audio,transcription,english_translation,speaker_id,duration,medical_terms,split
audio/Speaker_3/Speaker3-1.wav,my period neva come for like three weeks now i no carry belle i don do pregnancy test for house and for doctor office all say negative for like five days now my belle de pain me for dat right side near my ovary di pain no gree go dis na weekend and i no think say i fit wait till monday to go see doctor wetin i go do i dey fear well well abeg help me,i am about three weeks late for my period i am not pregnant all pregnancy tests taken at home and at the doctor s office came out negative for about five days now i have been having lower abdominal pains on the right side of my ovary the pain never subsides it s now the weekend and i don t think i can wait much longer until monday to make an appointment to go in what should i do i am so worried please help,Speaker_3,37.96,"['pregnancy', 'tests', 'office', 'about', 'abdominal', 'pains']",validation
audio/Speaker_3/Speaker3-2.wav,my pikin get one place for her hand wey thick and e de pain her she fall since one year ago and since dat time she de complain say e de pain her di x ray wey dem do dat time show say no bone break but after one year we see one lump dem don order ultrasound now,my daughter has density of the soft tissue in an area of her arm where she has pain she fell a year ago and has complained of it hurting ever since the x rays after her fall indicated no fracture but a year later we found a lump they are ordering an ultrasound,Speaker_3,28.26,"['arm', 'fell', 'hurting', 'rays', 'fall', 'lump']",validation
audio/Speaker_3/Speaker3-3.wav,di only way to treat dis melanoma na to do surgery remove everything dis cancer bad well well and e no de gree for chemotherapy or radiotherapy so if surgery fit remove am finish make you do am quick quick if not e go soon spread reach where surgery no go fit reach again if you no gree do am e go fit kill person and medicine no go fit cure am again no focus on di side effects,the only curative treatment for melanoma is surgery with negative margins it is a very aggressive cancer and resistant to all forms of chemotherapy or radiotherapy therefore if it is possible by any surgical plan to remove the entire disease then you should undergo it without delay otherwise it will soon spread and go beyond the scope of surgery if you do not proceed it will become a life threatening situation for you and you will be beyond cure do not focus on the side effects,Speaker_3,40.93,"['melanoma', 'chemotherapy']",validation
audio/Speaker_3/Speaker3-4.wav,hello i feel say your ankle swollen too much for dem to operate na why dem wait make di swelling go down and dat one fit take one week to ten days dem no tell you clearly for my eye three weeks long small e fit be small problem for di body no be just swelling yes e still safe to do surgery three weeks after di injury di pain wey you de feel when you put your leg down but you no match ground na blood wey de rush enter di leg and di swelling de make di body tight and de pain dis one go soon settle or e fit still de pain even after dem remove di plaster,hello i believe that the ankle may have been too swollen to operate on which is why they delayed the surgery to allow the swelling to go down which can take one week to ten days did they not clearly communicate this three weeks is a long time in my opinion it may be a systematic issue rather than just swelling yes it is still safe to undergo surgery three weeks post injury the pain that you experience when your leg is down but not weight bearing is caused by blood rushing into the leg and the resultant swelling makes the tissues tense and painful again this should settle with time or may persist even after the leg comes out of the cast for some time,Speaker_3,59.59,"['ankle', 'swelling', 'painful', 'leg']",validation
audio/Speaker_3/Speaker3-5.wav,constipation de always catch babies wey de drink formula milk dis problem de worse if you no mix di milk well put one scoop for thirty milliliters of water and make sure say you follow dis style anytime you de mix any amount use di scoop wey de inside di tin take measure to shit once for every three days no too bad give am glycerin suppository for him yansh if e no still shit well to change di milk brand no go help,constipation is common in formula fed infants this problem increases if the milk is not prepared in the proper concentration add one scoop of formula to thirty milliliters of water and maintain this ratio when preparing the formula in whatever amount use the scoop in the container to measure passing stool once every three days is tolerable give him a glycerin suppository per rectum if the frequency is still less changing the formula will not help,Speaker_3,44.96,"['constipation', 'rectum']",validation
audio/Speaker_3/Speaker3-6.wav,my daughter wey be thirteen years de complain say her chest de pain her for where her heart dey she just de tell us now say e don tay wey dis thing de happen she say di pain be like person use pin stab her and e de last like one minute she say when e start to pain e de hard am to breathe but if she slow down her breathing e de quick go,my daughter is thirteen and has been complaining of chest pain right in the area of her heart she is just now telling us that this has been going on for some time now she says that it is a sharp stabbing pain that lasts around a minute she states that when it starts hurting it is hard to breathe in but if she slows down her breathing it doesn t take long for it to go away,Speaker_3,32.16,"['chest', 'sharp', 'stabbing']",validation
audio/Speaker_3/Speaker3-7.wav,hi your doctor get point when he say your leg pain no be from dat bone cyst for my side dat your shin pain wey you de get when you de waka fit be from dat area or even from your back i go advice make you start with painkillers muscle relaxants rest and physiotherapy for ten days if e no still go den you go do mri,hi the first thing is that your doctor is right when he says that shin pain is not due to an aneurysmal bone cyst in my opinion your shin pain which was previously in the popliteal region and occurs when walking could be due to local problems or referred pain from a spinal issue i would start with painkillers muscle relaxants rest and physiotherapy for ten days and if there is no relief then i would recommend investigations such as magnetic resonance imaging,Speaker_3,41.35,"['shin', 'bone', 'popliteal', 'region', 'painkillers', 'spinal', 'physiotherapy']",validation
audio/Speaker_3/Speaker3-8.wav,di pain fit be from your lungs or your stomach go do x ray for your chest make we see if infection dey for your lungs if e no be dat one den start to take antacids for stomach,the pain can have a respiratory or a gastric cause get an x ray of her chest done to see if she has any lung infection if not then get her started on some antacids,Speaker_3,20.04,"['ray', 'chest', 'lung']",validation
audio/Speaker_3/Speaker3-9.wav,hi my body de do me like say i get fever but i just warm small and my eyebrow bridge of my nose and di side de swell small i get allergy for penicillin one week ago my body hot well well last week but e de reduce everyday i de take antibiotics now for sinus infection you think say na fungus de do me so,hi i am feeling feverish but a little warm with slight swelling on the top of my eyebrow the bridge of my nose and the side of it i had an allergic reaction to penicillin a week ago i was really feverish a week ago but it subsides every day i am now on antibiotics for a sinus infection is this a fungal infection,Speaker_3,36.88,"['feverish', 'slight', 'swelling', 'allergic', 'reaction', 'penicillin', 'antibiotics', 'sinus', 'fungal']",validation
audio/Speaker_3/Speaker3-10.wav,abeg go do pregnancy test first before you decide wetin to do if e show negative you fit continue to take your pills,please get the pregnancy test done and then decide what to do if it is negative you could continue with the pills,Speaker_3,13.4,"['pregnancy', 'test']",validation
audio/Speaker_3/Speaker3-11.wav,you no need take steroids but you fit continue with your multivitamins drink plenty water at least three to four liters everyday dat heavy feeling wey you de feel for your kidney normal after stone don comout everything go soon settle if you no feel better after some time you fit try take neeri syrup,there is no need to take steroids but you can continue with multivitamins increase your water intake to at least three to four liters a day the heaviness you feel in your kidney is natural after the expulsion of a stone these symptoms will subside after some time if you do not feel better after a while you can consider taking neeri syrup,Speaker_3,31.66,"['water', 'intake', 'liter', 'heaviness', 'kidney', 'neeri']",validation
audio/Speaker_3/Speaker3-12.wav,my grandson wey be seven months don start to de shake head from side to side like say he de say no no be everytime but sometimes when he do am e de look like say e de turn am for head small and him eyes go roll up small but e go soon normal wetin be dis and e serious i be nurse and i no wan disturb him mama and papa for nothing him mama na forty years and him papa na forty six when dem born am na dem first pikin be dis,my seven month old grandson has started turning his head from side to side as if he is saying no not all the time but sometimes when he does it he looks like it makes him a little dizzy just for a moment and his eyes roll some but then return to normal what is this and is it serious i am a registered nurse and do not want to unnecessarily upset his parents his mother was forty and his father was forty six when he was born this is the first child for both,Speaker_3,38.59,"['from', 'side']",validation
audio/Speaker_3/Speaker3-13.wav,some weeks ago i forget to take my bp medicine for morning and dat time e hard me to breathe and i sweat well well since dat time i de feel like say everywhere de turn me no be say my head de rotate but i just de feel light for head i suppose worry about dis thing,a few weeks ago i forgot to take my high blood pressure medication one morning and had an episode of not being able to catch my breath and sweating profusely since then i have been feeling a sense of vertigo i don t feel dizzy more just light headed is this something to be concerned about,Speaker_3,23.27,"['medication', 'morning', 'not', 'being', 'able', 'catch', 'breath', 'sweating', 'vertigo', 'dizzy', 'light']",validation
audio/Speaker_3/Speaker3-14.wav,hello from wetin you talk e be like say na just how di body de work and no be any big sickness so noting to worry about maybe he just need person to encourage am and he go dey okay i hope say dis information help enjoy your day,hello given the history it is suggestive of some functional condition and may not have any pathological reason so there is nothing to worry about he might be in need of some moral support and that would be okay for him i hope this information helps have a nice day,Speaker_3,22.66,[],validation
audio/Speaker_3/Speaker3-15.wav,you fit add sinular ten milligrams once daily and tossex syrup one teaspoon twice daily for ten days and you go dey okay,you can add sinular ten milligrams once a day and syrup tossex one teaspoonful twice a day for ten days and you will be completely fine,Speaker_3,13.33,"['milligrams', 'twice']",validation
audio/Speaker_3/Speaker3-16.wav,hi i get twenty seven weeks belle and since i start my head de feel like say something de press am and i de get vex quick quick i don go see ent doctor but dem say na just congestion dem see everything wey i try no de work i feel like say i wan cry because e de happen everyday you fit help me,hi i am twenty seven weeks pregnant and since the start of my pregnancy i have been experiencing head pressure feeling irritable and agitated i have been to an ear nose and throat specialist but all they noticed is congestion everything i try doesn t seem to work i feel like crying because it happens every day can you help me,Speaker_3,31.83,"['crying', 'everything']",validation
audio/Speaker_3/Speaker3-17.wav,we get one daughter wey die when she be six years since den we don de try have anoda pikin for two years now my wife na thirty three years her height na 5 1 and she heavy like 65kg she don do laparoscopic surgery but dem no see any problem but she get polycystic ovaries she de take metformin and folic acid her period no de come well since after dat surgery last year e fit take one and half months to two months before e come her blood level na around ten abeg tell us wetin we go do make we fit get pikin,we had a daughter who died at the age of six years after that we have been trying to have a baby for the last two years my wife is thirty three years old five feet one inch tall and her weight is sixty five kilograms she underwent laparoscopic surgery but no problem was found however she has polycystic ovaries she is taking metformin and folic acid she has had irregular periods after the laparoscopic surgery for the last year her menstrual cycle ranges from one point five months to two months her hemoglobin level remains around ten please suggest what we can do to have a baby,Speaker_3,52.2,"['baby', 'wife', 'metformin', 'folic', 'irregular', 'periods', 'surgery', 'menstrual', 'cycle', 'point', 'hemoglobin']",validation
audio/Speaker_3/Speaker3-18.wav,hi masturbation na normal thing wey de happen because of hormones e no de affect health but di fear wey follow am fit make person weak di sperm wey body de produce everyday suppose comout somehow e fit comout when person de urinate or for dream or through masturbation noting to worry about e no de cause quick quick ejaculation,hi masturbation is a natural process that is due to hormonal changes masturbation does not affect health but the anxiety associated with it may cause weakness semen produced daily should be ejaculated in some manner semen can be lost through urination during sleep or by masturbation there is nothing to worry about it does not cause premature ejaculation,Speaker_3,27.72,['daily'],validation
audio/Speaker_3/Speaker3-19.wav,my bp high pass normal and my chest de pain me small my left hand de do me like say e sleep i no get headache i no swell e no hard me to breathe and i no sweat everything look okay i de tink say na heartburn because di feeling for my chest de disturb me e no really be pain i don start to take omega 3 garlic supplements and multivitamin i de try chop things wey get potassium and i de exercise wetin fit be di problem,my blood pressure is higher than normal and i have a slight pain in my chest my left arm has had a little numbness i have not had any headaches swelling trouble breathing or sweating everything feels right i am also thinking about heartburn because the feeling in my chest is annoying not painful i started taking omega three and garlic supplements along with a multivitamin i am trying to get potassium in my diet and exercising on an elliptical what could the problem be,Speaker_3,39.38,"['blood', 'pressure', 'higher', 'normal', 'slight', 'arm', 'numbness', 'headaches', 'omega', 'garlic', 'supplements', 'multivitamin', 'exercising']",validation
audio/Speaker_3/Speaker3-20.wav,hi i be thirty four years i never take any family planning pills since i born my pikin eighteen months ago i do sex yesterday without protection and i de fear say i fit get belle i get one new pack of lo loestrin fe and i de tink if i fit use am as emergency pill if e possible how i go take use am,hi i am thirty four years old i haven t taken any birth control pills since i had my baby eighteen months ago i had unprotected sex twenty four hours ago and i am worried that i might get pregnant i have a new pack of lo loestrin fe and i was wondering if i could take it as emergency contraception if so how can i use it,Speaker_3,33.16,"['control', 'pills', 'baby', 'unprotected', 'sex', 'lo', 'loest']",validation
audio/Speaker_3/Speaker3-21.wav,hi e no good to say person get pancreatitis just because of lipase level alone you suppose go do ct scan for di pikin i go like know why she even go see doctor for first place if her belle de pain her she need to enter hospital sharp sharp acute pancreatitis na emergency and dem suppose treat am quick make di pikin for dey okay e de always better if dem find di cause quick i wish you di best,hi it is not appropriate to diagnose pancreatitis based solely on lipase levels you should get a computed tomography scan done for the child i would also like to know why she was seen by a doctor in the first place if she has abdominal pain she needs immediate hospitalization acute pancreatitis is an emergency and should be promptly treated for better quality of life for the child the outcomes are good if the pancreatitis is treated early with a known cause best of luck,Speaker_3,44.65,"['computed', 'tomography', 'seen', 'acute', 'pan', 'pancreatitis']",validation
audio/Speaker_3/Speaker3-22.wav,milk wheat potatoes or chickpeas na dem de cause dis kind symptoms abeg go do blood test for antibodies against all dem food try small small sublingual immunotherapy and you fit even get relief from oda allergies too,milk wheat potatoes or chickpeas are culprits of these types of symptoms and signs please get a blood test done for milk wheat potato and chickpea specific antibodies consider low dose sublingual immunotherapy and you may also get rid of other allergies,Speaker_3,22.62,[],validation
audio/Speaker_3/Speaker3-23.wav,if you miss one pill you must take am within twenty four hours plus dat day own on time if you skip di pill you must use condom for di next seven days but since your condom sef break if di sperm enter inside belle fit enter wait for your period if e no come do urine pregnancy test check,when you miss one pill within twenty four hours you have to take the same dose plus the next day s dose on time if you skip the oral contraceptive pill dose you have to use a condom for the next seven days but since your condom also broke if the ejaculate containing sperm went inside there is a chance of pregnancy you should wait for your period if it is missed you can do a urine pregnancy test and check,Speaker_3,27.24,['within'],validation
audio/Speaker_3/Speaker3-24.wav,dat lump for your head since you don get sinus problem before e fit be boil e no likely be lymph node if you get sugar diabetes boils de common more try augmentin twice daily for five days and brufen for di pain see if e go go down if e no change go see surgeon,a tender lump over the scalp in view of the previous infectious source like sinusitis suggests a boil or a furuncle less likely a lymph node if you are diabetic there are more chances of folliculitis or a boil try an antibiotic like augmentin twice daily for five days and analgesics like tablet brufen and check if it subsides if there is no response consult a general surgeon,Speaker_3,29.77,"['tender', 'lump', 'boil', 'folliculitis', 'antibiotic', 'twice', 'daily', 'analgesics']",validation
audio/Speaker_3/Speaker3-25.wav,dear ma am you get toilet infection uti go do simple urine test depending on how di infection be you fit need to use antibiotics,dear ma am you are suffering from a urinary tract infection go for a simple complete urine examination depending upon the infection you may need to use antibiotics,Speaker_3,15.33,['urinary'],validation
audio/Speaker_3/Speaker3-26.wav,i wan know how long e go take before person wey do transplant go dey safe and fit chop normal food i also wan know how long person go de take medicine under normal condition plus wetin di person wey give donor go do make he for live healthy life,i want to know how long it will take to ensure that someone who has undergone the transplantation is safe and can live with a normal diet i also want to know how long the medications should be continued under normal conditions additionally i would like to know what things the donor should take care of in order to live a healthy life,Speaker_3,25.5,"['normal', 'medications']",validation
audio/Speaker_3/Speaker3-27.wav,i fall for my back for water park my muscles stiff well well and dem de pain me but e de look like say dem de better now if i sneeze or cough one sharp pain de tear me for my left side belle down you think say i pull muscle for there e de even pain me if i lie down den try sit up,i fell down at the water park on my back the muscles were very stiff and sore but seem to be getting better now when i sneeze or cough i have a sharp ripping or tearing pain in my lower left abdomen could i have pulled a muscle there it also rips then too additionally if i am lying back and sit up it hurts,Speaker_3,27.52,"['water', 'park', 'stiff', 'sore', 'sneeze', 'sharp', 'ripping', 'tearing', 'pulled']",validation
audio/Speaker_3/Speaker3-28.wav,my pikin na four and half years he don get convulsion with fever twice once when he be seven to eight months and anoda one when he be one and half years doctor start am for valproate 2 5ml twice daily after dem do eeg now after three years of medicine we don de reduce di dose from 2 5ml last month to 1 5ml dis month i wan ask if e safe and if side effects dey wetin be di things we suppose look out for,my son is four point five years old he had febrile convulsions twice once at the age of seven to eight months and the other at one point five years my pediatrician started valproate two point five milliliters twice a day after conducting an electroencephalogram now after three years of medication we started tapering the dose from two point five milliliters twice a day last month to one point five milliliters this month i want to ask if it is safe and if there are any side effects related to it what care should we take,Speaker_3,46.88,"['convulsions', 'valproate', 'point', 'milliliters', 'twice']",validation
audio/Speaker_3/Speaker3-29.wav,hi i think say dis one na just normal variation sometimes wetin different doctors see fit different you fit do anoda scan to make sure also if di result still be di same you fit do growth scan after four weeks to see if di size de grow well no worry too much about just one scan i hope dis one help,hi i think this can be a normal variation sometimes there can also be observer variation you can have a repeat scan done to confirm it also if the findings are the same you can go for a growth scan after four weeks to see if the size has grown normally or not don t worry too much about a single scan i hope this helps,Speaker_3,28.4,"['growth', 'scan', 'after']",validation
audio/Speaker_3/Speaker3-30.wav,hi my papa na fifty nine years total bilirubin na 1 9 direct bilirubin na 1 4 globulin na 3 7 ggt na 428 5 alkaline phosphatase na 227 7 serum creatinine na 0 54 sodium na 138 and potassium na 4 9 dem don tap am three times october 2012 1000ml december 2013 5500ml and february 2014 3500ml abeg advice me,hi my father is fifty nine years old total bilirubin is one point nine direct bilirubin is one point four globulin is three point seven gamma glutamyl transferase is four hundred and twenty eight point five alkaline phosphatase is two hundred and twenty seven point seven serum creatinine is zero point five four sodium is one hundred and thirty eight and potassium is four point nine tapping was done three times in october two thousand and twelve one thousand milliliters december two thousand and thirteen five thousand five hundred milliliters and february two thousand and fourteen three thousand five hundred milliliters please suggest,Speaker_3,52.5,"['father', 'total', 'bilirubin', 'point', 'direct', 'globulin', 'gamma', 'glutamyl', 'transferase', 'alkaline', 'phosphatase', 'serum', 'creatinine', 'zero', 'sodium', 'potassium']",validation
audio/Speaker_3/Speaker3-31.wav,nutrilite products dey for cancer my friend papa get cancer for cheek and throat doctors say he no de respond to chemotherapy i hear say nutrilite fit help am live longer you fit suggest anything about dis,is there any nutrilite products for cancer one of my friend s father is suffering from cheek and throat cancer doctors said he is not recovering from chemotherapy i heard that nutrilite products may help to extend his life span could you please suggest something on this,Speaker_3,19.74,"['nutrilite', 'cheek', 'throat']",validation
audio/Speaker_3/Speaker3-32.wav,hi i be thirty one year old woman i get pain for my left side belle down e just de heavy and de pain small small but e de worse for evening e don reach like four to five months now and e just dey dat one place i do cs five years ago and di wound get infection dat time my ultrasound and ct scan dey normal only say dem see small fluid for inside abeg wetin be di diagnosis and treatment,hi i am thirty one years old female i have pain in my left iliac region which is dull and heavy becoming severe in the evening it has been present for about four five months and now it is localized i had a cesarean section five years ago and had a wound infection as well my ultrasound and computed tomography are normal except for minimal free fluid kindly advise on diagnosis and treatment,Speaker_3,37.78,"['iliac', 'dull', 'severe', 'cesarean', 'section', 'infection', 'ultrasound', 'computed', 'tomography', 'normal']",validation
audio/Speaker_3/Speaker3-33.wav,from wetin you talk i tink say na hematoma blood wey gather if your pikin no faint or vomit noting to worry about too much just use hot water press di place for two days hematoma de usually clear within three to four days he fit take paracetamol for di pain make he sleep for one side so he no go press di place make e no for pain am for di first two days i hope i don answer your question get well soon enjoy your day,based on what you have described i think it may be a hematoma a hematoma refers to a collection of blood if your son did not experience any loss of consciousness or vomiting there is not much to worry about just give him hot water compresses for two days a hematoma usually gets absorbed within three to four days he can take paracetamol for pain he can sleep on one side to avoid pressure on the hematoma which might cause pain for the initial two days i hope i have answered your queries get well soon have a good day,Speaker_3,40.5,"['hematoma', 'loss', 'consciousness', 'may', 'paracetamol', 'sleep']",validation
audio/Speaker_3/Speaker3-34.wav,my heart de stop for like one beat den e go start again den i go de feel like say my head de rotate and blood de rush go my head e de happen throughout di day everyday i don do stress tests twice ecg heart monitors noting show but now e de stop longer and di pressure for my head de strong e don de fear me now,my heart stops for about one beat and then starts again i then feel lightheaded and also feel the blood rush to my head this happens throughout the day every day i have had stress tests done twice electrocardiograms heart monitors nothing shows up but it is now stopping for longer and the pressure i feel in my head is stronger it is starting to scare me,Speaker_3,30.84,"['beat', 'lightheaded', 'pressure']",validation
audio/Speaker_3/Speaker3-35.wav,novelon na family planning medicine no need to use emergency pills if you don de take novelon regularly,novelon is a form of birth control there is no need to use emergency contraceptives if you have been taking novelon regularly,Speaker_3,9.64,['novelon'],validation
audio/Speaker_3/Speaker3-36.wav,my pikin get autism and he no de sleep at all i de fear say he go wound himself i de give am melatonin but e no really de help any safe medicine wey i fit buy for chemist wey go help am,my autistic child that won t sleep my ten year old son has autism and just does not sleep i am scared that he is going to seriously get hurt i give him melatonin but it just does not seem to help much is there something over the counter that i can give him that is safe,Speaker_3,19.57,[],validation
audio/Speaker_3/Speaker3-37.wav,i get pikin wey be two years and he get amoebiasis last month we treat am dat time but e don come back again he de shit water water and him belle de pain am i suppose go back for check up or use dat same metronidazole medicine again which oda medicine he need i fit treat am for house,i have a two year old baby who had amoebiasis last month it was treated already but now it has occurred again he has frequent loose bowel movements and stomach pain should i still go back for a check up or treat him again with the same medicine like metronidazole what other medications are needed can i just treat him at home,Speaker_3,27.52,"['amoebiasis', 'frequent', 'loose', 'bowel', 'movements', 'stomach', 'metronidazole']",validation
audio/Speaker_3/Speaker3-38.wav,make i tell you truth breast milk na di best food for pikin till six months after dat pikin need mashed food wey adult de chop but make pepper and spice no dey and you go start am small small milk no be compulsory again at dat age if pikin de chop oda beta food cow or buffalo milk get too much protein so e de hard for pikin to digest most formula milk na cow milk dem use so even though dem no too bad you fit give am but i prefer homemade food like rice and beans pulses wey you boil with vegetable den mash am well wetin you de do now khichdi ragi fruit beta well well dem get power pass formula milk so i no go advice you use nan or buffalo milk,let me emphasize the fact that breast milk is the best food for a baby up to six months of age beyond that the baby needs a mashed version of an adult diet that is low in spices introduced step by step milk becomes an optional component at this age if other sources of nutrients are included in the diet cow or buffalo milk has a high protein content and is therefore difficult for a baby to digest most formula milks are cow milk based and although they are not directly harmful they may be given however i would prefer homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing you are doing the right thing by giving khichdi ragi and pulp of fresh fruits most of these would be more nutritious than the available formula and so i would not recommend formulas like nan or buffalo milk,Speaker_3,66.97,"['adult', 'diet', 'high', 'cow', 'milk', 'based']",validation
audio/Speaker_3/Speaker3-39.wav,hi i de take norethisterone to make my period normal before my period de last for months and e de heavy well well so i had to take medicine to stop di bleeding dem give me mini pill before but e no work i just de bleed everyday even if na small i change go norethisterone and e don work my period don dey normal and di bleeding don stop but now pain don start i de get pimples and because i de take medicine for depression i no de fit cope dat week at all i de feel down and i de fear anoda option dey,hi i am on norethisterone to regulate my periods i used to have periods that lasted months and were really heavy requiring me to take medication to try to stop the bleeding i was prescribed the mini pill but it did not work i just bled all the time only lightly but continually i switched to norethisterone which has worked making me regular and controlling the bleeding however i never had pain before i do now i get spots and emotionally as someone who is already on antidepressants i cannot cope during that week i feel so paranoid down and desperate is there an alternative,Speaker_3,50.39,"['medication', 'bled', 'norethisterone']",validation
audio/Speaker_3/Speaker3-40.wav,i do sex without protection yesterday june 12 2012 and i take next choice like six and half hours after my period no dey regular but the ovulation calculator say the day i do the sex na my first day of ovulation since then i no feel any symptom except small headache one hour after i take the pill wetin be the chance say i fit get belle,i had unprotected sex yesterday june twelve two thousand and twelve and took next choice about six and a half hours later my periods are irregular but on an ovulation calculator it said that the day i had unprotected sex was the first day of ovulation so far i ve experienced no symptoms except a minor headache an hour after i took it what are the chances of me being pregnant,Speaker_3,32.07,"['symptoms', 'minor', 'headache']",validation
audio/Speaker_3/Speaker3-41.wav,i go advise say make you do behavioral therapy try face those sounds wey you no like e go take time before e go comot and e fit be like suffer for start but i sure say you go fit overcome am,i would suggest behavioral therapy for you try to face those sounds that you have intolerance toward it will take some time to overcome and initially it will be distressing however i am sure you will overcome it,Speaker_3,17.23,[],validation
audio/Speaker_3/Speaker3-42.wav,hey you dey dive deep inside the swimming pool if yes abeg stop am now you fit end up get wetin dem dey call air embolism,hey are you diving deep in the swimming pool if yes then stop doing that now you could land up with an air embolism,Speaker_3,11.68,"['diving', 'air']",validation
audio/Speaker_3/Speaker3-43.wav,hi first of all birth control pills dey help control your polycystic ovarian syndrome if you join am with better lifestyle like correct food and exercise so continue the good work but for now you need to stop the pills check if your ovulation dey regular with the urine test kits wey dey market if e no dey regular you fit need medicine to boost fertility two to make sure the bacterial vaginosis no come back you need to do these things one avoid any kain wash wash for inside vagina because e dey commot the good bacteria just clean with normal water when you dey baff two take probiotics for two weeks to help restore the vagina balance three wear cotton pant and avoid tampon e better make you use pad four avoid oral sex with your man five use metronidazole vaginal pessary for one week to clear the infection i hope these things go help you start to dey take folic acid too,hi first of all birth control pills help in controlling your polycystic ovarian syndrome with added lifestyle modifications such as a balanced diet and physical exercise so keep up the good effort but now you need to stop the pills check if you are ovulating regularly or not with the urine ovulation kits available in the market if you are still not you may need some fertility boosting medications secondly to prevent the bacterial vaginosis from recurring you need to do the following one avoid any kind of vaginal douches as these wash away the good bacteria clean with normal water while taking a bath two take probiotics for two weeks to help restore the vaginal flora three use cotton panties and avoid using tampons use pads preferably four avoid oral sex with the male partner five use metronidazole vaginal pessary for a week to clear the bacterial vaginosis i hope these measures help you do start using folic acid supplements,Speaker_3,88.14,"['birth', 'control', 'pills', 'polycystic', 'ovarian', 'syndrome', 'balanced', 'bacterial', 'vaginosis', 'probiotics', 'metronidazole', 'folic', 'acid']",validation
audio/Speaker_3/Speaker3-44.wav,i dey allow patient swim four to six weeks after operation so if your wound don dry you fit swim but make you easy oh no be say you wan go break michael phelps record enjoy your swim,i allow patients to swim four to six weeks after the operation so if the wounds are okay you can swim of course take it easy you should not try to beat michael phelps records have a nice swim,Speaker_3,17.35,['swim'],validation
audio/Speaker_3/Speaker3-45.wav,go do x ray make we see if bone near the metal don crack the tip of the metal fit dey cut the bone inside make that part weak and na that one dey cause the pain for your thigh,take one x ray to rule out an impending periprosthetic fracture the tip of the prosthesis can erode the femoral cortex medially weaken that part and give rise to this type of thigh pain,Speaker_3,17.58,"['ray', 'femoral', 'cortex', 'thigh']",validation
audio/Speaker_3/Speaker3-46.wav,i think say your implant don shift from where e suppose dey e dey touch the wrong nerves for your thigh and knee so i advise you make you call the doctor wey fix the thing for you,i think your implant might be displaced from its original position it will stimulate the wrong nerves supplying the thigh and knee therefore my recommendation is to contact the concerned doctor who implanted the device,Speaker_3,14.19,"['implanted', 'thigh']",validation
audio/Speaker_3/Speaker3-47.wav,thank you for asking you get many sickness and some wey dem don operate you before if person get many health issues the bad side of disease medicine and surgery fit show more the main thing wey you dey worry about na the blood wey dey comot from your vagina if your period still dey flow na likely reason be that if no be so we need check other things i go advise make you wait small see if e go stop to wait and watch na the best plan now unless if the bleeding too much have a nice day,thank you for asking you have multiple pathologies some of which have been operated on when there are multiple health issues then the negative consequences of disease medicine and surgery are more likely your main concern is bleeding per vagina if you are still having your period then that could be the primary reason if you are not then other possible causes need to be investigated i would advise you to wait for some time to see if this resolves itself waiting and observing is the best strategy in this case unless it is heavy or profuse bleeding have a nice day,Speaker_3,44.28,[],validation
audio/Speaker_3/Speaker3-48.wav,my pikin wey be 21 months old bin knock im head hard for front yesterday e no vomit e no faint and e dey chop sleep and waka normal but i notice say im lips and finger nails dey show small blue color e fit be because of the knock e bin get virus recently wey make im fever high so maybe i just dey over think,my son who is twenty one months old had a nasty knock on the front left side of his forehead yesterday he has had absolutely no vomiting didn t lose consciousness and is eating sleeping and walking normally however i have noticed that his lips and fingernails have a light blue tinge to them could this be due to the bump he has also had a virus recently which has resulted in a spiking temperature so maybe i am just being neurotic,Speaker_3,28.44,"['nasty', 'lips', 'fingernails', 'light', 'blue']",validation
audio/Speaker_3/Speaker3-49.wav,yes get many bone graft surgery like the alizarov method to make bone long dem fit make muscle big too with different plastic surgery techniques but all these na choice if e no dey affect your work or how you dey relate with people e better make you leave am as e be,yes there are various bone graft surgeries such as the alizarov method to increase the length of the bone muscle girth can also be increased by various multi flap techniques in the plastic surgery department however these are only optional if you do not have any professional or social issues it may be better to leave it as it is,Speaker_3,25.77,"['graft', 'muscle']",validation
audio/Speaker_3/Speaker3-50.wav,hello e get simple way to test this one just go do x ray for her skull then ct scan if e necessary you go fit know wetin that swelling be if anything dey you fit need biopsy but that one go come later i advise say make you calm pikin dey know when mama or papa dey tension go do the tests tell us the result then we go know wetin to do next good luck,hello there is a very simple way of getting this tested just get an x ray of her skull and then a computed tomography scan if required you will probably be able to find out what the swellings are if there is something you may need to get a biopsy but that comes at a later stage i suggest you remain calm children have a way of sensing your tension get the tests let us know the report and let s take it from there best of luck,Speaker_3,34.23,"['ray', 'computed', 'tomography', 'swellings']",validation
audio/Speaker_3/Speaker3-51.wav,e no get problem unless e dey affect your work like if you dey study so no worry but just make sure e no dey disturb your work,it has no problems unless it affects your daily work such as studying so do not worry but see that it has no effect on your work,Speaker_3,10.63,['it'],validation
audio/Speaker_3/Speaker3-52.wav,i really worry about your sickness typhoid fever dey come from salmonella typhi or salmonella paratyphi bacteria mostly from dirty water since you don take antibiotics finish i advise say make you go do stool culture and widal blood test to see how the sickness dey since you don take many antibiotics this one wey be gatifloxacin fit work well for typhoid abeg change the water wey you dey drink or start to dey drink boiled or treated water for some days,i am really concerned about your illness typhoid fever is usually caused by salmonella typhi or salmonella paratyphi bacteria typically through contaminated water since you have already taken antibiotics i will advise you to undergo a stool culture and a widal blood test to determine the exact status of the infection since you have already taken several antibiotics the next generation fluoroquinolone gatifloxacin is sometimes more effective in treating typhoid fever please change your water source or opt for boiled or treated water for a few days,Speaker_3,45.12,"['typhoid', 'fever', 'salmonella', 'culture', 'fluoroquinolone', 'gatifloxacin', 'treated']",validation
audio/Speaker_3/Speaker3-53.wav,hi based on wetin you tell me apart from vagina tear other things fit cause this kain symptoms one first woman fit bleed after sex if she just finish her period but that one no dey pain two second virgin girls fit bleed small for the first few times three last if you no get enough mood or foreplay before sex your vagina go dry and that one fit cause pain and blood you suppose go see gynecologist for better check up because sometimes tear fit deep and doctors fit no see am and that one go cause problem later,hi according to the history you provided apart from a vaginal tear the following reasons can also cause similar symptoms one firstly women can bleed post intercourse if sexual intercourse is done soon after their menstrual period but this does not cause pain two secondly virgin girls can bleed initially for a few times three lastly sexual intercourse done without proper arousal or foreplay makes the vagina less lubricated causing pain and bleeding you should visit a gynecologist for a detailed examination because sometimes tears can be deep seated and may be missed causing future problems,Speaker_3,48.53,"['bleeding', 'sexual', 'intercourse', 'vaginal', 'examination', 'sometimes', 'tears', 'deep', 'seated']",validation
audio/Speaker_3/Speaker3-54.wav,hello one of the best thing for you na to stay small away from your family e go help all of una settle una wahala so talk with your wife and if possible separation na the best way another reason why family dey get fight na because dem no dey talk well or because of some real things so try improve how una dey talk but you must try hard and your family self must understand this one go take time the first option better if e possible,hello one of the best options for you is a healthy separation from your family it will help all your family members resolve their conflict so discuss this with your wife and if possible separation is the best option a second cause of familial conflict is a communication gap and some real events so improve your family communication but it needs active efforts from your side as well as understanding from family members this also requires time the first option is better if possible,Speaker_3,34.5,[],validation
audio/Speaker_3/Speaker3-55.wav,i dey forget things serious i no fit concentrate and i no fit do simple daily work i come dey hear voice wey no dey there i don dey take six milligrams of klonopin for pass twenty years to treat my tardive dystonia this one fit be say i don dey get dementia,i have been experiencing severe memory loss loss of concentration and i cannot focus on everyday tasks i have also had an auditory hallucination i have been on six milligrams of klonopin for over twenty years which treats my tardive dystonia could this be the early onset of dementia,Speaker_3,24.22,"['severe', 'milligrams', 'klonopin', 'early']",validation
audio/Speaker_3/Speaker3-56.wav,my pikin get abscess for tooth and im pull am by imself because he no get insurance im body come hot and he sick for days now he no fit hear anything for im left ear the tooth na lower molar he get upper dentures anything wey fit done for the hearing loss,my son had an abscessed tooth and pulled it himself since he does not have insurance he ran a high temperature and was ill for several days he now has total hearing loss in his left ear the tooth was a lower molar he has upper dentures is there anything that can be done for the hearing loss,Speaker_3,24.13,"['abscessed', 'pulled', 'it', 'himself', 'temperature', 'ill', 'hearing', 'loss']",validation
audio/Speaker_3/Speaker3-57.wav,i get rash for back of my leg for my wrist and my ankle i also get neck pain two weeks ago i don put three different ointment for two weeks i come dey use heat and cold pack now the place dey pain me when i touch am and e sore well i don dey read about poison ivy oak and sumac online and check the pictures and i wonder if e get anything to do with my sore and the symptoms,i have a rash on the back of my leg on my wrist and on my ankle i also had a bad pinch in my neck two weeks ago to which i applied three different ointments over the two weeks also using a heating pad and alternating cool packs now the spot is tender to the touch and is very sore i have been reading about poison ivy oak and sumac online and looking at the pictures and i am curious if they could be related to my sores and symptoms,Speaker_3,35.27,"['rash', 'pinch']",validation
audio/Speaker_3/Speaker3-58.wav,hello the pain for your lower belle fit be muscle pain from when you carry that old woman normally e suppose calm down within three days you fit dey put ice for the place wey dey pain you do small stretching for your hip muscle make one leg dey front and the other one dey rest for bed or chair if you get medicine for pain wey doctor give you before you fit take one i hope this help you abeg message me back if you need more help,hello your pain in the lower abdomen could be soreness from lifting the elderly woman normally it should settle within seventy two hours you can try applying ice to the painful area in your lower abdomen frequently engage in gentle stretching of your hip flexor muscles in a lunge position with your back leg resting on a bed or a raised platform if you have any anti inflammatory medication prescribed to you earlier you may take a single dose of it i hope this is helpful for you please get back to me if you need any further assistance regarding this matter,Speaker_3,36.66,"['painful', 'abdomen', 'soreness', 'elderly', 'ice', 'hip', 'lunge', 'anti', 'single']",validation
audio/Speaker_3/Speaker3-59.wav,i don dey try get belle for four years i don do ivf four times but e no work then i come find out say i get tuberculosis inside my womb i don dey take medicine for the tuberculosis now i don finish five months one month remain abeg tell me wetin i suppose do after i finish the six months,i have been trying to conceive for the last four years i have undergone in vitro fertilization four times but it did not work then i found out that i have tuberculosis in my uterus i am on medication for tuberculosis now i have completed a five month course one month is remaining please advise what to do after completing the six month course,Speaker_3,24.82,"['vitro', 'fertilization', 'tuberculosis', 'medication']",validation
audio/Speaker_3/Speaker3-60.wav,i get problem with my spine bone degenerative disc disease and arthritis you honestly think say i suppose dey carry heavy things,i have multilevel degenerative disc disease and facet arthritis in the cervical and lumbar spine with spondylosis do you honestly think i need to be lifting,Speaker_3,11.56,"['multilevel', 'facet', 'arthritis', 'cervical', 'lumbar']",validation
audio/Speaker_3/Speaker3-61.wav,e fit be say na blood get trapped inside hematoma i just want know if the swelling dey pain or e no dey pain i go advise say make you see surgeon the best thing na to comot the thing,it could be a hematoma i just want to know whether it is a painful or painless swelling i would advise you to seek a surgeon s opinion ideally this growth should be removed,Speaker_3,20.02,['painful'],validation
audio/Speaker_3/Speaker3-62.wav,i really worry about my best friend she don sick for months she no get insurance she be 24 years old and she get abscess for tooth some months ago after many antibiotic treatment dem comot the tooth the pain almost comot but e remain for her neck she always tire and she feel like vomit this last week her leg start to dey get bruise for no reason help,i am really worried about my best friend she has been sick for months she has no insurance she is twenty four years old and had an abscessed tooth a few months ago after several antibiotic treatments they removed the tooth the pain is almost gone except in her neck she has been exhausted and nauseated this last week her legs started bruising for no reason help,Speaker_3,32.16,"['antibiotic', 'exhausted', 'nauseated', 'legs', 'bruising']",validation
audio/Speaker_3/Speaker3-63.wav,hello if your foreskin hard and rough e go better make you comot the skin na wetin we dey call circumcision i suggest you go see urologist near you come make dem do am,hello if your foreskin is hard and rough you may benefit from removing the foreskin that is circumcision i suggest you consult with a nearby urologist and get it done,Speaker_3,14.35,"['foreskin', 'urologist']",validation
audio/Speaker_3/Speaker3-64.wav,you fit give her acetaminophen or ibuprofen every eight hours until the fever come down if you bathe her with normal water e go help make the fever reduce,you can give her acetaminophen or ibuprofen every eight hours until the fever resolves a bath with room temperature water will help decrease her temperature,Speaker_3,17.95,"['acetaminophen', 'ibuprofen', 'fever', 'bath', 'room', 'temperature']",validation
audio/Speaker_3/Speaker3-65.wav,i get tuberculosis for my belle area for past one year and i finish the full treatment for one year but after one year dem see say the tuberculosis for my belle don heal but the ultrasound show three things and doctor say na tuberculoma for liver now wetin be that and which treatment i need take for that one abeg fit you suggest,i had abdominal tuberculosis for the past year and i completed the full course of tuberculosis treatment for one year but after one year it was found that my abdominal tuberculosis is now treated but my ultrasound reports show three reasons to which the doctor says that this is a tuberculoma in the liver now what is that and what treatment do i need to take for this can you please suggest,Speaker_3,31.95,"['abdominal', 'tuberculosis', 'ultrasound', 'tuberculoma']",validation
audio/Speaker_3/Speaker3-66.wav,hi since your pikin get airway reactive disease e mean say she get problem with her breathing or allergy to something the best thing na to give her montelukast sodium 4mg tablet for night give her salbutamol syrup 2 5ml once every day for five days buy nebulizer and use am with normal saline and asthalin solution one to one mix we go reduce the medicine small small stop all other syrup and medicine the medicine go reduce based on how she dey feel make she do allergy test blood test and make doctor check for asthma make she avoid dust pollen and too hot or too cold weather,hi as your child might have airway reactive disease it suggests she is experiencing airway reactive problems or an allergy to some substance the best plan of action will be to give montelukast sodium four milligram tablet at nighttime administer salbutamol syrup at two point five milliliters once daily for five days purchase a nebulizer and provide nebulization with normal saline to asthalin solution in a concentration of one to one ratio the remaining medication will be gradually tapered off stop all syrups and the rest of the medications the medicines will be gradually reduced according to the symptoms allergy tests complete blood count and assessments for asthma and reactive airway disease are advised asthma allergens such as dust and pollen as well as extreme hot and cold weather should be avoided,Speaker_3,65.32,"['airway', 'reactive', 'problems', 'montelukast', 'sodium', 'milligram', 'tablet', 'salbutamol', 'point', 'milliliters', 'daily', 'saline', 'medications', 'syrups']",validation
audio/Speaker_3/Speaker3-67.wav,my belle swell and when i touch am i dey faint my head dey spin and i dey feel like vomit i no fit chop i don dey vomit since my belle swell from up to down and my pelvic area swell too i start to get heartburn two weeks ago and now the problem don turn to this one doctor say na gastroesophageal reflux disease but i think say na something else i always tire and my head dey spin e come hard to waka i get pressure for my lower back too i must get care how i move if not i go start to vomit again,my stomach is swollen and when i touch it i feel faint lightheaded dizzy and nauseous i cannot hold food down i have been nauseous and vomiting my stomach is swollen from top to bottom and my pelvic area is swollen i developed heartburn two weeks ago that progressed to these other stomach problems the doctor diagnosed me with gastroesophageal reflux disease but i think i might have something else i have been feeling fatigued and lightheaded and it is difficult to walk i also have pressure in my lower back i have to be careful how i move or i will start a vomiting fit,Speaker_3,52.11,"['stomach', 'swollen', 'pelvic', 'pressure', 'vomiting']",validation
audio/Speaker_3/Speaker3-68.wav,hello i don dey experience body weakness reach point wey i no fit stand up usually my head dey spin before the weakness come last time dem tell me say i just go blank i no talk i just dey look i fit hear people wey dey talk but e be like say i no fit answer the thing dey last for minutes i don do x ray lumbar puncture and lab test but everything show say i dey okay i just want know if e fit be say i dey get fit seizure,hello i have been experiencing episodes of generalized weakness to the point of not being able to stand up i usually feel dizzy before the weakness the weakness sets in during the last episode i was told it appeared i zoned out as i would not respond verbally and just stared off i can hear people talking but it feels like i can t respond the episode only lasts a couple of minutes i have had x rays a lumbar puncture and laboratory tests but everything has returned normal i was wondering if i could be experiencing some form of a seizure,Speaker_3,41.94,"['generalized', 'weakness', 'dizzy']",validation
audio/Speaker_3/Speaker3-69.wav,yes e go be okay after dem comot the tooth the infection no dey your head e don reach the tip of your tooth you fit consider other way like root canal e depend on how your tooth be after your dentist check am avoid making dem comot the tooth if possible because tooth dey precious,yes it will be okay after the tooth is removed the infection is not in your head it has reached the apex of your tooth you can consider other options such as root canal therapy and restoration depending on the condition of your tooth as assessed by your dentist avoid extraction of the tooth as it is precious,Speaker_3,25.77,['infection'],validation
audio/Speaker_3/Speaker3-70.wav,hello i see some small clear blisters for under my penis last night dem gather join liquid full inside and e dey burst easily you know wetin this fit be i do test for std two weeks ago and everything show say i no get nothing,hello i noticed some small clear blisters on the underside of my penis last night in a small cluster they were filled with clear liquid and they popped extremely easily do you know what this could be i was tested for sexually transmitted diseases two weeks ago and everything came back negative,Speaker_3,23.89,"['small', 'clear', 'penis', 'liquid']",validation
audio/Speaker_3/Speaker3-71.wav,my belle dey pain me for both sides and for top my belle button i take aspirin low dose and pepto bismol the next day the pain commot and i go toilet two times but the day after i no go toilet at all i suppose worry,i have had stomach pain on both sides and above my belly button i took aspirin to be exact low dose aspirin and i took some pepto bismol the next day it went away and i had two bowel movements the following day i have had none should i be worried,Speaker_3,22.45,"['stomach', 'both', 'sides', 'above', 'belly', 'following', 'pepto', 'bismol']",validation
audio/Speaker_3/Speaker3-72.wav,my pikin hurt im calf and he think say na achilles injury he get serious pain for like five minutes but after e put ice and take advil e come better small swelling no dey but e get like lump for the calf quarter of the way up he fit stand on the leg small now but he still dey waka limp,my son just hurt his calf and he seems to think it is an achilles injury he was in severe pain for about five minutes but after icing and taking advil he seems to be handling it there isn t swelling but there feels like a lump on that calf a quarter of the way up he can now put some weight on it but he is walking with a limp,Speaker_3,28.1,"['calf', 'severe', 'swelling', 'lump']",validation
audio/Speaker_3/Speaker3-73.wav,make she dey sit for warm water inside tub two times a day do normal back exercise gently for fifteen minutes two times every day and put anti inflammatory gel for the place every day make she dey sit on soft cushion when she sit down and use foam mattress all this go help best wishes,she may do fomentation by sitting in warm water in a tub twice a day usual back exercises gently for fifteen minutes two times daily and apply anti inflammatory gel to the area daily she should sit on a soft cushion placed underneath her buttocks while sitting and use a foam mattress all of this will help best wishes,Speaker_3,23.73,"['tub', 'twice', 'minutes', 'anti', 'inflammatory', 'gel', 'buttocks']",validation
audio/Speaker_3/Speaker3-74.wav,hello for normal 28 to 30 days cycle ovulation dey happen on days 14 to 16 any sex especially one wey no get protection around that time no safe and fit make belle full by the end of the cycle belle no fit full plus she don take emergency pill wey dey give 99 percent protection since the pill get plenty hormone inside e dey disturb body balance so the next period fit delay if she no see her period even after 10 to 14 days make she see expert hope this help,hello in a normal regular twenty eight to thirty day cycle ovulation occurs on days fourteen to sixteen any intercourse especially unprotected around this period is unsafe and carries the highest risk of pregnancy toward the end of the cycle conception is not possible additionally she has consumed the emergency contraceptive pill which provides ninety nine percent protection since the pill contains excess hormones it tends to disturb the normal hormonal balance of the body and as a result the next normal period may have been delayed if she does not see her period even after ten to fourteen days after she is due please seek expert help hope this helps,Speaker_3,39.82,[],validation
audio/Speaker_3/Speaker3-75.wav,hello there tendon cyst dey common for hand and wrist joint e fit comot by itself but most of them need surgery you fit do ultrasound scan to confirm wetin be the problem i hope this help,hello there tendon cysts are common in the hands and wrist joints they can resolve spontaneously but most of them require surgery you can have an ultrasonography scan to confirm the diagnosis i hope this helps,Speaker_3,18.9,"['tendon', 'wrist', 'ultrasonography', 'scan']",validation
audio/Speaker_3/Speaker3-76.wav,my two year old pikin get red itchy rash with small white bumps wey come up e dey spread from her leg feet and shoulder to her back she get fever this morning she don dey cough well well for last few days and she dey complain say her back dey pain her,my two year old has a red itchy rash with little white bumps that are elevated it is spreading from her legs feet and shoulders to her back she had a fever this morning she has also been coughing more frequently in the last few days and is complaining of her back hurting,Speaker_3,20.9,"['rash', 'little', 'bumps', 'fever', 'coughing', 'last']",validation
audio/Speaker_3/Speaker3-77.wav,most sore throat dey come from infection of beta hemolytic streptococci bacteria your daughter need to do these tests aso titer and throat culture this one go show the type of bacteria meantime give her this medicine co amoxiclav 625mg three times daily pantoprazole 40mg once every day for morning before she chop and voveran sr 100mg two tablets two times every day make she dey gargle warm salt water three times a day make she do this treatment for seven days thank you and take care,most sore throats are caused by infection with beta hemolytic streptococci bacteria your daughter needs to undergo the following tests aso titer and throat culture this will confirm the strain of bacteria in the meantime administer the following medications co amoxiclav six hundred and twenty five mg three times daily pantoprazole forty mg once daily in the morning before breakfast and voveran sr one hundred mg two tablets twice daily gargle three times a day with warm salt water this treatment is to be followed for seven days thank you and take care,Speaker_3,52.04,"['sore', 'throat', 'beta', 'hemolytic', 'throats', 'co', 'amoxiclav', 'mg', 'pantoprazole', 'daily', 'voveran', 'sr', 'tablets', 'gargle']",validation
audio/Speaker_3/Speaker3-78.wav,i just do mri for my lower back because my hip and knee don dey pain me for one year and all x ray no show nothing the result come show say i get mild disk protrusion and e fit be say tear dey the sac wey cover the spinal column my doctor advise say i suppose see neurologist e serious i need see doctor immediately i suppose limit how i dey do things,i just had an magnetic resonance imaging on my lower back because i have had hip and knee pain for a year and all x rays showed nothing the results came back and i have mild disk protrusion and there may be a tear on the sac surrounding the spinal column my doctor s advice is to see a neurologist is this serious do i need to see a doctor immediately should i be limited in my physical activities,Speaker_3,33.32,"['magnetic', 'resonance', 'imaging', 'hip', 'knee', 'rays', 'mild', 'tear']",validation
audio/Speaker_3/Speaker3-79.wav,hi i be female and i be 18 years old i get red bumps for my back belle neck and chest dem no dey itch and dem no dey pain unless i touch dem dem dey pain like pimple but dem full body some dey group the thing be say dem show for all the place where sun no hit wetin fit be that after i see my own my niece wey be 4 years old get red bumps for her belle too but her own no dey itch and e no don get worse,hi i am female and eighteen years old i have red bumps on my back abdomen neck and chest they do not itch and are painless unless touched they hurt somewhat like a pimple but they are all over some are in groups the weird thing is that they appeared everywhere i have not gotten sun what could it be after i found my spots my niece who is four years old got some red bumps on her stomach however hers do not itch either and they haven t gotten any worse,Speaker_3,35.87,"['eighteen', 'red', 'bumps', 'itch', 'painless']",validation
audio/Speaker_3/Speaker3-80.wav,the thing wey you feel like say your heart dey beat hard with sweat and shake fit be anxiety e fit be panic disorder too better check up na must to know if you need treatment also check if you get fever i hope this information help you,the condition known as heart palpitations accompanied by sweating and shaking is likely due to anxiety it may also be indicative of a panic disorder a correct diagnosis is essential to determine whether further treatment is necessary additionally please check for any fever i hope this information is helpful to you,Speaker_3,20.57,"['palpitations', 'sweating', 'shaking']",validation
audio/Speaker_3/Speaker3-81.wav,if you dey lie down for bed and you dey feel like say weight dey your head e fit mean say pressure for inside your head don high i advise you make you go do scan mri for your brain with contrast make we see if any other sickness dey spread reach there and to check if membrane for your brain get infection if the mri show any sign of problem for the membrane we fit need to collect water from your spine go test am,the feeling of pressure in your head when lying in bed may suggest raised intracranial pressure i advise you to get a magnetic resonance imaging scan of the brain with contrast to rule out any metastasis and also to rule out carcinomatous meningitis if there is some suggestion of contrast enhancement in the meninges on contrast magnetic resonance imaging a lumbar puncture with cerebrospinal fluid analysis may be required,Speaker_3,36.55,"['pressure', 'head', 'lying', 'bed', 'raised', 'magnetic', 'resonance', 'imaging', 'brain', 'contrast', 'metastasis', 'meningitis', 'lumbar']",validation
audio/Speaker_3/Speaker3-82.wav,dis kain twitching and shaking dey common after pesin recover from stroke you no dey do am on purpose and e no mean say you go get better or worse i think say you suppose wait small remember to fully recover fit take months or even years,these types of twitching and flickers are common after recovering from a stroke these movements are not intentional and do not suggest a good or bad prognosis i think you have to wait for some more days remember recovery can take from months to years,Speaker_3,20.06,"['twitching', 'flickers']",validation
audio/Speaker_3/Speaker3-83.wav,hello doctor recently i get hyperthyroidism because of thyroiditis but dem misdiagnose me so dem come give me 75mg of synthroid join of course my thyroid come too high my blood level don normal since five months now but i still dey get anxiety and my body weak how long e go take before i come back to normal after my blood level don okay for now i dey take klonopin and zoloft for the anxiety,hello doctor i recently had hyperthyroidism due to subacute thyroiditis and was misdiagnosed which resulted in my being given seventy five milligrams of synthroid on top of it i became hyperthyroid of course my blood levels were normal as of five months ago but i still experience anxiety and some muscle weakness how long does it take for that to return to normal after blood levels are normal currently i am taking klonopin and zoloft for anxiety,Speaker_3,43.12,"['subacute', 'thyroiditis', 'seventy', 'milligrams', 'synthroid', 'blood', 'levels', 'normal', 'anxiety', 'klonopin', 'zoloft']",validation
audio/Speaker_3/Speaker3-84.wav,hello doctor i be eighteen years old i get space between my two front teeth and i dey feel am too much i no like to smile and i dey feel like say everywhere i go na my teeth everybody dey look i dey suffer from anxiety and panic attacks i just dey worry about am every time,hello doctor i am eighteen years old i have a gap between my two front teeth and i am very conscious about it i hate to smile and i feel as if my teeth are the center of attention wherever i am i suffer from anxiety and panic attacks i am always worrying about it,Speaker_3,24.17,"['eighteen', 'anxiety']",validation
audio/Speaker_3/Speaker3-85.wav,if the bone spurs too big and e no gree make you use your hand well maybe you need surgery to cut the big ones comot go ask your family doctor make he refer you to person wey sabi treat hand for now use medicine for wound rub the place and take advil tablets to reduce the swelling i wish you well,if the bone spurs are so large that they interfere with the use of your hand the larger ones may need to be excised by surgery ask your general practitioner to refer you to a hand surgeon in the meantime apply antiseptic ointment to the exposed areas and take advil tablets to reduce inflammation best wishes,Speaker_3,25.33,"['bone', 'antiseptic', 'ointment', 'tablets']",validation
audio/Speaker_3/Speaker3-86.wav,my ovary dey pain me and i no know wetin dey wrong i dey always want go pee but e dey hard for me to finish e dey also hard for me to pass poo e dey pain me during sex or when i use tampon i get yellow discharge wey dey smell i dey tired well well and my period dey come heavy i get pain for my lower belle side and sometimes sharp pain dey hit my private part and above am i no know wetin happen at all abeg make somebody help me,my ovaries hurt and i don t know what s wrong i frequently need to urinate but struggle to empty my bladder i also struggle with emptying my bowels it hurts during intercourse or when inserting a tampon i have yellow smelly discharge i m extremely tired and my menstrual periods have become heavier i have pain just under my belly button to the left and sometimes i experience shooting pain in my vagina and just a little bit above it i don t know what s wrong at all someone please help me,Speaker_3,39.59,"['frequently', 'under', 'belly', 'button', 'sometimes', 'shooting', 'vagina']",validation
audio/Speaker_3/Speaker3-87.wav,suddenly one kain strong headache wake me for tuesday around 3 am i go sleep again and wake up by 8 am and i reach work by 11 am my back dey pain me and my throat come dey itch me next day wednesday i come dey sneeze and throat pain me today thursday i dey feel like say blood dey for my throat and e dey pain me to swallow join with the sneezing and runny nose na cold or na flu be this,a sudden headache the throbbing type woke me up on tuesday around three am i went back to sleep and woke up at eight am and was at work by eleven am my back felt achy and my throat started tingling the following day wednesday i had sneezing and a sore throat thursday being today i literally taste blood in my throat and it hurts to swallow not to mention the sneezing and runny nose is it a cold or flu,Speaker_3,36.06,"['sudden', 'headache', 'achy', 'throat', 'sneezing', 'sore', 'runny']",validation
audio/Speaker_3/Speaker3-88.wav,i want know more things about your condition because to say you get heart failure na serious matter so i need to know your heart size if you get pain for your right upper belle swelling for face or leg any change for your heart scan and so on for people wey get lung disease pressure fit too much for right side of heart and e fit affect left side too we dey call that one cor pulmonale,i want to know some other details of your condition as labeling you as a case of congestive heart failure may have serious consequences therefore i need to know your heart size if you have pain in the right upper abdomen swelling of the face or feet any electrocardiogram changes etc in cases of chronic obstructive pulmonary disease there is a chance of extreme pressure on the right side of the heart which can eventually involve the left side as well known as cor pulmonale,Speaker_3,37.31,"['congestive', 'heart', 'failure', 'swelling', 'extreme', 'pressure']",validation
audio/Speaker_3/Speaker3-89.wav,na allergy and allergy fit take three weeks before e clear if you touch something wey cause allergy e fit be scabies medicine you take for other things or soap shampoo hair dye henna or any cream wey no good for skin fit cause am make you take ebastine 10mg twice a day for three to four weeks use oil soap and cream wey no go harm you use crotamiton hc rub the place and use emscab lotion rub your whole body for five nights boil your cloth and bed sheet before you use dem again this one go clear all the things wey i mention and e fit take three weeks,it is an allergy and allergies can take three weeks to subside if exposed to an allergen it can be scabies the medicines taken for other problems like soap shampoo dye henna or toxic applications used on the body can also contribute to the issue take the antihistamine ebastine ten milligrams twice daily for three to four weeks use non toxic oils shampoos creams and skin applications apply crotamiton hc skin ointment to the affected skin and apply emscab lotion to the entire body for five nights boil clothes and bed sheets before reuse this will address every type of cause mentioned above and it may take three weeks,Speaker_3,57.05,"['allergy', 'milligrams', 'twice', 'daily', 'creams']",validation
audio/Speaker_3/Speaker3-90.wav,for one or two weeks now i dey feel sharp pain between my back shoulders e dey come and e dey go like now if i just want turn go another room e go just hit me the pain dey sharp well well and e go make me stop wetin i dey do e no dey stay long maybe 20 to 30 seconds but e dey happen always sometimes i dey feel the pain reach my chest i no carry anything heavy so i know say no be injury you get idea wetin fit cause am,i have been having sharp pains between my shoulder blades lately on and off for a week or two they just come and go for example i will start to turn to walk into another room and it will hit me out of nowhere it is sharp and painful enough to stop me dead in my tracks they don t last long maybe twenty or thirty seconds but i get them quite often at times i can feel the pain all the way through to my chest i haven t lifted anything so i know it s not an injury any idea what could be causing this,Speaker_3,38.99,"['sharp', 'pains', 'between', 'painful']",validation
audio/Speaker_3/Speaker3-91.wav,hi jyoti welcome to health care management from wetin you write e be like say you don ovulate because the egg sac for your left ovary don shrink for day 17 i hope you bin do sex for day 17 wey be yesterday you fit still do today too if your husband sperm test okay then you get big chance to get belle i wish you the best,hi jyoti welcome to health care management from the data provided it appears that ovulation has taken place because the follicle in the left ovary has shrunk on the 17th day i hope you had intercourse on the 17th day which was yesterday you may have intercourse today as well if your husband s semen analysis is within normal limits then you have a good chance of becoming pregnant i wish you all the best,Speaker_3,29.93,"['ovary', 'because']",validation
audio/Speaker_3/Speaker3-92.wav,hello doctor my back dey pain me and i go do mri scan the report talk say the tissue between l4 and l5 don swell dem give me hifenac p razo 20mg and chymoral forte ds and dem tell me make i go do physiotherapy for ten days the medicine get side effect or e better make i continue to take am,hello doctor i am having pain in my back and i took an mri scan the report says that the tissue or a layer between l4 and l5 is swollen they prescribed hifenac p razo twenty mg and chymoral forte ds tablets and added that i should undergo physiotherapy treatment for ten days do these tablets have any side effects or is it better to continue with these tablets,Speaker_3,30.44,"['mri', 'hifenac', 'chymoral', 'forte', 'tablets', 'physiotherapy']",validation
audio/Speaker_3/Speaker3-93.wav,i want hear wetin dentist go talk i be 36 years old and my wisdom tooth for bottom dey grow my tooth no pain me but i dey always bite my gum where the tooth dey grow i must remove the tooth or dem fit cut the gum so the tooth go grow well,i am looking for a dentist s opinion i am thirty six years old and my bottom wisdom tooth is growing in i have no pain in my tooth but i keep biting down on my gum where it is growing do i have to get my wisdom tooth extracted or can the gum be cut to help my wisdom tooth grow in better,Speaker_3,23.38,"['gum', 'wisdom']",validation
audio/Speaker_3/Speaker3-94.wav,obviously you need medicine wey go stop the swelling aspirin or naproxen na anti inflammatory acetaminophen or ibuprofen no be that one but warm water wey you go use compress fit help true true if you raise your leg and no put weight for am e go help but e be like say the swelling too much and the injury don tey e fit be say something else don happen like damage to your bone cartilage or tendons if the pain continue for one week you need go see bone specialist orthopedist make he check am well,well obviously an anti inflammatory is needed aspirin or naproxen are anti inflammatories acetaminophen or ibuprofen at over the counter doses are not however warm compresses may help certainly trying to elevate the leg and staying off of it will help but it seems there is a lot of swelling injury and duration of the problem there might be more occurring like damage to cartilage or tendons if it persists for a week an orthopedist is generally needed for evaluation,Speaker_3,51.59,"['aspirin', 'naproxen', 'acetaminophen', 'ibuprofen', 'warm', 'leg', 'damage', 'tendons', 'inflammatory']",validation
audio/Speaker_3/Speaker3-95.wav,take doxinate two times a day no chop heavy or peppery food chop small small for many times for morning before you commot for bed chop small bread then go brush your teeth,take doxinate two times a day avoid heavy and spicy meals take frequent small meals in the morning before getting out of bed eat a piece of toast and then brush your teeth,Speaker_3,15.12,"['doxinate', 'spicy', 'frequent']",validation
audio/Speaker_3/Speaker3-96.wav,hello you talk two things first you say your pikin don get running stomach for four days then you come say your baby dey always get running stomach e no clear wetin happen and how long e don start definitely you need to see pikin doctor make he check wetin wrong body defense go grow small small as the baby dey grow take care,hello you have made two statements one is that your son has been passing loose motions for four days and again you said that your baby frequently has loose motions therefore it is not clear regarding the symptom and its duration definitely you need to visit your pediatrician to check what is wrong immunity has to develop naturally and as the baby continues to grow immunity will develop slowly take care,Speaker_3,28.44,"['loose', 'motions', 'baby']",validation
audio/Speaker_3/Speaker3-97.wav,hi anjaly e fit be say your brother get chronic interstitial nephritis if the kidney size don small pass normal e no dey easy to go back to normal we fit stop make the damage no reach worst stage if he control him blood pressure no chop too much salt no take painkiller wey you just buy for chemist find out the real cause and go see kidney doctor regular i wish you well for your brother treatment,hi anjaly your brother is probably suffering from chronic interstitial nephritis this condition is mostly not reversible if the kidney size is smaller than normal further damage can be prevented by giving importance to blood pressure control a low salt diet avoiding over the counter painkiller medications proper diagnosis of the primary cause and regular follow up with a nephrologist i wish you all the best for the treatment of your brother,Speaker_3,38.27,"['brother', 'damage', 'follow']",validation
audio/Speaker_3/Speaker3-98.wav,hello welcome to our clinic that black spot fit be mole and you no suppose try remove am just dey look am if you see any change you go know i hope this help you,hello welcome to the clinic the black spot may be a mole and this cannot be removed and should never be tried to remove you only need to keep an eye on it for any changes i hope this information helps,Speaker_3,15.51,[],validation
audio/Speaker_3/Speaker3-99.wav,i be 26 years old i just born my first pikin for september for some weeks now i dey feel like i want vomit up and down during the day i dey feel discomfort for my right side sometimes e go spread go my left side and my back recently like two or three times for the past three or four days i dey feel weight for my chest i go see doctor about two weeks ago dem tell me say e fit be bowel problem and dem test my blood but nothing show for the result,i am twenty six years old i just had my first baby in september for the past few weeks i have had nausea on and off during the day i have experienced discomfort in my right side sometimes spreading to my left side and back recently maybe two to three times in the past three or four days i have felt a heaviness in my chest i went to the doctor about two weeks ago and they told me it could be irritable bowel syndrome and did blood work but nothing showed up,Speaker_3,36.43,"['nausea', 'discomfort', 'heaviness', 'bowel', 'syndrome', 'blood']",validation
audio/Speaker_3/Speaker3-100.wav,hello bipolar disorder na serious mental sickness wey go take long time to treat so e better make your son dey take him medicine regular if he stop the sickness go come back again i wish you the best,hello bipolar disorder is a chronic mental illness and requires lifelong medical treatment therefore it is better that your son takes his medical treatment regularly otherwise there will be a relapse again wishing you all the best,Speaker_3,16.6,[],validation
audio/Speaker_3/Speaker3-101.wav,as the scan show report suppose dey available you fit continue the detox and yucca fiber also abeg add the blood test reports,according to this scan reports should be available you can continue the detox and the yucca fiber additionally please add the blood reports,Speaker_3,12.0,[],validation
audio/Speaker_3/Speaker3-102.wav,hi i think if semen or the liquid wey dey come before ejaculation no enter no chance to get belle so no worry about am,hi i think if there was no ejaculation or pre ejaculate fluid there is no chance of pregnancy so do not worry about it,Speaker_3,14.07,['ejaculation'],validation
audio/Speaker_3/Speaker3-103.wav,hi he get allergy allergic rhinitis e go better as he dey grow no special medicine for am no doctor fit cure am we just need to manage am make you do test see wetin cause the allergy i no think say doctor for delhi or other city go fit solve the problem him body go learn how to fight the allergy as time dey go,hi he has allergic rhinitis which will improve as he grows there is no specific treatment for it no doctor in the world will treat it we only need to be in control of it conduct an allergy sensitivity test to determine which substances are causing the reaction i do not believe that doctors in delhi or other cities will solve the problem his body will learn to defend itself against the allergy over time,Speaker_3,30.79,['allergic'],validation
audio/Speaker_3/Speaker3-104.wav,abeg remember say no be everybody wey dey stage four go die sharp sharp sickness fit make pesin no want chop but depression fit do am too abeg no dey think say e don finish nobody know when pesin go die make the person live well until the end abeg make him live well and make you dey give am food small small regular,please remember that not all stage four patients die immediately incurable malignancy can decrease appetite but loss of appetite can also be due to other factors like depression please do not anticipate terminal stage events nobody can predict death and one needs to live comfortably until the end of life please let him live comfortably and give him food in small quantities at periodic intervals,Speaker_3,28.89,"['die', 'incurable', 'malignancy', 'loss', 'appetite', 'periodic']",validation
audio/Speaker_3/Speaker3-105.wav,hello i read your question and i understand why you dey worry the most important thing be say you no get brain or nerve problems the marks wey dem see for the scan fit get reason if you don do mri or you go do am e go help us understand wetin be the problem especially if we look am again later to see if e don increase without this e hard to know wetin fit be the cause but remember sometimes scan fit show small things wey no get meaning i wish you health,hello i read your question and understand your concern the most important aspect of your history is that you are not experiencing neurological problems the lesions seen on a radiologic examination may have probable causes if you have performed or are scheduled to perform a magnetic resonance imaging scan this would help a lot in understanding the nature especially with a radiologic follow up to see if there is any progression without this information it is difficult to make any considerations but remember in the radiologic examination one can also find incidental findings with little or no significance wishing you good health,Speaker_3,38.61,['lesions'],validation
audio/Speaker_3/Speaker3-106.wav,to chop ice help pesin breathe if he get asthma and he no fit breathe if no abeg help me my boyfriend no fit breathe sometimes like for middle of night or during day and the insurance no go let am get him inhaler until the 25th so abeg tell me wetin work only thing wey don help before na steroids and e hard to carry am go see doctor so abeg help me,does eating ice help with your breathing if you have asthma and cannot breathe if not can you please help me my boyfriend cannot breathe at times like in the middle of the night and at certain times during the day and his insurance won t let him fill his inhaler until the 25th so please suggest something that works the only thing that has worked in the past is steroids and it s hard for me to get him to go to a doctor so please help me,Speaker_3,30.35,['breathe'],validation
audio/Speaker_3/Speaker3-107.wav,maybe the first time na warning say your waist bone disc wan slip but dem call am pulled muscle by mistake the steroid and exercise help small small the way you describe the pain now plus the burning sensation e look like nerve pain abeg go see nerve doctor neurologist and do mri of your back sharp sharp,perhaps the first episode was a warning sign of an impending slipped disc which was erroneously labeled as a pulled muscle the steroid and exercises helped marginally the description of the pain now along with the burning sensation suggests neuralgia please seek a neurologist with an mri of the back done at the earliest,Speaker_3,28.28,['mri'],validation
audio/Speaker_3/Speaker3-108.wav,hi you must do mri scan for head and neck make we check if e be multiple sclerosis for the muscle stiffness we fit try prednisone and gabapentin 300mg once a day after the nerve doctor confirm wetin the mri say if no be multiple sclerosis then neck exercise and methylcobalamin 500 units and thiocolchicoside 4mg combination tablets once or twice a day go help physical therapy na the main treatment,hi you must get a magnetic resonance imaging scan of the head and neck to rule out multiple sclerosis for spasticity prednisone and gabapentin three hundred milligrams once a day may be tried after the neurologist confirms from magnetic resonance imaging findings if multiple sclerosis is not present then isometric cervical exercises and methylcobalamin five hundred international units and thiocolchicoside four milligrams combination tablets once or twice a day would help physical therapy is the mainstay of treatment,Speaker_3,43.84,"['magnetic', 'resonance', 'imaging', 'head', 'multiple', 'prednisone', 'gabapentin', 'milligrams', 'sclerosis', 'methylcobalamin', 'min', 'international', 'thiocolchicoside', 'tablets', 'or', 'twice', 'physical', 'therapy']",validation
audio/Speaker_3/Speaker3-109.wav,hello madam your baby get either hirschsprung disease or anal atresia and both fit block bowel some doctors do three step operation first na to quickly do colostomy to let poo commot once the baby reach weight wey go fit take the second operation dem go connect the bowel back e go take time for this step to work well and the colostomy go dey there to watch for any problem when the pikin ready and he fit pass poo through back dem go remove the colostomy i hope this help,hello madam your baby either has hirschsprung disease or anal atresia both of which can cause bowel obstruction some surgeons perform a three step procedure that includes an urgent colostomy to decompress the bowel once the baby has an appropriate weight and can handle the second surgery the bowel is reanastomosed or reconnected time is needed for this step to function well and the colostomy is left in place to monitor for any complications of the procedure when the child is ready and bowel movements occur through the anus then the colostomy is removed i hope this helps,Speaker_3,46.21,"['baby', 'hirschsprung', 'disease', 'urgent', 'colost', 'colostomy']",validation
audio/Speaker_3/Speaker3-110.wav,for 30th december i do iui treatment and the next day my egg burst with the sperm after that i fit get belle on 30th december na day 12 after my period and my egg size na 21 by 25 for left side the doctor tell me make i take gestural aspirin folic acid and duphaston but when i fit know if i don get belle,on the 30th of december i underwent an intrauterine insemination and the next day my egg ruptured with the sperm after rupturing is it possible to get pregnant on the 30th of december it was my 12th day after my period and my egg size was twenty one by twenty five on the left side the doctor advised me to take medications such as gestural aspirin folic acid and duphaston but when can i find out about my pregnancy,Speaker_3,30.95,"['th', 'next', 'after', 'egg', 'size', 'medications', 'get', 'aspirin', 'folic', 'duphaston']",validation
audio/Speaker_3/Speaker3-111.wav,my one week old baby do circumcision yesterday when we reach house everything look okay this morning when i change him diaper i see bubble for side of him manhood head this one normal or i suppose carry the baby go see doctor abeg help,my one week old baby was circumcised yesterday when we got home everything looked raw but normal this morning when i changed his diaper i noticed a bubble on the side of the head of the penis is this normal or should i take my baby to the doctor s office please help,Speaker_3,22.29,"['baby', 'bubble']",validation
audio/Speaker_3/Speaker3-112.wav,i don dey masturbate for five years i feel like i no get concentration again and i no fit study because of this i dey even get slim i want stop am and improve my health how i go do am suggest good tips and medicine for me,i have been doing masturbation for five years i feel i have lost all my concentration and cannot study because of this i am also gradually becoming lean i want to stop this and improve my health how is it possible suggest me some good tips and medications,Speaker_3,18.55,"['lost', 'all', 'concentration', 'lean']",validation
audio/Speaker_3/Speaker3-113.wav,i be weed smoker and i just smoke now e no too serious but i feel pain for my lower chest under my left rib e don reduce small but e no want commot i smoke like two hours ago i be 52 year old woman with high blood pressure and high cholesterol i dey take medicine for am but i still dey get shortness of breath and chest pressure sometimes my family get history of heart disease i dey wonder if na stress cause am,i am a marijuana smoker and recently i have just smoked it isn t severe but i feel this pain in my lower chest area right below my left rib it has decreased over time but it doesn t seem to be going away i probably smoked about two hours ago i am a fifty two year old female with high blood pressure and high cholesterol i am taking medication for this however i have been experiencing shortness of breath and some chest pressure at times there is a history of heart disease in my family i am wondering if this can be from stress,Speaker_3,34.48,"['marijuana', 'smoker', 'chest', 'female', 'high', 'medication', 'shortness', 'breath']",validation
audio/Speaker_3/Speaker3-114.wav,hello i think say you get wrong idea about sperm and semen after ejaculation semen go drop for vagina and the sperm go swim go inside the uterus reach the fallopian tube where one go meet egg this one go then settle for the womb as you say say the semen thin and e dey leak that one no mean anything because na only sperm dey enter womb to meet egg the other water fit commot so if you get doubt make you do sperm test to see if something dey cause the infertility i hope this help you,hello i think there are certain misconceptions in your mind about sperm and semen after ejaculation semen is deposited in the vaginal cavity near the cervix and sperm because of motility runs upward towards the uterus and travels to the fallopian tube where one of them fertilizes an egg this fertilized ovum then implants into the endometrium as you mentioned that semen is thin and leaks out from the vagina this is misleading as only sperm enters the uterus to fertilize the egg the rest of the semen contents may come out so if you have any doubts consider getting a semen analysis to find out the cause of infertility if any i hope this will be useful for you,Speaker_3,46.05,"['vaginal', 'about', 'semen']",validation
audio/Speaker_3/Speaker3-115.wav,she no faint she just dey feel excited that na why you suppose give her light food like milk or soup and let her rest,she was not fainting she just felt thrilled that is why you should give her light food like milk or soup and let her rest,Speaker_3,11.33,[],validation
audio/Speaker_3/Speaker3-116.wav,i get kidney cyst wey reach 2 5cm pain dey burn me when i pee i dey always want go pee and my lower belle and left back dey pain me my urine test show 71 red blood cells and 467 white blood cells this one mean just simple urinary infection or the red blood cells fit mean say another thing dey,i have a kidney cyst measuring two point five centimeters i have burning pain while urinating a frequent urge to urinate and lower abdominal and left sided back pain my urine microscopy culture and sensitivity test gave a result of red blood cells seventy one and white blood cells four hundred and sixty seven does this mean just a simple urinary tract infection or could the presence of red blood cells indicate another concern,Speaker_3,28.24,"['kidney', 'cyst', 'measuring', 'abdominal', 'urine', 'microscopy', 'seventy', 'white', 'cells', 'urinating', 'red', 'blood']",validation
audio/Speaker_3/Speaker3-117.wav,for long time now my toes dey cramp serious but now e don reach my ankle and leg my hands legs and feet dey always feel like say something dey crawl inside e reach point where i no fit bear am and my doctor no know wetin dey happen you get any idea,for a long time i have been experiencing severe cramping in my cramping in my toes but now it has started to travel into my ankle and leg i have constant tingling in my extremities including both hands legs and feet it gets to the point where i can t bear it and my doctor can t seem to figure out what is going on do you have any suggestions,Speaker_3,22.94,"['severe', 'cramping', 'ankle', 'constant', 'tingling', 'experiencing', 'extremities']",validation
audio/Speaker_3/Speaker3-118.wav,you go ovulate 32 36 hours after the injection do the insemination around that time to make the chance high all the best,you will ovulate thirty two thirty six hours after the human chorionic gonadotropin injection have intrauterine insemination around this time to increase success all the best,Speaker_3,11.91,"['ovulate', 'intrauterine', 'insemination']",validation
audio/Speaker_3/Speaker3-119.wav,i think say you correct maybe time na the only thing wey go help for now try sit well like to use cushion when you sit and make sure say you no dey put pressure on your tailbone area when you sit,i think you are right perhaps time is the only relieving factor in the meantime you should adopt a suitable posture such as using a cushion while sitting and avoiding pressure on the tailbone area while sitting,Speaker_3,16.67,"['using', 'cushion', 'sitting', 'tailbone']",validation
audio/Speaker_3/Speaker3-120.wav,hello doctor i suppose go do root canal for one of my teeth dem don fill am temporary two times and now the filling don commot but e feel like say na only one side of the tooth dey like say the tooth break into two dem go still fit do the root canal,hello doctor i am meant to be having a root canal filling in one of my teeth i have had it temporarily filled twice and now it has fallen out however it feels like there is only one side of my tooth almost as if it has broken in half will they still perform the root canal filling,Speaker_3,22.73,['temporarily'],validation
audio/Speaker_3/Speaker3-121.wav,for the head of my manhood i get one red patch wey get line for border i no know if e get connection but sometimes when i chop too much junk food e go come red well other times e go cool down but i go still see the fine line wey no dey big or small,on the head of my penis i have a red patch with quite defined borders i do not know if it is connected but sometimes when i eat a lot of junk food it seems to get redder other times it settles right down but i can still make out a fine border that does not get any bigger or smaller,Speaker_3,24.13,['head'],validation
audio/Speaker_3/Speaker3-122.wav,the best thing be to stop too much load for your knee joint as na that place dey carry your body weight the chance say e go wear and tear go dey if you no build the muscle around the knee first for 15 days focus on how to stop the pain with physiotherapy with ultrasound and ice you go feel small relief but the correct solution be to strengthen the muscles round your knee joint with the help of a good physiotherapist,the best things are to prevent excessive load on the knee joint as it is the maximum weight bearing joint the chances of wear and tear will be present if you do not strengthen the muscles surrounding the knee joint first for fifteen days pain relief should be promoted by taking physiotherapy treatment with ultrasound therapy and ice immediate pain relief will be achieved however the permanent solution is to strengthen the muscles surrounding the knee joint under the supervision of a skilled physiotherapist,Speaker_3,34.76,"['wear', 'tear', 'knee', 'physiotherapy', 'immediate']",validation
audio/Speaker_3/Speaker3-123.wav,hello doctor my papa be 59 years old he weigh 65kg he get diabetes and high blood pressure sometimes my papa dey get chest pain he dey feel better after he take angised last night he get pain for him heart so we run go hospital sharp sharp dem give my papa two tablets after two hours he come okay so we return house abeg tell me medicine or wetin i fit do for house to solve this problem,hello doctor my father is fifty nine years old he weighs sixty five kilograms he has diabetes and also has high blood pressure sometimes my father experiences chest pain he feels better after taking the tablet angised last night he had pain in his heart and we went to the hospital immediately they gave two tablets to my father after a couple of hours he was better so we came back home please tell me about medicines or home remedies to overcome these problems,Speaker_3,37.71,"['high', 'chest', 'went', 'hospital']",validation
audio/Speaker_3/Speaker3-124.wav,for weeks i don dey always clear my throat i don dey feel sharp stabbing pain for my ear head and back e dey come and go but today i get bad pain for my eyebrow e dey pain me when i touch am and e affect my hearing when i touch am earlier e feel like say the pain dey inside the bone,for weeks i have been having to clear my throat i have been experiencing sharp stabbing pains in my ears head and back that come and go but today i have been having almost excruciating pain on my eyebrow it is sore to the touch and it affected my hearing when i touched it earlier it feels like it is on the bone,Speaker_3,25.66,"['sharp', 'stabbing', 'pains', 'head', 'touched']",validation
audio/Speaker_3/Speaker3-125.wav,hi e be like say your niece get seizure convulsion plenty things fit cause seizure and we need to check am well seizure fit make the pipe for throat squeeze and make mucus too much wey fit cause lung infection if she bite her tongue blood fit commot for mouth if the heart big e fit cause blood for sputum she need chest x ray heart scan 2d echo and ct scan of the brain she need team of doctors like nerve doctor heart doctor and chest doctor to treat her,hi it seems that your niece is suffering from a seizure disorder there are many causes of seizures that need to be evaluated seizures can produce sudden contractions of the smooth muscle of the trachea and bronchi with increased secretion which can cause aspiration pneumonia a tongue bite can cause blood stained secretion from the mouth an enlarged heart itself can cause blood stained sputum secondary to pulmonary edema she requires a chest x ray two dimensional echocardiogram and computed tomography scan of the brain she needs to be treated by a team of doctors including a neurologist cardiologist and chest physician or family physician,Speaker_3,46.09,"['niece', 'seizures', 'sudden', 'contractions', 'smooth', 'muscle', 'trachea', 'bronchi', 'tongue', 'enlarged', 'heart', 'sputum', 'pulmonary', 'chest', 'computed', 'tomography']",validation
audio/Speaker_3/Speaker3-126.wav,i do tummy tuck about 11 months ago i dey exercise five days a week i start new exercise plank since three days now i dey feel flutter for my lower left belle e dey disturb me and e dey fear me i no get belle i don do tubal ligation for 1992 wetin dey happen to me,i had a tummy tuck about eleven months ago i work out five days a week i started doing a new exercise which is planks it has been three days since i have been experiencing flutters in my lower left side of my stomach it is annoying and freaking me out i am not pregnant i had a tubal ligation in one thousand nine hundred and ninety two what is happening to me,Speaker_3,26.68,"['flutters', 'side']",validation
audio/Speaker_3/Speaker3-127.wav,hello recently i get allergy reaction from something i no know my skin doctor say e fit be food or medicine allergy he tell me make i buy antihistamine for chemist i get rash and my eyes swell my question be how rash dey look when e don dey better,hello i recently came down with an allergic reaction to an unknown source my dermatologist said it is most likely to be a food or medication allergy he advised me to take over the counter oral antihistamines i have a rash and swelling of the eyes my question is what does a rash look like when it is getting better,Speaker_3,21.71,"['allergic', 'reaction', 'medication', 'oral', 'rash', 'swelling']",validation
audio/Speaker_3/Speaker3-128.wav,hi doctor abeg help me my face dey look too dark e bin bright before now i dey sad i want my face to be white and bright again my body okay but my face dark and fade abeg suggest good medicine i dey here in abeg prescribe at least skin whitening cream for me abeg i dey wait for your reply,hi doctor please help me my face is looking so dark it was very bright before now i feel so sad i want my face to be white and bright again my whole body is fine but my face is so dark and faded please suggest a good medicine i am here in please prescribe me at least a skin whitening ointment please i am waiting for your reply,Speaker_3,23.85,"['face', 'whitening', 'dark']",validation
