diff --git a/processed/document_classification/train/Confidential/doc_4410.txt b/processed/document_classification/train/Confidential/doc_4410.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ee2593c7c443796fef7a446034ab5c32ad5c5c27
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4410.txt
@@ -0,0 +1 @@
+Hi I am a 45 years old female from India.Since sometime I have been experiencing intense pain when I try to drive .The motion of the foot at the accelerator causes this pain which goes up to the calf and the muscle gets painfully tight.I have also have pain on my upper foot sometimes a slightly burning sensation .when walking too I get this discomfort and it feels better at times when I flex my foot upwards.It happens in both the feet but started with the right....any help? This mostly symptoms of hypocalcemia ,so you should take mixture of vit.D and calcium tablets once daily for 6 weeks and take milk, cheese and meat daily.
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diff --git a/processed/document_classification/train/Confidential/doc_4412.txt b/processed/document_classification/train/Confidential/doc_4412.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a63c459c6ab63130c233fc495b1abc2627900d2c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4412.txt
@@ -0,0 +1 @@
+I have upper back pain going thru my chest and nipples hurt. im 29 years old white male 290lbs. went to er room. had chest ex- ray everything is fine, blood work is fine and ekg is fine. dont know what is going on back it hurts. any quess what is going on. the doctors didnt have a clue what is going on. Hello,I had gone through the case and found that it might be due to muscle spasm which causes nerve trapped.So take mild painkiller and apply muscle relaxant gel.Hope my answer will be effective for you.Thanks;
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diff --git a/processed/document_classification/train/Confidential/doc_4414.txt b/processed/document_classification/train/Confidential/doc_4414.txt
new file mode 100644
index 0000000000000000000000000000000000000000..46fd677fb18cc2d8cb3ea6fddfdd0f98d98e9cbf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4414.txt
@@ -0,0 +1 @@
+ill I can't find any android app that will tell me what's wrong with me u just click q body part... so I was on the phone last night and I started to get a swore throat... but I just thought it was from not having a drink... so I when to sleep and when I woke up this morning... it felt like I had a lump in my mouth/throat I couldn't get out of bed... I was dizzy if I just moved my head... I had a headache... my ear hurt when I swallowed... I couldn't tell if I was hot or cold... my sense of smell is off (everything smells different)... my mum got me a paracetamol and I am feeling well enough to type this but that's it I still can't get up... I am a 19 year old male and I'm just wondering if there's any way to tell what's wrong with me... thankyou for your time. Hi dear thanks for the query on HCMYour query suggests you may have tonsillitis. You need to visit a physician. He will examine your throat and the neck.and suggest the treatment.Till that time do salt water gqrgle in warm water thrice a day.Eat warm food and lotsnof warm lemon juiceThank you
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diff --git a/processed/document_classification/train/Confidential/doc_4415.txt b/processed/document_classification/train/Confidential/doc_4415.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cd2322403c948c123113206ee0cec1ead5285f40
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4415.txt
@@ -0,0 +1 @@
+hi,i ahve done root canal for my left upper firsat molar 2 mtnhs agao as i was having sever pain, and the doctor said it was infected.then he fixed cap for the same. but the pain didnt subsidzed. i was on contrionus pain killers.then he removed teh cap and he called a endodontist. he also did soemthign on my tooth. but yet pain was not going. one day it will not be tehre next day it will cumat last teh doctor decided w ell remove the tooth. and he extracted the same.1 week wound pain was there and after that it was better. i was not eatign that side.but these days i do slight sensitivity and pain over there.i feel pain over the next tooth also. but whne took xray he said ther eis no infection in any other tooth.after extraction how many days the pain will be there. Hello there , Thanks for writing your query, Extraction of tooth often ends with complications like pain and swelling post extraction . usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection . After extraction antibiotic and analgesic coverage is must to prevent infection of the extraction site and to promote healing. i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain. follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse. i hope this helps , take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4416.txt b/processed/document_classification/train/Confidential/doc_4416.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8a7be4949a6dca24c73140095f41a5b51cb65218
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4416.txt
@@ -0,0 +1 @@
+Hello doctor, I have a surgery for rolando fracture tomorrow morning. I am a bit worried about this. I was given meth during a dance festival, day before yesterday evening. I went and got a drug test just to make sure and have been up since then and am hoping I can fall asleep at least a few hours tonight. I had quite a crazy first experience but am very ready to be down and have surgery at 10 AM in the morning. I do not want to take any risk, as it is obviously not worth it. It would have been about 18 hours since the last use of meth. At the time of surgery should I tell anesthesiologists about this? Is it safe to undergo surgery? Please advise. Hi. I have read through your query in detail. Please find my observations below. Hope this answers your question. Consult an anesthesiologist online for further follow up -->
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diff --git a/processed/document_classification/train/Confidential/doc_4418.txt b/processed/document_classification/train/Confidential/doc_4418.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b894d32074ef5c82ff7cf35dda29532e1998bcca
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4418.txt
@@ -0,0 +1 @@
+I found a random red mark on my hand but it has a white spot which is where my bracelet was and the rest is red but it s not everywhere it s just in one spot and it hurts a little when I touch it, it feels like a burn I found it yesterday morning and today a random huge red mark appeared on my forehead that feels dry but doesn t hurt what can this be? HIWell come to HCMI really appreciate your concern, such skin red mark could be due to contact dermatitis and it can be well managed with "Mometasone cream" avid wearing the gear till it get alright and this is nothing to worry, hope this information helps, take care and have a nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_4421.txt b/processed/document_classification/train/Confidential/doc_4421.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b4964105d7ac3dbbc53014054d7848ea7dcd3db5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4421.txt
@@ -0,0 +1 @@
+hello, im under infertility treatment. I was given 3 fsh injections and on day 14 my follicle size is @ 35 mm and endometrium thickness is @ 11 mm. Now I had a HCG shot 10,000 units. Could you please tell me whether 35 mm size can release a egg and could it be still a follicle or just a cyst? FYI - I had a laproscopy in order to puncture my cysts 2 months back... Hi, 35mm follicle might be just be a cyst. But more importantly, if you didn't have cyst in previous scan of this cycle, it might indicate corpus luteum (formed after follicle is ruptured). Considering the second optimistic property you can go ahead with treatment.
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diff --git a/processed/document_classification/train/Confidential/doc_4422.txt b/processed/document_classification/train/Confidential/doc_4422.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e2af651c70034876b8917b9d4695bab21515f32e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4422.txt
@@ -0,0 +1 @@
+I am a male, 58 years young and in good health and shape and about 30 minutes ago after I got out of the shower I noticed an indentation on my forehead from the top of my scalp to the middle of my forehead! What is this, what caused it and how can I get rid of it ASAP?! Thank you. Hello, Welcome to HCM. If you did not bang your head, you probably have it for some time. You should see a plastic surgeon who might correct it with Botox injection or with filler. If it is not correctable with these, you may require plastic surgery.
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diff --git a/processed/document_classification/train/Confidential/doc_4424.txt b/processed/document_classification/train/Confidential/doc_4424.txt
new file mode 100644
index 0000000000000000000000000000000000000000..356ba80a5eb8a35aa60bcf4a69aa3b5b6e2d8a00
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4424.txt
@@ -0,0 +1 @@
+Hello Doctor, my name is Zainab Chunawala and I am 25 yrs old. I was married in 2004, and have a baby girl of 4.5 yrs old. Now I am planning for a second child since last 4-5 months. I even visited my gyn. She had suggested to go for a follicular study. My last cycle started on 26th June and then I conducted the Follicular study from 2nd July -till 8th July. Then the doctor told that the eggs are rupted on 8th July and to continue with the relationship for next 3 - 4 days. She also suggested to take the Dubagest - 200 twice a day for 5 days. I just want to confirm whether I have conceived. Does it means that the eggs ruputred is a confirmed pregnancy. It is mentioned in a report that RO - 1) Ruptured & 2) 11mm. LO 1) 14 mm. Request you to please call me or mail me. see rupturing of follicle doesn't confirm pregnancy..after 14 days of rupturing of egg...wen u do upt test..if u get two lines..it is positive...rupture of follicle means ovulation has occurred. ..after that keep relationship...den after 14 days of ovulation...do your urine pregnancy test
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diff --git a/processed/document_classification/train/Confidential/doc_4425.txt b/processed/document_classification/train/Confidential/doc_4425.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6f2203effef29a48b496bfb294f45d5522702517
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4425.txt
@@ -0,0 +1 @@
+Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4427.txt b/processed/document_classification/train/Confidential/doc_4427.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a3751af708c4d9519a999352444d4c7af88d27a0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4427.txt
@@ -0,0 +1 @@
+HI, I went to get on a rocking chair to water my plant and the rocker moved, i went to catch myself from falling on my face, my arm went way way forward and stretched the crap out of, hurt like hell, and is now hot pink with a side of purple, different shades and swollen i did not go to the doctor yet it happened on tuesday 2 days ago hi.noted history of swollen arm and trauma. it is best if you consult with a doctor, preferably an orthopedic or a general surgeon, for physical examination and clinical evaluation, especially if the swelling and pain are persistent. if it's just an inflammatory reaction, the swelling will eventually subside in a few days time. fractures must also be ruled-out. diagnostics, such as xray, will be requested for further investigation. management (medical and/or surgical if indications are found) will be directed accordingly. cold compress and pain relievers may help alleviate the symptoms for now.hope this helps.good day!!~dr.kaye
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diff --git a/processed/document_classification/train/Confidential/doc_4428.txt b/processed/document_classification/train/Confidential/doc_4428.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e55595ee419c80d3b77a6d55b1e5129de2e702d9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4428.txt
@@ -0,0 +1 @@
+I have had a dry cough since I had smoke inhalation from a smoldering fuse box (no fire) back in March of 2012. I was diagnosed with Bronchitis and given an inhaler. I still have the cough, wheezing, tightness but I also had a scope done on my Larynx back in 2011 and I'm a prime candidate for Cancer as the one side is extremely enlarged. My main question is (which I can locate online) what kind of cough is associated with Larynx Cancer? Yes I do smoke but have never had a cough until I had the smoke inhalation. Any explanation of what kind of cough is associated with my previous question would be greatly appreciated. However, if it's not that then the other question would be, how long does it take for smoke inhalation to clear the lungs? I'm having difficulty sleeping as I wake up every 2-4 hours with this dreaded cough. hello dearthanks for query at HCMsymptoms in larynx cancer depends up on area of the larynx involved .larynx divided in to three parts supra glottic, glottic and sub glottic, symptoms vary according to area involved .supra glottic: often silent, hoarsness of voice is late symptom. throat pain, dysphagia and ear pain are common symptoms.glottic : hoarsness of voice is early symptom, also produce stridor.sub glottic cancer: earliest symptom is stridor, hoarseness is late feature.nature of cough may not determine the location.smoke inhalation may take years to clear from lungs and it also has long term complication and adverse side effects.cough during sleep and awakening in your case might be due to bronchitis.your diagnosed with bronchitis so all symptoms might be related to it.if you still have strong suspicion of cancer visit doctor get alrynx examined and radilogical investigation like x ray and ct scan might be helpful in your case.regards
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diff --git a/processed/document_classification/train/Confidential/doc_4430.txt b/processed/document_classification/train/Confidential/doc_4430.txt
new file mode 100644
index 0000000000000000000000000000000000000000..537a520c0ecd11e742d65f11d98cb06a8c44759a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4430.txt
@@ -0,0 +1 @@
+i cant put my finger on it but I keep breathing and smelling a smell of emissons like from a car it has been going on for a while I got my car checked nothing wrong I checked my house for anything nothing my feet itch at the bottom a lot and they are not dry my doctor said I had high level In my liver number 46 and it should be 36 I take norvac for blood pressure 2.5 and that's it I've been primarily healthy otherwise very active I started juicing and I don't understand what this smell is I keep breathing it comes and goes I don't know if maybe I am allergic to something Hi, thank you for posting.After I read very carefully I understood very well your concerns. I think that many of your symptoms are related with Norvac side effects, like skin allergy. But this doesn't solve all your problem. In fact your problem is related with liver, I think you suffer from Liver Cirrhosis. The bad smell you are smelling is caused by this disease.You need to make the following tests: 1.Liver function tests ( LFTs or LFs ), liver transaminases AST/ALT/SGOT/SGPT and bilirubin level. 2.Ultrasound of abdomen. 3.Endoscopy (Gastroscopy). 4.CT scan.You should contact your hepatologist.I wish you a fast recover.
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diff --git a/processed/document_classification/train/Confidential/doc_4431.txt b/processed/document_classification/train/Confidential/doc_4431.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c6fefef6a6828f9c25e4d5925a409d09176f3e95
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4431.txt
@@ -0,0 +1 @@
+hi doctor, i have two daughter,two of them have labial adhesion,,they suffer from this problem,my third daughter two month diagnosed as Down Syndrome my first question what is the treatment of labial adhesion and the second question is there any genetic link probability between two Wash genital organs more often , dry, put between fatty cream with cotton ball and do massage between labia after separation of labia,it can be candidosis, some kind of fungal infection. You can take bacteriological analysis from genital organs at gynecologist and see what kind of infection. Also we see adhesion when mother and their kids suffer from Myc.trachomatis and Chl.trachomatis,but it can be excluded by blood test for IgM,G for this infection.You can apply usual Jonson cream with rolling massage for labia under diapers every day. Connection between daughters can be genetical, but may be they don't Wash genital organs properly 2 times daily with usual waterBest regards
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diff --git a/processed/document_classification/train/Confidential/doc_4436.txt b/processed/document_classification/train/Confidential/doc_4436.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7d6ffc90616b75a91f77899e00d5e966f1579bc9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4436.txt
@@ -0,0 +1 @@
+My 10 year old daughter, 90 pounds has a bad case of strep and was given 400mg/5ml amoxicillin. The prescription was written for her to take 1ml/2x a day. The doctor refuses to change the script, but pharmacist says this is too little a dosage - she should be on at least 875mg/day. I m confused? Who is right? Thank you for asking query.As per weight of the child daily dose of 800-1200 mg would suffice.It could be a typing mistake or doctor doesnt know dosage.Hope this is helpful to you.Rate the answer if you like it.Regards,Dr rushikesh kute
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diff --git a/processed/document_classification/train/Confidential/doc_4437.txt b/processed/document_classification/train/Confidential/doc_4437.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6ef26510c5525452b91c31175fbbb2a7dddf5864
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4437.txt
@@ -0,0 +1 @@
+I am suffering from a very fast decay in my teeth, I want to many dentists but the problem is in my teeth not the doctors, what they can do with such decay in all my teeth. All my teeth has a decay from its starting point, I don t eat a lot of sugar, just drink a lot of coffee, non smoker. The problem that I am getting afraid now a days from washing my teeth, because I feel that the brush will take from them :) What I want to know, how to stop this fast decay fast, I don t want to repair the current decay, I just want to stop it. What to drink, is there any medicines for that? What steps I should do and how fast these steps and stuff I will take will take effect and let me feel that I am better. I am 30 years old, have no other problems in health. Hi,Amrelgathy, Thanks for query, First you have to diagnose your problem. Whether you got pyorrhea or dental caries. There may be heavy tartered teeth causing problem. Now a days dental science developed very fast and at the age of 70 you might have all teeth working. So consult dentist and get your problem evaluated and get the treatment done. ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_4438.txt b/processed/document_classification/train/Confidential/doc_4438.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8bcaa62ebb2beb0071a0c5dce135ad5aefd0718f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4438.txt
@@ -0,0 +1 @@
+I have severe pain in my legs, knees, hands and arms. My legs, feet, breast and hands swell so badly that I can see fluid pockets and my legs and feet begin to look deformed. The pain gets so bad that I cannot walk up stairs with the pain being worse at night. My chest gets tight and I get out of breath easily. I do not understand what is happening to me. I have suffered from anxiety disorder for 19 years and this is not anxiety. It has been 9 months and getting worse as daily activities become harder. My muscles in my hands are becoming weak and having trouble even opening a bottle. My legs turn a bluish color. I have tried Motrin up to 800 mg and Tylenol. I even bought compression gloves and socks with no relief. In addition, my vision gets blurry and sometimes experience dizzy spells. I do not drink or smoke. 44 yrs old and was healthy until this started. I m so confused and need help for what I should do. Hi, Most probably it can be a simple musculoskeletal pain. As a first line management you can try analgesics like Tramadol or Aceclofenac for pain relief. If symptoms persist you can consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4439.txt b/processed/document_classification/train/Confidential/doc_4439.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ffa9577e2b709fb49d62aa74371850aedd4aa3a3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4439.txt
@@ -0,0 +1 @@
+I have been noticing changes in my testicles the left scrotum hangs lower than right sometimes saggy scrotal skin I have no pain recently seen a doctor no sighn of hernia or infection or torsion if she elimnated all of those why do I still feel uncomfortable and I usually get a fast errction but now it seems difficult to accomplish please help I am very worried HelloYou have normal findings.Left testis normally hangs lower than right testis.It is normally found in every male.Scrotal skin appears also changes with changing conditions and emotions.I presume that you have been properly examined by a clinician.It is good that there is no sign of infection or hernia.If your doubt persists then you can go for ultrasound of scrotum.Ultrasound can detect abnormality.Take CareDr.Indu Bhushan
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diff --git a/processed/document_classification/train/Confidential/doc_4440.txt b/processed/document_classification/train/Confidential/doc_4440.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fb749e0dc7e9f39bc127a8ffd2bf945dbf1e171a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4440.txt
@@ -0,0 +1 @@
+Hi dr... usually i get mensus between my 28th day to 32nd day.usually i get some cramp in my lower stomach before 10days from my period.this time also i got that cramp.but nw my period exceeds 4days..now 34th day.but now too am getting that cramping occasionally. some white discharge also there. light pain in my nipple. but am not having any other syptoms.am i pregnant?.. i havent take any test. Get urine pregnancy test done. These cramps do not necessarily mean that you are pregnant. So, don't worry.
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diff --git a/processed/document_classification/train/Confidential/doc_4441.txt b/processed/document_classification/train/Confidential/doc_4441.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3aae32d0d6f444bd15fc45dc9acd6c38228194d2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4441.txt
@@ -0,0 +1 @@
+Hello doctor, My wife is 13 weeks pregnant. Though she takes Doxinate tablet once a day, she still has vomiting. Also, she often gets a stomach pain which eases in five minutes. We have discussed with the gynecologist about these issues and he had suggested a full abdominal ultrasound. In the ultrasound, they found a small sludge in her gall bladder. So, the gynecologist had suggested we consult a surgeon. The surgeon recommended a surgery. If not done, he says the mother, as well as the baby, are at risk. My wife is very depressed after hearing this. He has prescribed Rablet-D and Ursodiol for 10 days. Another issue that she faced is that in the last three days, she felt a mild pain in the lower abdomen. This pain also eases by itself in 30 to 40 minutes. Though we missed discussing this with the gynecologist, the USG report shows that everything is normal. I have attached herewith the latest USG, and blood test reports. Please guide us. Hello. I have gone through the reports (attachment removed to protect patient identity). It is good that you have consulted a surgeon and arrived at a diagnosis. It is nothing to panic about. If there are any further doubts you can always consult me. For more information consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4442.txt b/processed/document_classification/train/Confidential/doc_4442.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff5f83edf1cc0b98ab5b5d534fbc422a38ea404b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4442.txt
@@ -0,0 +1 @@
+I just had kidney stone surgery and they did not locate the stone. They believe I passed it prior to the surgery. I have had this same surgery two other times with no side effects. This time I am in extreme pain and it has been 4 days. My doctor said it is normal, however I have never felt like this in the past. I still have pain in my back and abdomen . Any suggestions as to why I feel like this? Hi Welcome to HCM. This passed out stone is quite possible and i encountered this two times in the past month. If a stent has been placed there should be no pain due to the stone as such. But, there may be other reasons for the pain and you need to be evaluated appropriately by the urologist and the general surgeon as well. Best regards DR GS
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diff --git a/processed/document_classification/train/Confidential/doc_4443.txt b/processed/document_classification/train/Confidential/doc_4443.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9b522c3ac2f30d3354ed6aac0f8e5a6bd1d25460
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4443.txt
@@ -0,0 +1 @@
+My 20 year old daughter is experienced abdominal bloating, cramping and pain coupled with forearm pain which she describes as feeling like she has had an IV in both arms. It begins in the elbow crease and radiates to the wrist. Any ideas? Many thanks Hi.Thanks for your query.Noted the history related to your 20 years old daughter related to the abdominal bloating, cramping and pains; also has pain in the forearms beginning in the elbow crease and radiates to the wrists .Both the problems may be unrelated. The abdominal complaints can be due to intestinal obstruction or infection. Get X-ray of the abdomen in the standing position, ultrasonography, stool and blood tests and get treated. The pain in the forearm as you have mentioned can be due to muscle compartment syndrome, thyroid problems, nerve problems and needs clinical examination and investigations accordingly.
