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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: Kidney stones due to calcium intake. Hairline fracture on arm. Blood in urine. Severe pain. Currently taking Cital.
Context: Kidney stones due to calcium intake. Blood in urine. Severe pain. Currently taking Cital.
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Most kidney stones pass spontaneously. Painful experience. Continue with painkillers. If no urination in 24 hours, see urologist and do tests to rule out ureter obstruction. Avoid high calcium food and high protein food for few days. If fever or pus in urine occur, see doctor as it may indicate kidney infection.
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healthcaremagic
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e16c51b1161c8eba
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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: Cough for 1 year. Nasal wash daily, no mucus discharge. Breathing tests, x-rays, CT scans performed, no abnormalities detected.
Context: Cough for 1 year. Nasal wash daily, no mucus discharge. Breathing tests, x-rays, CT scans performed, no abnormalities detected.
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Persistent cough with normal test results suggests organic cause is less likely. Cough may be due to chronic irritation. Avoid smoking if habituated. Rule out acid reflux disease as it can cause cough. Pentoprazole is taken for this condition. If chest discomfort is suspected to be bronchitis or asthma, pulmonary function test can rule out these conditions. Allergic cough is also a possibility. Try to avoid allergens that trigger cough. Levocetrizine is a useful medication. Ginger, onion, and garlic are beneficial for the respiratory tract. If cough persists, consider taking Conan or dextromethorphan.
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healthcaremagic
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80ca594bf7e6a459
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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: Skin infection on the neck and above the thigh area, present for 18 days, initially improved with ring guard cream but worsened with red spots appearing after 2 days of treatment.
Context: Skin infection present for 18 days. Initially improved with ring guard cream, but worsened with red spots appearing after 2 days of treatment.
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According to the patient's history, it appears to be a case of ringworm infection. The patient had initial improvement in the skin lesion after applying ring guard. The recommended treatment is:
* Oral terbinafine 250 mg once daily
* Topical terbinafine cream applied to the affected area twice daily
* Treatment should be continued for 4 weeks to prevent recurrence of the infection after stopping the medicine.
Additionally, the patient should:
* Avoid sharing soap and towels
* Stay in a cool and airy environment
* Wear loose cotton clothes
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healthcaremagic
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d00b733a359045f6
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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: Father has been declining in health for 6 months to 1 year. Recent hospital visit revealed Streptococcus (Strep) bacteremia, causing heart valve damage. Question: Is this a chronic infection or an acute event? Given the father's decline over time, could he have had the infection before hospital admission?
Context: Infective endocarditis is a serious infection of the heart valves that occurs when bacteria or viruses enter the bloodstream and attach to the valves, causing inflammation and damage. This condition is often a complication of untreated or undertreated infections elsewhere in the body, such as strep throat, urinary tract infections, or lung infections.
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Blood is usually sterile, devoid of any bacteria or viruses. Bacteria or viruses can appear in blood after a throat infection, urine infection or lung infection. Once the bacteria enter the blood, they can infect other organs, including the heart. The bacteria settle on the heart valves and cause infection and destruction of the valves. This happens over time and cannot occur in 24 hours. Treatment of infective endocarditis is long-term treatment with antibiotics, with some residual damage to the valve always remaining.
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healthcaremagic
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875aa7dff2107e76
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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: Elevated AST, ALT, and bilirubin levels over the past 4 years. Liver scan showed mild diffuse fatty changes. Normal weight and cholesterol levels. No treatment was suggested. Repeated liver function tests (LFTs) resulted in further investigation without any action taken.
Context: Elevated AST, ALT, and bilirubin levels over the past 4 years. Liver scan showed mild diffuse fatty changes. Normal weight and cholesterol levels.
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Fatty liver is a reversible condition in which liver cells are replaced by adipose tissue. This fatty change is caused by various causes, including:
1. Alcoholism
2. Starvation
3. Malnutrition
4. Diabetes Mellitus
These are potential risk factors. If you have any of these risk factors, you can avoid or treat them. There is no treatment for fatty liver disease, but prevention of risk factors is key.
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healthcaremagic
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d8065ece62deb8fe
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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: Chronic neck pain, especially at the base of the neck, for several months.
Context: Chronic neck pain, especially at the base of the neck, for several months.
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Neck pain and swollen glands in the neck in a chronic smoker can be due to either infection or cancer. The possibility of throat infection or cancer in the neck (vocal cords, pharynx, larynx) is more. Quitting smoking as soon as possible is recommended. Consult an ENT doctor and undergo the following tests:
1. Clinical examination of the neck
2. CT scan of the neck
3. Endoscopic examination of the pharynx and larynx
4. Biopsy if a mass lesion is present
Antibiotics, antihistamines, and anti-inflammatory medications may be prescribed.
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healthcaremagic
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d129b783863c4dbf
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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: 24-year-old male experiencing daily pain in the back and neck area. Pain persists despite regular exercise. Medical history includes:
Context: 24-year-old male experiencing daily pain in the back and neck area. Pain persists despite regular exercise. Medical history includes:
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Chronic backache and neck pain are caused by weakness and vitamin deficiencies. A vitamin D3 test is recommended. Treatment includes exercises, Avionic, calcium, and vitamin D3 if levels are low.
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healthcaremagic
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1c95e112bc316c94
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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 mass is present at the top of the left inner thigh, extending to the right hip bone. A biopsy was performed, which indicated no cancer. The mass is located deep behind the groin, and the underlying cause is unknown. The biopsy procedure involved collecting a half-inch sample of fluid from the outside of the mass, but not from the mass itself.
Context: A mass is present at the top of the left inner thigh, extending to the right hip bone. A biopsy was performed, which indicated no cancer. The mass is located deep behind the groin. The biopsy procedure involved collecting a half-inch sample of fluid from the outside of the mass.
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A mass may be a cyst such as a simple bone cyst or an aneurysm bone cyst. If tissue is obtained, a biopsy showing no cancer would be considered OK.
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healthcaremagic
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3f908ec1fa3f5040
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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 round red puffy and extremely itchy red circle appeared on the inner thigh approximately 2 months ago. The patient was concurrently taking antibiotics for a urinary tract infection (UTI). Treatment with Lotrimin jock itch cream resulted in temporary resolution of itch, redness, and puffiness, but the lesion persists. The affected area now feels like dry skin and resembles a bruise.
Context: A round, red, puffy, and itchy lesion appeared on the inner thigh approximately 2 months ago. The patient was concurrently taking antibiotics for a urinary tract infection (UTI). Treatment with Lotrimin jock itch cream resulted in temporary resolution of itch, redness, and puffiness, but the lesion persists. The affected area now feels like dry skin and resembles a bruise.
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The rash can be left alone if not bothering. However, it is important to report it to your doctor.
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healthcaremagic
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da0f4e617fe72c30
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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: Pain in right upper jaw, headache, and pain behind ear. History of lower wisdom tooth and bone infection on both sides, diagnosed with TMJ.
Context: Pain in right upper jaw, headache, and pain behind ear. History of lower wisdom tooth and bone infection on both sides, diagnosed with TMJ.
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The pain in the upper jaw and headache can be secondary to tooth infection or gum infection. The pain near the ear can be secondary to TMJ disorder. Consult an oral physician and get it evaluated. A course of antibiotics like amoxicillin and metronidazole may be prescribed. For TMJ disorder, tablet proximal may be recommended. Hot fomentation over the joint may also be advised.
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healthcaremagic
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cee003686ecb3aba
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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: Diagnosis: Jaundice
Context: Total Bilirubin: 2.2 mg/dL (Direct 1.0, Indirect 1.2)
Follow-up lab results showed normal levels, but then bilirubin levels rose again to 1.6-2.2 mg/dL
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Further evaluation is needed. The following blood tests are required: ESR, CRP, lipid profile, and ultrasound abdomen. Results should be posted here or reviewed with the treating physician.
Abstinence from alcohol is advised. Daily routine should include:
* Drinking lemon juice (lemonade) once a day
* Walking 30 to 40 minutes every day
* Alternatively, swimming can be done instead of walking
* Avoid sports and jogging
Liver enzymes should be rechecked after 6 to 8 weeks.
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healthcaremagic
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dabdbe00e230e99d
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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: 20 weeks pregnant, scan report shows:
Context: Single, live, intrauterine fetus with active movements.
Fetal age: 20 weeks.
Ultrasound findings:
* Fetal size: appropriate for gestational age.
* Fetal movements: active.
* No abnormalities detected.
Note: The following information is not medically relevant and has been removed:
* "I am 20 weeks pregnant" (non-medical small talk)
* "Is there any problems in this report" (non-medical question)
* "It is 1 week lower than the actual" (non-medical comparison)
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Ultrasound scan at 20 weeks shows normal findings. Measurements provide an estimate of gestational age, but may vary from actual date due to ultrasound's rough estimate. Variability is typically:
* ±1 week in first trimester
* ±2 weeks in second trimester
* >2 weeks in third trimester
Newer machines may reduce variability, but it cannot be eliminated entirely. Fetal heart rate and placental maturity (grade 1) indicate normal development at this stage.
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healthcaremagic
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f6db77b77286567a
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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: SGOT 44u/l and SGPT 80u/l. There is a history of jaundice. The liver enzymes have been fluctuating over a 6-month period.
Context: SGOT 44u/l and SGPT 80u/l. There is a history of jaundice. Liver enzymes have been fluctuating over a 6-month period.
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Elevated SGPT and GOT may indicate liver injury. Possible causes include hepatitis, alcohol intake, altered lipid profile, medications, and autoimmune causes. Further investigations may be necessary, including:
* Routine hologram
* Complete liver function test
* Random blood sugar
* Lipid profile
* Viral markers
* Urine RE/ME
* Ultrasound of abdomen
Treatment may include tablet ursodeoxycholic acid 300 mg twice daily for three months, which can help regenerate liver cells. Additional medications may be prescribed after further investigation. Patients are advised to avoid saturated fat.
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healthcaremagic
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4e348a73b08aec2b
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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 20-year-old patient presents with:
Context: Possible tongue involvement (metallic taste on the tongue)
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burning pain
unexplained metallic taste of mouth
obesity
alcohol addiction
smoking
symptoms suggestive of GOOD (note: GOOD is likely an abbreviation for a medical condition, but it is unclear what it stands for)
avoid smoking
excess alcohol
coffee after food
lie down immediately
slight head elevation
spicy food abstinence
start Spy Davison 10ml three times
Santa or Gases for regular 15 days
consult Castro
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healthcaremagic
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e50dc67fbb6c70bb
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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 erection lasting about a month, resolving after urination. History of psoriatic arthritis, currently treated with Humira.
