio/Speaker_9/Speaker9-74.wav,hi i get hit for my forehead two weeks ago with small bottle wey full with coins i quickly get big swelling and black eye the swelling don go down and the black eye don heal but now i still get hard lump wey dey feel like bone i dey worry e fit be bone,hi i got hit in the forehead two weeks ago with a small bottle full of pennies i developed a big bump right away and a black eye the bump went down and the black eye has healed but now i have a lump that feels like a bone i am worried could it possibly be a bone,Speaker_9,19.37,"['forehead', 'big', 'bump', 'lump']",train
audio/Speaker_9/Speaker9-75.wav,hi if person get brain edema because of brain injury e sure say neurotransmitters for the brain don disturb the only way to identify this one na through procedure wey dem call microdialysis where dem go insert small probe into the area of the brain wey dem dey check then dem go analyze the biochemical parameters,hi if someone has brain edema secondary to brain injury there is definitely a disturbance in the neurotransmitters in the brain the only way to identify this is by a procedure called microdialysis wherein a probe is inserted into the area of the brain under consideration and the biochemical parameters are analyzed,Speaker_9,24.13,"['brain', 'edema', 'disturbance', 'neurotransmitters', 'biochemical']",train
audio/Speaker_9/Speaker9-76.wav,hi there after i check the details wey you give e no look like heart problem no too much thing to worry about but since you get injury i go advise make you do chest x ray and echocardiography to make sure say the injury no affect your heart in any way good luck,hi there after going through the details provided by you it doesn t look like a heart problem there is not much to be concerned about but as you have sustained an injury i would like to suggest that you get a chest x ray done and an echocardiography to make sure that the trauma has not affected the heart in any way wish you good luck,Speaker_9,17.0,"['chest', 'ray', 'echocardiography', 'trauma', 'heart']",train
audio/Speaker_9/Speaker9-77.wav,e fit possible to get belle if i miss my period i get sex with my boyfriend on october 14 my period delay for like 10 days but i no sure if na my normal cycle from november 26 to 28 i see bleeding with dark red clots now na december 2 and i suppose see my period on november 26 but e no come i dey suspect say i fit get belle i take cytotec 200 micrograms but i just swallow am with water i dey very worried and depressed i get belle,is it possible to get pregnant if i missed a period i had sexual intercourse with my boyfriend on october fourteen my period was delayed by ten days but i m not sure if it is my menstrual cycle from november twenty six to twenty eight i experienced bleeding with dark red clots now it is december two and i was supposed to have my period on november twenty six but i haven t i suspect that i might be pregnant i took a cytotec two hundred micrograms but i just swallowed it with water i am so depressed and worried am i pregnant,Speaker_9,34.06,"['sexual', 'intercourse', 'bleeding', 'microgram']",train
audio/Speaker_9/Speaker9-78.wav,i get baby girl wey be 5 months old and she dey get yellowish green discharge from her private part doctor talk say na yeast infection and tell me make i use monistat treat am but i don dey use am for almost 5 days now and i still dey see the discharge something fit dey wrong,i have a five month old baby girl and she has a yellowish green vaginal discharge the doctor said that it was a yeast infection and to get some monistat to treat it but i have been using it for almost five days now and i am still seeing the discharge could something be wrong,Speaker_9,18.74,"['baby', 'yellowish', 'green', 'yeast', 'almost']",train
audio/Speaker_9/Speaker9-79.wav,hello the spine na the bone wey dey middle of your back e no be one single bone e dey made up of many small bones wey stack on top each other between these bones discs dey if one disc become weak one bone fit slip the spinal cord dey inside the spine and nerves dey come out between the bones so if disc slip e fit press the spinal cord or nerve wey fit cause weakness if pressure dey on the spinal cord e fit even cause paralysis so you need go see nerve specialist to prevent or treat this condition good luck,hello the spine is the bone in the midline of the back it is not a single bone it consists of many pieces stacked on each other in between these pieces there are discs if a disc becomes weak a bone may slip the spinal cord is located inside the spine and nerves exit between the vertebrae therefore a slipped disc may press on the spinal cord or the nerve leading to weakness pressure on the spinal cord can cause paralysis therefore you have to see a nerve specialist to prevent or treat this condition good luck,Speaker_9,36.41,"['discs', 'spinal']",train
audio/Speaker_9/Speaker9-80.wav,dear sir no need to worry i understand your concern e very common to get bluish discoloration after injury because of the injury body go pass through inflammation and swelling as small blood vessels dey get compressed e fit come from soft tissue injury ligament injury or capsular strain but this one dey temporary and within 3 to 4 days e suppose clear if no fracture dey for now you need apply ice massage use compression bandage and elevate the foot the swelling and inflammation go gradually reduce i hope say you dey satisfied with this answer,dear sir there is no need to worry i understand your concern it is very common to have a bluish discoloration due to injury due to an injury there will be a phase of inflammation and swelling caused by the compression of small blood vessels this may result from injury to soft tissues ligaments and capsular strains however it is temporary and within three to four days it will resolve if there is no fracture currently you need to apply ice massage and compression bandages and elevate the foot the swelling and inflammation will gradually reduce i hope you are satisfied with this answer,Speaker_9,35.32,"['inflammation', 'swelling', 'compression', 'ice', 'massage', 'bandages']",train
audio/Speaker_9/Speaker9-81.wav,hello e no sound to me like anything wey you need worry about because the brown thing wey dey for condom fit just be her own body secretions but if you still dey worry then make she take plan b pill combination but this one too na temporary thing and within 3 to 4 days e suppose clear if no fracture dey for now you need apply ice massage use compression bandage and elevate the foot the swelling and inflammation go gradually reduce i hope say you dey satisfied with this answer,hello it does not sound to me like there is anything to worry about here since the brown substance on the condom was probably her own secretions that said if you are still concerned then have her take the plan b pill combination but this one dey temporary and within 3 to 4 days e suppose clear if no fracture dey for now you need apply ice massage use compression bandage and elevate the foot the swelling and inflammation go gradually reduce i hope say you dey satisfied with this answer,Speaker_9,29.74,"['brown', 'within', 'fracture', 'swelling', 'inflammation']",train
audio/Speaker_9/Speaker9-82.wav,if you get known history of mitral valve prolapse and recently you start to experience new symptom like palpitations as in your case i go suggest make you do 2d echocardiogram with doppler just to check and monitor the condition of your heart and the mitral valve prolapse,if you have a known history of mitral valve prolapse and lately you experienced a new symptom like in your case where you started experiencing palpitations i would suggest that you undergo a two dimensional echocardiogram with doppler just to monitor the status of your heart and your mitral valve prolapse,Speaker_9,16.42,"['mitral', 'dimensional', 'echocardiogram', 'doppler']",train
audio/Speaker_9/Speaker9-83.wav,hi dem diagnose me with carpal tunnel syndrome some years ago but yesterday i wake up with serious burning feeling for the heel of my right hand today e don even worse and e dey pain me anytime i put pressure on that hand at all i just dey wonder if e fit relate to the carpal tunnel syndrome and if so e mean say e dey get worse and i need consider operation or e fit be something else,hi i was diagnosed with carpal tunnel syndrome a couple of years ago but yesterday i woke up with a severe burning sensation in the heel of my right hand it has gotten worse today and hurts when i put any pressure on my right hand at all i was just wondering if it is related to carpal tunnel syndrome and if so does this mean that it is getting worse and i need to consider having the operation or could it be something else,Speaker_9,24.22,"['carpal', 'tunnel', 'syndrome', 'severe', 'burning', 'hand', 'hurts']",train
audio/Speaker_9/Speaker9-84.wav,you need do urine culture test to identify the exact organism and the antibiotic wey fit work for that organism otherwise you fit take ciprofloxacin 500 mg twice daily for 10 days and use urine alkalinizing agent like citralka syrup or sachets twice daily,you must do a urine culture to find the specific organism and the antibiotic specific for that organism otherwise you should take ciprofloxacin five hundred milligrams twice daily for ten days and use an alkalinization agent like citralka syrup or sachets twice daily,Speaker_9,17.39,"['ciprofloxacin', 'milligrams', 'twice', 'daily', 'citralka', 'syrup', 'sachets']",train
audio/Speaker_9/Speaker9-85.wav,hello most babies get lactose intolerance abeg do stool test for reducing substances if e come positive e mean say your baby fit get lactose intolerance generally newborn babies fit pass stool up to 10 times per day make sure say you dey feed the baby after each stool if you dey use formula feeding then try zerolac wey fit help reduce your child problem with lactose intolerance,hello most babies have lactose intolerance please do a stool test for reducing substances if it is positive your baby might have lactose intolerance generally newborns will pass stool up to ten times per day make sure that you feed the baby after each stool if you are using formula feeding then try zerolac which helps in reducing your child s problems with lactose intolerance,Speaker_9,25.89,[],train
audio/Speaker_9/Speaker9-86.wav,hello i don go through your question and i understand your concern first e no advisable at all make you use steroids for this kind age and for this purpose e fit cause serious side effects and affect your health badly second e no even sure say e go help muscle growth at all and e fit take several weeks before e go even show effect i suggest make you use natural ways to build muscle and avoid steroids and similar things because e no necessary hope this answer your question if you get more questions or follow up questions abeg feel free to write us i go happy to help you wishing you good health,hello i have gone through your question and understand your concerns first it is definitely not advisable to use steroids at such a young age and for this purpose it may have serious side effects and negative effects on your health second it may not be effective for muscle growth at all and its levels may take several weeks to elevate i suggest using natural methods for muscle building and avoiding such procedures and steroids since this is unnecessary i hope this answers your question if you have additional questions or follow up questions then please do not hesitate to write to us i will be happy to answer your questions wishing you good health,Speaker_9,36.71,"['several', 'natural', 'methods', 'steroids']",train
audio/Speaker_9/Speaker9-87.wav,if you take my opinion i go advise make you no worry because this fit be normal thing wey come from local injury and e go heal by itself you fit also apply local estrogen cream every day before you go sleep lastly i go advise make you do pap smear test,if you take my opinion then i would advise you not to worry as this can be a normal phenomenon due to localized trauma and this will heal by itself you can also apply a local estrogen cream daily before going to bed lastly i would advise you to have a pap smear done,Speaker_9,16.49,"['local', 'est', 'pap', 'smear']",train
audio/Speaker_9/Speaker9-88.wav,hello since you don miss your expected period date you should do urine pregnancy test because the symptoms wey you dey describe fit also mean pregnancy,hello since you have missed your due date you should take a urine pregnancy test as the symptoms you are describing can also indicate pregnancy,Speaker_9,9.64,['symptoms'],train
audio/Speaker_9/Speaker9-89.wav,hello hand foot and mouth disease na contagious viral infection symptoms include sore mouth and throat loss of appetite high fever and rash for hand and feet you need carry am go see pediatrician for further evaluation all the best,hello hand foot and mouth disease is a contagious viral disease symptoms include sore mouth throat loss of appetite along with a high fever and a rash on the hands and feet you should get him checked by a pediatrician for further evaluation all the best,Speaker_9,17.81,"['sore', 'loss', 'rash', 'checked', 'pediatrician']",train
audio/Speaker_9/Speaker9-90.wav,yes malaria fit cause high fever but e look like say you dey experience flu like symptoms wey mostly dey come from viral infection abeg do full blood count test,yes malaria can cause a high grade fever but it seems you are experiencing flu like symptoms which are mostly associated with a viral infection please get a complete blood count done,Speaker_9,10.87,"['malaria', 'high']",train
audio/Speaker_9/Speaker9-91.wav,hello doctor i just start birth control few weeks ago so this na my first week of period i get brown discharge few days before i start the sugar pill my period start small small but later turn thicker blood i just get very bad cramps this afternoon probably the worst i ever get i sleep small and when i wake up i see big clot wey look like tissue e slightly smaller than egg and e pink with dark spots i dey sexually active but my partner always dey use condom and he never finish inside me so i no think say pregnancy fit happen this thing go make me worry,hello doctor i just started birth control a few weeks ago so this is my first week of my period i had brown discharge a few days before i started the sugar pill my period started kind of light but has since turned into thicker blood i just had horrible cramps this afternoon probably the worst ever i took a nap and when i got up there was a large clot that looked like some sort of tissue it was slightly smaller than an egg and was pink with dark spots i am sexually active but my partner always wears a condom and has never finished inside me so there is no possibility of a pregnancy is this something i should be concerned about,Speaker_9,40.08,"['brown', 'discharge', 'cramps', 'large', 'got', 'smaller', 'an', 'egg', 'wears', 'condom']",train
audio/Speaker_9/Speaker9-92.wav,e look like say you get back muscle spasm this one fit happen because of sudden movement for back or when you bend sharp sharp i go suggest make you take myospaz or myoril tablets for muscle relaxation you also fit apply diclofenac gel for your back abeg avoid bending your back for now i hope say you go feel better within 2 to 3 days,it appears that you have a back muscle spasm this is likely due to sudden movement of the back or sudden bending i would suggest you take myospaz or myoril tablets for muscle relaxation additionally apply diclofenac gel to your back please avoid bending your back i hope you will feel better in two to three days,Speaker_9,23.92,"['muscle', 'myospaz', 'myoril', 'tablets', 'bending']",train
audio/Speaker_9/Speaker9-93.wav,hello you talk say mri no show anything i dey assume say na shoulder mri scan dem do this one look like muscle weakness wey come from nerve injury wey dey start from neck level or brain you need do cervical spine mri and brain mri plus electromyography test to help find the exact level of the injury wey most likely dey for neck level you also need neurological assessment and serious physiotherapy,hello you said that the magnetic resonance imaging does not show anything i assume these are shoulder magnetic resonance imaging scans this is muscle weakness caused in turn by a nerve injury from the level of the neck or brain a cervical spine and brain magnetic resonance imaging scan is needed along with electromyography studies to help pinpoint the level of injury which will most likely be at the level of the neck a neurological assessment and intensive physiotherapy will be required,Speaker_9,31.58,"['magnetic', 'resonance', 'imaging', 'shoulder', 'nerve', 'injury', 'cervical', 'spine', 'brain', 'electromyography', 'studies', 'neurological', 'assessment', 'intensive', 'physiotherapy']",train
audio/Speaker_9/Speaker9-94.wav,doctor my creatinine level na 150 my platelet count na 500 and my uric acid high but my hemoglobin na only 8 my doctor talk say i need kidney biopsy you fit advise me if i really need do kidney biopsy my ultrasound normal i no get kidney stones or crystals abeg help me doctor i don dey very depressed for the past 2 months thank you and god bless you,doctor my creatinine level is one hundred and fifty my platelet count is five hundred and my uric acid is elevated but my hemoglobin is only eight my doctor said that i need a kidney biopsy can you advise me if i need to have the kidney biopsy my ultrasound is normal i do not have kidney stones or any crystals can you help me doctor i have been very depressed for the past two months thank you and god bless you,Speaker_9,28.37,"['creatinine', 'platelet', 'count', 'uric', 'acid', 'hemoglobin', 'kidney', 'ultrasound']",train
audio/Speaker_9/Speaker9-95.wav,hello my 10 year old daughter dey always sick she dey get strep throat at least 5 times every year she don get mononucleosis scarlet fever and now shingles she also don get two kidney infections wey make her go hospital and now she get scarring for her kidneys she also dey get frequent sinus throat and ear infections is there any reason why she dey always get sick,hello my ten year old daughter is always sick she gets strep throat a minimum of five times a year she has had mononucleosis scarlet fever and now shingles she has also had two kidney infections that required her to go to the hospital and now has scarring on her kidneys she also experiences frequent sinus throat and ear infections is there a reason why she is always getting sick,Speaker_9,25.29,"['strep', 'throat', 'kidney', 'infections', 'go', 'hospital', 'scarlet', 'kidneys', 'frequent']",train
audio/Speaker_9/Speaker9-96.wav,hello there getting lump for bending knee fit be from soft tissue no be bone so e fit no show for x ray e fit be torn muscle or loose muscle or e fit come from herniation for the joint e go better make you first do simple test like ultrasound and then if needed mri scan fit be the most confirmatory test,hello there having a lump on a bending knee may be due to soft tissue not bone so it may not be visible on x ray it may be a torn muscle or a lax muscle or it may be due to a herniated part of the joint it would be better for you to first undergo a simple investigation like an ultrasound and then if needed a magnetic resonance imaging scan may be the most confirmatory,Speaker_9,23.08,"['lump', 'bending', 'knee']",train
audio/Speaker_9/Speaker9-97.wav,i get tachycardia and i don get atrial fibrillation before i dey always feel run down like say i get viral infection or i no dey 100 now i don develop bruises like 10 or more together for each of my upper thighs although i no hit or injure myself wetin fit be the cause my spleen level for blood test result come low,i have tachycardia and have had atrial fibrillation i am constantly run down with a virus or just not at one hundred percent i have now developed bruising ten or more in a cluster on each of my upper thighs although i have not bumped or banged myself what could be the cause my spleen level was low in the results of a blood test,Speaker_9,22.92,"['tachycardia', 'atrial', 'fibri', 'spleen', 'low']",train
audio/Speaker_9/Speaker9-98.wav,hello i just come back from work and my back start to dey spasm dey send shiver through my body anytime i move even as i dey type this message i dey get very serious headache throughout the day and i also dey feel like i go faint while i dey work wetin you think say fit be the problem i check my temperature but e normal for me because my body naturally dey hot small,hello i recently came home from work and my back seems to spasm sending shivers through my body each time i move even while typing this i have been experiencing an excruciating headache throughout the day and feeling symptoms of fainting while working what would you suggest might be wrong i took my temperature but it is normal for me since my body is naturally warmer,Speaker_9,21.29,"['excruciating', 'headache']",train
audio/Speaker_9/Speaker9-99.wav,person wey get cancer infection for 2007 the affected part na below the knee doctor remove him leg to prevent the spread of the disease he get malignant tumor problem any possibility say the disease or cancer go still spread go other parts of the body for future,a person who was infected with cancer in two thousand and seven the affected part was below the knee a doctor removed his leg to prevent the spread of the viruses he was suffering from the problem of a malignant tumor is there any possibility of the viruses spreading to other parts of his body in the future,Speaker_9,18.39,"['below', 'knee', 'doctor', 'removed', 'leg', 'other', 'parts', 'body']",train
audio/Speaker_9/Speaker9-100.wav,since dem don give am blood thinner the irregular heartbeat fit be atrial fibrillation because dem dey usually give blood thinner for atrial fibrillation to prevent blood clot atrial fibrillation na abnormal heart rhythm wey dey make heart dey beat fast and irregular e fit start as small small episodes later e go dey last longer or even become constant dem go do 24 hour holter monitor test e go record hin heartbeat for 24 hours because palpitations fit be different types like atrial ventricular or sinus tachycardia high blood pressure and coronary artery disease na the most common cause so dem go do detailed check up to find the cause dem also go advise echocardiogram and treadmill test together with the 24 hour holter monitoring yes at the beginning e suppose be taken serious,if you are worried about sexually transmitted diseases then a panel of investigations is available at a standard laboratory talk to your husband and both of you should get it done regarding high bilirubin levels and white blood cells and red blood cells in urine please get a thorough renal function test and urine culture and sensitivity,Speaker_9,52.78,"['investigations', 'high', 'bilirubin', 'renal', 'function', 'test', 'culture']",train
audio/Speaker_9/Speaker9-101.wav,hello if you get symptoms like voices wey dey tell you make you do something bad and you feel say these voices real and no be just your thoughts or doubts then e need re evaluation this fit be due to psychotic condition hearing voices wey dey give running commentary fit be auditory hallucinations you should talk to your psychiatrist for your next visit and explain all the symptoms clearly this go help you,hello if you have symptoms such as voices telling you to do something wrong and you feel that these voices are real and are not simply your doubts then this needs re evaluation this could be due to some psychotic issues hearing voices giving running commentary could be due to auditory hallucinations you should discuss this with your psychiatrist during your next visit and explain the symptoms in detail this will help you,Speaker_9,23.89,['symptoms'],train
audio/Speaker_9/Speaker9-102.wav,yes she fit be getting chickenpox or contact dermatitis abeg monitor am well for fever or itching wey fit develop if na chickenpox make she rest well and give acyclovir antihistamine and paracetamol if na contact dermatitis give antihistamine and apply steroid cream ointment for skin,yes she may be suffering from chickenpox or contact dermatitis follow up for any developed fever or itching if it is chickenpox ensure she rests and administer acyclovir antihistamine and paracetamol in the case of contact dermatitis provide antihistamine and a topical steroid ointment,Speaker_9,23.89,"['chickenpox', 'fever', 'paracetamol', 'antihistamine', 'topical', 'ste']",train
audio/Speaker_9/Speaker9-103.wav,hello your doctor dey correct the patient fit experience abdominal pain your mama must avoid fatty foods and you suppoe make sure say she dey for good environment and dey do regular check ups especially since she don already do two operation thank you,hello your doctor is correct the patient can experience pain in the abdomen your mother must avoid fatty foods and you should ensure she is in a good environment and receives regular check ups given that she has already undergone two surgeries thank you,Speaker_9,15.21,[],train
audio/Speaker_9/Speaker9-104.wav,the scalp itching fit be because of dandruff lice or seborrheic dermatitis the swollen area dey turn to small small pimples you dey change your oil and shampoo often abeg give more details so i fit confirm the right treatment,the scalp itching is due to dandruff lice and seborrheic dermatitis does the swollen area turn into small pimples are you changing your oil and shampoo frequently please provide more details to help confirm the treatment,Speaker_9,17.11,"['scalp', 'itching', 'seborrheic', 'swollen']",train
audio/Speaker_9/Speaker9-105.wav,i take my birth control pill 3 hours late on friday and i understand say you suppose take am on time for 2 consecutive days before unprotected sex i forget use condom like 20 minutes early but i take my birth control immediately after i need buy plan b or i dey okay,i took my birth control three hours late on friday and i understand that you must take it on time for two consecutive days before having unprotected sex i forgot to use a condom twenty minutes early but i took my birth control right after should i buy a plan b or am i okay,Speaker_9,16.76,"['birth', 'control']",train
audio/Speaker_9/Speaker9-106.wav,hi i don go through your concern i believe say you dey pass through a phase wey many girls dey experience after their first sexual encounter since na new experience and you dey worry about pregnancy you fit even dey feel like vomiting if you use condom and e no burst and dem remove am well without semen leak no need to worry about pregnancy also you no fit get morning sickness just 3 days after sex even if fertilization happen e dey take about 10 to 15 days before those symptoms start so no worry and if you still dey doubt you fit do pregnancy test strip after 3 to 5 days i hope this one help you i wish you all the best and a happy healthy life,hi i did review your concern i believe you are going through a phase that many girls experience after their first sexual encounter since it is a new experience and you are worried about pregnancy you feel like vomiting if a condom was used and it did not burst and was removed safely without any semen leak there is no need to worry about pregnancy additionally you do not feel morning sickness three days after sexual intercourse in the case of successful fertilization it takes about ten to fifteen days for those symptoms to start so do not worry and in case of doubt get a pregnancy test strip done in three to five days i hope this helps i wish you all the best and a happy healthy life,Speaker_9,40.19,"['removed', 'morning', 'sickness', 'pregnancy', 'test', 'strip']",train
audio/Speaker_9/Speaker9-107.wav,chewing tobacco fit release any metabolites through skin pores or something like that wey fit cause allergic reaction for 4 year old pikin i get grandson wey don go see allergist and dem do full scratch test and the only thing wey show allergy na tobacco he dey still show allergic reaction symptoms sometimes and him step father dey use chewing tobacco,can chewing tobacco cause any metabolites to be released through skin pores etc that might cause a four year old child to exhibit an allergic reaction i have a grandson who has been to an allergist that conducted an extensive scratch test that only showed he was allergic to tobacco he does exhibit allergic reaction symptoms at times and his step father uses chewing tobacco,Speaker_9,22.59,"['chewing', 'tobacco', 'allergic', 'reaction', 'scratch', 'test', 'symptoms', 'step', 'father']",train
audio/Speaker_9/Speaker9-108.wav,i need help i need your opinion i don dey get symptoms like say i be pregnant for at least 2 months but i still dey see my period e no dey normal e dey light and na spotting dey mostly come today na the day wey i suppose start period but e never start abeg make you contact me and tell me wetin you think,i need help i need your opinion i have been having symptoms of being pregnant for at least two months but i still have my period they do not seem normal they are light and consist of heavy spotting today i was supposed to start but it has not started please contact me and let me know what you think,Speaker_9,18.41,[],train
audio/Speaker_9/Speaker9-109.wav,my tubes dem tie go be one year on june 17th and last month my period come late for one week and e last four days and e light while normally e dey last one week and e dey very heavy this month so far my period don late for two days and when i wipe earlier i see brown discharge so i think say my period wan start but nothing still happen for the past four days i dey get diarrhea and for the past two weeks i dey feel nausea and even dey vomit small small i also don gain like 15 pounds for the last two weeks i fit dey pregnant wetin be the chance since my tubes don tie,my tubes will be tied a year on june 17th and last month my period was a week late and lasted four days and was light while normally they last a week and are very heavy well this month so far my period is two days late and when i wiped earlier i had a brownish discharge so i thought my period was about to start however nothing has happened for the past four days i have been experiencing diarrhea and for the past two weeks i have been nauseous and even had some vomiting i also have gained fifteen pounds in the last two weeks could i be pregnant what are the chances with my tubes being tied,Speaker_9,37.08,"['last', 'diarrhea', 'past', 'nauseous']",train
audio/Speaker_9/Speaker9-110.wav,hi and welcome to health care management e depend on how big and how fast this tuberculoma dey grow and whether e dey cause symptoms or not usually tuberculoma for liver fit resist medical treatment and sometimes only surgery fit remove am completely,hi and welcome to health care management it depends on how large and how fast this tuberculoma is growing as well as whether it is symptomatic or not usually tuberculomas in the liver may be resistant to medical therapy and only surgical resection may suffice for treatment this needs to be evaluated and if there is size progression pain or fever then you should consider surgery and postoperative antituberculous treatment i wish you good health,Speaker_9,17.07,"['tuberculoma', 'tuberculomas', 'liver', 'surgery']",train
audio/Speaker_9/Speaker9-111.wav,i dey get pain for my neck ears and a headache i notice one lump for the right side of my neck sometimes when i turn left i dey feel say e dey gett hung up on something e dey close to an artery i ge brain bleed two years ago and i don dey feel fatigue since two thousand and ten my limbs dey pain me and every joint in my body dey pain me i dey also experience blurry vision for about a year,i am having pain in my neck ears and a headache i noticed a lump on the right side of my neck sometimes when i turn left i can feel it getting hung up on something it is close to an artery i had a brain bleed two years ago and have felt fatigue since two thousand and ten my limbs hurt and every joint in my body hurts i have also been experiencing blurry vision for about a year,Speaker_9,25.8,"['lump', 'brain', 'fatigue', 'limbs', 'joint', 'blurry', 'vision', 'am']",train
audio/Speaker_9/Speaker9-112.wav,hello pain for left side of abdomen mostly dey come from spleen or stomach gastric pain pain wey come from pancreas usually dey middle and e dey very severe most times problem from big blood vessels for abdomen fit also cause pain for legs you fit need ct scan of abdomen to help confirm the diagnosis,hello left sided abdominal pain is mostly due to splenic and gastric pain pancreatic pain is more centralized and very severe in nature mostly large vessel pathology in the abdomen causes pain in the legs you may need a computed tomography scan of the abdomen to aid further in the diagnosis,Speaker_9,21.9,"['abdominal', 'splenic', 'gastric', 'pancreatic', 'atic', 'centralized', 'severe', 'large', 'pathology', 'abdomen', 'computed', 'tomography']",train
audio/Speaker_9/Speaker9-113.wav,hi your menstrual cycle dey regular you don do enough tests your hormone levels normal your thyroid function normal make sure say all investigations don complete and if anything dey abnormal talk to your doctor make dem correct am if everything normal you fit still discuss with your doctor for extra instructions and fertility support like ovamit and human chorionic gonadotropin injections use ovulation strips to help know your exact ovulation time so you fit time intercourse properly and increase chance of conception best wishes,hi is your menstrual cycle regular have you undergone enough tests are your hormone levels normal is your thyroid function normal make sure all investigations have been conducted and if there is anything abnormal speak to your doctor about correction if all is normal you can speak to your doctor for a few extra instructions and the initiation of fertility aids like ovamit along with human chorionic gonadotropin injections use ovulation strips to help provide you accurate details on when you are ovulating so you can have intercourse during a more accurate time that will increase your chances of conception best wishes,Speaker_9,37.92,"['menstrual', 'cycle', 'regular', 'hormone', 'levels', 'normal', 'thyroid', 'function', 'speak', 'gonadotropin', 'your', 'lation', 'strips']",train
audio/Speaker_9/Speaker9-114.wav,hello i understand your concern according to wetin you talk you dey receive rabies vaccination and you don already complete two doses of the rabies vaccine now you wan know wetin to do if another bite happen during your vaccination the answer na simple one no need to worry just complete your rabies vaccination schedule no need to start from first dose again so you suppose continue and finish the remaining doses of the rabies vaccination as dem suppose give am,hello i understand your concern according to your statement you are receiving rabies vaccination and you have already completed two doses of the rabies vaccine now you want to know what to do if you get another bite during your vaccination the answer is simple there is nothing to worry about just complete your rabies vaccination schedule there is no need to start the vaccination from the first dose again so you should complete your current schedule and the rest of the doses of rabies vaccination should be administered,Speaker_9,26.91,[],train
audio/Speaker_9/Speaker9-115.wav,good morning on january 1st i fall down from stairs and dem tell me say i lose consciousness for about 7 minutes dem rush me go emergency room ct scan show say i get nondisplaced fracture for pars interarticularis on the left side of c7 and another nondisplaced fracture for inferior tip of inferior articulating facet of c6 i dey feel pain for left side of my neck upper back and arm and four of my fingers dey numb and dey tingle i don dey wear collar now wetin be the expected healing process and surgery still fit be option,good morning on january 1st i fell down a flight of stairs and was told i was unconscious for about seven minutes i was rushed to the emergency room a computed tomography scan revealed a nondisplaced fracture through the pars interarticularis on the left at c7 and a nondisplaced fracture involving the inferior tip of the inferior articulating facet of c6 i have left side pain down my neck upper back and arm four of my fingers are experiencing numbness and tingling i am now in a collar what is the expected healing process and is surgery still an option,Speaker_9,34.25,"['january', 'st', 'fell', 'unconscious', 'rushed', 'computed', 'tomography', 'nondisplaced', 'pars', 'interarticularis', 'numbness', 'surgery']",train
audio/Speaker_9/Speaker9-116.wav,hi dis na mohamed from singapore dem don diagnose me with grade 2 spondylolisthesis and neck pain but 2 years ago na only neck pain i dey get later e come turn to back pain too and i dey worry i don try conservative treatment like chiropractic care physiotherapy and one time steroid injection but the pain still dey i dey use tramadol 50 mg twice daily and na only dat one dey control the pain one neurosurgeon talk say discoplasty fit reduce the pain but e very expensive abeg advise me if i suppose try any other option,hi this is mohamed from singapore i have been diagnosed with second grade spondylolisthesis and cervical pain but two years ago i only had neck pain then it continued to back pain and i am worried my conservative treatment has included chiropractic care physiotherapy and one time a steroid injection but my pain persists i am using tramadol fifty milligrams every day twice and that is the only way my pain is controlled please advise me here one neurosurgeon said discoplasty will reduce the pain which is very expensive should i try any suggestions please,Speaker_9,38.92,"['second', 'grade', 'cervical', 'steroid', 'tramadol', 'milligrams', 'discoplasty']",train
audio/Speaker_9/Speaker9-117.wav,hello doctor my cousin just get diagnosed with genital herpes few days ago she also get sore throat now wey doctor think say na strep throat but the strep test come back negative i recently share water bottle with her i fit don catch herpes from sharing that water bottle,hello doctor my cousin was diagnosed with genital herpes a few days ago she also has a sore throat currently that the doctor thought was strep throat but the strep test was negative i shared a water bottle with her recently could i have contracted herpes from sharing the water bottle,Speaker_9,14.72,"['cousin', 'herpes']",train
audio/Speaker_9/Speaker9-118.wav,hello doctor my name na simar from ludhiana i wan ask one thing i do missed abortion on january twelve since den my period dey normal last month and dis month i don knack without protection but i never catch pregnancy e normal after my period which time dey okay to get pregnant today i dey feel period pain abeg tell me when i fit knack wey go make my chance to get pregnant high my period go last five days from now,hello doctor my name is simar from ludhiana i just want to ask one thing i had a missed abortion on january twelve after that until now my periods are normal but last month and this month i had sexual intercourse without any precautions but i am not getting pregnant is this normal after my periods what is the optimal time for conception like today i am experiencing menstrual pain please tell me when i can have sexual intercourse and increase my chances of getting pregnant my periods would last five days from now,Speaker_9,33.37,"['sexual', 'intercourse']",train
audio/Speaker_9/Speaker9-119.wav,one man wey don reach fifty five years dey look like say him ankle don sprain e swell after e twist am but e dey feel better when e dey waka and move around after e sit down for like one hour or more the pain dey worse when e wan stand up and e almost no fit put weight for the leg for the first few steps dis thing don dey happen for three days now e dey use ice ibuprofen and e dey raise the leg up anytime e get chance,a fifty five year old male seems to have a sprained ankle with swelling from a twisting injury but feels much better with walking and activity after sitting for an hour or so the pain is much worse when getting up and i can almost not bear weight for the first steps this has been going on for three days i am using ice ibuprofen and elevating my ankle when i can,Speaker_9,27.63,"['male', 'sprained', 'swelling', 'twisting', 'an', 'hour', 'ankle']",train
audio/Speaker_9/Speaker9-120.wav,hello i don read wetin you write humog hp seventy five na human menopausal gonadotropin dem dey use am to help ovulation start e go increase chance to conceive especially for people wey no dey ovulate well because of polycystic ovarian syndrome and hypothyroidism the way dem dey treat infertility for polycystic ovarian syndrome na first to make ovulation happen then intrauterine insemination and finally in vitro fertilization follow each other like that hypothyroidism too need control with levothyroxine because if thyroid stimulating hormone no dey normal e fit still cause ovulation problem i hope say this answer help you i wish you better health,hi i have gone through your question humog hp seventy five is human menopausal gonadotropin which is given for ovulation induction it will increase the chances of conception especially in anovulatory infertility caused by polycystic ovarian syndrome and hypothyroidism the line of management for infertility in polycystic ovarian syndrome includes ovulation induction intrauterine insemination and in vitro fertilization in that order hypothyroidism needs to be controlled with levothyroxine because abnormal thyroid stimulating hormone levels can also lead to ovulation disorders i hope you found the answer helpful wishing you good health,Speaker_9,50.22,"['hypothyroidism', 'levothyroxine', 'abnormal', 'gone']",train
audio/Speaker_9/Speaker9-121.wav,make you start to take oral antibiotics like cefixime and also use topical antibiotics like fusidic acid cream for the affected area,start oral antibiotics such as cefixime and topical antibiotics such as fusidic acid cream,Speaker_9,8.38,"['oral', 'antibiotics', 'cefixime', 'topical', 'fusidic']",train
audio/Speaker_9/Speaker9-122.wav,hello you need to do pap smear test and speculum examination make dem check say no be cervical erosion or cervicitis dey cause the problem as na the common reasons for bleeding after sex for women wey still dey reproductive age if infection dey e fit cause pain during period and even lead to pelvic inflammatory disease wey fit still make menstruation heavy,hello you need to get a pap smear test and a speculum examination done to rule out cervical erosions or cervicitis which are the most common causes of post coital bleeding in women of reproductive age the presence of infection can cause pain during menstruation and also pelvic inflammatory disease which can be a cause of heavy menstruation,Speaker_9,27.86,"['pap', 'smear', 'test', 'speculum', 'examination', 'cervical', 'bleeding', 'infection', 'pelvic', 'heavy']",train
audio/Speaker_9/Speaker9-123.wav,first of all you need to know the reason why the creatinine level reach two point seven na sign of how kidney dey function and e dey rise when both kidneys no dey work well that cause wey make am rise need to be corrected cancer no dey common as cause of kidney failure other causes wey dey happen pass dey calcium level too fit increase just because kidney no dey function well if doctors dey talk say e fit be cancer then dem get other reasons why dem dey suspect am also the level wey dialysis dey necessary usually dey around five or more for serum creatinine though other things still dey considered,first of all you need to know the reason why the creatinine level is two point seven it is an indicator of kidney function and only when both kidneys fail does it start to rise that cause then needs to be corrected cancer is a very rare cause of kidney failure and there are other much more common causes additionally calcium levels can also increase just because of kidney failure if your doctors are suggesting that he might have cancer then there must be other reasons for them to say so furthermore the level at which dialysis becomes mandatory is five or above for serum creatinine although there are other parameters to consider,Speaker_9,46.25,"['cancer', 'calcium', 'dialysis']",train
audio/Speaker_9/Speaker9-124.wav,hello if you take emergency contraceptive pill for the first half of your menstrual cycle e fit make your period come earlier the three days wey you see blood no be anything serious na light period wey come early because of the emergency contraceptive pill so now expect your next period about one month after that bleeding no need to worry e no likely say you get belle,hello taking an emergency contraceptive pill during the first half of the menstrual cycle results in early periods the three days of bloody discharge you had were actually a light period that came earlier due to the emergency contraceptive pill so now expect your next period around a month after that bleed there is no need to worry it is very unlikely that you are pregnant,Speaker_9,23.99,"['emergency', 'contraceptive']",train
audio/Speaker_9/Speaker9-125.wav,hello if you take emergency contraceptive pill for the first half of your menstrual cycle e fit make your period come earlier the three days wey you see blood no be anything serious na light period wey come early because of the emergency contraceptive pill so now expect your next period about one month after that bleeding no need to worry e no likely say you get belle,hello if you take emergency contraceptive pill for the first half of your menstrual cycle e fit make your period come earlier the three days wey you see blood no be anything serious na light period wey come early because of the emergency contraceptive pill so now expect your next period about one month after that bleeding no need to worry e no likely say you get belle,Speaker_9,22.83,"['emergency', 'contraceptive']",train
audio/Speaker_9/Speaker9-126.wav,dear friend i go advise make you first wait until dem finish all the investigations because from these symptoms and tests person no fit talk say na pancreatic cancer you get or not the best thing na to do more check like ct scan of the abdomen with contrast make dem see wetin dey cause the bleeding for inside belle abeg let me know if you still get any other questions,dear friend i suggest you should first wait for the complete investigations to be finished as one cannot determine from these symptoms or investigations whether you have pancreatic cancer or not the best approach is to investigate further in the form of a computed tomography scan of the abdomen with contrast to understand what is causing the abdominal bleeding please let me know if you have any more questions,Speaker_9,23.87,"['computed', 'tomography', 'abdomen', 'abdominal']",train
audio/Speaker_9/Speaker9-127.wav,hi you dey on progesterone depo injection for family planning this one na common side effect of progesterone e dey happen because of electrolyte and fluid retention for body if e dey too disturb you you fit take simple pain relief medicine like paracetamol all the best,hi you are on the progesterone depo injection for contraception it is a common side effect of progesterone it is due to electrolyte and fluid retention you can take simple analgesics for this if it is intolerable such as paracetamol all the best,Speaker_9,17.97,"['progesterone', 'paracetamol']",train
audio/Speaker_9/Speaker9-128.wav,you get coccydynia e good make you do x ray but abeg follow these instructions make you dey use ring pillow when you sit for hard surface do sitz bath sit on top hot salt water steam also take tramadol one tablet every day after dinner,you have coccydynia it is advisable to take an x ray but please follow the instructions one while sitting on a hard surface use a ring pillow two sitz bath seat over the hot steam of salt water three take tramadol one tablet daily after dinner,Speaker_9,17.23,['tablet'],train
audio/Speaker_9/Speaker9-129.wav,hello doctor last saturday i get toothache so i take some painkillers but the next day the place start to swell then by monday e start to bleed near the tooth next day i go see dentist and she give me antibiotics and painkillers but for the last two days the swelling don still increase this one normal like that,hello doctor last saturday i had a toothache then i took some painkillers however the next day it became swollen then on monday it started to bleed near my tooth the next day i met the dentist and she gave me some antibiotics and painkillers but the swelling has increased for the last two days is this normal,Speaker_9,21.22,"['painkillers', 'next', 'swollen', 'bleed', 'antibiotics', 'swelling']",train
audio/Speaker_9/Speaker9-130.wav,no long unfortunately ten percent efficiency na very low level for the heart to fit do its normal work and supply blood well to the whole body e fit last from few months up to one year,not long unfortunately a ten efficacy is too low for the heart to perform its proper function and supply the blood requirements for the entire body it ranges from a few months to a year,Speaker_9,13.91,[],train
audio/Speaker_9/Speaker9-131.wav,hi i waka go gynecologist few weeks ago and dem find say blood dey my urine but i no see am i still waka go urologist do some tests but i still no see am dem do sonogram for my kidneys e show normal i don schedule cystoscopy but now i dey see blood when i wipe and just small amount for toilet wetin fit dey cause,hi i went to the gynecologist a few weeks ago and found out i had blood in my urine but i didn t see it i went to a urologist and got tested and i still didn t see it i had a sonogram for my kidneys and it came back normal i scheduled a cystoscopy but now i m seeing blood when i wipe and very little in the toilet what could it be,Speaker_9,23.06,"['went', 'gynecologist', 'urologist', 'sonogram', 'wipe']",train
audio/Speaker_9/Speaker9-132.wav,you don dey mostly sit down or lie down after all the suffering make you check yourself for sciatica because e fit explain the pain wey dey your lower back wey dey run go leg the belle pain fit be because of the urinary tract infection wey you mention before,you must be sedentary after all the suffering and being bedridden go check yourself for sciatica as it could explain the pain in your lower back radiating to your leg the abdominal pain could be due to the urinary tract infection that you mentioned,Speaker_9,17.55,"['abdominal', 'urinary', 'tract', 'infection']",train
audio/Speaker_9/Speaker9-133.wav,the wahala wey dey her behavior most likely na because of the medicines wey she dey take you suppose go see the doctor wey start these medicines make you discuss how to manage am with dem,behavioral disturbances are most likely due to her medications you should consult the doctor who started these medications and explore the management with them,Speaker_9,10.15,"['behavioral', 'disturbances', 'consult']",train
audio/Speaker_9/Speaker9-134.wav,my sixteen day old pikin boy don dey waka in and out hospital since e born e dey vomit since birth and lately e dey vomit like projectile e born weigh nine pounds four ounces and e leave hospital weigh eight pounds nine ounces e never regain any weight but e no dey lose again either after e chop e dey gag vomit dey hiccup or do all three together dem don change him formula and put am for ranitidine but nothing don change dem do ultrasound for pyloric stenosis e show say e dey high small but still dey normal range i dey feel so helpless and i just want make my pikin start dey chop well and regain him weight wetin else fit dey cause am wey i fit bring to doctor attention,my sixteen day old baby boy has been in and out of the doctor since he was born he has been vomiting since birth recently it has been projectile he was born at nine pounds four ounces and left the hospital at eight pounds nine ounces he has not gained any of his weight back but has not lost any either after eating he gags vomits hiccups or a combination of all three so far they have changed his formula and put him on ranitidine with no change they did an ultrasound for pyloric stenosis and it came out elevated but still within normal limits i feel so helpless and just want my baby to start eating and gaining his weight back are there any other suggestions for what it could possibly be that i can bring to our doctor s attention,Speaker_9,63.02,"['sixteen', 'vomiting', 'pounds', 'ounce', 'hospital', 'weight', 'gags', 'his', 'ranitidine', 'ultrasound', 'elevated', 'helpless', 'baby']",train
audio/Speaker_9/Speaker9-135.wav,i fit suggest make you check serum uric acid blood sugar serum creatinine sodium and potassium levels make you see orthopedic surgeon keep your feet elevated and put sling for the arm wey dey affect take aleve tablets two times a day and try physical therapy exercises for your hands wrists feet and ankles you fit also apply hot fomentation and voltaren gel blood test go guide wetin other supportive measures wey you suppose take,i may suggest checking serum uric acid blood sugar levels serum creatinine sodium and potassium levels consult an orthopedic surgeon keep feet elevated and put a sling on the affected arm take aleve tablets twice a day and consider physical therapy exercises for your hands wrists feet and ankles apply hot fomentation and voltaren gel a blood test shall guide other supportive measures to be taken,Speaker_9,35.83,"['serum', 'blood', 'sugar', 'potassium', 'consult', 'elevated', 'sling', 'aleve', 'tablets', 'voltaren', 'test']",train
audio/Speaker_9/Speaker9-136.wav,i recently get streptococcal throat infection and now my joints dey pain my ankles dey swell and small red nodules dey everywhere for my body my doctor talk say e fit don affect my kidneys and she prescribe prednisone to treat the inflammation the longer i dey stand or waka the worse i dey feel i suppose dey off my feet this one fit affect my kidneys forever which signs i suppose dey watch for wey fit show say kidney no dey work well,i recently had streptococcal throat infection and now i am experiencing pain in my joints swelling in my ankles as well as small red nodules all over my body my doctor says that it may have affected my kidneys and has prescribed prednisone for the treatment of the inflammation the longer i am on my feet the worse i feel should i be keeping off my feet can this affect my kidneys permanently what symptoms should i be looking for to indicate kidney failure,Speaker_9,30.86,"['swelling', 'small', 'nodules', 'kidneys', 'prednisone', 'feet']",train
audio/Speaker_9/Speaker9-137.wav,hello if na disc prolapse dey cause am the pain and other symptoms fit dey because nerves dey compressed if the prolapse bad well well e better make surgery dey considered if e no too bad i go suggest make you try physiotherapy first,hello if it is a disc prolapse the pain and symptoms might be due to compression on the nerves if the prolapse is more severe it is better to consider surgery if it is less severe i recommend trying physiotherapy,Speaker_9,16.88,[],train
audio/Speaker_9/Speaker9-138.wav,hi doctor i just do in vitro fertilization treatment my embryo transfer happen on march 27 for progesterone i dey take two cyclogest vaginal tablets four hundred milligrams each and one susten injection of one hundred milligrams every four days yesterday dem check my progesterone level e come out ten point two my doctor talk say e low and say make i dey take susten injection every other day wetin you go advise i dey very worried about how to keep the pregnancy,hi doctor i just went through in vitro fertilization treatment my embryo transfer was on march 27th for progesterone i am taking two cyclogest vaginal tablets four hundred milligrams each and a susten one hundred milligram injection every fourth day yesterday i had my progesterone levels checked and it came out to be ten point two my doctor says it is low and i should increase the susten injection frequency to every other day what is your recommendation i am very worried about sustaining the pregnancy,Speaker_9,36.83,"['vitro', 'fe', 'milligrams', 'milligram', 'injection', 'progesterone', 'point']",train
audio/Speaker_9/Speaker9-139.wav,my niece get red bumps for top of her wrists and for back of her left leg we don take her go see doctor dem advise make we use calamine lotion and dey watch am today i check her left wrist e don full red and the bump don big pass one nickel wetin this fit be if e no be allergy,my niece has red bumps on top of her wrists and on the back of her left leg after taking her to the doctor they advised us to use calamine lotion and to keep an eye on it today i just looked at her left wrist and it is all red and the bump is bigger than a nickel any ideas what this could be if it is not an allergy,Speaker_9,21.52,"['niece', 'bumps', 'wrists', 'calamine', 'bigger', 'nickel']",train
audio/Speaker_9/Speaker9-140.wav,no worry this one no be overdose you suppose keep her international normalized ratio inr between two point five and three based on that the dosage need make dem adjust am,don t worry this is not an overdose you have to keep her international normalized ratio between two point five and three accordingly the dosage needs to be adjusted,Speaker_9,11.24,"['international', 'normalized', 'ratio']",train
audio/Speaker_9/Speaker9-141.wav,hi i dey ten weeks pregnant and i been dey experience a lot of lower abdominal pain wey dey last for long periods of time e dey alway start when i stand at work for mall time i go meet my doctor the other day and we discover say i get retroverted uterus that one fit caue plenty pain or make i dey worried i no sure if i suppose wait am out or seek help now dem schedule me for ultrasound for the 21st,hi i am ten weeks pregnant and i have been experiencing a lot of lower abdominal pain that lasts for long periods of time it always starts when i am standing at work for a while i went to my doctor the other day and we discovered that i have a retroverted uterus can that really be causing a lot of pain or should i be worried i am not sure if i should wait it out or seek help now i have an ultrasound scheduled for the 21st,Speaker_9,26.4,"['abdominal', 'went', 'ultrasound']",train
audio/Speaker_9/Speaker9-142.wav,hi i get some cuts for my leg wey i dey suspect say fit dey infected abi e get any way i fit treat these cuts make e clear the infection without going to see doctor and how i go fit know for sure say na infection dey without going see doctor abeg help,hi i have cuts on my leg that i think might be infected is there any way i can treat these cuts with something that may get rid of the infection without needing to go to a doctor and how can i be sure it is an infection without going to a doctor help,Speaker_9,17.72,['leg'],train
audio/Speaker_9/Speaker9-143.wav,sir i dey thirty four years old and i be woman i remove my gall bladder for november i still dey face the same wahala my stomach dey swell like say i don dey eight months pregnant and e dey very hard anytime i chop something abeg suggest medicine because i don dey start hate myself and people dey also dey ask wetin happen to your stomach,sir i am thirty four years old and female i had my gall bladder removed in november i am facing the same problem my stomach feels like i am eight months pregnant and it becomes very hard whenever i eat something please suggest some medicine because i have started hating myself and others are also asking what happened to your stomach,Speaker_9,20.81,"['gall', 'bladder', 'removed', 'stomach']",train
audio/Speaker_9/Speaker9-144.wav,since you talk say you don do colonoscopy before and dem find diverticulosis and polyps na dem dey likely cause the bleeding colon cancer fit show for colonoscopy and if dem no see anything you no need to worry about colon cancer,since you said you already had a colonoscopy and have diverticulosis and polyps they must be the cause of the bleeding colon cancer is seen on colonoscopy and if there is nothing in it you need not worry about colon cancer,Speaker_9,16.25,"['colonoscopy', 'diverticulosis']",train
audio/Speaker_9/Speaker9-145.wav,abi thickening of the ligamentum flavum for t10 level fit dey cause me back pain for my right side wey dey run around my rib cage i don dey suffer like three and half years now don try all injections wey dey possible do fusion for t7 t9 acupuncture physical therapy biodynamic osteopathic treatment but nothing don solve the matter,could thickening of the ligamentum flavum at the t10 level cause me to have back pain on my right side that radiates around my rib cage i have been suffering for three and a half years and have had all injections possible a fusion at t7 t9 acupuncture physical therapy biodynamic osteopathic treatment and still no resolution,Speaker_9,23.08,"['thickening', 'ligamentum', 'flavum', 'level', 'half']",train
audio/Speaker_9/Speaker9-146.wav,hi i do cesarean section on july 22 i get one lump for the right side of my belly button my obstetrician and gynecologist talk say e fit be periumbilical hernia and dem refer me go surgeon wey i get appointment with on january 6 my stomach dey get more and more bloated every day reach the point say i dey look like seven months pregnant again i dey feel small pain but aside from constipation and nausea i dey get plenty gas i no sure whether i suppose dey worried about this one,hi i had a cesarean section on july 22nd i have a lump on the right side of my belly button my obstetrician and gynecologist said it might be a periumbilical hernia and referred me to a surgeon with whom i have an appointment on january 6th my stomach is becoming very bloated more every day so much so that i look seven months pregnant again i have been in mild pain but aside from constipation and nausea i have had extreme gas i am not sure if i should be concerned about this,Speaker_9,31.23,"['cesarean', 'section', 'lump', 'periumbilical', 'surgeon', 'january', 'stomach', 'bloated', 'constipation', 'extreme']",train
audio/Speaker_9/Speaker9-147.wav,malaria fit give both high grade and low grade fever but usually e dey come and go in cycles depending on the type of malaria parasite since you dey live for rwanda where mosquitoes plenty and you don dey take malarone but still get flu like symptoms like fatigue loss of appetite and low grade fever e fit still be malaria or another infection you need make you do proper malaria test as soon as possible to confirm because even people wey dey take preventive medicine fit still catch malaria sometimes,does malaria give you a high or low grade fever i am living in rwanda in the midst of a large mosquito population i have been taking malarone but have developed flu like symptoms over the past week including fatigue loss of appetite and a low grade fever,Speaker_9,29.93,"['malaria', 'high', 'malarone', 'loss', 'appetite']",train
audio/Speaker_9/Speaker9-148.wav,hi make you remember say toothache fit dey refer pain go ear and other parts of head and neck if you get any dental wahala make dem treat am first any problem wey dey the ear fit be checked by ear nose and throat ent specialist,hi it should be remembered that toothaches can be referred to the ear and other parts of the head and neck region if you have any dental problems they should be treated first any pathology in the ear can be identified by an ear nose and throat specialist,Speaker_9,16.95,['toothaches'],train
audio/Speaker_9/Speaker9-149.wav,first of all kidney stone wey dey one cm need treatment normally extracorporeal shock wave lithotripsy eswl dey enough if the hounsfield units no reach one thousand for your first question since ureteral stent don already dey you fit continue with eswl or lithotripsy as you talk usually three sessions dey advised no wahala no problem at all to get stent inside the only wahala be say patient fit dey feel pain especially when dem dey pass urine e good make you wait three weeks first to allow proper access then go ahead with lithotripsy give the patient some time and reassure am say no need to worry i hope say this one help,first of all a one cm kidney stone needs treatment usually extracorporeal shock wave lithotripsy is sufficient if the hounsfield units are less than one thousand in response to your first question since there is a ureteral stent already you can proceed with extracorporeal shock wave lithotripsy or lithotripsy as you mentioned generally three sessions are advised without any issues furthermore there is absolutely no problem with having a stent inside the only concern is that patients may experience pain especially when passing urine yes it s better to wait for three weeks to allow access and then proceed with lithotripsy give some time for the patient and reassure him that he need not worry i hope this helps,Speaker_9,46.56,"['cm', 'extracorporeal', 'stent']",train
audio/Speaker_9/Speaker9-150.wav,my papa just enter emergency room e dey get strong throbbing pain for him neck and head e waka go see chiropractor two days ago but nothing change today e do x rays and dem rush am straight go emergency room because dem think say e get blocked arteries for brain wetin else fit dey cause am,my dad was just admitted to the emergency room he has had an intense throbbing pain in his neck and head he went to a chiropractor about it two days ago without any luck today he went to get x rays and they immediately rushed him into the emergency room thinking that he has blocked arteries in his brain what could be some other possibilities,Speaker_9,18.27,"['dad', 'admitted', 'throbbing', 'head', 'went', 'rushed', 'emergency', 'room']",train
audio/Speaker_9/Speaker9-151.wav,i be forty two year old man and i dey feel pain for my left clavicle area wey i wake up with two days ago i never fall or injure myself and i no sabi how the area take pain e dey pain when i dey breathe cough sneeze or press the area and the pain dey dey worse you get any advice,i am a forty two year old male who is experiencing pain in my left clavicle area which i woke up with two days ago i have not had a fall or injury and do not know how i injured the area it hurts to breathe cough sneeze and apply pressure and the pain is getting worse do you have any advice,Speaker_9,17.9,"['male', 'clavicle', 'area']",train
audio/Speaker_9/Speaker9-152.wav,hi my pikin girl dey three years old and she don dey suffer from tonsillitis for the past one year i only first notice the problem for january this year dem prescribe septilin for her and i don dey give am for five months now but she never fully well yet how long e go take before she fit cure completely,hi my daughter is three years old and has been suffering from tonsillitis for the past year i only became aware of her condition in january this year from my daughter she was prescribed septilin which i have been giving her for five months now however they are still not completely okay how long will it take for her to be cured,Speaker_9,19.02,"['tonsillitis', 'january', 'septilin']",train
audio/Speaker_9/Speaker9-153.wav,my boyfriend and i nack one week ago and the condom comot inside i don dey use birth control for four years straight and i no dey miss any dose within one hour after the wahala i take emergency contraception too but now my period dey one day late abi get chance say i fit dey pregnant,my boyfriend and i had intercourse a week ago and the condom slipped off inside i have been on birth control for a solid four years and do not miss a dose within an hour of our mishap i also took emergency contraception however my cycle is a day late is there a chance i could be pregnant,Speaker_9,16.9,"['within', 'an', 'emergency']",train
audio/Speaker_9/Speaker9-154.wav,i don dey one year since dem remove both my breasts because of breast cancer and e don reach eight months since my last implant surgery i fall for my left side hear one pop and i begin feel immediate pain for my chest area i no fit lift heavy things or swing golf club but outside that i no dey feel too much pain wetin you think fit dey cause am,i am one year removed from a double mastectomy due to breast cancer and eight months since my last implant surgery i fell on my left side and heard a pop experiencing immediate pain in my chest area i cannot lift anything heavy and cannot swing a golf club but otherwise i do not feel too much pain what do you think,Speaker_9,22.24,"['double', 'immediate', 'chest', 'swing', 'golf', 'club']",train
audio/Speaker_9/Speaker9-155.wav,my husband get labyrinthitis eighteen months ago and dem don later diagnose am with parkinson s disease he dey suffer fatigue well well and dey do vestibular exercises to try improve the matter if i wan make holiday easy for am less stressful and tiring e good make we go cruise or e fit affect am badly,my husband developed labyrinthitis eighteen months ago and has subsequently been diagnosed with parkinson s disease he suffers a great deal from fatigue and is having vestibular exercises to improve matters to try and give him a stress free less tiring holiday would cruising be a good idea or adversely affect him,Speaker_9,20.74,"['labyrinthitis', 'fatigue']",train
audio/Speaker_9/Speaker9-156.wav,hello i don read your question and i understand your concern back pain na common thing and e usually no serious no need to worry most times e dey happen because of bad posture and e fit dey come back again no special treatment dey but dey do physical activity and back muscle exercises dey help well well i hope say this one help you fit still use medical health consultation anytime,hello i have gone through your question and understand your concern spinal discomfort is a common condition and is generally harmless there is nothing to worry about generally these are caused by improper postures and tend to be recurrent there is no specific treatment but physical activity with back muscle exercises is very helpful i hope this helps please feel free to use medical health consultation again,Speaker_9,24.08,"['spinal', 'discomfort', 'improper', 'postures']",train
audio/Speaker_9/Speaker9-157.wav,hi if cervical polyp don remove at any time e dey normal to get some fresh blood because of that no advisable to use any medicine for pregnancy for the same cycle as removal blood no dey good for sperm as e fit reduce or stop sperm movement you fit still try to conceive but if blood dey and raw area dey for cervical canal e fit affect sperm health you fit get sex after the bleeding stop normally within two to three days for next period your chance go better e better to start clomiphene citrate from the next cycle,hi if a cervical polyp is removed at any time there will be some fresh blood therefore it is not advisable to consider any medication for pregnancy in the same cycle as the removal blood is not a good medium for sperm as sperm motility is reduced or stopped by blood components you can attempt to conceive but when there is blood with a raw area in the cervical canal sperm health may be compromised you can have sexual contact after the bleeding stops which usually occurs within two to three days in the next period your chances will be better it is better to use clomiphene citrate from the next cycle,Speaker_9,37.18,"['blood', 'bleeding', 'cycle']",train
audio/Speaker_9/Speaker9-158.wav,hello viral infections fit give similar symptoms common cold and seasonal flu fit show symptoms wey resemble coronavirus but wetin dey worry for coronavirus na how severe the symptoms fit be and how the body dey respond to fight the virus no need to dey panic now just take precaution like proper hand washing cover your mouth and nose when you cough or sneeze and try small isolation drink plenty water and take other supportive care wey you need if symptoms no improve or e dey worse after some days you fit go healthcare facility but if you get any history of contact or possible contact with person wey get suspicious symptoms or travel history e better make you report am,hello viral infections produce similar symptoms the common cold and seasonal flu produce symptoms similar to those of the coronavirus however it is the severity of symptoms that is concerning with the coronavirus and the body s response to contain the virus there is no need to panic right now just take precautionary measures such as proper hand hygiene and respiratory etiquette and maintain a degree of isolation take plenty of fluids and other supportive measures as needed if symptoms do not improve or worsen over a couple of days you can visit a healthcare facility however if there is any history of contact or presumed contact with someone exhibiting suspicious symptoms or a travel history then it is advisable to report it,Speaker_9,40.84,"['infections', 'common', 'cold', 'seasonal', 'symptoms', 'coronavirus', 'severity', 'couple']",train
audio/Speaker_9/Speaker9-159.wav,i find one painful lump wey dey right side of my nipple for my areola i get eczema and i think say na from scratching e never go away or improve but now the skin around the lump dey turn red how worried i suppose dey i don research and the closest things wey sound like am na infection or non cancerous wart like tumor,i found a painful lump that you can see to the right of my nipple on my areola i have eczema and thought it was just from me scratching it hasn t gone away or improved but now the skin on my breast is turning red around it how concerned should i be i researched two things that sound the closest infection and non cancerous wart like tumor,Speaker_9,23.03,"['painful', 'lump', 'nipple', 'eczema', 'breast', 'infection', 'non', 'cancerous', 'wart']",train
audio/Speaker_9/Speaker9-160.wav,normally this one no too dey worry because e no be the usual sign of skin cancer e dey more like local infection but because you don get multiple cancers before make you still go see your oncologist if the lump no clear after one week dem fit need do biopsy to check well,normally this would not be a cause for concern as it is not the usual description of a skin cancer it is more in favor of a localized infection however in view of the multiple cancers that you have had please see your oncologist if the lesion persists for more than a week they may need to perform a biopsy,Speaker_9,17.28,['lesion'],train