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diff --git a/processed/document_classification/train/Confidential/doc_4444.txt b/processed/document_classification/train/Confidential/doc_4444.txt
new file mode 100644
index 0000000000000000000000000000000000000000..95cbd872ca529e9b2b7841c11d26f32acb10c873
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4444.txt
@@ -0,0 +1 @@
+i am working in the meat production company what is the normal count of salmonella(staph O and staph H) that my employees should have for me to allow them into the production while on treatment and what is the dangerous count that should not be allowed into the production? Thanks for your query at HCM!I am Infectious Disease Specialist! I went through your query!Dear Salmonella and Staph are two different organisms.Normally the titres depend upon the edemic titres of every region.But "O titres"> 1:100 and "H titres " > 1: 200 are considered diagnostic.The person after treatment is not a threat.But chronic carriers must be tested by stool examination for salmonella infection.Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query.Take care!Dr. Sheetal VermaInfectious Disease Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_4445.txt b/processed/document_classification/train/Confidential/doc_4445.txt
new file mode 100644
index 0000000000000000000000000000000000000000..854775b35c7e59d50e5c35ad12b6dc57506e6842
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4445.txt
@@ -0,0 +1 @@
+What s wrong with my mouth and tongue ? I have excess mucus. Feeling like I have to constantly swallow or clear my throat. The roof of my mouth looks like it s bruised and yellow in the back of my throat has red splotchy Kinda look to it but it s not painful. And then my tongue was white coated and all that stuff is scraping off and now I can feel my taste buds because my tongue is bumpy and it hurts to eat. I am a smoker, and I brush my teeth morning and night and floss everyday.. I m hydrated my urine is almost clear. Hi..Thanks for the query..Your symptoms are clearly pointing towards fungal infection in mouth and the white coating is due to yeast/fungal growth over the tongue..The condition is known as Oral Thrush.The inflammation over the roof of the mouth is also due to infection..As you are a smoker, thrush is common and if you continue to smoke it can also worsen the infection..So first of all you should quit smoking.In case if you are addicted you can go for nictotine replacement therapy in the form of nicotine patches and gums..Fir thrush you can gargle with specialised mouthwash like Nystatin mouthwash that is an antifungal composition..Suck Clotrimazole lozenges.You can also be advised oral antifungal medicines like Flucomazole..Drink plenty of water..Clean your tongue daily with a tongue cleaner.Eat plenty of probiotics like Yogurt and garlic as they are helpful and clearing infection faster..Hope this helps..Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4446.txt b/processed/document_classification/train/Confidential/doc_4446.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38a554ad034660fe58813678759d34ec2ae0b58a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4446.txt
@@ -0,0 +1 @@
+Hello, Im 51yrs.old and I have been have muscle cramps all over my body now for 5days...Went to hospital and got Fluids w an IV ,but at that time it was only my legs...then later that day I started have cramps in arms, jaw, upper lip and need some ideas what to do please... Hello, I have studied your case. Cramps in the whole body are usually due to lack of sodium and calcium in the body. So you need to check if your calcium and sodium are normal. If you are on high blood pressure medicines then chances of salt deficiency are higher. So go through this test. You can also take salt with juices and water. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naveen Kumar Sharma, Orthopaedic Surgeon, Joint Replacement
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diff --git a/processed/document_classification/train/Confidential/doc_4447.txt b/processed/document_classification/train/Confidential/doc_4447.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c41e4a7b18f04ecb736e59538543ade0ad1f009a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4447.txt
@@ -0,0 +1 @@
+Hi, I am 28 years old. I have a slip disk in my lower back. It hurts me a lot. Sometimes it is very difficult to even walk I used to practice Yoga a few years ago. But off late got lazy/busy and not practicing yoga now. I am putting around 14-16 hours infront of computer per day. And my situation is worsening. I need to get rid of this pain. What do you suggest I must do? Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a herniated disk. I suggest to use anti inflammatory medications such as Ibuprofen to relieve the pain. I also suggest physical therapy and gentle stretching exercises. If the pain continues, you should consult a neurologist for further evaluation. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4449.txt b/processed/document_classification/train/Confidential/doc_4449.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1b7a5415eea58c205666a0060db1b1730eaabe10
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4449.txt
@@ -0,0 +1 @@
+I have been experiencing swelling in my right leg, especially around my ankle, the back of my leg is sore. How do blood clots feel and look if this is problem with the soreness on back of leg? I am on meds for hypertension, have a pacemaker defifib, and told recently have kidney damage. I am waiting on doc apt for results from an Ultra sound for kidneys, in mean time my cardio took me off my water pill, and Lisinopril 40mg because of finding the kidney damage. Hello, I have studied your case.Your symptoms suggest possibility of Deep vein thrombosis.Ultrasonography/colour Doppler leg will help to rule pathology leading to pain and swelling like deep vein thrombosis. I will advise you to do repeat MRI spine to see for any nerve compression.Consulting your doctor infection can be ruled out; antibiotic can be started according to examination.If required you may need to do blood investigation for prognosis and recovery.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4450.txt b/processed/document_classification/train/Confidential/doc_4450.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1dc1359bace78ced539e41a11ea0dfbe0857f70a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4450.txt
@@ -0,0 +1 @@
+For the past couple of days, the foreskin, including just under the tip of my penis and the shaft foreskin has been quite dry, flaky/peeling, and even leaves little cuts due to common erections. The foreskin is mildly wrinkly, as if lacking moisture, slightly red, but otherwise has its normal color. I am not sexually active, and I take showers everyday and wash thoroughly. Could this be dry skin, or signs of something worst? Lastly, what medications should I take to stop the dry skin, protect the cuts, and end the flaking/peeling? Thank you for your time. Hi, Very difficult to comment without seeing directly or pictures. You need to make sure that you are not diabetic. Get a direct check-up. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN
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diff --git a/processed/document_classification/train/Confidential/doc_4451.txt b/processed/document_classification/train/Confidential/doc_4451.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2982ce76b552511c24f8776ec43439c391f66e07
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4451.txt
@@ -0,0 +1 @@
+I am 36 years old men. Since 2002, I am suffering from Fatty liver probelm. In 2007, I underwent the GI Endoscopy and diagonised the H Pylori infection. I have taken the necessary medication for the same. Since last two year I am also suffering form High BP, High Cholestrol and now this week also diagonised with starting Diabetic Glycosylated Hemoglobin 7.3 Glucose 113 mg/dl Total Cholesterol 312 Triglycerides 244 HDL 45 LDL 204 VLDL 63 HDLC Ratio 6.9 SGOT 33 SGPT 61 Blood Urea 26 Serum Creatinine 1.00 Vitamin B12 241 My current ultra sound report shows normal report but with Focal hypoechoic area of size 20X14X17 mm is seen in left lobe of liver. Liver is normal in size (13.4cm) amd shows increaed echogenicity. I am suffering Hypertension, body fatigue, and body pain. No freshness in body. Hello, Your reports suggest dyslipidemia with pre diabetes ( if sugar level of 113 is fasting value ) and low levels of VIT B12. Body fatigue could be because of these problem or may be associated hypothyroidism ( get your thyroid also evaluated ) . You should start taking medications and do the following... Calorie reduction and reduction of weight.( be in your range of BMI ) Regular exercises Avoiding sweets,deep fried fatty foods,transfats,junk foods like pizzas and burgers and avoid colas. Consume more of fresh fruits and green vegetables. Get few injections of VIT B 12 as advised by your doctor. Your cholesterol,high liver enzymes and fatty liver shall be all right in 4 to 6 months time. Quit smoking,if any. Target of your LDL should be below 80 Target of your triglycerides should be below 150 BP should be below 120/80. Keep your fasting blood sugar below 90 Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4452.txt b/processed/document_classification/train/Confidential/doc_4452.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2ccfb2efb6227dd0fd1526750ab6d8567d71c676
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4452.txt
@@ -0,0 +1 @@
+Hi, I got my arms and legs waxed and the next day I had an allergy on my arms. I am not to sure if this allergy is due to the waxing or cuz of the woolen jacket which I wore on d same day....? Any recommendations I am allergic to betnovate ointment..... Is it alrite to use tenovate-m Hello Khangura, It is most likely secondary to procedure and you must ensure you get a patch test to exclude chemical sensitivities. I presume the 'allergy' was also on the legs. If you had a similar reaction to waxing before, then it is even more important to exclude the chemical sensitivities before you go through another waxing procedure. Allergies to steroid creams are possible and this can also be checked when you have the patch test. For the time being, antihistamine tablets such as cetirizine 10mg twice daily or allegra 180mg once daily with Calamine lotion on arms and legs should be enough to control the reaction. I hope this was useful.
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diff --git a/processed/document_classification/train/Confidential/doc_4453.txt b/processed/document_classification/train/Confidential/doc_4453.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3ab7c8afc80d74c444ce82c1affb2326289e5b6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4453.txt
@@ -0,0 +1 @@
+I am facing issue of skin rashes since the past 4-5 years. I get itching on my body, especially back of the shoulder, hands, thighs; and wherever I itch, that place on the skin becomes red and gets a bit swollen. To overcome the same, I have to take Levocetrizine tablets every 3-4 days. The frequency of taking the tablet varies depending on the season(less tablets in winter, more in summer). I have tried allopathic, homeopathic and ayurvedic medicines for permanent treatment of the same, but to no avail. Once I visited a homeopathic clinic for a free consultation for hairfall, and they detected "Seborrheic Dermatitis", however I did not go ahead with any treatment, hence not sure whether that is actually the case or not. Age: 28 Sex: Male Other problems: Allergic rhinitis since a long time, sensitive skin & lowoverall immunity. Residence: Vadodara, GUJARAT, INDIA Hi, Thanks for using HCM.Your history suggest you are suffering from allergic rhinitis(AR) and dermatitis. Avoid allergens, Can continue wit levocetrizine every night one tab and apply topical steroid for the lesion that will help you. For AR can take mometasone nasal spray. If severe wit AD, then can get done skin prick test to find the allergen and immunotherapy can be given for complete management which cover for both AR and AD. Have proper sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises for your wellbeing. Hope I answered your question. Consult your doctor for further examination and management.Feel free to ask me if you have any further queries.Wish you good health. Take care.RegardsDr.Lohit
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diff --git a/processed/document_classification/train/Confidential/doc_4456.txt b/processed/document_classification/train/Confidential/doc_4456.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3d5495efdd0f7fffb9ea19b05fff90bb357383d6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4456.txt
@@ -0,0 +1 @@
+I am making an inquiry for my daughter, who has suffered over 20 years with severe pain, unable to work, hyper sensitivity to light, touching fabrics, migraines, noise, emotions, inability to function on disability, but no help. Thinking about Allergic to Life, read in Discover Magazine would like to see a professional who could possible help her, diagnosing this allergy to chemicals and it's symptoms. She needs help desperately as I do, she is now in her mid fifties with no hope for any kind of future. Would like an appointment with a doctor proficient in this category. I am her mother. HIThank for asking to HCM I really appreciate your concern for you daughter, Mam we are here to help the patients, this forum is mainly to advise the patients with the best of our knowledge we did not provide any information for any specialist or for any particular doctor like yellow page work, now for your daughter there must be some aggravating or triggering factors which could be responsible for this kind of reactions this may be called auto immune disorders, and this always goes away unnoticed your daughter need to keep her stress level very low, no need to worry she will be fine with the time give her strong moral support have a great day.
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diff --git a/processed/document_classification/train/Confidential/doc_4457.txt b/processed/document_classification/train/Confidential/doc_4457.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9490d6e2ec5ed623ebbbd0bcd2d75f2a8a22435c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4457.txt
@@ -0,0 +1 @@
+when i get up, before and after i eat and throughout the day my stomach has severe pains it feels like hunger pains but its not because it does this after i eat to and then i go to the bathroom and there is alot of blood in the toilet and throughout my bowel movements what could this be? Hi.The blood throughout he the bowel movement and the history you have noted , this can be due to ulcerative colitis or IBS with severe colitis. I would recommend you to undergo colonoscopy to see the reason, get a biopsy done and institute appropriate treatment.Get stared on an antibiotic, probiotics, metronidazole and supportive treatment. Get investigated : blood, urine and stool tests, ultrasonography, colonoscopy.
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diff --git a/processed/document_classification/train/Confidential/doc_4458.txt b/processed/document_classification/train/Confidential/doc_4458.txt
new file mode 100644
index 0000000000000000000000000000000000000000..494af596c37ae6925153bf9e6ae161fa8e29d4af
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4458.txt
@@ -0,0 +1 @@
+hi i hit my husbands hand with mine playing around and it has been swollen for four days. it has a knot ontop of my hand and is sore. my fingers are badly bruised. it instanly swole up when it happened. do u think its broken should i get an xray? it doesnt hurt to move it just when i touch it. Hello, As you had the injury while hitting, and no pain while movements then it won't be a facture. I don't think any kind of x-ray is needed for now. Do icing to reduce the pain and swelling twice a day. In between do hot water fermentation and move your fingers within the hot water tub. After a week or so you can try pressing the sponge ball slowly to regain the strength. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_4459.txt b/processed/document_classification/train/Confidential/doc_4459.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f7d2bdaca26ac1f1e0424d439ec5de707e4481fc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4459.txt
@@ -0,0 +1 @@
+Hello, i have reoccurring small dots like the end of a biro on my right foot only. They come ovr a week or 10 days, become itchy and when itched fill with fluid like a blister. i have them aroung the heel and down the right side of the foot and between my big toe. after they have been itched and ooze they scab over and them the skin is normal a few days after. they reappear every few months Thanks for your query at HCM!It seems you have some sought of fungal infection (dermatophytic). I suggest you get your fasting and random sugar get tested. You must collect the fluid by pucturing of blister and send for tests like gram staining, microscopy for fungal elements, culture- aerobic/anaerobic bacterial and fungal tests. Follow up with investgations for proper treatment. In meanwhile after sampling you can apply some triple action cream.Take care!
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diff --git a/processed/document_classification/train/Confidential/doc_4460.txt b/processed/document_classification/train/Confidential/doc_4460.txt
new file mode 100644
index 0000000000000000000000000000000000000000..87287a19cfc7cb45a651871e985d35c32b3076a6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4460.txt
@@ -0,0 +1 @@
+hi my aunt is to undergo valve replacement surgery, she has tooth cavity but the dental doctor checked it out and said that it would not be an issue as it is not giving any kind of problem to her at present! thought of having a second opinion but due to time constraint ended up in searching net... whats ur say on this... expecting ur valuable and a educative reply at once Hello,Thanks for consulting HCM, Read your query, as your aunt has to undergo valve replacement and she has cavity dont worry if she doesnot have pain in cavity tooth you can go through surgery if she had pain in carious tooth then you should consult dentist and go for its treatment . I will advise you that after surgery when she is fine then consult dentist and go for treatment of tooth.Hope this will help you. Wishing you good health.Regards, Dr. Priyanka tiwari
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diff --git a/processed/document_classification/train/Confidential/doc_4461.txt b/processed/document_classification/train/Confidential/doc_4461.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b14d2df88eaa63fdacddf282586bb95a3648504e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4461.txt
@@ -0,0 +1 @@
+My boyfriend and I were outside earlier and I m not sure if something bit him or something stabbed him, but something happened&There is a bump thing on the top of his foot and he is having severe pain and swelling around it. Any ideas of what it might be or what might help? Hi...thanks for sharing your problem here in this forum...I can understand your problem...your boyfriend got swelling with readness and pain on the foot...if it was abruptly enlarged and there is some sting mark this must be a bite by something ...i will advise to see the doctor...you can give him some antiallergic for time being..but he shoulg get tatnus immunization if its trauma or bite...hope you got your answer...thanksDr ihsan
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diff --git a/processed/document_classification/train/Confidential/doc_4462.txt b/processed/document_classification/train/Confidential/doc_4462.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4506cc76a2a9f7e7a3e94058af1222e83e29a967
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4462.txt
@@ -0,0 +1 @@
+I have coronary heart disease for many years and have been on statins all that time. Recently my PCP took me off the statins, and now after three months I am having chest, left arm pain. Can being off the statins be enough time for the cholesterol deposits to increase enough to cause this pain? your pain is not because you stopped statins.but it's definitely an important symptom for you to visit your cardiologist and get a check up done.get a ECG done and see if there are any new changes in that as compare to previous one.you might need to go for a TMT as well. Don't ignore your symptoms,specially when already have coronary artery disease.
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diff --git a/processed/document_classification/train/Confidential/doc_4463.txt b/processed/document_classification/train/Confidential/doc_4463.txt
new file mode 100644
index 0000000000000000000000000000000000000000..619157964dbbb80e58e69bb4e22a95e9363cd003
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4463.txt
@@ -0,0 +1 @@
+hello, im a 18yr old girl and have had blood tests 2 yrs ago saying i had low iron. i took vitamins for a little while. then stopped. I went on a no redmeat diet a few months ago and started getting mouth ulcers. i looked it up and saw low iron is a cause so i stopped. i often get dizzy spells, random nosebleeds. I fall asleep in class even when i get a good nights sleep. is it possible i could be anemic? Hello and welcome to HCM, Inoredr to assess whether you have anemia or not, you need to get certain investigations done- red blood cell counts, hemoglobin, red cell indices and peripheral blood smears examination to know the degree of anemia and type of anemia. Once the type of anemia is known, the cause of anemia can be assessed and thus treatment can be planned. Mouth ulcers usually occur due to deficiency of vitamin B group. Dizziness is a non-specific symptoms and can occur due to a number of causes. Thanks and take care Dr shailja P Wahal
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diff --git a/processed/document_classification/train/Confidential/doc_4464.txt b/processed/document_classification/train/Confidential/doc_4464.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2bf00dd0b12ade0e7e8e1794aee7113862a7ffc2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4464.txt
@@ -0,0 +1 @@
+dear doctor,i have very swollen, red tonsils that are now COVERED in white spots which are now turning yellowish and some grayish-brown. i went to the doctor and they performed the swab and told me it wasnt bacterial so its viral. i know when it comes to viruses your body just needs to stay hydrated and fight it off. my issue is that in the last 5 months ive had painful tonsilitis at least 6 times. I feel my tonsils are doing more harm than good for me, should i get them removed? also what are the best home remedies for this? Hello, Welcome to HCM.I understand your concern.As a home remedy for tonsillitis, you should do gargles with warm salt water or with chlorhexidine & water in 1:3 dilution. They will not treat the viral infection but prevent super-added bacterial infection. You can also take lozenges available OTC. Also take plenty of water and warm liquids. Take paracetamol with ibuprofen for pain relief, fever and inflammation.You can get your tonsils removed if you have recurrent tonsillitis. You have said that you had this problem 6 times in 5 months. Guidelines about tonsillectomy says that it can be done if tonsillitis occurs 7 times or more in a year or 5 times or more per year for 2 years consecutively or 3 times or more per year for 3 years consecutively. So, see whether you fall in these criteria or not. Tonsillectomy can also be done if tonsillitis is severe and affecting day to day life. Consult a good ENT surgeon for the same and decide further.Hope this will be helpful.Do ask if any more question.Thanks for using HCM. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4465.txt b/processed/document_classification/train/Confidential/doc_4465.txt
new file mode 100644
index 0000000000000000000000000000000000000000..13e31f7f2060004d369ad1dcce01dfdf9ae39aa4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4465.txt
@@ -0,0 +1 @@
+Please i would like to get some information, i was in the hospital and i got diagnosis that i have cholesterol gallstoneы (2 stones) the doctor said me that i had to delite this gallbladder.. please maybe can i have any way of treatment? some medicines or? HelloWelcome to HCM.Thanks for posting your query.I understand your concerns.As you are diagnosed with gallbladder stones,definitive treatment for this is surgical intervention that is removal of gallbladder called cholecystectomy.If you opt for non-surgical line of management,it will be a temporary relief.Thank you
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diff --git a/processed/document_classification/train/Confidential/doc_4466.txt b/processed/document_classification/train/Confidential/doc_4466.txt
new file mode 100644
index 0000000000000000000000000000000000000000..720b9970c042a3e2c7478d1b562776b473d02426
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4466.txt
@@ -0,0 +1 @@
+my daughter has a recurring cyst on her buttox she is 2 1/2 now the doctors tell us its staff infection an give us antibiotic an a cream it goes away for a while then keeps returning 4 times in the last 8 months she drinks a lot of milk an eats a lot of dairy could this some how be effecting this if not what should I do I ve disinfected our home an we have all been taking bleach baths directed by the doctor Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have recurring cyst in the buttock. Well there can be many reasons for symptoms you mention in query like bacteria or fungus located on the surface of the skin can cause a boil. Boils are quite common and are usually caused by the bacteria Staphylococcus aureus, the most common bacteria found on the skin. When the hair follicle is damaged by a scratch or other break in the skin, the bacteria is able to move deeper into the follicular tissues, causing an infection and resulting in a boil . If cyst is appearing again and again then there must be other underlying problem like low immunity and diabetic condition . I would suggest you to consult dermatologist for proper examination . Doctor may prescribe antibacterial like cephalexin , clindamycin or erythromycin , anti fungal like fluconazole or vitamin supplement to boost immunity . For now apply warm compresses and eat healthy diet . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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diff --git a/processed/document_classification/train/Confidential/doc_4468.txt b/processed/document_classification/train/Confidential/doc_4468.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ed30b0546b64076a27ea7b358091f7deed3f5c70
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4468.txt
@@ -0,0 +1 @@
+i feel dizzy and ill, my ears are hurting. I have been under some stress, just sold my home, my mum has not been well, lost my brother 4 months ago to cancer and my father 4 years to cancer. I have been having some anxity issue and panic attacks in the last few months. HIThank for asking to HCMI can understand your problem, I am really sorry for that , but loosing moral because of undue circumstances is not wise the anxiety and depression could cause more problem right now you have to find the ways that could ease your tension but you are inviting to such things that could increase your problem for sure, taking medicine in this situation again not good idea because drug could stops your thinking area, better to brig back your confidence, think in positive way, form a strategy for further life, hope this information helps you take care and have good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4470.txt b/processed/document_classification/train/Confidential/doc_4470.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd1dbe7e251f4ae21615e6ea2204accf4d24a7db
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4470.txt
@@ -0,0 +1 @@
+past 3 to 4 weeks i started having sharp pains in my back (but more to the right side), some days it was there, then would be gone the next. As weeks and days went by the pain increased, and was more daily and constant, it also starting radiating up below my right scapula, and around my right side, to my front below the right side of my ribs. I had blood tests done and an ultrasound - abdomin (upper). The doctor thinks I have shingles, but I have no rash, and the ultrasound showed an enlarged liver. my pain in now both front and back, and increases with most any movement I do (standing, walking, bending, twisting..etc). the pain is less, and more of a dull pain when laying down. my doctor gave me norco for the pain, but wants me to take acyclovir for shingles, but this medication caused my mom to have kidney failure about 3 months ago, and I'm affraid to take, since the ultrasound also shows I have an enlarged kidney to. Could the enlarged liver cause pain, by putting pressure under my rib cage, causing back and front pain when making movements. (when moving the pain is about a 7 to 9) 10 being the worst, and about a 5-6 when laying down. I heard there is a blood test for shingles, but alot of my problem, is I have no insurance or income to take a lot of test or get treatment. I feel the problem is more with my liver. I am obese, but have lost about 30 lbs since the pain started. I was at 416, and now at 386, but without dieting, with the abdominal pain, I'm just not hungry that much any more, sorry for typing so much... Organ involvement such as kidney or liver is much less likely to be the cause of this type of back pain. And low cost blood tests can rule out dysfunction of these organs. It sounds more muscular in origin. A course of physical therapy would help greatly. Or even local muscle trigger point injections by the doctor. Topical ice and heat are things that you can do yourself.