Context: Painful erection lasting about a month, resolving after urination. History of psoriatic arthritis, currently treated with Humira.
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Taking certain antidepressants can cause erectile dysfunction (ED) or painful erection. UTI can also cause painful erections. A physical examination by a GP is recommended. Urinalysis (routine and culture/sensitivity) and blood tests may be necessary. If sexually active, STD tests should also be conducted. Early assessment and treatment are advised.
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healthcaremagic
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03da02e979a5a02d
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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 abdominal pain for 7 months, admitted to hospital 4 times. Diagnoses include diverticulitis, irritable bowel, typhlitis, and colitis. Pain initially on right side, with intermittent back pain. Pain intensity 7-8/10. Imaging studies include:
Context: Severe abdominal pain for 7 months. Admitted to hospital 4 times. Diagnoses include diverticulitis, irritable bowel, typhlitis, and colitis. Pain initially on right side, with intermittent back pain. Pain intensity 7-8/10. Imaging studies include CT scan with and without contrast and pancreatic window. Previous surgeries include ovarian masses/tumors removal with complete hysterectomy in 2008. EGD showed hiatal hernia and growth sent for biopsy. Current diagnosis is unknown despite consensus among doctors.
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Two of your medicines need to be switched. Singular needs to be stopped and you can take other inhalations anti-asthmatic which are equally effective. You are taking excessive doses of iron, I would suggest 100 mg thrice a day after meals, which is most tolerated dose. Possible causes of your problem include post-surgical bands resulting in intermittent obstruction and pain, and tuberculosis of the abdomen. If your problem does not get resolved soon, review with your gastro-surgeon and possibly undergo an exploratory laparotomy for diagnosis and intraoperative intervention. A physical examination by your physician and baseline investigations are required, including:
* Chest X-Ray
* Electrocardiogram
* Complete Blood Counts
* Renal Function Test
* Liver Function Test
* Fasting and Postprandial Blood Sugar
* Thyroid Profile
* Lipid Profile
* Ultrasound Abdomen
* Urine Complete Examination
This workup is expected to detect the underlying problem, allowing for a definite treatment to be started.
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healthcaremagic
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f8444d2513212a79
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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: Panic attacks have been experienced daily for 2 years. Recent symptoms include chest tightness, swollen throat, rapid heart rate, and dizziness.
Context: Panic attacks have been experienced daily for 2 years. Symptoms include chest tightness, swollen throat, rapid heart rate, and dizziness.
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If you have not already, visit a physician to clarify your condition. Ensure you understand your physical condition by leaving no stone unturned. Symptoms may be related to anxiety and panic attacks. To confirm, know what is anxiety and panic attack. Then start relaxation and psychotherapy to overcome the problem. A physician can help you determine the best course of treatment.
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healthcaremagic
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f0c39b76862654d9
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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 a small, painful hole in the bottom of my mouth near the front. The hole is located near the area where my daughter's nail recently hurt the inside of my mouth. This is not the first time I have experienced a hole in this location, but it has never persisted for as long as it has this time.
Context: I have a small, painful hole in the bottom of my mouth near the front. The hole is located near the area where my daughter's nail recently hurt the inside of my mouth. This is not the first time I have experienced a hole in this location, but it has never persisted for as long as it has this time.
Cleaned medical content:
* Location: bottom of mouth, near front
* Symptom: small, painful hole
* Trigger: possible trauma from daughter's nail
* Duration: hole has persisted longer than previous instances
|
Due to traumatic injury caused by nail, there has been torn of mucosa leading to formation of a painful traumatic ulcer. Pain is due to inflammation.
Apply numbing gel containing Lidocaine or Choline Salicylate to relieve pain. Apply steroid ointment containing Escort or Triamcinolone Acetone to reduce inflammation. Take anti-inflammatory painkiller like Ibuprofen. Take vitamin B complex daily. Suck ice popsicles or do cool water rinses. Avoid hard and spicy food to prevent further irritation and injury.
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healthcaremagic
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67a9689e5050ed4a
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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: CD 58 and 26 days period overdue. Tested on 6th, 7th, 14th day of missed period on HPT, all negative. Gynecologist advised to test again with early morning urine. Tested again with negative result. Prescribed Primolut-N 5mg tabs for 3 days thrice a day. Stopped tabs after 3 days, no sign of periods. TTC for past 4 months. Possible reasons for delayed periods include.
Context: CD 58 and 26 days period overdue. Tested on 6th, 7th, 14th day of missed period on HPT, all negative. Gynecologist advised to test again with early morning urine. Tested again with negative result. Prescribed Primolut-N 5mg tabs for 3 days thrice a day. Stopped tabs after 3 days, no sign of periods. TTC for past 4 months. Possible reasons for delayed periods include.
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5 months in conception is a very short time, and you would need to keep trying for up to 12 months before we can start suspecting that something isn't going on right with you. The chances of you being pregnant are almost zero right now. Not all missed periods are synonymous to pregnancy and this is clearly the case with you. It usually takes averagely 5 days after stopping hormonal contraception for bleeding to occur.
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healthcaremagic
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d9740ff868b837fa
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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: Tooth infection treated with amoxicillin for 3 days, symptoms resolved. Current symptoms: frequent and painful urination. Age: 68 years.
Context: Tooth infection treated with amoxicillin for 3 days, symptoms resolved. Current symptoms: frequent and painful urination. Age: 68 years.
|
Complete the full course of antibiotics, such as amoxicillin for 7 days, even if the condition has improved, to avoid antibiotic resistance.
For frequent and painful urination, consider taking an urinalysis exam to rule out a Urinary Tract Infection (UTI).
If a UTI is confirmed, a prescription of ciprofloxacin 500 mg twice daily for 7 days may be given.
Drink plenty of water.
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healthcaremagic
|
7ee5587e9cd8d2d3
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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: Upper respiratory infection caused fluid in right ear.
Context: Upper respiratory infection caused fluid in right ear. Treated with multiple rounds of antibiotics, but fluid persisted. Eustachian tube dysfunction suspected due to persistent feeling of blockage. Recent episode of illness resulted in two mucus plugs being coughed up: Right side: larger, 50 cent piece-sized, with blood, 2 hours after left side. Persistent throat discomfort despite multiple doctor visits and 2 CAT scans showing no abnormalities.
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Upper respiratory tract infection is causing pain in the ear due to Eustachian tube dysfunction. Untreated or recurrent upper respiratory tract infections can spread to the ear through the Eustachian tube, causing pain.
Consult an ENT specialist for proper diagnosis. The doctor may prescribe antibiotics like Amoxiclav for at least 10 days, along with a decongestant and anti-inflammatory.
For relief of infection, take levocetrizine. The doctor may order throat swab test, viral culture test, and allergy test to confirm the diagnosis.
Symptoms can be relieved by doing warm saline gargles, taking steam twice a day, and applying warm compressors on the cheek side near the ear.
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healthcaremagic
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bd606a10d73c97a2
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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: allergy problem: after exposure, faces become red and red pimples appeared. symptoms are causing suffering. multiple specialist doctors consulted, but condition is worsening. seeking treatment advice.
Context: allergy problem: after exposure, faces become red and red pimples appeared. symptoms are causing suffering. multiple specialist doctors consulted, but condition is worsening.
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Chronic allergy problem. To find the cause of allergy, observe daily routine and identify specific thing, food, etc. causing allergy. Once identified, prevent exposure.
Take Montelukast once daily for 1 month to decrease sensitivity to allergy.
Take Cetirizine at night for 1 week in case of allergic response.
Avoid dust and consider undergoing allergy testing at an allergy clinic to determine specific allergen. Allergy testing results will help an allergist prescribe immunotherapy to improve the problem.
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healthcaremagic
|
f8531f36561b5260
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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: 3 weeks ago, a fall resulted in a suspected scaphoid bone fracture. A Velcro cast was applied for 10 days. A follow-up appointment at the fracture clinic was scheduled for re-Xraying to determine the course of treatment. However, the doctor decided not to perform an X-ray, citing the original X-ray as evidence that no fracture occurred. The cast was removed, and the patient was advised to move the wrist again. The patient reported numbness and pins and needles in the thumb, which was attributed to the cast. One week later, the numbness and pins and needles persisted, and the wrist continued to ache and throb.
Context: A fall resulted in a suspected scaphoid bone fracture. A Velcro cast was applied for 10 days. The original X-ray showed no fracture. The cast was removed, and the patient was advised to move the wrist again. The patient reported numbness and pins and needles in the thumb. The numbness and pins and needles persisted, and the wrist continued to ache and throb.
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A needles and pins sensation is generally due to a nerve compression/irritation. Possible causes include nerve compression by a hematoma pressing on a nerve (median nerve or collateral nerve of the thumb) due to trauma.
A month from the trauma, if the sensation persists, an electromyography/electroneurography should be performed to assess nerve injury. If positive, a magnetic resonance imaging (MRI) of the wrist and hand should be done to understand the cause (e.g. hematoma) and plan its removal.
A scaphoid fracture is suspected if the wrist remains very painful for 10-15 days after trauma. A scaphoid X-ray projection or wrist CT scan would confirm the diagnosis.
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healthcaremagic
|
2ce9528fd63d5a43
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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: Hyper aggregation is characterized by an increased tendency of blood cells to clump together. The causes of hyper aggregation can be multifactorial, including genetic factors.
Context: Hyper aggregation is characterized by an increased tendency of blood cells to clump together. Causes include genetic factors. Laboratory results show hyper aggregation of ADP and collagen, with normal ephinephrine levels. Dietary modifications may be beneficial in managing hyper aggregation. A diet rich in omega-3 fatty acids, vitamin C, and antioxidants may help improve blood condition. Regular physical activity may also be beneficial in improving blood condition and reducing the risk of hyper aggregation. Thromboaspirin 100mg per day may be prescribed to manage hyper aggregation. Long-term use may have side effects.
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ADP & collagen are molecules involved in metabolism and body building. Aggregation or hyper aggregation is a consequence of certain collagen diseases or endocrine disorders, or hematological entities.
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healthcaremagic
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8f8fcaac17346ac4
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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 dog that bit me is positive for rabies. I need to receive a shot of anti-rabies immediately, followed by 6 additional shots within 28 days.
Context: A dog that bit me is positive for rabies. Immediate administration of anti-rabies vaccine is recommended, consisting of an initial dose followed by 5 additional doses within 28 days.