audio/Speaker_9/Speaker9-161.wav,i get neck back and leg pain wey pain management dey help me control i go soon start prolotherapy and i dey wonder how effective e be and wetin the success rate dey dem also refer me make i dey wear asics gel cumulus fifteen sneakers and i must admit say dem dey help plenty today i wear my nike sneakers and i get nothing but pain wey run from my foot go my leg wey make my back and neck pain worsen i dey look for opinion on asics gel cumulus fifteen dem really dey that effective to prevent plenty of the pain wey i dey experience,i have neck back and leg pain managed by pain management i am soon going to start prolotherapy and i was wondering what the effectiveness and success rate are i was also referred to wear asics gel cumulus fifteen sneakers and i must say they help a lot i just wore my nike sneakers today and i had nothing but pain going up my foot through my leg which caused my back and neck pain to worsen i am looking for an opinion on the asics gel cumulus fifteen are they really that good for preventing a lot of the pain i experience,Speaker_9,42.59,['leg'],train
audio/Speaker_9/Speaker9-162.wav,my magnetic resonance imaging show say the c5 and c6 discs don narrow e get right posterior paramedian disc osteophyte complex wey dey press the arachnoid sac and dey touch plus distort the cervical cord the cord don get distorted shape i don dey suffer bad neck shoulder and arm pain for more than one month i don try two rounds of steroids muscle relaxants and physical therapy nothing dey help the pain dey get worse i no fit use my right arm without pain abeg help the c4 and c5 levels still get the osteophyte complex na bone spurs be that abi,magnetic resonance imaging shows that the c5 and c6 discs are narrowed there is a right posterior paramedian disc osteophyte complex impressing the arachnoid sac and abutting and distorting the cervical cord the cord has distorted morphology i have had horrible neck shoulder and arm pain for over a month two sets of steroids muscle relaxants and physical therapy nothing is helping the pain is getting worse i cannot use my right arm without pain help the c4 and c5 levels also have the osteophyte complex which is bone spurs correct,Speaker_9,41.77,"['magnetic', 'resonance', 'imaging', 'discs', 'posterior', 'paramedian', 'disc', 'cervical', 'cord', 'arm', 'physical', 'therapy']",train
audio/Speaker_9/Speaker9-163.wav,ask your doctor whether sodium cromoglycate puffs every morning go better pass albuterol for preventing attacks make lung function tests dey done to check your condition sometimes chronic airway blockage or alveolar problems fit dey cause am and e no always show for chest x ray for your case the chest pain no get clear reason sometimes for people wey dey do heavy exercise muscle fatigue fit cause am for that one make you check serum creatine phosphokinase level e dey high if muscle don suffer trauma if na that one be the cause you go need reduce heavy cycling or you fit stop cycling for fifteen days to see if e dey cause the pain the pain fit clear by itself,ask your doctor if sodium cromoglycate puffs every morning would be preferable to albuterol for the prevention of attacks lung function tests should be carried out to assess your status sometimes chronic airway obstruction or alveolar function may be the cause which is not always visible on a chest x ray in your case the chest pain is unexplained sometimes in heavy exercisers muscle fatigue could be a cause for which you should get a serum creatine phosphokinase level assessed this is raised in muscle trauma in that event you would have to cut back on excessive cycling alternatively you could stop cycling and wait for fifteen days to see if it is a contributory cause the pain might resolve,Speaker_9,51.22,"['sodium', 'cromoglycate', 'puff', 'morning', 'albuterol', 'chronic', 'air', 'chest', 'muscle', 'fatigue', 'serum', 'creatine', 'phosphokinase', 'cycling']",train
audio/Speaker_9/Speaker9-164.wav,hello doctor one wetin be some health wahala wey fit show up during menstruation abeg explain why e dey happen and if anything fit prevent am two which kind health wahala dey more common during menstruation how i fit dey healthier during this time of my period,hello doctor one what are some health issues that can crop up during menstruation please explain why this might occur and if there is anything to prevent it two what specific health issues might be more common during menstruation how can i stay healthier during this time of the month,Speaker_9,17.53,[],train
audio/Speaker_9/Speaker9-165.wav,hello i don read your question and i understand your concern arachnoid cysts dey common for magnetic resonance imaging mri scans and dem usually dey incidental meaning say dem no dey cause any symptoms at all the tremor wey you dey get fit be essential tremor and e no get any connection with the arachnoid cyst and the depression no get anything to do with am too so arachnoid cyst no need any treatment i hope say this answer your question i dey wish you good health,hello i have gone through your question and understand your concern arachnoid cysts are common findings in magnetic resonance imaging scans and are considered incidental generally not responsible for any symptoms at all the tremor you are having is probably an essential tremor and not related to the arachnoid cyst nor does the depression have anything to do with it thus the arachnoid cyst does not need any treatment i hope this answers your question i wish you good health,Speaker_9,29.42,"['magnetic', 'resonance', 'imaging', 'tremor', 'depression', 'cysts']",train
audio/Speaker_9/Speaker9-166.wav,hello yes e possible say the spotting fit dey related to coughing during pregnancy but since you dey near your due date the baby likely dey safe,hello yes it is possible that the spotting is related to coughing during pregnancy however since you are nearing term the baby is likely to be safe,Speaker_9,9.08,['coughing'],train
audio/Speaker_9/Speaker9-167.wav,hi i be forty nine year old woman wey weigh two hundred and thirty four pounds i don do triple bypass for 2006 and i dey take medications i dey also take percocet every day for pain i dey diabetic and dey depend on insulin i don gain twenty five pounds for the past year and e dey make me miserable i need back surgery but dem advise say i suppose lose some weight first na safe i fit take this advice,hi i am a forty nine year old female who weighs two hundred and thirty four pounds i have had a triple bypass in two thousand and six and i am on medication i also take percocet for pain every day i am a diabetic dependent on insulin i have gained twenty five pounds in the last year and i am miserable i need to have back surgery but they advised me to lose some weight is this safe for me to take,Speaker_9,28.4,"['female', 'triple', 'bypass', 'gained', 'pounds']",train
audio/Speaker_9/Speaker9-168.wav,the large artery fit dey ectatic enlarged or e fit get aneurysm e fit dey associated with thrombolysis in myocardial infarction timi flow two no need to take diltiazem unless doctor prescribe am for specific symptoms,the large artery may be ectatic or may be aneurysmal it may be associated with thrombolysis in myocardial infarction two flow there is no need for diltiazem until specified for some specific symptoms,Speaker_9,22.15,['diltiazem'],train
audio/Speaker_9/Speaker9-169.wav,dear patient i suggest say you take myoril four milligrams twice a day together with tramadol and pantoff d twice a day and also neurobion forte once a day you fit also try back physiotherapy hot fomentation and shortwave diathermy,dear patient i suggest you take myoril four milligrams twice a day with tramadol and pantoff d twice a day along with neurobion forte once a day you should also consider back physiotherapy hot fomentation and shortwave diathermy,Speaker_9,20.39,"['myoril', 'milligrams', 'twice', 'tramadol', 'neurobion', 'forte', 'shortwave']",train
audio/Speaker_9/Speaker9-170.wav,no e very unlikely say you get fracture because you dey walk without pain as you talk after you take few steps your symptoms dey reduce this one show say the wahala na only soft tissue injury,no it is very unlikely that there is a fracture as your walking is painless as you mentioned after a few steps your symptoms are getting relieved this suggests that the injury is only a soft tissue injury,Speaker_9,12.42,['symptoms'],train
audio/Speaker_9/Speaker9-171.wav,hello i be pharmacy student and i see one patient for hospital wey get raised nodules all over body except chest and face the medical doctor suspect say the rash dey come from high triglyceride level the triglyceride lab result never come yet so i no get the number the reason why dem suspect am be say when dem try open one of the nodules dem see fat inside the nodule abeg tell me wetin you think and wetin be the type of this rash,hello i am a pharmacy student and i see a patient in the hospital with raised nodules all over the body except on the chest and face the medical doctor suspected the rash is due to her high triglyceride level the triglyceride laboratory results are on the way so i do not have the triglyceride number yet the reason for their suspicion is that when they tried to open one nodule they found fat inside the nodule please tell me what you think and the type of the rash,Speaker_9,31.0,"['raised', 'nodules', 'chest', 'rash', 'fat']",train
audio/Speaker_9/Speaker9-172.wav,e no be infection of the vagina and because of that you no get any other symptoms apart from soft stool which dey kind of normal try increase fiber for your food like dey chop green leafy vegetables regularly and steady this one go help make your stool return normal again for about one to two weeks,it is not an infection of the vagina and as such you do not have any other symptoms other than the soft stools which is kind of normal try increasing the fiber content in your diet such as consuming green leafy vegetables regularly and consistently this will help make your stools normal again in about a week or two,Speaker_9,20.32,"['other', 'symptoms', 'soft', 'stool', 'fiber', 'content', 'consuming', 'green', 'leafy', 'vegetables', 'stools', 'normal']",train
audio/Speaker_9/Speaker9-173.wav,hello i suggest make surgeon examine you to rule out acute abdominal problem you also need to do ultrasound scan causes of abdominal pain and vomiting fit include appendicitis cholecystitis and other similar conditions i advise make you go see doctor make dem check you well,hello i suggest that you be examined by a surgeon to rule out acute abdominal causes you also need to get an ultrasound causes of abdominal pain and vomiting include appendicitis cholecystitis etc i suggest you get yourself checked out by a doctor,Speaker_9,18.99,"['abdominal', 'vomiting']",train
audio/Speaker_9/Speaker9-174.wav,well laparoscopic cholecystectomy na better option pass open surgery generally surgery dey necessary because if you no treat am the complications fit become serious and you fit later need major surgery so consider laparoscopic cholecystectomy,well laparoscopic cholecystectomy is a better option than open surgery by and large surgery is necessary otherwise the sequelae of this can be severe and you may end up requiring major surgery so consider laparoscopic cholecystectomy,Speaker_9,20.62,"['laparoscopic', 'cholecy']",train
audio/Speaker_9/Speaker9-175.wav,i get pain for outside part of my right thigh i get am about two weeks ago e go away but now since sunday the pain don come back again e dey pain like electric shock wey dey shoot when i put weight for my leg especially when i dey climb stairs even when i sit down e still dey pain me,i have had pain on the outer side of my right thigh i had it about two weeks ago then it went away now since sunday the pain is back it hurts like a shooting electrical pain when i put any weight on my leg especially when i step up the stairs even sitting down it hurts,Speaker_9,18.58,"['outer', 'side', 'thigh', 'shooting', 'electrical']",train
audio/Speaker_9/Speaker9-176.wav,i get twenty five to fifty epithelial cells for my urinalysis dem label am as moderate epithelial cells wetin be the significance of this i previously get urinary tract infection and another different bacteria show up about two days after i finish the first antibiotic i now dey take augmentin i be sixty one year old woman i get systemic lupus and i dey on cellcept two grams and prednisone nine milligrams,i have twenty five to fifty epithelial cells in my urinalysis listed as moderate epithelial cells what is the significance of this i had a previous urinary tract infection with a different bacteria appearing about two days after i completed the first antibiotic i am now on augmentin i am a sixty one year old woman with systemic lupus and i am on cellcept two grams and prednisone nine milligrams,Speaker_9,34.3,"['urinary', 'tract', 'infection', 'after', 'sixty', 'woman', 'systemic', 'lupus', 'cells', 'grams', 'previous']",train
audio/Speaker_9/Speaker9-177.wav,sir i be twenty six year old boy i dey face cervical spondylitis wahala one doctor tell me make i take evion 400 mg e get any effect for cervical spondylitis i dey experience small shivering for my left hand and i dey feel say i dey lose strength when i carry things,sir i am a twenty six year old boy i am facing cervical spondylitis problems one doctor asked me to take evion four hundred mg does it have any action on cervical spondylitis i am experiencing slight shivering in my left hand and feeling some weight loss while carrying articles,Speaker_9,19.88,"['cervical', 'slight', 'shivering', 'hand', 'weight', 'loss']",train
audio/Speaker_9/Speaker9-178.wav,i chop mutton this afternoon within thirty minutes my stomach start dey pain and after one hour rash show for my skin i begin dey pass stool i no fit breathe well i go doctor and e talk say my body dey allergic to mutton i chop mutton three days ago too and nothing happen why my body suddenly start dey allergic to mutton wetin i suppose do now i really like mutton,i ate mutton this afternoon within thirty minutes pain started in my stomach and after one hour a rash on my skin appeared bowel movements started i could not breathe properly i went to a doctor and he said that my body is allergic to mutton i ate mutton three days ago as well and nothing happened why did my body suddenly become allergic to mutton what should i do now i like mutton very much,Speaker_9,25.03,"['ate', 'within', 'minutes', 'rash', 'mutton']",train
audio/Speaker_9/Speaker9-179.wav,hello sir i get wahala with nasal septum deviation but i no get problem with breathing however i dey very prone to coughs and colds e get any yoga exercise wey i fit do or any other remedy apart from surgery wey fit cure am,hello sir i have a problem with nasal septum deviation although i do not have any problem with breathing however i am very prone to coughs and colds is there any yoga exercise that can be practiced or any other remedy apart from surgery that can cure this,Speaker_9,14.26,"['coughs', 'colds']",train
audio/Speaker_9/Speaker9-180.wav,you get clear history of pain before bowel movements this one show say you need colonoscopy and ultrasound first together with antibiotic course wey good for bowel like metronidazole plus probiotics if necessary we fit still do barium studies to rule out obstruction and ct scan of the abdomen to rule out gastrointestinal cancer all these tests go help make proper diagnosis so correct treatment fit follow,you have a proper history of pain before bowel movements this indicates the need for a colonoscopy and ultrasonography to start with along with a course of antibiotics suitable for the bowel metronidazole and probiotics if required we should proceed with barium studies to rule out obstruction and a computed tomography scan of the abdomen to rule out gastrointestinal cancers this will help achieve a proper diagnosis to get appropriate treatment,Speaker_9,31.79,"['bowel', 'colonoscopy', 'ultrasonography', 'antibiotics', 'metronidazole', 'probiotics', 'barium', 'studies', 'obstruction', 'computed', 'tomography', 'abdomen']",train
audio/Speaker_9/Speaker9-181.wav,dear user unfortunately e no possible to talk wetin this fit be until i see am,dear user unfortunately it is impossible to say what this might be without the benefit of actually seeing it,Speaker_9,4.57,[],train
audio/Speaker_9/Speaker9-182.wav,hi i like your positive attitude and i congratulate you for that mindset now i think say you get throat pain when you dey swallow plenty medical causes fit cause this kind problem but based on your symptoms and history e go most likely be viral infection so just dey gargle warm water about three to four times daily i hope say this one help you,hi i admire your positive outlook and congratulate you for the attitude now i guess you have throat pain while swallowing there are many pathological causes responsible for your problems however let me give my opinion here as per your symptoms and history your problem is likely viral in origin so only gargle in hot water three to four times per day hope this helps,Speaker_9,24.22,['throat'],train
audio/Speaker_9/Speaker9-183.wav,i get salivary gland stone before and i receive plenty antibiotics before e eventually clear now i get very bad acne around the outside area where the stone dey before and e no dey go away e dey even worse and dey leave scars for the skin near my ear wetin i suppose do,i had a salivary gland stone and i received numerous antibiotics prior to it dissipating now i have awful acne around the outer area where the stone was present and it does not seem to go away it is getting more horrendous and scarring the skin near my ear what do i do,Speaker_9,19.81,"['antibiotics', 'awful', 'ac', 'stone', 'horrendous', 'scarring']",train
audio/Speaker_9/Speaker9-184.wav,i dey experience numbness for the left side of my body but sometimes e dey move go right side too i also get serious constipation and diarrhea irregular eye movement for both eyes memory loss balance problems and fatigue where i fit sleep for days without even realizing i also dey get headaches almost every day blurry and double vision and e feel like i dey get seizures or strokes i just do mri scan and eeg and both come out normal i need answers because i dey feel depressed and sometimes ashamed to go outside because i fear say i fit get seizure,hi i have been experiencing numbness on the left side of my body but sometimes the numbness travels to my right side i also have severe constipation and diarrhea irregular eye movements in both of my eyes memory loss balance problems and fatigue where i sleep for days without realizing that i have been asleep for that long additionally i have headaches almost every day blurry and double vision and it seems like i am either having seizures or strokes i just underwent a magnetic resonance imaging scan and an electroencephalogram and both came back normal i need answers because i feel depressed and sometimes embarrassed to go out in public because i might have a seizure,Speaker_9,39.8,"['numbness', 'sometimes', 'severe', 'constipation', 'diarrhea', 'irregular', 'movements', 'asleep', 'headaches', 'double', 'seizures', 'magnetic', 'resonance', 'imaging', 'depressed', 'go']",train
audio/Speaker_9/Speaker9-185.wav,i dey get soreness for my fingers throughout the day and dem dey look red like say dem get burn after that white marks dey appear for them not long after the pain go stop and the marks go disappear just now the same thing happen again but this time two fingers and my left palm plus one finger for my right hand get perfect white ring marks e dey hot and very painful but after about ten minutes the marks nearly disappear wetin this fit be,throughout the day individual fingers have felt sore and looked red as if they have been burned then white marks would appear on them not long after the pain stopped and the marks went away just now i experienced the same feeling but this time two of my fingers and my palm on my left hand as well as one finger on my right hand had perfectly formed white rings on them it was hot and very sore and then ten minutes later they were barely visible any ideas,Speaker_9,31.18,"['fingers', 'sore', 'formed']",train
audio/Speaker_9/Speaker9-186.wav,hi there wetin mostly dey guide how treatment go be which of the toe break generally if no external wound dey for the toe wey connect with the fracture then conservative treatment dey possible if na the big toe break then casting dey necessary because most of your body weight dey pass through the big toe when you dey waka if the fracture no too serious you fit use crepe bandage and see how e go go but i still strongly suggest make you wear cast whichever treatment you choose try no put weight for the affected foot for at least six weeks until the bone heal well e fit worry person wey never wear cast before but with proper care and precautions e dey very safe,hi there what mainly directs the course of treatment is which toe is broken generally if there is no external injury to the toe that is communicating with the fracture then conservative management is done if it is the big toe that is broken then casting is necessary as the majority of your weight bearing is transmitted through the big toe if your fracture is not severe then you can put on a crepe bandage and see if that works for you but i would still strongly suggest wearing a cast whichever mode of treatment you choose avoid putting any weight on the affected foot for a minimum of six weeks until the fracture unites it might be worrying for someone who has not been put in a cast before but with good care and by following adequate precautions it is very safe,Speaker_9,41.59,"['toe', 'injury', 'big', 'casting', 'fracture', 'bandage']",train
audio/Speaker_9/Speaker9-187.wav,hello the swelling fit be because of overdose or reaction to the local anesthetic wey dem inject i go advise make you take full course of antibiotics and pain relief medicine apply cold packs for the affected area warm salt water and betadine gargle fit also help try avoid stress and anxiety rest well for another five to six days maintain good oral hygiene if the symptoms still continue make you go see dentist i hope say this one help,hello the swelling may be due to an overdose of the local anesthetic solution injected i would advise you to take a complete course of antibiotics and analgesics apply cold packs to the affected area warm saline and betadine gargle may help avoid anxiety and stress take rest for another five six days maintain oral hygiene well if symptoms persist visit a dentist hope this helps,Speaker_9,28.79,"['swelling', 'local', 'anesthetic', 'solution', 'antibiotics', 'cold', 'packs', 'betadine', 'oral']",train
audio/Speaker_9/Speaker9-188.wav,hello pityriasis rosea na self limiting condition meaning say e no really need treatment unless e dey itch you just need wait about eight to sixteen weeks for am to clear by itself you fit use moisturizing lotion and small exposure to sunlight fit also help about ten minutes daily fit be enough,hello pityriasis rosea is a self limiting disease which means that it does not need treatment unless it itches you have to wait from eight to sixteen weeks for pityriasis rosea to vanish you may use moisturizer lotions and exposing yourself to the sun for short periods of time can help as well ten minutes daily may be enough,Speaker_9,21.29,"['pityriasis', 'sixteen']",train
audio/Speaker_9/Speaker9-189.wav,i just feel one small bean sized lump for the back side of my left testicle and the lump no too hard but i fit feel am when i touch am or hold am e dey pain me like say somebody dey squeeze my left testicle and i dey feel the pain reach my stomach e no too serious but e dey uncomfortable when i touch am my wife and i dey small worried about wetin e fit be i suppose go check am or e normal,i just felt this small bean sized lump on the backside of my left testicle and the lump isn t very hard but i can feel it when i touch it and grab it it hurts as if someone were grabbing my left testicle i can feel the pain in my stomach it s nothing unbearable but it s uncomfortable when touched my wife and i are a little concerned about what it could be should i get it checked out or is it normal,Speaker_9,25.94,"['small', 'bean', 'lump']",train
audio/Speaker_9/Speaker9-190.wav,hello your chest pain look like say e be muscular another possibility na acid reflux wey fit also cause this kind symptoms but for any chest pain we must first rule out heart problem so you need do chest x ray and electrocardiogram ecg if ecg and chest x ray normal then the pain likely be muscular or from acid reflux if na muscular pain i advise make you dey do hot fomentation for the area wey dey pain about three to four times a day you fit also apply diclofenac gel for the area with this treatment e usually dey clear within five to seven days if you also get abdominal pain and acid reflux i go advise make you take combination of pantoprazole and domperidone abeg show your doctor this opinion before you act on am i hope say e help,hello your chest pains seem to be muscular another possibility is acid reflux which can also cause such symptoms we should rule out any cardiac issues in the case of chest pains therefore you should get a chest x ray and an electrocardiogram done if the electrocardiogram and chest x ray are normal the pain is probably muscular or due to acid reflux for muscular pain i advise doing hot fomentation over the affected area three to four times a day you can also apply diclofenac gel locally over the involved area with this treatment it usually resolves in five to seven days if you have pain in the abdomen and acid reflux i would advise you to take a combination of pantoprazole and domperidone please share my opinion with your doctor before acting upon it i hope it helps,Speaker_9,51.22,"['chest', 'pains', 'ray', 'electrocardiogram', 'muscular', 'diclofenac', 'gel', 'abdomen', 'pantoprazole', 'domperidone']",train
audio/Speaker_9/Speaker9-191.wav,hi doctor i dey look for psychological insight on how awards dey affect people why we dey give awards at all why sometimes we dey deny other people wetin be the effect when person receive award or when dem no give am especially on career abeg explain from the side of the person wey receive award the person wey no receive am and also from employer perspective,hi doctor i am seeking insight from a psychological professional on how awards affect us why do we give them why do we deny them to others what impact does receiving or not receiving awards have on one s career please explain both from the recipient and non recipient perspectives as well as from an employer s mindset,Speaker_9,23.57,[],train
audio/Speaker_9/Speaker9-192.wav,yes dialysis dey increase the burden on the heart for old age e dey even more problematic because heart function already reduce due to aging ideally person fit consider peritoneal dialysis all the best if you get any questions feel free to contact me,yes dialysis increases the burden on the heart in old age it is much more problematic as heart function is already compromised due to aging ideally he can go for peritoneal dialysis all the best if you have any questions feel free to contact me,Speaker_9,18.25,[],train
audio/Speaker_9/Speaker9-193.wav,the only problem here na mental weakness you dey create this situation by yourself by asking questions just for fun you need control yourself till you receive proper help,the only problem here is mental weakness you are creating this situation on your own by asking questions for fun s sake you have to control yourself until you receive assistance,Speaker_9,9.91,[],train
audio/Speaker_9/Speaker9-194.wav,i dey get trouble dey wonder whether e possible say i fit dey pregnant right now or not i get irregular periods and every month my period dey start on different day for november 11 i get period for december i no see period but i knack raw on december 16 i just dey wonder whether e possible say i ovulate around that time and i fit dey pregnant now,i am having trouble wondering if it is possible for me to be pregnant right now or not i have irregular periods and every month i start on a different day well on november 11th i had a period in december i did not have a period but i had unprotected sexual intercourse on december 16th i was just wondering if it s possible that i ovulated and i am currently pregnant,Speaker_9,23.45,"['irregular', 'periods', 'unprotected']",train
audio/Speaker_9/Speaker9-195.wav,hello i don dey take tri sprintec for about one year now and recently i experience breakthrough bleeding about two weeks inside my birth control pack e don reach eight days of bleeding now and my pack don finish today i fit start my new pack on sunday without taking the inactive pills for seven days i really no want another full seven days of period,hello i have been on tri sprintec for about a year now and i recently experienced breakthrough bleeding about two weeks into my birth control pack it has now been a good eight days of bleeding and my pack is over today can i just start my new pack on sunday without taking the inactive pills for seven days i really do not want another full seven days of a period,Speaker_9,24.06,"['about', 'breakthrough', 'bleeding']",train
audio/Speaker_9/Speaker9-196.wav,i get slight dull pain for the right side of my head wey dey worsen the more i dey active e happen to me once last week but e later go away i don feel am again now and e dey so specific say i feel like i fit trace the exact area for my shaved head with marker the pain no too strong on scale of 1 to 10 i go rate am about 1 5 to 2 most times but e fit go reach about 6 sometimes wetin you think,there is a slight dull pain on the right side of my head that gets worse the more active i am it happened to me once last week but then went away i feel it again right now and it is so area specific i feel like i could trace out the area with a marker where my head is shaved but it is not a very strong pain on a scale from one to ten i would put it at a one point five to two at most but it can get up to about a six what do you think,Speaker_9,27.63,"['slight', 'dull', 'side', 'head', 'specific', 'point']",train
audio/Speaker_9/Speaker9-197.wav,dem diagnose my daughter boyfriend with transition disorder after he try to commit suicide e dey struggle to cope with being away for college and now e dey tell my daughter say she no dey there for am abi people with this kind condition dey often blame other people for their own sadness or inability to handle change,my daughter s boyfriend was diagnosed with transition disorder after a suicide attempt he is unable to deal with being away at college and is now telling my daughter that she was not there for him do they often blame others for their unhappiness or inability to deal with change,Speaker_9,19.55,"['transition', 'disorder', 'unable']",train
audio/Speaker_9/Speaker9-198.wav,i get cold and my left side of my lungs dey pain small my back too dey pain when i breathe out one night i get plenty gas and my heart start dey beat very fast wetin all this fit mean i no get any other body problem na bronchitis be this or wetin e fit be abeg give me answer i be fourteen years old,i have a cold and the left side of my lungs hurts slightly so does my back when i breathe out the other night i had a lot of gas and my heart started to beat really fast what can this all mean i have no problems in my body is this bronchitis or what can it be please give me an answer i am fourteen years old,Speaker_9,23.8,"['cold', 'side', 'lungs', 'hurts', 'fourteen']",train
audio/Speaker_9/Speaker9-199.wav,you no talk how old your pikin be if e never reach one year and you dey breastfeed e go hard to sabi when your ovulation dey happen because breastfeeding fit delay ovulation,you didn t mention how old your son is if he is less than one year old and you are breastfeeding then it is difficult to determine your ovulation time as breastfeeding can delay ovulation,Speaker_9,10.87,[],train
audio/Speaker_9/Speaker9-200.wav,e fit be possible say na kidney stone dey cause this kind of pain because the pain you dey describe lower left side comes and goes like contractions lasts few hours to a day na classic sign kidney stone pain usually dey severe sometimes sharp and e dey come in waves but other things fit also cause this type of pain like muscle strain infections in the kidney or urinary tract or issues with the intestines or reproductive organs,i am having pain in the lower left side of my back it comes and goes repeatedly kind of like contractions it lasts a few hours to a day or so i can take pain medications and it helps it will go away for a few days and then come back again could this be a kidney stone,Speaker_9,28.54,"['goes', 'repeatedly']",train
audio/Speaker_9/Speaker9-201.wav,hello your beta human chorionic gonadotropin level dey very low e fit mean say na biochemical pregnancy or early pregnancy abeg repeat the beta human chorionic gonadotropin test after forty eight hours if e double na good sign be dat i wish you better luck continue the same treatment,hello your beta human chorionic gonadotropin level is very low it could indicate a biochemical pregnancy or an early pregnancy please repeat the beta human chorionic gonadotropin test after forty eight hours if it doubles that is a good sign best of luck and continue the same treatment,Speaker_9,22.38,[],train
audio/Speaker_9/Speaker9-202.wav,you dey experience tinnitus most times na because of wahala for inside your ear e dey happen if e dey beat together with your heartbeat make you do mri of your brain to check say nothing serious dey cause am from inside your head,you are experiencing tinnitus most of the time it is secondary to an internal ear problem if it is synchronous with your heartbeat then get an mri of the brain done to rule out a central cause for these symptoms,Speaker_9,15.12,"['mri', 'brain']",train
audio/Speaker_9/Speaker9-203.wav,no be so fast you fit cure hematomas the good news be say your body go slowly dey absorb the hematoma with time if you start to get any extra signs like fever weakness or nausea you need make doctor see you for person e rare but sometimes hematomas fit get infection,unfortunately there is no quick treatment for hematomas the good news is that your body will slowly reabsorb the hematoma over time if you develop any additional symptoms like fever weakness or nausea you should be evaluated in person by a physician very rarely hematomas can become infected,Speaker_9,19.34,['hematomas'],train
audio/Speaker_9/Speaker9-204.wav,hello you get pruritus ani e get plenty things wey fit cause am like hemorrhoids skin tags worms and fissures the correct way na to find wetin dey cause am and treat am you suppose see general surgeon e go examine you well and do the proper investigations,hello you have pruritus ani there are many causes behind that such as hemorrhoids skin tags worms and fissures the best treatment is to find out the underlying cause and treat it you should consult a general surgeon he will examine you and investigate accordingly,Speaker_9,18.85,[],train
audio/Speaker_9/Speaker9-205.wav,hello i dey get small small red irritation for the head of my penis again and again dem don check me for sexually transmitted disease dem dem talk say everything clear but e still dey scare me say small small bumps dey all over the head of my penis dem no be blister dem no dey swell up e just dey look like plenty plenty very small bumps for the head,hello i have been having reoccurring reddish irritation on the head of my penis i have been checked for sexually transmitted diseases and they say that i am all clear but it still scares me that i have small little bumps all over the head of my penis they are not blisters and do not swell up they just look like a lot of very very small bumps on my head,Speaker_9,24.01,"['irritation', 'head', 'small', 'bumps', 'swell', 'up']",train
audio/Speaker_9/Speaker9-206.wav,hello doctor my wife don reach thirty two weeks for pregnancy now recently dem see say her liver enzymes don high her serum glutamate oxaloacetate transaminase level na four hundred and seventy serum glutamate pyruvate transaminase level na six hundred and forty and alkaline phosphatase level na four hundred and ninety doctor don give am udiliv three hundred milligrams make she dey take am two times daily dem also tell am make she come for checkup next week the drugs wey dem prescribe na duvadilan retard two times daily and astymin forte two times daily,hello doctor my wife is thirty two weeks pregnant now she has been suffering from elevated liver enzymes recently her serum glutamate oxaloacetate transaminase level is four hundred and seventy serum glutamate pyruvate transaminase level is six hundred and forty and alkaline phosphatase level is four hundred and ninety she has been given udiliv three hundred milligrams twice daily by her gynecologist she has been advised to have a checkup next week the following medications have been prescribed duvadilan retard twice daily and astymin forte twice daily,Speaker_9,46.97,"['wife', 'elevated', 'liver', 'enzymes', 'serum', 'glutamate', 'oxaloacetate', 'transaminase', 'pyruvate', 'alkaline', 'phosphatase', 'udiliv', 'milligrams', 'twice', 'daily', 'checkup', 'medications', 'duvadilan', 'retard', 'astymin', 'forte']",train
audio/Speaker_9/Speaker9-207.wav,i been dey get heart palpitations for a few weeks now on and off also for the left side of my head i been dey experience pulsing sensation in the veins right over my temple pain no accompany any kind i be twenty three year old healthy female,i have been having heart palpitations for a few weeks now on and off also on the left side of my head i have been experiencing a pulsing sensation in the veins right over my temple these are not accompanied by pain of any kind i am a twenty three year old healthy female,Speaker_9,17.07,['temple'],train
audio/Speaker_9/Speaker9-208.wav,for some weeks now i dey feel my heart dey beat fast fast or skip sometimes e dey come and go also for the left side of my head i dey feel like something dey pulse for the vein wey dey just above my temple e no dey come with any kind pain at all i be twenty three years old healthy female,for some weeks now i dey feel my heart dey beat fast fast or skip sometimes e dey come and go also for the left side of my head i dey feel like something dey pulse for the vein wey dey just above my temple e no dey follow with any pain at all i be twenty three years old healthy female,Speaker_9,19.88,"['some', 'fast', 'skip']",train
audio/Speaker_9/Speaker9-209.wav,hello i understand you well and i fit feel wetin you dey go through fear and anxiety no dey just come without reason you talk say e don last for about one month now abeg you notice any situation or condition wey dey trigger your anxiety drugs fit only help reduce the symptoms if the real cause still dey for insomnia you fit take clonazepam zero point five mg or one mg as needed,hello i can understand and empathize with you fear and anxiety do not arise without any reason you mentioned the duration as one month are there any situations or conditions that provoke your anxiety medications will provide you with symptomatic relief if the cause is still present for insomnia you can take clonazepam zero point five mg or one mg as needed,Speaker_9,29.54,"['fear', 'anxiety', 'medications', 'clonazepam', 'zero', 'point', 'mg']",train
audio/Speaker_9/Speaker9-210.wav,yes you fit massage your arms wrists and hands well well blood clot no too dey common for hand like e dey for lower legs and if you massage your arms and wrists e fit really help reduce the swelling and pain e no go bad if you see massage therapist or physical therapist because dem go know how to massage am better to help your condition as small advice abeg no delay to go emergency room if you get leg swelling and pain chest pain or shortness of breath your medical history show say you get higher risk to get another deep vein thrombosis or pulmonary embolism abeg continue your enoxaparin and try stay active,yes you can absolutely massage your arms wrists and hands blood clots are much less likely to occur in your hands than in your lower legs and massaging your arms and wrists can definitely help with the swelling and pain it may not be a bad idea for you to see a massage therapist or a physical therapist as they can direct their massage techniques to help alleviate your symptoms on a side note please do not hesitate to go to the emergency room for leg swelling and pain chest pain or shortness of breath your history puts you at an increased risk of having another deep vein thrombosis or a pulmonary embolism please continue your enoxaparin and stay active,Speaker_9,47.18,"['massage', 'blood', 'clots', 'arms', 'wrists', 'swelling', 'emergency', 'room', 'leg', 'chest', 'shortness']",train
audio/Speaker_9/Speaker9-211.wav,short answer stop the antibiotics detailed answer i don read your complaint well abeg stop to dey take antibiotics first start to dey do back exercise with help of physiotherapist no bend or carry heavy load avoid to sit or stand pass one hour make sure say you get good sleep and no dey sleep late use strong mattress and sleep for your side instead of your back try learn dhanur asana for your back and practice am four times daily take pain relief drugs when the pain too much if you begin feel tingling for your legs or weakness you must go see neurosurgeon or neurologist sharp sharp one vitamin wey dem call methylcobalamin go help abeg see your local doctor for prescription and correct dosage vitamin e go still help also calcium and vitamin d go help well well,short answer stop the antibiotics detailed answer i have read your complaints please stop taking antibiotics first start doing back exercises with the help of a physiotherapist do not bend or lift heavy objects avoid sitting or standing for more than an hour ensure you get good sleep and do not sleep late use a firm mattress and sleep on your side rather than on your back try to learn the dhanur asana for your back and practice it four times a day take pain relievers when you experience severe pain if you have tingling in your legs or loss of strength you must see a neurosurgeon or neurologist as soon as possible a vitamin called methylcobalamin will help please consult your local doctor for prescription and dosage vitamin e will also be beneficial additionally calcium and vitamin d will help a lot,Speaker_9,59.54,"['antibiotics', 'physiotherapist', 'sitting', 'standing', 'sleep', 'severe', 'tingling', 'legs', 'vitamin', 'calcium']",train
audio/Speaker_9/Speaker9-212.wav,hello dear e be like say wetin you get na urticaria e fit come from stress too much sun exercise or if you chop something wey your body no like abeg stop to dey apply anything on top am and go see skin doctor dermatologist,hello dear it looks like you have urticaria which may be due to exertion sun exposure eating something you are allergic to or stress kindly stop applying anything to it and visit a dermatologist,Speaker_9,15.28,[],train
audio/Speaker_9/Speaker9-213.wav,how old you be anybody for your family get heart problem you dey feel chest pain when you dey walk or do strong work if yes then you need to do some tests if not nothing too dey worry about,what is your age does your family member have any heart problems do you get chest pain while walking or with exertion if yes then you need to do some tests otherwise there is nothing to worry about,Speaker_9,15.42,"['chest', 'walking', 'exertion']",train
audio/Speaker_9/Speaker9-214.wav,e fit be ganglion wey be say swelling wey come from joint or e fit be lipoma wey be fat containing swelling pain relief drugs go be good option for am,it could be a ganglion which is essentially a swelling from the joint or it might be a lipoma which is a fat containing swelling painkillers are a good option for it,Speaker_9,12.86,"['swelling', 'painkillers']",train
audio/Speaker_9/Speaker9-215.wav,hello there i dey concerned say e fit be cerebrospinal fluid leak because e fit cause exactly wetin you dey describe metallic taste for mouth this kind leak fit lead to serious complications like meningitis so e important make you seek medical attention without delay e also sound like you don get brain tumor wey involve skull base and olfactory nerve and even though i no know the exact approach wey your neurosurgeon take cerebrospinal fluid leak na known complication anytime person do craniotomy for tumor removal abeg contact your neurosurgeon immediately and go emergency room make dem evaluate you sharp sharp i wish you all the best and hope say my answer help you,hello there i would be concerned about a possible cerebrospinal fluid leak which can cause exactly what you are describing a metallic taste in the mouth these leaks can lead to life threatening complications like meningitis so it is important that you seek medical attention without delay it sounds like you had a brain tumor involving the skull base and the olfactory nerve and although i do not know what approach your neurosurgeon took a cerebrospinal fluid leak is a known complication any time you undergo a craniotomy for tumor resection i would contact your neurosurgeon immediately and go to an emergency room for evaluation right away i wish you all the best and hope my answer was helpful for you,Speaker_9,49.18,"['metallic', 'leaks', 'brain', 'tumor', 'skull', 'concerned', 'complications', 'craniotomy', 'emergency', 'room']",train
audio/Speaker_9/Speaker9-216.wav,hi i dey exercise the other day i stand dey lean from side to side like side crunches next day my middle back just dey pain me bad like say i bruise my spine e dey pain me when i touch am and when i sit down or lie for floor try stretch my back i dey feel some kind strange pressure for that spine area you think say i just overdo am or e be like say i really injure something,hi i was exercising the other day and was standing up leaning from side to side essentially doing side crunches well the next day my middle back was killing me like i bruised my spine it hurts to the touch and when i sit down or lie on the floor and try to stretch my back out i feel a weird sensation like pressure on my spine in that area do you think i just overdid it or does it sound like i really injured something,Speaker_9,25.73,"['exercising', 'middle', 'sit', 'down', 'lie', 'floor', 'spine', 'injured']",train
audio/Speaker_9/Speaker9-217.wav,hi you be forty two year old female you get endometriosis and you get chocolate cyst wey dem remove two years ago through laparotomy you get one child and you dey try for another one you get six years gap after your first pikin and at age forty two your fertility don reach borderline stage nothing be impossible but your doctor na the correct person to properly assess your situation their advice dey correct and there still fit be chances i dey wish you good luck,hi you are a forty two year old female have endometriosis and a chocolate cyst which was removed two years ago by laparotomy you have one child and are looking to have another you have a gap of six years after your first child and at the age of forty two you are at the margin of fertility nothing is impossible your doctor will be the correct person to assess your situation their guidance is correct and there may be chances wishing you good luck,Speaker_9,32.46,['removed'],train
audio/Speaker_9/Speaker9-218.wav,hello both directions are possible however if you no get any heart problem or heart dysfunction e less likely say clot go come from heart go legs wetin dey happen more commonly na from legs go heart and lungs this one dey happen when person no dey move for long time or after leg injury serious illness or operation wey make person dey bed for long time or sometimes when blood don thick the clot fit start for leg then e go travel go heart and lungs and that one fit cause serious problem you need to take blood thinners wey go help dissolve or control the clot sometimes surgery fit still be needed to comot am,hello both directions are possible however if you do not have any heart dysfunction it is less likely to occur from the heart to the legs the more common occurrence is from the legs to the heart and lungs this happens due to prolonged immobilization trauma to the legs serious illness or operations leading to a bedridden condition or sometimes due to thickening of the blood this clot then moves from the legs to the heart and lungs causing problems you need to be put on blood thinners which will dissolve your clots surgery may be performed to remove it,Speaker_9,41.87,[],train
audio/Speaker_9/Speaker9-219.wav,the treadmill test get sensitivity rate of only 65 70 depending on how accurate the machine sensors be your symptoms fit be something like angina i go also suggest say you do 2d echocardiogram wey dey check how the heart walls dey move if any part of the heart no dey move well the test go show am when you combine echocardiogram with treadmill test the accuracy go pass 80 stress thallium test na also non invasive test wey get about 97 accuracy so you fit do these tests to get clearer diagnosis but still gastritis acid peptic disease and anxiety fit also cause similar symptoms,the treadmill test has a sensitivity rate of only sixty five seventy depending on the accuracy of the sensors used in the machine your symptoms could be indicative of angina i would also suggest you undergo a two dimensional echocardiogram which observes the motion of the walls of the heart if there is any regional wall motion abnormality it will be revealed combined together the echocardiogram and treadmill test have a sensitivity rate of more than eighty stress thallium is also a non invasive test that has a sensitivity rate of about ninety seven so you can go for these tests to get a diagnosis gastritis acid peptic disease and anxiety can also bring about the same symptoms,Speaker_9,49.23,"['symptoms', 'echocardiogram', 'stress', 'thallium', 'gastritis', 'acid', 'peptic', 'anxiety']",train
audio/Speaker_9/Speaker9-220.wav,after you take progesterone you need to wait longer at least two weeks if your period no start after that time you go need further evaluation by the gynecologist including another pregnancy test,after taking progesterone you need to wait longer at least two weeks if your period does not start after that you need further evaluation by the gynecologist including another pregnancy test,Speaker_9,11.22,[],train
audio/Speaker_9/Speaker9-221.wav,ejection fraction dey too low for surgery moreover acute cervical spondylitis no go improve immediately with surgery a course of conservative management for six weeks dey recommended if improvement show e fit continue like that,ejection fraction is too low for surgery moreover acute cervical spondylitis will not improve immediately with surgery a course of conservative management for six weeks is warranted if there is improvement it can be continued,Speaker_9,16.09,"['ejection', 'fraction', 'low', 'acute', 'cervical', 'sp', 'management']",train
audio/Speaker_9/Speaker9-222.wav,flow murmurs na sounds wey blood dey make as e dey flow through the heart dem dey call am innocent murmurs because dem no dey harmful and dem fit disappear with time or even change when person change position your doctor dey send her go cardiologist make dem do echocardiogram to confirm say no be actual heart problem wey need concern you fit relax nothing to worry about unless echocardiography show say something else dey,flow murmurs are sounds caused by the blood flowing through the heart they are called innocent murmurs as they are harmless and go away with time or even change in posture your doctor is sending her to a cardiologist to obtain an echocardiogram to be sure that there is no actual abnormality that one needs to be concerned about you may relax there is nothing to worry about unless something else arises in the echocardiography,Speaker_9,29.49,"['flow', 'murmurs', 'innocent', 'echocardiogram', 'abnormality']",train
audio/Speaker_9/Speaker9-223.wav,hello the choriomon injection go cause ovulation within 36 hours and the couple should have sexual intercourse for three consecutive days after that the chances of getting pregnant dey very high,hello the choriomon injection causes ovulation within thirty six hours and the couple should have sexual intercourse for three consecutive days then there are very high chances of getting pregnant,Speaker_9,15.23,"['sexual', 'intercourse']",train
audio/Speaker_9/Speaker9-224.wav,hi i be nineteen year old girl my problem na say my hair dey very thin e almost dey balding for the top this thing don dey happen for the last two years i move come hyderabad two years ago before that time i get small patch for the left side of my head at the top where hair dey very little and i don get am since i be twelve years old after i get jaundice now that patch don really increase,hi i am a nineteen year old girl my problem is very thin hair it is almost balding at the top this has been happening for the last two years i moved to hyderabad two years ago before this i had a small patch on the left side at the top with very little hair which i have had since i was twelve years old after i had jaundice now that patch has really grown,Speaker_9,25.26,"['nineteen', 'almost', 'balding', 'moved', 'hyderabad', 'was', 'jaundice']",train
audio/Speaker_9/Speaker9-225.wav,hi you fit still be pregnant i go suggest say you do blood pregnancy test and transvaginal ultrasound scan to confirm your pregnancy status if anytime you start to feel severe abdominal pain or very strong weakness abeg go hospital immediately i dey wish you well,hi you may still be pregnant i suggest you go for a blood pregnancy test and a transvaginal ultrasound scan to clarify your pregnancy status if at any time you feel severe abdominal pain or intense weakness you should go to the hospital immediately best wishes,Speaker_9,19.34,"['blood', 'pregnancy', 'test', 'transvaginal', 'ultrasound', 'severe', 'abdominal', 'go', 'hospital']",train
audio/Speaker_9/Speaker9-226.wav,hi i get a four month old baby girl wey don dey get diarrhea for one month now some days e dey worse pass others i really dey worried for her her stool fit go back to normal again i even change her formula from similac advance to similac sensitive thinking say e go help but na still the same,hi i have a four month old girl who has been having diarrhea for a month some days more than others i am really concerned for her will her stool go back to being normal again i even changed her formula from similac advance to sensitive thinking it would help but it is still the same,Speaker_9,20.34,['girl'],train
audio/Speaker_9/Speaker9-227.wav,my friend get out of hospital cardiac arrest yesterday dem start cardiopulmonary resuscitation immediately and dem also do hypothermia treatment for emergency room today dem do electroencephalogram eeg and e show burst suppression this one be sign for bad long term outcome,a friend of mine suffered an out of hospital cardiac arrest yesterday cardiopulmonary resuscitation was started immediately as well as hypothermia treatment in the emergency room she had an electroencephalogram today which showed burst suppression is this a prognostic indicator for a more dire long term outcome,Speaker_9,24.98,"['out', 'cardiopulmonary', 'resuscitation', 'hypothermia', 'electroencephalogram']",train
audio/Speaker_9/Speaker9-228.wav,i get kidney condition and i dey take ramipril for high blood pressure i dey try to get belle and i don do two home pregnancy tests both come out negative i don miss three periods and i no dey experience pre menstrual cramps or similar symptoms so my question be the home pregnancy test fit be affected by my kidney condition or the ramipril i be forty nine years old my height na five feet seven inches and my weight na sixty seven kilograms,i have a kidney condition and take ramipril for high blood pressure i am trying to conceive and have taken two home pregnancy tests both negative i have missed three periods and do not experience pre menstrual cramps or similar symptoms therefore my question is is the home pregnancy test affected by either my kidney condition or the ramipril i am forty nine years old five feet seven inches tall and weigh sixty seven kilograms,Speaker_9,32.83,"['ramipril', 'high', 'pre', 'menstrual', 'cramps']",train
audio/Speaker_9/Speaker9-229.wav,make you check your erythrocyte sedimentation rate esr for blood keep your hands and legs elevated use compression stockings chop balanced food wey get plenty protein because lack of protein fit also cause swelling also make you test your thyroid hormone level to check if any imbalance dey,get your erythrocyte sedimentation rate tested in blood keep your limbs elevated use compression stockings eat a balanced diet rich in protein because protein deficiency can also cause swelling get tested for thyroid hormone imbalance,Speaker_9,21.94,"['erythrocyte', 'sedimentation', 'rate', 'limbs', 'elevated', 'protein', 'thyroid', 'hormone']",train
audio/Speaker_9/Speaker9-230.wav,hello my name na dominique i be eighteen years old i just start depo provera injection and e start work on april 5th my husband and i dey want get pikin we knack raw about one week ago i start to dey bleed two days ago and e dey feel like say na period i fit don get belle if no be so any way wey i fit get belle we want pikin now and i no fit wait until the depo provera shot wear off,hello my name is dominique i am eighteen years old i was recently put on the depo provera shot and it was effective on april 5th my husband and i want to have children we had unprotected intercourse about a week ago i started bleeding about two days ago and it feels like i am having a period can i be pregnant if not is there a way that i can get pregnant we want to have children now and i cannot wait until the depo provera shot wears off,Speaker_9,33.85,"['unprotected', 'bleeding']",train
audio/Speaker_9/Speaker9-231.wav,i been don dey get problems with breathing only out of one side of my nose since june i also dey hear my heartbeat when i lie down at night and my legs dey become hot by morning i dey okay again i also dey wake up frequently at night i don see doctor already and i go see ear nose and throat specialist on thursday my doctor don listen to my heart and neck and say nothing dey wrong but i still dey worried say e fit be sign of heart attack or maybe na panic attacks because i no fit breathe well at night,i have been having problems with breathing only out of one side of my nose since june i also can hear my heartbeat when i lie down at night and my legs become hot i am fine by the time i wake up i also wake up frequently at night i have been to a doctor and am going to an ear nose and throat specialist on thursday my doctor has listened to my heart and my neck and found no problem but i am concerned that i might have signs of a heart attack or it might just be panic attacks due to not being able to breathe at night,Speaker_9,37.71,"['breathing', 'heartbeat', 'lie', 'down', 'legs', 'fine', 'wake', 'up', 'panic', 'attacks', 'breathe']",train
audio/Speaker_9/Speaker9-232.wav,salutation i dey interested to take lsd and i get heart murmur e safe to take am with this kind heart problem for my recent check up my doctor tell me say my heart condition don improve pass as e don be for years so dem even schedule me for two year check up something wey never happen before i also dey use cannabis every day and nothing bad dey happen so wetin be the word for lsd,salutations i am interested in taking lsd and i have a heart murmur is it safe to take it with such a heart problem at my recent check up my doctor told me my heart was in better condition than it has been in years resulting in a two year check up which has never happened before i also use cannabis daily and nothing bad happens too so what is the word for lsd,Speaker_9,24.98,"['lsd', 'heart', 'cannabis']",train
audio/Speaker_9/Speaker9-233.wav,hello these na symptoms of gastroenteritis wey fit be from waterborne bacterial infection abeg go emergency room make dem check your vital signs and give you proper treatment you fit need antibiotics especially metronidazole and other supportive medicines as well,hello these are symptoms of gastroenteritis which may be due to a waterborne bacterial infection please go to the emergency room to have your vital signs checked and to receive a prescription for antibiotics specifically metronidazole along with supportive medications,Speaker_9,18.9,"['go', 'emergency', 'room', 'vital', 'signs']",train
audio/Speaker_9/Speaker9-234.wav,hi we don marry for ten months i get belle soon after marriage but since my husband no ready for baby we do medical termination using pills for august 2010 then i conceive again for march everything dey normal until 6th week but i miscarry at 6 weeks and 5 days because no heartbeat on april 15 doctor do dilation and curettage d c now i no dey bleed and i no get any health complaint my question be how soon i fit try conceive again doctor advise make i wait six months but i no wan wait because i be twenty six and my husband be thirty this go be our first pikin and time dey go abeg suggest my mama and mother in law dey talk say make i no wait too long because my body ready well for baby,hi we have been married for ten months i was pregnant soon after marriage but since my husband was not prepared for a baby we performed a medical termination using pills in august two thousand and ten then i conceived again in march everything was normal until the 6th week but then i miscarried at six weeks and five days due to no heartbeat on april fifteen the doctor performed a dilation and curettage procedure now i am not bleeding and do not have any health complaints my question is how soon can i try to conceive again the doctor advised waiting for six months but i do not want to because i am twenty six now and my husband is thirty this will be our first child and time is running out please suggest my mother and mother in law say it is better not to wait too long as my body is perfectly ready for a baby,Speaker_9,48.0,"['dilation', 'curettage', 'bleeding']",train
audio/Speaker_9/Speaker9-235.wav,good morning after my period i start to take daphne pills on december 12 before i finish one box of daphne pills i forget to take two tablets but i take them the morning i remember on december 29 my husband come home and we get sexual contact on january 8 i continue the second box even though i no get my period yet e don reach 17 days after the contact i do pregnancy test and e come out negative possibility of pregnancy stll dey or na normal thing wey dey happen as new user of daphne pills,good morning after i had my period i started taking daphne pills on december twelve before i finished one box of daphne pills i forgot to take two pills but i took them in the morning after i remembered on december twenty nine my husband came home and we had contact this january eight i am continuing to take the second box even though i do not have my period yet it has been seventeen days since we had contact i did a pregnancy test and it was negative is there a possibility of becoming pregnant or is it natural to experience this while using daphne pills as a new user,Speaker_9,34.18,['seventeen'],train
audio/Speaker_9/Speaker9-236.wav,hello there the pain wey don move go your side na referred pain from diverticulitis heating pad fit no really help because e no be voluntary muscle pain for pain relief i go advise make you take tramadol e dey effective for this kind symptoms abeg also continue the antibiotics as your doctor prescribe am i hope my advice help you good luck,hello there the pain that has moved to your side is also referred pain due to diverticulitis a heating pad will probably not be effective as it is not a voluntary muscle pain for relieving pain i would advise you to take tramadol it is effective for such symptoms kindly also take the antibiotics as prescribed by your doctor i hope my advice has helped good luck,Speaker_9,23.24,"['symptoms', 'diverticulitis', 'heating', 'pad', 'muscle', 'tramadol', 'antibiotics']",train
audio/Speaker_9/Speaker9-237.wav,hello doctor my daughter be eight years old and she experience stroke like episode for first time wey last about 25 minutes after eeg we come find out say na partial seizure she get doctor prescribe epilex chrono 200 for her that treatment appropriate she also don dey complain of occasional headaches for the past two years,hello doctor my daughter is eight years old and experienced a stroke for the first time that lasted for twenty five minutes after the electroencephalogram we learned that she had a partial seizure the doctor prescribed her epilex chrono two hundred is that appropriate she has been complaining of occasional headaches for the past two years,Speaker_9,19.83,"['partial', 'headaches']",train
audio/Speaker_9/Speaker9-238.wav,if everything dey fine before then e no too likely say na school phobia or separation anxiety e get higher chance say somebody for school dey tease or bully her so you need to gently talk to her and gain her trust first then try find out wetin really dey happen for school,if everything was fine previously then it is not likely due to school phobia or separation anxiety there is a greater chance that someone in school is teasing her therefore you should inquire about that after taking her into your confidence,Speaker_9,16.58,[],train
audio/Speaker_9/Speaker9-239.wav,hello something don dey bother me i get annoying pain just above my right hip and just below the right side of my rib cage e always dey that same side whenever e happen when i touch am e dey sensitive and i no really get appetite my stool dey regular and normal so i no think say na constipation wetin else fit be the cause,hello something has been bothering me i have an annoying pain just above my right hip and just below the right part of my rib cage it s always that side when it happens when i touch it it s sensitive and i don t really have an appetite my stool is regular and normal so i don t think it s constipation what else could it be,Speaker_9,20.27,"['below', 'part', 'rib', 'stool', 'constipation']",train
audio/Speaker_9/Speaker9-240.wav,dear hypertension na condition wey about 90 of the time dey idiopathic meaning say we no really get specific cause for am the remaining 10 fit be secondary to kidney renal problem or any other disease wey we fit identify e important make you maintain low salt diet do exercise and control weight so your blood pressure fit improve lopressor no be very strong antihypertensive on its own so you fit need change treatment or add another blood pressure medicine stress too fit worsen am and na additional factor wey dey affect blood pressure,dear hypertension is a condition that ninety of the time is idiopathic meaning we do not have a reason for it the remaining ten could be secondary to a renal problem or any other identifiable disease it is important to maintain a low salt diet exercise and weight control in order to achieve better blood pressure lopressor is not a strong antihypertensive and you may need to change the treatment or add another antihypertensive medication stress also aggravates it and may be an additional factor,Speaker_9,40.1,['lopressor'],train
audio/Speaker_9/Speaker9-241.wav,at the top inside my right hip i find some kind weird knot like lump i tell my mama and she say make i just wait and see if e go go away i think maybe i hit am for something or i pull muscle but i no remember anything like that e dey pain me only when i press am and now small bruise don dey over am i never ever get lump there before so e dey confuse me wetin e fit be i be sixteen year old girl by the way,at the top inside of my right hip i found a weird knot like lump i told my mom about it and she said to just wait and see if it would go away i thought i might have hit it on something or pulled a muscle but i don t remember doing that it only hurts when i press on it and now it has a slight bruise over it i ve never had a lump there before so i am puzzled about what it is i am a sixteen year old girl by the way,Speaker_9,24.87,"['hip', 'weird', 'lump', 'bruise', 'sixteen']",train
audio/Speaker_9/Speaker9-242.wav,hi brain damage most times no dey reversible the only chance to improve na through therapies even though e don long to expect big improvement continue with any therapies wey dey your care and love dey very important to help am improve so make you continue dey support am all the best,hi brain damage is most often irreversible the chances of reversibility are only through therapies although it has been too long to expect improvement continue with the therapies if there are any your care and love are very important in helping him improve so continue with it all the best,Speaker_9,20.85,"['brain', 'damage', 'irreversible']",train
audio/Speaker_9/Speaker9-243.wav,thank you for asking traumatic brain injury dey very hard to predict until i see all the reports i fit only talk say based on the history wey you give here the chances of recovery dey minimal make you get better day,thank you for asking traumatic brain injury is very difficult to predict until i see all the reports i can only say that based on the history provided here the chances of recovery would be minimal have a nice day,Speaker_9,16.46,"['brain', 'injury']",train
audio/Speaker_9/Speaker9-244.wav,hi i be twenty five year old woman i don dey eat soil or some people dey call am rock for as long as i fit remember now i don stop and e don over six months i dey try get pregnant but e never work fit be say na because of the soil or rocks i dey eat before i don get pikin years ago before,hi i m a twenty five year old woman i have been eating soil or some call it rock for as long as i can remember now i have stopped and it s been over six months i have been trying to get pregnant but i can t could it be a result of the soil or rocks because i have had a child years ago,Speaker_9,21.8,[],train
audio/Speaker_9/Speaker9-245.wav,for prostate cancer my question be whether six month injection better pass monthly injection my husband dey currently take the monthly injection he never decide which one to choose he don dey take the monthly injection for six months now his full treatment go last eighteen months doctor talk say his cancer dey very early stage and mild,for prostate cancer is a six month injection better than the monthly injection my husband is currently on the monthly injection he is undecided about which to choose he has been on the monthly injection for six months now his total treatment will last for eighteen months he was told his cancer is very early stage and mild,Speaker_9,19.67,['monthly'],train
audio/Speaker_9/Speaker9-246.wav,hi my papa don get one kidney stone wey measure one cm him don do operation but e no too succeed the tube wey dem put no reach the stone to blast am because the passage narrow so doctor don put smaller tube make the passage open gradually over two to three weeks then dem fit do the operation again now my questions be we hear say method called lithotripsy dey for other hospitals fit we choose am since e dey less painful secondly make we wait the three weeks thirdly this foreign tube wey dey inside ureter fit cause any wahala abeg advise us,hi my father was diagnosed with a one cm kidney stone he underwent an operation that was not very successful the tube that was inserted was unable to reach the stone in order to blast it because the passage was narrow hence the doctor has placed a smaller tube so that the passage becomes wider over a two to three week period and they can perform the operation again now my queries are we learned that there is a method called lithotripsy that is available in other hospitals can we opt for it since it appears to be a less painful procedure secondly should we wait for three weeks and the third query is will a foreign tube being inside the ureter affect anything kindly advise us,Speaker_9,42.26,"['father', 'cm', 'tube', 'lithotripsy', 'foreign', 'ureter']",train
audio/Speaker_9/Speaker9-247.wav,e fit be say him dey experience some hemolysis and plenty things fit cause am e better make dem check him reticulocyte count one time,he might be experiencing some hemolysis there are many reasons for it it is better to check his reticulocyte count once,Speaker_9,13.05,"['hemolysis', 'reticulocyte', 'count']",train
audio/Speaker_9/Speaker9-248.wav,hello levest and microgynon 30 get the same hormones no difference dey between the two contraceptive pills both pills fit cause same kind side effects like headache mood swings etc this no mean say all women wey dey use these pills go get these side effects only some women fit get am these side effects dey usually disappear after first few months of use so e dey safe to start using levest if you still dey worried you fit start using microgynon 30 i go repeat again say both pills get the same hormones the only difference be say different companies dey manufacture dem i hope say i don answer your concern,hello levest and microgynon thirty contain the same hormones there is no difference between the two contraceptive pills both pills cause the same kind of side effects like headaches mood swings etc this does not mean that all women who use these pills will experience these side effects only some women may suffer from these side effects these side effects often disappear after the first few months of use so you can safely start using levest if you still feel worried you can start using microgynon thirty i repeat again that both pills contain the same hormones the only difference is that they are manufactured by different companies i hope i have answered your concerns,Speaker_9,40.17,['microgynon'],train
audio/Speaker_9/Speaker9-249.wav,i was diagnosed with trigeminal neuralgia nerve damage one year ago i never do surgery doctor treat me with medications now i dey feel my tongue like e dey burn or scorched na normal thing be this or i need go see dentist in case e fit be tongue cancer i no get any sores my tongue dey clean and i no get any other mouth pain this scorched feeling for tongue start immediately after my nerve calm down,i was diagnosed with trigeminal neuralgia nerve damage one year ago i did not have surgery the doctor treated me with medications i am now experiencing a scorched tongue feeling is this normal or do you think i should see my dentist in case i have tongue cancer i have no sores a clean tongue and no other mouth pain the scorched feeling in my tongue started right after the nerve calmed down,Speaker_9,27.49,"['trigeminal', 'damage', 'scorched', 'tongue', 'dentist', 'other', 'feeling', 'nerve']",train