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diff --git a/processed/document_classification/train/Confidential/doc_4471.txt b/processed/document_classification/train/Confidential/doc_4471.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ffce68a3d1afc462229cade8f4f15ecf6d1649cd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4471.txt
@@ -0,0 +1 @@
+Hi, i recently found out that I had Kidney cancer and had my right kidney removed. I am a 45 years old female and don t smoke, don t drink, and I am vegan. I have always been very healthy, active and have a positive attitude. I am 5 6 and weigh 135, so I am not overweight. There is no history of kidney cancer in my family and it is not genetic. Is it possible to get kidney cancer from exposure to asbestos without having lung cancer. (or just lung problems) too? It is unlikely that asbestos exposure is responsible for an important increase in kidney cancer risk however high asbestos exposure might entail a small increase in risk for kidney cancer.RegardsDR DE
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diff --git a/processed/document_classification/train/Confidential/doc_4472.txt b/processed/document_classification/train/Confidential/doc_4472.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4924a05e53643f722fbfb8c5e838da9957519f80
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4472.txt
@@ -0,0 +1 @@
+Hi Doctor My girlfriend have 3month pregnant So the problem is that she don t stop Vomiting ,special in the morning Last time she vomit a blood .I try to bought somethings. Will help her so at the shop they told me that sorry we can t sell,go to docter first so I need your help before I go to docter help me docter Hi I have gone through your complaints.vomiting during pregnancy is quite common in first 5 months.start Tab Doxinate plus in the morning 10-15 mts before meal.if vomiting are severe take 2 tablets also , nothing to worry.these tablets are safe.if not reducing with this medication go for Tab Vomiset .consult the obstitrician and take the further management .Thank youRegardsVasundhara
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diff --git a/processed/document_classification/train/Confidential/doc_4473.txt b/processed/document_classification/train/Confidential/doc_4473.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2bf217c74dfed3cdbeb1b48589fd2ed5da5757d7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4473.txt
@@ -0,0 +1 @@
+Hi , I was wondering am I most likely okay if I had sex with a condom, it slipped off but my partner didnt ejaculate in me. I also took the morning after pill the next morning. Also can the pill make you late, because i am a week late and am a very paranoid person and Im freaking out although my friends say I shouldnt be ! Hi dear without ejaculation inside there are no chances of getting pregnant also you have taken I pill so no need to worry..if you missed your periods by 2 weeks then do the urinary pregnancy test,blood hCG levels and USG for final confirmation..that's my advise as more anxious you be it will late the periods..anxiety is one of the cause of delayed periods..stay strong and be relax..regards Dr.Sohil Takodara
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diff --git a/processed/document_classification/train/Confidential/doc_4474.txt b/processed/document_classification/train/Confidential/doc_4474.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9d34f8d346f03ca93d1e2a8bb5db978827691021
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4474.txt
@@ -0,0 +1 @@
+yes. thank you...i have had a bruise on both sides of my neck for about 6 or more months...i have had osteoarthritis for about 20 years & i m 51 now.the pain is more on my neck instead coming from my spine or any discs. although on my M.R.I. it shows that my discs are losing the jel inbetween. I haven t ever had pain from both sides of my neck. plus the bruises. It alson seems like my skin around my shoulders looks greenish.also i ve had all these little rash like bumps that do not itch at all.it started spreading from the back of my arms to my my thighs then to my calves. i m not sure if all this is connected or not...thank you for your opinion .. Hi, You are correlating different things with one another. Bruises and rashes are completely different, it has no relation with your disk space. During the loss of disc space and loss of gel, you will get pain in the back, not rashes and bruises. Thank you. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_4476.txt b/processed/document_classification/train/Confidential/doc_4476.txt
new file mode 100644
index 0000000000000000000000000000000000000000..46953622e20ea7b1e3b06d80b44dfaa0b43a2256
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4476.txt
@@ -0,0 +1 @@
+HI, I have really bad panic attacks and recently can t seem to finish some of my sentences, sometimes I,m stuttering and slurring my words. This is all out of character as I am generally a confident person. The symptoms described by you are indicative of anxiety, which can decrease your confidence and hamper your progress. It is advisable to consult a psychiatrist as it is a very common but treatable problem
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diff --git a/processed/document_classification/train/Confidential/doc_4477.txt b/processed/document_classification/train/Confidential/doc_4477.txt
new file mode 100644
index 0000000000000000000000000000000000000000..814eef94dba60838838d7cf8f574b6f25a5d258f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4477.txt
@@ -0,0 +1 @@
+I had an itchy red rash to the left of my belly button that keeps spreading around my belly button. At times it gets extremely itchy and almost feels like it is pinching. Part of it has cleared up and I almost have a burn scar where the rash was. I have been putting Lanacane cream on it to help with the it. Just when I think I am getting rid of it, some more bumps break out. is there an otc cream or something i can put on it to try heal it or stop the itchiness? Hi...thanks for posting here.Itchy rash with central clearing and periphery spreading is suggestive of fungal infection.It always occurs where there is moist environment like groins,inner part of belly.Try to keep area as dry as possible,Use loose clothings,take antiallegic tablets at night ,apply zimig cream at night for 2 weeks, still it persists then you better consult a dermatologist and start oral medications.You can apply candid soap for wash at day time.
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diff --git a/processed/document_classification/train/Confidential/doc_4478.txt b/processed/document_classification/train/Confidential/doc_4478.txt
new file mode 100644
index 0000000000000000000000000000000000000000..89545bc5dca2b437195ed241ca44717a9a1bd848
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4478.txt
@@ -0,0 +1 @@
+I had my cycle on May 1st, I have a 30 day regular cycle. I had intercourse on May 9, but he did not ejaculate in me. I then had sex on May 14th and 17th when he did ejaculate inside. When I had my first ultrasound, the physicians office confirmed a due date of February 6th, 2011. In your opinion, which day did I conceive? Hello,Physicians calculate according to your last menstrual period (LMP) then add 9 months plus 7 days to calculate the date. But if you have a regular cycle, you say your LMP is 30 May then around 14 to 17 you might ovulate and have sex during that time. Most likely it's on 14th day rupture if cycle is of 28 days. You have to check by USG rupture.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal
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diff --git a/processed/document_classification/train/Confidential/doc_4479.txt b/processed/document_classification/train/Confidential/doc_4479.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1611a105b6b5b2a92a67ca5efe6730467681e62
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4479.txt
@@ -0,0 +1 @@
+I have been diagonosed with nephrotic syndrome on november 28 th 2013, and the doctor that saw me in the hospital wanted me to follow up with one in my home town and the one here is so busy traveling to town to town that i cant be seen till january 8th 2014 . i am getting weaker and weaker very sick to stomach constant direaha and loosing weight and cant find a doctor to see me ...can u get me one in the oklahoma city oklahoma area.....that will see me asap....... Hi, Welcome to Health care magic forum. To be frank, what you want now is a physician for the treatment of the diarrhea, keeping in mind of the nephrotic syndrome. So i advise you to consult a physician in your area oclahama, showing your reports of the nephrotic syndrome. Avoid taking salt, oil, nonvegetarian foods. Wishing for a quick and complete recovery. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4481.txt b/processed/document_classification/train/Confidential/doc_4481.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb7a912e6d583bfc2caeb6dbc61dadef7b2f277b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4481.txt
@@ -0,0 +1 @@
+my son has 1 year old. often he affected veezing. i don t know how i protect him. sometime he get vomitting it is looking like a mucous. i dont t know which type of food i give him. He also looking like very leane. his weight also increase very slowly. please help me Hi,Although the details given are insufficient, I will through some highlights. I guess the wheezing was recorded by your doctor also. Recurrent wheezing in children is usually caused by an allergic condition called ASTHAMA. In such cases, after confirming diagnosis with detailed history and examination, I used to give inhaled medications and some oral drugs. Some children with frequent symptoms will need to take the medication regularly for few months. you can discuss this with your doctor in detail, as the diagnosis and management is a step wise process. Meanwhile take care of few tips:1. Keep his room clean and dust free2. Avoid woollen clothes / blankets / bedsheets3. Avoid playing in dusty / cold environment4. All window curtains need to be washed and dried once in 2-3 weeks5. Keep away from smoke and smokersYou have not mentioned his weight. By 1 yea,r we expect about 9 kg. If he is > 8 kgs, you need not worry. Just give him calorie and protein rich diet(include ghee, pulses, curd, egg, well cooked meet in diet).Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician
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diff --git a/processed/document_classification/train/Confidential/doc_4482.txt b/processed/document_classification/train/Confidential/doc_4482.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90e9cdd28afb0c2984ea7a1a2ff8f81e076853c3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4482.txt
@@ -0,0 +1 @@
+Hi doctor, my son had a platelet count in the reading 491 m3/ul when he is 3 weeks old The report show question mark in PLC clump, immature gran, NBRC. May i know what does it mean? But doctor said everything is ok, now the insurance company query about these. The blood test was done due to prolong jaundice. In case of newborn this blood picture is normal but after day by day it will be switch on to normal blood picture. So i suggest you to follow up regularly.
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diff --git a/processed/document_classification/train/Confidential/doc_4483.txt b/processed/document_classification/train/Confidential/doc_4483.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4bedc915f83d89749b7ffe4b2c21c55f3ecc6dc7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4483.txt
@@ -0,0 +1 @@
+I am 12 weeks pregnant.I am with my parents now.My husband stays with me twice a week and those times i have the urge to make him masturbate me by just rubbing the clit.Will masturbation affect my baby.My first scan reports are normal and gyn dint ask me to stop sex.. Hallow Dear,Masturbation by just clitoral tickling will not at all harm the baby in your womb. However, I would like to give you some more scientific advise regarding sexual relations during pregnancy. It is safe to have sexual intercourse between 14 weeks to 28 weeks of pregnancy if there is no specific contraindication. Later, physical contacts become quite bothersome and also the uterus is more irritable. During intercourse in the mid trimester, full insertion of penis into the vagina should be avoided. Partial insertion of penis in the vagina also gives good orgasm at the clitoris. Intercourse in side position prevents full insertion of penis. I hope this helps you. Dr. Nishikant
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diff --git a/processed/document_classification/train/Confidential/doc_4484.txt b/processed/document_classification/train/Confidential/doc_4484.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c3f31c13696f6f713f29a4613afa730803f97cb4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4484.txt
@@ -0,0 +1 @@
+i have a golfball-sized lump on/in my hamstring half way between knee and hip. Next to it is a depression in the same muscle. The mass seems to be involved in the hamstring muscle itself. I did injure something a few weeks ago which causes deep aching inside the buttock where the muscle attaches to the hip bone structure. Hi, Golf-ball sized lump on hamstring, midway between hip and knee with a nearby depression after an injury can be due to one of the following reasons: - Hematoma formation - Abscess or cellulitis - Preexisting lump like a lipoma or so. This can be diagnosed by the following ways: Clinical examination by a General Surgeon gives fairly correct diagnosis. To be confirmed by high resolution ultrasonography or MRI as is needed. FNAC that is fine needle aspiration may be needed in selected cases. All these will give a proper diagnosis and a plan of an appropriate management wither surgical or medical as the need be. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant
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diff --git a/processed/document_classification/train/Confidential/doc_4485.txt b/processed/document_classification/train/Confidential/doc_4485.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ffed2f939faaf5fc3e33dd8787d089bcbc07b391
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4485.txt
@@ -0,0 +1 @@
+hi my daughter is 17 mos and ben to the doctors 4 times they keep giving me different things that are wrong with her shes ben sick for 3 weeks now she had fever stuff up nose and cough now shes getting over those but now i see in her mouth that her gums are red and sores on her lips the doc thinks that its a stomach infection but what can i do? there are various reasons for redness in gums and soreness,,, e.g. tooth bite while chewing, vit. B complex/ vit. C deficiency, local infection etc. initially u should maintain oral hygine regularly and take vitamine B complex/ vit. C tablets for 5 to 6 days,,,,,, if still problem persist u should consult ENT surgon for that,,,,,
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diff --git a/processed/document_classification/train/Confidential/doc_4486.txt b/processed/document_classification/train/Confidential/doc_4486.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9dcbbf25830f1bcf08b0884d529d640730a55d67
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4486.txt
@@ -0,0 +1 @@
+hi,i am surendra 38, iam suffering from impotence since last 1 year , for that time i was a chain smoker but not today.i do exercise from one month and i feel groin pain.my marriage life is worst. please advice what can i do for impotency and groin pain. Hi, You need to stop smoking completely as smoking is one of the cause for erectile dysfunction. I suggest you get checked your serum sugar level and measure your blood pressure as well to exclude diabetes and hypertension as cause for ED. If you have anxiety history than it is also aggravating factor for Ed. Practice more foreplay before sex and Tadalafil can be taken 40-60 minute before sex for short duration. If you are obese than loose weight. Intraurethral injection of alprostadil also can be beneficial. Kindly consult sexologist for detailed discussion of all these. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4487.txt b/processed/document_classification/train/Confidential/doc_4487.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b32550480f39a424a5e4bc6bd2beaaa3f5e3d926
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4487.txt
@@ -0,0 +1 @@
+HI, my 3 year old son has been ill for 9 months, it started with a virus as such. He suffers with occasional night sweats and a fever every 21-28 days. He has a poor appetite although we do make him eat, he drinks plenty of fluids. He is lethargic and tired and is unbearably tired by friday. He looks washed out and tired. The last letter from our consultant stated He has persistent 1.5cm mobile shotty cervical lymph nodes and inguinal lymph nodes present on the right side of his nec, but with no obvious hepatosplenomegaly or masses. His abdo is soft and non-distended and no abnormalities of gait or limp are present. His bloods & tests include a -ve bone scan, normal AP xray of pelvis and chest, normal abdo ultrasound. His FBC shows mild microcytic anaemia, his HB 11.9, MCV 78, Ferritin 13, with slight lymphcytosis up to 5.2 x10*9/L, but a normal film. -ve serology for toxoplasma coeliac and ANA, normal u&e, LFTS, CK and thyroid and glucose Our consultant is saying its is post viral fatigue, but after 9 months ? could this really be the answer. Our 3 year old is now hoarse and complaining of pain where the glands are swollen. Can you offer any further advice ? many thanks in advance Hi,From history it seems that he might be having possibility of Primary complex producing long lasting fever, generalized lymphadenitis, weakness and fatigue.He might require, Montoux test,Complete blood checking with ESR.After investigations one can have some clue about his chronic fever.Consult pediatrician and get examined.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4488.txt b/processed/document_classification/train/Confidential/doc_4488.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a7162d4edbc79260a7b4a14e3ef6e34854a7ac69
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4488.txt
@@ -0,0 +1 @@
+My semen analysis shows: Volum 2ml= colour creamy white=consistancy thin= ph 8.0= Sperm Count = 56 millions/ml, liquefaction time = 30 mins, Reaction = Alkaline, Motility : Active = 50% Slugglish = 30% Non motile/dead = 20%, abnormal Morphology= 15%. Other findings : Pus Cells 0-1 =double headed 04%= Micro head 04% = without head 04% = without tail 03% Please let me know my report is normal? Thank you Hi, The given sperm analysis report is perfectly normal and nothing to worry about it. The sperm count and motility are within normal limits and you will not experience any infertility problem as per this report. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_4489.txt b/processed/document_classification/train/Confidential/doc_4489.txt
new file mode 100644
index 0000000000000000000000000000000000000000..54aa7576f9a1b9f19c1f0f78068fa165fb8ab5bc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4489.txt
@@ -0,0 +1 @@
+my 12 1/2 yr. old grandadughter goes to bed at 9pm, sleeps only maybe 15 min, wakes and lays awake 2 to 3 hours, then sleeps again maybe 15 to 20 min. Doctor has ordered x-rays and EKG, I am very conserned. Am afraid she may be afraid to she could die after seeing her mothers boyfriend having bad seizures due to swelling in his brain from time to time, What should we do to help her? DearWe understand your concernsI went through your details. I suggest you not to worry much. I think you should wait for the doctor's opinion before getting carried about. From the description you gave, the sleeplessness may be due to anxiety and the cause could be the that person's bad seizures due to swelling in his brain. Such a scenario, the anxiety, could be easily treated with counseling and psychotherapy. Nothing to worry.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4490.txt b/processed/document_classification/train/Confidential/doc_4490.txt
new file mode 100644
index 0000000000000000000000000000000000000000..767914300a387d2466c47a0627a4cc85a31bee51
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4490.txt
@@ -0,0 +1 @@
+hello, I am on clomid 50 mg and this is the second cycle. I responded well the first cycle and now this cycle there are two follicles in my right ovary but growing very slowly. on day 10 it was 1.2 and day 13 it was 1.3 and day 15 i was 1.6 so my doctor has said to take 2 clomid 100 mg from today (day 15) and she will she me next week. I wanted a second opinion is it safe to take at this stage of my cycle and will i have any side effects as it will be 2X the dose? Hi , How are you doing ?I don't agree with this management. Clomid is Clomiphene is hormone which causes increase in hormone which makes the follicular growth better. But it's main side effect is it will reduce the inner lining of the uterus. If this is reduced , the pregnancy chances is reduced, as this lining is needed for the embryo/ baby to get good attachment to uterus. So the better option is to have dose of hormone injections to increase the follicular size. It will be safe to increase dose of Clomid in next cycle. But by just increasing dose of tablet , problem will not be solved. Better to take hormone injection from the beginning & you will get a much better follicular response. Hope I have clarified your queries All the bestDr.Balakrishnan
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diff --git a/processed/document_classification/train/Confidential/doc_4491.txt b/processed/document_classification/train/Confidential/doc_4491.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cd17c0d25f782db6c04c8e208ca81b3651bebd66
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4491.txt
@@ -0,0 +1 @@
+This past Friday I was in a motorcycle crash in which I broke 4 lower left ribs. I am told that is just going to take time and there is really nothing I can do... I feel like my abdomen is blouted... Is this normal and is there anything I can do for it? Hi.Thanks for your query.This is not normal.The bloating of the abdomen with a history of an accident which has broken lower ribs indicate investigation to see whether there is any internal injury to the abdominal viscera.I would advise you the following:Be nil orally till you are declared OK on investigations. X-ray abdomen in a standing position to see any gas under diaphragm; this is the cheapest and the simplest investigation to see is there any perforation of the intestines, ground glass appearance of the abdomen in peritonitis or collection of blood.Ultrasonography of abdomen along with CT scan to confirm the diagnosis. Once the reports are there and the clinical / physical examination is normal- wait and watch. If there are positive findings , exploratory laparoscopy is then needed and proper surgical treatment instituted.
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diff --git a/processed/document_classification/train/Confidential/doc_4492.txt b/processed/document_classification/train/Confidential/doc_4492.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e1bd89a9c55e62cbc91e627f33d0baad1efd4d91
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4492.txt
@@ -0,0 +1 @@
+Hi doctor, My 11 year old daughter, who weighs 35 kg and is 4.10 feet tall, is suffering from pain in the tailbone. The x-ray revealed that it is a congenital elongated tailbone. The report read, coccyx shows longitudinal clefting, which appears to be congenital variation. She has been advised to sit on soft surfaces, with a pillow, since sitting on hard surfaces seems to aggravate the pain. She has to be careful about her sitting posture all the time since sitting in the wrong posture triggers the pain. I needed to know if this pain will reduce with age since she is a growing child? Or can it further increase and cause problems later? Also, can any exercise or surgery solve the problem? Hello. I wish you had included the x-ray with the detailed description. For more information consult an orthopaedician and traumatologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4493.txt b/processed/document_classification/train/Confidential/doc_4493.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3299e85df135271f5a22d064a69405b0ac5fe112
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4493.txt
@@ -0,0 +1 @@
+Hi. I fell on my knee 2 years ago and to this day it sporadically has a tingling/numb sensation. Especially when I touch it. It feels like there are vibrations under the skin. Unsure of what kind of injury it could be. There is very little pain, just discomfort from time to time. Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.There is delicate nerve beneath the skin on knee that is susceptible to get injured after a fall. If inadequately treated ,it results in neuroma,i.e swelling of nerve that keeps troubling.Physiotherapy,analgesics,anti-inflammatory drugs should help.A local steroid injection would be helpful as wellNothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
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diff --git a/processed/document_classification/train/Confidential/doc_4494.txt b/processed/document_classification/train/Confidential/doc_4494.txt
new file mode 100644
index 0000000000000000000000000000000000000000..efa45b2be0e31fe0be51703183f75167609673a9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4494.txt
@@ -0,0 +1 @@
+hi i have a light white bump on the tip of my tongue since 5 month now and i use to get burning tongue on and off ,i have done blood test nothing was bad except by blood is 34.4 is there any thing to worry about ?? and is there any treatment ,by the way i am taken iron medication and multivitamins as prescribe by my doc. Hello, thank you for consulting with healthcaremagic. Actually this bump can be a small growth which has occurred because of some trauma to that area. If it does not cause any pain or bleeding then there is nothing to worry, but if it increase in size or create other problems then you have to go for biopsy of that.As it will give the results. Hope it will help you.