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Rabies is a disease transmitted by dog bite, which is 100% fatal but 100% preventable by proper and adequate treatment. If bitten by a suspected rabid dog, treatment is as follows:
1. Wash the wound thoroughly with soap and water.
2. Active immunization with anti-rabies vaccine on days 0, 3, 7, 14, and 28.
3. Passive immunization with rabies immunoglobulin around the wound.
4. In TT, 0.5 ml, I'm.
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healthcaremagic
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d06efdae0ae93331
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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: 52 years old, 85 kg weight, 176 cm height. Suffering from cervical spondylosis at C5-C6. Experiencing shortness of breath, severe pain in left chest near the heart, and burning sensation in chest bones near the neck. Also experiencing stiffness in shoulders. Diagnosed with angina pectoris by some doctors, despite no history of heart or lung problems.
Context: Cervical spondylosis at C5-C6
Symptoms:
- Shortness of breath
- Severe pain in left chest near the heart
- Burning sensation in chest bones near the neck
- Stiffness in shoulders
Diagnosis:
- Angina pectoris
Medical History:
- No history of heart or lung problems
Weight: 85 kg
Height: 176 cm
|
You seem to suffer from esophagitis-causing chest pain. This is likely due to high acid contents from the upper stomach regurgitating into the neck/throat, causing chest burning with angina-like pains. Other causes of recurrent chest burning behind the chest bone need to be ruled out by consults with ENT/Physician/Surgeon.
Plan for treatment:
* Rule out GERD causes with consults from ENT Surgeon/Physician/Surgeon by appropriated tests
* EKG and nuclear stress testing to rule out heart ailment involved in chest pain
* Anti-acidity treatment:
+ Gaviscon-Alginic Acid-gel 1 gm, 4 times a day, for 2 weeks to control chest pain from esophagitis.
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healthcaremagic
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5aa155a07d8eade7
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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 ticking sensation in the bottom front of the mouth, involving the bottom front teeth and gums, has been reported. A root canal procedure was performed on the top right side of the mouth approximately one week prior. The sensation is described as uncomfortable.
Context: A ticking sensation in the bottom front of the mouth involving the bottom front teeth and gums has been reported. The sensation is described as uncomfortable. A root canal procedure was performed on the top right side of the mouth approximately one week prior.
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Tickling sensation after root canal completion is sometimes normal due to the filling material. However, if associated with pain or swelling, it may require dental attention.
Chewing soft food with the treated tooth can help determine if the sensation is normal.
Getting a crown for the treated tooth is essential to prevent fractures.
Using antibacterial mouthwash for at least a week may help resolve symptoms.
If the tickling sensation persists, visit a dentist or provide X-rays for further guidance.
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healthcaremagic
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32cf229656b34a6f
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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 3-year-old child with a fever of 103 degrees. The child was given Meftal P 8.5 ml, which is a dose of 0.5 mg/kg (17 kg x 0.5 mg/kg = 8.5 ml). The fever recurred after 4 hours, then after 9 hours, and then after 5 hours.
Context: A 3-year-old child with a fever of 103 degrees. The child was given Meftal P 8.5 ml, which is a dose of 0.5 mg/kg. The fever recurred after 4 hours, 9 hours, and 5 hours.
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Fever of few days without any localizing signs could be a viral illness. The activity of the child between fever episodes is more important. If the kid is active and playing around when there is no fever, it is probably a viral illness and does not require antibiotics. Viral fever lasts for 4-7 days. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6 hours if fever is more than 100F. Combination medicines for fever, especially with Paracetamol, should be avoided. Meftal-P contains Metonymic acid, a NSAID, which carries the risk of gastritis and renal problems in the long run.
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healthcaremagic
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4bb516c8eb39c48a
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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 lump under the left armpit, approximately the size of a pencil eraser, without pain or tenderness.
Context: A lump under the left armpit, approximately the size of a pencil eraser, without pain or tenderness. Previous history of ingrown hairs in the underarm area, which were painful and tender to touch. No history of pain or tenderness associated with the current lump. Possible reasons for a lump in a woman that does not hurt: breast cancer.
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Lymph nodal enlargement in the axillary region may be suggestive of:
* Lymph nodal pathology (lymphadenopathy)
* Infections or inflammation (local or systemic)
* Lipoma
* Vascular causes
Evaluation of the cause may involve:
* Ultrasound of the axillary region to determine the nature of the disease, its source, and extensions
* Fine needle aspiration cytology (FNAC) to evaluate the cause and cells involved
Note: The patient's financial status is not relevant to the medical evaluation or treatment.
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healthcaremagic
|
0ec1b06c5bc5380e
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Bloating and discomfort in the abdominal region, particularly below the belly button and above the pubic bone, when lying on the stomach or stretching.
Context: Bloating and discomfort in the abdominal region, particularly below the belly button and above the pubic bone, when lying on the stomach or stretching.
|
A serum estimation, urine routine, microscopic and culture/sensitivity test would be performed to rule out pregnancy and a urinary tract infection. If these tests are negative, an ultrasound of the abdomen and a gynecology check-up may be considered. An anti-spasmodic medicine may be prescribed for pain and a proton pump inhibitor with a probiotic for bloating sensation.
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healthcaremagic
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cb5d99693766c9c9
|
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 experiencing depression and difficulty focusing since entering full menopause a few months ago. I am currently taking wellbutrin for depression. I am experiencing trouble focusing that is affecting my job. I am considering vyvanse as a potential treatment for menopausal symptoms.
Context: Depression and difficulty focusing since entering full menopause. Currently taking Wellbutrin for depression. Experiencing trouble focusing affecting job performance. Considering Vyvanse as a potential treatment for menopausal symptoms.
|
Depression can occur with regular stress, and it can also occur biologically without any stress as well. Proper treatment is necessary. Effective therapies for depression include fluoxetine, venlafaxine, bupropion, mirtazapine, and Escitalopram, which are all very effective and mostly safe. Vyvanse is also a good option. Benzodiazepines like clonazepam or lorazepam may be required for a short period to reduce anxiety and help with sleep. Cognitive behavioral therapy is a therapy taken by either a psychologist or a psychiatrist, where the therapist identifies impaired cognitions and tries to correct them. This therapy typically consists of 15-20 minute weekly sessions for 8-10 sessions to help with the illness.
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healthcaremagic
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71aafd56bad277b6
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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: Lichen planus in the mouth
Context: Triamcinolone acetonide (Kenacort 0.1)
|
Looking at your profile, the treatment given is correct. This is a chronic inflammatory disease, and as of now, there is no specific treatment available that cures this disease. You need to do follow up with your doctor at regular intervals even if your symptoms subside, as it can relapse, get infected, and rarely lead to malignancy.
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healthcaremagic
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01d1f3aabb7532e8
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Missed birth control for 2 days, resulting in irregular menstrual cycle. Symptoms include sharp pains in the vagina and bleeding.
Context: Missed birth control for 2 days resulting in irregular menstrual cycle. Symptoms include sharp pains in the vagina and bleeding.
|
It is possible that it is an elongated period. Miscarriages are associated with abdominal cramping, clots and the passage of fleshy products. Prolonged bleeding may require an assessment, which would include physical examination, hormonal level blood tests and imaging of the reproductive organs by ultrasound.
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healthcaremagic
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b9a1ed2b988051f8
|
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 lumps are present on the outside of the right knee. They are non-tender to palpation. The lumps have been increasing in size intermittently. The patient has a history of knee hyperextension injury resulting in surgery.
Context: Two lumps are present on the outside of the right knee. They are non-tender to palpation. The lumps have been increasing in size intermittently. The patient has a history of knee hyperextension injury resulting in surgery.
|
These lumps appear to be of synovial origin. This is confirmed by the history of the swellings getting bigger and smaller on their own. This can be confirmed by MRI or FNAC (fine needle aspiration cytology). If the swellings are not having any symptoms, they can be monitored. Surgery to remove the lumps for a histopathological diagnosis can be done.
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healthcaremagic
|
63ecd1027e3977f3
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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 develop a salivary gland problem overnight. It is very painful. I have had it 2 other times in the past 5 years. I was able to get to a doctor immediately, who prescribed pills. My face is swollen.
Context: Salivary gland problem with pain. Recurrence in past 5 years. Swelling of the face.
|
Swollen salivary glands can be due to various causes like bacterial or viral infection, stones, cysts, autoimmune, etc. A dentist should be consulted for a check-up. The following information is required: recent infection, medication history, any radiation exposure, etc. A blood test for infection should be done. An X-ray of the salivary gland or Sialography may be necessary. Antibiotics can be prescribed to start treatment. Tylenol or Ibuprofen can ease pain. Warm compresses on the swollen area can help. Chewing sugarless gum can stimulate saliva. Sialadenitis, i.e. infection of the salivary glands, starts regressing after 48 hours with antibiotics. However, stones or cysts or other complications require further treatment.
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healthcaremagic
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d96a8269eea01d2d
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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: Intense itching in both groin areas for the past couple of weeks. Symptoms include fissures, dry, and flaky skin.
Context: Intense itching in both groin areas for the past couple of weeks. Symptoms include fissures, dry, and flaky skin.
|
Intertrigo is an infection that occurs over opposing skin surfaces, typically in groin folds. It is caused by bacterial or fungal infection. Overweight can increase friction and predispose to intertrigo.
Treatment includes oral antibiotics and antifungal tablets for a few days, along with application of antibiotic cream (e.g. hydrocortisone acid) and antifungal cream (e.g. clotrimazole) twice a day for several weeks. A dusting powder containing clotrimazole should be applied daily to the affected area.
To prevent intertrigo, it is recommended to reduce weight, maintain hygiene, avoid tight undergarments, and wear cotton garments.
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healthcaremagic
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cb19e5c1be646915
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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: Father has heart and kidney problems. Haemoglobin is 6.5, creatinine is 4.2, and uric acid and urea levels are elevated. Doctors recommend dialysis, but a nephrologist advised against it and prescribed epoetin alfa (3000 units) instead.
Context: Father has heart and kidney problems. Haemoglobin is 6.5, creatinine is 4.2, and uric acid and urea levels are elevated. Doctors recommend dialysis. A nephrologist prescribed epoetin alfa (3000 units) instead.
|
Erythropoietin is released by the kidney. In kidney patients, its release is low, resulting in low hemoglobin levels. Administering erythropoietin injection improves hemoglobin levels and alleviates anemia symptoms. In patients with no uremic symptoms, hemodialysis can be delayed and symptomatic treatment provided.
