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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: I cannot provide medical advice. If you are concerned about your husband’s fertility or sexual health, I suggest you consult a healthcare professional. Is there anything else I can help you with?
Context: Erectile dysfunction and fertility issues can be complex and multifaceted, often involving psychological, hormonal, and physical factors. A semen analysis is a common diagnostic tool used to evaluate male fertility, assessing parameters such as sperm count, motility, and morphology to identify potential abnormalities.
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The scrotal sac differs from person to person and has no relation to conception. Premature ejaculation and decreased libido are often related to performance anxiety. To boost confidence and achieve good erection and delay ejaculation, consider the following measures:
1. Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2. Consume a high protein diet rich in vegetables, fruits, and vitamins A, C, D, E, and Zinc.
3. Take antioxidants such as almonds (5-6 per day).
4. Avoid alcohol and smoking.
For sustainable erection, sildenafil (Viagra) may be taken as needed. For conception, a semen analysis should be performed to rule out any abnormalities.
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healthcaremagic
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cb18580490deb9c1
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: A 2-year 11-month-old child is experiencing frequent colds, coughs, and ear infections.
Context: A 2-year 11-month-old child is experiencing frequent colds, coughs, and ear infections. The child has visited a doctor 4 times in the past 4 months. Despite antibiotic treatment, the condition has not been fully resolved.
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Repeated cough and cold is more commonly due to viral infection or allergic disorder. Bacterial infection must be ruled out after thorough clinical examination and investigation. If fever is not associated with other symptoms and there is a positive family history of allergic disorder, it is more suggestive of allergic origin. Upper respiratory symptoms are often associated with ear problems, regardless of viral, bacterial, or allergic causes. In allergic disorders, montelukast/levocetrizine syrup may be prescribed. Consult a pediatrician for proper evaluation to determine whether the infection is bacterial (requiring antibiotic treatment) or another condition.
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healthcaremagic
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0f056f0690a63541
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Toothache pain in one of the bottom teeth.
Context: Consider taking pain killers such as ibuprofen or acetaminophen. Visiting a pharmacist for emergency antibiotics may be considered if necessary. Ponstan is typically used for migraines and may not be effective for toothache pain.
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Pain in the tooth can be due to caries or periodontal problem. Consult a dentist and undergo investigations, including an IOWA X-ray. If the tooth is carious, consider restoration or root canal treatment. If the issue is periodontal, consider scaling and root planning. For temporary pain relief, take one tablet of a painkiller twice daily for 3 days. Additionally, take one capsule of vitamin B complex once daily for three days.
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healthcaremagic
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adda501d326e10bb
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Herniated disc, 3 years duration. 3 months ago, experienced excruciating pain. Pain resolved after 24 hours. Current symptoms include:
Context: Herniated disc, 3 years duration. 3 months ago, experienced excruciating pain. Pain resolved after 24 hours. Current symptoms include: Lower leg swelling after walking for approximately 1 hour.
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If the disc bulge is not compressing the nerve root, conservative treatment may be effective. Symptoms persisting may require surgical decompression. Medications such as methylcobalamine and pregabalin can reduce pain, which can be initiated under a doctor's consultation. Spine extension exercises can be beneficial, including:
* Lying on the stomach, lifting one leg 6 inches off the ground, and holding for 10 breaths
* Lifting both hands and legs simultaneously 6 inches off the ground and holding for 10 breaths
* Core stabilizing spine exercises
A physiotherapist may provide guidance and recommend treatments such as TENS or ultrasound. If symptoms persist, an epidural injection may be considered.
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healthcaremagic
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ec73f8136e406b77
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Broken tooth on left side bottom had a cavity. Dentist repaired cavity and filed tooth down. Next step is a crown. Severe pain was experienced from June 21. Two ADVILs were taken, but stomach became upset, chin became numb, and lower bottom left lip experienced tingling. X-ray was taken and showed gum infection. Amoxicillin-clavulanate 875-125mg tablet was prescribed. Follow-up appointment is on June 25th. If infection clears, dentist plans to open tooth and put pain medicine down.
Context: Tooth on left side bottom had a cavity. Dentist repaired cavity and filed tooth down. Next step is a crown. Severe pain was experienced from June 21. Two ADVILs were taken, but stomach became upset, chin became numb, and lower bottom left lip experienced tingling. X-ray showed gum infection. Amoxicillin-clavulanate 875-125mg tablet was prescribed. Follow-up appointment is on June 25th. If infection clears, dentist plans to open tooth and put pain medicine down.
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Pain in tooth after cavity filling and preparation of tooth for placing a crown indicates that the nerves of the tooth have been opened up due to preparation of cavity to retain the filling, causing inflammation. This condition is known as Chronic Irreversible Pulpitis.
Symptoms include exposed nerves and blood vessels present in the central portion of the tooth in a small chamber known as the Pulp.
Treatment involves:
* Removal of the filling under local anesthetic
* Root Canal Treatment
* Antibiotic therapy with AMOS TR-K CLV 875-125MG TAB taken twice daily
* Pain relief with painkillers such as Ibuprofen for moderate pain, or Motorola or Tramadol for severe pain.
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healthcaremagic
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2249918798fae009
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Diagnosed with thymic cancer. Taking ibuprofen for pain management instead of prescribed medication due to harsh side effects. Experienced respiratory issues recently. Undergoing radiation and chemotherapy treatments, with improvement in all aspects except breathing.
Context: Diagnosed with thymic cancer. Taking ibuprofen for pain management instead of prescribed medication due to harsh side effects. Experienced respiratory issues recently. Undergoing radiation and chemotherapy treatments.
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Thyroid cancer causes respiratory distress. Factors important in choosing a treatment include the type and stage of the cancer, whether it is resectable (able to be completely removed with surgery), and whether you have any other serious medical problems.
The main treatments for thyroid cancer are:
Surgery
Radiation
Chemotherapy
Respiratory distress can be managed by:
Nebulization
USG guided pleural fluid tapping
Steam inhalation
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healthcaremagic
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8442e374e9c06863
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Spinal cord injury in Sept. 2013 resulted in paralysis and urinary retention for one month. Current symptoms include incomplete urination and leg swelling. Patient is taking Flomax to aid urination and water pills to manage leg swelling. EMG results indicate nerve damage. Additional symptoms include shiny shins with occasional blistering or splitting, despite lack of visible swelling.
Context: Spinal cord injury in September 2013 resulted in paralysis and urinary retention for one month. Current symptoms include incomplete urination and leg swelling. Patient is taking Flomax to aid urination and water pills to manage leg swelling. EMG results indicate nerve damage. Additional symptoms include shiny shins with occasional blistering or splitting.
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Blisters can be due to:
1. Autonomic Neuropathy
2. Vitamin Deficiency
3. Involvement of Autonomic Pathways
Subclinical and lab evaluation is needed to narrow down the diagnosis and start appropriate treatment. Consult a Neurosurgeon at the earliest.
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healthcaremagic
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4afe2321640c01cf
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: A 48-year-old woman underwent a USG (ultrasound) examination, which showed:
Context: A 48-year-old woman underwent a USG examination, which showed:
USG examination results:
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Mildly enlarged liver and heterogeneous parenchymal echo pattern may indicate liver parenchymal disease. Possible causes include hepatitis and metabolic disorders. Diagnostic tests may include routine hologram, viral markers, random blood sugar, liver and renal function test, lipid profile, and urine RE/ME. A liver biopsy may be necessary after evaluation. Medication may be prescribed after evaluation.
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healthcaremagic
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818cfa8dfd6c69bc
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: I have multiple small bruises on the insides and backs of my thighs, approximately 15 in number. The bruises appeared without any apparent cause in the past few days. I have experienced similar episodes in the past, but infrequently. I also have a sore throat that started a few days ago. I am a 21-year-old female with no other symptoms. My medical history is notable for a family history of cancer, including melanoma and colon cancer.
Context: Multiple small bruises on the insides and backs of the thighs, approximately 15 in number, appeared without apparent cause in the past few days. Similar episodes occurred in the past, but infrequently. A sore throat started a few days ago. The patient is a 21-year-old female with no other symptoms. Family history includes cancer, specifically melanoma and colon cancer.
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Spontaneous bruises may indicate a bleeding disorder, coagulation defect, or thrombocytopenia with a reduced platelet count. Certain viral infections can cause a decrease in platelet count, leading to spontaneous bleeding. These conditions are not related to cancer. A doctor should be consulted for examination and testing of platelet count and coagulation profile.
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healthcaremagic
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2ea9f169cf2afbca
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Pregnancy viability assessment.
Context: * 31 December: Clearblue test, 1-2 weeks pregnant, add 2 weeks for doctor's dating
* 14 January: 3+ weeks, add 2 weeks for doctor's dating
* 21 January: Estimated gestational age 5 weeks 3 days.
* Current symptoms: None (no cramping, no bleeding).
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There are two possibilities regarding the pregnancy. If conception occurred in October, the pregnancy should be approximately 12 weeks. However, the fetus measured only 5 weeks 3 days on the ultrasound examination, which is not normal to see fetal heartbeat at this stage.
It is possible that conception occurred later in the cycle, potentially in late November or early December. In this case, the fetus could be viable and younger than expected by dates.
To determine the correct diagnosis, another ultrasound examination should be performed approximately 2 weeks later. By then, evidence of fetal heartbeat should be visible if the pregnancy is normal.
The most reliable sign of pregnancy is a missed menstrual cycle. Judging the number of weeks of pregnancy on a urine test is extremely inaccurate due to the variability in hormone levels and urine concentration.
I advise repeating the ultrasound examination in 2-3 weeks. In the meantime, take good care of yourself by eating a well-balanced diet.
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healthcaremagic
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6e59dd27df97f69f
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Bruised and torn muscles around ribs. X-rays showed no fracture or break. Pain is severe. Pain radiates to the breast on the side of the rib injury. Bending exacerbates a shooting burning feeling in the breast.