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diff --git a/processed/document_classification/train/Confidential/doc_4495.txt b/processed/document_classification/train/Confidential/doc_4495.txt
new file mode 100644
index 0000000000000000000000000000000000000000..71fc9a69468d23a4a8d2f388d4e285ed6ba5e77d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4495.txt
@@ -0,0 +1 @@
+We cloth diaper. We wash diapers about every three days. When I was prepping them for the wash I found a white round worm, with a taper tip, a black stripe on its body in my son s stool. I dont know if it came from him or not; the day I changed his diaper I didnt see anything. SInce finding the worm, we have realize that he has not poop for four days. Today he did but it was like pebbles. THis is not normal for him in any way. The last poop (coincidentally also the same diaper we found the worm) was very little, it was like he farted but poop came out also. He hasnt been sleeping well for about a week now, but we are in the middle of moving and thought it related to that. His anus has been quite red for awhile, but no worms or itching that we can tell. Could the worm in his diaper ordinated from our son, or could it have been larve in his diaper container? Hi,It seems that your son might be having worm infestation, mostly round worm.Go for stool test for ova and cyst.Even without testing stool you can give one course of anti-worm treatment like Albendazole.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4496.txt b/processed/document_classification/train/Confidential/doc_4496.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6c85a679495dc3fc2f9871687da0eebef08d4033
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4496.txt
@@ -0,0 +1 @@
+case history : my son's age is 4 years 2 months, he is having constant cold and cough problems, and in the past 1 year wheezing , cold and cough along with vommiting is getting worse,so my child's pediatric doctor has suggested the following medicine, but iam little concerned, since doctor has suggested so many medicines, his esonophills count (aec)is 1530 ,esonophills(blood)is 18.seroflo 25/125 mg ,duonase nasal spray,levolin inhaler ,montek lc kid ,cepotil syrup,levolin inhaler,azithral 200mg , hetrazan syrup can all these medicines be given to a child of 4 years age for wheezing which was suggested by my child 's pediatric doctor Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place. Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_4498.txt b/processed/document_classification/train/Confidential/doc_4498.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8bd33bcdc22a5ac7d7afcdf2f457ab4d928f9c19
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4498.txt
@@ -0,0 +1 @@
+ihave just had marina coil fitted for medical reasons only i had this inserted on tuesday i woke with a small rash on my arms as the day as gone on it as now covered my arms from wrist to shoulder and is now starting on my legs could it be a reaction to the coil Hi, It could be a reaction to the coil. I would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily and take anti-histaminic like tablet cetirizine 10 mg once or twice daily depending on the intensity of itching. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_4499.txt b/processed/document_classification/train/Confidential/doc_4499.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f8eddfd556fd073d2945bf9a3991324dfa1cf916
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4499.txt
@@ -0,0 +1 @@
+I am a 36 yr old male with recurrent head heaviness . I get occassional episodes watering from nose .An ENT surgeon has seen and recommended to consult a Neurosurgeon . What is my disease?is it a serious problem Hi Dr. Sreehari, welcome to H.C.M.Forum. sub clinical allergic rhinitis can cause heavy ness in the head due to sinusitis. hypertension also can cause heavyness of head. watch the relation between heavyness and watering from nose. mental tension also can cause heavy ness of head. if none of these are present, consult the neurologist. thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_45.txt b/processed/document_classification/train/Confidential/doc_45.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1d7069ef29f8fb49bf051c68e30af4fa4f8b80d4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_45.txt
@@ -0,0 +1 @@
+Department of State TELEX SECRET AN: 0860434-0965 SECRET PAGE 01 ISLAMABAD 12500 0512072 ACTION NEA-11 INFO LOG-00 COPY-01 AOS-00 INR-10 SS-00 CIAE-00 NSCE-00 SS0-00 INRE-00 /022 W FOR EMBASSY ISLAMABAD TO SECSTATE WASHINGTON IMMEDIATE 5478 EMBASSY RIYADH IMMEDIATE CONSULATE JEDDAH IMMEDIATE SECRET ISLAMABAD 12500 E.O. 12356: DECL:OADR TAGS: PREL, XO, US SUBJECT: AFGHANISTAN: RABBANI REF: STATE 178113 (Cables)/ SINCE RABBANI IS NOW IN SAUDI ARABIA, AND MAY DEPART FOR THE U.S. FROM THERE, SUGGEST DEPARTMENT REPEAT REFTEL TO RIYADH AND JEDDAH. LIKELIHOOD IS STILL THAT RABBANI WILL RETURN TO PAKISTAN BEFORE HIS DEPARTURE TO THE U.S. HINTON DEPARTMENT OF STATE A/CDC/MR REVISED the paper Vt 7 REL: UNCLASSIFIED DECLASSIFY in PART NON-RESPONSIVE INFO. FOR B20 AND PA COMMUNICATIONS AUTHORIZED to: DECLASSIFY or OADR DOVNIUS NS TS to PSC or C, OADR
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diff --git a/processed/document_classification/train/Confidential/doc_4501.txt b/processed/document_classification/train/Confidential/doc_4501.txt
new file mode 100644
index 0000000000000000000000000000000000000000..57bab676a059a795cceefdc25d65b8304e848649
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4501.txt
@@ -0,0 +1 @@
+I had a CT scan and the findings state: Mild decreased attenuation in the right posterior periventriicular deep white matter. Post craniotomy changes of the midline occipital region noted. May be related to underlying demyelinating process/multiple sclerosis. Hi,Thank you for posting your query.I have noted the CT scan findings. They are non-specific and can be seen in a variety of conditions such as ischemia (lack of blood flow to brain) and multiple sclerosis.We need to correlate the CT scan findings with your symptoms. Please get back with your current symptoms, and also why was surgery done.If needed, an MRI of brain may be required to confirm the diagnosis.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:
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diff --git a/processed/document_classification/train/Confidential/doc_4503.txt b/processed/document_classification/train/Confidential/doc_4503.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcedff5e7f8507ebb2e46d651145b0a783c0fe43
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4503.txt
@@ -0,0 +1 @@
+Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4505.txt b/processed/document_classification/train/Confidential/doc_4505.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c578ee10f328a34e885c63dac7a9d33ffed1b8d3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4505.txt
@@ -0,0 +1 @@
+my husband had been put on lexapro which caused him to becme hyper and eventually manic due to lack of sleep. He is 58 and has never shown bi polar tendencies before. They have diagnosed him as bi polar and put him on depakote. He has been on it for 4 days now and has been stable all four days, he seems like his normal self. They have decided to increase his night time dose to 1000 mg not sure why and they are not answering my questions. So he is on a total of 1500 mg's total a day. What is the normal dosage for this type of medication. Why would they increase his medicaton when he seems level and fine? He is a new patient to them so they don't know what is normal for him. His personal care physician wants me to get a 2nd opinion when he is released from the psych unit he is at right now. Hello,The standard dosing for depakote is decided on basis of weight of patient. Its dose is in the range of 20-30mg per kg of body weight and average being 25mg/kg.The higher the dose, the more monitoring of side effects would be required.Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_4506.txt b/processed/document_classification/train/Confidential/doc_4506.txt
new file mode 100644
index 0000000000000000000000000000000000000000..573bd586a23fbbae1d4a761f146b4d5853f6619a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4506.txt
@@ -0,0 +1 @@
+I have had chronic back pain for almost a year now and come to find out I have spinal stenosis and severe protrusion of my L5-S1 disc. We have tried several weeks of therapy including traction and extensions and the pain is getting worse. Do you think I will have to have surgery? Hi,thank you for providing the brief history of you.As mentioned by you, you have been diagnosed with CLBP with Spinal stenosis you need to undergo a careful physical therapy. Also, depending upon the symptoms the treatment is always Planned. As in my clinical practice, even with the CLBP and Spinal stenosis, we are able to get 99% of the mobility in patients with minimal pain left, for which a regular exercises are recommended. Also, extension exercises are avoided to exaggerate the pain symptoms if the pain is increasing with the extension exercises and traction. Also, what we do initially in our clinic is medication and understand the pharmacokinetics of the drug first and the fitness level of the patient. Later we focus more on the core stability and pelvic floor strengthening. We even focus on lower limb strengthening as a whole. Strengthening the gluteus muscles helps to stabilize the spine, as the whole body weight falls on the lower spine, the muscles of the hip are important to provide the base of support. Understanding the normal biomechanics and pathomechanics of the patient we deal accordingly and every patient a different therapy.Sometimes, for pain management, we use TENS therapy, Therapeutic ultrasound therapy and Myofascial release technique,Also, exercises are totally depending upon the pathomechanics and needs a careful attention. Extension exercises and traction are usually not advised by us to avoid the movement of the spinal stenosis.We deal mostly with - TENS therapy, Therapeutic ultrasound therapy and exercises.But if the symptoms of pain is not bearable by you and leading to severe lower limb weakness, than a surgery will be advised. But my clinical practice has allowed to save 100% of my patients from surgery.RegardsJay Indravadan Patel
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diff --git a/processed/document_classification/train/Confidential/doc_4509.txt b/processed/document_classification/train/Confidential/doc_4509.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ecaf50cd755660a19241cfeee713bb2967aa035a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4509.txt
@@ -0,0 +1 @@
+i ve acne and spider veins on my cheeks . There are also scars left by acne. I m a 21 year old woman. Plz help Hi! Welcome to HealthcareMagic forum, Treatment for acne and acne scars are two different treatment.First get your acne treated .Once you are through then go for scars.Treatment for acne depends upon the stage of acne.Selection of right soap or face wash is most important .You should not use oily soaps.Use dermadew acne soap once daily.Apply nadoxin cream topically over the lesions once a day.Take tab Azithral(500mg) once daily for 5 days(1hr before food).Drink 8-10 glasses of water daily.Take good 7hr sleep.For scars you can go for lasers like fractional laser which is the latest of the lot.If its mild then even dermaroler is ok.For spider veins you have to go for lasers again and its a different laser than that for acne scars.You can go for 532 nm q-switched laser or long pulsed Nd:yag laser or a PDL(pulse dye laser) laser which is the specific laser.Some doctors even do electro cautry for the same.If you can tell me where you belong to ,then i can guide where to consult for all the three treatment. Take care, Dr.Chawda
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diff --git a/processed/document_classification/train/Confidential/doc_4512.txt b/processed/document_classification/train/Confidential/doc_4512.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fdc66784c4ca58e510476f2db5194eca238d2be1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4512.txt
@@ -0,0 +1 @@
+Hi:I had a wisdom tooth removed a week ago. I had a lot of pain for the first few days but, over time, the pain decreased. I think that the clot formed well (it was red and gray/white; I did see a bit of black very deep down, in the center). I have been very careful and using the rinse my dentist gave me and keeping the area clean.However, tonight when I rinsed my mouth with salt water with the syringe that was provided to me, I think I saw the clot float up on the water as I rinsed. I stopped immediately and believe that the clot or part of the clot settled back down in the socket. Should I be concerned? I'm not really having a lot of pain (just the minor remaining pain I've been having as it heals).Thank you so very much! Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain as you have found the clot floating in water inside mouth you should immediately consult your dentist and get evaluated as if the clot gets dislodged the socket will remain unhealed and there will be development of DRY SOCKET which is a painful condition and the socket will remain unhealed..In case if the clot is dislodged the dentist can place Zinc oxide eugenol dressing which has to be changed every alternate day for initiation of healing and has a sedative effect so pain will also be subsided..Hope this information helps..If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora..
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diff --git a/processed/document_classification/train/Confidential/doc_4513.txt b/processed/document_classification/train/Confidential/doc_4513.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6055a71ee7f18f066945591c344a2360ac66cc4d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4513.txt
@@ -0,0 +1 @@
+I ve had this fairly large hole in the back side of one of my back teeth for over a year. It s gotten a little bigger over time and used to get sore once in a while, but I almost never feel any pain from it unless something gets deep inside it. It s large enough that some of my gums below the tooth are exposed. I only chew on my right side because sometimes food gets caught in the hole and I get it out asap. It only seems to bleed if it gets poked, and it s not a lot. It s really annoying and honestly very embarrasing, but I ve had some horrifying experiences at the dentist and I m so afraid to go. I know it is something that I need to do and will be a huge relief but I m not sure what to expect ,..is the operation gonna hurt much ??!! T_T hello, the condition you had described seems to be deep proximal caries in your tooth with gingival polyp in the cavitated region.. its good that you are cleaning your infected tooth properly but you need to consult a dentist soon... as your chewing on one side will harm your jaw joints.. your past experiences might be bad but now a days with lots of advancement in technology the dental treatment has become very comfortable too.. the treatment options for your tooth involves- removal of carious lesion , gingival polyp and root canal treatment of the involved tooth .. you can take anti-anxiety medicines prior to dental appointment or can also opt for conscious sedation.. dont worry about pain.. your problem will stop as soon as your tooth gets treated.. IOPA radiograph is needed to check for any periapical pathology that requires special treatment like surgery.. Root canal treatment is simple procedure where infected pulp within canals is removed, tooth is cleaned from canals and is refilled till the tip of the root apex.. dont worry.. meanwhile use antiseptic mouthwashes and brush twice daily.. take care..
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diff --git a/processed/document_classification/train/Confidential/doc_4514.txt b/processed/document_classification/train/Confidential/doc_4514.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1b3e5a0cf10debda45f0a0c671ae6d80505e1b6a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4514.txt
@@ -0,0 +1 @@
+Hello. I am concerned about infertility. I am 5 foot 2 inches and I weigh 270 pounds. I also have a history of PCOS. Me and my husband have been trying to have a child for 6 months, with no luck. I know I may be impatient, but what are my chances of infertility, and what could I do to become more fertile? HAI WELCOME TO HCm.you have to reduce your weight to conceive-.PCOD IS AN METABOLIC SYNDROME Which is aggravated by obesity.to get success in IVF programme also need weight reduction.consult an infertility specialist
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diff --git a/processed/document_classification/train/Confidential/doc_4515.txt b/processed/document_classification/train/Confidential/doc_4515.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1ec03231c62394adb71e67fc6eaee5c97dd584b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4515.txt
@@ -0,0 +1 @@
+I am a 32 year old female, 5feet 5.5 in talls. I have a lump in the center of chest about 1 in. below the breast line. It measures approximately 1in by 1in and is visable if I am lying down. It is not tender to the touch however I have be feeling a sense of fullness in the area, along with discomfort and some dull pain. I do not know how long it has been there I just discovered it about a month ago when I was feeling uncomfortable in the area. I do seem to get a strange feeling when I run or do any exercise. Past medical history of left ACL reconstruction and a compression injury to lower back 16 years ago. Should I be worried? Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you seem to have xyphoidalgia-painful xyphoid bone just below the breast line,just down in the center of chest.You just have a fullness in the area and no lump even on lying down,but is painful on pressure,with dull ache pain.I would advise you to Consult ER Surgeon, who would treat it with anti-inflammatory x 5 days time / or with Voltaren(OTC)gel locally for 5 days time to control the pain.This would resolve your painful lump issue.Plz check out with your ER Surgeon who would treat it accordingly.So don't build up wrong concepts and self medicate your self which would increase risks and costs to you.Instead just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N.
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diff --git a/processed/document_classification/train/Confidential/doc_4516.txt b/processed/document_classification/train/Confidential/doc_4516.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2f5492a4c8810752e28f60923e54c12aae2dec45
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4516.txt
@@ -0,0 +1 @@
+My symtoms ARE AS FOLLOWS: SORE TONGUE WITH FISSURES ON TOP OF TONGUE AND A GREAT DEAL OF REDNESS ON SIDES. i'M A 71 YR. OLD FEMALE ABOUT 6 MONTHS AGO IWAS FITTED WITH A MOUTH PIECE TO HELP MY SLEEP APNEA AND SINCE THEN THE CONDITION WITH MY TONGUE HAS DEVELOPED. DOES THIS HAVE ANY CORRELATION? Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I have read your query and understand your concern. As far as soreness and redness of tongue are concerned this can be due to the sharpness of appliance you have for sleep apnea or due to vitamin deficiency.For this I will suggest you a few measures Do warm saline rinses, you can apply lignocaine gel on the tongue. Eat green vegetables in your diet. Take multivitamin by consulting with the local doctor.Consult you oral surgeon for the clinical examination of mouth appliance for sharpness or surface roughness is present.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Priyanka Tiwari
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diff --git a/processed/document_classification/train/Confidential/doc_4517.txt b/processed/document_classification/train/Confidential/doc_4517.txt
new file mode 100644
index 0000000000000000000000000000000000000000..30ef8427bfdc1d3a07f4f4acdd5725df61fc2051
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4517.txt
@@ -0,0 +1 @@
+I have a mushy type polyp on the anus. I was told today that I have the herpes virus 2. I am going to my GYN. I tested negative for HIV. I noticed a small bump. On my anus and it has grown it doesn't bleed. I had diarrhea most recently and it burned. Now when I defecate it doesn't burn. Do I go toa Proctologist? Is this related to my herpes? It has been on my rectum for a few months but in last week and a half it has grown. I can lift it out of the anus and squeeze it. Thanks for your question on HCM. I can understand your situation and problem. Yes, you should definitely consult proctoscopist and get done proctoscopic examination of your growing polyp. Herpes infection can be the cause for your polyp. You need surgical removal of polyp and histopathological examination of polyp to rule out malignancy. If not treated surgically then it can grow further and cause Constipation, infection or bleeding. So better to get done proctoscopic examination first and if needed surgical correction is needed to avoid future complications.
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diff --git a/processed/document_classification/train/Confidential/doc_4518.txt b/processed/document_classification/train/Confidential/doc_4518.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3c7753b9c1d206ba6a267696a5e5aed8c44091db
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4518.txt
@@ -0,0 +1 @@
+sir, i am madhan from pondicherry...........i am a gay.......i want to become leave from this gay habit................i want to marry a girl and to live normal life as my parent likes........................but i do not have any desire about girl......................please help me is there any treatment for gay Hi,Thanks for writing in.If you have discomfort regarding your sexual orientation, visit a qualified psychiatrist. With proper advise and therapy, you might be able to come to terms with yourself and this might help in alleviating the discomfort.Hope this helps,Dr A Rao
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diff --git a/processed/document_classification/train/Confidential/doc_4519.txt b/processed/document_classification/train/Confidential/doc_4519.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2fb5231ad793f18fc9cf8ae880a2091794f06965
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4519.txt
@@ -0,0 +1 @@
+my 3yr old granddaughter picked her nose and just had a tiny cut inside a week ago but it has now spread all over her nostril and onto her lip and is brown in colour! What should I apply or do for her and what is it? Ive been putting germolene on so far. Dear parent, this is most probably a herpes simplex viral infection. you should apply an antiviral ointement 3 times daily as acyclovir . this is contagious so avoid kissing and hugging the child until it resolves
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diff --git a/processed/document_classification/train/Confidential/doc_4521.txt b/processed/document_classification/train/Confidential/doc_4521.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e1ebd4e934780fffaaf3c4d629ed8ebe7632970d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4521.txt
@@ -0,0 +1 @@
+What is Syncope event and how dose this effect a person and the family? HOW DO WE HELP OUR LOVE ONE ON A EVERYDAY LIFE . THANK -YOU Dr Samuel. N. Grief. What is the best treatments for someone with this fainting event? Are there other symptoms we need to watch out for? Thank yo Mabel Larkin and Teresa Hopkins. email address is YYYY@YYYY Hi, Syncope is the sudden loss of awareness resulting in a brief loss of consciousness. This is commonly referred to as fainting. Syncope must be diagnosed as to cause such as excessively low blood pressure, cardiac arrhythmia, lack of proper diet and hydration, side effects of medications, and other things. You should have a doctor exam your loved one in order to systematically rule out certain conditions before treating. I recommend a doctor's appointment as soon as possible for the patient. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
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diff --git a/processed/document_classification/train/Confidential/doc_4522.txt b/processed/document_classification/train/Confidential/doc_4522.txt
new file mode 100644
index 0000000000000000000000000000000000000000..faea31ed70c721622aed716ed21b6c2bd183e11d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4522.txt
@@ -0,0 +1 @@
+i have noticed a smaller than pea sized lump in the fold of my right arm, where you normally have blood taken, the last time i had blood taken was around 5 months ago. the lump is not painful and you can move it around when you touch it, howerver my arm does feel tingly and kinda warm. what could this be? hi.based from your description, it could be a simple cyst or an inflammatory process. do you have any history of insect bite or sting prior to that lump?a consult with your physician for physical examination is recommended. management (medical or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye
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diff --git a/processed/document_classification/train/Confidential/doc_4523.txt b/processed/document_classification/train/Confidential/doc_4523.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dc12c5e95067d5dc93f42d2b029fd2f7207982aa
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4523.txt
@@ -0,0 +1 @@
+We just noticed a hard lump about the size of a pea in the skin below one of my boyfriends testicles. It doesn't float around and seems to be attatched to the skin but isn't painful. Any ideas on what this could be? He is 36 years old, 6' tall, and about 220lbs. Hi, Your boyfriend having hard nodule over attached skin over testes. You should consult a nearby urologist for a detailed examination of a nodule and check whether it originates from skin or from the scrotum. It can be fibroma like lesion. It's advisable to investigate with FNAC to do further workup and to rule out the nature of the lesion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4524.txt b/processed/document_classification/train/Confidential/doc_4524.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e02ffe5fd3e85a6cb5d7973d77e368b4d8c99450
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4524.txt
@@ -0,0 +1 @@
+Hi, my friend was recently diagnosed with having myrsa, a staph infection.. He was put on an intravenous antibiotics when initially diagnosed, along with taking an antibiotic in pill form. My question is how long after starting antibiotics is he still contagious? Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.MRSA us the methicillin resistant staphylococcus aureus..This type of bugs are resitant to routinely prescribed antibiotics.Vancomycin is the choice of drugs for such a bugs.Such a patient are contagious to others if other uses their belongings like napkins, towels handkerchief etc.Once the gross infection is treated by the vancomycin, mupirocin is used to clear up the residual flora.Once the patient is all clear up with the mupirocin they are free of their contagiousness.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
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diff --git a/processed/document_classification/train/Confidential/doc_4525.txt b/processed/document_classification/train/Confidential/doc_4525.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c35165d54652dace3e8d49ed7f6585cbd9d5b1a9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4525.txt
@@ -0,0 +1 @@
+hello i had key hole surgery about a month ago, but i have noticed on the right hand side under the scar there is a lump, which is getting bigger and more painful, you cant notice it as much when your lying down but when your standing up its more noticeable and more painful specially as you walk, it has got bigger these last few weeks. just wondering what i should do? Hi,Welcome to HCM.That lump could be a hernia from the incision site.And if its causing pain them its contents could be getting obstructed.You need to show it to your surgeon for a clinical evaluation and further management.Regards,Dr. Ashish Verma
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diff --git a/processed/document_classification/train/Confidential/doc_4526.txt b/processed/document_classification/train/Confidential/doc_4526.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f73e3cbd97b977ee71ca510250d1061352ff7139
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4526.txt
@@ -0,0 +1 @@
+MY HUSBAND IS A 69 YEAR OLD CAUCASION,HE HAS A DEVINCI PROSTECTOMY IN 2008 WITH WONDERFUL RESULTS. THEN IN 2010 HE HAD TWO STINTS INSERTED IN HIS HEART, 95 % BLOCKAGE IN THE WIDOW MAKE ARTERY.. ALL WENT WELL AND HE HAS HAD A GOOD LIFE, BUT ALL OF A SUDDENHE HAS BECOME ANEMIC AND IS EXTREMELY TIRED. HE IS TAKING PLAVIX, CONIDINE AAND BLOOD PRESSURE MEDS, ALSO PAXIL.. COULD ANY OF THESE PROBELMS BE CONTRIBUTING TO THIS ANEMIA?? hi dear.good job at taking care of your husband. i will suggest you to get a complete blood test done including iron profile with perpherial smear to find out the cause of anaemia. meanwhile you can give him tab livogen once a day for 3 months. consult your docter for any other meds. if he is feeling very tierd then kindly get a cardiac consult. hope my answer helped you. please do rate my answer
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diff --git a/processed/document_classification/train/Confidential/doc_4527.txt b/processed/document_classification/train/Confidential/doc_4527.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38b13327d134478064f69ee76b74e5096f68944d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4527.txt
@@ -0,0 +1 @@
+im 15 years old, on jan. 13 my mom died of oral cancer , a few days ago i found an ovel shapped pipmle like sore on the floor of my mouth . It stared to burn and itch really bad, i did research and it is most likley a canker sore , however i still have a feeling at the back of my head about oral cancer. I know that is very rare, but i just need to be sure can you please help me, please in view of you are young and in this age its rare, most likely it would be apthous ulcer,. You should start multivitamin and apply antiseptic jelly(hexigel ) it would resolve by itself.
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diff --git a/processed/document_classification/train/Confidential/doc_4528.txt b/processed/document_classification/train/Confidential/doc_4528.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8eb2f0f2833f0eea541e563d03d99948bc4162ff
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4528.txt
@@ -0,0 +1 @@
+I am a 75 yr old female in good health. However I fell & injured my shoulder. After a week (last Friday) I went to the Orthopedic Dr.(the PA.) I had Xrays & a tiny fracture, possibly two was found. I have to rest except do the pendulum exercise only & go back in 2 weeks. Then it will be decided if I am to have an MRI to see if the rotator cuff is damaged as pain is in the muscle at the top of my arm too. I cannot lift my arm up unless I support it with my other arm . I have been icing the area, but forgot to ask if I should continue with ice - or use heat at this stage. Can you please advise if ice or heat is better? Thank you. Now it has been almost two weeks post injury so continuing with ice will not help.You can use the warm fomentatio taking care not cause thermal injury to the local skin.Hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_4529.txt b/processed/document_classification/train/Confidential/doc_4529.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b3f5b789402f8bc66e51955957386b2f3c778dce
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4529.txt
@@ -0,0 +1 @@
+My husband kidney function test is abnormal according his family doctor . He has seing a nephrologist and all she told me infront of my husband that there is so much protein in his urine. Now another doctor took a test and he said that his kidney function test abnormal. Don t know what he means . Thanks for the query.The function of kidney, is the remove toxins from our body and to maintain the fluid balance. Two basic parameters are used to assess the kidney function - Urea and Creatinine (some use Blood Urea Nitrogen). If these are abnormal renal function is said to be impaired.Proteinuria (or albuminuria i.e. a condition when protein is excreted through the urine) can occur in kidney dysfunction.In this case I would like to know the following:1. The age of you husband.2. What are his exact urea and creatinine levels, and what is the quantification of his proteinuria2. Whether he suffers from any comorbidities like Diabetes or hypertension (both can lead to kidney dysfunction).3. Whether he has any symptoms like fever, burning during urination or urinary frequency/urgency/retention. These are symptoms of Urinary Tract Infection, which can lead to renal impairment and proteinuria. Whether he suffers from Prostatomegaly.4. Did he have any similar renal impairment in the past?5. Whether he has been on any drugs like NSAIDs (i.e pain killers) for a long time At this stage I would advise you to get a USG of Kidney/ureter/bladder done to check for any abnormalities like renal parenchymal disease. If you can provide any information about the above points then probably his underlying cause for renal impiarment may be detected. It is also advisable that you get his urea, creatinine and electrolytes (potassium, sodium) repeated and consult your nephrologist along with the USG report. If there is a chronic renal disease (due to diabetes/hypertension), ACEI/ARB drugs may be started for proteinuria.Hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_4530.txt b/processed/document_classification/train/Confidential/doc_4530.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c25e451dc1ba42cb47340151a02a25a8456bc32a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4530.txt
@@ -0,0 +1 @@
+hey, i have back pain, some doctor told me after checking, that its called sciatica pain, but i got some injection, and taking many medicines, but still i am not felling any difference in my self, now some one told me that you take gupisone, is it good for this pain, as i know it is setoriod Hi, Why you are thinking to use steroid.If you have sciatica you should be investigated (including MRI) rather.Consult a spine surgeon/Orthopedician /Neurosurgeon get evaluated. If problems are severe you may require surgery , otherwise doctor will tell correct conservative management. Regarding role of steroids in sciatica they are better use as local injection in selected cases.