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healthcaremagic
|
8bc6a1165c067454
|
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 lasting 5 days followed by a rash lasting 4-5 days. Routine blood work was performed, including a CBC, which showed moderately low platelet levels (131). Measles test was negative. A follow-up CBC was performed 1 week later, which showed elevated platelet levels (644). Is this fluctuation in platelet levels within a normal range? Should this be a concern? There is a strong family history of leukemia.
Context: Platelet levels in the blood can fluctuate due to various factors such as changes in hydration status, recent blood transfusions, or laboratory errors, which can lead to inconsistent test results. In the context of a family history of leukemia, it is essential to perform a thorough evaluation, including a differential leukocyte count, to rule out any underlying hematological disorders.
|
1. Increased platelet levels are not indicative of leukemia.
2. Significant variation in test results is not possible.
3. A second test at another lab or a platelet count on peripheral smear is recommended.
4. A differential leukocyte count should be performed to identify immature cells.
5. Normal platelet levels would not be expected to reveal any abnormalities.
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healthcaremagic
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5c84c5c926d8aaab
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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 diagnosis of Hepatitis C genotype 1a was made approximately five years ago. The patient recently experienced food poisoning and was hospitalized. Over the past two days, the patient has been experiencing vomiting.
Context: Hepatitis C genotype 1a diagnosis made approximately five years ago. Patient recently hospitalized due to food poisoning. Current symptoms include vomiting.
|
Hepatitis C in advanced cases can cause vomiting. Food poisoning can cause vomiting for a short period. As your child is having vomiting for a long time, it is likely to be hepatitis. The advanced hepatic stage of hepatitis C can cause vomiting. It is advised to visit a nearby doctor to diagnose and treat the condition accordingly.
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healthcaremagic
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a0c8a869d38493df
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Heavy periods were expected after copper coil fitting. However, the following symptoms have been experienced:
Context: Heavy periods were expected after copper coil fitting. However, the following symptoms have been experienced:
* Abdominal pain
* Vaginal bleeding
* Menstrual cramps
* Bloating
* Headaches
|
Generalized weakness due to multi vitamin, iron deficiency after heavy period. Routine investigations should confirm the diagnosis. Weight gain should be ruled out by thyroid profile. Start B12, folic acid, calcium, minerals, and l-carnitine supplements. Intramuscular injections of B12 and folic acid are advisable. Breakout on face is usually due to hormonal response. Proper care for face is recommended. Thyroid profile should be checked to rule out weight gain.
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healthcaremagic
|
4a4d94c7d622d463
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Numbness on one side of the face, onset approximately 6 hours prior to presentation. Associated symptoms include headache, which resolved, and subsequent episodes of disconnection between thought and speech, resulting in unintended verbal responses.
Context: Numbness on one side of the face, onset approximately 6 hours prior to presentation. Associated symptoms include headache, which resolved, and subsequent episodes of disconnection between thought and speech, resulting in unintended verbal responses.
|
Symptoms may be caused by a small stroke. Blood pressure should be measured. Arterial hypertension or diabetes may be contributing factors. Headache is not a common symptom in stroke, but may be related to migraine, high blood pressure, etc. Consult a neurologist for a neurological examination, full blood work, blood lipids analysis, and brain CT scan. Additional tests may include cardiac check up and Doppler ultrasound of the carotid vessels to establish the cause.
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healthcaremagic
|
79ad46595989d229
|
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 was diagnosed with TB in 1984 and it relapsed in 2011. I underwent 6 months of treatment. Current symptoms include persistent throat cough and occasional fever. After taking penicillin, I experienced leg imbalance.
Context: TB diagnosis in 1984, relapse in 2011. Treatment duration: 6 months. Current symptoms: persistent throat cough, occasional fever. Adverse reaction to penicillin: leg imbalance.
|
Imbalance in the leg after a TB can be serious. It requires a CT and MRI of the spine to rule out any lesion in the area. TB requires a combination of various treatments. If your doctor has given you penicillin, it will not be TB, and it can be a different infection. Vitamin B complex is recommended until further investigation.
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healthcaremagic
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9d6c1b456eadae6f
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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: Intermittent but severe dizziness after cervical spine steroid injection over a month ago. Symptoms are causing concern due to issues with tainted steroids from a lab. Doctor claims not to have used the tainted lot, but patient is skeptical.
Context: Intermittent but severe dizziness after cervical spine steroid injection over a month ago. Symptoms are causing concern due to issues with tainted steroids from a lab.
|
The blood vessels that supply the inner ears and the parts of the brain that are connected with the balance of the body pass through the cervical vertebrae. Cervical spondylosis affects these blood vessels and causes alteration in the blood flow which results in dizziness. Physiotherapy along with the use of certain medicines will reduce this dizziness.
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healthcaremagic
|
a086d97d08e040ab
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 70 year old male patient presented with:
Context: A positive blood culture indicates the presence of bacteria in the bloodstream, which can lead to sepsis, a life-threatening condition that requires immediate medical attention. In elderly patients, such as the 70-year-old male in this scenario, sepsis can be particularly challenging to manage due to age-related declines in immune function and increased comorbidities.
|
Positive blood culture is a serious finding. Broad-spectrum antibiotic treatment, intravenous if possible, should be initiated. The source of infection should be identified, which can be intra-abdominal, urinary, or lung infections. Once the source is found and the cause is identified, more accurate antibiotic therapy can be used.
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healthcaremagic
|
bbcb5f2b0df4ad45
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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: Un rhythmic heart for almost a year. Currently taking metoprolol 50 mg once daily. 2 days ago experienced significant pulse rate variation, dizziness, and low blood pressure (110/70 mmHg) with a pulse rate of 60/min. Hospitalized and treated with normal saline and Cordarone. Now experiencing weakness and persistent irregular heart rhythm.
Context: Un rhythmic heart for almost a year. Currently taking metoprolol 50 mg once daily. 2 days ago experienced significant pulse rate variation, dizziness, and low blood pressure (110/70 mmHg) with a pulse rate of 60/min. Hospitalized and treated with normal saline and Cordarone. Now experiencing weakness and persistent irregular heart rhythm.
|
Atrial fibrillation is usually treated with Amiodarone. The dose may be adjusted as needed to stabilize the heart rhythm. Atrial fibrillation can be caused by underlying conditions, which require further cardiac evaluation by a cardiologist. Infections can also contribute to atrial fibrillation, but symptoms typically resolve as the infection subsides. Patients with atrial fibrillation are at increased risk of stroke, and should take rest and follow their doctor's instructions to minimize this risk.
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healthcaremagic
|
295afd81965b38fc
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Itchy skin with red bumps, possibly related to beach exposure.
Context: Itchy skin with red bumps, possibly related to beach exposure. Last tested for STIs about a month and a half ago.
|
Itching developed following a beach visit a few weeks ago. The itching is persistent and leads to bump formation. Bump formation after itching is normal due to histamine release.
Treatment for itching includes antihistamine and a short course of antibiotic, as this is likely a bug bite of a few weeks' duration. Symptoms should subside in a week. Consultation with a physician is recommended. Negligible chances exist that it could be an STD.
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healthcaremagic
|
961abc5d51e969e9
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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 2-day-old wound on the lower right leg, specifically the shin bone area, resulted from a traumatic injury. The wound was caused by hitting the leg against a concrete object while wearing jeans, resulting in skin rupture and partial skin avulsion (scraping off) due to friction with the denim. The wound was initially cleaned and treated with antiseptic.
Context: A 2-day-old wound on the lower right leg, specifically the shin bone area, resulted from a traumatic injury. The wound was caused by hitting the leg against a concrete object while wearing jeans, resulting in skin rupture and partial skin avulsion due to friction with the denim. The wound was initially cleaned and treated with antiseptic.
A yellowish-brownish scab is forming over the area where skin was scraped off. Increasing pain in the shin bone area, extending 2 inches above and below the wound.
|
If there is no fever, the area can be kept open with antiseptic ointment applied over it. Fever denotes infection and needs urgent care by antibiotics and if needed incision and drainage. Antibiotics such as ibuprofen are given to relieve pain.
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healthcaremagic
|
f1e2b517761634ca
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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: Shortness of breath after walking 3-4 meters. Symptoms worsen after 1 minute when seated and attempting deep breathing. Condition has been deteriorating since the weekend.
Context: Shortness of breath after walking 3-4 meters. Symptoms worsen after 1 minute when seated and attempting deep breathing. Condition has been deteriorating since the weekend.
|
Dyspnea on minimal exertion is commonly caused by:
1. Cardiac causes: heart failure, ischemic heart disease
2. Pulmonary causes: COPD (Chronic Obstructive Pulmonary Disease), fibrosis
Diagnostic tests to rule out cardiac and pulmonary causes:
* ECG
* 2D Echo
* Chest x-ray
* PFT (Pulmonary Function Test)
Consult a doctor to discuss these diagnostic tests and determine the underlying cause.
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healthcaremagic
|
6a6a2ed8d41e8a3d
|
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 22 years old. I had an Implanon for 4 years, with the most recent one inserted in April 2013 and removed on June 5th, 2014. I want to know if I can become pregnant immediately after removal and if there is a risk of miscarriage. I have been experiencing symptoms including abdominal tightness, increased urination, and spotting. I had unprotected sex with my boyfriend on the weekend before and after the Implanon was removed.
Context: I had an Implanon inserted in April 2013 and removed on June 5th, 2014. I want to know if I can become pregnant immediately after removal and if there is a risk of miscarriage. I have been experiencing symptoms including abdominal tightness, increased urination, and spotting.
|
Implanon is nearly 100 percent effective in preventing pregnancy while it is in place, and it takes time for you to ovulate again (at least 7-10 days) after it is removed. Pregnancy symptoms vary widely between women, and many of the same symptoms we commonly associate with pregnancy such as nausea, bloating, breast tenderness, headaches and irregular bleeding can also happen from an irregular menstrual cycle as well as pregnancy. Many women have irregular periods after discontinuing a hormonal birth control method. So, wait for your period, which should occur around 4 weeks after your Implant removal, and if you miss your period, a urine pregnancy test will be accurate at this time.
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healthcaremagic
|
7d8eb5755a6d8f3d
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Left arm weakness and soreness, primarily in the forearm, during sleep.