audio/Speaker_9/Speaker9-250.wav,one the start of puberty dey very visible for girls but early signs for boys no too dey visible wey fit be why you dey worry two you suppose go see general practitioner or neuroendocrinologist about him puberty issues dem fit order blood test to check whether any problem dey with him hormones especially testosterone and dem fit also order mri or ultrasound to check the glands make dem see whether dem dey work well three balanced diet enough sleep and regular physical activity na generally the best way to manage am p s if you dey worry say him dey lag behind peers just check for any hormone issues like narrow shoulders no interest in girls shyness overweight and adam s apple wey no dey visible,one the onset of puberty is overtly visible in females whereas the early signs of puberty in males are not visible which might be your concern two you should visit a general practitioner or neuroendocrinologist regarding his puberty issues they will order a blood test to determine whether there are any problems with the child s hormones specifically testosterone and may also order an mri or an ultrasound to check the glands to find out whether they are functioning properly three a well balanced diet adequate sleep and regular physical activity are generally the best management guidelines p s if you are concerned about him lagging behind his peers just check for any hormonal disturbances such as narrow shoulders disinterest in girls shyness being overweight and an non visible adam s apple,Speaker_9,51.59,"['mri', 'ultrasound', 'disturbances', 'overtly']",train
audio/Speaker_9/Speaker9-251.wav,my fifteen month old get intermittent squint for only her right eye for the past three weeks e no dey follow anything sometimes e happen once sometimes e happen many times in a row e no dey pain her i don carry her go pediatric ophthalmologist and the doctor no see any problem but the squint still dey happen,my fifteen month old has had an intermittent squint of only her right eye for the past three weeks it is not associated with anything and she sometimes does it once sometimes multiple times in a row it doesn t appear to hurt her i took her to a pediatric ophthalmologist and he did not see any problems but it continues,Speaker_9,20.97,"['intermittent', 'squint', 'eye']",train
audio/Speaker_9/Speaker9-252.wav,hello doctor i be thirty nine year old working woman i get eight year old daughter i suffer miscarriage last month my regular menstrual period don start again according to the ultrasound report both my ovaries dey normal i fit try to conceive again my weight na 61 kilograms and my height na 5 feet 2 inches,hello doctor i am a thirty nine year old working woman i have an eight year old daughter i had a miscarriage last month my regular menstrual period has started again according to the ultrasound report both ovaries are normal should i try again my weight is sixty one kilograms and my height is five feet two inches,Speaker_9,20.32,"['miscarriage', 'regular']",train
audio/Speaker_9/Speaker9-253.wav,if you don start get symptoms so soon after you stop seroflo e mean say your asthma never dey under control you need continue to use the inhaler,if you have developed symptoms so soon after stopping seroflo it means that your asthma is still not controlled you need to continue the inhaler,Speaker_9,10.4,['symptoms'],train
audio/Speaker_9/Speaker9-254.wav,hello she go dey fine if she use homeopathic medicines and i go reply you with full details soon,hello she will be fine with homeopathic medicines and i will reply to you in detail soon,Speaker_9,8.38,[],train
audio/Speaker_9/Speaker9-255.wav,where i fit find online index or chart wey show related food groups for example if i get allergy to red beans na which other beans i suppose also avoid wey dey for the same food family or if i get allergy to one kind melon i suppose avoid other type of related foods too,where can i access online an index or chart that shows related food groups for example if i am allergic to red beans are there specific beans i should also avoid that are categorically in the same food family or perhaps if i am allergic to a certain melon should i avoid other types of related foods,Speaker_9,20.06,[],train
audio/Speaker_9/Speaker9-256.wav,i go suggest make you check your blood pressure and also do heart check up with cardiologist make dem rule out any heart problem if nothing serious show you fit do hot fomentation use muscle relaxant gels and take ibuprofen or other anti inflammatory tablets after food for few days e fit be muscular problem no worry best wishes,i suggest that you get your blood pressure monitored and also have a heart check up with a cardiologist to rule out any heart issues if nothing turns out to be concerning then you can do hot fomentation apply muscle relaxant gels and take ibuprofen or anti inflammatory tablets after meals for a few days it may probably be muscular do not worry best wishes,Speaker_9,24.43,"['blood', 'pressure', 'relaxant', 'ibuprofen']",train
audio/Speaker_9/Speaker9-257.wav,even though i no be surgeon e dey possible based on wetin you describe to confirm you suppose do one magnetic resonance imaging scan,although i am not a surgeon it seems possible based on what you describe for confirmation you should get one magnetic resonance imaging scan done,Speaker_9,9.13,[],train
audio/Speaker_9/Speaker9-258.wav,hello no permanent cure dey for attention deficit hyperactivity disorder adhd treatment fit relieve plenty symptoms but currently no cure dey with treatment most people wey get adhd fit do well for school and lead productive lives treatment dey involve psychotherapy and medications like methylphenidate i hope say this one help abeg write back if you get more questions i dey wish you good health,hello there is no permanent cure for attention deficit hyperactivity disorder treatment can relieve many symptoms of attention deficit hyperactivity disorder but there is currently no cure for the disorder with treatment most people with attention deficit hyperactivity disorder can be successful in school and lead productive lives treatment involves psychotherapy and medications such as methylphenidate i hope this helps please write back for further questions wishing you good health,Speaker_9,28.49,"['attention', 'deficit', 'hyperactivity']",train
audio/Speaker_9/Speaker9-259.wav,i be thirty five year old man my wife na thirty three years old we get one pikin wey dey around ten years now we wan get another pikin but my wife no dey conceive we don see doctor wey advise make we do some tests and we don finish all those tests now i wan understand the reports and the medications wey suppose follow the reports abeg explain our reports and prescribe medications abeg give some advice too i dey send my semen analysis report and my wife reports wey include ultrasound blood tests thyroid urine tests etc my wife menstrual period don dey last only one and half to two days for some months before this e dey last three to four days,i am thirty five years old and my wife is thirty three years old we have a child aged about ten years now we want another child but my wife is not conceiving we consulted a doctor who advised us to undergo some tests and we completed those tests now i want to understand the reports and the medications to be recommended according to the reports please explain our reports and prescribe medications also please provide some advice in this regard i am sending my semen analysis report and the reports of my wife including the ultrasound and other blood tests thyroid urine tests etc my wife s menstrual period lasts only one and a half to two days for a few months before that it lasted for three to four days,Speaker_9,42.7,"['wife', 'advised', 'ultrasound', 'half']",train
audio/Speaker_9/Speaker9-260.wav,e fit be say you get another infection wey no be typhoid or you fit dey chronic typhoid carrier for both cases you need proper investigation with blood tests and abdominal ultrasound abeg see doctor make una discuss am further,either you have another infection and not typhoid or you are a chronic typhoid carrier for both possibilities you need to be thoroughly investigated through blood tests and an ultrasound of the abdomen please meet with a physician to discuss further,Speaker_9,16.11,"['infection', 'meet']",train
audio/Speaker_9/Speaker9-261.wav,i be male 53 years old i just do colon test last week but i still dey feel lower abdominal pain i go back work the next day dey do my normal work i dey mix things for bakery and dey lift 100 pounds every 30 seconds i still dey get this lower abdominal pain and i never get pain there before,i am a male fifty three years old i just had a colon test done last week and i am still experiencing lower abdominal pain i went back to work the next day to do the same thing i do every day i make mixes for a bakery and lift one hundred pounds every thirty seconds i keep having this lower abdominal pain and i never experienced pain there before,Speaker_9,21.59,"['male', 'colon', 'test', 'abdominal']",train
audio/Speaker_9/Speaker9-263.wav,hello doctor i go see doctor because i get symptoms wey look like vaginal thrush e dey itch and sometimes i get white discharge my fiancé own penis dey itch too so i think say e get thrush as well doctor prescribe fluconazole for me and e give am cream both our symptoms don clear so we do sexual intercourse four days after i take the fluconazole pill but when we do e pain and e dey pain to pass urine afterward i still notice small blood come out afterward na normal thing for thrush or i need to treat again or e go just clear by itself i dey eighteen years old,hello doctor i went to a doctor because i had symptoms of vaginal thrush itchiness and sometimes white discharge my fiancé also had an itchy penis so i thought he had thrush as well i was prescribed fluconazole for it and he used a cream for it both our symptoms went away so we had sexual intercourse four days after i took the fluconazole pill however when we had sexual intercourse it was painful and urination afterward was painful i also noticed a tiny amount of blood afterward is this normal with thrush and do i have to be treated again or will it go away i am eighteen years old,Speaker_9,46.65,"['vaginal', 'thru', 'fianc', 'fluconazole', 'after', 'urination']",train
audio/Speaker_9/Speaker9-264.wav,hello the white patch and line wey dey inside your cheek fit dey because you dey bite your cheek your upper left wisdom tooth don comot just one month ago e go still take like three to six months before these white patches go disappear if e still dey after that time you fit think say make dem trim the sharp parts of your other wisdom teeth or comot dem dem dey dey call this one traumatic keratosis,hello the white patch and line seen on the buccal mucosa may be due to the cheek biting the upper left wisdom tooth has been extracted hardly one month ago it will take another three to six months for these white patches to disappear if it still persists consider trimming the sharp cusps of the other third molar teeth or extracting them this is known as traumatic keratosis,Speaker_9,30.16,"['buccal', 'mucosa', 'wisdom', 'tooth', 'extracted', 'trimming', 'other', 'third', 'molar', 'teeth']",train
audio/Speaker_9/Speaker9-265.wav,an image of her thigh go really help but from how you describe am e dey look like eczema before you start any treatment make doctor check the area to make sure e no be something else make you cut her nails so she no go scratch herself and cause infection,an image of her thigh would be very helpful but the description you provided is consistent with eczema before starting any therapy this area should be examined by a doctor in case it is something else please cut her nails so she does not injure herself and cause an infection,Speaker_9,17.25,"['thigh', 'cut', 'injure']",train
audio/Speaker_9/Speaker9-266.wav,my pikin don dey drink formula from day one she dey five months now before this she dey pass normal green stool once but today she dey pass loose yellow sticky stool with small mucus after every bottle feed na normal thing be this doctor,my baby has been formula fed from the beginning she is five months old previously she was having one instance of normal green stools however today she has been passing loose yellow sticky stools with slight mucus after every bottle feed is this normal doctor,Speaker_9,17.23,"['baby', 'formula', 'fed', 'normal', 'green', 'yellow', 'slight', 'mu']",train
audio/Speaker_9/Speaker9-267.wav,hi i dey thirty two weeks pregnant and during the whole pregnancy i don dey suffer from wetin we think na thrush i don try plenty treatment for thrush but i still dey get discharge the area dey sore and dey itch if i no use cream today i see small lump for my labia e no dey sore e white and soft you sabi wetin e fit be,hi i am thirty two weeks pregnant and throughout the whole pregnancy i have suffered with what we have believed to be thrush i have had numerous treatments for thrush but i still have discharge the area is sore and itchy if i do not use the cream today i found a small lump on my labia it s not sore it s white and soft do you know what it could be,Speaker_9,22.73,"['sore', 'small', 'lump', 'labia']",train
audio/Speaker_9/Speaker9-268.wav,i get very bad pain for my right belly e just start suddenly i don get kidney stones two times before i don check symptoms for appendicitis and kidney stones but i no get any other symptom na just the very bad belly pain wetin i suppose do i suppose go emergency room now or i fit just take ibuprofen and call my doctor tomorrow,i have very bad right abdominal pain it just started out of nowhere i have had kidney stones twice before i looked up symptoms for appendicitis and kidney stones and i do not have any other symptoms just the very bad abdominal pain what should i do should i go to the emergency room or can i take ibuprofen and call my doctor tomorrow,Speaker_9,22.27,"['abdominal', 'kidney', 'stones', 'appendicitis', 'emergency', 'room', 'ibuprofen']",train
audio/Speaker_9/Speaker9-269.wav,hi as your pikin dey active with small fever and mild cough e likely be say na viral fever you no need give am any antimicrobial just because e get one day fever,hi as your child is active with a low grade fever and a mild cough it is likely a viral fever and there is no need to administer antimicrobials just for one day of fever,Speaker_9,10.77,"['fever', 'mild', 'viral', 'antimicrobials']",train
audio/Speaker_9/Speaker9-270.wav,e fit be harmless swellings wey get fat cells inside as you no get any nerve wahala you fit do fine needle aspiration cytology for those swellings,it can be benign swellings made of fat cells as you do not have any neurological symptoms you can go for a fine needle aspiration cytology from those swellings,Speaker_9,10.82,['swellings'],train
audio/Speaker_9/Speaker9-271.wav,hello for the past three four years i don dey get small spots under my arms i don try plenty creams like fucibet cream e45 daktacort sudocrem and some tablets too but this past week i notice small lump under my armpit again sometimes e dey pain when i touch am sometimes e no dey pain i put more cream on top am now e dey sting me wetin e fit be,hello i have been getting small spots under my arms for the past three four years and i have used many different creams for example fucibet cream e45 daktacort sudocrem and some tablets too however in the past week i have had a small lump under my armpit again sometimes it hurts to touch and sometimes it doesn t i have put more cream on and it started to sting me what could it be,Speaker_9,27.19,"['small', 'spots', 'under', 'arms', 'past', 'fucibet', 'daktacort', 'sudocrem', 'lump', 'armpit', 'sometimes', 'sting']",train
audio/Speaker_9/Speaker9-272.wav,my husband and me dey try get pikin but my period don dey come every twenty three days for some time now dis month i stop to dey take caffeine and now na day twenty five still my period never show e fit be because caffeine don comot for my body or i suppose do pregnancy test,my husband and i are trying to conceive but i have had several twenty three day cycles in a row i gave up caffeine this month and i am now on day twenty five and have not yet gotten my period could this be the caffeine out of my system or should i test for pregnancy,Speaker_9,20.6,['caffeine'],train
audio/Speaker_9/Speaker9-273.wav,dis one need vascular surgeon check am an treat am e be like say you get wahala for your arteries wey dey carry blood from heart go your leg dem when you lay down your leg go rise blood go slow reach am by evening your leg fit swell from vein problem an dat fit press the arteries more,this needs a vascular surgeon to evaluate and treat it seems like you may have peripheral vascular disease affecting your arteries the arteries bring blood flow from the heart to the extremities when you lay down your legs elevate from the dependent position and the blood flow slows to your extremities at the end of the day your leg may swell from venous insufficiency and that may further compress the arteries,Speaker_9,20.15,"['peripheral', 'vascular', 'disease', 'heart', 'extremities', 'legs', 'swell']",train
audio/Speaker_9/Speaker9-274.wav,hello welcome come clinic if your testicles dey swell an dey pain you fit take four hundred milligrams ibuprofen three times a day if na no infection dey cause am e go clear soon the other kain yawa wey you dey feel fit be nothing serious fit be stress e go pass too no need to worry just try dey chill keep your stress down an dey happy make you get beta day,hello welcome to the clinic painful swelling of the testicles can be treated with four hundred milligrams of ibuprofen three times a day if this is not due to an infection then it should resolve soon the other weird feelings could be nonspecific and may be due to some stress this will also pass there is no need to worry about this just try to keep your stress levels low and be happy have a nice day,Speaker_9,28.56,"['painful', 'swelling', 'testicles', 'milligrams', 'ibuprofen']",train
audio/Speaker_9/Speaker9-275.wav,if you get stone for the only kidney wey remain then e for sure need treatment if the way wey dem use go through urethra no work the next method na percutaneous nephrolithotomy dis one mean dem go punch the kidney through your side since you dey feel pain now i go advise make you do another ct scan make dem see where the stone dey and how big e be so dem fit plan treatment well for now you fit try mild painkiller like paracetamol or codeine with doctor advice,if you have a stone in the only kidney left then it definitely needs treatment if the procedure through the urethra has failed then the other method to try is called percutaneous nephrolithotomy this involves puncturing the kidney through the flank since you have pain now i would advise you to get another computed tomography scan done to see the current position and size of the stone and formulate treatment accordingly meanwhile try mild painkillers such as paracetamol or codeine through your doctor,Speaker_9,34.32,"['stone', 'kidney', 'painkillers', 'computed', 'tomography', 'mild', 'paracetamol', 'codeine']",train
audio/Speaker_9/Speaker9-276.wav,hello my five week old pikin dey vomit some slimy bad smelling milk these past few days e no too dey worry the pikin but as new mama i dey very concerned i dey give am enfamil gentlease three ounces the vomit dey very slimy and get small rotten smell also when e dey vomit e be like say e dey throw up everything wey e just chop,hello my five week old baby has been vomiting some gross slimy milk for the past couple of days he doesn t seem too phased by it but as a new mommy i am very concerned he is being fed enfamil gentlease three ounces the vomit is very slimy and smells sort of rotten also when this vomiting occurs it s almost as if he is throwing up the entire contents of what he was just fed,Speaker_9,27.1,"['baby', 'vomiting']",train
audio/Speaker_9/Speaker9-277.wav,i dey about eight weeks pregnant an for the past two weeks i dey cough up phlegm wey get different color e don dey so bad say i don start cough blood i don see my private doctor an e don give me some herbal medicine but e no dey help,i am about eight weeks pregnant and for the past two weeks i have been coughing up phlegm that varies in color it has gotten so bad that i have coughed up blood i have seen my private doctor and he has given me a herbal medication but this does not seem to relieve it,Speaker_9,16.58,"['phlegm', 'coughed']",train
audio/Speaker_9/Speaker9-278.wav,madam if the pikin don ever get dis kain thing before an e dey sick abeg go emergency room but if na no make you see your normal doctor if e don happen before e fit show say pikin get heart wahala or some other problem like thyroid or lung if na first time and the pikin dey okay e fit just be small anxiety,madam if there are previous episodes of a similar event and the child is unwell please go to the emergency room however if the answer is no go to your general practitioner a past history may indicate some cardiac problem or some systemic issue such as thyroid or lung problems if this is the first episode and the child is okay then it may be simple anxiety,Speaker_9,23.01,[],train
audio/Speaker_9/Speaker9-279.wav,i be patient wey get ankylosing spondylitis an dem don tell me make i do total hip replacement because the gap don close an life don dey very pain i just wan know if get any other way to fix am or make the gap bigger because my money matter don scatter an i no fit afford the surgery my name na rajesh k wadhwa i dey forty eight years old my email na yyyy yyyy,i am a patient of ankylosing spondylitis and i have been advised to undergo total hip replacement as the gap has decreased and life has become quite painful i just want to know if there is any other way to correct it or to increase the gap as my financial position has collapsed which does not allow me to proceed with the surgery my name is rajesh k wadhwa and i am forty eight years old my email is yyyy yyyy,Speaker_9,32.62,"['total', 'hip', 'replacement']",train
audio/Speaker_9/Speaker9-280.wav,ulcerative colitis no be only intestine wahala na autoimmune disease so e dey affect the whole body one beta idea na to dey chop yogurt with turmeric every day just try am for few months e better make you no start isotretinoin now since your stomach dey do wahala,ulcerative colitis is not a disease of the intestine only it is an autoimmune disease and thus impacts the whole body a good suggestion is to take yogurt with turmeric daily just try this for a few months it is better not to take isotretinoin now since you have a gastrointestinal problem,Speaker_9,19.81,"['ulcerative', 'colitis', 'isotretinoin']",train
audio/Speaker_9/Speaker9-281.wav,hi i no sure say you go fit get pregnant from that a three year old boy no fit produce sperm so no worry about am,hi i think you cannot get pregnant from that a three year old boy cannot produce sperm so do not worry about it,Speaker_9,8.94,['boy'],train
audio/Speaker_9/Speaker9-282.wav,hello there acne for back no easy to clear wetin you suppose do use salicylic acid body wash two times every day try intense pulsed light therapy every three to four weeks think about microdermabrasion for dark spots avoid oily junk food no put oil for body for red acne spots you go need cream wey get clobetasol and mometasone inside you fit need take doxycycline 200mg two times every day for two weeks then check how e dey work all the best,hello there acne on the back is difficult to eliminate easily what you should do is one use salicylic acid body wash twice a day two have sessions of intense pulsed light therapy every three to four weeks three consider microdermabrasion for dark spots four avoid oily junk food five do not apply oil on the body six for red acne spots you need a cream that contains a combination of clobetasol and mometasone seven you may need to take doxycycline two hundred twice a day for two weeks then assess the effect all the best,Speaker_9,39.94,"['wash', 'intense', 'clobetasol', 'mometasone', 'doxycycline', 'twice']",train
audio/Speaker_9/Speaker9-283.wav,dem do one procedure to check my kidney because dem see mass when dem no fit reach the mass na then dem put stent make the kidney stretch after dem try the procedure again dem fit reach the mass an take sample and e show say na cancer now the doctor wan remove my left kidney but the wahala wey i still dey get with the stent na say i dey need to piss almost every three to five minutes,they performed a procedure to examine my kidney because there was a mass and when they couldn t reach the mass that is when they placed the stent to stretch the kidney after performing the procedure again they were able to reach the mass and collect a sample of it which turned out to be cancerous now the doctor wants to remove the left kidney but the problem i am still having with the stent is a constant need to urinate about every three to five minutes,Speaker_9,25.36,"['kidney', 'mass', 'stent']",train
audio/Speaker_9/Speaker9-284.wav,dem tell me say my heartbeat no dey normal when i go see doctor dem suppose do echocardiogram the next day but i no go because i think say i dey okay na two years don pass now i dey get back pain and dem still tell me make i dey exercise because na my muscles need strength today as i dey do some exercise i feel sharp pain like lightning for the left side of my chest e last about half minute i siddon for chair till e pass i fear so now i dey wonder if na sign say my heart get real wahala i no overweight i just dey lack exercise,i was told that i had an irregular heartbeat when i went to the doctor they were supposed to do an echocardiogram the next day but i did not go i thought i was fine that was two years ago i am having back pain now and i was also told to exercise because it was my muscles that needed strengthening today i was doing some exercise when i felt a sharp pain like a bolt of lightning on the left side of my chest that lasted for about half a minute i sat in the chair until it went away i was scared so now i am wondering if that is a sign something is really wrong with my heart i am not overweight just lacking exercise,Speaker_9,39.78,"['irregular', 'heartbeat', 'went', 'echocardiogram', 'exercise', 'sharp', 'bolt', 'lightning', 'side', 'chest', 'half', 'minute']",train
audio/Speaker_9/Speaker9-285.wav,hello e fit be say you dey suffer from acid peptic disease you dey take antacids make you see your gastroenterologist make dem do endoscopy an biopsy to check for helicobacter pylori infection if e need you fit take treatment for fourteen days make you follow your doctor for this one all the best,hello you could be suffering from acid peptic disease you are taking antacids see your gastroenterologist for undergoing an endoscopy and biopsy for testing for helicobacter pylori infection if needed you can take treatment for fourteen days see your physician for this all the very best,Speaker_9,22.71,"['antacids', 'gastroenterologist', 'endoscopy', 'biopsy', 'helicobacter', 'er', 'pylori', 'fourteen']",train
audio/Speaker_9/Speaker9-286.wav,hello if your wound dey infected an local antibiotics no dey work e beta make you use systemic antibiotics like amoxicillin clavulanate 625mg two times every day for three days fit extend two more days if e no dey respond take multivitamin once every day to help healing but still dey clean the wound with normal saline i hope my advice go help you no fear to ask more questions if you get any,hello for an infected wound if the local antibiotics are not helping it is better to use systemic antibiotics like amoxicillin clavulanate six hundred and twenty five milligrams twice daily for three days and can extend it by two more days if there is no response take a multivitamin once daily for better healing however continue cleaning the wound with normal saline i hope my advice will help you do not hesitate to ask any further questions,Speaker_9,28.68,"['antibiotics', 'systemic', 'amoxicillin', 'clavulanate', 'milligrams', 'twice', 'daily', 'multivitamin', 'cleaning', 'normal']",train
audio/Speaker_9/Speaker9-287.wav,hello good morning doctor i dey live for kuwait recently i don marry my husband dey always complain say him back dey pain near him waist for the right side and e dey affect him pump and both him feet early morning e no fit waka because e dey pain when e step ground doctor na arthritis be this or na kidney wahala,hello good morning doctor i am recently staying in kuwait i am married my husband always complains about his back closer to his waist on the right side hurting along with his pump and both of his feet during the early morning he cannot walk because it hurts when he steps on the floor is it arthritis doctor or kidney issues,Speaker_9,21.41,"['closer', 'hurts']",train
audio/Speaker_9/Speaker9-288.wav,my husband wey dey seventy two yesterday morning e feel dizzy an faint e dey nauseous an after i talk to my doctor we waka go emergency room dem talk say him heartbeat no dey normal dem give am blood thinner and medicine to stabilize him rhythm dem keep am for hospital to check am more and do tests today doctor na serious wahala this one fit be,my husband who is seventy two felt dizzy and fainted yesterday morning he was nauseated and after talking to my doctor we went to the emergency room they said he had an irregular heartbeat they gave him a blood thinner and a medication to stabilize his rhythm they kept him for evaluation and further tests today is this something that could be very serious,Speaker_9,23.36,"['dizzy', 'fainted', 'went', 'emergency', 'room', 'irregular', 'heartbeat', 'medication']",train
audio/Speaker_9/Speaker9-289.wav,my son in law don dey get lymphoma for many years but e dey manage am well now after e get serious stomach pain for days plus other wahala like serious tiredness dem don tell am say e get pancreatitis e fit relate to the old lymphoma the resident wey dey handle him case get strong foreign accent an bill no too dey understand am the poor guy don suffer plenty fighting the lymphoma an now this one come wetin you think lymphoma cancer fit spread enter pancreas,my son in law has had lymphoma for years but he has been dealing successfully with it now after a severe bout of stomach pain for several days along with other symptoms such as severe tiredness he has been told he has pancreatitis could this be related to the latent lymphoma the resident who has been handling his case has a strong foreign accent and bill isn t understanding him very well the poor guy has been through so much fighting the lymphoma and now this what do you think can the lymphoma cancer metastasize into the pancreas,Speaker_9,32.18,"['law', 'severe', 'stomach', 'pancreatitis', 'lymphoma', 'pancreas']",train
audio/Speaker_9/Speaker9-290.wav,the symptoms show say your brother fit get worm infestation pinworm and threadworm dey usually cause dis kain wahala abeg go see pediatrician make dem check am e fit need deworming,the symptoms indicate that your brother could be experiencing worm infestations pinworms and threadworms typically present with such symptoms please visit a pediatrician and have him evaluated he might need deworming,Speaker_9,12.03,"['brother', 'worm']",train
audio/Speaker_9/Speaker9-291.wav,if you follow my advice i fit assure you say e low chance say e go harm the pikin since you dey take eltroxin an you never stop am but because your thyroid stimulating hormone level high you need control am you also need do fetal anomaly scan for eighteen to twenty weeks to check say no congenital wahala dey and abeg no stop your eltroxin,if you take my opinion then i would like to assure you that there is very little chance of harm to the fetus as you are on eltroxin and have not discontinued it however as your thyroid stimulating hormone levels are high you need to get them under control you also need to do a fetal anomaly scan at eighteen to twenty weeks to rule out any congenital anomalies additionally do not discontinue your eltroxin,Speaker_9,26.29,[],train
audio/Speaker_9/Speaker9-292.wav,for my opinion any big food protein fit dey react with your papa body protein if any particular food protein suddenly start dey react with him body e fit cause allergy i go advise make you see specialist wey fit identify which protein dey react like milk wheat potatoes or other big foods wey e dey chop e beta make you avoid those foods or treat the allergy to get better results,in my opinion any major food protein could be reacting with your father s body proteins if any particular food protein suddenly starts reacting with his body he may develop an allergy i advise consulting a specialist who can identify the protein reacting with his body such as milk wheat potatoes or other major foods he consumes it is advisable to avoid those foods or treat the allergy to achieve better results,Speaker_9,26.1,[],train
audio/Speaker_9/Speaker9-293.wav,abeg go see doctor e fit be say you get muscle pull stretching or even sprain try take painkiller like methocarbamol 750mg together with ibuprofen 400mg three times every day after food put hot pack for the place wey dey pain and rest well from all exercise lie for firm mattress for the most comfortable position wey suit you with bent knees or for side posture whichever one dey reduce the pain,see a doctor as there could be a muscle pull stretching or even a sprain try some painkillers like methocarbamol seven hundred and fifty milligrams along with ibuprofen four hundred milligrams three times a day after meals apply hot packs to the affected area and take complete rest from all workouts lie on a firm mattress in the most comfortable posture that suits you with bent knees or in a side posture whichever eases the pain,Speaker_9,31.76,"['painkillers', 'methocarbamol', 'milligrams', 'hot', 'packs', 'comfortable']",train
audio/Speaker_9/Speaker9-294.wav,both medications fit cause nausea but for two days dem no suppose affect your liver make you do liver function test to check liver enzyme take these medications for empty stomach two hours before breakfast and also take pantoprazole domperidone combination for empty stomach at the same time watch the results until your doctor come back and report am to am,both medications can cause nausea but in two days time they should not be affecting the liver get liver function tests done for liver enzyme estimation take these medications on an empty stomach two hours before breakfast and also take a pantoprazole domperidone combination on an empty stomach at the same time watch the results until your doctor returns and report the results to him,Speaker_9,24.47,"['medications', 'liver', 'before', 'breakfast', 'pantoprazole', 'domperidone', 'stomach', 'returns']",train
audio/Speaker_9/Speaker9-295.wav,both medications fit make you dey nauseous but for two days dem no go affect your liver make you do liver function test to check your liver enzyme take these medications for empty stomach two hours before breakfast and also take pantoprazole domperidone combination for empty stomach at the same time observe how e dey go then report the results to your doctor when e return,both medications fit cause nausea but for two days dem no suppose affect your liver make you do liver function test to check liver enzyme take these medications for empty stomach two hours before breakfast and also take pantoprazole domperidone combination for empty stomach at the same time watch the results until your doctor come back and report am to am,Speaker_9,25.63,"['medications', 'before', 'pantoprazole', 'domperidone', 'combination']",train
audio/Speaker_9/Speaker9-296.wav,if the swelling dey increase when you dey cough then e fit be incisional hernia make you do abdominal ultrasound e go show clear picture,if the swelling increases upon coughing then it is mostly an incisional hernia an ultrasound of the abdomen will give us a clear picture,Speaker_9,9.5,"['swelling', 'ultrasound']",train
audio/Speaker_9/Speaker9-297.wav,hi i fit answer your health question now i get five year old pikin wey fall three days ago and him nose bend e get small nosebleed but no dey get wahala to breathe x ray show say no break for nose but doctor talk say the inside bones don shift and dem need fix am abeg guide me if e really necessary or e fit get any risk for my pikin,hi may i answer your health queries right now i have a five year old son who fell down three days ago and his nose was crooked he had a small amount of nosebleed and is not having much problem with breathing the x ray showed no break in his nose but the doctor says the internal bones are displaced and need to be fixed please guide me if it is necessary or may cause any risk for my son,Speaker_9,23.87,"['small', 'amount', 'fixed', 'displaced']",train
audio/Speaker_9/Speaker9-298.wav,i dey healthy well especially as i just turn sixty i dey go gym three times every week my weight steady at 183 pounds i be six feet three inches so i no overweight dem don diagnose me with high cholesterol an i dey watch my diet because i no want start medicine last sunday i dey use elliptical machine i do fine for twenty minutes with above average resistance then i lift weights for one hour on tuesday i run short of breath after just five minutes for machine but i finish forty five minutes of weights and i feel okay since then i dey run short of breath when i dey waka upstairs i dey feel fine aside that this morning i do forty push ups but i really need catch my breath after,i am in good health especially for just turning sixty i go to the gym three times a week my weight has been consistently at one hundred and eighty three pounds i am six feet three inches so i am not overweight i have been diagnosed with high cholesterol and have been watching my diet as i do not want to go on medications on sunday i was on the elliptical machine and did fine doing twenty minutes at above average resistance and then lifted weights for one hour on tuesday i ran out of breath after five minutes on the machine i completed forty five minutes of weights and felt fine since then i find myself running out of breath walking up the stairs i feel fine other than that i did forty push ups this morning but really had to catch my breath afterwards any advice,Speaker_9,46.42,"['overweight', 'elliptical', 'machine', 'minutes', 'above', 'average', 'resistance', 'lifted', 'weights', 'ran', 'out', 'breath', 'running', 'fine', 'morning']",train
audio/Speaker_9/Speaker9-299.wav,hello sir my mama don get hypertension for the past one and half years the doctor don change her tablet to triolmezest and even suggest make we do treadmill test her blood pressure dey under control since we change the medication abeg advise whether i suppose do the test or no,hello sir my mom has had hypertension for the last one and a half years the physician has changed the tablet to triolmezest and even suggested getting a treadmill test her blood pressure has been under control since we changed the medication kindly suggest whether i should get the test or not,Speaker_9,20.13,"['triolmezest', 'treadmill', 'blood', 'pressure', 'under', 'control']",train
audio/Speaker_9/Speaker9-300.wav,make you talk to your obstetrician or gynecologist for near full term pregnancy hormonal changes and blood flow to the pelvis dey change wetin fit help na to raise your legs and use topical steroid cream for the itching make you also check for blood pressure wahala your doctor go treat you as e suppose,talk to your obstetrician or a gynecologist in near full term pregnancy hormonal changes as well as circulatory flow to the pelvis often occur remedies may include raising your legs and using topical steroid creams for the itching blood pressure issues should also be screened for your doctor may treat you as required,Speaker_9,19.67,"['talk', 'flow', 'topical', 'pressure']",train
audio/Speaker_9/Speaker9-301.wav,hi my boyfriend just show me something wey look like freckling of blood under the skin almost like blood blister but e no dey raised e get oblong shape if i fit send picture i for do am both of us no get any sexually transmitted infection i don do blood test confirm am he talk say sometimes e dey feel my intrauterine device string and e dey pain am but this mark for the head of him penis dey hurt when e touch e fit just come from rubbing on my intrauterine device string,hi my boyfriend just showed me what looks like a freckling of blood under the skin almost like a blood blister but it is not raised it is oblong in shape if i could send a picture i would he and i both do not have any sexually transmitted infections i have had blood tests confirming this he says he can feel my intrauterine device string sometimes and that it hurts him but this mark on the head of his penis does hurt to the touch could it just be from rubbing on my intrauterine device string,Speaker_9,35.04,"['head', 'his', 'penis']",train
audio/Speaker_9/Speaker9-302.wav,yes na because your capillaries dey weak when you do strong action like pass gas or blow your nose the small capillaries near the area dey pressurized because dem weak when capillaries dey under pressure dem go burst thank you,yes it is due to capillary fragility when you perform powerful actions like expelling gas or blowing your nose small capillaries near the area become pressurized due to your capillary fragility capillaries under pressure will burst thank you,Speaker_9,16.67,['capillary'],train
audio/Speaker_9/Speaker9-303.wav,hello dis one dey sound like claudication wey mean say your leg artery no dey flow well you need tell your doctor so e fit do arterial flow test to see if blockage dey and where e dey you fit need arterial bypass surgery,hello this sounds like claudication indicating a problem with the arterial flow in your leg you need to let your doctor know about this so he can conduct arterial flow studies to see if there is a blockage and where it is located you may need arterial bypass surgery,Speaker_9,15.84,[],train
audio/Speaker_9/Speaker9-304.wav,seizures usually no dey related to anemia in general but sometimes small micronutrient deficiencies fit rarely dey involved your doctors dey mostly correct e go dey interesting to know the reason for your anemia wey don last so long abeg keep us updated,seizures are usually not related to anemia in the broadest sense of the term however some micronutrient deficiencies can rarely be associated your doctors are mostly correct it would be interesting to know the cause of your anemia that has persisted for this long please keep us posted,Speaker_9,16.32,"['seizures', 'anemia', 'micronutrient']",train
audio/Speaker_9/Speaker9-305.wav,my daughter dey fifteen years old an she get serious car accident for december 2008 she dey do cheerleading for sixth seventh and ninth grade now almost two years later she dey get serious back pain and dem don diagnose her with degenerative disc disease e normal for fifteen year old to dey experience dis kain thing,my daughter is fifteen years old and was involved in a severe car accident in december two thousand and eight she was a cheerleader in sixth and seventh grade as well as ninth grade now almost two years later she has extreme back pain and has been diagnosed with degenerative disc disease is this normal for a fifteen year old to experience this,Speaker_9,20.74,"['severe', 'extreme', 'accident']",train
audio/Speaker_9/Speaker9-306.wav,hello welcome to the hospital for cardiovascular and minimally invasive surgery i really appreciate your concern at this age valvular surgery no too easy and e fit get serious risk e better make you continue to dey take medication instead of think about surgery because the aortic valve delicate for this age bad outcomes fit always happen i hope this information go help you,hello welcome to the hospital for cardiovascular and minimally invasive surgery i really appreciate your concern at this age valvular surgery is not that easy and may carry significant risks it is most advisable to continue taking medication instead of considering surgery as the aortic valve is quite delicate there can always be adverse outcomes at this age i hope this information helps,Speaker_9,24.87,"['minimally', 'medication', 'aortic']",train
audio/Speaker_9/Speaker9-307.wav,the pain start one day ago for my right wrist i go hand specialist and dem give me cortisone injection e last three days then i go meet rheumatologist wey do carpal tunnel test blood test and doppler sonogram all negative now e don reach four months i never better both my hands dey swell nobody get diagnosis i dey take naproxen now but e no dey work well,the pain started a day ago in my right wrist i went to a hand specialist and had a cortisone injection which lasted for three days then i went to a rheumatologist who conducted a carpal tunnel test blood work and a doppler sonogram all negative it has been four months now and i am not any better both my hands swell no one has a diagnosis i am currently on naproxen but it is not working well,Speaker_9,25.73,"['wrist', 'hand', 'specialist', 'cortisone', 'rheumatologist', 'doppler']",train
audio/Speaker_9/Speaker9-308.wav,dear gliotic changes na report wey show say brain no dey get enough blood wey mostly dey caused by long term sickness like high blood pressure diabetes or dyslipidemia so if you want treat brain wahala first you need manage those sickness you need take aspirin one hundred to three hundred milligrams per day take brain protector like piracetam 1000mg per day or memantine 20mg per day wey you start with 5mg per day and increase the dose every week no fear to contact me for more advice i wish you all the best,dear gliotic changes are a report of brain hypoperfusion which in most cases is caused by chronic illnesses such as arterial hypertension diabetes mellitus or dyslipidemia therefore if you want to treat the brain problem you first must address those diseases aspirin is needed at a dose of one hundred three hundred milligrams per day a brain protector such as piracetam one thousand milligrams per day or memantine twenty milligrams per day starting from five milligrams per day and increasing the dose each week don t hesitate to contact me for further advice wishing you all the best,Speaker_9,49.16,"['diabetes', 'mellitus', 'cases', 'milligrams', 'per', 'dyslipidemia', 'thousand']",train
audio/Speaker_9/Speaker9-309.wav,hello welcome to health care management i dey glad say she no get meningitis and her infection respond well to simple antibiotic dis kain pain and small symptoms fit show after lumbar puncture for most cases e go clear by itself without long term wahala,hello welcome to health care management i am glad to note that she didn t have meningitis and her infection responded to a simple antibiotic such pains and minor symptoms may occur following a lumbar puncture these would normally settle without any long term problems in most cases,Speaker_9,16.14,"['meningitis', 'infection', 'pains', 'minor', 'symptoms']",train
audio/Speaker_9/Speaker9-310.wav,hello i don dey feel pain for my lower abdomen for almost two years now at first i think say e fit be gynecological wahala so i do ultrasound twice and see two different doctors but both talk say na im no be dem talk say e fit relate to the fact say i overweight but now this lower abdomen pain dey happen every half hour if i waka fast or do anything wey hard e dey worse after about seven minutes e dey normal again but e go come back after small time before i dey feel pain for the whole abdomen but for the past two to three days i notice say e dey mostly for right side wetin i suppose do,hello i have been experiencing pain in my lower abdomen for almost two years now initially i thought there might be some gynecological problem so i had an ultrasound done twice and consulted two different doctors but both of them said it was not due to that they suggested it might be related to the fact that i am overweight however now this pain in my lower abdomen occurs every half an hour if i walk quickly or do anything strenuous it worsens after about seven minutes it becomes normal again but it recurs after some time previously i felt pain throughout my entire abdomen but for the past two to three days i have noticed that it is more localized towards the right side what should i do,Speaker_9,40.36,"['abdomen', 'ultrasound']",train
audio/Speaker_9/Speaker9-311.wav,make you give her small dose steroid specifically dexamethasone tablet 0 5mg three tablets two times every day together with omeprazole capsule 40mg for morning,give her a low dose of steroids specifically the tablet dexamethasone at zero point five milligrams three tablets twice daily along with the capsule omeprazole at forty milligrams in the morning,Speaker_9,13.35,"['low', 'dose', 'tablet', 'dexame', 'zero', 'point', 'milligrams', 'tablets', 'capsule', 'omep']",train
audio/Speaker_9/Speaker9-312.wav,hello last night i get sneezing attack and i suddenly feel pop for my middle to right abdomen then serious shooting and throbbing pain start today e don worse and don spread go pelvic area i fit hardly move the pain dey very bad i dey worry say e fit be appendicitis,hello last night i had a sneezing attack and immediately felt a pop in my middle to right abdomen followed by severe shooting and throbbing pain today it is much worse and has migrated further into the pelvic region as well i can hardly move around the pain is so severe i am concerned about appendicitis,Speaker_9,19.64,"['sneezing', 'attack', 'pop', 'severe', 'shooting', 'throbbing', 'pelvic']",train
audio/Speaker_9/Speaker9-313.wav,i get stomach wahala pain and more pain i don see plenty doctors don do endoscopies colonoscopies ct scan mri nuclear medicine chest x ray you name am but dem never find anything i dey take tramadol tablets two by three and esomeprazole because i get hyperacidity abeg help me the pain dey affect my everyday life school and work the pain dey really gut wrenching,i have stomach issues pain and more pain i have been to doctors by the numbers had endoscopies colonoscopies computed tomography scan tests magnetic resonance imaging nuclear medicine chest x rays you name it but nothing has been found i am on tramadol tablets two by three and esomeprazole as i have hyperacidity issues please help it interferes with my daily life school and work the pain is gut wrenching,Speaker_9,31.14,"['computed', 'tomography', 'tramadol', 'esomeprazole', 'hyperacidity']",train
audio/Speaker_9/Speaker9-314.wav,my two year old get garlic breath but e no dey chop any garlic i don notice dis for about one week i see for internet say e fit be arsenic or organic phosphate poisoning because dem dey among top causes of garlic smell wetin i suppose do,my two year old has garlic breath yet doesn t eat any garlic i have noticed this for about a week or so the internet has me worried that it is arsenic or organic phosphate poisoning because apparently those are the top causes of this garlic smell what should i do,Speaker_9,16.42,"['arsenic', 'organic', 'phosphate', 'poisoning']",train
audio/Speaker_9/Speaker9-315.wav,hi i just do ultrasound wey show say my spleen don enlarge some blood tests also show say my hdl cholesterol dey low and my hemoglobin dey high i get hepatitis c virus but the scan talk say my liver dey okay i dey feel fine no wahala dey if my liver dey okay wetin fit cause my spleen to enlarge,hi i recently had an ultrasound scan that indicated that my spleen is enlarged some blood tests also reported that my high density lipoprotein cholesterol levels are low and that i have high hemoglobin levels i have hepatitis c virus however the scan reported that the condition of my liver is okay i feel well and have no apparent symptoms if my liver is okay what other causes could there be for the enlarged spleen,Speaker_9,24.71,"['ultrasound', 'scan', 'spleen', 'enlarged', 'blood', 'tests', 'high', 'density', 'lipoprotein', 'cholesterol', 'low', 'hemoglobin', 'hepatitis', 'virus', 'liver', 'sp']",train
audio/Speaker_9/Speaker9-316.wav,yes true because no organ fit work if the heart no dey beat so once the heart stop to beat breathing go stop inside few seconds,yes certainly because no organ can function unless and until the heart is beating so once the heart stops beating breathing will stop in a few seconds,Speaker_9,7.89,['function'],train
audio/Speaker_9/Speaker9-317.wav,hello na buhari from villivakkam my mama don dey suffer from asthma for the past six years now she dey get serious wahala to breathe she dey use combihale ff 250 inhaler steady but e no dey help we don also buy separate nebulizer machine abeg fit recommend which medicine make we put for the nebulizer and tell us wetin we suppose do,hello this is buhari from villivakkam my mother has been suffering from asthma for the last six years now she is having a lot of difficulty breathing she has been continuously using the combihale ff two hundred and fifty inhaler but there is no improvement we have also purchased a separate nebulizer machine could you please recommend which medicine to use for the nebulizer and suggest what we should do,Speaker_9,24.2,"['mother', 'nebulizer']",train
audio/Speaker_9/Speaker9-318.wav,hi for the past couple of years i don notice random lumps dey appear for my body i get one for the back of my neck on top e don dey there for couple of years then i notice new one for my hand near my wrist now i just notice new one for the bottom back of my neck near my shoulder i also get one years ago for my wrist but e disappear eventually wetin i suppose do i dey 21 years old and i dey reasonably healthy,hi in the last couple of years i have noticed random lumps appearing on my body i have one on the back of my neck at the top which has been there for a couple of years then i noticed a new one on my hand near my wrist and now i just noticed a new one on the bottom of the back of my neck near my shoulder i also had one years ago on my wrist but that disappeared eventually what should i do i am twenty one and reasonably healthy,Speaker_9,25.26,"['random', 'lump']",train
audio/Speaker_9/Speaker9-319.wav,i dey eighteen years old healthy and i get normal medical history for the past few months i dey feel pain for left chest wey dey spread go my arm and upper back i go emergency room dem do ecg blood test check blood pressure and chest x ray all of dem normal but i still dey feel the pain and i dey worry,i am eighteen years old healthy and have a normal medical history for the past few months i have been experiencing left chest pain radiating into my arm and upper back i went to the emergency room and my electrocardiogram blood tests blood pressure and chest x ray were all fine but i am still experiencing the pain and am concerned,Speaker_9,18.62,"['eighteen', 'chest', 'arm', 'electrocardiogram', 'ray']",train
audio/Speaker_9/Speaker9-320.wav,i get one pikin she dey three years old she get thyroid problem from birth unfortunately we only find out three months after we start treatment her development fit slow her doctor talk say she get mental development milestones and she suppose do occupational therapy but she dey follow everything we talk abeg give suggestions sometimes she dey drool saliva,i have one baby she is three years old she has a thyroid problem from her birth unfortunately we found out three months after we started treatment but her development will be slow her doctor says she has milestones for mental development and should take occupational therapy but she does everything we say please give suggestions sometimes saliva falls from her,Speaker_9,25.01,"['thyroid', 'problem', 'after', 'sometimes', 'saliva']",train
audio/Speaker_9/Speaker9-321.wav,hi i dey twenty eight years old i never get this kind pain before i dey feel pain for upper left stomach just under my ribs the pain don make me lose appetite feel nauseous vomit bitter liquid get pain and feel dizzy e don dey happen for two days now and today e don worse abeg help me i no sabi wetin dey wrong i think say e be because i dey hungry but even when i chop e still dey hurt,hi i am twenty eight years old i have never had this pain before i have this pain in the upper left stomach right below the ribs it has caused me to have a loss of appetite feel nauseous vomit bitter liquid experience pain and feel dizzy this has been going on for two days now and today it has worsened please help me i have no clue what is wrong i thought the pain was from being too hungry but when i ate it still hurts,Speaker_9,24.71,"['below', 'loss', 'appetite', 'vomit', 'bitter']",train
audio/Speaker_9/Speaker9-322.wav,hello dis question na for my mama she dey fifty six years old and dem don remove one kidney after dem diagnose cancer for that kidney during her routine ultrasound after three years dem see one acoustic hypoechoic area for the 8th segment of her liver i dey fear e get anything wey suppose worry us wetin be the treatment options,hello this question is for my mother she is fifty six years old and had a nephrectomy after being diagnosed with cancer in that kidney during her routine ultrasound after three years an acoustic hypoechoic area was found in the 8th segment of the liver is there anything to worry about what will be the treatment options,Speaker_9,23.24,"['nephrectomy', 'cancer', 'ultrasound', 'acoustic', 'hypoechoic', 'area']",train
audio/Speaker_9/Speaker9-323.wav,you fit continue with the second intrauterine insemination but for iui to get chance to succeed at least one ovary suppose get follicle wey size reach 18 20 millimeters,you can proceed with the second intrauterine insemination but for the success of intrauterine insemination a satisfactory follicular size is eighteen to twenty millimeters in at least one ovary,Speaker_9,12.98,"['satisfactory', 'follicular', 'size']",train
audio/Speaker_9/Speaker9-324.wav,i do follicle study for last 15th october 2012 for right side dem see small follicle and left side measure 19 by 19 millimeters on 13th day right side still small follicle left side get collapsed follicle with free fluid for pouch of douglas and endometrium measure 8 millimeters dis month i dey expect make i get pregnancy e possible or no i dey wait for your positive reply,i had a follicle study on the last 15th of october two thousand and twelve the right side showed a small follicle and the left side measured nineteen by nineteen millimeters on the 13th day the right side showed a small follicle and the left side had a collapsed follicle with free fluid in the pouch of douglas and the endometrium measured eight millimeters this month i am expecting my pregnancy is it possible or not i am waiting for your positive reply,Speaker_9,30.72,"['follicle', 'study', 'side', 'nineteen', 'by', 'mill', 'collapsed']",train
audio/Speaker_9/Speaker9-325.wav,my pikin get asthma and small history of autoimmune wahala but dem never give firm diagnosis she don dey struggle with asthma cough for few nights and just start dey complain of headache she dey get fever 103 f and dey complain say her whole body dey tingle she dey very restless and no comfortable with the pins and needles feeling wey she talk say dey all over her body,my daughter has asthma and some history of autoimmune issues but no firm diagnosis she has been struggling with an asthma cough for a few nights and just started complaining of headaches she is experiencing a one hundred and three degree fever and is complaining of her whole body tingling she is very agitated and uncomfortable with this pins and needles feeling she says is all over her body,Speaker_9,26.77,"['asthma', 'cough', 'nights', 'headaches', 'degree', 'fever', 'agitated', 'pins']",train
audio/Speaker_9/Speaker9-326.wav,if the frenular tear dey continue and e no dey heal and e dey come with foreskin wey dey crack you fit need frenuloplasty or even circumcision but this kind decision no fit happen until urologist examine you abeg go see urologist or general surgeon,if the frenular tear persists and is not healing and is associated with cracking of the foreskin then you might need a frenuloplasty or even a circumcision however this decision cannot be made until you are examined by a urologist please visit a urologist or a general surgeon,Speaker_9,20.13,"['frenular', 'tear']",train
audio/Speaker_9/Speaker9-327.wav,dear parent e fit be because of fungal infection or vitamin a deficiency to sabi which one pikin suppose make dem examine am vitamin a deficiency dey treat with vitamin a supplements fungal infection dey treat with antifungal medicine,dear parent this could be due to a fungal infection or a vitamin a deficiency to differentiate between the two an examination is required vitamin a deficiency is treated with vitamin a supplements a fungal infection is treated with antifungal medication,Speaker_9,15.44,"['infection', 'vitamin', 'fungal', 'antifungal']",train
audio/Speaker_9/Speaker9-328.wav,hello i don see your question and i really appreciate your concern i wan know your age and any important medical history like diabetes or other metabolic sickness and if you don recently get unprotected sex if you fit abeg upload picture for my mind you suppose wash am well with antiseptic soap or solution keep am clean and moist you fit put antibacterial ointment like mupirocin or soframycin to prevent extra infection abeg write me back with these details so i fit give you more correct answer best wishes,hello i have gone through your question and i really appreciate your concern i would like to know about your age and relevant medical history such as diabetes or other metabolic diseases and any recent exposure to unprotected sex if possible please upload a photograph in my opinion you should wash it properly with antiseptic soap or solution and keep it clean and moist you should apply antibacterial ointment like mupirocin or soframycin to prevent superadded infection please write back to me with these details so that i will be able to provide you with a more accurate response best wishes,Speaker_9,37.22,"['unprotected', 'sex', 'wash', 'mupirocin', 'soap', 'superadded']",train
audio/Speaker_9/Speaker9-329.wav,hi dis one mean say stones still dey inside and dem dey block urine flow you fit need surgery to remove dem if dem no comot by themselves normally small stones wey reach 5mm fit comot by themselves you fit monitor am for one week if you no get pain or fever now na good sign be dat,hi there this means stones are still present and they are obstructing the urine flow you may need surgical removal if they do not pass by themselves generally small stones up to five millimeters can pass on their own you can monitor for a week if there is no pain or fever at present that is a good sign,Speaker_9,19.44,"['stones', 'surgical', 'removal', 'small', 'fever']",train
audio/Speaker_9/Speaker9-330.wav,pancreatic cancer na serious cancer and dem dey known to fit come back again from wetin you don write e dey look like your sister dey progress her cancer dey spread go other parts of her body those spots fit mean say e don metastasize wey mean say e don spread go other areas,pancreatic cancers are severe cancers and they are notorious for recurrence from what you have written it appears that your sister is progressing her cancer is spreading to other parts of the body the spots might indicate metastasis which is the spread to other regions,Speaker_9,18.85,"['pancreatic', 'severe', 'metastasis']",train
audio/Speaker_9/Speaker9-331.wav,why na only my left kidney dey pain sometimes na the only thing wey i fit think of for that side when i dey lie down for bed e dey pain if i lie for that side even now wey i dey sit e dey pain but e no dey happen all the time,why does just my left kidney hurt once in a while it is the only thing i can think of on that side while i am lying in bed it hurts when i lay on that side even sitting here it hurts but not all the time,Speaker_9,16.25,"['kidney', 'hurt']",train
audio/Speaker_9/Speaker9-332.wav,i get one question i stop dey take my birth control pill more than one month now and i sabi say some side effects fit show but i dey get constant cramping e no too pain but e dey noticeable i still dey get headache wey no wan go and i no dey get appetite i dey very emotional and dey easy vex na normal dis kain thing,i do have a question i stopped taking my birth control pill over a month ago and i know there are some side effects associated with that however i have constant cramping it is not too painful but noticeable i also have headaches that will not subside and a loss of appetite i am very emotional and irritable is this all normal,Speaker_9,23.96,"['birth', 'control', 'pill', 'cramping', 'headaches', 'loss', 'irritable']",train
audio/Speaker_9/Speaker9-333.wav,hello my two year old pikin don get bite from stray dog e only scratch small dem don give am anti rabies injection which kind diet i suppose follow while dem dey give am full course anti rabies vaccine i fit give am non vegetarian food during vaccination,hello my two year old son has been bitten by a stray dog that caused a minor scratch for which he has been injected with anti rabies vaccine what diet should be followed during the full course of anti rabies vaccination can non vegetarian food be given during vaccination,Speaker_9,16.49,['non'],train
audio/Speaker_9/Speaker9-334.wav,hi i don see your question any irritation for gums or if you no dey clean the area well fit cause the gum for that tooth to swell i go suggest make you clean the area well then use mild antiseptic mouthwash if you no fit reach the area abeg go your dentist make dem clean am for dental office i hope dis one go help,hi i have gone through your question any irritation to the gums and improper cleaning of the area has led to the swelling of the gums in that tooth i would suggest you clean the area properly followed by the use of a mild antiseptic mouthwash if you are not able to access the area visit your dentist and have it cleaned in the dental office i hope this was of use,Speaker_9,20.94,"['irritation', 'gums', 'swelling', 'cleaning', 'mild', 'cleaned']",train
audio/Speaker_9/Speaker9-335.wav,i don dey take ramipril for moderately high blood pressure from early last year but now i dey follow healthier diet and i wan stop ramipril how i fit reduce and stop these tablets safely i no happy with some things inside the capsule like sodium lauryl sulfate and i wan maintain my blood pressure naturally and healthy,i have been taking ramipril for moderately high blood pressure since early last year but i am now on a healthier diet and would like to discontinue the ramipril how do i wean myself off these tablets i am not happy with the contents of the capsule such as sodium lauryl sulfate and i want to keep my blood pressure down naturally and healthily,Speaker_9,21.01,"['moderately', 'high', 'blood', 'pressure', 'ramipril']",train
audio/Speaker_9/Speaker9-336.wav,i don dey take diclofenac sodium for one week now because dem diagnose me with pericarditis i don do chest x ray e show nothing plus echocardiogram i wan get second opinion to sabi if this one correct i still dey feel pain even after ten days dey take these tablets i dey nineteen years old 178 cm 68 kg and i never get any heart condition or sickness before,i have been on diclofenac sodium for a week now as i have been diagnosed with pericarditis i had a chest x ray which showed nothing as well as an echocardiogram i wanted a second opinion to see if this is correct i am still in pain after being on these tablets for ten days i am nineteen years old one hundred and seventy eight centimeters and sixty eight kilograms with no previous heart conditions or ailments,Speaker_9,27.61,"['chest', 'nineteen']",train
audio/Speaker_9/Speaker9-337.wav,i don read your question the small lump wey you dey feel after one week wey bruise don show na because of how e dey heal and fibrosis wey follow na normal thing be dis no need to worry e go leave small scar and the scar go dey reduce small small with time,i have read your question the small lump felt after a week of bruising is due to the healing process and resultant fibrosis it is a normal phenomenon there is no need to worry it will be left with a scar which will gradually become smaller in size,Speaker_9,16.25,"['small', 'lump', 'after']",train
audio/Speaker_9/Speaker9-338.wav,hi i don check your lab reports and i dey wonder why you never admit for hospital severe anemia don cause heart wahala and e don give swelling for your limbs you need packed red blood cell transfusion to improve your hemoglobin quick later dem fit give injectable iron and you fit also take iron tablets after other vitamins need to dey included too to boost hemoglobin levels if you get any more questions i go happy to help again,hi after reviewing your laboratory reports i am wondering why you are not admitted to the hospital severe anemia has led to cardiac failure resulting in limb edema you need a packed red blood cell transfusion to improve your hemoglobin at the earliest later injectable iron can be used and iron tablets can be taken at a later stage other vitamins also need to be added to improve hemoglobin levels if you have any further queries i am happy to help again,Speaker_9,27.91,"['admitted', 'severe', 'anemia', 'hemoglobin', 'injectable', 'iron', 'tablets']",train
audio/Speaker_9/Speaker9-339.wav,hello e fit be acidity gastritis and reflux disease you dey get upper stomach pain nausea bloating burping more pain when you chop sour water for throat or chest dey burn these na other signs wey fit dey follow you suppose avoid fatty oily and spicy food try waka small after you chop instead make you rest chop small small meals instead of heavy one sleep well and try avoid stress include plenty green leafy vegetables and fruits for your diet avoid smoking and alcohol if e concern you doctor fit prescribe pantoprazole 40 mg or esomeprazole domperidone combination before breakfast once a day for two weeks if e no help well you fit add sucralfate syrup or gelusil two teaspoons three times a day for one week i hope say dis one go help and abeg hala me if you get any doubt,hello most likely it is acidity gastritis and reflux disease do you also have upper abdominal pain nausea bloating burping increased pain on eating sour water feeling in your throat or burning in your chest these are other symptoms that may be associated you should avoid a fatty oily and spicy diet take a walk after eating instead of resting have multiple small meals instead of heavy meals maintain regular sleep habits and avoid stress include lots of green leafy vegetables and fruits in your diet avoid smoking and alcohol if applicable you can be prescribed pantoprazole forty milligrams or an esomeprazole domperidone combination before breakfast once a day for two weeks if you do not experience adequate relief then you should add sucralfate syrup or gelusil two teaspoons three times a day for a week i hope this helps and please get back to me if you have any doubts,Speaker_9,63.76,"['abdominal', 'sour', 'water', 'burning', 'multiple', 'small', 'meals', 'pantoprazole', 'milligrams', 'esomeprazole', 'domperidone', 'sucralfate', 'gelusil']",train
audio/Speaker_9/Speaker9-340.wav,i accidentally don take two amoxicillin clavulanate potassium 875 125 mg i also get inactive clostridium difficile wey start from prescription ciprofloxacin antibiotics i dey assume say amoxicillin no dey toxic so you think say the clostridium difficile fit show again or worsen also wetin else fit happen,i accidentally took two amoxicillin clavulanate potassium eight hundred and seventy five one hundred and twenty five milligrams i also suffer from inactive clostridium difficile which was brought on by prescription ciprofloxacin antibiotics i am assuming amoxicillin is not toxic so do you think the clostridium difficile will come back or worsen also is there anything else that may happen,Speaker_9,26.73,"['amoxicillin', 'clavulanate', 'potassium', 'ciprofloxacin']",train
audio/Speaker_9/Speaker9-341.wav,i dey wait for the results of biopsy i get leukoplakia for the roof of my mouth for the upper back right side e also get small open area near am neither my dentist nor oral surgeon fit find any clear cause i don dey get am for six months wetin be the chances say the ulcer near the white patch fit turn cancer i dey fifty four years old and i be woman i stop to dery smoke ten years ago,i am waiting for the results of a biopsy i have leukoplakia on the roof of my mouth specifically on the upper back right side there was also a small open area next to it neither the dentist nor the oral surgeon could find an obvious cause i have had it for six months what are the statistics on malignancy with the ulcerated area next to the white patch i am fifty four years old and female i quit smoking ten years ago,Speaker_9,26.94,"['leukoplakia', 'malignancy', 'ulcerated']",train
audio/Speaker_9/Speaker9-342.wav,hi the symptoms wey dey worsen fit mean say your cervical spondylosis don dey progress you go need do repeat mri scan and compare am with your previous one to check canal size and see if any disc dey push out or press nerve e fit be say nerve don pinch as e dey come out from spine na why the pain dey bad e need proper check and depending on how bad the symptoms be you fit need surgery,hi the symptoms that are becoming severe are indicative of the progression of cervical spondylosis you will need a repeat magnetic resonance imaging scan and have it compared with the previous scan to measure the canal diameter and look for disc protrusion or nerve compression a nerve might have been pinched as it emerges from the spine which is causing the severe pain it needs to be examined and based on the severity of the symptoms you may need to undergo surgery,Speaker_9,26.01,"['symptoms', 'cervical', 'magnetic', 'resonance', 'imaging', 'canal']",train
audio/Speaker_9/Speaker9-343.wav,progesterone supplementation for the second half of your cycle no dey harmful dem no dey increase risk of cancer or any other wahala for your body e fit make your cycle longer even if you no conceive and this fit cause your cycle to become irregular or longer na why e better make any medication dey monitored by the doctor wey prescribe am,progesterone supplementation in the second half of your cycle is not harmful they do not increase the risk of cancer or any other problems for you there is a possibility that they will lengthen your cycle even if you do not conceive which may result in your cycle becoming irregular or longer this is why it is always better to have medications monitored by a physician who prescribes them,Speaker_9,21.57,"['progesterone', 'medications']",train