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diff --git a/processed/document_classification/train/Confidential/doc_4531.txt b/processed/document_classification/train/Confidential/doc_4531.txt
new file mode 100644
index 0000000000000000000000000000000000000000..261607afe036d57daf133f1a8a0489e4a1cc395b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4531.txt
@@ -0,0 +1 @@
+I fell two years ago and had a lot of pain in left upper quadrant. when I lift some thing heavy the pain comes back stays for days. It hurts really bad when I sit or take a deep breath. I also pass a lot of gas and then seem to feel a little better. phyllis Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Ache and pain with movement implies muscle and pain with gas implies bowel.Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerveWhat hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.`` Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI's.And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external. And graded increasing activity to get the area used to moving and getting used to the pain. BUTthis can be hazardous in some situations.For example, personally I have a break in the abdominal wall muscles. Gut can pop out of it. Straining will make it worse and make it required to get it fixed with surgery. Yeah, it fits with muscle and abdomen. I think it's the only thing that does. So, surgery would be the answer.
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diff --git a/processed/document_classification/train/Confidential/doc_4532.txt b/processed/document_classification/train/Confidential/doc_4532.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2a7de019e679524a2f65e1f3d63525f329102203
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4532.txt
@@ -0,0 +1 @@
+my daughter has feelings that her family is going to leave her. she can not get rid of these thoughts even when her family tells her that they will never leave. she also worries that someone is going to take her children away from her she is taking lamictal, kepra and latuda. could these be the cause of her problems. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The provided symptoms are due to paranoia. Paranoia could be due to many psychological illness like paranoid personality disorder or schizophrenia. I suggest you consult a psychiatrist in person for diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
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diff --git a/processed/document_classification/train/Confidential/doc_4534.txt b/processed/document_classification/train/Confidential/doc_4534.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1fbb981b83dedbdcf5e7d7ac10fc7d923e89cd8d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4534.txt
@@ -0,0 +1 @@
+I am male 31 years old. I have been having pain in the upper right back behind and below rib cage. I have dull pain all the way to ears. i feel congestion and stuffy in my right chest area and throat. I had some swelling on the right side of my neck and below my right eye a couple of days. my appetite has gone down. Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having upper respiratory tract infection (URTI). But better to rule out lung infection like tuberculosis in your case because you are having symptoms of decreased appetite, stuffy feeling in right upper chest etc. So get done chest x ray first. If chest x ray is normal then no need to worry for lung infection. You are mostly having simple URTI. So avoid stress and tension. Avoid oily and spicy food. Avoid junk food. Avoid hard to chew food. Drink plenty of fluids orally and keep yourself hydrated. Start antihistamines and anti inflammatory drugs. Do warm water gargles 5-6 times a day. You will mostly improve in 1 week. Hope I have solved your query. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_4535.txt b/processed/document_classification/train/Confidential/doc_4535.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7a49eef2a827f7d80500d2e6c52d0b2d20b14508
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4535.txt
@@ -0,0 +1 @@
+This is Jill Behnfeldt - Initial Contact 12-8-2013 Images available also have lost my cervical spine curve. And have a 3mm herniation at C3-C4. And I have awakened to a numb right ARM, from Elbow to fingers - but resolved in less than 24 hours. I can control my occipital headaches by controlling my neck movement. Only medical treatment is Tylenol 500 mg I take 4000 mg daily. My cervical MRI is available at the same facility as my Thoracic MRI and Lumbar MRI - I signed a waiver so any physician can request them. Thank you very much. Symptoms include occipital headaches, Microvascular Ischemia - per Neurology at Univ of Toledo in 2009, I have most lesions in Centrum Semiovale and PONs areas. I do not have memory issues, nor am I having dizzy spells too frequently. Maybe monthly at the moment. YYYY@YYYY Dear Jill, ischemic event happens due to chronic desease such as hypertension or diabetes so you have to explore further.Anyway an daily aspirin should be added to your medication to prevent new ischemic events.Your cervikal pain can be reduced with use of NSAID (ibuprofen 400mg three times a day).Anyway you should take contact with a neurologist for further treatment.Hopping my advice will help you wish you all the best.Dont hesitate to contact me for any inquiry
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diff --git a/processed/document_classification/train/Confidential/doc_4536.txt b/processed/document_classification/train/Confidential/doc_4536.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fb1a93acd2ce59d7ee73672416781cfec3f270b6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4536.txt
@@ -0,0 +1 @@
+brest fed is not enough so i am giving farex formula to my baby 5 month old but she is not gaining weight iam giving 60ml for 2 hrs once. she is not awake in night time what shold i do for this iam worry about my baby weight. born weight is 2450 kg anf now 5 kg Hello. I just read through your question.I understand your frustration with the feeding of your baby. I want to reassure you, however, that the weight that you report is not abnormal. We expect babies to double their birth weight in the first four to five months of life. The numbers you report indicate that your baby's birth weight has doubled. Typically, we recommend beginning baby foods at this time in a baby's life. Adding baby foods can potentially have a positive effect on your baby's weight. I recommend consulting with your doctor about your baby's diet. However, I again reassure you that the weights that you report are normal.
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diff --git a/processed/document_classification/train/Confidential/doc_4537.txt b/processed/document_classification/train/Confidential/doc_4537.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d215a0050cf164ac216fe8175a67b45bd18f81e9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4537.txt
@@ -0,0 +1 @@
+Hi, my 12 year old son is tired all of the time... just lacks energy. We started homeschooling 6 months ago per his request... he is advanced academically and this works well for him. He has friends he see, plays sports, doesn t seem depressed. could this be puberty? He gets 10 to 12 hours sleep. HiWelcome to the HCMI understand your concerns but don't worryIt seems to be due to pubertal changes. Ensure a good healthy diet and plenty of fluids. Also, some exercise and outdoor sports will be of help. Rule out anemia by hemoglobin levels.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_4538.txt b/processed/document_classification/train/Confidential/doc_4538.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f309ea34bb8f665690a9fb3ae37905971357fb3a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4538.txt
@@ -0,0 +1 @@
+Currently I have been told that i have a VERY low WBC - below 1.5.. Doctor suggested I see a hematologist - please note that I do not have very good health insurance. Plus, I have always been very healthy (not even getting flu ). My question is, my sister is in need of a new kidney , would I be considered a candidate for kidney transplant with such a low WBC? Thank you for your help. the lower limit of normal wbc count is 4000/cmm & you have only 1500.at first it should be evaluated properly.have you any recent history of fever,drug ingestion.repeat the WBC count,if it is same then consult with a hematologist.
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diff --git a/processed/document_classification/train/Confidential/doc_4539.txt b/processed/document_classification/train/Confidential/doc_4539.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9f8d315209ec79afe50b7ba6fe4e37a550fd05bf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4539.txt
@@ -0,0 +1 @@
+How do I remove five small blackheads right in the beginning of the ear canal of my five year old? They have been there since she was two. Doctor said to just leave them alone. They don t bother her it s just when she is wearing her hair pulled up it is noticeable. Hi...you need not worry as the blackheads are not creating any problem for your kid. To be frank they might cause disfigurement if you try to remove them. So please do not venture about removing.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_4540.txt b/processed/document_classification/train/Confidential/doc_4540.txt
new file mode 100644
index 0000000000000000000000000000000000000000..997ca7205b385846c89d3566ab7b5e29e41f6374
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4540.txt
@@ -0,0 +1 @@
+creams for body acne ....i have acne on my back which looks so bad and ugly .....please suggest some home remedy or cream for the acne to clear without any marks Hello, Thanks for posting your query. Home remedies to clear marks would be tomato which you can apply leave for about one hour and wash later. even Tulasi leaves and pudina also acts in similar way. Drink more water and maintain good hygiene and diet rich in fruits and vegetables. Hope I have answered your query. Wishing you good health. Regards,
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diff --git a/processed/document_classification/train/Confidential/doc_4542.txt b/processed/document_classification/train/Confidential/doc_4542.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9320c3486170e59fcd48218112e5514c445fac12
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4542.txt
@@ -0,0 +1 @@
+Hi doctor, I noticed that, after drinking alcohol, I feel exhausted and weak, after a week. I also have pain behind my eyes and a constant headache. I am curious if it is related to the thyroid or something else. Does alcohol affect patients with hypothyroidism? Hello. I just read your query. Hope my advice is of some help to you. For more information consult an endocrinologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4543.txt b/processed/document_classification/train/Confidential/doc_4543.txt
new file mode 100644
index 0000000000000000000000000000000000000000..85241fdaac9c04f3e20a3f95a8e2561982bebc01
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4543.txt
@@ -0,0 +1 @@
+22 year old femaleworkout 3x/week125 lbs 5'5 1/2"rarely drink (4 drinks in 6months)Elevated AST of 93 (normal I was told from the doctor is 14-36)BP was 110/70 ..again lowI have been very tired lately and have had a migraine that is onset within the first hour of waking the past 4 days.I have GERD and take omeprazole once daily, however havent taken it 4 days prior to my appointment due to packing it away after graduation from college.Is this something to be worried about? hi.and welcome to hCM.AST and/or ALT values higher than twice the upper limit of normal should be properly investigated.Esp test for HBV and HCV.secondly, obesity , alcohol may also lead to liver injury.hope to answer your concernregardsDr Tayyab Malik
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diff --git a/processed/document_classification/train/Confidential/doc_4544.txt b/processed/document_classification/train/Confidential/doc_4544.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4c2da189b99e7d134b451d71a43cfd5ef3df0e6f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4544.txt
@@ -0,0 +1 @@
+hello! I have been on my menstrual for little over two months (on bc) have had ultra sound, I have severe pain right lower back side with tennis size balls blood clots I am having accidents in my clothes what else can be done please help and all blood work is normal Hi, thank you for posting.I have gone through your query and I understand your concerns.Based on your symptoms I can say that you suffer from endometriosis. Another possibility is that you suffer from hormonal disorders.To treat this condition you should use antibiotic medications, progesterone and non steroidal anti inflammatory medications.An antibiogram is necessary in order to determine which is the right antibiotic for your case.Contact your gynecologist to discuss about the diagnosis and treatment.Wish you good health.Dr. Behar.
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diff --git a/processed/document_classification/train/Confidential/doc_4545.txt b/processed/document_classification/train/Confidential/doc_4545.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d71376c49c40ec945c3d70ceaed2d59b94cb6a26
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4545.txt
@@ -0,0 +1 @@
+my father is 65 years old, he had diagnosed with renal calculus measuring 23mm, he undergone for PSWL (Lithotripsy), we scanned after 1 week the stone halved into two pieces measuring 7mm and 16mm. scanning report say that his gall bladder is collapsed.help me in treating condition as he is heart failure patient having 30% EF 1) gall bladder collapse generally after intake of food as bile is released from gall bladder to duodenum.2) gall bladder is evaluated in fasting state as it is distended which provides better evaluation in CT scan or USG abdomen
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diff --git a/processed/document_classification/train/Confidential/doc_4546.txt b/processed/document_classification/train/Confidential/doc_4546.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5542d1880fc3dfb07231392217d24ed9d04aaf22
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4546.txt
@@ -0,0 +1 @@
+I m a 38year old female. I have been diagnosed with an arachnoid cyst on the left temporal lobe followed with a diagnosis of a brain aneurysm in the left venous cavity. I ve been experiencing a lot of chest pain and abdominal pain . The chest pain feels like electricity, pins...the pain last less than a minute...I went to the ER, and an EKG , stress test came back normal. Blood work suggested that I may have a blood cle in my lungs but further testing revealed no clots. I was released from the hospital with atypical chest pain and told to take an acid reducer, also that I m borderline anemic. I m still having the same pain. I asked the cardiologist if it could have something to do with my brain and her response, I don t think so. Could this pain have something to do with my brain? I do have Asthma. And an ultrasound was done but not sure of the results. Arachnoid cyst and brain aneurysms will cause headaches. not chest or abdominal pain. there is no relation
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diff --git a/processed/document_classification/train/Confidential/doc_4548.txt b/processed/document_classification/train/Confidential/doc_4548.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0ca8a0ce7eb2f5bf77cb3d5f8b6da92c57a79a81
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4548.txt
@@ -0,0 +1 @@
+my 11 year old son woke up last night screaming in pain clutching his abdominal area. He described the pain as a sharp/ripping pain when moving or taking deep breaths. This morning he seems to be feeling better although the pain persists. The pain is isolated now only to the upper right side under the lower ribcage. Should I be worried? Hi,If there is no other associated symptoms like fever, cough or breathing difficulty, we need not worry now. Just give him simple analgesics like paracetamol 2-3 times a day for 2 days. If the pain persists, or the above said symptoms appear, kindly take him to doctor for further evaluation.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician
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diff --git a/processed/document_classification/train/Confidential/doc_4549.txt b/processed/document_classification/train/Confidential/doc_4549.txt
new file mode 100644
index 0000000000000000000000000000000000000000..258b43e1824cd30eccdfcbae30411ed6ae36277b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4549.txt
@@ -0,0 +1 @@
+hello i have been experience pain in my left upper cheek bone aswell as above my rear causing migrains and dizziness this has never happend to be before and has been going on for about 3 weeks consistantly curious if you have any suggestions? sex:male height:5.10 weight:190lbs age:25 Hi, As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4550.txt b/processed/document_classification/train/Confidential/doc_4550.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c169e3fe3909008572bfb69cadc03bc7b3227b8f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4550.txt
@@ -0,0 +1 @@
+hi, I am 33 years(female), 50kg,my doc advised to take susten 100 as its my 25th day, i want to know how to use suten100, can i have sex while using it hi u should use it once daily or twice a day. u can sex while using it mainly it is use for safe pregnancy ask ur doc why he has given it. its progesterone tab.
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diff --git a/processed/document_classification/train/Confidential/doc_4552.txt b/processed/document_classification/train/Confidential/doc_4552.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c8f94523feb169f56c51fa80f9dfdee5347185d0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4552.txt
@@ -0,0 +1 @@
+hey Dr.Samuel im 10 y\o and i have a question, i barely notice them today but, i have these two bumps right next to each other on my penis im assuming that there are ingrown hairs and hopefully not a std. ive also had sex two night in a row with two different girls and both times unprotected. so i was wondering if you can help calm my nerves by let me know what you think. Thanks for asking in healthcaremagic forum May be a boil as you think, but STDs cannot be rules out without examination. Please visit your doctor for the same. All the best. Till then be cool.
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diff --git a/processed/document_classification/train/Confidential/doc_4553.txt b/processed/document_classification/train/Confidential/doc_4553.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb31c45a0f401004629fe1ba941e439ac5800a8d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4553.txt
@@ -0,0 +1 @@
+Well this started about 2 to 3 days ago and I hve developed a swollen cheek and its just getting worst. It started out as a small lump on my right cheek and now the swelling has spread to the entire right side of my face. I thought it was just a bug bite. I have swelling and redness on my right cheek and numbness and a little pain near my jaw line. Hi,From history it seems that you might be having some poisonous bite on cheek giving rise allergic reaction on the part.Take antihistamine medicine like Cetrizine or Benadryl for2-3 days.If redness, swelling and soreness increases, go for one antibiotic medicine course for 3 days.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4554.txt b/processed/document_classification/train/Confidential/doc_4554.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4c413327dd687f0d1a2eb6e506bae9d998f26ae2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4554.txt
@@ -0,0 +1 @@
+I was just diagnosed with two ruptured discs in my upper neck. I have been scheduled to go to a pain clinic in two weeks. I saw my MRI and it scared me.Though the neurologist that I saw on Friday, didn t tell me much.Could you please tell me what I might expect from the pain clinic besides drugs.I am not excited about the thought of being hooked on drugs and then going to a rehab center as well. Hello, Consult a physician and get evaluated. An MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4555.txt b/processed/document_classification/train/Confidential/doc_4555.txt
new file mode 100644
index 0000000000000000000000000000000000000000..281b270506d0745daeb7083dbabedf23162ed314
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4555.txt
@@ -0,0 +1 @@
+My liver is slightly enlarged(16.4) , margins are smooth and parenychymal echoes are coarse and enhanced (generalised . No focal abnormal echoes seen . Vascular pattern is normal . Intrahetic biliary ductules are normal , non dilated. GALL BLADDER - Few echogenic foci with posterior of artifacts seen in fundal region likely suggest adenomymatosis......what does all these reports mean in a simple language ?? HelloYour findings suggests mildly enlarged fatty liver with coarse echo texture.Coarse echo texture may indicate liver parenchymal disease.You may need clinical correlation and few investigations like routine hemogram,random blood sugar,liver function test,renal function test,lipid profile,urine RE/ME.Ultrasound findings also suggests adenomyomatosis of gall bladder.It is a benign condition characterized by hyperplastic overgrowth of mucosa of gall bladder,thickening of the muscular wall and formation of diverticulum or intramural sinus tracts(Rokitansky-Aschoff sinuses).Echogenic foci with posterior of artifacts seen in fundal region may be due to deposition of cholesterol in gall bladder wall.It may be an incidental asymptomatic finding and may not require any treatment.Get well soon.Take CareDr.Indu Bhushan
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diff --git a/processed/document_classification/train/Confidential/doc_4556.txt b/processed/document_classification/train/Confidential/doc_4556.txt
new file mode 100644
index 0000000000000000000000000000000000000000..092ce157e3c82b698dc071bf8b7c15a01f477a9f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4556.txt
@@ -0,0 +1 @@
+my age is 25 years, my hight is 6 feet. my weight is 70 KG i have used all sorts ellopathic medicin but my glands do not produce saliva properly. my toungue is dried when i get up in the morning.?for last 5 years my toungue gets dried when i speak for 3 minuts after that i cannot pronounce the words properly. advocate hassan. helloo hasan...read through ur query...based on ur symptoms i can say that it can be a condition called xerostomi(lack or reduced saliva)..it can be due to many reasons..stress and tension or due to damage of salivary gland etc etc...but nothing to worry..u have to keep ur mouth hydrated then u can speak properly...drink lots of water...take chewing gums..certain drugs called sialogogues are also available...better take it aftr consulting ur near dentist...reduce tension...be happy..happiness is the best medicine for any disease...hope ur benefitted something by my reply..have a healthy day!!
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diff --git a/processed/document_classification/train/Confidential/doc_4558.txt b/processed/document_classification/train/Confidential/doc_4558.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2b4cc2f254f9665e61dbada6be1e622a0de0cfb3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4558.txt
@@ -0,0 +1 @@
+My boyfriend is 49, has high hbp. He says he feels a slight tighten in his chest and he's tired. We took his blood pressure and it's 112/72. He weighes 176 and is about 5'4 and is in good physical health...muscular type person. Should we be concerned about a heart attack? Thanks for your question on Health Care Magic. I can understand your concern. In view of history of hypertension his symptoms can not be neglected. Ideally ecg and 2d echo should be done in his case. If both are normal than no need to worry for heart diseases. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4559.txt b/processed/document_classification/train/Confidential/doc_4559.txt
new file mode 100644
index 0000000000000000000000000000000000000000..97287084837936eb6ee8aa26391b40cecab70513
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4559.txt
@@ -0,0 +1 @@
+I have had a chesty cough now for 3 weeks. After the first week and feeling poorly I went to the doctors and he gave me antibiotics, I felt a lot better straight away but the cough has lasted. I have been coughing up phlem. Its seems to be all on one side the side I had radiotherapy on 4 years ago after having breast cancer. I have been taking a cough bottle from the chemist but the cough doesnt seem to be going. HI, thanks for using healthcare magicChesty coughing usually implies that there is bronchitis which is inflammation of the bronchi. It can be viral or bacterial.The cough can last up to 6 weeks in some persons. You may want to consider the use of a mucolytic which would help to break up the mucus so that can be more easily expelled.In addition, short term use of a medication to open the airways may be needed.I hope this helps
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diff --git a/processed/document_classification/train/Confidential/doc_4560.txt b/processed/document_classification/train/Confidential/doc_4560.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b50de2410d302cec44c078ea4c0cb77fab1a0afd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4560.txt
@@ -0,0 +1 @@
+Hi... need some advise on lower back pain, it is actually on the right side on the lower back just above hips. Also my left knee muscle (the one which can be felt under knee when sitting on chair) pains badly if i am sitting in chair or on ground or after driving for more than couple of hours. Please respond on YYYY@YYYY Hi,You are having low back pain which can be due to a disc prolapse or any degenerative changes of your spine the most possible reason is less of exercise and doing lot of static position like long time sitting. Due to Disc prolapse your nerve is getting compressed and there is this radiating pain that you feel on your calf muscles. You can take hot packs to relieve your back pain. Start activities like walking, swimming, avoid bending moments also can use a back pillow while driving if you need to sit for longer duration take a break after every half an hour. Hope this helps with your back pain and solved your query. Let me know if I can assist you further. Regards,Dr. Jenis Bhalavat
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diff --git a/processed/document_classification/train/Confidential/doc_4561.txt b/processed/document_classification/train/Confidential/doc_4561.txt
new file mode 100644
index 0000000000000000000000000000000000000000..606023208ccb17bbcd868f7123e806367c23d230
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4561.txt
@@ -0,0 +1 @@
+hi ther sir, i have positive tmt no angina recorded do i need to do angiography and if yes i check my bloodtest i got esr 95 in two hrs and have 9cells in urine and 5 pus cells and s creatinine is 1.22 which was .93 week before does it make differnce If stress test positive need to go under angiography .. If recently raised esr need to evaluate for same first ... after this you can go for angiography.... As no emergency for angiography your creatinine is normal no problem for that.. if you have any fever or any other medical co morbidity
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diff --git a/processed/document_classification/train/Confidential/doc_4562.txt b/processed/document_classification/train/Confidential/doc_4562.txt
new file mode 100644
index 0000000000000000000000000000000000000000..693598832ddbf345a838da0d894fd286b2f3116e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4562.txt
@@ -0,0 +1 @@
+My toddler is going to nursery and often picks up cold and flu bugs. She is again seeming to come down with a cold but I want to nip it before it becomes a full blown cold. Is there some medicine I could give my toddler to avoid setting of a full blown cold and cough. The throat bit I was able to eliminate with a combination of natural remedy - ginger juice honey and lemon and prospan syrup. Is there anything I could do for the cold. Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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diff --git a/processed/document_classification/train/Confidential/doc_4563.txt b/processed/document_classification/train/Confidential/doc_4563.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1d56897c74b9bfd53d915b392293055a580fe4a7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4563.txt
@@ -0,0 +1 @@
+Hello,I have been suffering with swollen face for about a year now,just last afternoon while at work my face blew up like a ballpark frank,there's no pain just intense swelling of my jaws,lips nose,my allergist is not really sure but has a feeling that it may be angelodema,I've been taking allegry and zyrtek but I still swell up like crazy,can you shed some light on this for me,thank youWindell Hi, you had a swollen face since 1 year, have swelling of jaws, lips, and nose. Your allergist feeling it is angiooedema, it must be an allergy, and you have it since long, it is not secondary to some thing.Still there is a possibility of acute anemia, which can cause anemia. Lastly cause could be renal. I usually prescribe some mild steroid, and the antihistamine you have not used before like fexo fanidine. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4564.txt b/processed/document_classification/train/Confidential/doc_4564.txt
new file mode 100644
index 0000000000000000000000000000000000000000..33feededf9491435545e0853c96cec2aecb83a76
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4564.txt
@@ -0,0 +1 @@
+I have lower stomach pain, now accompanied by lower back pain. I've had symptoms for a couple of months, but usually just after I eat-and I feel super full of gas. Now it seems to be more frequent-and the pain is worse. I've had a CT and they said they didn't see anything...but this pain is BAD. Hi. CT scan has no power to see and diagnose everything , although this is the best investigation for abdominal pain. You have a classical complaint lower stomach and back pain after food with acidity. This can be caused by colitis( inflammation of large bowel) the pain increases as a reflex from a full stomach. I would advise a stool test, colonoscopy may be enteroclysis.