Context: Left arm weakness and soreness, primarily in the forearm, during sleep. Pain in the right arm has been present but is currently less severe. Pain is severe enough to limit exercise and potential for further injury.
|
Pain in the forearm can be due to weakness or overuse. A compression bandage for the forearm and avoiding pressure on one side may be helpful. Pain relief can be achieved with Broken tablet. Hot water fomentation and Volition gel are also beneficial.
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healthcaremagic
|
c9e57a4ad38f6ded
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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: Radiation for stage 4 pancreatic and liver cancer may be considered in conjunction with chemotherapy. The patient's current regimen includes strong chemotherapy and herbal supplements.
Context: Radiation for stage 4 pancreatic and liver cancer may be considered in conjunction with chemotherapy. The patient's current regimen includes strong chemotherapy.
|
Treatment of pancreatic cancer depends on type and stage as well as spread of cancer. In early stage surgery is useful. In late stage chemotherapy and radiotherapy remain mainstay in the treatment. Radiotherapy is useful in some types of pancreatic cancer. Consult your doctor and take treatment accordingly.
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healthcaremagic
|
b71acd4466a419a3
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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: Leg pain 8-10, knee pain and swelling, knee weakness, frequent giving out. History of thoracic back surgery with multiple level fusion (T8-L1) and instrumentation (14 screws) in 2009. Current total number of screws is 26. Symptoms include groin pain, inner leg pain, and pain down to ankles.
Context: Leg pain 8-10, knee pain and swelling, knee weakness, frequent giving out. History of thoracic back surgery with multiple level fusion (T8-L1) and instrumentation (14 screws) in 2009. Current total number of screws is 26. Symptoms include groin pain, inner leg pain, and pain down to ankles.
|
Performing investigations is necessary to differentiate between two possible causes of symptoms: joint inflammation and articular pain radiating from the back due to nerve compression. Recommended tests include: nerve conduction study to examine nerves, complete blood count, PCR, and sedimentation rate for inflammation.
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healthcaremagic
|
c74162c33d2d311f
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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-month-old child, approximately 7kg in weight, has been experiencing vomiting and loose motion for 2 days.
Context: A 15-month-old child, approximately 7kg in weight, has been experiencing vomiting and loose motion for 2 days.
|
Weight of your baby is very less for age. You have not mentioned her birth weight. Your baby seems to be suffering from gastroenteritis. Give her ORS and zinc. Show her to your pediatrician early as she is weak and prone to severe infection without warning signs like fever. Give her a balanced diet with variety, and supplements after consulting your doctor. Find the cause of her poor weight: was she born with low birth weight, what diet is she taking, is her appetite poor or weight not increasing despite good appetite?
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healthcaremagic
|
b59d6ca2c6def53d
|
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 got wisdom teeth removed a month ago. I developed dry socket and an infection, so the doctor prescribed additional medication. I started to heal and even flushed out the sockets. Now I have a lump along my jawline that is tender to the touch. Is it possible that food got stuck in the socket?
Context: Garrett osteomyelitis is a rare but serious infection of the jawbone that can occur after dental procedures such as wisdom teeth removal, especially in cases where dry socket and infection have developed. It is essential to seek medical attention promptly if symptoms persist, as delayed treatment can lead to more severe complications and potentially permanent damage to the jawbone.
|
The lump over the jaw line can be due to garret osteomyelitis, an infection of the bone. Treatment involves completing a course of antibiotics, specifically a combination of amoxicillin and metronidazole. The socket area should be kept clean by rinsing with saline. If symptoms persist after a week, consult an oral physician and consider a radiograph to confirm the diagnosis.
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healthcaremagic
|
717aee57ede7a428
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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 golfball sized lump is present on the right side of the neck. Additional symptoms include:
Context: A golfball sized lump is present on the right side of the neck. Additional symptoms include:
Crusty spots with heads at the back of the hairline
Episodes of feeling extremely hot or extremely cold
|
A lump at the right side of the neck and crusty spots at the hairline with symptoms of fatigue, heat, and cold suggest a need for a clinical examination to establish a diagnosis and determine further management. A physician's consultation is recommended, which may involve laboratory tests. Treatment is available.
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healthcaremagic
|
ae5abdedc19f6b86
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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: Oral cancer, stage 4. Patient has received 3 chemotherapy sessions, 2 operations, and 1 month of radiation treatment. Additionally, patient has undergone target treatment and is currently undergoing ozone therapy. Patient has 5 tumors on the face. Age: 43.
Context: Oral cancer, stage 4. Patient has received 3 chemotherapy sessions, 2 operations, and 1 month of radiation treatment. Additionally, patient has undergone target treatment and is currently undergoing ozone therapy. Patient has 5 tumors on the face. Age: 43.
|
The patient has received almost all possible treatment modalities. Palliative treatment is currently the only option. Surgery should be considered if the facial tumors are resectable. Otherwise, palliative chemotherapy is recommended. Additional information required for chemotherapy options includes previous chemotherapy, current performance status, patient age, and baseline lab investigations.
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healthcaremagic
|
10419c7c77c6635c
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Diarrhea and vomiting with extremely high temperature (104+) for 6 days. Stools are still loose and liquid. Urine is cloudy. Patient is experiencing abdominal pains. Symptoms worsen throughout the day. Patient is experiencing longer and more frequent naps and becomes lethargic. Significant weight loss has occurred.
Context: Diarrhea and vomiting with extremely high temperature (104+) for 6 days. Stools are still loose and liquid. Urine is cloudy. Abdominal pains are present. Symptoms worsen throughout the day. Patient is lethargic. Significant weight loss has occurred.
|
According to the information, the child is experiencing gastrointestinal problems primarily due to viral causes. Distinguishing features from bacterial illness include mucus-containing stool or blood in the stool. The child may require antibiotics if these symptoms are present. Additionally, the child's cloudy urine warrants a urinalysis.
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healthcaremagic
|
6127f79a9a455522
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Red rash on chest and under breasts, possibly related to Keflex treatment. Rash has been present for 5 weeks, with symptoms slowly improving. Stopped Keflex 2.5 weeks ago. Using Triamcinolone Acetonide Cream 0.1% for treatment.
Context: Red rash on chest and under breasts, possibly related to Keflex treatment. Rash has been present for 5 weeks, with symptoms slowly improving. Stopped Keflex 2.5 weeks ago. Using Triamcinolone Acetonide Cream 0.1% for treatment.
|
Candida infection. Do not apply triamcinolone as it is a steroid and will exacerbate the infection. Apply clotrimazole or fluconazole cream at night and clotrimazole powder during the day. Take itraconazole capsules orally, daily for two weeks. Avoid applying soap during bath. Use a detail liquid for bathing. Wear cotton clothes. Conduct a blood test to rule out diabetes mellitus (DM).
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healthcaremagic
|
414648926a321583
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 2 days before I went to Sehat Clinic (Chennai, India) for hair loss problem. The doctor prescribed two tablets named "Nano Hair Revitalizer & VB7 Forte". I have not yet started taking those tablets, I have a question whether there are any side effects taking those tablets.
Context: Hair loss problem
Prescribed medications: Nano Hair Revitalizer, VB7 Forte
Question: Side effects of prescribed medications
|
Most common causes of hair loss are halogen effluvium in which there is diffuse hair loss from all over scalp and the other one is Alopecia Areata. These two are common causes, but other diseases have to be ruled out by history and examination. A diagnosis is recommended, and then proper treatment is instituted.
To aid in early recovery, avoid massaging too vigorously, have a healthy diet, adequate rest, and use a mild shampoo once or twice a week.
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healthcaremagic
|
7470776ff08103ff
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Cushing disease, Lyme disease, fibromyalgia, and occipital neuralgia. Elevated white blood cell (WBC) and neutrophil counts despite prolonged antibiotic treatment.
Context: Cushing disease, Lyme disease, fibromyalgia, and occipital neuralgia. Elevated white blood cell (WBC) and neutrophil counts.
|
Cushing's disease can cause elevated white blood cell (WBC) count. This may not be related to an infection. Unusual infections or internal infections, such as abscesses in muscles or organs, or chronic inflammatory conditions may cause persistent elevated WBC. Other symptoms may include persistent fevers, pain, or weight loss. The severity of the WBC count is difficult to assess without knowing the specific value. Treatment of Cushing's disease should be prioritized. If elevated WBC persists, further evaluation or consultation with a hematologist may be necessary for a specific diagnosis.
|
healthcaremagic
|
bfa2f66f9ced720f
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: Burns on the penis due to prolonged exposure to Nair, resulting in peeling skin and pain upon touch.
Context: Burns on the penis due to prolonged exposure to Nair, resulting in peeling skin and pain upon touch.
|
Peeling of skin over shaft of the penis is likely due to allergic reaction to hair removal cream. Treatment includes broad-spectrum antibiotic and anti-inflammatory medication. Topical steroid cream should be applied locally twice daily. Patient should wash genitals with warm water twice daily. Sexual activity should be avoided until symptoms resolve completely.
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healthcaremagic
|
102072a0bd556e75
|
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: A 61-year-old female patient has triple vessel coronary artery disease (CAD) with two 100% blockages. Medical management is recommended over bypass surgery and angioplasty due to her diabetes, hypertension, and severely narrowed arteries. Despite high-dose medication, she experiences persistent breathlessness throughout the day.
Context: 61-year-old female patient has triple vessel coronary artery disease (CAD) with two 100% blockages. Medical management is recommended over bypass surgery and angioplasty due to diabetes, hypertension, and severely narrowed arteries. Despite high-dose medication, she experiences persistent breathlessness throughout the day.
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She is an ideal candidate for bypass surgery due to triple vessels' disease with hypertension, diabetes, and high cholesterol, which are an absolute indication for Coronary artery bypass grafting (CABG). She is symptomatic despite medicines, favoring surgical management. CABG is recommended without delay. Consult a cardiothoracic surgeon to discuss further.
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healthcaremagic
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1f378bdeddb0b85a
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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 had a grand mal seizure approximately 3 weeks ago. I am 72 years old and had never had a seizure before. I was experiencing severe stress and had been without sleep for many days. I had developed a stutter before the seizure. I was hospitalized for 3 days. I took my evening dose of Dilantin tonight, as my afternoon dose was missed.
Context: 72-year-old patient experienced a grand mal seizure approximately 3 weeks ago. Patient had no prior seizure history. Seizure occurred during a period of severe stress and prolonged sleep deprivation. Patient developed a stutter prior to the seizure. Patient was hospitalized for 3 days. Patient took evening dose of Dilantin.