audio/Speaker_3/Speaker3-129.wav,for my own side you suppose do full check up for your blood and thyroid other ways to make you no feel depressed include to plan your day well and do exercise,in my opinion you should have a complete check up to check your hemoglobin and thyroid function there are other ways to improve depressive feelings such as activity scheduling and spending a certain amount of time doing exercise,Speaker_3,14.05,[],validation
audio/Speaker_3/Speaker3-130.wav,my question be this i get grandson wey like to crawl on floor dey play with him cars no matter how clean i think my carpet or floor be he go always get black knee e look like say the dirt no go commot wetin you suggest i use to clean am he be 4 years old,my question is this i have a grandson who loves to crawl around on the floor playing with his cars no matter how clean i think my carpet or floors are he always ends up with the darkest knees it seems as if they have permanent dirt on them what products do you suggest for getting them clean he is four years old,Speaker_3,23.55,['permanent'],validation
audio/Speaker_3/Speaker3-131.wav,hello sir i be trapti my skin dey fair well well and i dey marry for november i get hair for face and i dey wax am because of that i get open pores and acne scars one beautician tell me make i do treatment and she give me things to use for house but i dey worry if e go work or not and the cost too high she give me cheryl s product and treatment,hello sir i am trapti i have very fair skin and i am getting married in november i have facial hair and i do waxing for that due to this i have open pores and acne scars one of my beauticians has advised me to take treatments and has given me home care but i am worried whether it will work or not and it is too costly she has provided me with products and treatment from cheryl s,Speaker_3,26.84,"['beauticians', 'treatments', 'home']",validation
audio/Speaker_3/Speaker3-132.wav,i go suggest make you take ayurvedic medicine specifically mahayogaraj gugglu two tablets twice a day and neurowin one tablet three times a day this one go solve your problem,i will suggest that you take ayurvedic medicine specifically mahayogaraj gugglu two tablets twice a day and neurowin one tablet three times a day this will solve your problem,Speaker_3,17.58,"['mahayogaraj', 'twice', 'neurowin']",validation
audio/Speaker_3/Speaker3-133.wav,for early stage of bile duct cancer surgery na the best treatment if the surgeon dey tell you to do am e fit be say he know say he go fit remove the whole place so i recommend say you go ahead with the surgery your doctor talk truth say the survival rate low for this kain cancer no special food to chop,in the early stage of bile duct cancer surgery is the treatment of choice if the surgeon is advising this he may be confident in his ability to completely remove the affected area therefore i recommend proceeding with the surgery your doctor is correct that the survival rate is low for these types of cancers there is no specific diet,Speaker_3,25.45,['low'],validation
audio/Speaker_3/Speaker3-134.wav,first you suppose check your blood to see if infection dey for the knee and do x ray to see the position of the artificial knee and if e don wear out or move 8 years no be too long for knee replacement but depending on the blood result and x ray e fit mean say you need another surgery,first you should have a blood count to check for infection in the knee and an x ray of the knee to see the position of the prosthesis and whether it is worn out or migrated eight years is not many years for a knee prosthesis but depending on the blood results and the x ray it may indicate the need for another surgery,Speaker_3,24.06,"['blood', 'count', 'infection', 'knee', 'many']",validation
audio/Speaker_3/Speaker3-135.wav,this one look more like anxiety than allergy just calm down and chop small small think about taking multivitamin wey get plenty b complex vitamins,this is more of an anxiety response rather than an allergy just stay calm and have small quantities at a time consider adding a multivitamin that is good in b complex vitamins,Speaker_3,13.44,"['anxiety', 'response', 'calm', 'multivitamin', 'good', 'complex']",validation
audio/Speaker_3/Speaker3-136.wav,hello the liver get power to grow back itself so if na hepatitis problem with treatment he fit live for 10 years or more if the damage continue liver transplant fit extend him life for more than 20 years,hello the liver has the ability to regenerate itself so if it was a problem with hepatitis he may with treatment live for ten years or longer if the damage continued a liver transplant could possibly extend his life for more than twenty years,Speaker_3,18.27,['liver'],validation
audio/Speaker_3/Speaker3-137.wav,go make dem check him ear we need to check how him eardrum and inner ear dey work do diabetic test fungus for hair skin dey common apply nizoral for the hair skin canesten b cream fit be applied and wash with nizoral shampoo he fit take 0 5mg of alprazolam before he sleep he go better with this treatment,get his ear checked the functioning of the tympanic membrane and cochlea needs to be assessed a diabetic profile should be done fungal infection in the scalp is common nizoral solution should be applied to the scalp canesten b ointment can be applied to the scalp and washed with nizoral shampoo he can take zero point five milligrams of alprazolam at bedtime he should improve with this treatment,Speaker_3,31.72,"['tympanic', 'membrane', 'cochlea', 'diabetic', 'infection', 'scalp', 'nizoral', 'solution', 'ointment', 'zero', 'point', 'milligrams', 'alprazolam', 'improve']",validation
audio/Speaker_3/Speaker3-138.wav,even if the chance to get belle low e no mean say e no dey wait three more days and do pregnancy test with your first morning urine if e show positive you need think wetin you go do,though the chances of pregnancy are low they are not absent wait three more days and do a first morning sample of urine for pregnancy if positive you need to consider your options,Speaker_3,15.91,[],validation
audio/Speaker_3/Speaker3-139.wav,i dey feel sharp pain for my middle back always e don dey for almost two years since one night for school dance when the pain start recently for april i start to feel tingling for my left knee when i lie down and sometimes painful prick like needle when i stand last week my right knee come show the same sign like the left i also get low back pain which specialist you recommend i get 25 scoliosis too and i don dey do small physical therapy but no much relief for my back and knee pain,i have had a pinching sensation in my middle back that is constant it has been present for almost two years since a night at a school dance where the pain originated just recently in april i started experiencing tingling in my left knee when i lay down and an occasional painful prick like a needle when standing in the last week my right knee has been showing the same symptoms as my left knee i also have some low back pain what kind of specialist do you suggest i see i have twenty five scoliosis too and have been undergoing a little physical therapy with not much relief or improvement of my pinching back pain and knee troubles,Speaker_3,43.77,"['pinching', 'sensation', 'middle', 'almost', 'painful', 'tingling', 'knee', 'occasional', 'prick', 'needle', 'scoliosis', 'physical', 'therapy']",validation
audio/Speaker_3/Speaker3-140.wav,hello i be woman wey born for july 7 1970 i get granular cell cancer wey dey grow round my esophagus for the middle part behind my throat the size na 25x18x16mm the only treatment for netherlands na to remove my throat esophagus and voice box any other treatment thanks ingrid,hello i am a female born on july seven one thousand nine hundred and seventy i have a granular cell carcinoma growing around my esophagus in the middle part behind my larynx and proximal to the trachea it measures twenty five x eighteen x sixteen millimeters the only treatment in the netherlands is to remove my larynx esophagus and vocal cords is there any other treatment great ingrid,Speaker_3,31.67,"['female', 'granular', 'cell', 'esophagus', 'behind', 'larynx', 'trachea', 'eighteen', 'sixteen', 'mill']",validation
audio/Speaker_3/Speaker3-141.wav,i get bad joint pain for my waist area wey dey travel go my back bone and down to my tailbone for three weeks now e don dey get worse now i dey feel ovary pain and period cramp for the past two days wetin fit cause this one,i have had horrible sacroiliac joint pain that travels up my lumbar spine and down my tailbone at times for three weeks it has progressively gotten worse now i am also experiencing ovarian pain and menstrual cramping for the past couple of days what could be causing this,Speaker_3,20.29,"['joint', 'lumbar', 'spine', 'down', 'tailbone', 'ovarian', 'menstrual', 'cramping']",validation
audio/Speaker_3/Speaker3-142.wav,hi e no possible for today s medicine say doctor no go fit know why you get anemia abeg go see medical doctor or blood doctor hematologist make you get correct diagnosis only correct diagnosis go fit cure you make dem test the bone lumps at least go do fine needle aspiration abeg see the correct doctor i no want talk frightening things about why you get anemia abeg see proper doctor and get diagnosis,hi it is impossible in today s age of modern medicine for the cause of your anemia not to be diagnosed please consult a medical doctor or preferably a hematologist to get the correct diagnosis only a correct diagnosis can cure you the bone lumps must be biopsied at least go for a fine needle aspiration cytology please see the appropriate doctor i do not want to make any frightening statements by outlining the probable causes of undiagnosed anemia please consult the proper doctor and obtain the diagnosis,Speaker_3,36.34,"['anemia', 'consult']",validation
audio/Speaker_3/Speaker3-143.wav,dizziness na just symptom no be sickness and e dey common for many different causes most cause na blood pressure problem or inner ear problem but na only your doctor go fit know through check up if you need more test or medicine,dizziness is just a symptom not a disease and it is a symptom common to many different causes most of the causes stem from blood pressure issues or inner ear problems but only your doctor can determine through examination whether you need further tests or medications,Speaker_3,18.18,['dizziness'],validation
audio/Speaker_3/Speaker3-144.wav,hi your symptom no likely be fungus infection fungus for hair or face dey bring bad itching scaling redness hair loss white patches for tongue and so on your case likely be sinus infection e go help well well if you do ct scan of your sinus and or do sinus surgery i suggest you take higher antibiotic like levofloxacin for two weeks abeg check the report with your doctor next time you visit,hi your symptoms are unlikely to be due to a fungal infection fungal infections of the scalp or face present with severe itching scaling redness patchy hair loss white patches on the tongue etc your case is likely suggestive of a paranasal sinuses infection it would be extremely helpful if you get a computed tomography scan of your paranasal sinuses and or functional endoscopic sinus surgery it is suggested that you take a higher antibiotic like levofloxacin for two weeks please review the reports with your doctor on your next visit,Speaker_3,38.87,"['symptoms', 'fungal', 'infections', 'scalp', 'face', 'severe', 'paranasal', 'sinuses', 'computed', 'tomography', 'functional', 'end', 'copic', 'sin', 'antibiotic', 'levofloxacin']",validation
audio/Speaker_3/Speaker3-145.wav,hello doctor my baby boy born on 26 november 2010 the doctor tell us say we suppose give pneumococcal 7 vaccine and she talk say e cost 4100 rupees we no fit pay that money the vaccine compulsory for babies wetin the vaccine dey do if we no give the injection problem go dey,hello doctor my baby boy was born on november twenty six two thousand and ten the doctor told us to administer the pneumococcal seven vaccine and she mentioned it costs four one hundred indian rupees we are not able to spend that much is this vaccination compulsory for indian babies what purpose does it serve if we do not administer this injection will there be any problems,Speaker_3,27.05,[],validation
audio/Speaker_3/Speaker3-146.wav,hello abeg upload picture of the place wey get the problem so i go fit know wetin e be exactly,hello please upload pictures of the affected areas for an exact diagnosis,Speaker_3,8.01,[],validation
audio/Speaker_3/Speaker3-147.wav,my pikin wey go reach three years old dem diagnose say he get croup last night after he get breathing problem for hospital and dem give am steroids my twin boys wey born early at 32 weeks and 6 days now dem be 6 weeks and 5 days dem dey bring foam for mouth dey cough and dem nose dey block this one na croup too wetin i go do to help dem,my almost three year old was diagnosed with croup last night after a respiratory distress episode in the hospital and was given steroids my preterm twin boys were born at thirty two weeks and six days of gestation they are now six weeks and five days old they are foaming saliva coughing and have congested nasal passages is this also croup what can i do to help them,Speaker_3,32.11,"['almost', 'croup', 'respiratory', 'distress', 'hospital', 'steroids', 'preterm', 'twin', 'boys', 'foaming']",validation
audio/Speaker_3/Speaker3-148.wav,the diagnosis na 34x37mm fibroid and my womb big small size 9 8x6 5x6 7cm the discomfort dey okay but i no like the feeling of fullness or pressure for my bladder the treatment wey dem talk na to remove the womb or to do nothing and just look am but i dey search and i see focused ultrasound,the diagnosis is a thirty four x thirty seven millimeter fibroid and i have a slightly enlarged uterus measuring nine point eight x six point five x six point seven centimeters my discomfort is tolerable but i do not like the feeling of fullness or pressure in my bladder the options given for treatment are a hysterectomy by an obstetrician gynecologist or to do nothing and just monitor however i was researching and found focused ultrasound,Speaker_3,30.84,"['millimeter', 'enlarged', 'uterus', 'point', 'discomfort', 'hysterectomy', 'focused']",validation
audio/Speaker_3/Speaker3-149.wav,hi i be 35 years old i get ectopic pregnancy that na why dem remove my right fallopian tube now i no dey get belle after i try for long time even though me and my husband test all normal i still no fit get belle i get pcos and i dey take metformin and my period dey irregular since before wetin i go do i fear to go do ivf i want get belle naturally,hi i am thirty five years old i had an ectopic pregnancy because of which my right fallopian tube had to be removed now i am not conceiving after trying for a long period of time although my and my husband s tests are all normal i am still unable to conceive i have polycystic ovary syndrome for which i am taking metformin and my periods have been irregular from the very beginning what should i do i am afraid to go for in vitro fertilization i want to conceive naturally,Speaker_3,35.27,"['ectopic', 'pregnancy', 'polycystic', 'ovary', 'syndrome', 'irregular', 'vitro']",validation
audio/Speaker_3/Speaker3-150.wav,hi i notice about one week ago small lump with sharp point for my gum side for bottom teeth for the cheek side e no pain unless i touch am my teeth good except few cavities when i be 10 12 years old i dey get plenty tartar e don tey one year since i clean my teeth because i too busy any idea,hi i noticed about a week ago a small sized lump with a slight point on my gum line at the bottom of my teeth on the cheek side it is painless unless i jab at it i have very good teeth aside from a few cavities when i was ten to twelve years old i do tend to get a lot of tartar it s been a year since i ve had my teeth cleaned though due to a very busy year any ideas,Speaker_3,31.76,"['small', 'sized', 'lump', 'painless']",validation
audio/Speaker_3/Speaker3-151.wav,hi doctor actually my boyfriend talk say the nerve for him brain don thin because of him stress we fight before and that time he dey tense and shout for me after few days he talk say he dey take treatment for hospital because the nerve wey go him brain don thin e possible if e possible wetin go happen and how dem suppose treat am,hi doctor actually my boyfriend says that the nerve in his brain has become thin due to his emotional distress we had a fight before and at that time he used to become tense and shout at me after a few days he says that he is taking treatment in the hospital because the nerve that goes to his brain has become thin is it possible if it is what will be the impact and how should it be treated,Speaker_3,28.72,"['nerve', 'brain', 'thin', 'tense', 'treatment', 'hospital']",validation
audio/Speaker_3/Speaker3-152.wav,hi no be heart pain e fit be because the lung lining don swell acidity problem or bone muscle problem no be serious sickness and e no need special treatment except make you try antacid like pantoprazole 40mg before breakfast once a day and medicine wey you fit buy for shop like diclofenac 50mg anytime you need am if other symptom like fever face rash or weight loss occur then you need check up,hi it is not cardiac pain it may be due to inflammation of the lining of the lungs acidity problem or musculoskeletal problem it is a benign condition and needs no specific treatment except for you to try an antacid like pantoprazole forty milligrams before breakfast once a day and over the counter medicine like diclofenac fifty milligrams whenever needed if there are any other symptoms like fever facial rash or weight loss then you need evaluation,Speaker_3,34.39,"['cardiac', 'inflammation', 'antacid', 'pantoprazole', 'milligrams', 'before', 'breakfast', 'fever', 'rash', 'weight']",validation
audio/Speaker_3/Speaker3-153.wav,yeah actually you fit help me hopefully i don dey get chest pain and discomfort since christmas and i think say na because of alcohol but e no commot i dey struggle to breathe for night and i come dey panic if i get up i dey feel dizzy and small things wey i dey do dey make me out of breath even when i chop i get constant chest pain and i feel like everything tight too i try to get appointment with my doctor but i no fit get am for weeks,yeah actually you could help me hopefully i have been having chest pains and discomfort all over christmas and i thought it was just due to alcohol but it just hasn t gone away i end up struggling for breath at night and i begin to panic getting up results in extreme dizziness and simple day to day activities leave me completely out of breath even eating i have constant chest pains and i feel as though everything is tight too i have tried to get an appointment with my local doctor but i can t get in for weeks,Speaker_3,35.71,"['chest', 'pains', 'discomfort', 'struggling', 'breath', 'panic', 'tight']",validation
audio/Speaker_3/Speaker3-154.wav,i just pierce my ear cartilage tragus for 21st june after two days e look fine and i dey clean am twice a day but since wednesday e start to swell well well this morning i wake up see wetin look like bag for side of my face near my tragus and e dey pain me well well i no know wetin i go do,i have recently had my tragus pierced on the 21st of june after a couple of days it looked fine and i was cleaning it twice a day however since wednesday it has started to swell a lot and get bigger this morning i woke up with what looks like a bag on the side of my face near my tragus and that is really starting to hurt me a lot i don t know what to do,Speaker_3,26.05,"['tragus', 'cleaning', 'twice']",validation
audio/Speaker_3/Speaker3-155.wav,hello i just take family planning injection two months ago and i start bleed last month i don dey bleed for six weeks now and dem give me tranexamic acid doctor tell me make i do pregnancy test the three test come out negative and the tranexamic acid no dey work e even make my blood come heavy pass before you fit help,hello i recently had the contraceptive injection two months ago and i started bleeding last month i have been bleeding now for six weeks and i have been prescribed tranexamic acid the doctor told me to take a pregnancy test the three tests came back negative and the tranexamic acid is not working if anything my bleeding has gotten heavier can you help,Speaker_3,28.96,"['contraceptive', 'bleeding', 'tranexamic']",validation
audio/Speaker_3/Speaker3-156.wav,hi you no mention the name of the capsule you need to look for help from physiotherapist as he go teach you correct way to do exercise and move during your daily things no stay one position for long time as e go make your body stiff chop food wey get calcium like milk and egg,hi you have not mentioned the name of the capsule you need to seek help from a physiotherapist as he will teach you the proper ways of exercising and moving during daily activities do not remain in a single position for a long time as it will make your body stiffer do incorporate a diet rich in calcium such as milk and eggs,Speaker_3,23.06,"['moving', 'stiffer']",validation
audio/Speaker_3/Speaker3-157.wav,hello sir no be heart attack so no panic for your age you fit get stomach acid problem or ulcer these things dey common for your age you fit take tablet of pantoprazole 40mg once a day for 15 days before breakfast that go help,hello sir it is nothing like a heart attack so do not panic at your age you can have gastritis or a peptic ulcer these things are more common at your age you can take a tablet of pantoprazole forty milligrams once daily for fifteen days before breakfast that should help,Speaker_3,22.73,"['gastritis', 'pantoprazole', 'milligrams']",validation
audio/Speaker_3/Speaker3-158.wav,two reasons fit cause that pain first e fit be back muscle spasm wey mean say your back muscles tight e fit be kidney stone too my first advice for you na to go do ultrasound and spine x ray if stone dey you need to see kidney doctor urologist if no stone then do these things 1 no lift heavy thing and no bend go front 2 sleep for hard bed 3 rub diclofenac cream 4 sit for tub with warm water so your tailbone go feel heat 5 take muscle relaxant like myoril and myospaz 6 learn how to strengthen your back muscles from physiotherapist,there can be two reasons for such pain first it may be that you are experiencing back muscle spasms meaning your spine muscles are tight it can also be due to a kidney stone my first advice to you is to get an ultrasound and a spine x ray if a stone is present you need to consult a urologist if there is no stone then do a few things one avoid heavy weight lifting and forward bending two sleep on a hard board three apply diclofenac cream four sit in a bathtub with gentle warm water so your tailbone receives some heat five take a muscle relaxant like myoril and myospaz six learn back muscle strengthening exercises from a physiotherapist,Speaker_3,57.86,"['muscle', 'spine', 'ultrasound', 'stone', 'bending', 'tailbone', 'relaxant', 'myoril']",validation
audio/Speaker_3/Speaker3-159.wav,hello the problems you mention like he blame you for him mistake he no dey listen to people he dey vex quick anger suspicious and he just dey one corner all these fit be because of bad mood suspicious fit be because of brain sickness you need go see doctor wey dey treat brain psychiatrist he no dey go out and he no dey talk to people so e no dey live life well you no fit ignore this symptom you have to take am go see psychiatrist if he no want go you go go see the doctor talk about how to manage am he fit get bipolar disorder or some other brain condition based on wetin you talk but na when doctor hear full story he go know for sure with medicine he go be alright,hello the problems you have mentioned such as blaming you for his faults not listening to others irritability anger outbursts suspiciousness and remaining alone could be occurring due to some underlying mood disturbance suspiciousness could be due to some psychotic pathology this should be evaluated by a psychiatrist he does not go out and does not interact with others resulting in impairment in functioning these symptoms cannot be ignored you have to take him to a psychiatrist if he is not willing to visit please go to a psychiatrist and discuss management he might be suffering from bipolar disorder or some form of psychosis based on the history you provided however the final diagnosis should be made only after taking a detailed history with medications he will be alright,Speaker_3,64.16,"['suspiciousness', 'bipolar', 'disorder', 'psychosis']",validation
audio/Speaker_3/Speaker3-160.wav,my 17 month old baby get redness for her navel no be outside but inside we just notice am when we dey bathe her we dey bathe her every day and we no see am before we use cotton swab check if na blood but no be blood and she no cry when we touch am wetin fit be that and i suppose worry,my seventeen month old has redness in her belly button area not on the outside but on the inside we just noticed it during bath time we bathe her daily and didn t notice it before we used a cotton swab to see if it was blood but it wasn t and she didn t seem to cry when we touched it what could be could be and should i be concerned,Speaker_3,29.07,"['seventeen', 'redness', 'belly', 'not', 'outside', 'daily']",validation
audio/Speaker_3/Speaker3-161.wav,i be 31 year old man last night during sex with my wife to be i feel burning sensation when i ejaculate for my manhood head i just start new medicine but i get problem before with my manhood because e no fit stand well,i am a thirty one year old male last night during intercourse with my fiancée i experienced a burning sensation during ejaculation at the head of my penis i recently began new medications but i had an issue before the medications where my penis was not able to maintain an erection,Speaker_3,18.62,"['burning', 'sensation', 'medications', 'penis']",validation
audio/Speaker_3/Speaker3-162.wav,i get knee pain wey don tey i be 49 years old and i need knee replacement because of my age dem no recommend am but this medicine dey control my life i dey take 10 to 15 oxycodone 7 5 325mg methadone go better this medicine dey kill me slowly abeg help me,i have chronic knee pain i am forty nine years old and in need of a total knee replacement due to my age i am not a good candidate however this medication is controlling my life i take ten to fifteen oxycodone seven point five three hundred and twenty five milligrams is methadone a better alternative i am dying slowly from this medication please help me,Speaker_3,30.67,"['knee', 'oxycodone', 'methadone']",validation
audio/Speaker_3/Speaker3-163.wav,these things wey you dey rub for skin safe for person wey get belle and no get side effect so you fit use am when you get belle,these locally used products are safe for pregnancy with no teratogenic effects noted so they can be used during pregnancy,Speaker_3,10.33,[],validation
audio/Speaker_3/Speaker3-164.wav,hello my name be stacey i born one year ago through operation cs and my belle still dey swell every day my belle dey pain me all day every day i ask my doctor few months ago why this dey happen he say e go commot with time but i no feel like i dey better wetin i go do,hello my name is stacey i had a baby almost a year ago by cesarean section and my belly is still swelling every day my belly hurts all day every day i asked my doctor a few months ago why this was happening and he said it should go away with time but i don t feel like i am getting better what should i do,Speaker_3,23.89,"['baby', 'belly', 'swelling', 'hurts']",validation
audio/Speaker_3/Speaker3-165.wav,i get pain for my right side of back round my rib e dey tender when i touch am and e dey pain when i lie for my left side and i want stand up also i notice say my belle dey tender sometimes and dey cramp wetin fit be the cause,i have been hurting on the right side of my back around my ribs it is very tender when touched and it hurts when i am laying on my left side and i raise up also i have been noticing that my belly has been tender at times and cramping what could be the cause,Speaker_3,19.99,"['hurting', 'tender', 'hurts', 'side', 'belly', 'cramping']",validation
audio/Speaker_3/Speaker3-166.wav,if you still get bad back pain after you fall and your leg come weak i hope say your doctor don check you and don order x ray and maybe mri of your back spine,if you are still experiencing severe back pain after a fall and have weakness in your legs i hope that you have been examined by your doctor and have had x rays and possibly an mri of the lumbar spine ordered,Speaker_3,13.89,"['severe', 'weakness', 'rays', 'mri', 'lumbar', 'spine']",validation
audio/Speaker_3/Speaker3-167.wav,hello sign of nerve compression na pain wey dey spread tingling numbness and pain wey dey increase when you move certain way but your symptom fit be because your lower belle and pelvis swell small you need antispasmodic medicine for this condition you need mri of your spine to confirm if na nerve compression,hello the symptoms of nerve compression are radiating pain tingling numbness and pain aggravated by certain movements however your symptoms may be mostly due to some non specific inflammation of the lower abdomen and pelvis an antispasmodic is advised in this condition an mri of the spine is required to rule out nerve compression,Speaker_3,24.78,"['non', 'abdomen', 'specific', 'mri', 'spine', 'nerve']",validation
audio/Speaker_3/Speaker3-168.wav,my 10 month old pikin anytime i put am down he go hold one leg up like small dog and he no go stand on that foot he no go let me put am down he dey like to walk but for the last two days he no go walk but he fit crawl small wetin fit be the problem,my ten month old son every time i put him down he holds up one leg like a little chihuahua does and he won t stand on that foot he won t let me put him down or anything he is usually happy to walk but for the last two days he won t walk however he will crawl a little what could be the problem,Speaker_3,22.99,['crawl'],validation
audio/Speaker_3/Speaker3-169.wav,when i dey walk i dey find am hard to breath my leg dey swell wey dem dey call edema i don dey take medicine for cholesterol sake of say i come fat join and i dey find am hard to breath my leg still dey swell and i dey take lasix i want make that short breath commot for my body one valve for my heart weak e no get power to push fluid well i dey take crestor for my cholesterol for like five years now i wonder if the medicine dey affect me since na statin e be i don reach eighty four years,i have shortness of breath when walking i have edema which is swollen ankles i have been taking tablets for cholesterol because i am overweight and have shortness of breath i also have edema in my swollen ankles and take lasix i would like to get rid of my shortness of breath i have a weak valve in my heart that may not be strong enough to move fluid i take crestor for cholesterol and have been taking it for about five years i wonder if this is affecting me as it is a statin i am eighty four years old,Speaker_3,49.48,"['shortness', 'breath', 'edema', 'swollen', 'ankles', 'tablets', 'overweight', 'weak', 'valve', 'eighty']",validation
audio/Speaker_3/Speaker3-170.wav,dem inject orthovisc for my two knees come later faint and come vomit sharp sharp con vomit again after one hour that one na allergic reaction dem talk say i suppose go take the second one tomorrow but i no think say i fit face that kin tin again plus the injection no even dey help well abi,i had an orthovisc injection in both of my knees and fainted then vomited right afterwards and again an hour later is that an allergic reaction i am supposed to get a second round tomorrow and i do not think i should go through that again plus they do not help that much do they,Speaker_3,25.22,"['injection', 'both', 'knees', 'vomited']",validation
audio/Speaker_3/Speaker3-171.wav,my belle down for right side dey pain me like muscle wey strain but the pain dey increase when i take deep breath i no remember say i do anything wey go cause am but maybe i do dem don commot my appendix since but could it be diverticulitis dem tell me long time say i get am but e never happen before,my lower right abdomen hurts almost like a pulled muscle but it increases with a deep breath i don t remember doing anything to aggravate it but maybe i did i have had my appendix taken out years ago but could it be diverticulitis i was told i had it years ago but never had an attack,Speaker_3,28.68,"['abdomen', 'hurts', 'diverticulitis']",validation
audio/Speaker_3/Speaker3-172.wav,hello inside two weeks dem don rush me go hospital two times with serious pain for my back right side near my rib the hospital no see anything and dem dey try control the pain with codeine naproxen paracetamol and diazepam even though the pain come down small i fit feel something dey rattle for that area when i dey breathe and e dey pain more when i wan sleep i get small seven week baby so i no want dey take all these tablets you think say e fit be lung matter,hello twice in the last fortnight i have been rushed to the hospital with severe spasming pain in my right back around the rib area the hospital is finding nothing and is trying to control the pain with me taking codeine naproxen paracetamol and diazepam while the pain is less severe i can feel a constant rattling in this area when i breathe and it worsens when i lie down for bed i have a seven week old baby so i do not want to be on all these tablets do you think this could be a lung issue,Speaker_3,38.71,"['twice', 'rushed', 'severe', 'spa', 'rib', 'naproxen', 'paracetamol', 'diazepam', 'constant', 'rattling']",validation
audio/Speaker_3/Speaker3-173.wav,my two year old pikin fall from stair for playground last sunday con hit hin head we carry am go emergency dem look am for four hours and nothing show say serious thing happen e get big bump and bruise for hin forehead but after two days i notice say the side of hin nose and middle of hin eyes start to bruise the bruise just dey dark pass over the past five days i suppose worry for this,my twenty four month old son fell down the stairs in a playground last sunday and hit his head we went to the emergency department and he was observed for four hours with no signs of significant damage he had a nice bump and bruise on his forehead however after about two days i started to notice bruising on the sides of his nose in between his eyes this bruising has been getting darker over the last five days should i be concerned about this,Speaker_3,33.62,"['bump', 'bruise', 'bruising']",validation
audio/Speaker_3/Speaker3-174.wav,hello i just celebrate forty nine years now my height na five feet seven inches and i weigh one hundred and fifty pounds nothing dey wrong with me and i no dey take medicine my papa get heart attack when e be fifty three and dem fix pacemaker for am when e reach 60s or early 70s my mama don get heart failure two times wey i know recently after i go gym my heart dey feel tire and i dey always tire i suppose go see cardiologist,hello i just turned forty nine years old i am five feet seven inches tall and weigh one hundred and fifty pounds i have no medical conditions and do not take medication my father had a heart attack at age fifty three and had a pacemaker placed in his 60s or early 70s my mother has had congestive heart failure a couple of times that i know of recently after going to the gym my heart feels tired and i am tired a lot should i get checked by a cardiologist,Speaker_3,39.71,"['congestive', 'heart', 'failure', 'tired']",validation
audio/Speaker_3/Speaker3-175.wav,hi i hear say your back dey pain you but nothing show say your spinal cord get problem thank god you safe you fit try cold pack for the area and if you fit walk inside pool the muscle for your back fit dey spasm na wetin dey cause the pain and stop you from do your work i suggest make you see physical therapist e go fit help you solve the problem so you go fit return to normal life with strong back,hi i understand you have pain in your back but no other symptoms of spinal cord injury thankfully you are safe you can try cold packs on your affected area and if possible walk in the pool there will likely be severe spasms in the spinal muscles which are causing you pain and preventing you from performing your tasks i would like to suggest that you meet with a physical therapist who can help you address your problem and get back to a healthy life with a strong core and back,Speaker_3,36.46,"['spinal', 'cold', 'packs', 'severe', 'spasms', 'meet']",validation
audio/Speaker_3/Speaker3-176.wav,i don dey get serious dizziness for one week now and e dey worse every day e no be like head rush e dey enter my whole body e dey make me feel like i no fit breathe and i no dey comfortable even though e dey go sharp sharp e be like the feeling i get before i faint the dizziness too much and e dey worry me,i have been having incredible dizzy spells for over a week now and they keep getting worse it is very different from a head rush and goes through my whole body leaving me a bit breathless and uneasy though it happens very quickly it is a similar feeling to one i have felt directly before passing out a very intense dizziness and it has been concerning me,Speaker_3,23.78,"['dizzy', 'spells', 'breathless']",validation
audio/Speaker_3/Speaker3-177.wav,one of my knees dey pain me non stop e start when i hear sound like say e crack when i dey stretch my leg for the past four days i no fit walk well and i dey pain me well well and i no take any medicine yet wetin i go do wetin happen to my knee,i am having constant pain in one of my knees it started after i heard a crackling sound in my knee while i was trying to stretch my feet for the past four days i have been unable to walk properly and am in constant pain also i have not taken any medications yet what do i do what is wrong with my knees,Speaker_3,20.67,"['constant', 'crackling', 'sound', 'knees', 'unable', 'walk', 'properly', 'medications']",validation
audio/Speaker_3/Speaker3-178.wav,something dey commot from my belly button and last week my blood platelet level high today na today the thing start and my doctor talk say my platelet level don dey rise over the years my doctor still dey think say e fit be leukemia or serious infection,i am leaking from my belly button and last week my blood platelet count was high my belly button just started leaking today and my doctor said that my platelet count has been going up over the years my doctor also thinks i may have leukemia or a serious infection,Speaker_3,25.33,"['belly', 'button', 'platelet', 'count', 'leukemia']",validation
audio/Speaker_3/Speaker3-179.wav,for my own side if the pain dey one side she suppose see orthopedic doctor if the pain dey two sides she suppose check for kidney problem or tumor for ovary or cyst good luck,in my opinion if the pain is unilateral then she needs to see an orthopedic doctor if it is bilateral then she needs to check for kidney problems ovarian tumors or cysts good luck,Speaker_3,15.28,['orthopedic'],validation
audio/Speaker_3/Speaker3-180.wav,yes i dey try make i conceive but i just turn thirty and my husband na twenty six we marry for december but we don dey try since then and i still no get belle i don start to take prenatal vitamins and i dey chop well but i no dey chop as i suppose chop so my question be say i need to go see doctor,yes i am trying to get pregnant but i just turned thirty and my husband is twenty six we got married in december but have been trying ever since then and i still have not gotten pregnant i have started taking prenatal vitamins and have been eating right but i do not eat as much as i should so my question is do i need to go see a doctor,Speaker_3,27.21,"['prenatal', 'vitamins']",validation
audio/Speaker_3/Speaker3-181.wav,i don dey get bad pain for my low back and front side when i go toilet e no dey easy e dey pain me and dark brown blood dey show when i clean i think say maybe my period wan start but no sign and i dey use mirena so e no dey common i don dey swell and dey scratch for almost one year now i no know wetin cause am so any simple way to fix am,i have been having some horrible pains in my lower back and front pelvic area when i use the restroom i barely go it hurts and there is dark brown blood when i wipe i thought maybe i am about to start my period but i have had no signs and i am using a mirena so i do not have them much i have also been swelling a lot and itching for almost a year now i can t find the cause so does anything sound like an easy fix,Speaker_3,36.87,"['pains', 'front', 'pelvic', 'dark', 'brown', 'swelling', 'itching', 'almost']",validation
audio/Speaker_3/Speaker3-182.wav,hello sir i be forty one year old man when i be seventeen one morning i see as my vision come blurry the sound i dey hear no normal i get headache and i feel light sensation for my right hand this one don happen like ten times now later i come know say na hypertension cause am some people talk say na low blood sugar now i dey take blood pressure medicine and my ten milligram tablet every day please tell me the real cause and the best treatment,hello sir i am forty one years old and male when i was seventeen years of age in the morning i felt blurring in my vision the sound was not normal i had a headache and i felt light sensations in my right hand this has happened about ten times until now later i came to know that it happens due to hypertension some say it is because of hypoglycemia now i am taking blood pressure tablets as well as my medication of ten milligrams daily please suggest the actual cause for it and the best treatment,Speaker_3,38.66,"['blurring', 'light', 'blood', 'pressure', 'tablets', 'medication', 'milligrams']",validation
audio/Speaker_3/Speaker3-183.wav,hello sir i be twenty six years old before i dey masturbate too much wey make me get nightfall i control my masturbation but the nightfall no stop i take some herbal medicine e help for small time last december i masturbate and everything dey fine after that work come keep me busy this month i mistakenly masturbate and notice say my semen come like water no thickness inside that time i still get nightfall i fear for this matter wetin i go do,hello sir i am currently twenty six years old previously i masturbated a lot which led to experiencing nightfall i managed to control my masturbation but the nightfall did not stop i took some herbal medicines which helped for a while last december i masturbated and everything was fine after that i became busy with my job this month i accidentally masturbated and noticed my semen flowing like water with no thickness in between i also experienced some nightfall i am feeling scared about this what should i do,Speaker_3,38.87,['masturbated'],validation
audio/Speaker_3/Speaker3-184.wav,hi from wetin you describe e be like say your pikin get allergy and maybe dem no dey treat am well i suggest make you see allergy specialist e go help make hin life better,hi when you describe those symptoms it seems that your child is allergic and she is probably not being adequately treated i recommend consulting an allergy specialist and her quality of life will likely improve significantly,Speaker_3,15.74,['allergic'],validation
audio/Speaker_3/Speaker3-185.wav,hi polycystic ovarian disease na set of symptoms like when ovulation no dey regular or e no dey happen at all person come fat get hair for body insulin no dey work well and you no fit get belle but e dey respond to treatment well and you fit still get belle you suppose do proper test like hormonal profile glucose test check your tube and sonogram make una check the man side too the medicine you dey take good but you go need make ovulation happen monitor your cycle and get sex at the right time to conceive you must shed weight e go help solve the problem well i wish you success,hi polycystic ovarian disease is a symptom complex characterized by irregular or absent ovulation obesity hirsutism insulin resistance and infertility nevertheless it responds very well to treatment and conception is quite possible you should undergo a proper protocol workup that includes hormonal profiles a glucose tolerance test tests for tubal patency and a trans vaginal sonogram assessment of the male factor should also be done simultaneously the medication you are currently receiving is good but you will need ovulation induction cycle monitoring and timed intercourse for conception you must also reduce your weight as this will definitely help correct the problem to a significant extent i wish you success,Speaker_3,52.76,"['irregular', 'ovulation', 'timed']",validation
audio/Speaker_3/Speaker3-186.wav,hi when my baby reach six weeks friends come visit one friend carry the baby put for shoulder without hold the neck she be nurse so i think say she sabi carry baby suddenly she put hand for under armpit without hold the head move the baby down to lap the baby head come jerk back and dey hang until she come hold am i feel bad well well such movement fit harm the baby neck e get any long term wahala,hi there when my baby was six weeks old friends came to visit one friend put the baby on her shoulder without supporting the baby s neck she was a nurse so i thought she knew how to handle babies suddenly she put her hand under the armpits and without supporting the head moved the baby down to her lap the baby s head jerked back and was hanging until support was provided i feel awful about it can such movements harm the baby s neck will it have any long term effects,Speaker_3,35.18,[],validation
audio/Speaker_3/Speaker3-187.wav,my arms and leg dey feel like something dey crawl for inside and sometimes e dey ache my face too dey feel like that another thing my tongue dey feel funny and sometimes my throat dey feel tight e dey make am hard to breathe any idea this no dey always happen but e don dey for one month non stop,i am having tingling in my arms and legs which sometimes becomes aching i also feel tingling in my face additionally my tongue feels funny and sometimes my throat feels like it is under pressure which makes it hard to breathe any ideas this does not always happen but it has occurred for about a month nonstop,Speaker_3,27.79,"['tingling', 'arms', 'throat', 'about']",validation
audio/Speaker_3/Speaker3-188.wav,i get car accident and my soft tissue damage i dey do physiotherapy and acupuncture now i come get lump for back of my neck near my shoulder i dey feel pain under my armpit and e dey hard to swallow you fit answer me,i had a car accident and have sustained soft tissue damage i am currently receiving physiotherapy and acupuncture treatment i now have a lump on the back of my neck along the shoulder line i am experiencing pain under my armpit and difficulty swallowing can you provide me with an answer,Speaker_3,21.34,"['physiotherapy', 'acupuncture', 'lump', 'armpit']",validation
audio/Speaker_3/Speaker3-189.wav,my sex drive don go down i dey get erection but e no dey stand well i dey feel irritation for my penis vein the color don change con look white like say pus dey inside another thing i feel irritation for my left pelvic bone i think say infection dey inside recently my wife too get yeast infection,i have been experiencing low libido i do get an erection but am unable to maintain it i feel irritation in the veins of my penis which has changed color and looks white as if it has pus inside additionally i feel irritation on the left side of my pelvic bone giving me the impression that there may be some infection inside recently my wife has also suffered from yeast infections,Speaker_3,26.77,"['low', 'irritation', 'pus', 'infections', 'wife']",validation
audio/Speaker_3/Speaker3-190.wav,hello i don read your question and i understand why you worry wasp or bee bite fit cause serious allergy for person e fit make blood pressure low make breathing hard and so on since your husband stable now i advise make you watch am for twenty four hours look for these signs one hard time to breathe two rashes for skin three hard time to swallow four low blood pressure if you see any of these carry am go emergency room i hope that answer your question if you get other question feel free to write,hello there i have read through your question and can understand your concern a wasp or bee bite can lead to an anaphylactic reaction in a person which can cause hypotension breathing difficulties etc since your husband is stable at present i would advise you to keep him under observation for twenty four hours look for the following symptoms one any breathing difficulties two development of any skin rashes three difficulty in swallowing four low blood pressure if he develops any of the above take him to an emergency room i hope that answers your question if you have any other queries please feel free to write,Speaker_3,45.65,['following'],validation
audio/Speaker_3/Speaker3-191.wav,hello i get blister for the roof of my mouth wey my dentist talk say na torus i don dey take bone supplement for some years and this problem start when my plate break con blister come out you fit explain wetin this condition be,hello i have a blister on the roof of my mouth that my dentist is saying is a torus i have taken bone supplements for some years now and this problem started when my plate broke and the blister developed could you fill me in on what this condition is,Speaker_3,18.85,"['blister', 'roof', 'mouth', 'dentist', 'bone', 'supplements']",validation
audio/Speaker_3/Speaker3-192.wav,last night when i wan sleep i feel sick my back dey ache but i don dey work for computer for hours the weird thing be say sudden body chill take me wey i no fit control e last like half hour before i finally sleep after i remove pillow i get fever now one hundred and one point six degrees and i dey feel thirsty well well i don get urinary infection before but i no feel any of those symptoms now the back pain dey high up for both sides e feel like muscle pain i think,at bedtime last night i felt generally unwell my back had been achy but i had been working at the computer for hours the weirdest symptom was sudden severe body chills that i couldn t control and lasted at least half an hour until i finally could sleep after removing the pillow i have a fever now of one hundred and one point six degrees fahrenheit and i am very thirsty i have had urinary tract infections in the past but i am not experiencing any of those symptoms the ache in my back is higher up on both sides it feels muscular i think,Speaker_3,42.0,"['sudden', 'severe', 'half', 'an', 'hour', 'fever', 'point', 'degrees', 'fahrenheit', 'inary', 'tract', 'ache']",validation
audio/Speaker_3/Speaker3-193.wav,please use the inhaler well check the paper wey come with am because many people no dey use inhaler well inhaler na better option if you no feel better after you use am well ask your doctor dem fit give you medicine to help you pass the crisis till then stop smoking and avoid smoke or dirty air,please use the inhaler properly refer to the instructions in the pamphlet as the majority of patients use the inhaler incorrectly the inhaler is a better option if you do not feel better even after proper use ask your doctor they may prescribe some medications to help you through the crisis until then stop smoking and avoid air pollution,Speaker_3,23.34,"['medications', 'smoking']",validation
audio/Speaker_3/Speaker3-194.wav,hello first please take medicine for your cough since you don dey cough for one week your belly muscle don dey pull well well na that one cause your pain i suggest say you take medicine for cough and no stress yourself when you dey cough,hello first please take medications for your cough since you have been coughing for a week there have been a lot of repetitive abdominal wall contractions this is the cause of your pain i suggest you take cough reducing medications and do not stress yourself while coughing,Speaker_3,21.41,"['medications', 'repetitive', 'abdominal', 'stress']",validation
audio/Speaker_3/Speaker3-195.wav,hi thank you for asking i appreciate your concern this fit be acid reflux if i be your doctor i go treat you with this medicine one omeprazole forty milligrams once a day two domperidone thirty milligrams once a day i hope this help you have a nice day,hi thank you for asking i really appreciate your concern this could be acid reflux disease if i were your doctor i would treat you with the following medications one omeprazole forty milligrams once a day two domperidone thirty milligrams once a day i hope this information helps have a nice day,Speaker_3,24.68,"['omeprazole', 'milligrams', 'domperidone']",validation
audio/Speaker_3/Speaker3-196.wav,hi thank you for asking i understand your concern the pill you take na hormonal pill and dem no suppose take am if sickness no dey hormonal pill get many side effects and for my own side dem no suppose take am without doctor talk e fit cause problem for person body i hope this help you have a nice day,hi thank you for asking i can understand your concern the pill that you have taken is a hormonal pill and it should not be taken for non medical reasons hormonal pills have several side effects and in my opinion they should never be taken without proper indication this could cause anything wrong with the body s system i hope this information helps you have a nice day,Speaker_3,25.12,['hormonal'],validation
audio/Speaker_3/Speaker3-197.wav,for my side e necessary make you start am with techniques wey dey improve concentration like letter cancellation later if e no improve then stimulant like methylphenidate fit help,in my opinion it is necessary to start him on attention enhancing techniques like letter cancellation techniques later on if things don t improve then stimulants such as methylphenidate may be beneficial,Speaker_3,19.34,['methylphenidate'],validation
audio/Speaker_3/Speaker3-198.wav,the things you dey feel just be gas sake of how you dey chop and your habit sometimes your belle go swell and sometimes e go feel like something dey move up and down make you chop regular no make constipation catch you and take some digestive supplements with chitrak vati after you chop,the symptoms you are describing are no more than just gas formation due to improper diet and dietary habits sometimes distension occurs and sometimes it feels like trickling from here and there be regular with your diet avoid constipation and have specific digestive health supplements with chitrak vati after meals,Speaker_3,25.4,"['symptoms', 'gas', 'formation', 'sometimes', 'di', 'trickling', 'digestive', 'health', 'supplements']",validation
audio/Speaker_3/Speaker3-199.wav,my period come two weeks ago after my period my boyfriend and i do sex many times a day i take plan b pill after two days i get bad urinary infection i go see doctor dem see blood for my urine yesterday i go draw tattoo for my pelvic area after one hour i go toilet e con be like say my period start again plan b pill cause am the tattoo or the plenty sex,i got my period two weeks ago after my period my boyfriend and i had sexual intercourse multiple times a day i took a plan b pill after two days i developed a really bad urinary tract infection i went to the doctor to get it checked and i had blood in my urine yesterday i went to get a tattoo in my lower pelvic area after an hour i went to the restroom and it seemed like i was getting my period again did the plan b pill cause it the tattoo or the multiple sexual intercourses,Speaker_3,32.95,"['sexual', 'intercourse', 'multiple', 'went', 'doctor', 'tattoo', 'pelvic']",validation
audio/Speaker_3/Speaker3-200.wav,yes heart rate wey dey always high na problem one reason be say you dey use advair inhaler which get salmeterol wey fit increase heart rate so make you discuss with your doctor if e fit reduce the content for the inhaler you dey snore you dey wake up for night or you dey sleep for daytime if yes you fit get sleep apnea and you need treatment also check your oxygen level if e low you go need oxygen for house,yes a chronically elevated heart rate is problematic one of the reasons is that you are on the inhaler advair which contains salmeterol that can increase the heart rate so discuss with your physician if it is possible to decrease that content in the inhaler do you snore do you have interrupted sleep or daytime sleepiness if yes you probably have obstructive sleep apnea and need treatment for it also get your oxygen level checked once if it is low you will need home oxygen for that,Speaker_3,38.78,"['chronically', 'salmeterol', 'yes', 'interrupted', 'daytime', 'sleep', 'problematic', 'apnea', 'oxygen', 'level']",validation
audio/Speaker_3/Speaker3-201.wav,if your blood group na o negative first go do indirect coombs test if e negative then you need injection of anti d three hundred micrograms for muscle besides that bed rest injection of human chorionic gonadotropin two thousand units for muscle and progesterone either by mouth or vagina please go for ultrasound,if you are o negative then first go for an indirect coombs test if it is negative then an injection of anti d three hundred micrograms intramuscularly is needed besides that bed rest an injection of human chorionic gonadotropin two thousand international units intramuscularly and progesterone either orally or vaginally please go for an ultrasound,Speaker_3,35.06,"['injection', 'anti', 'micrograms', 'intra', 'human', 'chorionic', 'gonadotropin', 'thousand', 'international', 'units', 'progesterone', 'orally']",validation
audio/Speaker_3/Speaker3-202.wav,hi my mama get bad tooth wey don dey chip small small for long she dey chew gum that other day and e pull the rest of the filling commot from the tooth now the tooth no dey pain am but e don make hin tongue swell and dey sore any home medicine wey fit help am,hi my mother has had a bad tooth that has been chipping away for a while she was chewing gum the other day and it pulled the rest of her filling out of her tooth right now her tooth doesn t hurt but it has caused her tongue to swell and be sore are there any home remedies that can help her,Speaker_3,25.1,"['pulled', 'tooth', 'tongue']",validation
audio/Speaker_3/Speaker3-203.wav,dem tell me say i get strep throat yesterday my temperature reach one hundred and three degrees with infection for my ear and throat i get heartburn and my stomach dey weak i go see doctor yesterday and dem give me steroid shot antibiotics and some syrup anyway the fever don commot but i notice this morning say clear white thing dey follow my stool e fit be sake of the medicine or e fit be something else,i was diagnosed with strep throat yesterday i was running a temperature of one hundred and three degrees fahrenheit with an infection in my ears and throat i also had heartburn and a queasy stomach i went to see the doctor yesterday and was given a steroid shot some antibiotics and some kind of syrup anyway the fever has broken but i noticed this morning some clear white looking discharge in my stool could this be related to the medications or could this be something else,Speaker_3,36.78,"['strep', 'temperature', 'degrees', 'infection', 'queasy', 'went', 'doctor', 'steroid', 'white', 'discharge']",validation
audio/Speaker_3/Speaker3-204.wav,hello welcome to hcm for my own side na bed bug bite e no dey pain when the bug bite but many people dey get allergy to the bug saliva e dey happen between twenty four hours and three days later e dey cause red bump wey dey itch well well and dey red the bump and the itch fit last for some days bed bug fit bite anywhere but e dey common for area wey no get cloth like neck face arm and hand and dem dey follow one another if e still dey you fit apply calamine lotion if you get more question contact us,hello welcome to hcm in my opinion it is a bed bug bite it does not hurt when the bed bug bites but many people develop an allergic reaction to the saliva of the bug usually occurring between twenty four hours and three days later resulting in a raised red skin bump or welt that is intensely itchy and inflamed both the welt and the itchiness may last for several days bed bug bites can occur anywhere on the body but are typically on uncovered areas such as the neck face arms and hands and are often found in a row of two or more if it is still present you may apply calamine lotion for further questions do contact us,Speaker_3,52.2,"['allergic', 'reaction', 'bump', 'bite', 'bed', 'typically']",validation
audio/Speaker_3/Speaker3-205.wav,hi if you get sharp pain wey start sudden with itching and burning i feel say you fit get infection wey be herpes zoster you fit don get chickenpox before to know wetin be the problem the area too sensitive and e get important nerves wey reach eye and face please visit doctor eye doctor and skin doctor for treatment you need start with antiviral and steroid make dem check your vision do retinoscopy and scan to see if the nerve and tissue get damage also apply antiviral cream for the place good luck,hi if you have acute pain that is sudden in onset with itching and burning sensation i strongly feel that you may have a local dermatomal infection with herpes zoster you may also have a previous history of chickenpox to confirm the diagnosis it is a very sensitive area with important nerve supply to the face and eyes please visit a physician ophthalmologist and dermatologist for treatment you need to start with antivirals and steroids vision should be tested and retinoscopy and scanning should be done to see the involvement of surrounding nerves and tissues also local application of antiviral creams will help good luck,Speaker_3,49.76,"['acute', 'sudden', 'itching', 'local', 'antivirals', 'zoster', 'vision', 'retinoscopy', 'scanning', 'involvement', 'antiviral', 'cream']",validation
audio/Speaker_3/Speaker3-206.wav,no be sake of fruit or the sugar you chop na infection from small small germs cause am you suppose take this medicine for five days tablet azithromycin five hundred milligrams once a day after food for afternoon tablet paracetamol five hundred milligrams two times a day after food for morning and night and tablet pantoprazole forty milligrams once a day before breakfast,it is not because of fruits or the excess sugar that you consumed it must be due to infections caused by microorganisms you should take the medications below for five days tablet azithromycin five hundred milligrams once a day after food in the afternoon tablet paracetamol five hundred milligrams twice a day after food in the morning and evening and tablet pantoprazole forty milligrams once a day before breakfast,Speaker_3,31.67,"['infections', 'medications', 'tablet', 'azithromycin', 'milligrams', 'para', 'twice']",validation
audio/Speaker_3/Speaker3-207.wav,since you get black stool e better make you check am well please go for colonoscopy too if that one show say nothing dey wrong then you fit talk say na only your head dey think am,since you had an episode of black tarry stool it is better to rule out any abnormalities please go for a colonoscopy as well if that turns out to be normal then you can say it is probably just in your head,Speaker_3,16.67,[],validation
audio/Speaker_3/Speaker3-208.wav,hello doctor i just do sex without protection and after the sex i take four tablets of althea and i plan to take another four tomorrow i fit get belle and i dey fear wetin be the chance say i go get belle i still need to take emergency contraceptive,hello doctor i just had unprotected intercourse and right after the intercourse i took four tablets of althea contraceptive and plan to take another four tomorrow i m fertile and i m scared what are the chances of getting pregnant will i still need to take emergency contraception,Speaker_3,23.82,"['unprotected', 'contraceptive']",validation
audio/Speaker_3/Speaker3-209.wav,today constipation don catch me well well and when i go toilet e dey hard to shit my bowel dey normal before i get allergy for milk and recently i chop lasagna cookies cereal and cheese you fit tell me some home medicine to help my constipation,today i am extremely constipated and when i use the bathroom i find it difficult to have a bowel movement my bowel movements have been normal otherwise i am allergic to milk and recently i have eaten lasagna cookies cereal and cheese can you tell me some home remedies to help relieve my constipation,Speaker_3,24.4,"['constipated', 'extremely', 'bowel', 'movements', 'constipation']",validation
audio/Speaker_3/Speaker3-210.wav,my daughter born with hemiplegia she do physiotherapy before she go school e help am well she also use many braces as she dey grow she dey function well and don learn how to do many thing with one hand she now thirty three years old and e dey get pain for hip and leg her doctor talk say e normal for adult with cerebral palsy i dey doubt if the doctor talk true pain normal for adult with hemiplegia any tin wey fit help am like exercise or physiotherapy,my daughter was born hemiplegic she had physiotherapy before going to school which helped her a lot she also had various braces to assist her as she grew she functions quite normally and has learned to accomplish many skills with one hand she is now thirty three years old and is experiencing a lot of pain in her hips and legs her general practitioner says this is normal for an adult with cerebral palsy i question whether her general practitioner is correct is pain normal for an adult hemiplegic is there anything that can help her such as exercise or physiotherapy,Speaker_3,44.56,"['braces', 'hips', 'normal']",validation
audio/Speaker_3/Speaker3-211.wav,i get problem with my eyelid and the area up for past years i think say maybe na allergy e no dey happen all the time recently i link am with stay for hotel wey ac dey run maybe na reaction to mold for inside ac unit or maybe the bed cloth or soap wey dem use wash am e only happen when i lay down for bed if i stay awake late the swelling no dey happen,i have had a problem with my eyelids and the area above them swelling for the past few years i assume this might be an allergy symptom it doesn t happen all the time recently i ve connected it to staying in hotels with the air conditioner running is it perhaps a reaction to mold in the air conditioning unit might it also be the bedding or chemicals used to clean the bedding it only occurs when i lie down in the bed if i am up late the swelling does not happen,Speaker_3,33.0,"['eyelids', 'above', 'them', 'swelling']",validation
audio/Speaker_3/Speaker3-212.wav,hello i fit help you with this based on wetin you talk i think say her period no dey regular the time she get sex no near her ovulation time and if you no finish inside the chance of pregnancy too small if you no get sex again and if she get belle urine test for pregnancy for don show positive by now so to be safe make you perform pregnancy test now even if she see blood small small if e negative now then no be the sex cause am you fit wait one week make her period come finally small pain and blood show fit happen before normal period please check the test result,hello i can help you with this based on the history i think her periods are a little irregular the timing of sexual intercourse is not very close to her ovulation time and if you have not ejaculated inside the chance of pregnancy is very rare if you have had no unprotected intercourse thereafter and if she has by chance become pregnant a urine pregnancy test should show positive by now so to be on the safe side it is better to perform a urine pregnancy test now even though she is experiencing spotting if it is negative now then she is definitely not going to be pregnant due to the intercourse you can then wait for another week for her to get her periods finally light cramps and spotting may precede her normal periods please review the urine pregnancy test result,Speaker_3,47.44,"['positive', 'another', 'light', 'cramps', 'spotting']",validation
audio/Speaker_3/Speaker3-213.wav,hello dear the emergency pill na very reliable method to prevent belle after sex dem suppose take am within twenty four hours but you fit take am up to seventy two hours which you don do so the chance of getting belle too low after you take the emergency pill period dey delay plus since you take the pill again before your period the delay go long the white thing you see na from the hormone now please wait small for your period if e no come within ten days go do urine test i no think say you get any reason to worry,hello dear the emergency contraceptive pill is a very reliable method of birth control after unprotected sex it should ideally be taken within twenty four hours but can be taken up to seventy two hours after unprotected sex which you have done both times therefore the probability of pregnancy is very low after taking the emergency contraceptive pill the menstrual period does get delayed moreover since you took the pill again before getting your period the delay in your period is expected to be considerable the white discharge you experienced is also likely due to the hormonal effects now please wait patiently for your menstruation to appear if it does not appear within ten days you may want to get your urine tested for pregnancy i believe there is no concern regarding pregnancy,Speaker_3,45.93,"['emergency', 'within', 'seventy', 'menstrual']",validation
audio/Speaker_3/Speaker3-214.wav,to sit for warm water bath fit help but apart from that nothing else fit treat the problem except another catheter,sitting in a warm bath may help but other than that there is nothing short of another catheter to treat the problem,Speaker_3,9.96,[],validation
audio/Speaker_3/Speaker3-215.wav,you need to see orthopedic surgeon for check up e be like pain wey dey commot from spinal cord e fit be nerve wey block or muscle wey tear,you need to see an orthopedic surgeon for evaluation it appears to be radiating pain from the spinal cord it could be a compression of a nerve or it could be a muscle tear,Speaker_3,12.91,"['see', 'orthopedic', 'spinal', 'compression', 'muscle']",validation
audio/Speaker_3/Speaker3-216.wav,i don dey try get belle since last year but nothing i don do hormone and ultrasound test all my follicle check dey done since last cycle and i use clomiphene fifty mg i do ovulation scan for 7th day but no result after two days the next scan make doctor talk say i need hysterosalpingography or hcg injection i fit get details about this injection including the price and wetin i go expect,i have been trying to conceive since last year but have had no luck i had hormones and ultrasound tests done all my follicle monitoring was done since the last cycle and i used clomiphene fifty mg i had an ovulation scan on the 7th day but there was no positive result after two days the next scan indicated that the doctor advised a hysterosalpingography or human chorionic gonadotropin injection can i have details about this injection including the cost and expected results,Speaker_3,39.15,"['conceive', 'hormones', 'ultrasound', 'follicle', 'monitoring', 'clomiphene', 'ovulation', 'scan', 'hysterosalpingography', 'human', 'gonadotropin']",validation
audio/Speaker_3/Speaker3-217.wav,hello dem comot my tooth by surgery like three to four weeks ago and big soft pink red tissue wey look like blood blister dey for the gum wey dey heal i bite something and maybe e break e bleed well well when i check am after e don small but the tissue still dey there though e small pass before,hello i had a surgical tooth extraction about three to four weeks ago and there is a large malleable seemingly fluid filled pinkish reddish blood blister looking overgrown tissue on the healing gum i bit down on something and it must have perforated it bled and bled when i felt it after it had gone down but the tissue was still there albeit smaller,Speaker_3,28.4,"['surgical', 'tooth', 'extraction', 'malleable', 'fluid', 'filled', 'pinkish', 'reddish', 'blood', 'tissue']",validation
audio/Speaker_3/Speaker3-218.wav,stop rowasa enema treatment for when face dey numb sake of migraine amitriptyline ten milligrams one tablet for night betacap forty milligrams one tablet for morning naxdom tablet for pain,withhold rowasa enemas treatment for numbness in the face related to migraines amitriptyline ten milligrams one tablet at night betacap forty milligrams one tablet in the morning naxdom tablet for pain,Speaker_3,19.78,"['numbness', 'face', 'amitriptyline', 'milligrams', 'tablet', 'milligram', 'naxdom']",validation
audio/Speaker_3/Speaker3-219.wav,hi i do scan yesterday and doctor see chocolate cysts for my two ovaries i just marry and doctor tell me say make i get belle sharp sharp and give me clomiphene citrate this cyst fit cause infertility i dey sad well well please tell me,hi i had a scan yesterday and the doctor found chocolate cysts in both ovaries i am newly married and the doctor told me to get pregnant soon and prescribed clomiphene citrate tablets is this cyst a cause for infertility i am very much depressed please let me know,Speaker_3,22.69,"['scan', 'chocolate', 'cysts', 'clomiphene', 'citrate']",validation
audio/Speaker_3/Speaker3-220.wav,my mama dey bangladesh now and she dey suffer back and leg pain she be fifty years old and she no get any other serious sickness the mri report talk say at l4 l5 and l5 s1 the disc height small for back disc herniate and e get bone growth wey dey press the nerve l1 l2 l2 l3 l3 l4 level dey okay she get bone and disc disease kindly tell me one treatment plan for her two total cost for treatment and three how long the treatment go take,my mother is currently staying in bangladesh and she is suffering from back pain and leg pain she is fifty years old and does not have any other serious diseases the mri report states the following at the l4 l5 and l5 s1 levels disc heights are slightly reduced posteriorly there is a herniated disc posterolateral osteophytosis and facet hypertrophy causing thecal sac indentations with bilateral neural foraminal narrowing and corresponding nerve root impingement the l1 l2 l2 l3 and l3 l4 levels are unremarkable she has degenerative bone and disc disease kindly let me know the following one possible treatment plan for her two total cost of treatments and three total duration for treatments,Speaker_3,46.88,"['mother', 'leg', 'mri', 'hypertrophy', 'cal', 'sac', 'bilateral', 'narrowing', 'nerve']",validation
audio/Speaker_3/Speaker3-221.wav,hello if your period dey come regular no reason to worry about belle if your belle thin you fit feel bowel movement when you press am also you no fit feel pikin movement until fourteen weeks no be when your period miss ovarian cyst fit cause pain and period wahala fibroid fit dey for uterus without symptom but ultrasound fit see am please go see specialist for proper advice,hello if you are menstruating regularly there is no need to worry about conception if you have a very thin abdomen it is possible to feel bowel movements through hand palpation additionally fetal movements cannot be felt until fourteen weeks into a pregnancy and not as soon as a missed period an ovarian cyst can cause pain and menstrual disturbances if symptomatic a fibroid in the uterus may be asymptomatic but it can be detected on a pelvic ultrasound please seek further advice from a specialist in person,Speaker_3,36.43,"['fourteen', 'cyst', 'menstrual', 'disturbances', 'fibroid', 'about', 'period', 'pelvic']",validation
audio/Speaker_3/Speaker3-222.wav,i get cervical problem for c4 c5 and c6 my head dey heavy especially behind ear and above neck e dey disturb me well well audiometric test show say i don loss twenty to twenty five percent hearing for my left ear ent specialist tell me say make i see neurologist and do brain mri my vitamin b12 level na four hundred and twenty and my vitamin d3 na twenty five my body dey shake and i dey feel anyhow i fit take relent with vertin sixteen mg wetin i suppose do next,i am suffering from cervical problems at c4 c5 and c6 i have a heavy sensation in my head especially behind the ear and above the neck causing great discomfort an audiometric test shows twenty to twenty five percent hearing loss in my left ear the ear nose and throat specialist advised me to see a neurologist and have an mri of the brain my vitamin b12 level is four hundred and twenty and my vitamin d3 level is twenty five i am feeling tremors in my body and feeling disoriented can i take the tablet relent along with vertin sixteen mg what should be my next course of action,Speaker_3,40.26,"['cervical', 'problems', 'heavy', 'behind', 'ear', 'above', 'audiometric', 'percent', 'hearing', 'loss', 'mri', 'vitamin', 'tremors', 'disoriented', 'have']",validation
audio/Speaker_3/Speaker3-223.wav,hi marwa these symptoms sound like biliary colic but if the pain dey reach back then biliary pancreatitis fit happen you suppose do laboratory test and ultrasound to be sure if you get sign of gallbladder inflammation like fever right belly pain when you breathe deep or vomit you suppose think about emergency surgery if pain reduce with painkiller that one be good sign i wish you health,hi marwa these symptoms sound like biliary colic but if the pain radiates to the back then biliary pancreatitis could also have developed you should undergo laboratory tests and an ultrasound to exclude it if you have any signs of gallbladder inflammation such as fever right abdominal pain when breathing deeply or vomiting emergency surgery should be considered if the pain reduces with painkillers this is a good sign wish you good health,Speaker_3,31.51,"['biliary', 'painkillers', 'laboratory', 'tests', 'ultrasound', 'gallbladder', 'abdominal', 'surgery']",validation
audio/Speaker_3/Speaker3-224.wav,hello sex without protection fit cause belle even with polycystic ovary syndrome especially if you get regular period even though main problem with pcos na no ovulation if you get regular period maybe you dey ovulate we no fit talk for sure if you dey ovulate without test but yes you fit get belle,hello unprotected sexual intercourse can definitely result in pregnancy even with polycystic ovary syndrome especially with regular cycles though the main problem in polycystic ovary syndrome is anovulation with regular cycles there is a probability that you do ovulate we cannot say for certain whether you ovulate or not without tests but yes pregnancy is a possibility,Speaker_3,26.17,['regular'],validation
audio/Speaker_3/Speaker3-225.wav,hello to keep your gum healthy you need to clean your mouth well the most important thing na to brush your teeth two times every day with proper style if your teeth easy get plaque and calculus use anti plaque mouthwash and floss you fit go do scaling one time every year but the most important thing na make you improve how you brush i wish you health,hello for proper gum health you need to give adequate emphasis to the cleanliness of the oral cavity the most important thing is to brush your teeth twice daily with proper technique if you are more prone to the deposition of plaque and calculus then use an antiplaque mouthwash and dental floss you can go for scaling once a year but the most important thing is to improve your brushing technique i wish you good health,Speaker_3,28.44,"['twice', 'daily', 'scaling']",validation
audio/Speaker_3/Speaker3-226.wav,hi for my side you suppose try know which thoughts dey cause this kind trouble i believe say you get some stress for life wey cause all these things these symptoms go better when you find better way to manage the stress best wishes,hi in my opinion you should try to assess which thoughts are followed by such distress i believe you are going through some stress in life that is causing all this these symptoms will improve once you can find better ways of coping with the stress best wishes,Speaker_3,16.56,[],validation
audio/Speaker_3/Speaker3-227.wav,na miscarriage go see your gynecologist sharp sharp for check up too much blood go harm you and fit lead to shock,it is a miscarriage immediately go to your gynecologist for a checkup excessive bleeding will be harmful to you and can lead to shock,Speaker_3,8.08,"['go', 'bleeding']",validation
audio/Speaker_3/Speaker3-228.wav,hello for past week my back dey get worse small small pain dey for right side and e dey pain me to lay down or sit for long time i don dey take codeine paracetamol but e no dey help same problem dey happen if i stand for long or try stand up fast,hello there for the past week my back has been slowly getting worse the symptoms are pain down the right side and it hurts to lie down or sit still for too long i have been taking codeine paracetamol but they don t seem to help i have the same problem if i stand up for too long or try to stand up quickly,Speaker_3,20.85,"['lie', 'down', 'sit', 'still', 'codeine', 'long']",validation
audio/Speaker_3/Speaker3-229.wav,hi stop any hard work for ten days and start take vitamin b12 once a day for one month you suppose avoid to sit for long bend and lift heavy thing for ten days,hi stop exertion for ten days and start taking vitamin b12 once a day for a month you should avoid sitting for long periods bending and lifting weights for ten days,Speaker_3,13.72,"['vitamin', 'sitting']",validation
audio/Speaker_3/Speaker3-230.wav,e fit be lyme arthritis na autoimmune kind disease sake of molecular mimicry dem suppose perform polymerase chain reaction test with your fluid,it may be lyme arthritis it is an autoimmune like disease due to molecular mimicry a polymerase chain reaction should be performed with synovial fluid,Speaker_3,15.51,"['polymerase', 'chain', 'reaction']",validation
audio/Speaker_3/Speaker3-231.wav,yes you fit get belle you suppose do pelvic ultrasound if report normal you need to do serum thyroid stimulating hormone and serum prolactin test then do follicular study after you take clomiphene from day two of your cycle do am until the follicle size reach eighteen millimeters then e go break and you fit think about intrauterine insemination for fast result,yes you can get pregnant you should have an ultrasound of the pelvis if the reports are normal you need to have serum thyroid stimulating hormone and serum prolactin tests done then do a follicular study after taking clomiphene from day two of your cycle continue until the follicle size increases to eighteen millimeters at which point it can rupture and then consider intrauterine insemination for early results,Speaker_3,38.66,"['ultrasound', 'pelvis', 'serum', 'thyroid', 'stimulating', 'hormone', 'follicular', 'study', 'clomiphene']",validation
audio/Speaker_3/Speaker3-232.wav,hi doctor i don reach four months belle i dey live normal life but i be woman wey dey work so i dey get some wahala normally i dey wake up early and i dey lose my cool you fit tell me if this normal behavior and wetin else i fit do to maintain my chop style and lifestyle so that my pikin and me no go get problem,hi doctor i am in my mid pregnancy at four months i am leading a normal life but i am a working woman so i am experiencing some difficulties as well generally i wake up quite early and lose my temper could you please let me know if this is normal behavior and what else i can do to maintain my food habits and lifestyle so that my child and i do not face any difficulties,Speaker_3,26.1,"['mid', 'pregnancy', 'working', 'woman', 'child']",validation
audio/Speaker_3/Speaker3-233.wav,gallbladder dey store bile wey dey help digest fat i go suggest say you reduce the fat wey you dey chop since dem don comot your gallbladder and anytime you get diarrhea make you replace your salt and minerals with oral rehydration solution and so on,the gallbladder stores bile which helps in the digestion of fats i would suggest decreasing your fat intake since your gallbladder is removed and with every episode of diarrhea replenish your salt and minerals with oral rehydration solutions etc,Speaker_3,21.71,"['gallbladder', 'decreasing', 'diarrhea', 'rehydration']",validation
audio/Speaker_3/Speaker3-234.wav,yes i vomit and my back hurt the doctor for emergency room maybe get bad day i think say e miss something e don reach three weeks and i still get serious pain wetin fit happen and wetin i go look for with my normal doctor when i go follow up,yes i vomited and hurt my back the emergency room doctor was having a bad day or something and i think he missed something it has been three weeks and i am still in serious pain what could have happened and what should i look for with my regular doctor during the follow up,Speaker_3,19.44,"['vomited', 'emergency', 'room', 'doctor']",validation
audio/Speaker_3/Speaker3-235.wav,heart wey no dey beat correct with blue skin and cold leg or hand show say collagen vascular disease fit be the thing you need to do doppler study to find the cause na systemic illness e dey spread you fit take medicine to thin your blood for life,irregular heartbeats with peripheral cyanosis and cold extremities suggest a likelihood of collagen vascular disease you need to investigate thoroughly with a doppler study to find the cause it is a systemic illness so it is diffuse in nature you may have to take oral anticoagulants for life,Speaker_3,21.73,"['peripheral', 'cyanosis', 'cold', 'extremities', 'diffuse', 'oral', 'anticoagulants']",validation
audio/Speaker_3/Speaker3-236.wav,first of all do your electrocardiogram and thyroid profile you get other symptoms like chest pain or you no fit breathe,first of all get your electrocardiogram done and thyroid profile do you have any other symptoms like chest pain or breathlessness,Speaker_3,10.68,"['electrocardiogram', 'chest', 'breathlessness']",validation
audio/Speaker_3/Speaker3-237.wav,my pikin get big red spot for hin skin when we carry am out for heat i suppose worry e no be like bump for heat rash but he be quarter black so we expect say he no go pale like that but he look very white for the tribe wey he come from,my baby gets large red spots all over his skin when taken out in the heat should i be concerned they are not raised like a heat rash but he is a quarter black so we expected him to not be as pale as he is however he looks very white considering his ethnicity,Speaker_3,19.44,"['baby', 'red', 'pale']",validation
audio/Speaker_3/Speaker3-238.wav,hello doctor we be couple wey get different hiv status and we want born pikin please suggest wetin we go do i get hiv but my wife no get i dey take my antiretroviral medicine regular we want healthy pikin without give my wife and pikin the virus e possible through natural way or we go think about sperm washing please give me information about that if you fit help me answer me,hello doctor we are a serodiscordant couple and we want to have a child please suggest to us what needs to be done i am an hiv positive man and my wife is hiv negative i take my antiretroviral therapy medicine regularly we want a healthy child without infecting my wife and child is it possible through a natural process or should we consider the sperm washing process please provide me with information about that if you can help me please respond to me,Speaker_3,32.6,"['hiv', 'positive', 'antiretroviral', 'therapy', 'medicine']",validation
audio/Speaker_3/Speaker3-239.wav,explain say you no like how some men dey look you and give her list of thing wey the fat go cause later for life you fit find am hard to stay active because you no go want exercise with the extra weight and back pain and you fit get deep mark for your shoulder she fit worry because na surgery so tell her the truth about how e don turn out fine for other people,explain that you do not like the way certain men are looking at you and provide her with a list of issues that the extra weight may cause later in life you may find it challenging to stay active because you may not want to exercise as much with the added weight and potential back pain and you may develop deep grooves on your shoulders she might be concerned because it is surgery so provide her with facts on how well it turned out for others,Speaker_3,27.52,['certain'],validation
audio/Speaker_3/Speaker3-240.wav,dem change my knee eight weeks ago and even though i fit bend the knee after i exercise and do physical therapy once i rest am e go tight and i go need start the whole process again e no be like i dey progress to bend am well i still dey feel tingling for my foot,i had knee replacement surgery eight weeks ago and although i can bend my knee after exercising and physical therapy as soon as i rest it it seizes up and i have to start the process all over again i seem to be making no progress toward more bending i am also experiencing tingling in my foot,Speaker_3,20.27,"['knee', 'replacement', 'surgery', 'tingling']",validation
audio/Speaker_3/Speaker3-241.wav,hi thank you for asking e be like you get some issues but actually e no be wetin you dey think if you dey take deep breath e fit cause the headache and sometimes fit make you faint so just stop take air with force and forget about tumor and everything to ask for test go cost you more money everything go alright just relax and enjoy life have a nice day,hi thank you for asking it seems you are having some kind of issues in fact this is not the case as you are thinking if you are taking deep breaths then it may cause the headache and sometimes may induce a blackout as well so just stop taking in air with extra force and forget about the tumor and everything asking for any investigation will cost you more money everything will be alright just relax and enjoy life have a nice day,Speaker_3,25.82,['headache'],validation
audio/Speaker_3/Speaker3-242.wav,hello regular period good but no be only that one matter for belle i go try explain just because you don born pikin no mean say everything okay to born another one quick because change fit happen to you and your partner clomiphene and duphaston wey you take dey help ovulation but we no know wetin happen to your fallopian tube e dey open or e close last thing i want talk na sperm analysis anyway four months no be long time to worry but keep this in mind,hello having regular periods is important but this is not the only condition to get pregnant i will try to explain the reason the fact that you have had a baby does not mean that everything is alright to have another one quickly because there may be changes to both you and your partner the clomiphene and duphaston that you are taking help to induce your ovulation however we do not know what has happened to your fallopian tubes are they patent or not the last thing i want to mention is the sperm analysis anyway a period of four months is not a long time to get worried about but keep these points in mind,Speaker_3,36.27,['regular'],validation
audio/Speaker_3/Speaker3-243.wav,i accidentally breathe in paint vapor one week ago and e irritate my lung i know say e bad but i dey wonder how long the pain for my chest go last doctor fit do anything for me or i just need time for the thing pass,i accidentally inhaled latex primer vapors a week ago and it irritated my lungs i know it is very bad for you but i was wondering how long the soreness in my chest will last is there anything a doctor can do for me or do i just need some more time for it to pass,Speaker_3,19.74,"['soreness', 'chest']",validation
audio/Speaker_3/Speaker3-244.wav,as you dey sleep most of the time wetin be your blood pressure and sugar level please visit your local doctor and do blood pressure sugar and kidney test please no ignore this,as you are falling asleep most of the time what is your blood pressure and sugar level please visit your local doctor and get blood pressure sugar and kidney function tests done please do not ignore this,Speaker_3,12.4,"['falling', 'asleep', 'blood', 'pressure', 'sugar', 'local', 'doctor', 'kidney']",validation
audio/Speaker_3/Speaker3-245.wav,hello my name na melisa i get gallstone and my gallbladder full of am i don dey get gallbladder attack plenty recently and now my heart dey flutter na gallstone cause am or wetin you think cause am i be twenty seven and i weigh ninety five pounds please help me,hello my name is melisa i have gallstones and my gallbladder is full of them i have been having gallbladder attacks a lot lately and now i am experiencing heart fluttering is this caused by my gallstones or what do you think it is caused by i am twenty seven years old and weigh about ninety five pounds please help me,Speaker_3,22.85,['gallstones'],validation
audio/Speaker_3/Speaker3-246.wav,hello doctor i be twenty four year old woman i do foreplay with someone last weekend and dem use finger for my vagina hard last night i see small bump for inside my vagina e be like pea size and e dey against the wall e no dey pain me and i no for notice if i no put my finger inside e possible say na cyst from the rough foreplay e feel small pass last night but i no sure e feel like pimple but e dey inside my vagina and i only fit feel am when i press my finger wetin fit be this,hello doctor i am a twenty four year old female i was engaged in some foreplay with someone last weekend and they fingered me hard last night i noticed a tiny bump on the inside of my vagina it is pea sized and right against the wall it is completely painless and i would not have even noticed it was there had i not put one of my fingers inside myself is it possible that this is just a cyst from the rough foreplay it feels a bit smaller than it did last night but i cannot tell it almost feels like a pimple but it is on the inside of my vagina and i can only feel it by pressing my finger against it what could this be,Speaker_3,43.82,"['bump', 'vagina', 'cyst']",validation
audio/Speaker_3/Speaker3-247.wav,my baby get seven weeks and when he cry or chop he dey struggle to breathe you fit hear rattle even when he sleep dem tell us say na phlegm for throat and say e go commot but e dey worse you fit see hin neck dey pull in when he dey cry you get any idea wetin e fit be and how to treat am,my baby is seven weeks old and when he cries or feeds he seems to be struggling to breathe you can hear a rattle even when he sleeps we have been told that it is a plug of mucus in his throat and that it will go but it is getting worse you can see his trachea pulling in when he is crying do you have any idea what it could be and how to treat it,Speaker_3,26.22,"['baby', 'rattle', 'trachea']",validation
audio/Speaker_3/Speaker3-248.wav,hi and welcome to health care management why you think say you get breast cancer you dey worry about something wey no make sense e almost impossible to get cancer for this age you suppose stop even think about am you ever hear say small girl get breast cancer you want do mammogram and take radiation risk sake of that no doctor for this world go talk anything else just enjoy your life and no carry such thing for your head i wish you health,hi and welcome to the health care management why do you think you have breast cancer you are anxious about something that is irrational it is almost impossible to have cancer at this age you should stop even thinking of it have you ever heard of a young girl having breast cancer you want to do a mammogram and risk radiation because of it there is no doctor in the world who will say anything else just enjoy your life and do not have such absurd things on your mind i wish you good health,Speaker_3,33.99,[],validation
audio/Speaker_3/Speaker3-249.wav,e fit be epigastric hernia you suppose do ultrasound for your upper belle and your body wall so you go fit sabi exactly wetin dey happen,it may be a case of epigastric hernia you should do an ultrasound of the upper abdomen and parietal wall to make a definite diagnosis,Speaker_3,13.07,"['ultrasound', 'abdomen', 'parietal', 'wall']",validation
audio/Speaker_3/Speaker3-250.wav,asthma symptoms na chest wey tight cough wey no dey comot how person take dey get as e go breath sound wey dey comot for chest and wen the thing come and go if e come strong you go hear loud sound for chest wen you dey inhale and exhale you go dey breath fast you no go fit talk well because you no get air you go fear say you wan die you go sweat and your finger tip go change color,classical symptoms of asthma include chest tightness chronic cough shortness of breath wheezing and episodes that usually occur intermittently emergent symptoms of asthma include severe wheezing while breathing both in and out breathing very fast getting short of breath while having difficulty talking a feeling of impending doom or panic profuse sweating and color changes in the fingertips,Speaker_3,31.72,"['chest', 'tight', 'chronic', 'shortness', 'breath', 'severe', 'wheezing', 'getting', 'short', 'doom']",validation
audio/Speaker_3/Speaker3-251.wav,pain don dey my right side for down back since three days now i no know if na because i carry something heavy i don get kidney stone once about four months ago the pain come sharp sharp and i reach hospital within one hour i comot 0 5cm stone dat time this one no pain reach that one but as i wan sit up e dey pain me and as i dey turn for bed e still dey pain me i no get fever e fit be say na small stone again,i am experiencing pain on my right side only in my lower back area for three days now i don t know if i lifted anything to cause a strain i had a kidney stone for the first time about four months ago in which the onset of pain was quick and i was in the hospital within an hour i had a zero point five centimeter stone that i passed this pain is not as intense but sitting up hurts and sleeping is painful when moving from side to side i have no fever could this be a smaller stone,Speaker_3,34.83,"['painful', 'area', 'kidney', 'hospital', 'side', 'fever']",validation
audio/Speaker_3/Speaker3-252.wav,something dey worry me i no even know wetin e be or if e get cure i no dey remember things well e hard for me to remember wetin people talk or things wey happen yesterday even today self i no dey remember things like holiday or important time for my life even simple work for house e hard for me i fit waka pass dirty plate i no go remember to wash am i go even look the plate i no go still remember i no fit talk with people like my fiancé go ask me wetin happen i no go fit tell am i need help abeg anybody wey fit help me make e talk,i am suffering from something and i am not sure what it is or if it can be helped i cannot remember a lot of things it is extremely hard for me to remember conversations and things that happened the day before and even sometimes the same day i cannot remember memories of things like vacations or important times in my life it is extremely hard for me to remember things as simple as chores i could walk right past the dishes and i just cannot remember to do them i could even look at them and still not remember to wash them i cannot communicate with people for example my fiancé asks me what is going on and i just cannot tell him i need help please can anyone tell me how to help this,Speaker_3,44.09,"['vacations', 'look', 'fianc']",validation
audio/Speaker_3/Speaker3-253.wav,my husband do triple bypass and since that time e dey breath heavy like say e dey run race even though e no do anything dem don do all kind test for am and everything dey fine even pass fine e get small back pain before but e no be serious one e fit be say na from there,my husband had a triple bypass and ever since he breathes hard as if he is running a race even though he is not doing much they have done all types of tests on him and everything is good if not perfect he has had problems with his back but nothing major could that be part of it,Speaker_3,24.29,['breathes'],validation
audio/Speaker_3/Speaker3-254.wav,hello no natural way dey to finish scar completely try to dey wash your face well well use good face wash no press the pimples try use cream wey get turmeric like vicco turmeric,hello there is no complete way to cure scars through natural methods do try washing your face regularly use a good quality face wash do not squeeze the acne try using a turmeric containing cream like vicco turmeric,Speaker_3,15.84,"['washing', 'turmeric', 'containing', 'cream', 'vicco']",validation
audio/Speaker_3/Speaker3-255.wav,e fine but e better make you take vaccine for time now follow the schedule correct way vaccine get booster effect,it is fine but it is always better to take vaccines on time now follow the schedule correctly vaccines have a booster effect,Speaker_3,10.33,['vaccines'],validation
audio/Speaker_3/Speaker3-256.wav,pain don dey my back under my left shoulder wey i dey feel for my chest since some weeks now the pain strong small for back but e light for chest e dey pain pass for morning e get anything to do with heart,i have been having pain in my back located under my left shoulder which i can feel through my chest for a few weeks the pain is medium in the back and light through the chest it seems to be at its worst in the morning could this be related to heart issues,Speaker_3,17.11,"['under', 'shoulder', 'chest', 'medium']",validation
audio/Speaker_3/Speaker3-257.wav,hi my tsh level na 6 6 and my doctor tell me make i dey take thyronorm 25mcg every morning before i chop for three months my period no dey come well since six months na why i do the test i wan marry for two months time those tablets fit stop woman from born and e get other side effect and that deviry tablet wey i dey take for period e go affect my belle uterus,hi my thyroid stimulating hormone level is six point six and i have been prescribed by my doctor to take the tablet thyronorm twenty five micrograms daily on an empty stomach for three months i have been experiencing irregular periods for the last six months and that is why i underwent the thyroid test i am getting married in another two months by any chance does consuming these tablets affect a woman getting pregnant and are there any other side effects also does consuming the tablet deviry to get my periods affect my uterus,Speaker_3,39.66,"['thyroid', 'stimulating', 'hormone', 'prescribed', 'thyronorm', 'daily', 'stomach', 'irregular', 'periods', 'consuming', 'tablets', 'deviry']",validation
audio/Speaker_3/Speaker3-258.wav,hi thank you for asking i appreciate your concern with wetin you talk maybe some tin dey inside his urine wey dey irritate am so make dem test the urine routine and microscopic if the test show say e fine no need to worry for the pain e fit apply povidone have a nice day,hi thank you for asking i really appreciate your concern looking at the history given here this could be due to some irritating substance in the urine for that his urine should be sent for testing and the tests should be routine and microscopic if this is normal then there is no need to worry about this for symptomatic relief povidone can be applied have a nice day,Speaker_3,24.06,['povidone'],validation