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diff --git a/processed/document_classification/train/Confidential/doc_4565.txt b/processed/document_classification/train/Confidential/doc_4565.txt
new file mode 100644
index 0000000000000000000000000000000000000000..533a4877c23d5f169a4801e1019f858cd6cd00d7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4565.txt
@@ -0,0 +1 @@
+Hi, I have 5 years old girl who suddenly got her top front lip swollen 2 weeks ago, after about 3 days the swollen go away, I found out there is a growth on her top front gum. The colour of the growth is red and a has a few white spot on it. I am really worry about it....I have search on the web, I could not find the right gum disease that similar to that one... Thanks for using Health care Magic.Read your query.In your query you have not mentioned if any of your child's in that area are decayed or does she has any history of pain/trauma in that region.By the complaint described, it can be a abscess related to any of the tooth which will require an thorough examination by the dentist .She may also require a dose of antibiotics .I would advice you to visit a pedodontist and get it checked as soon as possible and get the needed treatment done.Hope this was helpful.Thanks and regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4566.txt b/processed/document_classification/train/Confidential/doc_4566.txt
new file mode 100644
index 0000000000000000000000000000000000000000..812bf28db8bcf1e87ec9dd8d3fd636a757650465
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4566.txt
@@ -0,0 +1 @@
+Hi my ALT and ALP have been elevated for several months, highest about 278, both currently at 143. I don t drink or smoke, but do over eat, very much a chocoholic, loving carbohydrates / sugary stuff. I have some fat in my liver and a 4mm gallbladder polyup. I m male 34 bout 5ft 8in height, bout 15 nearly 16 stone; so certainly overweight. Symptoms of severe lethargy have reduced as the serum levels have fallen, which may be drug related; reduced duloxetine down from 120mg per day to 90mg. Curious as to what the cause of the persistently elevated but reducing serum levels is. Can you shed some light? Thanks :) Dear FriendI understy your concern.I am more worried about your raised liver enzymes.They should be evaluated.I advise you to get following investigation:1. HBsAg2. Anti HCV Antibody.3. Complete LFT.If no cause is found on these investigation s we will do workup for Non Alcoholic Fatty Liver Disease.Don't take the things lightly.There is definitely some problem.Stay Healthy.
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diff --git a/processed/document_classification/train/Confidential/doc_4567.txt b/processed/document_classification/train/Confidential/doc_4567.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2cb001d04449e95536be9347fdd23ca91844c8a9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4567.txt
@@ -0,0 +1 @@
+HI,I had my blood tests 3 days ago and i had some changes in my white blood cells:-white blood cells: 3.5 (normal:4-10)-RDW :16.8( normal 12-16)-white blood cells:3.5 (normal:4-10)neutrophile: 1.3( normal: 2-7)-basophils: 0.11 (normal:0-0.1)All other blood tests were ok. My haemoglobin was fine but i had a little bit lower iron level.I had had an E coli infection and i had taken antibiotics 10 days earlier my blood test. Also during 2011 i had 4 times urinary infection and i had problems with Candida caused by so many antibiotics.One day before my blood test i had taken a pill of Fluconazole for treating Candida.I am 27 years old, i have 51.5 kilos and 175cm. I always have been a skinny girl. I do fitness 3 times/week and i usually eat: 300grams of yogurt with 200 g fruits at breakfast, turkey breast or fish( 200g) with vegetables and a slice of rye bread at lunch, after 2 hours 400 g of cherries and at dinner i eat omelette (one egg and 3 whites egg), cottage cheese and cucumber.Do i eat to less?WHY do you think i have all these changes in my blood tests?Do you think i have tuberculosis or leukaemia? Are these lower white blood cells a big and dangerous problem? Hi, dear. I have gone through your question. I can understand your concern. You may have viral infection or some bone marrow problem. Leukemia is unlikely. Don't worry for leukemia. Just repeat your wbc count after a month. If it is persistently low then go for bone marrow examination. Consult your doctor and plan accordingly. And you should eat less to remain healthy. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_4568.txt b/processed/document_classification/train/Confidential/doc_4568.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a561b85b97b23ae2bea10fe9acd06a46c4b5d7a4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4568.txt
@@ -0,0 +1 @@
+Hello doctor, Is there an association between polycythemia and hemochromatosis? I have a high Hb of 18 and hematocrit of 51 %. I am a student and found to have incidental polycythemia. I tested for all myeloproliferative neoplasm and bone marrow biopsy is negative for MPN. However, I was tested to have hemochromatosis type 4, an autosomal dominant disease for which I am heterozygous. But my HCT and Hb are always high at 18.2. Please advise me. Hello. Usually, in hemochromatosis, storage iron is increased, that is serum ferritin. So you can investigate with serum ferritin as well. If you have myeloproliferative neoplasm like polycythemia, then usually it can be clear from bone marrow study and JAK2 mutation. It comes under primary polycythemia case. You can rule out the secondary cause for polycythemia like lung disease, cardiac problem, high altitude, smoking, etc. Both conditions are different.
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diff --git a/processed/document_classification/train/Confidential/doc_4569.txt b/processed/document_classification/train/Confidential/doc_4569.txt
new file mode 100644
index 0000000000000000000000000000000000000000..13021c8c782d61d2c29203eca9c076881b159334
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4569.txt
@@ -0,0 +1 @@
+Hi, My mom had grade II breast cancer and every thing is completed including chemo and radiotherapy. Now she is having vitamin D deficiency. Doctor is recommending vit D injections. Is it okay to take those injections because i heard injections are painful and have side effects apart from its cost. Thank you Hi, dearI have gone through your question. I can understand your concern. She had breast cancer. She completed the treatment. But if she has vitamin D deficiency then she should take vitamin D supplements. Because low level can leads to weakned bone. So go for vitamin D level once and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_4571.txt b/processed/document_classification/train/Confidential/doc_4571.txt
new file mode 100644
index 0000000000000000000000000000000000000000..199c3a713d87ee39c274cee87d3ee67ae3200f04
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4571.txt
@@ -0,0 +1 @@
+My name is augustina I ve had a surgery for lump in my left breast which the doctor says is Fibroid Dyplesia 25years ago over the years a lump has grown on my back on the same left side the lump is not painful but in my body under the lump is paining a lot sometimes I cannot move my arm Can it be breast cancer or can the lump be operated on HI,Welcome to HCM with your query.Confirm the diagnosis before the Treatment Planning-By the facts of your query,In my opinion,you seem to have infective lump?Boil/Sebaceous Cyst with reactivated infection in it,as its paining under the lump.In such a situation,its very difficult to confirm its relation to the Fibrous Dysplasia removed 25 years back.But the chances are there of link to the Fibrous Dysplasia,as this lump in the back on left side could be a Secondary metastasis from a occult/hidden breast cancer in the left breast.Treatment-Antibiotics/anti-inflammatory treatment from your doctor, if responded would confirm the infective cause of it.Non response would need Second opinion from Surgeon who would direct further treatment after proper examination and investigations,accordingly.But don't worry till this lump in the back is confirmed by biopsy as Cancerous and Could be treated by -Surgical Excision with Biospy,which would confirm further treatment line.Hope this would help you to plan treatment with your doctor.Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at HCM like you.Good day.Dr.Savaskar M.N.Senior Surgical Specialist.M.S.Genl-CVTS.
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diff --git a/processed/document_classification/train/Confidential/doc_4572.txt b/processed/document_classification/train/Confidential/doc_4572.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1b86fcce50c52c5d39e86dadc022baab839a431a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4572.txt
@@ -0,0 +1 @@
+I have a lump in my stomach right below my ribs! Sometimes when I move or stretch it makes a pop sound and sometimes is also hurts! My dad said that it could be an asise or however its spelled but he won t take me to a doctor to see! Please tell me what it is and if it also could be cancer! My dad said that I ve been looking pale lately also. I don t kow what to think :( Hi, Thanks for query, As lump is below the ribs on right side it is likely that you might have enlarge liver. If it is superficial it may be costo chondritis or small lipoma. Consult doctor and get examined. Ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_4573.txt b/processed/document_classification/train/Confidential/doc_4573.txt
new file mode 100644
index 0000000000000000000000000000000000000000..71ab7d0a2e576781567646f4ee4fa1155c4ce193
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4573.txt
@@ -0,0 +1 @@
+Hi doctor, I am 70 years old. I have intermittent chest pain. For the past three months, I could not walk fast and climb stairs. But, I was doing it before normally. I suffer from shortness of breath with palpation and when the chest pain persist the breathing problem is severe. I underwent ECG and echo test last month, in which the results are normal. In the CBC test, it showed an elevated WBC (21800). I was asked to take an x-ray chest PA view. The result was normal. I have low BP (80/60 mmHg) due to which I got numbness in hands and legs. I was unable to respond back due to dry mouth or tongue with severe chest pain and giddiness last month. I was also asked to take brain MRI and EEG test. The results were normal. The only thing it showed was that I have sinus in MRI report. My general physician prescribed me Inderal 10 mg for palpation, Razo 20 mg, Bifilac, Mont and C-tax O 200 mg. Now, the chest pain started again, and it lasts three days. The pain is like stabbing and as such a rock is kept. Kindly advise me what can I do further. Do I need to take any further checkup for the heart? I was advised for Holter monitoring, which is yet to be done. I am waiting for your reply. Many thanks in advance. Hi. I have noted all your details. Your symptoms can be most likely because of congestive cardiac failure. Cardiac failure is not an indicative of a defect in the heart, but it is a situation when the heart pumps weaker than what is deemed as natural. Therefore, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. In an attempt to hold more blood, the heart stretches the chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This condition in medical terminology is referred to as congestive heart failure. The most common cause of CHF at the age of 70 is coronary artery disease. I would suggest you some of the baseline tests of cardiology to rule out any element of coronary artery disease apart from 2D echocardiography. Stress test as any ischemia to cardiac muscles will be reflected in the stress test. Along with 2D echo, they have a sensitivity rate of more than 85% to rule out coronary artery disease. Other tests advised are as follows: As per your query, the medicines you are on have nothing to do with your symptoms. For further information consult a cardiologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4574.txt b/processed/document_classification/train/Confidential/doc_4574.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f53e75c9358ea15a9ddf378e9416248c3db76de5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4574.txt
@@ -0,0 +1 @@
+I had an initial procedure for root canal. Within the hour, I had pain. I called the dentist and was told that it was due to the infection and once I take the antibiotic for a couple of days, the pain shouldn't persist. I took 600mg of Ibuprofen at 1pm and it relieved the pain. Around 6pm I was in pain and took hydroco apap 5-500 mallinckro at 7:30pm. I am in excruciating pain. Can I take ibuprofen 800mg now (9:30pm)? Also, I called the dentist and left a message concerning the severe pain. Hello, Thank you for consulting with HCM.Actually tooth pain is a very severe pain, to get relief from it you have to get the treatment done, either root canal or removal of tooth.Till then you can continue with the same medication or start with a ketorol DT or Dispersible Paracetamol.Hope it will help you.
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diff --git a/processed/document_classification/train/Confidential/doc_4575.txt b/processed/document_classification/train/Confidential/doc_4575.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4502f13835947ca21f2791f59162a5d3a28939ac
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4575.txt
@@ -0,0 +1 @@
+Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. Hi. For further doubts consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4576.txt b/processed/document_classification/train/Confidential/doc_4576.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a12b8a43aa00255288ffb9c160a9b1d27f957202
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4576.txt
@@ -0,0 +1 @@
+hi this question is regarding my two and a half year old son,he has just started going to preschool,i am really concerned about him as the teachers have advised us to visist a psycologist,as a child he is extremely bright,very found of learning new things,very fond of people s company,basically an extrovert,cheerfull child ,he wants to do things by himself very fond of electronics ,but there has been a bit of speech delay,he has starting forming sentences but still cannot express himself what he actually wants,since last week he shas started saying things such as im hungry ,give me milk etc,also he is very aggreessive at times,intially he hit his teacher and quiet a few of his classmates but now he does not use force at school,what his teachers are saying is his speech is not similar to other children and another thing he does not take change in activity easily,before going to next activity teacher has to politely explain him 2-3 min in advance ,at home also if he is into something he wo nt listen to us untill he is done with his activity.if he throws tantrum it becomes very difficult to handle him,he is full of energy,at times we cannot match his energy but one think i have noticed he does not like being told no but if we make up a story ,he will believe us immediately and obey us.although he is very aggressive and hits children alot but many atimes it is untentional ,just because he cannot express himslf he uses force,and he is more innocent than his age grop children,he will never complain if other child has hit him or hit him first,many a times some children will just start crying when he is near them and he will get blamed he will never defend himself.he is more brave than other children and also exremely sensitive but does show his emotions easily remains cheerful,is he suffering from some kind of disorder this may be a sort of autistic disorder in which child does a fix type of activity with lack of social interaction and delayed speech. it may b associated with tamper tantrum. child may be brilliant in study.u should consult with a pediatric neurologist
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diff --git a/processed/document_classification/train/Confidential/doc_4578.txt b/processed/document_classification/train/Confidential/doc_4578.txt
new file mode 100644
index 0000000000000000000000000000000000000000..49d45c52492092cd02f2729c5f8be79f29b01c80
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4578.txt
@@ -0,0 +1 @@
+For the last two months I ve been getting pains including - burning pains in upper right chest, sudden and unprovoked heart flutters, tingly arms and jaw, mild shooting pains all over upper body. The first instance was when I running at the gym, and I I first felt pain in upper right chest. Hi,Kindly get an ECG done to rule out cardiovascular problems. if you are a smoker please quit smoking. For heart burn please take Tablet pantoprazole 40 mg half an hour before breakfast daily for three weeks. you shall find improvement.Regards
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diff --git a/processed/document_classification/train/Confidential/doc_4579.txt b/processed/document_classification/train/Confidential/doc_4579.txt
new file mode 100644
index 0000000000000000000000000000000000000000..27e22b0e89429912dcb64472fe176307c2008555
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4579.txt
@@ -0,0 +1 @@
+I fell onto a tiled floor a week ago today, my right knee is cut and bruised but a lump came up almost immediately. it is still there now at the top of my kneecap, my knee is sore and warm to the touch but I can walk without problem. Just feels stiff but I thought it was because of the grazes I sustained to it. Any ideas? Hi ! Good evening. I am Dr Shareef answering your query. You might have got a hematoma of the knee (blood collection) due to the trauma. Walking without problem signifies that the joint ligaments and cartilages are possibly not injured. If there is no fresh ooze, the hematoma may gradually subside with absorption, but it would need proper rest and splintage of the joint. In case the problem increases which interferes with your walk, then you might have to see an orthopedic surgeon in your area, who might advise you for an x-ray/MRI of the injured knee joint. Till that you could start taking an anti inflammatory drug. Further management in that case would depend on the MRI report.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_4583.txt b/processed/document_classification/train/Confidential/doc_4583.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a70655d0e4802ec8017283df2c61df09b0edcad1
--- /dev/null
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@@ -0,0 +1 @@
+I'm a 20 year old female. I have been getting dizzy spells many times a day for 3 years straight. I fell twice in one day sometime in 2013 my body felt as though it couldn't stand up. Everything goes black and my head feels like it's pulsing extremely fast. I fell today and my mom asked if I fell cause there was a bang I couldn't remember falling but I knew I had. What is going on? Is this serious? Hello dear,The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthitis or Benign Paroxysmal Positional Vertigo.Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Cinnarizine preparations (to be taken only under the guidance of a Physician).If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done.Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms.There is no need to worry, you will be fine.Till then, maintain adequate hydration & proper nutrition status and avoid stress.And also take precautions of getting up from bed slowly & avoid sudden head movements.Wishing you a Good Health.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4584.txt b/processed/document_classification/train/Confidential/doc_4584.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3e876085805bf41ee6ac2d06c9f47b0741571c42
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4584.txt
@@ -0,0 +1 @@
+I have been told I have hemocromostis because my ferritin levels are high..my second dr said no...how do I know if I in fact have it..is there a special test I can have to prove it...one dr said it is genetic but want to know how she came to that conclusion Hi thanks for contacting health care magic.Noted you have high serum ferritin.Its elevation merely doesn't suggest hemochromatosis....It is acute phase reactant .so can be elevated in various inflammatory or infective condition...So detailed investigation done...Here for confirmation of hemochromatosis HFE gene mutation study can done by PCR or FISH....Hemochromatosis can be acquired also...as well as genetic...Liver biopsy also useful...Hope your concern solved.Take care.Dr.Parth
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diff --git a/processed/document_classification/train/Confidential/doc_4585.txt b/processed/document_classification/train/Confidential/doc_4585.txt
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index 0000000000000000000000000000000000000000..168b54088d51d501d5d33ed0cd5e761e114d389a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4585.txt
@@ -0,0 +1 @@
+My husband says he tore heart muscle from stress but they let him come home from hospital with no medications or instructions as for as I can tell. Does this sound reasonable? Just need to know if I should be worried bout him not taking it serious. If he did is there anything that can be done. Thanks. YYYY@YYYY Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I understand your concern and would explain that a tear in the muscle heart is usually related to coronary artery disease and leads to a serious medical condition. May be it is a stretched muscle in the chest wall. Anyway, I would like to directly review his cardiac ultrasound report and other blood lab tests for a more professional opinion. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_4586.txt b/processed/document_classification/train/Confidential/doc_4586.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3bce73c6ad437bcffa91b56215b56a6088eeaa23
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4586.txt
@@ -0,0 +1 @@
+My son is 22 months and been generally irritable, clingy, tantrums for past couple of weeks now. He has had a cough, now is urinating far more often ie every 20-25 mins, drinking a lot. He vomited yesterday and tonight ge is cold and clammy with very low temp 34.3, help Hi...by what you quote I feel that he might be having a urinary tract infection (UTI). I suggest you get a normal urine routine analysis done and see your paediatrician with it. If it is suggestive of UTI, you may need to go ahead with a urine culture and oral antibiotics too.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_4588.txt b/processed/document_classification/train/Confidential/doc_4588.txt
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index 0000000000000000000000000000000000000000..12ca3500a17cc535938322ad6891ce5bb32c250d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4588.txt
@@ -0,0 +1 @@
+My grandaughter was diagnosed with CDLS at age 3.......she seems now at 27 ro have gotten worse. She is on multiple meds and living in a group home. At a younger age she would write imaginative stories for me. Now, I know she could not do that. My question does CDLS progress (regress) as they age? She also has been diagnosed schizophrenic. Her IQ was 70 but I doult it still is. Thank you Distraught Grandmother Hi, CDLS syndrome is rare genetic disorder charachterised by microcephaly , facial phenotype and git disorders.CDLS is known by developmental delay and is progressive. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4589.txt b/processed/document_classification/train/Confidential/doc_4589.txt
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index 0000000000000000000000000000000000000000..aa32dc3b38b55a9acef66922fd648606f21fa145
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4589.txt
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+My father is recovering from a severe gallbladder attack resulting in sepsis , etc. Pending his next evaluation, while on antibiotics , he was instructed to be on a NO FAT diet. He has eliminated all meats, oils , & dairy (except non-fat milk). What about plant-based fats such as lentils, rice, beans, etc.? His doctor is on holiday & unavailable for advising. Hi and welcome to Healthcare magic.Thank you for the query.You can have such fats,but try to have more frequent but smaller meals.Also,avoid alcohol and smoking completely. animal fats,especailly pork, will trigger gallbladder attack so you should avoid fried food,spicy food and food that cause bloating. And drink plenty of fluids with meal.Wish you good health. Regards
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diff --git a/processed/document_classification/train/Confidential/doc_4590.txt b/processed/document_classification/train/Confidential/doc_4590.txt
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index 0000000000000000000000000000000000000000..b860acf51dda5a08fb3b26f1bd580aa956bb29fb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4590.txt
@@ -0,0 +1 @@
+HI, im 17 years old and ive been sick for about 1.5 weeks now it started with runny nose and coughing and has now become a deep flemmy sound in my chest wen i breath heavily in and out and mi have a pain in the left side of my chest around my pec and wen i cough Hello! you seem to have developed a respiratory tract infection. I would suggest you take a course of Tab. Amoxyclav for 10-14 days. Chest pain is quite common when we constantly cough. So once your Infection is controlled , your cough will reduce , so will your chest pain . Until then you can take simple analgesic like Tab. Paracetamol if you have too much pain.You can also get a Chest Xray done to ensure there s nothing else causing your chest pain . Hope my reply helps. Do drop in your valuable feedback.