audio/Speaker_9/Speaker9-344.wav,i get molar for back wey don mostly break e don reduce reach the rim of the tooth the side wey dey face my cheek get small jagged edges wey don dey rub small on my cheek the tooth no dey give me pain now as e dey now e never dey rub my cheek enough to cause wahala my question be i fit try file the small jagged edge,i have a molar in the back that has most of the tooth broken off it is now down to the rim of the tooth the side that is against my cheek has some small jagged edges and is starting to rub against the cheek a bit there is no pain from what is left of the tooth as of now the tooth is not rubbing against my cheek enough to cause discomfort my question is can i try to file the small jagged edge,Speaker_9,25.52,"['cheek', 'jagged', 'edges']",train
audio/Speaker_9/Speaker9-345.wav,e fit just be simple backache and nothing serious make you rest well and do hot fomentation e go soon pass apply muscle relaxant gel for your back after you do fomentation no bend forward or lift heavy things,it may be a simple backache and nothing else please take rest and do hot fomentation it will subside apply a muscle relaxant gel to your back after fomentation do not bend forward or lift heavy objects,Speaker_9,15.72,['backache'],train
audio/Speaker_9/Speaker9-346.wav,hi from wetin you talk e look like say na exercise dey cause am your upper abdominal muscles dey used for all the physical activities wey you talk so the most likely reason na muscle strain wey fit last up to one day like you talk e no too dey likely say e get anything to do with your previous appendix surgery,hi from the details you have stated this appears to be related to exercise the upper abdominal muscles are used in all the physical activities you mentioned therefore the most likely cause is muscle strain which may last up to a day as you have described it is unlikely to be related to your previous appendix surgery,Speaker_9,20.36,"['abdominal', 'up', 'appendix']",train
audio/Speaker_9/Speaker9-348.wav,welcome to the healthcare center make you do liver function test if the results normal your liver dey okay if you dey overweight reduce your weight with exercise cut down food intake and no dey drink alcohol,welcome to the healthcare center get a liver function test done if the results are normal your liver is normal if you are overweight reduce your weight with exercise decrease your dietary intake and do not consume alcohol,Speaker_9,12.65,"['liver', 'reduce']",train
audio/Speaker_9/Speaker9-349.wav,hi na tiffany i do mri of my left knee without contrast the report talk say mild degeneration of the medial meniscus mild thickening of the anterior cruciate ligament small to moderate joint effusion mild lateral patellar tilt and medial patellar retinaculum dey somewhat thin wetin all dis mean,hi i am tiffany i had a magnetic resonance imaging of the left knee without contrast the findings show mild degeneration of the medial meniscus mild thickening of the anterior cruciate ligament small to moderate joint effusion mild lateral patellar tilt and the medial patellar retinaculum is somewhat thin what does this mean,Speaker_9,24.52,"['magnetic', 'resonance', 'imaging', 'knee', 'mild', 'degeneration', 'medial', 'menis', 'thickening', 'anterior', 'cruciate', 'small', 'joint', 'patellar', 'retinaculum']",train
audio/Speaker_9/Speaker9-350.wav,dear ma sorry say i hear about your problem period fit start again after you don finish tamoxifen but for beginning e no go dey regular if you don see your period even once e mean say chance dey wey you fit carry belle you suppose go do urine pregnancy test make you confirm whether belle dey or not i dey hope say everything go turn out well for you,dear ma am sorry to hear about your problem periods do tend to restart after completion of tamoxifen though initially they are irregular there is a chance that you can get pregnant if you had your period once you should get a urine pregnancy test done to rule out pregnancy hoping for the best,Speaker_9,22.18,"['periods', 'restart', 'test']",train
audio/Speaker_9/Speaker9-352.wav,i take my second depo provera injection for march just one day after the earliest date wey i suppose take am recently i don dey get headache my urine dey look cloudy i dey feel dizzy sometimes i dey get strange cravings plus other signs wey be like pregnancy symptoms abeg possible say person fit get belle while e dey use depo provera injection or na just side effects be all these things,i had my second depo provera injection in march one day after the earliest date i could recently i have experienced headaches cloudy urine dizzy spells strange cravings and an assortment of other seemingly pregnancy related symptoms is pregnancy possible while using the depo provera injection or are these all side effects,Speaker_9,29.23,"['injection', 'headaches']",train
audio/Speaker_9/Speaker9-353.wav,my name na zach and i be eighteen years old i come here to ask question about one three year old pikin wey my family dey take care of as foster child we get one small boy wey dem dey train to use potty and everything bin dey go well until my mama notice say e get problem with him penis e be like say anytime e dey piss e no dey feel am at all we dey wear am underwear and when e piss for body e no go even know until e feel am as e dey run down him leg even when e sit for potty chair do am e still no dey realize e just be like say e no get any feeling at all for that place,i am zach and i am eighteen i am actually here to see if you can answer a question about my family s three year old foster child we have a three year old foster child who is currently being potty trained and everything seemed to be going fine until my mother brought to my attention that he is having some problems with his penis it seems like when he urinates he cannot feel it we of course put underwear on him and when he wet himself he did not realize it until he felt it running down his leg when he actually goes in the potty chair he doesn t realize it it s almost as if he has no sensation,Speaker_9,39.15,[],train
audio/Speaker_9/Speaker9-354.wav,dark circle under eye fit come from head injury wey person get from fall and this kind thing dey common well well for people wey dey hospice care dem fit do computed tomography scan to rule am out forgetfulness na normal thing for elderly people but e still good make dem check medication list because some drugs fit cause dementia,dark circles under the eyes can be due to head trauma caused by a fall which is a common issue in hospice care a computed tomography scan can be done to rule it out forgetfulness is quite common in elderly patients but we need to check the medication list as it can be a cause of dementia,Speaker_9,22.2,"['computed', 'tomography', 'forgetfulness']",train
audio/Speaker_9/Speaker9-355.wav,e fit be say e dey experience multi organ failure and for that case kidney fit don join if na so e go need dialysis another possibility be say dem dey consider one treatment wey dem dey call extracorporeal membrane oxygenation,he may be experiencing multi organ failure in which case the kidneys may be involved if that is the case he would require dialysis it is also possible that they may be considering a treatment called extracorporeal membrane oxygenation,Speaker_9,16.97,['kidneys'],train
audio/Speaker_9/Speaker9-356.wav,hello i dey feel sudden pain for my lower right belly e really pain me well well e be like say person dey pinch one organ inside me the pain sharp and e come suddenly e even make me bend body double after that one i still dey feel small dull pain i also dey get indigestion but e no really feel related there fit be chance say i dey about five weeks pregnant i don carry belle before but i never feel this kind thing before wetin you think say e fit relate to,hello i am experiencing pain in my lower right abdomen suddenly it really hurt it felt like someone was pinching an organ it was very sharp and sudden causing me to keel over i am experiencing a little dull pain afterward i am also experiencing indigestion but this feels unrelated there could be a possibility that i am about five weeks pregnant i have been pregnant before but i have not felt this sensation before what do you think it could be related to,Speaker_9,32.81,"['abdomen', 'keel', 'dull']",train
audio/Speaker_9/Speaker9-357.wav,i get raynaud syndrome mostly wey dey affect my fingers i do foot surgery for three toes and bunion dem straighten the middle toe and move one nerve because e bin dey pin am after four days the wound wey dem stitch start dey turn black my doctor talk say na superficial thing e tell me make i dey put neosporin on top am i do am for two weeks but e still worse pass i go see my rheumatologist and she tell me make i go back to the surgeon make dem give me stronger antibiotics i do that one but within one week i don enter hospital because of infection dem say na escherichia coli enter the bone e fit be say this one no suppose happen or e fit don dey preventable,i have raynaud s syndrome mostly affecting my fingers i had foot surgery on three toes and a bunion the middle toe was straightened out and a nerve was moved because it was pinched after four days my incision was turning black my doctor said it was superficial he told me to apply neosporin on it i did for two weeks but it got worse i went to my rheumatologist and she suggested i go back to the surgeon and get stronger antibiotics i did but within a week i was in the hospital with an infection they said it was escherichia coli and it was in my bone could this not have been prevented,Speaker_9,48.11,"['raynaud', 'syndrome', 'foot', 'surgery', 'toes', 'middle', 'toe', 'neosporin', 'rheumatologist', 'escherichia', 'coli']",train
audio/Speaker_9/Speaker9-358.wav,e sound more like rash than bumps at first e red later e get small water inside then e dey disappear e fit be chickenpox e better make you carry am go show pediatrician,it sounds more like a rash than bumps initially red then water filled and then disappearing it may be chickenpox it is advisable to show him to a pediatrician,Speaker_9,11.1,['rash'],train
audio/Speaker_9/Speaker9-359.wav,hi i really dey fear i think say i fit get ulcer or even worse mouth cancer i don get pain for my four back teeth for left side of my mouth for like two days now but the pain only start after i chop food now for the third day my ear don start dey pain me too also today after i brush my teeth i see one bump for my gum for the same side of my mouth e fit be cancer,hi i am really scared i think i may have an ulcer or worse mouth cancer i have had pain in my four back teeth on the left hand side of my mouth for a couple of days however they only began to hurt after eating now on the third day of this my ear is starting to ache also today after brushing my teeth i noticed a bump on my gum on the same side of my mouth is this cancer,Speaker_9,25.54,"['ulcer', 'teeth', 'hand', 'side', 'mouth', 'hurt', 'third', 'ear', 'bump', 'gum']",train
audio/Speaker_9/Speaker9-360.wav,i get sudden itching for my wrist this morning and when i check am e dey sore and look like one big bubble don show for my wrist my hand and arm also dey feel small tingling but since then e don better small and the bubble don reduce however now i see bruise for the place i suppose worry about am,i had a sudden itch on my wrist this morning and when i looked it was sore and looked like i had a large bubble on my wrist my arm and hand felt kind of tingly but since then it has felt better and the bubble has gone down some however now there is a bruise should i be concerned,Speaker_9,20.94,"['sudden', 'itch', 'wrist', 'bubble', 'arm', 'hand']",train
audio/Speaker_9/Speaker9-361.wav,this kind fall fit cause nose bleeding abeg put cold pack for the place if the bleeding no stop make you carry am go see ear nose and throat doctor ent specialist,a fall of this nature can cause nasal bleeding please keep a cold pack if the bleeding continues please take him to an ear nose and throat surgeon,Speaker_9,10.87,['nasal'],train
audio/Speaker_9/Speaker9-362.wav,hello doctor my small pikin get supravalvular pulmonary membrane wey dey cause small stenosis i no know wetin i suppose do the doctor talk say the stenosis very small and say make we just dey observe and wait i need to know wetin i suppose do and wetin be the next step e fit dey treated without surgery she don reach ten months old now,hello doctor my little daughter has a supravalvular pulmonary membrane that causes minimal stenosis i do not know what to do the doctor said that the stenosis is very small and that we will wait and see i need to know what i should do and what the next step is can this be treated without surgery she is now ten months old,Speaker_9,23.43,"['little', 'supravalvular', 'pulmonary', 'membrane', 'minimal', 'stenosis']",train
audio/Speaker_9/Speaker9-363.wav,hello my dear friend abeg accept my concern for you you talk say these episodes no dey happen always abeg clarify small things one how often these episodes dey happen like once a week once a month or once a year two how long each episode dey last three any thing wey dey trigger am e fit be anything like cheese coffee smoke stress sunlight or no enough sleep if you never know yet try dey observe if anything dey always happen before am start four during these episodes your sight dey change at all like you dey see half words or star like things or light wey dey flash or zigzag light the closest thing wey fit match this kind case if e get any physical cause fit be one kind variant of migraine and to rule am out i go suggest say make you do contrast enhanced computed tomography scan to check if any structural problem dey you fit discuss all these possibilities with neurologist i hope say this one go help you,hello dear friend please accept my concerns for you you mentioned that these episodes are occasional please clarify a few points one what is the frequency of these episodes for example once a week once a month or once a year two how long does each episode last three are there any triggering factors for your episodes it could be anything like cheese coffee smoke stress sunlight or lack of sleep if you do not know yet please try to observe if there is anything associated with them four do you have any abnormalities in vision during these episodes such as reading half words seeing star like things shimmering or flashing lights or light in a zigzag fashion the closest possibility if there is any organic cause in your case could be a variant of a migraine and to rule that out i have asked you the above questions if i were your treating physician i would have asked you to undergo a contrast enhanced computed tomography scan to rule out any structural abnormalities you can discuss your possibilities accordingly with a neurologist i hope this helps you,Speaker_9,79.16,"['contrast', 'enhanced', 'computed', 'tomography']",train
audio/Speaker_9/Speaker9-364.wav,my son wake up this morning with him top lip swollen like daffy duck e no get hives or anything wey fit show say na allergic reaction about one month ago the same thing happen to me too i go see doctor and she talk say she no think say na allergic reaction wetin fit be the cause,my son woke up this morning with his top lip swollen like daffy duck he had no hives or anything to suggest an allergic reaction about a month ago the same thing happened to me i went to the doctor and she said she didn t think it was an allergic reaction what could it be,Speaker_9,20.69,"['morning', 'top', 'lip', 'swollen', 'hives']",train
audio/Speaker_9/Speaker9-365.wav,i wake up this morning with very strong pain for my lower left chest lung area e dey very painful to breathe talk or even laugh e still dey pain small when i touch the area i be only fourteen i no be pregnant and i no dey smoke few days ago i just pull weeds small nothing too hard or stressful wetin fit dey wrong with me,i woke up this morning with extreme pain in the lower left lung it is very painful to breathe talk or laugh it hurts a little when i touch the area i am only fourteen not pregnant and do not smoke the other day i pulled weeds for a bit nothing too strenuous what is wrong with me,Speaker_9,24.06,"['morning', 'extreme', 'lung', 'hurts']",train
audio/Speaker_9/Speaker9-366.wav,hi for acute phase you go need use nasal spray and antihistamine tablets wetin i dey suggest be say make you try desensitization e dey available with plenty pulmonary medicine doctors dem go check the most common allergens wey your body dey react to then dem go help reduce your sensitivity to dem so your allergy go dey better and you go fit handle am well i hope this information go help you,hi during the acute phase you will need to use nasal sprays and antihistamine tablets what i suggest is desensitization this is available with many pulmonary medicine physicians they identify the most common allergens you are sensitized to and desensitize you which will help you fight your allergies i hope this information helps,Speaker_9,28.65,"['nasal', 'antihistamine']",train
audio/Speaker_9/Speaker9-367.wav,hi i don finish my intrauterine insemination for september 19 and dem tell me make i do pregnancy test for october 10 but since i see small brown discharge for some days i do pregnancy test earlier and e come negative doctor still tell me make i take gestin tablets for five days and repeat the test after those five days e still possible say i fit be pregnant wetin gestin dey do,hi i have completed my intrauterine insemination on september nineteen and i was instructed to take a pregnancy test on october ten however since i experienced some brown discharge for a few days i took a pregnancy test earlier and it was negative the doctor has advised me to take gestin tablets for five days and to repeat the test after the five days can i still be pregnant what does gestin do,Speaker_9,33.37,"['intrauterine', 'insemination', 'pregnancy', 'test', 'brown', 'discharge', 'gestin', 'tablets']",train
audio/Speaker_9/Speaker9-368.wav,pigmentation for palate roof of mouth usually dey happen for condition wey dem dey call smoker s palate long term smoking fit cause this kind dark marks for mouth if person stop smoking this kind change fit go back normal completely over time,pigmentation on the palate is usually seen in a condition called smoker s palate chronic smoking leads to these types of pigmentation if smoking is stopped this lesion is completely reversible,Speaker_9,14.05,['palate'],train
audio/Speaker_9/Speaker9-369.wav,yes you suppose do a two dimensional echocardiogram and chest x ray in short you go need rule out congenital heart defects and infections,yes you must do a two dimensional echocardiogram and a chest x ray in short you need to rule out congenital heart defects and infections,Speaker_9,10.75,"['dimensional', 'echocardiogram', 'chest', 'congenital', 'heart', 'defects']",train
audio/Speaker_9/Speaker9-370.wav,hi dem fit be cause of plenty different things but one of the most common na allergic reaction e fit be almost anything and sometimes e hard to know the exact cause e fit come from food wey you chop or even something simple like new cloth wey you wear some soaps or detergents also fit cause skin rash so try remember if you don use any new product or even new perfume recently antihistamine tablets you fit buy over the counter go help reduce the itching and if you no wan take medicine you fit also use creams or lotions wey go calm the itching and redness but you still need to see doctor especially if the rash no clear dey worse or dey spread i hope this one go help you,hi they can be the cause of many problems one of the most common being an allergic reaction this could be almost anything and often proves impossible to find the cause triggers could be anything from something you have eaten to something simple like the material of a new item of clothing also some soaps or detergents can cause rashes so think about whether you have used a new product or even a new fragrance antihistamine tablets can be purchased over the counter and these will help with the itching if you prefer not to take medication then you can purchase lotions or creams that will also help with the itching and redness you will still need to see your doctor especially if the rash does not go away gets worse or starts to spread hope this will help you,Speaker_9,45.77,"['reaction', 'antihistamine', 'rashes']",train
audio/Speaker_9/Speaker9-371.wav,hi if these spots dey itch more for night e fit be scabies e also fit be simple furunculosis,hi if these spots are itching more at night they may be due to scabies they could also be simple furunculosis,Speaker_9,8.45,['itching'],train
audio/Speaker_9/Speaker9-372.wav,hi humira even if no disease dey as age dey increase fertility rate dey reduce e fit still happen for your case since all your reports normal no need to worry too much you fit consider assisted reproductive techniques like intrauterine insemination or in vitro fertilization abeg discuss am well with your doctor goodbye and i wish you all the best,hi humira even in the absence of any disease as age advances the fertility rate declines it is quite possible in your case as all your reports are normal there is no reason to worry you can consider assisted reproductive techniques such as intrauterine insemination or in vitro fertilization please discuss this with your doctor goodbye and all the best,Speaker_9,25.45,['vitro'],train
audio/Speaker_9/Speaker9-373.wav,my three year old son go see gastrointestinal specialist and dem do barium enema for am and everything come normal but e still dey suffer serious constipation all the time we don try ex lax miralax mineral oil and lactulose when e clear stool finish e dey happy like normal pikin but when e wan poop e dey very miserable and dey cry recently anytime e try to poop e go even vomit i no know wetin i suppose do,my three year old son saw a gastrointestinal specialist and had a barium enema which was normal he is severely constipated all the time we have tried ex lax miralax mineral oil and lactulose he is a happy kid when he has all the stool out but he is miserable when trying to poop lately he has been trying to poop and then would vomit i don t know what to do,Speaker_9,33.46,"['constipated', 'miserable', 'poop']",train
audio/Speaker_9/Speaker9-374.wav,i don dey get too much phlegm wey dey come out every morning for about one year now and anytime i tell my doctor e dey talk say na just allergy and hay fever e give me antibiotics before and i also change my bed sheet and pillowcase go materials wey better for dust mite but small small black string like things also start dey come out with the phlegm and e don dey increase more now this week so much phlegm come out reach point wey i feel like i fit fill cup every morning today again some solid pieces come out with the phlegm and dem get the same color as the phlegm e no fit be food because this thing dey happen for morning before i even chop anything,i have been having excessive amounts of phlegm come out every single morning for a year now and when i tell my doctor he tells me it is just allergies and hay fever he put me on antibiotics and i have also changed my bed sheets and pillowcase to materials suited for dust mites some little black string looking material started to come out with the phlegm too it has increased even more now and this week so much phlegm has come out to the extent that i think i would be able to fill up a cup every morning today some solid pieces came out with the phlegm and they are the same color as the phlegm it cannot be food pieces because this is in the morning before i have eaten anything,Speaker_9,45.7,"['excessive', 'amounts', 'phlegm', 'allergies', 'morning']",train
audio/Speaker_9/Speaker9-375.wav,hello this thing go still last small weeks more then you go begin adjust to the new change for your life if he no dey contact you and e dey completely ignore you no benefit to dey think about am again if he stubborn reach say for one month e no get any contact with you then make e face the result of him own actions you suppose focus on yourself anytime you catch yourself dey think about am call your friends or family make you distract your mind you fit go outside or go shop to take clear your head one month don already pass so you don already get some strength now try build on that strength this na the time wey you suppose focus on your studies and your future just ignore am completely if you ignore am you go even become stronger,hello this will last for a few more weeks and you will then adjust to the new change in your life if he is not contacting you and is completely ignoring you then there is no benefit in thinking about him if he is so stubborn that he has had no contact with you for the last month then he should receive the response he deserves you should focus on yourself whenever you have thoughts about him you should call your friends or family members try to distract your mind you can go shopping to distract yourself one month has passed already so i think you have developed good strength try to consolidate your strength this is the age at which you should focus on your studies and career he should be ignored completely if you ignore him you will gain more strength,Speaker_9,52.85,[],train
audio/Speaker_9/Speaker9-376.wav,dem be fungal infection dem dey happen well well for hot and humid places abeg keep yourself clean well you suppose start antifungal treatment take forcan 150 milligrams once every week and allegra once daily apply candid ointment two times a day anytime you sweat or body dey wet clean the area well and apply calamine lotion and sometimes mycoderm powder fit still help,they are fungal infections they occur in humid areas keep clean you should start taking antifungal medication forcan one hundred and fifty milligrams once a week and allegra once daily apply candid ointment twice a day clean when wet with sweat and apply calamine lotion and sometimes mycoderm powder,Speaker_9,29.4,"['antifungal', 'forcan', 'milligrams', 'allegra', 'daily', 'candid', 'twice', 'calamine']",train
audio/Speaker_9/Speaker9-377.wav,i dey experience serious abdominal pain my womb cavity dey stretched by one lesion wey measure 3 5 by 1 9 by 1 9 centimeters wey no get uniform appearance and no dey get plenty blood supply this one match the hypoattenuating lesion wey dem see for my ct scan i be 42 year old woman i dey use depo provera from 1998 reach 2012 because of endometriosis and i stop am for february 2012 when i tie my fallopian tubes and do endometrial ablation i never see period again since 1998 wetin dey happen to me the pain don last for 10 days now and e very bad thank you,i have had severe abdominal pain my uterine cavity is distended by a three point five x one point nine x one point nine centimeter heterogeneous poorly vascularized lesion corresponding to the hypoattenuating lesion seen on my computed tomography scan i am a forty two year old female i was on depo provera from one thousand nine hundred and ninety eight to two thousand and twelve due to endometriosis and stopped using depo in february of two thousand and twelve when i had my fallopian tubes tied and underwent an endometrial ablation i have not had a period since one thousand nine hundred and ninety eight what is wrong with me the pain has lasted ten days now and is horrible thank you,Speaker_9,53.03,"['severe', 'abdominal', 'distended', 'point', 'centimeter', 'poorly', 'vascularized', 'lesion', 'computed', 'tomography', 'depo', 'provera', 'endometriosis', 'fallopian', 'tubes', 'tied', 'lasted']",train
audio/Speaker_9/Speaker9-378.wav,no the condition wey you get since dem don treat am early for your young age e no suppose affect your married life or your pregnancy the best thing be say make you dey do check up every year with echocardiogram and also do another one before delivery to make sure say everything dey okay,no the condition that you had since it has already been treated at an early age should not have any bearing on your married life or your pregnancies the best approach would be to undergo a yearly evaluation with an echocardiogram and prior to delivery to ensure that everything is alright,Speaker_9,18.2,"['evaluation', 'echocardiogram', 'delivery']",train
audio/Speaker_9/Speaker9-379.wav,hi i dey cough plenty and i dey experience asthma before the last few weeks i never use inhaler for some years when i cough mucus dey come out i also get allergy to animals and i don get new dog for the last eight months but the cough only start for last one month when i blow my nose white mucus dey come out i don dey need inhaler few times every day even for middle of the night,hi i am coughing a lot and am experiencing asthma before the last few weeks i had not used an inhaler for a few years there is mucus when i cough i also have allergies to animals and i have had a new dog for the last eight months but the cough only started in the last month when i blow my nose i have whitish mucus i need the inhaler a few times a day including in the middle of the night,Speaker_9,25.08,"['coughing', 'whitish', 'inhaler']",train
audio/Speaker_9/Speaker9-380.wav,you need to see specialist wey dey near you so dem fit check your spine with help of magnetic resonance imaging and some basic blood tests after that one dem go fit decide the provisional diagnosis then dem go plan how your future treatment go be,you need to consult a nearby specialist for assessing your spine with the help of magnetic resonance imaging and some basic blood tests after which the provisional conclusion will be determined a future illness plan can then be developed,Speaker_9,16.97,"['consult', 'nearby', 'specialist', 'spine', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_9/Speaker9-381.wav,my husband do sperm count test and him result be 72 4 million per milliliter within the normal range wey be from 20 to 160 million per milliliter we dey think about tubal reversal or intrauterine insemination and i need to know if him sperm count good enough to justify the money we go spend based on this count which one we suppose go for if intrauterine insemination go need plenty tries i prefer make we do reversal instead,my husband had a sperm count done with his number being seventy two point four million per milliliter out of a range from twenty to one hundred and sixty million per milliliter we are contemplating tubal reversal or intrauterine insemination and i need to know if his count is viable enough to justify the expense based on his count which procedure should we pursue if it will take multiple tries at intrauterine insemination i would prefer the reversal,Speaker_9,36.18,"['sperm', 'count', 'seventy', 'point', 'million', 'per', 'milliliter', 'sixty']",train
audio/Speaker_9/Speaker9-382.wav,hello doctor i get irregular menstrual cycle on may 16 2015 i start notice small pink color only when i dey wipe e continue like that on and off for the whole week on saturday may 23 2015 heavy bleeding start and i assume say na my period the period finish on saturday june 6 2015 this na the first time i see period since july 2014 last night i get unprotected sex today i go toilet and see light pink again only when i wipe my question be say fit i still be pregnant e possible abeg help me,hello doctor i have an irregular menstrual cycle on may sixteen two thousand and fifteen i started noticing a pinkish color when i wipe only that went on and off throughout the whole week on saturday may twenty three two thousand and fifteen i started heavy bleeding i assumed it was my period my period finished on saturday june six two thousand and fifteen this is the first time i had my period since july two thousand and fourteen last night i had unprotected intercourse today i went to the toilet and noticed light pink when i wipe only anyway my question is could i be pregnant is it possible please help,Speaker_9,43.35,"['irregular', 'wipe', 'heavy', 'june', 'toilet', 'light', 'pink']",train
audio/Speaker_9/Speaker9-383.wav,my husband get testicular cancer wey dem dey call embryonal carcinoma but him last two check ups don come out fine today we receive him sperm result and e show say him sperm shape morphology abnormal i want know our chance of getting pregnant and whether this one fit cause birth defects we never get children before but we plan to start try soon he be 27 years old 6 feet 3 inches tall and him weight na 145 pounds,my husband had testicular cancer called embryonal carcinoma and his past two check ups have been fine we received the sperm results back today and it indicated that he has abnormal sperm morphology what percentage do we have of getting pregnant and can it cause birth defects we have no children but planned on trying soon he is twenty seven years old six feet three inches tall and weighs one hundred and forty five pounds,Speaker_9,33.76,['children'],train
audio/Speaker_9/Speaker9-384.wav,i don dey get small back pain for the last few months this morning suddenly i start get serious pain for my testicles i no dey sexually active i think say make i try relieve the pressure on my own but instead of semen wetin come out be something like dark blood,i have been experiencing slight back pain for the last few months this morning out of nowhere i experienced severe pain in my testicles i have not been sexually active i thought perhaps i should relieve the pressure on my own instead of semen all that came out was sort of dark blood,Speaker_9,21.46,"['slight', 'severe']",train
audio/Speaker_9/Speaker9-385.wav,for people wey dey apply for disability living allowance because of recurrent arrhythmias this condition mean say your heart beat no dey regular e fit dey race or dey slow to qualify for social security disability for recurrent arrhythmias you need show say your condition dey cause you to faint or dey make you almost faint plenty times chronic heart failure we also dey call am congestive heart failure dey diagnosed through medical tests wey dey measure how blood dey flow from your heart your heart performance usually need to drop reach about 30 before dem fit consider am total disability also you need show say your heart problem dey cause you pain even when you no dey do any heavy activity ischemic heart disease na condition wey dey come before heart attack and e dey happen when arteries get blockage people wey get this condition dey suffer poor oxygen flow for blood and doctors usually detect am from bad stress test or angiography results all these na the kind conditions wey dem dey use give disability living allowance your heart function dey show for tests like echocardiogram report and angiography report so you need submit them give your lawyer if your heart function drop below 30 or angiography show serious blockage then you fit qualify for disability living allowance,for getting disability living allowance due to recurrent arrhythmias this condition causes your heartbeat to be irregular it may race or beat slowly to qualify for social security disability due to recurrent arrhythmias you must demonstrate that your condition causes you to pass out or to have frequent spells in which you come close to passing out chronic heart failure also called congestive heart failure is diagnosed through medical tests that measure the flow of blood from your heart your heart needs to be performing at thirty capacity to qualify as totally disabled additionally you need to demonstrate that your heart problem causes you pain even while not exerting yourself ischemic heart disease is a pre heart attack condition caused by problems with your arteries those who have this condition experience poor oxygen flow within their bloodstream and it is usually diagnosed as a result of a particularly poor stress test or angiography these are the conditions under which disability living allowance is given your heart functions are shown by two dimensional echocardiogram reports and angiogram reports so provide them to your lawyer if your heart functions are less than thirty or if there are critical blockages in the angiogram you will likely qualify for disability living allowance,Speaker_9,97.85,"['chronic', 'congestive', 'poor']",train
audio/Speaker_9/Speaker9-386.wav,my throat dey produce this frothy white sputum and i dey always spit am out i no get productive cough at all i also dey experience chest and back pain later for the day i be female 23 years old and one month ago dem diagnose me say i get small pleural effusion after one week antibiotic treatment my chest x ray later show say everything don go back normal i just no understand why my back still dey ache,my throat has been producing this frothy white sputum and i always spit it out i do not have a productive cough at all i also experience chest and back pains later in the day i am female twenty three years old and a month ago i was diagnosed with minimal pleural effusion after a week of antibiotic treatment my chest x ray states that it is back to normal i just do not understand why my back keeps aching,Speaker_9,29.37,"['throat', 'cough', 'chest', 'pains', 'antibiotic']",train
audio/Speaker_9/Speaker9-387.wav,hi as you talk the history of your husband e look like say he get sacroiliac joint dysfunction to understand am well your husband fit get weak core muscles and weak spine muscles so e need to go see physical therapist for help for meantime when e dey travel you fit tell am make e sleep for hard surface even floor na hard surface this one fit help reduce pain and make movement better small when e come back e need do exercise to strengthen him core and spinal muscles also physical therapist fit use treatment like therapeutic ultrasound and transcutaneous electrical nerve stimulation machine to help reduce pain once the muscles don strong e go better and e go return to normal activity from many cases wey i don see about sacroiliac joint dysfunction most people dey recover well with medication and physical therapy with god grace i wish your husband quick recovery,hi as you mentioned the history of your husband it looks like he has sacroiliac joint dysfunction now to understand this your husband might have a weak core and weak spinal muscles for which he needs to seek help from a physical therapist also in the meantime when he is traveling you can ask him to sleep on a hard surface and the floor is a hard surface this will help reduce the pain and provide him with good mobility once he returns he needs to work out for his core and spinal muscles additionally the physical therapist will help reduce pain through the use of therapeutic ultrasound and transcutaneous electrical nerve stimulation machines once the muscles become stronger he will be fine and back to action in many cases i have interacted with regarding sacroiliac joint dysfunction all recover with medication and physical therapy with the grace of god i wish your husband a speedy recovery,Speaker_9,64.92,"['weak', 'spinal', 'sleep', 'ultrasound']",train
audio/Speaker_9/Speaker9-388.wav,i take three shots of whiskey and smoke three cigarettes yesterday i no be regular smoker and i dey smoke very small i start smoking just four months ago since this morning i don dey experience chest pain for right side especially when i dey burp the pain dey spread go my back neck and arm e be symptom of lung cancer i dey burp plenty if no be that one wetin fit be the cause i fit still get lung cancer with the small amount wey i don smoke so far if i stop now,i had three shots of whiskey and three cigarettes yesterday i am not a regular smoker and smoke very little i started smoking just four months ago since this morning i have been experiencing chest pain on the right side especially while burping the pain radiates to my back neck and arm is this a symptom of lung cancer i am burping frequently if not what may be the cause can i get lung cancer with the amount i have smoked until now if i quit right now,Speaker_9,34.09,['chest'],train
audio/Speaker_9/Speaker9-389.wav,my brother get tuberculosis for six months and even after e take tablets for that time him fever still dey always above 100 degrees fahrenheit the doctor later suggest make dem admit am and do bronchoscopy and biopsy test the report confirm say na tuberculosis now when e dey cough blood dey come out wetin i suppose do,my brother was suffering from tuberculosis for six months and even after taking tablets for that duration his fever was always above one hundred degrees fahrenheit the doctor then suggested admitting him and recommended a bronchoscopy and biopsy test the reports confirmed tuberculosis now while coughing blood is coming out what should i do,Speaker_9,24.54,"['brother', 'fever', 'above', 'degrees', 'fahrenh', 'bronchoscopy', 'biopsy']",train
audio/Speaker_9/Speaker9-390.wav,hello i be 43 years old woman my symptoms be numbness for my legs hands and feet severe lower back pain and i no fit stand pass three minutes i get blurred vision i dey see like heat waves i dey get shortness of breath even when i just walk from one room go another i dey tired all the time and my legs and feet dey swell seriously,hello i am forty three years old female my symptoms are numbness in my legs hands and feet severe lower back pain and i cannot stand for more than three minutes i have blurred vision seeing heat waves shortness of breath just walking from room to room i am tired all the time and i have severe swelling in my legs and feet,Speaker_9,24.87,"['numbness', 'legs', 'severe', 'blurred', 'vision', 'shortness', 'breath', 'tired', 'swelling']",train
audio/Speaker_9/Speaker9-391.wav,hi doctor i be 25 years old for the last three months i don dey face some problems for my penis for the start of my foreskin small line of very small pimples don show some days ago e dey itch but now the itching don stop i dey feel small pain for the sulcus and e dey look light blue when e no erect i dey feel uncomfortable anytime with my penis abeg help me,hi doctor i am twenty five years old for the last three months i have been facing some problems related to my penis at the start of my foreskin a small strip of very small pimples has formed a few days ago it was itching but now it has stopped i am feeling slight pain in the sulcus and it looks light blue when it is not erect i am feeling uncomfortable every time with my penis please help,Speaker_9,28.63,"['small', 'itching', 'light', 'blue', 'uncomfortable']",train
audio/Speaker_9/Speaker9-392.wav,hi i be windy age 33 i weigh 125 pounds and i be 5 feet 4 inches tall really i be picture of health but i get chronic muscle tightness wey come from wrong sitting position for my office desk i dey deal with am 24 hours every day and i don reduce my work because of the level of pain wey e dey cause me now that i don improve my office ergonomics abeg tell me wetin i fit do make e go away,hi i am windy age thirty three one hundred and twenty five pounds five feet four inches a picture of health really but i have chronic hardening of the muscles which is caused by improper positioning at my office desk i deal with it twenty four hours each day and i have had to cut back on work due to the level of pain it causes me now that i have improved the ergonomic qualities of my office please tell me what can i do to make it go away,Speaker_9,31.09,"['age', 'pounds', 'chronic', 'harden']",train
audio/Speaker_9/Speaker9-393.wav,hi i recently do one electrocardiogram before my planned total knee replacement the electrocardiogram show say my heart dey beat slow marked sinus bradycardia my heart dey beat 41 times per minute for di past ten to twelve years my heart rate don dey always between 40 and 60 i don dey 64 years old now i dey do water aerobics three times per week i neva smoke before and i neva get any abnormal electrocardiogram before i dey active well well for plenty sports when i young and i still dey play pickup basketball reach age fifty i dey take medicine for peripheral neuropathy arthritis fibromyalgia and sinus issues sometimes i dey feel fatigue i dey fear if dis na serious condition wey fit make dem postpone my knee replacement or e no serious,i recently had an electrocardiogram prior to a planned total knee replacement the electrocardiogram came back and showed marked sinus bradycardia my beats per minute was forty one for the past ten to twelve years my heart rate has always been between forty and sixty i am now sixty four years old do water aerobics three times a week have never smoked and have never had a previous abnormal electrocardiogram i was very active in a lot of sports when i was young and played pickup basketball games until the age of fifty i do take medications for peripheral neuropathy arthritis fibromyalgia and sinus issues i also do feel fatigued at times is this a serious condition that warrants postponing my knee replacement or not,Speaker_9,54.43,"['electrocardiogram', 'sinus', 'beats', 'per', 'minute', 'heart', 'rate', 'sixty', 'water', 'aerobics', 'abnormal', 'medications', 'fatigued', 'knee']",train
audio/Speaker_9/Speaker9-394.wav,my front bottom gums dey pain me e start yesterday morning and e dey get worse as di day dey go i notice say small small white spots dey my gums too e dey pain only if pressure dey put for am or if i move my lip for front of am e no dey bleed and e dey my gums under my four front lower teeth i dey thirteen if dat one fit help,my front bottom gums hurt it started yesterday morning and it gets worse as the day goes on i found that there were tiny white spots on my gums too it only hurts when there is pressure on it or if i move my lip in front of it it doesn t bleed and it is my gums under my front lower four teeth i am thirteen if that helps,Speaker_9,24.45,"['front', 'bottom', 'gums', 'yesterday', 'morning', 'tiny']",train
audio/Speaker_9/Speaker9-395.wav,hi first of all i wan congratulate you for your better recovery from the time dem talk say you need new heart and your ejection fraction na sixteen reach now wey e don reach fifty to fifty five wey dey near normal range na really wonderful thing yes e dey very good and normal ejection fraction dey between fifty five to eighty you just need follow all medical advice well well because this kind recovery no dey happen plenty times good luck,hi there first of all i want to congratulate you on such a wonderful recovery from the advisement of needing a new heart and an ejection fraction of sixteen to a current ejection fraction of fifty to fifty five which is near the normal range is just wonderful yes it is very good and the normal range of ejection fraction varies between fifty five and eighty you just need to follow all the medical advice strictly as these types of recoveries are very rare good luck,Speaker_9,30.53,"['ejection', 'fraction', 'sixteen', 'there', 'normal']",train
audio/Speaker_9/Speaker9-397.wav,if you no dey get any wahala to pass urine e no too likely say stone dey cause your problem if na stone dey block urine flow for your body go dey affect too you don marry if yes how e dey go for sex matter e no too likely say stone fit block seminal flow like that i dey hope say dis one clear your doubt,if you do not have any problems passing urine your issue is unlikely to be caused by the stone if it were a stone impaction urine flow would also be affected are you married if so how was your experience during intercourse stone impaction causing a blockage for seminal flow is very unlikely to occur i hope this clears your doubt,Speaker_9,22.5,[],train
audio/Speaker_9/Speaker9-398.wav,i get belle but i no dey get regular periods my last one na for november the 21st or the 28th and e no dey normal e dey brown in color and na for two days only i knack my husband every day from november to december the 6th or 7th then he comot and i come knack another man on december the 15th 16th and 17th the doctors say they will go with my baby s measurements so i dey nineteen weeks and i dey enter twenty weeks on saturday i really wan know the day i get the belle,i am pregnant but i do not have regular periods i know my last one was on november the 21st or the 28th and it was not normal it was brown in color for two days only i had sexual intercourse with my husband every day from november to december the 6th or 7th then he was gone and i had sexual intercourse with another man on december the 15th 16th and 17th the doctors say they are going to go with my baby s measurements so i am nineteen weeks and going to be twenty weeks on saturday i really want to know when the day i got pregnant was,Speaker_9,38.52,"['brown', 'sexual', 'intercourse', 'another', 'man']",train
audio/Speaker_9/Speaker9-399.wav,good day i do abortion three years ago for hospital and now i dey try get pregnant the fact say i don do abortion fit make am hard for me to get pregnant i suppose dey take any conception supplements to help make my chances to get pregnant better,good day i had an abortion three years ago at a hospital and am trying to conceive does the fact that i had an abortion make it difficult for me to conceive should i be taking conception supplements to help increase the chances of getting pregnant,Speaker_9,15.77,"['hospital', 'abortion']",train
audio/Speaker_9/Speaker9-400.wav,hello my brother don recently go see heart and lung specialist wey tell am say dem see one large shadow behind him heart for x ray dem also tell am say him platelet count don increase reach about one hundred times higher than normal now dem don schedule am for ct scan and biopsy abeg fit you give any guidance about wetin fit be the problem,hello my brother has recently seen a heart and lung specialist who told him he has a large shadow behind his heart in the x ray he was also told his platelet count is about one hundred times higher than normal he is now due for a computed tomography scan and biopsy can you provide any guidance as to what might be going on,Speaker_9,26.17,"['brother', 'platelet', 'count', 'computed', 'tomography']",train
audio/Speaker_9/Speaker9-401.wav,i don dey experience some back problem for about one week now sometimes e dey pain me and the pain dey shoot go down my left leg about three weeks ago i jump comot from roof of my house land for porch wey be about five feet down while i dey work i no dey sleep well for night because of the pain wetin fit be this,i have been experiencing some back problems for about a week now it hurts sometimes and the pain often shoots down my left leg about three weeks ago i jumped off the roof of my house onto the porch which is about five feet below while working i cannot sleep well at night because of it what could this be,Speaker_9,21.46,"['leg', 'jumped', 'well']",train
audio/Speaker_9/Speaker9-402.wav,hi surely help fit dey but you need explain the exact area for the left side wey dey cause the pain for scoliosis matter to be diagnosed x ray dey useful but e no totally compulsory,hi surely the help can be there but you need to specify the area on the left side that causes pain for scoliosis to be diagnosed an x ray is helpful but not mandatory,Speaker_9,13.14,"['scoliosis', 'ray']",train
audio/Speaker_9/Speaker9-403.wav,my sixteen month old baby get one mole for her shoulder since she dey about eight months old at first i think say na pimple but after some weeks e grow small small then e stop growing i ask her pediatrician about am and she talk say no be something to worry about and say e fit disappear by itself today i notice say e get white head for top and e don turn small red and swollen e no seem dey disturb my baby but e dey worry me small i suppose worry about am,my sixteen month old baby has had a mole on her shoulder since she was about eight months old i thought it was a pimple when it first developed but over the next month or so it got a little bigger and has since stopped growing i asked her pediatrician about it and she said that it wasn t something that i needed to be concerned about and that it would most likely go away on its own today i noticed that it has a white head on it and it is a little red and swollen it doesn t seem to be bothering my daughter but it is bothering me a little should i be concerned,Speaker_9,35.62,"['pimple', 'next', 'or', 'so', 'white']",train
audio/Speaker_9/Speaker9-404.wav,hi no need to worry about conception just before period because e dey generally safe the small spotting fit be premenstrual spotting e dey happen sometimes when mild hormonal imbalance dey especially if stress dey involved try wait few days make your period start properly if your normal period no show after some days you fit go see specialist for check up no worry normally chance of pregnancy from unprotected sex just before period dey very low hope this one help you,hi there is nothing to worry about conception just before a period as it is absolutely safe the spotting could be premenstrual it does happen sometimes when there is a mild hormonal imbalance owing to stress please wait for a couple of days for your period to set in you can see a specialist if you do not attain a proper period for further appraisal of the situation do not worry there is absolutely no chance of conception with intercourse even if unprotected just before a period hope this helps,Speaker_9,32.32,['imbalance'],train
audio/Speaker_9/Speaker9-405.wav,hi i be fifty year old woman and i finish my last chemotherapy one year don pass i still do colonoscopy one year don pass and result clean my cancer be stage three e don spread to lymph nodes before now i dey lose blood again my energy don low and i dey get plenty cramps wey i never get before my cancer don come back abi,hi i am a fifty year old female and i finished my last chemotherapy treatment a year ago i also had a colonoscopy a year ago and the results were clean my cancer was stage three and had spread to the lymph nodes now i am losing blood again my energy level has decreased and i am experiencing a lot of cramps that i have never had before is the cancer back,Speaker_9,27.52,"['female', 'chemotherapy', 'losing', 'blood', 'energy', 'level', 'decreased', 'cancer']",train
audio/Speaker_9/Speaker9-406.wav,i bin dey jump for my horse one day ago then e throw me down i fly comot land for the lower part of my back now i dey get serious pain from middle of my lower back go all round my hips i still get bruise and swelling and when i land for ground i feel sharp pain from my lower spine round go my waist,i was jumping on my horse a day ago and got thrown i flew off landing on the lower part of my back and now i have severe pain from the middle of my lower back all the way around to my hips i also have bruising and swelling and when i hit the ground i felt a sharp pain from my lower spine around to my waist,Speaker_9,20.29,"['severe', 'sharp', 'spine']",train
audio/Speaker_9/Speaker9-407.wav,i get polycystic ovary disease and i don take krimson thirty five for three months later the doctor give me ovulation tablets and for the eleventh day of my period i do scan my scan report talk say myometrial echoes dey both my ovaries get plenty small follicles wey dey round with central echogenic stroma no free fluid dey for cul de sac no dominant follicles dey for both ovaries i go fit dey pregnant,i have polycystic ovarian disease and i took krimson thirty five for three months later the doctor gave me ovulation tablets and on the eleventh day of my period i had a scan my scan report says myometrial echoes appear both the ovaries show multiple peripheral follicles with central echogenic stroma there is no free fluid in the cul de sac there are no dominant follicles in both ovaries will i be pregnant,Speaker_9,33.34,"['polycystic', 'ovarian', 'disease', 'ovulation', 'eleventh', 'multiple', 'central', 'dominant', 'follicles']",train
audio/Speaker_9/Speaker9-408.wav,i wake up dis morning and as i raise my head i feel strong dizziness i gats wait small all day the dizziness still dey but e no too bad again dis afternoon i wan lie down read book and as i lie down e be like say the room dey tip over i dey fifty one years old,i woke up this morning and as soon as i lifted my head i felt a great dizziness i had to wait for a while throughout the day the dizziness was still there but not as severe this afternoon i wanted to lie down and read and as soon as i went to lie down it felt as if the room was tipping over age fifty one,Speaker_9,18.39,['dizziness'],train
audio/Speaker_9/Speaker9-409.wav,i dey travel for thailand but i get bad pericoronitis around my impacted wisdom tooth i dey take antibiotics but dem no dey help at all the pain dey very bad and the gum don dey cover the next molar and don turn all white for the end e don cut and dey pain me so tey i no fit chop any advice go really help me,i am traveling in thailand but have terrible pericoronitis around my impacted wisdom tooth i am taking antibiotics they are not helping at all the pain is very bad and the gum is now overlapping the next molar and has turned all white at the end it is lacerated and hurts so much that i cannot eat any advice would be appreciated,Speaker_9,23.82,"['traveling', 'thailand', 'terrible', 'pericoronitis', 'wisdom', 'tooth', 'gum', 'next', 'molar', 'hurts']",train
audio/Speaker_9/Speaker9-410.wav,hi glandular fever wey dem dey also call infectious mononucleosis or kissing disease na virus dey cause am and e fit affect liver and spleen too e fit make spleen swell and some cases don even get splenic rupture i dey suggest make you see doctor wey fit do ultrasound or ct scan make dem check if your spleen dey at risk,hi glandular fever also known as infectious mononucleosis or the kissing disease is caused by a virus and can affect the liver and spleen as well it can cause swelling of the spleen and there have been cases of splenic rupture i suggest you see a doctor who can perform an ultrasound or computed tomography scan to determine if your spleen is at risk,Speaker_9,24.89,"['infectious', 'mononucleosis', 'liver', 'spleen', 'swelling', 'ultrasound', 'computed', 'tomography']",train
audio/Speaker_9/Speaker9-411.wav,hello ratan black marks for cheek mucosa dey common for people wey dey smoke dem no dey painful and dem no dey harmful but if person dey smoke more the marks fit increase too the swollen gums and whitish color dey mainly because oral hygiene no dey proper i dey recommend make you see periodontist make dem clean your gums well well your problem go clear i hope say i don help you,hello ratan black lesions on the cheek mucosa are common in smokers they are non painful and harmless but with an increase in the frequency of smoking the lesions also tend to increase the swollen gums and whitish discoloration are mainly due to poor oral hygiene i recommend visiting a periodontist to get a thorough cleaning of your gums your problem will be resolved i hope i have helped you,Speaker_9,28.44,"['black', 'lesions', 'cheek', 'mucosa', 'swollen', 'gum', 'whitish', 'disco', 'periodontist', 'cleaning', 'gums']",train
audio/Speaker_9/Speaker9-412.wav,my pikin girl dey three years old dog bite am for her left hand the bite na grade three after the dog bite within one hour after we wash am well well doctor give am rabipur injection later dem give equirab injection so far four injections don complete i dey worried if rabies virus fit affect am later e get any different treatment wey dem dey do for rabies abeg advise,my daughter is three years old she was bitten by a dog on her left hand the bite was classified as grade three after the dog bite within one hour after complete washing the doctor administered a rabipur injection and later on an equirab injection was given so far four injections have been completed i am worried about whether she will be affected by the rabies virus in the future is there any different treatment available for rabies please suggest,Speaker_9,26.8,['equirab'],train
audio/Speaker_9/Speaker9-413.wav,hi my daughter just bang her nose for the glass television stand e dey bleed inside she get one lump and she dey sick small after this maybe from too much cry she dey fine now but i suppose worry i dey think say e fit don break because the place wey e bang get lump,hi my daughter just hit her nose on the glass television stand and it has been bleeding from the inside she has a lump and was sick right after this possibly from crying so much she is fine now but should i be worried i think it may be broken as there is a lump in the impact area,Speaker_9,18.9,"['lump', 'fine']",train
audio/Speaker_9/Speaker9-414.wav,the main symptom na say the body go dey weak sometimes e no dey too obvious but e dey worsen as di day dey go and after di muscles wey dey affected don dey used well well e fit better if person rest small,the main symptom is fluctuating weakness often subtle that worsens during the day and after prolonged use of affected muscles it may improve with rest,Speaker_9,14.3,['improve'],train
audio/Speaker_9/Speaker9-415.wav,dem don talk say one artery for my aortic arch dey blocked di blood pressure wey dem dey read for my left arm no dey correct so dem go dey use di right arm di doctor talk make i dey take aspirin as blood thinner and make i see am again after six months if di artery dey blocked why dem go wait six months before dem put stent inside,i have been told that i have a blocked artery in the aortic arch blood pressure is inaccurate in the reading of the left arm so the right arm will be used the doctor says to take aspirin as a blood thinner and see him in six months if the artery is blocked why the six month wait before inserting a stent,Speaker_9,24.33,"['aortic', 'blood', 'pressure', 'aspirin', 'wait', 'stent']",train
audio/Speaker_9/Speaker9-416.wav,hello welcome go health care management clinic the history dey show say the chances of conception almost no dey so to take emergency contraceptive no make sense by di way to dey take this kind hormonal preparation no too good for health i hope say dis one go help,hello welcome to the health care management clinic the history suggests that the chances of conception are almost nil so taking an emergency contraceptive is not advisable by the way taking such hormonal preparations is not good for health i hope this helps,Speaker_9,17.88,"['emergency', 'preparations']",train
audio/Speaker_9/Speaker9-417.wav,i don dey try get pregnant for six months for di second month i carry pregnancy but e no normal na ectopic pregnancy so i comot am di doctor talk say make i dey take fertility fifty milligrams for five days from second day reach sixth day and dopastan for ten days from fifteenth day reach twenty fifth day she do fallopian tube test make sure say no blockage dey and e clear no blockage dey i don dey try dis same tablets for two months now but e never work you fit suggest any other tablet wey fit help me get pregnant,i have been trying to get pregnant for six months i conceived in the second month without any medications the doctor identified that it was an ectopic pregnancy and i had an abortion for that the doctor has suggested that i take fertility fifty milligrams for five days from the second day to the sixth day and dopastan for ten days from the fifteenth day to the twenty fifth day she also performed a fallopian tube test for any blockages in the fallopian tubes and everything is fine there are no blockages i have been trying with the same tablets for two months but there has been no success can you suggest any tablets that might help me get pregnant,Speaker_9,34.62,"['fertility', 'milligrams', 'dopastan', 'blockages']",train
audio/Speaker_9/Speaker9-418.wav,hello why you no try dey use some anti perspirants wey dey for men dem no get sweet smell and e go dey easier for your strong sense of smell wey dey now about your question yes hormones fit indirectly dey make you dey smell best wishes,hello why don t you try using some anti perspirants for men these do not have a sweet smell and should be more tolerable for your heightened senses right now in response to your question yes hormones can indirectly make you smell best wishes,Speaker_9,16.21,"['anti', 'perspirants']",train
audio/Speaker_9/Speaker9-419.wav,hi well di best and easiest way for you to check na to use home pregnancy test e go tell you sharp sharp whether you dey pregnant or not other than dat you fit go doctor make dem do blood test but dat one go take longer pass home test although e dey more correct i hope dis one go help you,hi well the best and easiest way for you to check is to use a home pregnancy test it will let you know immediately whether or not you are pregnant other than that you can go to a doctor for a blood test which will take longer than a home test but is far more accurate i hope this helps,Speaker_9,19.62,['home'],train
audio/Speaker_9/Speaker9-420.wav,my daughter dey get moderate to severe pain for her belly e dey go her side and then her groin area dis one don dey happen off and on for about two months she do computed tomography scan few days ago to check for kidney stones but dem no see any na only venous stones dey for pelvic area dem don refer her go urologist tonight she dey suffer plenty pain again e possible say dis pain dey come from venous stones or dem fit miss kidney stones for the scan,my daughter is having moderate to severe pain in her abdomen radiating to her side and then to her groin area this has been happening intermittently for about two months she had a computed tomography scan a couple of days ago looking for kidney stones but none were present only venous stones in the pelvic area she has been referred to a urologist she is experiencing a lot of pain again tonight can venous stones cause this or could kidney stones have been missed on the scan,Speaker_9,33.88,"['side', 'groin', 'intermittently', 'computed', 'tomography', 'scan', 'couple', 'kidney', 'venous', 'stones', 'pelvic', 'nous']",train
audio/Speaker_9/Speaker9-421.wav,my brother in law get pancreatic cancer before dem start treatment e talk say everything dey taste like sawdust the doctor talk say na fungal infection but nothing dey help i dey think say e fit be because of the high bilirubin levels i go like hear your thoughts and wetin fit be treatment options abeg,my brother in law has pancreatic cancer prior to treatment he said everything tasted like sawdust the doctor said it was a fungal infection but nothing has helped i think it is because of the high bilirubin levels i would like your thoughts and treatment options please,Speaker_9,23.27,"['brother', 'high']",train
audio/Speaker_9/Speaker9-422.wav,i get polycystic ovary syndrome and i dey get facial hair growth i don dey do intense pulsed light laser treatment but the problem still dey i don dey take this laser treatment together with gluconorm and finasteride tablets for four years abeg make you suggest how i fit resolve my problem,i have polycystic ovary syndrome and i have facial hair growth because i have undergone intense pulsed light laser treatment but i still have the problem i have been taking this laser treatment along with gluconorm and finasteride tablets for four years please suggest how i can resolve my issue,Speaker_9,19.64,"['intense', 'pulsed', 'light', 'laser', 'treatment', 'gluconorm', 'finasteride', 'tablets']",train
audio/Speaker_9/Speaker9-423.wav,hi i be jayshree i be patient wey get polycystic ovary syndrome and thyroid wahala but my thyroid stimulating hormone levels don dey under control for the past four months on twenty five milligrams of thyromorm i dey plan to do follicular study dis week my husband semen analysis results dem dey all normal i dey get my periods every twenty eight to thirty five days regularly on metformin i go ever fit get pregnant,hi i am jayshree i am a patient with polycystic ovary syndrome and thyroid issues but my thyroid stimulating hormone levels have been under control for the past four months on twenty five milligrams of thyromorm i am planning for a follicular study this week my husband s semen analysis results are all normal i am getting my periods in a span of twenty eight to thirty five days regularly on metformin will i ever get pregnant,Speaker_9,32.16,"['under', 'control', 'past', 'milligram', 'study', 'semen', 'periods', 'span', 'metformin']",train
audio/Speaker_9/Speaker9-424.wav,i get four year old pikin wey dey get stomach pain wey no dey stop dey pass stool sometimes dey vomit and sometimes e get fever wey reach one hundred to one hundred and one degrees fahrenheit na influenza or viral e be i suppose carry am go pediatrician e don dey like dis since thursday late afternoon after school dey complain say e belle dey pain am,i have a four year old with ongoing stomach ache diarrhea occasional vomiting and a fever sometimes reaching one hundred to one hundred and one degrees fahrenheit is this influenza or viral should i take her to the pediatrician she has had this since thursday late afternoon after school complaining about her tummy,Speaker_9,25.59,"['fever', 'degrees', 'fahre']",train
audio/Speaker_9/Speaker9-425.wav,hello rehana e good say you dey show interest well fenugreek dey help regulate menstrual wahala and even the powder fit help reduce blood sugar but as for fenugreek to make breast bigger e no too sure the best way na to chop tomato you sabi the soft pulp wey dey inside tomato fit help increase breast size another way na to do bracing exercises if you dey do repetitions with small rests e fit help make chest wide well small tip be say wear correct clothes wey go prevent breast from sagging and make dem look better good luck,hello rehana it s good to see your interest well fenugreek actually helps regulate menstrual problems and even the powder of fenugreek can lower your blood sugar as well however the efficacy of fenugreek in breast development is questionable the best suggestions are to eat tomatoes you know the pulp in the middle of tomatoes is known to help increase your breast size another effective approach is bracing exercises performing repetitions with frequent rests is known to effectively increase chest width another small tip is to wear well fitting garments that prevent your breasts from sagging and improve their appearance good luck,Speaker_9,36.99,"['fenugreek', 'breasts', 'sagging']",train
audio/Speaker_9/Speaker9-426.wav,hello i don get genital warts i dey work abroad and the doctors wey dey here talk say dem go disappear by themselves i get acyclovir tablets wey i dey take every morning and night because i don get warts and cold sores before but how i fit remove the warts themselves dem dey cause discharge and dey make me dey uncomfortable,hello i have developed genital warts i work abroad and the doctors here said they should just go away on their own i have acyclovir tablets that i take each morning and night as i have had warts and cold sores in the past however how can i get rid of the warts themselves they are causing me discharge and discomfort,Speaker_9,23.08,"['genital', 'acyclovir', 'tablets', 'warts', 'cold', 'sore']",train
audio/Speaker_9/Speaker9-427.wav,she need go see doctor sharp sharp because this one fit be appendicitis any stomach pain wey dey last this long need make doctor check am,she needs to see a doctor right away since this could be appendicitis any stomach pain lasting this long needs an evaluation,Speaker_9,8.34,['stomach'],train
audio/Speaker_9/Speaker9-428.wav,i get one itchy rash for my lower leg e dey bumpy and red one leg pass the other for how e dey raised i be fifty one year old woman and i never get anything like this before e dey for the same area wey i get some bites i think say na fly bite for end of august dem bin get blister and dem hard and swollen dem clear small for few weeks and i dey put arnica and vitamin e oil for dem i go doctor and dem give me cortisone cream but e never help e dey look bad sudocrem dey sometimes take away the itch,i have an itchy rash on my lower legs it is bumpy and red more raised on one leg than the other i am a fifty one year old female and have never had anything like this before it is in the same area where i got some bites i think they were from a fly at the end of august they were blistered and very hard and swollen they cleared up for a few weeks and i was putting arnica and vitamin e oil on them i went to the doctor who prescribed cortisone cream but there has been no improvement it looks terrible sudocrem seems to take away the itch sometimes,Speaker_9,37.71,"['itchy', 'rash', 'legs', 'raised', 'leg', 'female', 'anything', 'arnica', 'vitamin', 'oil', 'cortisone']",train
audio/Speaker_9/Speaker9-429.wav,na normal make my stool dey gooey e don dey like this for some time now some months ago i go hospital because my mama think say i get swine flu but i no get am na actually one bad vaginal infection i get and i take two pills one make my urine turn deep orange and the other na white pill i still get that infection i be fifteen year old so if you want money i no sabi how i go pay you sorry you no need answer my question if you no want,is it normal for my stool to be gooey it has been like this for a while now a few months ago i went to the hospital because my mom thought i had the swine flu which i didn t i actually had a bad vaginal infection and i took two pills one turned my urine a deep orange and the other was a white pill do i still have that infection i am fifteen years old so if you want money i don t know how i am going to pay you so sorry you don t have to answer my question if you don t want to,Speaker_9,31.88,"['while', 'went', 'hospital', 'vaginal', 'urine', 'deep', 'orange']",train
audio/Speaker_9/Speaker9-430.wav,hello your pikin weight dey okay for im age nothing dey to worry about make you dey give am balanced better food every time headache when cold dey na common thing e dey usually go as the cold don better but if the headache no gree stop then e fit mean say something dey wrong some pikin dey sweat pass because of fear or tension for the kind situation wey dem dey face,hello your child s weight is appropriate for his age there is nothing to worry about provide him with a balanced nutritious diet regularly a headache during cold weather is a common occurrence it typically resolves after the cold improves if the headache is persistent then there may be a reason for concern some children sweat more due to anxiety in situations they encounter,Speaker_9,22.85,"['weight', 'balanced', 'diet', 'headache', 'sweat', 'anxiety']",train
audio/Speaker_9/Speaker9-431.wav,i be twenty one years old i tall reach one hundred and fifty centimeters and i weigh fifty three kilograms i no get any serious sickness before i just shock myself small with electricity through my finger as i dey pull cord comot from socket i no really fit feel my heartbeat or pulse well but my pulse dey beat fast small even after thirty minutes abeg i suppose go hospital the shock no really big,i am twenty one years old one hundred and fifty centimeters tall and weigh fifty three kilograms i have no medical history of anything serious i just gave myself a small electric shock through my finger while pulling a cord out of an electrical socket i can hardly feel my heartbeat or pulse but my pulse seems to be quite rapid half an hour later should i go to the hospital it was a really small shock,Speaker_9,28.0,"['small', 'electric']",train