Context: Bruised and torn muscles around ribs. X-rays showed no fracture or break. Pain radiates to the breast on the side of the rib injury. Bending exacerbates a shooting burning feeling in the breast.
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tissue / muscle injury following accident
X-ray of chest to recheck for injury
prescribe analgesics, muscle relaxants, and enzymes for fast healing
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healthcaremagic
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697b3f38ded05f3e
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: I AM 33 YEARS OF AGE, 510 CM TALL, AND WEIGH 225 POUNDS. I HAVE AN INFECTED WISDOM TOOTH. I AM ALLERGIC TO PENICILLIN.
Context: 33 years of age, 510 cm tall, 225 pounds. Infected wisdom tooth. Allergic to penicillin.
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Infected wisdom tooth infection can be due to carious or decayed tooth with Periapical pathology, Periapical Abscess, or Impacted or Partially erupted tooth with Periodontal abscess.
Treatment options include:
* Root canal treatment
* Extraction of tooth
Self-care measures:
* Warm saline rinses
* Antibiotics (e.g. Ofloxacine) with doctor's consultation
* Analgesics (e.g. Paracetamol or Diploma) if not allergic
* Vitamin B supplement
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healthcaremagic
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a33caadaf909c48c
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Red spot on right leg inner thigh, multiple lesions with yellow heads, large in size, angry red in color.
Context: Red spot on right leg inner thigh, multiple lesions with yellow heads, large in size, angry red in color.
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Skin conditions are best diagnosed only after seeing directly. It may be an allergy like simple urticaria or a rapidly spreading pyoderma, as indicated by the presence of many yellow heads. Uploading photographs of the condition would be helpful for a more accurate diagnosis.
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healthcaremagic
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747fd362cc177c16
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Burning sensation after ejaculation, progressing to intermittent burning sensation and slight pains in the penis and groin area, relieved by ibuprofen. Associated symptoms include frequent urination and constant feeling of needing to urinate.
Context: Burning sensation after ejaculation, progressing to intermittent burning sensation and slight pains in the penis and groin area. Associated symptoms include frequent urination and constant feeling of needing to urinate. Relieved by ibuprofen.
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This could be signs of Interstitial Cystitis (ITI). Further information is needed to help diagnose, including age, sex, and relevant medical history such as diabetes or other metabolic disease.
Since how long you have this problem?
I would advise you to consult your doctor for a battery of investigations including urine microscopy as well as urine culture and sensitivity test.
A course of antibiotics may be required depending on the report.
Plenty of fluids should be consumed to flush off the urogenital tract.
Maintain good hygiene.
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healthcaremagic
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e047732eebaae45c
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Stomach pains, nausea, vomiting, and abdominal discomfort.
Context: Stomach pains, nausea, vomiting, abdominal discomfort.
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A general clinical examination of the abdomen, routine stool test for ova and cyst, a liver function test, and an ultrasound abdomen if considered essential by depending on the clinical and investigative findings would be advised. Anti-emetic, a proton pump inhibitor, a probiotic, and an anti-spasmodic may be prescribed if necessary. A high fiber diet and enough liquids should be followed if tolerated. Further management would depend on the clinical findings and investigation reports.
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healthcaremagic
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d0c5f9c3ca9ae5d7
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Abdominal pain, chest pain, and facial swelling.
Context: Breathing problems since October 2008, possibly related to exposure to chemicals and fumes. History of gallbladder removal in August 2009 due to gallstones. Suspected liver and kidney damage at the time, but liver and kidney function was reportedly normal.
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Noted history of gall bladder removal and reports of normal kidney and liver function.
Probable diagnosis of abdominal and chest pain, swollen face and lips: pleural inflammation due to simultaneous pain in abdomen and chest.
Diagnosis can be confirmed by:
- CT scan of chest and upper abdomen
- Upper GI endoscopy
- Disc compression in upper thoracic area may also cause similar pain.
Recommended tests: CT scan, upper GI endoscopy.
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healthcaremagic
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47495844faabb514
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Sharp pain above the navel, radiating to a 3-inch diameter area above the groin and to the right.
Context: Sharp pain above the navel, radiating to a 3-inch diameter area above the groin and to the right. Possible causes include bacterial infection, umbilical hernia, and appendicitis.
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Appendicitis is a high probability. The pain begins in the per umbilical region and then migrates to McBirney point, the junction of the medial 2/3rd and lateral 1/3rd of a line joining the naval with the anterior superior iliac spine. Further evaluation is needed. Blood counts, urine examination, and ultrasound scan of the abdomen are required. In appendicitis, blood counts will be high, urine will be normal or show mild hematuria, and USG abdomen will show an elongated or enlarged appendix. Treatment is mainly surgical, however in some rare mild cases, medical management with painkillers and antibiotics may be tried.
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healthcaremagic
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514ca0f82f666030
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Chest pains in a 9-year-old girl, described as feeling like something is stuck in her chest.
Context: Chest pains described as feeling like something is stuck in her chest. Rapid weight gain over the past year, from 68 lbs to 95 lbs.
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Chest pain in a child. No specific symptoms like cough or fever present. Chest x-ray done for investigation. Foreign body ingestion is a possible cause, especially in a small child. Auscultation also done. Treatment depends on the cause. If foreign body is present, it may be removed through bronchoscopy if necessary. If no cause is identifiable, muscular strain may be the cause. Rapid weight gain in a child may indicate hypothyroidism. Consult a pediatrician for further evaluation.
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healthcaremagic
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2ef0e585a62dcfdb
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Lupus patient in remission, still on prednisolone. Diagnosed with adrenal fatigue. Unable to test hormone levels due to prednisolone use. Prescribed to increase prednisolone dose. Has osteoporosis.
Context: Lupus patient in remission. Diagnosed with adrenal fatigue. Unable to test hormone levels due to prednisolone use. Prescribed to increase prednisolone dose. Has osteoporosis.
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Body stops secreting natural steroids once taking it from outside on a long term basis.
Increasing steroid dose may not help if experiencing no problems like pigmentation, low blood pressure, low blood sugar.
Osteoporosis requires careful consideration.
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healthcaremagic
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ae818c965bc22c42
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Mantle cell lymphoma progression:
Context: Treatment was discontinued due to lack of efficacy. Pain in the upper right quadrant, radiating to the shoulder blades.
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Mental cell lymphoma is one of the most aggressive tumors known. It is resistant to chemotherapy and rapidly worsening in days. A patient with right sided back and chest pain may be developing malignant effusion. A chest x-ray is necessary to rule out this condition. If effusion is present, pigtail catheter insertion may help symptomatically.
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healthcaremagic
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c499c0b9afa51908
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Painful left lower wisdom tooth eruption, swollen and tender lymph nodes, and a large patch on the left cheek resembling acne.
Context: Painful left lower wisdom tooth eruption, swollen and tender lymph nodes, large patch on left cheek resembling acne.
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during the eruption of wisdom tooth it may cause pain. If the tooth is infected then it may lead to enlarged lymph node.
First get an OPG X-ray. If the patch is white then it may be due to cheek bite, leukoplakia or candidiasis. These conditions can also be confirmed by seeing the patch.
For both conditions visit a dentist. For wisdom tooth pain, do warm saline gargles and take painkiller.
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healthcaremagic
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39d6057216303a93
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Moderate headaches with pain mainly in the back of the head, high on the left side. Pain is relieved with pain meds but often radiates to other parts of the head. There is a swelling on the left side of the neck.
Context: Moderate headaches with pain mainly in the back of the head, high on the left side. Pain is relieved with pain medication. Pain radiates to other parts of the head. Swelling is present on the left side of the neck.
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You are experiencing moderate headaches, primarily located in the back of the head and high on the left side. Additionally, swelling is present on the left side of your neck. An X-ray of the neck is recommended to evaluate the swelling. Spondyloarthrosis is a suspected diagnosis, particularly if pain subsides with pain medication. Further diagnostic tests are necessary to confirm the diagnosis. Continue taking pain medications and avoid applying any local treatments until the nature of the neck swelling is fully understood.
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healthcaremagic
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3111995507810a17
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Severe flu-like symptoms led to a diagnosis of meningitis on Thursday. The condition was later determined to be viral. The patient was instructed to stay home and rest for 1 week. The patient reported feeling better yesterday but is not feeling as well today. This fall back in symptoms may be a normal part of the recovery process, but it could also be a sign of a possible relapse.
Context: Severe flu-like symptoms led to a diagnosis of meningitis. The condition was later determined to be viral. The patient was instructed to stay home and rest for 1 week. The patient reported a fall back in symptoms. This may be a normal part of the recovery process, but it could also be a sign of a possible relapse.
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Meningitis is caused by a virus. The patient was discharged from the hospital due to the presence of antigen antibodies, which suggests that the infection is self-limiting. The patient's tiredness is a normal part of the recovery phase. If fever is not present, there is no need to worry. The patient should be advised to take a good nourished diet, get complete rest, and remain in contact with the doctor.
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healthcaremagic
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2962365f1e46213a
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: My wife has been experiencing left leg pain and weakness for 15 years. Recently, she developed left arm, face, and tongue weakness and numbness. She was diagnosed with a 5mm Chiari malformation and treated with steroids for migraines. A neurosurgeon evaluated her and stated she is ineligible for surgery. She was also tested for multiple sclerosis but the results were negative due to no lesions and multiple side symptoms.
Context: Left leg pain and weakness for 15 years. Recently, developed left arm, face, and tongue weakness and numbness. Diagnosed with a 5mm Chiari malformation. Treated with steroids for migraines. Neurosurgeon evaluation: ineligible for surgery. Tested for multiple sclerosis: negative results due to no lesions and multiple side symptoms.
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Performing a cervico-thoracic spine MRI study to exclude possible syringomyelia, which could cause her symptoms. This is a common complication of Chary Malformation. Starting an antidepressant, especially considering the fact that she suffered from migraines.