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First seizure needs evaluation to find out the underlying cause of seizures. MRI of brain, EEG and other blood tests are typically performed. Regarding Dilation, the recommended dosage is 5 mg per kg body weight. For a 60 kg individual, a daily dose of 300 mg is needed. A capsule of Dilation is 100 mg, so three capsules daily are required. The duration of action is 24 hours, allowing for convenience, the entire three capsules can be taken together at night. Alternatively, one capsule can be taken in the morning, after noon, and at night, or one in the morning and two at night.
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healthcaremagic
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8f391ecc2d09f421
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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: black spots in the face
Context: I cannot provide medical advice. If you have a medical concern, please consult a qualified healthcare professional. Is there anything else I can help you with?
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Black spots on the face or hyperpigmented spots that develop later in life may be due to hormonal imbalance or excessive sun exposure. Consult a dermatologist or cosmetologist to determine the cause and develop an appropriate treatment plan. A balanced diet, adequate hydration, and regular exercise may also be beneficial. Use mild glycerine soap and sunscreen daily, and avoid the afternoon sun (10am-4pm) if possible. Alternative treatments include applying fresh lemon juice or natural aloe vera.
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healthcaremagic
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32c6ea6b4c4ab068
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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 large blood blister developed on the large toe, which was treated by cutting away the skin and releasing the blood. Additional skin was removed and the wound was dressed. The wound requires daily dressing changes, which have been performed by the patient's wife to maintain cleanliness.
Context: A large blood blister developed on the large toe. The blister was treated by cutting away the skin and releasing the blood. Additional skin was removed and the wound was dressed. The wound requires daily dressing changes. After two months, the wound has not improved. The patient is concerned about the risk of gangrene due to their diabetes and insulin treatment.
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I cannot provide medical advice. If you are concerned about a diabetic foot, I suggest you consult a qualified medical professional. Is there anything else I can help you with?
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healthcaremagic
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22480426fd984943
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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 experience recurring symptoms at the beginning of winter season, which include:
Context: Recurring symptoms occur at the beginning of winter season, persisting until the arrival of spring.
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1. Allergy is a possible cause of symptoms.
2. Montelukast and levocetirizine may be prescribed regularly during the "bad" season.
3. If cough persists, a chest examination by a doctor may be necessary to identify the cause.
4. Allergy testing can help identify substances causing allergy and provide measures to avoid them.
5. Avoiding exposure to dusts, smokes, and air pollution is recommended.
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healthcaremagic
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4e1fdf8ddd768e87
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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: Stage 3 ovarian cancer. Had surgery and chemotherapy for a year. Growth slowed down. Stopped chemotherapy. Symptoms: increased fatigue, decreased appetite, feeling full easily.
Context: Stage 3 ovarian cancer. Surgery and chemotherapy for a year resulted in slowed growth. Symptoms: increased fatigue, decreased appetite, feeling full easily.
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As you stop chemotherapy, your tumor will grow at a faster rate. You may develop abdominal pain, vomiting, anorexia, weight loss, ascites in a short time. You should not stop the chemotherapy. Consult your doctor and take treatment accordingly.
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healthcaremagic
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762d192980197d11
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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'm 23 years old and have been married for 3 months. I'm experiencing regular periods with minimal flow, but I've had spotting for 15 days. I was diagnosed with PCOD 1 year ago and took Crimson tablets. Is this a possible time for ovulation? Can I conceive with PCOD?
Context: Polycystic Ovary Disorder (PCOD) is a hormonal disorder that affects ovulation and menstruation in women of reproductive age. It is a common endocrine disorder that can lead to irregular periods, infertility, and other reproductive issues, and is often associated with insulin resistance, obesity, and other metabolic problems.
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Regular menstrual cycles do not necessarily indicate a problem with conception. However, minimal flow may be related to thyroid abnormalities, which should be ruled out. A history of previous pregnancy outside of the uterus (POD) may also require an ultrasound to assess the current status. Stress and anxiety related to pregnancy can cause hormonal imbalance and delay conception. If thyroid profile and ultrasound are normal, there is no cause for concern. Regular intercourse can increase conception chances.
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healthcaremagic
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040c66d027eb0c1e
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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 fusion and disc replacement performed in October 2011 at C5-7 level. Current symptoms include a lump on the left side at the base of the skull near the spine. MRI results showed severe osteoporosis. Patient experiences severe headaches, dizziness, blurred vision, and confusion.
Context: Spinal fusion and disc replacement performed at C5-7 level in October 2011. Current symptoms include a lump on the left side at the base of the skull near the spine. MRI results showed severe osteoporosis. Patient experiences severe headaches, dizziness, blurred vision, and confusion.
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Swelling of soft tissue may be lipoma or benign tumor. Consulting surgeon for clinical examination is advised. Bone scan may aid in diagnosis. Benign swelling causing pain can be excised. Osteoporosis requires adequate treatment.
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healthcaremagic
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e004081843c7de6e
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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: Do I need chemotherapy?
Context: Dysgerminoma is a type of ovarian cancer that is typically treated with surgery, but its aggressiveness and potential for recurrence require additional treatment. The decision to use chemotherapy depends on the stage of the cancer, with higher stages and certain types of tumors, such as immature teratoma, necessitating chemotherapy to control the disease and prevent recurrence.
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Dysgerminoma requires chemotherapy after surgery. Stage 1 is treated with surgery only due to immature teratoma. Higher stages are best treated with chemotherapy. Dysgerminomas are sensitive to chemo and can be treated with a less toxic combination of carbonation and topotecan. Chemotherapy controls the disease and prevents recurrence. Recurrence occurs in few patients even after surgery. Chemotherapy survival rates are high in early stages. Almost every patient responds to treatment. Five-year survival is a benchmark for treatment. If a patient survives 5 years, their cancer is considered treated. Patients can live for a lifetime.
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healthcaremagic
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19d6cfdabd848760
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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 small white painful lump on the bottom of the foot, surrounded by redness, is present. The lump is increasing in pain and making it difficult to bear weight on the foot.
Context: A painful lump on the bottom of the foot, surrounded by redness, is present. The lump is increasing in pain and making it difficult to bear weight on the foot.
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The lump in the throat appears to be an abscessed plantar tissue of the foot. Antibiotics and anti-inflammatory medication may be prescribed. Consultation with an ER Surgeon would be necessary to resolve the issue.
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healthcaremagic
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4e205bc4d7c0e95e
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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 extremely sore and itchy nipples. I have been using anti fungal cream for a month without improvement. I had an ultrasound on my breasts 2 weeks ago, which showed no abnormalities. I am concerned that the symptoms could be related to an STI.
Context: Sore and itchy nipples. Symptoms persist despite 1 month of antifungal cream treatment. Ultrasound of breasts 2 weeks ago revealed no abnormalities. Concerns about potential STI.
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Sore and itchy nipples are not signs and symptoms of Sexually Transmitted Infection. The symptoms are likely due to a fungal infection. Fungal infections are common in this area because the fungus can survive and grow in wet and moist conditions.
Symptoms of itching and soreness suggest a fungal infection. Treatment options include:
1. Topical Antifungal cream
2. Oral Antihistamines
3. Oral Antifungal
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healthcaremagic
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85a943ed01c30e99
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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 left knee initially resembled mosquito bite, developed a head and started oozing yellow pus. New sore on right calf, itchy. History of 10-day cold.
Context: Red spot on left knee initially resembled mosquito bite, developed a head and started oozing yellow pus. New sore on right calf, itchy. History of 10-day cold.
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It is possible that they are bites that have become infected. Bites can become infected when bacteria are introduced from under the nails during itching. It is not likely that they are linked to the cold that you are currently fighting. The use of topical antibiotics may help but if they do not resolve with topical treatment then oral antibiotics would be needed. Consider repellent to prevent further bites.
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healthcaremagic
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a3d5bd68202df728
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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: Extreme sharp pain in left abdomen
Context: Still experiencing pain despite normal test results.
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An ultrasound of the abdomen is recommended to rule out pelvic adnexal disease or urinary stone disease on the left side. Clinical examination by a gynecologist is also necessary, along with urine routine, microscopic, and culture and sensitivity tests. An ultrasound of the abdomen is also required.
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healthcaremagic
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e28a788abaf09d19
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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: Tooth filled on September 24, abscessed. Developed cough shortly after. Prescribed antibiotics. Tooth extraction last week. Chronic cough persists. Asthmatic. Metallic taste after coughing.
Context: Tooth filled on September 24, abscessed. Developed cough shortly after. Prescribed antibiotics. Tooth extraction last week. Chronic cough persists. Asthmatic. Metallic taste after coughing.
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Infected tooth can cause aspiration of pus in the lungs and development of lung infection. Chest x-ray should be done to rule out lung infection as a cause for coughing. Metallic taste is due to antibiotics. If chest x-ray is normal, no need to worry much for cough. Take antihistamine and anti-inflammatory.
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healthcaremagic
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86bd9954b4692569
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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 mom has undergone surgery in her intestine. She is now experiencing a urinary infection. The report indicates the presence of pus cells. Moderate Gram Positive Cocci were seen in pairs and chains. The bacterial culture is positive for Enterococcus faecalis with a concentration of 10,000 cfu/ml.
Context: My mom has undergone surgery in her intestine. She is now experiencing a urinary infection. The report indicates the presence of pus cells. Moderate Gram Positive Cocci were seen in pairs and chains. The bacterial culture is positive for Enterococcus faecalis with a concentration of 10,000 cfu/ml.
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Enterococcus females is a type of bacteria that can cause urinary tract infections. It is treated with antibiotic therapy. The infection can be difficult to treat due to antibiotic resistance.
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healthcaremagic
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31e59f8d26a50a40
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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: Muscle aches predominantly on the left side of the body, accompanied by numbness and tingling in the left arm, muscle twitching throughout the body, tension in the left leg, pain at the top of the left foot, left knee, and left upper shoulder, and episodes of full body numbness and dizziness. Previous diagnostic workup included blood tests for fibromyalgia and rheumatoid arthritis, with all results negative.
Context: Muscle aches predominantly on the left side of the body, accompanied by numbness and tingling in the left arm, muscle twitching throughout the body, tension in the left leg, pain at the top of the left foot, left knee, and left upper shoulder, and episodes of full body numbness and dizziness. Previous diagnostic workup included blood tests for fibromyalgia and rheumatoid arthritis, with all results negative.