audio/Speaker_9/Speaker9-432.wav,e fit be say you dey suffer from cervical spondylitis i go advise make you take ayurvedic medicine e go cure you completely take simhanada guggulu two times for one day and neurowin three times for one day together with yoga if e necessary you fit do griva basti for seven days for one panchakarma center,you may be suffering from cervical spondylitis i will suggest you take ayurvedic medicine it will cure you completely take simhanada guggulu twice a day and neurowin three times a day along with yoga if necessary you can undergo griva basti for seven days at a panchakarma center,Speaker_9,23.38,"['cervical', 'twice', 'neurowin']",train
audio/Speaker_9/Speaker9-433.wav,hello i don dey get one sharp pain for my lower left belle since around late november now i dey feel small small tingling sensation and the muscle for my belle dey pulse sometimes i don do ultrasound and ct scan and both of them clear nothing show i dey wonder wetin dey cause this because e don dey make me feel depressed,hi there i have had a sharp kind of pain in my lower left abdomen since late november now i am experiencing occasional tingling sensations and pulsation of the stomach muscle i have had an ultrasound and a computed tomography scan both of which were clear i am wondering what is causing this as it is leading to depression,Speaker_9,19.32,"['sharp', 'abdomen', 'occasional', 'tingling', 'sensations', 'pulsation', 'stomach', 'ultrasound', 'computed', 'tomography']",train
audio/Speaker_9/Speaker9-434.wav,no worry yourself too much as this fit just be small harmless condition like infected sebaceous cyst or small skin abscess but e still fit be lymph node if e really dey worry you you fit go do fine needle aspiration cytology test make dem confirm am all the best,not to worry much as this is a benign condition like an infected sebaceous cyst or skin adnexal abscesses however it could also be lymph nodes if it really worries you you can go for a fine needle aspiration cytology test for confirmation all the best,Speaker_9,16.44,"['condition', 'infected', 'cyst', 'ad', 'fine', 'needle', 'aspiration', 'cytology', 'test']",train
audio/Speaker_9/Speaker9-435.wav,my girlfriend and i dey mess around she con give me manual stimulation and i ejaculated i come wipe am off with a paper towel after that i come dey rub my penis against her vagina i no sure say e wet and i dey sure say e no enter am if e enter na only about one inch she fit get belle,my girlfriend and i were messing around she gave me a manual stimulation and i ejaculated then i wiped it off with a paper towel after that i was rubbing my penis against her vagina i am not sure if it was wet and i am pretty sure it didn t go inside of her if it did it was only about one inch could she be pregnant,Speaker_9,19.83,['manual'],train
audio/Speaker_9/Speaker9-436.wav,i get high level of alkaline phosphatase for my liver i suppose go see doctor in two weeks even though i don dey wait to see am since march i dey feel one dull pain for the upper right side of my belle and sometimes e dey worse pass other times also when i chop sometimes i dey feel pain for the top middle of my belle this one fit last from five minutes reach one hour and i no fit stop to dey belch e be like say my food dey stuck i really dey worry,i have a high level of alkaline phosphatase in my liver i have to see a doctor in two weeks although i have been waiting to see him since march i have a dull pain in the upper right side of my abdomen that is sometimes worse than others also when i eat i sometimes experience pain in the top middle of my stomach this can last anywhere from five minutes to one hour and i cannot stop belching it s like my food is stuck i am really worried,Speaker_9,29.88,"['alkaline', 'dull', 'minutes']",train
audio/Speaker_9/Speaker9-437.wav,since you dey form stone again and again i dey assume say you don do full metabolic check up before including 24 hour urine test if you never do am abeg go see urologist for that matter blemaren get citrate and e dey also available under different brand names like k cit citralka etc even though the composition fit vary small the main way e dey work na to increase citrate level for urine and reduce how acidic the urine dey alternatively to increase citrate for your urine you fit dey take two limes every day in any form,since you are a recurrent stone former i presume you have had a full metabolic evaluation including twenty four hour urine collection tests if not please see a urologist in this regard blemaren contains citrate and is also available under many other brand names such as k cit citralka etc although the composition varies the basic mechanism is to increase citrate levels in urine and reduce the acidity of urine alternatively to increase citrate levels in your urine you could take two limes per day in any form,Speaker_9,39.01,"['since', 'tests', 'citrate', 'limes', 'per']",train
audio/Speaker_9/Speaker9-438.wav,e normal for my pikin wey dey three years old to dey hungry all the time she go chop breakfast finish then she go still dey talk say she hungry again for the past few days she don dey chop like three to four apples and bananas because she still dey talk say she hungry she fit finish food and after like five minutes she go still talk say she hungry this one normal fit be say na growth spurt,is it normal for my three year old to always be hungry she eats breakfast but then says she is hungry for the past few days she has been eating three to four apples and bananas because she keeps saying she is hungry she can finish a meal and then five minutes later say she is hungry again is this normal could this be a growth spurt,Speaker_9,25.19,"['eats', 'eating', 'minutes', 'later', 'hungry', 'growth', 'spur']",train
audio/Speaker_9/Speaker9-439.wav,i was recently diagnosed with systemic lupus and i just start to take plaquenil about one month ago today i start to get very sharp pain above and below my left collarbone and around the lower left side of my ribs just under my ribs on my side every time i eat anything the pain reduce small after i take ibuprofen and gas x but e dey come back every time i eat wetin fit be the cause,i was recently diagnosed with systemic lupus and started taking plaquenil just over a month ago just today i started having very sharp pain above and below my left collarbone and around the lower left side of my ribs just below my ribs on my side every time i eat anything it eased off somewhat after taking ibuprofen and gas x but returns each time i eat what could this be,Speaker_9,27.1,"['systemic', 'lupus', 'plaquenil', 'very', 'sharp', 'above', 'below', 'collarbone', 'side', 'ribs', 'ibuprofen', 'returns', 'each']",train
audio/Speaker_9/Speaker9-440.wav,hello counselling dey play important role for matter wey concern silence based on wetin you talk e look like say she dey very depressed she need better support for body and mind as well make you dey give her examples of other people and show her real support so she fit open up talk her feelings and talk freely also you fit carry her go meet counsellor for help,hello counseling plays an important role in addressing the silence based on your details she seems to be very depressed she needs good physical and mental support as well give examples of others and offer her substantial support so that she can express her feelings and talk freely additionally you can take her to any counselors,Speaker_9,22.43,['support'],train
audio/Speaker_9/Speaker9-441.wav,hello make you do x ray of your ankle carry am go show orthopedic surgeon wear ankle brace or support anklet better still short cast for about ten days go help take advil tablet three times daily after food and avoid to dey walk on am,hello get an x ray of your ankle done show it to an orthopedic surgeon wear an ankle brace or support anklet preferably a short cast for ten days would be good take an advil tablet three times a day after meals and avoid walking,Speaker_9,15.93,['ray'],train
audio/Speaker_9/Speaker9-442.wav,hello my name na pierre i be thirty two years old one month ago i spend one day for swimming pool and i go house i chop tuna with beetroot and after two hours i go sleep i wake up around 3 am and my hand leg and stomach full of red bumps of different sizes i go see doctor immediately she give me injection and xyzal for ten days and also tell me make i avoid protein food i stop to dey chop and i just dey take digestive aids plus salad till now i never fully recover if i stop the medicine once i wake up my body go start to dey itch small small and red bumps go show all over my body all day nothing go happen na only when i sleep e dey happen,hello my name is pierre and i am thirty two years old one month ago i spent a day at the pool and went back to my house i ate tuna with beetroots and after two hours went to bed i woke up at three am and my hands legs and stomach were full of red bumps of different sizes i went to the doctor immediately she gave me a syringe and xyzal for ten days and also asked me to avoid eating protein i stopped eating and only consumed digestive aids plus a salad until now i am still not cured if i stop taking the pill once i wake up my body starts itching a bit and red bumps appear all over my body all day long nothing appears just when i sleep,Speaker_9,49.9,"['ate', 'tuna', 'beetroots', 'stomach', 'red', 'bumps', 'digestive']",train
audio/Speaker_9/Speaker9-443.wav,yes you get right to make your own decisions but based on the history nobody fit give exact number of months he go survive better make you take your decision well because heart patients wey dey stable on medicine fit live for many years,yes you have the right to make your decisions but considering the history no one can provide an exact figure for how many months he will survive it is better for you to make your decisions because cardiac patients who remain stable on medications can survive for years,Speaker_9,17.35,['medications'],train
audio/Speaker_9/Speaker9-444.wav,hello if possible abeg send images make we fit do better diagnosis and treatment,hello if possible please send images for a better diagnosis and treatment,Speaker_9,5.62,[],train
audio/Speaker_9/Speaker9-445.wav,about twenty four hours ago my mama hand start to dey cramp and now e don swell reach about twice im normal size her knuckles look bruised and purple she no get any accident recently and she dey feel pain wey no just dey only for the joints wetin fit be the cause,about twenty four hours ago my mother s hand began cramping and now it has swollen to twice its normal size her knuckles are bruised and purple she hasn t been in any accidents recently and is experiencing pain that is not only concentrated in the joints what could this possibly be,Speaker_9,17.23,"['mother', 'swollen', 'knuckles']",train
audio/Speaker_9/Speaker9-446.wav,dear you get any chronic disease like high blood pressure or diabetes if yes abeg do ct scan of the brain to rule out any structural problem for the brain and also check your vitamin b12 level if you be vegetarian,dear do you have any chronic diseases such as hypertension or diabetes if so please have a computed tomography scan of the brain to rule out any anatomical problems in the brain and also have a vitamin b12 level checked if you are vegetarian,Speaker_9,17.55,"['computed', 'tomography', 'brain']",train
audio/Speaker_9/Speaker9-447.wav,hello she still very young to get gallstones however e no completely impossible especially if she get overweight the easiest and fastest way to check for gallstones na abdominal ultrasound but make you remember say other illnesses fit still cause right sided pain if the pain serious you suppose carry her go back to emergency room for further check dem fit even do ct scan instead to look the whole abdomen if the pain dey worsen after food or fatty meals that one dey consistent with gallstone related pain i hope say this help,hello she is very young to be developing gallstones however it is not impossible particularly if she is overweight the easiest and fastest way to check for gallstones is with an abdominal ultrasound however keep in mind that other illnesses can cause right sided pain if the pain is severe you should take her back to the emergency room for further evaluation they might end up performing a computed tomography scan instead to look at the entire abdomen if the pain worsens with food intake or fatty meals then that is consistent with gallstone related pain i hope that helps,Speaker_9,37.94,"['gallstones', 'abdominal', 'emergency', 'room', 'computed', 'tomography']",train
audio/Speaker_9/Speaker9-448.wav,i dey experience sharp quick pain whenever i need to pass gas and this one dey happen only when i dey on my period e don happen like once or twice now my body dey tense up and e dey feel like quick four second stab but even after i fart the pain no dey go away e still dey come back also my normal period cramps dey for different place than before wetin this one really mean,i am experiencing a sharp shooting pain when i need to pass gas and this only occurs when i am on my period possibly once or twice now my body tenses up and it feels like a quick four second stab however farting does not alleviate it it still recurs additionally my cramps are in a different spot than normal what exactly does this mean,Speaker_9,24.75,"['sharp', 'shooting', 'quick', 'cramps']",train
audio/Speaker_9/Speaker9-449.wav,hi i be thirty two year old man i tall five feet seven inches and i get fairly athletic body build for the past few months i don dey feel very uncomfortable when i dey climb stairs or when i do exercise wey no even too hard i dey get strong palpitations and i dey feel like i need to take deep breaths if i do something a bit more strenuous sometimes i dey also feel dizzy i don always dey active for sports all my life until the past one year,hi i am a thirty two year old man five feet seven inches tall and fairly athletic in build for the past few months i have been feeling extremely uncomfortable while climbing stairs or when i engage in physical exercises that are not particularly strenuous i experience severe palpitations and feel the need to take deep breaths if i partake in activities that are somewhat more strenuous i sometimes feel dizzy as well i have always been active in sports throughout my life until the past year,Speaker_9,34.3,"['climbing', 'severe', 'palpitations', 'dizzy']",train
audio/Speaker_9/Speaker9-450.wav,hello before i give you any advice abeg tell me the patient age no direct link dey between tooth extraction and hearing loss e fit be say another thing na the cause i dey wait for your reply,hello before i give you any advice please tell me the age of the patient there is no connection between extraction and hearing loss there might be some other reason i am waiting for your reply,Speaker_9,12.52,[],train
audio/Speaker_9/Speaker9-451.wav,dey play with my family and my brother trip when he dey try throw me for snow for the video you fit clearly see say i bounce off the ground and my head hit ground two times i dey feel sleepy now and my back dey pain me i dey always hit my head before though i suppose worry,i was goofing off with my family and my brother tripped while trying to throw me in the snow in the video you can clearly see me bounce off the ground and my head hit the ground twice i am sleepy now and my back hurts i hit my head all the time though should i be worried,Speaker_9,19.57,['sleepy'],train
audio/Speaker_9/Speaker9-452.wav,right after i go bathroom i still dey feel like i need to go again and i don see blood inside am two times i don get kidney stones two times before i get small bladder and one small kidney and the other one na horseshoe shape if one of them dey start to go bad how i go take know if dem go bad e fit cause weight gain,right after i go to the bathroom i still feel like i need to go and i had blood in it two times i have had kidney stones two times i have a small bladder and one small kidney and the other one is horseshoe shaped if one of them might be going bad how can i tell if they do go bad can that cause weight gain,Speaker_9,21.29,[],train
audio/Speaker_9/Speaker9-453.wav,e be hematoma e go take about four weeks to clear completely relax and no worry yourself if e no dey pain if e dey pain you fit take painkiller,it is a hematoma it will take four weeks to resolve completely relax and do not worry about that if it is painless use painkillers if painful,Speaker_9,12.07,['painless'],train
audio/Speaker_9/Speaker9-454.wav,the pimple wey don dey for long don dey e get any medicine wey fit treat am i dey also dey take evion supplement but i stop am for two days i get asthma e get any way wey asthma fit completely cure i be twenty five years old and i dey take asthalin inhaler and asthalin deriphylline tablet,the pimple blemish has been there for a long time is there any medication for that i have also been taking evion supplement but stopped it for two days i am asthmatic is there any way to cure asthma completely i am twenty five years old and i am taking asthalin inhaler and asthalin deriphylline tablet,Speaker_9,22.48,"['blemish', 'long', 'time', 'medication', 'evion', 'supplement', 'asthalin', 'deriphylline']",train
audio/Speaker_9/Speaker9-455.wav,lately i don dey get serious pain for my lower belly my symptoms na frequent urination irregular periods pain during sex dey feel tired all the time dizziness and headache yesterday morning i wake up with strong pain for three hours on scale one to ten the pain reach eight i don get problem with cysts before but this one different i don also diagnose with endometriosis about one year ago i stop to dey take birth control five months ago i sabi say i no dey pregnant i don do sti tests and pap smear everything show negative i tire of dey in pain nobody fit find wetin dey wrong with me,i have had problems lately with extreme pain in my lower abdominal region my symptoms include frequent urination abnormal periods painful intercourse feeling tired all the time dizziness and headaches yesterday morning i woke up to extreme pain for three hours on a scale from one to ten my pain was an eight i have had problems with cysts before but this was different i have also been diagnosed with endometriosis about a year ago i stopped taking birth control five months ago i also know i am not pregnant i have had sexually transmitted disease tests done a pap smear everything has come up negative i m tired of being in pain nobody can figure out what is wrong with me,Speaker_9,44.37,"['extreme', 'abdominal', 'frequent', 'tired', 'headaches', 'painful', 'cysts', 'endometriosis', 'birth', 'control', 'sexually', 'transmitted', 'disease', 'pap']",train
audio/Speaker_9/Speaker9-456.wav,hello doctor me and my fiancée knack one month ago i give am emergency contraceptive pill wey dem dey call unwanted seventy two within forty eight to seventy two hours time she come see her period ten days later today she dey bring small milk for breast when dem press am and she still dey suffer typhoid pregnancy test and human chorionic gonadotropin test show negative but still the milk dey come out from her breast when dem press am,hello doctor i had sexual intercourse with my fiancée a month ago i gave her the emergency contraceptive pill unwanted seventy two within the forty eight to seventy two hour window she had her menstrual period ten days later today she is experiencing some lactation and is also suffering from typhoid the human chorionic gonadotropin tests and pregnancy tests are negative but she still has lactation when her breasts are pressed,Speaker_9,33.16,"['sexual', 'intercourse', 'fianc', 'emergency', 'lactation', 'human', 'chorionic', 'gonadotropin', 'tests', 'pregnancy']",train
audio/Speaker_9/Speaker9-457.wav,if stone dey inside kidney e fit no cause pain but if stone enter urinary passage e go cause serious pain stone wey dey right kidney no go cause pain for left side if person get lower back pain join with leg pain e fit mean say wahala dey for spine,if stones are in the kidney they will not cause pain however a urethral stone will cause pain a stone in the right kidney will not cause pain in the left lower back pain with leg pain sounds like there may be some problem in the spine,Speaker_9,16.95,"['stones', 'urethral', 'kidney', 'leg']",train
audio/Speaker_9/Speaker9-458.wav,i don dey use lo loestrin fe for about three years now i dey take my pill every day by five forty yesterday i forget take am and i do unprotected sex later i come remember and take the pill six hours after my normal time i still dey protected or make i go take plan b,i have been on lo loestrin fe for about three years now i take my pill every day at five forty i forgot to take it yesterday and had unprotected sex then i remembered and took the pill six hours later than the usual time am i still protected or should i take plan b,Speaker_9,19.64,"['loestrin', 'fe', 'pill', 'later']",train
audio/Speaker_9/Speaker9-459.wav,make you talk to your doctor about cirrhosis of the liver and other conditions too hepatitis c na one wey people know say e fit cause am,do talk to your doctor about cirrhosis of the liver and other conditions as well hepatitis c is known for that,Speaker_9,8.29,"['talk', 'cirrhosis', 'liver']",train
audio/Speaker_9/Speaker9-460.wav,hello abeg no worry after woman born pikin e dey common make hormone no balance well and e fit cause anxiety and depression also the stress and trauma wey follow childbirth fit still trigger anxiety and depression both anxiety and depression na normal condition and dem dey last for short time your symptoms suppose clear within three months,hello please do not worry after delivery it is common for any woman to experience hormonal imbalance which can cause symptoms of anxiety and depression moreover the trauma associated with childbirth can also trigger anxiety and depression both anxiety and depression are normal conditions that typically last for a short time your symptoms should clear within three months,Speaker_9,20.34,['anxiety'],train
audio/Speaker_9/Speaker9-461.wav,hi the lumps na lymph nodes for groin wey dey help clear the bruising and remove dead tissue or infection dem go dey painful because dem don swell but dem suppose reduce as your body dey heal for my own view e better make doctor check you to see whether abscess dey develop because that one fit cause concern i hope say this answer your question quick recovery,hi the lumps are lymph nodes in the groin that are helping to clear the bruising and eliminate dead tissue or infection they will be painful as they are swollen but they should get smaller as you heal in my opinion you should have a doctor examine you to see if you are developing abscesses as that may be a cause for concern i hope that answers your question get well,Speaker_9,24.36,"['lumps', 'groin', 'abscesses']",train
audio/Speaker_9/Speaker9-462.wav,yes you fit take emergency contraception wey be emergency contraceptive pill but you must take am within seventy two hours,yes you can take emergency contraception which is the emergency contraceptive pill however you have to take it within seventy two hours,Speaker_9,7.96,[],train
audio/Speaker_9/Speaker9-463.wav,i don dey get stomach pain like gas for about two weeks now i dey chop plenty fiber and i dey go toilet well well every morning but still my belle dey feel bloated and e be like say i still constipated if i lie down e dey reduce the pain if i sleep with the pain when i wake up for morning i go feel fine yesterday i come start to dey take anti gas pills wetin you think,i have been experiencing abdominal pain similar to gas for about the last couple of weeks i consume a significant amount of fiber and usually have several bowel movements every morning however i still feel bloated and possibly constipated laying down provides relief if i go to bed with pain i wake up in the morning feeling fine yesterday i started taking anti gas pills what do you think,Speaker_9,22.34,"['abdominal', 'significant', 'amount', 'fiber', 'several', 'bowel', 'movements', 'morning', 'anti', 'gas']",train
audio/Speaker_9/Speaker9-464.wav,i dey get pain for lower belle and back if i hold my urine the pain dey worse and after i go toilet i dey see small spotting wetin fit be this i don go do gynecological check and pap smear show say everything normal no problem at all i still do urine test and that one too come out normal my belle dey full with gas and e dey even reach my ribs and back i just dey worry well well and i no know wetin dey worry me e fit get anything to do with my colon,i have lower abdominal and back pain when i hold my urine it gets bad and after i go to the toilet i can see light spotting what could this be i went for a gynecological examination and the pap smear came back normal with no problems at all i also had a urine test which came back normal i m having gas in my abdomen and it gets into my ribs and back i m just so worried and don t know what is wrong with me could this be related to my colon,Speaker_9,33.07,"['abdominal', 'pap', 'smear', 'normal', 'ribs']",train
audio/Speaker_9/Speaker9-465.wav,the bleeding na from hemorrhoids but the cramps dey happen because you dey pass stones the cramps come because the pain during the passing of the stone dey very severe the urinary system and bowel system dey connected with each other na why you fit get cramps and constipation because of the pain,the bleeding is from the hemorrhoids but the cramps are due to passing stones the cramps occurred because of severe pain during the passage of the stone the urinary system and bowel system are linked with each other which is the reason there are cramps and constipation due to pain,Speaker_9,17.69,"['bleeding', 'cramps', 'severe', 'constipation']",train
audio/Speaker_9/Speaker9-466.wav,i don dey get some breathing problem lately i dey always short of breath i still dey get headache even when i wake up and throughout the day i dey also feel extra thirsty pass normal on top am i dey get random pain for my hip and rib area lately wetin fit be the problem,i have been having some breathing problems lately with shortness of breath frequently i have been experiencing headaches even when i wake up and throughout the day i have also been extra thirsty additionally i have been getting random pains in my hip and rib cage lately what could be wrong,Speaker_9,17.72,"['breathing', 'problems', 'shortness', 'breath', 'headaches', 'random', 'pains', 'hip', 'rib', 'cage']",train
audio/Speaker_9/Speaker9-467.wav,hi after head injury different things fit happen to the brain e fit be concussion or even bleeding inside the brain the person need do ct scan of the brain to check wetin really happen if the ct scan come normal then e fit just be post traumatic shock,hi following head trauma many things can happen to the brain it could be a concussion or bleeding inside the brain he needs a computed tomography scan of the brain to see what happened if the computed tomography scan is normal then it could be just post traumatic shock,Speaker_9,18.23,"['concussion', 'computed', 'tomography', 'brain']",train
audio/Speaker_9/Speaker9-468.wav,a fourteen year old girl wey dey do physical examination before she go enter summer camp dem come find loud heart diastolic murmur for second intercostal space on the left side of the sternum abeg explain why this loud heart murmur dey happen for her condition,a fourteen year old girl undergoing a physical examination prior to being admitted to summer camp was found to have a loud heart diastolic murmur at the second intercostal space to the left side of the sternum please explain the reason for the loud heart murmur associated with this girl s condition,Speaker_9,16.81,"['fourteen', 'girl', 'physical', 'examination', 'summer', 'camp', 'loud', 'murmur', 'second', 'intercostal', 'space']",train
audio/Speaker_9/Speaker9-469.wav,hi sir welcome to hcg i understand your problem you need to take a good antibiotic azithromycin is good but blomox ca 625 is better take am two times daily after food e go give you good result i hope say my answer don help you thank you,hi sir welcome to hcg i understand your problem you have to use a good antibiotic azithromycin is good but blomox ca six hundred and twenty five is better take it twice a day after food it will give you good results i hope you are satisfied with my answer thank you,Speaker_9,18.16,"['hcg', 'azithromycin', 'problem', 'ca']",train
audio/Speaker_9/Speaker9-470.wav,hello when person get plenty stress for life the body immunity go reduce and that one fit make important hormones wey body need for normal function go also reduce and e fit cause tiredness you need learn how to manage stress for life meditation fit still help you,hello when there is a lot of stress in life there is a reduction of immunity in the body which further leads to a reduction of important hormones required for normal functioning resulting in fatigue you need to learn coping skills in life meditation might also help you,Speaker_9,17.0,"['reduction', 'immunity', 'hormones']",train
audio/Speaker_9/Speaker9-471.wav,hi to get pregnant na when sperm meet egg and fertilization happen once your husband sperm count and quality don improve after treatment e mean say better chance dey for pregnancy if your ovulation dey normal and your womb dey healthy chance still dey to get pregnant infertility get strict definition some school of thought dey say if everything normal una need at least one year of regular sex about three times every week before dem fit call am infertility,hi getting pregnant is possible when a sperm meets an ovum through fertilization once your husband s sperm count and quality are good following his treatment there is a high chance of conception with your good ovulation and healthy uterine tract there still remains a chance to get pregnant infertility needs a strict definition some schools say if everything is fine you need one year of sexual intercourse at least three times per week,Speaker_9,28.77,['healthy'],train
audio/Speaker_9/Speaker9-472.wav,with your complaint e look like say you get back pain because of bad posture you need do exercise wey go strengthen your back muscles,with your complaints it seems you have backache due to your poor posture you need back muscle strengthening exercises,Speaker_9,7.36,['backache'],train
audio/Speaker_9/Speaker9-473.wav,hi i slip fall badly since that time my leg dey pain and e dey swell i massage am and put am for warm water for some time e give small relief but after two days e come pain and swell again well well abeg guide me wetin i suppose do now,hi i slipped and fell badly since then my leg has been painful and swollen i massaged it and kept it in warm water for some time which provided some temporary relief however after two days it became severely painful and swollen again please guide me on what i should do now,Speaker_9,16.02,"['leg', 'painful', 'swollen', 'massaged', 'severely']",train
audio/Speaker_9/Speaker9-474.wav,ferritin na the body storage form of iron and when ferritin low e mean say your iron store low but your hemoglobin no really drop well well you still need iron treatment but with this level of hemoglobin oral iron treatment go dey enough from now you also need check the reason why iron low iron injection or oral iron fit cause some side effects but e normal and acceptable take oral iron tablets if e easy for you and try maintain food wey get plenty iron,ferritin is the storage form of iron and having low ferritin means you have low iron stores however your hemoglobin is not significantly low you need iron therapy but with this hemoglobin level oral iron therapy is sufficient from now on you should also investigate the cause of the low iron iron injections or oral forms can lead to some problems but it is normal and acceptable take oral iron tablets if convenient and maintain a diet rich in iron,Speaker_9,33.88,"['ferritin', 'low', 'hemoglobin', 'oral', 'tablets']",train
audio/Speaker_9/Speaker9-475.wav,for four days now i don dey get severe abdominal pain e dey feel like e dey start from my side near kidney area and the pain dey sharp like stabbing e still dey spread give burning feeling across my whole abdomen the pain dey come like waves every two to three hours and e dey last about five to ten minutes each episode of pain dey last about thirty to forty five seconds with about fifteen to thirty seconds break between each one at first i think say na serious gas problem,for four days i have been experiencing severe abdominal pains they feel as if they start in my sides around my kidneys and the pain is sharp and stabbing it also radiates a burning sensation throughout my entire abdomen the pains seem to come in waves about every two to three hours and last for five to ten minutes each pain lasts thirty to forty five seconds and has fifteen to thirty seconds between each pain at first i thought it was really bad gas,Speaker_9,31.6,"['severe', 'abdominal', 'sides', 'kidneys', 'pains', 'sharp', 'waves', 'lasts', 'seconds']",train
audio/Speaker_9/Speaker9-476.wav,dear patient e be like say you don get serious accident for your back and the way your body dey do show say the injury strong well well the back pain wey no dey stop even when you rest and the one wey dey worse when you siddon fit mean say the bone for your back don get injury maybe e don press or even crack abeg try go do x ray of your lower back lumbosacral spine for front and side view i still go advise make you do mri scan of your spine to check if any disc problem dey,dear patient it seems you have experienced a serious accident to your back and your symptoms suggest significant trauma to your back back pain even with rest and that increases with sitting indicates vertebral trauma and either compression or fracture kindly get yourself investigated with a radiograph of the lumbosacral spine in anteroposterior and lateral views i would also like to advise a magnetic resonance imaging scan of the spine to rule out a disc problem,Speaker_9,27.96,"['serious', 'accident', 'symptoms', 'significant', 'trauma', 'radiograph', 'lumbosacral', 'spine', 'lateral', 'magnetic', 'resonance', 'imaging']",train
audio/Speaker_9/Speaker9-477.wav,wetin you dey describe na diarrhea no be constipation i think say the treatment wey dem start before correct for that time but now wey she dey relapse e go better make you agree do at least stool test and culture this go help show the kind germs wey dey cause the diarrhea and also help know which antibiotic go work best,what you are describing is diarrhea not constipation i think the treatment seems appropriate when it began but now as she is relapsing you should agree to at least a stool routine and culture this will help identify the germs that are causing the diarrhea and also pinpoint which antibiotic is likely to work best,Speaker_9,19.57,['constipation'],train
audio/Speaker_9/Speaker9-478.wav,hello dear i don check your problem well well the one two lumps wey show for the forehead this morning fit mean say na allergic nodular bumps especially as you don get history of allergy wey dey make body swell before so no worry i go advise make you see your family doctor wey go give the correct medicine to help reduce the lumps for the forehead of your five year old son thank you you fit still come back if you get any other question about this matter,hello dear i went through your problem in depth the presence of one two lumps on the forehead which developed this morning suggests that it could probably be allergic nodular bumps which is supported by the history of allergic puffiness in the past so do not worry i would advise you to seek the help of your family doctor who can treat it with necessary prescribed medications for relieving the lumps on the forehead of your five year old son thank you welcome for any more queries on this matter,Speaker_9,26.73,"['lump', 'medications', 'lumps']",train
audio/Speaker_9/Speaker9-480.wav,you dey ask about hiv,are you asking about hiv,Speaker_9,2.95,[],train
audio/Speaker_9/Speaker9-481.wav,my eight year old son wey die one month ago from cardiac arrest because of pulmonary hypertension e start when e dey make one terrible growling sound for about five minutes or so that sound no wan comot for my head and i dey always worry say maybe e feel serious pain before e die how possible e be say e really suffer plenty pain before e die,my eight year old son died a month ago from cardiac arrest due to pulmonary hypertension it started with him making a horrible growling noise for about five minutes or so i can t get that noise out of my head and am continuously worried that he experienced terrible pain how likely is it that he was in a lot of pain before dying,Speaker_9,24.1,"['died', 'horrible', 'growling', 'noise']",train
audio/Speaker_9/Speaker9-482.wav,hello you re welcome if the pain dey happen just once in a year and e no dey regular then no need to worry this kind pain fit come from amoeba infection worm infestation or premenstrual cramps but if the pain dey happen often then try go do ultrasound for your abdomen good luck,hello welcome if your pain is occurring once a year and is not regular then you need not worry such types of pain could be due to amoebic infections worm infestations or premenstrual cramps if the pain is occurring frequently then get an ultrasound of the abdomen done good luck,Speaker_9,17.58,"['ultrasound', 'abdomen']",train
audio/Speaker_9/Speaker9-483.wav,no worry about the bump just watch am to see whether e dey increase for size or not you fit take pain relief medicine to manage the pain concussion no go likely happen,don t worry about the bump just wait to see if it is increasing in size or not you can take analgesics for the management of pain a concussion is unlikely to occur,Speaker_9,11.03,"['increasing', 'analgesics']",train
audio/Speaker_9/Speaker9-484.wav,considering your symptoms e dey very likely say you get vitamin b12 deficiency wey important for nerve health this kind deficiency fit happen if one you get diabetes two you dey suffer from hypothyroidism or hypertension and you don dey take medicine for long time three you be vegetarian or get some kind food preference try go check your blood level and make your doctor prescribe vitamin b12 supplement for you hope this go help,considering your symptoms it seems highly likely that you are suffering from a deficiency of vitamin b12 which is important for nerve health this deficiency can arise if one you are diabetic two you are suffering from hypothyroidism or hypertension and have been taking medications for a long time three you are vegetarian or have some dietary preferences get your blood levels checked and have a vitamin b12 supplementation prescribed by your doctor hope it helps,Speaker_9,29.07,"['hypothyroidism', 'hypertension', 'medications', 'blood', 'levels', 'vitamin']",train
audio/Speaker_9/Speaker9-485.wav,when dem talk say you no get belle cold sweating fit still happen because of other things like hormone changes you fit try do pregnancy test again also try practice deep breathing exercise for fresh air i hope this go help you,when they said you were not pregnant cold sweating may also be due to other reasons such as hormonal changes you may want to get a pregnancy test again additionally try deep breathing exercises in fresh air i hope this helps you,Speaker_9,14.58,"['cold', 'sweating', 'test']",train
audio/Speaker_9/Speaker9-486.wav,a few days ago tuesday to be exact i dey wrestle with my son and i begin feel pain for my left front side for upper rib area at first i think say maybe na rib bruising from the wrestling but now the pain don worse today e feel like say wheezing dey for the left side e hard for me to move around bend down pick my small dog and even breathe plus today i still dey feel pain for the left side of my neck e fit mean say heart attack dey come,a few days ago tuesday to be exact my son and i were wrestling and i encountered pain on my left front side in the upper rib area i initially chalked it up to possibly bruising my rib during our wrestling however now the pain has worsened today it feels like there is wheezing on the left side it is hard for me to move around bend over pick up my little dog and even breathe additionally today there is pain on the left side of my neck could this be a heart attack coming on,Speaker_9,29.19,"['front', 'side', 'rib', 'wheezing', 'heart', 'attack']",train
audio/Speaker_9/Speaker9-487.wav,hi i look underneath the head of my penis and i notice say one lump dey form under the skin i no see any small bumps around am or any colour change and e no dey pain me when i touch am but when i look inside my penis e kind of grayish and i notice small bump wey you hardly fit see,hi i looked underneath the head of my penis and noticed a lump forming under my skin i see no small bumps around it or discoloration and it doesn t hurt when i touch it however when i look inside my penis it is kind of grayish and i notice a small bump that you can barely see,Speaker_9,21.01,"['underneath', 'head', 'penis', 'lump', 'bumps']",train
audio/Speaker_9/Speaker9-488.wav,my husband na sixty years old and e just travel come from united states go italy three days ago e get diabetes but e no dey take medicine e dey feel serious pain for im lower left back wey make am no fit bend down and e dey hard for am to stand up from chair e no carry anything heavy or get any lifting injury wetin fit be the cause,my husband is sixty years old and just traveled from the united states to italy three days ago he has diabetes but does not take medication he has extreme pain in his lower left back where he cannot bend over and has difficulty getting out of a chair he has not had any lifting injuries what could this be,Speaker_9,23.5,['extreme'],train
audio/Speaker_9/Speaker9-489.wav,my pikin get asthma until e reach four years old after that time e no get any problem again and e dey normal but suddenly when e reach eighteen years e get serious attack again i dey worried about wetin to do now dem don put am back on inhalers and tablets e fit fully recover from am completely,my child had asthma until the age of four years after that he didn t have any issues and was normal however suddenly he had a severe attack again at the age of eighteen i am worried about what to do now he is back on inhalers and tablets can he achieve a complete cure from it,Speaker_9,17.95,"['asthma', 'severe', 'attack']",train
audio/Speaker_9/Speaker9-490.wav,dear patient the kind pain wey dey affect your chest and neck most times na muscle pain the muscles wey dey help shape your rib cage and hold your neck straight fit don strain so if you lie down for neutral position e go help reduce the pain you fit still take pain relief medicine to get better wetin you dey do now like using hot bag dey help relax the muscles small you fit continue am doing back strengthening exercises for house fit also help well well with these simple conservative methods i believe say you go get relief from this persistent pain,dear patient the particular type of pain that is affecting your chest and neck is often due to muscle pain the muscles responsible for providing your rib cage with a certain shape and holding the neck straight therefore lying in a neutral position will help decrease the pain you may also take some analgesics to find relief what you are currently doing by applying a hot bag helps relax those muscles a bit you can continue with that a home regimen of back strengthening exercises can be very beneficial in these conservative ways i am confident you can find relief from this persistent pain,Speaker_9,34.78,"['chest', 'dear', 'analgesics']",train
audio/Speaker_9/Speaker9-491.wav,i don dey prone to fainting plenty times i don reach the point wey i dey know when i dey about to faint today na one of those days wey i feel like say i dey close to faint e start with one strong or loud heartbeat wey i hear inside my ear and feel for my chest right now my body dey feel very hot and i still hear ringing sound these symptoms dey happen to me often na normal thing be this,i have been prone to passing out a lot i have gotten to the point of knowing when i am about to pass out today is one of those days when i felt like i was on the verge of passing out it started out with a harsh or loud heartbeat that i heard from inside my ear and felt in my chest at the moment my body feels very hot and i heard a ringing noise these symptoms are very common for me is this normal,Speaker_9,24.78,"['passing', 'harsh']",train
audio/Speaker_9/Speaker9-492.wav,i get one lump near the tubes of my right testicle e fit even dey on top the testicle itself either way e don dey there since i be twelve or thirteen years old till now e no really dey worry me too much if i press am e dey pain just like when you press testicle wetin this fit be and i suppose worry about am,i have had a lump near the tubes of my right testicle it might even be on the testicle either way it has been there since i was twelve or thirteen it hasn t been all that alarming to this point if i squeeze it it is just as painful as squeezing a testicle what could this be and should i be alarmed,Speaker_9,21.78,['lump'],train
audio/Speaker_9/Speaker9-493.wav,and also when i bend my neck and touch my chin to my chest e dey pull the pain make e worse like e reach about seven for pain scale,and also when i touch my chin to my chest it pulls to where it hurts even more like a seven on a pain scale,Speaker_9,9.29,"['chin', 'hurts']",train
audio/Speaker_9/Speaker9-494.wav,my seventeen year old high school senior dey repeatedly lie about doing his homework this thing don dey happen since sixth grade even when dem confront am in front of im teacher e still dey lie e always dey talk say teacher lose im work or e just go say yes i do am dem just never enter am yet we dey usually try give am benefit of doubt any comments i dey confused and disappointed p s e be happy pikin wey get plenty friends we don take im phone and computer but e no even dey bother am,my seventeen year old high school senior repeatedly lies about doing his homework this has been going on since sixth grade he has been confronted in front of his teacher and still lies he is always saying the teacher lost his work or just simply yes i did it they just haven t entered it yet we usually try to give him the benefit of the doubt any comments confused and disappointed p s he is a happy child with lots of friends we have taken his phone and computers away and nothing seems to phase him,Speaker_9,37.45,['happy'],train
audio/Speaker_9/Speaker9-495.wav,my daughter na five years old she never get this kind problem before but for the past four days every morning when she wake up and dey chop breakfast she dey vomit after she vomit finish she go continue to eat and she go dey fine for the rest of the day until next morning again i no know why this dey happen she no get fever and she no dey complain of stomach pain,my daughter is five years old she has never had this issue before but for the last four days when she wakes up in the morning and is eating breakfast she throws up after she throws up she will continue eating and will be fine for the rest of the day until the next morning i do not know why this is happening she is not running a fever nor is she complaining of stomach pains,Speaker_9,20.46,['fine'],train
audio/Speaker_9/Speaker9-496.wav,i be sedated terminal cancer patient i no dey fit really talk or carry food for about four days now i only dey take small water for oral medication and i don refuse most things when i still fit express myself i dey sleep all the time now but i don experience two very strong foul smelling bowel movements the stool consistency don change from watery to paste dark brown and now e don almost become gelatinous e be like say i no even dey aware of anything again if i no don chop anything for three to four days wetin fit dey cause this kind foul bowel movement,i am a sedated terminal cancer patient with no viable conversation or food intake for about four days i have only had minimal water intake for oral medications and have refused most while i was able to express my needs i sleep constantly now but have experienced two very overpowering foul bowel movements the consistency has changed from watery to paste dark brown and now almost gelatinous it seems that i am aware of nothing at this point if there has been no food intake in three to four days what could be causing the foul bowel movements,Speaker_9,42.96,"['oral', 'medications', 'sleep', 'foul']",train
audio/Speaker_9/Speaker9-497.wav,i don get three episodes where the tip of my tongue dey go numb for less than five minutes over the past six weeks i don finish radiation treatment for epidermoid cancer for the left maxillary sinus dem remove part of my hard palate and four teeth and i dey wear obturator also the numbness seem to dey happen around the same time like 5 to 6 pm e fit be stress,i have had three instances of the tip of my tongue being numb for less than five minutes over the last six weeks i am one post radiation treatment for epidermoid cancer in the left maxillary sinus part of the hard palate and four teeth were removed i wear an obturator also the numbness seems to occur around the same time at five to six pm is it due to stress,Speaker_9,27.47,"['tip', 'tongue', 'numbness', 'less', 'radiation', 'treatment', 'epidermoid', 'cancer', 'maxillary', 'sin', 'hard', 'palate', 'teeth', 'same']",train
audio/Speaker_9/Speaker9-498.wav,hello i get mirena intrauterine device wey dem insert about one and half year ago for the last three weeks i don notice say i dey very tired i dey feel nausea i get very light spotting wey happen about one week earlier than my normal time only when i wipe and my nipples dey tender i also do pregnancy test but e come back negative,hello i have a mirena intrauterine device that was inserted approximately a year and a half ago in the last three weeks i have noticed that i have been tired nauseous experiencing very light spotting which occurred about a week earlier than normal only when i wipe and i have tender nipples i have also had a negative pregnancy test,Speaker_9,22.78,"['intrauterine', 'device', 'half', 'mirena', 'light', 'spotting', 'about', 'earlier', 'negative']",train
audio/Speaker_9/Speaker9-499.wav,hi thank you for asking i really appreciate your concern make i tell you say physical appearance no be the most important thing but person suppose dey mentally young and your overall mindset suppose dey like evergreen for general health i go recommend say you follow diet wey get plenty antioxidants fresh fruits na the best option have a nice day,hi thank you for asking i really appreciate your concern let me tell you that physical appearance is not the most important matter but one should be mentally young and the overall mindset should be like evergreen for general health i would recommend following an antioxidant rich diet fresh fruits are the best option have a nice day,Speaker_9,23.29,[],train
audio/Speaker_11/Speaker11-1.wav,fexozit 120mg tablet na anti allergy medicine wey dem dey use treat allergic symptoms like runny nose congestion or stuffiness sneezing itching swelling and watery eyes e dey also help treat skin allergies like itching redness or swelling,fexozit 120mg tablet is an anti allergy medicine used in the treatment of allergic symptoms such as runny nose congestion or stuffiness sneezing itching swelling and watery eyes it also helps treat skin allergies with itching redness or swelling,Speaker_11,19.31,"['fexozit', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-2.wav,patient get nose piercing wey e dey maintain well and di healing dey go well di patient na ex smoker e stop dey smoke 5 years ago after e don smoke for 15 years,patient has a nose piercing which appears to be well maintained and healing properly the patient is an ex smoker having quit the habit 5 years ago after a 15 year history of smoking,Speaker_11,12.07,"['nose', 'ex']",train
audio/Speaker_11/Speaker11-3.wav,basophils di value na 0 0 mean platelet volumempv di value na 10 0 fl squamous epithelial cells di value na 1 0 hpf,basophils the value is 0 0 mean platelet volumempv the value is 10 0 fl squamous epithelial cells the value is 1 0 hpf,Speaker_11,14.63,"['fl', 'hpf']",train
audio/Speaker_11/Speaker11-4.wav,winace th 4 tablet na combination medicine wey dem dey use treat pain wey dey come from muscle spasm e dey improve muscle movement and e dey give relief from pain and discomfort wey dey associated with muscle spasms,winace th 4 tablet is a combination medicine used in the treatment of pain due to muscle spasm it improves the movement of muscles and provide relief from pain and discomfort associated with muscle spasms,Speaker_11,16.36,"['winace', 'th', 'tablet', 'medicine', 'muscles', 'improves', 'discomfort']",train
audio/Speaker_11/Speaker11-5.wav,di patient get history of amlodipine induced edema skin allergy since 2015 with rashes and pruritus and thyroxine induced palpitations also na known drug allergy wey dey present with anaphtlaxis when e dey exposed to some medications,the patient has a history of amlodipine induced edema skin allergy since 2015 with rashes and pruritus and thyroxine induced palpitations additionally a known drug allergy presents with anaphylaxis upon exposure to certain medications,Speaker_11,22.51,"['amlodipine', 'palpitations', 'anaphylaxis']",train
audio/Speaker_11/Speaker11-6.wav,di patient get known history of metformin intolerance steroid induced hyperglycemia and nitrate induced hypotension also im dey allergic to xylometazoline since 2015 wey dey present with nasal congestion and also lifelong dust allergy wey dey cause rhinitis and ashma wey dey occur again and again for am,the patient has a known history of metformin intolerance steroid induced hyperglycemia and nitrate induced hypotension additionally they have an allergy to xylometazoline since 2015 presenting with nasal congestion and a lifelong dust allergy causing recurrent rhinitis and asthma,Speaker_11,27.93,"['metformin', 'steroid', 'nitrate', 'xylometazoline', 'recurrent']",train
audio/Speaker_11/Speaker11-7.wav,di patient dey chew tobacco steady e dey chew 3 4 pouches of tobacco everyday wey dey increase im risk to get mouth cancer and gum disease im no get any history of exposure to radiation,patient is a regular tobacco chewer consuming 3 4 pouches of chewing tobacco per day leading to increased risk of oral cancer and gum disease no history of radiation exposure,Speaker_11,18.5,"['regular', 'consuming', 'no']",train
audio/Speaker_11/Speaker11-8.wav,dem dey use mexiletine treat irregular heart rhythms arrhythmias and to maintain normal heart rate mexiletine na antiarrhythmic mexiletine dey block some electrical signals wey dey heart so that e go stabilize the heart rhythm,mexiletine is used to treat irregular heart rhythms arrhythmias and maintain a normal heart rate mexiletine is an antiarrhythmic mexiletine blocks certain electrical signals in the heart to stabilize the heart rhythm,Speaker_11,23.32,"['irregular', 'heart', 'rhythms', 'normal', 'mexiletine']",train
audio/Speaker_11/Speaker11-9.wav,mri and ct suggest say gallbladder stone dey and cystic tumor wey dey inside dorsal pancreas with dilated pancreatic duct fig dey di results of laboratory tests dey normal,mri and ct suggested the presence of a gallbladder stone and a cystic tumor in the dorsal pancreas with a dilated pancreatic duct fig results of laboratory tests were normal,Speaker_11,21.01,"['mri', 'duct', 'gallbladder', 'cystic', 'tumor', 'dorsal', 'pancreas', 'dilated', 'pancreatic', 'laboratory', 'tests']",train
audio/Speaker_11/Speaker11-10.wav,lonazep 0 25 tablet na prescription medicine wey dem dey use treat epilepsy seizures and anxiety disorder e dey help decrease abnormal and too much activity for nerve cells and e dey calm di brain,lonazep 0 25 tablet is a prescription medicine used to treat epilepsy seizures and anxiety disorder it helps to decrease the abnormal and excessive activity of the nerve cells and calms the brain,Speaker_11,19.01,"['lonazep', 'tablet', 'epilepsy', 'seizures', 'excessive']",train
audio/Speaker_11/Speaker11-11.wav,anazac p 500mg 37 5mg tablet na pain relieving medicine dem dey use am for different conditions like muscle ache back pain joint pain menstral cramps and toothache we fit take anazac p 500mg 37 5mg tablet with or without food,anazac p 500mg 37 5mg tablet is a pain relieving medicine it is used in various conditions such as muscle ache back pain joint pain menstrual cramps and toothache anazac p 500mg 37 5mg tablet can be taken with or without food,Speaker_11,26.41,"['anazac', 'mg', 'muscle', 'tablet']",train
audio/Speaker_11/Speaker11-12.wav,di patient na teacher by work and na work wey dey require plenty mental and body stress di patient don dey chew tobacco steady for like 5 years now wey don make im teeth stain and e dey increase im chance to get mouth cancer,patient is a teacher by profession a job that involves significant mental and physical exertion patient has been a regular tobacco chewer for the past 5 years leading to stained teeth and increased risk of oral cancer,Speaker_11,18.39,"['regular', 'oral']",train
audio/Speaker_11/Speaker11-13.wav,dem bin diagnose di patient with squamous cell carcinoma wey affect di left side of im tongue about 2 years ago di patient don get type 2 diabetes for like 20 years now and e dey take medicine for am,the patient had been diagnosed with squamous cell carcinoma involving the left lateral border of the tongue 2 years back the patient had type ii diabetes since last 20 years and was under medication,Speaker_11,17.58,"['squamous', 'cell', 'carcinoma', 'lateral', 'border', 'tongue', 'type', 'ii', 'diabetes']",train
audio/Speaker_11/Speaker11-14.wav,doxoll 200mg tablet na medicine wey dem dey use treat and prevent asthma symptoms and chronic obstructive pulmonary disorder wey be lung sickness wey dey block air make e no flow well enter lung,doxoll 200mg tablet is used to treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder a lung disorder in which flow of air to the lung is blocked,Speaker_11,18.73,"['doxoll', 'mg', 'tablet', 'obstructive', 'pulmonary', 'disorder', 'flow', 'lung']",train
audio/Speaker_11/Speaker11-15.wav,dolonex e 120mg tablet na medicine wey dey reduce pain dem dey use am treat moderate pain and swelling for joints wey come from different kain gout and arthritis e dey help well well to reduce pain redness and swelling,dolonex e 120mg tablet is a pain relieving medicine it is used for relieving moderate pain and swelling of joints associated with different forms of gout and arthritis it effectively alleviates pain redness and swelling,Speaker_11,19.05,"['tablet', 'moderate', 'swelling', 'joints', 'redness']",train
audio/Speaker_11/Speaker11-16.wav,atoril 10mg tablet na one of di medicines wey dem dey call statins dem dey use am reduce cholesterol and lower di risk of heart disease,atoril 10mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,12.59,['tablet'],train
audio/Speaker_11/Speaker11-17.wav,di patient get history of hypersensitivity to cosglo gel wey dey cause serious skin reaction also di patient don get long time allergy to penicillin with history of anaphylaxis di patient no dey tolerate azoran as e dey cause am gastrointestinal wahala,the patient has a known history of hypersensitivity to cosglo gel presenting with severe skin reactions additionally they have a long standing allergy to penicillin with a history of anaphylaxis the patient is also intolerant to azoran experiencing gastrointestinal distress,Speaker_11,23.74,['severe'],train
audio/Speaker_11/Speaker11-18.wav,dotabit m 80mg 250mg tablet na combination medicine wey dem dey use treat abdominal pain e dey work well to reduce abdominal pain bloating discomfort and cramps by relaxing di muscles for stomach and gut,dotabit m 80mg 250mg tablet is a combination medicine used in the treatment of abdominal pain it works effectively to reduce abdominal pain bloating discomfort and cramps by relaxing the muscles of the stomach and gut,Speaker_11,23.53,"['dotabit', 'mg', 'tablet', 'abdominal', 'discomfort', 'cramps', 'stomach']",train
audio/Speaker_11/Speaker11-19.wav,e talk say im hit di front part of im leg when dem check am dem see swelling and tenderness when dem touch di patella di lateral side of im distal femur and di medical aspect of di proximal tibia,he described the hitting of the frontal aspect of his leg a physical examination revealed swelling and tenderness on the patella the lateral aspect of the distal femur and the medial aspect of the proximal tibia,Speaker_11,16.83,"['physical', 'examination', 'swelling', 'tenderness']",train
audio/Speaker_11/Speaker11-20.wav,di patient dey generally healthy and e no get any history of trauma or injury she don work as oyster handler for long time na work wey involve removing oyster meat from di shell,the patient had a generally good healthy condition and had no history of trauma or injury she had worked as an oyster handler takes out oyster meat from the shell for a long time,Speaker_11,15.36,"['good', 'healthy', 'condition', 'oyster', 'handler']",train
audio/Speaker_11/Speaker11-21.wav,bilirubin t di value na 0 7 mg dl potassium serum di value na 4 9 mmol l sickling test value no dey available,bilirubin t the value is 0 7 mg dl potassium serum the value is 4 9 mmol l sickling test value is not available,Speaker_11,17.05,"['bilirubin', 'mg', 'mmol', 'not', 'available']",train
audio/Speaker_11/Speaker11-22.wav,e cef cv 200mg 125mg tablet na combination medicine doctor dey prescribe am to treat different kinds of bacterial infection e dey fight against di microorganisms to stop their growth and to prevent di infection make e no dey spread dey go,e cef cv 200mg 125mg tablet is a combination medicine it is prescribed to treat various types of bacterial infections it fights against the microorganisms to prevent their growth and further spread of the infection,Speaker_11,22.81,"['mg', 'tablet']",train
audio/Speaker_11/Speaker11-23.wav,geminor m 3mg 500mg tablet na one kind medicine wey dem dey call anti diabetic drugs na combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,geminor m 3mg 500mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,21.4,"['geminor', 'mg', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-24.wav,na 72 year old woman wey get high grade rias wey come with nodule wey get signs of inflammation ultrasound of di right breast show many solid round lumps wey clear well with heterogeneous echogenicity,72 year old female with high grade rias presenting with a nodule with signs of inflammation ultrasound of the right breast showing multiple solid rounded well circumscribed masses with heterogeneous echogenicity,Speaker_11,21.59,"['female', 'high', 'nodule', 'ultrasound', 'multiple', 'well', 'circumscribed', 'masses', 'heterogeneous']",train
audio/Speaker_11/Speaker11-25.wav,udinol 300mg tablet na medicine wey dem dey use dissolve some types of gallstones to stop dem from forming and to treat one kind liver disease wey dem dey call primary biliary cirrhosis,udinol 300mg tablet is a medicine used to dissolve certain types of gallstones to prevent them from forming and to treat a type of liver disease called primary biliary cirrhosis,Speaker_11,18.6,"['udinol', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-26.wav,ten days later dem admit di patient again for di same general hospital because of staphylococcus aureus sepsis ultrasound check show say fluid gather for im right shoulder dem repeat arthrocentesis to drain di fluid and dem start antibiotics,ten days later the patient was admitted to the same general hospital with staphylococcus aureus sepsis ultrasound examination showed a fluid collection in her right shoulder repeated arthrocentesis was performed in order to drain the fluid and antibiotics were started,Speaker_11,24.02,"['later', 'admitted', 'general', 'hospital', 'hylococcus', 'aureus', 'ultrasound', 'fluid', 'collection', 'shoulder', 'arthrocentesis', 'drain', 'antibiotics']",train
audio/Speaker_11/Speaker11-27.wav,indclav 1000 tablet na penicillin type antibiotic wey dey help your body fight infections wey bacteria cause dem dey use am treat infections for lung like pneumonia ear nose sinus urinary tract skin and soft tissues,indclav 1000 tablet is a penicillin type of antibiotic that helps your body fight infections caused by bacteria it is used to treat infections of the lungs e g pneumonia ear nasal sinus urinary tract skin and soft tissue,Speaker_11,22.44,"['indclav', 'infections', 'lungs', 'nasal', 'urinary']",train
audio/Speaker_11/Speaker11-28.wav,storvas cv 20 capsule na combination of two medicines wey dem dey use prevent heart attack and stroke dis medicine dey reduce di bad cholesterol ldl and triglycerides fat level for body e still dey help reduce how blood clot dey form,storvas cv 20 capsule is a combination of two medicines used to prevent heart attack and stroke this medicine reduces the bad cholesterol ldl and triglycerides fats levels moreover it also decreases the formation of blood clots,Speaker_11,21.35,"['reduces', 'bad', 'cholesterol', 'ldl', 'triglycerides', 'fats']",train
audio/Speaker_11/Speaker11-29.wav,for her family history her papa and her senior sister get vhl disease she too bin get hemangioblastoma for her cerebellum wey dem remove about 16 years ago,her family history included vhl disease in her father and her older sister she also had hemangioblastoma in the cerebellum which was removed 16 years ago,Speaker_11,16.45,['hemangioblastoma'],train
audio/Speaker_11/Speaker11-30.wav,pulmonary valve repair and pulmonary valve replacement na medical procedures wey dem dey use treat pulmonary valve wey don get disease or don damage pulmonary valve na one out of di four valves wey dey control how blood dey flow for heart,pulmonary valve repair and pulmonary valve replacement are procedures to treat a diseased or damaged pulmonary valve the pulmonary valve is one of four valves that control blood flow in the heart,Speaker_11,20.74,['pulmonary'],train
audio/Speaker_11/Speaker11-31.wav,fluner 10 tablet na medicine wey dem dey use prevent migraine but e no dey treat migraine attack e go only work to prevent migraine so far as you dey continue to take di medicine,fluner 10 tablet is a medicine used for the prevention of migraine however it cannot treat an acute attack and will only work to prevent migraines for as long as you continue to take the medicine,Speaker_11,13.63,"['tablet', 'acute', 'attack', 'migraines']",train
audio/Speaker_11/Speaker11-32.wav,dem follow am with delayed bilateral breast reconstruction with implants for 2007 later on dem change am to latissimus dorsi flaps and implants nagor gfx 460 implants,this was followed by a delayed bilateral breast reconstruction with implants in 2007 and later converted to latissimus dorsi flaps and implants nagor gfx 460 implants,Speaker_11,16.06,"['delayed', 'bilateral', 'breast', 'latissimus', 'dorsi', 'flaps', 'implants', 'nagor']",train
audio/Speaker_11/Speaker11-33.wav,di patient get known allergy to penicillin since e small and e dey cause anaphylaxis also di patient get history of metformin intolerance wey dey cause gastrointestinal wahala and steroid induced hyperglycemia so dem need to dey monitor im blood sugar level closely,the patient has a known penicillin allergy since childhood presenting with anaphylaxis additionally the patient has a history of metformin intolerance causing gastrointestinal distress and steroid induced hyperglycemia requiring close monitoring of blood sugar levels,Speaker_11,24.26,"['penicillin', 'anaphylaxis', 'metformin', 'steroid']",train
audio/Speaker_11/Speaker11-34.wav,benipack 8 tablet na one kind medicine wey dem dey call calcium channel blockers dem dey use am treat high blood pressure hypertension and to prevent angina chest pain wey get to do with heart,benipack 8 tablet belongs to a class of medicines known as a calcium channel blockers it is used to treat high blood pressure hypertension and prevent angina heart related chest pain,Speaker_11,17.49,"['benipack', 'tablet', 'calcium', 'channel', 'block', 'angina', 'chest']",train
audio/Speaker_11/Speaker11-35.wav,azy 500mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for both adults and children,azy 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_11,17.28,"['mg', 'antibiotic', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_11/Speaker11-36.wav,dem see one small lump wey size like soybean together with pain and numbness for front and back of di left ear around october 2015 di left side of di mouth bend and di left eye no open well,a soybean sized mass accompanied by pain and numbness was found on the front and back of the left ear in october 2015 the left corner of the mouth was skewed and the left eye was partially closed,Speaker_11,16.87,"['soybean', 'sized', 'mass', 'numbness', 'ear', 'corner', 'mouth', 'skewed', 'eye']",train
audio/Speaker_11/Speaker11-37.wav,eslo tel 5mg tablet get two medicines inside and both of dem dey help control high blood pressure e dey lower blood pressure by relaxing di blood vessels and e dey make am easy for your heart to pump blood go round your body,eslo tel 5mg tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_11,17.83,"['eslo', 'tel', 'tablet', 'lowers', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-38.wav,glimpure mv 1 3 tablet na one kind medicine wey dem dey call anti diabetic drugs na combination of different medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,glimpure mv 1 3 tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,20.35,"['glimpure', 'mv', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-39.wav,amlovas ch 5 mg 12 5 mg tablet na combination medicine wey dem dey use treat hypertension high blood pressure e dey also help reduce di risk of stroke and heart attack,amlovas ch 5 mg 12 5 mg tablet is a combination medicine used in the treatment of hypertension high blood pressure it also helps to reduce the risk of stroke and heart attack,Speaker_11,15.57,"['amlovas', 'mg', 'tablet', 'hypertension']",train
audio/Speaker_11/Speaker11-40.wav,salmonella paratyphi ah value no dey available haematocrit d value na 25 9 sars cov 2 value no dey available,salmonella paratyphi ah value is not available haematocrit the value is 25 9 sars cov 2 value is not available,Speaker_11,14.14,[],train
audio/Speaker_11/Speaker11-41.wav,she talk say recently solid food bin dey stuck for her throat and na wetin make her go see outside endoscopist di patient talk say she no drink alcohol,she reported a recent episode of solid food getting stuck in her throat which prompted presentation to an outside endoscopist the patient reported no alcohol use,Speaker_11,12.31,['presentation'],train
audio/Speaker_11/Speaker11-42.wav,di patient get history of alcoholism but e don stop to drink alcohol for like 5 years now and dis one don really improve im liver function and general health im diet na non vegetarian food wey dey give am enough protein,patient has a history of alcoholism having abstained from alcohol for the past 5 years showing significant improvement in liver function and overall health diet consists of non vegetarian foods providing adequate protein intake,Speaker_11,18.94,"['abstained', 'from', 'alcohol', 'non', 'vegetarian']",train
audio/Speaker_11/Speaker11-43.wav,triplina 25mg tablet na tricyclic antidepressant different doses of dis medicine dey help treat and prevent different problems like depression neuropathic pain and migraine,triplina 25mg tablet is a tricyclic antidepressant different doses of this medicine help in treating and preventing different problems such as depression neuropathic pain and migraine,Speaker_11,15.96,"['tablet', 'different', 'doses']",train
audio/Speaker_11/Speaker11-44.wav,lossi 25mg tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure go down e dey help prevent heart attack and stroke for future dis medicine still dey help protect kidney function for patients wey get diabetes,lossi 25mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,20.54,"['tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-45.wav,di patient don dey take mostly milk based diet for like 5 years now wey dey give am enough calcium and protein e dey do heavy weight lifting exercise like 3 4 times every week and dis one don help am build big muscle mass and strength,patient has been on a predominantly milk based diet for the past 5 years providing adequate calcium and protein intake engages in heavy weight lifting exercises 3 4 times per week building significant muscle mass and strength,Speaker_11,18.86,"['predominantly', 'milk', 'based', 'diet', 'calcium', 'heavy', 'muscle']",train
audio/Speaker_11/Speaker11-46.wav,zecort 30mg tablet belong to one group of medicines wey dem dey call steroids dem dey use am treat different kinds of diseases and conditions like allergic problems asthma cancer rheumatic disorders and skin and eye problems,zecort 30mg tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_11,17.98,"['zecort', 'mg', 'tablet', 'steroids']",train
audio/Speaker_11/Speaker11-47.wav,proclid 5mg tablet na prescription medicine wey dem dey use treat parkinson s disease and abnormal body movements wey drugs cause e dey help improve muscle control and reduce muscle stiffness so dat body fit move easily,proclid 5mg tablet is a prescription medicine used in the treatment of parkinson s disease and drug induced abnormal movements it helps by improving muscle control and reducing the stiffness of the muscle so that they can move easily,Speaker_11,17.98,"['tablet', 'parkinson', 'disease', 'abnormal', 'stiffness']",train
audio/Speaker_11/Speaker11-48.wav,transection for di right popliteal artery for di level of di trifurcation after gunshot injury lodox image you fit see bullet fragment for di right side of di white arrow,transection of the right popliteal artery at the level of the trifurcation after gunshot injury lodox picture bullet fragment can be seen right to white arrow,Speaker_11,14.7,"['transection', 'popliteal', 'artery', 'trifurcation']",train