audio/Speaker_3/Speaker3-259.wav,hello doctor my last period bin occur last month and i don miss my period for nine days i test positive for both blood and urine test my beta hcg level last month na 675 and yesterday e reach 3 300 almost 10 days don pass since i miss my period yesterday i go scan but the doctor talk say e no fit see any sac my breast dey pain me well well and i dey feel like say period wan start but i no get any oda symptoms my tsh value na 2 9 and my doctor think say e fit be ectopic pregnancy for now i no get any pain or bleeding but e just feel like period pain abeg help me,hello doctor my last period was a month ago and i have missed my period for nine days i tested positive on both my blood and urine tests my beta human chorionic gonadotropin level last month was six hundred and seventy five and yesterday it was three thousand three hundred i have almost completed ten days after the missed period yesterday i went for a scan and my doctor told me that no sac is visible i have some significant breast pain and feel like i have period pain but i have no other symptoms my thyroid stimulating hormone value is two point nine and my doctor suspected it might be an ectopic pregnancy i do not have any pain or bleeding so far but it feels like period pain please help,Speaker_3,56.98,"['positive', 'gonadotropin', 'breast', 'period', 'bleeding']",validation
audio/Speaker_3/Speaker3-260.wav,yes e true if you skip your bp drug your blood pressure fit jump up sharp sharp rebound hypertension and e fit make you dey feel dizzy but if you dey sweat anyhow and you dey feel say you wan faint you need to go do echo and ecg test,yes it is skipping a dose of antihypertensive medication can lead to rebound hypertension which means an increase in your blood pressure and can cause a feeling of dizziness however if you are continuously experiencing sweating and light headedness you should get an echocardiogram and electrocardiogram done,Speaker_3,24.01,"['antihypertensive', 'medication', 'rebound', 'sweating', 'echocardiogram', 'electrocardiogram']",validation
audio/Speaker_3/Speaker3-261.wav,na because of him age be this your husband need to dey do exercise everyday for him knee and back and make e dey put him leg for hot and cold water for that heel pain apart from that make e dey stay under early morning sun and chop plenty food wey get calcium if the knee pain come too much later dem fit need change the knee make e get well soon,these are age related changes your husband needs to exercise daily for his knee and spine along with hot and cold dipping of his leg for heel pain besides this he should take morning sun exposure and follow a calcium rich diet if there is too much pain in the knee in the future he may need a knee replacement get well soon,Speaker_3,29.16,"['exercise', 'daily', 'knee', 'hot', 'leg', 'heel']",validation
audio/Speaker_3/Speaker3-262.wav,i be seventy year old woman and i don get sugar diabetes for 35 years now recently dem send me go do ultrasound for my kidney and the result talk say the wall of my kidney dey thin down any treatment for this e go cause pain later,i am a seventy year old woman who has had diabetes for the past thirty five years recently i was sent to have an ultrasound done on my kidneys and it was reported that the lining of my kidneys is thinning are there any treatments for this would it cause any pain in the future,Speaker_3,18.44,"['seventy', 'woman', 'ultrasound', 'kidneys']",validation
audio/Speaker_3/Speaker3-263.wav,e fit be muscle pain because you dey work too much you no tell me your age sometimes shoulder pain sef dey come from arthritis as person dey grow old,it may be muscular pain due to a heavy workload you have not mentioned your age sometimes shoulder pain is also due to degenerative arthritis,Speaker_3,11.84,"['muscular', 'shoulder']",validation
audio/Speaker_3/Speaker3-264.wav,your baby lip fit turn blue because of the injury once the blood wey clot inside dissolve the blue color go commot but if e no commot you fit need carry her go see doctor make dem check her heart,your baby s lip may be blue due to injury once the clotted blood is resorbed that cyanosis will be gone however if not you may need to take her to a doctor for a cardiovascular check up,Speaker_3,17.07,"['baby', 'lip', 'cyanosis']",validation
audio/Speaker_3/Speaker3-265.wav,my patient many people dey get back pain during pregnancy and after dem born because of the heavy weight wey dey body especially for belle side usually e go comot by itself after six to eight weeks but as your own don reach two years and your back dey stiff we need to check am well you need to do x ray for your back so we go see if bone get problem if the result show say something dey wrong go see bone doctor orthopaedic surgeon near you if the result fine take diclofenac and thiocolchicoside two times a day for one week take gen d3 tablet one time for week for one month take shelcal 500mg two times a day for one month wishing you the best,dear patient back pain occurs in some individuals during pregnancy and the postpartum period due to increased weight as a whole and the abdomen in particular however it is relieved after six to eight weeks in almost all patients you have been experiencing pain for the last two years with stiffness in your back and need further investigation you should undergo a radiograph of the lumbosacral spine in anteroposterior and lateral views to rule out bony abnormalities if it is abnormal consult an orthopaedic surgeon nearby if it is normal take the combination of diclofenac and thiocolchicoside twice a day for seven days take the tablet gen d3 once a week for four weeks take the tablet shelcal five hundred milligrams twice a day for one month all the best,Speaker_3,56.26,"['some', 'increased', 'weight', 'abdomen', 'stiffness', 'radiograph', 'lumbosacral', 'lateral', 'bony', 'consult', 'orthopaedic', 'surgeon', 'individuals', 'thiocolchicoside', 'milligrams', 'twice']",validation
audio/Speaker_3/Speaker3-266.wav,no need to change wetin your pikin dey chop because of the anti rabies injection you fit continue to feed am everything wey you dey give am before,no change in diet is required after the anti rabies vaccination you can continue to feed your child everything that you were feeding him routinely,Speaker_3,9.89,['diet'],validation
audio/Speaker_3/Speaker3-267.wav,based on the ultrasound result the baby heart dey beat correct 150 times per minute and the baby dey move well water round the baby dey enough 14 7cm the placenta dey the front part and e dey mature normal everything dey okay no sign of previa the baby weight na 1 655 grams,based on my ultrasound the real time scan shows regular cardiac activity of one hundred and fifty beats per minute with active fetal movements the amniotic fluid is adequate in amount with an index of fourteen point seven centimeters the placenta is implanted anteriorly with grade one maturity there is no note of previa the fetal weight is one thousand six hundred and fifty five grams,Speaker_3,28.28,"['real', 'regular', 'cardiac', 'activity', 'beats', 'per', 'amniotic', 'fourteen', 'point', 'grade', 'fetal', 'thousand']",validation
audio/Speaker_3/Speaker3-268.wav,oga i be man of 40 years for 6 years now my cholesterol and triglycerides don dey high i dey take atorvastatin 10 and fibrofen for the past 6 months my heart dey beat fast irregular palpitations the test show say sometimes my heart rhythm dey skip and e dey beat fast but other things dey okay for the past 6 days the palpitations no stop at all e even dey worse when i rest abeg wetin i go do,sir i am a male of forty years i am a patient with high cholesterol and triglycerides since six years i are on the medication atorvastatin ten and fibrofen for the last six months i have been suffering from palpitations holter monitoring shows occasional isolated supraventricular ectopic beats with frequent tachycardia while the rest is within normal limits for the past six days the palpitations have been ongoing for twenty four hours a day which increases during rest please advise,Speaker_3,41.7,"['male', 'high', 'cho', 'triglycerides', 'medication', 'atorvastatin', 'fibrofen', 'palpitations', 'occasional', 'isolated', 'suprave']",validation
audio/Speaker_3/Speaker3-269.wav,good evening ma am antinuclear antibody na something wey your immune system dey produce e go dey your body forever you fit reduce am with food or medicine but make you know say no be everybody wey get am go get lupus like 15 of people fit get am without feel any sickness based on your family history just dey watch out if any symptom show no let the result stress you because e fit make your health worse i hope this help,good evening ma am antinuclear antibody is an autoantibody that is produced by your immune system it is going to be present throughout your life you can lower it with foods or even medications but yes it is not necessary that all antinuclear antibody positive patients will develop lupus one five of the general population can have antinuclear antibody positive without any symptoms considering your family history just watch out for any symptoms if they occur don t chase antinuclear antibody levels and increase the stress in your life i hope the information was useful,Speaker_3,38.66,"['ar', 'antibody']",validation
audio/Speaker_3/Speaker3-270.wav,my friend welcome i understand why you dey worry when amylase high and your belle dey pain you e dey usually mean say your pancreas dey inflame pancreatitis you need to do 1 ct scan for your belle 2 mrcp test 3 liver function test we need to check if stone dey inside your bile duct because that one fit cause the pain abeg bring the results come so we go fit guide you better stay healthy,dear friend welcome to health care management i understand your concern elevated amylase levels with abdominal pain usually occur in pancreatitis you require one contrast enhanced computed tomography of the abdomen two magnetic resonance cholangiopancreatography three liver function tests you need to undergo further evaluation to rule out a stone in the common bile duct which can cause pancreatitis please review with the reports so that we can help you better stay healthy,Speaker_3,33.23,"['elevated', 'amylase', 'abdominal', 'contrast', 'enhanced', 'computed', 'tomography', 'abdomen', 'magnetic', 'resonance', 'cholangiopancreatography', 'liver', 'common']",validation
audio/Speaker_3/Speaker3-271.wav,i just do mri and the result talk say my meniscus tear well well even like say e don cut finish plus another tear dey for top my joint sef dey start get wear and tear arthrosis and small water dey inside the joint i be 63 year old woman e don tey wey this one start since 2013 when big dog jam my knee the surgery go fit correct everything the pain no dey go e dey pain me especially for night but i fit manage am i no wan do surgery if e no go help because i be grandmother wey like to dey active with my 3 grandsons,i just had an mri that diagnosed me with a large through and through radial tear of the lateral aspect of the posterior horn of the medial meniscus adjacent to the root ligament representing an amputated meniscus additionally there is a vertical tear extending to the superior articulating surface of the body there is early medial joint arthrosis and small joint effusion i am a sixty three year old female who has been dealing with this since august twenty two thousand and thirteen when a large dog crashed into my right knee will arthroscopic surgery correct this completely i am in constant but manageable discomfort more at night i nightly i hesitate about surgery if it will not be of benefit as i am or was an active grandmother of three little boys,Speaker_3,51.87,"['mri', 'through', 'radial', 'tear', 'lateral', 'aspect', 'posterior', 'horn', 'medial', 'meniscus', 'vertical', 'superior', 'articulating', 'surface', 'small', 'sixty', 'female', 'knee', 'surgery']",validation
audio/Speaker_3/Speaker3-272.wav,my daughter na 6 years 112cm tall and 20kg dem do stenting for her urethra because of defect she been dey suffer constant urinary tract infection she still dey complain of stomach pain and her urine still dey cloudy even though e no get bad smell her urine test result dey clean the last ultrasound show say small swelling dey for her left urethra anything wey we fit still do,my daughter aged six years one hundred and twelve centimeters tall and weighing twenty kilograms had a double stenting procedure to correct her defective urethra tubes she suffered from constant urinary tract infections she still complains of a sore tummy and her urine is still very cloudy but has no foul smell her urine samples have come back negative her last ultrasound showed a slight swelling in her left urethra is there anything more that can be done or needs to be done,Speaker_3,35.22,"['double', 'stenting', 'constant', 'urine', 'samples', 'ultrasound', 'slight', 'swelling', 'urethra']",validation
audio/Speaker_3/Speaker3-273.wav,dem put drip or catheter for that hand before e fit be say blood clot form inside the big vein i suggest say make you do venous ultrasound for that hand,did she have intravenous lines or other catheters in that arm she may have developed a blood clot in a larger vein a venous ultrasound of that arm would be my choice of test,Speaker_3,15.46,"['blood', 'clot', 'ultrasound']",validation
audio/Speaker_3/Speaker3-274.wav,i do unprotected sex so the next day i take yasmin pills i dey use the last 4 tablets now i want stop because my urinary infection come active since i start the pills one sore sef dey between my anus and vagina and the pain dey worry me i never do sex again for almost 3 weeks now any chance i fit get belle if i stop the pills,i had unprotected sexual intercourse so the day after i took yasmin contraceptive pills i am on the last four tablets now i am thinking of stopping taking it because my urinary tract infection has become active since i started taking the pills i also have a sore between my anus and vagina and it is really giving me a hard time i have not had any sexual intercourse for almost three weeks now is there any possibility of getting pregnant if i stop taking the pills,Speaker_3,29.12,"['unprotected', 'yasmin', 'urinary', 'tract', 'infection', 'sore', 'anus', 'intercourse', 'almost']",validation
audio/Speaker_3/Speaker3-275.wav,my nerves don dey fail belle dey pain me and numbness don reach everywhere for my body including my belle and face especially my chin lips and nose my hands and legs dey hot like fire and i no fit put weight on my back or face my neck dey feel like say e wan fall i dey feel anxious and tired and i don loss like 18 to 22 pounds for the past 7 months my muscle dey twitch anyhow and i no dey feel my feet arms and legs well again,i have had progressive neuropathy abdominal pain and numbness now spreading to all areas of my body including my abdomen and face specifically my chin lips and nose i experience a burning sensation in my limbs and cannot put any weight on my back or face my neck feels wobbly i have anxiety and fatigue and i have lost between eighteen to twenty two pounds in the last seven months i also have constant muscle twitches and am losing a lot of sensation in my feet arms and legs,Speaker_3,37.66,"['numbness', 'abdomen', 'burning', 'sensation', 'limbs', 'lost', 'eighteen', 'pounds', 'constant', 'muscle', 'twitches']",validation
audio/Speaker_3/Speaker3-276.wav,i be 40 year old woman i do gastric bypass 14 years ago i do hernia repair surgery on august 27 2013 after i do two other hernia repair surgeries close together in 2010 i get blood infection septic and i just comot for hospital this week after ct scan pain dey increase for my left rib side where fluid gather after the surgery i just start get vaginal bleeding for the past 2 hours my period don finish 8 days ago this one na female problem or something else,i am a forty year old female with a fourteen year history of gastric bypass i had a hernia repair surgery on august twenty seven two thousand and thirteen after two previous surgeries for hernia repair just days apart i was septic in two thousand and ten and was just released this week from my surgeon after a computed tomography scan with contrast i have been experiencing increased pain around my left side rib cage where fluid collected after the surgery i have been bleeding vaginally in the last two hours i last had my period eight days ago is this a female issue or something else,Speaker_3,40.17,"['female', 'hernia', 'released', 'surgeon', 'computed', 'tomography', 'side', 'rib', 'cage', 'bleeding']",validation
audio/Speaker_3/Speaker3-277.wav,hi i sure say my small toe break last night the place don turn purple and swell before my small toe dey lie on top of the one beside am but now space dey between them and i no fit move am the pain dey cut like knife enter my leg and sometimes the place go just dey numb wetin you think,hi i am pretty sure i broke my baby toe last night it is completely purple and swollen my baby toe used to be very close to the toe next to it almost lying on top of it but now there is a space between them and i cannot move it the pain is horrible shooting up my leg at times and then other times it feels numb what do you think,Speaker_3,22.89,[],validation
audio/Speaker_3/Speaker3-278.wav,make you see doctor make dem check the leg you fit need medicine for pain and make you dey raise your leg up dem need check if muscle tear if the injury big dem fit put leg brace for you no dey walk for now,get in touch with a doctor for physical examination anti inflammatory pain medications and elevation of the limb may be required a muscle sprain or rupture should be screened for it can be protected in a long leg brace if required after assessment of the extent of the injury abstain from walking,Speaker_3,17.62,"['medications', 'elevation', 'muscle', 'rupture', 'long', 'leg', 'brace']",validation
audio/Speaker_3/Speaker3-279.wav,i hope say your doctor for va go fit run mri scan for your lumbar spine make we see if nerve dey pinched you fit need surgery or steroid injection to help reduce the pain,i hope you can get a magnetic resonance imaging scan of the lumbar spine from your doctors at the veterans affairs to evaluate for a possible pinched nerve in the lumbar spine you may be a candidate for surgery or steroid injections to try and help with your pain,Speaker_3,16.83,"['magnetic', 'resonance', 'imaging', 'lumbar', 'spine', 'pinched', 'surgery', 'steroid', 'injection']",validation
audio/Speaker_3/Speaker3-280.wav,hello the best place for government hospital na all india institute of medical sciences delhi but the queue too long for private lilavati or ambani hospital for mumbai or apollo dey good all this cancer dey happen because of smoking alcohol overweight family history or if person dey work where chemical dey best of luck with your treatment,hello the best place in a government setup is all india institute of medical sciences delhi but the waiting list here is very long in a private setup lilavati or ambani hospital in mumbai apollo is also a good hospital these cancers occur in individuals with various risk factors such as smoking alcohol obesity genetic predisposition and occupational exposure to chemicals etc all the best for your treatment,Speaker_3,33.39,[],validation
audio/Speaker_3/Speaker3-281.wav,my son na 5 years and he don dey complain of belle pain for one year now doctors don do plenty blood test and everything come out fine but he still dey complain of belle pain and leg pain for night wetin you suggest we do i dey worry well well,my son is five years old and he has been complaining of stomach pain for the last year doctors have conducted various blood tests and all his results were good but he still complains of stomach pain and leg pain at night what do you suggest we do i am really worried about this,Speaker_3,19.27,"['stomach', 'leg']",validation
audio/Speaker_3/Speaker3-282.wav,sir i do sex with my boyfriend on september 17 and that day na my first day of period we no do full sex he just put him penis inside one time but i take emergency pill on the 19th by 11 am now na october 24 and my period never come i dey tense wetin i go do any chance say i fit get belle,sir i had intercourse with my boyfriend on the 17th of september and it was the first day of my period we did not have full intercourse he only inserted his penis once into my vagina however i took an emergency contraceptive pill on the 19th at eleven am now it is october 24th and my period has not arrived i am also feeling tense what should i do is there any chance of pregnancy,Speaker_3,30.65,"['intercourse', 'emergency', 'contraceptive', 'pill']",validation
audio/Speaker_3/Speaker3-283.wav,the thing wey make him eye blind no look like say na from the bleeding for front side of brain the bleeding for back of brain cerebellar sef no fit make person eye blind sharp sharp like that dem need check oda things like eye nerve problem whether he go fit see again depend on wetin cause the blindness and how long e don tey,the cause of the loss of his vision does not seem to be due to the frontal hemorrhages the cerebellar hemorrhage is also unlikely to cause rapid loss of vision in both eyes he needs to be investigated for other causes like ischemic optic neuropathy optic neuritis amaurosis fugax etc whether he will get his vision back depends on the cause and duration of the vision loss,Speaker_3,30.88,"['loss', 'cerebellar', 'rapid', 'vision', 'his', 'amaurosis']",validation
audio/Speaker_3/Speaker3-284.wav,hi thank you for asking i understand your worry e fit be epididymitis if i be your doctor i go give you this drugs 1 tablet ciprofloxacin 500mg two times a day for 10 days 2 tablet ibuprofen 400mg two times a day for 5 days 3 tablet alpha chymotrypsin three times a day i hope this help you have a nice day,hi thank you for asking i can understand your concern i could say that this could be epididymitis if i were your doctor then i would treat this case with the following medications one tablet ciprofloxacin five hundred milligrams twice a day for ten days two tablet ibuprofen four hundred milligrams twice a day for five days three tablet alpha chymotrypsin three times a day i hope this information helps you have a nice day,Speaker_3,42.38,"['tablet', 'ciprofloxacin', 'milligrams', 'twice', 'ib', 'alpha', 'chymotrypsin']",validation
audio/Speaker_3/Speaker3-285.wav,my 7 month old baby fall from bed hit him face red spot come show for forehead i put ice for the place he cry small time come stop he no vomit or behave anyhow and the red spot comot after 4 hours i need to check if him skull break,my baby is seven months old and fell off the bed onto his face he got a red spot on his forehead i put an ice pack on it he cried for a few seconds and then stopped he did not vomit or have been acting differently and the red spot went away in four hours should i check for any skull fractures,Speaker_3,24.22,"['baby', 'red', 'spot', 'cried', 'seconds', 'vomit', 'skull']",validation
audio/Speaker_3/Speaker3-286.wav,make you check her prolactin level because e fit be prolactinoma tumor for pituitary gland make you careful because e fit cause infertility,get her prolactin levels checked as it could possibly be due to a prolactinoma which is a pituitary tumor be careful as it can lead to infertility,Speaker_3,14.47,"['prolactin', 'levels']",validation
audio/Speaker_3/Speaker3-287.wav,allergy fit cause all this problem if you dey take medicine e fit affect your liver or the allergy itself fit cause liver problem i no know which medicine you dey use for the allergy usually na food dey cause this one go do blood test for milk wheat potato beans rice nut and egg because na those things fit be the cause you fit still test other food wey you dey chop everyday,allergies can cause all these issues if you are taking medications they may affect your liver or the allergies themselves can cause liver problems i am not sure what medications you are taking to control your allergy normally these are food related problems get a blood serum test for specific antibodies for milk wheat potatoes chickpeas rice nuts and eggs as there are more chances of these substances causing your condition however you can also get other foods you consume daily tested,Speaker_3,33.72,"['blood', 'serum', 'test', 'consume', 'daily']",validation
audio/Speaker_3/Speaker3-288.wav,wetin dey cause soft yellow poo when i suppose see doctor three days ago my belle dey pain me whenever i lie down when i stand up i dey feel sharp pain for my belle and back but e go commot after few minutes the thing come okay after 2 days the same thing happen few months ago but when i go stanford hospital dem no see anything,what causes soft yellow stool when should i see a doctor three days ago i had abdominal pain whenever i lay down when i got up i felt sharp pain in my abdomen and lower back but it would go away after a few minutes the situation normalized after two days this happened a few months ago and my visit to stanford hospital showed nothing,Speaker_3,30.49,"['abdominal', 'sharp', 'abdomen', 'stanford', 'hospital']",validation
audio/Speaker_3/Speaker3-289.wav,e fit just be blood wey gather bruise e go clear by itself over time and the color go change as time dey go just watch if pain come or if other symptom like infection show,this could well be a collection of blood referred to as a bruise it will resolve over time and change color according to the duration it has been present just watch for pain or any other symptoms such as infection,Speaker_3,19.71,[],validation
audio/Speaker_3/Speaker3-290.wav,my baby dey 1 year 6 months two days ago she start dey wake up for night dey cry she get high temperature sef wetin fit be the cause she weight 8kg now and she dey chop food this one na chickenpox symptom she don take chickenpox vaccine before,my baby is one year and six months old two days ago she started walking up in the middle of the night and crying she has a high temperature too why is this happening she is eight kilograms now she is eating food as well are these symptoms of chickenpox she has already received the chickenpox vaccination,Speaker_3,24.57,"['baby', 'eating', 'food']",validation
audio/Speaker_3/Speaker3-291.wav,make you do urine pregnancy test if only one line show you no get belle you fit go do ultrasound too if the test positive after you miss your period then e fit be implantation bleeding apart from that e no likely,you should do a urine pregnancy test if there is a single line you are not pregnant you can also go for an ultrasound if the urine pregnancy test is positive after missing your period then you can think about implantation bleeding otherwise it is unlikely,Speaker_3,22.69,['positive'],validation
audio/Speaker_3/Speaker3-292.wav,small pain dey hit my chest like jolt then my hand come dey sweat i dey take lopressor 50mg for my high bp i no take the medicine for one month i just start again 2 days ago i don dey check my bp and e dey very high wetin dey happen,i get a mild pain in my chest almost like a jolt then my palms start to sweat i am also on lopressor fifty mg for my high blood pressure i haven t taken my pills in a month i just started taking it two days ago i have been checking my blood pressure and it has been very high can you tell me what is going on,Speaker_3,24.38,"['mild', 'palms', 'lopressor', 'mg', 'high', 'pills']",validation
audio/Speaker_3/Speaker3-293.wav,my chest don dey congested for 5 months dem tell me say na respiratory infection or pneumonia but my x ray and ct scan show say nothing dey wrong i dey cough too hard and too much but nothing dey come out i think say i even break rib i need help i no fit see lung doctor until next month,i have had congestion in my chest for five months now i have been told it was an upper respiratory infection or pneumonia however my x rays and computed tomography scan showed nothing i cough so hard and so much that nothing comes up and i think i finally broke a rib i need help i can t get to a pulmonologist until next month,Speaker_3,26.61,"['chest', 'respiratory', 'infection', 'rays', 'computed', 'tomography', 'cough']",validation
audio/Speaker_3/Speaker3-294.wav,hi welcome to clinic to get belle na natural thing sometimes even when everything fine conception no dey happen and sometimes conception dey happen even if person think say he no fit so keep trying natural way and no lose hope good luck,hi welcome to the clinic pregnancy is a natural phenomenon sometimes even when everything seems normal conception does not occur and at times conception happens despite apparent sterility so keep trying in a natural way and do not lose hope good luck,Speaker_3,21.99,[],validation
audio/Speaker_3/Speaker3-295.wav,hello you fit tell me which kind scar e be if i know wetin cause the scar e go make me fit suggest better treatment,hello can you tell me which type of scar it is knowing the cause of the scar will allow me to suggest something better,Speaker_3,11.61,[],validation
audio/Speaker_3/Speaker3-296.wav,your pikin fit get bleeding diathesis e be condition wey blood no dey clot well this fit make stomach ulcer bleed and nose sef begin bleed so the two things fit be related instead of you dey look for cause just carry the pikin run go emergency ward make dem manage the matter,your child could have developed a bleeding diathesis which happens when there is a problem in the clotting of the blood this could have led to aggravation and possibly bleeding of a gastric ulcer as well as bleeding from the nose therefore these could be related rather than trying to find the cause and correlation just rush the child to the emergency department and get the situation managed,Speaker_3,27.4,"['bleeding', 'gastric', 'ulcer', 'rush']",validation
audio/Speaker_3/Speaker3-297.wav,no be always if the scan show any growth lesions you need to do biopsy from there that one go tell us exactly wetin be the problem remember no be all pancreatic growths be cancer and harmless cysts dey very common,not always if the scans show lesions you need to get a biopsy done from the lesions that would provide a definitive diagnosis remember not all pancreatic lesions are malignant and benign cysts are very common,Speaker_3,22.94,"['biopsy', 'pancreatic', 'lesions', 'benign', 'cysts']",validation
audio/Speaker_3/Speaker3-298.wav,hello my 8 year old son get red lumps on top him head face arm and body e look like red bump and by next morning small water filled pimples go show on top i no sure wetin be the problem e no dey pain unless i press am hard but e dey itch small when the bump comot e go leave dark patch for that skin abeg help me,hello my eight year old son has red lumps appearing on his head face arms and body they look like red bumps and the next morning they have small water filled pimples over them i am not sure what could be the problem they do not hurt unless pressed on hard but they itch a bit when the bumps go down they leave a dark patch on that part of the skin please assist,Speaker_3,31.11,"['lumps', 'next', 'morning', 'itch']",validation
audio/Speaker_3/Speaker3-299.wav,hi serenityrose i tink say you fit get wetin dem dey call sebaceous cyst dem suppose comot am wit surgery sake of say if dem no comot the full sac of the cyst e fit no heal abeg go see surgeon make im advise you okay bye bye,hi serenityrose i think you might have a sebaceous cyst it should be surgically removed as unless the entire sac of the cyst is removed it may not heal please consult a surgeon and seek their advice okay goodbye,Speaker_3,22.55,"['cyst', 'consult']",validation
audio/Speaker_3/Speaker3-300.wav,my boyfriend get stomach cancer since almost five years now everyday im stomach dey worry am sometimes e dey pain pass normal dis morning e wake up come see bruise for im right side up small from im waist e no even know weda e jam anytin we suppose dey fear wetin fit cause dis,my boyfriend was diagnosed with stomach cancer almost five years ago he experiences stomach problems daily with some days being worse than others this morning he woke up with a bruise on his right side above his waistline he doesn t remember hitting anything should we be alarmed what could cause this,Speaker_3,26.66,"['bruise', 'side']",validation
audio/Speaker_3/Speaker3-301.wav,ground glass opacities for lung fit get plenty different causes lymphoma fit cause am but even small small infections too fit cause am if person swallow saliva anyhow when e dey get seizure e fit cause lung inflammation the place where the opacities dey fit help know wetin cause am again how e dey grow over time fit help differentiate wetin dey happen if na lymphoma e no go just heal like dat e go need treatment wey you go discuss wit oncologist if na infection e fit clear or improve i hope dis answer your question,ground glass opacities in the lung can have a very extensive list of causes lymphoma itself can certainly cause this but even minor infections can do this as well aspiration of saliva that occurs during a seizure can cause inflammation of segments of the lung as well the location of the opacities is sometimes helpful in differentiating causes also their course over time can be another factor to help differentiate causes if it is lymphoma it will not get better on its own and will need further treatment that can be discussed with the oncologist if it is an infection it may improve or resolve i hope this answers your question,Speaker_3,51.55,"['ground', 'glass', 'opacities', 'lung', 'lymphoma', 'minor', 'infections', 'seizure', 'inflammation']",validation
audio/Speaker_3/Speaker3-302.wav,smelling bad gas from gutter for long time maybe like one year fit cause lung wahala for person wey don get asthma all im life and dey use inhaler dem admit me for hospital for december because my oxygen level dey sixty two wey be very low the doctors no come even know wetin cause the wahala now dem dey talk say maybe na pneumonia but dem no sure i no even tink say na the gas for my house dem send me come house wit oxygen and e dey take long time before i regain my strength,can smelling sewer gases over a period of time maybe a year at least cause lung problems for someone who has had asthma all her life and uses an inhaler i was hospitalized in december with my oxygen level at sixty two which is low the doctors could never decide what caused this problem they are now saying it must have been pneumonia but they are not sure i never thought about the gases in my home they sent me home on oxygen and it is taking a long time for me to regain my strength,Speaker_3,41.61,"['hospitalized', 'oxygen']",validation
audio/Speaker_3/Speaker3-303.wav,no shaking e fit be obsessive compulsive disorder that white discharge wey resemble semen after you piss e fit be just prostatic fluid,definitely it can be an obsessive compulsive disorder the white semen like discharge after micturition may be just prostatic fluid,Speaker_3,14.84,[],validation
audio/Speaker_3/Speaker3-304.wav,hello yes e fit be say nerve for your spinal cord wey dey supply your hand don damage abeg concern cervical arthritis if injury jam your spine e fit cause pain and make your hand no fit move well headaches fit dey happen sake of change for the pressure of the fluid wey dey flow for your brain and spine abeg message me again if you get more question,hello yes it could be due to damage to the nerves in the spinal cord supplying the hand as far as cervical arthritis is concerned an injury to the spine may cause pain and movement restriction headaches may be due to changes in cerebrospinal fluid pressure circulating in the brain and spinal cord please write back for further queries,Speaker_3,32.07,"['cerebrospinal', 'cervical', 'arthritis', 'injury', 'spine', 'headaches', 'changes', 'fluid', 'pressure', 'brain']",validation
audio/Speaker_3/Speaker3-305.wav,e no common at all for nicotine patches to make lymph node swell i gree wit your doctor na just allergic reaction be dat,it is very rare for nicotine patches to cause lymph node inflammation i agree with your doctor it was just an allergic reaction,Speaker_3,11.89,"['lymph', 'node']",validation
audio/Speaker_3/Speaker3-306.wav,sometimes that pain wey you dey describe fit be pleurisy the point where your lung cover dey inflamed but because you overweight e fit be muscle pull too i recommend say you take painkiller like naproxen five hundred milligrams two times everyday add chlorzoxazone tablets two times everyday for five days if the pain no stop you need to go see pulmonologist wit your chest x ray,sometimes the pain that you are describing can be due to pleurisy the inflamed pleura however since you are overweight it can also be due to a muscle pull i recommend you take some painkillers like naproxen five hundred milligrams twice daily along with chlorzoxazone tablets twice daily for five days if the pain persists then you need to see a pulmonologist with a chest x ray,Speaker_3,40.26,"['sometimes', 'painkillers', 'pleurisy', 'naproxen', 'milligrams', 'twice', 'chlorzoxazone', 'tablets', 'daily', 'chest']",validation
audio/Speaker_3/Speaker3-307.wav,effusion fit come back but since the ultrasound dey normal no worry yourself continue wit your amikacin for now e go clear e no get anytin to do wit the atrial septal defect surgery the symptom wey you get now na chest pain wey be like pleurisy if you feel say breathing dey hard you again for the next two days abeg go do another sonogram make we check if fluid don pack again,effusion can reappear but as the ultrasound is normal kindly do not worry continue with amikacin for now it will resolve it is not related to the atrial septal defect closure the present symptom is pleurisy type chest pain if you experience difficulty in breathing again over the next two days kindly do a repeat sonogram to look for fluid reaccumulation,Speaker_3,39.94,"['ultrasound', 'amikacin', 'pleurisy', 'chest', 'breathing', 'sonogram']",validation
audio/Speaker_3/Speaker3-308.wav,hello no be everi person glutathione injections go work for e dey differ from person to person if e no work after ten dose abeg stop the treatment e no go get any use again glutathione no be tin wey dey make person light forever another tin you fit do na peels for face and if e reach for your hand or you fit use q switched nd yag laser for face to reduce the blackness i believe you don know all those oda measures,hello it is not necessary for every individual to respond to glutathione injections the effects vary from one individual to another if there is no response even after ten doses then you should stop the treatment it would not be of any use glutathione is not a permanent lightening agent an alternative procedure like peels can be considered for the face and if necessary for the arms alternatively q switched neodymium doped yttrium aluminum garnet laser for the face can reduce pigmentation i assume you are already aware of all the other measures,Speaker_3,41.84,"['peels', 'switched', 'neodymium', 'doped', 'yttrium', 'face']",validation
audio/Speaker_3/Speaker3-309.wav,my dog bite me last monday seven days ago and i don go see doctor dem give me antibiotics and put steri strip for the wound but lately the place dey comot pus today i notice say one lump dey under the cut wetin this one mean,i was bitten by my dog last monday seven days ago and saw the doctor i was given antibiotics and had a steri strip on however lately it has been oozing with pus today i have noticed that there is a lump underneath the cut what could this mean,Speaker_3,21.71,"['bitten', 'antibiotics', 'steri', 'strip', 'dog', 'lump']",validation
audio/Speaker_3/Speaker3-310.wav,i jam my leg for plastic crate last week and my small toe break i don tape am join the next toe and e be like say e dey heal but i also jam my shin join and e get bruise one big knot sef dey the place i suppose worry about this one e dey pain well well,i tripped over a plastic crate last week and broke my little toe i have it taped to my next toe and it seems to be getting better but i also hit my shin and it has a bruise of course it also has a big knot on it is this something to worry about it is very sore,Speaker_3,23.85,"['next', 'toe']",validation
audio/Speaker_3/Speaker3-311.wav,hello you dey take vitamin d3 you fit take tyo k or uprise d tablets everyday or another way na to take calcirol sachets once per week for six weeks join vitamin d3 take the shelcal 500mg tablet everyday,hello you are taking vitamin d3 you can take tyo k or uprise d tablets daily or another option is to have calcirol sachets once a week for six weeks along with vitamin d3 take the shelcal five hundred milligrams tablet daily,Speaker_3,27.93,"['vitamin', 'tyo', 'calcirol', 'milligrams', 'tablet']",validation
audio/Speaker_3/Speaker3-312.wav,i be married man and i like to masturbate sometimes one to three times for one day i no know if this one na normal thing plus my wife and i don dey try make she belle for a long time now but nothing i get days wey i no dey masturbate at all and my wife and i still dey enjoy ourself i just dey wonder if masturbation fit dey stop the pregnancy or if e dey okay make i continue while we dey try reach our goal,i am a married male and i like to masturbate sometimes one to three times a day i don t know if this is common or not additionally my wife and i have been trying to get pregnant for a while now with no results i do have days when i don t masturbate at all and my wife and i have great intercourse i was wondering if masturbation could possibly be preventing the pregnancy or if it is okay for me to masturbate while trying to accomplish our goal,Speaker_3,34.16,"['wife', 'masturbate']",validation
audio/Speaker_3/Speaker3-313.wav,hello doctor dem do surgery for my left knee like two years ago since that time i dey okay but just recently after i go gym i feel like say one ligament shift for top of my knee e feel like small ball e dey feel funny for like two seconds but e no dey pain me at all i just want know wetin be that na only when i bend my knee full e dey happen,hello doctor i had a bilateral release on my left knee around two years ago since then i have been great but recently after a gym session i feel a slight shift in a ligament above my kneecap on the left knee it almost feels like a small ball it feels weird for two seconds but there is no discomfort or pain whatsoever i am just curious to know what it is it only occurs when i fully bend the knee,Speaker_3,30.77,"['bilateral', 'knee', 'slight', 'shift', 'kneecap', 'discomfort']",validation
audio/Speaker_3/Speaker3-314.wav,dem remove kidney stone for me and put stent like 48 hours ago i no feel much pain until tonight after i bathe i see blood when i clean myself and i dey feel serious pain for the stent area i also dey feel as if i want piss all the time i dey wonder if i suppose rush go emergency room or if this one na normal tin wey i fit wait reach office hours come call my doctor,i had kidney stone removal and insertion of a stent forty eight hours ago i have had minimal discomfort until tonight after my shower i noticed blood when wiping and am experiencing severe pain in the stent area i have also begun to feel an almost constant need to urinate i am wondering if a trip to the emergency room is necessary or if this is normal and i should contact my doctor during office hours,Speaker_3,34.16,"['kidney', 'stone', 'removal', 'stent', 'discomfort', 'severe', 'trip', 'room']",validation
audio/Speaker_3/Speaker3-315.wav,yes na allergy be that from the pill e go better for three weeks you fit apply kenacort mouth gel for the place,yes it is an allergic reaction to the pill it will improve in three weeks you can apply kenacort mouth gel for local application,Speaker_3,11.12,['allergic'],validation
audio/Speaker_3/Speaker3-316.wav,i be 32 year old woman my health good but one tin dey worry me well well i dey quick catch cold and i dey sneeze anyhow especially for winter time even for summer i still dey sneeze this one come too much pass how e be for other people wetin fit be the cause and how i go fit stop am,i am a thirty two year old woman my health is normal but one problem is disturbing me a lot i usually catch colds and start sneezing frequently especially during winter even during summer sneezing occurs this happens more compared to normal individuals what can be the possible reasons and remedies,Speaker_3,24.26,['sneezing'],validation
audio/Speaker_3/Speaker3-317.wav,hi i be teenager and last night i jam my head well well for my papa trunk door e no pain me like how i think say e for pain and i sleep well but i sure say one bump dey my head and e dey pain me my head sef dey beat me and i dey feel dizzy i come dey worry well well i suppose go emergency room,hi well i am a teenager and last night i hit my head really hard on my dad s trunk door it didn t hurt as much as i thought it would and i slept fine but i am pretty sure my head has a bump on it and it hurts i also have a throbbing feeling and i am dizzy and very worried should i go to the emergency room,Speaker_3,29.33,"['head', 'dizzy']",validation
audio/Speaker_3/Speaker3-318.wav,no be clear when all this problems start and wetin be the treatment if we assume say na old issue the spine for l3 l4 and t12 wey no join well with one fracture wey no heal fit be the reason why you dey feel all this things try see spine specialist sharp sharp for now no bend front and wear that brace wey dem call tlso to support your back during the day take painkiller like acetaminophen after you chop two times everyday and some muscle relaxant like chlorzoxazone two times everyday you fit buy all this one for chemist,it isn t clear when you developed these problems and what treatment was done presuming these are older diagnoses the unfused spine in l3 l4 and t12 with an unhealed fracture may be attributed to your symptoms try to fix an appointment with a spine specialist as early as possible in the meantime avoid forward bending and wear a thoracic lumbar sacral orthosis brace to support both the thoracic and lower spine during the day take a pain reliever such as acetaminophen after meals twice daily and some muscle relaxant tablets like chlorzoxazone twice a day these are available over the counter,Speaker_3,52.11,"['spine', 'fracture', 'thoracic', 'lumbar', 'brace', 'acetaminophen', 'twice', 'daily', 'muscle', 'relaxant', 'tablets', 'chlorzoxazone']",validation
audio/Speaker_3/Speaker3-319.wav,doctor my pikin get six years and she get erb s palsy for her left hand we don do physical therapy for six years and now she fit move her hand go top of her head but she no fit carry load well and she no fit turn the hand like her right hand you fit see say the hand no straight like the other one wetin be the best exercise wey go help her left hand come back better,doctor my daughter is six years old and has left arm erb s palsy we participated in physical therapy for six years and her hand movement has improved to moving above her head however lifting weight and rotation are very low compared to her right arm a difference in arm straightness is noticeable what is the best range of activities that will help improve her left arm,Speaker_3,30.21,"['hand', 'movement', 'improved', 'her', 'head', 'rotation', 'arm']",validation
audio/Speaker_3/Speaker3-320.wav,hello the injection fit help but usually na after you don take am small this one no sound like allergy maybe na just reaction from the needle wey dem put for your knee you need tell your doctor about this and make him decide if you go continue with the injection,hello the injections can help but usually only after you have had a few of them this does not exactly sound like an allergic reaction but may just be a reaction to having had a needle inserted into your knees you need to let your doctor know about this and allow him to decide whether you can continue with the injections,Speaker_3,22.27,[],validation
audio/Speaker_3/Speaker3-321.wav,hello e no look like infection to me e fit be small food wey no digest but you talk say you don do some tests i go like see the report before i talk anything,hello it does not look like an infection to me it could be due to some undigested food material however you have mentioned that a few tests have been performed i would like to see the report before i comment further,Speaker_3,13.05,[],validation
audio/Speaker_3/Speaker3-322.wav,hi my pikin dey complain say e dey pain am for the tip of him prick when he wan piss and even when he just dey sit or when he dey bathe he get six years e don happen before and we test am for urinary tract infection but the result come out negative but i go call my doctor later today,hi my son complains that his penis hurts at the tip when he urinates as well as when he is simply sitting around or in the shower he is only six years old he has had this before and was tested for urinary tract infections but the results came back negative i will be calling my doctor later today though,Speaker_3,23.66,"['penis', 'hurts', 'at', 'tip']",validation
audio/Speaker_3/Speaker3-323.wav,e fit be tear for your yansh because of constipation or because you dey force yourself when you wan shit try sitz bath na to sit inside bowl wey warm water full join with potassium permanganate or if you no see potassium permanganate just use warm water you fit put anovate cream for the place and start to chop food wey get fiber so your shit go soft,it could be an anal fissure or tear due to constipation and forceful defecation kindly try a sitz bath it is done by sitting in a tub full of lukewarm water and adding potassium permanganate or if potassium permanganate is not available then just use simple lukewarm water you can apply anovate cream locally and start eating a high fiber diet which will soften your stool,Speaker_3,34.55,"['anal', 'fissure', 'tear', 'constipation', 'forceful', 'sitz', 'potassium', 'high', 'fiber']",validation
audio/Speaker_3/Speaker3-324.wav,the information wey you give no reach i still need to know your complete blood count liver function test and urine routine,your information is very insufficient still i require to know the complete blood count liver function test and urine routine,Speaker_3,10.36,[],validation
audio/Speaker_3/Speaker3-325.wav,dense breast tissue no mean cancer e just mean say the breast dey heavy small e no mean say you go quick get cancer na just how dem describe am for mammogram you need come for follow up but routine check up like other women still dey okay no fear say na cancer,dense breast tissue does not mean cancer it just means that the density of the breast is higher it does not increase the predisposition to cancer it is just a mammographic description you need to have extra follow up but routine screening like other women is sufficient you do not need to have any fear of cancer,Speaker_3,24.4,['breast'],validation
audio/Speaker_3/Speaker3-326.wav,my left hand don dey feel like something dey crawl for inside for like one month now i go see doctor shortly after e start to pain me and dem fix mri for may 9th after i talk with some friends dem suggest say i suppose go look am sharp sharp because e no suppose take this long,i have been experiencing a tingling sensation in my left arm for about a month i went to the doctor shortly after it started hurting and have an mri scheduled for may 9th after talking to some friends they suggested i get it looked at sooner because it should not last this long,Speaker_3,22.57,"['tingling', 'sensation', 'arm', 'went', 'it', 'hurting', 'mri']",validation
audio/Speaker_3/Speaker3-327.wav,hello my seventeen year old pikin don dey complain say her back dey pain am yesterday she tell me say she feel one lump for the top of her yansh near the end of her spine i check and i no see any boil or pimple e feel like say something swell under skin and she talk say e dey pain am well well for inside e dey pain am to sit and even to lie down i suppose worry wetin be the kind doctor i suppose carry her go see you think say e fit be serious matter,hello my seventeen year old daughter has been complaining that her back hurts yesterday she told me that she felt a lump right at the top of her butt crack around the tip of her spine i looked and did not see a boil or a pimple it feels like it is swollen under the skin and she says that it hurts really badly inside it hurts her to sit and lie down should i be concerned what kind of doctor should i take her to do you think it could be serious,Speaker_3,40.26,"['lump', 'boil']",validation
audio/Speaker_3/Speaker3-328.wav,hello i start to take ginette 35 last year after some weeks my belle come pain me well well and dem admit me for hospital for ten days the doctors no know wetin happen dem do all the test dem just talk say my intestine get infection i start take ginette 35 again last night and the same problem come back my shit come dey green and black and my belle dey pain me well well i no sure wetin dey happen,hello i started taking ginette thirty five last year after a few weeks i suffered terrible abdominal pain and was admitted to the hospital for ten days the doctors did not know what happened all tests were done they just said the large intestine had an infection i started taking ginette thirty five again last night and i have the same problem my stool is green and black and i have terrible stomach pain i am not sure what is happening,Speaker_3,36.18,"['terrible', 'abdominal', 'admitted', 'stomach']",validation
audio/Speaker_3/Speaker3-329.wav,good morning i think you strain your back make you rest well for bed and sit with your back support because of your age i go advise make you do x ray for your back so we go know if anything serious dey rest na very important thing,good morning i think you have sprained your back take more bed rest and sit with your back supported keeping your age in consideration i would advise an x ray of your back to rule out any etiology rest is very essential,Speaker_3,20.11,"['sprained', 'rest']",validation
audio/Speaker_3/Speaker3-330.wav,i don do the test for mycobacterium tuberculosis the report show say i get another general infection for my uterus join the tuberculosis we have to cancel our ivf treatment because of this my doctor talk say medical science no know how the uterus go take behave with that other infection so he advise say we must cure that one first before he go continue the ivf wetin we go do,i have gone through the test for mycobacterium tuberculosis the report shows that i have a general infection in the uterus apart from tuberculosis we have to cancel our in vitro fertilization treatment because of this my doctor is saying that medical science doesn t know how the uterus will deal with that non tuberculosis infection thus he advised us to cure it first and then he will proceed with in vitro fertilization what should we do,Speaker_3,36.32,"['general', 'infection', 'uterus', 'vitro']",validation
audio/Speaker_3/Speaker3-331.wav,hello based on the symptoms e fit be skin infection if na me be the doctor for this case i go treat am with 500mg erythromycin tablet three times everyday join with the erythromycin cream and i go tell you make you keep your face very clean i hope this help,hello given the symptoms the infectious skin condition may be likely if i were the treating physician in this case i would treat it with the tablet erythromycin five hundred milligrams three times a day along with the erythromycin topical cream with advice to keep the face very clean i hope this helps,Speaker_3,24.57,"['infectious', 'condition', 'were', 'erythromycin', 'milligrams', 'topical']",validation
audio/Speaker_3/Speaker3-332.wav,like one month ago my knee start to pain me and e dey give way small small i notice one lump like golf ball for the back of my knee i no too mind am e dey pain me small small now the lump don reach size of tennis ball and e dey pain me everyday wetin fit be this and i suppose go make dem check am,about one month ago my knee was hurting and it gave out a couple of times i noticed a golf ball sized lump in the back of my knee i didn t pay too much attention to it it only hurt once in a while now the lump is the size of a tennis ball and it hurts daily what could this be and should i have it checked out,Speaker_3,25.96,"['knee', 'hurting', 'golf', 'ball', 'lump', 'hurt']",validation
audio/Speaker_3/Speaker3-333.wav,hello my pikin get four years and she weigh 15kg she do fontan operation six months ago her inr be 2 83 she dey take acitrom 1mg and 1 5mg for alternate days please advise me wetin i go give her chop because i no really know the kind food wey get plenty vitamin k,hello my daughter is four years old and weighs fifteen kilograms she had her fontan operation six months ago her international normalized ratio was two point eight three she is taking acitrom one milligram and one point five milligrams on alternate days please advise me on what food to give her because i do not know exactly which foods are rich in vitamin k,Speaker_3,31.67,"['fontan', 'international', 'normalized', 'ratio', 'point', 'acitrom', 'milligram', 'milligrams', 'which', 'foods']",validation
audio/Speaker_3/Speaker3-334.wav,hi my granddaughter wey be two years old get pink spots for her chest and back wey come up small and e don spread small we no change the kind food she dey chop and she no get itching or fever e start nine days ago i don dey use calamine liquid and antihistamine for four days now na psoriasis be this,hi my two year old granddaughter has pink spots on her chest and back that are raised and have spread a little there has been no change in her food habits and she has no itching or fever it started nine days ago i have been using calamine liquid and antihistamine medications for four days is this psoriasis,Speaker_3,32.95,"['granddaughter', 'pink', 'spots', 'chest', 'calamine', 'antihistamine']",validation
audio/Speaker_3/Speaker3-335.wav,e fit be muscle strain if you want check your heart make you do treadmill test if any chronic angina dey e go show palpitations dey happen when your heart dey beat fast and hard e fit happen when you dey exercise too if the chest pain come tight well well and e dey extend reach your shoulder or neck you suppose worry,this may be due to muscle strain if you want to check about your heart then do a treadmill test if there is any chronic angina it will also be detected palpitations occur when your heart beats faster and harder it may also occur during exercise if chest pain is specifically tight with radiation to the shoulder or neck you should be worried,Speaker_3,24.96,"['palpitations', 'chest']",validation
audio/Speaker_3/Speaker3-336.wav,hello i don read your question generally any reaction to insect bite whether e big or small na allergic reaction redness and swelling for the place where the bug bite na normal thing put cold water cloth for the place dey help e go clear by itself after few days,hello i just read through your question generally any reaction to a bug bite big or small can be considered an allergic reaction redness and swelling in the area of a bite are expected cool compresses to the area typically help they resolve on their own after a few days,Speaker_3,22.55,"['redness', 'swelling']",validation
audio/Speaker_3/Speaker3-337.wav,my grandmother get 78 years she don dey hospital for almost the whole of september she go hospital first because of heart failure then acid reflux and now dem just remove her gallbladder she stay for coronary care unit for some days after that to make her breathing come correct because of the heart failure dem give her furosemide to remove the excess water anyhow for the past few days her right hand don swell and e no get strength wetin you think,my grandmother is seventy eight she has been in the hospital for almost the whole month of september she went in first for congestive heart failure then for acid reflux and now they just removed her gallbladder she was in the coronary care unit for a few days after that to get her breathing under control due to her congestive heart failure they have her on furosemide to remove the excess fluid anyhow now for the past few days her right hand is swollen and very weak any thoughts,Speaker_3,41.56,"['grandmother', 'hospital', 'congestive', 'coronary', 'care', 'unit', 'under', 'control', 'furosemide', 'hand', 'swollen']",validation
audio/Speaker_3/Speaker3-338.wav,good morning sir i be rahul i weigh 90kg and i don dey take blood pressure drug for two years now truth be say i tire for the tablet if i take am my bp dey normal but if i no take e no dey normal i don start yoga for one month now get any diet wey i go fit follow so i go stop take bp drug forever please help me because i just get 30 years and i get pikin wey be 1 5 years old so please help,good morning sir i am rahul weighing ninety kilograms and i have been on hypertension medication for the last two years actually i am fed up with the tablets if i take them my blood pressure is normal otherwise it is not i have started practicing yoga for the last month is there any sort of diet that can help me get rid of the blood pressure medication forever please help me because i am just thirty years old and i have a baby who is one point five years old so please help,Speaker_3,34.99,"['hypertension', 'medication', 'baby']",validation
audio/Speaker_3/Speaker3-339.wav,hello e fit be say the tissue crush and we get something wey dem call internal degloving plus blood wey gather call hematoma wey make the place swell and feel warm if bone no break you no need cast but you must use sling make the hand rest until the pain and swelling come down the sling go make the hand rest and e go help stop swelling for the forearm put ice for the hand and elbow for 20 minutes 5 to 6 times everyday raise your hand up with two pillows when you dey lie down for bed if e no get improvement for one week go see doctor again,hello there may be crushing of the tissues and a condition known as internal degloving along with a collection of blood called a hematoma which causes the area to be swollen and warm to the touch as long as there is no fracture then you do not need a cast but a sling to rest the arm is mandatory until the pain subsides and the swelling decreases the sling will also ensure rest for the area and will help prevent further swelling of the forearm apply ice to the arm and elbow for twenty minutes five to six times a day elevate the arm when in bed on two pillows if there is no improvement in a week then revisit a doctor for a review,Speaker_3,58.61,"['crushing', 'swollen', 'sling', 'rest', 'swelling', 'ice', 'warm', 'elbow']",validation
audio/Speaker_3/Speaker3-340.wav,i don carry 26 weeks belle and i suppose go maternity leave in three weeks the pain for my ribs and my back dey worry me well well i come dey feel down because of am i don dey miss work often and people for work dey treat me anyhow because of am my doctor go fit sign document make i leave work i feel like i no fit bear the pain and work again,i am twenty six weeks pregnant and due to go on maternity leave in three weeks i am really struggling with pain in my ribs and my back i am feeling depressed because of it i am off work a lot and everyone at work treats me poorly about it would my doctor sign me off work i feel like i cannot cope with the pain and work anymore,Speaker_3,31.49,"['pregnant', 'ribs', 'depressed', 'sign']",validation
audio/Speaker_3/Speaker3-341.wav,i suppose worry if dem call me back for another mammogram and ultrasound because of cyst and complex cyst with secondary vascularity and lymph node na all this things dem write for the radiology report my mama mama get breast cancer i don get 54 years now and i dey think about biopsy wetin you fit tell me you fit reply here,should i be concerned when called back for another mammogram and ultrasound due to a cyst and a complex cyst with secondary vascularity and a lymph node these are the things that were described in the radiology report my maternal grandmother had breast cancer i am now fifty four years old and i am thinking about a biopsy what feedback can you give me can you respond here,Speaker_3,31.95,"['called', 'mammogram', 'ultrasound', 'cyst', 'complex', 'secondary']",validation
audio/Speaker_3/Speaker3-342.wav,yes i just get injury recently when i fall from ladder for my medical report dem note say i break plenty ribs and i also get fracture for transverse lumbar vertebra i want know more about this condition and see picture of am,yes i recently sustained an injury from a fall from an extension ladder in my medical reports it was noted that i fractured multiple ribs in a concentric fashion and also had a fractured transverse lumbar vertebra i would like to know more about this condition and see a picture of it,Speaker_3,26.84,"['multiple', 'ribs', 'concentric', 'fashion', 'transverse']",validation
audio/Speaker_3/Speaker3-343.wav,dear patient you strain your hamstring muscle and you need to rest for at least three weeks make you well well if you start play before that time the strain go get worse you go take longer time to heal and the pain go dey permanent so make you rest and avoid ball for two weeks then start small small meanwhile take the tablet combo of diclofenac and serratiopeptidase two times everyday for five days and use ice pack often make the swelling go down all the best,dear patient you have sprained your hamstring muscles and it needs rest for at least three weeks for complete recovery if you start playing before this time the sprain will worsen recovery will be delayed and the pain may become chronic so take rest and avoid soccer for two weeks and then start gradually increasing activity meanwhile take the tablet combination of diclofenac and serratiopeptidase twice a day for five days and apply ice packs frequently to reduce inflammation all the best,Speaker_3,47.76,"['hamstring', 'rest', 'at', 'least', 'sprained', 'tablet', 'diclofenac', 'serratiopeptidase']",validation
audio/Speaker_3/Speaker3-344.wav,hello i go like help you with your question the depo provera shot dey make your cycle no regular for the first few months after e don wear off e actually dey last pass three months so e fit no comot from your body finish the chance say you go get belle within six to twelve months small pass normal because of this cycle issue but e go clear over the year i hope this help and good luck,hello i would be happy to help you with your question the depo provera shot is associated with more irregular cycles for the first few months after it has worn off it actually lasts longer than three months so it is probably not completely out of your system your chance of pregnancy within six to twelve months is slightly less than average because of this cycle irregularity but this should resolve over the year i hope that this helps and good luck,Speaker_3,38.59,[],validation
audio/Speaker_3/Speaker3-345.wav,hello ms abha singh i glad to hear from you i hope say e don reach like nine months now since you marry and say na arranged marriage you talk say you need time to understand your husband as you don reach 30 years now medically i suggest make you try get belle before you reach 35 but e better make you do am sharp sharp so you go avoid medical wahala for the pikin because of late delivery like congenital defects anyhow try talk to your husband and in laws about your concerns and prepare your mind for child birth since you talk say you be indian i hope you go fit adjust unless get serious problem medically i suggest you fit wait for some time but like i talk early pregnancy always better after 30 years best of luck and make the right decision,hello ms abha singh good to hear from you i hope it has been nearly nine months since you have been married and that it is an arranged marriage you mentioned you need time to understand your husband as you are now thirty years old medically i suggest you conceive before the age of thirty five but it is better to do so as early as possible in order to avoid medical complications for the baby arising from late delivery such as congenital defects anyway try to convince your husband and in laws regarding your concerns and prepare your mind for childbirth since you mentioned you are indian i hope you would definitely adjust unless there is any grave problem medically i suggest you can wait for some time but as i said early pregnancy is always better after thirty years so best of luck and make the right decision,Speaker_3,72.47,[],validation
audio/Speaker_3/Speaker3-346.wav,hello based on your description this fit be neurofibroma na benign swelling wey fit grow and e no fine to see if you press am hard you fit feel small pain or tingling e fit plenty for body the only way to remove am na surgery,hello according to your description this could be a neurofibroma it is a benign swelling that may grow in size and look unpleasant cosmetically upon hard pressing you may feel slight discomfort or tingling there may be multiple in number definitive management involves surgical excision,Speaker_3,21.55,"['neurofibroma', 'benign', 'swelling', 'grow', 'slight', 'discomfort', 'multiple']",validation
audio/Speaker_3/Speaker3-347.wav,i get arthritis for my knee specifically for the patella i dey sit for couch two nights ago when i feel one tender lump for top of my kneecap e come turn greenish blue and by the next day e come be purplish red i no jam my knee for anywhere one minute everything dey okay and the next minute i feel something and start rub my knee like i always dey do and i just see am there,i have arthritis in my knee specifically in the patella of this knee i was sitting on the couch two nights ago when i felt a tender lump over the top of my kneecap it ended up turning greenish blue and by the next day it was purplish red i did not hit my knee on anything one minute everything was fine and the next minute i felt something and started to rub my knee as always and there it was,Speaker_3,34.78,"['arthritis', 'sitting', 'couch', 'tender', 'lump', 'kneecap', 'greenish', 'next', 'minute', 'rub']",validation
audio/Speaker_3/Speaker3-348.wav,i dey confused and i no fit remember how to do simple things like finding cloth inside cupboard how to on hot and cold water or how to chop i no get appetite and i just dey stare at you with confusion but i know your name and i know where i dey this one be slow learner 39 year old man,i am confused and cannot remember how to do simple tasks like looking for clothes in the closet how to turn hot and cold water on or how to eat i have no appetite and just stare at you with confusion but i know your name and where i am this is a slow learner thirty nine year old man,Speaker_3,23.68,['confused'],validation
audio/Speaker_3/Speaker3-349.wav,hello doctor i get three questions one be when you clean with bleach for paper towel can germ pass through the paper towel second when you clean toilet you need to wash your hand for every step and between everything wey you clean the third be when you dey do sexual intercourse you suppose bathe before sex and i go dey spread germ for my house if i no bathe before or after,hello doctor i have three questions one is when you clean with bleach on a paper towel can germs go through the paper towel second when you clean the toilet do you need to wash your hands in between each step and between everything that is being wiped the third is when you have sexual intercourse should you shower before sex and will i be spreading germs throughout my house if i do not shower before or after,Speaker_3,34.83,"['clean', 'germs', 'wash', 'shower']",validation
audio/Speaker_3/Speaker3-350.wav,hello i get one big lump under skin for my bumbum near the edge of my cheek like 2cm from my anus e dey give me small discomfort and i fit press pus from inside the pus white and thick join with blood and sometimes yellowish water water like spot you fit guide me wetin this fit be,hello i have a large lump under the skin on my bottom at the edge of my cheek about two centimeters from my anus it is somewhat uncomfortable and i can squeeze pus from it which is thick white pus mixed with blood and sometimes a yellowish runny liquid similar to a spot could you provide guidance as to what this may be,Speaker_3,27.12,"['large', 'lump', 'under', 'pus']",validation
audio/Speaker_3/Speaker3-351.wav,hello my breath no dey long and my upper belle dey pain me i get gallstones fatty liver cyst for my kidney and umbilical hernia i no feel fine at all and to bend over na big wahala which one of my problem fit be the reason why i dey feel full and breathless,hello there i have shortness of breath and pain in my upper abdomen i have gallstones a fatty liver a cyst on my kidney and an umbilical hernia i feel very unwell and bending over is a huge problem which of my issues could be causing me to feel full and breathless,Speaker_3,24.45,"['shortness', 'breath', 'full', 'breathless']",validation
audio/Speaker_3/Speaker3-352.wav,dear doctor my belle dey pain me well well i do endoscopy two years ago and dem find say some food like pineapple dey disturb my stomach now i no fit chop anything because of the pain wetin i go do doctor which kind food i fit chop i get 19 years now,dear doctor i am suffering from severe abdominal pain i underwent endoscopy two years ago and found that certain food items such as pineapple would irritate my stomach now i cannot eat anything because of the pain what should i do doctor what kinds of food can i eat i am nineteen years old now,Speaker_3,25.4,"['severe', 'abdominal', 'endoscopy', 'irritate', 'nineteen']",validation
audio/Speaker_3/Speaker3-353.wav,i get 40 years i weigh 120 pounds i dey chop healthy but i no fit leave chocolate sometimes my heart dey beat fast or my chest dey pain me when i cross my arms or when i lie for side i don talk to my doctor already and she no get answer for me help,i am forty years old i weigh one hundred and twenty pounds i eat healthy but can t seem to let go of chocolate i sometimes get heart palpitations or my chest hurts when i cross my arms or when i lay on my side i ve already talked to my doctor and she doesn t give me answers help,Speaker_3,21.5,"['heart', 'palpitations', 'chest', 'hurts']",validation
audio/Speaker_3/Speaker3-354.wav,hi doctor we dey work and stay for bunkhouse with one worker wey get staff infection sores for all over his leg hand belle and other side he go see doctor and dem give am medicine wetin we go do make we no get infection or e possible make we get am you fit give us some information on wetin we go do or we suppose worry about am stan,hi doctor we are working and staying in a bunkhouse with an employee who has staff infection sores all over his legs arms belly and other areas he went to the doctor and they are giving him medicine what do we do to avoid getting infected or is that even possible can you provide us some information on what we can do or should we be concerned about it stan,Speaker_3,33.23,"['bunkhouse', 'sores']",validation
audio/Speaker_3/Speaker3-355.wav,hello permanent dental implant look and feel like your own teeth because dem design am to join with bone e come be permanent,hello permanent dental implants look and feel like your own teeth because they are designed to fuse with bone they become permanent,Speaker_3,12.72,['permanent'],validation
audio/Speaker_3/Speaker3-356.wav,i just born one week now and all of a sudden i notice my hand and leg feel tight like dem swell but dem no look swollen except my right ankle wey no too bad just uncomfortable i also get muscle pain for all my body join my calves i dey worry say e fit be blood clot how i go know if e be blood clot this be my third pikin and all my birth na natural birth with no complication during pregnancy or delivery and i no get history of blood clot i no get high bp or any other problem,i am one week postpartum and all of a sudden i noticed my hands and feet felt tight like they were swollen but they do not look swollen except for my right ankle which isn t terrible just uncomfortable i have also had muscle pains throughout my body including my calves i was concerned it might be a blood clot how do i know if it is this is my third child and all of my births were vaginal with no complications during pregnancy or delivery as well as no history of blood clots i have no high blood pressure or any other concerns,Speaker_3,44.54,"['feet', 'swollen']",validation
audio/Speaker_3/Speaker3-357.wav,i be 24 year old man my breath no dey long and when i breathe in my belle dey pain me after i chop i dey get heartburn my left scrotum dey pain me but i get this one before for 2005 i also get bumps for head of my prick wey dey continue to grow wetin fit be this,i am a twenty four year old male i have shortness of breath and when i breathe in my stomach is painful after eating i am experiencing heartburn my left scrotum is painful but i have had this before in two thousand and five i am also having bumps on the head of the penis that keep on growing what could it be,Speaker_3,27.4,"['shortness', 'breath', 'stomach', 'scrotum', 'bumps', 'head', 'penis']",validation
audio/Speaker_3/Speaker3-358.wav,hello normal heart chest pain dey feel like elephant dey sit for your chest e dey last from some seconds to minutes and e fit start when you exert yourself wetin you dey feel na what dem call atypical chest pain but you still get palpitations you get way to check your bp and heart rate please let me know,hello classical cardiac chest pain is a sensation as if an elephant is sitting on your chest it lasts from a few seconds to minutes and can be provoked by exertion what you are feeling is classified as atypical chest pain but you also have palpitations do you have a way to check your blood pressure and heart rate please let me know,Speaker_3,24.94,"['classical', 'cardiac', 'chest', 'from', 'seconds', 'minutes', 'blood', 'pressure', 'heart', 'rate']",validation
audio/Speaker_3/Speaker3-359.wav,hello dat correct chest pain wey come from heart dey feel like say elephant sidon for your chest e fit last from few seconds reach minutes and e fit start wen you do strong work wetin you dey feel so na wetin dem dey call atypical chest pain but you still get palpitations you get how you fit check your blood pressure and heart rate abeg make you tell me,hello classical cardiac chest pain is a sensation as if an elephant is sitting on your chest it lasts from a few seconds to minutes and can be provoked by exertion what you are feeling is classified as atypical chest pain but you also have palpitations do you have a way to check your blood pressure and heart rate please let me know,Speaker_3,30.65,"['classical', 'cardiac', 'chest', 'from', 'seconds', 'minutes', 'blood', 'pressure', 'heart', 'rate']",validation
audio/Speaker_3/Speaker3-360.wav,the electrocardiogram show small small changes wey mean say something dey wrong for your heart or sometimes e fit just happen like dat i need know your age blood pressure whether you fat well well if your chest dey pain you whether you dey smoke or if heart disease dey for your family if any of dis tins dey or even if e no dey we suppose check you with echocardiography and stress test if e necessary no be someting wey go worry you too much but we must check am,the electrocardiogram is showing some nonspecific changes which means there is some problem in your heart or sometimes these can occur normally i need to know your age blood pressure obesity presence of chest pain smoking status or family history of heart disease if any of these are present or even if not we should evaluate you with echocardiography and a stress test if needed overall it is not a matter of worry but should be investigated,Speaker_3,38.43,"['electrocardiogram', 'echocardiography']",validation
audio/Speaker_3/Speaker3-361.wav,my brother sister the way your belle near your navel dey beat na your aorta wey be say e suppose beat like dat if person lean well well e go show pass pesin wey fat because fat go cover am for fat pesin as you say you feel tired and dizzy maybe your blood level low so i advise you make you go do complete blood count test and start to dey chop better food wey get iron come again no dey press your belle to check say e dey beat because e go just make you dey fear unnecessarily thank you for asking,dear user pulsations in the abdomen near the umbilicus are the normal pulsating aorta in lean and thin persons it is more prominent in pulsation than in obese persons in whom it is not felt due to fat as you say you feel tired and dizzy it may be due to a low hemoglobin level in your blood therefore you are advised to undergo a complete blood count test and start a healthy and balanced diet containing iron additionally do not touch your belly to feel the normal pulsating aorta as it will make you more anxious thank you for asking,Speaker_3,48.23,"['pulsations', 'abdomen', 'near', 'umbilicus', 'low', 'complete', 'blood', 'count', 'test', 'healthy', 'belly', 'normal']",validation
audio/Speaker_3/Speaker3-362.wav,dem tell me say i get cancer for my womb and one tumor for my belle so dem comot my womb finish but i no do radiation or chemotherapy after twenty months ultrasound show say my right kidney area small bit big how dis one go affect me e serious,i was diagnosed with adenocarcinoma of the endometrium and gastroesophageal junction leiomyoma for which i had a radical hysterectomy not followed by radiation or chemotherapy after twenty months an ultrasound indicates a mildly dilated right pelvicalyceal system how is this going to impact me is it something complicated,Speaker_3,22.94,"['adenocarcinoma', 'endometrium', 'gastroesophageal', 'junction', 'lei', 'ultrasound', 'dilated', 'pelvicalyceal']",validation
audio/Speaker_3/Speaker3-363.wav,my head dey turn sake of one vein wey burst for brain you get any advice i don do physical therapy occupational therapy cognitive therapy vestibular therapy and i dey take valium na only dis one remain make i live normal life again any advice i go try anything,i have vertigo caused by a burst aneurysm any suggestions i have done physical therapy occupational therapy cognitive therapy vestibular therapy and valium therapy it s the last symptom standing in the way of a normal life any suggestions i will try anything,Speaker_3,24.01,"['vertigo', 'burst']",validation
audio/Speaker_3/Speaker3-364.wav,i be 72 years yesterday i run catch plane for airport and i come need help because my chest start to pain me dem change my knee three months ago and today na the first time i walk well well for the leg today i dey vomit and my chest still dey pain me,i am seventy two years old yesterday i raced in an airport terminal to catch a plane and had to get help because my chest started hurting i had knee replacement surgery three months ago and this is the first time i have really walked much on it today i am vomiting and my chest hurts,Speaker_3,20.46,"['raced', 'airport', 'terminal', 'chest', 'vomiting']",validation
audio/Speaker_3/Speaker3-365.wav,one tin like bone dey under my right knee e dey pain well well if i touch am e don reach one year wey i get am before e no dey pain like dat unless i hit am well well but now even small tin go make am pain i play ball before and i hit am i no fit walk for some time wetin dis one fit be,i have a bone like lump below my right kneecap it is extremely painful to touch i have had it for what i believe is over a year previously it would have to have been hit hard to hurt badly but now it is much easier to aggravate several times i played a contact sport and was hit there and i could not walk for a while what could this be,Speaker_3,27.56,"['bone', 'lump', 'below', 'knee', 'played', 'contact', 'sport']",validation
audio/Speaker_3/Speaker3-366.wav,just remember say no be all lump be cancer since say dem see lump you must do more tests like scan and biopsy na after the lab test result come out we go fit know wetin e be exactly make you know say even if e be cancer current medicine dey now wey fit cure cancer,just remember that not all growths are cancerous since a growth is seen further tests including scans and a biopsy are necessary a conclusion of a specific diagnosis can be made only after the histopathology examination report understand that even if cancer is diagnosed the latest treatment modalities are available that can cure cancer as well,Speaker_3,24.33,['growths'],validation
audio/Speaker_3/Speaker3-367.wav,recently dem do surgery to comot one tumor for my ear as the surgery reach two hours my heart come slow down and stop dem shock me six times but i no get heart attack dem tell me after tests say my heart good well well wetin fit cause am because i still get one more surgery to do soon,recently i underwent surgery to have an acoustic neuroma removed about two hours into the surgery my heart slowed and stopped i had to be shocked six times but did not suffer a heart attack i was also advised after much testing that my heart is organically sound what could possibly be the cause as i must revisit the surgery at some point in the near future,Speaker_3,23.82,"['slowed', 'heart']",validation
audio/Speaker_3/Speaker3-368.wav,you need tell me more informaton like if you dey smoke if your chest dey pain you if you dey cough if phlegm dey come or if your chest dey make noise e fit be low blood level or heart or lung wahala e better make you go see doctor make e check your heart and lung well well if e necessary dem go do x ray or echocardiography to see if heart get wahala,you need to provide some more information such as smoking history chest pain cough any sputum production or wheezing possible causes include low hemoglobin levels or heart or lung problems it is advisable to visit a local doctor for a detailed examination of the heart and lungs if necessary a chest x ray or echocardiography may be required to assess for heart problems,Speaker_3,30.51,"['chest', 'doctor', 'ray', 'echocardiography']",validation
audio/Speaker_3/Speaker3-369.wav,dem fix my shoulder on wednesday i dey fine but i don dey hiccup since two days e no come constant but e fit start every one hour e dey last one hour or pass i don try all those home medicine i be 86 years but my health better pass many people i just get small sleep apnea asthma and high blood any advice steve,i had shoulder replacement surgery on wednesday i am doing well but have had hiccups for two days they are not constant but i get them every hour or so they last an hour or more i have tried all the home remedies i am eighty six but i am in better than average health with some sleep apnea asthma and hypertension any suggestions steve,Speaker_3,34.5,"['shoulder', 'replacement', 'surgery', 'hiccups']",validation
audio/Speaker_3/Speaker3-370.wav,if the stone inside your gallbladder no dey pain you you fit leave am but you must comot the fibroid and cyst with surgery before then you fit use painkiller make e come down,if the gallbladder stone is not causing pain it can be left as is however the fibroid and cyst must be removed surgically until then you can use painkillers for relief,Speaker_3,14.91,"['gallbladder', 'removed', 'painkillers']",validation
audio/Speaker_3/Speaker3-371.wav,i want know how i go fit shave my pubic hair i dey fear to use razor and shaving cream because e fit cut my skin i want know which cream i fit use wey go comot the hair for like ten days,i would like to know how to shave men s pubic hair i am scared of using a razor with shaving cream because it may cause cuts on the skin i want to know what kind of advisable cream i can use for pubic hair removal that lasts for at least ten days or so,Speaker_3,19.06,"['shave', 'at', 'least', 'or']",validation
audio/Speaker_3/Speaker3-372.wav,my upper right belle dey pain me sometimes e go dull sometimes e go sharp under my ribs but e near the middle i bin get this pain last month but e come commot after some weeks today i notice say my lower belle dey feel heavy any advice,i have been having dull and sharp pain in my upper right abdomen right under my rib cage but closer to the center i had this pain before last month but after a few weeks it went away i have noticed that today my lower abdomen feels heavy any suggestions,Speaker_3,23.73,"['dull', 'sharp', 'under', 'rib', 'cage', 'abdomen']",validation
audio/Speaker_3/Speaker3-373.wav,hello she get schizophrenia na why she dey hear voice and dey talk anyhow you must carry your mama go psychiatrist hospital for there you go give am trinicalm plus 1 0 1 and if she no gree take you go put risperidone syrup inside water or any drink dat one go control the symptom but she must stay for hospital,hello she has schizophrenia in which she hears voices and mutters you have to admit your mother to a psychiatrist during that period you will give her trinicalm plus one zero one and if she refuses you will give risperidone syrup in water or any liquid food that will control her symptoms but admission is necessary for her,Speaker_3,32.79,['risperidone'],validation
audio/Speaker_3/Speaker3-374.wav,good evening dem recently comot cancer for my right shoulder dem sew the skin inside and outside the scar dey pain and e rise up and e dey sharp me sometimes now i get one lump wey dey pain me for back of my head wey no make me fit sleep e fit be swollen lymph node because of the surgery,good evening i recently had the removal of basal cell carcinoma from my right shoulder i had internal and external sutures the scar is painful and raised and i have stabbing pain intermittently i now have a painful lump at the base of my skull that is making it hard to sleep could this be a swollen lymph node caused by the basal cell removal,Speaker_3,27.28,"['cell', 'carcinoma', 'shoulder', 'scar', 'painful', 'stabbing', 'lump', 'base', 'skull', 'swollen', 'lym']",validation
audio/Speaker_3/Speaker3-375.wav,my daughter get big spleen sake of epstein barr virus her immunoglobulin g na eight she no feel good and she get plenty pain for under her left rib e good make i use hot water bag for the spleen her ct scan wey she do two days ago show say the spleen small bit big she dey take ibuprofen and tramadol for the pain she dey take multivitamin and b 100 too the doctor give am celebrex but she no fit take advil with am and advil dey work pass celebrex you get any oda advice,my daughter has a mildly enlarged spleen due to epstein barr virus her immunoglobulin g was eight she is feeling really bad and is experiencing a lot of pain under her left rib cage is it okay to put a heating pad on an enlarged spleen her computed tomography scan performed two days ago showed mild splenomegaly she is taking ibuprofen and tramadol for the pain she is also taking a multivitamin and b one hundred the doctor prescribed celebrex but she cannot take advil with that and the advil seems to work better than celebrex do you have any other suggestions,Speaker_3,50.22,"['mildly', 'enlarged', 'spleen', 'epstein', 'barr', 'immunoglobulin', 'rib', 'heating', 'pad', 'computed', 'tomography', 'mild', 'sp', 'ibuprofen', 'tramadol', 'multivitamin', 'celebrex', 'advil']",validation
audio/Speaker_3/Speaker3-376.wav,e be like say one small wood enter my skin near my index finger joint e dey pain wen i touch am and now red area don show near am i don soak am for warm water i use neosporin and zinc oxide and i cover am make i no hit am i don get the splinter for two days but the redness just show overnight,i seem to have a splinter next to my index finger s first knuckle it is sore to the touch but now there is a red area next to it i have soaked it in warm water used neocardin and zinc oxide and covered it so i don t hit it i ve had the splinter for two days but the redness just appeared overnight,Speaker_3,28.4,"['splinter', 'index', 'finger', 'covered']",validation
audio/Speaker_3/Speaker3-377.wav,i be 37 years two days ago i start to feel serious belle pain the pain no stop and e dey get worse i no fit stand or move well without sharp pain the pain reach my belle for navel level i no even fit touch my belle without shout my toilet sef dey come well e fit be my gallbladder,i am thirty seven years old two days ago i started having severe abdominal pain the pain has been relentless and keeps getting worse i can hardly stand or move without experiencing sharp pains the pain is across my abdomen at belly button level i cannot even touch my abdomen without wanting to scream i have been having bowel movements just fine could it be my gallbladder,Speaker_3,22.78,"['severe', 'abdominal', 'pains', 'relentless', 'can', 'hardly', 'stand', 'or', 'move', 'abdomen', 'belly', 'bowel', 'movements', 'gallbladder']",validation
audio/Speaker_3/Speaker3-378.wav,hello doctor belle and back pain don dey worry me for some months now i do scan and doctor tell me say i get adenomyosis please make you tell me if homeopahy medicine fit cure am finish i marry and i get two year old pikin wey i born through c section abeg help me,hello doctor i have been suffering from severe abdominal and back pain for the past few months i underwent a scan and the doctor said that i am suffering from adenomyosis please let me know whether there is any complete homeopathy treatment i am married and have a two year old son whom i delivered via cesarean section please help,Speaker_3,27.52,"['severe', 'abdominal', 'adenomyosis', 'homeopathy', 'delivered', 'cesarean']",validation
audio/Speaker_3/Speaker3-379.wav,hello i want check her throat for tonsil and do some basic blood tests e fit help i hope you gree,hello there i would like to check her throat for tonsils and perform some basic blood tests on her this might help i hope you agree,Speaker_3,11.08,"['throat', 'blood', 'tests']",validation
audio/Speaker_3/Speaker3-380.wav,i be 37 year old woman i don dey recover from bronchitis but now i dey feel worse for another way i dey cough my heart dey beat fast like e wan commot i dey feel dizzy i wan vomit and i just no feel fine i weak and i no fit do much work before i tire my hemoglobin level small bit high any idea wetin be this,i am a thirty seven year old female i am getting over bronchitis however i am feeling worse in a new way i am coughing have a fast heart rate that feels like it is pounding feel dizzy have nausea and just generally do not feel good i am weak and cannot do much without tiring my hemoglobin levels were elevated somewhat any clue,Speaker_3,29.51,"['bronchitis', 'heart', 'rate', 'weak', 'hemoglobin', 'elevated']",validation
audio/Speaker_3/Speaker3-381.wav,fever fit mean say infection dey somewhere for body e be one important way wey body take fight germs people wey get sugar diabetes dey easily get infection because their body no dey strong fight well e important make person wey get sugar go hospital sharp sharp if dem get fever because serious sickness fit make sugar wahala worse make you go do septic test make we know wetin cause am sometimes high sugar level fit cause am too,fever is often a sign of infection somewhere in the body it is an important immune system function that sometimes serves to kill the invading organism people with diabetes are prone to several types of infections due to poor immunity it is important for a person with diabetes to seek treatment for infection or a chronic fever of unknown origin as an acute illness can make diabetes more difficult to manage get your septic workup done to rule out the cause such deranged sugar levels are also one of the causes,Speaker_3,38.43,"['diabetes', 'several', 'types', 'infections', 'deranged', 'levels']",validation
audio/Speaker_3/Speaker3-382.wav,hi i get three stone for kidney one for right two for left recently i dey get plenty pain and dem give me tramacet for the pain you fit tell me different ways wey i fit take comot dem since say dem still dey inside my kidney,hi i have three kidney stones one in my right kidney and two in my left recently i have been experiencing a lot of pain and i have been given tramacet for the pain can you please tell me what the different ways are to get rid of them considering the fact that they are still in my kidney,Speaker_3,21.78,['kidney'],validation
audio/Speaker_3/Speaker3-383.wav,if nose dey bleed e fit be epistaxis sake of say plenty blood vein dey the front of nose e dey easily bleed if you keep dey put hand inside nose e fit cause bleeding if the blood no plenty no worry just make she sidon lean forward and put ice for the place and press am gently while she dey breathe through her mouth the blood go stop small time,bleeding from the nose could be due to epistaxis just because the blood supply around the anterior part of the nose is abundant it is more prone to bleeds repeated pricking of the same area could also cause bleeding a small amount of blood in streaks is not worrisome just have her sit up leaning forward and apply an ice pack with gentle pressure on the bleeding area while breathing through her mouth the bleeding will stop in a few minutes,Speaker_3,28.4,"['bleeding', 'nose']",validation
audio/Speaker_3/Speaker3-384.wav,the best tin to do na to continue with the anti inflammatory medicine and rest for one week then you start to stretch your calf good luck,the best course is to stay on the anti inflammatory medication and rest for one week then start stretching your calf good luck,Speaker_3,10.5,"['inflammatory', 'medication']",validation
audio/Speaker_3/Speaker3-385.wav,sometimes e fit just be your rib for that area wey get pain wey dey cause the pain here and there bone pain dey pain well well and e dey take time commot if you no feel better the best tin to do na to do ct scan for chest and belle to see if something bad dey,sometimes it can just be a tender rib in that area that can cause these kinds of pains on and off bone pains are sometimes unusually tender and take a longer time to go away if you are not better then the best course of action will be to do a computed tomography scan of the chest and the abdomen to rule out any pathology,Speaker_3,25.12,"['sometimes', 'tender', 'rib', 'bone', 'pains', 'computed', 'tomography', 'chest', 'abdomen']",validation
audio/Speaker_3/Speaker3-386.wav,dear patient we must check that back pain after you fall to know wetin be the problem e fit be muscle spasm small bone fracture or disc problem you need x ray for your back you need mri too because x ray only dey show bone but mri dey show disc and nerve abeg go radiology center make you do am if the result show say everything okay e fit be muscle spasm rest for three days start to take diclofenac and thiocolchicoside two times a day and one ultracet for night for seven days you go fine for one week if the result no good you need go see expert spine surgeon,dear patient back pain after a fall must be investigated first to confirm the diagnosis which can be a muscle spasm minor fracture or even disc prolapse an x ray of the involved spinal region in anteroposterior and lateral views is necessary an mri of the involved spinal region is also required as an x ray provides information on bones only whereas an mri gives detailed information about discs and nerves please visit a nearby radiology center to get this done if both reports are normal it is likely a muscle spasm take rest for at least three days start taking the combination of diclofenac and thiocolchicoside twice a day along with one tablet of ultracet at bedtime for seven days you will be fine in a week if the reports are abnormal you need to consult an expert spine surgeon,Speaker_3,55.89,"['muscle', 'spinal', 'mri', 'expert', 'radiology', 'center', 'diagnosis', 'tablet', 'ultracet']",validation
audio/Speaker_3/Speaker3-387.wav,good evening sir i be teenager and i dey forget tin well well most time i no dey know where i keep my things or if person ask me something or if i even do something wen i be pikin my memory sharp but now e dey get worse every day abeg tell me wetin i fit do,good evening sir i am a teenager and i am suffering from memory loss most of the time i forget where i put my things or if someone even asked me something or even if i did something when i was a child my memory was very sharp but now it is getting worse day by day please tell me a good solution for this,Speaker_3,24.06,[],validation
audio/Speaker_3/Speaker3-388.wav,my mama don get kidney problem for two months now now the level don commot and she don stop dialysis for one month but her blood level dey go down every day she get serious tiredness wey make she no fit even sidon and she always dey sleep,my mother has been suffering from crescentic rapidly progressive glomerulonephritis for the last two months now the crescentic levels are under control and dialysis has been stopped for one month but her hemoglobin is decreasing day by day she is experiencing so much tiredness that she cannot sit and is always sleeping,Speaker_3,22.57,"['mother', 'crescentic', 'rapidly', 'progressive', 'glomerulonephritis', 'dialysis', 'hemoglobin', 'decreasing', 'tiredness', 'sit']",validation
audio/Speaker_3/Speaker3-389.wav,hello i don read your question and i understand why you dey worry for dis matter the doctor fit give am painkiller for six weeks if the pain no commot she fit need surgery but if she don get other nerve problem she must do surgery sharp sharp so dat wahala no go too much i hope dis one help no fear to use the medical help center again,hello i have reviewed your question and understand your concern in this case the neurosurgeon might opt for painkillers for six weeks if she does not recover from the pain she might need surgery however if there is already a neurologic deficit she must have surgery as soon as possible to prevent further complications hope this helps please feel free to use the medical help center again,Speaker_3,27.24,['surgery'],validation
audio/Speaker_3/Speaker3-390.wav,my daughter test show say her liver enzyme high four months ago and dem test am for hepatitis a b c and wilson disease and other things everything come out negative we test the liver again and the level don double for four months we get appointment with specialist wey do ultrasound for her four months ago and e talk say her liver fine wetin i suppose do or wetin dis one fit be,my daughter tested with high liver enzymes four months ago and then was tested for causes such as hepatitis a b and c and wilson s disease among others all results were negative we retested her blood for liver enzymes and they have doubled in four months we have an appointment again with a specialist who conducted an ultrasound four months ago which showed her liver looking fine what should i be doing or what could this be,Speaker_3,34.95,"['liver', 'appointment', 'ultrasound']",validation