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healthcaremagic
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407b462ffed5d28a
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Delayed planar images demonstrate mild uptake within the left L4-L5 region. SPECT-CT of the lumbar spine was obtained, showing no evidence of disc uptake but very mild facet uptake at L4-L5 on the left. Hypertrophic facet degenerative changes are seen in the region.
Context: Delayed planar images demonstrate mild uptake within the left L4-L5 region. SPECT-CT of the lumbar spine shows no evidence of disc uptake but very mild facet uptake at L4-L5 on the left. Hypertrophic facet degenerative changes are seen in the region.
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The uptake seen at L4 - L5 with hypertrophic facet changes are indicative of degeneration due to aging. Such changes occur with age and can cause mild lower back pain and spasm of muscles. A pinched nerve can also arise from this condition.
A lumbar spine MRI scan may be necessary to determine if there is a disc herniation or nerve impingement.
There is no serious concern for the above findings.
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healthcaremagic
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dfcf2fc867094eba
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: I cannot provide medical advice. If you are considering an abortion, I suggest you consult a medical professional. Is there anything else I can help you with?
Context: The question pertains to a sensitive and complex issue involving reproductive health and decision-making. The answer provided suggests a need for couples counseling or therapy to address conflicting opinions and emotions surrounding abortion, highlighting the importance of open communication and mutual understanding in resolving this issue.
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The cause of your fear is due to conflict of opinion. This is normal. You have a good human viewpoint towards this issue. However, you must also understand your husband's viewpoint. He may be compelling you to abort due to some compelling issues.
To resolve this, I suggest discussing the issue with your husband. Understand his feelings and points. Do not argue, as arguments provide no result. Instead, have a discussion, which can produce results and decisions.
Psychotherapy techniques may be suitable for your requirement. If you require more help in this aspect, please post a direct question to me with every minute detail possible. I can then prescribe the needed psychotherapy techniques.
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healthcaremagic
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654091a31e52a652
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Fell approximately 9 years ago on coccyx. Experience pain from coccyx area radiating to both hips when walking. Pain occurs when standing for extended periods, resolves when sitting.
Context: Fell approximately 9 years ago on coccyx. Experience pain from coccyx area radiating to both hips when walking. Pain occurs when standing for extended periods, resolves when sitting.
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Symptoms could be related to a pinched nerve in this region (also called neuralgia), or a bulging disc in the vertebral column, probably due to trauma. A neurologist consultation and CT scan of the lumbosacral spine, coupled with a nerve conduction study, may be recommended.
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healthcaremagic
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a45fafebf0c92a8c
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: A one-month-old infant cries excessively at night, despite regular breastfeeding and formula feeding, as well as proper burping after each feeding. The parents have been advised by friends to administer Neopeptine in a mild dose and Colicaid only when necessary, but the doctor has refused to prescribe any medication.
Context: Excessive crying in a one-month-old infant despite regular breastfeeding and formula feeding, and proper burping after each feeding. The parents have been advised to administer Neopeptine in a mild dose and Colicaid only when necessary, but the doctor has refused to prescribe any medication.
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Evening colic is a common condition in this age group. It occurs when the baby sucks at the breast too quickly, gulping in air, which can cause discomfort. This discomfort persists unless the air is released through burping or passing gas.
Two effective ways to relieve this distress are:
1. Avoid placing the baby in a lying position after feeding until she burps out the swallowed air.
2. If the baby continues to cry, place her in a prone position and gently pat her back to help her pass gas and relieve discomfort.
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healthcaremagic
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81ef87bd18150851
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: A bump in the lingual tonsil area with a yellowish color, not pink like the rest. Associated symptoms include a bug and congested throat/nose.
Context: A bump in the lingual tonsil area with a yellowish color, not pink like the rest. Associated symptoms include a bug and congested throat/nose.
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There are naturally larger taste buds at the back of the tongue compared to the front. Lingual papillae are also present. An infection may cause enlarged taste buds or papillae due to infection, medication, or allergy. It can also be an ulcer. This condition often occurs with fever and infection and may regress on its own. Check if the affected area is discolored, enlarged, or has uneven borders. If so, seek medical attention.
To manage symptoms, take prescribed medications and a multivitamin tablet daily. Maintain good oral hygiene by rinsing with warm saline solution if tolerated. Eat a balanced diet. If eating causes burning, apply oral anesthetic gel 5 minutes before meals.
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healthcaremagic
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9d2a03c9ae6960b2
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Husband suffered a stroke in October 2016. Initially, he exhibited agitation, cursing at nurses and physically resisting them. In the acute hospital, he was prescribed Ridlin, which provided some improvement. He was then transferred to a skilled nursing rehabilitation facility, where he was given Serquel. Despite some progress, he appears tired and sleepy, and therapy sessions are reportedly suboptimal due to his somnolence.
Context: Husband suffered a stroke in October 2016. Initially, he exhibited agitation and physically resisted nurses. He was prescribed Ridlin, which provided some improvement. He was then transferred to a skilled nursing rehabilitation facility, where he was given Serquel. Despite some progress, he appears tired and sleepy, and therapy sessions are reportedly suboptimal due to his somnolence.
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Person with stroke may present with behavior disturbance due to loss of control over emotions and disorientation. Sedatives may be administered for treatment.
If the patient experiences leg pain and increased salivation, consult a psychiatrist.
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healthcaremagic
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2bf7c3a573fe2b9d
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Dizziness at the end of the day, around 4:30 to 5:00, for the last two days. Symptoms are dizziness and lightheadedness. No changes in eating patterns or habits.
Context: Dizziness at the end of the day, around 4:30 to 5:00, for the last two days. Symptoms include dizziness and lightheadedness.
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Increase fluid intake using pure and fresh water for the next several days.
Cut out caffeine and caffeinated beverages.
Ensure adequate rest.
If symptoms persist, consider scheduling an appointment with a doctor for examination and laboratory analyses to check for electrolyte disturbances, anemia, or infection.
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healthcaremagic
|
709a1bf36c125773
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rag_medical_qa
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Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Severe lower back pain located at L-5 on the left side.
Context: Severe lower back pain located at L-5 on the left side. Previous injury: fall down a small flight of stairs with 25 lbs in hand, striking the right side of the buttox, resulting in a contusion. Persistent pain in the area despite no clear source identified.
|
Pain traveling down the leg and increasing in intensity suggests advancing disease. A herniated disc disease is a probable diagnosis. Consult a Neurologist to discuss the possibility of imaging studies of the lumbar spine. Imaging studies should include plain radiographs and MRI. Treatment modalities will become clear after these studies.
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healthcaremagic
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2fa72eef6274a323
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you are concerned about your son's mental health, I suggest you consult a qualified mental health professional. Is there anything else I can help you with?
Context: Mental health issues in children and adolescents can manifest in various ways, including low self-confidence, self-esteem problems, and emotional difficulties. A psychological counselor can play a crucial role in helping young individuals develop coping strategies and build resilience to overcome these challenges.
|
Low self-confidence, low self-esteem, confusion, indecision, and weird feelings are symptoms of misunderstanding life. A psychological counselor can impart self-confidence and make the individual aware of their capabilities. Consult a psychological counselor for further assistance.
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healthcaremagic
|
87a27ce398f96be2
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Heart rate has been elevated, ranging from 130bpm to 80bpm. This is unusual for panic attacks, which typically do not cause such high heart rates.
Context: Heart rate has been elevated, ranging from 130bpm to 80bpm. This is unusual for panic attacks, which typically do not cause such high heart rates.
|
The heart rate increases due to stress. An ECG and blood pressure check may be helpful. If these are normal, a psychiatrist evaluation is recommended to determine the line of management. Some cases respond well to paroxetine in a dose of 12.5 to 37.5 mg daily. Therapy may also be beneficial in controlling anxiety and stress.
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healthcaremagic
|
29503457653efcee
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I am a 32-year-old woman trying to conceive for the past year. I have undergone follicular studies twice, which were normal. My doctor has referred me for IUI. I would like to know the possible reasons for not conceiving despite normal test results, including a normal HSG test.
Context: Normal follicular studies twice
Normal HSG test
Referred for IUI
Trying to conceive for 1 year
|
80% of couples trying for pregnancy conceive in the first year and 90% by the end of the second year. If baseline infertility investigations including semen analysis are normal, then this is called unexplained infertility. The cause cannot be found with available investigations. The doctor's step of inducing ovulation with Gonadotrophin is the right approach. GUI (Gonadotrophin-induced ovulation) can be tried for 3-4 cycles. If this treatment fails, the next option would be IVF (in vitro fertilization). To increase chances of conception, maintain a normal BMI, quit smoking, and have intercourse at least three times a week.
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healthcaremagic
|
bdcc723cd0903ffe
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Pain in left arm, exacerbated by rotation and lifting. Symptoms have been present for at least a month.
Context: Pain in left arm, exacerbated by rotation and lifting. Symptoms have been present for at least a month.
|
Attend an orthopedic clinic for examination and investigations. Possible conditions include supraspinatus tendinitis, biceps tendinitis (inflammation of tendons attaching muscle to bone), or shoulder joint problem.
Treatment:
- Apply hot fomentation
- Take Advil tablets after meals three times a day
- Rest arm in a broad shoulder-arm sling until attending the orthopedic clinic
- Rest for 7-10 days in the sling along with medication
Final treatment will be determined after examination and X-rays if necessary, and MRI if required.
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healthcaremagic
|
aad94e1630db6aa8
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Limited stage small cell lung cancer patient cleared for partial hip replacement surgery.
Context: Limited stage small cell lung cancer patient cleared for partial hip replacement surgery.
|
Partial hip replacement is done under spinal anesthesia and stress level and risk are less than general anesthesia. Patients declared fit for surgery are able to cope with surgical stress. Continue chemotherapy cycles as per schedule.
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healthcaremagic
|
3e6312d2e74b8a43
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Low blood pressure: 97/61, heart rate: 64.
Context: Symptoms: Pathological pain pressures in the left parietal quadrant, persistent and separated.
|
Low blood pressure can be associated with the following symptoms:
* Pressure headache
* Blurring vision
* Shortness of breath
* Ear noise
* Fainting
* Loss of consciousness
It is normal to experience low blood pressure after a lot of physical activity.