audio/Speaker_11/Speaker11-49.wav,mianserin na tetracyclic antidepressant teca wey doctor dey prescribe for depression mianserin dey stop noradrenaline from going back into nerve cells for brain when dem no suppose take mianserin,mianserin is tetracyclic antidepressant teca prescribed for depression mianserin prevents re absorption of noradrenaline back into the nerve cells in the brain when should mianserin not to be taken,Speaker_11,16.19,"['mianserin', 'noradrenaline']",train
audio/Speaker_11/Speaker11-50.wav,for di beginning di patient come with serious headache and tiredness she no get history of smoking or drinking alcohol she no be diabetic and nobody for her family get history of diabetes she also no get history of atherosclerosis,initially the patient presented with severe headache and fatigue she had no history of smoking or drinking alcohol was not diabetic and had no history of diabetes in her family she had no history of atherosclerosis,Speaker_11,17.34,"['severe', 'headache', 'not', 'smoking', 'diabetes']",train
audio/Speaker_11/Speaker11-51.wav,azusa 8mg tablet na medicine wey dem dey use treat high blood pressure hypertension e belong to one group of medicines wey dem dey call calcium channel blockers wey dey help lower blood pressure and reduce di work wey heart dey do,azusa 8mg tablet is a medicine used to treat high blood pressure hypertension it belongs to a class of medicines known as calcium channel blocker which helps to lower blood pressure and reduce the workload of the heart,Speaker_11,17.96,"['azusa', 'tablet', 'high', 'blood', 'pressure', 'calcium', 'channel', 'blocker']",train
audio/Speaker_11/Speaker11-52.wav,absolute neutrophil count di value na 3 32 10 3 mm3 cho hdl ratio di value na 5 6 ratio hemoglobin hb di value na 11 4 g dl,absolute neutrophil count the value is 3 32 10 3 mm3 cho hdl ratio the value is 5 6 ratio hemoglobin hb the value is 11 4 g dl,Speaker_11,20.97,"['neutrophil', 'mm', 'cho', 'hd', 'ratio', 'hemoglobin']",train
audio/Speaker_11/Speaker11-53.wav,after dem check di patient history well dem confirm say about one week before e get one episode wey dizziness start suddenly with nausea and vomiting but e stop within hours e talk say e no get any past medical or surgical history and e no dey take any medicine,a thorough history confirmed an episode 1 week prior during which he developed sudden onset of dizziness associated with nausea and vomiting that resolved within hours he denied any past medical or surgical history and was taking no medications,Speaker_11,21.18,"['sudden', 'onset', 'dizziness', 'nausea', 'vomiting', 'any', 'past', 'medical', 'or', 'surgical', 'history']",train
audio/Speaker_11/Speaker11-54.wav,ameto g 2mg 500mg tablet na one category of medicine wey dem dey call anti diabetic drugs na combination of two medicines wey dem dey use treat type 2 diabetes for adults e dey help control blood sugar level for people wey get diabetes,ameto g 2mg 500mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,20.74,"['mg', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-55.wav,lymphocytes percentage di value na 40 1 bilirubin direct di value na 0 3 mg dl pus cells value no dey available,lymphocytes percentage the value is 40 1 bilirubin direct the value is 0 3 mg dl pus cells value is not available,Speaker_11,14.02,"['bilirubin', 'mg']",train
audio/Speaker_11/Speaker11-56.wav,creolip 10mg tablet belong to di group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,creolip 10mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,12.74,['tablet'],train
audio/Speaker_11/Speaker11-57.wav,moxibond 457 dry syrup mango na antibiotic medicine wey dey help treat bacterial infections for ear nose throat chest lungs teeth skin and urinary tract,moxibond 457 dry syrup mango is an antibiotic medicine that helps treat bacterial infections of the ear nose throat chest lungs teeth skin and urinary tract,Speaker_11,15.98,"['bacterial', 'infections']",train
audio/Speaker_11/Speaker11-58.wav,dem successfully use ultrasound guide puncture di right inv with needle black arrow inv longitudinal view and dem use in plane method inv mean innominate vein ijv mean internal jugular vein and scv mean subclavian vein,ultrasound guided successful puncture of right inv with inserting needle black arrow inv longitudinal view in plane approach inv indicates innominate vein ijv indicates internal jugular vein scv indicates the subclavian vein,Speaker_11,22.98,"['ultrasound', 'guided', 'puncture', 'inv', 'inserting', 'scv', 'subclavian', 'vein']",train
audio/Speaker_11/Speaker11-59.wav,zitadrox 25 tablet na medicine wey dem dey use treat anxiety and help person relax before or after surgery dem still dey use am treat symptoms of skin allergy like itching swelling and rashes for conditions like eczema dermatitis and psoriasis,zitadrox 25 tablet is used to treat anxiety and helps to get relaxed before or after surgery it is also used to treat symptoms of skin allergy like itching swelling and rashes in conditions such as eczema dermatitis and psoriasis,Speaker_11,21.61,"['zitadrox', 'tablet', 'anxiety', 'relaxed', 'symptoms', 'rashes']",train
audio/Speaker_11/Speaker11-60.wav,alprax forte 0 5 mg 50 mg tablet na prescription medicine wey dem dey use treat depression na combination medicine wey dey calm brain by reducing di abnormal and too much activity of nerve cells,alprax forte 0 5 mg 50 mg tablet is a prescription medicine used to treat depression it is a combination medicine which calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,18.45,"['alprax', 'forte', 'mg', 'tablet', 'excessive']",train
audio/Speaker_11/Speaker11-61.wav,wen dem examine am physically e look healthy when dem listen to im chest dem no hear any abnormal heart or lung sound abdominal objectivity dey negative im parents no mention any other important medical history about am,on physical examination he appeared to be in good health chest auscultation did not reveal any specific pathological heart or lung sounds abdominal objectivity was negative his parents did not refer any other relevant medical history about him,Speaker_11,18.09,"['good', 'chest', 'auscultation', 'heart', 'lung', 'abdominal', 'parents']",train
audio/Speaker_11/Speaker11-62.wav,ceff 250mg capsule na antibiotic medicine wey dem dey use treat bacterial infections for body e dey effective for infections of di lungs ears throat urinary tract skin soft tissues bones and joints,ceff 250mg capsule is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs ears throat urinary tract skin soft tissues bones and joints,Speaker_11,18.65,"['antibiotic', 'bacterial', 'infections', 'your']",train
audio/Speaker_11/Speaker11-63.wav,di patient talk say e no dey drink alcohol at all wey dey good for keeping liver healthy and e dey reduce risk of different health problems di patient get tattoo and e look well healed with no sign of infection or inflammation,patient reports no alcohol intake which is beneficial for maintaining a healthy liver and reducing the risk of various health complications patient has a tattoo which appears well healed with no signs of infection or inflammation,Speaker_11,17.94,['liver'],train
audio/Speaker_11/Speaker11-64.wav,aortography for left anterior oblique view show abnormal origin of lca left coronary artery and rca right coronary artery wey both come out from one single ostium for di right sinus of valsalva,aortography in left anterior oblique view shows abnormal origin of lca left coronary artery and rca right coronary artery from a single ostium of right sinus of valsalva,Speaker_11,21.29,"['aortography', 'abnormal', 'coronary', 'artery', 'rca', 'single', 'ostium', 'sinus', 'valsalva']",train
audio/Speaker_11/Speaker11-65.wav,propranolol na beta blocker wey doctor dey prescribe for high blood pressure and chest pain dem still dey use am prevent migraine headache and stop heart attack make e no happen again propranolol dey work by relaxing blood vessels when dem no suppose take propranolol,propranolol is a beta blocker prescribed for high blood pressure and chest pain propranolol is also used to prevent migraine headaches and recurrence of heart attacks propranolol works by relaxing blood vessels when should propranolol not to be taken,Speaker_11,21.29,"['propranolol', 'beta', 'high', 'chest', 'migraine', 'headaches']",train
audio/Speaker_11/Speaker11-66.wav,ct scan wey dem take for 2007 show sign say dem don do surgery for di patient left nasal cavity dem don remove di lesion and di maxillary ostium don wide,ct scan taken in 2007 showing evidence of surgery in the patient s left nasal cavity the lesion has been removed and the maxillary ostium is widened,Speaker_11,16.04,"['ct', 'surgery', 'nasal', 'lesion', 'maxillary', 'ostium']",train
audio/Speaker_11/Speaker11-67.wav,deflazcort 30 tablet na one group of medicines wey dem dey call steroids dem dey use am treat different kinds of diseases and conditions like allergic problems asthma cancer rheumatic disorders and skin and eye problems,deflazcort 30 tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_11,17.96,"['deflazcort', 'tablet', 'steroids']",train
audio/Speaker_11/Speaker11-68.wav,di patient dey eat plenty junk food wey dey increase risk of obesity type 2 diabetes and heart related problems luckily e no get any history of radiation exposure,patient s diet is high in junk food leading to increased risk of obesity type 2 diabetes and cardiovascular issues fortunately there is no history of radiation exposure,Speaker_11,14.02,"['diet', 'junk']",train
audio/Speaker_11/Speaker11-69.wav,amloz at 25 tablet na medicine wey dem dey use treat hypertension high blood pressure na combination of two medicines wey dey help control blood pressure when one medicine alone no dey work well,amloz at 25 tablet is used to treat hypertension high blood pressure this is a combination of two medicines that controls blood pressure when a single medication is not effective,Speaker_11,15.15,['hypertension'],train
audio/Speaker_11/Speaker11-70.wav,lenvatinib na one group of medicine wey dem dey call kinase inhibitors doctor dey prescribe am for treatment of advanced thyroid cancer wey don spread go other parts of di body and wey dem no fit treat with radioactive iodine,lenvatinib belongs to a group of medications called kinase inhibitors lenvatinib is prescribed for the treatment of advanced thyroid cancer which has spread to the distant parts of the body and cannot be treated with radioactive iodine,Speaker_11,18.84,"['kinase', 'inhibitors', 'thyroid', 'cancer', 'distant', 'parts', 'body']",train
audio/Speaker_11/Speaker11-71.wav,computed tomography coronal image show stone for di proximal middle part of di common bile duct thin arrow other stones wey dey layer thick arrow still dey visible for di gallbladder dem also see intra and extra hepatic ductal dilation,computed tomography coronal image showing proximal mid common bile duct stone thin arrowadditional layering stones thick arrow in the gallbladder are also visualized intra and extra hepatic ductal dilatation is seen,Speaker_11,23.45,"['computed', 'tomography', 'coronal', 'bile', 'duct', 'additional', 'layering', 'stones', 'gallbladder', 'intra', 'extra']",train
audio/Speaker_11/Speaker11-72.wav,di struts of di filter don enter inside di lumen of di third part of di duodenum arrow dey point to di struts of di inferior vena cava filter wey don enter di third part of di duodenum,struts of filter penetrating into the lumen of third portion of duodenum arrow pointing to the struts of inferior vena cava filter entering the third portion of duodenum,Speaker_11,15.45,"['lumen', 'duodenum', 'inferior', 'vena', 'cava', 'filter']",train
audio/Speaker_11/Speaker11-73.wav,esjoy 10mg tablet na medicine wey dem dey prescribe well well to treat depression and other mental health problems like anxiety panic disorder and obsessive compulsive disorder ocd na one kind antidepressant wey dem dey call selective serotonin reuptake inhibitor ssri,esjoy 10mg tablet is widely prescribed to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder it is a type of antidepressant known as a selective serotonin reuptake inhibitor ssri,Speaker_11,24.36,"['tablet', 'antidepressant', 'selective', 'serotonin', 'reuptake', 'inhibitor']",train
audio/Speaker_11/Speaker11-74.wav,vofid m 0 3mg tablet na one group of medicine wey dem dey call anti diabetic drugs na combination of medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,vofid m 0 3mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,19.39,"['mg', 'tablet', 'type', 'diabetes', 'mellitus']",train
audio/Speaker_11/Speaker11-75.wav,l cet m 5mg 10mg tablet na combination medicine wey dem dey use treat allergy symptoms like runny nose blocked nose sneezing itching swelling watery eyes and congestion,l cet m 5mg 10mg tablet is a combination medicine used in the treatment of allergic symptoms such as runny nose stuffy nose sneezing itching swelling watery eyes and congestion or stuffiness,Speaker_11,15.15,"['mg', 'tablet', 'symptoms', 'runny', 'stuffy', 'itching', 'congestion']",train
audio/Speaker_11/Speaker11-76.wav,di patient dey eat plenty junk food wey dey lead to too much calories obesity and cardiovascular issues sometimes e no get any history of radiation exposure or any related medical issues,patient s diet is high in junk food leading to increased calorie intake obesity and potential cardiovascular issues there is no history of radiation exposure or related medical concerns,Speaker_11,16.23,"['diet', 'junk']",train
audio/Speaker_11/Speaker11-77.wav,di swelling don dey increase small small for at least one month and di patient no show any improvement even after dem give am antibiotics di patient get clear rhinorrhea and e get history of close contact with sheep and dogs,the swelling had progressed gradually over the course of at least1 month and the patient had shown no improvement despite antibiotic treatment the patient had clear rhinorrhea and a history of close contact with sheep and dogs,Speaker_11,17.15,"['swelling', 'progressed', 'gradually', 'course', 'at', 'least', 'no', 'improvement', 'antibiotic']",train
audio/Speaker_11/Speaker11-78.wav,arifine 20mg tablet na antipsychotic medicine dem dey use am treat schizophrenia wey be mental disorder wey fit result in hallucinations or delusions and e fit also affect how person dey think and behave and mania,arifine 20mg tablet is an antipsychotic medicine it is used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_11,19.86,"['tablet', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_11/Speaker11-79.wav,di patient get known history of dust allergy wey dey cause rhinitis and conjunctivitis e still get food allergy wey dey cause anaphylactic reactions amlodipine induced edema and e get long time allergy to penicillin wey dey show as rashes also di patient get bad reaction to pneumococcal vaccine,the patient has a known history of dust allergy causing rhinitis and conjunctivitis a food allergy with anaphylactic reactions amlodipine induced edema and a long standing penicillin allergy presenting with rashes additionally the patient experienced an adverse reaction to the pneumococcal vaccine,Speaker_11,24.9,"['rhinitis', 'conjunctivitis', 'food', 'amlodipine', 'rashes']",train
audio/Speaker_11/Speaker11-80.wav,ramcet 325mg 37 5mg tablet na medicine wey dey reduce pain dem dey use am for different conditions like muscle pain back pain joint pain menstrual cramps and toothache you fit take ramcet 325mg 37 5mg tablet with or without food,ramcet 325mg 37 5mg tablet is a pain relieving medicine it is used in various conditions such as muscle ache back pain joint pain menstrual cramps and toothache ramcet 325mg 37 5mg tablet can be taken with or without food,Speaker_11,24.66,"['ramcet', 'mg', 'tablet', 'muscle', 'joint']",train
audio/Speaker_11/Speaker11-81.wav,coltro as 10mg 75mg capsule na combination of two medicines wey dem dey use prevent heart attack and stroke dis medicine dey reduce di bad cholesterol ldl and triglycerides fats levels e still dey help reduce how blood clot dey form,coltro as 10mg 75mg capsule is a combination of two medicines used to prevent heart attack and stroke this medicine reduces the bad cholesterol ldl and triglycerides fats levels moreover it also decreases the formation of blood clots,Speaker_11,23.74,"['coltro', 'mg', 'bad', 'ldl', 'triglycerides', 'fats']",train
audio/Speaker_11/Speaker11-82.wav,vesilife 5mg tablet na muscarinic antagonist wey dem dey use treat overactive bladder e dey help reduce urine problems like too much urination urgent need to urinate and when person no fit control urine,vesilife 5mg tablet is a muscarinic antagonist that is used in the treatment of overactive bladder it relieves urinary symptoms like frequent urination urgent need to urinate and inability to control urination,Speaker_11,16.32,"['vesilife', 'mg', 'tablet', 'urinary', 'symptoms']",train
audio/Speaker_11/Speaker11-83.wav,zytanix 2 5 tablet na a kind of diuretic water pill medicine dis medicine dey reduce excess fluid for body and dem dey use am treat edema fluid overload wey dey come from heart liver kidney or lung disease,zytanix 2 5 tablet is a type of diuretic water pill medicine this medicine reduces excess fluid levels in the body and is used to treat edema fluid overload associated with heart liver kidney or lung disease,Speaker_11,16.94,"['zytanix', 'tablet', 'edema', 'fluid', 'overload', 'lung']",train
audio/Speaker_11/Speaker11-84.wav,right forearm of one 39 year old man wey get radioulnar synostosis type 2 18 months after di first surgery wey dem do to reduce and fix di fractures,right forearm in a 39 year old man with a radioulnar synostosis type 2 18 months after the first surgery procedure for reduction and fixation of the fractures,Speaker_11,13.89,"['forearm', 'man', 'radioulnar', 'synostosis', 'after', 'surgery']",train
audio/Speaker_11/Speaker11-85.wav,piorun m 15mg 500mg tablet na combination medicine wey dey help control blood sugar level dem dey use am together with good diet and exercise to improve blood sugar control for adults wey get type 2 diabetes mellitus,piorun m 15mg 500mg tablet is a combination medicine that helps control blood sugar levels this medicine is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus,Speaker_11,18.84,"['piorun', 'mg', 'tablet', 'blood', 'sugar', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-86.wav,betazox 16 tablet na medicine wey dem dey use prevent and treat one inner ear problem wey dem dey call mnires disease di symptoms na dizziness vertigo ringing for ear tinnitus and loss of hearing wey fit be because of fluid wey gather for ear,betazox 16 tablet is used to prevent and treat a disorder of the inner ear known as mnires disease the symptoms include dizziness vertigo ringing in the ears tinnitus and loss of hearing probably caused by fluid in the ear,Speaker_11,22.08,"['betazox', 'tablet', 'inner', 'ear', 'mnires', 'dizziness', 'ringing', 'ears', 'loss', 'hearing', 'fluid']",train
audio/Speaker_11/Speaker11-87.wav,trivogo 2 0 3mg tablet na one group of medicine wey dem dey call anti diabetic drugs na combination of medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,trivogo 2 0 3mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,20.86,"['trivogo', 'mg', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-88.wav,diominic 2mg tablet na antiallergic medicine wey dem dey use treat different kinds of allergy conditions e dey provide relief from runny nose sneezing itching and watery eyes,diominic 2mg tablet is an antiallergic medication used in the treatment of various allergic conditions it provides relief from runny nose sneezing itching and watery eyes,Speaker_11,15.36,"['diominic', 'tablet', 'antiallergic', 'itching', 'watery']",train
audio/Speaker_11/Speaker11-89.wav,rifaxim 400mg tablet na antibiotic wey dem dey use treat hepatic encephalopathy na condition wey liver no dey remove harmful toxins from blood well wey fit lead to brain damage symptoms na agitation confusion muscle problems difficulty to talk and sometimes coma,rifaxim 400mg tablet is an antibiotic that treats hepatic encephalopathy a condition in which the liver fails to remove harmful toxins from the blood leading to brain damage symptoms include agitation confusion muscle problems difficulty in speaking and sometimes coma,Speaker_11,23.32,"['rifaxim', 'mg', 'antibiotic', 'liver', 'difficulty']",train
audio/Speaker_11/Speaker11-90.wav,serum uric acid di value na 3 7 mg dl vitamin b 12 di value na 689 0 pg ml nitrite value na dey avalable,serum uric acid the value is 3 7 mg dl vitamin b 12 the value is 689 0 pg ml nitrite value is not available,Speaker_11,14.93,"['serum', 'ur', 'mg', 'pg']",train
audio/Speaker_11/Speaker11-91.wav,rozustat 20 tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,rozustat 20 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,11.05,"['rozustat', 'tablet']",train
audio/Speaker_11/Speaker11-92.wav,nineteen years ago after she mistakenly drop strong glue between her middle finger and ring finger papule come develop for di space between di third fingers she talk say customers wey cut short hair dey always penetrate enter di skin for dat same space,nineteen years ago after accidental drop of strong glue between her middle and ring fingers a papule had developed in the third web space she reported that customers short cut hair often penetrated the third web space skin,Speaker_11,20.25,[],train
audio/Speaker_11/Speaker11-93.wav,etowin mr 60mg 4mg tablet na combination of two medicines wey dem dey use treat pain wey come from muscle spasm e dey help improve how muscles dey move and e dey give relief from pain and discomfort wey follow muscle spasm,etowin mr 60mg 4mg tablet is a combination of two medicines used in the treatment of pain due to muscle spasm it improves the movement of muscles and provides relief from pain and discomfort associated with muscle spasms,Speaker_11,19.48,"['etowin', 'mr', 'mg', 'tablet', 'improves', 'movement', 'discomfort', 'muscles']",train
audio/Speaker_11/Speaker11-94.wav,cholesterol total di value na 186 0 mg dl mchmean copuscular hemoglobin di value na 28 9 pg tri lodothyronine t3 total di value na 137 0 ng dl,cholesterol total the value is 186 0 mg dl mchmean copuscular hemoglobin the value is 28 9 pg tri lodothyronine t3 total the value is 137 0 ng dl,Speaker_11,20.91,"['mg', 'pg', 'ng']",train
audio/Speaker_11/Speaker11-95.wav,na one year after surgery lateral radiograph wey show c6 corpectomy with carbon fiber reinforced polymer cage wey dem fill with cellular bone matrix bone material and dem still use titanium plate take hold everything in place,one year postoperative lateral radiograph demonstrating a c6 corpectomy with a carbon fiber reinforced polymer cage filled with cellular bone matrix bone material and spanning titanium plate fixation,Speaker_11,18.39,"['bone', 'lateral', 'radiograph', 'corpectomy', 'carbon', 'fiber', 'reinforced', 'polymer', 'cage', 'matrix', 'material']",train
audio/Speaker_11/Speaker11-96.wav,choline magnesium trisalicylate na one type of nonsteroidal anti inflammatory drug nsaid wey doctor dey prescribe am for rheumatoid arthritis osteoarthritis and acute shoulder pain when dem no suppose take choline magnesium trisalicylate hypersensitivity wetin be di correct dosage of choline magnesium trisalicylate,choline magnesium trisalicylate is a type of nonsteroidal anti inflammatory drug nsaid prescribed for rheumatoid arthritis osteoarthritis and acute shoulder pain when should choline magnesium trisalicylate not to be taken hypersensitivity what is the dosage of choline magnesium trisalicylate,Speaker_11,33.75,"['shoulder', 'trisalicylate']",train
audio/Speaker_11/Speaker11-97.wav,alides 5mg tablet na one group of medicine wey dem dey call antihistamines dem dey use am treat different kinds of allergy conditions e dey help reduce symptoms like itching swelling and rashes you fit take alides 5mg tablet with or without food,alides 5mg tablet belongs to a group of medicines called antihistamines it is used in the treatment of various allergic conditions it relieves symptoms like itching swelling and rashes alides 5mg tablet may be taken with or without food,Speaker_11,19.95,"['tablet', 'conditions', 'swelling', 'rashes']",train
audio/Speaker_11/Speaker11-98.wav,e no get any symptoms until 2014 when e notice one lump for im tongue computed tomography ct scan of di head and neck show one dense area for di right side of di tongue but dem no see any cervical lymphadenopathy,he remained asymptomatic until 2014 when he felt a mass in his tongue a computed tomography ct scan of the head and neck showed a density in the right tongue with no cervical lymphadenopathy,Speaker_11,18.99,"['asymptomatic', 'mass', 'computed', 'tomography', 'ct', 'head', 'density', 'tongue', 'cervical']",train
audio/Speaker_11/Speaker11-99.wav,hartan 25mg tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure go down e dey help prevent heart attack and stroke for future dis medicine still dey help protect kidney function for patients wey get diabetes,hartan 25mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,18.18,"['hartan', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-100.wav,chest x ray of di patient wey lie down wey dem take from the a p path of ray di congestion of pulmonary veins show say cardiac shock dey and mild pulmonary edema dem also see meso dextrocardia with dilated heart silhouette and na di main finding be dat,chest x ray of the lying patient in the a p path of ray the congestion of the pulmonary veins reflects the cardiac shock and mild pulmonary edema a meso dextrocardia with a dilated heart silhouette is the prominent finding,Speaker_11,24.9,"['chest', 'ray', 'congestion', 'mild', 'pulmonary', 'meso', 'dextrocardia', 'dilated', 'heart']",train
audio/Speaker_11/Speaker11-101.wav,mepivacaine na local anesthetic doctor dey use am induce local or regional analgesia and anesthesia during surgery labor or delivery mepivacaine dey stop nerves make dem no send pain message go brain when dem no suppose use mepivacaine,mepivacaine is a local anesthetic prescribed for inducing local or regional analgesia and anesthesia during surgical procedures labor or delivery mepivacaine works by preventing nerves from transmitting painful impulses to the brain when should mepivacaine not to be taken,Speaker_11,23.64,"['mepivacaine', 'local', 'anesthesia', 'painful']",train
audio/Speaker_11/Speaker11-102.wav,vildaspec 50mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy diet and regular exercise to control blood sugar level,vildaspec 50mg tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_11,15.91,"['vildaspec', 'mg', 'tablet', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-103.wav,just met v 50mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy diet and regular exercise to control blood sugar level,just met v 50mg tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_11,16.0,"['tablet', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-104.wav,fetal fibronectin na protein wey people believe say e dey help hold di amniotic sac like glue to di lining of di uterus di amniotic sac na membrane wey get fluid inside wey dey protect and cushion baby for inside di uterus,fetal fibronectin is a protein that s believed to help keep the amniotic sac glued to the lining of the uterus the amniotic sac is the fluid filled membrane that cushions your baby in the uterus,Speaker_11,18.15,"['fetal', 'fibronectin', 'amniotic', 'fluid', 'filled', 'membrane']",train
audio/Speaker_11/Speaker11-105.wav,lopipen 2mg tablet na medicine wey dem dey use treat diarrhea person no suppose use am if na dysentery diarrhea wey get blood e get dem dey take lopipen 2mg tablet with or without food according to di dose and how long doctor talk,lopipen 2mg tablet is used in the treatment of diarrhea it should not be used in patients with dysentery diarrhea with blood lopipen 2mg tablet is taken with or without food in a dose and duration as advised by the doctor,Speaker_11,21.53,"['lopipen', 'tablet', 'diarrhea', 'dysentery']",train
audio/Speaker_11/Speaker11-106.wav,vasopressin na hormone wey doctor dey prescribe for diabetes insipidus and to control variceal bleeding vasopressin dey help control how body dey retain water by making kidney absorb more water back into di body when dem no suppose use vasopressin,vasopressin is a hormone prescribed for diabetes insipidus and control of variceal bleeding vasopressin regulates the body s retention of water by acting to increase water absorption in the collecting ducts of the kidney when should vasopressin not to be taken,Speaker_11,23.89,"['vasopressin', 'variceal']",train
audio/Speaker_11/Speaker11-107.wav,na only pikin wey im parents wey get second degree consanguineous born dem born am through normal vaginal delivery after uneventful antenatal period and e no show any abnormality when dem born am,he was the only child born to second degree consanguineous parents he was born by normal vaginal delivery after an uneventful antenatal period and showed no abnormality at birth,Speaker_11,19.39,"['second', 'degree', 'consanguineous', 'parents']",train
audio/Speaker_11/Speaker11-108.wav,di apex beat dey for di right parasternal area and air no dey enter di right hemithorax skiagram show say di right side of di chest dey opaque,the apex beat was in the right parasternal area and there was no air entry on the right hemithorax the skiagram showed an opaque right hemithorax,Speaker_11,15.49,"['parasternal', 'air', 'entry', 'opaque']",train
audio/Speaker_11/Speaker11-109.wav,coronal ct angiogram image show one aneurysm wey size reach 7 0 cm di neck of di aneurysm no dey angulated and im diameter near di renal arteries na 22 1 mm while di one wey dey below di renal arteries na 25 4 mm,coronal ct angiogram image demonstrating the 7 0 cm aneurysm the neck of the aneurysm was not angulated and its diameter at the renal arteries was 22 1 mm and below the renal arteries was 25 4 mm,Speaker_11,25.3,"['coronal', 'ct', 'angiogram', 'cm', 'aneurysm', 'diameter', 'renal', 'arteries', 'mm', 'below']",train
audio/Speaker_11/Speaker11-110.wav,betamethasone topical na topical corticosteroid doctor dey prescribe am for some kinds of skin problems dis medicine dey reduce di action of chemicals wey dey cause inflammation redness and swelling when dem no suppose use betamethasone topical hypersensitivity,betamethasone topical is a topical corticosteroid prescribed for certain types of skin disorders this medication decreases the action of chemicals that causes inflammation redness and swelling when should betamethasone topical not to be taken hypersensitivity,Speaker_11,25.26,"['topical', 'betamethasone']",train
audio/Speaker_11/Speaker11-111.wav,urine epithelial cells value no dey available 3 bilirubin indirect di value na 1 59 mg dl urea di value na 28 74 mg dl,urine epithelial cells value is not available 3 bilirubin indirect the value is 1 59 mg dl urea the value is 28 74 mg dl,Speaker_11,17.17,"['bilirubin', 'mg']",train
audio/Speaker_11/Speaker11-112.wav,complementary and alternative medicine cam na popular name for different health care practices wey before before no be part of conventional medicine for many cases now as dem dey see proof say these methods safe and dey work well dem dey combine dem with normal medicine,complementary and alternative medicine cam is the popular name for health care practices that traditionally haven t been part of conventional medicine in many cases as evidence of safety and effectiveness grows these therapies are being combined with conventional medicine,Speaker_11,22.85,['complementary'],train
audio/Speaker_11/Speaker11-113.wav,amisulpride na atypical antipsychotic agent wey doctor dey prescribe for schizophrenia dis agent dey correct imbalance of chemical substances wey dey act for nervous system brain and nerves when dem no suppose take amisulpride,amisulpride is an atypical antipsychotic agent prescribed for schizophrenia agent corrects the imbalance of chemical substances acting on the nervous system when should amisulpride not to be taken,Speaker_11,22.76,['amisulpride'],train
audio/Speaker_11/Speaker11-114.wav,serum potassium d value na 4 3 mmol l hcv antibody 1 value no dey available glucose fasting f plasma di value na 213 96 mg dl,serum potassium the value is 4 3 mmol l hcv antibody 1 value is not available glucose fasting f plasma the value is 213 96 mg dl,Speaker_11,20.05,"['serum', 'mmol', 'hcv', 'mg']",train
audio/Speaker_11/Speaker11-115.wav,jomoxlin clav 500mg 125mg tablet na penicillin type antibiotic wey dey help your body fight infections wey bacteria cause dem dey use am treat infections for lung like pneumonia ear nose sinus urinary tract skin and soft tissues,jomoxlin clav 500mg 125mg tablet is a penicillin type of antibiotic that helps your body fight infections caused by bacteria it is used to treat infections of the lungs e g pneumonia ear nasal sinus urinary tract skin and soft tissue,Speaker_11,24.09,"['mg', 'tablet', 'infections', 'lungs', 'nasal']",train
audio/Speaker_11/Speaker11-116.wav,omez 20mg capsule na medicine wey dey reduce di amount of acid wey dey for your stomach e dey help treat acid related problems for stomach and intestine like heartburn acid reflux and peptic ulcer disease,omez 20mg capsule is a medicine that reduces the amount of acid produced in your stomach it helps treat acid related diseases of the stomach and intestine such as heartburn acid reflux and peptic ulcer disease,Speaker_11,19.35,"['omez', 'capsule', 'related', 'stomach', 'peptic', 'ulcer']",train
audio/Speaker_11/Speaker11-117.wav,zam 0 25mg tablet na one group of medicine wey dem dey call benzodiazepines na prescription medicine wey dem dey use treat anxiety e dey change how brain dey work calm am down and e dey help reduce panic attacks by relaxing di nerves,zam 0 25mg tablet belongs to a class of medicines known as benzodiazepines it is a prescription medicine used to treat anxiety it alters brain activity calms it and provides relief from panic attacks by relaxing the nerves,Speaker_11,22.38,"['zam', 'mg', 'tablet', 'benzodiazepines', 'panic']",train
audio/Speaker_11/Speaker11-118.wav,chest radiograph when dem admit di patient show say di right lung don lose volume wey dey happen with mediastinum shift to di right side dis one still come with consolidation for di middle and lower part of di right lung,chest radiograph on admission showing extensive loss of volume in the right lung associated with mediastinal shift to the right this was accompanied by right middle and lower zone consolidation,Speaker_11,18.05,"['chest', 'radiograph', 'admission', 'extensive', 'loss', 'volume', 'lung', 'mediastinal']",train
audio/Speaker_11/Speaker11-119.wav,rosuson 10 tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,rosuson 10 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,10.56,['tablet'],train
audio/Speaker_11/Speaker11-120.wav,phosphate di value na 6 35 mg dl urine glucose value no dey available triiodothyronine total t3 di value na 1 04 ng dl,phosphate the value is 6 35 mg dl urine glucose value is not available triiodothyronine total t3 the value is 1 04 ng dl,Speaker_11,16.49,"['mg', 'triiodothyronine', 'ng']",train
audio/Speaker_11/Speaker11-121.wav,telista 80 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure go down e dey help prevent heart attack and stroke for future dis medicine still dey help protect kidney function for patients wey get diabetes,telista 80 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,20.44,"['telista', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-122.wav,sarmitel 20mg tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure go down e dey help prevent heart attack and stroke for future dis medicine still dey help protect kidney function for patients wey get diabetes,sarmitel 20mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,18.97,"['sarmitel', 'tablet', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-123.wav,preoperative weight bearing lateral radiograph of di left foot show say di first metatarsal cuneiform joint don reduce even though dorsal capsular dey disrupted and di joint no stable well,preoperative weight bearing lateral radiograph of the left foot demonstrating reduction of the first metatarsal cuneiform joint despite dorsal capsular disruption and instability of the joint,Speaker_11,20.65,"['lateral', 'radiograph', 'foot', 'reduction', 'metatarsal', 'cuneiform', 'dorsal', 'disruption', 'instability', 'joint']",train
audio/Speaker_11/Speaker11-124.wav,di patient friends bring am come and dem talk say e don dey get headache for like two weeks with changes for im vision and im thinking understanding don dey reduce small small,the patient was brought in by his acquaintances who reported headaches for two weeks along with vision changes and a slow decline in his mentation,Speaker_11,15.15,"['brought', 'vision', 'changes', 'slow', 'decline']",train
audio/Speaker_11/Speaker11-125.wav,for di past three years e dey grow fast fast and e nearly double im size within dat time recently e come start to see doctor again after long time wey e no go hospital since e small,over the past three years it had been rapidly enlarging nearly doubling in size over that time frame he had recently re established medical care after having not seen a physician since childhood,Speaker_11,16.15,['past'],train
audio/Speaker_11/Speaker11-126.wav,betahist 20mg tablet na medicine wey dem dey use prevent and treat one inner ear problem wey dem dey call mnires disease di symptoms na dizziness vertigo ringing for ear tinnitus and loss of hearing wey fit be because of fluid wey gather for ear,betahist 20mg tablet is used to prevent and treat a disorder of the inner ear known as mnires disease the symptoms include dizziness vertigo ringing in the ears tinnitus and loss of hearing probably caused by fluid in the ear,Speaker_11,25.26,"['betahist', 'tablet', 'inner', 'ear', 'mnires', 'dizziness', 'ringing', 'loss', 'hearing']",train
audio/Speaker_11/Speaker11-127.wav,deza 6mg tablet na one group of medicines wey dem dey call steroids dem dey use am treat different kinds of diseases and conditions like allergic problems asthma cancer rheumatic disorders and skin and eye problems,deza 6mg tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_11,17.88,['steroids'],train
audio/Speaker_11/Speaker11-128.wav,ambenonium na cholinesterase inhibitor wey dem dey use treat myasthenia gravis ambenonium dey stop the breakdown of acetylcholine for body dis acetylcholine important for proper muscle function so e dey help muscles work better when dem no suppose take ambenonium,ambenonium is a cholinesterase inhibitor used in the treatment of myasthenia gravis ambenonium inhibits the breakdown of acetylcholine ambenonium prevents breakdown of acetylcholine in the body which is needed for muscle functions when should ambenonium not to be taken,Speaker_11,26.28,"['ambenonium', 'myasthenia']",train
audio/Speaker_11/Speaker11-129.wav,di patient talk say e dey drink alcohol steadily like 2 3 drinks every day mostly for evening time dis long time habit of drinking alcohol don raise concern say e fit damage liver and increase risk of alcohol related health problems,patient reports regular alcohol consumption with a history of consuming 2 3 alcoholic beverages daily often in the evenings this long standing pattern of alcohol intake has raised concerns about potential liver damage and increased risk of alcohol related health issues,Speaker_11,20.39,"['consuming', 'liver']",train
audio/Speaker_11/Speaker11-130.wav,glimpure mv 2 3 tablet na one group of medicine wey dem dey call anti diabetic drugs na combination of medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar level for people wey get diabetes,glimpure mv 2 3 tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,20.65,"['glimpure', 'mv', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-131.wav,gudstat gold 75mg 10mg 75mg capsule na medicine wey dem dey use prevent heart attack na combination of medicines wey dey stop blood clot from forming for blood vessels e still dey help reduce high cholesterol and triglycerides level,gudstat gold 75mg 10mg 75mg capsule is used for prevention of heart attack it is a combination of medicines that prevent clot formation in the blood vessels it also helps to reduce increased cholesterol and triglycerides levels,Speaker_11,21.85,"['mg', 'clot', 'formation', 'triglycerides']",train
audio/Speaker_11/Speaker11-132.wav,frontal chest radiography show say all central lines and tubes dey correct position di right lung don lose volume and di right side of di hemi diaphragm don rise up dem also see air space opacification for di lateral side of di middle part of di right lung di left lung clear no problem,frontal chest radiograph central lines and tubes appropriately sited there is loss of volume of the right lung with elevation of the right hemi diaphragm and air space opacification of the lateral aspect of the right mid zone left lung is clear,Speaker_11,26.65,"['frontal', 'chest', 'radio', 'loss', 'lung', 'elevation', 'hemi', 'diaphragm', 'air', 'opacification', 'lateral']",train
audio/Speaker_11/Speaker11-133.wav,di patient dey do strong weight lifting exercise dey carry heavy weights for like 1 2 hours each session about 3 4 times every week dis intense physical activity don help am build strong muscles and improve im cardiovascular health,patient engages in rigorous weight lifting exercises lifting heavy weights for 1 2 hours per session 3 4 times a week this intense physical activity has led to significant muscle development and improved cardiovascular health,Speaker_11,21.8,[],train
audio/Speaker_11/Speaker11-134.wav,contrast enhanced computed tomography scan sagittal cut show lesion wey involve di ethmoid sinuses and e don spread enter di nasal cavity and septum e still reach di frontal and sphenoid sinuses with erosion for base of skull and intracranial extension,contrast enhanced computed tomography scan sagittal cut showing the lesion involving the ethmoid sinuses invading the nasal cavity and septum the frontal and sphenoid sinuses with base of skull erosion and intracranial extension,Speaker_11,28.42,"['contrast', 'enhanced', 'computed', 'tomography', 'sagittal', 'tal', 'cut', 'lesion', 'ethmoid', 'nasal', 'frontal', 'sphenoid', 'erosion', 'intracranial']",train
audio/Speaker_11/Speaker11-135.wav,chloride di value na 104 5 mmol l immature granulocytes ig di value na 0 2 absolute monocytes di value na 750 0 10 3 mm3,chloride the value is 104 5 mmol l immature granulocytes ig the value is 0 2 absolute monocytes the value is 750 0 10 3 mm3,Speaker_11,22.02,"['mmol', 'immature', 'granulo', 'mm']",train
audio/Speaker_11/Speaker11-136.wav,montair plus kid 4mg 5mg tablet na medicine wey dem dey use treat asthma wheezing and shortness of breath e dey relax di muscles for d air passage and make am easier for person to breathe,montair plus kid 4mg 5mg tablet is used in the treatment of asthma wheezing and shortness of breath it relaxes the muscles of the air passages and makes it easier to breathe,Speaker_11,19.88,"['montair', 'kid', 'mg', 'tablet', 'asthma', 'whee', 'shortness', 'breath', 'relaxes']",train
audio/Speaker_11/Speaker11-137.wav,squamous cell carcinoma and ct pattern wey match typical uip axial ct image for upper lobes show squamous cell carcinoma for di left upper lobe and e still show ct signs wey confirm typical uip,squamous cell carcinoma and ct pattern typical for uip axial ct image at the level of the upper lobes shows a left upper lobe squamous cell carcinoma and ct features of typical uip,Speaker_11,23.13,"['squamous', 'cell', 'carcinoma', 'ct', 'axial', 'lobe', 'mous']",train
audio/Speaker_11/Speaker11-138.wav,about 2 months ago di patient get temporary bridge after dem prepare di posterior teeth for di right mandibular under general anesthesia for our hospital on di day wey e come dem schedule final preparation and impression to make di final bridge,the patient was given a temporary bridge after preparation of the right mandibular posterior teeth under general anesthesia at our hospital about 2 months ago on the day of presentation final preparation and impression for the final bridge were scheduled,Speaker_11,21.42,"['temporary', 'bridge', 'mandibular', 'posterior', 'teeth', 'general', 'anesthesia', 'hospital']",train
audio/Speaker_11/Speaker11-139.wav,she start to complain of neck and shoulder pain when she reach 58 years and she don dey go for physiotherapy and dey take nonsteroidal anti inflammatory drugs to control di pain,she started complaining of neck and shoulder pain at the age of 58 years and had been on physiotherapy and nonsteroidal antiinflammatory drugs intake for pain control,Speaker_11,15.77,"['shoulder', 'age', 'nonsteroidal', 'antiinflammatory', 'drugs']",train
audio/Speaker_11/Speaker11-140.wav,albumin microalb creatinine ratio di value na 1 95 mg mmolcre 25 hydroxy vitamin d total d2 d3 di value na 38 1 ng ml cobalt di value na 5 09 ug l,albumin microalb creatinine ratio the value is 1 95 mg mmolcre 25 hydroxy vitamin d total d2 d3 the value is 38 1 ng ml cobalt the value is 5 09 ug l,Speaker_11,28.59,"['albumin', 'creatinine', 'mg', 'mm', 'hydroxy', 'vitamin', 'ng', 'ug']",train
audio/Speaker_11/Speaker11-141.wav,pirbuterol acetate na bronchodilator wey doctor dey prescribe for asthma dis medicine dey relax di muscles for airways and e dey help person breathe better when dem no suppose take pirbuterol acetate hypersensitivity wetin be di dosage of pirbuterol acetate,pirbuterol acetate is a bronchodilator prescribed for asthma this medication relaxes the muscles in the airways and improves breathing when should pirbuterol acetate not to be taken hypersensitivity what is the dosage of pirbuterol acetate,Speaker_11,26.13,"['pirbuterol', 'airways', 'acetate']",train
audio/Speaker_11/Speaker11-142.wav,dem refer am from one local vascular surgeon wey don already diagnose am with hypothenar hammer syndrome hhs after dem do angiogram for di right upper extremity wey show complete occlusion of di ulnar artery,he was referred by a local vascular surgeon who had made the diagnosis of hypothenar hammer syndrome hhs following an angiogram of the right upper extremity showing complete occlusion of the ulnar artery,Speaker_11,20.84,"['referred', 'local', 'vascular', 'surgeon', 'hypothenar', 'hammer', 'syndrome', 'hhs', 'angiogram', 'extremity', 'complete']",train
audio/Speaker_11/Speaker11-143.wav,preoperative x ray of one 45 year old man show say e get fracture for l1 di height of l1 don compress reach about half of normal vertebral body,preoperative x ray film of a 45 year old male patient showed a fracture at l1 the height of l1 was compressed to a half of that of a normal vertebral body,Speaker_11,13.91,"['ray', 'film', 'male']",train
audio/Speaker_11/Speaker11-144.wav,creatinine serum di value na 0 81 mg dl calcium di value na 9 9 mg dl serum bilirubin direct di value na 0 32 mg dl,creatinine serum the value is 0 81 mg dl calcium the value is 9 9 mg dl serum bilirubin direct the value is 0 32 mg dl,Speaker_11,16.55,['mg'],train
audio/Speaker_11/Speaker11-145.wav,leflox 500mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections for urinary tract nose throat skin soft tissues and lungs pneumonia,leflox 500mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_11,19.24,"['leflox', 'mg', 'tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_11/Speaker11-146.wav,zalozil 250mg tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey effective for infections of di lungs like pneumonia urinary tract ear nose sinus and throat,zalozil 250mg tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs eg pneumonia urinary tract ear nasal sinus and throat,Speaker_11,18.26,"['zalozil', 'mg', 'tablet', 'infections', 'lungs', 'urinary', 'nasal']",train
audio/Speaker_11/Speaker11-147.wav,di patient get this fracture after e fall from steps e no get any history of signs or symptoms of tuberculosis and at di time wey dem check am dem no focus on di lungs,patient had sustained this fracture following fall from steps there was no history of clinical signs or symptoms of tuberculosis and there was no primary focus in the lungs at the time of presentation,Speaker_11,13.4,"['fracture', 'lungs']",train
audio/Speaker_11/Speaker11-148.wav,hb di value na 14 5 g dl hdl cholestrol di value na 39 0 mg dl amorphous material value no dey available,hb the value is 14 5 g dl hdl cholestrol the value is 39 0 mg dl amorphous material value is not available,Speaker_11,14.98,['mg'],train
audio/Speaker_11/Speaker11-149.wav,locet 5mg tablet na one group of medicine wey dem dey call antihistamines dem dey use am treat different kinds of allergy conditions like hay fever conjunctivitis some skin reactions like eczema hives and reactions from bites and stings,locet 5mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis some skin reactions such as eczema hives and reactions to bites and stings,Speaker_11,21.5,"['locet', 'tablet']",train
audio/Speaker_11/Speaker11-150.wav,anafast 100 mg 500 mg tablet na medicine wey dey reduce pain dem dey use am reduce pain and inflammation for conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,anafast 100 mg 500 mg tablet is a pain relieving medicine it is used to reduce pain and inflammation in conditions like rheumatoid arthritis ankylosing spondylitis and osteoarthritis,Speaker_11,22.25,"['anafast', 'mg', 'tablet', 'inflammation']",train
audio/Speaker_11/Speaker11-151.wav,di patient get known history of dust allergy since e small wey dey cause rhinitis and conjunctivitis also e no dey tolerate azoran and e don get condition wey steroids cause like adrenal suppression or skin thinning so dem need to manage im medicine carefully,the patient has a known history of dust allergy since childhood presenting with rhinitis and conjunctivitis additionally they are intolerant to azoran and have a steroid induced condition such as adrenal suppression or skin thinning requiring careful medication management,Speaker_11,24.68,"['rhinitis', 'conjunctivitis']",train
audio/Speaker_11/Speaker11-152.wav,oflax 200mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections for urinary tract nose throat skin soft tissues and lungs pneumonia,oflax 200mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_11,18.45,"['mg', 'tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_11/Speaker11-153.wav,dapanorm 5mg tablet na medicine wey dem dey use alone or together with other medicines to treat type 2 diabetes mellitus e dey help control high blood sugar level wey people wey get diabetes dey get,dapanorm 5mg tablet is used alone or in combination with other medicines to treat type 2 diabetes mellitus it helps control the high blood sugar levels seen in diabetes,Speaker_11,17.75,"['dapanorm', 'tablet', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-154.wav,winbp 20 h tablet na combination of two medicines e dey help control high blood pressure in different ways if person no treat high blood pressure e fit lead to heart attack stroke and kidney failure,winbp 20 h tablet is a combination of two medicines it helps to control high blood pressure in different ways if high blood pressure is not treated it can lead to heart attacks strokes and kidney failure,Speaker_11,16.0,"['winbp', 'tablet']",train
audio/Speaker_11/Speaker11-155.wav,olmax ch 40 12 5 tablet na combination of two medicines e dey help control high blood pressure in different ways if person no treat high blood pressure e fit lead to heart attack stroke and kidney failure,olmax ch 40 12 5 tablet is a combination of two medicines it helps to control high blood pressure in different ways if high blood pressure is not treated it can lead to heart attacks strokes and kidney failure,Speaker_11,18.99,['olmax'],train
audio/Speaker_11/Speaker11-156.wav,tamstream 0 4mg tablet na alpha adrenergic antagonist wey dem dey use treat benign prostatic hyperplasia e dey help reduce symptoms like difficulty to pass urine but e no dey reduce di size of di prostate,tamstream 0 4mg tablet is an alpha adrenergic antagonist that is used in the treatment of benign prostatic hyperplasia it helps to relieve symptoms like difficulty in passing urine however it does not decrease the size of the prostate,Speaker_11,19.46,"['tablet', 'alpha', 'adrenergic']",train
audio/Speaker_11/Speaker11-157.wav,januvia 25mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy diet and regular exercise to control blood sugar level,januvia 25mg tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_11,15.02,"['januvia', 'mg', 'tablet', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-158.wav,oxa 200mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections for urinary tract nose throat skin soft tissues and lungs pneumonia,oxa 200mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_11,18.28,"['mg', 'tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_11/Speaker11-159.wav,feveroff 650mg tablet na medicine wey dem dey use reduce pain and bring down fever dem dey use am treat many conditions like headache body pain toothache and common cold,feveroff 650mg tablet is a medicine used to relieve pain and to reduce fever it is used to treat many conditions such as headache body ache toothache and common cold,Speaker_11,15.38,"['feveroff', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-160.wav,gabapen 100mg tablet na medicine wey dem dey use reduce pain wey nerve damage neuropathic pain cause dis kind pain fit come from different conditions like diabetes shingles herpes zoster infection spinal cord injury etc,gabapen 100mg tablet is a medicine used to relieve the pain caused by nerve damage neuropathic pain due to various conditions like diabetes shingles herpes zoster infection spinal cord injury etc,Speaker_11,21.35,"['gabapen', 'tablet', 'nerve', 'damage']",train
audio/Speaker_11/Speaker11-161.wav,during this hospital stay dem diagnose am with bilateral pulmonary emboli clots for subclavian and thrombocytopenia because necrotic ulcers dey get worse dem do skin biopsy result show intravascular clots and abnormal perivascular deposits of c4d,during this hospitalization he was diagnosed with bilateral pulmonary emboli subclavian clots and thrombocytopenia skin biopsy was performed due to worsening necrotic ulcers which showed intravascular clots and shaggy perivascular deposits of c4d,Speaker_11,26.52,"['bilateral', 'biopsy', 'clots', 'shaggy', 'subclavian']",train
audio/Speaker_11/Speaker11-162.wav,eurepa 0 5 tablet na medicine wey dem dey use lower blood sugar level for adults wey get type 2 diabetes mellitus most times doctor dey prescribe am together with other diabetes medicines to help control blood sugar well,eurepa 0 5 tablet is used to lower blood sugar levels in adults with type 2 diabetes mellitus it is usually prescribed along with other diabetes medicines to achieve adequate blood sugar control,Speaker_11,18.86,"['eurepa', 'blood', 'sugar', 'diabetes']",train
audio/Speaker_11/Speaker11-163.wav,transthoracic echocardiogram for apical three chamber view di red arrow wey point downward dey show di mitral valve and dem no see any vegetations on am di red arrow wey point left dey show di aortic valve and e also no get any vegetations,transthoracic echocardiogram apical three chamber viewdownwards facing red arrow shows the mitral valve without any vegetations leftwards facing red arrow shows the aortic valve also without vegetations,Speaker_11,21.55,"['echocardiogram', 'apical', 'chamber', 'viewdown', 'mitral', 'vegetations', 'leftwards', 'aortic']",train
audio/Speaker_11/Speaker11-164.wav,when dem check im medical history im parents talk say e no get any systemic disorder lab test results wey include full blood cell count and electrolyte calcium phosphorus and alkaline phosphatase values all normal e also no get any history of dental treatment or injury,on evaluation of his medical history the parents reported no systemic disorder laboratory findings which included a complete blood cell count and electrolyte calcium phosphorus and alkaline phosphatase values were normal there was no history of dental treatment or trauma,Speaker_11,25.98,"['parents', 'laboratory', 'complete', 'blood', 'cell', 'count', 'electrolyte', 'calcium', 'phosphorus']",train
audio/Speaker_11/Speaker11-165.wav,fenofibric 105mg tablet na medicine wey dem dey use treat high cholesterol dis medicine dey help lower triglycerides and bad cholesterol ldl while e dey also increase good cholesterol hdl,fenofibric 105mg tablet is a medicine used to treat high cholesterol this medicine helps by lowering triglycerides and bad cholesterol ldl while at the same time raising the levels of good cholesterol hdl,Speaker_11,18.5,"['fenofibric', 'mg', 'tablet', 'triglycerides', 'bad', 'raising', 'good']",train
audio/Speaker_11/Speaker11-166.wav,di complain start about 30 months ago as one small hard mass for upper part of di right thigh di patient later do complete resection of di mass after histological exam dem find say na liposarcoma e be,the complaint started 30 months ago as a small hard mass in the upper of the right thigh the patient underwent a complete resection of the mass histological examination showed that it was a liposarcoma,Speaker_11,18.82,"['small', 'hard', 'thigh', 'complete', 'resection', 'mass', 'histological', 'examination']",train
audio/Speaker_11/Speaker11-167.wav,di patient get history of statin induced myopathy and steroid induced hyperglycemia e still get known allergy to tiabendazole since 2015 also di patient dey allergic to penicillin and dust and im family history get similar sensitivities,the patient has a history of statin induced myopathy steroid induced hyperglycemia and a known allergy to tiabendazole since 2015 additionally the patient is allergic to penicillin and dust with a family history of similar sensitivities,Speaker_11,23.94,"['statin', 'induced', 'myopathy', 'steroid', 'hyperglycemia', 'allergy', 'tiabendazole', 'penicillin']",train
audio/Speaker_11/Speaker11-168.wav,di patient get known history of allergic contact dermatitis to detergents and rash wey drugs cause e also get allergy to hydroxyzine also e get sensitivity to thyroxine and e get drug allergy since 2015 wey dey show as angioedema and difficulty to breathe,the patient has a known history of allergic contact dermatitis to detergents drug induced rash and hydroxyzine allergy additionally they have a thyroxine induced sensitivity and a drug allergy since 2015 presenting with angioedema and respiratory distress,Speaker_11,27.37,"['allergic', 'contact', 'drug', 'allergy', 'dermatitis']",train
audio/Speaker_11/Speaker11-169.wav,di patient get history of thyroid follicular adenocarcinoma wey dem treat with surgery with total thyroidectomy plus iodine treatment after surgery about 25 years before e come hospital,the patient had a history of thyroid follicular adenocarcinoma which was treated surgically with total thyroidectomy and postoperative iodine treatment 25 years prior to presentation,Speaker_11,19.69,"['adenocarcinoma', 'surgically', 'total', 'thyroidectomy', 'postoperative', 'iodine', 'treatment', 'prior']",train
audio/Speaker_11/Speaker11-170.wav,as dem dey find di cause of dis clinical problem dem discover one big mass lesion for di atrium through echocardiography dis one make dem suspect say e fit be atrial myxoma,while focusing on the reason for this clinical presentation a large mass lesion was found in the atrium via echocardiography whereby suspicion of atrial myxoma was raised,Speaker_11,17.9,"['presentation', 'large', 'lesion', 'atrium', 'echocardiography', 'atrial', 'myxoma']",train
audio/Speaker_11/Speaker11-171.wav,her breast symptoms start about 5 years ago and e don dey get worse she no fit go hospital because she think say e go heal by itself and she dey fear say dem fit discover cancer and death,her breast symptoms arose 5 years ago and had been worsening she could not visit a hospital because she expected for naturally healing and feared noticing cancer and death,Speaker_11,15.74,"['symptoms', 'hospital']",train
audio/Speaker_11/Speaker11-172.wav,dem tell us say di patient develop di swelling because of infection wey happen about three months before dem treat am with antibiotics but since di treatment no work dem come refer am to our clinic,we were informed that the patient developed the swelling as a result of an infection three months previously the patient had been treated with antibiotics but as that treatment had not proved successful she was referred to our clinic,Speaker_11,16.26,"['swelling', 'infection', 'referred']",train
audio/Speaker_11/Speaker11-173.wav,thyrocab 5mg tablet na one group of medicine wey dem dey call anti thyroid agents dem dey use am treat hyperthyroidism e dey reduce di amount of thyroid hormones wey di thyroid gland dey produce,thyrocab 5mg tablet belongs to a group of medicine called anti thyroid agents it is used in the treatment of hyperthyroidism it reduces the amount of thyroid hormones produced by the thyroid gland,Speaker_11,18.52,"['thyrocab', 'tablet']",train
audio/Speaker_11/Speaker11-174.wav,t lac 10mg tablet na medicine wey dem dey use for short term treatment of moderate to severe pain e dey help reduce pain swelling and fever well person no suppose use am for small pain or for long term pain conditions,t lac 10mg tablet is used for the short term treatment of moderate to severe pain it effectively alleviates pain swelling and fever it should not be used for mild or long term painful conditions,Speaker_11,18.15,"['tablet', 'moderate']",train
audio/Speaker_11/Speaker11-175.wav,di patient talk say e dey drink alcohol regularly like 3 4 drinks every day dis one don raise concern say e fit damage liver and increase risk of heart related problems,patient reports regular alcohol consumption with an average of 3 4 alcoholic beverages per day leading to concerns about potential liver damage and increased risk of cardiovascular issues,Speaker_11,14.12,"['regular', 'liver']",train
audio/Speaker_11/Speaker11-176.wav,clobanil 5mg tablet na one group of medicine wey dem dey call benzodiazepines na prescription medicine wey dem dey use treat epilepsy seizures and serious anxiety,clobanil 5mg tablet belongs to a class of medicines known as benzodiazepines it is a prescription medicine used to treat epilepsy seizures and severe anxiety,Speaker_11,15.25,"['clobanil', 'mg', 'tablet', 'benzodiazepines', 'epilepsy', 'seizures', 'severe']",train
audio/Speaker_11/Speaker11-177.wav,permeation nodule wey appear as hypoechoic intradermal lesion dem apply plenty normal ultrasound gel to see di lesion well di gel get small air bubbles inside wey appear as many hyperechoic dots with comet tail artifacts,permeation nodule appearing as a hypoechoic intradermal lesion a significant amount of common ultrasound gel was applied to visualize the lesion the gel contains small air bubbles appearing as multiple hyperechoic dots with comet tail artifacts,Speaker_11,25.43,"['ation', 'nodule', 'hypoechoic', 'intradermal', 'lesion', 'significant', 'ultrasound', 'gel', 'small', 'air', 'bubbles', 'multiple', 'hyperech', 'comet', 'tail']",train
audio/Speaker_11/Speaker11-178.wav,histacet 10mg tablet na one group of medicine wey dem dey call antihistamines dem dey use am treat different kinds of allergy conditions like hay fever conjunctivitis and some skin reactions and reactions from bites and stings,histacet 10mg tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis and some skin reactions and reactions to bites and stings,Speaker_11,21.85,"['histacet', 'mg', 'tablet', 'conjunctivitis']",train
audio/Speaker_11/Speaker11-179.wav,when dem examine am dem see many cystic swellings wey stretch from di thyroid cartilage go reach middle of di sternum dem count about 1215 cysts and some of dem dey connect to each other di whole swelling dey move with deglutition and di cysts no dey move on their own,on examination there were multiple cystic swellings extending from thyroid cartilage to mid sternum there were about 1215 cysts with features of intercommunication the whole swelling moved with deglutition and there was no independent mobility of cysts,Speaker_11,25.39,"['examination', 'multiple', 'cystic', 'swelling', 'thyroid', 'cartilage', 'mid', 'sternum', 'cysts', 'swellings']",train
audio/Speaker_11/Speaker11-180.wav,risnia 1mg tablet na prescription medicine wey dem dey use treat schizophrenia na mental disorder wey fit result in hallucinations or delusions and e still dey affect how person dey think behave and fit cause mania,risnia 1mg tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_11,19.71,"['risnia', 'tablet', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_11/Speaker11-181.wav,tide plus 20 tablet na combination of two medicines wey dem dey use reduce excess fluid for body while e still dey maintain potassium balance dem dey use am treat edema fluid and some cases of hypertension,tide plus 20 tablet is a combination of two medicines used to reduce excess fluid levels in the body while maintaining the potassium balance it is used to treat edema fluid overload and some cases of hypertension,Speaker_11,18.03,"['tablet', 'medicines']",train
audio/Speaker_11/Speaker11-182.wav,reaction ph di value na 6 0 ph serum bilirubin indirect di value na 1 18 mg dl ldl hdl cholesterol ratio di value na 2 3 ratio,reaction ph the value is 6 0 ph serum bilirubin indirect the value is 1 18 mg dl ldl hdl cholesterol ratio the value is 2 3 ratio,Speaker_11,18.62,"['ph', 'serum', 'mg', 'ldl', 'cholesterol', 'ratio']",train
audio/Speaker_11/Speaker11-183.wav,surex 5mg 2 5mg tablet na medicine wey dem dey use treat irritable bowel syndrome di symptoms na belle pain cramping bloating and diarrhea or constipation e dey prevent sudden muscle spasm for stomach so e go reduce pain and cramps,surex 5mg 2 5mg tablet is used to treat irritable bowel syndrome symptoms include abdominal pain cramping bloating and diarrhea or constipation it prevents the sudden spasm of muscles to relieve stomach pain and cramps,Speaker_11,25.62,"['mg', 'tablet', 'abdominal', 'diarrhea', 'sudden', 'muscles']",train
audio/Speaker_11/Speaker11-184.wav,few years ago she get problem with her right jaw when she dey chop since that time she don dey feel say her jaw always dey tense,a few years ago she had had problems with her right jaw when chewing ever since then she had felt that her jaw was tense,Speaker_11,10.35,['jaw'],train
audio/Speaker_11/Speaker11-185.wav,cortiva 6mg tablet na one group of medicines wey dem dey call steroids dem dey use am treat different kinds of diseases and conditions like allergic problems asthma cancer rheumatic disorders and skin and eye problems,cortiva 6mg tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_11,17.51,"['cortiva', 'steroids']",train
audio/Speaker_11/Speaker11-186.wav,na young female patient wey get cough and fever and she come hospital on di fifth day of di sickness ct scan show small small bilateral areas for her lower lobes boxes wey look like ground glass opacities dem no see any area of consolidation ct compute tomography,a young female patient with cough and fever who presented on the fifth day of symptoms ct shows small peripheral bilateral areas of ground glass opacities in lower lobes boxes no area of consolidation was identified ct computed tomography,Speaker_11,24.15,"['female', 'cough', 'fever', 'presented', 'fifth', 'ct', 'peripheral', 'bilateral', 'areas', 'ground', 'glass', 'opacities', 'lobes', 'computed', 'tomography']",train
audio/Speaker_11/Speaker11-187.wav,betalol 5mg tablet na one group of medicine wey dem dey call beta blockers dem dey use am treat high blood pressure hypertension e still dey help prevent heart attack and stroke for future and e fit help prevent migraine,betalol 5mg tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension it also helps to prevent future heart attacks and stroke and to prevent migraine,Speaker_11,17.32,"['betalol', 'tablet']",train
audio/Speaker_11/Speaker11-188.wav,di patient get known history of pollen allergy wey dey cause seasonal rhinitis and conjunctivitis also e get drug allergy to penicillin wey dey cause anaphylaxis and e get multiple food allergies wey dey cause gastrointestinal problems and skin rashes,the patient has a known history of pollen allergy causing seasonal rhinitis and conjunctivitis additionally they have a drug allergy to penicillin presenting with anaphylaxis and multiple food allergies resulting in gastrointestinal distress and skin rashes,Speaker_11,24.09,"['seasonal', 'conjunctivitis', 'multiple']",train
audio/Speaker_11/Speaker11-189.wav,azicin 250mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for both adults and children,azicin 250mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_11,19.99,"['azicin', 'mg', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_11/Speaker11-190.wav,intravenous urography film wey dem take after 15 minutes show say di left ureter divide into three parts triplication as di single arrow dey show two of di ureters come join together fusion around di level of di first sacral bone for di other side ureter dey duplicated and one part don swell hydronephrosis as di double arrow dey show dem also see ureterocele u na swelling for di lower part of ureter,intravenous urography 15 minutes film showing left ureteral triplication single head arrow with fusion of two ureters at the level of first sacral vertebra contralateral duplication with hydronephrosis double arrow of the upper moiety and the ureterocele u is noted,Speaker_11,37.55,"['urography', 'triplication', 'single', 'head', 'arrow', 'fusion', 'ureters', 'contralateral', 'duplication', 'hydronephrosis', 'double']",train
audio/Speaker_11/Speaker11-191.wav,axial computerized tomography show mucin lakes for patient wey get low grade appendiceal mucin adenocarcinoma wey stay only for right iliac fossa pathology test show extra appendicular mucin but dem no see any mucinous epithelium,axial computerized tomography view showing mucin lakes in a patient with low grade appendiceal mucin adenocarcinoma limited to the right iliac fossa pathological analysis revealed extra appendicular mucin without the presence of mucinous epithelium,Speaker_11,25.28,"['computerized', 'tomography', 'mucinous', 'low', 'grade', 'appendiceal', 'mucin', 'adenocarcinoma', 'iliac', 'pathological', 'analysis', 'extra', 'appendicular']",train
audio/Speaker_11/Speaker11-192.wav,dis symptoms dey come every year during summer time and dem dey strong and persistent e dey affect im sleep and how e dey perform for school im exam marks dey low for summer exams when you compare am to di ones wey e do earlier for di year,these symptoms developed every year during the summer months and were persistent and severe affecting his ability to sleep and his performance at school his exam marks were lower in his summer examinations compared to those earlier in the year,Speaker_11,19.11,"['symptoms', 'during', 'persistent', 'ability', 'sleep', 'exam', 'marks', 'summer']",train
audio/Speaker_11/Speaker11-193.wav,upper endoscopy show variceal veins for di fundus of di stomach and dem also see 4 variceal veins about 25 cm from di incisor teeth wey extend go down reach di cardia fig,upper endoscopy showed variceal veins in the fundus of the stomach and 4 variceal veins 25 cm from the incisor tooth that extended down to the cardia fig,Speaker_11,18.99,"['endoscopy', 'variceal', 'veins', 'fundus', 'cm', 'cardia']",train
audio/Speaker_11/Speaker11-194.wav,before she reach ed di patient talk say she start to pass clots and while she sit down for toilet she try pull out one thick blood clot from her vagina,prior to her arrival to the ed the patient stated that she began passing clots and while sitting down on the toilet she attempted to pull out a thick vaginal blood clot,Speaker_11,11.95,"['arrival', 'vaginal']",train
audio/Speaker_11/Speaker11-195.wav,na 49 year old woman wey get melanoma for ct scan wey dem do 3 months after treatment dem see hypodensity around di place wey dem treat di lesion also dem notice one small radiopaque fiducial seed wey dey lateral to di lesion,49 year old female patient with melanoma in the ct scan performed 3 months after treatment a hypodensity arrowheads around the treated lesion arrows is seen of note a radiopaque fiducial seed is seen laterally to the lesion,Speaker_11,21.76,"['female', 'melanoma', 'ct', 'after', 'treatment', 'hypodensity', 'lesion', 'radiopaque', 'fiducial', 'seed']",train
audio/Speaker_11/Speaker11-196.wav,di patient get one tattoo for upper arm and e don heal well without any sign of infection or inflammation e dey travel regularly and most times e dey involve activities wey require moderate to high physical effort wey dey help maintain cardiovascular fitness,patient has a single tattoo on the upper arm well healed and without any signs of infection or inflammation regularly engages in travel activities often involving moderate to high levels of physical exertion which helps maintain cardiovascular fitness,Speaker_11,21.91,"['well', 'travel', 'moderate']",train
audio/Speaker_11/Speaker11-197.wav,azithral 100 liquid na antibiotic wey dem dey use treat different kinds of bacterial infections for respiratory tract ear nose throat lungs skin and eye for both adults and children,azithral 100 liquid is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_11,17.22,"['azithral', 'liquid', 'antibiotic', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_11/Speaker11-198.wav,when dem check di pacemaker dem see say di battery voltage still dey okay but e get high lead impedance and e dey fail to capture even for maximum setting because of this dem quickly insert temporary pacemaker through di right femoral vein baseline tests no show any problem and echocardiography show say di left ventricle dey function normally,pacemaker interrogation revealed preserved battery voltage high lead impedance and failure to capture at maximum output immediate temporary pacemaker was inserted through the right femoral vein baseline investigations were unremarkable and echocardiography done showed a normal left ventricular function,Speaker_11,31.66,"['pacemaker', 'interrogation', 'preserved', 'battery', 'high', 'failure', 'capture', 'immediate', 'temporary', 'femoral', 'unremarkable', 'echocardiography', 'normal']",train
audio/Speaker_11/Speaker11-199.wav,di patient get history of end stage renal disease esrd and e don dey do hemodialysis for 11 years through distal avf for im left forearm,the patient had a history of end stage renal disease esrd and had undergone hemodialysis for 11 years through a distal avf on his left forearm,Speaker_11,14.95,"['end', 'stage', 'renal', 'disease', 'esrd', 'hemodialysis']",train