audio/Speaker_3/Speaker3-391.wav,one sharp pain dey shoot from my left testicle go my lower left belle the pain last only seconds and e just dey uncomfortable pass say e dey pain like madness e start dis afternoon and e dey happen randomly through the day,i have a sort of sharp pain that i feel is shooting up from my left testicle to my left lower abdomen the pain lasts for only seconds and i would describe it as uncomfortable rather than extremely painful it started this afternoon and has been happening randomly throughout the day,Speaker_3,22.62,"['sharp', 'testicle', 'painful']",validation
audio/Speaker_3/Speaker3-392.wav,hello sir good evening dis past few days i notice say small small cracks don dey form around my foreskin e dey pain well well to pull the foreskin back my wife and i get miscarriage and we no sleep together for four months last week we start again and na after that dis tin happen,hello sir good evening in the last few days i have noticed that my foreskin has formed small cracks almost all around it it pains a lot to retract the foreskin my wife and i had a miscarriage and we did not have intercourse for about four months last week we started trying again and after that this has happened,Speaker_3,24.45,"['pains', 'wife']",validation
audio/Speaker_3/Speaker3-393.wav,yesterday i feel dizzy and i come cold anyhow for work my legs come dey weak and i get headache i feel like i wan vomit or faint i go house sleep for hours and i sweat well well today i still get headache and i weak but the leg pain don comot wetin dey happen to my body,yesterday i felt dizzy and very cold all of a sudden at work i had jelly legs and a headache i felt like i would throw up or faint i went home and slept for hours and i sweated a lot i still have a headache and feel weak today but the pain in my legs is gone what is going on with my body,Speaker_3,24.29,"['dizzy', 'headache', 'throw', 'up', 'home', 'slept', 'weak', 'legs']",validation
audio/Speaker_3/Speaker3-394.wav,hi i don get belle for 28 weeks and i just do blood test i call my doctor for result everything fine but the anti nuclear antibodies high i go see the doctor next friday and the nurse talk say doctor go know wetin to do if e worry i dey worry small because i hear say e fit mean say i get autoimmune disease or cancer you fit help me,hi i am currently twenty eight weeks pregnant and have just had some blood tests done i called my obstetrician for the results and all were normal but the anti nuclear antibodies were high i have my next appointment with the obstetrician next friday and the nurse said that he would take action if he was concerned i am a little worried as i have heard it can mean you have an autoimmune disease or a type of cancer among other issues are you able to help,Speaker_3,34.39,"['blood', 'tests', 'anti', 'nuclear', 'antibodies', 'appointment', 'obstetrician', 'autoimmune', 'disease']",validation
audio/Speaker_3/Speaker3-395.wav,hi na ganesh sometimes if i stand up sharp sharp i dey feel pulse for my head i go feel like three to four beats then e go commot i dey feel dizzy too my papa get low blood pressure so e fit be say na from am i carry am come,hi it s ganesh sometimes if i stand up suddenly i feel a pulse inside my head i can feel three to four pulses and then it s gone i feel lightheaded too my father has hypotension so is it possible that hypotension has been genetically transferred to me,Speaker_3,22.99,"['lightheaded', 'hypotension']",validation
audio/Speaker_3/Speaker3-396.wav,my 11 year old son fall for school today and e get big bump and bruise for top his right eye e swell well well he no fit open his eye full i think say no be big tin but he get one small lump wey dey pain for the back of his neck wey i dey worry about e fit get connection with how he fall he talk say the lump dey pain when person touch am,my eleven year old son fell at school today and has a large bump and bruise above his right eye it is quite swollen he cannot open his eye all the way i assume this is not a big deal however he has a painful small lump on the back of his neck which i am worried about could this be related to the head injury he says the lump is tender to the touch,Speaker_3,30.0,"['large', 'bump', 'bruise', 'eye', 'painful', 'small', 'lump']",validation
audio/Speaker_3/Speaker3-397.wav,she do chemotherapy if she no do she fit use chemotherapy shrink the tumor if she do surgery first before chemo e go help well no make her travel make she try chemo first if e work she fit travel,did she receive chemotherapy if not she can be downstaged using chemotherapy a debulking surgery prior to chemotherapy can help achieve a better response traveling is not advised try chemotherapy and if a response is achieved she can travel,Speaker_3,17.46,"['chemotherapy', 'debulking']",validation
audio/Speaker_3/Speaker3-398.wav,my pikin wey be one year and eight months dey get fever he show sign say he wan faint yesterday and his temperature na 100 3 fahrenheit or 37 94 celsius before he respond well to cambiflam but even now wey we give am higher dose of paracetamol he no dey recover quick blood test show say no infection dem give am drip and admit am for hospital please tell me wetin we suppose do to treat am,my son who is one year and eight months old is suffering from a fever he showed fainting like symptoms yesterday and his temperature was one hundred point three degrees fahrenheit or thirty seven point nine four degrees celsius earlier he was responding well to recovery with cambiflam but even after being treated with a higher dose of paracetamol he shows very slow improvements blood tests show no infection and are good he has been given saline and admitted to the hospital please suggest what approach should be taken to treat him,Speaker_3,39.22,"['fainting', 'symptoms', 'temperature', 'point', 'degrees', 'fahrenheit', 'cels', 'recovery', 'cambiflam', 'blood', 'tests', 'infection', 'saline', 'admitted']",validation
audio/Speaker_3/Speaker3-399.wav,hello my six month old pikin poop today but my partner and i see black spots for the poop dem be like two millimeters long and plenty of dem dey she don start chop rice cereal and i make she taste apple carrot and banana too anything dey wey i suppose worry about,hello my six month old baby had her daily stool today but my partner and i noticed these black spots in the stool they were maybe two millimeters long and there were many of them in a consistent pattern she has started eating rice cereal and i also let her taste apple carrot and banana is there anything to be worried about,Speaker_3,23.89,"['baby', 'daily', 'partner', 'black']",validation
audio/Speaker_3/Speaker3-400.wav,my daughter get three and half years and e don dey feel like vomit and get small fever since three days now de vomiting stop wen i give am five milliliters of ondem syrup two days ago but yesterday she vomit one time and e still dey feel like vomit again make i dey use ondem syrup only wen she feel like vomit wetin be the dosage,my daughter is three point five years old and has been experiencing nausea and a low grade fever for the past three days the vomiting subsided with a dose of five milliliters of ondem syrup given two days ago but yesterday she vomited once and has nausea again should i use ondem syrup only for nausea what should be the dosage,Speaker_3,28.12,"['nausea', 'fever', 'past', 'vomiting', 'milliliters', 'ondem']",validation
audio/Speaker_3/Speaker3-401.wav,hello wen you see something wey be like dat e good make you go see doctor especially skin doctor dermatologist e fit be dermatitis sake of small insects mites for your room bed or anytin like dat because na only for night you dey suffer am,hello when there is such an odd finding it is always good to see a doctor and preferably a dermatologist this can be dermatitis due to mites in your room bed or similar as you are suffering only at night,Speaker_3,20.67,['mites'],validation
audio/Speaker_3/Speaker3-402.wav,hello doctor i recently go check for hepatitis b i do am because i get unprotected sex with one person about three months ago i never test before the result come out positive i don do more tests to know if the sickness don stay long or if na just now e start,hello doctor i recently went for a checkup for hepatitis b i did this because i had unprotected sexual intercourse with someone about three months ago i have never had any tests before the results came back positive i have undergone further tests to determine if the infection is chronic or acute,Speaker_3,25.33,"['hepatitis', 'unprotected', 'infection']",validation
audio/Speaker_3/Speaker3-403.wav,hello de signs wey person wey dey depressed dey show na you don show almost all de signs of depression depression na de main problem for you you need to focus more on make your mood and concentration improve wit de help of medicine antidepressant drugs dey very effective for dis kind signs and patients fit start to feel better within two weeks after dey start de correct dose of de medicine if join top all dis signs you still dey hear voice wey oda people no dey hear dey see tin wey oda people no dey see and you dey feel too suspicious den e fit be say na depression wit signs of schizophrenia you need treatment sharp sharp before de brain damage become too serious for now abeg do dis tins,hello the symptoms that are commonly present in a depressed patient are as follows you are experiencing almost all the symptoms of depression depression is the main issue for you you need to focus more on improving your mood and concentration with the help of medication antidepressants are very effective for such symptoms and patients typically show improvement within a period of two weeks after starting the adequate dose of prescribed medication if in addition to these symptoms you are experiencing additional symptoms such as hearing voices that others cannot hear seeing objects that are not visible to others and feeling disproportionately suspicious then there is a possibility of depression with psychotic features of schizophrenia you need immediate treatment before irreparable damage occurs to the brain at this stage please do the following,Speaker_3,60.86,"['depression', 'mood', 'antidepressants', 'improvement', 'treatment', 'damage']",validation
audio/Speaker_3/Speaker3-404.wav,hi yesterday i get unprotected sex wit my girlfriend and she take unwanted 72 within five hours dat night blood start to come but today no blood again e get chance make she pregnant she sef dey manage polycystic ovary syndrome abeg advise me,hi yesterday i had unprotected sex with my girlfriend and she took unwanted seventy two within five hours that night bleeding started but today there is no bleeding at all are there any chances of getting pregnant she is also dealing with polycystic ovary syndrome please advise,Speaker_3,24.89,"['girlfriend', 'unwanted', 'bleeding', 'polycystic']",validation
audio/Speaker_3/Speaker3-405.wav,hello you fit go test for atopy e get one test wey dem dey call phadiatop you fit do am for srl laboratory if e come out positive we go fit guide you wella,hello you can get yourself tested for atopy there is a test called phadiatop you can get it done at srl laboratory if it is positive then we can guide you further,Speaker_3,15.46,[],validation
audio/Speaker_3/Speaker3-406.wav,abeg go see specialist for her condition make dem check her well small advice on how to dey do exercise every day under physical therapist go surely help especially since she go already dey see specialist for her liver breathin and fibromyalgia problem,please meet with a specialist for her conditions and have her assessed a little advice on incorporating daily exercise under the guidance of a physical therapist will surely help especially since she will already be consulting the specialist for her liver breathing and fibromyalgia issues,Speaker_3,20.11,"['meet', 'daily']",validation
audio/Speaker_3/Speaker3-407.wav,to keep your mind calm or free from stress alone fit help make blood pressure dey normal check if you get indigestion problem doing yoga pranayama and meditation dey help keep body and mind free from sickness to chop correct food sef dey necessary to control blood pressure if you get any doubt you fit write me,keeping the mind calm or stress free alone can help keep blood pressure normal check whether you have an indigestion problem practicing yoga pranayama and meditation helps to keep the body and mind free from diseases eating a proper diet is also necessary for controlling blood pressure if you have any doubt you can write,Speaker_3,24.01,"['mind', 'diet']",validation
audio/Speaker_3/Speaker3-408.wav,hello doctor i be vijaylaxmi i be twenty nine years old dis na my second year for marriage we still no get pikin my weight na seventy kilograms and i be five feet four inches i go see doctor and dem find out say i no get any problem my monthlies dey flow well i dey ovulate every month but i no still carry belle de doctors don scan my womb for three months now to check if i dey ovulate or not my ovaries form well for dis fourth month of my medication de doctors tell me make i go do sonohysterography i go do am and de report show say everytin normal abeg tell me wetin i fit do,hello doctor i am vijaylaxmi twenty nine years old this is my second year of married life we still do not have a baby my weight is seventy kilograms and i am five feet four inches in height i went to the doctor and they found that i do not have any problem i do not have any issues with my menstruation i am ovulating monthly but i have not conceived yet the doctors have scanned my uterus for the past three months regularly to check whether i ovulate or not the formation of my ovaries has no problems in this fourth month of my medication the doctors asked me to go for sonohysterography i went for it and the report is normal please suggest me what i should do,Speaker_3,52.83,"['doctor', 'feet', 'inches', 'but', 'past', 'fourth', 'sonohysterography']",validation
audio/Speaker_3/Speaker3-409.wav,dear patient e be like say you get disc prolapse sake of heavy weight wey you lift wey dey press your nerve and cause back pain you need to go do mri of your lumbosacral spine and check your whole spine to be sure of de sickness avoid to dey lift heavy tin sharp sharp take diclofenac and thiocolchicoside mix two times a day for body pain go see expert spine surgeon wit de report,dear patient it seems you have a disc prolapse due to weight lifting which leads to nerve compression and back pain you need to undergo an mri of the lumbosacral spine with screening of the entire spine to confirm the diagnosis avoid lifting heavy weights suddenly take the combination of diclofenac and thiocolchicoside twice a day for pain relief visit an expert spine surgeon with the report,Speaker_3,36.99,"['nerve', 'mri', 'lumbosacral', 'spine', 'screening', 'thiocolchicoside', 'twice']",validation
audio/Speaker_3/Speaker3-410.wav,i take one injection epidural two weeks ago and e no work i dey wonder if i should go for de second one i get spinal stenosis for my lumbar spine before dat i take dexamethasone mouth and e no do anytin for de pain i do x ray recently and e show say i get one slipped vertebra,i had an epidural injection two weeks ago and it did not work i was wondering if i should go for the second injection i have spinal stenosis in the lumbar spine before that i had taken dexamethasone orally and that did nothing for the pain i had an x ray recently and it showed i have a slipped vertebra,Speaker_3,25.17,"['ural', 'injection', 'dexamethasone', 'ray']",validation
audio/Speaker_3/Speaker3-411.wav,hello yes i fit say dis beating of heart wey dey come wit feeling like you wan faint dey likely show say e get serious heart rhythm problem arrhythmia you lucky say for thirty years you no ever faint but risk dey say dis kind heart problem fit kill i go advise make you go see cardiologist you fit need to do electrocardiogram and echocardiogram again and you fit need holter monitoring for twenty four hours at the end you fit need medicine or pacemaker depending on how serious de heart problem be i suspect say na supraventricular tachycardia or ventricular tachycardia runs,hello yes i would say palpitations accompanied by light headedness likely indicate some serious type of arrhythmia you are fortunate that in thirty years you have not passed out but there is a risk that this type of arrhythmia can be fatal i would suggest visiting a cardiologist a repeat electrocardiogram and echocardiogram may be necessary and you might need holter monitoring for twenty four hours ultimately you might require medication or a pacemaker depending on the severity and type of arrhythmias i suspect it to be supraventricular tachycardia or ventricular tachycardia runs,Speaker_3,52.5,"['palpitations', 'light', 'headedness', 'serious', 'electrocardiogram', 'echocardiogram', 'medication', 'supraventricular']",validation
audio/Speaker_3/Speaker3-412.wav,i be thirty nine year old woman i dey healthy my weight dey normal and i dey exercise well for six weeks now i dey feel pain for my right upper belle sometimes but for de last week de pain no dey stop i just do ultrasound and dem find one polyp for my gallbladder de doctor no tell me how big de polyp be but i dey worry i wan collect copy of my report next week because internet talk say size dey important to know de treatment because my polyp dey give me pain dem go wan commot am i also dey worry say e fit be somethin serious,i am a thirty nine year old female generally healthy within a healthy weight range and i exercise regularly i have been experiencing right upper abdominal pain intermittently for the past six weeks however in the last week it has been constant i just had an ultrasound and a polyp was found in my gallbladder the doctor has not told me how large the polyp is but i am worried about it i aim to get a copy of my report next week as the internet indicates that size is important in determining treatment because my polyp is causing symptoms will they want to take it out i am also worried that it could be something sinister,Speaker_3,43.93,"['exercise', 'abdominal', 'intermittent', 'ultrasound', 'polyp', 'gallbladder']",validation
audio/Speaker_3/Speaker3-413.wav,hi i carry twin pregnancy i no even know one dey inside my fallopian tube long story short doctors open me to commot excess blood for my belle wey dem tink say na ruptured cyst while dem dey inside dem see say one pikin dey inside my tube and dem commot am because e big pass normal size as dem commot de blood doctors see say my bowel no too good i never go toilet for six weeks by dat time my worry be wetin fit happen later or wetin be de signs wey go remain my oda pikin sef die i find out for checkup and i do dilation and curettage about two months ago,hi i was pregnant with twins unbeknownst to myself one was in my fallopian tube long story short shorts story doctors went in to remove an excess of blood in my stomach which was thought to be a ruptured cyst while in there they noticed one baby was in my tube and they removed it because it was twice the normal size upon removing the blood the doctors also noticed my bowels were in bad shape i hadn t gone for about six weeks by then my concern is what complications can arise or what will be some lingering symptoms my other baby passed as well i found out on a checkup and had a dilation and curettage about two months ago,Speaker_3,46.37,"['removed', 'bowels', 'other', 'checkup']",validation
audio/Speaker_3/Speaker3-414.wav,hello yes ultrasound fit diagnose many sickness e depend on de probe wey dem use e must be high frequency probe den e fit see almost any lesion abeg go do de ultrasound and check de result since dat bruise don dey for months you need ultrasound wit color doppler to see if na hemangioma again high frequency probe dey needed to know wetin e be,hello yes the ultrasound can diagnose many conditions it depends on the probe being used it has to be a high frequency probe and then it can identify almost any lesion please get the ultrasound done and check the results since there has been a bruise for months you need an ultrasound with color doppler functionality to see if this is a hemangioma again a high frequency probe is needed to diagnose what it is,Speaker_3,32.62,"['ultrasound', 'color', 'doppler', 'functionality', 'high', 'frequency', 'probe']",validation
audio/Speaker_3/Speaker3-415.wav,hello i read your worry waist pain plenty time dey come from muscle spasm wey fit be sake of how you dey sit heavy work or injury however since muscle relaxants no dey work for you e fit be somethin else like slipped disc osteoarthritis scoliosis kidney stones or oda tins if na me be your doctor i go suggest simple x ray for your waist to check if na your spine get de problem i hope say you go soon fine have a nice day,hello i read your concerns lower back pain is commonly caused by muscle spasms which could be due to posture heavy activity or trauma however since muscle relaxants do not work for you it could be something else such as a slipped disc osteoarthritis scoliosis kidney stones or other causes if i were your treating physician i would suggest a simple x ray of your lower back to rule out spinal causes i hope you get well soon have a nice day,Speaker_3,39.1,"['muscle', 'relaxants', 'ray']",validation
audio/Speaker_3/Speaker3-416.wav,hi my period don pass time i miss my first pill for de placebo week so i take two de next day my period never come na only dark wetin dey come out i get sex wit my husband some weeks ago if you no take birth control well e fit affect your period,hi my period is late i missed my first pill of the placebo week so i took two the next day my period hasn t necessarily come it s just a dark discharge i did have sexual intercourse with my husband a few weeks ago does irregular birth control intake affect my period,Speaker_3,22.73,['irregular'],validation
audio/Speaker_3/Speaker3-417.wav,i tink say i get belle and i need to know how far i don go if i truly get my last period start on june 24 i sure pass i take belle on july 10 i see my period but e short and e no too heavy e start on july 22 and e stop for morning of july 25,i think i am pregnant and i need to know how far along i would be if i am my last period started on june 24th i am pretty sure i conceived on july 10th i had my period but it was short and not that heavy it started on july 22nd and ended the morning of july 25th,Speaker_3,26.22,"['july', 'nd']",validation
audio/Speaker_3/Speaker3-418.wav,hello dis na my opinion for your question if you no get beta thalassemia minor den no need to worry your pikin wey go born fit get thalassemia minor but no need to worry about dat trait thalassemia major na de dangerous one wey fit cut person life short however since your report dey normal and based on your history no chance say your future pikin go get thalassemia major,hello following is my opinion regarding your question if you do not have beta thalassemia minor then there is no need to worry your future child can have thalassemia minor but there is no need to worry about the trait of thalassemia minor thalassemia major is the dangerous condition in which lifespan is reduced however as your report is normal and based on your history there is no chance of thalassemia major in your future child,Speaker_3,30.6,['thalassemia'],validation
audio/Speaker_3/Speaker3-419.wav,hello no be say weight loss dey cause brain problem cognitive problem dey come from attention deficit hyperactivity disorder signs you should start treatment for dat one,hello no weight loss can cause cognitive problems cognitive problems are either due to attention deficit hyperactivity disorder symptoms you should start treatment for the same,Speaker_3,13.63,"['weight', 'loss', 'cognitive', 'attention']",validation
audio/Speaker_3/Speaker3-420.wav,you dey feel signs during daytime while you dey do anytin or if you dey do strong work and you no dey feel any sign den e fit be say you get anxiety disorder,are you experiencing symptoms during the daytime while engaging in any activities or if you are doing exertional work without developing any symptoms then you may be suffering from an anxiety disorder,Speaker_3,12.07,"['symptoms', 'exertional', 'work']",validation
audio/Speaker_3/Speaker3-421.wav,hi make we pause small and think before you start de journey to become extravert de question here na why you even wan be extravert why you wan be extravert for first place normally we dey feel say to be extravert mean to be happy however e important to know say you fit be happy even if you be introvert second matter fit be sake of say you wan make people like you how you dey feel say you must get permission from people before you go be happy i go advise make you go see psychotherapist make you discuss dis tins because dem fit help you find who you really be main tin be make you be who you be and make you happy wit am all de best,hi let s pause for a moment and reflect before you embark on the path to being an extravert the question here is about your motivation to become an extravert why do you want to be an extravert in the first place usually we tend to equate being an extravert with being happy however it is important to understand that it is possible for you to be happy even if you are an introvert a second issue might be related to seeking approval how you believe you absolutely need others approval in order to be happy i would suggest that you meet with a trained psychotherapist and discuss these issues as they could help you in your process of self discovery a major aim would be to be who you are and to be happy being so all the best,Speaker_3,54.1,[],validation
audio/Speaker_3/Speaker3-422.wav,hi dem fit only know de way dem take do tubectomy after dem open you for cs or trough laparoscopy if you don tie your tube you no fit get belle naturally if you try chance dey for ectopic pregnancy you fit go for ivf to get anoda pikin how pregnancy take dey for ivf and natural pregnancy na de same if you wan born if na normal delivery you no need pass trough de tube if na cs dem go fit see say you don do surgery before,hi the method of tubectomy can be identified only after opening during a cesarean section or through laparoscopy if tubal ligation is done you cannot conceive naturally if you try there is a chance of ectopic pregnancy you can go for in vitro fertilization for another baby the course of the pregnancy through in vitro fertilization and natural pregnancy will be the same in case of delivery if it is a normal delivery you do not have to go through the tubes if going for a cesarean section you can identify that it was a previous surgery,Speaker_3,44.09,"['cesarean', 'section', 'ligation', 'vitro', 'fe', 'fertilization', 'naturally']",validation
audio/Speaker_3/Speaker3-423.wav,i don dey get breathlessness for some days now e dey feel like my throat dey close and i no fit catch my breath but i fit breathe in and out well however i get burning sensation for my throat and my belle dey bloated i dey suffer from hay fever i feel small pain near my chest as i feel like i dey gasp for air but i still fit breathe dat sound strange,i have experienced shortness of breath for the past few days it feels like my throat is closing and i can t catch my breath but i can breathe in and out clearly however i have a burning sensation in my throat and a bloated stomach i suffer from hay fever i feel a little pain near my chest as i feel like i am gasping for air but i can still breathe does that sound weird,Speaker_3,26.82,"['shortness', 'breath', 'throat', 'burning', 'sensation', 'chest']",validation
audio/Speaker_3/Speaker3-424.wav,dis too short to give advice if somebody tell you to see eye doctor while dem dey check you for glasses de worry fit be because of diabetes de lens of your eye or some tin about blood vessel disease apart from de lens you should see eye doctor sharp sharp for your blood pressure higher side of wetin write your blood pressure two times every day write am down and carry two weeks record go show your doctor,this is a little too brief to offer counsel if someone advised seeing an eye doctor while you were being fitted for glasses the concern may be related to diabetes the lens of the eye or some observation of blood vessel disease except for the lens you should see the eye doctor soon with respect to your blood pressure higher side of what record your blood pressure twice daily write it down and bring a two week record to your doctor for review,Speaker_3,32.79,['pressure'],validation
audio/Speaker_3/Speaker3-425.wav,i get question about my pregnancy test i do three pregnancy test all na e p t brand two come from de same box from one store and one come from different store all three test show almost de same result i no get straight line but i see small dots for where de positive line suppose dey one test show plenty dots above de horizontal line and some below de oda two only get dots above de horizontal line you get any advice,i have a question about my pregnancy test i have taken three pregnancy tests all from the e p t brand two were from the same box from one store and one was from a different store all three tests showed almost the exact same result i don t have a solid line but a series of scattered dots where a positive line would be one test showed a lot of dots above the horizontal line and a few below it the other two only had dots above the horizontal line do you have any suggestions,Speaker_3,38.71,[],validation
audio/Speaker_3/Speaker3-426.wav,my mama dey hospital for medical college hospital for kolkata she get problem wit her kidney and liver de doctors only dey check her and dem never start any medicine she dey vomit plenty and she get serious pain for her belle abeg advise me because i dey worry wella thanks rehan ahmed dubai,my mother is admitted to medical college hospital in kolkata she has a problem with her kidneys and liver the doctors are only examining her and have not yet started any medications she vomits frequently and has tremendous pain in her stomach please advise as i am very worried about her thanks rehan ahmed dubai,Speaker_3,25.96,"['admitted', 'medical', 'college', 'hospital', 'kidneys', 'vomits', 'tremendous']",validation
audio/Speaker_3/Speaker3-427.wav,i carry belle and confusion dey about who be de father i sleep wit boy a and i no use condom i no know if he comot sperm i sleep wit am again some hours later and we no start wit condom he den put condom and finish small time after about 66 hours later i sleep wit boy b we start sex witout condom e no reach long time he den put condom and finish 15 hours after i start part one of two emergency contraceptive pills i no sure when i ovulate and my last menstrual period na ultrasound determine am who pikin i most likely carry boy a or boy b,i am pregnant and there is some confusion over who the father could actually be i slept with boy a and did not use a condom he did not ejaculate to my knowledge i slept with him again a few hours later and did not start with a condom he then put a condom on and ejaculated shortly after roughly sixty six hours later i slept with boy b we started sex without a condom it was very brief he then put on a condom and ejaculated fifteen hours after i started part one of two emergency contraceptive pills i am not sure when i ovulated and my last menstrual period was determined by an ultrasound whose baby am i most likely to be pregnant with boy a or boy b,Speaker_3,49.27,"['slept', 'later', 'sixty', 'after', 'emergency']",validation
audio/Speaker_3/Speaker3-428.wav,hello doctor i go snowboarding two days ago my shoulder pain dey increase my chiropractor give me paper to go do x ray i get my x ray but nobody fit read am until next week anybody fit read am for me and tell me if i need to go emergency or if e fit wait,hello doctor i went snowboarding two days ago my shoulder hurts more and more my chiropractor gave me a prescription for an x ray i have my x ray but nobody can read it before next week can someone read it for me and tell me if i need to go to the emergency hospital or if it can wait,Speaker_3,27.93,"['went', 'snowboarding', 'shoulder', 'hurts', 'hospital']",validation
audio/Speaker_3/Speaker3-429.wav,hi welcome to clinic some painkillers no dey safe to take immediately after embryo transfer if you fit avoid taking painkillers e go better if you no fit you fit take antispasmodics like dicyclomine for pain relief i wish you good health,hi welcome to the clinic some painkillers are not safe to take immediately after embryo transfer if you can avoid using painkillers it would be better if you cannot you can take antispasmodics like dicyclomine for pain relief wishing you good health,Speaker_3,21.85,"['painkillers', 'antispasmodics', 'dicyclomine']",validation
audio/Speaker_3/Speaker3-430.wav,welcome to healthcare management your doctor give you ovaset for proper ovulation and make follicle form well you need to plan your pregnancy under how your gynecologist tell you and trough ultrasound ovulation study wetin about semen analysis you need to engage in active sex after de follicle burst for two to three days oda hormonal treatment sef dey necessary to maintain correct endometrial condition and help pregnancy make you dey follow your doctor oda new management ways sef dey now abeg ask your doctor,welcome to healthcare management your doctor prescribed ovaset for proper ovulation and follicle formation you need to plan your pregnancy under the guidance of an ultrasound ovulation study and your gynecologist what about semen analysis you need to perform active successful intercourse after the rupture of the follicle for two to three days other hormonal treatments are also required to maintain a proper endometrial condition and support pregnancy keep in touch with your doctor other recent management options are also available now please ask your doctor,Speaker_3,44.61,"['ovaset', 'ultrasound', 'rupture', 'proper']",validation
audio/Speaker_3/Speaker3-431.wav,some kine shooting pain dey for your hand wey show say nerve compression dey for your neck shoulder elbow or wrist so abeg go do nerve conduction studies if na only your shoulder dey pain you sake of de shock hot water go work however since you sef dey feel tingling to be sure say no be your spine get de problem abeg go do mri of your spine so we go know wetin be de final tin,there is some kind of shooting pain in your upper limb suggesting nerve compression at the neck shoulder elbow or wrist therefore kindly get nerve conduction studies done if only your shoulder is hurting due to the shock then hot water fomentation will work however since tingling is also present to rule out spine involvement kindly get an mri of the spine done so that we can come to a conclusion,Speaker_3,31.11,"['shooting', 'limb', 'compression', 'shoulder', 'wrist', 'hurting', 'tingling', 'spine', 'mri']",validation
audio/Speaker_3/Speaker3-432.wav,hello i sorry for wetin happen to your daughter pain on one side of body for long time need neurological check about de swelling e dey pain or no if na swelling wey no dey pain e need biopsy to rule out tumor i hope you get your answer have a good day,hello i am sorry to hear about your daughter pain on one side of the body over a long time requires a neurological evaluation regarding the swelling is it painful or not if it is a painless swelling it needs a biopsy to rule out any tumor i hope you got your answer have a good day,Speaker_3,24.45,"['painful', 'body', 'long', 'time']",validation
audio/Speaker_3/Speaker3-433.wav,good evening about two days ago my dog dey tied outside wen i go carry her inside she see bird and she run e make her spike comot from ground come hit me for down part of my left leg sharp sharp e swell like golf ball and e pain me wella de skin no tear but e turn purple e cover my whole leg e bruise wella and e still dey pain me badly and de lump wey i feel inside dey pain me to touch i tink say na just broken blood vessel dat be why de bruise but de knot wey i feel inside dey worry me e fit be blood clot,good evening about two days ago my dog was tied up outside when i went to bring her in she saw a bird and ran off causing her spike to come out of the ground and hit me in the lower calf of my left leg instantly it swelled up like a golf ball and hurt very badly the skin didn t break but it turned purple covering my whole calf it was badly bruised and it still hurts very badly and there is still a lump that hurts to touch i figured it just broke a blood vessel that s why the bruise but the knot i feel inside is what concerns me could this be a blood clot,Speaker_3,50.11,['lump'],validation
audio/Speaker_3/Speaker3-434.wav,yes folic acid and duphaston dey good while you dey try to get belle for my opinion you should do serum thyroid stimulating hormone and serum prolactin test join top do follicular study until de follicle size reach 18mm and den e burst followed by intrauterine insemination for quick result,yes folic acid and duphaston are advisable while trying to conceive in my opinion you should do serum thyroid stimulating hormone and serum prolactin tests additionally perform a follicular study until the follicle size increases to eighteen millimeters and then ruptures followed by intrauterine insemination for early results,Speaker_3,28.21,"['folic', 'duphaston', 'serum', 'thyroid', 'stimulating', 'hormone', 'prolactin', 'follicular', 'study', 'icle', 'size', 'increases', 'uterine', 'insemination']",validation
audio/Speaker_3/Speaker3-435.wav,hi rotator cuff tear no get any direct effect on breast size so you need to look for oda reason why your breast size reduce e possible say you get cervical spine injury wey dey press one of your nerves wey dey cause muscle weakness i suggest say you do mri of your neck and nerve conduction velocity test for your two hands,hi a rotator cuff tear has no effect on breast size directly so you need to consider some other cause for the reduction in breast size it is quite possible that you may have a cervical spine injury with pressure on one of the nerves causing muscle weakness i suggest you undergo magnetic resonance imaging of the neck and nerve conduction velocity testing for both upper limbs,Speaker_3,28.77,"['tear', 'breast', 'cervical', 'spine', 'injury', 'pressure', 'magnetic', 'resonance', 'imaging', 'nerve', 'conduction', 'velocity', 'testing']",validation
audio/Speaker_3/Speaker3-436.wav,hello doctor i get tonsil infection last week and i go see doctor he give me antibiotics and painkiller my throat infection don heal but i still dey feel pain for my throat i go see doctor again he tell me say na lymph swelling and he give me cetirizine and painkiller i don dey take dis medicine for two days but i no feel any relief i still get pain for one side of my throat abeg suggest wetin to do,hello doctor i had a tonsil infection last week for which i went to a doctor who gave me antibiotics and a painkiller my throat infection is healed but i am still having pain in my throat i visited the doctor again and he told me it is lymph swelling and prescribed me cetirizine and a painkiller i have been taking this medicine for the last two days but i am not getting any relief i am still having pain on one side of my throat please suggest,Speaker_3,33.83,"['tonsil', 'infection', 'antibiotics', 'throat', 'painkiller', 'visited', 'swelling', 'cetirizine']",validation
audio/Speaker_3/Speaker3-437.wav,i recently take two injections one na for hepatitis b and de oda one na for human papillomavirus i also start birth control but i no put de ring until next day de same day i see small bumps wey look like goosebumps but small red on my arm de next day dem don spread to my oda arm and go my hands and legs i sef wake up wit puffy eyes but e soon go i remove de ring however i dey wonder if na side effect from de injection or de birth control or if na stress,i recently received two injections one was for hepatitis b and the other was for human papillomavirus i also started birth control but i did not insert the ring until the next day the same day i noticed these small bumps that looked like goosebumps except they were a little red on my arm the next day they had spread to my other arm and onto my hands and legs i also woke up with puffy eyes but that soon went away i removed the ring however i am wondering if this is a side effect from the injections or the birth control or if it is stress,Speaker_3,42.82,[],validation
audio/Speaker_3/Speaker3-438.wav,my name na savitri i be fifty five years old i don get leg pain for four years now wen i sit for long time or walk small time i dey feel serious pain and burning sensation i take ayurvedic and allopathic medicine but no result i dey feel hopeless wetin i fit do,my name is savitri and i am fifty five years old i have had leg pain for the last four years when i sit for a long time or walk for some time i feel unbearable pain and a burning sensation i have taken ayurvedic and allopathic medicines but there has been no result i am feeling hopeless what should be the right path,Speaker_3,24.68,"['leg', 'sit', 'long', 'time', 'walk', 'unbearable']",validation
audio/Speaker_3/Speaker3-439.wav,he don already get heart problem so to do any surgery go be risky any stressful tin fit cause heart attack and he wey already get heart problem suffer am wella sake of weakened heart function he get water for his lungs probably he go recover as he manage all de tin wey happen,he is already a heart patient so undergoing any procedure would be risky any stressful condition can precipitate a heart attack and he already being a heart patient suffered it badly due to weakened heart function he has fluid in his lungs probably he will recover as he tolerated all the events,Speaker_3,26.22,"['stressful', 'fluid', 'recover']",validation
audio/Speaker_3/Speaker3-440.wav,hello doctor my mama fifty three years old don dey suffer severe belle pain for some days now e start wit fever and dysentery ten days ago and both don stop since den she dey experience belle pain she must go toilet after every meal she dey stool four to five times a day and she dey feel too weak she recently do yearly general health check and dem no find anytin abeg tell me how i go take treat her,hello doctor my mother fifty three years old has been suffering from severe stomach pain for the past few days it started with a running fever and dysentery ten days ago and both have subsided since then she has been experiencing the following complaints stomach pain the need to pass stools after every meal stooling four to five times a day and severe tiredness she recently completed her yearly general health check up and no abnormalities were found please let me know how i should get her treated,Speaker_3,33.9,"['severe', 'stomach', 'running', 'fever', 'doctor', 'tired', 'abnormalities']",validation
audio/Speaker_3/Speaker3-441.wav,hey i be twenty four years old i get serious pain under my belle wey no dey go until i empty my bowel dis one no dey happen every time just sometimes but now e dey happen more often e no dey pain wen i go toilet na just bad pain under my belle i first notice dis after i try to kill myself one time i take plenty painkiller pills i tink say dat one fit don start dis abeg help me,hey i am twenty four years old i have really bad pain under my stomach that does not go away until i empty my bowels this does not happen all the time just now and then but now it s happening more often it does not hurt when i have a bowel movement or anything it s just bad pain under my stomach i first noticed this after i attempted to take my own life one time i took a lot of painkiller pills i think that might have started this please help,Speaker_3,33.83,"['under', 'bowels', 'painkiller']",validation
audio/Speaker_3/Speaker3-442.wav,my mama in law just get sickness wey be chronic obstructive pulmonary disease and congestive heart failure she dey live wit us and i no know wetin to do because we dey try help her chop good food but she no wan e be like say she don give up and she no know much about health matter she tink say we dey try control her food how we fit help her she no dey do anytin all day just sleep and she go wake full night dey chop and she dey chop wen she lie down i dey fear say me or her grandchildren go find her dead wetin we fit do help her she be 5ft 3in or 5ft 4in tall and she weigh at least 300 pounds,my mother in law was just diagnosed with chronic obstructive pulmonary disease and congestive heart failure she lives with us and i don t know what to do because we try to help her eat healthy but she doesn t want to it seems like she has given up and she is not very educated about health matters she thinks we are trying to control her eating certain foods how can we help her she doesn t do anything all day but sleep and stays awake all night eating and she eats while laying down i am afraid that either i or her grandchildren are going to find her deceased what can we do to help her she is five feet three inches or five feet four inches tall and weighs at least three hundred pounds,Speaker_3,56.31,"['obstructive', 'pulmonary', 'disease', 'congestive', 'eats', 'feet', 'inches', 'or', 'tall']",validation
audio/Speaker_3/Speaker3-443.wav,hello women wey don old like from fifty go up dey get weak bone wey dey brittle and thin because of accident like sudden fall the d12 vertebra don compress wey mean say e don fracture you need to go for surgery because dis fit affect how de vertebra shape be and e fit cause more serious signs,hello women in older ages such as above fifty have weak bones that are very brittle and thin due to trauma such as a sudden fall the d12 vertebra is compressed which means it has fractured you need to go for surgery as this may affect the overall shape of the vertebra and can cause more severe symptoms,Speaker_3,31.6,"['weak', 'bones']",validation
audio/Speaker_3/Speaker3-444.wav,hi i tink your sister in law dey do orthodontic treatment pain during de active phase no be abnormal force wey dem use to move tooth fit cause too much pain especially if the person no fit bear pain well lips dey tremble sometimes sake of pain and worry abeg go see your orthodontist he go reduce de force no worry too much you go fine i wish you good health,hi i think your sister in law is undergoing orthodontic treatment pain during the active phase of orthodontic treatment is not abnormal compression forces applied for tooth movement may sometimes cause too much pain especially if the patient has a low pain threshold trembling of the lips is also seen due to pain and anxiety please visit your orthodontist he will minimize the amount of activation force don t worry too much you will be alright i wish you good health,Speaker_3,31.21,"['orthodontic', 'compression', 'trembling']",validation
audio/Speaker_3/Speaker3-445.wav,i don do magnetic resonance imaging mri of my lumbar spine even though de report normal e say de study reveal say de lordotic curve of lumbar spine don straighten de vertebral bodies normal for size shape alignment and signal no bone destruction i get backache and sometimes i dey feel numbness for my foot doctor advise some exercise wetin i fit do to restore de curve of my lumbar spine abeg answer,i have had my magnetic resonance imaging of the lumbar spine done although the report is normal it also states the following the study reveals straightening of the normal lordotic curvature of the lumbar spine the vertebral bodies are normal in size shape alignment and signal intensity no osseous destruction is seen i have backache and sometimes i feel numbness in my foot the doctor has advised some exercises what can i do to restore the curvature of my lumbar spine please answer,Speaker_3,36.73,"['magnetic', 'resonance', 'imaging', 'lumbar', 'straightening', 'normal', 'lordotic', 'backache', 'sometimes', 'numbness', 'spine']",validation
audio/Speaker_3/Speaker3-446.wav,hi i get seizure and dem find one mass for my brain i dey take levetiracetam and i dey interested to know if medical marijuana get benefit for apoptosis for sleep and for good effects for brain cells i wan know if anytin dey for dat combination wey no fit match,hi i experienced a seizure and then a mass was located in my brain i am taking levetiracetam and i am interested in the benefits of medical marijuana for apoptosis for sleep and for the beneficial effects of live cells in the brain i would like to know if there are any contraindications for this possible combination,Speaker_3,23.82,"['seizure', 'mass', 'levetiracetam']",validation
audio/Speaker_3/Speaker3-447.wav,dis fit be ligamentous strain and muscle weakness no mean say you must do prolotherapy physiotherapy should be wetin you try first try dey do straight leg raises strengthen your abductors and adductors gluteal muscles and stretch your hip capsule,this could be ligamentous strain and muscle weakness it does not necessarily mean you need prolotherapy physiotherapy should be considered first try doing straight leg raises strengthening your abductors and adductors gluteal muscles and stretching your hip capsule,Speaker_3,24.22,"['prolotherapy', 'hip']",validation
audio/Speaker_3/Speaker3-448.wav,serious pain for left leg from spinal cord be tin wey need more check e fit be sake of intervertebral disc pressure on nerve wey get compress and dey cause pain go down to de leg your doctor suppose don suggest intervertebral disc x ray or ultrasound if dat one healthy den we fit consider psychotherapy based on wetin you talk i no gree wit your psychotherapist s treatment i hope dis help you,severe pain in the left leg from the spinal cord is something that needs further investigation it could be due to intervertebral disc pressure on a nerve which is compressed and causing pain and radiation to the leg your doctor would have suggested getting an intervertebral disc x ray or ultrasound if that is healthy then we can consider psychotherapy based on the information provided i do not agree with your current psychotherapist s treatment i hope this helps you,Speaker_3,37.31,"['severe', 'leg']",validation
audio/Speaker_3/Speaker3-449.wav,dem diagnose me wit respiratory virus and small time after wit restrictive airway disease my upper throat and the area between my ears pain me wella wit no visible redness my cough dey strong e fit be infection for my throat wey no dey visible my glands dey swell,i was diagnosed with a respiratory virus and shortly after with restrictive airway disease my upper throat and the area between my ears is very sore with no visible redness my coughing was pretty intense could there be an infection in my throat that is not visible my glands are swollen,Speaker_3,23.01,"['respiratory', 'virus', 'throat', 'between', 'ears', 'sore', 'coughing', 'infection', 'glands']",validation
audio/Speaker_3/Speaker3-450.wav,hello doctor my back dey pain me well well for morning but e go commot after two or three hours e also dey pain me for the left side for my lower back my doctor talk make i take hifenac mr twice every day for one week join with antacid tablets i fit use dem,hello doctor i have a severe backache in the morning and get relief after two or three hours later i also have pain on the left side of my lower back my doctor suggested i take hifenac mr twice daily for one week along with antacid tablets can i use them,Speaker_3,23.45,"['severe', 'backache', 'relief', 'hifenac', 'twice', 'daily']",validation
audio/Speaker_3/Speaker3-451.wav,hello nschrader6 you talk say you do gallbladder surgery three weeks ago i believe say na laparoscopic approach dem use do am sometimes during surgery as dem dey move the bile duct the pipe wey dey carry bile from gallbladder go intestine small stone fit commot come block the pipe if that one happen you go feel serious pain fever you go wan vomit and your body go even yellow jaundice you no get those signs for now another thing be say your pancreas fit dey swell since e near gallbladder i get feeling say the pain you dey feel under your rib cage wey dey run go your back look like pancreatitis e fit be small one make you talk to the surgeon wey do your operation make e send you go do some blood test for pancreas like serum amylase serum lipase blood count and also make you do liver enzyme test again dis one fit give you answer to wetin you dey worry about i wish you good luck,hello nschrader6 you stated that you had your gallbladder surgery three weeks ago i am assuming this was done through a laparoscopic approach occasionally during surgery due to manipulation of the bile duct the channel that carries the bile from the gallbladder into the intestine a small stone can escape and plug the duct if this happens you will experience a lot of pain fever nausea vomiting and even yellow jaundice you do not seem to have those symptoms the other possibility is inflammation of the pancreas since it is in close proximity to the gallbladder i have a feeling that your symptoms of pain under the rib cage and radiation to the back are suggestive of pancreatitis this may be a mild case you should talk to the surgeon who performed your surgery and ask him to send you for some blood tests for the pancreas such as serum amylase serum lipase blood count and also repeat liver enzyme tests this might provide some answers to your concerns wish you good luck,Speaker_3,80.64,"['gallbladder', 'jaundice', 'inflammation', 'pancreas', 'rib', 'cage']",validation
audio/Speaker_3/Speaker3-452.wav,yesterday morning i wake up my back dey stiff small as i go about my day e be like say e okay this morning i wake up e dey pain me to breathe even small movement dey pain after i shower i bend down to wear cloth i notice say one big place don swell for the right side of my back e no reach halfway down just under my bra the pain too much and i no fit breathe well i take two ibuprofen and e calm down small i get lupus so i dey wonder if dis one be inflammation i no get energy at all i dey think say maybe the thing wan flare up again,i woke up yesterday morning with a semi stiff back i went through the day and it seemed to be okay i woke up this morning and it hurt to breathe even slight movement hurt i leaned over after my shower while putting on clothes and noticed a large swollen area on the right side of my back about midway down right below my bra i am experiencing severe pain and it is hard to take a full breath i took two ibuprofen and they seemed to ease it slightly i have lupus and i am wondering if this could be inflammation i have zero energy i am thinking i could be going into a flare,Speaker_3,45.05,"['yesterday', 'morning', 'stiff', 'hurt', 'large', 'swollen', 'severe', 'ibuprofen']",validation
audio/Speaker_3/Speaker3-453.wav,make you do hemoglobin a1c test antiphospholipid antibody test and anticardiolipin antibody test dey take folic acid every time after that take aspirin seventy five milligrams after you confirm heart activity now do serum thyroid stimulating hormone and serum prolactin tests then make you do follicular study after you don take clomiphene from day two when the follicle size reach eighteen millimeters make you induce rupture then do intrauterine insemination so you fit get result quick,perform hemoglobin a1c testing antiphospholipid antibody testing and anticardiolipin antibody testing take folic acid regularly then take aspirin seventy five milligrams after observing cardiac activity now perform serum thyroid stimulating hormone and serum prolactin tests then perform a follicular study after taking clomiphene from day two when the follicle size increases to eighteen millimeters induce rupture then perform intrauterine insemination for early results,Speaker_3,46.93,"['hemoglobin', 'antiphospholipid', 'antibody', 'anticardiolipin', 'folic', 'acid', 'seventy', 'milligrams', 'serum', 'thyroid', 'stimulating', 'hormone', 'prolactin', 'follicular', 'study', 'clomiphene', 'perform', 'icle', 'size']",validation
audio/Speaker_3/Speaker3-454.wav,hello doctor i do s x with my partner without protection for the fourth day of my period i take unwanted seventy two after we finish after i take the drug my body just dey pain me like craze especially for my belle side my period don stop that pain normal when i go see my next period,hello doctor i had unprotected intercourse with my partner during the fourth day of my menstrual period i took unwanted seventy two after the intercourse after taking it i have immense body pain especially in the lower abdomen my menstrual bleeding has stopped is the pain normal when can i expect my next menstrual period,Speaker_3,22.57,"['unprotected', 'fourth', 'menstrual', 'bleeding']",validation
audio/Speaker_3/Speaker3-455.wav,dem talk say i get microscopic colitis and my legs and ankles dey swell every time i get pitting edema and e dey pain well well sometimes furosemide and naproxen dey work after some days but the thing go still come back i don do doppler test but nobody fit talk wetin be the real problem,i have been diagnosed with microscopic colitis and keep having problems with swelling in my lower legs and ankles i get pitting edema and it is very painful some furosemide and naproxen usually work after a couple of days but it always comes back i have had doppler studies done and no one can diagnose the problem,Speaker_3,25.94,"['colitis', 'swelling', 'legs', 'pitting', 'edema', 'furosemide', 'naproxen', 'studies']",validation
audio/Speaker_3/Speaker3-456.wav,hello before anytime i look woman my prick go stand sharp sharp now even if i watch porn nothing go happen but if i kiss my wife e go rise small e go fit enter and na only seconds before i finish the thing go come stand well well,hello previously i used to get an erection by looking at women instantly now i cannot get an erection even by watching pornography however when i kiss my wife i get a semi erection which is enough to penetrate her and i only get a full erection seconds before i ejaculate,Speaker_3,19.44,[],validation
audio/Speaker_3/Speaker3-457.wav,hello make you do chemotherapy and radiation together e be better alternative pass surgery you need to see specialist doctor medical oncologist wey go show you how you go take do the treatment i wish you quick recovery,hello concurrent chemotherapy and radiation therapy is a valid alternative to surgery you need to be seen by a trained medical oncologist who will guide the therapy i wish you good health,Speaker_3,17.3,"['chemotherapy', 'radiation', 'therapy', 'seen']",validation
audio/Speaker_3/Speaker3-458.wav,e don pass two years now since i do tummy tuck join with liposuction for my back and belle one bump dey for my lower back wey dey move from one side to another sometimes e dey hard to move and the pain dey too much sometimes i dey feel like my back wan spoil and now i wan do tumor cancer surgery you think say the surgery go make the back pain worse,it has been more than two years since i had a tummy tuck followed by liposuction of my back and stomach i have a bump in my lower back that keeps moving from one side to another sometimes it is hard to move and it hurts a lot sometimes i feel like my back is going to stop working and now i am about to have tumor cancer surgery do you think that will make my back pain worse,Speaker_3,28.37,"['from', 'side', 'another', 'sometimes', 'hard', 'move']",validation
audio/Speaker_3/Speaker3-459.wav,since na only four days this one dey happen continue to take paracetamol three times every day for another five days make you rest your back e go soon commot,since it has been occurring for four days only continue taking paracetamol three times a day for five days more give your back some rest and it should relieve you soon,Speaker_3,11.33,['paracetamol'],validation
audio/Speaker_3/Speaker3-460.wav,the signs no clear if you don dey see blood for your stool for one year you need make dem check you well i suggest make you do colonoscopy dis one go make us know if any colon cancer dey your colon,the symptoms are non specific blood in the stool for a year needs investigations a colonoscopy is suggested this will rule out any colon cancer present in your colon,Speaker_3,17.83,"['stool', 'colonoscopy']",validation
audio/Speaker_3/Speaker3-461.wav,try stretch your leg muscle and lean forward as you dey walk if the pain come reduce i suggest you check if your leg flat and look how you dey stand because e be like say all your weight dey on your heel no be the front of your foot,try stretching your calf muscle and leaning forward while walking if the pain improves then i suggest you check for flatfoot and assess your overall posture as it seems your weight is concentrated on your heel not your ball,Speaker_3,18.85,[],validation
audio/Speaker_3/Speaker3-462.wav,hello welcome to hcm no this one no go melt but you need to dey look am well e fit commot for kidney come enter your bladder but i no sure how long that one go take if e dey pain you well well and e dey cause other wahala then you must do operation have a nice day,hello welcome to hcm no this would not dissolve but it needs to be kept under observation this may come out of the kidney and eventually move down into the bladder but i am not sure how much time this could take if this is very painful and causing some other complications then it needs to be operated on have a nice day,Speaker_3,23.78,['kidney'],validation
audio/Speaker_3/Speaker3-463.wav,if your period delay and your pregnancy test show negative e fit be because of stress polycystic ovarian disease hormonal wahala or if you too fat since the test negative make you wait for one week then go see your gynecologist,a delay in periods with a negative urine pregnancy test can be due to stress polycystic ovarian disease hormonal imbalance overweight etc as the urine pregnancy test is negative you can wait for a week and then visit your gynecologist,Speaker_3,18.07,['negative'],validation
audio/Speaker_3/Speaker3-464.wav,hello mobile uterus mean say the uterus dey move easy from side to side when dem use the probe na just because your ligaments soft nothing to worry about nine mm thickness for your womb no bad e dey change depend on how your period dey flow whether you go pregnant depend on other things but your womb wall endometrium okay,hello a mobile uterus means that the uterus is easily movable from side to side with the probe this is just due to laxity of the ligaments there is nothing to worry about a nine mm endometrial thickness is also fine it changes during different phases of the menstrual cycle the possibility of pregnancy will depend on many other factors but the endometrium seems to be okay,Speaker_3,27.0,"['mobile', 'ut', 'uterus', 'side', 'mm', 'end', 'different', 'phases', 'endometrial']",validation
audio/Speaker_3/Speaker3-465.wav,my pikin eye don dey twitch for the past two days e just be like person wey dey wink too much e no get headache or wan vomit but e no even know say e dey do am e be five years old and e dey play video games for weekend for some hours abeg wetin fit be the cause,my son has developed a twitching left eye within the last two days it looks like an exaggerated wink there are no headaches or nausea however he does not realize he is doing it he is five years old and plays video games on the weekend for a couple of hours please can you shed some light on this,Speaker_3,22.57,"['twitching', 'eye', 'headaches', 'nausea']",validation
audio/Speaker_3/Speaker3-466.wav,no worry e fit be infection like tonsillitis take paracetamol or ibuprofen make the pain calm down use betadine wash your throat twice a day make you dey chop light food your doctor fit do fine needle aspiration test to make sure say e no be tuberculosis,do not worry it may be a bacterial infection such as tonsillitis take paracetamol or ibuprofen for pain relief gargle with betadine twice a day consume a semi solid diet your doctor may perform a fine needle aspiration cytology to rule out tuberculosis,Speaker_3,20.78,"['tonsillitis', 'paracetamol', 'ibuprofen', 'betadine', 'twice', 'fine', 'needle', 'aspiration']",validation
audio/Speaker_3/Speaker3-467.wav,hi my name na ana i don dey find help and i need to understand my mri result because the doctor no explain am for me the result talk say your neck bone cervical spine bend go the right side your neck no bend the way e suppose bend e show say muscle strain dey,hi my name is ana i have been looking for help and i need to understand my mri result because the doctor did not explain it to me the findings are as follows there is a curvature of the cervical spine convex toward the right on the coronal image straightening of the upper cervical lordosis is present consistent with musculoskeletal strain,Speaker_3,22.85,"['mri', 'curvature', 'cervical', 'spine', 'straightening', 'lord']",validation
audio/Speaker_3/Speaker3-468.wav,hi i be seventeen years old me and my boyfriend do s x on saturday and we use protection after that i perform oral s x for him until e finish then about twenty minutes later e put im prick for my body for like eight seconds then e commot wetin be the chance say i fit pregnant,hi i am seventeen years old my boyfriend and i had sexual intercourse on saturday and we used protection afterwards i gave him oral sex until he ejaculated then about twenty minutes after he ejaculated he inserted his penis in me for about eight seconds and then took it out what are my chances of getting pregnant,Speaker_3,23.78,"['seventeen', 'sexual', 'intercourse', 'penis', 'seconds']",validation
audio/Speaker_3/Speaker3-469.wav,those signs fit be thyroid wahala go do thyroid profile test and make dem treat you use cream wey dey moisturize and antihistamine,the symptoms mentioned may be due to a thyroid disorder go for a thyroid profile and get treated accordingly use regular moisturizer and antihistamine,Speaker_3,12.33,"['thyroid', 'profile', 'moisturizer']",validation
audio/Speaker_3/Speaker3-470.wav,my sister see one red lump between her breast e talk say e dey pain she don see doctor and e give am antibiotics but e want make she do ultrasound to confirm if na cyst that one correct because dem tell am say she must wait one month for the scan,my sister has found a red lump in between her cleavage she says it hurts she has seen a doctor and he has put her on antibiotics but wants her to have an ultrasound to confirm it may be a cyst is this correct as she has been told she must wait a month for the scan,Speaker_3,20.74,"['sister', 'lump', 'antibiotics', 'ultrasound']",validation
audio/Speaker_3/Speaker3-471.wav,hi i get fifteen year old son wey don dey wear my cloth and my daughter cloth for years now i don try talk to am ask am wetin e dey do and how i fit help am e talk say e no need help and say e fine the problem be say e dey take the cloth without permission sometimes e go spoil the cloth e go cut the legs of the trouser or cut am in half then take tape join am i fear say my husband go know and i want help my pikin but i no know who to talk to i no want make my pikin think say something wrong with am i don offer to buy am im own cloth but i tell am make e stop to take our own wetin you go suggest,hi i have a fifteen year old son who has taken mine and my daughter s clothes for years now i have tried talking to him about this asking what he does and how i can help him he tells me he doesn t need help and that he is fine the problem is that he takes them without permission sometimes he destroys them he cuts the legs off of the pants or cuts them in half and then tapes them together with duct tape i am afraid my husband will find out and i want to help my son but i don t know who to turn to i don t want my son to think something is wrong with him i have offered to buy him clothes but i ask him to please stop taking our stuff what do you suggest,Speaker_3,50.6,[],validation
audio/Speaker_3/Speaker3-472.wav,i be thirty six year old man i pull one tooth exactly one week ago today dem don remove the stitch and doctor talk say everything dey heal well i be gay and i want go back to do oral s x with man when e go safe since the pain no dey again,i am a thirty six year old male i had a molar tooth extracted exactly a week ago today the stitches have been removed and the doctor said everything is healing quickly and in great shape i am gay and want to return to having oral sex with a man when is it safe as i am no longer in pain,Speaker_3,19.67,['molar'],validation
audio/Speaker_3/Speaker3-473.wav,dear sirs for 2005 my two kidney stop working then i do kidney transplant but e fail after four years i also get hepatitis c virus since 2005 e fit be say i fit do another transplant after the first one fail e go work and again i need to treat the hepatitis c first i dey do dialysis twice a week and my blood result show say creatinine level be twelve after one week abeg answer my question,dear sirs in two thousand and five both of my kidneys failed then i underwent a kidney transplant but it failed after four years i have also been positive for hepatitis c virus since two thousand and five is it possible for me to undergo re transplantation after rejection will it be successful additionally is it necessary for me to first undergo treatment for hepatitis c i need dialysis twice a week and my blood reports show creatinine levels of twelve after one week please answer my questions,Speaker_3,32.83,"['kidneys', 'positive', 'rejection', 'transplantation', 'dialysis', 'blood', 'creatinine']",validation
audio/Speaker_3/Speaker3-474.wav,hello doctor my gum and tooth dey pain me well well for the left side some days ago the tooth for the back corner break abeg help me with how i go commot this pain and make my teeth strong because the thing break for no reason dentist give me antibiotics for five days but e no cure the pain,hello doctor i am having acute pain in my gums and tooth on the left hand side a few days ago the left back corner tooth broke kindly suggest how i can get rid of this pain and strengthen my teeth as it broke without any proper reason the dentist advised me to take antibiotics for five days but it did not cure it,Speaker_3,22.55,"['acute', 'gums', 'tooth', 'corner', 'antibiotics']",validation
audio/Speaker_3/Speaker3-475.wav,hello welcome to health care management antibiotics fit cure throat infection quick quick the only thing be say make you finish all the medicine make e no come cause rheumatic fever later me i think say this small injury no be serious matter since you no mention any sign of head injury the small fever fit be because of the work wey e dey do nothing dey wrong if you get other question call us back,hello welcome to health care management streptococcal throat infections can be easily treated by antibiotics the only thing is that you should complete the whole course of antibiotics to prevent further risk of having rheumatic fever in my opinion this episode of trauma is not significant as there are no symptoms of any neurological injury based on your description the mild rise in temperature seems to be due to the physical activity he was involved in which seems to be perfectly fine in case of any further questions do call back,Speaker_3,31.05,"['throat', 'infections', 'antibiotics', 'trauma', 'mild', 'rise']",validation
audio/Speaker_3/Speaker3-476.wav,i get polycystic ovary syndrome and e dey hard for me to born last month my doctor clean my womb and give me letrozole for five days after that e give me primolut for five days then i see my period yesterday e talk say i dey ovulate and e give me primolut again twice every day for fourteen days e talk say e go help make the belle stick since i dey try to born abeg tell me if i should take the primolut now,i have polycystic ovary syndrome and difficulty in conceiving last month my gynecologist performed a uterine cleaning and gave me letrozole for five days thereafter he prescribed primolut for five days after which i got my period yesterday he predicted that i was ovulating and put me on primolut again twice a day for fourteen days and said it would assist in implantation considering that i am trying to conceive please advise whether to take the primolut now,Speaker_3,32.0,"['polycystic', 'ovary', 'syndrome', 'gynecologist', 'uterine', 'cleaning', 'letrozole', 'primolut', 'ovulating', 'twice']",validation
audio/Speaker_3/Speaker3-477.wav,hello because your test show say calcium no enough for your body your doctors fit tell you make you check your vitamin d level and do other test to know why the calcium dey commot the ringing for your ear and muscle weakness na because of this deficiency to check if your belle dey cause the matter test for kidney parathyroid and thyroid fit be necessary plus to check wetin you dey chop all dis one fit get cure once we know the cause for now you need to take supplements join with calcium and vitamin d medicine best wishes,hello as your tests reveal calcium deficiency your doctors may suggest measuring your serum vitamin d level and conducting additional tests to determine the cause of the calcium loss the tinnitus in your ear and muscular weakness are due to this deficiency to look for an intestinal cause tests for your kidneys parathyroid and thyroid may also be needed in addition to a dietary evaluation all of this is treatable after identifying the cause meanwhile dietary supplements as well as calcium and vitamin d medications need to be administered best wishes,Speaker_3,42.93,"['conducting', 'ear', 'muscular']",validation
audio/Speaker_3/Speaker3-478.wav,this one fit be s xually transmitted disease or something normal wey dem dey call pearly penile papules i go recommend make you see urologist make e check you,this could be a sexually transmitted disease or something benign called pearly penile papules of the penis i would recommend getting checked by a urologist,Speaker_3,13.19,"['sexually', 'transmitted', 'disease', 'benign', 'pearly', 'penile', 'papu']",validation
audio/Speaker_3/Speaker3-479.wav,hi goodova plus and siphene na the same thing sometimes the way e take work fit change because of dosage the one you take before fit be one hundred or one hundred and fifty milligrams so you need to increase the dosage this time if you take higher dosage e fit work even if e no work maybe you go need some injection,hi goodova plus and siphene are the same it can sometimes happen because of a difference in dosage the dosage you took earlier might have been one hundred or one hundred and fifty milligrams therefore you need to increase the dosage this time with a higher dosage you might respond even if you do not respond to a higher dosage some injections might be needed,Speaker_3,24.96,"['goodova', 'plus', 'siphene', 'or', 'milligrams', 'injections']",validation
audio/Speaker_3/Speaker3-480.wav,oxcarbazepine fit make person weight increase you fit talk to your doctor about am,oxcarbazepine can produce weight gain in some patients you can talk to your doctor about the same,Speaker_3,6.78,"['oxcarbazepine', 'weight', 'gain']",validation
audio/Speaker_3/Speaker3-481.wav,i just stretch my lower back or so i think but later my testicles come dey pain me my lower back dey pain me and i feel like i need go poop i don experience this pain before na the same feeling but e usually go commot i believe e go commot dis time too i also want make you know say my back dey tight every time mostly the lower back,i just stretched my lower back or so i thought to find out that afterward my testicles hurt my lower back is in pain and i feel like i need to have a bowel movement i have experienced this pain before it is the same feeling but it usually goes away which i assume it will this time i also feel the need to let you know that my back is constantly tight all over but mostly in my lower back,Speaker_3,27.77,['tight'],validation
audio/Speaker_3/Speaker3-482.wav,hello true talk pancreatic wahala no be small thing and the treatment dey slow and no be every time e dey work pancreas important well well and we no dey remove am unless the matter don worse for your case i go advise you to take painkillers but from wetin i see for other patients the pain go return and dem go ask for stronger one my advice na make you try distraction do small exercise and make you follow strict diet wey no go push your pancreas to work hard maybe that one go reduce the pain i sorry say the options no plenty but as the condition be everything depend on how your body take respond i wish you luck and everything good,hello it is true that pancreatic conditions are quite complicated to begin with and treatment is slow and not always successful the pancreas is an important organ and removal is not considered unless conditions become extreme in the given circumstances painkillers would be advised but from personal experience with a few patients they only provide temporary relief and patients return soon asking for stronger ones my advice would be to use techniques to take your mind off the pain engage in mild forms of exercise and follow a strict diet regimen that would prevent stimulation of the pancreas which could hopefully result in reduced levels of pain i am sorry that the options are limited but given the condition it all depends on how you respond and decide to tackle the problem wishing you lots of luck and the best,Speaker_3,49.2,"['pancreatic', 'diet']",validation
audio/Speaker_3/Speaker3-483.wav,hi i get bp and i dey take twelve point five milligrams of hydrochlorothiazide and twenty milligrams of lisinopril the side effect be say i no get energy headache leg pain nose dey bleed i no fit breathe well and i no fit sleep because of pain the one wey dey worry me pass be the pain for my chest wey dey come and go i no fit work as cnc machinist like before my question be all these signs fit lead to serious wahala later and this one fit count as disability wey make me no fit work again,hi i have high blood pressure and am on twelve point five milligrams of hydrochlorothiazide and twenty milligrams of lisinopril my side effects are reduced energy levels headaches pain in my lower extremities nosebleeds shortness of breath and sleepless nights due to the pain the most concerning symptom is the uncomfortable pain in my chest that comes and goes i can t work as a cnc machinist as i used to my question is are these symptoms considered a condition that could lead to a future catastrophic event and is this a legitimate disability affecting my ability to work in any gainful employment,Speaker_3,47.6,"['high', 'blood', 'pressure', 'point', 'milligrams', 'hydrochlorothiazide', 'lisinopril', 'reduced', 'headaches', 'extremities', 'nosebleeds', 'shortness', 'breath', 'sleepless', 'nights', 'uncomfortable', 'chest', 'symptoms']",validation
audio/Speaker_3/Speaker3-484.wav,my sister get breast cancer some years ago and dem cut the two breast comot she no do chemotherapy or radiation since then she don dey forget things and her character don change e hard to stay with am she dey like argue and she no fit decide anything or finish her work she dey talk say she need attention deficit disorder medicine but she no fit do anything,my sister had breast cancer several years ago and underwent a double mastectomy she did not have chemotherapy or radiation since then she has experienced severe memory loss and personality changes she is difficult to get along with argumentative and cannot make decisions or complete tasks she insists she needs attention deficit disorder medication but still does not accomplish anything,Speaker_3,28.24,"['sister', 'double', 'mast', 'chemotherapy', 'severe', 'memory', 'loss', 'attention', 'deficit', 'disorder', 'medication']",validation
audio/Speaker_3/Speaker3-485.wav,e normal but abeg look am for two weeks if e no better after that time you fit go check am,it is normal however please monitor it until two weeks if it does not get better by then you can have a checkup,Speaker_3,7.96,[],validation
audio/Speaker_3/Speaker3-486.wav,hi welcome to health care management that fit be paraovarian cyst if e big you need to remove am through laparoscopy check your day two follicle stimulating hormone luteinizing hormone prolactin and thyroid levels make dem do semen analysis ovulation induction with follicular monitoring go help you fit born,hi welcome to the health care management that could be a paraovarian cyst if it is large you need to remove it through laparoscopy check your day two follicle stimulating hormone luteinizing hormone prolactin and thyroid levels semen analysis should be done ovulation induction with follicular monitoring will help you to conceive,Speaker_3,27.79,"['cyst', 'semen', 'welcome', 'ovulation']",validation
audio/Speaker_3/Speaker3-487.wav,hello i go dey happy to help you with your question you need to see specialist doctor for stomach intestine matter appendicitis fit still be the cause if the pain dey there and we need to check for inflammatory bowel disease crohn s disease fit show like that if the pain too much or you get fever you need to go hospital sharp sharp i hope this help and good luck,hello i would be happy to help you with your question you need to see a gastrointestinal specialist appendicitis remains a possibility if your pain is still present and a discussion of inflammatory bowel disease is important crohn s disease can present in this manner certainly if the pain is significant or you have a fever you need to be seen urgently i hope that this helps and good luck,Speaker_3,29.37,"['appendicitis', 'inflammatory', 'bowel', 'disease', 'crohn', 'fever', 'seen']",validation
audio/Speaker_3/Speaker3-488.wav,seizure for person wey get systemic lupus erythematosus fit be because the blood vessel for brain dey swell wey dem dey call lupus vasculitis or because of infection for brain since the person body no strong again due to the disease or the drug wey e dey take test for cerebrospinal fluid ct scan or mri for brain and some blood tests to check how the systemic lupus erythematosus dey work go help show wetin happen and we go know the treatment to give if dem do all these tests your doctor team go fit tell you wetin go happen,seizures in a patient with systemic lupus erythematosus could be caused by inflammation of the blood vessels in the brain called lupus vasculitis or by a brain infection as a result of reduced resistance due to the disease or its immunosuppressive treatment cerebrospinal fluid examination computed tomography or magnetic resonance imaging of the brain and some blood tests to assess the disease activity of systemic lupus erythematosus will help clarify this issue and determine further treatment if these tests are conducted then your team of doctors should be able to inform you about the possible outcomes,Speaker_3,45.09,"['seizures', 'systemic', 'lupus', 'erythematosus', 'blood', 'infection', 'cerebrospinal', 'fluid', 'computed', 'tomography', 'magnetic', 'resonance', 'tests']",validation
audio/Speaker_3/Speaker3-489.wav,i get blackhead wey no open and e come big and swell doctor use laser open the blackhead and commot the dirt e don pass one year since the procedure and the hole wey the laser make no heal now i get hole for my face wey dirt dey enter every time abeg help me,i had a blackhead that did not open and over time it became larger and appeared swollen the doctor used a laser to open the blackhead and remove the debris it has been more than a year since that procedure and the hole created by the laser incision has not healed i now have a hole in my face where debris gets in all the time please help,Speaker_3,22.78,['laser'],validation
audio/Speaker_3/Speaker3-490.wav,i dey feel something strange for my upper chest when i dey walk e dey sound like water dey shake for inside when i talk sound other people dey hear am self e no pain but you fit feel say something dey shake against your body i get mild asthma and i don get bronchitis before but e no serious,i am experiencing an unusual sensation in my upper chest when walking it sounds like there is water around in there when i say sound other people can actually hear it it is not painful although you can feel a slight jarring sensation as it sloshes against the side of whatever it hits i am a mild asthmatic and have had bronchitis but very mild,Speaker_3,24.29,"['unusual', 'chest', 'mild', 'bronchitis']",validation
audio/Speaker_3/Speaker3-491.wav,hello doctor i get jock itch one year ago and e come heal but the skin start to turn black and rough and e dey spread small small i use onabet cream but e no cure the matter my balls and my upper thigh dey rough sore and dark abeg advise me how i go take cure am,hello doctor i had jock itch one year ago and it got cured however the skin started turning black and rough and it is spreading slowly i used onabet cream but it did not cure the issue my scrotum and upper thighs are rough sore and dark please advise me on how to get cured,Speaker_3,23.89,['scrotum'],validation
audio/Speaker_3/Speaker3-492.wav,hi my question be say my back dey pain me i dey do tree work for my daily bread and i don fall from tree many times doctors no see anything wey break but the pain still dey even when i rest lie down sit etc wetin i go do about this pain wey no wan commot,hi my question is that i have pain in my back i do tree work for a living and have fallen from a few trees doctors cannot find anything broken but the pain is still present even when i am relaxed lying down sitting etc what should i do about this ongoing pain,Speaker_3,23.57,"['tree', 'work', 'living']",validation
audio/Speaker_3/Speaker3-493.wav,hello hemangioma be structure wey get plenty blood inside dem fit see am quick quick for liver scan because of how e dey show if you still want to make sure you fit do hepatic angiography e go confirm the matter i hope this help,hello hemangioma is a highly vascular structure that can be easily identified by a liver scan due to its peculiar enhancement if you still want to be sure you may opt for hepatic angiography which will confirm the diagnosis i hope this helped,Speaker_3,21.94,"['hemangioma', 'structure', 'liver']",validation
audio/Speaker_3/Speaker3-494.wav,i dey wake up soaked e be like say i pee for bed i almost thirty nine and everybody dey talk say e too early for me to stop period menopause i get four children when i still young and i feel like my body don old pass me i also get terrible belle pain and back pain with the sweat and heat rash for night any advice,i have been waking up soaking wet enough that i thought i peed the bed i am almost thirty nine and everyone says it is too early for menopause i had four children early in my life and i feel my body is a lot older than i am i also have terrible cramps and back pain with the night sweats and heat rash any suggestions,Speaker_3,28.44,"['terrible', 'cramps']",validation
audio/Speaker_3/Speaker3-495.wav,i get question for the last two weeks i dey feel numbness for my two hands and feet weakness and i no dey see well i don do ct scan mri scan and other tests wey show say e no be stroke the doctor wey i dey see talk about conversion disorder but i no get that kind stress i also dey feel muscle spasms mostly for my legs,i have a question in the last two weeks i have been experiencing numbness in both hands and feet weakness and blurred vision i have had computed tomography scans magnetic resonance imaging scans and other various tests that have ruled out a stroke the doctor i am seeing was discussing conversion disorder but i have not been under that much stress i have also been experiencing muscle spasms mostly in my legs,Speaker_3,29.33,"['computed', 'tomography', 'magnetic', 'resonance', 'imaging']",validation
audio/Speaker_3/Speaker3-496.wav,i do open heart surgery three weeks ago just this week my left arm start to pain me after the pain start i go come feel pain for my side for my rib cage dem dey tell me say e fit be muscle or bone matter after the surgery but i no believe say that one be the correct reason,i had open heart surgery three weeks ago just this week i have been experiencing pain in my left arm after the pain appears i get pain in my side in my rib cage i am being told it is possibly muscular or skeletal aftermath from my surgery but i am not convinced this is the correct explanation,Speaker_3,24.85,['rib'],validation
audio/Speaker_3/Speaker3-497.wav,i just see the result for my five year old pikin stool test e show plus four level of enterobacter cloacae lab talk say some antibiotics fit work how e take get this thing we never even go hospital e get autism and we dey give am plenty probiotics i no sure how this one fit happen,i just received results from my five year old son s stool test indicating a plus four level of enterobacter cloacae the laboratory offered sensitivities for some antibiotics how did he get this we haven t been to a hospital he does have autism and we provide a lot of probiotics i m not sure how this could happen,Speaker_3,26.29,['plus'],validation
audio/Speaker_3/Speaker3-498.wav,belle wash join with belle pain fit be because of other things so you need to take medicine like ofloxacin and metronidazole plus bifilac syrup and zinc,diarrhea with abdominal pain can be due to other causes as well so it is necessary to treat with medications like ofloxacin and metronidazole along with bifilac syrup and zinc supplementation,Speaker_3,14.91,"['diarrhea', 'abdominal', 'medications', 'ofloxacin', 'metronidazole', 'bifilac', 'syrup']",validation
audio/Speaker_3/Speaker3-499.wav,hello doctor my upper belle dey pain me i wan vomit and my head dey heavy i don do endoscopy ct scan for belle mra scan for brain eye test and i visit ent specialist but everything normal i don use nexium tablet twice a day then razo d then nexpro forty and now pantosec out of the four medicine pantosec forty work small abeg you fit help me with the dosage,hello doctor i have pain in my upper abdomen nausea and a heavy head i have undergone endoscopy computed tomography scan of the abdomen magnetic resonance angiography scan of the brain had my eye test and visited an ear nose and throat specialist but everything is normal i have used nexium tablets twice a day then razo d then nexpro forty and now pantosec out of the four medications pantosec forty is a little effective could you help me with the dosage,Speaker_3,37.94,"['endoscopy', 'computed', 'tomography', 'magnetic', 'resonance', 'angiography', 'undergone', 'tablets', 'twice', 'razo', 'nexpro', 'pantosec']",validation
audio/Speaker_8/Speaker8-1.wav,hello doctor i be man i dey 27 years old i dey weigh 98kg and my height na 5 feet 10 inches i don dey go gym for the past 3 months but my weight loss na only about 3kg i wan ask if i suppose go do thyroid test i also notice say i no dey sweat like before compared to earlier years of my life my mama get hyperthyroidism before so i dey wonder if i fit get hypothyroidism i also dey suffer from kidney stones,hello doctor i am a male twenty seven years old weighing ninety eight kilograms and my height is five feet ten inches i have been training in the gym for the past three months but my weight loss has been barely three kilograms should i go for any thyroid tests also i feel like i sweat very little compared to some earlier years of my life my mother was a patient of hyperthyroidism so what are the chances of me suffering from hypothyroidism i also suffer from kidney stones,Speaker_8,30.53,"['weight', 'sweat']",validation
audio/Speaker_8/Speaker8-2.wav,hello no worry yourself you gas dey careful and make you dey do regular check up because no be serious hindrance or leakage dey for your valve so make sure sey you dey follow up well well at least every six months the penicillin injection you go still need am for minimum of up to 40 years or better still make you take am for life the remaining drugs go depend on how your valve dey and your symptoms for the time,hello don t worry you just need to take precautions and have regular follow ups as there is not much obstruction or leakage in your valve therefore good follow ups should be done at least every six months the penicillin injection should be taken for a minimum of up to forty years preferably for life the rest of the medication will depend on the status of your valves and your symptoms,Speaker_8,28.56,"['obstruction', 'penicillin']",validation
audio/Speaker_8/Speaker8-3.wav,i dey feel pain for my right ovary side from scale of 1 to 10 the pain na like 6 few days ago i see blood for my shit e no dey scratch me after i use toilet so i don already rule out hemorrhoids i dey fear say e fit be ovarian cancer or cervical cancer,i am having pains in my right ovary from one to ten the pain is a six a few days ago i had blood in my stool there was no itching or irritation afterward after the bowel movement so hemorrhoids are out of the question i am afraid i could have either ovarian or cervical cancer,Speaker_8,17.72,"['pains', 'itching', 'irritation']",validation
audio/Speaker_8/Speaker8-4.wav,based on wetin you talk e be like say the man wey no use protection na the likely father but still condom no dey 100 sure e fit still fail small small if the belle come later comot dna test of the fetus fit still show the real pikin papa,based on your revelation it is likely that the man who did not use protection is the father however condoms have a failure rate if the pregnancy is terminated or aborted the dna of the fetus will reveal the true results,Speaker_8,27.24,[],validation
audio/Speaker_8/Speaker8-5.wav,dear all the things wey you describe na one of the best ways to avoid belle but i go still advise sey make you wait till your next menstrual cycle if your period no show abeg go see your gynaecologist sharp sharp,dear all that you described is one of the best methods of avoiding pregnancy however i suggest you wait until your next menstrual cycle if there are no menstrual periods please refer to your gynecologist immediately,Speaker_8,15.21,[],validation
audio/Speaker_8/Speaker8-6.wav,dem check me come sey i get atypical giant cavernous hemangioma of the liver i don lose about 26 pounds for the last two months and i dey feel sick all the time wetin be the best way to confirm whether e really be hemangioma or something else and if e no be atypical hemangioma wetin e fit likely be,i was just diagnosed with atypical giant cavernous hemangioma of the liver i have lost about twenty six pounds in the last two months and feel sick all the time what is the best way to determine if it is actually a hemangioma or something else if it isn t an atypical hemangioma what is it most likely to be,Speaker_8,24.89,"['giant', 'cavern', 'hemangioma', 'lost', 'pounds', 'sick']",validation
audio/Speaker_8/Speaker8-7.wav,hello doctor we dey feed our 3 month old pikin lactodex 1 we want change am go lactogen 1 because we feel say lactodex dey somehow heavy for her because she dey struggle to shit and the shit colour dey look white abeg wetin be the difference between lactodex and lactogen and if we change am e go affect the baby anyhow,hello doctor we are feeding lactodex one to my three month old daughter we would like to switch to lactogen one as we feel that lactodex is a bit heavy because she is having difficulty with bowel movements and the color of her stool is white please suggest if there is any difference between lactodex and lactogen and also if there will be any impact if we change,Speaker_8,25.54,"['lactodex', 'difficulty', 'bowel', 'movements']",validation
audio/Speaker_8/Speaker8-8.wav,hello all these symptoms na hormone matter e still dey too early to know whether you get belle or not no too dey worry yourself you go need wait like two weeks before you fit do test check your blood sugar and blood pressure too no dey panic,hello these symptoms are hormonal it is too early to know whether you are pregnant or not stop stressing yourself you need to wait another two weeks to take a test check your blood sugar and blood pressure don t be nervous,Speaker_8,17.37,['another'],validation
audio/Speaker_8/Speaker8-9.wav,hello i dey 26 years old and i don dey try get belle for like one and half years now this week i do follicular study and dem give me clomifene citrate 50mg from day 2 to day 7 on day 14 dem see plenty small small follicles for both ovaries abeg e still get chance say i fit get belle this month before before i don do two follicular studies and ovulation rupture happen on day 14 and day 18 with one big follicle wey reach 21mm why this cycle no get dominant follicle like that i dey worry small but my doctor say e normal somehow,hello i am twenty six years old and have been trying to conceive for one and a half years now i had a follicular study performed this week with clomifene citrate fifty milligrams from day two to day seven on the 14th day i have multiple small follicles on both ovaries is there a chance of getting pregnant this month also i have done two follicular studies earlier and had a rupture on day fourteen and day eighteen with dominant follicles measuring twenty one millimeters why am i not having any dominant follicle this cycle i am worried but my doctor says it is kind of normal,Speaker_8,45.42,"['follicular', 'study', 'clomifene', 'citrate', 'milligrams', 'multiple', 'studies', 'rupture', 'fourteen', 'eighteen', 'dominant', 'follicle']",validation
audio/Speaker_8/Speaker8-10.wav,hello i don review your question the white tissue wey you see na gum wey remain after dem comot am e dey stick for tooth structure when tooth still dey but after dem comot am e fit become loose no be something to worry about just dey gargle your mouth with salt water and maintain beta mouth hygiene,hello i reviewed your question the white tissue you observed is gum that is left over after the extraction it adheres to the tooth structure when the tooth is present and becomes loose after extraction it is not an issue to worry about gargle your mouth with salt water and maintain good hygiene,Speaker_8,27.54,"['gum', 'tooth', 'loose', 'gargle']",validation
audio/Speaker_8/Speaker8-11.wav,hello these symptoms dey sound like wetin dem dey call ice pick headache wey relate to migraine dem dey treat am with one medicine wey dem dey call propranolol e no be anything wey dey too serious but since i no fit examine you e go better make doctor check am for you,hello these symptoms sound like what are called ice pick headaches which are related to migraines they are treated with a medication called propranolol it is nothing too serious but since i cannot examine you you should have a doctor check it out,Speaker_8,18.72,"['ice', 'pick', 'migraines', 'propranolol']",validation
audio/Speaker_8/Speaker8-12.wav,hello treatment dey depend on the stage wey the cancer don reach since dem wan do surgery e get good chance say e still dey early stage even after the surgery dem fit still give am chemotherapy so just dey hope for the best everything go dey alright,hello treatment depends on the staging of the cancer since they are performing surgery there are good chances that it might still be in the early stages even after surgery they may put him on chemotherapy so just hope for the best everything will be fine,Speaker_8,17.67,[],validation
audio/Speaker_8/Speaker8-13.wav,hello the green medicine no get hormone inside dem just get iron and other minerals the white light blue and blue medincine sef na the ones wey get hormone na dem you go take for the first three weeks the green medicine na for the fourth week you still dey protected even when you dey take the green medicine because of the hormone medicine wey you don take for the first three weeks even if you miss the green ones you still dey protected but e dey important make you start the next pack as e suppose be dat na on the 29th day i hope say i don answer your question,hello the green pills are inert they do not contain hormones they contain iron and minerals the white light blue and blue pills contain hormones these are taken in the first three weeks the green pills are taken in the fourth week you are protected while taking the green pills too because of the effect of the hormone pills you have taken in the first three weeks you can afford to miss these green pills you are still protected but it is important that you start the next pack as per schedule that is on the 29th day i hope i have answered your concerns,Speaker_8,39.47,[],validation
audio/Speaker_8/Speaker8-14.wav,hi doctor i ovulate two weeks ago me and my husband dey try get belle so we knack around that time today i come notice sey small pinkish stain dey comot for my tissue when i go toilet abeg e fit mean sey i dey get belle or e fit be implantation bleeding i don also dey feel plenty gas for my belle small cramp for my pelvic area and i dey feel tired but na only that,hi doctor i ovulated two weeks ago my husband and i are trying for a baby so we had sexual intercourse around that time and today i noticed very light pinkish spotting on my toilet paper when i went to the bathroom could i be getting pregnant soon or could this be implantation bleeding i have also been feeling a lot of gassiness in my belly cramping in my pelvic area and tiredness but that s all,Speaker_8,30.19,"['gassiness', 'cramping', 'tiredness']",validation
audio/Speaker_8/Speaker8-15.wav,hi i bin slip fall down half flight of stairs yesterday because everywhere dey slippery today i dey feel serious pain for left side of my body because na that side i land on i no even fit break the fall and i feel the pain immediately but today e don worse pass yesterday abeg wetin i fit do,hi i slipped down half a flight of stairs yesterday in wet weather conditions and today i am feeling a lot of pain down the left side of my body as that is the side i landed on i was unable to break my fall and instantly felt pain but not as much as today what can i do,Speaker_8,26.89,"['slipped', 'half', 'flight', 'stairs', 'fall']",validation
audio/Speaker_8/Speaker8-16.wav,hi i dey almost 61 years old and i don dey live with cerebral palsy since wey i be small pikin i start to dey walk around age 4 but now sometimes maybe once or twice for week my right leg go just stop to dey work properly i don try dey observe the muscles wey dey fail but na like the last part of stepping forward no just dey respond i still fit walk but i go just dey limp until e clear usually within 5 to 10 minutes i understand say cerebral palsy no be progressive disease na brain injury wey no dey worsen so i dey confused why i dey still get this kind temporary loss of control after all these years,hi i am almost sixty one years old and have had cerebral palsy since infancy i learned to walk at about four years old infrequently now maybe once or twice a week my right leg stops functioning properly i have tried to determine which muscles fail but essentially the last part of stepping forward onto it fails i am still ambulatory i just hobble until it goes away usually in five to ten minutes i know that cerebral palsy is not a disease it is brain damage that does not progress so i am confused about temporarily losing such hard won control,Speaker_8,49.46,"['almost', 'sixty', 'cerebral', 'palsy', 'leg']",validation