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healthcaremagic
|
0ca2f9786765ffe7
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. Is there anything else I can help you with?
Context: A semen analysis is a diagnostic test used to evaluate male fertility by examining the physical and functional characteristics of a man's semen. This test is typically recommended for men who are experiencing difficulty conceiving a child or who are undergoing fertility treatment, and it provides valuable information about sperm count, motility, and volume, which are all important factors in determining male fertility.
|
Semen analysis results:
Volume: 1.5 ml/ejaculate (low volume, normal volume should be at least 2 ml)
Sperm count: 38 million/ml (normal, cut-off for normal sperm count is at least 20 million/ml)
Sperm motility: less than normal range, 83% non-motile sperms (normally at least 50% should have rapid progressive forward motion)
Morphology and presence/absence of pus cells, RBC's and other nucleated cells: not commented on
Diagnosis: semen sample is deficient in adequate volume and motility, which can lead to infertility.
Recommendation: repeat semen analysis after three days of abstinence. If sperm count remains low, consider alternative techniques for fertilization of the ovum, such as consulting a fertility expert.
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healthcaremagic
|
a2c76e4d57ac575c
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: blood tests
Context: Hodgkin's disease is a type of cancer that affects the immune system, specifically the lymphatic system, which is responsible for fighting infections and diseases. It is a relatively rare form of cancer, but it can be treated effectively if diagnosed early, making it essential to identify its symptoms and undergo diagnostic tests such as blood tests and biopsies.
|
The common symptoms of Hodgkin's disease are generalized lymph node enlargement, weight loss, and hepatosplenomegaly. It has to be proved by special tests like immunohistochemistry on biopsy samples. Itching is unrelated to this. If homeostasis is causing itching, it would have been detected by ultrasound. A gastroenterologist work up with endoscopy may be helpful if the pain is too much, along with tests like those for typhoid.
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healthcaremagic
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a1aac2a97d8859a3
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you are concerned about your menstrual cycle or potential pregnancy, I suggest you consult a qualified healthcare professional. Is there anything else I can help you with?
Context: Pregnancy can be confirmed through a positive urine pregnancy test, but a negative result does not guarantee that a woman is not pregnant. Women experiencing irregular periods may have underlying conditions such as thyroid abnormalities, PCOD, or obesity, which require evaluation by a healthcare professional.
|
Pregnancy symptoms include nausea, vomiting, increased urination, sore breasts, giddiness, and tiredness. These symptoms may be present with a positive urine pregnancy test. Meprate tablets are given for pregnancy-related conditions. A negative pregnancy test result does not rule out pregnancy. Giddiness may be caused by weakness. A healthy nutritional diet is recommended. Irregular periods may be caused by thyroid abnormalities, PCOD, stress, overweight, or obesity. Evaluation for these conditions is recommended if irregular periods continue.
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healthcaremagic
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72ab8b461a2f51bf
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Severe allergic reaction to ant bite, approximately 1.5 weeks ago. Symptoms included:
Context: Severe allergic reaction to ant bite, approximately 1.5 weeks ago. Symptoms included: persistent fatigue, exhaustion.
|
Allergic reactions can be immediate, late, and/or delayed. Delayed hypersensitivity/allergic reactions can last for more than 2 days. If symptoms persist for weeks, other causes may be present. A correct diagnosis requires a physician's evaluation.
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healthcaremagic
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86339109da346dec
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: A 13-year-old female patient presents with a palpable lump on the lower left side of the ribcage, which has been present for a few months and appears to be worsening. The lump is tender to touch. The patient is also overweight, approximately 25 pounds above her ideal weight.
Context: A 13-year-old female patient presents with a palpable lump on the lower left side of the ribcage. The lump has been present for a few months and appears to be worsening. It is tender to touch. The patient is also overweight, approximately 25 pounds above her ideal weight.
|
The swelling can arise from bone or soft tissue. A chest X-ray, ultrasound of the affected area, and potentially FNAC or biopsy may be required for evaluation.
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healthcaremagic
|
43328ed7d39eb39f
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: super ventricular Tachycardia
Context: Monitor heart rate and breathing at home and report any changes to a doctor.
|
Supraventricular tachycardia is typically episodic and does not cause persistent shortness of breath.
To determine the type of supraventricular tachycardia, an ECG should be performed. If the patient has persistent supraventricular tachycardia, such as atrial fibrillation, rate control measures may be necessary.
Additional testing, including an echocardiogram and hemoglobin testing, is required to rule out other causes.
A low-sodium diet, with minimal intake of salt and fluids, including water, tea, milk, and coffee, may be recommended.
Medications such as metoprolol may be prescribed to manage symptoms.
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healthcaremagic
|
da6475eaae86ab96
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you are experiencing symptoms, please consult a qualified healthcare professional. Is there anything else I can help you with?
Context: Allergies are a common condition where the body's immune system overreacts to a specific substance, such as pollen, dust, or certain foods, leading to a range of symptoms from mild discomfort to life-threatening reactions. Effective management of allergies requires a comprehensive approach that involves identifying the allergen, determining the severity of the reaction, and selecting appropriate treatment options, often in consultation with a qualified healthcare professional.
|
Allergies can be controlled with a stepwise approach:
1. Meeting a doctor
2. Blood and other tests
3. Diagnosing the type of allergy
4. Identifying the allergen
5. Determining the severity of the allergy
6. Selecting medication to control the allergy
7. Monitoring the effectiveness of the medication and adjusting as needed
8. Identifying risk factors
9. Determining eligibility for steroids
Treatment suggestions:
* Take an antihistamine, such as loratadine 10 mg daily
* Take an over-the-counter painkiller and anti-inflammatory, such as Tylenol (acetaminophen) 325 mg thrice daily, as a temporary measure until a proper diagnosis and treatment plan can be established
* Some people may require steroids to suppress the allergy
Note: This is a general outline and not a personalized medical advice. It is recommended to consult a doctor for a proper diagnosis and treatment plan.
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healthcaremagic
|
7a8303a8ae0a1e0b
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I have a h pylori disease. The doctor found out that I have this disease after a visit this afternoon.
Context: I have a H. pylori disease. The doctor found out that I have this disease after a visit this afternoon.
|
Pylori is a spiral-shaped bacterium present in the stomach of persons. It is commonly transmitted person-to-person by saliva. It can also be spread by fecal contamination of food or water. Crowded conditions and poor hygiene contribute to higher H. pylori prevalence. H. pylori enters the body through the mouth, moves through the digestive system, and infects the stomach or the first part of the small intestine. More than 80% of people will be asymptomatic. Infected individuals are prone to get peptic disease.
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healthcaremagic
|
95c7236784c13785
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Yeast infection symptoms recurred in a female patient.
Context: Yeast infection symptoms recurred in a female patient. Patient previously self-treated with over-the-counter medications. Possible transmission of yeast infection between partners.
|
Fungal infection is most common in the area around genitals. The fungus is normally kept under control by helpful organisms. However, an imbalance in the environment can lead to the multiplication and growth of the fungus in this area. The fungus can sustain for a longer duration of time in wet and moist areas. It is more common in females compared to males due to the shorter urethra.
To control the fungal infection, follow these steps:
1. Keep the area clean.
2. Use topical antifungal cream.
3. Use oral antihistamines.
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healthcaremagic
|
7b6f990bd3c92de9
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you are experiencing symptoms of amobasis, I recommend that you consult a qualified healthcare professional. Is there anything else I can help you with?
Context: Amoebiasis is a parasitic infection caused by the amoeba Entamoeba histolytica, which affects the intestines and can lead to severe gastrointestinal symptoms. If left untreated, amoebiasis can progress to amoebic dysentery, a potentially life-threatening condition, highlighting the importance of prompt medical attention for individuals with weakened immune systems.
|
Individuals with weakened immune systems are at a higher risk of amoebas. Conditions such as cancer, malnutrition, and old age can contribute to suppressed immunity. Symptoms include:
* Sudden weight loss
* Abdominal cramping and pain
* Nausea
* Loss of appetite
* Flatulence
* Tiredness
* Dehydration
Treatment includes medications that help destroy the parasites, which may lead to side effects such as:
* Nausea
* Metallic taste in the mouth
* Medications to treat diarrhea may also be prescribed.
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healthcaremagic
|
f9b8269b85ca23b4
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Diagnosed with scoliosis at middle school age. Currently 23. Experience daily back pain. Work as a nursing assistant. Wearing a back brace.
Context: Diagnosed with scoliosis at middle school age. Experience daily back pain. Wearing a back brace.
|
It is essential to have a follow-up of scoliosis with an orthopedic. This condition can worsen and cause more symptoms as the individual ages. A medical brace, tailored to the patient's specific measurements and support, is recommended to prevent further deterioration and alleviate pain.
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healthcaremagic
|
640947fac8e0c4d7
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: My husband is experiencing symptoms that suggest he may be having mini strokes. He has difficulty walking and his left leg is numb. He is also experiencing urinary and bowel incontinence. Additionally, he is confused most of the time.
Context: Difficulty walking
Left leg numbness
Urinary incontinence
Bowel incontinence
Confusion
|
The confusion is a sign of a problem with the brain. The leg numbness and bathroom problems can be due to a problem in the brain or spine. A condition which may tie all these in is known as normal pressure hydrocephalus. An MRI of the brain should be able to identify this condition and I would advise you to get that done. The MRI of the brain is also a good way to check for stroke.
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healthcaremagic
|
2d01560d47a21cc3
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 52-year-old female presents with two distinct bumps on her left forearm and hand, occurring after two separate incidents of trauma. The bumps are not accompanied by bruising, discoloration, or pain.
Context: 52-year-old female presents with two distinct bumps on her left forearm and hand, occurring after two separate incidents of trauma. The bumps are not accompanied by bruising, discoloration, or pain.
|
A hematoma (collection of blood) in subcutaneous tissues due to minor bleeding by trauma. Treatment would involve applying pressure.