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diff --git a/processed/document_classification/train/Confidential/doc_4591.txt b/processed/document_classification/train/Confidential/doc_4591.txt
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index 0000000000000000000000000000000000000000..85c6f844ce0c675b5b52570bd6877c9a748f2e0e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4591.txt
@@ -0,0 +1 @@
+I have a hard painless mass on my neck since april. Found it after a severe sinus infection in april. Had a ct scan 3 weeks ago and they said I have a sinus infection. No symptons of any thing except the mass on neck. I feel fine except for a few sweating episodes but they do not happen regularly. Took a zpak as prescribed but lump is still there. I am starting to get worried. Hi, dear. I have gone through your question. I can understand your concern. You may have some cervical lymphnode enlargement due to reactive lymphoid hyperplasia. Or you may have tuberculosis or lymphoma. You should go for fine needle aspiration cytology to know the exact cause of that. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_4592.txt b/processed/document_classification/train/Confidential/doc_4592.txt
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index 0000000000000000000000000000000000000000..52b63457cf0d9b5340aa7666ec9e9d7fa5d0d2df
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4592.txt
@@ -0,0 +1 @@
+Hello doctor, Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mildly itchy or burning sensation. No matter how much moisturizer I apply, it does not help. I am using Eucerin atopic control moisturizer and a gel cleanser with Hyaluronan. I even tried using Metronidazole and tea oil, but again it did not help. I have also tried to stop using anything on my face for some days, but it stayed the same. I am 24 years old now, and I never had acne tendencies when I was a teenager, and my skin always looked very smooth. My birth control pill is still the same as it was when I first started taking it, which wad around ten years ago. I do not use steroid creams nor fluoride toothpaste. How can I get rid of this? It was not there before a year. I am attaching a picture of my face. Thanks. Hi. I have seen the attached image (attachment removed to protect patient identity). Do not apply Metronidazole gel, as there is also erythema over your face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. For more information consult a dermatologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4593.txt b/processed/document_classification/train/Confidential/doc_4593.txt
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index 0000000000000000000000000000000000000000..b6096b5136a7bde7bc5a7b3ba887121e1afe60d3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4593.txt
@@ -0,0 +1 @@
+Hello doctor, My wife got scanned her thyroid by a novice user just for training purposes. She has been scanned in the hospital before, as part of an assessment of an autoinflammatory disease. At this time, they found a thyroid nodule (~12 mm) but no further investigation, as it seemed benign. Now, at the training scan, we observed the nodule had changed in shape, size, and it looks like there are some microcalcifications. But we are not the experts. We noticed it has changed. Could you give your second opinion on the attached images? Hello. According to the american college of radiology thyroid imaging reporting and data systems (TIRADS), the nodule falls under category TR4, which defines it as moderately suspicious. However, as you mentioned, there is a change in morphology with the development of microcalcifications. Microcalcifications are the feature of papillary carcinoma of the thyroid, and therefore, it is essential to rule out that for which a fine needle aspiration cytology and biopsy (FNAC-FNAB) is recommended. Further, I would like to know if any necrotic neck nodes were detected. Let me know the results. I hope and pray that the nodule turns out to be benign and not malignant. FNAC-FNAB Ultrasound guided fine needle aspiration cytology and biopsy. Papillary carcinoma of thyroid and benign colloid nodule.
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diff --git a/processed/document_classification/train/Confidential/doc_4594.txt b/processed/document_classification/train/Confidential/doc_4594.txt
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index 0000000000000000000000000000000000000000..c2e29b4a4b359772619e26c64047668165cc6c41
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4594.txt
@@ -0,0 +1 @@
+i really dont know if its a bipolar disorder or depression running with my brother. he gets really hyperenergitic during such span, lots of anger, no sleep, overeating, delusions. constant moss swings.this is third time he is being suuffering even though the medication is running. please help. he is unable to make a setteld career and life coz of this. Hello He is having symptoms like hyperactivity, anger outbursts, decreased sleep (decreased need for sleep), constant mood fluctuations and hyperphagia. These symptoms are most likely due to manic excitement. In some cases of mania Delusions like Grandiosity, Paranoid delusions are also seen. Even on medicines he is showing such symptoms and is not getting relief. I would advise you to take him to his doctor for reevaluation. In acute excitement medicines like haloperidol, olanzapine etc can be used in injectable form. Once his condition gets stabilised then maintainence treatment in form of mood stabilisers can be given.Thanks, hope this helps you
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diff --git a/processed/document_classification/train/Confidential/doc_4595.txt b/processed/document_classification/train/Confidential/doc_4595.txt
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index 0000000000000000000000000000000000000000..9c21aa54c18e46f527aafb806c6b37d2929e8784
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4595.txt
@@ -0,0 +1 @@
+Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Hi. For further doubts consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4596.txt b/processed/document_classification/train/Confidential/doc_4596.txt
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index 0000000000000000000000000000000000000000..354ad58c2254182fa95c00d2c5d129dd89ce42c3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4596.txt
@@ -0,0 +1 @@
+Hi, I m sorry I started this before but closed out by accident. Is there any medical procedure available to create a sternum to attach the floating ribs. My son had his sternum removed and his ribs, collarbone feel like they are moving and clicking. His doctor told him it would be about 5 years before one of the ribs punctured his lung, heart or another organ and he would bleed to death. I can t believe with all of the medical break throughs discovered everyday that there isn t some kind of fake sternum developed. Please help or guide us where we should go? Thank you very much for your time. Hi, Yes, you are right. Artificial sternum of metal is implanted to support the ribs and assist in respiration. You need to contact Cleveland Clinic in Ohio, USA. There is a separate Transplant Department which is doing all these transplants. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist
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diff --git a/processed/document_classification/train/Confidential/doc_4597.txt b/processed/document_classification/train/Confidential/doc_4597.txt
new file mode 100644
index 0000000000000000000000000000000000000000..372558609240d0650d391d1c56cb5accbeb8abf9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4597.txt
@@ -0,0 +1 @@
+I am a 22 year old female who hasPectus Excavatum (I went to the doctor yesturday to see how bad it actually is) I have an S shaped spin and am scheduling other to tests to determine if there is anything wrong with my heart. The doctor says 1. the heart rotated, 2. the heart is misshaped or 3. there could a problem with one of my vavles (which he thinks is unlikely) but my heart doesn t sound normal so he scheduled a few tests in the upcoming weeks. Since my appointment yesterday, I have had this chest pain, sometimes pressure sometimes sharp but persistent throughout the day. Further, I have pain in my left shoulder, arm and neck and my fingers are tingling, also I am more tired then usual. Could this be from just them pushing on it yesterday? this makes me really anxious as to what could be going on with me. It is imperative to perform a CT scan of the chest to calculate an index caller the Haller index to determine if you should be corrected surgically, there is an open procedure and a minimally invasive procedure called the Nuss procedure (treatment of choice in expert hands)The indications for surgery are: a haller index equal or above 2.5, significant changes in heart hemodynamics and/or aesthetic concern from the patient.Unfortunatelly you have passed the ideal age for surgical correction but it could still be performed. Greetings
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diff --git a/processed/document_classification/train/Confidential/doc_4598.txt b/processed/document_classification/train/Confidential/doc_4598.txt
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index 0000000000000000000000000000000000000000..44e08535c8a2b69fbcd149201992ca8da2598add
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+Hello, I am having pain below my abdomen, (hip bone area) right side of my body. Pain has been on-going for about a week. Not sure if pain is due to my martial arts testing last Friday, or my working last Saturday. Hardest physical activity while at work was sweeping.I have applied a heat pad throughout, and rested as best I can. I have discomfort when I attempt to stand, or walking, which will spasm in the area.Thanks. Hi,From history it seems that due to hard physical activity like sweeping might have produced heavy strain of back and hip area leading to spasm muscles.Take some analgesics with muscle relaxant medicine for 3 days.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4599.txt b/processed/document_classification/train/Confidential/doc_4599.txt
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index 0000000000000000000000000000000000000000..d1d6f9c246e2da74e9fa8f58a9a15bc12a182bd8
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@@ -0,0 +1 @@
+Hi, My niece who is 20 has an ESR of 140. The reason for her to go to doctor was a persistant allergic type of cough. Her chest x ray ia normal. Her TLC is also high abt 16000. Now they r going to do many further tests. My sister is very upset. Can it be due to the cough or some other serious illness? Thanks for your question on Health Care Magic. I can understand your niece 's situation and problem. ESR (erythrocyte sedimentation rate) is marker of inflammation. So high ESR suggest presence of inflammation. TLC (total leukocyte count) is raised in infection, mostly bacterial infection. So possibility of bacterial infection is more in your niece 's case. She is having coughing with normal chest x ray. So possibility of Upper respiratory tract infection like tonsillitis or pharyngitis is more. So ask your sister not to panic much. Take her to the doctor and start antibiotics. She also needs antihistamines and anti inflammatory drugs. Ask her to drink plenty of fluids orally. Avoid oily and spicy food. Do warm water gargles 5-6 times a day. Don't worry, she will be alright. Hope I have solved your query. Wishing good health to your niece. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_46.txt b/processed/document_classification/train/Confidential/doc_46.txt
new file mode 100644
index 0000000000000000000000000000000000000000..47d52f30800efa9c992d3dcd125bef21146dc49a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_46.txt
@@ -0,0 +1 @@
+Text: "ip} Pi See ee eo" mii ge Sle . é | ey Department of State TELEG SECRET AN: 0860434-0965 SECRET PAGE 01 ISLAMABAD 12500 0512072 ACTION NEA-11 INFO LOG-00 COPY-01 AOS-00 INR-10 SS-00 CIAE-00 NSCE-00 SS0-00 INRE-00 /022 W FOR EMBASSY ISLAMABAD 252852 05121272 /50 FROM EMBASSY ISLAMABAD TO SECSTATE WASHINGTON IMMEDIATE 5478 AMEMBASSY RIYADH IMMEDIATE AMCONSUL JEDDAH IMMEDIATE SECRET ISLAMABAD 12500 E.O. 12356: DECL:OADR TAGS: PREL, XO, US SUBJECT: AFGHANISTAN: RABBANI REF: STATE 178113 (CExo1s) SINCE RABBANI IS NOW IN SAUDI ARABIA, AND MAY DEPART FOR THE U.S. FROM THERE, SUGGEST DEPARTMENT REPEAT REFTEL TO RIYADH AND JEDDAH. LIKELIHOOD IS STILL THAT RABBANI WILL RETURN TO PAKISTAN BEFORE HIS DEPARTURE TO THE U.S. HINTON DEPARTMENT OF STATE A/CDC/MR REVISED THAT PART MAY 7 RELEASE: PARTIALLY CLASSIFIED DECLASSIFY IN PART NON-RESPONSIVE INFORMATION. FOL. B20 PA CROMOTIONS AUTHORITY TO: DECLASSIFY OR OADB DO NOT RELEASE TO NS TS OR COPY TO OABR
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diff --git a/processed/document_classification/train/Confidential/doc_4601.txt b/processed/document_classification/train/Confidential/doc_4601.txt
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index 0000000000000000000000000000000000000000..3fd22ad3db8c877f314b3795e6dc67a0e74ed51e
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+++ b/processed/document_classification/train/Confidential/doc_4601.txt
@@ -0,0 +1 @@
+hi i had endioM Cysts ans tumors removed the galbladder as well last year. a lower back pain started at first once a month and now more frequently daily... also have constant headaches and gained a lot of weight. my back was sore only when i lie down but now its constant on the right hand side, severe when i sleep.. very stiff and then the stabbing headache comes. ive been to dozens of doctors no-one knows whats going on. i also feel dizzy as well as nauseas. your professional advice will be appreciated. Tershia just do back exercises,try to cut on weight with diet ,exercise.For headaches,get your Blood pressure, eye vision,and ears checked with specialists-your general physician may prescribe anti-migraine medicine if all other things turn out normal.Take it easy, you have had too many surgeries for good only and worrying shall make you feel more morbid.
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diff --git a/processed/document_classification/train/Confidential/doc_4602.txt b/processed/document_classification/train/Confidential/doc_4602.txt
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index 0000000000000000000000000000000000000000..eccebe8136e4e1aaaeda8a2104feb54c5a77962e
--- /dev/null
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+Hi, within the last day or so I have discovered a lump about the size of a marble underneath my chin midway towards my neck. Around the same time I have been experiencing dizzy spells that r exacerbated by sudden head movements. The chin lump doesnt really hurt and it kinda feels like a swollen lymph node. Yet I have never noticed it there before. Hi.Thanks for your query and an elucidate history.The lump under the chin is a lymph node unless otherwise proved . You may please take a course of an antibiotic and anti-inflammatory medicine under Doctor's prescription for 5 days. Consult an ENT surgeon - he will look after both the problems. The dizziness can be due to either a cervical spondilitis or problem due to internal ear. He will be in a position to decide the reason and ask you for investigations like X-ray or MRI of the cervical spine and mastoids. And start treatment for it.
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diff --git a/processed/document_classification/train/Confidential/doc_4603.txt b/processed/document_classification/train/Confidential/doc_4603.txt
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index 0000000000000000000000000000000000000000..3f33191880b36f3ff5638fc25ecdf5e50f50e3b2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4603.txt
@@ -0,0 +1 @@
+Hello doctor, I have this mole on my back. I think it has been there for a while. My GP took one look at it and declared completely benign. I was wondering what sort of mole it is? Is it worrying? I used sunbeds frequently for about a year when I was younger. Never since. Hi. Most likely it is a benign melanocytic nevus (attachment removed to protect patient identity). The worrying signs are a sudden change in colour, a sudden increase in size and shape. If you want to confirm whether it is benign or not, you can go for dermoscopy (noninvasive technique), skin biopsy.
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diff --git a/processed/document_classification/train/Confidential/doc_4604.txt b/processed/document_classification/train/Confidential/doc_4604.txt
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index 0000000000000000000000000000000000000000..518e78728551cca97ee2613a7ed51159c7a49b70
--- /dev/null
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@@ -0,0 +1 @@
+should i be taking amlodipine, and lisinopril/hydrochlorithyozide ?I am a 55yr old woman apx 5ft10in. wt. is 240lbs. have had high blood pressure for apx. 10 yrs. high was apx. 162/105 before treatment. Also take synthroid because thyroids were removed in 1992. take chlorestorol med. pravastatin. level is apx. 184 was apx 220 before treatment. Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You certainly need medicine and you are on fairly appropriate medicine. Continue with the same. However keep monitoring your blood pressure regularly. Also have low salt and sugar diet, and regular exercises. Avoid smoking if any. I guess sugars must have been tested.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode
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diff --git a/processed/document_classification/train/Confidential/doc_4605.txt b/processed/document_classification/train/Confidential/doc_4605.txt
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index 0000000000000000000000000000000000000000..834e85f64e6644e8aa63a302a18de805c62d267a
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@@ -0,0 +1 @@
+I have been having pain in my lower back, hips, and glutes (which is not unusual for me--I have been dealing with lower back pain for several years). For the past two weeks my pain level has been higher and I also have occasional stabbing pain in my left knee and ankle. Today I suddenly developed freckles on my legs for the first time ever. I had some sun exposure 2 days ago but did not get them on my chest or back, just my legs, where there was no significant reddening or sunburn. A month ago I traveled to Africa. Two weeks ago I pulled a tick off myself. Could this be more than just my typical back pain? HiThank you for asking HCM.I have gone through your query. Your problem can be due to intervertebral disc herniation or osteochondrosis of lumbo sacral spine which gives such pain called sciatica due to nerve compression. It will radiate to knee and leg. You should get an examination with orthopedician which will give clue for that and a X ray followed by MRI of lumbo sacral spine might be needed to confirm that. For such condition i advice NSAIDs like aceclofenac muscle relaxants like cyclobenzaprine and neurotropic drugs. I also send them to physiotherapy along with this. Hope this may help you. Let me know if you have any further queries.
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diff --git a/processed/document_classification/train/Confidential/doc_4606.txt b/processed/document_classification/train/Confidential/doc_4606.txt
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index 0000000000000000000000000000000000000000..22e1e7f6bc2a80d18dd372cf0615309626ef7eab
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+++ b/processed/document_classification/train/Confidential/doc_4606.txt
@@ -0,0 +1 @@
+Sir, Thanks for the good info. I am 21 and was diagnosed with high blood pressure – 160/100. I got it measured for few days and reading were same almost. As the subject you dealt with, I am not taking any supplement. I don’t have any symptoms like headache, cramps etc. I don’t do work outs. I know that with such high blood pressure I can’t remain without the medicine. But I just want to know if there is an alternative of taking medicine life long. Please help me. I am pretty much worried. Thanks in anticipation High blood pressure in ayurveda is termed as Urdhavag raktapitta. It happens when rakta is vitiated by Pitta. You might be having other symptoms like skin eruptions, Acne, excessive sweating, heat in hands & feet etc. The best treatment is going for Virechana karma & having rasayan after that. Panchakarma treatment can assure that you do not have to take BP medicine lifelong.
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diff --git a/processed/document_classification/train/Confidential/doc_4607.txt b/processed/document_classification/train/Confidential/doc_4607.txt
new file mode 100644
index 0000000000000000000000000000000000000000..460c97a51601fe2652094b474faa387ebdce7c60
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4607.txt
@@ -0,0 +1 @@
+Hi, I met with an accident a week ago. my knee was injured as i fell on road. now what i see is below the knee my skin has become green in color and near the foot also I got little swelling with green color.Is is because I didn t got TT shot or if there is any-other reason what is that. Suggest me what should I do. Hi, The greenish discoloration is clot of blood as a result of injury in the knee. The swelling below is part of same process. It has nothing to do with TT shot. Do not worry, both the problems will go away with time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_4608.txt b/processed/document_classification/train/Confidential/doc_4608.txt
new file mode 100644
index 0000000000000000000000000000000000000000..490f6e7d62c8210363371f1100febbc65c2eb4f1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4608.txt
@@ -0,0 +1 @@
+I had my knee replaced 3 yrs ago, and in the first year a stitch did not close and I got strep and staph in the open wound...I went to wound therapy and the last culture was clear, but I still have ongoing pain in the knee since then, could that infection be deeper and not see in the wound culture. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Any superficial infection which has not healed in quick time is t be treated as deep infection. I suggest you get an X-ray of the knee joint along with Complete blood count , ESR , ASO and CRP. Any infection in the joint would be evident in the X-rays now. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_4611.txt b/processed/document_classification/train/Confidential/doc_4611.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fc9eb097fa7e911cf4d41dd42646e11df57f1bf3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4611.txt
@@ -0,0 +1 @@
+hi my pet poodle bit me or nipped me when i was giving him his medicine small bite but did break the skin (last nite)now it seems to be red and inflamed put alcohol on it and polysporin its so small feel silly going to er because its saturday and drs is closed Hello,Welcome to HCM,Rabies is a disease which is transmitted by the dog, which is 100% fatal but it is 100% preventable by proper and adequate treatment. As you have been bit by your pet poodle. As there was a bleeding from the site of bite it is categorized into Cat III bite according to WHO categories and it is necessary to take both the active and passive immunization with Antirabies vaccine and Antirabies serum respectively. You have to take both antirabies vaccine and antirabies serum, You have to receive all the doses of antirabies vaccine on days 0, 3, 7, 14 and 28 (If your pet poodle is healthy after three dose of vaccine, you can discontinue the antirabies vaccine) and antirabies serum (Rabies immunoglobulin) on day 0 in and around the wound.In addition to this you should take Inj TT and antibiotic like tab Augmentin for 5 days. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4612.txt b/processed/document_classification/train/Confidential/doc_4612.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd149fcc8e5003ffde1af7c90042f28ed17a5938
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4612.txt
@@ -0,0 +1 @@
+Hi I am a healthy 26 yr female. I had my daughter a year ago and only breast-fed for 6 weeks before she had to be put on special formula. Yet I am still lactating and its starting to get painful because I can feel the sensation like my milk is "dropping". Im worried something might be wrong with the milk ducts as to the fact when my daughter was 3 weks old I developed severe mastitus. please help. Hi, I understood your query. -Dropping of the milk is a normal thing in lactating mothers. It happens when baby is not fed for a long time, it overflows. It's not a sign of milk duct problem. - Stagnation of milk in breast may cause little pain. - mastitis is a condition of swelling, hardness, painful/tender breast- which is many a times following some trauma / hard push to a lactating breast.Many times it is associated with fever. A healed mastitis is not known to cause defect in milk ducts unless it was treated by incision & drainage. * I don't know why your baby was put to formula- Enquire it to your doctor. - If there is possibility that baby will return to breast feeding- - You have to keep on emptying the breast, - Maintain breast health & wait for the breast feeding - But if doctor is advising to keep baby on formula milk ( ? lactose intollerance)-- you should ask medicines to stop the lactation, & get rid of the risk of developing an abscr=ess. Thanks..
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diff --git a/processed/document_classification/train/Confidential/doc_4613.txt b/processed/document_classification/train/Confidential/doc_4613.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f5a0e98c946d1b735e4927131926848a202700fa
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4613.txt
@@ -0,0 +1 @@
+My 15 year old son has a skin rash that has developed across his upper back, up his neck, is now creeping around to his chest & upper arms. He says they are unremarkable. No itching or sensitivity. We gave him oral Benadryl which seemed to slow the spreading, but that s all. Any suggestions? Its difficult to comment onthe type of rash without looking at it. It may be allergic, viral or fungal infection. You can apply Betnovate GM and look at the response, if its not going a dermatologist must have a look at the rash.