audio/Speaker_8/Speaker8-17.wav,hi i no fit see the attached reports na only the question wey you write i dey see normally swelling edema for lower limb fit happen because lymphatic blockage wey come from tumour spread go pelvic lymph nodes these kind symptoms fit suggest advanced disease another thing wey fit cause the swelling na deep vein thrombosis for the leg veins to fit continue treatment well we need first identify the exact cause without proper examination of the patient i no fit give definite opinion,hi i am not able to see the attached reports i can see only the question written by you usually the edema in the lower limb is due to the lymphatic blockage caused by tumor metastasis into the pelvic lymph nodes these symptoms indicate advanced disease another cause for this swelling can be deep vein thrombosis in the leg veins to proceed with treatment the cause must first be identified a definitive opinion cannot be given without an examination of the patient,Speaker_8,30.28,"['edema', 'limb', 'able', 'tumor', 'metastasis', 'pelvic', 'swelling', 'thrombosis', 'leg']",validation
audio/Speaker_8/Speaker8-18.wav,i pull muscle for my back two times for the right side the last time i go do mri and dem tell me say i get twelve lymph nodes wey don swell for my back dem say make i do biopsy but i no do am now my back don start to dey pain me again but i no think say na muscle i pull because i no carry anything heavy i dey wonder if na those nodes don swell again and how i fit take treat am,i pulled a muscle in my back twice on the right side the last time i got an mri and they told me i had twelve swollen lymph nodes in my back they wanted me to do a biopsy but i never did well my back is hurting again but i don t think i pulled a muscle i wasn t lifting anything heavy i m wondering if my nodes are swollen and how i can treat them,Speaker_8,26.05,"['swollen', 'lym', 'nodes']",validation
audio/Speaker_8/Speaker8-20.wav,this vaccine dey prevent pneumococcal infection wey fit cause pneumonia meningitis and other infections e cost about 1 300 indian rupees per injection if your financial condition allow am you fit go ahead and take am,this vaccination prevents pneumococcal infection which is a cause of pneumonia meningitis and other infections it costs one three hundred indian rupees per injection if your financial situation allows you should proceed with it,Speaker_8,17.79,['pneumococcal'],validation
audio/Speaker_8/Speaker8-21.wav,welcome na your plan be this yes the 750mg tablet no easy to take at all you fit take 250mg tablet three times every day instead e no really change anything for the treatment also make you tell me why dem prescribe levofloxacin for you na lower respiratory tract infection or upper respiratory tract infection other alternative antibiotics dey wey dey better and more safe pass am thank you,welcome here is your plan yes the seven hundred and fifty milligram tablet is very uncomfortable to take you can take a two hundred and fifty milligram tablet three times a day it makes no difference also let me know why you were prescribed levofloxacin was it for a lower respiratory tract infection or upper respiratory tract infection alternative better and safer antibiotics are available thank you,Speaker_8,29.16,"['milligram', 'tablet', 'levofloxacin', 'respiratory', 'tract', 'antibiotics']",validation
audio/Speaker_8/Speaker8-22.wav,hello madam bleeding especially when clot dey inside no be good sign at all e go better make you go see ear nose and throat doctor make dem check you well well dem go guide you better one reason wey fit make nose dey bleed na high blood pressure so abeg go check your bp with doctor make sure say you follow the treatment well well things go better,hello madam bleeding especially with clots is not a good sign it is advisable to visit an otorhinolaryngologist for a detailed examination they will guide you better one of the reasons for bleeding through the nose is high blood pressure so please visit a doctor and get your blood pressure examined do follow the treatment meticulously things will improve,Speaker_8,28.33,[],validation
audio/Speaker_8/Speaker8-23.wav,definitely e be like say you don get sprain for your backbone because of wrong movement of the vertebrae during exercise no be say na too much exercise cause am,definitely it seems that you have suffered from a sprain of the vertebrae due to improper movements of the vertebrae during exercise not necessarily excessive exercise,Speaker_8,12.75,"['sprain', 'vertebrae']",validation
audio/Speaker_8/Speaker8-24.wav,make you start with ova grace sachet and make you take clomiphene citrate 50mg from day 2 of your menstrual cycle for 5 days preferably for night then start to dey do ultrasound from day 9 of your cycle do the ultrasound every other day make you check follicle,start with ova grace sachet and take clomiphene citrate fifty milligrams from the second day of your menstrual cycle for five days preferably at night then begin doing ultrasounds on the 9th day of your menstrual cycle perform ultrasound every other day for follicle testing,Speaker_8,21.06,"['sachet', 'clomiphene', 'citrate', 'milligrams', 'ultrasounds', 'th', 'ultrasound', 'other']",validation
audio/Speaker_8/Speaker8-25.wav,my pikin girl wey be 2 months old her shit colour don just change from yellow come go pale green for the past few weeks for the last two days the shit don come dey loose too the smell sef don change since that time wey the colour begin change she no get fever she no too dey cry or disturb and na formula we dey give her we never change the brand since abeg wetin this fit be,my daughter age two months has had a random change in her stool color from yellow to more of a pale green over the last couple of weeks for the last two days her stool has also been loose the odor has changed as well since the color change a couple of weeks ago she has no fever is not overly fussy and she is formula fed without any changes in the brand since the start can you tell me what this may be,Speaker_8,28.63,['yellow'],validation
audio/Speaker_8/Speaker8-26.wav,i be 59 year old oyibo woman dem don check me come diagnose me with lupus and thalassemia minor and i get stent for my left anterior descending artery my blood pressure dey low to normal and my cholesterol normal lately i dey feel tired my doctor just do blood test and most results normal except leukocyte esterase dey high small one and my white blood cell count na 6 10 my creatinine na 1 13 and estimated gfr for non african americans na 53 my ferritin na 342 my hemoglobin na 10 2 hematocrit 32 7 mcv 71 6 mch 22 5 mchc 31 4 and rdw 17 1 i know say some of these results dey because of my condition already but i dey worry about the others abeg e fit be sign of any kidney problem,i am a fifty nine year old white female i have been diagnosed with lupus thalassemia minor and i have a stent in my left anterior descending artery my blood pressure is low to normal and my cholesterol is normal i ve been feeling tired my doctor recently took blood and the results are generally normal except i have elevated leukocyte esterase one and a white blood cell count of six ten my creatinine is one point one three and the estimated glomerular filtration rate for non african americans is fifty three my ferritin count is three hundred and forty two in addition my hemoglobin is ten point two hematocrit is thirty two point seven mean corpuscular volume is seventy one point six mean corpuscular hemoglobin is twenty two point five mean corpuscular hemoglobin concentration is thirty one point four and red cell distribution width is seventeen point one some of these results are because of my diagnosed conditions however i am concerned about what i have read regarding these other tests are they indicators of some kidney disorder,Speaker_8,74.68,"['white', 'thalassemia', 'stent', 'anterior', 'descending', 'blood', 'pressure', 'cholesterol', 'elevated', 'leukocyte', 'esterase', 'cell', 'creatinine', 'point', 'ferritin', 'count', 'hemoglobin', 'volume', 'seventy', 'concentration', 'red', 'distribution', 'width', 'seventeen', 'kidney']",validation
audio/Speaker_8/Speaker8-27.wav,hello based on wetin you talk e be like say you dey experience diabetic nephropathy one complication wey dey relate to microalbuminuria wey be the earliest sign wey dem fit detect some reasons wey fit make am no dey under control as i dey usually see for patients na poor control of blood pressure and blood sugar being overweight and high hemoglobin a1c level i go advise make you dey check your blood pressure every day do lipid profile test and especially hemoglobin a1c test if you fit keep all these things under control and take enalapril 2 5mg two times daily e dey help manage microalbuminuria and blood pressure well i wish you quick recovery,hello based on what you said you are more likely experiencing diabetic nephropathy a complication associated with microalbuminuria which is the earliest detectable pathology there are a few reasons why this may not be under control based on what i usually see in patients one poor control of hypertension and blood sugar two being overweight three higher hemoglobin a1c levels i suggest daily blood pressure monitoring a lipid profile test and especially a hemoglobin a1c test keeping the above under control taking enalapril two point five milligrams twice daily is an effective management for microalbuminuria and blood pressure i wish you a swift and speedy recovery,Speaker_8,52.64,"['diabetic', 'nephropathy', 'overweight', 'hemoglobin', 'daily', 'enalapril', 'point', 'milligrams', 'twice', 'microalbuminuria']",validation
audio/Speaker_8/Speaker8-28.wav,hello i hit my knee while i dey play volleyball after i just recover from one bruised knee immediately e begin burn and sting me like fire then e come swell well well and one small part for the right side dey almost numb e no dey feel normal when i touch am but i still dey feel am small smalll abeg wetin happen to my knee,hello i hit my knee while playing volleyball after recovering from a bruised knee it burned and stung immediately after the impact almost like it was on fire then it became extremely swollen and a small area on the right side feels nearly numb it does not feel normal when i touch it but i can still feel it what happened to my knee,Speaker_8,21.69,['knee'],validation
audio/Speaker_8/Speaker8-29.wav,my husband dey suffer from pain for lower part of the left side of him head muscle pain for both shoulder blades sharp sharp pain for him legs feet and for him lower back left side e get one lump wey dey move and dey pain am we don go see neurologists and different doctors many times but no result he don do mri blood tests emg and even nerve block injection for him head we just dey look for advice on wetin fit dey wrong with am because e dey suffer from all these things every day,my husband has been suffering from pain in the lower part of the left side of his head muscle pains in both shoulder blades sharp stabbing pains in his feet and his lower back on the left side has a movable lump that is hurting him we have been to neurologists and doctors continuously with no results he has had magnetic resonance imaging and blood work electromyography and nerve block injections in his head we are just looking for some advice on what might be wrong with him as he suffers with these problems every day,Speaker_8,37.87,"['pains', 'part', 'side', 'his', 'head', 'muscle', 'sharp', 'stabbing', 'lump', 'neurologists', 'magnetic', 'resonance', 'electromyography']",validation
audio/Speaker_8/Speaker8-30.wav,hi sonia welcome to healthcaremagic com since wey you knack 48 hours before ovulation e get good chance say you fit get belle sperm fit survive reach 48 hours inside woman body so all the best you fit check on the day wey your period suppose come by doing urine pregnancy test all the best,hi sonia welcome to healthcaremagic com since you had intercourse forty eight hours prior to ovulation there is a fair chance of conceiving sperm can survive up to forty eight hours in the female genital tract so all the best you can check on the day of the missed period by doing a urine pregnancy test all the best,Speaker_8,22.15,['female'],validation
audio/Speaker_8/Speaker8-31.wav,hello student you sef na student for this matter this thing na normal normal process so no worry yourself again just continue as e be soapy masturbation no get bad effect for your future married life no be for you and no be for your future wife,hello student you are a student of this problem too this is a very natural process and do not worry about it anymore carry on the way it is masturbation has no bad effects on your future married life neither for you nor for your future wife,Speaker_8,15.98,[],validation
audio/Speaker_8/Speaker8-32.wav,hello welcome to healthcaremagic the symptoms wey you talk dey suggest infection for colon and small intestine you go need do shit culture and microscopy to rule out any parasite wey you get you need treatment with antibiotics take ciprofloxacin 500mg two times daily for 5 days together with pantoprazole 40mg before food for 5 days i hope say i don answer your question take care,hello welcome to healthcaremagic the above symptoms are suggestive of an infection in the colon and small intestine a stool culture and microscopy are needed to rule out any parasitic infestation you need to be treated with antibiotics take ciprofloxacin five hundred milligrams twice daily for five days along with pantoprazole forty milligrams before food for five days i hope i have answered your question take care,Speaker_8,27.93,"['infection', 'colon', 'culture', 'microscopy', 'antibiotics', 'ciprofloxacin', 'milligrams', 'twice', 'daily', 'pantoprazole']",validation
audio/Speaker_8/Speaker8-33.wav,i be 22 years old and i don dey do soapy masturbate for like 5 years now i don begin get problems like back pain eye wahala and i dey feel tired all the time abeg wetin i fit do for some time i dey soapy masturbate like 7 8 times every week but after some months i come begin notice back pain and eye problem i dey always tired but i never go see doctor how i fit take overcome these problems most times i dey hear say to dey do soapy masturbation no dey harmful so why i dey face all these problems abeg make una suggest something for me,i am twenty two years old and i have been masturbating for the last five years i am experiencing problems like back pain eyesight issues and constant tiredness please suggest something for me for some time i masturbated seven to eight times a week but after a few months i started facing problems like back pain and eyesight problems i have been tired yet i did not consult any doctor how can i overcome these problems most of the time i hear that masturbation is not harmful so why am i facing such problems please suggest something for me,Speaker_8,35.34,"['constant', 'tired']",validation
audio/Speaker_8/Speaker8-34.wav,hello anshul i think say you suppose stop smoking e go help your lungs well well no this one no be symptom of lung cancer e be like say na gastritis you dey suffer from you fit take omeprazole 20mg two times daily avoid alcohol and no dey chop oily and spicy food,hello anshul i think you should quit smoking it will be good for your lung health no this is not a symptom of lung cancer i believe you are suffering from gastritis you can use omeprazole twenty milligrams twice daily avoid alcohol as well as oily and spicy foods,Speaker_8,20.6,"['lung', 'symptom', 'milligrams', 'twice', 'daily', 'spicy']",validation
audio/Speaker_8/Speaker8-35.wav,my husband dey for methadone maintenance program because e no wan depend on legal pain pills again him gp prescribe axiron testosterone replacement because him dey get low energy and low libido we don dey try get pikin for some months now abeg e possible say methadone or axiron dey make am infertile,my husband is in a methadone maintenance program he wanted to not be dependent on legally prescribed pain pills his general practitioner prescribed axiron testosterone replacement for his lack of energy and low libido we have been trying to conceive for several months now is it possible that the methadone or axiron are making him infertile,Speaker_8,22.18,"['methadone', 'axiron', 'lack', 'energy', 'low', 'several']",validation
audio/Speaker_8/Speaker8-36.wav,the information wey you give no complete i need know the name of the medicine wey your pikin dey take before i fit talk anything about side effects or how e dey take work also abeg mention how serious your pikin asthma be e dey common for childhood asthma to dey happen together with rhinitis,the information provided by you is insufficient i would like to know the name of the medicine your child is taking before making any comments on its side effects or its effectiveness also please mention the severity of your child s asthma it is common for childhood asthma to occur alongside rhinitis,Speaker_8,21.76,[],validation
audio/Speaker_8/Speaker8-37.wav,when i dey small my lips been dey pink but now dem don change turn brown abeg how i fit take get my old lip colour back e get way wey i fit take change am back to normal colour and wetin fit be the reason for this colour change,when i was small my lips were pink in color now they have changed to brown how can i get back my old lip color could you please suggest a way to change it to a normal color could you please explain what might be the reason for this color change,Speaker_8,20.71,"['pink', 'normal']",validation
audio/Speaker_8/Speaker8-38.wav,dentigerous cyst dey develop from follicular epithelium wey get strong ability to grow differentiate and even degenerate sometimes other serious lesions fit also develop inside the wall of dentigerous cyst like mucoepidermoid carcinoma wey dey come from mucous cells for the cyst wall ameloblastoma and squamous cell carcinoma dentigerous cyst fit also grow reach big size and e fit put patient for risk of jaw fracture abeg follow your surgeon advice regarding surgery surgery dey necessary because of the complications wey fit happen if cyst no treat,dentigerous cysts develop from follicular epithelium which has greater potential for growth differentiation and degeneration occasionally other more ominous lesions may arise within the walls of the dentigerous cyst including mucoepidermoid carcinoma arising from mucous cells within the cyst walls ameloblastoma and squamous cell carcinoma dentigerous cysts can also become quite large and can place the patient at risk for pathologic jaw fracture please follow your surgeon s advice regarding surgery surgery becomes necessary considering the complications of the cyst if left untreated,Speaker_8,51.71,"['cysts', 'from', 'lesions']",validation
audio/Speaker_8/Speaker8-39.wav,hello the wetness wey you dey experience fit no be infection e fit just be friction related issue after intercourse wey cause small inflammation since you don already do tests and complete antibiotic course you no too need to worry just observe the discharge for about one week if e begin get bad smell or you develop fever or itching for the area then you need go see doctor for meantime do urine microscopy and routine test to rule out urinary tract infection avoid nylon underwear use cotton ones instead always use condom when you dey knack and make sure say you no get latex allergy,hello the wetness you are experiencing may not be an infection it could be due to a friction related issue after intercourse causing some inflammation as you have already run the tests and taken a course of antibiotics there is not much to worry about observe the discharge for a week if it gets foul smelling or you develop a fever or an itch over the area you may have to see the doctor in the meantime get a urine microscopy and routine test to rule out any urinary tract infection avoid nylon undergarments and use cotton ones instead use a condom always during intercourse and make sure you do not have an allergy to latex,Speaker_8,40.54,"['wetness', 'fever', 'itch', 'urine', 'microscopy', 'urinary']",validation
audio/Speaker_8/Speaker8-40.wav,hi congratulations mild pain dey normal for early pregnancy but if you start to get severe pain together with any vaginal discharge e dey important make you seek emergency medical attention to rule out ectopic pregnancy i suggest make you test your serum human chorionic gonadotropin hcg levels abeg wait another two weeks before you go do ultrasound examination if the pain become very severe abeg consult your obstetrician immediately all the best,hi congratulations mild pain is normal during early pregnancy however if you experience severe pain accompanied by any discharge from the vagina it is imperative to seek emergency medical attention to rule out ectopic pregnancy i suggest you have your serum human chorionic gonadotropin levels tested please wait for two more weeks for an ultrasound examination consult your obstetrician if the pain becomes very severe all the best,Speaker_8,35.09,"['mild', 'normal', 'severe', 'serum', 'gonadotropin', 'ultrasound', 'consult']",validation
audio/Speaker_8/Speaker8-41.wav,yes you dey at risk for both esophageal and throat cancer the risk fit increase by about 5 to 10 times e dey usually take 10 to 20 years for cancer to develop for areas wey acid reflux dey constantly damage abeg go see gastroenterologist make dem treat am properly make you no ignore this matter at all,yes you are at risk for both esophageal and throat cancer the risk increases by five to ten fold it takes ten to twenty years for cancer to form in the constantly damaged regions caused by the acidic reflux juices please meet with a gastroenterologist and get treated do not neglect this issue,Speaker_8,21.73,"['yes', 'esophageal', 'throat', 'meet']",validation
audio/Speaker_8/Speaker8-42.wav,i get one indentation for my right buttock about 1 5 inches wide i notice am about 2 months ago i receive kenalog injection for allergy for early june and i don dey take this same injection every year for june for some years now but i never experience anything like this before sometimes i dey feel small tenderness around the area but most times i no dey feel pain abeg e fit be from the kenalog injection or e fit be like some kind knot i dey also do regular workouts,i have an indentation in my right buttock about one and a half inches in diameter i noticed it about two months ago i did receive the kenalog injection for allergies in early june and have been receiving this injection for several years usually once a year in june and i have never had any symptoms before i do occasionally feel some tenderness around the indentation but generally i do not have any pain could this be from receiving the kenalog injection or is it possible to have a knot so to speak i work out on a regular basis,Speaker_8,38.82,"['indentation', 'buttock', 'half', 'inches', 'kenalog', 'june', 'tenderness']",validation
audio/Speaker_8/Speaker8-43.wav,i dey get serious pain for my middle back wey dey spread go left side e sharp and e dey very painful to sit up when i lie down or to turn body i don also get diagnosis of abdominal aortic aneurysm wey dem dey monitor the size still dey around 4cm abeg e fit be say this pain dey related to that one or wetin else fit cause am i don go chiropractor but no relief now i dey do physical therapy but still no change i dey even begin feel depressed and very tired because i no dey sleep well,i am having terrible pain in my middle back radiating to the left side it is sharp and very painful to sit up when lying down or to turn i have also been diagnosed with an abdominal aortic aneurysm which they are monitoring the size is currently only four centimeters could this pain be related to that or what could it possibly be i have been to a chiropractor with no relief i am now going to physical therapy and still have no relief i am becoming very depressed and tired from lack of sleep,Speaker_8,40.1,"['terrible', 'middle', 'radiating', 'sharp', 'painful', 'abdominal', 'physical', 'therapy', 'depressed', 'tired']",validation
audio/Speaker_8/Speaker8-44.wav,you fit get one cyst wey dem dey call popliteal cyst abeg do proper ultrasound or mri scan to confirm the diagnosis the treatment for popliteal cyst na surgery to remove am,you could be having a cyst called a popliteal cyst get a good ultrasound or magnetic resonance imaging to confirm the diagnosis the treatment for a popliteal cyst is an operation to remove it,Speaker_8,15.72,"['cyst', 'ultrasound', 'magnetic', 'resonance', 'imaging', 'popliteal']",validation
audio/Speaker_8/Speaker8-45.wav,hello i don go through your question and i understand your concern i suggest make you rule out intestinal infection make you do shit culture and shit analysis including test for cysts and ova for pain i advise meftal spas syrup you fit also use nitrofurantoin or taxim charcoal 1 tablet for every 10kg body weight and albendazole zentel 10ml once for evening as prophylaxis for helminth infection you fit discuss all these with your doctor i hope i don answer your question if you still get more questions abeg no hesitate to hala us i always dey happy to help i dey wish your child good health,hello i have gone through your question and understand your concern i suggest excluding intestinal infection by performing a stool culture and stool analysis as well as testing for cysts and ova i advise meftal spas syrup for pain nitrofurantoin or taxim charcoal one tablet for every ten kilograms and albendazole zentel ten milliliters once in the evening for prophylaxis of helmintiasis you can discuss this with your doctor i hope i have answered your question if you have more questions then please don t hesitate to contact us i am always happy to help wishing your child good health,Speaker_8,47.72,"['culture', 'meftal', 'spas', 'nitrofurantoin', 'taxim', 'charcoal', 'albendazole', 'zentel', 'milliliters', 'prophylaxis']",validation
audio/Speaker_8/Speaker8-46.wav,hello i get genital warts as my doctor don tell me dem no big na small small ones but since i start to rub the cream i don notice light pinkish spots dey form around my opueh when i dey piss e dey burn me abeg wetin this fit mean,hello i have genital warts as informed by my doctor they are not big warts at all they are actually small however since i have applied the cream my clitoris seems to have light pinkish spots forming around it when i urinate it burns what could this mean,Speaker_8,23.15,"['genital', 'clitoris', 'light', 'pinkish']",validation
audio/Speaker_8/Speaker8-47.wav,hello i need your help i get one sister wey dey feel like something dey move inside her gums like say worms dey move inside her mouth we don carry her go dentist neurologist and even general doctor but nobody still get clear answer she don dey suffer like this for many years now and nothing change as e be so my sister don even begin dey think about suicide because of this problem nobody still know wetin she really get abeg make una help us,hello i need your help i have a sister who suffers from some sort of movement inside her gums she says it feels like worms are moving around inside her gums we have taken her to the dentist neurologist and a regular medical doctor they do not seem to have any answers she has been suffering like this for quite a few years now and still no answers my sister has been contemplating suicide because of this problem no one seems to know what she has please help,Speaker_8,27.89,"['sister', 'worms', 'gums']",validation
audio/Speaker_8/Speaker8-48.wav,hi abeg reply via email with more details urgently because your story dey confusing and no complete abeg email photograph of the lump for your buttock also email any medical records wey you get including any x ray reports if dem dey available thank you welcome,hi please reply via email with more details urgently as your story is confusing and incomplete please email a photograph of the lump on the buttock also please email the medical records if any along with any available x ray reports thank you welcome,Speaker_8,23.01,['lump'],validation
audio/Speaker_8/Speaker8-49.wav,hi i be stressed mother my 4 year old son don dey vomit and dey complain of abdominal pain the diarrhoea don stop now i carry am go see doctor and doctor talk say na appendix problem my husband no believe the doctor e dey think say na virus wey my son catch from am last night abeg help help,hi i m a stressed mother my four year old son has been vomiting and experiencing abdominal pain the diarrhea has stopped i took him to the doctor and he says that it is my son s appendix my husband does not believe the doctor because he thinks my son caught a virus from him the previous night help help,Speaker_8,22.57,"['vomiting', 'abdominal', 'diarrhea', 'took']",validation
audio/Speaker_8/Speaker8-50.wav,do pregnancy test if you get any doubt and confirm am properly pregnancy after oral sex no dey possible if you miss ya period e fit be because of other reasons so abeg go see your gynaecologist you fit take paracetamol tablets for pain when necessary,do a pregnancy test if you have doubts and get it confirmed pregnancy after oral sex is not possible periods may have been missed due to other reasons so please meet your gynecologist take paracetamol tablets for pain as needed,Speaker_8,17.39,"['pregnancy', 'test', 'doubts', 'oral', 'paracetamol', 'tablets']",validation
audio/Speaker_8/Speaker8-51.wav,i dey find am hard to breathe and i dey cough when i dey go office for road i also dey feel chest tightness i dey usually take public jeep because i no get car and i don dey experience this thing for some months now even when i no dey cough the same feeling still dey i suspect say na dust wey i dey inhale cause am i also dey feel small stomach pain sometimes i think say e fit be gastroenteritis abeg e fit be allergy make you advise me,i have been experiencing heart palpitations since i was fourteen and now i am thirty eight my palpitations are more frequent and last longer they can last an afternoon but they are not the strongest palpitations i have i feel very exhausted and the tip of my tongue gets tingly is this dangerous,Speaker_8,34.64,['palpitations'],validation
audio/Speaker_8/Speaker8-52.wav,i dey find am hard to breathe and i dey cough when i dey go office for road i dey also feel chest tightness i dey usually take public jeep because i no get car and i don dey experience this thing for some months now even when i no dey cough the same feeling still dey i suspect say na dust wey i dey inhale cause am i also dey feel small stomach pain sometimes i think say e fit be gastroenteritis abeg e fit be allergy abeg make you advise me,it is hard for me to breathe and i tend to cough when i am on the road going to the office i have also felt tightening in my chest i usually travel by public utility jeep because i do not have a car and i have been experiencing this feeling for a few months now even if i do not have a cough i feel the same and i suspect that this is due to dust that i inhaled i also experience occasional pain in my stomach which i feel might be related to gastroenteritis does it have anything to do with an allergy please advise,Speaker_8,33.27,"['cough', 'tightening', 'occasional']",validation
audio/Speaker_8/Speaker8-53.wav,i be 43 year old man my height na 6 feet 4 inches and my weight na 290 pounds i get heart attack after yellow jacket sting about 6 months ago dem find serious blockage two arteries 100 blocked two 90 and one 70 i do coronary artery bypass graft for august 2011 and dem bypass 4 arteries now i dey experience serious leg and hip pain wey no dey before surgery doctor remove me from cholesterol medicine for 3 months and the leg pain reduce small but now dem don put me back on milder dose and the pain dey come back again my doctor no think say the pain relate to the surgery but other people wey do same surgery tell me say dem experience am too abeg this one normal,i am a forty three year old male my height is six feet four inches and my weight is two hundred and ninety pounds i had a heart attack after being stung by yellow jackets six months ago they found significant blockages two arteries were one hundred blocked two were ninety and one was seventy i had a coronary artery bypass graft in august two thousand and eleven with four arteries bypassed i am now experiencing significant leg and hip pain that was not present before surgery the doctor took me off of cholesterol medication for three months and the leg pain improved somewhat but now i am on a milder dose and the leg pain is getting worse the doctor does not seem to think that the leg and hip pain are related to surgery but others who have had the surgery have told me they experienced the same thing is this normal,Speaker_8,52.18,"['height', 'weight', 'heart', 'attack', 'stung', 'arteries', 'coronary', 'graft', 'leg', 'hip', 'cholesterol']",validation
audio/Speaker_8/Speaker8-54.wav,e normal especially for people wey slim make dem feel the spinous processes under the skin if you still get doubt go do physical examination or take lateral view x ray all the best,it is normal for especially thin individuals to feel the spinous processes under the skin if you are still in doubt get a physical examination or a lateral view x ray all the best,Speaker_8,12.31,"['physical', 'examination', 'lateral', 'view']",validation
audio/Speaker_8/Speaker8-55.wav,my grandma dey critical condition right now she dey on dialysis because of end stage kidney failure she don suffer 4 heart attacks septicemia and hemorrhagic stroke today she dey still make voluntary movements even while she dey on ventilator abeg why doctor still dey do dialysis for her wetin be the reason,my grandmother is in critical condition right now she is on dialysis due to end stage renal failure has experienced four heart attacks septicemia and a hemorrhagic stroke today she is making voluntary movements while on a ventilator how come the doctor is still administering dialysis to her please explain why,Speaker_8,23.96,"['grandmother', 'voluntary', 'movements', 'ventilator']",validation
audio/Speaker_8/Speaker8-56.wav,hello thank you for coming to the clinic i really appreciate your concern the knee na very delicate joint and if injury happen e need proper check to rule out fracture meniscus tear or bleeding e better make you go see orthopedic surgeon for meantime try keep the leg raised up and you fit take pain relief medicine if needed mri na the best test wey fit give full details about the injury i hope this information help you,hello thank you for coming to the clinic i really appreciate your concern the knee is a very fragile joint and in case of injury it needs to be investigated for fractures meniscus tears or bleeding it is better to see an orthopedic surgeon until then it is advisable to keep the leg in an elevated position and analgesics can be tried an mri is the test that provides detailed information about the injury i hope this information helps,Speaker_8,33.04,"['knee', 'leg', 'mri']",validation
audio/Speaker_8/Speaker8-57.wav,i get one rash skin infection about one week ago my dermatologist don diagnose am as shingles but another hospital collect sample do culture test and dem say na stenotrophomonas maltophilia abeg this one na the same thing as shingles or e just dey similar,i developed a rash type of skin infection about a week ago my dermatologist diagnosed it as shingles another medical facility had taken a culture sample that was diagnosed as stenotrophomonas maltophilia is this the same thing or similar to shingles,Speaker_8,19.74,"['rash', 'infection', 'culture', 'sample']",validation
audio/Speaker_8/Speaker8-58.wav,sir i dey experience my heart dey beat very fast when i dey walk or when i dey cut grass this thing don dey happen for about 2 months now when my heart rate increase like that i also dey get headache and sometimes i just dey suddenly fall down the episodes no regular but dem dey come and go abeg sir help me wetin i suppose do now,sir i am facing a problem with my heart beating at a high rate while walking and also while cutting grass i have been experiencing this issue for about the last two months during these episodes of increased heart rate i have also been experiencing headaches and at times i suddenly fall down the episodes are irregular but occur in alternating motions please sir help me give me suggestions on what i should do now,Speaker_8,24.96,"['heart', 'high', 'rate', 'walking', 'headaches', 'fall', 'irregular', 'occur']",validation
audio/Speaker_8/Speaker8-59.wav,hi my son is two years old and just started potty training he has been doing great and it has been pretty much at his will with no pressure from me or his father he goes to the restroom for a bowel movement about every day today however he has gone a little every time he has sat to urinate now he is saying his bottom hurts and does not let me wipe it,hi my son is two years old and just started potty training he has been doing great and it has been pretty much at his will with no pressure from me or his father he goes to the restroom for a bowel movement about every day today however he has gone a little every time he has sat to urinate now he is saying his bottom hurts and does not let me wipe it,Speaker_8,36.5,"['restroom', 'bottom', 'hurts']",validation
audio/Speaker_8/Speaker8-60.wav,hi i don go through your question and i understand wetin dey worry you intracytoplasmic sperm injection icsi get success rate of about 35 40 per cycle if all medical and laboratory conditions dey correct failure fit happen because of poor lab conditions unsuitable womb environment or abnormal egg ovum i go suggest make you ask about the success rate of the specific ivf centre you dey consider so dem fit properly assess the lab conditions and help you make beta decision i hope sey this answer fit help you i wish you good health,hi i have gone through your question and understand your concerns intracytoplasmic sperm injection has a success rate of thirty five forty in each cycle if all the other medical and laboratory conditions are ideal failure of intracytoplasmic sperm injection can be due to inappropriate laboratory conditions an unsuitable uterine environment or an abnormal ovum i would suggest you inquire about the success rate of the particular in vitro fertilization center so that the laboratory conditions can be assessed and further decisions can be made accordingly i hope you found the answer helpful wishing you good health,Speaker_8,35.71,['intracytoplasmic'],validation
audio/Speaker_8/Speaker8-61.wav,i dey get trouble under my rib cage for about 2 months now ct scan come out clear and celiac test normal dem tell me make i try lactose free diet for some weeks abeg e fit just start suddenly like that i dey 34 years old and i never be lactose intolerant since i dey like 18 months old i also dey feel like quiver for my stomach and nausea dey come often my colon too was very full when dem do first x ray abeg any idea wetin fit be the cause,i have been having trouble under my rib cage for the past two months a computed tomography scan was clear and the celiac test was normal they tell me to try lactose free for a couple of weeks can this come on suddenly i am thirty four years old and haven t been lactose intolerant since i was eighteen months old i have a quiver in my stomach and nausea quite often my colon was also completely full during my first visit with the x ray any ideas,Speaker_8,41.15,"['under', 'rib', 'cage', 'computed', 'tomography', 'couple', 'was', 'eighteen', 'quiver', 'stomach', 'nausea', 'colon']",validation
audio/Speaker_8/Speaker8-62.wav,low hemoglobin levels fit cause blurred vision and dizziness but now wey your hemoglobin don increase reach 12 that one no suppose be the cause again abeg go do computed tomography scan,low hemoglobin levels can cause blurred vision and dizziness however now that your hemoglobin has increased to twelve this should no longer be the cause please get a computed tomography scan done,Speaker_8,12.86,"['low', 'hem', 'blurred', 'vision', 'hemoglobin', 'increased', 'computed', 'tomography']",validation
audio/Speaker_8/Speaker8-63.wav,if the broken off piece of bone is impinging on the nerve root to an extent that you have intractable pain or there are some changes in the muscle supplied by that nerve then surgery may be necessary,if the broken off piece of bone is impinging on the nerve root to an extent that you have intractable pain or there are some changes in the muscle supplied by that nerve then surgery may be necessary,Speaker_8,26.1,"['nerve', 'root', 'surgery']",validation
audio/Speaker_8/Speaker8-64.wav,hi i don go through your question and i understand wetin be your concern scoliosis for your age normally no dey need further surgery but e fit still cause symptoms like pain you suppose do new x ray of your lumbosacral spine or better still do mri scan for my patients wey dey this condition i dey advise make dem wear supportive brace avoid heavy activities and make dem take muscle relaxants and strong pain killers when needed,hi i have gone through your question and understand your concerns scoliosis at your age does not typically require further surgical treatment but it may cause symptoms like pain you should have a new x ray of your lumbosacral spine or it is better to perform a magnetic resonance imaging for my patients in this condition i would advise them to wear a supportive brace avoid any heavy activities and receive muscle relaxants and strong analgesics when needed,Speaker_8,30.79,"['scoliosis', 'relaxants', 'ray', 'lumbosacral', 'typically', 'muscle', 'analgesics']",validation
audio/Speaker_8/Speaker8-65.wav,hello i think say your period don start earlier than normal this one fit happen after you take emergency contraceptive pill if you want make sure do urine pregnancy test e go clear your doubt i hope say i don answer your question,hello i think you have started your period earlier this can occur after taking an emergency contraceptive pill if you want to be sure do a urine pregnancy test it will clarify your concerns i hope i have answered your question,Speaker_8,15.53,[],validation
audio/Speaker_8/Speaker8-66.wav,yes any surgery when ejection fraction na 20 dey carry risk however nobody fit really predict how long person go live with this condition e depend on other factors like anemia hypertension thyroid status and how liver kidney and lung dey function for gallstones make she avoid fatty food and heavy meals,yes any surgery with twenty percent ejection fraction is risky however no one can predict how much time a person can survive with this condition this depends on other factors such as anemia hypertension thyroid status liver kidney and lung function for gallstones advise her to avoid fatty foods and heavy foods,Speaker_8,22.45,"['surgery', 'percent', 'heavy']",validation
audio/Speaker_8/Speaker8-67.wav,hi actually some medications wey dey inside antitubercular therapy fit dey risky for fetus so e better make you finish the full treatment first before you try get belle three months no go make any serious difference you fit also speed up getting belle by using medicines wey go help egg growth and some drugs wey support pregnancy,hi actually some medications in antitubercular therapy are risky for the fetus therefore it is better for you to complete the course and then conceive three months will not make a significant difference you can speed up the process of conception by trying medications for the growth of your eggs and also some medications to support your pregnancy,Speaker_8,25.57,"['medications', 'antitubercular', 'therapy']",validation
audio/Speaker_8/Speaker8-68.wav,hello there from wetin you describe e be like say na muscle related issue only you fit take anti inflammatory medicine if e dey disturb you,hello there looking at your case it seems it is related to muscles only you can take an anti inflammatory if it is bothersome for you,Speaker_8,10.77,"['muscles', 'inflammatory']",validation
audio/Speaker_8/Speaker8-69.wav,i get one small hard bump for the upper part of my nose near my right eye e dey lighter than my normal skin colour e no dey pain at all but e feel like i fit remove am easily though i no wan try am because i dey fear say e fit be skin cancer i dey touch am often abeg wetin this fit be and how i suppose treat am,i have a small hard bump on the upper part of my nose next to my right eye it seems to be lighter in color than the rest of my face it also feels like i could remove it easily but i do not want to do that for fear of it being something like skin cancer there is no pain at all from it and i touch it very often what can this be and how should i treat it please,Speaker_8,23.66,"['part', 'nose', 'eye']",validation
audio/Speaker_8/Speaker8-70.wav,these na correct questions swelling breathlessness and heart valve problem fit dey connected but e still fit be say dem no get anything to do with each other thank god say statin like crestor almost sure no be wahala for this matter even though all the symptoms you talk fit relate e still fit no be same cause for the valve matter and the fact say you dey take lasix your doctor for don already do proper tests and dem go get the real answers for all these questions,these are good questions swelling breathlessness and a heart valve problem may be tied together fortunately the statin crestor is almost certainly not a source for concern although each of the problems you describe may be related they may also have nothing to do with one another to know of the valve and to be taking lasix your doctor will have done testing and know the answers to these questions,Speaker_8,32.07,[],validation
audio/Speaker_8/Speaker8-71.wav,i have a sixteen month old daughter she has been stretching her legs quite a bit then sweats a lot and gets cold she also gets very restless and sometimes grinds her teeth she has four teeth right now she was born prematurely at thirty four weeks and was an intrauterine growth restriction baby it seems like she has stomach cramps and is mostly constipated,i have a sixteen month old daughter she has been stretching her legs quite a bit then sweats a lot and gets cold she also gets very restless and sometimes grinds her teeth she has four teeth right now she was born prematurely at thirty four weeks and was an intrauterine growth restriction baby it seems like she has stomach cramps and is mostly constipated,Speaker_8,41.33,"['sixteen', 'stretching', 'legs', 'sweats', 'restless', 'sometimes', 'teeth', 'stomach', 'cramps', 'constipated']",validation
audio/Speaker_8/Speaker8-72.wav,hi you no mention your age your swelling fit come from many things like rheumatoid arthritis heart problem local infection thyroid problem or deep vein thrombosis furosemide dey help small but you no suppose dey leave your leg for hanging down position make e no affect blood circulation abeg go do proper heart check up and also limb venous doppler test,hi you have not mentioned your age your swelling could be due to many reasons such as rheumatoid arthritis cardiac problems localized infection thyroid problems or deep vein thrombosis of course furosemide helps but you should never keep your feet in a dependent position to improve your blood circulation please undergo a cardiac evaluation and limb venous doppler,Speaker_8,30.07,"['swelling', 'furosemide', 'dependent', 'position', 'cardiac', 'limb']",validation
audio/Speaker_8/Speaker8-73.wav,hi sir how you dey i be married man my wife get 2 months belle but she dey vomit like 4 5 times for day sometimes e go last 2 3 days and she no dey chop well abeg wetin she fit do for this situation i go really appreciate your help,hi sir how are you i am a married man my wife is pregnant for two months but she suffers from vomiting four to five times a day sometimes it lasts for two to three days and she does not eat properly what should she do please help me with the situation i am very thankful to you,Speaker_8,23.66,['sometimes'],validation
audio/Speaker_8/Speaker8-74.wav,yes you fit apply combination cream wey get antifungal and steroid inside use am two times daily for 5 days to reduce the symptoms then after that make you go see doctor,yes you can apply a combination cream containing antifungal and steroid medications twice daily for five days to relieve symptoms and then see the doctor,Speaker_8,12.0,"['antifungal', 'steroid', 'medications', 'twice', 'daily']",validation
audio/Speaker_8/Speaker8-75.wav,dementia mean say patient dey forget things and people and e no dey oriented well memory get two types near memory and remote memory for this age female patients usually dey suffer from disease wey dem dey call alzheimer s,dementia means the patient forgets things and people and the patient is not oriented there are two types of memory near and remote at this age female patients usually suffer from a disease called alzheimer s,Speaker_8,17.16,"['forgets', 'near', 'remote']",validation
audio/Speaker_8/Speaker8-76.wav,hello yes e dey absolutely okay to do implantation surgery during your menstrual cycle you fit take ibuprofen 400mg about 4 hours before the surgery make sure say you chop proper food at least 1 2 hours before the surgery so you no go feel nausea or hunger during or after the procedure hopefully everything go go smooth best of luck stay happy and blessed,hello yes it is absolutely fine to have implantation surgery during your menstrual cycle you can take ibuprofen four hundred milligrams four hours before the surgery you should have a proper meal at least one or two hours before your surgery so that you do not feel nauseous during the surgery or hungry right after the surgery hopefully everything will go smoothly best of luck stay happy and blessed,Speaker_8,25.31,"['ibuprofen', 'milligrams', 'surgery', 'nauseous', 'hungry']",validation
audio/Speaker_8/Speaker8-77.wav,hello if you no dey feel any pain then no worry about the sounds e normal for many people joints e dey happen because of the fluid wey dey inside the joint and since knee na big and surface joint na why you dey notice am pass so no need to panic,hello if you have no pain then do not be concerned about the sounds these are normal for the joints of many people they are due to the close fluid compartment of the joint and since the knee is a large and superficial joint it is more noticeable here,Speaker_8,22.76,"['joints', 'knee']",validation
audio/Speaker_8/Speaker8-78.wav,hello your husband sperm count dey 100 okay but other things like motility and morphology still dey very important if those ones still dey okay then the count dey good enough i believe say the tubal reversal wey you mention na vasectomy reversal the success rate dey depend on age sperm count and motility wey dem check during the procedure normally the success rate dey high if person get normal count and motility if your husband semen bin dey stored before the vasectomy then ivf na the main option but intrauterine insemination still be option you fit choose best wishes,hello the semen count of your husband was one hundred okay however associated factors like motility and morphology are important if the other factors are okay then the count is viable enough i assume that the tubal reversal you mean is vasectomy reversal the success rate of vasectomy reversal depends on the age sperm count and motility analysis done during the procedure usually the success rate is reasonably high for an individual with a normal count and motility if your husband s semen was stored before the vasectomy surgery in vitro fertilization is the only option the intrauterine insemination is your choice best wishes,Speaker_8,41.01,"['semen', 'count', 'vasectomy', 'vitro']",validation
audio/Speaker_8/Speaker8-79.wav,hello my opinion be say you fit get ligament injury wey no go show for x ray but ultrasound fit detect am if to say na fracture you no for fit even stand or walk on that leg for now just dey raise the leg up and dey put ice but make sure say you go check am properly to know how serious e be physical therapy go still help you i hope say this answer your question,hello my opinion is that you possibly have a ligament injury which will not show on an x ray but an ultrasound will be able to identify that if you had a fracture you would not have been able to walk on that foot in the meantime you should elevate and ice the foot but have it assessed to see the severity of the injury you will benefit from physical therapy as well i hope that answers your question,Speaker_8,29.28,['ligament'],validation
audio/Speaker_8/Speaker8-80.wav,my son wey be 10 years old don dey get pain and discomfort anytime e dey urinate for like 2 months now sometimes before we don even see blood for him urine but recently we never see am again right now e still dey feel pain when e dey urinate and e dey say e be like say something dey block the urine from coming out we don go see different doctors including urologist and dem don run many tests but dem no see anything tomorrow morning i still dey carry am go see the urologist again,my son is ten years old and has had pain and discomfort when urinating for about two months on a couple of occasions there has been blood in his urine but not recently right now he still has pain when urinating and he says it feels like something inside is blocking his urine flow we have seen several doctors including a urologist and they have run all kinds of tests but cannot find anything i am taking him tomorrow morning to see the urologist,Speaker_8,38.94,"['discomfort', 'urinating']",validation
audio/Speaker_8/Speaker8-81.wav,if your ecg and eeg results normal then no need to worry just try relax yourself you fit take paroxetine or zaptra ls 12 5mg at bedtime you go see improvement after about 2 3 weeks,if you are having normal electrocardiogram and electroencephalogram reports then there is no need to worry try to relax take the tablet paroxetine or zaptra ls twelve point five at bedtime you will surely benefit after two to three weeks,Speaker_8,18.44,"['normal', 'electrocardiogram', 'electroencephalogram', 'tablet', 'parox', 'zaptra', 'ls']",validation
audio/Speaker_8/Speaker8-82.wav,i am a twenty three year old male who went into the hospital last summer with all the symptoms of hepatic encephalopathy i had high ammonia levels in my blood which caused dizziness confusion numbness in my body and i could not remember where i was or who i was i was also in and out of the hospital for about one month which included being induced into a coma for five days i was treated during my final stay and prescribed lactulose i was never properly diagnosed with hepatic encephalopathy but i was wondering if hepatic encephalopathy is something that can be cured and resolve completely or is it something that will remain with me for life,i am a twenty three year old male who went into the hospital last summer with all the symptoms of hepatic encephalopathy i had high ammonia levels in my blood which caused dizziness confusion numbness in my body and i could not remember where i was or who i was i was also in and out of the hospital for about one month which included being induced into a coma for five days i was treated during my final stay and prescribed lactulose i was never properly diagnosed with hepatic encephalopathy but i was wondering if hepatic encephalopathy is something that can be cured and resolve completely or is it something that will remain with me for life,Speaker_8,63.25,"['male', 'hospital', 'ammonia', 'levels', 'numbness', 'coma', 'treated', 'lactulose']",validation
audio/Speaker_8/Speaker8-83.wav,i get sore throat and ear pain for like two weeks now i still dey feel dizzy most times and i get heartburn always doctor give me steroid injection and amoxicillin clavulanate 500 125mg i finish everything but i still get one sore like blister for back of my throat for right side i still dey feel dizzy and i get pain under my jaw for right side i even dey touch my glands so e fit be say na gland dey pain me i be 35 years old and i dey smoke i dey fear because the sore no dey heal and the ear pain and dizziness still dey abeg na throat cancer be this,i have had a sore throat and a sore ear for a couple of weeks i am also dizzy a lot and always have heartburn the doctor gave me a steroid shot and amoxicillin clavulanate five hundred one hundred and twenty five milligrams i took it all and i still have one sore like a blister on the back of my throat on the right side i am still dizzy and have soreness under my jaw on the right side although i have been feeling my glands so it could have been my gland that is sore i am thirty five years old and i do smoke and am scared because the sore won t heal and the ear pain and dizziness are still there is this throat cancer,Speaker_8,43.07,"['sore', 'throat', 'ear', 'dizzy', 'steroid', 'amoxicillin', 'milligram', 'soreness', 'blister', 'jaw', 'glands', 'smoke', 'scared', 'dizziness']",validation
audio/Speaker_8/Speaker8-84.wav,no rush go conclude say na throat cancer the symptoms wey you get fit still be from infection irritation or even acid reflux wey dey cause the heartburn that one fit also affect your throat and ear the sore wey never heal fit be from inflammation or ulcer for the throat and the pain under your jaw fit be lymph node gland wey swell because of infection but since you dey smoke and the symptoms don last for weeks without improvement e very important make you go see ent specialist for proper check dem fit do throat examination and maybe further tests to rule out anything serious no panic but no ignore am too,i get sore throat and ear pain for like two weeks now i still dey feel dizzy most times and i get heartburn always doctor give me steroid injection and amoxicillin clavulanate 500 125mg i finish everything but i still get one sore like blister for back of my throat for right side i still dey feel dizzy and i get pain under my jaw for right side i even dey touch my glands so e fit be say na gland dey pain me i be 35 years old and i dey smoke i dey fear because the sore no dey heal and the ear pain and dizziness still dey abeg na throat cancer be this,Speaker_8,45.72,"['sore', 'throat', 'ear', 'dizzy', 'steroid', 'injection', 'amoxicillin', 'clavulanate', 'mg', 'blister', 'under', 'jaw', 'dizziness', 'cancer']",validation
audio/Speaker_8/Speaker8-85.wav,hello i appreciate your concern this no be sign of any disease e fit just be normal body reaction wey dey happen mostly for young people so no need to worry but you fit still ask am if everything dey okay make sure say nothing dey disturb am i hope this information help,hello i appreciate your concern this is not a sign of any disease but it could be a physiological phenomenon that mostly occurs in young people this is nothing to worry about but of course you should ask him whether everything is okay he might not be trapped in something i hope this information helps,Speaker_8,19.48,[],validation
audio/Speaker_8/Speaker8-86.wav,dear sir you fit take myclav tablet two times daily for the abscess since abscess dey there e mean say the tooth don decay the best treatment na to go do extraction that is removal of the decayed tooth by dentist,dear sir you can take myclav tablet twice a day for the abscess since there is an abscess the tooth must be decayed the best treatment is to go for extraction which means the removal of the decayed tooth by a dentist,Speaker_8,20.87,"['av', 'tablet', 'abscess', 'removal', 'decayed']",validation
audio/Speaker_8/Speaker8-87.wav,hello sir i be zeen thomas from kerala this one concern my friend pikin matter doctor dey talk say kidney need removal we do ct scan and e show say right kidney no dey for right renal fossa instead e dey for pelvis over the lumbosacral vertebrae e even dey lie horizontally and dem also see say pelvicalyceal system don dilate with ureter also dilated plus delayed contrast excretion and delayed nephrogram abeg wetin we suppose do for this matter we really need your help thank you zeen thomas,hello sir i am zeen thomas from kerala this is regarding my friend s son the doctor is saying that the kidney needs to be removed we have conducted a computed tomography scan which indicates that the right kidney is not seen in the right renal fossa the right kidney is located in the pelvis overlying the lumbosacral vertebrae lying horizontally along its long axis there is evidence of a dilated pelvicalyceal system with disproportionate dilation of the right ureter the right kidney shows delayed nephrographic phase and delayed excretion of contrast what should we do about this we need your help thank you zeen thomas,Speaker_8,42.19,"['kidney', 'computed', 'tomography', 'pelvis', 'lumbosacral', 'dilated', 'regarding', 'delayed', 'phase']",validation
audio/Speaker_8/Speaker8-88.wav,hello welcome to hcm you dey take tablet wey dey suppress cough and reduce mucus but you never treat the real cause you get fever and mucus but your description of the mucus no complete if the mucus dey yellowish then e mean say infection dey cause the fever and e go only clear with proper antibiotics but if the mucus colour normal then e fit just be irritation from cough stress wey dey cause the fever you suppose take proper expectorant syrup wey go help bring out the mucus as the mucus reduce the cough go also reduce for like 3 4 days you also fit do steam inhalation 3 4 times daily to soothe the airway abeg still go see physician make proper treatment,hello welcome to hcm you are taking a tablet that is a cough suppressant and reduces mucus secretion but you have not treated the cause there is fever and you have mucus you have provided an incomplete description of the mucus if the mucus is yellowish then there is an infection which is the cause of your fever it will subside only with proper antibiotics if the mucus color is normal then due to the stress of coughing there could be fever you should take a proper expectorant syrup which will help bring out the secretion as the secretion decreases the cough will also diminish after three four days you should also take steam inhalation three four times a day to soothe the tract please seek advice from a physician and proceed with proper treatment,Speaker_8,52.41,"['tablet', 'fever', 'infection', 'coughing', 'steam', 'inhalation']",validation
audio/Speaker_8/Speaker8-89.wav,hi my almost 3 year old son fall when he be about 1 and half year and hit him forehead hard e get swelling after the fall but overall e dey okay now almost one year later i still dey see small dent for him forehead anytime e dey smile or cry i dey worry because i think say that dent for don go by now abeg na normal thing be this,hi my almost three year old son fell and hit his forehead hard when he was just a year and a half he had swelling after the fall and was generally okay but now almost a year later he still has this little dent on his forehead whenever he smiles or cries i am worried shouldn t this small dent be gone by now,Speaker_8,25.82,"['fell', 'forehead', 'swelling', 'almost', 'dent']",validation
audio/Speaker_8/Speaker8-90.wav,i be 38 years old woman i be 5 feet 3 inches tall and i weigh 57kg i don dey get lower back pain for the past one year my mri result show say a diffuse disc bulge and thickened ligamentum flavum for l5 s1 wey dey press thecal sac b left posterolateral disc bulge for l3 l4 wey dey slightly affect the left neural canal,i am thirty eight years old female i am five feet three inches tall and my weight is fifty seven kilograms i have had pain in my lower back for the last year my mri findings are a diffuse disc bulge and thickened ligamentum flavum at l5 s1 impinging on the thecal sac b left posterolateral disc bulge at l3 four mildly compromising the left neural canal,Speaker_8,32.35,"['weight', 'mri', 'diffuse', 'thickened', 'ligamentum', 'flavum', 'thecal', 'bulge']",validation
audio/Speaker_8/Speaker8-91.wav,wetin be the rate wey autonomic neuropathy dey cause person to dey urinate frequently and dey sweat for night among vegans no other clear symptoms dey and no sign of serious whole body allergic reaction or anaphylaxis i dey strongly suspect say low vitamin b12 fit dey play role for this patient wey get these symptoms age 20 otherwise e dey active and fit but him vitamin b12 level dey borderline,what is the incidence of autonomic neuropathy inducing urinary frequency and night sweats in vegan patients there are no other clear symptoms and no signs of systemic anaphylactic disorders i am strongly suspecting a low vitamin b12 role in a patient that i have with these symptoms age twenty otherwise active and fit with borderline vitamin b12 levels,Speaker_8,31.16,"['autonomic', 'neuropathy', 'urinary', 'frequency', 'night', 'sweats', 'vegan']",validation
audio/Speaker_8/Speaker8-92.wav,hi dem do me operation two times for curettage because of heavy continuous bleeding and dem tell me say no sign of cancer or precancer before but recently after the second curettage biopsy come show some precancerous cells for the uterine wall and dem say i go need hysterectomy wey go remove uterus ovaries and cervix dem also suspect say there may be cancer behind the uterus abeg fit you help me explain wetin really dey happen my surgery na this month,hi i was operated on two times for curettage because of a heavy continuous bleeding problem i was told that there were no signs of cancer or precancer however lately after the second curettage a biopsy detected some precancerous cells on the walls of the uterus this will require a hysterectomy removing the uterus ovaries and cervix they also think there may be some cancer behind the uterus can you help me explain what is going on my operation is this month,Speaker_8,36.87,"['heavy', 'continuous', 'precancer', 'biopsy', 'precancerous', 'cells']",validation
audio/Speaker_8/Speaker8-93.wav,i be 18 years old i be 5 feet 4 inches tall i weigh almost 100 pounds i no get any medical history i wan know wetin e mean when i take deep breath and my heart area go just dey pain me e no dey happen all the time e just dey come random sometimes i dey lie down or just dey sit e go just start pain suddenly abeg wetin this one mean i never go see doctor yet,i am eighteen years old five feet four inches tall and weigh almost one hundred pounds i do not have a medical history i am wondering what it means when i take a deep breath and my heart hurts in that area it is not constant it just happens randomly i will be lying down or just sitting and it will hurt out of nowhere what does this mean i have not been to a doctor yet,Speaker_8,33.2,"['eighteen', 'not', 'have', 'medical', 'history']",validation
audio/Speaker_8/Speaker8-94.wav,i be 18 years old i be 5 feet 4 inches tall i weigh almost 100 pounds i no get any medical history i wan know wetin e mean when i take deep breath and my heart area go just dey pain me e no dey happen all the time e just dey come random sometimes i dey lie down or just dey sit e go just start pain suddenly abeg wetin this one mean i never go see doctor yet,i be 18 years old i be 5 feet 4 inches tall i weigh almost 100 pounds i no get any medical history i wan know wetin e mean when i take deep breath and my heart area go just dey pain me e no dey happen all the time e just dey come random sometimes i dey lie down or just dey sit e go just start pain suddenly abeg wetin this one mean i never go see doctor yet,Speaker_8,34.97,"['feet', 'inches', 'heart', 'area', 'lie', 'down']",validation
audio/Speaker_8/Speaker8-95.wav,hello i think you suppose take injection wey dey help rupture follicles make you still dey in contact with your husband for like 2 3 days after the injection then take progesterone for the next two weeks after that do urine pregnancy test for home you fit try this method for like 3 6 months if e no still work then you fit go do proper evaluation,hello i think you should take the injection for rupturing the follicles stay in contact with your husband for two to three days after the injection take progesterone for the next two weeks perform a urine pregnancy test at home after that you can try this approach for three to six months if it doesn t work then you can go for an evaluation,Speaker_8,26.45,"['progesterone', 'urine', 'test']",validation
audio/Speaker_8/Speaker8-96.wav,the pain wey dey your left ankle and calf no get anything to do with your thyroid you fit try alternative medicine homeopathy dey show good results for both hyperthyroidism and hypothyroidism because most times the increased levels dey come from ongoing stress and since homeopathy dey treat person as individual case e go definitely help you,the pain in your left ankle and calf is not related to your thyroid try alternative medicines homeopathy has great results in both hyperthyroidism and hypothyroidism as most of the increased levels are due to ongoing stress since homeopathy treats individuals it will definitely help you,Speaker_8,29.65,"['calf', 'increased']",validation
audio/Speaker_8/Speaker8-97.wav,my mama just suddenly get pain for upper back just below the right shoulder she also dey burp small small she drink tea around 8 30pm then chop small bread and vegetables around 10 30pm she go sleep around 11 30pm then the pain just start suddenly abeg wetin kind pain be this she no even fit sleep because of the pain,my mother suddenly experienced pain in her upper back just below the right shoulder she also had a few burps she had tea at eight thirty pm and then a little bread and vegetables at ten thirty pm she went to sleep around eleven thirty pm and suddenly the pain started can you let me know what type of pain this is she is unable to sleep because of the pain,Speaker_8,22.78,"['mother', 'below', 'shoulder', 'burps', 'pm', 'went', 'sleep', 'eleven', 'unable']",validation
audio/Speaker_8/Speaker8-98.wav,hi i don go hospital go see doctor for my asthma matter i don dey take my medicine for the past 6 days but e still be like same thing i dey always feel tired and the weather dey very hot and humid before before forest fire smoke even dey around my chest dey always heavy and i dey wheeze plenty abeg i fit go back hospital again wetin you advise make i do please help me,hi i have been to the hospital and doctor with my asthma problem i have been taking my medication for the last six days and it is still the same i feel tired all the time and it is very hot and humid there was forest fire smoke a while back my chest feels very heavy all the time and i have a lot of wheezing should i go back to the hospital any suggestions please help,Speaker_8,28.72,"['hospital', 'medication', 'tired', 'chest', 'wheezing']",validation
audio/Speaker_8/Speaker8-99.wav,i bang my shin like almost 3 months ago after some weeks i begin get serious pain ultrasound rule out deep vein thrombosis x ray show say no fracture doctor put me for boot for 6 weeks the pain reduce well well but after i comot the boot for like one week the pain come back and my ankle and foot don swell plenty abeg wetin fit be this and wetin be my next step,i banged my shin almost three months ago and after a couple of weeks i was experiencing severe pain an ultrasound ruled out deep vein thrombosis x rays showed no fracture the doctor put me in a boot for six weeks the pain got much better but after a week out of the boot the pain has returned and i have a lot of swelling in the ankle and foot what could this be what is my next course of action,Speaker_8,30.79,"['shin', 'severe', 'ultrasound', 'experiencing', 'rays', 'swelling', 'ankle']",validation
audio/Speaker_8/Speaker8-100.wav,if any inflammation dey abeg dey apply ice if na muscle tightness then use hot fomentation also check your posture well e fit be say your pectoralis muscle too tight so make you do release and stretching start with scapular repositioning exercises before you go back to heavy weight again,if there is any inflammation please apply ice if the muscles are tight provide hot fomentation please check your posture it is probable that your pectoralis muscle is too tight releasing and stretching would help start with scapular repositioning exercises before doing heavy weights again,Speaker_8,27.24,"['pectoralis', 'stretching', 'scapular', 'repositioning', 'exercises', 'heavy', 'weights']",validation
audio/Speaker_8/Speaker8-101.wav,hello hysterectomy na operation wey involve removal of pelvic organ so pain for upper abdomen after some months no really dey related i go advise make you do upper gi endoscopy see gastroenterologist and also do ultrasound to know the real cause from there dem go fit treat am well for now you fit take proton pump inhibitors follow soft bland diet and avoid foods or drinks wey dey trigger the upper abdominal pain,hello a hysterectomy involves the removal of a pelvic organ hence having pain in the upper abdomen after some months seems to be unrelated i would advise you to get an upper gastrointestinal endoscopy an opinion from a gastroenterologist and an ultrasonography to start with to identify the root of the problem this can then be treated accordingly in the meantime you can take proton pump inhibitors follow a soft bland diet and avoid foods and beverages that trigger this problem of upper abdominal pain,Speaker_8,32.95,"['hysterectomy', 'removal', 'pelvic', 'abdomen', 'after', 'some', 'ultrasonography', 'proton', 'pump', 'foods', 'beverages']",validation
audio/Speaker_8/Speaker8-102.wav,dear parent i understand wetin dey worry you but if the baby dey suffer severe asphyxia during birth e fit damage brain cells especially if e last pass 6 minutes this kind damage fit lead to developmental delay abeg make you carry the baby go do proper neurological examination,dear parent i understand your concerns but if the baby suffered severe asphyxia at birth this might have caused damage to brain cells if asphyxia lasted more than six minutes damage to brain cells may lead to developmental delay you should get a neurological examination for the baby,Speaker_8,19.9,"['severe', 'asphyxia', 'damage', 'neurological', 'examination']",validation
audio/Speaker_8/Speaker8-103.wav,hello bronchitis na inflammation of small airways and e fit cause chest pain most cases of acute bronchitis dey clear on their own within two weeks without serious treatment common drugs wey dem dey use include antibiotics cough medicine and bronchodilators wey dey help reduce inflammation and open airway for lungs since you dey camp outside make you avoid things wey dey irritate lungs like smoke if possible use humidifier and try wear face mask when you dey outside make you recover faster,hello the term bronchitis is applied to the inflammation of smaller airways and can cause chest pain most cases of acute bronchitis resolve without medical treatment in two weeks common medications prescribed to treat bronchitis include antibiotics cough medicine and bronchodilators which are medications to reduce inflammation and open narrowed airways in the lungs as you are camping outside the following precautions may help a quicker recovery avoid lung irritants like smoke use a humidifier if available and wear a face mask outside,Speaker_8,36.08,"['bronchitis', 'inflammation', 'chest', 'acute', 'bro', 'open', 'narrowed']",validation
audio/Speaker_8/Speaker8-104.wav,i be 16 years old and i weigh about 245 pounds i wan ask question sometimes once once my whole body go just dey numb and my heart go dey disturb me well i just dey wonder wetin fit be the cause sometimes e be like say i dey here but at the same time i no dey here the feeling just dey very strange,i am sixteen years old and weigh two hundred and forty five pounds i was just wanting to ask you a question sometimes every now and then i start feeling my whole body get numb and my heart bothers me a lot i was just wondering what that could be i feel like sometimes i feel like i m here but i m not here it feels so weird,Speaker_8,23.78,"['sixteen', 'sometimes']",validation
audio/Speaker_8/Speaker8-105.wav,hello dung3r from your symptoms e be like say you get acute inflammation for stomach lining or even ulcer try remember if you chop any bad food like contaminated chicken or milk products or if you use painkillers like aspirin ibuprofen or other nsaids because dem fit cause this kind inflammation especially if you dey get nausea vomiting and pain wey dey worse after food e make gastritis likely if you begin get diarrhea too then food poisoning fit dey involved for now try dey take clear liquids like apple juice or white grape juice you fit also eat bland food like rice mashed potatoes and plain pasta if you fit tolerate am you fit take over the counter drugs like cimetidine ranitidine or omeprazole two times daily until you feel better but if the pain and vomiting continue or dey severe you go need go hospital for iv fluids and further tests like blood stool and x ray i hope this help i wish you quick recovery,hello dung3r from your symptoms it sounds like you have acute inflammation of the lining of the stomach or even an ulcer think back and see if you ate any bad food such as contaminated poultry or dairy products if you used any painkillers like aspirin ibuprofen or similar nonsteroidal anti inflammatory drugs they can cause acute inflammation especially nausea vomiting and pain worsening after food make the possibility of gastritis the top of the list if you also start having diarrhea food poisoning is a distinct possibility try to stay on clear liquids like apple juice or white grape juice a bland diet with rice mashed potatoes and pasta without much seasoning will be okay if you can tolerate it take over the counter cimetidine ranitidine or even omeprazole twice a day until symptoms improve if you continue to have severe pain and vomiting you may need intravenous fluids and further workup which may include blood stool and x ray studies of your stomach i hope i have provided you with the possibilities i wish you well,Speaker_8,71.01,"['acute', 'inflammation', 'lining', 'stomach', 'ulcer', 'painkillers', 'aspirin', 'ibuprofen', 'vomiting', 'gastritis', 'food', 'poisoning', 'ranitidine', 'symptoms', 'intravenous']",validation
audio/Speaker_8/Speaker8-106.wav,sjögren s syndrome or helicobacter pylori abeg e possible say my mama wey be 81 years old fit get this she dey get thick mucus saliva and plenty saliva for mouth wey dey taste bad like spoiled milk wetin fit be this e dey really disturb am well well she even stop and change her blood pressure medicine but e no still help,sjögren s syndrome or helicobacter pylori could my mother who is eighty one years old have this she has thick mucus saliva and a lot of saliva in her mouth that tastes bad like spoiled milk what could this be she suffers a lot from this she stopped and changed her blood pressure medication but that did not help,Speaker_8,30.84,"['syndrome', 'helicobacter', 'mother', 'saliva', 'blood']",validation
audio/Speaker_8/Speaker8-107.wav,hi from your history e show say you dey get morning pain and the pain dey make you feel hungry this one suggest acid peptic disease like gastritis or duodenitis the fact say food and drugs no help show say e fit be gastric or duodenal ulcer pancreatitis or cholecystitis i go advise make you no take anything by mouth for now because you need do tests like abdominal ultrasound upper gi endoscopy and blood tests including liver function test lipase amylase blood sugar and kidney function test you suppose even get admitted for hospital for proper care,hi your history indicates that you had pain in the morning and became hungry due to it this suggests the possibility of an acid peptic disease which could be gastritis or duodenitis among others the non response to the food and the medications you took indicate a possibility of a gastric or duodenal ulcer pancreatitis or cholecystitis i would advise you to refrain from oral intake meaning do not take anything orally as you need to undergo ultrasonography of the abdomen upper gastrointestinal endoscopy and other blood examinations including liver function tests lipase amylase enzymes blood sugar and kidney function tests you should be admitted to the hospital,Speaker_8,42.28,"['hungry', 'acid', 'peptic', 'gastritis', 'ultrasonography', 'gastro', 'gastrointestinal', 'liver', 'lipase', 'kidney', 'admitted']",validation
audio/Speaker_8/Speaker8-108.wav,hi you fit use ice pack cold compression to reduce the swelling and pain make you keep your fingers raised up make blood circulate well well you fit also take painkillers to reduce the pain if e no improve abeg go do x ray,hi you can use an ice pack also known as cold compression to reduce the swelling and pain keep the fingers upright for good circulation take painkillers to alleviate the pain if the condition does not improve please go for an x ray,Speaker_8,18.53,['fingers'],validation
audio/Speaker_8/Speaker8-109.wav,hi and welcome to the healthcare clinic you suppose go hospital sharp sharp this fit be acute cholangitis or another infection for inside belle the real cause of the jaundice must show most times na bile duct blockage or hepatitis dey cause am but you no fit treat am without knowing the exact cause make he do ultrasound and liver enzyme tests at least also follow hepatoprotective diet and manage the fever well i wish you good health,hi and welcome to the healthcare clinic you should go to the hospital this can be acute cholangitis or some other intra abdominal infection the underlying cause of the jaundice must be identified usually this is due to biliary obstruction or hepatitis but you cannot treat it without knowing the exact cause he should undergo an ultrasound and liver enzyme tests at the very least also follow a hepatoprotective diet and manage his fever as well i wish you good health,Speaker_8,35.74,"['acute', 'cholangitis', 'jaundice', 'biliary', 'ultrasound', 'liver', 'hepatoprotective', 'diet', 'fever']",validation
audio/Speaker_8/Speaker8-110.wav,both kidneys show normal size and corticomedullary echopattern the right kidney measure 10 2 x 4 2 cm with cortical thickness of 1 8 cm the left kidney measure 11 x 5 2 cm with cortical thickness of 2 4 cm the right pelvocalyceal system dey dilated no mass or stone seen for both sides impression be say pelvocaliectasia dey for the right kidney while the left kidney and urinary bladder dey normal,both kidneys exhibit normal size and corticomedullary echopattern the right measures ten point two x four point two centimeters with a cortical thickness of one point eight centimeters the left measures eleven x five point two centimeters with a cortical thickness of two point four centimeters the right pelvocalyceal system is dilated no masses or calculi noted bilaterally impression pelvocaliectasia on the right normal sonogram of the left kidney and urinary bladder,Speaker_8,40.43,"['normal', 'point', 'centimeters', 'corticomedullary', 'eleven', 'cal', 'thickness', 'masses', 'calculi', 'pelvocalyceal', 'kidneys']",validation
audio/Speaker_8/Speaker8-111.wav,my grandma wey be 68 years old get these problems and the ct scan show say one left kidney get renal pelvic stone two she get degenerative changes for lumbar spine with degenerative disc disease three gallbladder get mass wey don invade the liver tissue the first part of the duodenum and hepatic flexure of the colon plus the common bile duct don block and intrahepatic bile duct also affected the report dey suggest gallbladder cancer,my grandmother aged sixty eight years is having these problems and the computed tomography scan shows the following one left renal pelvic calculus two degenerative changes in the lumbar spine with degenerative disc disease three gallbladder mass infiltrating hepatic parenchyma the first part of the duodenum and the hepatic flexure of the colon with blocked common bile duct and intrahepatic bile duct suggestive of cancer of the gallbladder,Speaker_8,33.48,"['grandmother', 'computed', 'tomography', 'renal', 'pelvic', 'degenerative', 'changes', 'lumbar', 'spine', 'gallbladder', 'mass', 'intrahepatic', 'hepatic', 'flex', 'colon', 'blocked', 'common', 'bile', 'duct']",validation
audio/Speaker_8/Speaker8-112.wav,hello i believe your heart check up almost don complete but if the palpitations still dey happen you suppose do electrocardiogram ecg exactly when the palpitations dey happen and show am to cardiologist if that one still normal then i think say you no need worry too much,hello i believe your check up related to your heart is almost completely done however if the palpitations are persistent you should get an electrocardiogram done during those palpitations and show it to a cardiologist if that is normal then i believe you should not worry too much,Speaker_8,18.62,"['palpitations', 'electrocardiogram']",validation
audio/Speaker_8/Speaker8-113.wav,as you don talk the symptoms fit suggest post inflammatory hypopigmentation you fit treat am by applying mometasone for morning and tacrolimus for evening,as you mentioned the symptoms can indicate post inflammatory hypopigmentation this can be treated with the application of mometasone in the morning and tacrolimus in the evening,Speaker_8,14.19,"['symptoms', 'post', 'mometasone', 'tacrolimus']",validation
audio/Speaker_8/Speaker8-114.wav,hello i believe your heart check up almost don complete but if the palpitations still dey happen you suppose do electrocardiogram ecg exactly when the palpitations dey happen and show am to cardiologist if that one still normal then i think say you no need worry too much,hi welcome to the health care center if there is a history of miscarriage and you are now planning for conception the first thing is to wait for a few months there is no hurry let it happen naturally there is no need to take any medication or tests in my opinion this is the best approach you can take thank you,Speaker_8,21.71,['medication'],validation
audio/Speaker_8/Speaker8-115.wav,i see small lump like pea size for my lip e dey feel deep inside when i try pierce am only blood come out e dey move when i touch am but e go still go back to the same position e no dey pain me i never smoke or drink alcohol before i dey sometimes bite my lip for sleep but i no remember say i bite that particular spot,i found a pea sized lump on the lip of my mouth it seems to be deep when i pierced it only blood came out it seems to move if i touch it but it goes back to its original position it doesn t hurt i have never smoked or consumed any alcohol i tend to bite my lip in my sleep but i don t remember biting that particular spot,Speaker_8,24.06,"['lump', 'smoked']",validation
audio/Speaker_8/Speaker8-116.wav,i get half inch metal shard for my arm for like 2 days without me knowing e don even get infection i later see am and remove am together with grayish green pus i never take tetanus booster for 11 years so i go hospital and doctor give me antibiotics and tetanus booster shot now i dey fear say i fit get tetanus but i never show any symptom and the injury happen 5 days ago abeg am i safe how i fit make sure say i no go get tetanus from this injury and wetin i fit still do to prevent am,i had a half inch metal shard in my arm for two days without knowing it was infected and i discovered the metal and removed it along with the grayish green pus i have not had a tetanus booster in eleven years so i went to the doctor and he gave me antibiotics and a booster shot i am so scared that i have tetanus i have yet to have any symptoms and the injury happened five days ago please tell me if you think i am in the clear i cannot take this worrying any longer it is keeping me from functioning how can i ensure i will not get tetanus from this injury what can i do as a preventative measure,Speaker_8,36.41,"['half', 'inch', 'metal', 'sha', 'antibiotics']",validation
audio/Speaker_8/Speaker8-117.wav,hi i carry about 8 weeks belle some days ago i get very painful throat i go see doctor and dem give me antibiotics but next day the roof of my mouth come swell and e dey increase day by day now i dey find am hard to swallow anything and i dey very hungry abeg help me,hi i am about eight weeks pregnant and some days ago i had a very painful feeling in my throat i went to a doctor and i was given some antibiotics but the next day the roof of my mouth became swollen and it is increasing by the day now i am having difficulty swallowing anything and i am so hungry please help,Speaker_8,17.44,"['roof', 'mouth', 'increasing', 'swallowing', 'hungry']",validation
audio/Speaker_8/Speaker8-118.wav,at first you suppose stop cerelac because na time for exclusive feeding for your baby the fact say your baby dey pass semi solid dark green stool no be wahala because na teething period e dey common for this age group you fit continue with homeopathic medicine one bio combination 21 take 2 tablets 4 5 times daily for 4 6 months two when stool dey dark green and semi solid you fit use homeopathic medicine chamomilla 30 take 4 tablets 3 times daily for 3 4 days,firstly you should stop cerelac because this is the time for exclusive feeding for your baby your baby passing semi solid dark green stools is not a worry because it is the teething period this is common in this age group you can continue with homeopathic medicine one bio combination twenty one take two tablets four to five times a day for four to six months two when stools are dark green and semi solid you can use the homeopathic medicine chamomilla thirty take four tablets three times a day for three to four days,Speaker_8,40.63,"['cerelac', 'semi', 'solid', 'dark', 'green', 'tablets', 'medicine']",validation
audio/Speaker_8/Speaker8-119.wav,dear jim the most concerning issue after you get hit for calf na whether your achilles tendon still intact if that one okay then we still need to rule out any muscle injury you go need proper examination to confirm if wetin you dey experience really match wetin happen e important make you do ultrasound of the area to check the tendon well for now rest and take pain relief medicine and see if the pain improve once that one clear you fit continue with other investigations if needed,dear jim the most concerning issue about being struck on the calf is the intactness of your achilles tendon if that is okay then any muscular injury must be ruled out you will need an examination to determine if what you are describing is similar to what has occurred it is essential to have an ultrasound done of the area to assess the integrity of the tendon for the time being try rest and analgesics and see if the pain improves once that is clear you should proceed to other options for investigation,Speaker_8,34.09,"['calf', 'intactness', 'achilles', 'tend']",validation
audio/Speaker_8/Speaker8-120.wav,hello i be 28 year old female with pseudotumor cerebri i dey currently take acetazolamide 1500mg daily but the medication very expensive for me since i no get insurance abeg is there any home remedy apart from weight loss i be 185 pounds before but i don reduce come 163 pounds and still i no see any difference for the head pressure or pain i really need another form of help because i no get income to continue the 320 prescription,hello i am a twenty eight year old female with pseudotumor cerebri i am currently on acetazolamide one thousand five hundred milligrams per day this medication is really expensive since i do not have insurance is there a home remedy besides losing weight i was one hundred and eighty five pounds and have gone down to one hundred and sixty three pounds there is no difference so far in the pressure or pain in my head i need another form of remedy as i do not have any income to support my three hundred and twenty prescription,Speaker_8,42.86,"['female', 'pseudotumor', 'acetazolamide', 'thousand', 'milligrams', 'per', 'losing', 'weight']",validation
audio/Speaker_8/Speaker8-121.wav,hello doctor last week i get stomach and back pain i do ultrasound and e show say i get two stones each about 4mm one for my left kidney and the other one between my left kidney and urinary bladder i dey take neeri tablets and i don increase my water intake i also change my daily routine small but i still dey worry about this matter i still dey get back pain weakness and even leg pain abeg advise me is there any other treatment or medicine wey i suppose add,hello doctor last week i had pain in my stomach and back i underwent an ultrasound and it showed two stones measuring four millimeters each one in my left kidney and the other between my left kidney and urinary bladder i am taking neeri tablets and increasing my water intake instead of my daily routine i am worried about this i am also experiencing some back pain and weakness such as leg pain please advise me is there any additional treatment or medication,Speaker_8,32.9,"['stomach', 'kidney', 'neeri', 'intake', 'leg']",validation
audio/Speaker_8/Speaker8-122.wav,hi my 13 year old daughter dey get pulling sensation just below her belly button e don dey come and go for some time and last about 30 minutes each time but since sunday e don come back and e no dey go again e even dey worsen and don spread reach chest abeg help me,hi my thirteen year old daughter has a pulling sensation just below her belly button she has experienced this intermittently for a while lasting about half an hour each time since sunday it has returned and remained the sensation is worsening and has spread up to her chest please help,Speaker_8,21.8,"['pulling', 'belly']",validation
audio/Speaker_8/Speaker8-123.wav,cough na reflex wey dey help bring out mucus wey don collect for lungs e fit dey uncomfortable and painful especially if e dey make you short of breath normally e fit take 1 to 2 weeks depending on person immunity for the infection to clear there are cough suppressants wey fit give relief like benzonatate pearls you fit take am 3 times daily for 2 days then reduce am to 2 times daily as cough dey improve cough lozenges like honey lemon lozenges and strepsils also dey helpful you suppose avoid things wey dey trigger respiratory infection like dust smoke and pollution and also stay away from infected people you fit also take antihistamines to help prevent allergic triggers,cough is a reflex to help you bring up secretions built up in the lungs it is uncomfortable and painful if it is making you breathless usually it takes one to two weeks based on the immunity of the person to cure oneself of the infection there are cough suppressants to provide relief such as benzonatate pearls to take three times daily for two days and then twice when the cough is reduced cough lozenges such as honey lemon flavored lozenges and strepsils are also quite helpful you need to avoid triggers that cause attacks of respiratory infections such as dust smoke and pollution as well as exposure to infected persons take precautionary antihistamines to prevent allergens,Speaker_8,52.5,"['cough', 'daily']",validation
audio/Speaker_8/Speaker8-124.wav,hi you get any other symptoms like nausea vomiting fever loose stool or similar e fit be infection for liver gallbladder or colon for that side you need do high resolution ultrasound to see wetin dey happen inside and if necessary you fit need antibiotics depending on the ultrasound result you fit still need surgery,hi are there any other associated symptoms like nausea vomiting fever loose motion or similar this can be due to an infection of the liver gall bladder or colon on that side you need a high resolution ultrasonography to know what is going on inside and to take a course of antibiotics if necessary depending on the reports of the ultrasonography you may need surgery,Speaker_8,25.57,"['loose', 'motion', 'gall', 'colon', 'ultrasonography']",validation
audio/Speaker_8/Speaker8-125.wav,i recently do blood test because i dey get pain wey dey come and go i get crush fracture for t9 my blood results generally okay but electrophoresis show one discrete band wey fit suggest plasma cell dyscrasia like myeloma or monoclonal gammopathy of undetermined significance,i recently had a blood test because i was experiencing a lot of pain that comes and goes i have a crush fracture of t9 the blood tests are generally okay except for the electrophoresis which shows a discrete band consistent with plasma cell dyscrasia such as myeloma or monoclonal gammopathy of undetermined significance,Speaker_8,26.77,"['blood', 'test', 'crush', 'fracture', 'tests', 'dyscrasia', 'myeloma', 'monoclonal', 'onal', 'gammopathy']",validation
audio/Speaker_8/Speaker8-126.wav,my baby name na sifat e dey 2 years 8 months old him right kidney don enlarge and e no dey function well e also dey delayed i do tests like dtpa and intravenous urography and dem show say left kidney dey work but right kidney get obstructive uropathy doctor say my baby need operation to remove the blockage for right kidney but my pikin no get any symptoms or illness e dey totally okay and normal abeg na small pikin wetin i fit do please advise me,my baby is named sifat and is two years and eight months old his right kidney is enlarged and functioning poorly and delayed i had tests done including dtpa and intravenous urography which are attached it was observed that the left kidney is functioning while the right kidney has obstructive uropathy my doctor said that my baby needs an operation to remove the blockage in the right kidney however my baby does not have any symptoms or illness he is totally okay and normal it s a little baby what can i do please advise me,Speaker_8,40.29,"['baby', 'kidney', 'enlarged', 'tests', 'intravenous']",validation
audio/Speaker_8/Speaker8-127.wav,hello the first thing na make we find the cause of her weak heart function we need rule out any blockage wey i assume say don already check regarding her medicine the dose of lasilactone suppose increase the cough dey come from excess fluid for lungs so she need restrict fluid intake like milk water tea juice etc to less than 1 liter per day she suppose maintain healthy lifestyle by avoiding fatty oily and high calorie foods low salt diet dey very important and blood pressure need monitoring regularly like 3 times daily for one week then 1 2 times weekly after she suppose do regular exercise like brisk walking or light jogging for at least 30 minutes daily 5 days a week she should chop plenty green vegetables fruits and fish 1 2 times weekly and reduce meat avoid smoking and alcohol if e dey applicable she no suppose get belly fat or obesity and she should do lipid profile and blood sugar test once,hello the first thing is to determine the cause of her weak heart function we need to rule out any blockages which i assume have been assessed regarding her medication the dose of lasilactone should be increased the cough is due to excessive fluid in the lungs so there should be fluid restriction including milk water tea juice etc to less than one liter per day she should maintain a healthy lifestyle by avoiding fatty oily and high calorie foods a low salt diet is recommended and blood pressure should be monitored regularly three times a day for one week and then once or twice a week thereafter regular exercise such as brisk walking or jogging according to her capacity should be done for at least thirty minutes a day five days a week she should consume plenty of green leafy vegetables fruits and fish once or twice a week while avoiding meat avoid smoking and alcohol if applicable there should not be abdominal fat deposition or obesity please have her lipid profile and blood sugar levels tested once,Speaker_8,71.08,"['lasilactone', 'cough', 'blood', 'pressure', 'walking', 'sugar']",validation
audio/Speaker_8/Speaker8-128.wav,hello i come call ambulance on monday and dem diagnose me tachycardia dem check me for emergency room but dem no find anything else and send me home since friday i dey get heart palpitations diarrhea shaking and fatigue i dey try lie down sleep but e no dey possible because symptoms dey come in waves e dey last about 1 hour then i fit get like 30 minutes break before e come again abeg na panic attack be this,hello i had to call for an ambulance on monday and was diagnosed with tachycardia they couldn t find anything else wrong in the emergency room and sent me home since friday i have been experiencing heart palpitations diarrhea shakes and fatigue i try to lie down and sleep but can t because the symptoms come in waves the episodes last for about an hour then i might have a half hour free of symptoms am i just having panic attacks,Speaker_8,30.39,"['lie', 'down', 'an', 'hour', 'panic', 'attacks']",validation
audio/Speaker_8/Speaker8-129.wav,hello based on wetin you talk i go advise patients wey get similar condition make dem choose laparoscopic hysterectomy dis method go allow surgeon see all di important parts well well and for real time decide di best way to do di surgery for each patient e fit still get other tins wey scan no go show i wish you successful operation and quick quick recovery,hello with the problems you have listed i would advise patients with similar conditions to opt for a laparoscopic hysterectomy this method allows the surgeon to visualize all the relevant parts and decide in real time what the best possible course of surgery is for a given patient there can be different findings other than those shown on scans i wish you a very successful surgical procedure and a smooth recovery,Speaker_8,24.36,['laparoscopic'],validation
audio/Speaker_8/Speaker8-130.wav,yes o to play am safe as di history no clear e better make you go do anti rabies vaccination,yes to be on the safer side considering the inconclusive history it is advised to have the anti rabies vaccination,Speaker_8,8.41,[],validation
audio/Speaker_8/Speaker8-131.wav,i get plenty ayurvedic medicine wey dem dey use as antidepressant all brain tonics like brahmi shankhpushpi malkangni and jyotishmati dey help improve depression among these medicines ashwagandha capsule streswin siledin and capsule bravobol dey give better result shirodhara with bala oil na very good one there also herb wey dem call sarpgandha wey people sabi as pagal pan ki booti all these medicines dey really help plenty,there are a number of ayurvedic medicines that are used as antidepressants all brain tonics such as brahmi shankhpushpi malkangni and jyotishmati help to improve depression amongst these medicines ashwagandha capsule streswin siledin and capsule bravobol give good results shirodhara with bala oil is excellent there is a herb called sarpgandha which is popularly known as pagal pan ki booti these medicines help a lot,Speaker_8,45.19,"['ashwagandha', 'siledin']",validation