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healthcaremagic
|
136b076c52b29ec7
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Injury mechanism: High-impact falls on the knee, resulting in repeated weight-bearing after each fall.
Context: High-impact falls on the knee resulted in repeated weight-bearing after each fall. Knee stiffness and pain were present towards the end of the match. Swelling and discomfort were experienced on the car ride home and painful to sleep. Knee stiffness was reduced but still an ache at end range flexion. The PRICE technique (Protection, Rest, Ice, Compression, Elevation) was applied immediately. Bruising was tender on palpation of the joint line/bruises. There is a possibility of ligament or cartilage injury despite the mechanism and symptoms not matching.
|
Soft tissue injury in knee is possible. Meniscus injury is common and may be associated with collateral ligament injury. If pain persists, MRI knee may be necessary to check for functional defect. Physiotherapy and knee exercises are recommended to improve range of motion. Rest, ice fomentation, and supportive brace can help reduce swelling and pain. Small meniscus tears can be managed conservatively with physiotherapy, USG, and TENS. Meniscus injury can be managed by arthroscopic repair.
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healthcaremagic
|
78e080e93fe58fb3
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 20-year-old male, 164cm, 53kg.
Context: Heavy mucus production if not properly clothed at night
Symptoms resolve after 5 days with proper warming
Frequent stomach aches after 30 minutes to 2 hours of major meals
Mild stomach discomfort after eating
Metronidazole and furazolidone tablets prescribed for abdominal issues
|
Consult a physician for diagnosis and treatment. Your first continuous cold related condition should be related to allergens and the second one due to stomach and digestion related problems. Please consult a physician for clear outlook. Anxiety and obsession and preoccupation with non-present-symptoms can also manifest such symptoms. Consult a psychologist for such a case.
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healthcaremagic
|
a2268bbce9760b79
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Pain in the thoracic region, between the collarbones and shoulder blade, where it meets the neck.
Context: Pain in the thoracic region, between the collarbones and shoulder blade, where it meets the neck.
Pain initially occurred only when breathing in while walking up a large hill.
Pain now occurs at rest, while driving, and during various activities.
Right ear feeling similar to being on an airplane (presumably due to ear pressure)
|
Pain in between collarbones and shoulder blade while breathing in. Possible causes include muscle spasm, cervical spondylosis, cervical radiculopathy, or prolonged sitting in one position. Treatment includes applying warm compresses to the neck and shoulder blades, avoiding prolonged sitting, and taking ibuprofen or acetaminophen for pain. If symptoms persist, consult an orthopedic surgeon for further examination, which may involve a CT scan or MRI to confirm the diagnosis. The doctor may prescribe a muscle relaxant, anti-inflammatory medication, and vitamin supplements for quick recovery.
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healthcaremagic
|
fd8af8107bc36cde
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Panic attack symptoms: shortness of breath, triggered by physical activity.
Context: Panic attack symptoms: shortness of breath, triggered by physical activity. Possible symptom of bronchitis: shortness of breath, triggered by physical activity.
|
Stress, anxiety and panic attacks can cause breathlessness. Consult a psychiatrist for counseling sessions to identify and address stressors in your life. Anxiolytic medication may be necessary. Avoid stress and tension, and maintain a relaxed and calm state.
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healthcaremagic
|
236de0542155b42c
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: A 15-day fever with negative tests for typhoid and malaria. Fever occurs at night with shivering, and the patient is almost normal during the day. Laboratory results show a leukocyte count of 19,500 and a neutrophil count of 88.
Context: A 15-day fever with negative tests for typhoid and malaria. Fever occurs at night with shivering. Laboratory results show a leukocyte count of 19,500 and a neutrophil count of 88.
|
A patient may be experiencing an infection or chronic myeloid leukemia (CML). A leukemia reaction from an infection is possible if the white cell count is at the lower limits of the CML range. A lung infection should also be ruled out. A peripheral smear examination by a haemato-pathologist is recommended to screen for CML before a diagnosis is made.
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healthcaremagic
|
da4a7c0b8ca39700
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Type 2 diabetic patient. Medication regimen changed 5 months ago to:
Context: Type 2 diabetic patient. Medication regimen changed 5 months ago. Experienced 3 episodes of hypoglycemia.
|
Diabetic medicines with metformin may cause abdominal problems like gastritis and ulcers. Maintaining controlled sugar levels, particularly an HbA1c level, is essential. Pain in the lower abdomen and sternum is often due to gastritis. Anti-ulcer medications can help alleviate this condition. Dietary modifications include avoiding oily and spicy foods, as well as certain vegetables like radish, cabbage, and cauliflower. Consult a physician for medication guidance.
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healthcaremagic
|
3bc5d017029a9552
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Rash on the inside of the bicep, located over the area where an Implanon implant was inserted 8 months ago. The rash resembles a PUPPS rash.
Context: Rash on the inside of the bicep, located over the area where an Implanon implant was inserted 8 months ago. The rash resembles a PUPPS rash.
|
Since it is already 8 months since the insertion was done, the implant is unlikely to be a cause of the rashes. A mild topical steroid may be applied for 3-4 days to see if it improves. If itching occurs, oral antihistamines may be taken. Persistent lesions require a dermatologist visit. PUPPY rash is a pregnancy-related condition that resolves within a week of delivery.
|
healthcaremagic
|
45f0c48230eca34d
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I am concerned about the effectiveness of Plan B and the timing of my birth control. Does Plan B push back ovulation? Do I have a chance of becoming pregnant?
Context: I had unprotected sex on October 27th and October 1st. I took Plan B on October 28th. I am on birth control and took it at different times in the days leading up to October 27th: 8 pm, 11:30 pm, and 10 pm. I also took my birth control 3 hours later than usual on November 1st.
|
Contraceptive pills need to be taken regularly at fixed time. Irregular timing does not affect their effectiveness in controlling ovulation. If periods are missed, a pregnancy test should be done. Taking pills at a regular time daily is recommended. If regular timing is difficult, alternative methods of contraception may be considered.
|
healthcaremagic
|
c0db7433658be9a9
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you are concerned about your symptoms, I suggest you consult a medical professional. Is there anything else I can help you with?
Context: I cannot provide a medical context that suggests a muscle pull or injury during intercourse. Is there anything else I can help you with?
|
Pain might have occurred due to muscle pull/stretch during the intercourse/blunt injury unknowingly during the act. Muscle relaxant with a painkiller will help you a lot. Regarding your color of semen, it sometimes varies normally & during infection. Semen analysis is recommended if you have any doubts or symptoms like burning sensation/frequency/pain while urinating.
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healthcaremagic
|
a182bc219307f22c
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Degenerative disc disease diagnosed at age 15. Lumbar and sacral regions fused. Current symptoms include:
Context: Degenerative disc disease diagnosed at age 15. Lumbar and sacral regions fused. Current symptoms include: Increasing pain in abdominal region below belly button.
|
The spine is composed of an alignment of small bones, with sponge-like discs between them. The spinal cord passes along the back of these bones through the spinal canal. Pressure on the discs in the dorsal and lumbar spine can cause slight pressure on the spinal canal, leading to pinching of nerve roots and severe pain in the affected area.
The T 12 - L 1 disc problem may have affected other disc levels. Fused vertebrae at lumbar levels are also present. Symptoms on the right side suggest possible nerve root involvement on the right side.
A neurologist examination and MRI of the dorsal and lumbar spine are recommended to determine if nerve roots are under pressure and to identify the location. Treatment options include physiotherapy, neurogenic pain relievers, and injections. In severe cases, disc protrusion removal via surgery may be necessary, with laser-assisted techniques available.
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healthcaremagic
|
30e070eaec492358
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I am taking Subutex, Neurontin, Remeron, Zoloft, Klonopin, Synthroid, and 2 blood pressure medications. I suffer from depression and anxiety. My blood work indicates I am healthy. I am experiencing mental fatigue and anxiety despite being on these medications. I was previously on Morphine Sulfate and Hydrocodone, and underwent detox 8 months ago.
Context: I am taking Subutex, Neurontin, Remeron, Zoloft, Klonopin, Synthroid, and 2 blood pressure medications. I suffer from depression and anxiety. My blood work indicates I am healthy. I am experiencing mental fatigue and anxiety despite being on these medications. I was previously on Morphine Sulfate and Hydrocodone, and underwent detox 8 months ago.
Note: I removed the conversational elements and non-medical small talk, but kept the medically relevant information, including the list of medications, symptoms, and medical history.
|
You may try other antidepressants as well as bupropion or venlafaxine.
|
healthcaremagic
|
857723daa69e2613
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Had a gallbladder operation on 11th May 2011. Developed complications, including a built-up of blood where the drain came out. Admitted to hospital for 4 days. A scan was performed before discharge, but symptoms persisted. Prescribed two courses of antibiotics: 400mg and 375mg for 2 weeks. Symptoms did not improve after treatment. A follow-up scan was recommended.
Context: Gallbladder operation performed on 11th May 2011. Developed complications including hematoma at drain site. Admitted to hospital for 4 days. Pre-discharge scan performed but symptoms persisted. Prescribed two courses of antibiotics: 400mg and 375mg for 2 weeks. Symptoms did not improve after treatment. Follow-up scan recommended.
|
Common complications of gallbladder surgery include damage to a blood vessel, which can cause bleeding on the liver bed. A CT scan and a check of the red blood count are typically required. In most cases, treatment can be done without surgery, but sometimes surgery is needed to evacuate a hematoma and abscess if antibiotics are ineffective.
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healthcaremagic
|
a8077641a968ff11
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Heart rate: 65 beats per minute
Context: A heart rate of 65 beats per minute is generally considered within the normal range for adults, but it can be a sign of underlying conditions such as bradycardia, which is a slower than normal heart rate. In this case, the low heart rate may be a symptom of a more serious condition that requires further evaluation and diagnosis.
|
You need to undergo some examinations, such as ECG, serum glucose, carotid duplex ultrasound. These examinations are necessary to determine the right strategy for your condition. Possible causes of your complaints include heart disease, diabetes mellitus, and narrowing or blockage of carotid arteries, which should be excluded by carotid duplex ultrasound.
|
healthcaremagic
|
1d45a936473033d5
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: IVF treatment was stopped due to poor response to antral follicle stimulation, with only 2 follicles developing and the rest not growing as expected.