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A bulging disc in the cervical column may be caused by various factors, including vitamin D deficiency and fibromyalgia. A comprehensive differential diagnosis is necessary to determine the underlying cause. The following tests may be recommended:
* Cervical spine X-ray study
* Complete blood count
* PCR (polymerase chain reaction)
* ESR (erythrocyte sedimentation rate) for inflammation
* Blood electrolytes for possible imbalance
* Vitamin D plasma levels
* Cervical spine MRI study
* Nerve conduction studies
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healthcaremagic
|
34fbb0f77fefcb34
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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 a possible fracture near the navicular bone, which was not detected on initial X-rays. I am experiencing burning, numbness, and tingling in my foot. Additionally, my great toe appears to be deviating from its normal position, crossing over the toe next to it.
Context: Possible fracture near the navicular bone. Symptoms include burning, numbness, and tingling in the foot. Deviation of the great toe from its normal position, crossing over the adjacent toe.
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Burning sensation, numbness, and tightness in the feet may be caused by chronic alcohol use, athlete's foot, diabetic neuropathy, hypothyroidism, nerve injury, or vitamin deficiency anemia. A general practitioner should be consulted for a proper examination, which may include blood tests, nerve conduction tests, and a medical history. Treatment may involve iron supplements or referral to an endocrinologist for thyroid problems or an orthopedic surgeon for nerve injuries.
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healthcaremagic
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677706c0012a5474
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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: Diagnosis: cyst on esophagus or bronchi
Context: Esophageal and bronchial cysts are congenital or acquired abnormalities that can occur in the esophagus or bronchi, often filled with fluid or semi-solid material. These cysts can cause symptoms such as difficulty swallowing, coughing, or chest pain, and if left untreated, can lead to serious complications.
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Esophageal and or bronchial cysts should be removed surgically if symptomatic. Surgery is the treatment of choice for such cysts. Complications of untreated cysts include:
1. Infection
2. Rupture
3. Fistula formation
4. Pressure symptoms on surrounding structures.
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healthcaremagic
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1c7fff79d26548f2
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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: Teeth were pulled on 10/25. Chlorhexidine gluconate oral rinse was used. Tongue turned chocolate milk color during use. Tongue remains discolored after 1 week without medication.
Context: Teeth were pulled on 10/25. Chlorhexidine gluconate oral rinse was used. Tongue discoloration occurred during use, persisting after 1 week without medication.
|
Chlorhexidine gluconate mouthwash side effects:
1. Tooth/tongue staining
2. Increased tartar
3. Mouth/throat irritation
4. Change in taste of food
Prevention and treatment:
1. Brush with toothpaste 3 times daily, focusing on stained areas
2. Use tartar control toothpaste and electric toothbrush
3. Eat before brushing and rinsing with chlorhexidine
4. Visit dentist every 6 months for cleaning and tartar removal
5. Staining on dental work (e.g. crowns, veneers) may require professional removal by a dentist/hygienist.
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healthcaremagic
|
e09fdb78e57cb6d1
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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: Frequent breakouts on the skin, characterized by a sudden onset of multiple pimples. Associated symptoms include severe throat swelling and ear pain, which differ from typical tonsillitis symptoms. A lymph node infection is suspected as the underlying cause. Can a lymph node infection lead to skin breakouts, specifically pimples? What is the recommended treatment for this condition?
Context: Acne, a common skin condition characterized by frequent breakouts of pimples, is often associated with hormonal changes, stress, and poor skincare habits. In this case, the symptoms of throat swelling and ear pain suggest a possible underlying infection, such as lymphadenitis, which may be causing the skin breakouts.
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LYMPH NODES OCCURS DUE TO INFECTION. NOT DUE TO PIMPLES. FOR PIMPLES, USE OIL FREE MOISTURIZERS. WASH YOUR FACE WITH FACE WASH TWICE A DAY. AVOID OIL FOR HAIR & FACE. FOR THROAT SWELLING, USE HOT SALINE GARGLES TWICE A DAY. YOU CAN TAKE PARACETAMOL/IBUPROFEN FOR PAIN. USE BOYLE BENZOATE CREAM FOR PIMPLES. DO NOT PINCH OR SQUEEZE PIMPLES, IT LEAVES SCAR.
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healthcaremagic
|
527b19034b1581e7
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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: Liver sonography report indicates liver enlargement with mild coarse echotexture, measuring 16.4 cm in span. Liver function tests show:
Context: Liver sonography report indicates liver enlargement with mild coarse echotexture, measuring 16.4 cm in span. Liver function tests show:
Note: The patient is a 41-year-old male with a history of regular alcohol intake.
Cleaned text:
Liver sonography report indicates liver enlargement with mild coarse echotexture, measuring 16.4 cm in span. Liver function tests show:
Patient demographics: 41-year-old male with a history of regular alcohol intake.
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Bilirubin level and albumin levels are within normal limits. This reduces the likelihood of jaundice and chronic liver disease. Further evaluation for an enlarged liver should include:
* CBC (complete blood count)
* Peripheral smear examination
* HPLC (high-performance liquid chromatography) to rule out hemoglobinopathy if target cells are seen
* Serum viral markers if suspected from the patient's history
* Serum SGPT (serum glutamic pyruvic transaminase) and GOT (glutamic-oxaloacetic transaminase) levels
Management plan will be based on the cause found. Alcohol intake should be limited.
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healthcaremagic
|
fdbd3da9e695867d
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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: Chronic pain in tail bone, onset yesterday evening. No history of trauma, but almost tripped and caught self. Numbness or tickling sensation in lower extremities. Pain not alleviated.
Context: Chronic pain in tail bone, onset yesterday evening. No history of trauma. Numbness or tickling sensation in lower extremities. Pain not alleviated.
|
Disc herniation with nerve compression in the spine. Recommended treatment includes:
* Rest
* Hot water fomentation in the back
* Leg elevation over a pillow
* Tablet Pregabalin 1 daily to decrease nerve edema and manage pain.
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healthcaremagic
|
91379e327e686696
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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: I cannot provide medical advice. If you are concerned about a lump on your vagina, I recommend you consult a healthcare professional. Is there anything else I can help you with?
Context: The vaginal wall contains various glands and ducts, including the Bartholin's gland, which is responsible for secreting fluids that help to lubricate the vagina. A lump or cyst in the vaginal wall can be caused by a variety of factors, including blockage or inflammation of these glands and ducts, leading to the formation of a cyst or other type of lesion.
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A lump in the vaginal wall could be due to cystic lesion. Possible causes include a Bartholin's gland cyst, a Gartner's duct cyst, soft tissue swelling, etc. Inflammation of the Bartholin's gland is quite painful. The cyst typically lies at the junction of the anterior two thirds and posterior one third of the labia minora. Further management will depend on the type of lesion. Surgical removal of the cyst is curative in most cases.
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healthcaremagic
|
adc220ccd20d0089
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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 abdominal pain in the extreme right of my stomach for the past 3 years, occurring every 6-7 months. I am 23 years old and have been taking medication, but the pain persists. I have a limited diet, consuming only 2 meals a day. My sleep schedule is irregular, typically sleeping from 4-5 am and waking up around 2 am.
Context: Abdominal pain in the extreme right of the stomach for 3 years, occurring every 6-7 months.
Age: 23 years old.
Pain persists despite medication.
Diet: limited to 2 meals a day.
Sleep schedule: irregular, typically sleeping from 4-5 am and waking up around 2 am.
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Acid peptic disease is a condition that may be related to food habits and stress. Regular medication is being taken, but uncontrolled symptoms may lead to gastric acid reflux, gastric ulcer, and duodenal ulcer. To manage symptoms, avoid spicy food, tea, and coffee. Eat frequent small meals and maintain a stress-free lifestyle. Adequate sleep is also recommended. Proton pump inhibitors may be prescribed.
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healthcaremagic
|
d3ecba79fa65b9cf
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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: Neurological symptoms include pinching, burning, numbness, weakness, high-pitched sounds in the head, twitching, kicking, muscle jumping, and tingling sensations. Symptoms come and go.
Context: Neurological symptoms include pinching, burning, numbness, weakness, high-pitched sounds in the head, twitching, kicking, muscle jumping, and tingling sensations. Symptoms come and go. Initial EMG was positive for peripheral neuropathy in the lower legs and feet. Symptoms spread throughout the body. A second EMG was normal, despite continued symptoms in the feet and lower legs, and now throughout the body.
|
Peripheral neuropathy is a disorder that occurs when nerves malfunction due to damage or destruction. Causes of peripheral neuropathy include:
* Generalized diseases
* Nerve damage caused by diabetes, which is one of the most common forms of neuropathy
* Other chronic causes, such as:
+ Hypothyroidism
+ Deficiencies of vitamins E, B1, B6, and B12, which are essential to nerve health
+ NAD functioning
* Injury, including:
+ Physical trauma
+ Alcoholic and toxin exposure
+ Infections
+ Autoimmune disorders
* Medications
Treatment options for peripheral neuropathy include:
* Medications:
+ Acetaminophen
+ Non-steroidal anti-inflammatory drugs
* Medical treatment:
+ Ergonomic casts or splints
Note: Multiple sclerosis is a separate condition with no cure, and further treatment or investigation should be consulted with an orthopedic or neurologist.
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healthcaremagic
|
f335a94fa3020edc
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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: I am taking 300mg of Effexor for OCD. Symptoms include exhaustion, vacuity, and memory impairment. I experience difficulty with memory recall, such as forgetting where I have placed items. I am considering adjusting my medication regimen, specifically decreasing the dosage or exploring alternative medications.
Context: 300mg of Effexor is being taken for OCD. Symptoms include exhaustion, vacuity, and memory impairment. Difficulty with memory recall is experienced, such as forgetting where items are placed. Medication regimen adjustment is being considered, specifically decreasing the dosage or exploring alternative medications.
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OCD clients should learn how to tackle preoccupation with obsessional thoughts. This can lead to memory impairment due to being overwhelmed by these thoughts. OCD therapy and other behavioral therapies may be necessary to overcome stress associated with OCD.
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healthcaremagic
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6795ccef12de13ef
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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: Frozen shoulder treatment options and sequencing:
Context: Trigger point injections into 1/2 muscle with lidocaine. Most effective procedure is unclear, requires further evaluation. May be necessary after steroid injections and exercise if relief is present. Certain exercises and life management adjustments may be helpful.
|
A thorough clinical assistant is advised for a clinical assessment. An MRI may be guided to see the soft tissue injury. Physical therapy, including ultrasound therapy and TENS therapy, will help reduce pain and inflammation. Later, exercises and mobilization will be performed to get the strength and ROM of the shoulder girdle. Recovery time is approximately 3-4 weeks. Controlled blood glucose levels can aid in faster recovery.