audio/Speaker_11/Speaker11-200.wav,nolvadex 10mg tablet na anti estrogen medicine dem dey use am treat breast cancer dem still dey use am reduce di risk of breast cancer for women both before and after menopause wey get high risk,nolvadex 10mg tablet is an anti estrogens it is used in the treatment of breast cancer it is also used to reduce the risk of breast cancer in pre and postmenopausal women with a high risk,Speaker_11,18.37,"['nolvadex', 'mg', 'tablet', 'breast', 'women']",train
audio/Speaker_11/Speaker11-201.wav,but di repair come open again dehiscence and di patient continue to dey leak urine from di lower part of im abdomen six months later dem come do ileal conduit urinary diversion to stop di constant urine leakage,however dehiscence of the repair had occurred and the patient continued to leak urine from the lower abdominal wall six months following this an ileal conduit urinary diversion was done to prevent the continuous leakage of urine,Speaker_11,17.34,"['leakage', 'following', 'ileal', 'conduit', 'urinary', 'diversion']",train
audio/Speaker_11/Speaker11-202.wav,ralipod 200 tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey effective for infections of di lungs like pneumonia urinary tract ear nose sinus throat and skin,ralipod 200 tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs eg pneumonia urinary tract ear nasal sinus throat and skin,Speaker_11,20.74,"['ralipod', 'od', 'tablet', 'antibiotic', 'bacterial', 'infections', 'lungs', 'urinary', 'nasal']",train
audio/Speaker_11/Speaker11-203.wav,cardivas 6 25 tablet na medicine wey dem dey use treat high blood pressure chest pain wey relate to heart angina and heart failure e dey work by relaxing di blood vessels so blood go fit flow easily reach di heart,cardivas 6 25 tablet is a medicine used to treat high blood pressure heart related chest pain angina and heart failure it works by relaxing the blood vessels so blood can flow more easily to the heart,Speaker_11,18.62,"['cardivas', 'tablet']",train
audio/Speaker_11/Speaker11-204.wav,trika 1 tablet na one kind medicine wey dem dey call benzodiazepines na prescription medicine wey dem dey use treat anxiety e dey change how brain dey work calm am down and e dey help reduce panic attacks by relaxing di nerves,trika 1 tablet belongs to a class of medicines known as benzodiazepines it is a prescription medicine used to treat anxiety it alters brain activity calms it and provides relief from panic attacks by relaxing the nerves,Speaker_11,20.07,"['trika', 'panic']",train
audio/Speaker_11/Speaker11-205.wav,eosinophil count di value na 4 0 10 3 mm3 prostate specific antigen value no dey available sp gravity di value na 1 01 ratio,eosinophil count the value is 4 0 10 3 mm3 prostate specific antigen value is not available sp gravity the value is 1 01 ratio,Speaker_11,17.24,"['eosinophil', 'mm', 'ratio']",train
audio/Speaker_11/Speaker11-206.wav,pinom h 20 tablet na combination of two medicines e dey help control high blood pressure in different ways if person no treat high blood pressure e fit lead to heart attack stroke and kidney failure,pinom h 20 tablet is a combination of two medicines it helps to control high blood pressure in different ways if high blood pressure is not treated it can lead to heart attacks strokes and kidney failure,Speaker_11,15.85,['tablet'],train
audio/Speaker_11/Speaker11-207.wav,accuracy for distance measurement for each pair of point targets dem dey calculate di error between di nominal distance and di one wey dem measure for ultrasound image dem dey do this calculation for both horizontal and vertical distances,accuracy in distance measurements for each pair of point targets the measurement distance relative error between the nominal and the measured distance in the ultrasound image is calculated for both horizontal and vertical distances,Speaker_11,20.89,['ultrasound'],train
audio/Speaker_11/Speaker11-208.wav,her mri result make dem suspect say she get one big cavernous aneurysm for di right ica because of this dem plan to do cerebral angiography and balloon occlusion test,her mri findings raised the suspicion of the presence of a giant cavernous aneurysm of the right ica consequently a cerebral angiography and balloon occlusion test were planned,Speaker_11,18.52,"['mri', 'giant', 'cavernous', 'aneurysm', 'cerebral', 'angiography']",train
audio/Speaker_11/Speaker11-209.wav,di patient get known history of skin allergy nitrate induced hypotension and nasal allergy also e get drug induced reaction with history of ear drop allergy since 2015 wey dey show as rashes and respiratory wahala,the patient has a known history of skin allergy nitrate induced hypotension and nasal allergy additionally there is a drug induced reaction with a history of ear drop allergy since 2015 presenting with rashes and respiratory distress,Speaker_11,23.0,"['induced', 'hypotension', 'rashes']",train
audio/Speaker_11/Speaker11-210.wav,di child no show any symptom until e reach 3 months old when e get one episode of fever and fast breathing wey make dem carry am go see pediatrician,the child was asymptomatic until 3 months of age when he had an episode of fever and fast breathing for which he presented to the pediatrician,Speaker_11,12.89,"['asymptomatic', 'age', 'fever', 'fast', 'breathing', 'presented']",train
audio/Speaker_11/Speaker11-211.wav,di patient get history of amlodipine induced edema statin induced myopathy and oral allergy syndrome from egg protein also e don stop some prescribed medicines before wey show say e fit get drug allergy but di exact cause no clear,the patient has a history of amlodipine induced edema statin induced myopathy and oral allergy syndrome with egg protein additionally they have experienced stopped prescription medications indicating a potential drug allergy with unknown triggers,Speaker_11,21.59,"['amlodipine', 'statin']",train
audio/Speaker_11/Speaker11-212.wav,e no talk say e lose consciousness and e no get episodes of vomiting e also no complain of dizziness fall attacks tinnitus and vertigo na only persistent heavy type headache e dey complain of especially for di back of im neck,he did not report any loss of consciousness and episodes of vomiting his did not complaint of dizziness fall attacks tinnitus and vertigo he only complaint of the persistent bulking type of headache especially in the nape of his neck,Speaker_11,20.05,"['loss', 'consciousness', 'fall', 'persistent', 'bulking']",train
audio/Speaker_11/Speaker11-213.wav,budding yeast cells value no dey available histidine di value na 62 18 umol l t4 total di value na 10 0 ug dl,budding yeast cells value is not available histidine the value is 62 18 umol l t4 total the value is 10 0 ug dl,Speaker_11,14.7,"['umol', 'ug']",train
audio/Speaker_11/Speaker11-214.wav,blood tests like fbc renal function and electrolytes all normal abdominal ultrasound scan no show any intra abdominal pathology dem measure di aorta and e be 2 6 cm,blood tests including fbc renal function and electrolytes were normal abdominal ultrasound scan did not reveal any intra abdominal pathology the aorta was measured at 2 6 cm,Speaker_11,16.64,"['blood', 'tests', 'fbc', 'renal', 'function', 'electrolytes', 'abdominal', 'ultrasound', 'aorta']",train
audio/Speaker_11/Speaker11-215.wav,dem carry di patient go for routine microdiscectomy after dem do pre anesthetic check after dem do laminotomy and as dem dey do di disectomy with the help of disc biting forceps di anesthetist notice say di patient blood pressure suddenly drop,the patient was taken up for routine microdiscectomy after pre anesthetic checkup after doing the laminotomy while the discectomy was being carried out with help of disc biting forceps anesthetists noticed a sudden drop in blood pressure of the patient,Speaker_11,21.48,"['microdiscectomy', 'disc', 'biting', 'forceps', 'anesthetists', 'sudden', 'drop', 'blood']",train
audio/Speaker_11/Speaker11-216.wav,she test positive for faecal occult blood stool test she don also dey get small small not often painless bright red rectal bleeding for more than twenty years,she tested positive to a faecal occult blood stool test and had experienced longstanding infrequent minimal and painless bright red rectal bleeding for a period of over twenty years,Speaker_11,15.15,"['positive', 'blood', 'minimal', 'painless', 'rectal', 'bleeding']",train
audio/Speaker_11/Speaker11-217.wav,e been dey lie flat for supine position and im head hanging off di bed facing downward small dem bring di patient come hospital few hours later when dem admit am neurological exam show say e get right hemianopia and alexia,he had been lying in a supine position with his head hanging off the bed in a slightly downwards position the patient was brought to the hospital few hours later on admission neurological examination showed a right hemianopia with alexia,Speaker_11,20.25,"['lying', 'supine', 'position', 'slightly', 'downwards', 'brought', 'hospital', 'neurological', 'examination', 'hemianopia']",train
audio/Speaker_11/Speaker11-218.wav,glucose fasting naf plasma di value na 154 0 mg dl crystals h p f value no dey available blood group abo rh typing value no dey available,glucose fasting naf plasma the value is 154 0 mg dl crystals h p f value is not available blood group abo rh typing value is not available,Speaker_11,20.5,"['naf', 'mg', 'available']",train
audio/Speaker_11/Speaker11-219.wav,when emergency doctor reach di scene di patient dey bleed from mouth because mandible don break scatter and im tongue dey lacerated wey dey block airway and make e hard to breathe,when the emergency physician arrived on scene the patient presented with oral bleeding from a smashed mandible and with lacerated tongue causing mechanical obstruction of the airway,Speaker_11,16.68,"['emergency', 'physician', 'arrived', 'presented', 'oral', 'bleeding', 'smashed', 'lacerated', 'tongue', 'mechanical']",train
audio/Speaker_11/Speaker11-220.wav,l kast 5mg 10mg tablet na combination medicine wey dem dey use treat allergy symptoms like runny nose blocked nose sneezing itching swelling watery eyes and congestion or stuffiness,l kast 5mg 10mg tablet is a combination medicine used in the treatment of allergic symptoms such as runny nose stuffy nose sneezing itching swelling watery eyes and congestion or stuffiness,Speaker_11,19.31,"['mg', 'tablet', 'runny', 'stuffy', 'itching', 'congestion']",train
audio/Speaker_11/Speaker11-221.wav,all di animals receive titanium rod 4 mm diameter 25 mm length inside di intramedullary canal of di left tibia wetin dem show here na ap radiograph of di knee wey dem take immediately after dem insert di implant,all animals received a titanium rod diameter 4 mm length 25 mm in the intramedullary canal of the left tibia shown here is an ap radiograph of the knee obtained immediately after implantation of the implant,Speaker_11,20.89,"['all', 'titanium', 'rod', 'mm', 'intramedullary', 'canal', 'ap', 'radiograph', 'knee']",train
audio/Speaker_11/Speaker11-222.wav,direct ldl cholesterol di value na 59 4 mg dl tsh thyroid stimulating hormone di value na 2 28 uiu ml urea urease gldh di value na 14 0 mg dl,direct ldl cholesterol the value is 59 4 mg dl tsh thyroid stimulating hormone the value is 2 28 uiu ml urea urease gldh the value is 14 0 mg dl,Speaker_11,21.46,"['direct', 'ld', 'mg', 'uiu', 'ml', 'urease']",train
audio/Speaker_11/Speaker11-223.wav,arip mt 30 tablet na antipsychotic medicine dem dey use am treat schizophrenia na mental disorder wey fit result for hallucinations or delusions and e still dey affect how person dey think behave and fit cause mania,arip mt 30 tablet is an antipsychotic medicine it is used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_11,18.9,"['arip', 'tablet', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_11/Speaker11-224.wav,di patient get history of statin induced myopathy e get food allergy since e be small pikin and drug induced anaphylaxis plus dem don already know say e dey allergic to penicillin anytime e take am rash dey come out for body and e go dey find am hard to breathe,the patient has a history of statin induced myopathy food allergy since childhood and drug induced anaphylaxis additionally they are known to be allergic to penicillin presenting with rashes and respiratory distress upon exposure,Speaker_11,23.91,"['statin', 'induced', 'myopathy', 'food', 'allergy', 'since', 'drug', 'anaphylaxis', 'rashes', 'respiratory', 'distress']",train
audio/Speaker_11/Speaker11-225.wav,postpyelonephritic scar coronal reformatted contrast enhanced ct scan for excretory phase show focal postpyelonephritic scar arrow for upper third part of di right kidney with dilation of di ipsilateral renal pelvis and ureter,postpyelonephritic scar coronal reformatted contrast enhanced ct excretory phase shows a focal postpyelonephritic scar arrow in the upper third of the right kidney with dilatation of ipsilateral renal pelvis and ureter,Speaker_11,25.49,"['coronal', 'reformatted', 'contrast', 'enhanced', 'ct', 'ex', 'tory', 'phase', 'focal', 'scar', 'arrow', 'kidney', 'dilatation', 'ipsilateral', 'renal', 'pelvis']",train
audio/Speaker_11/Speaker11-226.wav,biselect 2 5 tablet na one group of medicine wey dem dey call beta blockers dem dey use am treat high blood pressure hypertension angina heart related chest pain and irregular heart rhythms arrhythmia e still dey help prevent future heart attacks and migraines,biselect 2 5 tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension angina heart related chest pain irregular heart rhythms arrhythmia it also helps to prevent future heart attacks and to prevent migraines,Speaker_11,23.25,"['tablet', 'beta', 'angina', 'chest']",train
audio/Speaker_11/Speaker11-227.wav,tyledol 650mg tablet na medicine wey dem dey use relieve pain and reduce fever dem dey use am treat many conditions like headache body ache toothache and common cold,tyledol 650mg tablet is a medicine used to relieve pain and to reduce fever it is used to treat many conditions such as headache body ache toothache and common cold,Speaker_11,16.11,"['tyledol', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-228.wav,lurafic 80mg tablet na prescription medicine wey dem dey use treat schizophrenia na mental disorder wey fit make person get hallucinations or delusions and e still dey affect how person dey think and behave,lurafic 80mg tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave,Speaker_11,17.19,"['lurafic', 'tablet', 'mental', 'disorder', 'hallucinations', 'delusions', 'think']",train
audio/Speaker_11/Speaker11-229.wav,cardimol cp 0 5 mg 20 mg tablet na prescription medicine wey dem dey use treat anxiety disorder e dey calm di brain by reducing abnormal and too much activity for nerve cells,cardimol cp 0 5 mg 20 mg tablet is a prescription medicine used to treat anxiety disorder it calms the brain by decreasing abnormal and excessive activity of the nerve cells,Speaker_11,18.24,"['cardimol', 'mg', 'tablet', 'abnormal']",train
audio/Speaker_11/Speaker11-230.wav,amlozen at 5mg 50mg tablet na medicine wey dem dey use treat hypertension high blood pressure na combination of two medicines wey dey control blood pressure when one medicine alone no dey work well,amlozen at 5mg 50mg tablet is used to treat hypertension high blood pressure this is a combination of two medicines that controls blood pressure when a single medication is not effective,Speaker_11,16.64,"['amlozen', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-231.wav,tenolol 50 tablet na one group of medicine wey dem dey call beta blockers dem dey use am treat high blood pressure hypertension angina heart related chest pain and irregular heart rhythms arrhythmia,tenolol 50 tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension angina heart related chest pain irregular heart rhythms arrhythmia,Speaker_11,16.85,"['beta', 'blockers', 'angina', 'chest', 'irregular']",train
audio/Speaker_11/Speaker11-232.wav,one day before admission she notice abdominal pain small small she get one bowel movement but di abdominal pain still continue di pain dey come and go and e gradually dey worse she vomit many times,one day prior to admission she noted the gradual onset of abdominal pain she had one bowel movement but the abdominal pain persisted the pain was intermittent and gradually worsened she vomited several times,Speaker_11,15.96,"['prior', 'gradually', 'abdominal', 'bowel', 'movement', 'intermittent', 'vomited']",train
audio/Speaker_11/Speaker11-233.wav,noralox 400mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections for urinary tract nose throat skin soft tissues and lungs pneumonia,noralox 400mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_11,17.24,"['noralox', 'mg', 'tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_11/Speaker11-234.wav,plain abdominal computed tomography ct abdominal ct show one hypovascular tumor with massive calcification wey size about 2 52 3 cm for upper pole of di right kidney arrow,plain abdominal computed tomography ct abdominal ct revealed a hypovascular tumor with massive calcification measuring 2 52 3cm in the upper pole of the right kidney arrow,Speaker_11,19.41,"['abdominal', 'computed', 'tomography', 'ct', 'hypovascular', 'lar', 'tumor', 'massive', 'kidney']",train
audio/Speaker_11/Speaker11-235.wav,chlozep 1 mg 10 mg tablet na medicine wey dem dey use treat schizophrenia na combination medicine wey dey calm di brain by reducing abnormal and too much activity for di nerve cells,chlozep 1 mg 10 mg tablet is used in the treatment of schizophrenia it is a combination medicine which calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,17.28,"['chlozep', 'mg', 'tablet', 'excessive']",train
audio/Speaker_11/Speaker11-236.wav,nicoxib 90mg tablet na pain relieving medicine dem dey use am relieve moderate pain and swelling of joints wey relate to different forms of gout and arthritis e dey effectively reduce pain redness and swelling,nicoxib 90mg tablet is a pain relieving medicine it is used for relieving moderate pain and swelling of joints associated with different forms of gout and arthritis it effectively alleviates pain redness and swelling,Speaker_11,18.77,"['nicoxib', 'mg', 'tablet', 'moderate', 'swelling', 'joints', 'redness']",train
audio/Speaker_11/Speaker11-237.wav,advastat 20 tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,advastat 20 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,11.33,"['advastat', 'tablet']",train
audio/Speaker_11/Speaker11-238.wav,e don dey experience moderate pain for di mid third of im left thigh for about 7 days di symptoms dey become worse small small over di last 2 days,he had been experiencing pain of moderate intensity in the mid third of his left thigh for 7 days symptoms gradually worsened over the last 2 days,Speaker_11,11.24,"['moderate', 'intensity', 'mid', 'third', 'his', 'thigh', 'symptoms']",train
audio/Speaker_11/Speaker11-239.wav,oxybro 100 capsule na medicine wey dem dey use treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder na lung disorder wey flow of air to di lungs dey blocked,oxybro 100 capsule is used to treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder a lung disorder in which flow of air to the lung is blocked,Speaker_11,16.75,"['oxybro', 'capsule', 'obstructive', 'pulmonary', 'disorder', 'lung', 'flow']",train
audio/Speaker_11/Speaker11-240.wav,no evident trauma for di affected elbow for another hospital dem diagnose am with unilateral congenital radial head dislocation of di right elbow when she be 3 months old and dem start conservative treatment for am,no evident trauma of the affected elbow had occurred in another hospital she had been diagnosed with a unilateral congenital radial head dislocation of the right elbow at the age of 3 months for which a conservative treatment was initiated,Speaker_11,20.14,"['trauma', 'elbow', 'unilateral', 'congenital', 'radial', 'diagnosed', 'age', 'conservative', 'treatment']",train
audio/Speaker_11/Speaker11-241.wav,synclar 500 tablet na antibiotic wey dem dey use treat different types of infections e dey effective for most infections of di respiratory tract ear nose throat lungs and skin,synclar 500 tablet is an antibiotic used to treat various types of infections it is effective in most infections of the respiratory tract ear nose throat lungs and skin,Speaker_11,18.05,"['synclar', 'tablet']",train
audio/Speaker_11/Speaker11-242.wav,bvert 8mg tablet na medicine wey dem dey use prevent and treat disorder of di inner ear wey dem dey call mnires disease di symptoms na dizziness vertigo ringing for ear tinnitus and loss of hearing wey fit dey caused by fluid for di ear,bvert 8mg tablet is used to prevent and treat a disorder of the inner ear known as mnires disease the symptoms include dizziness vertigo ringing in the ears tinnitus and loss of hearing probably caused by fluid in the ear,Speaker_11,24.09,"['tablet', 'inner', 'ear', 'mnires', 'dizziness', 'ringing', 'ears', 'loss', 'hearing', 'fluid']",train
audio/Speaker_11/Speaker11-243.wav,di patient start to complain of groin pain two weeks after cardiac catheterization she get past medical history of aortic valve replacement because of aortic valve infective endocarditis plus hyperlipidemia and hypertension,the patient began complaining of groin pain two weeks after cardiac catheterization she has a past medical history of aortic valve replacement secondary to aortic valve infective endocarditis hyperlipidemia and hypertension,Speaker_11,24.85,"['groin', 'after', 'aortic']",train
audio/Speaker_11/Speaker11-244.wav,rozudoc 10 tablet na one kind medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,rozudoc 10 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,11.33,"['rozudoc', 'tablet']",train
audio/Speaker_11/Speaker11-245.wav,nicardipine na calcium channel blocker wey doctor dey prescribe for high blood pressure and chest pain nicardipine dey work by relaxing blood vessels when dem no suppose take nicardipine e dey contraindicated for patients wey get advanced aortic stenosis,nicardipine is a calcium channel blocker prescribed for high blood pressure and chest pain nicardipine works by relaxing blood vessels when should nicardipine not to be taken contraindicated in patients with advanced aortic stenosis,Speaker_11,22.91,"['nicardipine', 'calcium', 'channel', 'chest', 'aortic']",train
audio/Speaker_11/Speaker11-246.wav,lotas 50mg tablet na medicine wey dem dey use treat high blood pressure hypertension and heart failure lowering blood pressure dey help prevent future heart attack and stroke dis medicine still dey help preserve kidney function for patients wey get diabetes,lotas 50mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,21.95,"['lotas', 'mg', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-247.wav,di patient get history of steroid induced hyperglycemia mumps vaccine allergy since hin small and allergy to fluoroquinolone antibiotics also di patient get statin induced myopathy and known metformin allergy wey dey cause gastrointestinal wahala,the patient has a history of steroid induced hyperglycemia mumps vaccine allergy since childhood and an allergy to fluoroquinolone antibiotics additionally the patient has a statin induced myopathy and a known metformin allergy presenting with gastrointestinal distress,Speaker_11,23.1,"['steroid', 'induced', 'hyperglycemia', 'mumps', 'vaccine', 'allergy', 'fluoroquinolone', 'statin', 'myopathy']",train
audio/Speaker_11/Speaker11-248.wav,posteroanterior pa chest radiograph show anterior mediastinal mass as di arrows dey indicate dem identify am by hilum overlay and preservation of posterior mediastinal lines,posteroanterior pa chest radiograph of the anterior mediastinal mass as indicated by the arrows it is identified by the hilum overlay and preservation of posterior mediastinal lines,Speaker_11,21.18,"['posteroanterior', 'pa', 'chest', 'anterior', 'mediastinal', 'mass', 'hilum']",train
audio/Speaker_11/Speaker11-249.wav,while e dey admitted as inpatient for cancer hospital dem transfer am go intensive care unit icu for catheter placement and hemodialysis session di professional wey dey on duty choose left subclavian vein access using anatomic landmarks,while an inpatient at a cancer hospital he was transported to the intensive care unit icu for catheter placement and a hemodialysis session the professional on duty chose a left subclavian vein access using anatomic landmarks,Speaker_11,25.96,"['transported', 'intensive', 'care', 'unit', 'icu', 'hemodialysis']",train
audio/Speaker_11/Speaker11-250.wav,she talk say she don dey experience this pain sensation for di past two weeks wen dem inspect am for clinic dem no notice any facial discrepancy or swelling,she stated that she had been experiencing this sensation of pain for the past two weeks on clinical inspection no facial discrepancy and swelling was noticed,Speaker_11,12.84,"['clinical', 'inspection', 'facial', 'swelling']",train
audio/Speaker_11/Speaker11-251.wav,pyridium 100mg tablet na medicine wey dem dey use for symptomatic relief of pain e dey help treat burning sensation urgency to urinate and other discomforts wey come from urinary tract because of infection trauma surgery etc,pyridium 100mg tablet is used for symptomatic relief of pain it helps treat burning sensation urgency to urinate and other discomforts arising from the urinary tract caused by infection trauma surgery etc,Speaker_11,21.53,"['mg', 'tablet', 'urgency', 'discomforts', 'urinary']",train
audio/Speaker_11/Speaker11-252.wav,sgot sgpt ratio di value na 1 09 ratio ldl hdl ratio di value na 1 72 ratio serum t4 di value na 6 5 ug dl,sgot sgpt ratio the value is 1 09 ratio ldl hdl ratio the value is 1 72 ratio serum t4 the value is 6 5 ug dl,Speaker_11,18.56,"['sgot', 'sgpt', 'hdl', 'serum', 'ug']",train
audio/Speaker_11/Speaker11-253.wav,dem plan am for upper git endoscopy no significant past medical history dey and e no dey on immunosuppressive therapy one day before endoscopy e start to feel right lower costal pain wey worsen the next morning,he was planned for upper git endoscopy there was no significant past medical history and he is not on immunosuppressive therapy one day before endoscopy he started to feel right lower costal pain which worsened next morning,Speaker_11,22.34,"['git', 'no', 'significant', 'past', 'medical', 'history', 'before', 'costal']",train
audio/Speaker_11/Speaker11-254.wav,pct platelet crit di value na 0 28 s creatinine di value na 0 92 mg dl bicarbonate di value na 24 6 mmol l,pct platelet crit the value is 0 28 s creatinine the value is 0 92 mg dl bicarbonate the value is 24 6 mmol l,Speaker_11,18.47,"['pct', 'mg', 'mmol']",train
audio/Speaker_11/Speaker11-255.wav,dysmorphic and inhomogeneous spleen with nodular millimeter areas as arrows show wey appear hypodense during arterial and portal phases of di contrastographic study for abdominal ct scan di transverse diameter reach maximum of 11 mm,dysmorphic and inhomogeneous spleen with nodular millimeter areas indicated with the arrows which appeared hypodense during arterial and portal phases of the contrastographic study transverse diameter max 11mm at abdominal ct scan,Speaker_11,28.35,"['dysmorphic', 'inhomogeneous', 'nodular', 'millimeter', 'areas', 'hypodense', 'arterial', 'portal', 'phases', 'contrastographic', 'study', 'transverse', 'diameter', 'abdominal', 'ct']",train
audio/Speaker_11/Speaker11-256.wav,axial t2 weighted image show retro odontoid pseudotumor as hyperintense mass black arrow wey extrude through di transverse ligament and dey compress di myelum white arrow,axial t2 weighted image the retro odontoid pseudotumor is seen as a hyperintense mass black arrow which extrudes through the transverse ligament and compresses the myelum white arrow,Speaker_11,17.73,"['axial', 'retro', 'odontoid', 'hyperintense', 'mass', 'black', 'through', 'transverse', 'ligament', 'myelum']",train
audio/Speaker_11/Speaker11-257.wav,telsant am 40 tablet contain two medicines and both of dem dey help control high blood pressure e dey lower blood pressure by relaxing blood vessels and e dey make am easy for di heart to pump blood round di body,telsant am 40 tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_11,17.09,"['tablet', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-258.wav,she get severe pain for di left knee wey badly affect her activities of daily living she na known case of hypertension for di past 8 years and hypothyroidism for di past 20 years dem recently diagnose am with diabetes mellitus,she had severe pain in the left knee which badly affected her activities of daily living she was a known case of hypertension for last 8 years and hypothyroidism for last 20 years she was recently diagnosed with diabetes mellitus,Speaker_11,22.08,"['severe', 'knee', 'hypertension', 'diabetes']",train
audio/Speaker_11/Speaker11-259.wav,no irregular erosions or depressions dey within di field of view upper gastrointestinal series show gastric fold swelling wey extend from di gastric corpus go reach di fundus,there were no irregular erosions or depressions within the field of view upper gastrointestinal series revealed gastric fold swelling extending from the gastric corpus to the fundus,Speaker_11,16.32,"['irregular', 'erosion', 'depressions', 'gastrointestinal', 'gastric', 'swelling']",train
audio/Speaker_11/Speaker11-260.wav,zoldem 5mg tablet na prescription medicine wey dem dey use for short term treatment of insomnia e dey reduce sleep onset time and frequent waking up for night dis medicine dey improve sleep maintenance and ensure sound sleep,zoldem 5mg tablet is a prescription medicine used for short term treatment of insomnia it reduces sleep onset time and frequent awakening at night this medicine improves sleep maintenance and therefore ensures sound sleep,Speaker_11,19.41,"['zoldem', 'tablet', 'insomnia', 'frequent']",train
audio/Speaker_11/Speaker11-261.wav,dem manage am conservatively for surgical unit as partial intestinal obstruction and e dey wait for diagnostic laparoscopy di patient later develop confusion and dem find say e get systemic hypertension so dem transfer am go medical ward for further management,he was conservatively managed in a surgical unit as partial intestinal obstruction and was awaiting diagnostic laparoscopy the patient developed confusion and found to have systemic hypertension and therefore was transferred to a medical ward for further management,Speaker_11,23.3,"['managed', 'surgical', 'unit', 'partial', 'intestinal', 'obstruction', 'confusion', 'systemic', 'transferred', 'medical', 'ward']",train
audio/Speaker_11/Speaker11-262.wav,selenium value no dey available t3 total di value na 1 11 ng dl mucus value no dey available,selenium value is not available t3 total the value is 1 11 ng dl mucus value is not available,Speaker_11,12.16,[],train
audio/Speaker_11/Speaker11-263.wav,coronal reformation ct image show say this lesion circle dey exert compression on di pyriform sinus and di larynx with respect to di neck vessels,coronal reformation ct image showed that this lesion circle is exerting a compression on the pyriform sinus and the larynx with respect to the neck vessels,Speaker_11,15.36,"['respect', 'lesion', 'compression', 'pyriform', 'sinus', 'larynx', 'vessels']",train
audio/Speaker_11/Speaker11-264.wav,e localize im pain to di right lower quadrant e complain of right lower quadrant pain and when dem palpate di left lower quadrant e still feel pain rovsing s sign e also talk say di pain dey reproducible when dem extend di right hip psoas sign,he localized his pain to the right lower quadrant complained of right lower quadrant pain with palpation of the left lower quadrant rovsing s sign and indicated his pain was reproducible with extension of the right hip psoas sign,Speaker_11,20.89,"['quadrant', 'palpation', 'hip']",train
audio/Speaker_11/Speaker11-265.wav,cortsar 6mg tablet na one group of medicine wey dem dey call steroids dem dey use am treat different diseases and conditions like allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,cortsar 6mg tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_11,18.22,"['cortsar', 'steroids']",train
audio/Speaker_11/Speaker11-266.wav,mean platelet volume mpv di value na 8 4 fl urine rbc value no dey available triglycerides di value na 118 0 mg dl,mean platelet volume mpv the value is 8 4 fl urine rbc value is not available triglycerides the value is 118 0 mg dl,Speaker_11,16.11,"['platelet', 'mg']",train
audio/Speaker_11/Speaker11-267.wav,ct chest and upper abdomen show consolidation for di right lung base and dem treat am for pneumonia and atrial fibrillation shortly after dem admit am e develop abdominal pain diarrhoea and low grade pyrexia,a ct chest and upper abdomen demonstrated consolidation of the right lung base and he was treated for his pneumonia and atrial fibrillation shortly after admission he developed abdominal pain diarrhoea and a low grade pyrexia,Speaker_11,20.71,"['ct', 'chest', 'abdomen', 'consolidation', 'lung', 'base', 'pneumonia', 'demonstrated', 'admission', 'abdominal', 'diarrhoea', 'low']",train
audio/Speaker_11/Speaker11-268.wav,sera 10mg tablet na medicine wey dem dey use treat pain and inflammation e dey help relieve pain and swelling for postoperative wounds and inflammatory diseases dem fit take sera 10mg tablet with or without food,sera 10mg tablet is used in the treatment of pain and inflammation it helps relieve pain and swelling in postoperative wounds and inflammatory diseases sera 10mg tablet can be taken with or without food,Speaker_11,18.88,"['mg', 'tablet', 'swelling', 'wounds']",train
audio/Speaker_11/Speaker11-269.wav,cefrax cv 200mg 125mg tablet na combination medicine dem dey prescribe am to treat different types of bacterial infections e dey fight against microorganisms to prevent their growth and further spread of di infection,cefrax cv 200mg 125mg tablet is a combination medicine it is prescribed to treat various types of bacterial infections it fights against the microorganisms to prevent their growth and further spread of the infection,Speaker_11,20.93,"['cefrax', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-270.wav,ccta show anomalous vessel wey arise from di proximal left circumflex artery wey come give rise to one 9 7 cm coronary artery aneurysm ccta coronary computed tomography angiography,ccta showing an anomalous vessel arising from the proximal left circumflex artery and giving rise to a 9 7 cm coronary artery aneurysm cctacoronary computed tomography angiography,Speaker_11,23.0,"['anomalous', 'proximal', 'circumflex', 'artery', 'cm', 'coronary', 'aneurys', 'ccta', 'computed', 'tomography', 'angiography']",train
audio/Speaker_11/Speaker11-271.wav,di patient get known history of metformin intolerance drug induced rash and steroid induced hyperglycemia also e get chronic nasal allergy with symptoms wey dey happen again and again for many years di patient also no dey tolerant multiple medications,the patient has a known history of metformin intolerance drug induced rash and steroid induced hyperglycemia additionally they have a chronic nasal allergy with recurrent symptoms for several years the patient is also intolerant to multiple medications,Speaker_11,24.87,"['metformin', 'induced', 'hyperglycemia', 'chronic', 'nasal', 'allergy', 'recurrent', 'symptoms']",train
audio/Speaker_11/Speaker11-272.wav,vogligress 0 3mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus e dey help control di high blood sugar levels for your body after each meal,vogligress 0 3mg tablet is a medicine used to treat type 2 diabetes mellitus it helps control the high blood sugar levels in your body after each meal,Speaker_11,14.14,"['ss', 'mg', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-273.wav,laza 6mg tablet na one group of medicine wey dem dey call steroids dem dey use am treat different diseases and conditions like allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,laza 6mg tablet belongs to a group of medicines called steroids it is used for treatment of various diseases and conditions such as allergic conditions asthma cancer rheumatic disorder and skin and eye disorders,Speaker_11,18.07,"['laza', 'tablet', 'steroids']",train
audio/Speaker_11/Speaker11-274.wav,rexonac sp 100mg 325mg 15mg tablet na combination medicine wey dem dey use relieve pain and swelling for different conditions like muscle pain joint pain and postoperative pain,rexonac sp 100mg 325mg 15mg tablet is a combination medicine used to relieve pain and swelling in various conditions like muscle pain joint pain and postoperative pain,Speaker_11,19.22,"['rexonac', 'mg', 'tablet', 'swelling', 'muscle', 'joint']",train
audio/Speaker_11/Speaker11-275.wav,axial fused positron emission tomography ct image show right axillary hypermetabolic adenopathy e also show marked skin thickening with hypermetabolic activity for di opposing skin folds of di right axillary region,axial fused positron emission tomography ct image shows right axillary hypermetabolic adenopathy as well as marked skin thickening associated with hypermetabolic activity at the opposing skin folds of the right axillary region,Speaker_11,25.09,"['axial', 'fused', 'positron', 'emission', 'tomography', 'ct', 'axillary', 'hypermetabolic', 'adenopathy', 'thickening', 'activity']",train
audio/Speaker_11/Speaker11-276.wav,telzoe mt 40mg 50mg tablet na medicine wey dem dey use treat high blood pressure by lowering di blood pressure e dey help prevent future heart attack and stroke,telzoe mt 40mg 50mg tablet is a medicine used for treating high blood pressure by lowering the blood pressure it helps in preventing future heart attack and stroke,Speaker_11,14.59,"['telzoe', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-277.wav,di patient hit im head on one open cabinet door but him no go hospital because e no get any additional symptoms e also avoid to go doctor office because di pandemic dey on the rise,the patient struck his head on an open cabinet door but did not seek immediate medical care as he did not have additional symptoms he also avoided going to a physicians office as the pandemic was on the rise,Speaker_11,14.81,"['physicians', 'office', 'pandemic']",train
audio/Speaker_11/Speaker11-278.wav,urine protein value no dey available mono di value na 7 2 gamma gt serum di value na 31 6 u l,urine protein value is not available mono the value is 7 2 gamma gt serum the value is 31 6 u l,Speaker_11,13.59,[],train
audio/Speaker_11/Speaker11-279.wav,calchek t 40 tablet contain two medicines and both of dem dey help control high blood pressure e dey lower blood pressure by relaxing blood vessels and e dey make am easy for di heart to pump blood round di body,calchek t 40 tablet contains two medicines both of which help to control high blood pressure it lowers the blood pressure by relaxing the blood vessels and making it easier for your heart to pump blood around your body,Speaker_11,16.66,"['calchek', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-280.wav,linotril 0 5mg tablet na prescription medicine wey dem dey use treat epilepsy seizures and anxiety disorder e dey help reduce abnormal and too much activity for di nerve cells and e dey calm di brain,linotril 0 5mg tablet is a prescription medicine used to treat epilepsy seizures and anxiety disorder it helps to decrease the abnormal and excessive activity of the nerve cells and calms the brain,Speaker_11,17.64,"['mg', 'tablet', 'epilepsy', 'excessive', 'nerve', 'cells']",train
audio/Speaker_11/Speaker11-281.wav,prolet 12 5 tablet na one group of medicine wey dem dey call barbiturates na prescription medicine wey dem dey use treat and prevent epilepsy seizures dem still get hypnotic properties,prolet 12 5 tablet belongs to a class of medicines called barbiturates it is a prescription medicine used to treat and prevent epilepsy seizures they also have hypnotic properties,Speaker_11,15.72,"['tablet', 'epilepsy']",train
audio/Speaker_11/Speaker11-282.wav,when dem examine am dem feel one huge nontender firm mass about 20 cm 15 cm wey occupy di whole right side of di abdomen and crossing di midline reach up to di left midclavicular line dey palpable,on examination a huge nontender firm mass 20 cm 15 cm occupying the whole of the right side of the abdomen and crossing the midline up to the left midclavicular line was palpable,Speaker_11,21.33,"['huge', 'nontender', 'firm', 'mass', 'cm', 'abdomen', 'occupying']",train
audio/Speaker_11/Speaker11-283.wav,pain dey continuous dull aching type localized to di right lower jaw region e dey increase when e dey chew food and talk and e dey reduce small when e take medicine,pain was continuous dull aching type localized to the right lower jaw region it increased on chewing food talking and decreased slightly on taking medication,Speaker_11,14.98,"['continuous', 'dull', 'aching', 'jaw', 'talking']",train
audio/Speaker_11/Speaker11-284.wav,fexita 120mg tablet na anti allergy medicine wey dem dey use treat allergic symptoms like runny nose congestion or stuffiness sneezing itching swelling and watery eyes e still dey help treat skin allergies with itching redness or swelling,fexita 120mg tablet is an anti allergy medicine used in the treatment of allergic symptoms such as runny nose congestion or stuffiness sneezing itching swelling and watery eyes it also helps treat skin allergies with itching redness or swelling,Speaker_11,22.42,"['fexita', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-285.wav,phexin bd 375mg tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey work for infections of di lungs ears throat urinary tract skin soft tissues bones and joints,phexin bd 375mg tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs ears throat urinary tract skin soft tissues bones and joints,Speaker_11,18.75,"['mg', 'antibiotic', 'infections', 'your']",train
audio/Speaker_11/Speaker11-286.wav,dapamac 10mg tablet na medicine wey dem dey use alone or together with other medicines to treat type 2 diabetes mellitus e dey help control di high blood sugar levels wey dey for diabetes,dapamac 10mg tablet is used alone or in combination with other medicines to treat type 2 diabetes mellitus it helps control the high blood sugar levels seen in diabetes,Speaker_11,15.57,"['dapamac', 'tablet', 'type']",train
audio/Speaker_11/Speaker11-287.wav,carbonyl iron na dietary supplement wey doctor dey prescribe for iron deficiencies and iron deficiency anemia carbonyl iron dey help transport oxygen for body when person no suppose take carbonyl iron hypersensitivity wetin be the dosage of carbonyl iron,carbonyl iron is a dietary supplement prescribed for iron deficiencies and iron deficiency anemia carbonyl helps in oxygen transportation in the body when should carbonyl iron not to be taken hypersensitivity what is the dosage of carbonyl iron,Speaker_11,23.08,[],train
audio/Speaker_11/Speaker11-288.wav,dem examine di patient and dem see rudimentary cartilage for di right side with missing malformed ear di left side ear normal and no other congenital anomaly dey except microtia,the patient was examined and the presence of rudimentary cartilage was seen on right side with missing malformed ear the left side ear was normal and there was no other congenital anomaly present except microtia,Speaker_11,16.3,"['rudimentary', 'cartilage', 'side']",train
audio/Speaker_11/Speaker11-289.wav,di pain start with di accident wey suddenly increase di frequency and amplitude of tens wey another patient for di next bed dey apply to her left knee,the pain had begun with the accident which abruptly raised the frequency and amplitude of tens which had been being applied to her left knee by another patient in the next bed,Speaker_11,12.25,['accident'],train
audio/Speaker_11/Speaker11-290.wav,apgar scores be 7 7 and 9 at 1 5 and 10 minutes respectively and birth weight be 2 9 kg physical examination no reveal any facial dysmorphism,apgar scores were 7 7 and 9 at 1 5 and 10 minutes respectively with birth weight of 2 9 kg physical examination did not reveal any facial dysmorphism,Speaker_11,15.59,"['apgar', 'scores', 'birth', 'weight', 'physical', 'examination']",train
audio/Speaker_11/Speaker11-291.wav,statel 40mg tablet na medicine wey dem dey use treat high blood pressure and heart failure lowering blood pressure dey help prevent future heart attack and stroke dis medicine still dey help preserve kidney function for patients wey get diabetes,statel 40mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,19.99,"['statel', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-292.wav,s amlosafe 2 5 tablet na medicine wey dem dey use treat high blood pressure hypertension and prevent angina heart related chest pain na calcium channel blocker wey dey help lower blood pressure and reduce di workload of di heart,s amlosafe 2 5 tablet is a medicine used to treat high blood pressure hypertension and to prevent angina heart related chest pain it is a calcium channel blocker which helps to lower blood pressure and reduce the workload of the heart,Speaker_11,19.65,"['amlosafe', 'tablet', 'high', 'blood', 'pressure', 'angina', 'chest', 'calcium', 'channel', 'blocker']",train
audio/Speaker_11/Speaker11-293.wav,cepazine 500mg tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey work well well for infections of di lungs like pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,cepazine 500mg tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs e g pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,Speaker_11,21.12,"['infections', 'lungs', 'nasal', 'your']",train
audio/Speaker_11/Speaker11-294.wav,taloprex 10 tablet na medicine wey dem dey prescribe well well to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder na type of antidepressant wey dem dey call selective serotonin reuptake inhibitor ssri,taloprex 10 tablet is widely prescribed to treat depression and other mental health conditions like anxiety panic disorder and obsessive compulsive disorder it is a type of antidepressant known as a selective serotonin reuptake inhibitor ssri,Speaker_11,24.55,"['tablet', 'antidepressant', 'selective', 'serotonin', 'reuptake', 'inhibitor']",train
audio/Speaker_11/Speaker11-295.wav,vistadrox 500mg tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey work well well for infections of di throat ears urinary tract skin and soft tissues,vistadrox 500mg tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the throat ears urinary tract skin and soft tissues,Speaker_11,16.49,"['mg', 'tablet', 'bacterial', 'infections', 'urinary']",train
audio/Speaker_11/Speaker11-296.wav,di patient stop to dey drink alcohol recently wey be positive step towards improving im overall health and liver function currently di patient dey on milk based diet wey dey provide essential nutrients and promote healthy digestion,patient has recently stopped consuming alcohol which is a positive step towards improving overall health and liver function currently the patient is on a milk based diet providing essential nutrients and promoting healthy digestion,Speaker_11,19.35,"['milk', 'based']",train
audio/Speaker_11/Speaker11-297.wav,calcific tendinopathy of di pectoralis major dem see pectoralis major calcific tendinopathy along di anterior cortex of di proximal humerus diaphysis for lateral humerus or internal rotation ap shoulder radiographs arrow,calcific tendinopathy of the pectoralis major pectoralis major calcific tendinopathy can be seen along the anterior cortex of the proximal humerus diaphysis on lateral humerus or internal rotation ap shoulder radiographs arrow,Speaker_11,24.04,"['calcific', 'tendinopathy', 'pectoralis', 'anterior', 'cortex', 'proximal', 'humerus', 'diaphysis', 'lateral', 'shoulder', 'radio']",train
audio/Speaker_11/Speaker11-298.wav,dem give di patient oral steroid course and azithromycin for presumed pharyngitis over di next four days she develop progressive neck swelling wey make dem take her to di emergency department,the patient was given an oral steroid course and azithromycin for presumed pharyngitis over the next four days she developed progressive neck swelling prompting her presentation to the emergency department,Speaker_11,19.35,"['oral', 'steroid', 'course', 'azithromycin', 'pharyngitis', 'next', 'progressive', 'swelling', 'presentation']",train
audio/Speaker_11/Speaker11-299.wav,fluvoxamine na antidepressant wey doctor dey prescribe for psychiatric disorders like obsessive compulsive disorder social phobia and depression fluvoxamine dey inhibit di uptake of serotonin neurotransmitter by nerve cells when person no suppose take fluvoxamine,fluvoxamine is an antidepressant prescribed for psychiatric disorders such as obsessive compulsive disorder social phobia and depression fluvoxamine inhibits the uptake of serotonin a neurotransmitter by nerve cells when should fluvoxamine not to be taken,Speaker_11,25.58,"['fluvoxamine', 'neurotransmitter']",train
audio/Speaker_11/Speaker11-300.wav,rabegard dsr 30 mg 20 mg capsule na combination medicine wey dem dey use treat gastroesophageal reflux disease acid reflux and peptic ulcer disease e dey relieve symptoms of acidity like heartburn stomach pain or irritation,rabegard dsr 30 mg 20 mg capsule is a combination medicine used to treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving the symptoms of acidity such as heartburn stomach pain or irritation,Speaker_11,21.82,"['mg', 'reflux', 'disease', 'acid', 'peptic', 'ulcer']",train
audio/Speaker_11/Speaker11-301.wav,carvil 12 5 tablet na medicine wey dem dey use treat high blood pressure heart related chest pain angina and heart failure e dey work by relaxing blood vessels so blood fit flow easily go di heart,carvil 12 5 tablet is a medicine used to treat high blood pressure heart related chest pain angina and heart failure it works by relaxing the blood vessels so blood can flow more easily to the heart,Speaker_11,15.42,['tablet'],train
audio/Speaker_11/Speaker11-302.wav,postsurgical x ray na x ray for di left foot with one small osteochondroma for di lateral side of di distal phalanx of digit 5 green arrow after surgical removal of osteochondroma for di lateral side of digit 4,postsurgical x ray an x ray of the left foot with a small osteochondroma at the lateral side of the distal phalanx of digit 5 green arrow after surgical removal of an osteochondroma at the lateral side of digit 4,Speaker_11,19.52,"['phalanx', 'ray', 'foot', 'small', 'osteochondroma', 'lateral', 'surgical', 'removal']",train
audio/Speaker_11/Speaker11-303.wav,di patient na occasional smoker e dey smoke about 5 6 cigarettes per week with history of smoking for di past 3 years as a driver e dey spend long hours for road wey lead to sedentary lifestyle,patient is an occasional smoker indulging in 5 6 cigarettes per week with a history of smoking for the past 3 years as a driver the patient spends long hours on the road leading to a sedentary lifestyle,Speaker_11,16.41,[],train
audio/Speaker_11/Speaker11-304.wav,alsartan 50 tablet na medicine wey dem dey use treat high blood pressure and heart failure if blood pressure come down e dey help prevent heart attack and stroke for future this medicine still dey help preserve kidney function for people wey get diabetes,alsartan 50 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,20.03,"['alsartan', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-305.wav,preemptive kidney transplant na when person receive kidney transplant before kidney don spoil reach level wey dem suppose start dialysis to replace the normal filtering function of di kidney,text preemptive kidney transplant type preemptive kidney transplant a preemptive kidney transplant is when you receive a kidney transplant before your kidney function deteriorates to the point of needing dialysis to replace the normal filtering function of the kidneys,Speaker_11,14.95,"['preemptive', 'kidney', 'transplant']",train
audio/Speaker_11/Speaker11-306.wav,posterior anterior x ray of di chest you go see say di heart don shift go the right side of chest di right lung dey hypoplastic also you go still see say di scimitar sign one curvilinear opacity dey get wider as e dey go down reach the inferior vena cava,posterior anterior x ray of the chest note that the heart is shifted into the right chest the right lung is hypoplastic also note the scimitar sign a curvilinear opacity widening in its course to the inferior vena cava,Speaker_11,23.45,"['posterior', 'ray', 'lung', 'curvilinear', 'opacity', 'widening', 'inferior', 'vena']",train
audio/Speaker_11/Speaker11-307.wav,six days before e go hospital the patient start to dey feel numbness for right upper limb and e no dey steady when e dey hold something without any clear reason but e no go hospital sharp sharp for treatment,six days before the hospital visit the patient experienced numbness in the right upper limb and instability while holding without obvious incentive but did not seek immediate medical intervention,Speaker_11,15.19,"['before', 'numbness', 'limb', 'instability']",train
audio/Speaker_11/Speaker11-308.wav,thpd 5mg tablet na medicine wey dem dey use together with other medicines to treat parkinsons disease dem still dey use am treat plenty movement side effects wey certain drugs cause drug induced movement disorder,thpd 5mg tablet is used with other medicines to treat parkinsons disease its also used to treat severe movement side effects caused by certain drugs drug induced movement disorder thpd,Speaker_11,15.89,"['thpd', 'mg', 'tablet', 'severe', 'movement', 'side', 'effects']",train
audio/Speaker_11/Speaker11-309.wav,postoperative axial gadolinium enhanced t1 weighted show one big cavity for di lower portion of di right temporal lobe with surrounding edema and plenty minor enhanced lesions for di counterpart of di left temporal lobe,postoperative axial gadolinium enhanced t1 weighted images a big cavity in the lower portion of right temporal lobe with surrounding edema and several minor enhanced lesions in the counterpart of the left temporal lobe,Speaker_11,20.39,"['axial', 'gadolinium', 'enhanced', 'weighted', 'images', 'big', 'cavity', 'temporal', 'lobe', 'several', 'minor', 'lesions']",train
audio/Speaker_11/Speaker11-310.wav,she no get any symptoms chest x ray show tumor shadow for di upper middle field of di right lung with pleural effusion and another tumor shadow for di upper field of di left lung,she did not have any symptoms the chest x ray showed a tumor shadow in the upper middle field of the right lung with pleural effusion and a tumor shadow in the upper field of the left lung,Speaker_11,15.42,"['chest', 'ray', 'tumor', 'shadow', 'lung', 'pleural', 'effusion']",train
audio/Speaker_11/Speaker11-311.wav,arident 5mg tablet na antipsychotic medicine dem dey use am treat schizophrenia na mental disorder wey fit cause hallucinations or delusions and e still dey affect how person dey think and behave including mania,arident 5mg tablet is an antipsychotic medicine it is used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_11,17.75,"['tablet', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_11/Speaker11-312.wav,zalat 2 5mg tablet na type of diuretic water pill medicine dis medicine dey reduce excess fluid levels for body and dem dey use am treat edema fluid overload wey relate to heart liver kidney or lung disease,zalat 2 5mg tablet is a type of diuretic water pill medicine this medicine reduces excess fluid levels in the body and is used to treat edema fluid overload associated with heart liver kidney or lung disease,Speaker_11,16.3,"['mg', 'tablet', 'edema', 'fluid', 'overload', 'lung']",train
audio/Speaker_11/Speaker11-313.wav,coronary ct angiogram show di right r left l and non coronary n cusps di right coronary cusp dey bear di ostia of di right coronary artery and also di left coronary artery di left atrium la also dey visualized,coronary ct angiogram showing the right r left l and non coronary n cusps the right coronary cusp bares the ostia of the right coronary artery as well as the left coronary artery the left atrium la is also visualized,Speaker_11,22.06,"['coronary', 'ct', 'angiogram', 'non', 'atrium']",train
audio/Speaker_11/Speaker11-314.wav,di patient get history of steroid induced skin rashes thyroxine induced hypersensitivity and skin allergies wey dey happen again and again since when hin be pikin di skin allergies dey always cause plenty scratching and swelling anytime hin dey exposed to certain triggers,the patient has a history of steroid induced skin rashes thyroxine induced hypersensitivity and recurrent skin allergies since childhood the skin allergies are known to cause severe itching and swelling upon exposure to certain triggers,Speaker_11,20.61,"['rash', 'severe', 'itching', 'swelling']",train
audio/Speaker_11/Speaker11-315.wav,di patient get known history of gestronol allergy wey dey happen with rash and respiratory wahala gallamine allergy wey dey cause muscle weakness steroid induced hyperglycemia and sulphaurea allergy wey dey cause gastrointestinal symptoms also dem report say dem get drug allergy since 2015 with reactions wey dey unpredictable,the patient has a known history of gestronol allergy presenting with rash and respiratory distress gallamine allergy with muscle weakness steroid induced hyperglycemia and sulphaurea allergy causing gastrointestinal symptoms additionally a drug allergy since 2015 has been reported with unpredictable reactions,Speaker_11,28.71,"['gestronol', 'rash', 'gallamine', 'allergy', 'steroid', 'induced', 'hyperglycemia', 'sulphaurea', 'drug', 'unpredictable']",train
audio/Speaker_11/Speaker11-316.wav,urea creatinine ratio di value na 44 45 ratio neutrophils di value na 48 6 rdw sd di value na 53 5 fl,urea creatinine ratio the value is 44 45 ratio neutrophils the value is 48 6 rdw sd the value is 53 5 fl,Speaker_11,14.68,"['rd', 'fl']",train
audio/Speaker_11/Speaker11-317.wav,levemex od 500mg tablet na anti epileptic medicine wey dem dey use treat seizures fits for epilepsy dem fit use am alone or with other medicines e dey help prevent seizures as long as person continue to take am,levemex od 500mg tablet is an anti epileptic medicine used to treat seizures fits in epilepsy it can be used alone or along with other medicines it helps to prevent seizures for as long as you continue to take it,Speaker_11,18.01,"['levemex', 'mg', 'tablet', 'seizures']",train
audio/Speaker_11/Speaker11-318.wav,glador 3 tablet na medicine wey dem dey use treat type 2 diabetes mellitus for adults e belong to group of medicines wey dem dey call sulfonylureas and e dey help control blood sugar levels for people wey get diabetes,glador 3 tablet is a medicine used to treat type 2 diabetes mellitus in adults it belongs to a group of medicines called sulfonylureas and helps control blood sugar levels in people with diabetes,Speaker_11,17.39,"['glador', 'tablet', 'type', 'diabetes', 'mellitus', 'sulfonylureas']",train
audio/Speaker_11/Speaker11-319.wav,loobid 200 mg 500 mg tablet na combination of two antibiotics wey dey effectively kill microorganisms dem dey use am treat gynecological infections lung infections urinary infections and gastrointestinal infections like acute diarrhea or dysentery,loobid 200 mg 500 mg tablet is a combination of two antibiotics that effectively kills the microorganisms it is used to treat gynecological infections lung infections urinary infections and gastrointestinal infections such as acute diarrhea or dysentery,Speaker_11,24.94,"['loobid', 'tablet', 'antibiotics', 'acute']",train
audio/Speaker_11/Speaker11-320.wav,asteros 5mg tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,asteros 5mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,10.28,"['asteros', 'tablet']",train
audio/Speaker_11/Speaker11-321.wav,na postoperative imaging studies using contrast enhanced ct at a postoperative day 1 and b 5 months after operation for image a arrowhead and arrow indicate anterior and posterior sectorial branch of di right hepatic artery respectively,postoperative imaging studies using contrast enhanced ct at a postoperative day 1 and b 5months after operation a arrowhead and arrow indicate anterior and posterior sectorial branch of the right hepatic artery respectively,Speaker_11,23.81,"['imaging', 'studies', 'contrast', 'enhanced', 'ct', 'hepatic']",train
audio/Speaker_11/Speaker11-322.wav,levi m 5 mg 10 mg tablet na combination medicine wey dem dey use treat allergic symptoms like runny nose stuffy nose sneezing itching swelling watery eyes and congestion or stuffiness,levi m 5 mg 10 mg tablet is a combination medicine used in the treatment of allergic symptoms such as runny nose stuffy nose sneezing itching swelling watery eyes and congestion or stuffiness,Speaker_11,18.67,"['mg', 'tablet', 'allergic', 'symptoms', 'runny', 'stuffy', 'itching']",train
audio/Speaker_11/Speaker11-323.wav,di patient get history of statin induced myopathy since 2020 e get known allergy to carbamazepine wey dey occur with rash and respiratory wahala and general drug allergy with history of hives and anaphylaxis,the patient has a history of statin induced myopathy since 2020 a known allergy to carbamazepine presenting with rash and respiratory distress and a general drug allergy with a history of hives and anaphylaxis,Speaker_11,21.35,"['statin', 'induced', 'myopathy', 'carbamazepine', 'rash', 'general', 'drug', 'allergy', 'hives']",train
audio/Speaker_11/Speaker11-324.wav,lipikind cv 10mg 75mg capsule na combination of two medicines wey dem dey use prevent heart attack and stroke dis medicine dey reduce bad cholesterol ldl and triglycerides fats levels e still dey reduce formation of blood clots,lipikind cv 10mg 75mg capsule is a combination of two medicines used to prevent heart attack and stroke this medicine reduces the bad cholesterol ldl and triglycerides fats levels moreover it also decreases the formation of blood clots,Speaker_11,22.19,"['cv', 'mg', 'terol', 'ldl', 'triglycerides', 'fats']",train
audio/Speaker_11/Speaker11-325.wav,polypod 200 tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey work well well for infections of di lungs like pneumonia urinary tract ear nasal sinus throat and skin,polypod 200 tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs eg pneumonia urinary tract ear nasal sinus throat and skin,Speaker_11,18.3,"['antibiotic', 'bacterial', 'infections', 'lungs', 'urinary', 'nasal']",train
audio/Speaker_11/Speaker11-326.wav,apart from dyspepsia wey dey on symptomatic treatment e no get any significant comorbidities e dey work as chef for ships and recently dem admit am overseas after one episode of sun stroke where dem hospitalize am for one week,apart from dyspepsia on symptomatic treatment he did not have any significant comorbidities he worked as a chef on ships and was recently admitted overseas with an episode of sun stroke for which he was hospitalised for a week,Speaker_11,20.07,"['dyspepsia', 'worked', 'as', 'chef', 'ships', 'admitted', 'overseas', 'sun', 'stroke', 'hospitalised']",train
audio/Speaker_11/Speaker11-327.wav,dolofresh mr 100mg 325mg 250mg tablet na combination medicine wey dey help relieve pain for muscle e dey work by blocking di release of some chemical messengers wey dey cause pain inflammation and fever,dolofresh mr 100mg 325mg 250mg tablet is a combination medicine which helps in relieving muscular pain it works by blocking the release of certain chemical messengers that cause pain inflammation and fever,Speaker_11,20.78,"['mg', 'tablet']",train
audio/Speaker_11/Speaker11-328.wav,valcivir 1000 tablet na antiviral medicine wey dem dey use treat herpes labialis genital herpes infection and herpes zoster infections e dey prevent di virus from multiplying for human cells and e dey clear di infection,valcivir 1000 tablet is an antiviral medicine used in the treatment of herpes labialis genital herpes infection and herpes zoster infections it prevents the multiplication of virus in human cells and clears up the infection,Speaker_11,18.54,['valcivir'],train
audio/Speaker_11/Speaker11-329.wav,di patient get known chronic allergy to dust e also get history of drug allergies since 2015 wey dey happen with rashes and respiratory wahala also di patient don experience adverse reactions to some medications wey make dem stop to dey use di offending prescriptions,the patient has a known chronic allergy to dust with a history of drug allergies since 2015 presenting with rashes and respiratory distress additionally the patient has experienced adverse reactions to certain medications requiring discontinuation of the offending prescriptions,Speaker_11,22.83,"['adverse', 'reactions']",train
audio/Speaker_11/Speaker11-330.wav,rosloy asp 20mg 150mg tablet na combination of two medicines wey dem dey use prevent heart attack and stroke dis medicine dey reduce bad cholesterol ldl and triglycerides fats levels e still dey reduce d formation of blood clots,rosloy asp 20mg 150mg tablet is a combination of two medicines used to prevent heart attack and stroke this medicine reduces the bad cholesterol ldl and triglycerides fats levels moreover it also decreases the formation of blood clots,Speaker_11,20.84,"['rosloy', 'as', 'mg', 'tablet', 'cholesterol', 'ldl', 'triglycerides', 'fats']",train
audio/Speaker_11/Speaker11-331.wav,rosuvotin 10mg tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,rosuvotin 10mg tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,11.11,"['rosuvotin', 'mg', 'tablet']",train
audio/Speaker_11/Speaker11-332.wav,emotrip 25 mg 10 mg tablet na combination of two medicines dem dey use am treat depression wey dey associated with anxiety e dey help regulate mood and reduce anxiety,emotrip 25 mg 10 mg tablet is a combination of two medicines it is used in the treatment of depression associated with anxiety it helps in regulating mood and to reduce anxiety emotrip 25,Speaker_11,16.02,"['emotrip', 'tablet', 'depression']",train
audio/Speaker_11/Speaker11-333.wav,actibile 150 tablet na medicine wey dem dey use melt some types of gallstones make dem no form and to treat one type of liver disease wey dem dey call primary biliary cirrhosis,actibile 150 tablet is a medicine used to dissolve certain types of gallstones to prevent them from forming and to treat a type of liver disease called primary biliary cirrhosis,Speaker_11,16.34,"['liver', 'biliary']",train
audio/Speaker_11/Speaker11-334.wav,cholestyramine resin na bile acid sequestrant wey doctor dey prescribe for high cholesterol dis medicine dey reduce cholesterol level for blood when person no suppose take cholestyramine resin e dey contraindicated for patients wey get intestinal obstruction and hypersensitivity,cholestyramine resin is a bile acid sequestrant prescribed for high cholesterol this medication reduces cholesterol level in the blood when should cholestyramine resin not to be taken contraindicated in patients with intestinal obstruction and hypersensitivity,Speaker_11,25.07,[],train
audio/Speaker_11/Speaker11-335.wav,frontal view chest x ray before di second bronchoscopy dis image show say di left lung dey involved well well with left upper lobe opacification and streaky perihilar opacities,frontal view chest xray prior to the second bronchoscopy this image shows significant left lung involvement but of note are left upper lobe opacification and streaky perihilar opacities,Speaker_11,16.85,"['frontal', 'view', 'chest', 'xray', 'bronchoscopy', 'lung', 'lobe', 'perihilar', 'opacities']",train
audio/Speaker_11/Speaker11-336.wav,oliza 2 5 tablet na prescription medicine wey dem dey use treat schizophrenia na mental disorder wey fit cause hallucinations or delusions and e still dey affect how person dey think and behave including mania,oliza 2 5 tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_11,16.13,"['oliza', 'tablet', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_11/Speaker11-337.wav,radiograph for di day wey dem admit am radiograph show dense consolidation of di right lung wey dey obscure di cardiothymic silhouette and dey cause d tracheal to go right bilateral consolidation with associated air bronchograms,radiograph on day of admission radiograph showing dense consolidation of the right lung obscuring the cardiothymic silhouette and tracheal deviation towards the right bilateral consolidation with associated air bronchograms,Speaker_11,20.18,"['radiograph', 'consolidation', 'lung', 'tracheal', 'bilateral', 'air']",train
audio/Speaker_11/Speaker11-338.wav,di patient don dey on mainly milk based diet for di past 5 years wey dey provide adequate calcium and protein im occupation as teacher involve long periods of standing and moderate physical activity,patient has been on a predominantly milk based diet for the past 5 years providing adequate calcium and protein intake occupation as a teacher involves prolonged periods of standing and moderate physical activity,Speaker_11,15.59,"['predominantly', 'milk', 'based', 'diet', 'calcium', 'teacher', 'moderate']",train
audio/Speaker_11/Speaker11-339.wav,zita 50mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy diet and regular exercise to control blood sugar levels,zita 50mg tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_11,14.46,"['tablet', 'type', 'diabetes']",train
audio/Speaker_11/Speaker11-340.wav,noncontrast head computed tomography show heterogeneous mass for di right masticator space arrow make you note di locules of air wey dey just lateral to di zygomatic arch double arrow,noncontrast head computed tomography demonstrates heterogeneous mass in the right masticator space arrow note the locules of air just lateral to the zygomatic arch double arrow,Speaker_11,17.88,"['noncontrast', 'head', 'computed', 'tomography', 'heterogeneous', 'mass', 'locules', 'zygomatic']",train
audio/Speaker_11/Speaker11-341.wav,mri of di patient right knee show small to moderate right knee effusion when you compare am to di normal left knee no myositis or soft tissue fluid changes dey,mri of the patient s right knee showing small to moderate right knee effusion compared to a normal left knee there is no myositis or soft tissue fluid changes,Speaker_11,13.1,"['mri', 'knee', 'small', 'effusion', 'myositis']",train
audio/Speaker_11/Speaker11-342.wav,cilapam h 0 25 mg 5 mg tablet na prescription medicine wey dem dey use treat anxiety disorder na combination medicine wey dey calm di brain by reducing abnormal and too much activity for di nerve cells,cilapam h 0 25 mg 5 mg tablet is a prescription medicine used to treat anxiety disorder it is the combination medicine that calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,17.77,"['cilapam', 'mg', 'tablet', 'abnormal', 'excessive']",train
audio/Speaker_11/Speaker11-343.wav,cefakind 500 tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey effective for infections of di lungs like pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,cefakind 500 tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs e g pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,Speaker_11,19.73,"['bacterial', 'infections', 'lungs', 'nasal', 'your']",train
audio/Speaker_11/Speaker11-344.wav,zofix cv 200mg 125mg tablet na combination medicine dem dey prescribe am to treat different types of bacterial infections e dey fight against microorganisms to prevent their growth and further spread of di infection,zofix cv 200mg 125mg tablet is a combination medicine it is prescribed to treat various types of bacterial infections it fights against the microorganisms to prevent their growth and further spread of the infection,Speaker_11,18.84,"['mg', 'tablet']",train
audio/Speaker_11/Speaker11-345.wav,doxway 400mg tablet na medicine wey dem dey use treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder na lung disorder wey dey block air flow to di lungs,doxway 400mg tablet is used to treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder a lung disorder in which flow of air to the lung is blocked,Speaker_11,15.4,"['doxway', 'mg', 'tablet', 'chronic', 'obstructive', 'pulmonary', 'disorder', 'lung', 'flow']",train
audio/Speaker_11/Speaker11-346.wav,lipirose 5 tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,lipirose 5 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,10.69,[],train
audio/Speaker_11/Speaker11-347.wav,radiation therapy na type of cancer treatment wey dey use beams of intense energy to kill cancer cells radiation therapy most times dey use x rays but dem fit still use protons or other types of energy,radiation therapy is a type of cancer treatment that uses beams of intense energy to kill cancer cells radiation therapy most often uses x rays but protons or other types of energy also can be used,Speaker_11,17.19,"['radiation', 'therapy', 'treatment', 'rays', 'protons']",train
audio/Speaker_11/Speaker11-348.wav,dem consider am say e no be pci candidate based on im syntax score and anatomy and e still dey too high risk for cabg,he had been deemed not a pci candidate based on his syntax score and anatomy as well as being of too high risk for cabg,Speaker_11,11.35,['anatomy'],train
audio/Speaker_11/Speaker11-349.wav,nucoril od 5mg tablet na medicine wey dem dey use prevent and treat heart related chest pain angina dem dey usually prescribe am when other heart medicines no dey suitable or no dey work,nucoril od 5mg tablet is a medicine used to prevent and treat heart related chest pain angina it is usually prescribed when other heart medicines are not suitable or have not worked,Speaker_11,15.96,"['tablet', 'chest']",train
audio/Speaker_11/Speaker11-350.wav,cholesterol vldl di value na 68 0 mg dl bilirubin direct di value na 0 12 mg dl chloride cl di value na 100 4 mmol l,cholesterol vldl the value is 68 0 mg dl bilirubin direct the value is 0 12 mg dl chloride cl the value is 100 4 mmol l,Speaker_11,18.09,"['cholesterol', 'mg', 'bilirubin', 'mmol']",train
audio/Speaker_11/Speaker11-351.wav,viklot 15 tablet na medicine wey dem dey call anticoagulant or blood thinner e dey help prevent and treat blood clots dem dey use am reduce di risk of stroke and heart attack,viklot 15 tablet is a medicine known as an anticoagulant or blood thinner it helps prevent and treat blood clots it is used to reduce the risk of stroke and heart attack,Speaker_11,14.72,"['viklot', 'tablet']",train
audio/Speaker_11/Speaker11-352.wav,zolent plus 0 25mg 10mg tablet na prescription medicine wey dem dey use treat anxiety e dey calm di brain by reducing abnormal and too much activity for nerve cells,zolent plus 0 25mg 10mg tablet is a prescription medicine used to treat anxiety it calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,17.64,"['zolent', 'mg', 'tablet', 'abnormal']",train