Context: IVF treatment was stopped due to poor response to antral follicle stimulation, with only 2 follicles developing and the rest not growing as expected.
|
A very low sperm count can be addressed through intracytoplasmic sperm injection (ICSI). Alternative options include increasing the dose of HMG (450 IU) or using the short antagonist protocol. Maintaining a healthy body mass index (BMI) is also recommended, particularly for individuals who are obese. Relevant medical information includes age, BMI, day 2 FSH and LH, prolactin, TSH, and antimullerian hormone (AMH) levels.
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healthcaremagic
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a18f311a4bde1bbc
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: A lump on the left side of the lower back, approximately 2.5 months ago, size of a dime, not visible, only palpable with pressure. No growth or change, painless to touch. Associated symptoms: back and leg pain. Patient demographics: 22-year-old female, non-smoker, non-drinker, no family history of cancer.
Context: A lump on the left side of the lower back, approximately 2.5 months ago, size of a dime, not visible, only palpable with pressure. Associated symptoms: back and leg pain. Patient demographics: 22-year-old female, non-smoker, non-drinker, no family history of cancer.
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Lipoma (accumulation of subcutaneous fat) can give rise to local discomfort but not leg pain which seems to be a separate entity.
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healthcaremagic
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5fc81ae7ba84a4ca
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you are concerned about your boyfriend's semen, I suggest you encourage him to consult a healthcare professional. Is there anything else I can help you with?
Context: Sexually transmitted diseases (STDs) are a common concern in sexually active individuals, and symptoms such as abnormal semen appearance, pain, fever, and urethral discharge can be indicative of an underlying infection. A prompt medical evaluation and testing are essential to determine the cause of these symptoms and to initiate appropriate treatment, which may involve antibiotic therapy.
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These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. This may be ruled out by doing STD testing. It may also be signed of reinfection or urinary stones and some other genital infection. Antibiotic therapy may be required, so testing should be done as soon as possible so that appropriate treatment can be started.
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healthcaremagic
|
15f8c83e9d365661
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Clenil Compositum and Atem can be nebulized together. However, the compatibility of the two medications should be verified.
Context: Clenil Compositum and Atem can be nebulized together. Compatibility of the two medications should be verified. Symptoms of persistent coughing and chest infection may be related to the underlying condition. Penicillin is a common treatment for bacterial infections.
|
You can use clinic composite together with item. Scientific studies show that when clinic composite (containing albuterol) is given together with item (containing ipratropium bromide), the results are better compared to clinic composite alone. Therefore, you can give both preparations together, 2-4 times a day.
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healthcaremagic
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1a6bdf5f32a8294a
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Diabetic patient with mitral valve disease requiring replacement, but not healthy enough for surgery. Patient has a pacemaker with 89% functioning rate. Current symptoms include dizziness, weakness, and short-term memory loss. Primary care physician recommends conservative management.
Context: Diabetic patient with mitral valve disease requiring replacement. Patient has a pacemaker with 89% functioning rate. Current symptoms include dizziness, weakness, and short-term memory loss.
|
Low blood flow to the brain may be related to her symptoms. A stroke or metabolic disorder cannot be excluded. Consultation with her attending doctor for a physical exam is recommended. Tests to investigate possible underlying causes include:
* Brain CT scan
* Complete blood count for anemia
* Fasting glucose and HbA1C levels
* Blood electrolytes
* Kidney and liver function tests
Monitor her blood pressure values to exclude low blood pressure.
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healthcaremagic
|
401057739813b79c
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Kidney stones have been present since 1979. A recent emergency visit was due to pain from a kidney stone blockage. A CT scan was ordered to confirm the stone. The results showed stones in the liver and spleen.
Context: Kidney stones have been present since 1979. A recent emergency visit was due to pain from a kidney stone blockage. A CT scan was ordered to confirm the stone. The results showed stones in the liver and spleen.
|
Since you have stones in the kidney, liver, and spleen, thyroid function tests will be required to rule out hypercalcinosis, a condition characterized by elevated calcium levels in the blood, which can lead to stone formation in various organs. If hypercalcinosis is detected, treatment will be necessary. Liver and spleen stones do not require treatment. Surgical removal of the gallbladder may be required if stones in the gallbladder are causing problems.
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healthcaremagic
|
d2078cd94c919ee3
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Abdominal tuberculosis, symptoms, and treatment history:
Context: Abdominal tuberculosis, symptoms, and treatment history:
Diagnosed with abdominal tuberculosis 2 years ago
Concern about recurrence of abdominal tuberculosis
|
Tuberculosis of abdomen has been well treated. Since you have been asymptomatic for the last year, the chances of active TB of abdomen are remote. Probable causes for belatedness and tightness of abdomen include:
* Intestinal sub-acute intestinal obstruction due to stricture formation of intestine
* Mild gastroenteritis
Recommended tests:
* X-ray of the abdomen in standing position to check for intestinal obstruction
* Ultrasonography and CT scan of the abdomen to confirm
* Routine tests of blood and urine
* Enterocolitis if obstruction is suspected
* Diagnostic Laparoscopy to diagnose and treat
Treatment:
* Take a course of antibiotic and metronidazole for 5 days if there is a response
* Maintain healthy food habits
* Avoid too many fibrous foods as they can cause repeated sub-acute intestinal obstructions
If no relief is experienced, further investigations and treatment will be required.
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healthcaremagic
|
1403e8ebb6d6e5ec
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I am 25 years old, married for 3 years. I have been unable to get pregnant. Last year, I was pregnant but had an abortion at 2.5 months. Since then, I have been unable to get pregnant. I have undergone the following tests: TORCH TEST (IGGM, IGM), Glucose test, and Menstrual blood test, all of which are normal. I have been diagnosed with PCOD and have been taking Tablet Bigomet SR 500 for 3 months, as well as Folic Acid tablets.
Context: I am 25 years old. I have been unable to get pregnant. I was previously pregnant but had an abortion at 2.5 months. Since then, I have been unable to get pregnant. I have undergone the following tests: TORCH TEST (IGGM, IGM), Glucose test, and Menstrual blood test, all of which are normal. I have been diagnosed with PCOD and have been taking Tablet Bigomet SR 500 for 3 months, as well as Folic Acid tablets.
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Take medicines like camphene for follicle growth. Track follicle growth by repeated ultrasound. Take injection for rupturing follicles when follicles are more than 17 to 18 mm. Take progesterone for 2 weeks. Do a urine pregnancy test at home after progesterone treatment. The problem is with ovulation. Take medicines for ovulation.
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healthcaremagic
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01e18016a3c40bee
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: He has multiple sclerosis (MS) and takes injections. After taking an injection, there was a significant amount of bleeding. I was concerned that his blood may be too thin. He also consumes a lot of Red Bull energy drinks.
Context: Multiple sclerosis (MS) patient experiences significant bleeding after injection. Possible cause: anticoagulant effect from medication. Also, patient consumes high amount of Red Bull energy drinks.
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You are taking warfarin, an oral anticoagulant that prevents clotting of blood. This can lead to bleeding. You should test your PT and INR.
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healthcaremagic
|
1a140528ba653533
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Fever of 102+ on Friday, with recurring fever every few hours. Fever spiked to 103.3 on Saturday. Diarrhea present since Saturday, with frequent bowel movements (every 2-3 hours). Fever reduced after taking Tylenol, but diarrhea persists.
Context: Fever of 102+ on Friday, with recurring fever every few hours. Fever spiked to 103.3 on Saturday. Diarrhea present since Saturday, with frequent bowel movements (every 2-3 hours). Fever reduced after taking Tylenol.
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Rifaximin (Ibadan) 200 mg per oral 8 hourly for 5 days is prescribed. Use Mediate for revitalization and to fulfill fluid and electrolyte losses. Gastroenteritis is suspected due to unhygienic/raw food. Antibiotics may be necessary.
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healthcaremagic
|
6705eac2de816c22
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Two-week-old infant. Breastfeeding was adequate for the first week, but has decreased significantly over the past couple of days. Lactogen was introduced, but the infant frequently vomits it. What measures can be taken to ensure proper feeding?
Context: Newborn infants require adequate nutrition to support growth and development, and breastfeeding is the optimal source of nutrition for the first few months of life. The introduction of formula feeding can sometimes be necessary, but it should be done with caution and under the guidance of a healthcare professional to avoid disrupting breastfeeding and to ensure proper feeding practices.
|
Breast milk is the best possible food for a baby. Lactose or any other formula is cow milk based and difficult to digest for the baby, often causing vomiting. Breastfeeding is recommended over formula feeding. To breastfeed, insert the entire nipple along with the areola into the baby's mouth. Feed one breast at a time and alternate breasts with each feed. Breast milk production is demand-driven, and frequent suckling stimulates milk production. Formula feeding can reduce breast milk production. Monitor the adequacy of feeds by the amount of urine passed, with at least 5-6 times in 24 hours considered adequate.
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healthcaremagic
|
1020863bb7f2b3d6
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: A 34-year-old female patient presented with symptoms of bronchitis in December, which improved with medication and chest x-ray. However, she has been experiencing a heavy feeling in her chest for approximately one month, exacerbated by lying down, and reports a sensation of a lump in her throat.
Context: Symptoms of bronchitis improved with medication and chest x-ray.
Heavy feeling in chest for approximately one month, exacerbated by lying down.
Sensation of a lump in throat.
|
Consult with a doctor if experiencing symptoms. Common causes of lung cancer include history of smoking, occupational exposure to chemicals or inhalation agents, and hereditary factors. Diagnostic studies such as chest x-ray and CT-scan of the neck and chest area can help rule out lesions.