audio/Speaker_8/Speaker8-132.wav,hello di problem wey you describe na wetin dem dey call pericoronitis e mean say gum don swell and dey pain because tooth dey try come out you fit prevent am if you dey clean di area well and dey use mouthwash if e dey happen again and again dem go need do x ray to check how di tooth dey position and di angle wey e dey take come out after that treatment go depend on wetin di x ray show fit be make dem remove di wisdom tooth or dem go do small surgery wey go open di gum make di tooth fit show well sometimes upper and lower wisdom teeth fit dey cause cheek bite because of how dem position so dem fit need remove both if pus don dey you go need antibiotics and painkillers quick quick to control infection,hello the problem you have described is called pericoronitis it means the swollen and painful gums due to an erupting tooth this problem can be prevented by proper cleaning of the area and the use of mouthwashes if the problem is recurrent in nature then a radiograph is taken to find out the position of the erupting tooth and its eruption angle later on as per radiographic findings the treatment is carried out either extraction of the erupting wisdom tooth or simple operculectomy to expose the erupting tooth sometimes a cheek bite is caused by the upper and lower wisdom teeth due to the wrong angulation of their cusps at that time both the upper and lower teeth need to be removed if pus formation is present you need to take antibiotics and analgesics to treat the infection immediately,Speaker_8,59.61,"['swollen', 'painful', 'gum', 'radiograph', 'extraction', 'proper', 'pus', 'antibiotics', 'analgesics']",validation
audio/Speaker_8/Speaker8-133.wav,hi i be man of forty two years old normally i dey fine and healthy but for these last few weeks i don notice say big lump dey grow under my right armpit i don go see my doctor and even go hospital make dem check me but dem no give me clear answer or medicine now i don dey worry as i dey wait for ultrasound x ray and other checks wetin e fit be,hi i am a male forty two years old normally i am fit and healthy but in the last few weeks i have noticed that there is a large lump growing under my right armpit i have been to my general practitioner and the hospital to be examined but no answer or medication has been given to me now i am very worried as i am waiting for ultrasound x ray etc what could it be,Speaker_8,25.96,"['male', 'large', 'lump', 'arm', 'practitioner']",validation
audio/Speaker_8/Speaker8-134.wav,hello i be healthy woman of twenty six years wey no dey smoke and i never smoke before i don notice recently say every morning when i wake up as i dey breathe in i dey get some kind sticky feeling for my right lung side e no dey last long and e no dey cause pain but e dey happen every morning as i wake up wetin fit be this,hello i am a healthy twenty six year old female who does not smoke and never has i have recently noticed that every morning upon waking i have a strange sticky feeling in my right lung when i inhale it does not last long and causes no pain but it happens every morning when i wake up what could this be,Speaker_8,23.66,"['female', 'does', 'not', 'smoke', 'never', 'has', 'strange', 'sticky', 'feeling', 'lung', 'long', 'morning']",validation
audio/Speaker_8/Speaker8-135.wav,hi my five year old pikin don dey complain say e foot dey pain am last night while e dey sleep e talk say e no fit feel im foot e don mention am before once as well i really dey worried about this kind talk and i like make i know wetin e fit be,hi my five year old child has been complaining of some pain in his feet last night while he was fast asleep he said he could not feel his foot he mentioned that to me earlier as well once i am really worried about this statement and would like to know what it is,Speaker_8,22.06,[],validation
audio/Speaker_8/Speaker8-136.wav,i be forty eight year old woman wey don do ablation before so i no dey see period again for years i don dey get persistent pain for my lower right back i no get appetite and i dey always feel like my belly full i don schedule to do total hysterectomy but when i go meet my surgeon e put me on continuous hormone therapy and e still want make i first check my gallbladder i dey wonder why e do like that,i am a forty eight year old female who has had an ablation i have not had periods for years i have been experiencing ongoing lower right back pain lack of appetite and a feeling of fullness i am scheduled to have a total hysterectomy when i went to meet my surgeon he put me on continuous hormone therapy and wants me to get my gallbladder checked first why,Speaker_8,32.55,"['female', 'continuous', 'gallbladder']",validation
audio/Speaker_8/Speaker8-137.wav,you suppose check di spine first if dem check am clear then dem need rule out guillain barré syndrome wey be immune system related nerve problem neuropathy e dey mainly affect sensory nerves first and later e fit involve motor nerves too,you should check the spine if it is clear they should rule out guillain barré syndrome which is an immune modulating neuropathy it primarily affects sensory nerves and then motor nerve involvement may occur,Speaker_8,20.69,"['guillain', 'barr', 'involvement']",validation
audio/Speaker_8/Speaker8-138.wav,hello human chorionic gonadotropin hcg na hormone wey body normally dey produce and people also dey use am as medicine wey help support pregnancy e also dey naturally produced for woman body once conception don happen and e dey very important for maintaining pregnancy this one na normal thing and e no get any side effects at all so no need to worry just trust your doctor as for price where i dey e dey around fifteen to twenty dollars per box but i no sure how e dey cost for your own country best wishes,hello human chorionic gonadotropin is normally produced in the body and is commonly referred to as a pregnancy supporting medication it is also naturally produced in the female body once conception has taken place and plays a vital role in sustaining pregnancy this is perfectly normal and has no side effects whatsoever so you need not worry about it please trust your doctor as for the cost it retails for around fifteen twenty dollars a box where i live i am unsure about the pricing in your country best wishes,Speaker_8,41.15,"['human', 'gonadotropin', 'female']",validation
audio/Speaker_8/Speaker8-139.wav,canesten go help but e sound like say you get fungal skin infection and you go need prescription ketoconazole cream to clear the matter finish,canesten will help but it sounds like you have a fungal skin infection and you need a prescription for ketoconazole cream to resolve the problem,Speaker_8,16.25,"['canesten', 'ketoconazole', 'cream']",validation
audio/Speaker_8/Speaker8-140.wav,hello i don read your question no need to rush go emergency room you fit wait make you see your regular doctor,hello i just read through your question there is no need for an emergency room you can wait to see your regular doctor,Speaker_8,7.99,[],validation
audio/Speaker_8/Speaker8-141.wav,hello welcome dis welts na from allergy for your own case e fit be peanuts or e fit be something else just dey watch am well and see next time wetin you chop or touch before e show e fit be another thing wey dey trigger di allergy good luck,hello welcome these welts are due to an allergy in your case it could be due to peanuts or may be something else keep a watch on it and see next time maybe some other factor is responsible for the allergy good luck,Speaker_8,17.81,['welts'],validation
audio/Speaker_8/Speaker8-142.wav,i bin get bacterial pneumonia six weeks ago and dem treat me with antibiotics i get bad cough wey no dey go my blood count normal i no really dey cough phlegm and the one wey i cough na white and thin now four weeks don pass i still dey cough i dey breathless and the cough still dey continue i get acid reflux and i just learn say e fit cause long term cough and even breathlessness i no know wetin dey really cause am i no dey take anything for the acid reflux because i no sabi say e fit affect breath and cause cough the breathlessness don even worse since dem diagnose the pneumonia i no understand wetin dey happen wetin you advise me make i do,i was diagnosed with bacterial pneumonia six weeks ago and was treated with antibiotics i had a bad persistent cough my blood count was normal i never coughed up much sputum and it was white and thin i am now in the last four weeks still coughing breathless and still having a chronic cough i have acid reflux which i learned can cause chronic cough and breathlessness i am confused as to what is causing these symptoms i have not been taking anything for the acid reflux because i did not associate acid reflux with shortness of breath and chronic cough the breathlessness has gotten worse since being diagnosed with pneumonia can you give me any advice,Speaker_8,48.02,"['bacterial', 'pneumonia', 'bad', 'persistent', 'cough', 'blood', 'count', 'normal', 'coughed', 'chronic', 'breathlessness', 'shortness', 'breath']",validation
audio/Speaker_8/Speaker8-143.wav,my aunt get meningitis one month ago dem admit am for hospital give am antibiotics and the infection don clear finish so dem discharge am ten days ago now she suddenly no fit use one side of her body again e get any link between the meningitis and this weakness,my aunt had meningitis one month ago she was admitted and was on antibiotics and the infection was cured and she was discharged ten days ago now she has developed a sudden loss of function on one side of her body is there any relationship between meningitis and this weakness,Speaker_8,19.09,"['aunt', 'meningitis', 'admitted', 'infection', 'discharged', 'sudden', 'loss', 'function']",validation
audio/Speaker_8/Speaker8-144.wav,my husband and i dey stay for different places because of work we dey meet once every two months and we don dey try conceive for five months anytime we meet we fit get intercourse for like ten to fifteen days we try for march june and july and we use ovulation predictor kits for june and july this one go help for trying to conceive and wetin we need to dey careful about,my husband and i stay in different places for work we get to meet once every two months and have been trying to conceive for five months intercourse is possible for ten to fifteen days each time we meet we tried for conception in march june and july and used ovulation predictor kits in june and july will this help while trying to conceive is there anything we need to be careful about,Speaker_8,27.59,"['conception', 'kits']",validation
audio/Speaker_8/Speaker8-145.wav,i go advise make your doctor recheck your spine again and do further mri scan to see if any nerve dey get pressure or dey pinched the spacer suppose help for lumbar stenosis but e look like say you still fit get stenosis,i would have your doctor evaluate your spine again and obtain further magnetic resonance imaging to see if a nerve is getting pinched the spacer is designed to help with lumbar stenosis but it appears you may still have stenosis,Speaker_8,18.9,"['magnetic', 'resonance', 'imaging']",validation
audio/Speaker_8/Speaker8-146.wav,e don be six weeks since dem do surgery repair for your finger e don reach time make you start physiotherapy under supervision of correct physiotherapist,it is six weeks after the surgical repair of your finger it is high time that you start physiotherapy under the supervision of a qualified physiotherapist,Speaker_8,10.17,"['after', 'physiotherapy']",validation
audio/Speaker_8/Speaker8-147.wav,i be 32 year old man and i get golf ball size lump for inside my right knee i don go see orthopedic doctor dem do x ray for am i think i get am while i dey do leg press exercise and now the lump don come back again you get any idea wetin e fit be or any solution for am,i am a thirty two year old male who has a golf ball sized lump on the inner side of my right knee i had it examined by an orthopedic doctor who took x rays i believe i may have developed it while doing leg presses and now the lump has returned do you have any solutions regarding what it could be,Speaker_8,20.2,"['male', 'lump', 'knee', 'orthopedic']",validation
audio/Speaker_8/Speaker8-148.wav,hello irregular heart beats dey happen due to atrial fibrillation so dis diagnosis suppose don already confirm through holter monitoring after dem confirm the diagnosis you need to start medications wey go help maintain normal heart rhythm i need small details like your report and ecg make i fit guide you better,hello irregular beats occur due to atrial fibrillation so this diagnosis must have been confirmed on holter monitoring after the diagnosis is confirmed you need to be started on medications that will maintain you in a regular rhythm i need to know some details such as the report and electrocardiogram to guide you further,Speaker_8,20.46,"['beats', 'medications']",validation
audio/Speaker_8/Speaker8-149.wav,i be woman wey be ten days late and i never dey late before i don dey get sharp sharp pain for my stomach sometimes i do home pregnancy test but e dey come back negative i don dey under stress for university but i no get any sign say my period wan come e fit be say i dey pregnant,i am ten days late and have never been late before i have started to get sharp pains in my stomach every now and then i have taken a home pregnancy test but they come back negative i have been under stress with university but i have no signs of my menstrual period could i be pregnant,Speaker_8,23.78,"['sharp', 'pains', 'stomach', 'home']",validation
audio/Speaker_8/Speaker8-150.wav,hi e don reach seven weeks since the injury happen and e look like the thumb don become stiff because of the crush injury and also because e stay long for splint without movement joint suppose dey move early once pain and swelling don reduce the fracture no serious but wetin don happen now be say the main thumb joint don become like say e stick together because of the long splinting the pain dey come from ligaments and soft tissues wey don tighten this one need exercises to loosen the joint soaking am for warm water and salt for like fifteen minutes twice daily and physiotherapy with wax baths to help relax the joint,hi it has now been seven weeks since the injury and it seems that the thumb has become stiff from the crush and also from the prolonged immobilization a joint needs to move as early as possible after the pain and swelling have settled the fracture is minor but what has happened now is that the main joint of the thumb has become as though stuck with glue as a result of the splinting the pain is due to the contracted ligaments and tissues this requires exercises to loosen the joint immersion in warm water and salt for fifteen minutes twice a day and physical therapy with wax baths to relax the joint,Speaker_8,49.95,"['thumb', 'stiff', 'crush', 'joint', 'swelling', 'fracture', 'physical', 'therapy', 'wax', 'baths']",validation
audio/Speaker_8/Speaker8-151.wav,i be 38 year old man and i never really get health problem before now i don stop smoking but today na my fifth day i also stop all soda about two months ago i don dey chop better food dey exercise and i don lose about 32 pounds but i don dey feel sick for about three weeks now and this week na the worst i dey fear say i get lung cancer i get pain for my right shoulder i dey light headed i dey get dizziness my hand dey look pale and dey tingle same thing dey happen for my feet i dey very tired i no fit sleep and i dey wake up with serious night sweat i dey very scared i get appointment for 10 30 today but i dey very nervous and afraid,i am thirty eight years old male i have had no health issues until now i quit smoking but today is only my fifth day i quit any type of soda about two months ago i am eating better and exercising and have lost about thirty two pounds i have been feeling bad for three weeks now but this week is the worst i am convinced i have lung cancer i have pain in my right shoulder light headedness dizzy spells my hands look pale and get tingly as do my feet i feel fatigued can t sleep and wake up with bad night sweats i am scared to death i have an appointment at ten thirty today but i am really nervous and scared,Speaker_8,52.43,"['quit', 'type', 'soda', 'exercising', 'feeling', 'bad', 'shoulder', 'light', 'headed', 'dizzy', 'pale', 'get', 'tingly', 'fatigued', 'cancer', 'sleep', 'nervous']",validation
audio/Speaker_8/Speaker8-152.wav,my pikin get hard lump for back of her ear and e look like e dey grow bigger i don carry am go hospital and dem talk say e no be lymph node and dem go still do ultrasound scan the lump hard but e dey move small and e no dey disturb the baby but e dey worry me you fit tell me wetin e fit be make i no too panic,my baby has a hard lump at the back of her ear and it seems to be getting bigger i have been to the hospital with her and they said it is not a lymph node and they will do an ultrasound scan it is hard and moves and it doesn t seem to be bothering her but it is worrying me can you tell me what it might be to reassure me,Speaker_8,31.63,"['baby', 'hard', 'lump', 'her', 'ear', 'hospital', 'ultrasound']",validation
audio/Speaker_8/Speaker8-153.wav,di stone wey dey stuck for ureter near di bladder go cause pain wey go dey spread reach left loin and e fit still affect di left testicle or di tip of di penis you go dey feel di pain as long as di stone still dey for ureter and e never pass enter bladder or come outside,the stone stuck in the ureter near the bladder will cause pain to radiate to the left loin and may also affect the left testicle or tip of the penis you will experience pain as long as the stone is in the ureter and has not passed into the bladder or outside,Speaker_8,22.69,"['stone', 'ureter', 'bladder', 'loin']",validation
audio/Speaker_8/Speaker8-154.wav,dem go first need make cardiologist evaluate her and check her heart condition well well once di cardiologist confirm say she fit handle general anesthesia then she fit go for laparoscopic removal,she will have to be first evaluated by a cardiologist and her heart status has to be assessed once he agrees that she can undergo general anesthesia then she can undergo laparoscopic removal,Speaker_8,13.77,['evaluated'],validation
audio/Speaker_8/Speaker8-155.wav,hi i get serious pain for somewhere around my stomach e dey feel like sharp stabbing pain wey dey last like two minutes e dey come and go dem insert scope go my stomach but doctors no find anything wrong you think say i suppose check pancreas if yes wetin kind tests i need do sometimes i dey fear say na heart attack i dey get abeg help me,hi i have severe pain from somewhere around my stomach it feels like a hard stabbing pain that lasts for about two minutes off and on i had a scope inserted into my stomach but the doctors could not find anything do you think i should inquire about the pancreas if so what kinds of tests would i need to have done at times i am afraid and think i am having a heart attack help,Speaker_8,26.49,"['severe', 'hard']",validation
audio/Speaker_8/Speaker8-156.wav,hi she need make she do complete check up for this matter either scan or blood test how she go take improve go depend on the real cause of the problem,hi she needs to get a complete workup done for the same either a scan or blood investigations her improvement will depend on the underlying cause,Speaker_8,10.66,['improvement'],validation
audio/Speaker_8/Speaker8-157.wav,first about three days ago i get serious blocked nose and i think say na ordinary cold after like one day my nose clear and i fit breathe well then next day my throat come begin pain me well well i no dey cough or sneeze but plenty different colour mucus dey my body when e comot from my nose e dey yellow sometimes get small red inside and when e come from my throat e dey light brown sometimes get small blood too this na just second day and e look like say e dey worse wetin dey do me so,first about three days ago i had a very stuffy nose and thought a simple head cold was my problem a day or so later my nose cleared up and breathing was no issue then a day later my throat began to hurt very badly i have no cough or sneeze but i am full of multicolored mucus when it comes from my nasal passage it is yellow sometimes with a small amount of redness and from my throat it is usually a light brown sometimes a bit bloody as well this is only the second day and it seems to be getting worse what is wrong with me,Speaker_8,36.83,"['nose', 'throat', 'hurt', 'cough']",validation
audio/Speaker_8/Speaker8-158.wav,my three year old pikin don get fever for like forty eight hours now plus swollen tonsils and cough e don still begin get fear for night say insect dey crawl all over im body e dey shout and point to im hand or leg and e no wan lie down for bed this thing serious,my three year old has had a fever for forty eight hours now along with swollen tonsils and a cough he has also developed this fear at night that he has insects crawling all over his body he has been screaming and pointing to his arms or legs and doesn t want to lie down on the bed is it anything serious,Speaker_8,23.2,"['fever', 'swollen', 'fear', 'screaming', 'arms', 'legs']",validation
audio/Speaker_8/Speaker8-159.wav,hi dis one fit be sebaceous cyst if e dey pain you now you suppose think to remove am through small surgery no medicine dey for this kind thing if you remove am you get two benefits first you go comot the problem and second dem go know exactly wetin e be so think about excision,hi this can be a sebaceous cyst if it is painful now you should consider having it surgically removed there are no medications for this by getting it removed there are two benefits first you get rid of the condition and second you obtain a diagnosis so consider excision,Speaker_8,19.92,[],validation
audio/Speaker_8/Speaker8-160.wav,my name na tommy i dey work for hospital and i don take hepatitis b vaccine two times but my result still show non reactive dem tell me say i get chronic hepatitis b my results show say hepatitis b surface antigen reactive hepatitis b core igm antibody non reactive and hepatitis b core total antibody reactive i don try check am online but i still no understand well dem tell me say i need liver biopsy but all my blood work dey okay and liver enzymes normal,my name is tommy i work at a hospital and was vaccinated two times for hepatitis b my result is non reactive i was told i have chronic hepatitis b my results show hepatitis b surface antigen reactive hepatitis b core immunoglobulin m antibody non reactive hepatitis b core total antibody reactive i have searched and i am unsure i was told i need a liver biopsy but all blood work is good and liver enzymes are fine,Speaker_8,32.58,"['hospital', 'vaccinated', 'chronic', 'hepatitis', 'surface', 'total', 'antibody', 'searched', 'liver', 'blood', 'work', 'good']",validation
audio/Speaker_8/Speaker8-161.wav,hello stomach pain with diarrhea and bad smelling gas dey show say infection dey for intestine and you go need take antibiotics make e clear,hello stomach pain with diarrhea and foul smelling gas are suggestive of an infection in the intestine and you need to take antibiotics to get a cure,Speaker_8,12.21,"['stomach', 'diarrhea', 'antibiotics']",validation
audio/Speaker_8/Speaker8-162.wav,hello augmentin na one of the antibiotics wey people dey use well well e safe most times but sometimes e fit cause diarrhea wey come from antibiotic use some people dey allergic to penicillin so dem fit get rashes or even find am hard to breathe,hello augmentin is one of the commonly used antibiotics it is quite safe but it occasionally causes antibiotic associated diarrhea some individuals are allergic to penicillin and may experience rashes and difficulty in breathing,Speaker_8,17.23,"['augmentin', 'penicillin', 'rashes']",validation
audio/Speaker_8/Speaker8-163.wav,hi welcome to health medical center your family doctor don explain am correctly you do circumcision seven years ago and before that time your glans penis dey covered by foreskin wey dey protect am from direct touch with your underwear trousers and outside environment now wey that protection don comot nothing serious dey you dey worry because e dey look like say e get different colours but no treatment dey needed e go balance and become one colour by itself with time i hope say you don understand now,hi welcome to the health medical center your family physician provided an exactly correct explanation you were circumcised seven years ago and prior to that your glans penis was covered by the foreskin which protected it from direct contact with your underwear pants and the external environment now that the protective layer is gone there is nothing serious you are concerned because it looks multicolored no treatment is required for it it will become uniform spontaneously i hope you got the answers,Speaker_8,37.52,['penis'],validation
audio/Speaker_8/Speaker8-164.wav,hello i dey nine months pregnant and i just do test for chlamydia and the result come out positive i tell my partner and e go test too but im own result show undetected i never cheat at all e get any other way wey my own fit come out positive and im own no show,hello i am nine months pregnant and i just had a chlamydia test done which came back positive i told my partner and he went and got tested and his result is undetected i have not cheated at all is there any other way that my test could come back positive and his not,Speaker_8,19.81,['positive'],validation
audio/Speaker_8/Speaker8-165.wav,yes abeg go do echocardiogram for your heart and general lab tests make you fit avoid future problems as you get higher risk for heart issues,yes please undergo an echocardiogram on your heart and general laboratory studies to prevent future troubles as you are at higher risk for cardiac problems,Speaker_8,11.33,"['echocardiogram', 'laboratory', 'studies']",validation
audio/Speaker_8/Speaker8-166.wav,hi e look like say you dey pass through plenty things at the same time e really no easy but you go fit come out of this phase stronger and wiser after this experience first you need talk to person face to face about how you dey feel maybe friend or person wey dey close to you try keep yourself busy like arrange your room make new friend or find person wey go dey walk with you join activities wey you like for your free time like zumba dance class or gym so you fit take care of yourself try do deep breathing exercise at least three times daily e go help calm your mind morning walk or light jogging also dey helpful you fit also dey write diary to express your feelings day by day and help you think clearer and meeting psychiatrist face to face go help you handle your emotions now and dem fit decide if you need any medication after proper assessment,hi you seem to be facing a number of challenges at one time it is indeed a lot to handle but you will get through this phase a stronger and wiser person after this life experience firstly you need to talk to someone face to face to express your feelings a friend or someone close to you try keeping yourself busy by organizing your new room making a friend or finding a walking partner join some activities or pursuits you enjoy during your free time such as zumba dance classes or gym sessions to take care of yourself performing deep breathing exercises at least three times a day will help you calm down going for a jog or a walk in the mornings is also preferable keeping a diary can help you express your feelings on a day to day basis and help you think clearly meeting face to face with a psychiatrist will help you deal with your emotions currently and may lead to medication if necessary after proper evaluation in person,Speaker_8,59.65,"['talk', 'dance', 'gym', 'sessions', 'breathing', 'going', 'jog', 'or', 'walk', 'diary', 'psychiatrist', 'medication']",validation
audio/Speaker_8/Speaker8-167.wav,hi i think if your implant don expire for february you dey at risk of pregnancy so abeg use another method of contraception like condom long time use of birth control fit suppress ovulation and e fit take like six months to one year before ovaries go come back to normal function so e fit cause some delay or small problem when you wan conceive i hope i don answer your question,hi i think if your implant expired in february you are at risk of pregnancy therefore use some other methods of contraception such as condoms a long duration of birth control can lead to suppressed ovulation and it may take six months to one year for the ovaries to regain their function so there can be some problems in conceiving i hope i have answered your question,Speaker_8,32.23,[],validation
audio/Speaker_8/Speaker8-168.wav,diaper rash na problem wey dey stress both mama and pikin and e important make you keep the diaper area clean well well try dey change diaper often so that place no go stay soak with urine and apply soft moisturizing cream wey go soothe the skin if e worse you fit even stop diaper for few days make the skin fit heal faster,diaper rash is a troublesome problem for both mother and baby and keeping the diaper area clean is very important try changing diapers quite often to prevent that area from becoming soaked with urine and apply a moisturizing soothing cream if it worsens consider avoiding diapers for a few days to allow the wound to heal more quickly,Speaker_8,22.24,['diapers'],validation
audio/Speaker_8/Speaker8-169.wav,nothing much just add small extra common salt to your daily routine and take one tablet of vitamin b complex every day,nothing much just increase a little bit of common salt in your daily routine along with a tablet of vitamin b complex,Speaker_8,10.17,"['increase', 'routine', 'vitamin']",validation
audio/Speaker_8/Speaker8-170.wav,hi my name na quinesha i get six month old pikin boy im height na about twenty six inches and im weight about twenty pounds today i notice say im voice don become hoarse and i dey worry wetin fit cause am but e no dey act different or cry like say e dey pain am and im temperature na 99 7 f,hi my name is quinesha i have a six month old son he is about twenty six inches in height and weighs about twenty pounds today i noticed that his voice is hoarse and i am worried about what may be causing this he isn t acting differently or crying as if he is in pain and his temperature is ninety nine point seven degrees fahrenheit,Speaker_8,29.37,"['ninety', 'point', 'degrees']",validation
audio/Speaker_8/Speaker8-171.wav,hello on sunday i dey chop soup with fish na im i come mistakenly swallow fish scale e prick my throat as e dey go down but i think say e don pass after small time i begin feel like say e still dey stuck for my throat anytime i swallow i dey feel am today e look like say e don move go lower inside my throat i think say because e small and flat e just stuck there wetin i suppose do e dangerous i dey very worried abeg help me,hello on sunday i was eating soup with fish and i accidentally swallowed a fish scale it pricked my throat on the way down but i thought it had passed after some time i had a feeling like it was stuck in my throat every time i swallow i can feel it today it moved lower down my throat i think since it is so small and flat it is just stuck in my throat what should i do is it dangerous i am very worried please help,Speaker_8,38.01,['throat'],validation
audio/Speaker_8/Speaker8-172.wav,hello the effect wey depo provera injection get dey reduce as e dey near third month or 90th day this drop fit even increase if you gain weight while dey use hormonal medicine also stress and the use of some antibiotics or other drugs fit reduce how hormone contraception dey work and e fit cause failure or hormonal imbalance wey go bring different symptoms your current symptoms fit still be from hormone effect to clear doubt you fit do blood test for pregnancy i hope this help,hello the efficacy of the depo provera injection declines as it approaches the third month or the 90th day this decline is further enhanced if there is weight gain during the use of hormonal medication additionally stress and the concomitant use of certain antibiotics and other medications can reduce the contraceptive effect of hormones and may lead to failures and hormonal disturbances resulting in several symptoms your current symptoms may also be due to the hormonal effects to clarify you can undergo a blood test for pregnancy i hope this helps,Speaker_8,36.48,"['depo', 'provera', 'injection', 'declines', 'weight', 'gain', 'antibiotics', 'medications']",validation
audio/Speaker_8/Speaker8-173.wav,my pikin get heavy hit for shin from softball four days ago now her lower leg don swell and bruise dey where dem hit am the place hard and e warm when you touch am she wan wait go doctor tomorrow she dey elevate her leg and dey put ice pack after work wetin you think about waiting till tomorrow go see doctor,my daughter got hit hard in the shin by a softball in a game four days ago she has a swollen lower leg and a bruise where she got hit the area is hard and warm to the touch she wants to wait and go to the doctor tomorrow she is keeping her leg elevated and has an ice pack on it after she gets home from work what do you think about waiting to see a doctor,Speaker_8,33.53,"['shin', 'swollen', 'leg', 'bruise', 'elevated', 'ice', 'pack']",validation
audio/Speaker_8/Speaker8-174.wav,hi thank you say you reach out i really appreciate your concern well well sometimes even after tubal ligation pregnancy fit still happen o e better make you go do ultrasound na that one go clear any doubt wey you get i hope say this information help you take care,hi thank you for reaching out i really appreciate your concern it can sometimes happen that even after tubal ligation pregnancy may occur it is better to undergo an ultrasound test this will clarify any doubts i hope this information helps you have a good day,Speaker_8,21.8,[],validation
audio/Speaker_8/Speaker8-175.wav,i start with allergy first now i don dey cough and when i cough i dey cough hard reach make i dey vomit and mucus dey inside i dey feel like say something dey stuck for my throat now my gag reflex too strong and before before i don dey bring out those white balls right now i dey use claritin but the cough no start until i take am and now e don worse i don tire and i no fit sleep because of the cough and gagging i dey also take medicine for acid reflux which cough syrup go good make i use i don go buy pure honey too i don tire for this allergy and no sleep wahala any advice i dey use neti pot with sinus rinse e dey help small but now i dey wheeze and cough,it started out as an allergic reaction now i have coughing and with the coughing i cough so hard that i throw up and it does have mucus in it i feel like there is something stuck in my throat now i have gag reflexes that are bad and in the past i have gotten the white balls out i am currently on claritin and the coughing did not start until i took that but now it has gotten worse i am tired and can t sleep due to coughing and gagging i do take reflux medication what is a good cough syrup to use i went and got some pure honey i am so tired of having these allergies and no sleep any suggestions i use a neti pot with sinus rinse and it is good but i am wheezing and coughing now,Speaker_8,52.83,"['coughing', 'gag', 'reflex', 'tired', 'can', 'sleep', 'now']",validation
audio/Speaker_8/Speaker8-176.wav,hello doctor how i go deal with dis depression ting i dey feel say my life don spoil finish two years now my professional studies no go well na failure be my story family matters dey bother me too life just dey go round no direction my heart dey beat like say i go die chest dey pain me plenty times for week wetin i do,hello doctor how do i deal with depression i constantly feel that my life is ruined i have dealt with two years of failure in my professional studies and some family issues life seems to go nowhere i experience palpitations and aching in my chest many times a week now what would you suggest in such a case,Speaker_8,25.59,"['studies', 'palpitations', 'aching', 'chest']",validation
audio/Speaker_8/Speaker8-177.wav,hi lung opacity for this kind age suppose dey checked well well e fit get other causes but cancer malignancy still be one possibility high resolution ct scan of the chest suppose be the first test to do based on the hounsfield unit reading of the lump radiologist fit explain better wetin dey happen make you follow your doctor advice,hi lung opacity at this age should always be carefully investigated there may be some other causes but malignancy is also a possibility a high resolution computed tomography scan of the chest should be an initial diagnostic test based on the hounsfield unit characteristics of the lump a radiologist can provide further insights follow your doctor s advice,Speaker_8,24.54,"['lung', 'opac', 'malignancy', 'high', 'resolution', 'computed', 'tomography', 'chest']",validation
audio/Speaker_8/Speaker8-178.wav,hello i get history of polycystic ovary syndrome pcos and i bin dey use yamini before as i stop am my period no come for like forty days doctor come advise make i take deviry 10 mg twice daily for five days i do home pregnancy test and e come out negative but just two days after i start deviry my period come this one normal abeg advise me,hello i have a history of polycystic ovary syndrome and was on the medication yamini as soon as i stopped it my periods did not come for up to forty days the doctor advised taking deviry in a dose of ten milligrams twice a day for five days i did a home pregnancy test which was negative just two days after taking deviry i got my period is this normal please advise,Speaker_8,30.05,"['milligrams', 'twice', 'after']",validation
audio/Speaker_8/Speaker8-179.wav,hi cory you never talk the age of the pikin the milk tooth go eventually fall out but if e stay too long e fit cause problem for the permanent tooth wey suppose grow for that place the small lump wey no dey pain fit be from gum overgrowth or pulp polyp the best thing wey you fit do na make you go see another dentist for second opinion and consider removing that tooth or do the correct treatment as the dentist go advise the dentist fit still suggest dental x ray to help understand the problem well no ignore am because e fit get infection and become worse dentist go give antibiotics or other medicine based on the condition i hope this go help you make joy dey with you,hi cory you haven t mentioned the age of the child the milk tooth will eventually fall out but if it remains for a longer time it can create a problem in the eruption of the permanent tooth in that region the small painless lump may be due to gingival overgrowth or a pulp polyp the best thing you can do is seek the opinion of another dentist and consider the extraction of that tooth or the necessary procedure as suggested by your dentist your dentist might suggest dental radiography of the tooth as well which helps significantly in diagnosing the problem do not ignore the issue as it may become infected and worsen antibiotics and other medications will be prescribed by your dentist depending on the condition i hope this will be helpful may joy be with you,Speaker_8,51.32,"['milk', 'extraction', 'radiography', 'antibiotics', 'medications']",validation
audio/Speaker_8/Speaker8-180.wav,yes virus fit spread through body fluids like semen or through sex e fit come back again because the virus fit hide for body latent but this one no dey common,yes the virus can be transmitted through your body fluids such as semen or through intercourse reappearance is possible due to latent viruses but it is very uncommon,Speaker_8,12.59,[],validation
audio/Speaker_8/Speaker8-181.wav,increase for breast size for your age fit be due to gynecomastia you no need worry about cancer because e no dey usually affect both breasts at the same time i think say you suppose see surgeon wey go fit give you antibiotics and painkillers how your body be i mean you dey a bit on the fatty side this one fit also contribute to bigger breasts,an increase in breast size at your age can be due to gynecomastia you can forget about cancer as it cannot affect both breasts simultaneously i think you should see a surgeon who will prescribe you antibiotics and painkillers how is your body profile i mean are you a little on the fatty side this can contribute to larger breasts,Speaker_8,29.47,"['increase', 'breast', 'size', 'breasts', 'antibiotics']",validation
audio/Speaker_8/Speaker8-182.wav,hello i don read your question and i understand your concern the bump wey you notice grow big within few hours most likely na local infection of hair follicle or skin gland but i go advise make you still see your doctor make dem check if infection dey if your doctor no too sure wetin cause the bump then you fit do brain scan for further check i hope say this answer your question if you still get any other question no hesitate to write again i go happy answer you,hello i have gone through your question and understand your concerns the bump you noticed enlarged in a few hours and is probably caused by a local infection of hair follicles or skin glands however i suggest you contact your local doctor to check for signs of infection if your doctor is not convinced about the nature of the bump then you should have a brain imaging study 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,Speaker_8,32.9,"['bump', 'enlarged', 'local', 'hair', 'follicles']",validation
audio/Speaker_8/Speaker8-183.wav,hello take bromhexine syrup two tablespoons three times daily for one week e go help bring cough come abeg make you dey cough am comot also do steam inhalation three times daily for one week,hello take syrup bromhexine two tablespoons three times daily for a week it will induce a cough please expel it also perform steam inhalation three times a day for a week,Speaker_8,20.15,"['bromhexine', 'daily']",validation
audio/Speaker_8/Speaker8-184.wav,hi you talk say you don do all the tests but you no mention the results treatment go depend on wetin really cause the pain if the pain still dey continue e fit mean say another diagnosis dey possible if na kidney stone dey cause am treatment go depend on the size and location of the stone as dem see for ultrasound or ct scan i hope this help you,hi you said that you had all the tests done but did not mention what the results were treatment depends on the cause if the pain persists it may indicate an alternate diagnosis if the pain is due to kidney stones treatment depends on the size of the stones and their location as seen on ultrasound or computed tomography scan i hope this helps,Speaker_8,24.91,"['tests', 'stones', 'ultrasound', 'computed', 'tomography']",validation
audio/Speaker_8/Speaker8-185.wav,many people dey develop this condition as dem dey grow older e dey usually show for people wey don pass 50 years this one fit mean nothing serious for you because most times e no dey cause any symptoms,many people develop this condition as they get older it is typically seen in individuals over the age of fifty this may mean nothing to you as most of the time it does not cause any symptoms,Speaker_8,13.86,[],validation
audio/Speaker_8/Speaker8-186.wav,na just lack of confidence be that you need to work on am you fit go meet speech therapist and you should also see psychologist at the end of the day na you yourself go fit help yourself come out of this situation,it s nothing but a lack of confidence you need to work on that you can meet some speech therapists and you should also meet a psychologist ultimately you are the one who can help yourself and get out of this situation,Speaker_8,17.67,[],validation
audio/Speaker_8/Speaker8-187.wav,brown vomitus usually dey show say blood don change colour in other words e fit mean say some bleeding dey happen for the gastrointestinal tract because of one reason or another gastritis na one common cause but e still need proper evaluation even though the new formula fit play small role i no think say we suppose rush conclude too quick however e go better make you go back to the previous formula for now i go advise make you carry the pikin go see pediatrician make dem assess am abeg no too worry the pikin go dey fine with some simple treatment,brown vomitus usually indicates altered blood in other words there could have been bleeding in the gastrointestinal tract due to some cause gastritis is a common cause but it needs to be evaluated although the new formula could have a role i do not think that we should jump to conclusions nevertheless it might be wise to stay with the previous formula for now i would suggest you visit a pediatrician and have the child assessed please do not worry the child should be fine with some simple interventions,Speaker_8,44.09,"['vomitus', 'altered', 'bleeding', 'gastrointestinal', 'tract', 'gastritis']",validation
audio/Speaker_8/Speaker8-188.wav,hello make you come see health care management if the pikin dey do bed wetting nocturnal enuresis the best way to manage am na bladder training for that one make the child dey hold urine reach last moment no make am rush go toilet immediately this kind training dey give good result i hope say this help you,hello come to the health care management if the child is having nocturnal enuresis this can be best managed with bladder training for that ask the child to hold the urine until the last moment do not let the child go to the restroom immediately such training gives good results hope this helps,Speaker_8,21.69,"['health', 'care', 'management', 'nocturnal', 'enuresis', 'restroom']",validation
audio/Speaker_8/Speaker8-189.wav,yes some chemotherapy drugs fit cause myelosuppression wey go lead to low platelets thrombocytopenia and that one fit cause petechiae you go need do blood test to check am properly,yes some chemotherapy agents cause myelosuppression resulting in thrombocytopenia which leads to petechiae you will need a blood workup,Speaker_8,17.3,"['chemotherapy', 'agents']",validation
audio/Speaker_8/Speaker8-190.wav,every time i sit down for some time my back dey stiff and i no fit stand straight immediately without pain i no fit lie on my stomach watch tv because e too dey painful for my lower back most times i dey feel dull throbbing pain for my lower back when i massage am or use ben gay e dey reduce small small but e no last i be 42 year old woman 5 6 weigh 158 pounds and i dey raise my 14 month old grandchild anytime i pick am up sometimes the pain dey so bad e fit make me cry wetin fit be this,every time i sit for a period of time my back is stiff and i cannot stand up straight right away without pain i cannot lay on my stomach and watch television it is too painful on my lower back most of the time i feel a nagging throbbing ache in my lower back when i massage or rub ben gay on the lower back it eases it for just a little while what could this be i am a forty two year old female five feet six inches tall and weighing one hundred and fifty eight pounds i am raising my fourteen month old grandson and picking him up sometimes brings tears to my eyes the pain is that bad,Speaker_8,39.94,"['sit', 'lay', 'ache', 'massage', 'rub']",validation
audio/Speaker_8/Speaker8-191.wav,i dey take monodox for acne but i be soccer and track athlete i dey run 100m and 200m but i dey get serious hamstring injury i no know wetin dey cause am because i dey stretch dey use ice dey apply heat and i dey do all the basic recovery things but still the hamstring problem dey come back my trainer talk say make i stop monodox because e fit be one of the things wey dey contribute to the injury coming back wetin you think,i am taking monodox for acne but i am a soccer and track athlete i run the one hundred meters and two hundred meters and am having severe hamstring injuries i do not know what is causing this as i stretch use ice apply heat and do all the basics but i still have a hamstring issue my trainer says to discontinue monodox as it could be a contributing factor in re injuring my hamstring what do you think,Speaker_8,31.97,"['meters', 'severe', 'hamstring']",validation
audio/Speaker_8/Speaker8-192.wav,i dey sorry to say but this no be correct treatment plan for endometrial cancer normally the first step na surgery for this case dem go remove the uterus both fallopian tubes both ovaries bilateral pelvic lymph nodes and take samples from different parts of the abdomen dem also go collect abdominal washings for cytology test this one na staging laparotomy e no just be treatment e also help determine the exact stage of the cancer after surgery depending on the final stage she fit still need radiotherapy chemotherapy no really get role for endometrial cancer except for late stage for palliation you fit check nccn org make you confirm i go advise make you consider changing your oncologist,i am sorry to say that this is not the right treatment protocol for endometrial cancer normally the first step in the treatment of endometrial cancer is surgery in this case we remove the uterus both fallopian tubes both ovaries bilateral pelvic lymph nodes and take a number of samples from various parts of the abdomen we also take washings from the abdominal surface and send them for cytology testing this is called a staging laparotomy not only is this part of the treatment it also provides the exact stage of the cancer depending on the final stage that comes after surgery she may require postoperative radiotherapy there is no role for chemotherapy in endometrial cancer except in the last stage for palliation you can visit nccn org and see for yourself i suggest you change your oncologist,Speaker_8,52.45,"['abdominal', 'chemotherapy']",validation
audio/Speaker_8/Speaker8-193.wav,my mama plasma percentage na 48 and dem dey suspect myeloma but we still get doubt because calcium level and kappa lambda ratio still normal how we fit confirm this properly dem don start am on dexamethasone 20 mg twice weekly and lenalidomide daily for 21 days dem also suggest bone injections the report still talk say na polyclonal gammopathy but doctors still say na myeloma and don start treatment how we go confirm am for sure,my mother s plasma percentage is forty eight and they suspect myeloma however we still have doubts because calcium levels and other kappa lambda ratios are still the same how can i confirm this we have started with dexamethasone twenty milligrams twice a week and lenalidomide daily for twenty one days bone injections have also been suggested the report also states it is polyclonal gammopathy but the doctors say myeloma and have started the treatment,Speaker_8,37.18,"['mother', 'plasma', 'percentage', 'calcium', 'kappa', 'lambda', 'dexamethasone', 'milligrams', 'twice', 'lenalidomide', 'daily', 'polyclonal', 'myeloma']",validation
audio/Speaker_8/Speaker8-194.wav,i think i don pull groin muscle for my left leg e start dey pain me for my left lower back for night by next afternoon e come start pain me for inside of my upper left leg and now my left ankle and top of my foot dey pain and small swell small my leg dey sore e dey burn and even dey a bit red for groin area just above my knee,i think i pulled a groin muscle in my left leg it actually started hurting in my left lower back at night by the next afternoon it was hurting on the inside of my upper left leg and now my left ankle and the top of my foot hurt and are a little swollen my leg is sore burns and is actually a little red in the groin area right above my knee,Speaker_8,27.21,"['hurting', 'ankle', 'top', 'foot', 'hurt', 'leg']",validation
audio/Speaker_8/Speaker8-195.wav,hi i dey get serious abdominal pain for more than five hours now e start after i chop lunch the pain dey for top middle part of my abdomen e dey feel like sharp cramping e no be muscle pain and i dey very bloated i vomit small like one hour after e start the pain dey come and go in waves sometimes e strong sometimes e reduce small i take antacid tablets but e no help wetin i fit do or any medicine wey fit relieve am,hi i have been having severe abdominal pain for over five hours starting after i ate lunch it is in the top center of my abdomen and feels like sharp cramping it is not muscular and i am extremely bloated i vomited a small amount about an hour after it started the pain comes in waves of varying degrees i took a couple of antacid tablets that did not seem to have an effect do you have any advice on what i should do or any medication i can take to relieve the pain,Speaker_8,29.98,"['severe', 'abdominal', 'vomited', 'tablets', 'medication']",validation
audio/Speaker_8/Speaker8-196.wav,hi i be 35 years old and i don get defibrillator since i be 25 since dem implant am i don dey experience chronic muscle pain for my left side e be like say na common thing and how dem dey normally treat am my cardiologist talk say most patients wey get am dey older and no dey active like me,hi i am thirty five years old and have had a defibrillator since i was twenty five i have experienced chronic pain in my muscles on my left side since the implant can you advise if this is common and how it is normally treated my cardiologist has stated that most patients are older and have a much less active lifestyle than mine,Speaker_8,31.11,"['defibrillator', 'chronic', 'muscles']",validation
audio/Speaker_8/Speaker8-197.wav,my liver don enlarge na all i know because i no get medicaid my legs dey pain me well well i get some purple marks for dem and dem don swell i dey chop only bland food my stool dey look like coffee grounds and i dey feel like say i just born my pikin yesterday physically i dey very tired you think say i suppose go emergency room,my liver is enlarged that is all i know due to lack of medicaid my legs hurt very much i have some purple marks on them and they are swollen i only eat bland food my bowel movements are like coffee grounds and i feel as if i delivered my daughter yesterday physically i am so fatigued do you think i should go to the emergency room,Speaker_8,25.01,"['delivered', 'legs', 'hurt', 'purple', 'fatigued']",validation
audio/Speaker_8/Speaker8-198.wav,my four month old daughter get seizure last week because her temperature high when dem take her blood her liver results come high and dem repeat am next day we still go back this week because the results still high dem no explain wetin e mean abeg you fit help me,my four month old daughter had a seizure last week related to a high temperature when her blood was taken her liver results were high and were repeated the following day we have to go back again this week as the results are still high i was not told what this means can you help please,Speaker_8,20.85,"['seizure', 'liver', 'high']",validation
audio/Speaker_8/Speaker8-199.wav,my brother get heart attack one month ago and he still dey suffer serious shortness of breath dem put four stents for the right side of im heart and on friday dem tell us say im heart dey function at 35 i know say this one serious but wetin be im chances for long term survival bypass surgery fit still be option he be 58 years old smoker weigh 250 pounds 5 9 and he no dey see doctor for like ten years,my brother had a heart attack one month ago and is still suffering from severe shortness of breath he had four stents placed in the right side of his heart and was just informed on friday that his heart is functioning at thirty five i know this is very serious what are his chances for long term survival would bypass surgery be an option he is fifty eight years old a smoker weighs two hundred and fifty pounds is five feet nine inches tall and hasn t seen a doctor in ten years,Speaker_8,37.08,"['brother', 'heart', 'attack', 'severe', 'shortness', 'breath', 'stents', 'smoker']",validation
audio/Speaker_8/Speaker8-200.wav,hello you need to understand the contractions dem dey call am abnormal because there is disruption for the electrical impulse wey make the heart skip beat if your heart dey function normally which dem usually confirm with tests like ecg electrocardiogram colour doppler of the heart and treadmill test and all these tests normal then no need to worry some habits like too much caffeine smoking high stress anxiety and very heavy exercise fit cause the heart to skip beats if you control these things well you go dey fine,hello you need to know about the contractions they are called abnormal as there is a disruption in the electrical impulse which makes the heart skip a beat one if your heart is functioning completely normally which is basically confirmed by tests like electrocardiogram color doppler of the heart and treadmill test if these tests are normal then there is no need to worry two some habits like excessive use of caffeine tobacco and excessive stress level anxiety and heavy exercise can cause the heart to skip a beat if you keep these problems under control then you will be fine,Speaker_8,38.01,['abnormal'],validation
audio/Speaker_8/Speaker8-202.wav,hello you get history of anxiety or acid reflux disease wetin you don try so far to make yourself feel better,hello do you have a history of anxiety or acid reflux disease what have you tried so far to make yourself feel better,Speaker_8,7.62,"['reflux', 'disease', 'better']",validation
audio/Speaker_8/Speaker8-203.wav,i dey play around with my boyfriend for 23rd february we no do penetration at all we just naked dey play no ejaculation happen but small pre ejaculate fit dey but e no reach my kpekus my period suppose come 2nd march but now i don already late for 8 days i do home pregnancy test on 6th day after i miss my period and e come out negative i no get any other symptoms i dey really stressed my period last month also delay by 5 days i dey take medicine for hypothyroidism for like one and half year now i also dey overweight abeg tell me if there is chance say i dey pregnant or if stress dey delay my period,i was fooling around with my boyfriend on 23rd february we were naked but there was no penetration at all there was no ejaculation either but some pre ejaculate might have been present it was not around the vagina though i was due for my period on 2nd march and i am now eight days late i took a home pregnancy test on the 6th day after my missed period and it was negative i have no other symptoms i m really stressed my period last month was also delayed by five days i have been on medication for hypothyroidism for the past one and a half years i am also overweight please tell me what the chances are that i am pregnant or is the stress keeping it away,Speaker_8,48.67,"['penetration', 'ejaculation', 'hypothyroidism', 'half']",validation
audio/Speaker_8/Speaker8-204.wav,last november i dey like 500 yards from suicide bomber when e explode while i dey deployed i land for my back and dem later do spinal surgery for me dem fuse my l4 l5 and s1 vertebrae aside that i normally dey healthy i be 26 year old and very active because of military work after the surgery for july for the past two months i don dey get sharp shooting and stabbing pain for my left thigh and i also feel hard lump there the pain dey very bad reach until my leg go go numb then e go just dey dull ache until feeling come back again and the serious pain start again wetin you think say e fit be,last november i was five hundred yards from a suicide bomber who detonated while i was deployed i landed on my back and ended up having spinal surgery to have my l4 l5 and s1 vertebrae fused otherwise i am usually healthy at twenty six years old and very active due to military service after having surgery in july over the past two months i have experienced shooting stabbing pain in my left thigh with a hard lump the pain is excruciating until it goes numb and then it aches until the feeling comes back and the excruciating pain returns any ideas,Speaker_8,46.93,"['spinal', 'last', 'vertebrae', 'healthy', 'past', 'stabbing', 'aches']",validation
audio/Speaker_8/Speaker8-205.wav,i dey get sharp burning pain for my hands and trigger fingers for both hands i get osteoarthritis but this pain be new and very strong and i dey see growth for knuckle of my right hand my right shoulder dey worse and i don do neck fusion for c5 c6 c7 because arthritis growth burst my neck three years ago i no like the idea of going back to doctors but the pain don dey too much i also get plantar fasciitis for my feet i no sure why the pain don become this intense now i know say i get some rare problem with ulnar nerve for my elbow but i don forget wetin doctor talk exactly,i am having sharp burning pain in my hands and trigger fingers in both hands i have osteoarthritis however this pain is new and intense and i am getting a growth in the knuckle of my right hand my right shoulder is deteriorating and i have a neck fusion of c5 c6 c7 due to arthritis growth rupturing my neck three years ago i hate the thought of returning to doctors but the pain is getting out of control i also have plantar fasciitis in my feet i am not sure why it is so intense right now i know i have some rare issue with the ulnar nerve in my elbow but i do not remember what the doctor said it was,Speaker_8,41.54,"['sharp', 'burning', 'fingers', 'osteoarthritis', 'growth', 'shoulder', 'arthritis', 'plantar', 'fasciitis', 'ulnar', 'nerve']",validation
audio/Speaker_8/Speaker8-206.wav,my mama get stroke two weeks ago she no fit talk yet because she still dey on ventilator sometimes she dey understand me but i dey need repeat myself many times before she go respond she get hemorrhage for the right side of her brainstem now she dey recover i dey notice say her head dey twitch if i hold her head e go stop and e no dey change her heart rate or blood pressure so dem rule out seizure wetin fit be the reason for the twitching,my mother had a stroke two weeks ago she cannot speak yet due to a ventilator she sometimes understands me yet i have to repeat myself several times for a response she had a hemorrhage on the right side of her brainstem now in recovery i can see her head twitching if i hold her head it stops and it does not alter her heart rate or blood pressure so a seizure was ruled out why is she twitching,Speaker_8,26.22,"['mother', 'sometimes', 'hemorrhage', 'seizure', 'twitching']",validation
audio/Speaker_8/Speaker8-207.wav,i get pain for my left side inside and for back for night the pain come dey worse e don reach four days now i take valocordin and corvalol but dem no help me at all i apply for health insurance but dem never reply me i no dey work now e get doctor for minnesota wey fit check me for free or i just go suffer in silence zhanna sorry for mistakes,i have pain on the left side inside and in the back during the night the pain got stronger it has been four days i took the medications valocordin and corvalol but they did not help me i applied for health insurance but i have not yet received a response i do not work now is there a doctor in minnesota who could examine me for free or should i just suffer in silence zhanna sorry for the mistakes,Speaker_8,26.12,"['medications', 'val', 'valocordin']",validation
audio/Speaker_8/Speaker8-208.wav,cancer no dey spread like that but infection fit spread abeg go consult counsellor or health professional make dem guide you well,cancer cannot spread but the infection can spread please consult with counselors,Speaker_8,7.94,[],validation
audio/Speaker_8/Speaker8-209.wav,i don stop my pills like one month ago and i never see my period since then i don do three pregnancy tests all come out negative me and my boyfriend dey very careful but i dey get signs like pregnancy breast pain discharge hungry sick feeling and all that this one normal or i suppose start take folic acid,i have stopped taking my pills a little over a month ago and i have not had my period i have taken three tests and all say negative my boyfriend and i have been very careful i am showing symptoms of pregnancy sore breasts discharge a hungry sick feeling etc is this normal or should i start taking folic acid,Speaker_8,21.94,['pills'],validation
audio/Speaker_8/Speaker8-210.wav,my mama be 50 years old and she dey suffer back pain for muscle area we think say na bone issue but orthopedic doctor no find any bone problem some people advise make we go see kidney specialist because dem suspect kidney stone wetin you think abeg give advice the pain don last more than 12 months now and e dey worse day by day,my mom is fifty years old and suffering from back pain in the muscles we thought it was pain from the bone but the orthopedic doctor failed to inspect any type of disorder in the bone some advised us to see a kidney specialist for a kidney stone suspicion what do you think please give me some advice the pain has lasted longer than twelve months and is getting worse day by day,Speaker_8,20.02,"['mom', 'kidney', 'longer']",validation
audio/Speaker_8/Speaker8-211.wav,smoking and severe obesity na separate risk factors for heart disease if you put the two together the risk dey even more serious i go advise make you do 2d echocardiogram and treadmill test make dem check how your heart dey function and rule out any heart problem like reduced blood flow ischemia pain for left arm fit come from heart so that possibility need to be checked quick quick e no really likely say the arm pain na from low blood pressure,both smoking and morbid obesity are individual risk factors for cardiac disease together their effects are more catastrophic i would advise you to undergo a two dimensional echocardiogram and a treadmill test to assess the functions of the heart or any cardiac ischemia pain in the left arm can be cardiac in origin and the possibility has to be ruled out as soon as possible it is very unlikely that the pain in the arm is attributed to low blood pressure,Speaker_8,28.12,"['smoking', 'morbid', 'obesity', 'echocardiogram', 'arm']",validation
audio/Speaker_8/Speaker8-212.wav,hi my mother in law don dey dialysis for about one year at the start of dialysis she dey fine but now she don dey deteriorate she get very low energy no appetite and extreme weakness she dey just stay for bed all the time she dey do dialysis twice a week i dey very worried about her abeg you fit help me with this,hi my mother in law has been on dialysis for about one year at the start of dialysis she was in good health but she is deteriorating she has a very low energy level loss of appetite and extreme weakness spending all her time in bed she undergoes dialysis twice a week i am very worried about her can you please help me with this,Speaker_8,21.92,"['energy', 'loss', 'appetite', 'dialysis', 'twice']",validation
audio/Speaker_8/Speaker8-213.wav,hi abeg tell me if you dey use any denture adhesive sometimes because of that kind thing person fit begin notice smell many times when you just start to wear dentures you fit notice different kind smell for that one dey massage your gums with toothpaste regularly make sure you clean your dentures well with brush and use mouthwash to prevent that smell also dey clean your tongue this one go surely help you,hi please tell me if you are using any denture adhesives sometimes due to this you may feel an odor many times when wearing dentures for the first time you may notice a different odor for that do regular massages to your gums with toothpaste ensure proper denture cleaning with a brush and use mouthwash to prevent that odor also practice tongue cleaning this will surely help you,Speaker_8,25.31,"['regular', 'massage', 'gums', 'cleaning']",validation
audio/Speaker_8/Speaker8-214.wav,first of all you no mention your age and that one very important for cases like back pain for treatment you fit take painkiller like ultracet or zerodol sp only when the pain too severe or dey disturb you plus calcium supplement like shalcal d or toscal gem once daily you fit also do physiotherapy exercises after you don consult expert physiotherapist make you dey sleep on flat surface too e go help you,first of all you did not mention your age which is very crucial in cases of back pain for treatment you can take some painkillers like ultracet or zerodol sp only when the pain is very severe or troublesome along with some calcium supplements like shalcal d or toscal gem once daily you can do some physiotherapy exercises after consulting an expert physiotherapist you should sleep on a plain surface as it will help you,Speaker_8,28.44,"['painkillers', 'ultracet', 'zerodol', 'sp', 'severe', 'calcium', 'supplements', 'shalcal', 'toscal', 'physiotherapy', 'exercises', 'sleep']",validation
audio/Speaker_8/Speaker8-215.wav,i dey twenty years old and i wan start family with my boyfriend of four years because we don ready for our relationship and life to do am but we don dey have unprotected knacking since wey we start not every time but like seventy five percent of the time and i never ever get belle before you think say something dey wrong with one of us,i am twenty years old and want to start a family with my boyfriend of four years as we are ready in our relationship and life to do so however we have been having unprotected sexual intercourse since we got together not all the time but i would say seventy five of the time and i have never become pregnant do you think that there could be something wrong with one of us,Speaker_8,23.08,"['protected', 'sexual', 'intercourse']",validation
audio/Speaker_8/Speaker8-216.wav,hello as e be sey you get known case of celiac disease you suppose dey avoid contaminated food after proper blood and shit tests a course of antibiotics fit help you ultrasonography no dey always dey helpful e just dey used to rule out other problems,hello as you are a known case of celiac disease you should have avoided contaminated food a course of antibiotics after the proper blood and stool tests should help you ultrasonography is not always helpful it is just to rule out any other problems,Speaker_8,16.88,"['celiac', 'antibiotics', 'blood']",validation
audio/Speaker_8/Speaker8-217.wav,hello make you come health center because of the fall e fit be say na soft tissue injury especially for rib area and e fit take small time before e go heal well for the pain you fit try these medicines 1 diclofenac tablet 50 mg sustained release 2 chlorzoxazone tablet once daily 3 paracetamol acetaminophen 500 mg once daily you fit take these drugs only when pain dey no need to take am if no pain i hope this information help you,hello come to the health center because of the fall the chances of a soft tissue injury may be likely particularly in the rib area and this could take a little more time to heal for the pain you can try the medications given below one tablet diclofenac fifty milligrams sustained release two tablet chlorzoxazone once a day three tablet acetaminophen five hundred milligrams once a day you can take this medication at the time of pain and there is no need to take it without pain i hope this information helps,Speaker_8,32.72,"['soft', 'tissue', 'injury', 'medications', 'tablet', 'milligrams', 'chlorzoxazone', 'acetaminophen']",validation
audio/Speaker_8/Speaker8-218.wav,hi e look like say you dey experience seborrheic dermatitis tapering dose of steroids antihistamines antifungal drugs and combined steroid plus antifungal cream fit help improve the condition try avoid stress and anxiety and avoid spicy and oily food make sure you dey sleep well wash the area with water wey get dettol okay,hi it seems that you are experiencing seborrheic dermatitis a tapering dose of steroids antihistamines antifungal medication and a combined cream of steroid and antifungal may improve the condition avoid stress and anxiety and avoid spicy and oily foods ensure you get good sleep wash the area with water containing dettol okay,Speaker_8,23.92,"['seems', 'tapering', 'dose', 'steroids', 'antifungal', 'wash', 'dettol']",validation
audio/Speaker_8/Speaker8-219.wav,my follicle size dey about 6 millimeters by 6 millimeters for day 10 11 and 12 but the thickness increase from 3 millimeters to 3 3 millimeters for day 12 my doctor advise make i take injections for all the three days how i fit naturally increase follicle size e look like say my follicle size no dey increase even after the injections abeg help me for this,my follicle size is about six millimeters by six millimeters on the 10th 11th and 12th day but the thickness increased to three millimeters to three point three millimeters on the 12th day my doctor advised me to have injections for all three days how can i increase the follicle size naturally it seems that my follicle size is not increasing even after the injections please help me with this,Speaker_8,24.61,"['follicle', 'size', 'thickness', 'increased', 'millimeters', 'point', 'injections']",validation
audio/Speaker_8/Speaker8-220.wav,hello i fit understand the problem but you no mention the symptoms of your sister anyway from your history i fit conclude say your sister fit get small kidney stones wey routine ultrasound no dey always detect if the stones dey between 3 to 6 millimeters e dey very hard to see for ultrasound blood for urine fit come from kidney stones other causes include urinary tract infection kidney disease glomerular disease and bleeding disorders but based on your history the spots for kidney wey ultrasound show and blood for urine e mostly point to small kidney stones these small stones fit pass out through urine if she dey drink plenty water if you wan confirm am you fit do ct scan of abdomen and kidneys ureters and bladder because e dey more accurate no panic just make she drink plenty water and follow up with her general practitioner,hello i can understand the problem but you did not mention the symptoms of your sister anyway from your history i can conclude that your sister may be having small kidney stones which are not detectable by routine ultrasound if the stones are between three to six millimeters in size they are very difficult to diagnose by ultrasound blood in the urine may be caused by stones in the kidney other causes include urinary tract infection glomerular disease and bleeding disorders however based on your history the spots in the kidney identified by ultrasound and blood in the urine it mostly indicates small kidney stones such small stones can be passed out in the urine if she drinks plenty of water if you want to confirm the diagnosis you can go for a computed tomography scan of the abdomen and kidneys ureters and bladder it can mostly identify the diagnosis now do not panic just ask her to drink plenty of water and follow up with her general practitioner,Speaker_8,57.31,"['stones', 'computed', 'tomography', 'abdomen']",validation
audio/Speaker_8/Speaker8-221.wav,hello ferrous fumarate tablets dey usually cause acidity which na burning pain for upper abdomen however dem also dey cause constipation and other stomach upset stop the tablets and the problem suppose clear for 1 2 days if e no clear then we need consider other causes of pain like appendicitis colitis right ovarian cyst twisting or fallopian tube problem,hello the ferrous fumarate tablets usually cause acidity which is a burning pain in the upper abdomen however they are also known to cause constipation and gastrointestinal disturbances stop the tablets and the problem should be resolved in one to two days if the problem is not resolved we have to consider other causes of pain such as appendicitis colitis a right ovarian cyst twisting or a fallopian tube problem,Speaker_8,26.01,"['ferrous', 'tablets', 'constipation', 'gastrointestinal', 'colitis']",validation
audio/Speaker_8/Speaker8-222.wav,hello i no think sey belle fit enta if no pre ejaculate or ejaculation happen so abeg no worry,hello i think there is no chance of pregnancy if there was no pre ejaculate or ejaculate so do not worry,Speaker_8,6.99,['ejaculate'],validation
audio/Speaker_8/Speaker8-223.wav,hello i get one question about family planning medicine i dey take trisprintec and i finish my pack of medicine last saturday i dey knack without protection on monday and that same monday afternoon i go carry my medicine come come take sunday and monday own together abeg e fit make i get belle from this,hi i have a birth control question i take trisprintec and i finished my pack of pills this past saturday i had unprotected sex on monday and picked my pills up that afternoon and took sunday and monday s pills is there a possibility i could get pregnant from this,Speaker_8,19.64,"['pills', 'unprotected', 'sunday', 'monday']",validation
audio/Speaker_8/Speaker8-224.wav,my pikin forehead don come out with welts we bin dey for restaurant and i chop groundnut and e fit be say i kiss am after i know say e dey allergic to groundnut so yes e very possible say na that cause am because even small contact like kiss fit transfer the groundnut go meet am and body go react as e be say e still dey okay apart from the welts make you dey watch am well well but if you see signs like breathing wahala swelling for face lips or throat vomiting or weakness abeg rush go hospital sharp sharp since e no fit use epinephrine pen because of im heart condition,my son s forehead broke out in welts we were at a restaurant and i ate peanuts and may have kissed him i know that he is allergic to peanuts could this be the cause of the welts he has a heart condition that prevents him from having an epinephrine pen he seems fine other than the welts on his forehead,Speaker_8,39.03,"['restaurant', 'ate', 'fine', 'welts']",validation
audio/Speaker_8/Speaker8-226.wav,i dey recover after operation since early january i don notice say anytime i siddon for long the muscle for my lower back just under my tailbone dey pain me dem do my womb operation hysterectomy on april 10 2013 e fit be say i don add weight small i gats dey siddon on top cushion before i go feel comfortable for this period i be member of hysterectomy sisters,i am in post operative recovery since early january i have found that when i sit for too long the muscles in my lower back just below my tailbone hurt my hysterectomy was on april ten two thousand and thirteen i may have gained weight i have to always sit on a cushion to be comfortable during this time i am a hysterectomy sisters member,Speaker_8,24.98,"['sit', 'below', 'tailbone', 'have']",validation
audio/Speaker_8/Speaker8-227.wav,dear patient first of all i hope say your joint don return to normal movement well well if e never reach full movement and you still dey feel serious pain and swelling e fit be fracture so you go need go do x ray but if na vein issue no worry at all e go disappear by itself within four weeks and if you still get small stiffness and pain just dey put ice on am once a day better make you do am immediately after you don play,hello since the pain is so severe that it is making you nearly topple over it is certainly necessary to see a doctor the probable cause based on your history seems to be a spasm of the muscles in the area of the pain obtain anti inflammatory medications and apply a rubefacient ointment to relax the muscles along with muscle relaxant tablets ensure full bed rest until you are cured additionally take a mild laxative for loose stools tomorrow to facilitate the passage of stools and lessen muscle spasms,Speaker_8,28.17,"['severe', 'nearly', 'spasms', 'anti', 'inflammatory', 'medications', 'muscle', 'relaxant', 'mild', 'laxative']",validation
audio/Speaker_8/Speaker8-228.wav,e fit be say you get slipped disc most likely for l3 and l4 area i go advise make you try magnetotherapy treatment put the south pole of medical power magnet for the place wey dey pain you for about thirty minutes two times every day for ten days to reduce the pain then come give feedback,you may have a slipped disc most probably at the l3 and l4 levels i recommend magnetotherapy treatment place the south pole of a medical power magnet at the painful area for half an hour twice a day for ten days to reduce the pain and report back,Speaker_8,19.34,"['south', 'pole', 'half', 'an', 'hour', 'twice', 'painful']",validation
audio/Speaker_8/Speaker8-229.wav,dear caring boyfriend first of all abeg make una avoid sex without protection completely your partner back pain fit be from pelvic infection and as she don miss her period e fit also mean unwanted pregnancy plus the too much sleep fit be sign of depression carry am go see correct gynecologist make dem check am well well and do pregnancy test i go still advise make she start antibiotics once dem don rule out pregnancy most importantly support am talk to am well and abeg avoid unprotected sex for future,dear caring boyfriend first of all avoid unprotected sex altogether your partner s back pain might be due to a pelvic infection she has also missed her periods which may be due to an unwanted pregnancy and she might be experiencing depression which could be the reason for her excessive sleep take her to see an expert gynecologist and get her checked for a pregnancy test i would also advise starting antibiotics once pregnancy is ruled out above all counsel her and avoid unprotected sex in the future,Speaker_8,34.71,"['pelvic', 'antibiotics']",validation
audio/Speaker_8/Speaker8-230.wav,family planning medicine suppose dey taken regularly at the same time every day na only then dem go work well dem dey give about ninety nine percent protection if you miss one pill take two pills within twenty four hours but if you miss two pills back to back make sure say you maintain extra protection for the first seven days you fit also do urine pregnancy test for house to check,birth control pills are to be taken regularly at the same time then only are they effective they provide ninety nine percent contraception if you miss one pill take two pills within twenty four hours however maintain the first seven days of contraception if you miss two pills in a row you can do a urine pregnancy test at home to check,Speaker_8,25.57,"['birth', 'control', 'pills', 'urine', 'pregnancy', 'test', 'home']",validation
audio/Speaker_8/Speaker8-231.wav,i get breathing problem with cough and small wheezing and e start after i spray cockroach insecticide for house for two to three days continuously pharmacist give me tablet wey dem call alerfix total abeg advise me i get high blood pressure and diabetes and i dey also take thyroid medicine,i have a breathing problem along with a cough and there is slight wheezing as well this happened after spraying a cockroach insecticide in the house for two to three days continuously the pharmacist gave me a tablet named alerfix total please advise i am a patient with high blood pressure and diabetes i am also taking medicine for thyroid,Speaker_8,18.62,"['breathing', 'problem', 'slight', 'wheezing', 'spraying', 'alerfix', 'high', 'medicine']",validation
audio/Speaker_8/Speaker8-232.wav,hi based on your history e look like organising hematoma and e suppose clear by itself with time no too worry but worry only if e turn red start dey increase for size or e no dey reduce at all after some time,hi based on your history this appears to be an organizing hematoma and should resolve on its own worry only if it becomes red enlarges in size or does not dissolve on its own,Speaker_8,15.84,[],validation
audio/Speaker_8/Speaker8-233.wav,hello i just read your question i glad say your pikin dey okay after the fall no need to worry about the swelling e go take some days before e go comot in fact the swelling fit even worse tomorrow or next tomorrow pass today but that one still normal no be something to fear as long as he dey okay for body otherwise no need to over worry at all,hello i just read through your question i am glad that your son is okay after the fall there is no need to worry about the swelling it will take several days for the swelling to resolve in fact the swelling may even be worse tomorrow the day after the injury than it is today this is also nothing to worry about as long as he is otherwise okay there is no need to be overly concerned,Speaker_8,23.85,"['several', 'swelling']",validation
audio/Speaker_8/Speaker8-234.wav,hi thank you for asking i really appreciate your concern looking at the history you give here i fit say this one no be normal if your stomach dey fill with fluid this condition dem dey call am ascites if na ascites be this then we must find out wetin dey cause am and this one very important if you no treat the main cause the fluid go keep dey come back again and again hope this information help you have a nice day,hi thank you for asking i really appreciate your concern looking at the history given here i can say that this is not normal if your stomach is filling with fluid this condition is called ascites if this is ascites then the underlying cause of this needs to be ruled out and this is very important unless you treat the underlying cause the fluid will keep filling continuously hope this information helps have a nice day,Speaker_8,28.86,['asking'],validation
audio/Speaker_8/Speaker8-235.wav,hello e good say you don stop to dey take nonsteroidal anti inflammatory drugs if you inject cortisone e no go affect kidney function,hello it is good that you have stopped taking nonsteroidal anti inflammatory drugs injecting cortisone will not affect the kidney function,Speaker_8,13.1,"['nonsteroidal', 'cortisone']",validation
audio/Speaker_8/Speaker8-236.wav,hello first relax we dey here to help solve your problem abeg tell me the pain well well the kind pain wey you dey feel how long e don dey happen whether na one place e dey or e dey spread wetin dey make am worse if e dey happen when you dey chew food if e dey happen for night and if e dey happen when you dey open or close your mouth how long you don dey face this problem abeg send all these details make i fit understand am well,hello first relax we are here to solve your problem please tell me in detail about the pain the type of pain the duration of pain whether it is localized or generalized what factors aggravate the pain if the pain occurs while chewing food if the pain is present at night and if the pain occurs while opening or closing your mouth how long have you been facing this problem let me send all these details,Speaker_8,27.4,[],validation
audio/Speaker_8/Speaker8-237.wav,fit acid reflux cause fast heart rate my resting heart rate dey around high 50s recently i get acid reflux for night and i feel say my heart rate dey high na after i do exercise i realize say e reach about 155 and apparently e don dey like that for about seven hours,can an acid reflux event cause a rapid heart rate my resting heart rate is in the high 50s recently i had acid reflux at night and felt the rate was high it wasn t until after exercise that i realized it was around one hundred and fifty five and apparently had been at that rate for about seven hours,Speaker_8,25.94,"['acid', 'reflux', 'event', 'rapid', 'resting', 'high']",validation
audio/Speaker_8/Speaker8-238.wav,hello i notice say i get small swelling for left side of the lower part of my left knee e no dey pain although when i think back i don notice say i dey find am difficult to climb stairs or stand up for small time now and then but when i dey rest or dey walk my normal pace i no dey feel any pain how serious fit this one be,hello i noticed that i have a not significant but noticeable swelling on the left side of the lower portion of my left knee it does not hurt although thinking back i have noticed difficulty walking up or getting up the stairs for a little while however at rest or while walking at my usual pace i do not feel any pain how serious might it be,Speaker_8,23.2,"['not', 'significant', 'noticeable', 'swelling', 'knee']",validation
audio/Speaker_8/Speaker8-239.wav,hello i have been wondering why my son dey always get cold and cough with small fever every time after swimming he may not be allergic to chlorine i suppose i dey think say maybe na heat loss and outside cold air body no dey fit adjust well to the temperature change is this a valid reason,hello i have been wondering why my son tends to get a cold and cough accompanied by a slight fever every time after a swim he might not be allergic to chlorine i suppose i am thinking in terms of heat loss and the outside cool air the body is unable to adjust to the temperature changes is it a valid reason,Speaker_8,26.17,"['cold', 'cough', 'slight', 'fever', 'heat', 'loss']",validation
audio/Speaker_8/Speaker8-240.wav,e get many reasons why blood fit dey come out from the anus without pain some of them include intestinal bleeding worms tumors or constipation i strongly recommend make you go see surgeon for proper check up and further assistance,there are many reasons for blood to come out of the anus without causing pain these include intestinal bleeding worms tumors constipation etc i kindly recommend that you see a surgeon for further assistance,Speaker_8,14.81,"['blood', 'anus', 'intestinal']",validation
audio/Speaker_8/Speaker8-241.wav,my mama get small stroke on may 30 wey affect her right leg she fit still use walker after exercise she dey complain say her leg dey weak muscle dey pain am and she dey take some days rest before she continue exercise again is this normal should she still exercise next day if her muscles dey sore,my mother had a small stroke on may 30th affecting her right leg she is able to use a walker after exercising she says her leg feels weak her muscles hurt and she will take days off from exercising is this normal should she exercise the following day if her muscles are sore,Speaker_8,23.87,"['mother', 'leg', 'exercise']",validation
audio/Speaker_8/Speaker8-242.wav,you dey experience difficulty breathing dyspnea if yes e fit be say you get bronchial asthma also if you dey smoke chronic obstructive pulmonary disease copd must also dey considered,do you have dyspnea if so you might be suffering from bronchial asthma additionally if you are a smoker chronic obstructive pulmonary disease should also be considered,Speaker_8,14.86,"['dyspnea', 'chronic', 'obstructive', 'pulmonary', 'disease']",validation
audio/Speaker_8/Speaker8-243.wav,hello my sister get car accident about one year ago wey glass cut her upper bicep triceps area about one inch deep she dey claim say she dey lose feeling for her arm even one year later even though she receive medical attention wetin fit dey cause this fit nerve damage still dey worsen after one year of healing my sister dey like pick her skin and she no dey like go doctor so i dey wonder if this one fit happen or she just dey seek attention also when the wound heal doctor check am and say everything don heal and she no even need rehabilitation,hello my sister got into a car wreck about a year ago which resulted in a piece of glass cutting her upper bicep triceps area about an inch deep she claims she is losing feeling in her arm over a year later even though she received medical attention what could be causing this can nerve damage deteriorate over a year after it has healed my sister likes to excoriate and refuses to go to the doctor so i wonder if this is possible and whether she should see a doctor or if she is just attention seeking also when the injury healed up she did see a doctor and they said everything was healed and she did not even need rehabilitation,Speaker_8,38.13,"['sister', 'bicep', 'triceps', 'area', 'losing', 'feeling', 'arm', 'damage']",validation
audio/Speaker_8/Speaker8-244.wav,hi welcome to healthcaremagic yes you fit still conceive continue to dey take those medications and follow your doctor advice over time your periods go become normal again,hi welcome to healthcaremagic yes you can definitely conceive continue taking those medications and follow your doctor s advice over a period of time you will have normal periods,Speaker_8,11.01,"['medications', 'normal']",validation
audio/Speaker_8/Speaker8-245.wav,e be like say you don ignore your injury normally anytime injury happen you suppose apply cold compress sharp sharp but now e don late for that one so now start to dey do hot fomentation for the area and dey rub anti inflammatory pain relief ointment for the place you fit still take the same medicine for mouth too e go take small time but no lose hope e go gradually reduce go small small until e comot well well,it seems you have ignored your injury you should always apply cold compresses to any injury immediately however it is now too late for that now start local hot fomentation with the local application of anti inflammatory analgesic ointment you can also take an oral preparation of the same medication it may take a little time but do not get disheartened it will reduce to a minimum,Speaker_8,28.49,"['local', 'oral']",validation
audio/Speaker_8/Speaker8-246.wav,my white blood cell count dey low and my liver enzymes just small above normal i go do ultrasound for my liver and dem notice several spots for my pancreas dem tell me make i go do ct scan computed tomography scan and make i see oncologist because of my white blood cell count abeg this kind thing always mean say na pancreatic cancer,my white blood cell count was low and liver enzymes were just above normal i went in for an ultrasound of my liver in which several spots were noticed on my pancreas i have been asked to get a computed tomography scan done and see an oncologist for my white blood cell count does this always point in the direction of pancreatic cancer,Speaker_8,24.24,"['white', 'blood', 'cell', 'count', 'low', 'liver', 'enzymes', 'normal', 'ultrasound', 'pancreas', 'computed', 'tomography', 'scan']",validation
audio/Speaker_8/Speaker8-247.wav,hello i be forty five year old woman i be five feet six inches tall and i weigh one hundred and forty five pounds dem diagnose me celiac disease for december i switch to gluten free diet then i start dapsone for dermatitis herpetiformis two weeks later i begin get shortness of breath and nobody fit really explain am my recent blood results dey normal except small changes red cell distribution width sixteen point one aspartate aminotransferase forty four alanine aminotransferase fifty eight iron one hundred and sixty nine and vitamin b6 also slightly high at thirty eight point seven abeg help me i be runner and cyclist before but since january i no fit do either again,hello i am a forty five year old female five feet six inches tall and i weigh one hundred and forty five pounds i was diagnosed with celiac disease in december went gluten free and then started taking dapsone for dermatitis herpetiformis two weeks later i began experiencing shortness of breath no one can figure it out my most recent blood results are normal except for the following red cell distribution width sixteen point one aspartate aminotransferase forty four alanine aminotransferase fifty eight and iron one hundred and sixty nine vitamin b6 also came out a little high at thirty eight point seven please help i was a runner and cyclist and now i can t do either since january,Speaker_8,55.57,"['weigh', 'celiac', 'disease', 'dapsone', 'shortness', 'breath', 'red', 'cell', 'distribution', 'width', 'sixteen', 'point', 'aspartate', 'aminotransferase', 'alanine', 'high']",validation
audio/Speaker_8/Speaker8-248.wav,hi i bin marry four years ago but i no dey get belle because my menses no dey dey regular for four years i don dey take tablets to help mme get belle but still my menses still no dey regular i dey currently use gestafine 100mg but for the past 15 days i don dey see my period sometimes e no go stop for 5 days e fit continue reach 15 to 20 days abeg wetin i fit do please advise me,hi i was married four years ago but i am not pregnant because i am suffering from irregular periods for four years i have been using tablets for pregnancy but my periods remain irregular i am currently using gestafine one hundred milligrams but for the past fifteen days i have been having my period and sometimes it does not stop for five days it can last for fifteen to twenty continuous days what can i do please advise me,Speaker_8,32.86,"['irregular', 'tablets', 'gestafine', 'milligram']",validation
audio/Speaker_8/Speaker8-249.wav,yes this rapid weight loss and the pain wey dey spread all over your body dey very concerning the fact say dem don remove the tumour before and now e don start to dey grow again suggests say the tumour fit be malignant and e get tendency to regrow e better make you continue treatment exactly as your doctor talk and you fit still seek second opinion from another oncologist or pathologist for further confirmation and guidance,yes this rapid loss of weight and the pain radiating all over the body is a concern the fact that they have removed your tumor and that it is growing back again means that the tumor is a malignant tumor with potential regrowth it is better to continue with treatment as directed by your doctor and you can seek a second opinion from another oncologist or pathologist,Speaker_8,30.77,"['loss', 'weight', 'tumor']",validation
audio/Speaker_8/Speaker8-250.wav,no treat attention deficit hyperactivity disorder and depression the way you dey do am go find professional help these things you dey do no go help your pikin at all,do not treat attention deficit hyperactivity disorder and depression the way you are doing seek professional help these things are not going to help your child,Speaker_8,15.42,"['attention', 'deficit', 'hyperactivity', 'disorder', 'depression']",validation
audio/Speaker_8/Speaker8-251.wav,treatment dey depend on which artery block and how much narrowing stenosis dey there based on that one doctors fit plan either operation or medical treatment if the main arteries or proximal arteries don block then surgery dey more preferable,treatment depends on which artery is blocked and how much stenosis is present based on that surgery or medical treatment can be planned if the proximal arteries or main arteries are blocked then surgery is preferable,Speaker_8,15.74,"['stenosis', 'surgery']",validation
audio/Speaker_8/Speaker8-252.wav,in that case you need to at least do chest x ray to rule out any underlying lung problem also you suppose go do breast examination to check if any lump dey,in that case you need to at least undergo a chest x ray to rule out any underlying lung pathologies also you should have a breast examination to look for any lumps,Speaker_8,13.21,"['chest', 'ray', 'lung', 'breast']",validation
audio/Speaker_8/Speaker8-253.wav,i was in a car crash in october i get back pain wey dey disturb me every day i dey take naproxen and cyclobenzaprine but dem no really dey work i also get four pikin wey i dey raise alone wetin fit help more i dey wait to start physical therapy and i still dey wait for chiropractor,i was in a car crash in october i have back pain that bothers me every day i am taking naproxen and cyclobenzaprine but they do not seem to work i also have four children that i am raising alone what will help more i am currently waiting to get physical therapy and waiting for a chiropractor,Speaker_8,24.73,"['naproxen', 'children']",validation
audio/Speaker_8/Speaker8-254.wav,wetin this thing mean be say your neck bone cervical spine get problem for inside one of the disc for your neck don bulge wide well broad based disc herniation and small bone growth don form osteophyte about 3 4 mm this one don press the spinal cord small small and even make am flatten small about 1 mm for the right side the small hole where nerves dey pass don narrow well well moderately severe foraminal stenosis and e dey press the c4 nerve for right side this one fit cause neck pain shoulder pain weakness or tingling for left side too the narrowing dey there but e no too serious mild foraminal stenosis,what does it mean broad based disc herniation and an osteophyte of three four millimeters in anteroposterior dimension with one millimeter flattening of the cervical spinal cord on sagittal image seven of series five moderately severe right foraminal stenosis with compression of the right cervical four nerve root in the neural foramen on axial image one of series seven mild left foraminal stenosis,Speaker_8,38.52,"['broad', 'based', 'disc', 'herniation', 'anteroposterior', 'dimension', 'flattening', 'cervical', 'spinal', 'cord', 'sagittal', 'image', 'moderately', 'foraminal', 'stenosis', 'compression', 'nerve', 'root', 'neural', 'foramen', 'axial', 'mild']",validation
audio/Speaker_8/Speaker8-255.wav,hello i understand your concern about the tooth pain dental pain fit really disturb person from wetin you talk e be like say you get plenty tooth decay high caries na why dentist suggest root canal treatment e fit be say deep cavity dey for your tooth na im dey cause the pain i no suspect any bone or nerve damage make you go do dental x ray then based on how deep the cavity be doctor fit tell you make you do ordinary filling or root canal treatment the earlier you go see dentist the better i hope this help take care well well,hello i completely understand your concern about the toothache dental pain can surely be bothersome reading your question i suspect you have a high caries index which is why the dentist suggested you for root canal treatment there may be a deep cavity in your tooth which is why you are experiencing pain i do not suspect any bone or neurological damage get your dental x ray done and depending on the depth of the cavity the doctor may suggest you go for either a simple filling or a root canal treatment the earlier you visit a dentist the better it is i hope this helps take good care,Speaker_8,34.23,['index'],validation
audio/Speaker_8/Speaker8-256.wav,make you go do transvaginal ultrasound to rule out your belle if your belle don pass three weeks e no too likely say na uterine pregnancy you get but if you wan confirm am you fit do the test cheers,get a transvaginal ultrasound done to rule out any pregnancy if your gestation is above three weeks it is unlikely that you have a uterine pregnancy if you want to rule it out you can do that test cheers,Speaker_8,14.63,"['transvaginal', 'ultrasound']",validation
audio/Speaker_8/Speaker8-257.wav,i get swelling for the back of my heel no be for under my foot e dey pain me well well when i dey walk the pain no dey go up the back of my leg like achilles injury dey do but from wetin i read e fit still be that kind injury or e fit be bone spur for that area which kind doctor i suppose go see alicia peterson,i have swelling on the back of my heel not the bottom of my foot it is very painful when i walk the pain does not radiate up the back of my leg as an achilles injury can however based on what i read about achilles injuries it could be that kind of injury or could it be a bone spur in that area what kind of doctor should i see alicia peterson,Speaker_8,25.24,"['swelling', 'foot', 'painful', 'up', 'leg', 'achilles', 'bone', 'spur']",validation