audio/Speaker_11/Speaker11-353.wav,duloxee 30 tablet na prescription medicine wey dem dey use treat depression anxiety disorder diabetic nerve pain fibromyalgia condition wey dey cause generalized pain and tenderness for body neuropathic pain and stress urinary incontinence,duloxee 30 tablet is a prescription medicine used in the treatment of depression anxiety disorder diabetic nerve pain fibromyalgia a condition in which there are generalized pain and tenderness in the body neuropathic pain and stress urinary incontinence,Speaker_11,21.33,"['duloxee', 'tablet', 'fibromyalgia', 'generalized', 'tenderness', 'stress']",train
audio/Speaker_11/Speaker11-354.wav,avrax 25mg tablet na medicine wey dem dey use treat anxiety and e dey help person relax before or after surgery dem still dey use am treat symptoms of skin allergy like itching swelling and rashes for conditions like eczema dermatitis and psoriasis,avrax 25mg tablet is used to treat anxiety and helps to get relaxed before or after surgery it is also used to treat symptoms of skin allergy like itching swelling and rashes in conditions such as eczema dermatitis and psoriasis,Speaker_11,21.01,"['avrax', 'tablet', 'anxiety', 'relaxed', 'symptoms', 'itching', 'rashes']",train
audio/Speaker_11/Speaker11-355.wav,ldl hdl ratio di value na 3 6 ratio typhidot igm value no dey available neutrophil to lymphocyte di value na 2 96 ratio,ldl hdl ratio the value is 3 6 ratio typhidot igm value is not available neutrophil to lymphocyte the value is 2 96 ratio,Speaker_11,16.13,"['ldl', 'hdl', 'neutrophil', 'ratio']",train
audio/Speaker_11/Speaker11-356.wav,rapo d 30mg 20mg tablet na combination medicine wey dem dey use treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving di symptoms of acidity like heartburn stomach pain or irritation,rapo d 30mg 20mg tablet is a combination medicine used to treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving the symptoms of acidity such as heartburn stomach pain or irritation,Speaker_11,22.21,"['rapo', 'mg', 'tablet', 'reflux', 'disease', 'acid', 'peptic', 'ulcer']",train
audio/Speaker_11/Speaker11-357.wav,di patient get history of alcoholism but e don abstain from alcohol for di past 5 years currently di patient na smoker e dey smoke about 10 cigarettes per day with 7 year smoking history,patient has a history of alcoholism having abstained from alcohol for the past 5 years currently the patient is a smoker consuming approximately 10 cigarettes per day with a 7 year smoking history,Speaker_11,14.34,[],train
audio/Speaker_11/Speaker11-358.wav,di space between acromioclavicular joint dey identical for both sides for anterior posterior view wey dem take when both clavicles dey bear weight dis finding suggest say acromioclavicular ligament dey intact,the space between acromioclavicular joint is identical on both sides in the anterior posterior view obtained with the both clavicles of the patient bearing weight this finding suggests intact acromioclavicular ligament,Speaker_11,18.47,['identical'],train
audio/Speaker_11/Speaker11-359.wav,glamor m 1mg 500mg tablet na category of medicines wey dem dey call anti diabetic drugs na combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar levels for people wey get diabetes,glamor m 1mg 500mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,22.91,"['or', 'mg', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-360.wav,risperdal 1mg tablet na prescription medicine wey dem dey use treat schizophrenia na mental disorder wey fit cause hallucinations or delusions and e still dey affect how person dey think and behave including mania,risperdal 1mg tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave and mania,Speaker_11,15.7,"['risperdal', 'tablet', 'medicine', 'schizophrenia', 'mental', 'disorder', 'hallucinations', 'delusions', 'think', 'behave']",train
audio/Speaker_11/Speaker11-361.wav,cholesterol total cholesterol hdl di value na 4 1 ratio ldl hdl ratio di value na 1 73 ratio thyroxine total tt4 di value na 5 98 ug dl,cholesterol total cholesterol hdl the value is 4 1 ratio ldl hdl ratio the value is 1 73 ratio thyroxine total tt4 the value is 5 98 ug dl,Speaker_11,18.65,"['cholesterol', 'ldl', 'hdl', 'thyroxine', 'ug']",train
audio/Speaker_11/Speaker11-362.wav,azipar 500mg tablet na antibiotic wey dem dey use treat different types of bacterial infections of di respiratory tract ear nose throat lungs skin and eye for adults and children,azipar 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_11,15.4,"['azipar', 'mg', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_11/Speaker11-363.wav,di patient no get any other big medical or traumatic history for im past and no history of dental procedures or infections too,the patient did not have any other significant medical or traumatic history in the past and there were no history of dental procedures or infections either,Speaker_11,10.07,"['did', 'not', 'have', 'any', 'other', 'significant', 'medical', 'or', 'traumatic', 'history', 'no', 'dental', 'procedures', 'infections']",train
audio/Speaker_11/Speaker11-364.wav,torcob 90mg tablet na pain relieving medicine dem dey use am relieve moderate pain and swelling of joints wey dey associated with different forms of gout and arthritis e dey reduce pain redness and swelling well well,torcob 90mg tablet is a pain relieving medicine it is used for relieving moderate pain and swelling of joints associated with different forms of gout and arthritis it effectively alleviates pain redness and swelling,Speaker_11,15.96,"['tablet', 'moderate', 'swelling', 'joints', 'redness']",train
audio/Speaker_11/Speaker11-365.wav,itr 200mg capsule na one group of medicine wey dem dey call antifungals e dey work by stopping di growth of fungus and dem dey use am treat infections of di mouth throat vagina and other parts of di body including fingernails and toenails,itr 200mg capsule belongs to a group of medicines called antifungals it works by stopping the growth of fungus and is used to treat infections of the mouth throat vagina and other parts of the body including fingernails and toenails,Speaker_11,19.93,"['itr', 'mg', 'antifungals', 'infections', 'vagina']",train
audio/Speaker_11/Speaker11-366.wav,rabimond d 10mg 20mg capsule na combination medicine wey dem dey use treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving di symptoms of acidity like heartburn stomach pain or irritation,rabimond d 10mg 20mg capsule is a combination medicine used to treat gastroesophageal reflux disease acid reflux and peptic ulcer disease by relieving the symptoms of acidity such as heartburn stomach pain or irritation,Speaker_11,20.93,"['mg', 'reflux', 'disease', 'acid', 'peptic', 'ulcer']",train
audio/Speaker_11/Speaker11-367.wav,sildura 8 capsule na combination of two medicines wey dey work in different ways to treat men wey get enlarged prostate gland e dey help relieve symptoms like when e dey hard to piss or when you need to go toilet everytime,sildura 8 capsule is a combination of two medicines which work in different ways to treat men with an enlarged prostate gland it helps to relieve symptoms such as difficulty urinating or needing to go to the toilet more often,Speaker_11,17.09,"['sildura', 'urinating']",train
audio/Speaker_11/Speaker11-368.wav,lipigo 20 tablet na one group of medicine wey dem dey call statins dem dey use am lower cholesterol and reduce di risk of heart disease,lipigo 20 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,10.03,"['lipigo', 'tablet']",train
audio/Speaker_11/Speaker11-369.wav,di patient medical history na coronary artery disease and hyperlipidemia further history show say e don receive 2 stents before and e don undergo plenty heart catheterizations up to about seven times around seven years ago for another place,the patient s medical history included coronary artery disease and hyperlipidemia further history revealed he had received 2 stents in the past and undergone multiple heart catheterizations up to seven approximately seven years prior at an outside facility,Speaker_11,19.9,"['coronary', 'artery', 'disease', 'hyperlipidemia', 'stents', 'multiple', 'catheterizations']",train
audio/Speaker_11/Speaker11-370.wav,dis patient come with 45 days of irritating dry cough and right chest pain without any other abnormal findings like fever wheezing hemoptysis or superior vena cava syndrome,this patient presented with 45 days of an irritating dry cough and right chest pain without other abnormal findings such as fever wheezing hemoptysis or superior vena cava syndrome,Speaker_11,15.0,"['irritating', 'dry', 'cough', 'chest', 'hemoptysis', 'superior', 'vena']",train
audio/Speaker_11/Speaker11-371.wav,nervsenz 75mg 10mg tablet na combination medicine wey dem dey use treat neuropathic pain dis medicine dey reduce di pain by stopping di movement of pain signals go di brain,nervsenz 75mg 10mg tablet is a combination medicine used for the treatment of neuropathic pain this medicine decreases the pain by stopping the movement of pain signals to the brain,Speaker_11,14.46,"['mg', 'tablet']",train
audio/Speaker_11/Speaker11-372.wav,imalek 400mg tablet na class of medicines wey dem dey call tyrosine kinase inhibitors dem dey use am treat blood cancer like chronic myeloid leukaemia acute lymphocytic leukemia and gastrointestinal stromal tumor,imalek 400mg tablet belongs to the class of medicines known as tyrosine kinase inhibitors it is used in the treatment of blood cancer chronic myeloid leukaemia and acute lymphocytic leukemia and gastrointestinal stromal tumor,Speaker_11,22.25,"['imalek', 'mg', 'tablet', 'ine', 'kinase', 'blood', 'cancer', 'chronic', 'myeloid', 'le', 'acute', 'lymphocytic', 'leukemia', 'gastrointestinal']",train
audio/Speaker_11/Speaker11-373.wav,ceftra 500mg tablet na antibiotic medicine wey dem dey use treat bacterial infections for body e dey effective for infections of di lungs like pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,ceftra 500mg tablet is an antibiotic medicine used to treat bacterial infections in your body it is effective in infections of the lungs e g pneumonia ear throat nasal sinus urinary tract skin soft tissues bones and joints,Speaker_11,19.22,"['ceftra', 'infections', 'lungs', 'nasal', 'your']",train
audio/Speaker_11/Speaker11-374.wav,texifen 250mg tablet na group of medicines wey dem dey call antifungals dem dey use am treat plenty fungal infections of di skin and nails including ringworm e dey work by killing di fungus wey cause di infection,texifen 250mg tablet belongs to a group of medicines called antifungals it is used to treat a wide range of fungal infections of the skin and nails including ringworm it works by killing the fungus that causes the infection,Speaker_11,17.64,"['texifen', 'mg', 'tablet', 'antifungals', 'infections']",train
audio/Speaker_11/Speaker11-375.wav,ct scan of di thorax show say mass lesion wey dey grow for di right upper lobe with central and peripheral necrosis and plenty irregularly contoured hyperdensities for both lungs,ct scan of the thorax showing an enhancing mass lesion in the right upper lobe with central and peripheral necrosis and multiple irregularly contoured hyperdensities over both lungs,Speaker_11,16.98,"['ct', 'scan', 'thorax', 'enhancing', 'mass', 'lesion', 'lobe', 'central', 'necrosis', 'multiple', 'irregularly', 'contoured', 'hyperdensities']",train
audio/Speaker_11/Speaker11-376.wav,silosam 8 tablet na alpha adrenergic antagonist wey dem dey use treat benign prostatic hyperplasia e dey help relieve symptoms like difficulty when pissing but e no dey reduce the size of the prostate,silosam 8 tablet is an alpha adrenergic antagonist that is used in the treatment of benign prostatic hyperplasia it helps to relieve symptoms like difficulty in passing urine however it does not decrease the size of the prostate,Speaker_11,17.75,"['silosam', 'alpha', 'adrenergic']",train
audio/Speaker_11/Speaker11-377.wav,e no get record of hypertension hypercholesterolemia tobacco use or any coronary artery disease before most important e no dey take any cardiovascular medication including asa,there was no record of hypertension hypercholesterolemia tobacco use or previously known coronary artery disease importantly he was not taking any cardiovascular medication including asa,Speaker_11,17.39,"['hypercholesterolemia', 'tobacco', 'use', 'coronary']",train
audio/Speaker_11/Speaker11-378.wav,di patient get single tattoo for di upper arm wey no get any sign of infection or skin irritation e dey do heavy weight lifting exercises well wel wey don lead to big muscle and increased bone density,patient has a single tattoo on the upper arm with no signs of infection or skin irritation engages in heavy weight lifting exercises regularly which has led to significant muscle development and increased bone density,Speaker_11,16.41,"['infection', 'heavy', 'increased']",train
audio/Speaker_11/Speaker11-379.wav,tte parasternal long axis view wey dey centered on di right chambers of di heart show one filamentary mass wey dey appended between di pulmonary valve and di lateral wall of di right ventricle,tte parasternal long axis view centered on the right chambers of the heart showing the filamentary mass appended between the pulmonary valve and the lateral wall of the right ventricle,Speaker_11,17.15,"['chambers', 'heart', 'filamentary', 'mass', 'pulmonary']",train
audio/Speaker_11/Speaker11-380.wav,ct image during di lung biopsy show guiding needle with hemostatic valve as dem take describe am under intubation anaesthesia based on di patient request with venous port system wey dey visible for di edge region,ct image during lung biopsy with guiding needle combined with hemostatic valve as described under intubation anaesthesia at the explicit request of the patient with venous port system visible in the edge region,Speaker_11,18.84,"['ct', 'lung', 'guiding', 'needle', 'hemostatic', 'valve', 'intubation', 'anaesthesia']",train
audio/Speaker_11/Speaker11-381.wav,plt di value na 422 0 10 3 mm3 neutrophil di value na 56 5 progesterone di value na 0 2 ng ml,plt the value is 422 0 10 3 mm3 neutrophil the value is 56 5 progesterone the value is 0 2 ng ml,Speaker_11,16.51,"['mm', 'ng', 'ml']",train
audio/Speaker_11/Speaker11-382.wav,zycel 200 capsule na pain relieving medicine e dey alleviate pain redness and swelling for conditions like osteoarthritis rheumatoid arthritis and pain during menstruation dem fit take zycel 200 capsule with or without food,zycel 200 capsule is a pain relieving medicine it alleviates pain redness and swelling in conditions such as osteoarthritis rheumatoid arthritis and pain during menstruation zycel 200 capsule can be taken with or without food,Speaker_11,19.37,['swelling'],train
audio/Speaker_11/Speaker11-383.wav,di child complain of sensitivity for di upper anterior teeth di medical history of di child no give any significant findings dem schedule the child for better immunization,the child complained of sensitivity in the upper anterior teeth the medical history of the child was found to be insignificant proper immunization schedule was followed for the child,Speaker_11,12.52,"['sensitivity', 'immunization', 'schedule']",train
audio/Speaker_11/Speaker11-384.wav,iloperidone na atypical antipsychotic wey doctor dey prescribe for schizophrenia when person no suppose take iloperidone hypersensitivity wetin be the dosage of iloperidone po di recommended starting dose na 1 mg twice a day,iloperidone is an atypical antipsychotic prescribed for schizophrenia when should iloperidone not to be taken hypersensitivity what is the dosage of iloperidone po the recommended starting dose is 1 mg twice daily,Speaker_11,18.92,['iloperidone'],train
audio/Speaker_11/Speaker11-385.wav,she bin don dey diagnosed with breast cancer two months ago and she undergo partial mastectomy with sentinel lymph node biopsy after surgery dem give am adjuvant chemotherapy of three cycles recently she don develop intermittent abdominal pain,she had been diagnosed with breast cancer two months earlier and had undergone partial mastectomy with sentinel lymph node biopsy after surgery adjuvant chemotherapy of three cycles was administered she had recently developed intermittent abdominal pain,Speaker_11,19.41,"['breast', 'earlier', 'partial', 'mastectomy', 'sentinel', 'lymph', 'node', 'adjuvant', 'chemotherapy', 'intermittent', 'abdominal']",train
audio/Speaker_11/Speaker11-386.wav,clonzep 0 25mg tablet na prescription medicine wey dem dey use treat epilepsy seizures and anxiety disorder e dey help reduce abnormal and too much activity of di nerve cells and calm di brain,clonzep 0 25mg tablet is a prescription medicine used to treat epilepsy seizures and anxiety disorder it helps to decrease the abnormal and excessive activity of the nerve cells and calms the brain,Speaker_11,15.08,"['clonzep', 'mg', 'tablet', 'epilepsy', 'seizures', 'excessive']",train
audio/Speaker_11/Speaker11-387.wav,dis one dey followed with painless left orbital swelling with mild erythema and swelling of di left upper lid di globe itself dey normal visual acuity na 20 20 for right eye and 20 25 for left eye,this was followed by painless left orbital swelling with mild erythema and swelling of the left upper lid the globe itself was normal visual acuity was 20 20 right eye and 20 25 left eye,Speaker_11,19.35,"['painless', 'orbital', 'swelling', 'mild', 'er', 'erythema', 'globe', 'visual', 'acuity', 'eye']",train
audio/Speaker_11/Speaker11-388.wav,levosiz 10 tablet na one group of medicine wey dem dey call antihistamines dem dey use am treat different allergic conditions like hay fever conjunctivitis some skin reactions like eczema hives and reactions to bites and stings,levosiz 10 tablet belongs to a group of medicines called antihistamines it is used to treat various allergic conditions such as hay fever conjunctivitis some skin reactions such as eczema hives and reactions to bites and stings,Speaker_11,18.01,[],train
audio/Speaker_11/Speaker11-389.wav,e no get any special history of disease but one year before e visit our hospital e undergo hernia surgery because of one indolent fixed mass for di right inguinal region,he had no special history of disease however the year before his visit to our hospital he had undergone hernia surgery due to an indolent fixed mass in the right inguinal region,Speaker_11,14.72,"['before', 'hernia', 'indolent', 'fixed', 'mass', 'inguin']",train
audio/Speaker_11/Speaker11-390.wav,all 9 nvp tablet na prescription medicine wey get combination of medicines wey dem dey use treat nausea and vomiting during pregnancy e dey help control di feeling of nausea and vomiting,all 9 nvp tablet is a prescription medicine that has a combination of medicines that is used to treat nausea and vomiting during pregnancy it helps in controlling the feeling of nausea and vomiting,Speaker_11,15.15,"['all', 'tablet', 'nausea', 'vomiting']",train
audio/Speaker_11/Speaker11-391.wav,she experience sudden severe sharp local pain for di left lower quadrant wey spread small small come become diffuse lower abdominal pain she report vaginal bleeding wey dey consistent with di time of her normal menses but e heavy pass normal,she experienced sudden onset severe sharp localized pain in the left lower quadrant which gradually spread to become diffuse lower abdominal pain she reported vaginal bleeding consistent with the time of her normal menses though heavier than usual,Speaker_11,18.62,"['sudden', 'onset', 'severe', 'sharp', 'localized', 'quadrant', 'diffuse', 'abdominal', 'vaginal', 'bleeding']",train
audio/Speaker_11/Speaker11-392.wav,serum bilirubin total di value na 0 46 mg dl hdl cholesterol direct di value na 43 0 mg dl urine creatinine di value na 160 63 mg dl,serum bilirubin total the value is 0 46 mg dl hdl cholesterol direct the value is 43 0 mg dl urine creatinine the value is 160 63 mg dl,Speaker_11,19.14,"['mg', 'hdl', 'cholesterol', 'creatinine']",train
audio/Speaker_11/Speaker11-393.wav,entehep 1 tablet na medicine wey dem dey use treat hiv infection and chronic hepatitis b virus hbv infection e dey prevent d virus from multiplying inside human cells dis one dey stop di virus from producing new viruses and e dey help clear di infection,entehep 1 tablet is used in the treatment of hiv infection and chronic hepatitis b virus hbv infection it prevents the multiplication of virus in human cells this stops the virus from producing new viruses and clears up your infection,Speaker_11,21.35,"['entehep', 'tablet', 'hiv', 'chronic']",train
audio/Speaker_11/Speaker11-394.wav,cita s forte 0 5mg 10mg tablet na prescription medicine wey dem dey use treat anxiety disorder na combination medicine wey dey calm di brain by reducing abnormal and too much activity for di nerve cells,cita s forte 0 5mg 10mg tablet is a prescription medicine used to treat anxiety disorder it is the combination medicine that calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,17.79,"['cita', 'mg', 'tablet', 'excessive']",train
audio/Speaker_11/Speaker11-395.wav,galega g 1 forte tablet na category of medicines wey dem dey call anti diabetic drugs na combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults,galega g 1 forte tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults,Speaker_11,14.66,"['galega', 'forte', 'tablet', 'type', 'diabetes', 'mellitus']",train
audio/Speaker_11/Speaker11-396.wav,levostal 500mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infections of di urinary tract nose throat skin soft tissues and lungs pneumonia,levostal 500mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_11,15.94,"['tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_11/Speaker11-397.wav,di patient dey work as teacher wey require to dey stand for long about 1 to 2 hours per day and e dey lead to higher risk of lower back pain and leg fatigue,patient is employed as a teacher requiring prolonged periods of standing for 1 to 2 hours per day leading to increased risk of lower back pain and leg fatigue,Speaker_11,11.5,"['standing', 'leg']",train
audio/Speaker_11/Speaker11-398.wav,mecetronium get antimicrobial properties mecetronium dey available in combination with other antiseptics and dem dey use am for clinical and surgical practice dem dey put mecetronium for skin before injections or punctures,mecetronium has antimicrobial properties mecetronium is available in a combination with other antiseptics and is used in clinical and surgical practice mecetronium is applied to the skin before injections or punctures,Speaker_11,18.18,"['mecetronium', 'injections']",train
audio/Speaker_11/Speaker11-399.wav,zetaglim m forte 3mg 1000mg tablet na category of medicines wey dem dey call anti diabetic drugs na combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults,zetaglim m forte 3mg 1000mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults,Speaker_11,15.7,"['zetaglim', 'mg', 'tablet', 'type', 'diabetes', 'mellitus']",train
audio/Speaker_11/Speaker11-400.wav,glamor m 2mg 500mg tablet na category of medicines wey dem dey call anti diabetic drugs na combination of two medicines wey dem dey use treat type 2 diabetes mellitus for adults e dey help control blood sugar levels for people wey get diabetes,glamor m 2mg 500mg tablet belongs to a category of medicines known as anti diabetic drugs it is a combination of two medicines used to treat type 2 diabetes mellitus in adults it helps control blood sugar levels in people with diabetes,Speaker_11,20.67,"['or', 'mg', 'tablet', 'type', 'diabetes', 'mellitus', 'blood', 'sugar']",train
audio/Speaker_11/Speaker11-401.wav,zithro 500mg tablet na antibiotic wey dem dey use treat different types of bacterial infections of di respiratory tract ear nose throat lungs skin and eye for adults and children,zithro 500mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_11,15.85,"['zithro', 'tablet', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_11/Speaker11-402.wav,di patient say im dey drink alcohol well well im dey take about 2 3 alcohol drink every day wey fit lead to liver damage and high risk of different health issues,patient reports a history of regular alcohol consumption with an average intake of 2 3 alcoholic beverages per day which can lead to liver damage and increased risk of various health issues,Speaker_11,12.2,[],train
audio/Speaker_11/Speaker11-403.wav,bacteria value no dey available rbc count di value na 4 55 10 6 mm3 wbc count di value na 8 04 10 3 mm3,bacteria value is not available rbc count the value is 4 55 10 6 mm3 wbc count the value is 8 04 10 3 mm3,Speaker_11,17.11,"['rbc', 'mm', 'wbc']",train
audio/Speaker_11/Speaker11-404.wav,trika forte 0 5 mg 50 mg tablet na prescription medicine wey dem dey use treat depression na combination medicine wey dey calm di brain by reducing abnormal and too much activity for di nerve cells,trika forte 0 5 mg 50 mg tablet is a prescription medicine used to treat depression it is a combination medicine which calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,16.9,"['trika', 'forte', 'mg', 'tablet', 'excessive']",train
audio/Speaker_11/Speaker11-405.wav,s paratyphi ah value no dey available wbc morphology di value na 144000 0 10 3 mm3 lh di value na 15 23 miu ml,s paratyphi ah value is not available wbc morphology the value is 144000 0 10 3 mm3 lh the value is 15 23 miu ml,Speaker_11,19.9,"['miu', 'ml']",train
audio/Speaker_11/Speaker11-406.wav,the patient talk say e don dey get migraine headache for about 14 years the headache dey start small small dey affect only one side of head and dey beat like say something dey throb e no dey come with aura but e dey come with nausea and e fit last for about 23 days,the patient gave a 14 year history of migraine headaches described as a slow onset unilateral throbbing headaches without aura accompanied by nausea and lasting 23 days,Speaker_11,18.99,"['headaches', 'slow', 'onset', 'unila', 'throbbing', 'headache', 'aura', 'nausea']",train
audio/Speaker_11/Speaker11-407.wav,sporaz 200 capsule na one group of medicine wey dem dey call antifungals e dey stop di growth of fungus and dem dey use am treat infections of di mouth throat vagina and other parts of di body including fingernails and toenails,sporaz 200 capsule belongs to a group of medicines called antifungals it works by stopping the growth of fungus and is used to treat infections of the mouth throat vagina and other parts of the body including fingernails and toenails,Speaker_11,17.24,"['sporaz', 'antifungals', 'infections', 'vagina']",train
audio/Speaker_11/Speaker11-408.wav,di patient don retire for di past 5 years dey enjoy more relaxed lifestyle however di patient na smoker e dey smoke about 20 cigarettes per day with 15 year smoking history wey fit lead to different respiratory and cardiovascular complications,patient has been retired for the past 5 years enjoying a more relaxed lifestyle however the patient is a smoker averaging 20 cigarettes per day with a 15 year history of smoking which can lead to various respiratory and cardiovascular complications,Speaker_11,18.82,"['respiratory', 'cardiovascular']",train
audio/Speaker_11/Speaker11-409.wav,moxovas 0 3 tablet na medicine wey dem dey use treat hypertension high blood pressure e dey lower di blood pressure by relaxing blood vessels wen blood pressure dey low e dey help prevent stroke and heart attack for future,moxovas 0 3 tablet is a medicine used in the treatment of hypertension high blood pressure it lowers the blood pressure by relaxing the blood vessels lowering the blood pressure helps to prevent future stroke and heart attack,Speaker_11,16.81,"['moxovas', 'tablet', 'hypertension', 'lowers', 'blood', 'pressure', 'lowering']",train
audio/Speaker_11/Speaker11-410.wav,paxonil plus 25mg 0 5mg tablet na prescription medicine wey dem dey use treat depression na combination medicine wey dey work by increasing di level of chemical messengers for brain wey dey improve mood,paxonil plus 25mg 0 5mg tablet is a prescription medicine used to treat depression it is a combination medicine which works by increasing the level of chemical messengers in the brain that improves mood,Speaker_11,17.81,"['paxonil', 'mg', 'tablet', 'chemical', 'messengers', 'brain']",train
audio/Speaker_11/Speaker11-411.wav,di patient don dey use chronic cannabis for long e dey consume am daily for di past 15 years wey fit lead to respiratory issues and cognitive impairment e dey travel well well wey dey often involve physical strength and increased metabolic demands,patient has a long standing history of chronic cannabis use with daily consumption for the past 15 years leading to potential respiratory issues and cognitive impairment regularly engages in extensive travel often involving physical exertion and increased metabolic demands,Speaker_11,18.84,[],train
audio/Speaker_11/Speaker11-412.wav,glipty 50mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy diet and regular exercise to control blood sugar levels,glipty 50mg tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_11,13.91,"['tablet', 'diabetes']",train
audio/Speaker_11/Speaker11-413.wav,di patient talk say e no dey use intravenous drug but e admit say e dey use recreational marijuana di patient vitals wen dem admit am dey stable except for low saturation for pulse oximetry of 86 for room air,the patient denied intravenous drug use although admitted to the use of recreational marijuana the patients vitals on admission were stable except for low saturation on a pulse oximetry of 86 on room air,Speaker_11,18.33,"['vitals', 'stable', 'low', 'saturation', 'pulse', 'oximetry']",train
audio/Speaker_11/Speaker11-414.wav,e no get any previous symptoms before e come e talk say e don work for cocoa farm plantation wen im be pikin and unknown flies don bite am plenty times before,he had no previous symptoms prior to his presentation he gave a history of having worked in a cocoa farm plantation during his childhood years and had severally suffered from bites from unknown flies,Speaker_11,11.58,"['previous', 'symptoms', 'worked', 'cocoa', 'farm', 'plantation']",train
audio/Speaker_11/Speaker11-415.wav,dem diagnose am with chronic traumatic avf for di right thigh because of one shotgun wound wey happen 30 years ago at first cvi develop small small for di right leg,he had been diagnosed with chronic traumatic avf at the right thigh due to a 30 year old shotgun wound initially cvi of the right leg had slowly developed,Speaker_11,13.89,"['chronic', 'traumatic', 'avf', 'thigh', 'shotgun', 'leg']",train
audio/Speaker_11/Speaker11-416.wav,review of im records show say dem diagnose am with gsd at di age of two years after liver biopsy when e get distended abdomen due to hepatomegaly e don dey get problem with weakness from wen e be pikin,review of his records revealed that he had been diagnosed with gsd at the age of two years following a liver biopsy when he had a distended abdomen due to hepatomegaly he had problem with weakness from early childhood,Speaker_11,17.83,"['gsd', 'liver', 'distended', 'abdomen', 'weakness']",train
audio/Speaker_11/Speaker11-417.wav,strobrus p 500mg 400mg tablet na combination of two medicines wey dem dey use treat stroke e dey protect di nerve cells for brain from damage and still help repair di damaged nerve cells,strobrus p 500mg 400mg tablet is a combination of two medicines used in the treatment of stroke it protects the nerve cells in the brain from damage and also helps to repair the damaged nerve cells,Speaker_11,14.89,"['strobrus', 'mg', 'tablet', 'brain']",train
audio/Speaker_11/Speaker11-418.wav,adefovir dipivoxil na antiviral agent wey doctor dey prescribe to treat hepatitis b na chronic viral infection of di liver for patients wey be 12 years and above adefovir dey stop di virus so dat e no go spread and infect new liver cells,adefovir dipivoxil is an antiviral agent prescribed to treat hepatitis b a chronic viral infection of the liver in patients 12 years and above adefovir works by preventing the virus from spreading and infecting new liver cells,Speaker_11,21.23,"['antiviral', 'agent', 'infection', 'liver', 'adefovir']",train
audio/Speaker_11/Speaker11-419.wav,phosphate di value na 6 35 mg dl urine glucose value no dey available triiodothyronine total t3 di value na 1 04 ng dl,phosphate the value is 6 35 mg dl urine glucose value is not available triiodothyronine total t3 the value is 1 04 ng dl,Speaker_11,18.28,"['mg', 'triiodothyronine', 'ng']",train
audio/Speaker_11/Speaker11-420.wav,etizoram plus 0 5 mg 10 mg tablet na prescription medicine wey dem dey use treat depression na combination medicine wey dey calm di brain by reducing abnormal and too much activity of di nerve cells,etizoram plus 0 5 mg 10 mg tablet is a prescription medicine used to treat depression it is a combination medicine that calms the brain by decreasing the abnormal and excessive activity of the nerve cells,Speaker_11,16.68,"['etizoram', 'mg', 'tablet', 'excessive']",train
audio/Speaker_11/Speaker11-421.wav,verozin 15mg 20mg tablet na combination medicine wey dem dey use treat vertigo e dey prevent nausea vomiting and other symptoms of vertigo dem dey take verozin 15mg 20mg without food for a dose and di duration na as doctor advise,verozin 15mg 20mg tablet is a combination medicine used in the treatment of vertigo it prevents nausea vomiting and other symptoms of vertigo verozin 15mg 20mg tablet is taken without food in a dose and duration as advised by the doctor,Speaker_11,21.65,"['verozin', 'mg', 'tablet', 'nausea', 'vomiting']",train
audio/Speaker_11/Speaker11-422.wav,short t1 inverse recovery stir show enlargement of di muscle with diffuse heterogeneous wey high in signal intensity with no drop of signal for fat saturated image and normal signal intensity of di bone,short t1 inverse recovery stir showing enlargement of the muscle with diffuse heterogeneous increase in signal intensity with no drop of signal on fat saturated image and normal signal intensity of the bone,Speaker_11,18.71,"['short', 'enlargement', 'muscle', 'diffuse', 'het', 'heterogeneous', 'drop', 'image', 'normal']",train
audio/Speaker_11/Speaker11-423.wav,cila 5mg tablet get two main uses di most common one na to treat erectile dysfunction for men e dey increase blood flow go di penis to help men get erection,cila 5mg tablet has two main uses the most common is to treat erectile dysfunction in men it increases blood flow to the penis to help men get an erection,Speaker_11,14.25,"['tablet', 'erectile', 'dysfunction', 'penis']",train
audio/Speaker_11/Speaker11-424.wav,di patient get history of statin induced myopathy steroid induced hyperglycemia and metformin intolerance also we know say di patient dey allergic to penicillin since hin be pikin wey dey cause anaphylaxis and respiratory wahala for am anytime e dey exposed,the patient has a history of statin induced myopathy steroid induced hyperglycemia and metformin intolerance additionally the patient is known to be allergic to penicillin since childhood presenting with anaphylaxis and respiratory distress upon exposure,Speaker_11,20.54,"['steroid', 'metformin']",train
audio/Speaker_11/Speaker11-425.wav,teno 50mg tablet na group of medicines wey dem dey call beta blockers dem dey use am treat high blood pressure hypertension angina heart related chest pain and irregular heart rhythms arrhythmia,teno 50mg tablet belongs to a group of medicines called beta blockers it is used to treat high blood pressure hypertension angina heart related chest pain irregular heart rhythms arrhythmia,Speaker_11,14.76,"['tablet', 'beta', 'blockers', 'angina', 'chest', 'irregular']",train
audio/Speaker_11/Speaker11-426.wav,di patient work na teacher dis work involve plenty mental and emotional effort e dey also lift heavy weight well well wey don lead to big muscle mass and better cardiovascular health,patient is a teacher by profession a role that involves significant mental and emotional exertion engages in heavy weight lifting exercises regularly leading to increased muscle mass and improved cardiovascular health,Speaker_11,13.01,"['heavy', 'weight', 'muscle', 'mass']",train
audio/Speaker_11/Speaker11-427.wav,di pain dey continuous and e dey worse when person dey eat food and when e dey open mouth di patient bin undergo surgery 15 years ago for swelling for di same site but di record no dey available,pain was continuous and was aggravated while having food and while opening the mouth patient had been operated 15 years back for swelling at the same site records for which were not available,Speaker_11,13.31,"['continuous', 'aggravated', 'food', 'swelling']",train
audio/Speaker_11/Speaker11-428.wav,she do ultrasound of her pelvis before wey show one 17 cm large irregular solid vascularized mass for her right ovary her comorbidities na obesity body mass index of 33 asthma and she don previously undergo laparoscopic cholecystectomy,she had a prior ultrasound of her pelvis which demonstrated a 17 cm large irregular solid vascularized mass in her right ovary her comorbidities included obesity body mass index of 33 asthma and she had previously undergone a laparoscopic cholecystectomy,Speaker_11,23.45,"['ultrasound', 'pelvis', 'cm', 'large', 'irregular', 'solid', 'vascular', 'mass', 'laparoscopic']",train
audio/Speaker_11/Speaker11-429.wav,zitadrox 25 tablet na medicine wey dem dey use treat anxiety and e dey help person relax before or after surgery dem still dey use am treat symptoms of skin allergy like itching swelling and rashes for conditions like eczema dermatitis and psoriasis,zitadrox 25 tablet is used to treat anxiety and helps to get relaxed before or after surgery it is also used to treat symptoms of skin allergy like itching swelling and rashes in conditions such as eczema dermatitis and psoriasis,Speaker_11,19.33,"['zitadrox', 'tablet', 'anxiety', 'relaxed', 'symptoms', 'rashes']",train
audio/Speaker_11/Speaker11-430.wav,heart scan wey dem also dey call coronary calcium scan na special x ray test wey dey show pictures of your heart wey fit help doctor detect and measure calcium containing plaque for your arteries,a heart scan also known as a coronary calcium scan is a specialized x ray test that provides pictures of your heart that can help your doctor detect and measure calcium containing plaque in your arteries,Speaker_11,14.4,"['heart', 'coronary', 'ray', 'test', 'plaque']",train
audio/Speaker_11/Speaker11-431.wav,dem dey use tacrocord 1mg capsule with other medicines to prevent your body from rejecting new organ like liver kidney or heart after transplant dis medicine na class of drugs wey dem dey call immunosuppressants,tacrocord 1mg capsule is used along with other medicines to prevent your body from rejecting a new organ e g liver kidney or heart after transplant this medication belongs to a class of drugs known as immunosuppressants,Speaker_11,16.49,"['tacrocord', 'capsule']",train
audio/Speaker_11/Speaker11-432.wav,cilnimit 10mg tablet na medicine wey dem dey use treat high blood pressure hypertension na class of medicines wey dem dey call calcium channel blocker wey dey help lower blood pressure dis one dey help prevent heart attack and stroke,cilnimit 10mg tablet is a medicine used to treat high blood pressure hypertension it belongs to a class of medicines known as a calcium channel blocker which helps to lower blood pressure this helps prevent heart attacks and strokes,Speaker_11,16.21,"['cilnimit', 'tablet', 'calcium', 'channel', 'blocker']",train
audio/Speaker_11/Speaker11-433.wav,metrogyl 400 tablet na antibiotic medicine wey dey help your body fight infections wey bacteria and parasites cause dem dey use am treat infections of di liver stomach intestines vagina brain heart lungs bones and skin,metrogyl 400 tablet is an antibiotic medicine that helps your body fight infections caused by bacteria and parasites it is used to treat infections of the liver stomach intestines vagina brain heart lungs bones and skin,Speaker_11,17.83,['infections'],train
audio/Speaker_11/Speaker11-434.wav,alcoran 5mg tablet na medicine wey dem dey use prevent and treat heart related chest pain angina dem dey usually prescribe am when other heart medicines no dey suitable or no work,alcoran 5mg tablet is a medicine used to prevent and treat heart related chest pain angina it is usually prescribed when other heart medicines are not suitable or have not worked,Speaker_11,13.99,"['tablet', 'chest']",train
audio/Speaker_11/Speaker11-435.wav,lacoptal 100mg tablet na prescription medicine wey dem dey use control and prevent epilepsy seizures e dey control seizures fits by reducing abnormal and too much activity of di nerve cells for di brain,lacoptal 100mg tablet is a prescription medicine used to control and prevent epilepsy seizures it controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain,Speaker_11,16.81,"['lacoptal', 'mg', 'tablet', 'epilepsy', 'seizures', 'fits', 'excessive']",train
audio/Speaker_11/Speaker11-436.wav,di patient don dey on milk based diet for di past 5 years wey dey give d necessary nutrients and calcium for bone health hin diet still get plenty junk food wey dey raise concerns for weight gain and potential cardiovascular wahala,patient has been on a milk based diet for the past 5 years providing essential nutrients and calcium for bone health diet also includes a significant amount of junk food leading to concerns over weight gain and potential cardiovascular issues,Speaker_11,17.9,"['milk', 'based', 'diet', 'calcium', 'weight', 'gain', 'cardiovascular']",train
audio/Speaker_11/Speaker11-437.wav,di patient get known history of amlodipine induced edema steroid induced hyperglycemia and intolerance to metformin also di patient get dander allergy for long with respiratory symptoms wey dey occur again and again di patient still report say hin bin get bad reaction to one medicine wey hin no mention,the patient has a known history of amlodipine induced edema steroid induced hyperglycemia and intolerance to metformin additionally the patient has a long standing dander allergy with recurrent respiratory symptoms the patient also reports a previous adverse reaction to an unspecified medication,Speaker_11,23.3,"['amlodipine', 'steroid', 'induced', 'hyperglycemia', 'adverse', 'reaction']",train
audio/Speaker_11/Speaker11-438.wav,paraband 650mg tablet na medicine wey dem dey use relieve pain and reduce fever dem dey use am treat many conditions like headache body ache toothache and common cold,paraband 650mg tablet is a medicine used to relieve pain and to reduce fever it is used to treat many conditions such as headache body ache toothache and common cold,Speaker_11,12.39,['tablet'],train
audio/Speaker_11/Speaker11-439.wav,magnetic resonance imaging of mammosomatotroph tumor show say di sella turcica dey big and e contain tumor wey dey push di normal gland go up and to di left side di tumor dey spread laterally enter di right cavernous sinus white arrow,magnetic resonance imaging of mammosomatotroph tumor the sella turcica is enlarged and contains a tumor that compresses the normal gland upwards and to the left the tumor infiltrates laterally to invade the right cavernous sinus white arrow,Speaker_11,23.21,"['magnetic', 'resonance', 'imaging', 'sella', 'turcica', 'enlarged', 'tumor', 'cavernous', 'sinus']",train
audio/Speaker_11/Speaker11-440.wav,di patient get known skin allergy since e be pikin dust allergy for many years and e recently start to dey get xylometazoline allergy wey dey cause nasal congestion also di patient get history of myopathy wey statin dey cause and thyroxine induced hyperthyroidism,the patient has a known skin allergy since childhood dust allergy for several years and a recent onset xylometazoline allergy presenting with nasal congestion additionally the patient has a history of statin induced myopathy and thyroxine induced hyperthyroidism,Speaker_11,22.46,"['allergy', 'dust', 'xylometazoline', 'statin', 'induced']",train
audio/Speaker_11/Speaker11-441.wav,4 ldl cholesterol di value na 158 12 mg dl a g ratio calculated di value na 1 4 ratio free t4 serum di value na 20 7 pmol l,4 ldl cholesterol the value is 158 12 mg dl a g ratio calculated the value is 1 4 ratio free t4 serum the value is 20 7 pmol l,Speaker_11,17.71,"['mg', 'pmol']",train
audio/Speaker_11/Speaker11-442.wav,di patient no dey exposed to any radiation sources wey dey benefit im overall health and well being di patient don retire now so e get more relaxed lifestyle and enough time to rest and do enjoyment activities,patient is not exposed to any radiation sources which is beneficial for overall health and well being patient is currently retired allowing for a more relaxed lifestyle and ample time for rest and leisure activities,Speaker_11,15.38,['radiation'],train
audio/Speaker_11/Speaker11-443.wav,telnyle 40mg tablet na medicine wey dem dey use treat high blood pressure and heart failure lowering blood pressure dey help prevent future heart attack and stroke dis medicine still dey work well to preserve kidney function for patients wey get diabetes,telnyle 40mg tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,17.0,"['telnyle', 'tablet', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-444.wav,rimthree fdc 150 mg 75 mg 275 mg tablet na combination medicine wey dem dey use treat tuberculosis e dey prevent di growth of microorganisms wey dey cause di infection,rimthree fdc 150 mg 75 mg 275 mg tablet is a combination medicine used in the treatment of tuberculosis it prevents the growth of the microorganisms that cause the infection,Speaker_11,16.53,"['tablet', 'growth', 'microorganisms', 'that']",train
audio/Speaker_11/Speaker11-445.wav,absolute basophil di value na 0 03 10 3 mm3 total triglycerides di value na 217 0 mg dl thyroxine total t4 di value na 7 39 ug dl,absolute basophil the value is 0 03 10 3 mm3 total triglycerides the value is 217 0 mg dl thyroxine total t4 the value is 7 39 ug dl,Speaker_11,19.46,"['absolute', 'mm', 'total', 'mg', 'ug']",train
audio/Speaker_11/Speaker11-446.wav,e come with these symptoms general abdominal pain wey dey come and go and e start small small but dey get worse with time and e dey reduce after e go toilet diarrhea and sometimes e dey come with rectal bleeding for di past 2 months,he presented the following symptoms generalized episodic abdominal pain of progressive onset that was relieved by diarrheal stools occasionally associated with rectal bleeding over the past 2 months,Speaker_11,16.06,"['symptoms', 'generalized', 'episodic', 'abdominal', 'progressive', 'onset', 'diarrheal', 'stools', 'rectal', 'bleeding']",train
audio/Speaker_11/Speaker11-447.wav,telsartan 20 tablet na medicine wey dem dey use treat high blood pressure and heart failure lowering blood pressure dey help prevent future heart attack and stroke dis medicine still dey work well to preserve kidney function for patients wey get diabetes,telsartan 20 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,17.49,"['telsartan', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-448.wav,ride 2mg tablet na medicine wey dem dey use treat type 2 diabetes mellitus for adults na group of medicines wey dem dey call sulfonylureas and e dey help control blood sugar levels for people wey get diabetes,ride 2mg tablet is a medicine used to treat type 2 diabetes mellitus in adults it belongs to a group of medicines called sulfonylureas and helps control blood sugar levels in people with diabetes,Speaker_11,15.89,"['ride', 'type', 'diabetes', 'mellitus', 'sulfonylureas']",train
audio/Speaker_11/Speaker11-449.wav,cognitam 400mg tablet na prescription medicine wey dem dey use treat alzheimer s disease stroke and memory loss for parkinson s disease dem still fit use am treat age related memory loss and head injury,cognitam 400mg tablet is a prescription medicine used in the treatment of alzheimer s disease stroke and memory loss in parkinson s disease it can also be used to treat age related memory loss and head injury,Speaker_11,15.68,"['cognitam', 'tablet', 'stroke']",train
audio/Speaker_11/Speaker11-450.wav,nucoril od 5mg tablet na medicine wey dem dey use prevent and treat heart related chest pain angina dem dey usually prescribe am when other heart medicines no dey suitable or no work,nucoril od 5mg tablet is a medicine used to prevent and treat heart related chest pain angina it is usually prescribed when other heart medicines are not suitable or have not worked,Speaker_11,15.42,"['tablet', 'chest']",train
audio/Speaker_11/Speaker11-451.wav,that time doctor talk say na tension headache e get and dem give am pain medicine analgesics few weeks later e start to notice say the way e dey smell things don change in addition to di headache wey e dey get,the patient was diagnosed with a tension headache at that time and was prescribed analgesics few weeks later he started to develop changes in smell perception in addition to headaches,Speaker_11,15.21,"['tension', 'headache', 'later', 'changes', 'smell', 'perception', 'headaches']",train
audio/Speaker_11/Speaker11-452.wav,rifigon 550mg tablet na antibiotic dem dey use am treat infectious diarrhea and irritable bowel syndrome with diarrhea ibs d for adults and children dem fit use rifigon 550mg tablet alone or together with other medicines,rifigon 550mg tablet is an antibiotic it is used to treat infectious diarrhea and irritable bowel syndrome with diarrhea ibs d in adults and children rifigon 550mg tablet can be used alone or in combination with other medicines,Speaker_11,20.16,"['mg', 'infectious', 'dia', 'diarrhea']",train
audio/Speaker_11/Speaker11-453.wav,olkem 40 ct tablet na combination of two medicines e dey help control high blood pressure in different ways if dem no treat high blood pressure e fit lead to heart attacks strokes and kidney failure,olkem 40 ct tablet is a combination of two medicines it helps to control high blood pressure in different ways if high blood pressure is not treated it can lead to heart attacks strokes and kidney failure,Speaker_11,14.63,"['olkem', 'ct', 'tablet']",train
audio/Speaker_11/Speaker11-454.wav,lacoset 200 tablet na prescription medicine wey dem dey use control and prevent epilepsy seizures e dey control seizures or fits by reducing abnormal and too much activity of di nerve cells for di brain,lacoset 200 tablet is a prescription medicine used to control and prevent epilepsy seizures it controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain,Speaker_11,16.36,"['tablet', 'epilepsy', 'seizures', 'abnormal', 'excessive']",train
audio/Speaker_11/Speaker11-455.wav,the patient don retire so e get enough time to focus on healthy lifestyle but e dey chop junk food plenty wey dey cause concern say e fit lead to obesity high blood pressure and other metabolism wahala,patient is retired with ample time to focus on maintaining a healthy lifestyle however the diet consists of frequent consumption of junk food leading to concerns over increased risk of obesity high blood pressure and other metabolic disorders,Speaker_11,16.92,[],train
audio/Speaker_11/Speaker11-456.wav,ct with angiogram of abdomen and pelvis axial view show say the white arrow dey point to fluid level inside the mass wey dem don describe before wey represent active bleeding into a hematoma the way the fluid take contrast show clearly say the bleeding still dey active at that time,ct with angiogram of abdomen and pelvis axial view the white arrow points at a fluid level within the previously described mass represents active bleeding into a hematoma the contrast enhancement of the fluid level suggests this is an active bleed,Speaker_11,22.25,"['active', 'angiogram', 'abdomen', 'pelvis', 'fluid', 'contrast']",train
audio/Speaker_11/Speaker11-457.wav,im previous history na hypertension and subcortical intracerebral hemorrhage wey dem just dey monitor and treat without surgery chest x ray show say the mediastinum don enlarge and no loss of cardiac and diaphragmatic outlines,his previous history included hypertension and subcortical intracerebral hemorrhage that was conservatively followed up without surgery chest x ray demonstrated an enlarged mediastinum without loss of cardiac and diaphragmatic outlines,Speaker_11,21.87,"['hypertension', 'subcortical', 'intracerebral', 'hemorrhage', 'chest', 'ray', 'enlarged', 'mediastinum']",train
audio/Speaker_11/Speaker11-458.wav,dis ultrasound show right adrenal lesion of 9 cm diameter dem kon do abdominal mri wey show soft tissue necrotic encapsulated mass of about 10 9 cm wey originate from di right adrenal gland,this ultrasound showed right adrenal lesion of 9 cm of diameter an abdominal mri was then done and revealed a soft tissue necrotic encapsulated mass of 10 9 cm of right adrenal gland origin,Speaker_11,20.03,"['adrenal', 'lesion', 'cm', 'abdominal', 'mri', 'soft', 'tissue', 'nec', 'mass']",train
audio/Speaker_11/Speaker11-459.wav,di patient get history of statin induced myopathy e don stop medicine wey dem prescribe and e get known allergy to penicillin since e be pikin also di patient no dey tolerate metformin and e get dust allergy with respiratory symptoms wey dey occur again and again,the patient has a history of statin induced myopathy stopped prescription medication and a known allergy to penicillin since childhood additionally the patient experiences metformin intolerance and a dust allergy with recurrent respiratory symptoms,Speaker_11,20.12,"['allergy', 'penicillin', 'metformin']",train
audio/Speaker_11/Speaker11-460.wav,carmazole 5mg tablet na group of medicine wey dem dey call anti thyroid agents dem dey use am treat hyperthyroidism e dey reduce di amount of thyroid hormones wey di thyroid gland dey produce,carmazole 5mg tablet belongs to a group of medicine called anti thyroid agents it is used in the treatment of hyperthyroidism it reduces the amount of thyroid hormones produced by the thyroid gland,Speaker_11,15.15,['tablet'],train
audio/Speaker_11/Speaker11-461.wav,the patient talk say e no dey drink alcohol at all wey good for keeping liver healthy and reducing risk of diseases wey alcohol fit cause the patient still dey do heavy weight lifting exercise regularly wey don increase muscle size and improve im strength,patient reports no alcohol intake which is beneficial for maintaining a healthy liver and reducing the risk of alcohol related diseases patient engages in heavy weight lifting exercises regularly leading to increased muscle mass and improved overall strength,Speaker_11,17.22,"['liver', 'heavy', 'muscle']",train
audio/Speaker_11/Speaker11-462.wav,the patient get history of myopathy wey statin drug cause rash wey drug cause and hyperglycemia wey steroid cause also since 2015 e no dey tolerate amlodipine well as e dey cause angioedema for am the patient still get allergy to dust and anytime e expose to dust e dey trigger breathing problems,the patient has a history of statin induced myopathy drug induced rash and steroid induced hyperglycemia additionally they have been intolerant to amlodipine since 2015 presenting with angioedema the patient also has a known allergy to dust which triggers respiratory symptoms,Speaker_11,24.3,"['induced', 'hyperglycemia', 'amlodipine', 'allergy', 'dust']",train
audio/Speaker_11/Speaker11-463.wav,terbix 250mg tablet na one group of medicine wey dem call antifungal dem dey use am treat plenty fungal infection for skin and nails including ringworm e dey work by killing the fungus wey dey cause the infection,terbix 250mg tablet belongs to a group of medicines called antifungals it is used to treat a wide range of fungal infections of the skin and nails including ringworm it works by killing the fungus that causes the infection,Speaker_11,16.79,"['terbix', 'mg', 'tablet', 'antifungals', 'infections']",train
audio/Speaker_11/Speaker11-464.wav,tolmenta d 150mg 50mg tablet na combination medicine wey dem dey use treat pain wey come from muscle spasm e dey help muscle move better and e dey reduce pain and discomfort wey dey follow muscle spasm,tolmenta d 150mg 50mg tablet is a combination medicine used in the treatment of pain due to muscle spasm it improves the movement of muscles and provides relief from pain and discomfort associated with muscle spasms,Speaker_11,16.6,"['tolmenta', 'mg', 'tablet', 'improves', 'movement', 'discomfort', 'muscles']",train
audio/Speaker_11/Speaker11-465.wav,when dem check im dyspnea before dem talk say na neuromuscular weakness cause am and dem carry am go do pulmonary test chest x ray show say the lungs clear,a previous evaluation of his dyspnea attributed the cause to neuromuscular weakness and he underwent a pulmonary evaluation a chest x ray demonstrated clear lung fields,Speaker_11,12.76,"['dyspnea', 'neuromuscular', 'weakness', 'pulmonary', 'chest', 'ray', 'clear', 'lung']",train
audio/Speaker_11/Speaker11-466.wav,azibest 250mg tablet na antibiotic wey dem dey use treat different kinds of bacterial infection for respiratory tract ear nose throat lungs skin and eye for both adults and children,azibest 250mg tablet is an antibiotic used to treat various types of bacterial infections of the respiratory tract ear nose throat lungs skin and eye in adults and children,Speaker_11,15.45,"['azibest', 'mg', 'bacterial', 'infections', 'respiratory']",train
audio/Speaker_11/Speaker11-467.wav,she marry 7 years ago all her pregnancies na with induction and ovulation and the first and second pregnancies comot between 6 and 8 weeks,she got married 7 years ago all of her pregnancies were by induction and ovulation and the first and second pregnancies were aborted spontaneously between 6 and 8 weeks,Speaker_11,10.33,[],train
audio/Speaker_11/Speaker11-468.wav,for minimally invasive surgery doctors dey use different techniques to operate with less damage to the body compared to open surgery normally this kind surgery dey cause less pain person no go stay long for hospital and e get fewer complications,in minimally invasive surgery doctors use a variety of techniques to operate with less damage to the body than with open surgery in general minimally invasive surgery is associated with less pain a shorter hospital stay and fewer complications,Speaker_11,18.01,"['minimally', 'damage', 'surgery']",train
audio/Speaker_11/Speaker11-469.wav,eliquis 5mg tablet na medicine wey dem call anticoagulant or blood thinner e dey help prevent and treat blood clot e still dey reduce risk of stroke and heart attack,eliquis 5mg tablet is a medicine known as an anticoagulant or blood thinner it helps prevent and treat blood clots it is used to reduce the risk of stroke and heart attack,Speaker_11,14.19,['tablet'],train
audio/Speaker_11/Speaker11-470.wav,giftan 50 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure come down e dey help prevent heart attack and stroke for future this medicine still dey help protect kidney function for people wey get diabetes,giftan 50 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,16.49,"['giftan', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-471.wav,the patient get history of gi bleeding wey dey come and go for about 6 years but dem never fit find where the bleeding dey come from even though dem don check am for different hospitals past history na hypertension benign prostatic hyperplasia gastritis and anemia,patient had a history of intermittent gi bleeding for about 6 years with no known source of bleeding despite having a workup at different hospitals past history includes hypertension benign prostatic hyperplasia gastritis and anemia,Speaker_11,21.16,"['intermittent', 'gi', 'bleeding', 'hypertension', 'benign']",train
audio/Speaker_11/Speaker11-472.wav,serum creatinine di value na 1 02 mg dl plasmodium falciparum antigen value no dey available a g ratio di value na 2 18 ratio,serum creatinine the value is 1 02 mg dl plasmodium falciparum antigen value is not available a g ratio the value is 2 18 ratio,Speaker_11,14.08,"['serum', 'mg', 'ratio']",train
audio/Speaker_11/Speaker11-473.wav,images wey dem take from one 10 year old girl wey get imt for frontal bone di ct scan show say the inner and outer plates don damage clear and sharp boundaries and no sign of calcification or ossification,images obtained from a 10 year old female with imt of the frontal bone the ct scan showed destruction of the inner and outer plates clear and sharp boundaries and no calcification or ossification,Speaker_11,16.02,"['female', 'images', 'frontal', 'destruction', 'calcification']",train
audio/Speaker_11/Speaker11-474.wav,tetanus vaccine adsorbed 0 5ml na medicine wey dem dey use prevent tetanus wey dem dey call lockjaw when person small dem recommend five doses then one extra dose for teenage stage after that person suppose dey take additional dose every 10 years,tetanus vaccine adsorbed 0 5ml is a medicine used to prevent tetanus also known as lockjaw during childhood five doses are recommended with a sixth given during adolescence additional doses every 10 years are recommended,Speaker_11,19.65,"['ml', 'tetanus', 'doses']",train
audio/Speaker_11/Speaker11-475.wav,the patient don get ear piercings for over 5 years and no sign of infection or any problem the kind work wey e dey do involve plenty repeated movement and heavy lifting wey don cause long term musculoskeletal problems and joint pain,patient has had ear piercings for over 5 years with no signs of infection or complications occupational activities involve repetitive motions and heavy lifting leading to chronic musculoskeletal issues and joint pain,Speaker_11,17.56,"['ear', 'piercing', 'repetitive', 'motions', 'heavy', 'chronic', 'joint']",train
audio/Speaker_11/Speaker11-476.wav,the patient work as laboratory technician and don dey get chronic joint pain for more than 5 years even though e dey on treatment e talk say the pain dey get worse and e no dey able to function well again,the patient worked as a laboratory technician and suffered from chronic joint pains for more than 5 years although she was under treatment she reported worsening pain and an inability to function,Speaker_11,12.65,"['worked', 'as', 'laboratory', 'technician', 'chronic', 'joint', 'pains']",train
audio/Speaker_11/Speaker11-477.wav,the patient get history of thyrotoxicosis wey thyroxine cause liver injury wey drug cause and e get known allergy to penicillin since e be small pikin wey dey cause anaphylaxis for am also the patient no dey tolerate cheese as e dey cause gastrointestinal wahala anytime e eat am,the patient has a history of thyroxine induced thyrotoxicosis drug induced liver injury and a known allergy to penicillin since childhood presenting with anaphylaxis additionally the patient is intolerant to cheese with a history of gastrointestinal distress upon consumption,Speaker_11,22.34,"['thyroxine', 'induced', 'thyrotoxicosis', 'allergy', 'penicillin']",train
audio/Speaker_11/Speaker11-478.wav,onapil 0 5mg tablet na prescription medicine wey dem dey use treat epilepsy seizures and anxiety disorder e dey help reduce the abnormal and too much activity for nerve cells and e dey calm the brain,onapil 0 5mg tablet is a prescription medicine used to treat epilepsy seizures and anxiety disorder it helps to decrease the abnormal and excessive activity of the nerve cells and calms the brain,Speaker_11,16.34,"['onapil', 'mg', 'tablet', 'epilepsy', 'excessive', 'nerve', 'cells']",train
audio/Speaker_11/Speaker11-479.wav,psyride 50 tablet na prescription medicine wey dem dey use treat schizophrenia one kind mental illness wey fit cause hallucinations or delusions and e still dey affect how person dey think and behave,psyride 50 tablet is a prescription medicine used in the treatment of schizophrenia a mental disorder that can result in hallucinations or delusions and also adversely affects a persons ability to think and behave,Speaker_11,13.85,"['psyride', 'tablet', 'mental', 'disorder', 'hallucinations', 'delusions']",train
audio/Speaker_11/Speaker11-480.wav,inditel 40 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure reduce e dey help prevent heart attack and stroke for future this medicine still dey help protect kidney function for people wey get diabetes,inditel 40 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,17.34,"['tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-481.wav,e no get any other important medical history and no family history of heart disease e no dey smoke and e dey drink alcohol small small sometimes when dem examine am nothing serious show no sign of heart failure or any systemic disease,he had no other relevant medical history and no family history of cardiac disease he is a nonsmoker and consumed alcohol occasionally clinical examination was unremarkable and did not show any evidence of heart failure or systemic disease,Speaker_11,16.7,"['no', 'family', 'history', 'cardiac', 'disease', 'consumed', 'alcohol', 'clinical', 'examination', 'unremarkable', 'heart']",train
audio/Speaker_11/Speaker11-482.wav,nuforce 200 tablet na one group of medicine wey dem call antifungal e dey work by stopping the fungus from growing and dem dey use am treat infection for mouth throat vagina and other parts of the body including fingernails and toenails,nuforce 200 tablet belongs to a group of medicines called antifungals it works by stopping the growth of fungus and is used to treat infections of the mouth throat vagina and other parts of the body including fingernails and toenails,Speaker_11,17.24,"['antifungals', 'fungus', 'infections']",train
audio/Speaker_11/Speaker11-483.wav,atracurium na neuromuscular blocking medicine and dem dey use am as support during anesthesia e dey help relax skeletal muscles during surgery wen dem no suppose take atracurium hypersensitivity wetin be the dosage of atracurium,atracurium is a neuromuscular blocking agent used as an adjuvant in anesthesia this medication provides relaxation of skeletal muscles during surgery when should atracurium not to be taken hypersensitivity what is the dosage of atracurium,Speaker_11,19.71,['atracurium'],train
audio/Speaker_11/Speaker11-484.wav,aloja 12 5 tablet na medicine wey dem dey use treat type 2 diabetes mellitus dem dey use am together with healthy food and regular exercise to control blood sugar level,aloja 12 5 tablet is a medicine used to treat type 2 diabetes mellitus it is used together with a healthy diet and regular exercise to control blood sugar levels,Speaker_11,13.16,"['type', 'diabetes']",train
audio/Speaker_11/Speaker11-485.wav,she no get any medical illness and she never do any surgery before she be housewife she never smoke tobacco or drink alcohol and she no get any recent travel history to places wey get endemic or pandemic,she was free from medical illness and she had had no previous surgical procedures she is a housewife she never smoked tobacco or drank alcohol and she had no history of recent travel to endemic or pandemic areas,Speaker_11,14.89,"['never', 'smoked', 'tobacco', 'drank', 'alcohol', 'no', 'history', 'recent', 'travel', 'or', 'pandemic']",train
audio/Speaker_11/Speaker11-486.wav,about 10 months ago the patient dey sit for left side of di back seat inside one car when another car hit dem from the left side,ten months previously the patient had been seated in the left rear passenger seat in a car that was hit in the left side by another car,Speaker_11,8.64,['seated'],train
audio/Speaker_11/Speaker11-487.wav,di patient get known intolerance to metformin allergy wey drug cause since 2015 wey dey cause rashes and respiratory wahala and history of lefno intolerance also the patient dey experience seasonal allergy to pollen wey dey cause nose blockage wey dey come back again and again plus eye irritation,the patient has a known metformin intolerance a drug induced allergy since 2015 presenting with rashes and respiratory distress and a history of lefno intolerance additionally the patient experiences seasonal pollen allergies with recurrent nasal congestion and eye irritation,Speaker_11,23.36,"['metformin', 'drug', 'induced', 'allergy', 'seasonal', 'recurrent', 'nasal', 'eye']",train
audio/Speaker_11/Speaker11-488.wav,atorin 10 tablet na one group of medicine wey dem call statins dem dey use am reduce cholesterol and lower the risk of heart disease,atorin 10 tablet belongs to a group of medicines called statins it is used to lower cholesterol and to reduce the risk of heart disease,Speaker_11,10.2,"['atorin', 'tablet']",train
audio/Speaker_11/Speaker11-489.wav,e come with these symptoms general abdominal pain wey dey come and go and e start small small but dey get worse with time and e dey reduce after e go toilet diarrhea and sometimes e dey come with rectal bleeding for di past 2 months,he presented the following symptoms generalized episodic abdominal pain of progressive onset that was relieved by diarrheal stools occasionally associated with rectal bleeding over the past 2 months,Speaker_11,15.81,"['symptoms', 'generalized', 'episodic', 'abdominal', 'progressive', 'onset', 'diarrheal', 'stools', 'rectal', 'bleeding']",train
audio/Speaker_11/Speaker11-490.wav,gatifloxacin na antibiotic wey dem dey prescribe for some kind bacterial infections like conjunctivitis sinusitis skin and skin structure infections and cystitis gatifloxacin dey kill di bacteria wey cause di infection when person no suppose take gatifloxacin hypersensitivity,gatifloxacin is an antibiotic prescribed for certain types of bacterial infections such as conjunctivitis sinusitis skin and skin structure infections cystitis gatifloxacin kills the bacteria that cause infection when should gatifloxacin not to be taken hypersensitivity,Speaker_11,24.62,['gatifloxacin'],train
audio/Speaker_11/Speaker11-491.wav,zupar 400mg 325mg tablet get two painkiller medicines inside dem dey work together to reduce pain fever and inflammation dem dey use am treat different conditions like headache muscle pain period pain toothache and joint pain,zupar 400mg 325mg tablet contains two painkiller medicines they work together to reduce pain fever and inflammation it is used to treat many conditions such as headache muscle pain pain during periods toothache and joint pain,Speaker_11,17.98,"['zupar', 'mg', 'tablet', 'joint']",train
audio/Speaker_11/Speaker11-492.wav,nandrolone na anabolic steroid wey doctor dey prescribe to treat anemia wey come from kidney problem normally kidney dey produce one hormone wey dem call erythropoietin and this hormone important for making red blood cells,nandrolone is an anabolic steroid prescribed for anemia caused by kidney problems the kidney normally produces a hormone called erythropoietin which is necessary for the production of red blood cells,Speaker_11,17.39,"['nandrolone', 'kidney']",train
audio/Speaker_11/Speaker11-493.wav,biopsy result show say malignant melanoma dey for the left lower lid skin and bulbar conjunctiva the patient refuse to remove the whole eye area orbital exenteration and choose to do surgery to remove the tumor hoping say she go get negative margins,biopsy results revealed malignant melanoma of the left lower lid skin and bulbar conjunctiva the patient refused orbital exenteration and decided to undergo tumor excision surgery with the hope of achieving negative margins,Speaker_11,21.4,"['biopsy', 'malignant', 'melanoma', 'orbital', 'exenteration', 'tumor', 'excision', 'surgery']",train
audio/Speaker_11/Speaker11-494.wav,tamica 40 tablet na medicine wey dem dey use treat high blood pressure and heart failure when blood pressure reduce e dey help prevent heart attack and stroke for future this medicine still dey help protect kidney function for people wey get diabetes,tamica 40 tablet is a medicine used to treat high blood pressure and heart failure lowering blood pressure helps to prevent future heart attack and stroke this medicine is also effective in preserving kidney function in patients with diabetes,Speaker_11,16.64,"['tamica', 'tablet', 'high', 'lowering', 'blood', 'pressure']",train
audio/Speaker_11/Speaker11-495.wav,hemophilus b na conjugate vaccine wey dem dey prescribe for invasive disease wey haemophilus influenzae dey cause when person no suppose take am dem no suppose give am to children wey never reach 6 weeks old and anybody wey get hypersensitivity to am,hemophilus b is a conjugate vaccine prescribed for invasive disease caused by haemophilus influenzae when should hemophilus b not to be taken contraindicated in children less than 6 weeks of age and known hypersensitivity,Speaker_11,18.47,[],train
audio/Speaker_11/Speaker11-496.wav,recently e start to get serious heart failure wey show as bilateral leg oedema oedema for face and difficulty to breathe e still get very high hypertension wey hard to control with wide pulse pressure,more recently he had developed acute heart failure manifested by bilateral leg oedema facial oedema and difficulty in breathing together with severe and difficult to control hypertension with wide pulse pressures,Speaker_11,16.41,"['acute', 'heart', 'failure', 'bilateral', 'difficulty', 'breathing', 'severe', 'difficult', 'control', 'wide', 'pulse']",train
audio/Speaker_11/Speaker11-497.wav,magnetic resonance imaging coronal view show say tumor masses dey for di right nasal cavity and for bilateral ethmoid sinuses the arrows dey point to the ethmoid wey dey inflamed wey dey separate di tumor from di anterior cranial fossa,magnetic resonance imaging coronal projection tumor masses in the right nasal cavity and bilaterally ethmoid sinuses the arrows indicate ethmoids in inflammatory state separating the tumor from anterior cranial fossa,Speaker_11,19.29,"['magnetic', 'resonance', 'imaging', 'coronal', 'masses', 'nasal', 'cavity', 'bilaterally', 'ethmoid', 'sinuses', 'anterior', 'cranial', 'fossa']",train
audio/Speaker_11/Speaker11-498.wav,cfx 500mg tablet na antibiotic wey dem dey use treat bacterial infections dem still dey use am treat infection for urinary tract nose throat skin soft tissues and lungs pneumonia,cfx 500mg tablet is an antibiotic used in the treatment of bacterial infections it is also used in treating infections of the urinary tract nose throat skin and soft tissues and lungs pneumonia,Speaker_11,15.83,"['cfx', 'tablet', 'infections', 'urinary', 'lungs']",train
audio/Speaker_11/Speaker11-499.wav,magnetic resonance imaging scan wey dem do before surgery show say for axial t1 weighted image of the cervical spine the arrow dey point to where the spinal cord for neck don shift go back at the level between c5 and c6 disc space,pre operative magnetic resonance imaging scan the arrow on the axial t1 weighted cervical spine image shows the cervical cord posteriorly displaced at the level of the c5 to c6 disc space,Speaker_11,18.75,"['magnetic', 'resonance', 'imaging', 'axial', 'cervical', 'spine', 'cord']",train
audio/Speaker_11/Speaker11-500.wav,citilite plus 500mg 800mg tablet na combination of two medicines wey dem dey use treat stroke e dey protect nerve cells for brain from damage and e still dey help repair the ones wey don damage,citilite plus 500mg 800mg tablet is a combination of two medicines used in the treatment of stroke it protects the nerve cells in the brain from damage and also helps to repair the damaged nerve cells,Speaker_11,14.93,"['citilite', 'mg', 'tablet', 'brain']",train