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healthcaremagic
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c6b67692d87eaea1
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Depression and intrusive thoughts for five years. Tried Zoloft for two weeks, experienced stomach cramps and other adverse effects. Concerns about medication side effects, including tolerance and other issues.
Context: Depression and intrusive thoughts for five years. Tried Zoloft for two weeks, experienced stomach cramps. Concerns about medication side effects, including tolerance and other issues.
|
Common side effects of Sertraline (Zoloft) in the initial weeks of treatment include loose motions, stomach cramps, headache, abdominal discomfort, and sleep disturbance. Alternative treatment options may involve reducing the dose of Sertraline or switching to Mirtazapine or Venlafaxine with Clonazepam. Consultation with a treating psychiatrist is recommended.
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healthcaremagic
|
373d949efcf19d0b
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Irregular heart beats since a young age. Symptoms include:
Context: Irregular heart beats since a young age. Symptoms include:
* Attacks occur while playing football and occasionally while sitting down
* Regular irregular beats with chest pain and shortness of breath from lying down.
|
Palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias. Further evaluation is required to avoid fetal cardiac events. Get an ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management.
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healthcaremagic
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20d55911c47d6a2b
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: IDC Left Breast stage 2 HER Positive, 1.5 cm Cancer was removed, 2 lymph nodes removed, they were negative. Clear margins. Pathology report states in Low recurrence category, cancer confined to left breast only. Currently taking 33 Radiation, on # 17 with 16 more treatments to go. Prescribed Anastrozole for 5 to 10 years. PET scan showed no cancer elsewhere in body. Question: If choose not to take Anastrozole, what are chances of recurrence?
Context: A 2-year-old woman with stage 2 IDC left breast cancer that is hormone receptor-positive, meaning the cancer cells grow in response to the hormone estrogen, has undergone surgery and radiation therapy and is now on hormone therapy with Anastrozole to reduce the risk of cancer recurrence. The hormone therapy is typically prescribed for 5 to 10 years to help prevent the cancer from growing or coming back.
|
Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers.
Common side effects of anastrozole may include:
hot flashes
headache
trouble sleeping
dizziness
stomach upset
nausea/vomiting
constipation
diarrhea
loss of appetite
weight gain
tiredness/weakness
increased coughing
sore throat
Before using anastrozole, tell your doctor of:
heart disease (such as history of heart attack)
bone loss (osteoporosis)
liver disease
high blood pressure
blood clots
Take one anastrozole tablet per day for 5 years.
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healthcaremagic
|
1dff06d8f0c41e96
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Spinal Fusion surgery in 2001. Experienced recurring burning pain and inflammation in feet and hands, approximately 2-3 times a year. Frequency of occurrences increased over the past 5 months, with feet experiencing persistent pain, particularly when standing, sitting, or lying in bed with any part of the feet touching the mattress. Pain is alleviated when feet are raised, but slight burning and stiffness remain.
Context: Spinal Fusion surgery in 2001. Experienced recurring burning pain and inflammation in feet and hands, approximately 2-3 times a year. Frequency of occurrences increased over the past 5 months. Feet experience persistent pain, particularly when standing, sitting, or lying in bed with any part of the feet touching the mattress. Pain is alleviated when feet are raised, but slight burning and stiffness remain.
|
Your symptoms are suggestive of neuropathic pain. Consult your doctor to discuss possible connections to earlier problems. Nerve conduction studies may be necessary to look for peripheral neuropathy. Pregabalin capsules may be beneficial.
|
healthcaremagic
|
3ced6c700142d714
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Musculoskeletal stiffness and pain affecting both husband and wife, with symptoms including:
Context: Musculoskeletal stiffness and pain affecting both husband and wife, with symptoms including:
|
Neurotransmitters in the body may act differently with changes in environment. This may be due to temperature or weather differences. It can also occur due to excessive fatigue. If it is a recent issue, there is no need to worry. Take adequate fluid and sun exposure. It will go away in 5-7 days. Warm fomentation may relieve stiffness. If there is intolerable pain, Tylenol may be taken for relief.
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healthcaremagic
|
efdaf2429670c56b
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: A 16-year-old male presents with a swollen lymph node behind the ear and a lump in the pectoral muscle near the nipple. He also reports fatigue over the past few weeks.
Context: A 16-year-old male presents with a swollen lymph node behind the ear and a lump in the pectoral muscle near the nipple. He reports fatigue over the past few weeks.
|
The most common cause of swollen lymph node in India is tuberculosis. Confirmation of diagnosis requires FNAC and ZN staining from the material received. If the test is positive, TB testing by Inexpert should also be done to diagnose the common resistance pattern and inform treatment. TB treatment has many side effects, but it is essential not to discontinue the treatment as it can create resistance pattern in the bacilli. Complete treatment cures the disease and prevents future relapse.
|
healthcaremagic
|
07f675c17a4b6f1b
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: A 1-year-old female has had 6-8 bowel movements per day for almost 2 weeks. She has a diaper rash.
Context: Bowel movements 6-8 per day for almost 2 weeks. Diaper rash.
|
Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. This condition occurs in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes. Apply zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula.
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healthcaremagic
|
2ef2e156697a569b
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: High blood pressure. Potassium level was low. Potassium gluconate pills, 595 mg. Concerns about side effects. Appointment with cardiologist scheduled for next Monday.
Context: High blood pressure. Potassium level was low. Potassium gluconate pills, 595 mg.
|
Low potassium can increase blood pressure, however, it is usually not the sole reason. You need to be on antihypertensives with consultation from your doctor. Taking potassium tablets is risky, particularly due to cardiovascular effects such as arrhythmia. Improving potassium levels by improving diet can reduce risk of high blood pressure, stroke and cardiovascular disease. Foods that can help improve potassium levels include bananas, green leafy vegetables, potatoes, fish, yogurt, and mushrooms.
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healthcaremagic
|
5d4502ac38b6e9ca
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Emergency Contraception (ECP) with Nordette:
Context: The success rate of preventing pregnancy when using Nordette as Emergency Contraception (ECP) is high, but it depends on the timing of administration. When taken within 72 hours (3 days) of unprotected sex, the effectiveness of ECP is. The patient took 4 pills within 60 hours of unprotected sex, followed by 4 pills after 12 hours of the first dosage. This is a correct regimen for ECP with Nordette.
|
The efficacy rate of an emergency contraceptive pill depends on the time delay after intercourse before the pill is used. The protection offered is 98-99% when the pill is used soon after, decreasing as time goes by. At 60 hours, the protection offered is around 80-85%. Corvette has the same efficacy as any conventional emergency contraceptive pill.
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healthcaremagic
|
253b737dba0aa646
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I have had a cold or virus for 10 days. Symptoms include a bad cough and sinus problems. Coughing up yellowish mucus. Prescribed antibiotics for 6 days. Sinus symptoms improved, but cough persists. Current smoking habit: approximately 5 cigarettes per day.
Context: Symptoms include a bad cough and sinus problems. Coughing up yellowish mucus. Prescribed antibiotics for 6 days. Sinus symptoms improved, but cough persists. Current smoking habit: approximately 5 cigarettes per day.
|
If your cough is not improving, a digital chest x-ray and spirometry (pulmonary function test) may be done for further evaluation. A throat swab or sputum collection may be performed and sent for culture report to detect the causative organism.
|
healthcaremagic
|
4c00ae0c6d396dbe
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Ovulation tests resulted in a positive reading, followed by a negative reading, then a positive reading, and finally another positive reading one week later.
Context: Ovulation tests resulted in a positive reading, followed by a negative reading, then a positive reading, and finally another positive reading one week later.
|
Delayed positive test results may be due to error in ovulation kits or personal error. Delayed ovulation from the other ovary can also cause this issue. Ultrasonography can help resolve this confusion by providing visual evidence of ovulation and information about follicle size and endometrial thickness.
Key points about ultrasonographic ovulation monitoring:
1. It provides visual evidence of ovulation.
2. It informs about the size of the follicle when it ruptures to release the egg.
3. Follicles between 18 mm to 21 mm in size give the best results for pregnancy.
4. It informs about the endometrial thickness, which should be at least 10 mm for successful implantation.
|
healthcaremagic
|
ac16e8848c926125
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Patient, 85, stopped dialysis treatment. Found deceased in bed with blood in and around mouth.
Context: Patient, 85, found deceased with blood in and around mouth.
|
Patients undergoing dialysis may experience bleeding due to several reasons. These patients have a predisposition to bleeding tendencies, which may be exacerbated by the presence of ulcers in the stomach or esophagus. Alternatively, the cessation of dialysis may lead to the development of pulmonary hypertension due to fluid accumulation in the lungs, resulting in bleeding through the lungs, which may manifest as coughing up blood.
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healthcaremagic
|
e7a61260d8bee213
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: My father (84) has been diagnosed with a bleed on the left side of his brain. He had an aneurysm in the same spot 20 years ago and underwent surgery to correct the bleed. He was left paralyzed on the left side. Due to his age, we have opted not to have surgery for the second bleed. He has a history of 15 years in a nursing home. The ER doctor reported that the second bleed was found on Wednesday of last week and that the patient will likely die. The patient's current symptoms include low oxygen levels, which prompted hospitalization. He is currently resting peacefully and occasionally acknowledging his family with a nod. His lung and heart functions are stable, and he is passing fluids as needed.
Context: Diagnosis: Bleed on the left side of the brain
History of aneurysm in the same spot 20 years ago
Previous surgery to correct the bleed resulted in paralysis on the left side
Current symptoms:
- Low oxygen levels
- Hospitalized
- Stable lung and heart functions
- Passing fluids as needed
- Limited responsiveness (acknowledging family with a nod)
- Prognosis: likely to die due to age and severity of condition
|
Major part of brain not functioning. Organ systems start giving in at old age. Provide peaceful and comfortable existence.
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healthcaremagic
|
3d38daf1949c6c16
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 86-year-old patient with a 4-month history of psoriatic arthritis. Initially treated with Saaz, but found it unsuitable. Subsequently treated with Folitrax 15 mg injection, which is currently effective.