audio/Speaker_8/Speaker8-258.wav,aspiration pneumonia suppose make doctor check am well well if cough still dey hold you or fever still dey because e fit need treatment if you no fast for at least eight hours before dem give you anesthesia that fit be the cause e fit no happen again unless another specific cause dey,aspiration pneumonia needs to be evaluated if you still have a persistent cough or fever as it may require treatment if you had not been fasting for at least eight hours prior to anesthesia then that might be the cause the recurrence may not occur unless there is some other specific cause,Speaker_8,22.69,"['pneumonia', 'persistent', 'cough']",validation
audio/Speaker_8/Speaker8-259.wav,a fall yesterday for one flight of stairs outside marble type rain bin dey fall and i slip i roll reach down for my side and now one side of my body dey pain me shoulder arm and leg e dey pain me to move and walk and my ankle don stiff i suppose go see my doctor on monday abi make i just wait am out,i fell down a flight of stairs yesterday outside marble type it had been raining and i slipped i rolled the way down on my side and now one side of my body hurts shoulder arm and leg it is painful to move and walk with a stiff ankle should i see my general practitioner on monday or just wait it out,Speaker_8,25.61,[],validation
audio/Speaker_8/Speaker8-260.wav,i don do positron emission tomography scan ultrasound blood test and x ray yesterday for like five months now pain dey worry me for the right front side and e dey go round reach my shoulder blade and shoulders my blood test show say the level of liver and pancreatic enzymes high no stone calculi dey there and the gallbladder wall no thick but my gallbladder moderate well distend meaning say e swell or full pass normal small doctor don order hepatobiliary iminodiacetic acid scan for monday wetin moderately well distended mean and wetin fit dey cause all these symptoms,i have had positron emission tomography scans ultrasound blood work and x rays yesterday i have been hurting for five months now on the right front that goes around up into my shoulder blades and shoulders my blood work shows high levels of liver and pancreatic enzymes there are no calculi present and the gallbladder wall is not thickened but my gallbladder is moderately well distended he has ordered a hepatobiliary iminodiacetic acid scan on monday what does moderately well distended mean and what could be causing all these symptoms,Speaker_8,40.01,"['positron', 'emission', 'tomography', 'rays', 'hurting', 'front', 'shoulders', 'blood', 'work', 'high', 'gallbladder', 'hepatobiliary']",validation
audio/Speaker_8/Speaker8-261.wav,you need make dem do electrocardiogram and two dimensional echocardiogram for you e be like say na heart wahala you get and e better make dem check am sharp sharp no delay,you need to get an electrocardiogram and a two dimensional echocardiogram done it seems you have a cardiac issue and it would be better to get it evaluated without delay,Speaker_8,12.63,"['electrocardiogram', 'dimensional', 'echocardiogram', 'cardiac', 'issue']",validation
audio/Speaker_8/Speaker8-262.wav,my daughter na fourteen years old and she dey complain plenty about back and neck pain i carry am go chiropractor and e talk say her spine bend ten degrees and her hips no balance i suppose carry am go doctor make dem do x ray the chiropractor just wan dey adjust her spine two times every week but i no too sure say e go work,my daughter is fourteen and she complains a lot about back and neck pain i took her to the chiropractor and he said that her spine was ten degrees off and her hips were not even should i take her to the doctor to get x rays the chiropractor just wants to manipulate her spine twice a week but i m not so sure that will work,Speaker_8,21.5,"['spine', 'hips']",validation
audio/Speaker_8/Speaker8-263.wav,i wan know which medicine she don take i suggest make she go see the doctor wey prescribe the medicine for am make dem discuss am well and find the real root cause of the problem,i want to know awhich pill she has taken i suggest she should go to the doctor who prescribed this pill for a discussion and to find the root cause of the problems,Speaker_8,10.77,"['go', 'pill']",validation
audio/Speaker_8/Speaker8-264.wav,the pain fit dey come from kidney stone or stone wey dey anywhere for urinary tract e still fit relate to spine compression because of disc prolapse or another reason you need make doctor check you well well general practitioner go fit identify where the real problem dey come from good luck,your pain could be due to kidney stones or stones along the urinary tract it could also be related to spinal compression due to disc prolapse or other reasons you should get yourself examined by a general practitioner to identify the area of concern good luck,Speaker_8,19.88,"['stones', 'disc', 'prolapse', 'practitioner']",validation
audio/Speaker_8/Speaker8-265.wav,i dey 36 years old i dey overweight and my height na 5 foot 8 inches i do ultrasound and dem talk this thing about my pelvis pelvis bulky uterus with irregular endometrial lining nodularity and calcification with both sides adnexa showing irregular echotexture nodularity and distortion i wan know whether i still get chance to get pregnant or not,i am thirty six years old i am overweight and my height is five feet eight inches i had an ultrasound in which the following was mentioned about my pelvis pelvis bulky uterus with irregular endometrial lining nodularity and calcification with bilateral adnexal findings of irregular echotexture nodularity and distortion i want to know if i have a chance of getting pregnant or not,Speaker_8,27.98,"['ultrasound', 'pelvis', 'bulky', 'ut', 'irregular', 'bilateral']",validation
audio/Speaker_8/Speaker8-266.wav,i be female i dey twenty six years old my weight na fifty nine kilograms and my height na one point seven two meters for over one month now anytime i chop food i dey feel like to vomit and every morning when i wake up my stomach dey pain me serious yesterday after i chop food wey get pepper the stomach pain too much recently i dey go toilet often and my last period no dey heavy like before again but e still last five days i also dey under plenty academic pressure for about one month now and i don also notice say my mouth dey feel like i get fever,i am a female twenty six years old weigh fifty nine kilograms and my height is one point seven two meters for over a month now i have felt nauseous after eating and always experience serious stomach pain when i wake up each day yesterday i had severe stomach pain after eating a meal with pepper recently i have been using the toilet often and my last period was not as heavy as previous ones but still lasted five days i have also been under a lot of academic pressure for a month i have also noticed a sign of fever in my mouth,Speaker_8,38.24,"['female', 'height', 'nauseous', 'eating', 'serious', 'stomach', 'severe', 'fever']",validation
audio/Speaker_8/Speaker8-267.wav,based on wetin you dey complain i dey suspect common problem wey dem dey call acute gastritis with reflux disease and dem fit confirm am with physical examination and some small tests the causes fit be say person dey overweight dey smoke dey chop anyhow and dey take plenty drinks and beverages so abeg reduce your smoking and stop beverages for small time make you follow normal soft food diet wey no get plenty spices and limit your smoking to just two cigarettes per day avoid beverages for one month and also stay away from dairy things like cheese chocolate and ice cream make you dey use two pillows when you dey sleep and make your dinner light small you suppose begin see change within fifteen days,based on your complaints i suspect a common issue known as acute gastritis with reflux disease which can be confirmed through a physical examination and a few tests the causes include being overweight smoking an irregular diet and excessive consumption of beverages therefore please reduce your smoking and eliminate beverages for a while follow a regular bland diet without many spices and limit your smoking to two cigarettes per day avoid beverages for one month as well as dairy products such as cheese chocolate and ice cream use two pillows while sleeping and have only a light dinner you should notice changes within fifteen days,Speaker_8,43.56,"['acute', 'gastritis', 'physical', 'examination', 'diet']",validation
audio/Speaker_8/Speaker8-268.wav,i be forty seven years old i dey five feet three inches tall and my weight na fourteen stone i dey work as primary school teacher i don get back pain on and off for many years but since january e don worsen reach level wey e dey constant with serious pain for left side of my back sharp pain go my left buttock and e dey run down my left leg now e don hard for me to teach well i dey struggle to sit stand or waka pass few minutes the pain still dey worse when i dey push body for toilet my sleep don dey disturb because of the pain anti inflammatory painkillers dey help small but dem no dey solve the problem wetin you fit suggest i never really create time go see my general practitioner but now i dey feel say i need to seek help,i am forty seven years old five feet three inches tall and weigh fourteen stone i work as a primary school teacher i have had back pain on and off for many years but this has escalated since january to the point of constant pain to the left of my back severe pain through my left buttock and down my left leg i am now struggling to teach i find it difficult to sit stand or walk for periods of more than a few minutes additionally the pain worsens when i bear down to go to the toilet my sleep is disrupted by the pain anti inflammatory painkillers help but they do not cure the problem what can you suggest i have not made time to see my general practitioner but i am now feeling the need to seek help,Speaker_8,55.22,"['painkillers', 'severe', 'walk', 'inflammatory']",validation
audio/Speaker_8/Speaker8-269.wav,the blood wey dey shit fit really come from the oral antibiotics but the back pain and constipation symptoms no really get link with the antibiotics those ones fit be because say person no dey active enough or say water wey person dey drink no reach and other similar reasons,the blood in the stool can definitely be due to oral antibiotics but the symptoms of back pain and constipation are not related to the antibiotics these may be due to a lack of activity less fluid intake etc,Speaker_8,23.03,"['stool', 'constipation']",validation
audio/Speaker_8/Speaker8-270.wav,my son dey ten years old and he wake up around 3 am this morning say e dey sting am when e try urinate he dey take shower before sleep and i dey wonder if soap fit enter inside there i make am go urinate again around 5 am and he say e no dey pain am again and since morning e don dey alright e fit just be soap from the shower,my son is ten years old and woke up at three am this morning and said that it stung when he tried to urinate he takes his showers before bed and i was wondering if he may have gotten soap up there i had him go urinate again around five am and he said he was fine and has been all morning could it just have been soap from his shower,Speaker_8,27.75,"['am', 'morning', 'stung', 'soap', 'urinate']",validation
audio/Speaker_8/Speaker8-271.wav,my boyfriend and i dey play around and e release sperm for him hand and stomach i give am tissue make e clean everything commot then after small time i no really know how long i ask am make e touch me by putting him fingers inside me before e do am i make sure say e use dettol instant hand sanitizing wipes wey dey kill ninety nine point nine nine percent of germs clean him hand wetin be the chance say i fit don get belle now my period even start today,my boyfriend and i were fooling around and he ejaculated on his hand and stomach i gave him some tissues to wipe it all off with then after a little while i do not know how long i asked him to touch me by putting his fingers inside me before he did i had him use some dettol instant hand sanitizing wipes that kill ninety nine point nine nine of germs what is the likelihood that i am now pregnant my period started today,Speaker_8,36.04,"['tissues', 'dettol', 'point']",validation
audio/Speaker_8/Speaker8-272.wav,if wetin you talk na so e really be e fit mean say something dey press the nerves wey dey go your hands this one fit happen from anywhere from your spine reach your wrist but because your neck too dey stiff e fit be say na from your neck spine the problem dey start abeg try see orthopedic surgeon dem fit need do magnetic resonance imaging scan mri for most cases pain wey dey run along the arm and neck dey usually calm down by itself within few days even without treatment,if what you described is correct you may have compression on the nerves going to your hands this could happen anywhere from your spine to your wrist however because you also have neck stiffness it may be originating from your neck spine please see an orthopedic surgeon you may need a magnetic resonance imaging scan pain along the arm and neck will usually settle even without any treatment in a few days in the majority of cases,Speaker_8,35.22,"['compression', 'nerves', 'spine', 'stiff', 'arm']",validation
audio/Speaker_8/Speaker8-273.wav,i dey twenty six years old and i don dey try get belle for the past one year but e never work my doctor tell me make i do some blood tests for me and my husband and all the results come out normal after that she say make i do follicular study since my last period start on july 10th she give me fertyl tablets make i take am for five days starting from the 4th day i also take estradiol two milligrams for fourteen days starting from july 17th dem do sonography for me on july 19th 21st 22nd and 23rd on the 23rd she tell me say the egg don rupture so we fit have intercourse from that day till july 27th she still give me nidagen two hundred oral tablets make i take for fifteen days starting from july 25th i dey nervous well well you think say i fit get belle this time abeg help me,i am twenty six years old and trying to conceive for the last year but i have not been able to conceive my doctor asked me to get some blood tests for me and my husband and all reports were normal then she said to do a follicular study as my last period was on july 10th she gave me fertyl tablets for five days starting from the 4th day i took estradiol two milligrams for fourteen days starting from july 17th sonography was performed on july 19th 21st 22nd and 23rd on the 23rd she said that the egg had ruptured so we can have intercourse from today until july 27th she gave me nidagen two hundred oral tablets for fifteen days starting from july 25th i am nervous will i be able to conceive this time please help me,Speaker_8,60.0,"['blood', 'tests', 'follicular', 'study', 'fertyl', 'tablets', 'milligrams', 'sonography', 'nidagen', 'oral']",validation
audio/Speaker_8/Speaker8-274.wav,hi i don hear say use of cell phone never get any clear proof say e dey cause brain cancer but i still don hear say many people wey dey talk long for phone dey end am with ear pain and some doctors don link am to radiation wetin kind damage use of cell phone fit cause,hi i have heard that cell phone use does not conclusively cause brain cancer but i have also heard that people often leave long phone conversations with a pain in their ear which doctors have attributed to radiation what damage does cell phone use cause,Speaker_8,22.83,['damage'],validation
audio/Speaker_8/Speaker8-275.wav,hi my name na heather i dey thirty two years old i do laparoscopic appendectomy four weeks ago the appendix no rupture i go hospital because the pain dey my back and i think say na kidney stone but when dem do computed tomography scan ct scan e show say the appendix dey inflamed e normal to still get bloating random stomach pain gas indigestion and loose stool by this time,hi i am heather thirty two i had a laparoscopic appendectomy four weeks ago it was not ruptured i went to the hospital because the pain was in my back and i thought it was a kidney stone a computed tomography scan showed an inflamed appendix is it normal to have bloating random stomach pain gas indigestion and loose stools at this point,Speaker_8,27.35,"['laparoscopic', 'appendectomy', 'went', 'hospital', 'computed', 'tomography', 'inflamed', 'loose']",validation
audio/Speaker_8/Speaker8-276.wav,abeg make dem check your platelet level urgently because lupus fit make the platelet count reduce and that one fit cause this kind rash so please try see your doctor sharp sharp also dem need to check for vasculitis too,please get your platelet levels checked urgently as lupus can lead to decreased platelet count which may cause these kinds of rashes therefore please see your doctor urgently additionally vasculitis needs evaluation,Speaker_8,19.55,"['platelet', 'levels', 'decreased', 'vasculitis']",validation
audio/Speaker_8/Speaker8-277.wav,i dey get very short breath anytime i lie down for my left side and begin cough once the cough start e go be like say i no fit breathe at all and then e go come be like say anxiety attack wan catch me i dey okay when i lie for my right side na only the left side dey give me this wahala wetin fit be the cause of this,i get very short of breath when i lie on my left side and start coughing once the coughing starts i feel like i can t breathe at all and then i feel like i m going to have an anxiety attack i m fine lying on my right side it s just the left side that i have problems with what could be the cause of this,Speaker_8,25.45,"['short', 'breath', 'lie', 'coughing', 'breathe']",validation
audio/Speaker_8/Speaker8-279.wav,hello doctor my niece ear dey pain am well well few days ago she put her finger inside the ear and e fit be say she injure am she even bleed two times now the bleeding don stop but the pain still dey there she dey take painkillers since no doctor dey available because of the lockdown abeg advise wetin fit don happen and also suggest some medicine,hello doctor my niece s ear is hurting a lot a few days ago she inserted her finger inside her ear which might have hurt her she also bled twice now the bleeding has stopped but the pain is still there she is taking painkillers since no doctors are available due to the lockdown kindly advise what might have happened and also suggest some medicine,Speaker_8,22.73,"['niece', 'bleeding', 'painkillers']",validation
audio/Speaker_8/Speaker8-280.wav,e fit be fungal infection abeg attach some pictures of the skin lesions so make proper diagnosis and correct advice fit follow,it could be a fungal infection please attach some pictures of the skin lesions for proper diagnosis and advice,Speaker_8,9.57,"['fungal', 'lesions']",validation
audio/Speaker_8/Speaker8-281.wav,hi my son dey three years old and e get big cut for top of him butt crack e look like say na from using normal wipes because the skin rough small instead of sensitive wipes how i fit keep am clean make e heal well wetin i fit do p s e still dey wear diaper,hi my son is three years old and he has a big cut at the top of his butt crack it looks like it is from using regular wipes because it is a little rough instead of using sensitive wipes how can i keep it clean so it can heal what can i do p s he still wears a diaper,Speaker_8,23.55,[],validation
audio/Speaker_8/Speaker8-282.wav,hi you dey overthink too much about jaundice abeg rest small because from all your reports everything dey normal still make you go check your haemoglobin level if person no chop well or diet no balance e fit cause anaemia and that one fit make skin look pale pallor for jaundice urine usually dey deep yellow steady and the white part of eye conjunctiva go dey yellow too e better make you talk to your doctor and no stress yourself too much i wish you good health,hi you are being overly anxious about developing jaundice please be assured that you are doing fine as all your reports are normal please check your hemoglobin level an inadequate diet may lead to anemia which can cause a change in skin color known as pallor with jaundice urine is usually persistently yellow in color and the conjunctiva will be yellowish it would be better for you to discuss this with your doctor and not be overly tense i wish you good health,Speaker_8,32.51,"['jaundice', 'fine', 'hemoglobin', 'yellowish', 'conjunctiva']",validation
audio/Speaker_8/Speaker8-283.wav,hi welcome to health care management first of all left side chest pain need to be taken seriously i want know the kind pain wey you dey feel e dey burn dey prick or e dey squeeze and e dey come with sweating at all abeg reply me with more details as for your abdominal pain normal ultrasound don rule out most serious problems i feel say e fit be muscular pain maybe from wrong posture when you dey work or sleep i advise make you correct your posture when you dey work and when you dey sleep also start small stretching exercises every day,hi welcome to the health care management first of all left side chest pain should be taken seriously i want to know the character of the pain is it burning pricking or squeezing in character is there any sweating associated with the chest pain kindly revert back with details as for your abdominal pain a normal ultrasound rules out most serious problems i feel it could be muscular pain possibly due to faulty posture while working or sleeping i advise you to correct your posture while working and sleeping also start doing some stretching exercises daily,Speaker_8,40.15,"['chest', 'sweating', 'abdominal', 'ultrasound', 'faulty', 'posture']",validation
audio/Speaker_8/Speaker8-284.wav,my four year old dey vomit very easily this morning e chop food wey e normally chop pancakes grapes milk e dey fine then e suddenly vomit and afterwards e come normal again this kind thing dey happen once in a while na weak gag reflex be this or e fit be something more serious for stomach,my four year old vomits very easily this morning he ate food he eats all the time pancakes grapes milk was perfectly fine then threw up and was perfectly fine again this happens every now and then is it a weak gag reflex could it be more serious stomach issues,Speaker_8,23.38,"['vomits', 'ate', 'all', 'time', 'gag', 'reflex']",validation
audio/Speaker_8/Speaker8-285.wav,hi i don review your question and i understand your concern if you no get hypertension no need to dey worry about blood pressure readings blood pressure machine na just simple instrument like watch so no reason to fear am at age thirty four e still no mean say you automatically get hypertension so just relax when dem wan take the reading if e still dey worry you you fit tell dentist say you no want make dem take am for simple procedures like fillings e no really necessary to stress about blood pressure readings,hi i have reviewed your question and i can understand your concern there is no need for blood pressure readings if you do not have hypertension a blood pressure reading is nothing but a simple instrument similar to your watch so there is nothing to worry about at the age of thirty four you cannot be a hypertension patient so enjoy the reading in case you are further apprehensive tell the dentist you do not want it taken there is no need for blood pressure readings in simple procedures like fillings,Speaker_8,32.48,"['pressure', 'blood']",validation
audio/Speaker_8/Speaker8-286.wav,hi my daughter do ear piercing when she be eleven months old and she dey fine but when she start to dey walk after six weeks she fall down injure her ear now i don dey clean her ear with salt water for four weeks but the infection still no clear i no know wetin i go do,hi my daughter got her ears pierced when she was eleven months old and she was fine when she started walking after six weeks she fell down and hurt her ear now i have been cleaning her ears with salt water for four weeks but still the infection hasn t gone i don t know what to do,Speaker_8,20.71,"['cleaning', 'infection']",validation
audio/Speaker_8/Speaker8-287.wav,hello the first thing wey you need to know be say this one must be treated as cardiac problem until dem prove otherwise e fit still be gastric acid reflux or even muscle strain for chest but you need see doctor immediately make dem examine you do electrocardiogram ecg blood tests and maybe stress test too,hello the first thing to note here is that this must be considered cardiac until proved otherwise it could also be gastric acid reflux or a pulled chest muscle but you have to see a doctor right now to get an examination an electrocardiogram blood work and perhaps a stress test,Speaker_8,25.29,['now'],validation
audio/Speaker_8/Speaker8-288.wav,yes e fit really be spasm and e fit take time before e fully heal you fit use hot water bag for the area to reduce the pain and do small exercises like bridging cat and camel stretch and corpse position to help loosen and strengthen your back continue your medication and do these exercises twice daily so you fit recover faster,yes it must be a spasm which will take a longer time to heal you can use a hot water bag along with exercises like bridging cat and camel and corpse position to stretch and strengthen your back please continue the medication and exercises twice a day to relieve yourself as soon as possible,Speaker_8,25.5,"['medication', 'twice']",validation
audio/Speaker_8/Speaker8-289.wav,you dey experience sensation problem for your limbs e fit be say na nerve injury dey cause am so abeg go do neurological examination make dem check the level of the damage,you are experiencing a sensation problem in your limbs it could be due to a nerve injury so please get a neurological examination done to determine the status of the damage,Speaker_8,12.21,"['sensation', 'problem', 'neurological', 'examination']",validation
audio/Speaker_8/Speaker8-290.wav,such large cysts fit interfere with pregnancy but even more important dem fit rupture anytime cause emergency situation and serious pain if that one happen surgery go be needed immediately because of that e better make you consider laparoscopic cyst removal during the procedure dem also fit check your fallopian tubes and ovaries to see if other problems dey wey dey affect your fertility laparoscopy usually get very few side effects so no need to worry too much,such large cysts may interfere with pregnancy however more importantly it can rupture at any time causing an acute emergency and pain in that case surgery would be needed immediately therefore it is better to have laparoscopic cyst removal and at the same time we can check the status of your fallopian tubes and ovaries to determine whether there are any other problems related to the delay in conception laparoscopy has very few side effects so please do not worry,Speaker_8,32.32,[],validation
audio/Speaker_8/Speaker8-291.wav,hi these ones fit be benign skin tags like fibro epithelial polyps so no need to worry at all worst case e fit be small folliculitis or sebaceous cysts use cold compress apply local antibiotic cream and maintain proper local hygiene if e no improve abeg come back give us update all the best,hi these are possibly benign skin tags like fibro epithelial polyps and there is no need to worry at all in the worst case it could be some folliculitis or small sebaceous cysts use cold compresses local antibiotic creams and maintain local hygiene please get back to us if it is not improving all the best,Speaker_8,22.92,"['folliculitis', 'antibiotic']",validation
audio/Speaker_8/Speaker8-292.wav,hi the abdominal pain wey dey come with rumbling sound for stomach usually fit be due to intestinal infection or waterborne disease you fit need antibiotic treatment and you go improve this one no really relate to the pills you dey take or if you miss am yes diabetes need close monitoring because infection fit increase blood sugar and high blood sugar too fit make infection worse so abeg take am serious and check your blood sugar daily to confirm say the diabetes dey well controlled,hi the abdominal pain with rumbling is usually due to intestinal infection or waterborne diseases get an antibiotic cover and you will be fine this is not related to the pills you are taking or missing yes diabetes has to be monitored well as infection can increase blood sugar and increased blood sugar can increase infection so be careful and get daily blood sugar checks done to confirm that diabetes is perfectly controlled,Speaker_8,35.46,"['abdominal', 'intestinal', 'infection', 'antibiotic', 'diabetes', 'daily', 'blood', 'sugar']",validation
audio/Speaker_8/Speaker8-293.wav,welcome to health care management you test your urine too early abeg repeat the test between 5th to 7th day after your period use first morning urine sample that one go give clearer result to show whether you dey pregnant or not,welcome to health care management you tested your urine too early please repeat the test on the 5th to 7th day after your period with the first morning urine sample this will determine whether you are pregnant or not,Speaker_8,19.27,['th'],validation
audio/Speaker_8/Speaker8-294.wav,hello the reason why your elbow dey pain you be say the covering of the bone dey inflamed e go cause swelling and tenderness and e go need time and care to heal na wetin dem dey call periosteal inflammation you need to dey apply ice often and avoid knocking the area because if you hit am e go pain more and slow down healing since that tissue no get plenty blood supply and e dey take longer time to recover you fit also apply topical anti inflammatory ointment for the painful area i hope say this one help you abeg feel free to come back if you need more explanation,hello the reason for your pain in your elbows is the inflammation of the covering of the bone there will be swelling and tenderness and it will need time and care to heal which we call periosteal inflammation you need to apply ice frequently and be careful not to bang the area as it would cause more pain and delay the healing of the tissue which has a poor blood supply and requires a longer time to heal apply some topical anti inflammatory ointments to the painful area i hope this is helpful to you kindly revert back in case you need further clarification,Speaker_8,44.98,"['painful', 'elbows', 'inflammation', 'swelling', 'apply', 'topical', 'ointments']",validation
audio/Speaker_8/Speaker8-295.wav,nothing but a simple x ray go show anything wey dey worry you abeg go see your dentist anti inflammatory tablets go help reduce the pain,nothing but a simple x ray would reveal anything troubling you go and see your dentist anti inflammatory tablets will help,Speaker_8,11.54,"['ray', 'anti', 'inflammatory', 'tablets']",validation
audio/Speaker_8/Speaker8-296.wav,hi thank you for asking i fit understand your concern the chemotherapy and your current complaint of stool wey get mucus fit be related if mucus dey stool e fit mean say intestinal infection dey and e even fit be protozoal infection if na me be your doctor i go treat you with metronidazole forty milligrams twice daily for ten days this one usually give good response and e worth to try for case like this have a nice day,hi thank you for asking i can understand your concern the chemotherapy and the current complaint of stool stained with mucus are related if there is mucus in the stool then the chances of an intestinal infection are likely and it could be a protozoal infection if i were your doctor then i would treat you with metronidazole forty milligrams twice a day for ten days this gives a very good response and is worth trying in a case like yours have a nice day,Speaker_8,34.44,"['chemotherapy', 'stool', 'metronidazole', 'milligrams', 'twice']",validation
audio/Speaker_8/Speaker8-297.wav,welcome to healthcare management if e no dey cause any problem just leave am like that if pain dey take analgesic and anti inflammatory medication for 2 to 3 days you go dey fine,welcome to healthcare management if it is not causing any problems then leave it as it is if you feel pain take analgesic anti inflammatory medication for two to three days you will be fine,Speaker_8,16.28,"['anti', 'inflammatory', 'medication']",validation
audio/Speaker_8/Speaker8-298.wav,hello i get aggressive periodontitis and significant bone loss my dentist dey work on treatment plan for me i also want mention say i be only twenty seven years old if i lose plenty teeth will it be possible to get permanent dental implants for those teeth i prefer something permanent rather than one wey dey come out and go in is that possible for me,hello i have aggressive periodontitis and have significant bone loss my dentist is working on a treatment plan for me i would also like to mention that i am only twenty seven years old if i lose a lot of my teeth will it be possible to get permanent dental implants for those teeth i would prefer to have something permanent rather than something that goes in and out is that possible for me,Speaker_8,28.96,"['aggressive', 'periodontitis', 'significant', 'permanent']",validation
audio/Speaker_8/Speaker8-299.wav,hello i just read through your question your daughter get reflux and na that one dey cause the vomiting your doctor prescribe correct medication wey go help control am for most cases babies dey grow out of this condition within few months,hello i just read through your question your daughter has reflux which is causing the vomiting your doctor correctly prescribed a medication that will help control this in most cases babies grow out of this condition within a matter of months,Speaker_8,19.71,[],validation
audio/Speaker_8/Speaker8-300.wav,i found small lump for right side of my neck kind of back side some weeks ago at first e no dey pain but yesterday e start to dey pain me when i sit down however when i lie down and put pillow behind my head the pain reduce e no dey pain when i touch am i dey sleep for my side plenty and i dey wonder if na neck muscle knot the pain sometimes dey sharp e last like few seconds but e keep coming back every five minutes or so and no pain when i dey lie down e kind strange i dey go my yearly physical in two days but i dey wonder if i suppose go emergency room,i found a small lump on the right side of my neck kind of in the back a couple of weeks ago it did not hurt at first but yesterday it started hurting when i am sitting down however when i lay down and put a pillow behind my head the pain subsides it does not hurt to touch i sleep on my side a lot and wonder if it is a knot in my neck the pain is sometimes sharp and lasts a couple of seconds but the sharp pain keeps coming back every five minutes or so with no pain when i am laying down it is weird i am getting my yearly physical in two days but wondered if i should go to the emergency room,Speaker_8,46.88,"['small', 'lump', 'hurting', 'sleep', 'sharp', 'lasts', 'couple', 'seconds', 'minutes', 'or', 'physical']",validation
audio/Speaker_8/Speaker8-301.wav,hello the cyst dey show say hormonal imbalance fit dey or e don already cause am abeg understand say this kind matter no dey fit treat with over the counter drugs pregnancy and conception na serious thing and even though your own no too big with correct doctor guidance and treatment you fit still conceive quick you need proper medical workup first then dem go control your cycle well well after that dem fit start medicine like clomiphene to help your body release egg with correct treatment you fit still get chance to conceive best wishes,hello the cyst does indicate a possibility for or has led to a hormonal imbalance please understand that such issues cannot be treated with over the counter medication pregnancy and conception are serious matters and although your problem is minor with proper guidance and treatment you will surely be able to conceive soon a thorough workup followed by control of cycles along with the initiation of medication like clomiphene can help you conceive soon best wishes,Speaker_8,39.73,"['cyst', 'workup', 'cycles']",validation
audio/Speaker_8/Speaker8-302.wav,after viral illness extra heart beats wey dey feel like skipping dey very common especially the ones wey dey come from the lower chambers of the heart wey dem dey call premature ventricular contractions fit give that feeling like say you need to cough these isolated premature ventricular contractions dey common and no necessarily dey dangerous most times e dey clear by itself without any treatment within two to three weeks if e no clear and e still dey disturb you e better make you go see doctor for check up,after a viral illness extra beats that feel like skips are very common in particular extra beats from the lower chambers known as premature ventricular contractions may give the sensation of a need to cough isolated premature ventricular contractions are common and not necessarily worrisome most of the time this goes away with no intervention over two to three weeks if it doesn t and remains bothersome a visit with the doctor may be useful,Speaker_8,34.5,"['extra', 'beats', 'skips', 'chambers', 'premature', 'vent']",validation
audio/Speaker_8/Speaker8-303.wav,i be twelve years old and i don dey get this strange back pain e dey for upper left side of my back but anytime i move my right arm e go pain me reach point wey i no fit move am my weight na one hundred pounds and i no dey take any medication i don tell my parents about the upper left back pain but dem say na just sprain the pain dey for upper left area almost near my shoulder i no know wetin to do e dey really pain me abeg you fit help me,i am twelve years old and i have been having this weird back pain it is in the upper left of my back but whenever i move my right arm it hurts so much that i can t move my weight is one hundred pounds and i am not on any medication i have told my parents about the upper left back pain but they say it is just a sprain the pain is in the upper left area almost to my shoulder i don t know what to do it really hurts can you help me please,Speaker_8,33.0,"['weird', 'hurts', 'weight', 'pounds']",validation
audio/Speaker_8/Speaker8-304.wav,i dey take birth control for almost one year i get my period at the end of my last pack nothing change i usually get light periods but the week before i dey very sick for mornings and i lose interest for food i dey take antibiotics for strep throat but i no think say e go affect my pills i stop my pills on monday so i only start new pack by taking one tablet i don get unprotected sex without taking my pill and today i see small blood spotting i dey wonder if na sign of pregnancy or just because i stop the pill i also be smoker and i dey try get pregnant,i was taking birth control for almost a year i received my period at the end of the last pack nothing is different i always experience light periods however the week before i was sick a lot in the morning and had a loss of interest in eating food i was taking antibiotics for my strep throat but i never thought it would affect my pills i stopped taking my pills on monday so i only started the new pack by taking one pill i have had unprotected sex without taking my pill but today i spotted some blood i am wondering if that is a sign of pregnancy or just because i stopped taking my pill i am a smoker as well and i am trying to get pregnant,Speaker_8,41.42,"['birth', 'control', 'was', 'antibiotics', 'unprotected']",validation
audio/Speaker_8/Speaker8-305.wav,i found out say my youngest sister get lupus about one year ago now my mother and her own sister also don find out the same thing i dey experience some symptoms like dem own my hands dey turn red then white with small round circles for my palms recently i don dey wake up with swollen hands and fingers and i dey feel plenty pain wetin you think say dey happen,i found out that my youngest sister has lupus about a year ago now my mother and her sister have found out the same i am having some symptoms like they have my hands will turn red then white with little round circles in my palms more recently i have been waking up with swollen hands and fingers and experiencing a lot of pain what do you think is going on,Speaker_8,28.07,"['youngest', 'sister', 'lupus', 'symptoms', 'waking', 'swollen']",validation
audio/Speaker_8/Speaker8-306.wav,chest pain get many possible causes and generally e suppose make person go medical check up to rule out serious ones important causes wey need to rule out especially with smoking history include heart disease emphysema and asthma the first workup go include medical history by doctor electrocardiogram ecg and chest x ray generalized anxiety disorder fit make person more prone to panic attacks and that one fit also show as chest pain but serious causes must first be ruled out before dem conclude say na anxiety i hope you fit sort am out soon,chest pain can have many possible causes and generally should prompt a medical evaluation to rule out serious causes important causes to rule out given your smoking history include heart disease emphysema and asthma the initial workup includes a medical history performed by a doctor an electrocardiogram and a chest x ray generalized anxiety disorder makes you more prone to panic attacks which can present with chest pain like this but the other more serious causes should be ruled out first before attributing it to anxiety i hope you get this figured out soon,Speaker_8,40.47,"['chest', 'panic']",validation
audio/Speaker_8/Speaker8-307.wav,my lingual arch don bend upward because i dey flick am with my tongue and also i dey put other things for my mouth like pen stick and even knife wetin i fit do about this i no want go see my orthodontist because i no wan pay extra charges i just want know if there is any way i fit bend am back down myself,my lingual arch is bent upward because i keep flicking it with my tongue and other objects i stick in my mouth such as pens sticks and knives what should i do about this i don t want to go to my orthodontist because i don t want to incur extra charges i just want to know if there is a way i can bend it back downward,Speaker_8,28.68,"['lingual', 'arch', 'tongue']",validation
audio/Speaker_8/Speaker8-308.wav,this one look like urinary infection because urinary infection fit show the same signs and symptoms wey you don describe you need antibiotic treatment especially norfloxacin for about two weeks together with supportive care like pain relief medicine analgesics and fever drugs antipyretics depending on your symptoms,this is a urinary infection as a urinary infection can present the same signs and symptoms that you have described you need to get antibiotics specifically norfloxacin for two weeks along with supportive therapy such as analgesics and antipyretics according to your symptoms,Speaker_8,22.24,"['norfloxacin', 'analgesics', 'antipyretics']",validation
audio/Speaker_8/Speaker8-309.wav,hello theoretically e better to get belle before you reach thirty years especially for first pregnancy because after thirty dem dey call am advanced maternal age and e get some possible complications like hypertension gestational diabetes mellitus and reduced fetal growth so e generally desirable to have first pregnancy before thirty you need talk to your fiancée and try reach middle ground and explain say even few months no really change anything much,hello theoretically it is ideal to have a pregnancy before the age of thirty especially for the first pregnancy as after thirty it is referred to as advanced maternal age and there are some inherent complications associated with advanced maternal age such as hypertension gestational diabetes mellitus impaired fetal growth etc therefore it is desirable to have the first pregnancy before thirty you should talk to your fiancée and try to find a middle ground and explain that a few months does not make much difference,Speaker_8,32.11,"['advanced', 'stational', 'diabetes', 'mellitus']",validation
audio/Speaker_8/Speaker8-310.wav,strong cough fit cause muscle spasm and even pinch nerves e possible say the coughing don lead to pinched nerve and that one dey show up when you move your finger this one likely indirectly related to the cough and small fever wey you get those symptoms fit also show say infection dey so e better make you go see doctor for proper check up,strong coughing can lead to muscle spasms and pinching of nerves it is possible that the coughing has led to a pinched nerve which manifests when the finger is moved this is likely indirectly related to the coughing and low grade fever those symptoms are likely indicative of an infection and a visit to the doctor is indicated,Speaker_8,21.85,"['strong', 'muscle', 'spa', 'pinching']",validation
audio/Speaker_8/Speaker8-311.wav,you fit take am as long as you want no side effects dey because the medicine dey in very small dose micrograms and e only dey reach the lungs,you can take it as long as you want there are no side effects as these contain medicines in micrograms that only enter the lungs,Speaker_8,12.65,[],validation
audio/Speaker_8/Speaker8-312.wav,hi i dey thirty years old i marry for april 2006 and i get one daughter wey be four years old my wife get pregnancy again for december 2007 but at that time we no ready for second pikin so we do abortion now we want second baby but for the last one year we don dey try without success my wife don do all check ups and all her reports dey normal today i do semen analysis and the result no good abeg explain to me why this thing happen e fit be treatable and i still get chance to become father again for future,hi i am thirty years old i got married in april two thousand and six and i have a daughter who is four years old my wife was pregnant again in december two thousand and seven but at that time we were not ready for a second child so we had an abortion now we want a second baby but for the last year we have been trying without success my wife has undergone all the check ups and all the reports are normal today i underwent a semen analysis which is not good can you explain why this happened to me is it treatable and is there a chance that i can become a father again in the future,Speaker_8,35.57,[],validation
audio/Speaker_8/Speaker8-313.wav,hi i get intrauterine device inserted five months ago for the first three months my period still dey come regularly although e be a bit heavier then e stop now i dey experience serious pelvic pain and cramps wey dey reach my back no painkiller dey help i go do ultrasound and dem say my uterus and ovaries dey fine and my copper intrauterine device still dey in place my body fit dey reject the intrauterine device now thank you,hi i had an intrauterine device inserted five months ago for the first three months i had my period regularly although it was a bit heavier then it disappeared now i am experiencing a lot of pelvic pain and cramps reaching all the way to my back no painkiller is helping i went for an ultrasound and my uterus and ovaries are fine and my copper intrauterine device is in place is my body rejecting the intrauterine device now thank you,Speaker_8,32.3,"['intrauterine', 'device', 'painkiller', 'cramps', 'copper']",validation
audio/Speaker_8/Speaker8-314.wav,hello i want to know say two months ago i do in vitro fertilization but e no work then i start to get irregular periods so i take primolut n medicine and i see my period on june 21 now this month my period never come till today the 26th i want know if any side effects dey for my body because of this,hello i want to know that two months ago i had in vitro fertilization but it failed then i experienced irregular periods so i took the medication primolut n and i had my period on june twenty one now this month i have not gotten my period until today the 26th i want to know if there are any side effects on me,Speaker_8,26.03,"['vitro', 'irregular', 'medication', 'primo']",validation
audio/Speaker_8/Speaker8-315.wav,yes topamax fit cause kidney stones but other causes fit still dey like high calcium level for body so e better make you analyze the stones and do proper full medical check up to know the exact cause,yes topamax can cause kidney stones but there might be some other causes for them such as increased calcium levels therefore you should analyze the stones and get a thorough check up,Speaker_8,16.58,[],validation
audio/Speaker_8/Speaker8-316.wav,hi this na suganthi twenty six year old female i don dey get pain for lower part of my leg for the past four years but i no really pay am attention recently the pain come become serious so i go see doctor and e tell me say na tuberculosis and give me tablets to take for six months which i don finish now the pain don come back again and e don prescribe carnisure 500 mg for 14 days abeg help me understand wetin dey happen so i fit know how to handle am well,hi this is suganthi a twenty six year old female i have been experiencing pain in the lower part of my leg for the past four years but i did not pay much attention to it recently the pain has become intense so i went to a doctor who said it was tuberculosis and advised me to take some tablets for six months which i did now the pain has returned and he has prescribed carnisure five hundred mg for fourteen days please help me i need to understand what is happening so that i can fight back in the right direction,Speaker_8,32.83,"['part', 'leg', 'past', 'tablets', 'mg', 'fourteen']",validation
audio/Speaker_8/Speaker8-317.wav,dear doctor for the past two weeks i don get slight rash or small spots for my penis under the skin i use male delay cream and i notice this rash e no get fluid inside and e dey itch e disappear completely before but after few days e come back again and e last for like one week,dear doctor for the past two weeks i have had a slight rash or rather mild spots on my penis beneath the skin i have used a male delay cream and noticed this rash it doesn t have any fluids and is itchy it completely went away but after a few days it returned it lasted for a week,Speaker_8,16.3,"['rash', 'male', 'cream']",validation
audio/Speaker_8/Speaker8-318.wav,hello dear the kind pain you dey describe and the way e dey relate to food make me suspect peptic ulcer disease abeg go see your doctor so dem fit do some tests like helicobacter pylori test meanwhile you fit take these tablets and avoid overeating and spicy foods also avoid non steroidal anti inflammatory drugs prescription 1 capsule omeprazole 20 mg twice daily 2 syrup mucaine 1 tablespoon three times daily,hello dear the type of pain you are describing and its association with food leads me to suspect a diagnosis of peptic ulcer kindly visit your doctor so that some tests can be performed such as a test for helicobacter pylori meanwhile you can take these tablets and avoid overeating and foods with extra spices additionally avoid taking non steroidal anti inflammatory drugs prescription one capsule omeprazole twenty milligrams twice daily two syrup mucaine one tablespoon three times daily,Speaker_8,38.82,"['peptic', 'helicobacter', 'pyl', 'tablets', 'capsule', 'om', 'milligrams', 'twice', 'daily']",validation
audio/Speaker_8/Speaker8-319.wav,i dey get sharp pain for my heart wey dey last like one or two minutes e dey make me short of breath and my heartbeat dey race i dey tire even when i talk and i get serious headache wey feel like tight pressure for my head i be thirty four years old i weigh eighty nine kilograms and my height na five feet four inches i no get any chronic disease but my mama get heart problem,i have been experiencing sharp pains in my heart that last for a minute or two leaving me breathless and with a racing heartbeat i get tired even when i talk and i have a severe headache that feels like tightness in my head i am thirty four years old i weigh eighty nine kilograms and i am five feet four inches tall i have no chronic diseases but my mother had a heart problem,Speaker_8,29.12,"['sharp', 'pains', 'heartbeat', 'minute', 'breathless', 'tired', 'severe', 'headache']",validation
audio/Speaker_8/Speaker8-320.wav,i just come back from business trip go las vegas four weeks ago and to my wife and myself surprise both of us seem to don catch chlamydia i don tell am before say make she no dey brush teeth for open window because something fit enter and now both of us dey suffer am abeg reassure her and make she understand say brushing teeth for open window fit be dangerous and say this one no get anything to do with me or las vegas,i returned from a business trip to las vegas four weeks ago and much to the dismay of my wife and myself we both seem to have contracted chlamydia i have warned her before about brushing her teeth in front of an open window in case something comes in and now we both have to suffer please reassure her and make her aware of the dangers of brushing with an open window and that it has nothing to do with me or las vegas,Speaker_8,33.99,[],validation
audio/Speaker_8/Speaker8-321.wav,i miss step and fall hard for my knee on one leg i get big lump under the kneecap some bruising for the leg and now i dey feel serious burning sensation anytime the knee get small knock or touch this thing happen about three weeks ago wetin be that burning feeling wey dey under the skin,i missed a step and fell hard on my knees on one leg i have a huge lump under the knee cap some bruising of the leg and now i experience a terrible burning sensation whenever the knee is bumped etc this happened about three weeks ago what is the burning sensation under the skin,Speaker_8,20.87,"['lump', 'knees']",validation
audio/Speaker_8/Speaker8-322.wav,dear friend behçet s disease usually dey cause mouth ulcers and genital ulcers only along with eye inflammation so why you dey experience symptoms wey look like inflammatory arthropathy this one need proper investigation has your treating physician or rheumatologist start you on disease modifying antirheumatic drugs dmards i also want know your investigation results and what blood work you don do abeg provide all this information then we fit suggest better remedies,dear friend behçet s disease usually causes only ulcers in the mouth and genitals along with eye inflammation why are you experiencing symptoms suggestive of inflammatory arthropathy this needs to be investigated has your treating physician or rheumatologist started you on disease modifying antirheumatic drugs i would also like to know what your investigation parameters are and what blood work you have undergone please provide all this information after which some remedies can be suggested,Speaker_8,38.61,"['be', 'ulcers', 'mouth', 'genitals', 'eye', 'symptoms', 'inflammatory', 'disease', 'modifying', 'antirheumatic', 'drugs']",validation
audio/Speaker_8/Speaker8-323.wav,hi pain when you flex your abdominal muscles after trauma to the abdomen dey suggest injury to the abdominal muscles this one fit be confirmed by applying local pressure and doing some investigations like abdominal ultrasound to rule out internal injury and also ultrasound of the abdominal wall to check the muscle damage properly if na so bed rest and anti inflammatory drugs fit give complete relief,hi pain on flexing the abdominal muscles after a trauma to the abdomen is suggestive of an injury to the muscles of the abdominal musculature this can be easily confirmed by applying local pressure and conducting a few investigations such as ultrasonography of the abdomen to rule out an internal injury and of the abdominal wall to assess the nature of the injury to the musculature if this is the case bed rest and anti inflammatory medications can provide complete relief,Speaker_8,29.28,"['abdominal', 'trauma', 'abdomen', 'local', 'pressure', 'ultrasonography', 'anti', 'inflammatory', 'medications']",validation
audio/Speaker_8/Speaker8-324.wav,lipase is 767 amylase is 136 abdominal ct scan shows no masses but mild calcification from aortoiliac atherosclerotic disease total cholesterol is 247 which one is more concerning the enzyme level what else can cause it to be that high my general practitioner was very worried about pancreatic cancer before the ct scan is the ct scan enough should i ask for another test my gp wants to wait 30 more days before rechecking and i am not sure that is a good idea,lipase is seven hundred and sixty seven amylase is one hundred and thirty six an abdominal computed tomography scan showed no masses but mild calcification in aortoiliac atherosclerotic disease total cholesterol is two hundred and forty seven which is more concerning the enzyme level what else can make it that high my general practitioner acted very serious and said he was worried about pancreatic cancer prior to the computed tomography scan is the computed tomography scan an adequate test should i ask for another test my general practitioner wants to wait another thirty days to recheck and i am not sure that is a good idea,Speaker_8,54.98,"['lipase', 'amylase', 'abdominal', 'computed', 'tomography', 'mild', 'cal', 'atherosclerotic', 'cholesterol', 'atic', 'cancer', 'another']",validation
audio/Speaker_8/Speaker8-325.wav,hi welcome to the healthcare facility i really appreciate your concern if you get some doubts about a sexually transmitted disease e better make you do the test although the chance fit be low unless there is strong history of exposure for differential diagnosis urinary stone also need to be ruled out i hope this information help you,hi welcome to the healthcare facility i really appreciate your concern if you have some doubts about a sexually transmitted disease it is better to get the test done although the chances of this would be minimal unless there is a strong history of exposure in the differential diagnosis a urinary stone needs to be ruled out i hope this information helps,Speaker_8,26.77,[],validation
audio/Speaker_8/Speaker8-326.wav,hi i just come out of hospital yesterday and dem diagnose me type 2 diabetes i no get insurance so dem write prescription give me something wey cost 400 and i no fit afford am i get old meter and i just check my blood sugar e be 441 and i no get medication wetin i go do this one serious,hi i just got out of the hospital yesterday and i have been diagnosed with type two diabetes i do not have insurance so they sent a prescription in for something that costs four hundred which i cannot afford i have an old meter and i just checked my blood sugar it is four hundred and forty one and i do not have medication what do i do this is serious,Speaker_8,25.96,[],validation
audio/Speaker_8/Speaker8-327.wav,you suppose use reliable method of contraception like oral contraceptive pills for 21 days so that your periods fit become regular and you go avoid unwanted pregnancy e better still combine am with condom or oral contraceptive pills after you use emergency contraception you still fit get pregnant so no worry too much,you should use a reliable method of contraception such as an oral contraceptive pill for twenty one days so that you can have regular periods and avoid pregnancy when you do not want to it is better to also use a condom or oral contraceptive pills after using emergency contraception you can still get pregnant so don t worry,Speaker_8,24.4,['oral'],validation
audio/Speaker_8/Speaker8-328.wav,hi i throw up everything for like one and half days i think say i get fever and mentally i dey very depressed i dey feel like cry and i dey fear to dey around people i still need person wey go help me at the same time last night i dey think say i fit injure myself i don do few sessions with doctor wey tell me say i get borderline personality disorder before i dey okay now i no fit sleep and i don dey vomit for the last three to four hours abeg help me,hi i threw up everything in one point five days i think i have a fever and psychologically i am depressed i need to cry and feel afraid to have social contact and i need somebody to help me at the same time last night i was thinking about hurting myself i have had a few sessions with a doctor who told me i have borderline personality disorder i was fine i can t sleep now and have been throwing up in the last three to four hours help me,Speaker_8,36.55,"['throwing', 'up']",validation
audio/Speaker_8/Speaker8-329.wav,good morning my name na oniel i be african american male and i get bumps for the back of my head wey dey also get blood and pus inside i go see dermatologist before and e give me shampoo and cream and e work well for some months but now the bumps don come back again abeg you fit help me,good morning my name is oniel i am an african american male with bumps on the back of my head they are also filled with blood and pus i went to my dermatologist and he gave me a shampoo and cream which worked great for a couple of months now they are back again can you please help,Speaker_8,21.57,"['african', 'american', 'male', 'bumps', 'head', 'pus', 'shampoo', 'couple']",validation
audio/Speaker_8/Speaker8-330.wav,my twelve year old lift my eight week old baby up for air small fast and she hit her head for the heavy glass shade of the ceiling fan light she cry one kind cry wey i never hear before she get lump for her head and red mark but she dey seem okay but now she dey want sleep make i allow her sleep,my twelve year old raised my eight week old baby up in the air somewhat quickly and hit her head on the heavy glass shade of the light fixture on the ceiling fan she cried a cry i haven t yet heard from her she has a lump on her head and a red spot but she seems okay however she wants to sleep should i let her,Speaker_8,27.52,"['baby', 'somewhat', 'quickly', 'heavy', 'glass', 'shade', 'light', 'fixture', 'lump']",validation
audio/Speaker_8/Speaker8-331.wav,hello dilatation of the pancreatic duct no be something wey dey come with age i go advise make you do magnetic resonance cholangiopancreatography mrcp and later endoscopic retrograde cholangiopancreatography ercp sphincterotomy and stenting fit help solve the problem,hello dilatation of the pancreatic duct is never age related i would advise performing a magnetic resonance cholangiopancreatography and later the endoscopic retrograde cholangiopancreatography sphincterotomy and stenting should solve your problem,Speaker_8,26.08,"['dilatation', 'pancreatic', 'duct', 'magnetic', 'resonance', 'cholangiopancreatography', 'endoscopic', 'stenting']",validation
audio/Speaker_8/Speaker8-332.wav,i sprain my ankle last week e swell small for the first few days i rest apply ice do compression and elevation and i stay off am now e don reach one week but e even dey more swollen small and purple for the outside bottom and between my toes i still dey waka on am and i dey feel tingling for my foot plus nausea for my stomach this one normal,i sprained my ankle last week it swelled slightly the first couple of days i did rest ice compression and elevation and stayed off of it it is now a week later and it is a little more swollen and purple along the outside bottom and in between the middle of my toes i have been walking on it and i have been feeling tingling in my foot and nausea in my stomach is this normal,Speaker_8,30.0,"['swollen', 'purple', 'tingling', 'foot', 'nausea']",validation
audio/Speaker_8/Speaker8-333.wav,hello this one look like heartburn and hyperacidity symptoms e better make you go check up and do some blood tests to confirm am try drink plenty water before food and between meals and take milk before you sleep i wish you good health,hello this looks like symptoms of heartburn and hyperacidity it is better to be evaluated and have some blood tests to confirm it take plenty of water before meals and in between meals and drink milk at bedtime i wish you health,Speaker_8,20.64,"['heartburn', 'hyperacidity']",validation
audio/Speaker_8/Speaker8-334.wav,yes you no need to worry then no problem at all however rapid tests no too reliable the online doctor don mention say dem dey only useful for quick urgent situations and no fit be used for proper diagnosis,yes you do not need to worry then there is no problem at all however rapid tests are not very reliable the online doctor has mentioned that they are only for immediate situations and not for diagnosis,Speaker_8,21.52,['rapid'],validation
audio/Speaker_8/Speaker8-335.wav,hello welcome to health care management no need to worry breastfed baby fit go up to 10 days without stool and that one still normal because breast milk dey easily digest so dem no dey poop often the smelly gas no mean any serious problem e fit just relate to something wey mother eat as time dey go and solid food start everything go change,hello welcome to health care management don t worry a breastfed baby can also go for a maximum of ten days without any bowel movements and that is normal because breast milk is easily absorbed which is why breastfed babies do not poop frequently the smelly gas does not indicate anything to be concerned about it may be related to something you have eaten with time and the introduction of solids everything will change,Speaker_8,27.82,[],validation
audio/Speaker_8/Speaker8-336.wav,i get severe pain for my armpit anytime i lift my arm upward or over my head or when i raise my elbow reach shoulder level i recently do physiotherapy for trapped nerve for cervical spine c7 level but this one feel different no tingling dey go down my arm or fingers but the pain for my armpit and bicep dey very strong i suppose travel go united states soon and i dey very worried wetin i suppose do,i have severe pain in my armpit when i lift my arm upwards or over my head or lift my arm so my elbow comes up towards parallel with my shoulder i recently had physiotherapy for a trapped nerve from the cervical spine level c7 but this feels different there is no tingling down my arm or fingers but there is severe pain in my armpit and bicep i am supposed to be traveling to the united states shortly and i am very worried what should i do,Speaker_8,31.86,"['severe', 'armpit', 'elbow', 'physiotherapy', 'trapped', 'nerve', 'cervical', 'spine', 'tingling']",validation
audio/Speaker_8/Speaker8-337.wav,treatment for dark red gums if na gingivitis cause am na dentist go remove tartar and plaque wey don stick for teeth and gums salt dey good for mouth hygiene if you dey rinse mouth with salt water regularly e fit help prevent gum disease and also reduce pain ice wey you put for inflamed gums fit give quick relief clove oil too na natural antiseptic wey fit help calm inflamed gums,treatment for dark red gums if the cause is gingivitis would involve the dentist opting for the removal of tartar and plaque from the gums and teeth salt is excellent for oral hygiene gargling regularly with salt water keeps gum disease at bay it also helps to relieve pain caused by gum disease ice applied to the inflamed gums provides quick relief clove oil is another natural oral antiseptic for inflamed gums,Speaker_8,29.05,"['dark', 'gums', 'plaque', 'clove', 'oral']",validation
audio/Speaker_8/Speaker8-338.wav,my daughter dey five years old i just notice say she get lump for her chest between her breasts is that normal she say e no dey pain her the lump feel hard no be soft and e no dey move e feel like bone but i no sure if she stand straight you fit see the lump e fit be something serious i dey very worried when e concern my pikin,my daughter is five years old i just noticed that she has a lump on her chest between her breasts is that normal she said it doesn t hurt the lump felt hard not spongy and didn t move it felt like a bone but i m not sure if she stands tall and straight you can see the lump can it be something serious i m very paranoid when it comes to my kids,Speaker_8,26.63,['lump'],validation
audio/Speaker_8/Speaker8-339.wav,hello dem diagnose me polycystic ovary syndrome when i be eighteen years old now i be twenty nine years old i get one boy pikin wey be three years old i dey plan make i get belle again my gynecologist prescribe inotir sachet once daily after food duphaston one tablet twice daily from day 15 of my period and folic acid once daily i want your opinion about this matter this treatment fit help me get pregnant this na my first month for treatment,hello i was diagnosed with polycystic ovary syndrome when i was eighteen years old now i am twenty nine years old i have one boy who is three years old i am planning to become pregnant my gynecologist prescribed inotir sachet once daily after meals duphaston one tablet twice daily from the 15th day of my period and folic acid once daily can i have your opinion about this case will it be effective for me to get pregnant this is my first month of treatment,Speaker_8,32.9,"['boy', 'gynecologist', 'inotir', 'sachet', 'daily', 'duphaston', 'tablet', 'twice', 'folic', 'acid']",validation
audio/Speaker_8/Speaker8-340.wav,hello the soreness and muscular strain as you don explain even after gallbladder removal suggest say na muscular or neurological problem like you self mention i go advise make you do magnetic resonance imaging mri of the thoracic spine and chest wall to find the likely cause and treat am accordingly e fit be say na disc dey press spinal cord,hello the soreness and the muscular strain as you explained in spite of the gallbladder removal are indicative of a muscular or neurological problem as you have self explained i would advise you to undergo a magnetic resonance imaging of the thoracic spine and the chest wall to find out the probable reason and get treated accordingly it is possible that you have a disc compressing upon the spinal cord,Speaker_8,22.24,"['soreness', 'muscular', 'magnetic', 'resonance', 'imaging', 'spine', 'chest', 'disc', 'com']",validation
audio/Speaker_8/Speaker8-341.wav,i dey forty five years old i be five feet six inches tall and i weigh one hundred and ninety five pounds i find out over one year ago say i get leaky heart valve i dey snore very loud i dey feel tired i dey get dizzy spells and sometimes my hand dey go numb since about seven months ago i dey wake up for morning with blood for my mouth the blood for my mouth fit be because of the leaky heart valve also this one serious problem and how i fit solve am,i am forty five years old five feet six inches tall and weigh one hundred and ninety five pounds i found out over a year ago that i have a leaky heart valve i snore very loudly i am fatigued i have dizzy spells and sometimes my hands are numb as of seven months ago i wake up in the morning with blood in my mouth is the blood in my mouth due to the leaky heart valve also is this a serious problem and how could i solve it,Speaker_8,36.08,"['dizzy', 'leaky']",validation
audio/Speaker_8/Speaker8-342.wav,hello abeg take mald d follow the timing wey dey the leaflet for three cycles e go help you wash your face with water and wipe am clean sometimes pimples dey come because of hormone imbalance thank you,hello please take mald d according to the time mentioned in the leaflet for three cycles it will help you wash your face with water and wipe it sometimes pimples are due to hormonal disturbances thank you,Speaker_8,16.65,"['mald', 'wash', 'wipe', 'sometimes']",validation
audio/Speaker_8/Speaker8-343.wav,my papa get diabetes and e kidney don dey affected as im creatinine level small high the doctors here dey feel say e suppose consider dialysis or kidney transplant e get any way we fit still save the kidneys e suppose go see kidney specialist for second opinion,my father is a diabetic and his kidneys have been affected as his creatinine level is a bit high the doctors here believe that he should consider dialysis or a transplant is there any way we can save the kidneys should he visit a kidney specialist for a second opinion,Speaker_8,22.41,['creatinine'],validation
audio/Speaker_8/Speaker8-344.wav,for the last 10 to 12 days i don dey feel weakness lower back pain and dark circles under my eye i also notice white foam for my urine last month i get viral fever and i take plenty antibiotics recently i also dey experience erectile dysfunction i don dey take norfloxacin 400 mg twice daily for the last 3 days but i no see any improvement abeg guide me,for the last ten to twelve days i have experienced weakness lower back pain and dark undereye circles i have observed white froth in the urine last month i had a viral fever and took a lot of antibiotics recently i have also experienced erectile dysfunction i have been taking norfloxacin four hundred milligrams twice daily for the last three days but there has been no improvement please guide me,Speaker_8,24.13,"['weakness', 'dark', 'under', 'fever', 'antibiotics', 'erectile', 'dysfunction', 'norfloxacin', 'milligrams', 'twice', 'daily']",validation
audio/Speaker_8/Speaker8-345.wav,the joint pain na because of chikungunya physiotherapy treatment go help reduce the joint pain and help you maintain your joint movement range yoga also dey helpful for this condition as for prognosis the joint pain fit worsen for up to one year after which e go slowly reduce and clear by itself i hope say you go recover quick and i hope this help you,the joint pain is due to chikungunya physiotherapy treatment will provide you relief from joint pain and help you maintain joint range yoga is also helpful for this condition as a prognosis the joint pain may worsen for a year after which it will slowly resolve on its own i hope for your faster recovery and hope you find this helpful,Speaker_8,23.43,"['joint', 'physiotherapy', 'treatment']",validation
audio/Speaker_8/Speaker8-346.wav,hello if the stone size be less than 10 millimeters you fit pass am with medicine but if e be more than 10 millimeters you go need surgery or laser treatment,hello if the stone size is less than ten millimeters it can be removed by medication and if the size is more than ten millimeters you need surgery or laser treatment,Speaker_8,13.42,[],validation
audio/Speaker_8/Speaker8-347.wav,since i knock my ankle on concrete pot over one week ago my left ankle and top part of my foot dey swell during the day and e dey reduce for night when i rest also when i rest my right foot i dey notice deep dent wey dey appear and e dey take time before e go settle other dents also dey show up at different times,since i knocked my ankle on a concrete pot over a week ago my left ankle and the top half of my foot swell during the day and settle overnight also when resting my right foot i notice a deep indent has appeared which takes some time to settle other indents have also occurred at different times,Speaker_8,23.06,"['knocked', 'ankle', 'top', 'foot', 'swell', 'indents', 'indent']",validation
audio/Speaker_8/Speaker8-348.wav,lately i dey feel like my heart dey pound strong but my pulse dey normal e dey happen mostly for night and e even dey wake me up from sleep sometimes e also dey happen when i just dey relax for couch i don get plenty health anxiety lately but this one dey worry me especially because when e happen i no even dey anxious and my pulse dey around 80 beats per minute which be normal for me,lately i have had a sensation that my heart is pounding but my pulse is normal it happens mostly at night and wakes me up from sleep sometimes it also occurs when i am relaxing on the couch i have had a lot of health related anxiety lately but this especially concerns me because i am not anxious when it happens and my pulse is about eighty beats per minute which is normal for me,Speaker_8,29.56,"['sometimes', 'anxiety', 'anxious', 'eighty', 'beats', 'per', 'minute']",validation
audio/Speaker_8/Speaker8-349.wav,hello i just read through your question of course e no good for any child this age to get urinary tract infection and no doctor dey like prescribe antibiotic for baby but for this case e necessary the only possible side effect na small stomach discomfort and diarrhea apart from that one you fit give the cefprozil with confidence,hello i just read through your question of course it is unfortunate for any child this age to have a urinary tract infection and no doctor ever likes to prescribe any antibiotic for a baby but in this case it is warranted the only potentially adverse effect is some mild abdominal discomfort and diarrhea outside of this you can give the cefprozil confidently,Speaker_8,22.8,"['antibiotic', 'mild', 'abdominal', 'discomfort', 'diarrhea', 'cefprozil']",validation
audio/Speaker_8/Speaker8-350.wav,for the past two weeks i don dey suffer stomach cramps and back pain i also dey get fever sometimes with high temperature and today i feel small heart palpitations e be just stress or i suppose go see doctor make dem check me,for the past two weeks i have been suffering from stomach cramps and backache i also experience periodic bouts of fever with high temperatures and today i felt some mild heart palpitations is this simply due to stress or should i see a doctor and get checked out,Speaker_8,19.3,"['stomach', 'periodic', 'fever', 'mild', 'heart', 'pal']",validation
audio/Speaker_8/Speaker8-351.wav,hi at this age e possible say your menses fit stop permanently or e fit just become irregular for some months before e eventually stop forever the most common symptom of uterine cancer na irregular bleeding especially for woman wey don pass menopause for my own opinion uterine cancer no too likely for your case but to be on the safer side endometrial biopsy go help clear the doubt and give proper answer,hi at this age it is a possibility that your menses may stop permanently or you may have irregularity for a few months and then the period may stop forever the most common symptom of uterine cancer is irregular bleeding especially in a postmenopausal woman in my opinion uterine cancer is less likely in your case to be on the safer side an endometrial biopsy will solve your problem,Speaker_8,26.59,"['menses', 'irregularity', 'uterine']",validation
audio/Speaker_8/Speaker8-352.wav,avoid too much salt for your food drink plenty water no cut down calcium for your body these three things go surely reduce the chance of getting stones drugs wey fit cause stones include triamterene and indinavir,one avoid excess salt in your diet two include plenty of water three do not restrict calcium these three things will definitely lessen the chances of stones medications which can lead to stones are triamterene and indinavir,Speaker_8,16.25,"['medications', 'triamterene']",validation
audio/Speaker_8/Speaker8-353.wav,hello doctor i dey pregnant with twins my random blood sugar test at 3 months pregnancy was normal about 101 at 27 weeks i do gestational diabetes test and the readings dey a bit high fasting blood sugar na 108 after 1 hour na 174 and after 2 hours na 163 abeg explain wetin this one mean i no get diabetes before pregnancy as my earlier test show wetin effect e fit get on my babies and e go return to normal after pregnancy,hello doctor i am pregnant with twins my random blood sugar test at three months of pregnancy was normal it was around one hundred and one at twenty seven weeks i was tested for gestational diabetes my readings are a bit high fasting blood sugar is one hundred and eight after one hour it is one hundred and seventy four and after two hours it is one hundred and sixty three please suggest what this means i did not have diabetes before pregnancy as clearly shown by the random blood sugar test what effect can it have on my babies and will it return to normal after pregnancy,Speaker_8,43.1,"['random', 'blood', 'sugar', 'test', 'readings', 'fasting', 'after', 'hour', 'diabetes', 'normal']",validation
audio/Speaker_8/Speaker8-354.wav,i get impacted wisdom teeth for about one year i don dey get severe pain on and off but now e don worse with other symptoms like funny taste for mouth small difficulty swallowing chest pain and shortness of breath this one na emergency,i have impacted wisdom teeth i have been experiencing severe pain on and off for about a year but now it has gotten worse with different symptoms along with the pain like a funny taste in my mouth mild trouble swallowing chest pains and shortness of breath is this an emergency,Speaker_8,15.81,"['severe', 'about', 'mild', 'chest', 'shortness', 'breath']",validation
audio/Speaker_8/Speaker8-355.wav,my father in law dey seventy two years old and e get transverse myelitis for hospital e no fit move im fingers now after two months of physiotherapy e don fit bend im knee and lift leg small e get small urinary control but no be plenty abeg advise wetin be the next step of treatment e dey frustrated because e no fit move well,my father in law is seventy two years old and is suffering from transverse myelitis in the hospital he was not able to move his fingers now after two months of physiotherapy he is able to bend his knee and lift his leg a little he has some urinary control but not much please advise on the next course of treatment he is frustrated because of his immobility,Speaker_8,26.61,"['transverse', 'myeli', 'not', 'able', 'move', 'his', 'fingers', 'lift']",validation
audio/Speaker_8/Speaker8-356.wav,i suggest make you continue with that appointment kidney dey for back behind rib cage but pain from stone fit still show for other place like wetin you describe abeg rate my response five stars i dey try give you the best answer to your question,i suggest you continue with that appointment the kidney is located in the back behind the rib cage but pain from a stone can be felt in other locations like you described please rate my response with five stars i strive to provide the best answer to your question,Speaker_8,14.88,"['kidney', 'stone']",validation
audio/Speaker_8/Speaker8-357.wav,hi doctor i need some advice i don dey experience shortness of breath recently and e lead to hyperventilation wey i first think say na heart attack but the doctor wey examine me say na gastritis cause am e possible anytime i chop food i dey find am even more hard to breathe and i dey feel tired and sleepy abeg you fit help me,hi doctor i need some advice i have experienced shortness of breath recently which led to hyperventilation that i thought was a heart attack however the doctor who examined me said it is due to gastritis is this possible each time after eating i find it even more difficult to breathe and i am feeling tired and sleepy can you help,Speaker_8,20.97,"['shortness', 'breath', 'hyperventilation', 'tired', 'sleepy']",validation
audio/Speaker_8/Speaker8-358.wav,i dey twenty nine years old i don get freckles for four years and i don use many creams but nothing change only small freckles remain now i don dey use melacare cream for one month and e dey work because the freckles don reduce i just want know if e true say this cream get side effects if yes abeg give me another solution for freckles,i am twenty nine years old i have had freckles for four years and i have used many creams but nothing happened only a little bit of freckles remain now i have been using melacare cream for one month and it is working as the freckles are less now i just want to know if it is true that there are side effects after using this cream if yes kindly provide me with another solution for freckles,Speaker_8,21.52,['freckles'],validation
audio/Speaker_8/Speaker8-359.wav,hello yes e fit be cracked ribs or even fracture for transverse process of the spine any of those ones usually no need surgery or serious treatment but e better make you go see doctor make dem do rib x ray and spinal x ray series,hello yes this may be one or more cracked ribs or it could even be a fracture in a transverse process of a vertebra either of those usually does not require any treatment like surgery but it would be a good idea to see a doctor and get both rib x rays and a spinal x ray series,Speaker_8,15.39,"['fracture', 'rib', 'spinal']",validation
audio/Speaker_8/Speaker8-360.wav,hi i just come out of hospital after i inhale high flow oxygen overnight to treat pneumothorax x ray show improvement that na why dem discharge me i want know if e okay make i drink alcohol i still dey feel small pain when i take very deep breath,hi i have just been discharged from the hospital after inhaling a high flow of oxygen overnight to treat pneumothorax an x ray was done and it did show improvement thus the discharge from the hospital i was wondering if it is fine to consume alcohol i only feel a tiny pain when i inhale very deeply,Speaker_8,18.65,"['discharged', 'hospital', 'high', 'flow', 'oxygen', 'ray']",validation
audio/Speaker_8/Speaker8-361.wav,my baby don dey on enfamil ar milk since she dey 12 weeks old now she don reach 31 weeks and she dey take three good sized spoon feeds per day she only dey take about 12 ounces of milk per day i just dey wonder if she still need enfamil ar or if she fit switch go normal formula now,my baby has been on enfamil ar milk since twelve weeks she is now thirty one weeks and taking three good sized spoon feeds per day she only takes about twelve ounces of milk per day i was just wondering if she still needs to be on enfamil ar or if she could now switch to ordinary formula,Speaker_8,19.85,"['baby', 'been', 'good', 'sized', 'spoon', 'ounces', 'ordinary']",validation
audio/Speaker_8/Speaker8-362.wav,hello doctor i don marry for 2 5 years and i don dey try get belle for more than 2 years now i do laparoscopy last year because of chocolate cyst but i still never see any sign of pregnancy my recent scan show say e look like polycystic ovary syndrome and the doctor give me xfert f and okamet 500 mg she also advise say make we go for intrauterine insemination i want know if polycystic ovary syndrome dey affect pregnancy,hello doctor i have been married for two point five years and trying to conceive for more than two years now i had laparoscopy done for a chocolate cyst last year and have had no positive signs of conception in the recent scan there was an impression of polycystic ovary syndrome and the doctor has provided xfert f along with okamet five hundred milligrams she has advised us to go for intrauterine insemination i wanted to know if polycystic ovary syndrome affects pregnancy,Speaker_8,30.56,"['point', 'conceive', 'laparoscopy', 'polycystic', 'xfert', 'milligram', 'ovary', 'syndrome']",validation
audio/Speaker_8/Speaker8-363.wav,make you do serum thyroid stimulating hormone test and serum prolactin test then do hysterosalpingography for day 8 after that do follicular study after you take letrozole until the follicle size reach 18 millimeter then give trigger injection and do intrauterine insemination make you fit get early result,do serum thyroid stimulating hormone and serum prolactin tests then perform a hysterosalpingography on day eight after that do a follicular study after taking letrozole until the follicle size increases to eighteen millimeters then administer a trigger injection and perform intrauterine insemination for early results,Speaker_8,22.8,"['serum', 'thyroid', 'stimulating', 'hormone', 'prolactin', 'hysterosalpingography', 'follicular', 'study', 'letrozole', 'follicle', 'size', 'eighteen', 'intrauterine', 'insemination']",validation
audio/Speaker_8/Speaker8-364.wav,you need to see a neurologist because wetin you dey describe look like pulsatile tinnitus and sometimes e dey caused by cranial vascular problems,you need to see a neurologist because what you are describing seems to be pulsatile tinnitus and sometimes it is caused by cranial vascular problems,Speaker_8,8.34,"['pulsatile', 'cranial']",validation
audio/Speaker_8/Speaker8-365.wav,hello you need make doctor examine you because you fit get testicular torsion twisting of that testicle and if na so you fit lose am if surgery no happen quickly,hello you need to have a doctor examine you since you may have testicular torsion twisting of that testicle and if you do you could lose it without surgery,Speaker_8,8.34,[],validation
audio/Speaker_8/Speaker8-366.wav,you fit get involvement of your cervical spine or disc prolapse your mri very important now e go show the next step for treatment since all other tests don normal until then use pain relief drugs rest well try no use pillow and apply hot fomentation hot compress,you could probably have involvement of your cervical spine or a disc prolapse your mri is crucial now and will tell us the further course of management as all other tests have been normal until then use analgesics get rest try not to use a pillow and apply hot fomentation,Speaker_8,19.06,"['cervical', 'mri']",validation
audio/Speaker_8/Speaker8-367.wav,hello i get question about coughing i get mild allergies so i dey get itchy eyes and sneezing but now i don start to get serious coughing wey mostly dey happen for night when e start na just small cough here and there but later e go turn constant coughing when e happen e dey make my chest dey itch badly and e dey pain me abeg make somebody tell me why this dey happen i no know if na allergy cause am or if i fit get respiratory infection,hello i have a question about coughing i have mild allergies so i experience itchy eyes and sneezing but now i am starting to experience severe coughing which mostly happens at night when i first start coughing it is just a few coughs here and there but then the coughing becomes constant when this happens it makes my chest itch really badly and it hurts can someone please tell me why this is happening i do not know if it is due to allergies or because i may have a respiratory infection,Speaker_8,26.61,"['mild', 'itchy', 'eyes', 'severe', 'coughing', 'chest', 'itch']",validation
audio/Speaker_8/Speaker8-368.wav,all fish oil dey contain eicosapentaenoic acid and docosahexaenoic acid even if dem no write am for container dem tell me say cod liver oil get more eicosapentaenoic acid and docosahexaenoic acid pass other fish oils and make i dey take one tablespoon early morning for empty stomach so the oil no go liver but go straight to joints i get big capsules of normal fish oil so how many go equal one tablespoon i also dey take one tablespoon ground flaxseed for omega 3 e still necessary if i dey take fish oil,does all fish oil contain eicosapentaenoic acid and docosahexaenoic acid even if it is not mentioned on the container i was told that cod liver oil has more eicosapentaenoic acid and docosahexaenoic acid than other fish oils and to take one tablespoon early in the morning on an empty stomach so the oil will not go to the liver but straight to the joints i have large capsules of regular fish oil so how many would make one tablespoon i also take one tablespoon of ground flaxseed for the omega three is it still necessary if i take fish oil,Speaker_8,41.61,"['eicosapentaenoic', 'acid', 'docosahexaenoic', 'early', 'morning', 'liver']",validation
audio/Speaker_8/Speaker8-369.wav,about five days ago i notice blood for my semen i check online about the symptom and i read say e no necessarily abnormal and e no be something wey suppose cause immediate alarm the blood clear after one or two days but then i start to get tingling sensation when i dey urinate especially just after i finish urinating and e later become painful but no be too serious yesterday while i dey urinate one hard dark chunk come out like sunflower seed in size and shape but darker immediately the tingling and pain stop na something i need worry about,about five days ago i noticed blood in my semen i looked online for this symptom and read that this was not necessarily abnormal nor was it something that should cause immediate alarm the blood went away in a day or two but then i had a tingling sensation when i urinated especially right after urinating that became painful but not intolerable after a day or so yesterday while urinating a hard dark chunk looking identical to a sunflower seed in size and shape but darker in color came out immediately the tingling and pain went away is this something i should be worried about,Speaker_8,38.87,"['tingling', 'sensation', 'painful']",validation
audio/Speaker_8/Speaker8-370.wav,wen i wan do knack wit my babe e be like say my prick skin dey tear dis same tin happen to me before wen i dey sixteen years after like two weeks i fit enter again and e never happen again until recently i don dey 32 years now and last week wen i dey put my prick inside my girlfriend e feel like say e tear again e pain me well well and blood sef comot now wey e don better small i try do am again but once i put am dat same tearing pain for the string string area dey back lube no dey work and i no fit do anything because of the pain you fit help me abeg make you see doctor or urologist sharp make dem check am,when i try to have sexual intercourse my foreskin feels like it is ripping this happened to me once before when i was sixteen after a couple of weeks i was able to penetrate again and it has never happened again until recently i am thirty two years old and last week while inserting my penis into my girlfriend it felt like it ripped it was painful and it did bleed now that it feels better i tried to have intercourse again but when i insert the same ripping pain in the stringy area is back lubrication does not work and i am unable to perform due to the pain can you help,Speaker_8,43.82,"['foreskin', 'ripping', 'stringy', 'area', 'lubrication']",validation
audio/Speaker_8/Speaker8-371.wav,i have been experiencing sharp stabbing pains on the left side of my chest e dey come quickly and e dey last about one minute just this afternoon the stabbing pain don last longer and e don spread go my left shoulder blade i also get dull aching pain for my shoulder and arm i no know if i suppose go emergency room or wait make i call my cardiologist i be twenty seven year old female i do atrial septal defect repair when i be five years old and i do mitral valve replacement three years ago after congestive heart failure i no know if this fit get anything to do with am,i have been experiencing sharp stabbing pains on the left side of my chest they come quickly and last for about a minute just this afternoon the stabbing pain has prolonged and radiated to my left shoulder blade i have an achy pain in my shoulder and arm i do not know if i need to go to the emergency room or wait to call my cardiologist i am a twenty seven year old female with a previous atrial septal defect repair at age five and a mitral valve replacement three years ago after having congestive heart failure i do not know if this contributes to anything,Speaker_8,34.92,"['sharp', 'stabbing', 'pains', 'come', 'quickly', 'prolonged', 'shoulder', 'room', 'female', 'age']",validation
audio/Speaker_8/Speaker8-372.wav,when i go cinema somebody press my breast for just fraction of a second but i wear cloth full body this one happen three months ago and i don dey get this doubt for like two and a half months now e possible say i fit be belle,when i went to a movie someone pressed my breast for a fraction of a second but i was fully covered this happened three months ago and i have had this doubt for the past two and a half months can i be pregnant,Speaker_8,13.79,"['breast', 'half']",validation
audio/Speaker_8/Speaker8-373.wav,hello doctor i get stretch marks all over my body and i want make dem clear because dem don turn white abeg suggest me medicine wey fit remove am within one year because i get marriage next year i get these stretch marks since puberty and e don really affect my mind i no fit wear sleeveless clothes,hello doctor i have stretch marks all over my body and i want to remove them as they are white please suggest some medicine to remove them within a year as i have my marriage in a year i developed these stretch marks during puberty and i have mentally suffered because of them i cannot wear sleeveless clothes,Speaker_8,17.55,"['stretch', 'marks', 'remove']",validation
audio/Speaker_8/Speaker8-374.wav,hi doctor i be sixteen years old i just discover say i get scoliosis i no know plenty about am but i go tell you wetin i know my scoliosis get only three degree curve now and i dey quite sure say na c shaped curve although i no too sure wetin you think be the chance say my scoliosis go still develop enter adulthood you think say e go stop progressing once i finish grow,hi doctor i am sixteen years old i 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_8,25.03,"['sixteen', 'scoliosis']",validation
audio/Speaker_8/Speaker8-375.wav,this one dey commonly happen for diabetic neuropathy so you suppose check his diabetic status,this is commonly seen in diabetic neuropathy so you should have his diabetic status checked,Speaker_8,6.78,[],validation
audio/Speaker_8/Speaker8-376.wav,hi e be like sey your menstrual cycle don become irregular for the past couple of months wetin fit cause am include hormonal imbalance or early pregnancy also you no mention whether the period wey you get for june normal or not i go advise make you see doctor make dem rule out these possibilities and you fit need some investigations,hi it looks like your cycles have become irregular in the past couple of months these are the possibilities hormonal imbalance or early pregnancy also you have not mentioned if the period you had in june was normal i suggest you see your doctor to rule out the above possibilities and you may need investigations,Speaker_8,21.76,[],validation
audio/Speaker_8/Speaker8-377.wav,hello no take medicines anyhow like hit and trial method first thing na to find out wetin dey cause the pain e look like say you get prolapsed intervertebral disc go do urgent mri scan of your lumbosacral spine and send me copy of your report,hello do not take medicines randomly using a hit and trial method you first need to find out what is causing the pain you seem to have a prolapsed intervertebral disc get an urgent magnetic resonance imaging scan of your lumbosacral spine and send me a copy of your reports,Speaker_8,15.39,"['medicines', 'urgent', 'magnetic', 'resonance', 'imaging', 'lumbosacral', 'spine']",validation
audio/Speaker_8/Speaker8-378.wav,yes e fit stay for body more importantly smoking fit cause low birth weight for baby there are other safe treatments for morning sickness you no suppose smoke marijuana,yes it can stay moreover smoking can cause low birth weight in babies there are other safe treatments for morning sickness you should not have smoked marijuana,Speaker_8,11.45,"['smoking', 'low', 'smoked']",validation
audio/Speaker_8/Speaker8-379.wav,the acid attack fit happen if you get severe acidity e look like sey you get strong episode like wetin you describe however abeg go do electrocardiogram make dem check if na ischemia dey happen with exercise or food intake if e no be heart problem then e fit be acid attack and you go need plan your diet well to prevent am from happening again,the acid attack sometimes occurs if you have severe acidity it looks like you had a severe episode similar to what you described however please go for an electrocardiogram to determine if you have ischemia with exercise or food intake if this is not heart related it may be an acid attack for which you need to plan diets to prevent recurrences,Speaker_8,22.11,"['acid', 'attack', 'severe', 'electrocardiogram', 'ischemia']",validation
audio/Speaker_8/Speaker8-380.wav,my uncle just comot from hospital today dem carry am come house but e still dey feel serious dizziness and body weakness e get congestive heart failure and e get heart attack on monday morning e don also lose plenty blood from one bleeding for somewhere wey dem never fit find e still get plenty swelling for im right foot and ankle abeg na any other sign wey we suppose dey watch for wey go show say time don reach to carry am go back hospital,my uncle was just released from the hospital today he came home still very dizzy and weak he has congestive heart failure and had a heart attack on monday morning he has also lost a lot of blood from a bleed somewhere they cannot find he also has a lot of swelling in his right foot and ankle is there anything else we should watch for as a sign that it is time to take him back to the hospital,Speaker_8,27.72,"['released', 'came', 'home', 'dizzy', 'heart', 'failure', 'attack', 'bleed', 'swelling', 'foot']",validation
audio/Speaker_8/Speaker8-381.wav,hi my nine year old girl get red spots for her nose above her lips and for the mouth area these spots get white heads on top of dem she also get taste buds for the back of her tongue wey raise well well and one eye red like blood plus e dey small weep this morning abeg na symptoms of cold virus be this,hi my nine year old girl has red spots on her nose above her lips and in the mouth area these spots have white heads on them she also has very raised taste buds at the back of her tongue and one bloodshot eye that was a little weepy this morning are these symptoms of a cold virus,Speaker_8,23.73,"['girl', 'white', 'taste', 'buds', 'her', 'tongue', 'eye', 'cold', 'virus']",validation
audio/Speaker_8/Speaker8-382.wav,these fit be small epidermal inclusion cysts wey dey come out from small skin injury another thing e fit be na fibroepithelial polyp the main thing wey you need to watch na say dem fit quick get infection so no rub am and make sure say the area clean well well all the best,these are possibly small epidermal inclusion cysts that arise from small skin injuries another possibility is a fibroepithelial polyp the only need to worry is that these could easily become infected so do not rub them and keep the area hygienic all the best,Speaker_8,21.25,"['cysts', 'rub']",validation
audio/Speaker_8/Speaker8-383.wav,hello doctor my aunt dey currently suffer from cancer wey don spread and e dey only dey worse as each day dey pass dem wan operate her on thursday because dem see one big tumour for her back plenty people dey talk say once dem operate person wey get cancer and open the body e get very big chance say the person no go wake up after the operation abeg this thing true,hello doctor my aunt is currently suffering from a spread of cancer and it is only getting worse by the day she is getting operated on thursday because a large tumor was found in her back a lot of people are saying that once a person with cancer is operated on and opened up there is a very large chance of them not waking up after the operation is this true,Speaker_8,24.38,"['aunt', 'operated', 'tumor', 'cancer']",validation
audio/Speaker_8/Speaker8-384.wav,hello i just dey read your question e no true at all say pikin poop no dey smell also pikin poop fit get any kind texture normally as the pikin dey on antibiotics the poop fit change so the change wey you notice na normal thing,hello i just read through your question it is not true that infants bowel movements do not have a smell additionally infants bowel movements can normally have any consistency they do change while on antibiotics so the change you have noticed is expected,Speaker_8,14.58,"['bowel', 'movements']",validation