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healthcaremagic
|
34d5f937cc806c87
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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: A 30-year-old male patient with a height of 5'7" and weight of 59 kg presents with abdominal pain.
Context: Abdominal pain. Diagnosis: Liver swelling, stomach swelling due to water accumulation.
|
Sickle cell disease treatment is not available. Prevention involves maintaining good oxygenation to prevent attacks.
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healthcaremagic
|
354a8ac9078711c1
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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: Degenerative disc at L4/L5 level, approximately 25% degeneration. Slight degeneration at L5/S1 level. Lower back pain and stiffness. Sciatic pain. Intermittent pain in left testicle, sometimes moving to right testicle. Frequent urge to urinate, with decreased urine output and post-urination discomfort. Relief from massage near rectum and behind scrotum, as well as movement. Pain moves between testicles and base of penis, sometimes disappearing. No history of STI testing, despite long-term monogamous relationship. No physical signs of STI. Chronic urination issues for 10 years, including constant urge and inability to urinate when feeling the urge.
Context: Degenerative disc at L4/L5 level, approximately 25% degeneration. Slight degeneration at L5/S1 level. Lower back pain and stiffness. Sciatic pain. Intermittent pain in left testicle, sometimes moving to right testicle. Frequent urge to urinate, with decreased urine output and post-urination discomfort. Relief from massage near rectum and behind scrotum, as well as movement. Pain moves between testicles and base of penis, sometimes disappearing. Chronic urination issues for 10 years, including constant urge and inability to urinate when feeling the urge.
|
Radiating pain in the testicles is not caused by herniation or medications. The pain is likely related to a renal issue, specifically a renal stone or gravel in the ureters, which may be preventing free urination. Investigation is required to determine the exact pathology, including:
* SUA (serum uric acid) test
* RH factor test
* ASCOT Title (not specified, but possibly related to abdominal aortic aneurysm screening)
* Urinalysis
* Ultrasound (U/S) of the abdomen and pelvis
Treatment recommendations include:
* Higher fluid intake
* Low protein diet
Note: I removed all non-medical content, including conversational elements, social interactions, and special characters. I preserved only the medically relevant information, maintaining professional medical language.
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healthcaremagic
|
693bfb9c83321a5f
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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: 34-year-old male with a history of regular exercise, 6ft tall, and weighing 95 kgs. He is a regular tennis player with a history of frequent chest discomfort without pain. He has undergone a treadmill test (TMT) and echocardiogram (echo) three times in the last year, with both tests showing normal results, with TMT results indicating better than 100% function.
Context: A 34-year-old male with a history of regular exercise, height 6ft, weight 95 kgs. He experiences frequent chest discomfort without pain. Treadmill test (TMT) and echocardiogram (echo) results from the last year are normal, with TMT results indicating better than 100% function.
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Normal 2d echo and TMT results indicate no heart disease. Chest discomfort associated with exertion (playing tennis) suggests a musculoskeletal cause. To alleviate musculoskeletal discomfort, follow these steps:
1. Avoid awkward movements.
2. Sit with proper back and chest support.
3. Apply warm water pad on affected areas of chest.
4. Avoid heavyweight lifting and strenuous exercise.
5. Avoid bad postures in sleep.
Note: I removed all non-medical content, including greetings, social interactions, and small talk, and preserved only the medically relevant information.
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healthcaremagic
|
7ffdaf5d23d4e124
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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: bruising and pain in areas without injury or bruise, potential side effect of ChatDoctor drops, safety of ChatDoctor drops.
Context: bruising and pain in areas without injury or bruise, potential side effect of ChatDoctor drops, safety of ChatDoctor drops.
|
Lack of vitamin C in diet and other important micro nutrients can lead to browsability. The hormonal method of weight loss has many side effects, one of which is a rare one, browsability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist.
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healthcaremagic
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867fa0b5fa6a94cc
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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 issues for 2 years, initially presenting with severe stomach pain in upper middle to left abdomen and fever. Diagnosed with Diverticulitis after CT scan with contrast. Colonoscopy done, no evidence of diverticulitis or Crohn's disease. Symptoms include dull pain, sharp pain upon touch, and bruised feeling. Aggravated by eating steak. Associated with irregular bowel movements, ranging from diarrhea to constipation. Currently being treated for Irritable Bowel Syndrome, but medication has not provided relief.
Context: Stomach pain in upper middle to left abdomen and fever. Diagnosed with Diverticulitis after CT scan with contrast. Colonoscopy done, no evidence of diverticulitis or Crohn's disease. Symptoms include dull pain, sharp pain upon touch, and bruised feeling. Aggravated by eating steak. Associated with irregular bowel movements, ranging from diarrhea to constipation. Currently being treated for Irritable Bowel Syndrome.
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Diarrhea, constipation, and abdominal pain. Past CT scan showed diverticula, but recent colonoscopy is normal. He is suffering from Irritable Bowel Syndrome (IBS). Probable causes and treatment options include:
* Identifying trigger foods and beverages that exacerbate symptoms
* Adjusting medication dosage or switching to alternative medications
* Managing stress and anxiety through yoga, meditation, or medication
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healthcaremagic
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dbb2fa4cc4332f4a
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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: Lower back injury resulted in weakness and shaking in both legs. Symptoms include:
Context: Lower back injury resulted in weakness and shaking in both legs. Symptoms include:
* Weakness
* Shaking in both legs
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para paresis due to back injury
serious issue
consult spine surgeon as soon as possible
spinal cord and nerves travel through spinal canal
back trauma may lead to vertebral fracture or disc prolapse with spinal cord compression
spinal cord compression leads to weakness in both legs and loss of bowel and bladder control
urgent consultation
MRI of lumbosacral spine with screening of whole spine to confirm diagnosis
visit expert spine surgeon with report
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healthcaremagic
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285d31b65ba48e91
|
rag_medical_qa
|
Answer the medical question based on the provided context. If the context is insufficient, provide the best available medical information.
|
Question: 10 month old with prolonged symptoms of:
Context: A 10-month-old child is experiencing prolonged symptoms of cough and cold, which can lead to vomiting due to the irritation of the stomach lining by stomach acid that is refluxed into the esophagus. This condition is often referred to as gastroesophageal reflux disease or GERD, a common condition in infants.
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Cough and colds can trigger vomiting. The presence of lots of phlegm indicates the body's attempt to eliminate it. Small frequent feeding can help prevent vomiting when the stomach is not full. Feeding the child while keeping him upright can also help prevent aspiration. Monitor for signs of difficulty in breathing and seek immediate medical attention if any of these symptoms appear.
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healthcaremagic
|
b18aee018f3695f7
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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: Lung cancer patient experiencing confusion, inability to perform daily activities, and potential side effects from pain patches.
Context: Lung cancer patient experiencing confusion, inability to perform daily activities, and potential side effects from pain patches.
Side effects from pain patches include opioid-induced cognitive impairment and sedation.
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Causes of altered mental status and confusion in lung cancer patients include:
1. Spread of tumor in brain
2. Electrolyte imbalance, particularly hyponatremia (low sodium)
3. Acute psychosis due to incurable disease
Diagnostic steps:
* MRI brain to rule out brain metastases
* Serum sodium (S. Na+) to rule out hyponatremia
* If both are normal, consult a psychiatrist to rule out acute psychosis.
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healthcaremagic
|
06ef908bb14b94e9
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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: HFM (likely Hemifacial Microsomia)
Context: Hemifacial Microsomia (HFM) is a congenital condition characterized by underdevelopment of one side of the face, often involving the ear, eye, and jaw. Children with HFM may be more susceptible to infections and pain due to their underlying anatomical abnormalities, which can make managing symptoms like those associated with hand, foot and mouth disease more challenging.
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Hand, foot and mouth disease is a viral infection that resolves spontaneously in 5-10 days. Management is supportive. Giving Tylenol may reduce pain. Use lidocaine oral gel over oral lesions to relieve pain. Pedicloryl syrup may help the child sleep.
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healthcaremagic
|
d69f9715cc0b5cec
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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: father is experiencing bad stomach pain. he has a history of alcoholic gastritis. he has not consumed alcohol and woke up in pain this morning. pain has worsened. he took ranitidine at 9am. will ibuprofen help with pain or be safe to take?
Context: Alcoholic gastritis is a condition where the stomach lining becomes inflamed due to excessive alcohol consumption, leading to stomach pain and discomfort. In this case, the patient's history of alcoholic gastritis and sudden worsening of pain suggests that the gastritis may be active, making it essential to choose medications that are gentle on the stomach lining.
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Gastritis caused by alcohol intake. Patient should take antacid (preferably containing tetracaine) as needed, up to 4 T S F unless contraindicated. Additionally, prescribe diclofenac 100 mg. Ibuprofen may exacerbate gastritis. If symptoms persist for 4-5 hours, consult a physician for further evaluation.
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healthcaremagic
|
0167eeb24fff3e0b
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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: General gum recession on the bottom teeth and slight recession on the upper canines. Consideration of gum grafts to cover exposed root surfaces. Current orthodontic treatment raises concern about timing of gum grafts. Should gum grafts be performed before, during, or after orthodontic treatment?
Context: Gum recession is a common issue that can be caused by various factors, including poor oral hygiene, genetics, and gum disease. In patients with mild gum recession, orthodontic treatment can sometimes exacerbate the condition, but in many cases, the recession can be corrected after the orthodontic treatment is completed.
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Orthodontic braces cause teeth to take a new position due to root movements. Mild gum recession can be corrected after orthodontic braces removal. Severe recession cases may require gum grafts to cover gums with tissue, reducing teeth sensitivity and enhancing esthetics. Regular teeth cleaning, as advised by an orthodontist, is necessary to prevent gum recession due to calculus and stains deposition. Good oral hygiene and antiseptic mouth rinses can also help.
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healthcaremagic
|
9386b5726f15620d
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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: Hair loss in a child since birth, with increased shedding over the past 2 months.
Context: Hair loss in a child since birth, with increased shedding over the past 2 months. Symptoms: hair falls double, thinning, hair loss since birth. Possible causes: malnutrition.
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Hair fall can be due to zinc and protein deficiency. Zinc supplements like Sure and a high protein diet including meat and eggs may be beneficial. A check-up from a dermatologist for a possible fungal infection causing hair loss is also recommended.
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healthcaremagic
|
0d504fa9683ca956
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rag_medical_qa
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