Context: Psoriatic arthritis, 4-month history. Initially treated with Saaz, found unsuitable. Subsequently treated with Folitrax 15 mg injection, currently effective. Difficulty walking without support. Back joint pain at L4-L5.
|
Low back pain in psoriasis arthritis has different origins. The pain is primarily due to increased inflammation. Two factors contribute to this pain: the disease itself and inactivity associated with age.
Intermittent courses of low-dose steroids may be helpful in managing severe low back pain. However, this decision should be made by a doctor, who can weigh the pros and cons in the context of the patient's age.
Calcium and vitamin D therapy should be continued or initiated.
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healthcaremagic
|
cfadf7f046e471a3
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Serum bilirubin (diazo method): 0.93 mg/dL direct, 0.50 mg/dL indirect. Sgot (IFCC method): 93.8 IU/L. Sgpt: 148.5 IU/L.
Context: Serum bilirubin (diazo method): 0.93 mg/dL direct, 0.50 mg/dL indirect. Sgot (IFCC method): 93.8 IU/L. Sgpt: 148.5 IU/L.
|
Serum bilirubin level is normal, so no need to worry. The aminotransferase enzymes, including aspartate aminotransferase (GOT) and alanine aminotransferase (SGPT), are sensitive indicators of liver cell injury and are helpful in recognizing acute hepatocellular disease such as hepatitis. GOT is found in various tissues, including liver, cardiac muscle, skeletal muscle, kidney, brain, pancreas, lungs, leukocytes, and erythrocytes. SGPT is mainly found in the liver. Mild disease or injury to these organs may cause high levels of GOT. Liver cell injury may be responsible for liver disease. However, this level is not high, so no need to worry at present, unless accompanied by other symptoms. Regularly monitor liver function tests and symptoms. Avoid alcohol consumption. If concerned, consider MRI and ultrasound of the liver. Consult a physician and undergo physical examination.
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healthcaremagic
|
9d19d5b6cd598535
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I am currently taking meloxicam. I take a half of my meloxicam as needed and the last time I took one was this morning. I have been experiencing muscle pain on my left side for about a week.
Context: I am currently taking meloxicam. I take a half of my meloxicam as needed. I have been experiencing muscle pain on my left side for about a week.
|
You can take Tylenol for muscle pain. Be aware of side effects of Tylenol, including dizziness. If pain persists for a few days, you can take other opioid analgesics, which may have additional side effects.
|
healthcaremagic
|
777902ffd678bba5
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I cannot provide medical advice. If you have concerns about pregnancy, I suggest consulting a healthcare professional. Is there anything else I can help you with?
Context: Unprotected sex during the fertile period of a woman's menstrual cycle poses a significant risk of pregnancy, as it allows for the possibility of sperm fertilizing an egg. The fertile period typically lasts around 5-7 days, and the timing of ovulation can vary from woman to woman, making it essential to use effective contraception methods to prevent unintended pregnancy.
|
If unprotected sex occurs during the fertile period of her cycle, emergency contraceptive pills should be taken within 72 hours. Pre-ejaculation fluid contains enough sperm to cause pregnancy, and it can be deposited without being noticed. The pull-out method is not a safe sex practice, as it does not prevent pregnancy.
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healthcaremagic
|
29682aea5f519b5f
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Diagnosis: Beginning of stomach ulcers.
Context: Proton pump inhibitors or H2 blockers are used to treat stomach ulcers.
|
The swelling you have in the ankles, feet and around the eyelids is not related to the stomach ulcers or the medications you take. Swelling like these occurs due to either heart, liver or kidney diseases. Puffiness around the eyes usually occurs in kidney disease. You need to get tests done to see which of these organs is affected causing the swelling of the ankle, feet and around eyes.
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healthcaremagic
|
6c60b34265254732
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I am taking Sprintec, a birth control pill, and have been taking it consistently for a few months. However, I missed a pill and took two pills 1 hour apart the next day, and today I took my dose 2 hours and 10 minutes late. I had sexual intercourse tonight. What is the risk of pregnancy in this situation?
Context: Sprintec is a type of combined oral contraceptive pill that contains both estrogen and progestin hormones, which work together to prevent ovulation and thicken cervical mucus to prevent sperm from reaching the egg. Missing a dose or doses of the pill can disrupt the hormonal balance and increase the risk of pregnancy, which is why it's essential to follow the instructions for correcting missed pills to maintain the pill's effectiveness.
|
If you miss one dose of the pill, take two pills on the day you remember. Then take one pill per day for the rest of the pack. If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills.
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healthcaremagic
|
2b310c30499a180b
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Taking Glycomate SR at night before meal. Fasting sugar was 150-160 range before medication and post-prandial (PP) was 170-180. After 1.5 months of medication, experiencing excessive daytime sleepiness. Current fasting sugar is 129-141 and PP is 140-150. Engage in daily physical activities including yoga for 1/2 hour, walking for 20 minutes, and gym for 15 minutes.
Context: Fasting sugar was 150-160 range before medication and post-prandial (PP) was 170-180. After 1.5 months of Glycomate SR medication, experiencing excessive daytime sleepiness. Current fasting sugar is 129-141 and PP is 140-150. Engage in daily physical activities including yoga for 1/2 hour, walking for 20 minutes, and gym for 15 minutes.
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You have recently detected Diabetes approximately one and half month back. You have started on Glycogen Sr 1 gm before dinner, along with regular exercise and diet control. Your blood sugar levels are fairly controlled.
I advise:
1. Strictly follow Diabetic diet regularly.
2. Continue regular exercise (yoga, gym, walk).
3. Continue Tab Glycogen Sr 1gm after dinner, and consider increasing the dose up to 1.5 gm and then 2 gm total per day in divided doses, preferably taken after meals.
4. This medicine rarely causes hypoglycemia and acts on insulin resistance.
5. As Diabetes is a lifelong disease, additional medicines may be needed as the duration of diabetes increases.
6. Target weight loss according to your height.
7. Certain blood tests are important, including:
* Lipid profile
* Serum creatinine
* HbA1C (denoting blood sugar level over approximately 120 days)
* Urinary protein creatinine ratio
* Endoscopy to rule out diabetic retinopathy
8. Start medicine for lowering lipids, even if your lipid level is in the normal range, and adjust the dose according to your lipid level.
9. Regular BP checking is also necessary.
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healthcaremagic
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92549db9b244f79e
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rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
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Question: Lightheadiness, heart palpitations, and tachycardia have been reported over the last few days. Blood pressure is normal and pulse rate is 72. The possibility of a heart attack with normal blood pressure and pulse rate is being considered.
Context: Lightheadedness, heart palpitations, and tachycardia have been reported. Blood pressure is normal and pulse rate is 72. The possibility of a heart attack with normal blood pressure and pulse rate is being considered.
|
Lightheadedness associated with palpitations can be caused by irregularities in heart rhythm. Heart rate and blood pressure can be normal in these cases. An ECG documents the electrical activity of the heart. Tests may be conducted as part of the work-up. A consult with a doctor is recommended to rule out other causes of dizziness, including musculoskeletal problems in the neck, and problems in the eyes and ears.
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healthcaremagic
|
84fe945477426d13
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 27-year-old female presenting with right lower abdominal pain for 2 years. Pain resolves with antibiotics but recurs after some time. Initial recurrence interval was 4-6 months, now occurring within 15-20 days.
Context: Right lower abdominal pain for 2 years. Pain resolves with antibiotics but recurs. Initial recurrence interval was 4-6 months, now occurring within 15-20 days.
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Pelvic inflammatory disease (PID) is suspected based on the ultrasound report of fluid in the cul-de-sac. A urinary tract infection (UTI) may also be associated. A culture and sensitivity test is necessary to rule out UTI. A general physical examination is recommended to assess the condition. A gynecologist should be consulted to confirm the diagnosis, especially if sexually active. A course of broad-spectrum antibiotics, an anti-inflammatory, and a proton pump inhibitor may be prescribed for symptomatic relief.
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healthcaremagic
|
d5d21997438112e2
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: I have undergone a root canal treatment 8 months back. One of my teeth in the bottom section is growing at 70% angle outwards. It is causing a problem in the gums. I always feel some sensitivity there.
Context: A tooth in the lower section has undergone a root canal treatment 8 months ago. The tooth is growing at a 70% angle outwards, causing gum problems and sensitivity.
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The sensitivity in the tooth can be due to cervical abrasion (wearing away of tooth structure) since it is in an abnormal position, more force will be applied when you brush. The other possible cause can be a dental caries in between the teeth. Consult an oral physician and get it evaluated. A radiograph should be taken to confirm the diagnosis. If the tooth is a wisdom tooth, removal is recommended. If it is some other tooth, restoration with a cement material may be considered.
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healthcaremagic
|
e6a72f29d442da50
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Patient is a 38-year-old individual who has undergone a dental procedure involving the placement of full dentures. The dentures are reported to be oversized, causing discomfort and gagging. The patient is experiencing difficulty closing their mouth and notes a dark coloration of the dentures. The patient expresses dissatisfaction with the fit and appearance of the dentures, describing them as "horse teeth."
Context: Patient is a 38-year-old individual who has undergone a dental procedure involving the placement of full dentures. The dentures are oversized, causing discomfort and gagging. The patient experiences difficulty closing their mouth and notes a dark coloration of the dentures. The patient is dissatisfied with the fit and appearance of the dentures, describing them as ill-fitting.
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A denture that is too large for the palate can cause a gag reflex due to over extension into the soft palate area.
At 38 years old, there is little to no growth in body parts.
To address the issue, a dentist can prepare a new set of dentures that fit the individual's size, with reduced tooth size and thorough occlusion checking. The denture extensions should be adjusted to prevent gag reflexes.
A prosthodontist is a specialist who can provide expert advice and treatment.
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healthcaremagic
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a17f7f511e01e927
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rag_medical_qa
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