audio/Speaker_8/Speaker8-385.wav,hello if you dey experience heavy bleeding e fit mean say the abortion no complete you need make you go do ultrasound scan sharp sharp to know whether the womb empty or not if the womb never empty then dem need remove the remaining products of conception with instruments if you neglect am e fit lead to sepsis and other serious health problems,hello if you are experiencing heavy bleeding then it is likely that your abortion was not complete you should immediately get an ultrasound scan to determine if the uterus is empty or not if the uterus is not empty then you need to address this by removing the products of conception using instruments if you neglect this it may lead to sepsis and adverse effects on your health,Speaker_8,19.76,['ultrasound'],validation
audio/Speaker_8/Speaker8-386.wav,i fall for ice yesterday and break my patella knee cap i even fit see as the bone don separate for my knee x ray still confirm am i dey 76 years old and i already get partial knee replacement for that same knee abeg surgery necessary right now dem don immobilize my leg till i go see doctor on thursday,i fell on ice yesterday and broke the patella or knee cap i can actually see the separation on my knee an x ray shows the same results i am seventy six years old and already have a partial replacement in that knee is surgery required right now the leg is immobilized until i see the doctor on thursday,Speaker_8,20.5,"['fell', 'ice', 'knee', 'ray', 'seventy', 'leg', 'immobilized']",validation
audio/Speaker_8/Speaker8-387.wav,these objective two dimensional echocardiogram findings must be matched with symptoms and physical examination if you no dey experience any symptoms and your physical examination dey normal then these 2d echocardiogram findings no really important or dem basically normal findings,these objective two dimensional echocardiogram findings must be correlated with symptoms and physical examinations if you are not experiencing any symptoms and your physical examination is normal then these two dimensional echocardiogram findings are insignificant or essentially normal findings,Speaker_8,19.04,"['symptoms', 'physical', 'examination', 'echocardiogram', 'normal']",validation
audio/Speaker_8/Speaker8-388.wav,hello i understand your problem and the anxiety wey you get the presence of pus cells for urine dey suggest say infection dey the urinary tract e fit be sterile pyuria if na tuberculosis of the genital tract or e fit be pyuria with bacteria you need to do urine culture and sensitivity test and take medicine according to the result if the infection cure finish then chance of infertility no dey at all i hope this help you,hello i do understand your problem and anxiety the presence of pus cells in urine suggests an infection in the urinary tract it could be sterile pyuria in the case of tuberculosis of the genital tract or it could be pyuria with bacteria you need to undergo a urine culture and sensitivity testing and take medication accordingly if the infection is cured then the chances of infertility are nil i hope this helps you,Speaker_8,28.05,"['pus', 'cells', 'infection', 'urinary', 'sterile', 'tuberculosis', 'genital', 'problem', 'medication', 'urine']",validation
audio/Speaker_8/Speaker8-389.wav,i recently get lyme disease and dem dey treat me with doxycycline e don dey on am for thirteen days i wan know if e fit delay my period i no dey usually pass twenty nine days but now i don reach day thirty two i dey worry say i fit don get pregnant which no really be problem but i dey use antibiotic wey dem talk say fit cause harm to pikin for belly,i was recently diagnosed with lyme disease and am being treated with doxycycline i have been on it for thirteen days i am wondering if it can delay my period i never go past twenty nine days and i am on day thirty two i am worried i could be pregnant which isn t necessarily a problem except that i am on the antibiotic that can apparently cause harm to a fetus,Speaker_8,27.63,['antibiotic'],validation
audio/Speaker_8/Speaker8-390.wav,hello this one no really sound like pure sciatica e look more like say nerve root dey compressed for your lower back and you need mri scan of your lumbar spine to check am well after that i go refer you to physiatrist na physical medicine and rehabilitation specialist doctor make dem fit put you for treatment program wey go help your symptoms,hello this is not likely to be pure sciatica it sounds like there is a nerve root compression in your lower back and you need a magnetic resonance imaging scan of your lumbar spine to check for that after that i would refer you to a physiatrist a physical medicine and rehabilitation medical doctor specialist for a treatment program that should help with your symptoms,Speaker_8,26.01,"['nerve', 'compression', 'magnetic', 'resonance', 'imaging', 'scan', 'lumbar', 'spine', 'refer', 'physical', 'medicine']",validation
audio/Speaker_8/Speaker8-391.wav,my eight year old grandson dey get quite serious pain for im left side belly my email na yyyy yyyy sorry i just notice say i go need pay to get information i try use webmd page describe the area but e no even allow me and e begin give wrong answers wey you fit read no worry i fit still need carry am go hospital if this heating pad no help am,my eight year old grandson is having fairly severe pain in his left abdomen my email is yyyy yyyy sorry i just noticed i have to pay to get information i tried on the webmd page to describe the area but it wouldn t let me and then it gave distorted answers that you can read no worries i might need to take him to the hospital if this heating pad doesn t help,Speaker_8,30.6,"['fairly', 'hospital', 'heating', 'pad']",validation
audio/Speaker_8/Speaker8-392.wav,hello i fit understand your worry for your papa the condition wey you describe show say im heart capacity to supply blood to the whole body na about 20 25 im heart dey work harder to pump blood go everywhere na why im pulse dey fast since im no dey do any heavy work im heart fit cope during rest phase the medicine wey e dey take dey help reduce the discomfort the condition of the heart be say e no go really tolerate any anaesthesia other blockages for the arteries plus possible loss of pumping power heart failure na complications wey make surgery no possible abeg continue the medications so e fit still get better quality of life if any surgical option dey available the doctor for don advise una already best wishes,hello i can understand your concern for your father one the conditions you have described indicate that his heart has twenty twenty five capacity to supply blood to the whole body two his heart is working harder to pump blood everywhere which is why his pulse is fast three he is not doing any work so his heart can cope during the resting phase four the medications he is taking are relieving his discomfort five the condition of the heart is such that it will not tolerate any anesthesia other blockages in the arteries and possibly the loss of pumping capacity known as heart failure are complications that make surgery impossible please continue the medications for a good quality of life if there were any surgical treatments available the doctor would have advised you best wishes,Speaker_8,54.29,"['heart', 'medications']",validation
audio/Speaker_8/Speaker8-393.wav,the other day i wan bend down den i feel my back shift for me e don dey pain me like three days now the pain strong well for my right side just up my waist but near the backbone i dey wonder if na nerve i press or if anything dey wey i fit do for house wey no be doctor medicine to make the pain cool down small make you see doctor or physio abeg if e continue dey pain,hi the other day i started to bend over and i felt my back tweak it has been hurting for three days now i have an intense pain on the right side just above my hip but towards the spine i am just wondering if i pinched a nerve or if there is something i can do at home without pills from a doctor to help alleviate my pain,Speaker_8,28.49,"['bend', 'intense', 'pinched']",validation
audio/Speaker_8/Speaker8-394.wav,i dey 39 years and my period dey come normal me and my husband dey try make belle and after six months we never see anything i dey a bit fat too my doctor talk say make we try for three more months before she go send me go meet gynecologist i don lose some weight small i dey go aqua fitness and i dey try chop better food you get any advice for me abeg make you still follow wetin your doctor talk and see the gynecologist if e reach three months,i am thirty nine years old and having regular periods my husband and i are trying to conceive and after six months with no luck i am a bit overweight my doctor said to try for three more months before she will send me to a gynecologist i have lost some weight go to aqua fitness and try to eat healthily do you have any advice,Speaker_8,30.67,"['overweight', 'eat']",validation
audio/Speaker_8/Speaker8-395.wav,my belle don dey pain me for some days now e dey go for some hours den e go just come back anyhow especially wen i dey lie down or siddon for long once i stand up e go be like say i wan vomit sometimes e dey feel like say hunger dey catch me bad so i go chop but e no dey help make you see doctor abeg make dem check you well,i have been having this stomach ache for a few days now and it kind of goes away for a few hours but then it will randomly come back especially when i am laying or sitting down for a while and when i stand up i feel like i need to throw up it also sometimes feels like i am really hungry or something and so i eat but that doesn t really help,Speaker_8,20.29,"['stomach', 'ache']",validation
audio/Speaker_8/Speaker8-396.wav,dem whip me with small branch for front of my leg i never ever receive this kind heavy hit for my life before the skin even split small but no blood come out now i get big swelling for the front of the leg and the foot don turn black and blue like bruise dem give me penicillin make e reduce the swelling but now the swelling don increase again e dey very painful to put leg down or walk and dem no do x ray for hospital abeg you get any advice,i was hit by a whip from a small branch across the front of my leg i have never been hit so hard by anything in my life the skin was actually split but no blood appeared i now have a large swelling on the front of the leg and black and blue bruising to the foot i was given penicillin to ease the swelling but it has now increased in size again it is very painful to walk on and no x ray was taken at the hospital do you have any advice,Speaker_8,29.09,"['swelling', 'front', 'leg', 'penicillin', 'increased']",validation
audio/Speaker_8/Speaker8-397.wav,e fit be say e get cervical spondylitis na pain wey dey come from some compression for the neck bones abeg make una carry am go see orthopedic surgeon or neurologist make dem check am well,he could have had cervical spondylitis pain due to some compression in the neck vertebrae please have him evaluated by an orthopedic surgeon or a neurologist,Speaker_8,11.24,"['cervical', 'compression', 'orthopedic', 'surgeon']",validation
audio/Speaker_8/Speaker8-398.wav,i recommend say you go meet vascular surgeon dem fit give you proper advice about your condition small diagnostic procedure and small physical exercise fit also help,i recommend that you meet with a vascular surgeon as they might be able to provide proper guidance regarding your situation a small diagnostic procedure and a little physical exercise should be helpful,Speaker_8,9.61,"['procedure', 'physical', 'exercise']",validation
audio/Speaker_8/Speaker8-399.wav,i dey take niaspan 1000 milligrams every day and i don dey use am for the past few months i don notice say i dey cough throughout the day and i also get small sore throat plus e dey feel like something dey stuck for my lower throat area i be sixty three years old i be five feet ten inches tall and i weigh one hundred and ninety nine pounds i get coronary heart disease congestive heart failure and high blood pressure wey no dey controlled well i also get left ventricular hypertrophy and i dey walk three miles every day i no dey smoke,i have been prescribed niaspan one thousand milligrams a day and have been taking it for the last few months i am noticing that i am now coughing throughout the day and i have noticed that i have what feels like a mild sore throat as well as a sensation that there is something lodged in my lower throat area i am sixty three years old five feet ten inches tall and weigh one hundred and ninety nine pounds i have coronary heart disease congestive heart failure and uncontrollable hypertension i also have left ventricular hypertrophy and walk three miles a day i am a non smoker,Speaker_8,35.46,"['niaspan', 'thousand', 'milligrams', 'coughing', 'mild', 'sore', 'throat', 'sixty', 'congestive', 'ventricular', 'walk']",validation
audio/Speaker_8/Speaker8-400.wav,hi i be roop my question be say when i be fifteen years old i get problem with water tap i sit down for water wey dey flow reach my private part i come feel relaxed but now i don leave that bad habit for people wey get this kind habit e dey hard to stop am after my health begin worse abeg tell doctor say i experience side effects,hi i am roop my question is when i was fifteen years old i had this problem with a water tap i sat down on the water layer where my sexual part was and i felt relaxed however i have left this bad habit now for those who have this habit it is difficult to stop after my health deteriorated please tell the doctor that i experienced side effects,Speaker_8,22.83,[],validation
audio/Speaker_8/Speaker8-401.wav,i get grade three ankle sprain for seven months now i just change go new orthopedic specialist and dem finally dey do something for me dem put me inside walking boot on monday when i dey walk i dey hear clicking and popping for my ankle you even fit literally hear the popping sound with every step and e dey very painful abeg wetin dey cause am,i have had a grade three ankle sprain for seven months now i just changed to a new orthopedic specialist and they finally are doing something for me they put me in a walking boot on monday when i am walking i have this clicking and popping in my ankle you can literally hear popping sounds in my ankle with every step it is very painful what is causing this,Speaker_8,26.82,"['ankle', 'popping', 'sounds']",validation
audio/Speaker_8/Speaker8-402.wav,i dey prone to urinary tract infection and this one dey happen often especially after intercourse e don reach about one week now and my urine dey very cloudy with strange smell plus some brown discharge wey be like mucus i no get pain and i don already take antibiotics but nothing dey clear am i don even enter hospital three times for the past two months because e don turn kidney infection before and i become very sick,i am prone to having urinary tract infections and this is something that occurs often especially after intercourse it has been about a week and my urine is very cloudy with a weird smell along with some brown discharge that is mucus like i have no pain and have already been on antibiotics but nothing is clearing this up i have been hospitalized three times in the past two months because they have turned into kidney infections and i have become very ill,Speaker_8,32.6,"['urinary', 'mucus', 'hospitalized', 'past', 'kidney']",validation
audio/Speaker_8/Speaker8-403.wav,my girlfriend take emergency contraceptive pill two hours after sex on april 7 her period suppose come on april 28 she get some bleeding on april 23 for like two hours then e become light for another one or two hours after that she no get any bleeding again we don do pregnancy test three times each one week apart since april 15 and all of them show negative i dey very afraid abeg she get pregnancy or she dey okay,my girlfriend took the emergency contraceptive pill two hours after having sex on april seven her periods were due on april twenty eight she had some bleeding on april twenty three for around two hours and then it was light for another one or two hours after that she has not had any bleeding yet we have taken pregnancy tests three times each after a gap of one week since april fifteen and they all say negative i am very afraid is she pregnant or is she fine,Speaker_8,30.35,"['girlfriend', 'emergency', 'contraceptive', 'pill', 'sex', 'bleeding', 'pregnancy', 'tests']",validation
audio/Speaker_8/Speaker8-404.wav,you need remove the baby tooth the black thing wey you dey describe na likely root fragment wey need extraction after that you fit need orthodontic treatment to align the permanent tooth wey dey grow on top of the baby tooth,you need to extract the baby tooth the black substance you are describing is probably a root fragment that needs to be extracted after this you may need to undergo orthodontic alignment of the permanent tooth that is growing on top of the baby tooth,Speaker_8,15.44,"['black', 'orthodontic', 'alignment']",validation
audio/Speaker_8/Speaker8-405.wav,one week ago i fall flat on my face for my left cheekbone that area no really turn black and blue like the rest of the left side of my face but e get big hard swelling about the size of ping pong ball e no seem to dey reduce for size abeg you know wetin be the name of this kind injury i go emergency room and dem do three ct scans plus x ray of the left side of my body but dem say nothing break,a week ago i fell flat on my face on my left cheekbone that area did not particularly get black and blue like much of the left side of my face but it has a significant hard swelling about the size of a ping pong ball it does not seem to be going down in size do you know what this injury is called i did go to the emergency room where they performed three computed tomography scans and an x ray of the left side of my body nothing is broken,Speaker_8,32.69,"['hard', 'swelling', 'emergency', 'room', 'computed', 'tomography', 'scans', 'ray', 'body']",validation
audio/Speaker_8/Speaker8-406.wav,hello my papa dey 72 years old and e get tumour wey dey grow inside im spinal cord which reduce the spinal fluid flow and affect the use of im legs about two years ago e do back surgery and dem successfully remove the tumour dem tell us say the surgery go well but e no complete rehabilitation and e no don walk since the surgery the muscles for im left leg don waste atrophy and the achilles tendon don shorten reach level wey e no fit put im foot flat for ground we dey ask wetin be our options at this point any procedure dey to stretch the achilles tendon make e fit resume rehabilitation,hello my father is seventy two years old and had a tumor growing inside his spinal column which had diminished the spinal fluid flow and limited the use of his legs about two years ago he had back surgery and successfully removed the tumor we were told the back surgery was a success however he was not successful in completing the rehabilitation and has not walked since the surgery the muscles in his left leg have atrophied and the achilles tendon has shrunk to the point that he cannot place his foot flat on the ground we are wondering what our options are at this point is there a procedure to stretch the achilles tendon and allow him to resume rehabilitation,Speaker_8,44.4,"['seventy', 'spinal', 'diminished', 'surgery', 'leg', 'achilles', 'tend', 'tendon']",validation
audio/Speaker_8/Speaker8-407.wav,for atrial fibrillation very good treatment dey available your cardiologist suppose first focus on rate control which fit be achieved with beta blockers like metoprolol or diltiazem or if blood pressure low even when no episode dey dem fit consider digoxin or amiodarone you suppose ask your cardiologist to consider these options the second important thing na anticoagulation which dey help thin the blood otherwise e fit lead to clot formation for the heart and this clot fit move go somewhere else and cause stroke or paralysis so abeg discuss both of these issues also during the episodes rest and lie down,for atrial fibrillation very good treatments are available your cardiologist should first focus on rate control which can be achieved with beta blockers such as metoprolol or diltiazem or if blood pressure is low even in the absence of episodes then consider digoxin or amiodarone you should ask your cardiologist to consider these options the second important thing is anticoagulation which keeps the blood thin otherwise it may lead to the formation of a clot in the heart and this clot may dislodge leading to a stroke or paralysis therefore discuss both of these issues also during the episodes take rest and lie down,Speaker_8,49.2,"['beta', 'blockers', 'metoprolol', 'diltiazem', 'digoxin', 'amiodarone']",validation
audio/Speaker_8/Speaker8-408.wav,hi the injury wey you get during the accident fit don trigger the problem at first when the pain small the body dey try correct am but once e worsen the pain fit come back and increase na that time scans usually go show bulging disc or herniated disc wey dey press nerve so i go advise say make you book appointment with spine surgeon or doctor and do mri scan of the spine to check am well after you get the result you fit decide wetin to do next at first pain medicine plus physiotherapy fit help but for some people surgery dey option if the pain no gree stop,hi the injury you sustained during the accident might have precipitated the event initially when there is little pain our body tries to rectify it but once it gets out of hand the pain recurs and increases in severity that is when generally scans will show a bulging disc or a herniated disc impinging upon the nerve so i would advise you to schedule an appointment with your spine surgeon or physician and get a magnetic resonance imaging scan done to evaluate the spine once the report is available you can decide on how to proceed initially pain medication along with physical therapy will do the trick but for some surgery is an option for relentless pain,Speaker_8,45.28,"['bulging', 'there', 'disc', 'magnetic', 'resonance', 'imaging', 'surgery']",validation
audio/Speaker_8/Speaker8-409.wav,hi i be twelve year old girl wey get systemic lupus erythematosus and lupus wey dey affect kidney lupus nephritis i bin dey hospital for november for two weeks dem suppose admit me for two days biopsy but the result no come out well i dey class four and five level dem dey give me chemotherapy once every month for five months then dem change am give me mycophenolate mofetil now i dey see my kidney doctor every three months but recently i don dey feel the same pain wey i feel for november again i dey nervous abeg help me,hi i am a twelve year old girl with systemic lupus erythematosus and lupus nephritis i was in the hospital in november for two weeks i was supposed to be admitted for a two day biopsy but the results did not come back good i am a class four and five i received chemotherapy once a month for five months and then i was switched over to mycophenolate mofetil i now see my nephrologist every three months but lately i have been experiencing the same pain i had in november i am nervous help,Speaker_8,40.89,"['girl', 'systemic', 'hospital', 'admitted', 'chemotherapy', 'mycophenolate', 'mofeti']",validation
audio/Speaker_8/Speaker8-410.wav,my sixteen year old pikin get hard lump wey be like baseball size under im chest bone for right side x ray wey dem do for emergency room show say na inflammation and so far im heart and lungs no dey affected we suppose worry and wetin e fit be,my sixteen year old son has a hard lump about the size of a baseball under the breastplate on his right side x rays at the emergency room showed inflammation and thus far his heart and lungs are not affected should we be concerned and what could it possibly be,Speaker_8,19.27,"['sixteen', 'hard', 'lump', 'rays', 'emergency', 'room', 'lungs']",validation
audio/Speaker_8/Speaker8-411.wav,my twelve year old pikin get fever and cough doctor check am do different tests and all of dem come back negative later dem give am rocephin injection for her leg the injection pain too much reach say she no fit walk again and she dey cry serious now four days don pass her leg still dey heavy e still dey pain am and when she dey waka the leg dey give way wetin i suppose do and why her leg dey give her that kain problem fit this thing turn permanent,my twelve year old daughter had been running a fever and cough the pediatrician ran different tests and all were negative he proceeded to give her a rocephin shot in her leg it was so painful that she couldn t walk and couldn t stop crying from the pain four days later her legs feel heavy she still has pain and when she walks her leg gives out what should i do why is her leg giving out on her can this be permanent,Speaker_8,36.83,"['fever', 'rocephin', 'shot', 'couldn', 'walk', 'legs']",validation
audio/Speaker_8/Speaker8-412.wav,for viral fever all these kind symptoms fit happen so make you give am plenty water and fluids and try give small small food for often intervals give am ondansetron syrup like half hour before food based on im weight you fit still give am ibuprofen syrup if fever or headache no reduce but all these medicines must follow im correct weight too,in viral fever all these symptoms occur give him plenty of fluids and try to provide small meals at frequent intervals give him syrup ondansetron half an hour before his meals according to his weight you can also give him syrup ibuprofen if his fever or headache does not subside this needs to be given according to his weight as well,Speaker_8,24.2,"['viral', 'ondansetron', 'ibuprofen', 'fever', 'headache']",validation
audio/Speaker_8/Speaker8-413.wav,hello hair loss na known rare side effect of the medicine wey your daughter dey take but most times the hair loss no dey permanent e dey come dey temporary and later hair fit start to grow back again no be say shampoo fit prevent am you fit try multivitamin wey get zinc inside to help am small but no guarantee say e go work well since her seizure control dey okay and stable i go advise make una continue the medicine and just dey hopeful say e go improve good luck,hello hair loss is a known rare side effect of the medication that your daughter is taking the hair loss is usually transient and hair growth reappears there are no shampoos to prevent it a multivitamin containing zinc may be tried to improve it however the benefit is not certain since the seizures are well controlled i would advise you to stick to the medication and hope for the best good luck,Speaker_8,32.81,"['hair', 'loss', 'growth', 'seizures']",validation
audio/Speaker_8/Speaker8-414.wav,i get belle and i dey control my blood sugar with diet but i just break my diet and chop cheeseburger with fries now one hour after i check my sugar e reach 447 mg dl if e start to come down in the next few hours e still safe for my baby or one high reading like this mean say i need to rush go emergency room,i am pregnant and controlling my blood sugar with diet however i just cheated on my diet and ate a cheeseburger with fries my blood sugar is four hundred and forty seven milligrams per deciliter one hour after eating if it starts coming down in the next few hours is it safe for my baby or is one high reading something i should rush to the emergency room over,Speaker_8,26.8,"['pregnant', 'blood', 'sugar', 'cheated', 'diet', 'milligrams', 'per', 'deciliter', 'rush', 'emergency', 'room']",validation
audio/Speaker_8/Speaker8-415.wav,for january this year i was diasgnosed with stage ii ductal cancer i do lumpectomy for february 13 dem check the lymph nodes and no see spread margins come clean i do oncotype dx test and my score na 17 i choose no do chemotherapy but i agree to radiation as part of treatment but now almost three months don pass and dem never clear me for radiation if i no do radiation wetin be my chance of survival i dey also take arimidex the cancer na estrogen receptor positive progesterone receptor positive her2 negative,i was diagnosed in january of this year with stage ii ductal carcinoma i had a lumpectomy on february thirteen there was no lymph node involvement and the margins were clear i had the oncotype dx test and my score was seventeen i chose not to undergo chemotherapy but agreed to radiation which is i guess protocol it has been close to three months now and i still have not been cleared for radiation what are my chances of survival if i do not receive radiation i am also taking arimidex estrogen receptor positive progesterone receptor positive human epidermal growth factor receptor negative,Speaker_8,43.54,"['january', 'ductal', 'carcinoma', 'lumpectomy', 'lymph', 'node', 'chemotherapy', 'arimidex', 'protocol']",validation
audio/Speaker_8/Speaker8-416.wav,hello high blood pressure na one of the most dangerous sickness so e need to dey controlled well well if you combine two medicines e no dey usually cause problem doctors dey do am plenty for medical practice i believe say if your blood pressure high you suppose still take norvasc join i hope say this one help you,hello high blood pressure is the most dangerous condition so it needs to be controlled combining two medications will not create much of a problem and it is done very commonly in medical practice i believe that if your blood pressure is high you should take norvasc as well i hope this helps you,Speaker_8,20.64,"['high', 'blood', 'pressure', 'medications', 'norvasc']",validation
audio/Speaker_8/Speaker8-417.wav,hello for the past three days i don get patchy red spots for left side of my ribs now e don turn like scab today i wake up see rash don spread cover my stomach and e dey move go my back i know say no be bed bug because i sabi how bed bug bite dey look the pink spots for my back dey itch but the one for front no dey itch abeg help me,hello for the past three days i have presented with patchy red spots on the left side of my ribs and they now look like scabs today i woke up with a rash all across my stomach and it is moving to my back they are not bed bugs because i know how those look the pink spots on my back itch however the rash in front does not help,Speaker_8,23.89,"['past', 'patchy', 'rash', 'it']",validation
audio/Speaker_8/Speaker8-418.wav,hello i get very strong pain for my lower back on the left side e dey around the middle between top of my hip bone and bottom of my buttocks for that side e dey feel like say na from the dimple for my lower back the pain dey come e dey spread go outside and i dey feel pressure for all my lower organs because of the pain e even dey make my kidney for that side dey pain me when i lie down for that side e dey feel like say i dey lie on something inside my body if you understand wetin i mean,hello i have very strong pain in my lower back on the left side it is in the center between the top of my hip bone and the bottom of my buttocks on that side it feels like it is coming from the dimple in my lower back it radiates outward and i can feel pressure in all my lower organs with the pain it can also make my kidney on that side hurt when i lie on that side i feel like i am lying on something inside my body if that makes sense,Speaker_8,35.62,"['top', 'hip', 'bone', 'bottom', 'buttocks', 'organs', 'kidney']",validation
audio/Speaker_8/Speaker8-419.wav,hi welcome to healthcaremagic if embryo transfer happen for the same cycle after ovum pickup you fit do beta human chorionic gonadotropin test on the 12th day counting the day wey dem do ovum pickup as day one abeg make you talk exactly which day dem do ovum pickup and which day dem transfer the embryo beta human chorionic gonadotropin test usually dey turn positive about 12 days after egg retrieval 9 days after day three embryo transfer and 7 days after blastocyst transfer the woman suppose do quantitative beta human chorionic gonadotropin blood pregnancy test urine test no dey show until like one week after the serum beta human chorionic gonadotropin if pregnancy no happen period go still come all the best,hi welcome to healthcaremagic if the embryo transfer was done in the same cycle after ovum pickup then you can take a beta human chorionic gonadotropin test on the 12th day counting the day of ovum pickup as the first day kindly mention in detail which day ovum pickup was done and which day the embryo was transferred the beta human chorionic gonadotropin becomes positive about twelve days after egg retrieval nine days after a day three embryo transfer and seven days after a blastocyst transfer the woman should have a quantitative beta human chorionic gonadotropin blood pregnancy test performed a urine test will be positive only one week after serum beta human chorionic gonadotropin if you do not get pregnant you will get your period all the best,Speaker_8,62.79,"['positive', 'after', 'quantitative', 'serum']",validation
audio/Speaker_8/Speaker8-420.wav,hello if you see lump for sole of foot most times na corn which na harmless thickening of the skin for that area because of repeated small small injury wey you no really notice pain fit reduce with simple pain relief tablets if e dey disturb your normal waka or daily activities you fit go see surgeon make dem remove am,hello a lump in the sole of the foot is mostly a corn which is a benign hypertrophy of the local skin area due to repeated unnoticed trauma pain can be relieved by simple painkillers if it is disturbing your routine activities get it removed by a surgeon,Speaker_8,27.54,"['lump', 'sole', 'foot', 'benign', 'hyper', 'painkillers', 'removed']",validation
audio/Speaker_8/Speaker8-421.wav,uric acid usually no dey cause that kind colour e fit be say na infection for urethra dey cause am the prostate specific antigen level dey normal but we still need semen analysis to confirm whether blood dey inside the semen,uric acid usually does not cause such color it may be due to an infection in the urethra the prostate specific antigen level is normal however we need a semen analysis to ensure that there is no blood in the semen,Speaker_8,14.93,"['uric', 'acid', 'infection', 'prostate', 'specific', 'antigen']",validation
audio/Speaker_8/Speaker8-422.wav,hi i dey from india my son get undescended testicles since birth even after dem operate am when he reach two years old e still remain the same both testicles later dem remove them because dem no develop well now he don reach 21 years old and i dey plan make he marry wetin be im chance for successful married life he dey take testoviron depot 250 mg once every month,hi i am from india my son has had undescended testicles since birth even after operating on him at the age of two years he is still the same both his testicles have been removed as they were not developed now he is twenty one years old and i am planning to get him married what are his chances of a successful married life he is on testoviron depot two hundred and fifty milligrams once a month,Speaker_8,26.89,['milligrams'],validation
audio/Speaker_8/Speaker8-423.wav,hi my friend for asthma your trachea bronchus and bronchioles dey produce more thick sticky mucus because dem line am with columnar epithelium for asthma because of hypersensitivity this mucus dey become even more sticky so e fit result for thick white phlegm if the phlegm turn yellow or green you suppose suspect say infection don join,hi friend in asthma your trachea bronchus and bronchioles secrete more viscous secretions because they are lined by columnar epithelium in asthma due to hyperreactivity these secretions are stickier resulting in thick white phlegm if the phlegm turns yellowish or greenish in color suspect an infectious cause,Speaker_8,26.96,"['columnar', 'yellowish', 'greenish']",validation
audio/Speaker_8/Speaker8-424.wav,i get dull pain about three inches to the left side of my belly button ultrasound no show anything but the exact spot dey very tender and doctor don rule out hernia my doctor think say na lipoma sometimes the pain dey also move go my lower pelvic area abeg make you give me your opinion,i have a dull pain three inches to the left of my belly button the ultrasound shows nothing but the tender spot is very specific and a hernia has been ruled out my doctor thinks it is a lipoma the pain also moves around to my lower pelvic area at times please give me your opinion,Speaker_8,23.48,"['dull', 'inches', 'belly', 'ultrasound', 'tender', 'hernia', 'pelvic', 'area']",validation
audio/Speaker_8/Speaker8-425.wav,i dey take medicine and every time i finish am my period dey usually start like 3 days after i stop but this month my period no come at all i don already pass 6 days after i finish the medicine and i don really dey worry this afternoon i do pregnancy test and i shock say e show positive e fit really happen even if i no miss any of the medicine,hi i am using pills and every time i take them my period starts on the third day after finishing them however this month i do not have my period in fact i am six days delayed after finishing my pills and i am so worried about it this afternoon i tried to use a pregnancy test and i was shocked to see that it turned positive is that possible to happen even if i did not miss any pills,Speaker_8,22.22,[],validation
audio/Speaker_8/Speaker8-426.wav,hi thanks for asking i really understand your worry seizure na medical emergency and dem dey always consider am dangerous until dem properly diagnose am once diagnosis don confirm then doctors fit talk better about prognosis before that time e hard to conclude anything just from small history like this if na infection cause am then e mean say treatment don work well now the seizures fit still dey come because small part of the problem still dey inside body and i believe say she go improve with time have a nice day,hi thank you for asking i really understand your worry a seizure is a medical emergency and is to be considered dangerous until diagnosed once it is finally diagnosed then the prognosis can be discussed until then it is difficult to say anything based only on your brief history if it was an infection then it must have been treated successfully now the seizures could be due to some residual part of the pathology and i think she will improve with time have a nice day,Speaker_8,34.88,['seizures'],validation
audio/Speaker_8/Speaker8-427.wav,hi my boyfriend and i knack on november 22nd i get hormonal imbalance issues so my doctor tell me sey make i take tmodus 10 mg to help regulate my periods i take the medicine finish and i still get my normal period for december as expected my question be say is there any chance say i still fit get pregnant even though i see my period i also no dey experience any pregnancy symptoms,hi my boyfriend and i engaged in sexual intercourse on november 22nd i am suffering from hormonal imbalance issues so my doctor suggested i take tmodus ten milligrams to regularize my periods i took the pills and got my regular period as scheduled in december too the thing is is there any possibility of conceiving further even though i got my period i also do not have any symptoms,Speaker_8,28.19,"['sexual', 'intercourse', 'hormonal', 'milligrams', 'pills', 'regularize']",validation
audio/Speaker_8/Speaker8-428.wav,hi dey 31 years old and i dey get problem for conception my cycle na 26 days with 3 days light menstruation my period dey regular because i dey ovulate for day 10 my own problem be say 6 days before my next period i start to dey feel nausea lower belly pain and chronic back pain sometimes my stool dey loose too e fit be early sign of pregnancy but since my period suppose soon come when i suppose expect am i don marry for 5 years and i never get belle abeg i need urgent reply,hi i am thirty one years old and have been having conception problems i have a twenty six day cycle with three days of light menstruation my menstruation is regular because i ovulate on day ten my problem is that six days before my next period i started experiencing nausea lower abdominal pain and chronic back pain sometimes i have loose stools can this be an early sign of pregnancy however since my menstruation will come soon when should i see my menstruation i have been married for five years and have not become pregnant please your reply is urgently needed,Speaker_8,44.09,"['regular', 'ovulate', 'chronic']",validation
audio/Speaker_8/Speaker8-429.wav,two days ago i begin feel this pain for my upper stomach e dey feel like say person dey punch me for my belly anytime i waka fast or forget jump small if i dey car and we pass bump e dey pain me like say person punch me for inside i don get this kind thing one time before and e just disappear before that one happen i first get migraine and small fever i take aspirin one time two days ago,two days ago i felt this pain in my upper stomach it feels like someone is punching me in the stomach when i walk fast and forget about jumping when we are in the car it hurts to go over bumps as if i am being punched i had this one time before and it went away it was preceded by a migraine and a low grade fever i took one aspirin two days ago,Speaker_8,29.49,"['stomach', 'walk', 'migraine', 'aspirin']",validation
audio/Speaker_8/Speaker8-430.wav,the cause of severe abdominal pain with constipation depends on how many years wey the person dey if the person age dey less than twenty years e fit be acute appendicitis,the cause of severe abdominal pain with constipation depends on the age of the individual if the age is less than twenty years it may be acute appendicitis,Speaker_8,10.87,"['severe', 'abdominal', 'constipation']",validation
audio/Speaker_8/Speaker8-431.wav,i be 22 year old woman and for the past few months i dey feel like i no fit breathe well like my lungs no dey take in air complete i also dey get chest pain and pressure like heavy weight dey press my chest and i notice say e dey happen mostly when i dey emotional or under stress sometimes my heart dey beat fast too i don see doctor wey test me for asthma do ecg chest x ray esr and thyroid test but all of them come normal i get family history of heart disease sudden death asthma parkinson s disease and cancer wetin fit be the cause of my problem,i am twenty two years old female and for the past few months i have been experiencing difficulty breathing as if my lungs do not take in air to their full capacity i also have pain and a feeling of pressure in my chest as if some heavy weight is placed on it and i noticed that this usually occurs when i am emotional or stressed i sometimes experience an acceleration in my heartbeats too i have seen a doctor who tested me for asthma performed an electrocardiogram a chest x ray an erythrocyte sedimentation rate and a thyroid stimulating hormone test but they were all normal i have a family history of heart disease sudden death asthma parkinson s disease and cancer what could be the cause of my problem,Speaker_8,38.73,"['difficulty', 'breathing', 'air', 'feeling', 'pressure', 'heartbeats', 'electrocardiogram', 'chest', 'experiencing']",validation
audio/Speaker_8/Speaker8-432.wav,troponin is a cardiac enzyme that is elevated during a heart attack and decreases after a heart attack your chest pain may have been relieved by medical treatment since your angiogram did not reveal any blockages in the coronary arteries you might not be suffering from serious heart disease which is why you were not subjected to angioplasty however you should be carefully monitored to control risk factors such as hypertension diabetes and cholesterol in order to avoid a heart attack in the future,troponin is a cardiac enzyme that is elevated during a heart attack and decreases after a heart attack your chest pain may have been relieved by medical treatment since your angiogram did not reveal any blockages in the coronary arteries you might not be suffering from serious heart disease which is why you were not subjected to angioplasty however you should be carefully monitored to control risk factors such as hypertension diabetes and cholesterol in order to avoid a heart attack in the future,Speaker_8,46.07,"['cardiac', 'enzyme', 'elevated', 'decreases', 'chest', 'blockages']",validation
audio/Speaker_8/Speaker8-433.wav,no no be so there is no connection between immunoglobulin a nephropathy and the symptoms you describe immunoglobulin a nephropathy dey usually associate with liver problems all the best if you get any other questions feel free to contact me,no there is no relation between immunoglobulin a nephropathy and the features you described immunoglobulin a nephropathy commonly associates with liver problems all the best if you have any questions feel free to contact me,Speaker_8,21.59,[],validation
audio/Speaker_8/Speaker8-434.wav,e fit be acid related pain i go advise make you continue to avoid smoking and if you dey take alcohol reduce am well well or better still stop am completely if you fit avoid spicy food and fatty food too you fit take antacid for some time together with these advice but if the pain still continue make you go see your doctor e fit advise you to do endoscopy and maybe abdominal ultrasound join am to check better,it could be acid related pain i would suggest continuing to abstain from smoking and if you consume alcohol reduce your intake and if possible abstain from it altogether avoid spicy food and fatty food take antacids for some time along with the above advice and if you still have pain see your doctor who may advise you to have an endoscopy plus or minus an ultrasound of your abdomen,Speaker_8,28.21,"['smoking', 'antacids', 'endoscopy', 'ultrasound']",validation
audio/Speaker_8/Speaker8-435.wav,hi i dey suffer from pulsating feeling for my hand knee and leg the feeling for my knee dey more strong especially for night time this thing don dey happen for like two weeks now last night na the worst one and today i wake up still get tingling feeling for my knee i dey currently take gabapentin for nerve pain for my shoulder and neck e fit be say this one dey related,hi i am suffering from pulsating sensations in my hands knees and legs the sensations in my knees are more noticeable especially at night this has been happening for a couple of weeks last night was probably the worst i have felt it and today i have woken up with a tingling sensation in my knee i am currently on gabapentin for nerve pain in my shoulder and neck can this be related,Speaker_8,26.98,"['pulsating', 'sensations', 'knees', 'gabapentin', 'shoulder']",validation
audio/Speaker_8/Speaker8-436.wav,hi a few days ago i do laparoscopy and dye test to check infertility and i just receive my result dem say both ovaries look normal but there be plenty adhesions especially for right ovary which surgeon manage to cut and release however when dem push 40 milliliters of dye enter my tubes there be small spillage for both sides wetin this mean for my chance to get pregnant,hi a few days ago i had a laparoscopy and dye test procedure to check for signs of infertility and i have just received my results back they state that both ovaries seem normal but there were quite a few adhesions particularly on the right ovary which the surgeon managed to divide however when forty milliliters of dye went into my tubes there was a slight spillage on either side what does this mean for my chances of being able to conceive,Speaker_8,34.78,"['laparoscopy', 'dye', 'test', 'milliliters', 'spillage']",validation
audio/Speaker_8/Speaker8-437.wav,do serum thyroid stimulating hormone test and serum prolactin test then do follicular study after you start clomiphene from day 2 if the follicle size reach about 18 millimeters e go rupture then dem fit do intrauterine insemination for faster results alternatively make you maintain regular intimacy between day 11 and day 18 of your cycle,do a serum thyroid stimulating hormone test and serum prolactin test then perform a follicular study after taking clomiphene starting from day two if the follicle size increases to eighteen millimeters it will rupture and then intrauterine insemination can be done for early results alternatively maintain intimacy between the 11th and 18th days of the cycle regularly,Speaker_8,25.26,"['serum', 'thyroid', 'stimulating', 'hormone', 'test', 'prolactin', 'follicular', 'study', 'clomiphene', 'intrauterine']",validation
audio/Speaker_8/Speaker8-438.wav,the ambulance just rush my 63 year old husband go hospital dem say e get mini stroke e dey repeat some words over and over again like 100 times im left eye dey stuck turn left while the right eye just dey look straight e no even recognize who i be abeg doctor wetin you think say e be,the ambulance just rushed my sixty three year old husband to the hospital he was having a mini stroke he repeated a few words continuously about a hundred times his left eye was stuck towards the left and the right eye just glared ahead he didn t even know who i was what do you think doctor,Speaker_8,18.65,"['ambulance', 'rushed', 'words', 'eye']",validation
audio/Speaker_8/Speaker8-439.wav,i dey get upper stomach problem wey dey make my belly feel weak and like say i go vomit all the time tonight i dey get cold chills and i dey always get heartburn kind symptoms like pain for my upper stomach and inside stomach wey dey make me feel like i go vomit i also dey feel weak and almost like hungry wey no suppose be so wetin fit be my problem and wetin i fit do e really dey scare me,i have been having upper stomach problems that make my stomach feel weak and like i need to vomit all the time i have the chills tonight and i experience heartburn symptoms a lot such as pains in my stomach and upper stomach that make me feel like i am going to vomit i also feel weak and almost hungry which i shouldn t be what could i have and what can i do it s scaring me,Speaker_8,31.63,"['stomach', 'weak', 'vomit', 'chills', 'pains', 'hungry']",validation
audio/Speaker_8/Speaker8-440.wav,hello doctor my stomach dey make plenty loud noise even when i no dey hungry i get anemia and when i start to take ferrous sulfate the stomach noise begin again i remember say later e even start to come with pain so my doctor tell me make i stop the medicine for one month make my stomach rest then later i go start am again i also change to ferrous fumarate but e no help i start to take the tablets again at first i dey feel pain but later the pain go comot although the stomach noise don come back again and e dey even worse now e dey really disturb me because e dey loud especially when i dey inside lecture for university abeg help me,hello doctor my stomach makes a lot of loud noises even though i am not hungry i have anemia and when i started to take ferrous sulfate my stomach noises began again i remember that eventually i started to feel pain along with it so my doctor advised me to stop taking the medication for a month until my stomach calms down and then start taking the tablets again i also switched to ferrous fumarate but that did not help i began taking the tablets again at first i felt pain which eventually disappeared although the noises are back again and it is getting worse it is also bothering me because it is loud especially when i am in the middle of the lecture in the university please help me,Speaker_8,47.72,"['stomach', 'loud', 'noises', 'medication', 'calm', 'ferrous', 'fumara']",validation
audio/Speaker_8/Speaker8-441.wav,yes after circumcision ballooning fit happen for the edges where dem cut during surgery once healing begin e go gradually disappear within like 7 to 8 days no need to worry,yes after circumcision there may be ballooning at the edges where the incision was made post surgery once healing starts it will disappear gradually over the next seven to eight days there is no need to worry,Speaker_8,15.44,['next'],validation
audio/Speaker_8/Speaker8-442.wav,hi your partner wisdom tooth get infection and na that one dey cause the pain and swelling the infection don start to spread na why mouth opening dey difficult and face dey swell e better make you start high dose antibiotics and painkiller for now temporarily e go easier for me to give correct treatment if you fit send picture of your partner face and the affected teeth,hi your partner s wisdom tooth has an infection which is causing the pain and swelling the infection is spreading which is why there is restricted mouth opening and facial swelling it would be best to start with a high dosage of antibiotics and a pain killer temporarily it will be easier for me to provide the correct treatment if you send an image of your partner s face and the affected teeth,Speaker_8,31.05,"['wisdom', 'tooth', 'facial', 'high', 'dosage', 'antibiotics']",validation
audio/Speaker_8/Speaker8-443.wav,i get aneurysmal bone cyst for my fibula almost 3 years ago this year i start to get pain near my shin i think say e relate to my tumor but my surgeon say e no be related now i think say na shin splints but i don dey do stretching well well and the pain still no dey go just recently i start to get pain for my whole popliteal area back of knee e dey happen when i dey walk the pain dey so bad e dey give me goosebumps like sharp stabbing pain wetin i suppose do and wetin fit be the cause,i had an aneurysmal bone cyst in my fibula nearly three years ago just this year i started having pain near my shins i thought this correlated with my tumor but my surgeon said it did not now i know it must be shin splints but i have been very diligent about stretching and the pain still will not go away just recently i have had pain in my entire popliteal region this happens when i walk the pain gives me goosebumps because it hurts so badly it is a stabbing pain what should i do about this what could it be,Speaker_8,39.96,"['aneurysmal', 'bone', 'fibula', 'near', 'shins', 'popliteal', 'goosebumps']",validation
audio/Speaker_8/Speaker8-444.wav,i do mri of my brain and everything normal except one small punctate white matter change for anterior frontal lobe i get plenty problems both body and mind for physical side i dey fall for stairs i dey trip my own leg i dey feel numbness for my hand and fingers i get severe pain for my elbows neck and back and i also get plenty fatty tumors for my legs for mental side i dey feel like i go explode and i no fit stand myself i get serious anxiety depression and i also think say i fit be manic depressive,i had an mri of the brain that was normal except for a single punctate focus of white matter disease in the anterior frontal lobe i have several problems both physical and mental some of the physical symptoms are falling up stairs tripping over my own feet numbness in my hands and fingers severe pain in my elbows neck and back as well as many fatty tumors on my legs mentally i am ready to explode and cannot stand myself i have terrible anxiety depression and i also think i am manic depressive,Speaker_8,36.94,"['mri', 'brain', 'normal', 'white', 'matter', 'disease', 'anterior', 'frontal', 'tripping', 'numbness', 'severe', 'fatty', 'tumors', 'ready', 'explode', 'stand']",validation
audio/Speaker_8/Speaker8-445.wav,my daughter break her arm radius and ulna for april and she do surgery to put pins and plates because the bones no fit align properly at that time doctor tell me say she go need to remove the plates i go follow up review last week and dem tell me say she fit not need to remove am again so i don confuse she still dey complain say if person hold her arm tight e dey pain am but apart from that she dey okay,my daughter broke her arm radius and ulna in april and had surgery to insert pins and plates as the bones were not able to be aligned at the time i was advised that she would need the plates removed i attended a review last week and was told that she may not need to have them removed and i am now confused she complains of pain in the arm if someone holds her arm tightly but is otherwise fine,Speaker_8,31.79,['attended'],validation
audio/Speaker_8/Speaker8-446.wav,the combination of antihistamine medications montelukast and fexofenadine na the best option for you because e go help nasal and chest allergies a bronchodilator cough syrup fit also reduce chest congestion if you really dey uncomfortable you fit take short course of newer corticosteroids however if you do allergy tests and you identify wetin dey trigger am sublingual immunotherapy fit give permanent relief because e dey gain international support for effectiveness in treating seasonal allergies caused by pollen and dust,the combination of the antihistamine medications montelukast and fexofenadine is the best option for you as it will address nasal and chest allergies a bronchodilator cough syrup can ease the chest congestion if you are very uncomfortable you may choose a short course of newer corticosteroids however if you undergo allergy tests and identify the allergens sublingual immunotherapy can provide permanent relief as it is gaining support internationally for its effectiveness in treating seasonal allergies caused by pollen and dust,Speaker_8,42.45,"['antihistamine', 'montelukast', 'fexofenadine', 'chest', 'bronchodilator', 'sublingual', 'immunotherapy']",validation
audio/Speaker_8/Speaker8-447.wav,gallbladder wall don thicken with enlargement and there is echogenic area for hartmann s pouch wey suggest say stone dey for gallbladder for that hartmann s pouch area this one dey point to acute cholecystitis with cholelithiasis stone wey dey stuck for hartmann s pouch abeg i want know whether i fit go for gallbladder removal surgery if there is swelling,gallbladder walls are thickened with enlargement and an echogenic area in hartmann s pouch suggestive of a stone in the gallbladder at hartmann s pouch this suggests acute cholecystitis with cholelithiasis stone impacted in hartmann s pouch please suggest whether i can go for gallbladder removal operation if there is swelling,Speaker_8,31.74,"['thickened', 'enlargement', 'genic', 'area', 'hartmann', 'pouch', 'stone', 'gallbladder', 'acute', 'cholecystitis']",validation
audio/Speaker_8/Speaker8-448.wav,someone i know just notice blood for her piss she also get diarrhea sometimes she dey vomit and she dey feel pain for lower abdomen she get history of abnormal cells wey dem don remove from her cervix twice before and she no go do smear test for about three years she recently do urine test but nothing abnormal show but she no want go back for more tests and i dey worried is this serious,someone i know has just noticed blood in her urine her symptoms also include diarrhea occasional vomiting and pain in the lower abdomen she has a medical history of abnormal cells being removed twice from her cervix and she hasn t gone for a smear test in three years she recently had a urine test done and nothing showed abnormal but she won t go back for more tests and i m worried is this serious,Speaker_8,31.0,"['urine', 'test']",validation
audio/Speaker_8/Speaker8-449.wav,i am glad say your results don come back good everybody need to understand say cancer and precancer conditions no be sexually transmitted diseases e true say cervical cancer dey linked to virus but once the virus enter body antibodies go form and reinfection with the same virus no dey usually happen again you must don pass the virus to your partner long time ago and him too must don develop immunity so e better make you stop to dey worry about transmission now,i am glad that your results have come back good everyone needs to understand that cancer and precancerous conditions are not sexually transmitted it is true that cervical cancer is caused by viruses but once the virus enters the body antibodies form and reinfection with the same virus does not occur you must have transmitted the virus to your partner a long time ago and he too must have developed immunity therefore it would be better to stop worrying about transmission now,Speaker_8,30.79,[],validation
audio/Speaker_8/Speaker8-450.wav,no e no look like say there is problem of blood clot e no dey likely say this kind issue go develop after the injection also this condition dey very serious and e dey come with severe chest pain and severe shortness of breath in any case you fit check your blood pressure and follow low salt diet and reduce how much fluid you dey take,no it doesn t look like there is a problem with a blood clot it is unlikely to develop this issue after the shot also this condition is very serious and is associated with severe chest pain and severe shortness of breath in any case you can have your blood pressure tested and follow a low salt and fluid restricted diet,Speaker_8,31.32,"['severe', 'chest', 'shortness', 'breath', 'blood', 'pressure', 'low', 'salt', 'fluid', 'restricted']",validation
audio/Speaker_8/Speaker8-451.wav,this no be reported side effect of tamoxifen e fit be say na pinched nerve for your neck dey cause am so you need mri of your cervical spine to check if na ruptured disc,this isn t a reported side effect of tamoxifen it could be due to a pinched nerve in your neck so you need an mri of the cervical spine to check for a ruptured disc,Speaker_8,16.21,"['mri', 'cervical', 'spine']",validation
audio/Speaker_8/Speaker8-452.wav,usually you go feel lump during physical examination your pain fit be because of repeated pressing or checking doing the examination once every month go be enough,usually a lump will be felt during a physical examination your pain might be due to recurrent pressing performing the examination once a month will be sufficient,Speaker_8,13.75,['lump'],validation
audio/Speaker_8/Speaker8-453.wav,hello doctor my largest follicle size was 18 mm on day 12 i had a human chorionic gonadotropin injection on day 12 today na day 15 and the scan report show say the largest follicle no dey visible again and e no reduce in size also there is no free fluid the report talk say the follicle don rupture and free fluid dey observed does this mean say i ovulate properly,hello doctor my largest follicle size was eighteen millimeters on the 12th day i had a human chorionic gonadotropin injection on day twelve today is day fifteen and the scan report shows that the largest follicle is not visible and has not reduced in size additionally there is no free fluid the report states that the follicle is ruptured and free fluid is observed does that mean i have ovulated correctly,Speaker_8,34.39,"['human', 'injection', 'follicle', 'ruptured', 'free', 'fluid', 'ovulated']",validation
audio/Speaker_8/Speaker8-454.wav,i no dey come down from car today and when i put my leg down my foot and ankle suddenly get sharp burning pain e no swell but e still dey pain me and now i dey feel am dey shoot go my knee e fit be say i sprain am,i wasn t getting out of the car today and when i put my foot down my foot and ankle mainly too had a burst of pain it was a burning pain it is not swollen but still hurts and i am starting to feel it shoot up to my knee have i sprained it,Speaker_8,17.97,"['foot', 'ankle', 'knee']",validation
audio/Speaker_8/Speaker8-455.wav,reddish blotches for arms neck and chest fit be pityriasis rosea the first small patch for elbow area fit be herald patch which dey typical for pityriasis rosea usually e dey come after respiratory tract infection na self limiting disease however using antihistamines antibiotics calamine lotion for morning and steroid cream for night fit help treat am,reddish blotches on the arms neck and chest can be pityriasis rosea the first small patch at the elbow area can be a herald patch which is typical of pityriasis rosea it is preceded by respiratory tract infection usually it is a self limiting disease however the use of antihistamines antibiotics calamine lotion in the morning and steroid cream at night can help treat it,Speaker_8,33.02,"['reddish', 'chest', 'pityriasis', 'elbow', 'area', 'respiratory', 'tract', 'infection', 'antihistamines', 'antibiotics', 'typical', 'steroid']",validation
audio/Speaker_8/Speaker8-456.wav,back for june i fall from ladder and when i land for the side of my ankle i hear pop sound my ankle immediately bruise and swell e hard for me to waka on am for few days months later i still dey feel dull pain for the side of my leg from ankle go up along the outside of my leg,back in june i fell off a ladder and when i landed on the side of my ankle i heard a pop my ankle immediately bruised and swelled it was very difficult to walk on for a few days months later i am experiencing a dull ache on the side of my leg from the ankle up on the outside of my leg,Speaker_8,22.96,"['fell', 'ankle', 'dull', 'ache', 'leg']",validation
audio/Speaker_8/Speaker8-457.wav,hi there first thing na to rule out any problem for either the man or the woman for men semen analysis dey important and for women ultrasound dey important next thing na to consider natural methods make you know the important fertile days from day 12 to day 16 of the menstrual cycle dey very crucial if this one no work then take clomiphene 50 mg from day 2 to day 6 and do ultrasound on day 12 if still no success then e better make you go see infertility specialist,hi there the first thing is to exclude any pathology in either male or female semen analysis in males and ultrasound in females are important the next thing is to consider natural methods ensure you know about the days that are important from day twelve to day sixteen of the menstrual cycle are crucial if this fails then take clomiphene fifty milligrams from day two to day six and have an ultrasound on day twelve if there is still no success then it is better to consult an infertility specialist,Speaker_8,39.33,"['pathology', 'semen', 'ultrasound', 'exclude', 'ene', 'milligrams']",validation
audio/Speaker_8/Speaker8-458.wav,good evening doctor i dey suffer from serious problem and i no know the reason wetin dey happen be say anytime i sleep my brain no really rest and e dey come with erection of my sexual organ which dey cause plenty nocturnal emissions i be 26 years old and i weigh 59 kg,good evening doctor i suffer from a serious problem and i do not know its reason what happens is that whenever i fall asleep my brain never does so and it is accompanied by the erection of the sexual organ causing many instances of nocturnal emissions i am twenty six years old and weigh fifty nine kilograms,Speaker_8,25.38,['brain'],validation
audio/Speaker_8/Speaker8-459.wav,hi i be 26 year old man and i get problem with sexual performance normally my prick dey function well but when i try to knack woman e no dey stand properly and fluid dey come out from my prick making it hard to maintain erection because of this my sexual activity don reduce abeg i need solution and treatment,hi i am a twenty six year old man and i have a problem with sexual performance the issue is that during normal circumstances my penis functions properly but when i attempt to have sex with women it does not stand up and fluid is released from my penis making it difficult to maintain an erection because of this my sexual activity has decreased can you please provide a solution and treatment,Speaker_8,25.38,['man'],validation
audio/Speaker_8/Speaker8-460.wav,hello this fit be keloid or a neurofibromatosis like condition so you no need to worry too much about am try make sure say no infection enter that area i go suggest make you do fine needle aspiration cytology test of the lump to confirm wetin e be and also to ease your mind i hope this answer your question if you still get more questions or follow up questions no hesitate to write us i go happy to answer you i wish you good health,hello this is possibly a keloid or a neurofibromatosis like condition and you do not need to worry much about this please try to avoid any infection in that area i suggest you undergo a fine needle aspiration cytology test of the lump for confirmation and to alleviate your concerns i hope this answers your question if you have additional questions or follow up questions please do not hesitate to write to us i will be happy to answer your questions wishing you good health,Speaker_8,35.06,"['keloid', 'neurofibromatosis', 'needle', 'lump']",validation
audio/Speaker_8/Speaker8-461.wav,sir i undergo hysteroscopy for february because of bicornuate uterus doctor remove one cyst during the procedure now i dey try conceive so doctor advise follicular study two days ago na day 10 the right ovary measure 13 x 11 mm and left ovary 32 x 19 mm today day 12 right ovary be 14 x 15 mm and left ovary be 32 x 25 mm endometrium be 6 mm for both days on the right side abeg guide me whether this egg size normal for this day ultrasound doctor also tell me say i get cyst for left ovary please tell me the best time to conceive,sir i have undergone a hysteroscopy in february for a bicornuate uterus there was a cyst that the doctor removed now i want to conceive so the doctor has suggested a follicular study the day before yesterday was the 10th day and the right ovary measured thirteen x eleven millimeters and the left was thirty two x nineteen millimeters today on the 12th day the right ovary is fourteen x fifteen millimeters and the left is thirty two x twenty five millimeters the endometrium is six millimeters on both days in the right ovary please guide me whether the size of the egg is normal for this day the ultrasound doctor has informed me that i have a cyst in the left ovary please tell me the best time to conceive,Speaker_8,45.14,"['hysteroscopy', 'february', 'cyst', 'before', 'ovary', 'thirteen', 'eleven', 'millimeters', 'endometrium']",validation
audio/Speaker_8/Speaker8-462.wav,hello you get vague sensation for your thigh and calf wey sometimes worse for morning you get stenosis and arthritis too in my opinion this abnormal sensation for your thigh and calf dey come from spinal stenosis to confirm this we need nerve conduction velocity test for both lower limbs to check nerve pressure for meantime i go suggest painkillers muscle relaxants pregabalin and spinal exercises,hello you have a vague sensation in your thighs and calf which is sometimes worse in the morning you have stenosis and arthritis as well in my opinion this abnormal sensation in your thigh and calf is coming from spinal stenosis to confirm this we need a nerve conduction velocity test for both lower limbs to see nerve pressure in the meantime i suggest painkillers muscle relaxants pregabalin and spinal exercises,Speaker_8,30.28,"['sensation', 'thighs', 'calf', 'stenosis', 'arthritis', 'abnormal', 'spinal', 'nerve', 'conduction', 'velocity', 'test', 'painkillers', 'muscle', 'pressure']",validation
audio/Speaker_8/Speaker8-463.wav,my husband get pulsing painful feeling for im right middle arm e dey pain more when im hand dey hang down by im side also for that same arm when you touch the skin underneath e feel like say bulges or veins dey wey no dey there before wetin fit be this,my husband has a pulsing painful feeling in his right middle arm it hurts worse if his hand lays down by his side also on that same arm if you feel his skin underneath it feels like bulges or veins that were not there before what could this be,Speaker_8,23.55,"['pulsing', 'bulges']",validation
audio/Speaker_8/Speaker8-464.wav,hello welcome to the health center i dey really appreciate your concern if this na acid reflux disease e fit also cause dizziness e fit cause abdominal pain too along with other symptoms in my opinion you fit manage am with omeprazole 40 mg and domperidone 30 mg once daily i hope this information help you,hello welcome to the health center i really appreciate your concern if this is acid reflux disease then it may cause dizziness as well it may cause abdominal pain too along with other symptoms in my opinion this can be managed with the medication omeprazole forty milligrams and domperidone thirty milligrams once a day i hope this information helps,Speaker_8,23.01,"['dizziness', 'abdominal', 'omeprazole', 'milligrams', 'domperidone']",validation
audio/Speaker_8/Speaker8-465.wav,the lupride injection dey usually given about 18 to 24 days after menstruation as preparation for ivf in the next cycle if by chance the woman still get belle naturally before the injection the injection fit cause abortion i dey ask this question for my 34 year old daughter,the lupride injection is given eighteen to twenty four days after menstruation in preparation for in vitro fertilization in the next cycle in case the lady becomes pregnant in a natural way by chance before the injection will the injection cause abortion i am asking this question for my thirty four year old daughter,Speaker_8,27.63,"['lupride', 'injection', 'after', 'vitro', 'fe']",validation
audio/Speaker_8/Speaker8-466.wav,you need to have this re evaluated perhaps by a different doctor a boil should have cleared up by two months so something else is going on or more definitive treatment needs to be done sometimes this requires opening the boil and thoroughly cleaning it out it sounds like the infection is still present since pus is still coming out and in fact if the hole did close up the pus would just accumulate and cause another boil my guess is you need a minor surgical procedure at this point to ensure all the infection is cleared out this can be done in the emergency room or urgent care i hope this helps,you need to have this re evaluated perhaps by a different doctor a boil should have cleared up by two months so something else is going on or more definitive treatment needs to be done sometimes this requires opening the boil and thoroughly cleaning it out it sounds like the infection is still present since pus is still coming out and in fact if the hole did close up the pus would just accumulate and cause another boil my guess is you need a minor surgical procedure at this point to ensure all the infection is cleared out this can be done in the emergency room or urgent care i hope this helps,Speaker_8,55.29,"['boil', 'pus']",validation
audio/Speaker_8/Speaker8-467.wav,my 8 month old son don dey show some strange muscle twitching mostly when e dey finish feeding im right shoulder dey go up reach im ear and im arm dey stretch forward for like 2 to 3 seconds e no dey cry e still dey continue to eat and e no dey stare into space i dey wait for im pediatrician to call me back e fit be say na something else other than infantile spasms this thing dey happen like 2 to 3 times a day,my eight month old son has been exhibiting some strange muscle twitches mostly at the end of his feeding his right shoulder goes up to his ear and his arm extends in front of him for two to three seconds he does not cry he continues to eat and he does not stare into space i am waiting for his pediatrician to call me back can this be something other than infantile spasms this happens maybe two to three times a day,Speaker_8,34.92,"['muscle', 'twitch', 'shoulder', 'up', 'his', 'ear', 'infantile', 'spasms']",validation
audio/Speaker_8/Speaker8-468.wav,hi one semicircular canal dehiscence na rare inner ear condition for this condition person fit get giddiness and imbalance when exposed to loud noise and also echoing of own voice etc this condition usually no dey worsen because of changes in air pressure so air travel no go be problem in this case anyhow make you keep anti vertigo medicine like stemetil ready when you dey fly,hi one semicircular canal dehiscence is a rare inner ear condition in this condition there will be giddiness and imbalance when exposed to loud noise as well as echoing of one s own voice etc this condition usually does not worsen due to changes in environmental pressure so air travel will not be an issue in this case in any case keep anti vertigo medications such as stemetil handy when you fly two patulous eustachian tube is a condition involving the middle ear and nose my guess is that because of the similarity in symptoms you have been given both diagnoses i can say that if there is vertigo then it is superior canal dehiscence if there is no vertigo the chances of patulous eustachian tube are high in any case people with a patulous eustachian tube will experience a certain degree of pressure symptoms in the ear when they fly but most of the time it will not be very severe you can use a simple saline nasal spray before boarding the flight and every two hours during the flight to reduce symptoms,Speaker_8,30.42,"['giddiness', 'stemetil', 'nasal', 'spray', 'during']",validation
audio/Speaker_8/Speaker8-469.wav,hello kidney stone na condition wey dey come back again and again if you don get kidney stone before chance say you go get another one within the next 8 to 10 years dey around 50 so the reason why your pain dey come and go fit be say new stones dey form and when dem dey pass through the kidney tube e dey cause pain surgery no dey prevent new stone from forming each episode suppose be treated as separate case some fit need only medicine while others fit need surgery abeg go see your urologist for proper check up and treatment,hello kidney stones are a recurrent problem if you have a kidney stone the chances of your having another stone in the next eight to ten years are around fifty therefore the cause of your repeated pain attacks may be that you are forming new stones which while passing down the kidney tubes cause you pain surgery does not prevent new stone formation each episode has to be treated as a separate disease some will require medications only while others will require surgery please see your urologist for further evaluation and treatment,Speaker_8,41.01,"['kidney', 'stones', 'medications']",validation
audio/Speaker_8/Speaker8-470.wav,two patulous eustachian tube na condition wey involve middle ear and nose my guess be say because the symptoms similar you fit don get both diagnoses i fit say if vertigo dey na superior canal dehiscence if vertigo no dey chance say na patulous eustachian tube dey high anyhow people with patulous eustachian tube fit still feel some pressure symptoms for ear when dem dey fly but most times e no too severe you fit use simple saline nasal spray before you board flight and every two hours during flight to reduce symptoms,i had abdominal incisional laparoscopic hernia repair surgery in october today april 29th two thousand and eleven i have been experiencing pain in my abdomen when i urinated a clear piece of material was excreted in my urine could this have been the mesh what should i do i am forty five years of age and i weigh three hundred and twenty pounds i had a hysterectomy in two thousand and nine i have high blood pressure and i take medication,Speaker_8,46.18,"['abdominal', 'inc', 'repair', 'surgery', 'age', 'hysterectomy']",validation
audio/Speaker_8/Speaker8-471.wav,my baby na 2 months old and her head dey tilt go left side she fit turn am go right only once once my 18 month old pikin get the same problem before at first dem diagnose am with fourth cranial nerve palsy for the eye we go physical therapy for her neck and she also wear eye patch she never do surgery because her neck position improve but every few months the tilt dey come back again she don do ct scan eeg and mri and all of them come back clinically normal now we don notice the same head tilt for our second baby too we no know say this thing fit be genetic because no other family member ever get am abeg help,my baby is two months old and her head is tilted to the left she will turn her head to the right on rare occasions my eighteen month old had the same problem originally she was diagnosed with fourth cranial nerve palsy in her eye we went to physical therapy for her neck and she wore an eye patch as well she has not had surgery since her neck position has improved however every couple of months the tilt returns she has had a computed tomography scan electroencephalogram and magnetic resonance imaging which all came back clinically normal now we are noticing the head tilt in our second baby we have no knowledge that this is genetic as no other relatives have had issues with this help,Speaker_8,49.34,"['baby', 'eighteen', 'nerve', 'palsy', 'physical', 'therapy', 'tilted', 'computed', 'tomography', 'magnetic', 'resonance', 'head', 'tilt']",validation
audio/Speaker_8/Speaker8-472.wav,e fit be some compression or impingement of nerve root or the sciatic nerve abeg go see neurophysiologist make dem do nerve test take neurobion forte and calcium supplements also make you check your blood sugar e fit no be anything too serious simple remedies fit help,it may be some compression or impingement of a nerve root or the sciatic nerve please see a neurophysiologist for nerve testing take neurobion forte and calcium supplements also get your blood sugar tested it may be nothing serious simple remedies may help,Speaker_8,24.64,"['compression', 'impingement', 'nerve', 'root', 'calcium']",validation
audio/Speaker_8/Speaker8-473.wav,hi doctor yesterday my wife and i go hospital because of pregnancy matter for her the doctor give me five tablets of fertomid 50 mg this medicine dey work i also check my sperm count and e be 35 million while motility na 50 this one okay if e no okay abeg suggest how i fit improve my sperm count please reply me as soon as possible,hi doctor yesterday my wife and i went to a hospital for a pregnancy purpose for her the doctor gave me five tablets of fertomid fifty milligrams does this work i also checked my sperm count which is thirty five million and motility is fifty is this okay if not please suggest how i can improve my sperm count please give me a reply as soon as possible,Speaker_8,29.72,"['wife', 'went', 'hospital', 'tablets', 'milligrams', 'sperm']",validation
audio/Speaker_8/Speaker8-474.wav,i suppose collect my depo provera injection two weeks ago but i decide say i no wan continue am after almost two years of use for these past two weeks i don have unprotected sex like seven times since i start using depo provera i never see period for over one year so i no fit use that one judge anything e fit be say i don get belle,i was due to receive my depo provera injection two weeks ago i have been on it for almost two years and decided to discontinue i have had unprotected sexual intercourse about seven times in these two weeks i haven t had a period for over a year since using the depo provera so i cannot tell could i be pregnant,Speaker_8,25.1,['injection'],validation
audio/Speaker_8/Speaker8-475.wav,hi my 8 year old daughter don receive her second lupron injection for her thigh dem dey give am this injection every 3 months because of precocious puberty her thigh still dey small swollen and dey pain am not too much pain but like sore muscle kind pain she dey limp small because of am she take the injection 3 weeks ago i carry am go back doctor yesterday and doctor no seem too worried since e no get infection but i still dey worry the first time wey she take the injection e pain only the second day and that was all,hi my eight year old daughter has received her second injection of lupron in her thigh she receives these injections every three months for precocious puberty her thigh is still a little swollen and painful not terribly painful but probably similar to how a sore muscle would feel she is limping slightly because of it she had the injection three weeks ago i took her back to the doctor yesterday and the doctor did not seem overly concerned as it is not infected i am still worried the first time she received the shot it hurt the second day and that was all,Speaker_8,42.72,"['lupron', 'thigh', 'swollen', 'sore', 'muscle', 'limping']",validation
audio/Speaker_8/Speaker8-476.wav,hi yes you dey on the right track your doctor go also fit advise you on some medicine wey fit help numb the pain hope you go feel better soon,hi yes you are on the right track your physician will also be able to advise you on some medication that can help numb the pain hope you feel better soon,Speaker_8,10.45,['medication'],validation
audio/Speaker_8/Speaker8-477.wav,hello i understand your worry well well yes the liver enzymes fit still go up if the main cause never receive proper treatment bilirubin level of 4 4 and serum glutamic pyruvic transaminase level of 85 still high small for my own opinion you suppose go do liver function test wey go include serum glutamic pyruvic transaminase and serum glutamic oxaloacetic transaminase for now continue to dey chop healthy food wey get plenty fresh fruits vegetables and dietary fiber supplement you still need to dey take glucose water and multivitamin supplements i hope say this answer your question best wishes,hello i share your concern yes there is a chance for liver enzymes to increase if the underlying cause is not treated a bilirubin level of four point four and a serum glutamic pyruvic transaminase level of eighty five are still on the higher side in my opinion you should undergo a liver function test that includes serum glutamic pyruvic transaminase and serum glutamic oxaloacetic transaminase meanwhile continue taking a healthy diet consisting of lots of fresh fruits vegetables and a dietary fiber supplement you should also take glucose water and multivitamin supplements i hope this answers your question best wishes,Speaker_8,52.08,"['liver', 'enzymes', 'increase', 'bilirubin', 'point', 'serum', 'glutamic', 'pyruvic', 'transaminase', 'eighty', 'function']",validation
audio/Speaker_8/Speaker8-478.wav,do serum thyroid stimulating hormone and serum prolactin test then do follicular study after taking clomiphene from day 2 if the follicle size increase reach 18 millimeters and e rupture then consider intrauterine insemination for quicker results or alternatively make una maintain relations from day 11 to day 18 of the cycle,do a serum thyroid stimulating hormone and serum prolactin test then perform a follicular study after taking clomiphene from day two if the follicle size increases to eighteen millimeters and ruptures then consider intrauterine insemination for early results alternatively maintain relations between the 11th to 18th days of the cycle,Speaker_8,27.14,"['serum', 'thyroid', 'stimulating', 'hormone', 'prolactin', 'follicular', 'study', 'clomiphene', 'follicle', 'size']",validation
audio/Speaker_8/Speaker8-479.wav,metronidazole no get anything to do with whether you go get belle or not wetin really matter na whether you still dey take loestrin regularly if you don stop to take loestrin and you don do unprotected sex then make you do pregnancy test,metronidazole has nothing to do with you getting pregnant what matters is whether you are still taking loestrin regularly or not if you have stopped taking loestrin and have had unprotected sexual intercourse you should take a pregnancy test,Speaker_8,18.58,"['metronidazole', 'loestrin']",validation
audio/Speaker_8/Speaker8-480.wav,hi i dey do back handspring for cheerleading last night and i feel my ankle tear or make some pop sound e pain me well well and till now i still no fit move am or waka on am i no think say e break but e feel like say something wrong with the bone abeg you fit help me,hi i was doing a back handspring at cheerleading last night and i felt my ankle tear or pop or something it really hurt and i still can t move or walk on it i don t think it is broken but it feels like there is something wrong with the bone can you help me,Speaker_8,25.61,"['ankle', 'tear', 'can', 'move']",validation
audio/Speaker_8/Speaker8-481.wav,my 5 week old baby girl neva shit for 4 days now today na the 4th day because of the gas for her belle she dey vomit the milk wey she take she dey try shit but e no dey come out abeg make una tell me wetin to do i dey worried say she fit no gain weight,my five week old baby girl has not passed stools for four days today is the 4th day because of that due to gases in her stomach she is vomiting the milk she has been fed she is trying to pass stools but could not kindly let me know as i am worried that she may not gain weight,Speaker_8,19.64,"['baby', 'girl', 'vomiting', 'stools']",validation
audio/Speaker_8/Speaker8-482.wav,hi mohsin abeg no worry because e go take small time before the symptoms go reduce and e also depend on weather make you go see ear nose and throat specialist make dem examine you and give you proper medicine stick to your treatment plan and make sure you dey go follow up regularly follow these home remedies one stay inside house two use air conditioner for house three wear face mask when you go outside four if you get pets try remove them from house five exercise regularly for one hour six chop healthy balanced food wey get fresh fruits and green leafy vegetables i wish you good health,hi mohsin kindly don t worry as it will take some time for the symptoms to subside and it depends on the weather as well get yourself examined by an ear nose and throat specialist so that they may examine you and prescribe medications stick to your treatment plan and go for regular follow ups follow these home remedies one stay indoors two use an air conditioner at home three wear a face mask when you go outside four remove any pets from your home if you have them five exercise regularly for an hour six eat a healthy nutritious balanced diet that includes fresh fruits and green leafy vegetables wish you good health,Speaker_8,47.76,"['air', 'conditioner', 'remove', 'balanced']",validation
audio/Speaker_8/Speaker8-483.wav,nausea and vomiting after head injury na serious warning sign and need careful attention e no normal internal injury need to be ruled out brain ct scan need to be done,nausea and vomiting after a head injury is an ominous sign and needs to be dealt with caution it is not normal internal injuries need to be ruled out a computed tomography scan of the brain needs to be done,Speaker_8,15.12,"['nausea', 'vomiting', 'head', 'injury', 'internal', 'injuries', 'computed', 'tomography', 'brain']",validation
audio/Speaker_8/Speaker8-484.wav,residual effects from lyme disease fit include neuropathy the fact say pain dey worse at night fit suggest arthritis and neuropathy e important to check whether lyme disease don come back if e no be so you need continue vitamin b12 supplements you suppose start to feel better within two months also try stay warm for night other possibilities include multiple levels of vertebral spondylosis i hope sey i help you well well good luck,residual effects from lyme disease can include neuropathy the peak of pain occurring at night indicates the possibility of arthritis and neuropathy it is important to check for recurrence of lyme disease if there is none you need to continue taking vitamin b12 supplements you should start to feel better within two months also try to stay warm at night other possibilities include multiple levels of vertebral spondylosis i hope i was helpful enough good luck,Speaker_8,34.5,"['at', 'night']",validation
audio/Speaker_8/Speaker8-485.wav,this one na molluscum contagiosum e go disappear by itself ma if the pikin get fever or e dey very weak lethargic then we need to carry am go check am properly ma,this is called molluscum contagiosum it will spontaneously disappear ma am if the child has a fever or lethargy then we have to evaluate ma am,Speaker_8,15.26,['fever'],validation
audio/Speaker_8/Speaker8-486.wav,a 2 year old wey get constipation dey show say im food habit no too good make you give am food wey get high fibre and healthy meals also check for any anal problem like rash or blood just see whether e get rash and apply ointment for that area make sure say e dey drink plenty water and dey chop fruits if the problem continue pass 3 days then make you carry am go see doctor,a two year old having constipation indicates poor dietary habits provide him with high fiber healthy meals also look for local anal problems such as rashes or bleeding just check if he has a rash and apply ointments for that ensure he is getting plenty of fluids and fruits if he has the same problem for more than three days then see a doctor,Speaker_8,25.96,"['constipation', 'poor', 'high', 'fiber', 'healthy', 'problems', 'rashes']",validation
audio/Speaker_8/Speaker8-487.wav,my father get arrhythmia and i carry am go see doctor 3 years ago the doctor prescribe norvasc concor and lipitor and he don dey take them continuously since then but one family doctor advise say make we stop the beta blocker i never fit meet the original doctor wey prescribe the drugs but my father don stop the concor now abeg advise me is there any connection between arrhythmia and concor now he dey fine and no get any problem again,my husband had been experiencing pain in the left side of his stomach just about the area of the last rib he was diagnosed with diverticulitis and given ciprofloxacin as an antibiotic he died in his sleep a week later and the autopsy revealed that three arteries were blocked by seventy five there was no chest pain and no shortness of breath which sounds unusual to me what could have caused his death,Speaker_8,31.79,"['diverticulitis', 'ciprofloxacin', 'died', 'blocked', 'chest', 'shortness', 'breath']",validation
audio/Speaker_8/Speaker8-488.wav,my papa get arrhythmia and i carry am go doctor 3 years ago doctor prescribe norvasc concor and lipitor and since then e don dey use am regularly but one family doctor later advise say make we stop the beta blocker i never fit meet the original doctor wey prescribe the medicine but my papa don stop the concor now abeg advise me is there any connection between arrhythmia and concor now he dey fine and no get any issue again,my father was having arrhythmia and i took him to a doctor three years ago he prescribed norvasc concor and lipitor and now he has been continuously using them however one of our family doctors advised us that we should stop the beta blocker i have not been able to meet the physician who prescribed him those medications but my father has stopped taking it please advise if there is any connection between arrhythmia and concor as now he is fine and having no issues whatsoever,Speaker_8,31.07,['doctors'],validation
audio/Speaker_8/Speaker8-489.wav,you really need make dem check you for arthritis for back wey dem dey call ankylosing spondylitis because e fit affect your back and also cause enthesitis wey fit show as pain for your ribs,you definitely need to be investigated for arthritis of the back called ankylosing spondylitis because it can affect the back as well as cause enthesitis which can present as pain in the ribs,Speaker_8,18.72,['arthritis'],validation
audio/Speaker_8/Speaker8-490.wav,i dey feel moderate pain for my left side when i check well i notice say there is a lump wey dey very painful when i press am e dey about halfway between my hip and underarm area i be 61 years old i go turn 62 for december i do reconstruction surgery about 4 weeks ago because of breast cancer,i am experiencing moderate pain on my left side upon further examination i noticed a lump that is very sore when pressed it is approximately halfway between my hip and underarm area i am sixty one years of age and will be sixty two in december i had some reconstruction surgery four weeks ago due to breast cancer,Speaker_8,23.2,"['moderate', 'lump', 'sore', 'hip', 'underarm', 'sixty', 'age', 'reconstruction', 'surgery']",validation
audio/Speaker_8/Speaker8-491.wav,no you no go get cancer from just one time exposure to mobile phone however plenty studies don show say long term exposure to mobile radiation fit get harmful effects and even contribute to cancer risk so make you just take normal precautions with your phone like anybody else dey do,no you will not get cancer from a single mobile phone exposure however many studies suggest the harmful effects of mobile radiation in the long term in causing cancer therefore take precautions that anyone would with your mobile phone,Speaker_8,19.76,['cancer'],validation
audio/Speaker_8/Speaker8-492.wav,hello as far as i understand you see positive pregnancy test and you take more than one unwanted 72 tablet however those tablets only dey effective if you take am within 72 hours after unprotected intercourse you need go see doctor so dem fit check the current status of the pregnancy and advise you the right treatment or next step,hello as far as i understand you saw a positive pregnancy test and took more than one unwanted seventy two tablet however those tablets are only effective if taken within seventy two hours of unprotected intercourse you should visit a doctor so that he or she can check the current status of your fetus and suggest an appropriate remedy,Speaker_8,23.64,"['positive', 'pregnancy', 'test', 'within', 'seventy', 'understand', 'fetus']",validation
audio/Speaker_8/Speaker8-493.wav,hi my papa creatinine level dey over 227 i no really understand wetin that one mean except say e very high and e kidney function dey around 24 he be 76 years old and hospital no wan do dialysis because im heart dey fail too wetin all this mean for my papa now wetin be im life expectancy and wetin i suppose expect go happen,hi my father has a creatinine reading over two hundred and twenty seven i am not sure what this means except that it is way too high and his kidneys are working at twenty four he is seventy six years old and the hospital will not perform dialysis as his heart is failing too what does this mean now for my father what is his life expectancy and what can i expect to happen,Speaker_8,31.35,"['creatinine', 'seventy', 'dialysis']",validation
audio/Speaker_8/Speaker8-494.wav,my 23 year old daughter dey get pain for sternum she dey struggle to swallow any food even smoothie and she also dey find am hard to breathe she get sinus infection and she don dey take antibiotics since friday today na tuesday i never get call back from doctor urgent care tell her say na heartburn and send her go abeg should i carry her go emergency room,my twenty three year old daughter has pain in the sternum difficulty swallowing any foods even a smoothie and difficulty breathing she has had a sinus infection and has been on antibiotics since friday today is tuesday i have not received a call back from the doctor urgent care told her she had heartburn and sent her away should i take her to the emergency room,Speaker_8,26.54,"['difficulty', 'swallowing', 'antibiotics', 'emergency', 'room']",validation
audio/Speaker_8/Speaker8-495.wav,hi as you don talk your history you definitely need physiotherapist to help improve your muscle strength and joint mobility also doing correct exercises for the right direction and movement patterns with proper effort for muscle strengthening is very important try focus on the hand as one complete unit because e complex and need careful attention considering different factors with god help i wish you quick recovery,hi as you mentioned your history you definitely need a physiotherapist to assist in furthering your muscle strength and joint mobility additionally performing proper exercises in the correct axis and planes with maximum leverage application for muscle strength is essential focus on the hand as a whole because it is a complicated unit and needs thorough attention considering various factors with the grace of god i wish you a speedy recovery,Speaker_8,31.32,"['physiotherapist', 'exercises', 'correct', 'axis', 'planes']",validation
audio/Speaker_8/Speaker8-496.wav,hello no you no fit get pregnant from oral intercourse alone pregnancy dey happen only with vaginal intercourse without protection especially during fertile period the bleeding periods you dey experience no be from pregnancy e fit be due to hormonal imbalance i recommend make you check thyroid profile serum prolactin and fasting insulin levels also do ultrasound to check endometrial thickness if you dey take birth control pills irregular use fit also cause this kind problem,hello no you can never get pregnant from oral intercourse alone vaginal intercourse without precautions would lead to pregnancy during the fertile period the periods you are experiencing are not due to pregnancy but may be caused by hormonal imbalance i recommend getting your thyroid profile serum prolactin and fasting insulin levels tested additionally an ultrasound to assess the endometrial thickness is advisable if you are taking birth control pills irregular use may contribute to this issue,Speaker_8,35.43,"['pregnant', 'oral', 'intercourse', 'vaginal', 'ultrasound', 'irregular']",validation
audio/Speaker_8/Speaker8-497.wav,hi i be 26 years old my mama tell me say when i be 1 year old i dey shake small small and my pediatrician at that time say e normal but now after 25 years i don start to shake again plenty my face hand and leg dey shake even when i dey rest or when i no dey do anything e dey more noticeable especially when my elbow dey rest for hard surface abeg doctor wetin fit be this,hi i am twenty six years old my mom told me that when i was still one year old i was really shaking and my pediatrician said it was normal twenty five years later i am shaking a lot lately i do not know why my face hands and legs shake while resting or even when i am not it is especially noticeable when my elbows are resting on a hard surface what could this be doctor,Speaker_8,30.49,"['shaking', 'legs', 'shake', 'resting', 'elbows']",validation
audio/Speaker_8/Speaker8-498.wav,well you don try take deep breath i mean inhale well well if e dey more painful when you do am e fit mean say you get fractured rib or chest wall contusion either way any injury like this go benefit from anti inflammatory drugs wey also dey act as pain relief you fit take celecoxib 400 mg once daily for 7 days 30 minutes after food,well have you tried breathing deeply i mean inhaling deeply if it is more painful you probably have a fractured rib or a contused chest wall either way any injury would benefit from anti inflammatory medications which serve as a pain reliever as well celecoxib four hundred milligrams once a day for seven days thirty minutes after a meal,Speaker_8,31.14,"['rib', 'chest', 'celecoxib', 'milligrams', 'minutes', 'after']",validation
audio/Speaker_8/Speaker8-499.wav,no this no look like serious problem if your ecg come normal i no sure why dem tell you say there is tightness for your heart muscle because heart muscle no dey get that kind condition maybe wetin dem mean be say there is tightness of chest muscles which na the most common cause of chest pain and breathing difficulty when no be heart issue,no this does not appear to be a serious problem if your electrocardiogram was normal i am not sure why he told you that there is tightness in your heart muscle as heart muscles do not get this condition maybe you were told there is tightness of chest muscles which is the most common cause of chest pain and breathing problems without any cardiac issue,Speaker_8,31.14,"['electrocardiogram', 'tightness', 'chest', 'breathing', 'problems']",validation