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diff --git a/processed/document_classification/train/Confidential/doc_4614.txt b/processed/document_classification/train/Confidential/doc_4614.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7e79578d328257fc83186480805072e75d9b65ad
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4614.txt
@@ -0,0 +1 @@
+I'm 15 years old, and I was watching tv laying on my side. Then when I tried to move my chest hurt on the right upper side of my body. It got slightly better so that I could move, but I still can't move suddenly or sit up well and it hurts extremely badly when I inhale or exhale deeply. I don't smoke or do any drugs by the way. What is wrong with me? Hi thanks for contacting HCM...According to your history it seems to be muscular strain pain....It will heal within few days....Rest done...If needed analgesic taken...Avoid strenous activity.Hot compress useful....Prevent movement causing pain....Take sleep in supine position.Avoid bad posture....If cough like symptom present then xray done to rule out bronchitis like condition...For that antibiotic given....If ribs tender to touch it could be costochondritis....If needed compression bandage might be prescribed....Take care.Dr.Parth
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diff --git a/processed/document_classification/train/Confidential/doc_4615.txt b/processed/document_classification/train/Confidential/doc_4615.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ad0266d98ae24dbaf2d525dd454c5668a0cc1222
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4615.txt
@@ -0,0 +1 @@
+Hi Doc I am diagnosed with kidney stones a month back. This is because of a continuous pain at my left abdomen. But after a month the USG and CT scan report says that there are no stones left. During this period I drank a lot of water. Now, The pain has not yet gone it remains the same. I went of USG once again and told the problem, the radiologist doctor said it may be ameobic colitis. Please suggest what should the step I take to keep healthy Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You are diagnosed with kidney stones one month back. after one months treatment U.S.G.and C.T.scan ,report says that there are no stones left, but pain is continuing in the left abdomen, another radiologist suggested it may be amoebic colitis. I advise you to consult a gastroenterologist for diagnosis and treatment. It may be amoebic colitis or simple urinary tract infection, if not found in urine examination culture and sensitivity of the urine may help to diagnise the infection. Wishing for a quick and complete recovery. Best regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4617.txt b/processed/document_classification/train/Confidential/doc_4617.txt
new file mode 100644
index 0000000000000000000000000000000000000000..15b4e9166cebeb38db20b4776757c29f2dae103b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4617.txt
@@ -0,0 +1 @@
+I had a hunting accident about 4 years ago . My right hand was amputated about midway between the hand and elbow. I developed neuromas shortly after the original amputation. I have constant pain since. Three different surgeons have operated on my arm with no success. What can I do to stop the pain and keep the. Neuromas from growing back? Hello!Welcome on Healthcaremagic!Neuromas can not stop growing. They are just physiological after limb amputations. Surgical resection of neuromas by a neurosurgeon is a treatment option. Another treatment option for chronic pain are antidepressants like amytriptiline or anti-epilepsy drugs like pregabaline or gabapentine. You should discuss with your doctor on the above options. Hope you will find this answer helpful!Kind regards, Dr. Aida
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diff --git a/processed/document_classification/train/Confidential/doc_4618.txt b/processed/document_classification/train/Confidential/doc_4618.txt
new file mode 100644
index 0000000000000000000000000000000000000000..742e87447b7077b979dadfadda0c2455ebdd636f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4618.txt
@@ -0,0 +1 @@
+What could be causing my husband to have BP drop? His is usually 12/80 but today it dropped to 55/40 when he walked in the house after going out to lunch and he felt extremely dizzy.Thirty minutes later I did the BP again and it is 75/58.What causes low blood pressure?Thanx Marilyn HIWell come to HCMI really appreciate your concern hypotension may not be it self but there are certain condition which could cause this and that would be medical emergency that demand immediate medical attention, in my opinion better to get done the clinical examination there his blood pressure would be measured with authentic sphygmomanometer, hope this information helps, take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4620.txt b/processed/document_classification/train/Confidential/doc_4620.txt
new file mode 100644
index 0000000000000000000000000000000000000000..610ce51944abfe8c2a47fa9a5532bb4281ba424a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4620.txt
@@ -0,0 +1 @@
+i'hv got all the 4 ov my wisdom tooth pulled out 2 days ago...pain has lessened but my face has swelled up like a pumpkin and i do feel penetrating pain along the right side of my head moving upwards.and i am told not to eat hot and solid food.what should i do? Thanks for using Health Care Magic.Read your query.The pain and the swelling will gradually subside .I would advice your to continue the medicine pain killers and antibiotic prescribed by the surgeon correctly.Do not apply hot bag externally , though you can apply cold compress intermittently.Do saline gargling ,but not vigourously .Keep good oral hygiene and stop smoking if you do by any chance.If the swelling increases or pain is out of control ,please report back to your dentist office so that he will have a look at it.Hope this was of help for you and wish you a speedy recovery.Thanks and regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4621.txt b/processed/document_classification/train/Confidential/doc_4621.txt
new file mode 100644
index 0000000000000000000000000000000000000000..baa417e977175f0107217d0ae7e63a463897b089
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4621.txt
@@ -0,0 +1 @@
+Hi me and my girlfriend was messing about and i had a tiny bit of precum on end of my penis. I was trying to insert it into her vagina but it didnt go in. The tip of my penis was just rubbing her vagina so could she be pregnant? And i have Mercilon so could i use it for morning after pill to stop the baby? dear Sir, there is a tiny possibility that she gets pregnant so it is bettet to use the morning after pill to eliminate any chance of getting pregnant
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diff --git a/processed/document_classification/train/Confidential/doc_4622.txt b/processed/document_classification/train/Confidential/doc_4622.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eac7b68dfb7925d8f916f91b9563d159b7a4ab98
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4622.txt
@@ -0,0 +1 @@
+AOA, My father aged 63 weight 69 height 6feet now is suffering from hypertension since last 25+years and is also a heart patient since 1998. Since last one year he is suffering from renal problem. At this point in time his creatinen is 9.9 and urea 131. He tried many different medicines allopathic, homeopathic etc for a year but couldn’t find any improvement. He is on homo dialysis since the start of this month (June 2011) which happens twice a week and is now increased to thrice a week. He goes through the dialysis through the temporary Cathe while he went through a fistula surgery for the dialysis last Tuesday (21st June) which is now not working. I am worried about the infection in the temp cathe. . .Please Advise. These days the major issue he is facing is the shortness of breath I would like to mention here that his Hemoglobin is dangerously low. (5.9 According to the reports on 27th June, 2011), While it was 6.5 on the 1st of this month. The agony is that he had two RBC transfusions between the two tests still his hemoglobin is falling this way. Now after the last results i.e. 27th June he had another transfusion of whole blood on 28th and had an injection for Hemoglobin (Mircera 200mg) on the 29th now today on 30th he’ll have another RBC transfusion of RBC and then on the next dialysis which is scheduled on Saturday the third one. This way he’ll have 5 blood transfusions 4 RBC’s and 1 whole blood. Please guide regarding hemoglobin and the temp cathe, permanent cathe, fistula options. Currently he is under the temp cathe and had 1 failed fistula surgery too. Awaiting an earliest reply. Jazakallah khair. June 30, 2011 walaikum wassalam. First of all it is important for you to know the condition of the patient and the diagnosis as patient has a complex of diseases. Patient has hypertension induced Renal failure and hypertension induced heart failure. The reports suggest that patient has advance renal failure and the residual function of kidney is less than 10 %. As you have mentioned that the main problem of the patient is shortness of breath. the causes of shortness of breath are as follow: A) As the patient has an HB of 5.5 which is of course dangerously low. This low haemoglobin is due to non functioning kidneys. Basically the chemical that causes blood formation in the bone marrown is derived from thekidneys. When kidneys lose its function the blood formation reduces significantly which cause Anemia(low Hb). This low HB results in shortness of breath because of the low oxygen carrying capacity of the blood to deliver oxygen to the body tissues. B) Heart failure is another cause of the shortness of breath. Heart functions as a pump that pushes the blood towards the tissue. Decline in heart function leads to Inadequate supply of blood to the tissue which cause shortness of breath and also the blood starts to pool in the peripheral tissues like lungs that also causes shortness of breath. C) Ureamia; patient has a significantly elevated urea and creatinine levels that shows that toxins have not properly eliminated from the body. These toxins in turn virtually disrupt function of every organ of the body. At this particular point of time the most suitable and life saving treatment is of course Haemodialysis. Three times a week is one of the best regimens along side the concomitant treatment for Hypertension and heart failure. Regarding low HB the most suitable treatment would be ESPOGEN( recombinant erythropoietin). This is the chemical that induces blood formation as mentioned earlier on. Patient is already taking it. If economically feasible it would be best if 2000 units be given twice a week subcutaneously. It will have significant impact on both low HB and Shortness of breath. Regarding the catheters it's necessary to know that long term dialysis needs fistula. The dual lumen catheters have a high chance of bacterial infection and are thus used as a temporary bridge to fistula. Formation of fistula to until it works takes up to 2 months. Central venous catheter( used as a bridge to fistula) have two varieties; 1) the first variety are temporary catheters that passed directly to central veins and are thus easy to use but have high rate of infection and less half life. 2) Permanent catheters that are passed into the central veins via a tunnel in the skin. The chances of infection are low and half life is more but these require high skill to pass and are costly. Thus if the patient has already one failed surgery procedure, it's better to use a permanent Catheter(the second variety) and then try for a second fistula surgery and if the surgery gets successful then remove catheter and proceed further with fistula. I hope you find this helpful. regards.Dr.Abdur Rehman Alozai.
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diff --git a/processed/document_classification/train/Confidential/doc_4623.txt b/processed/document_classification/train/Confidential/doc_4623.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67a7fa3adf9f1624ae1c4ff42997941852760ee6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4623.txt
@@ -0,0 +1 @@
+Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_4624.txt b/processed/document_classification/train/Confidential/doc_4624.txt
new file mode 100644
index 0000000000000000000000000000000000000000..504e13075da7843431f3601c5d439188c9a4e3e1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4624.txt
@@ -0,0 +1 @@
+Hi, I am a 24 yr old female from Bangalore. I have been facing hair loss and hair thinning issues. I was put on spironolactone and yasmin for a year since i was diagnosed with mild pcos although i did not have severe symptoms but had a few acne. During this time, my hair strands thinned out. I stopped taking these tablets in jan 2015. By april 2015, i had severe hair fall and it has not yet stopped. Soon after i stopped these tablets, i got my blood tests done for ferritin and vitamin d. My ferritin was 10 and vitamin d was 3. I took supplements orofer xt and drise and currently my ferritin is at 27 and vit d at 57. My hair is still falling out and I lose around 150-200 hair daily. What could be the reason for this? The hormone tablets already caused hair thinning and reduction in volume and now there is hair fall as well which makes my hair look much thinner. I have always had thick black hair and now my hair strands are thinner and brown in color. Hello, You seem to have androgenetic alopecia characterized by thinning and hair loss from the top, mid and vertex part of the scalp. PCOS is very commonly associated with androgenetic alopecia in females. I suggest that you use Minoxidil 5% solution, 1ml, twice daily. In addition, I suggest you to also take an oral anti-androgen e.g. Finasteride tablet. Both of these are specific remedies for androgenetic alopecia. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_4625.txt b/processed/document_classification/train/Confidential/doc_4625.txt
new file mode 100644
index 0000000000000000000000000000000000000000..50bd0d8918a2472fdfd1e14940f2590abc968e3c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4625.txt
@@ -0,0 +1 @@
+Hi I was wondering if you might be able to provide a little insight as to why I would have random hiccups, daily, it's pretty frequent but usually are only like 2 at a time, every hour or so I find myself hiccuping again, I just want to see if this is any symptom to something that is possibly more serious. Hi,Good Evening.Thanks for the query to HCM.I studied it in depth and I understood your health concerns.-Cause -for Random Hiccups-1-This indicates something irritating to the diaphragm from respiratory box or from abdominal box and is a grave sign if it occurs in terminally ill patients-indicating high urea.2-It may also be due to the Gastritis /Hepatitis/Pluritis ? or neural reasons.3-You should consult your physician ASAP , and fix any pathological-serious-reason for the random hiccups amongst the causes told above.4-Dont get scared and uneasy,but be cautious and act fast.Hope this would help you a lot to relieve you.Wish you fast recovery-and healthy life.Wellcome to HCM with more queries till you are satisfied.Have a Good Day...!!Dr.SAVASKAR M.N.M.S.GENL-CVTS,Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer,Asthma,etc,Rejuvenation therapy and Tissue failure -reversal therapies.a
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diff --git a/processed/document_classification/train/Confidential/doc_4627.txt b/processed/document_classification/train/Confidential/doc_4627.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f83a482558721a7a9f4dd993bb153ffb3caf6ae4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4627.txt
@@ -0,0 +1 @@
+Hello doctor, We had an unprotected sex on 13th day of her period. She took Ipill 19 to 20 hours after sex. Now on period due date she got light bleeding for two days. According to her, she always gets her bleeding only for two days. 28 days cycle. Before sex she got periods on 21st and after sex she got it on 19th of next month. Any chance of pregnancy? Hi. Since you have taken emergency pill within 72 hours of intercourse, there is no chance of pregnancy. The bleeding could be because of hormonal changes due to the pill you have taken, it is withdrawal bleeding. So relax and do not worry. However, if you have a doubt then get back to me. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4628.txt b/processed/document_classification/train/Confidential/doc_4628.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6f2203effef29a48b496bfb294f45d5522702517
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4628.txt
@@ -0,0 +1 @@
+Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4630.txt b/processed/document_classification/train/Confidential/doc_4630.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fc00d0b0e8403273cc6327e0cc09f65192d91220
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4630.txt
@@ -0,0 +1 @@
+I have diabetic retinopathy and had a hemmorrage last thursday. Will the floaters in my eye cause me to see shadows that i might confuse with flashes? I did have a retinal tear in the other eye but it has been lasered and has been looked at by my specialist, but could the laser cause me to see lights as well? They are really flashing lights, just more flickers of lights Hello, Thanks for the query.Following retinopathy (proliferative) if pre-retinal bleeding occurs, then the blood is not rapidly cleared from the posterior cavity of the eye. This can affect vision. After a certain period floater remain in the eye which can create some hindrance to the vision. Plus after the laser burns some flash lights are seen. These do not affect vision, but will remain. One need not worry about it. But it is essential to get a periodic retinal examination doen to see if there is any worsening of the existing condition. Plus strict blood glucose control is also a must. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4632.txt b/processed/document_classification/train/Confidential/doc_4632.txt
new file mode 100644
index 0000000000000000000000000000000000000000..99337381e527f925c47c8afde77aa3e742b84e62
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4632.txt
@@ -0,0 +1 @@
+My 21 year old has numerous canker sores in his mouth that arose 5 days ago (he's never had them before). He now also has a pounding headache. Other than oral gel to ease the mouth pain, he has tried mouthwash and has swished with hydrogen peroxide (not at my advice) and the pain is tremendous.are the headache and mouth sores related? or should he just treat them individually? Advil is not relieving the headache at all (he is away at college and asking for advice.) Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Canker sores in the mouth can be due to a number of causes like nutritional deficiency, stress, eating more spicy and acidic foods or allergic reaction. In case if it is associated with other symptoms too then it can be due to viral infection causing cold sores. If the symptoms are too severe then better consult an oral physician and get evaluated. A clinical examination and if needed an oral swab culture test can help in diagnosis. For now to reduce pain he can continue applying numbing gels and also can gargle with a specialized mouthwash like magic mouthwash. Sucking ice or cool water rinses can help. Take Vitamin B complex daily. Take the soft diet and drink plenty of water. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora
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diff --git a/processed/document_classification/train/Confidential/doc_4633.txt b/processed/document_classification/train/Confidential/doc_4633.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d8e065949190c983a746a96455eb70ff446ba747
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4633.txt
@@ -0,0 +1 @@
+hi sir am santosh.i have masturbated my pennis in my hands with 24 times wit semen coming outside.buuut yesterday ialso i did d same process but my pennis colour hav been changed to brown in the region of glan and i have pain now.please tell me the effects of this and also tell me if i had a sexual matter with my wife will leads to pregnancy with my masturbated pennis r not Hello,Masturbation is usually safe and never unhealthy. The pain and discoloration you are experiencing could be due to the pressure you have applied during the masturbation process. Do not masturbate for a week. Masturbation will not hamper your sexual health. Therefore I suggest consulting a skin specialist for physical examination, diagnosis and treatment.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
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diff --git a/processed/document_classification/train/Confidential/doc_4634.txt b/processed/document_classification/train/Confidential/doc_4634.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e0f43fda54fcaa7fa735e89c43db4f12ce4c9357
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4634.txt
@@ -0,0 +1 @@
+I was on my feet for three days. And now I have lower back pain where I can't stand, sit, or lay down with out it hurting. I was laying down and turn wrong and I had a sharp pain up my whole back. I couldn't move for a little bit. Now I can't really do anything. What could have caused this, and how I can I fix this pain. Could be some acute sprain or even a disc problem of spine. Get evaluation by orthopedic specialist who on physical tests can determine the origin of pain and whether radiological tests are required for diagnosis..In mean time take combination of methacarbamol 750 mg and ibuprofen 400 mg thrice a day after meals,, apply hot packs, take firm mattress to lie down and maintain the most pain free posture on lying down in any position.
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diff --git a/processed/document_classification/train/Confidential/doc_4635.txt b/processed/document_classification/train/Confidential/doc_4635.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c69940e1a29adf3748c2b7394d44c582675bfa60
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4635.txt
@@ -0,0 +1 @@
+My 6 3/4 year old son swallowed a piece of a ballon. He did not choke at all. Should I be concerned and what should I do? My son is about 48 lbs and 4 feet tall. He is behaving as he normally does. I am worried because I understand it is very dangerous to swallow broken ballons! Thank you so much! Hello, Any foreign body consumption is injurious.Might get stuck at anatomical constrictions of Gastro intestinal tract.If stucked even it might causes perforation.Please carry out xrays- chest and erect abdomen to localize it.Diagnostic endoscopy might be of helpful.Please consult.
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diff --git a/processed/document_classification/train/Confidential/doc_4636.txt b/processed/document_classification/train/Confidential/doc_4636.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff7e3ca97f235a8fd9e44b6c7f56fec7a0fe7363
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4636.txt
@@ -0,0 +1 @@
+Hello my daughter had a fever a few days ago between 100.4 - 102 and then I noticed a sore on her lip like a cold sore and today I noticed her gums are a little swollen. I know she has 3 teeth coming in, could this be the reason for this? Also she has lost her appetite HiWelcome to the HCMGum swelling can be due to the possibility of teeth eruption. So don't worry. In case she seems to be irritable and discomfortable, you can give her acetaminophen or ibuprofen syrup for pain relief.A slightly raised temperature (lower than 38 degrees C), but not a fever can be an associated symptom for which acetaminophen will be helpful.Your toddler may lose his appetite when he's teething. Chilled foods, such as a yoghurt or fruit purees, may soothe his gums and be more appealing. For further questions, do contact us.
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diff --git a/processed/document_classification/train/Confidential/doc_4637.txt b/processed/document_classification/train/Confidential/doc_4637.txt
new file mode 100644
index 0000000000000000000000000000000000000000..91d412de91a6f7aa5e127dbcef6919a067c80812
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4637.txt
@@ -0,0 +1 @@
+My 14yr old daughter is Leidens Factor V mutation positive, opposing that, her blood that is not clotting has no granules surrounding the platelets. This in and of itself has been a balancing act, thankfully, I took her to a GYN whrn puberty wrecked havoc with her bleeding. He did a Mirena implant and all has seem well. 2 months ago she began having headaches, sever, and daily. Our family doctor did urine and blood tests, said he couldn't find anything gave her a migraine prescription, and we should just give it a few weeks. After a few weeks of no change I called her GYN and asked if this could be due to the Mirena. He had her come in, ran a CT scan, and then ordered an MRI when the scan came back showing "something," (the MRI tech said he believed the CT scan showed that the sack that contains the spinal fluid in the brain was enlarged and that was why the MRI was necessary.) The GYN called today with the results of the MRI and said my daughter is missing her septum pellucidum. My daughter has metabolic disorders, her body does not burn natural sugars, it stores them as fat. Are these types of problems connected to the missing septum pellucidum? She has no vision problem, is a 4.0 gpa student, and although she is somewhat clumsy and uncoordinated, she does not have any developmental problems. Is a missing septum pellucidum a serious issue? Hi The absence of Septum pellucidum is genetic disorder having numbers of clinical manifestation, nothing much can be done, the only hope is newer genetic medicine. Take care of your baby, Have great day
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diff --git a/processed/document_classification/train/Confidential/doc_4639.txt b/processed/document_classification/train/Confidential/doc_4639.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80c661894ff127ba0040c03b699a59dea87f251c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4639.txt
@@ -0,0 +1 @@
+my daughter has mthfr. she has major fatigue, she is 14. i give her b12 and amino acids. she has low vit.. d she is taking 5000 grams a day now. she doesn t have epstein Barr. how dose folic acid help your body. what are your cells needing for proper absorption of nutrients Like people need to eat food for nutrition ...folic acid is one part of nutrition of blood cells. If folic acid is low people get anemia.In thallasemia minor there are low levels of folic acid so patients are supplemented folic acid from outside...
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diff --git a/processed/document_classification/train/Confidential/doc_4641.txt b/processed/document_classification/train/Confidential/doc_4641.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6e9f6f947cb0a7e97c9261f8d2d333dfffdf8c17
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4641.txt
@@ -0,0 +1 @@
+Had a vasectomy when I was 25, I am now 34. I find that I have mild to moderate pain in my testicles. I have also noticed that I sweat excessively, sometimes without even any physical involvement. When I sleep I wake up in puddles. Is this normal? HelloI appreciate your concernLooking at your description this could be signs of epididymoorchitis or injury to testisI would like further information to help you better likeYour relevant medical history like diabetes or other metabolic diseaseSince how long you have this problem?I would advise you to consult your doctor for battery of investigations like urine microscopy as well as urine culture and sensitivity test and an doppler study of testisYou may require a course of antibiotics depending upon the reportsmeanwhile you can take ibuprofen for pain relief and wear scrotal supportHave plenty of fluids which will flush off the urogenital tractMaintain good hygieneThanks for your questionwish you a speedy recoveryBest wishes
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diff --git a/processed/document_classification/train/Confidential/doc_4642.txt b/processed/document_classification/train/Confidential/doc_4642.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a46d699e51247f341533e56085d50ee9060ead60
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4642.txt
@@ -0,0 +1 @@
+My husband and I have decided to start trying for our first child together (we each have a child from a previous marriage). I was taking nuvaring and zoloft and he was taking prozac. I have not taken the zoloft since friday night and I took my nuvaring out saturday morning. Is there any concern with the zoloft? Hi, Thank you for choosing Healthcaremagic. You need to consult doctor to change to something which is less TERATOGENIC. Zoloft is an anti-depressent so you need to be careful.Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!
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diff --git a/processed/document_classification/train/Confidential/doc_4643.txt b/processed/document_classification/train/Confidential/doc_4643.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6473f02a8d4342020c9246532b4388cf25684b1c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4643.txt
@@ -0,0 +1 @@
+i am 5 8 and weigh 180. I just had an endoscopy yesterday that revealed a lump in my stomach---the doctor said it could be from organs pushing into my stomach or a tumor....so they plan to do another endcosopy---ultrasound this time. what organs could be pushinginto my stomach and what causes this? Hi, dearI have gone through your question. I can understand your concern. You may have enlarged spleen or some other mass lesion in stomach or peritoneum. You should go for ultrasound abdomen or ct scan abdomen. It will give you exact diagnosis. If needed go for guided biopsy of that mass. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_4645.txt b/processed/document_classification/train/Confidential/doc_4645.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8b84058c44aa217c36325ac3e9d34a30642581c4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4645.txt
@@ -0,0 +1 @@
+I have a lump between my navel and penis area. When I do a hard cough the lump appears and it is soft to the touch, this is on the left side. The first time there was a ringing sound in my left ear for about a few days and the sound has gone. Now when I cough the lump has moved to the right side and there is a sound like bubbling. Hi,It seems that you might be having inguinal hernia, direct or indirect inguinal hernia.Consult surgeon and get examined.Avoid constipation and cough reflex.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4646.txt b/processed/document_classification/train/Confidential/doc_4646.txt
new file mode 100644
index 0000000000000000000000000000000000000000..19f59a3af853f096191107a4d29c7c3dffb1bfc5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4646.txt
@@ -0,0 +1 @@
+Dear Sir, My father is aged 64, from past 1 month he come complaing of left hand pain. On 26th Dec 11 we took him to the Ayurvedic centre. They recommended for massage treatment for one week. First day after the massage the pain increased and it became very bad wherein he was not able to move his hand. So we took him to Ambedkar hospital in hebbal, Bangalore, got his x-ray done. Dr diagnoised that it was the muscle connecting to the spinal cord was hurting him. So he asked him to wear neck belt and gave him medicines and asked him to come for physiotherapy for a week. If the pain still continues then he has to be hospitalised and given treatment. Now one week is over he is finding difficult to sit, bend, move his hand and pain is very severe. Dr. has asked to go for MRI Scan and do the treatment. Pl. suggest if hosmat,bangalore is the best hospital for this treatment or what is the treatment Hello,I would agree with his doctor on asking a cervical spine MRI, in order to exclude a possible spinal cord compression. In such case, surgery would be needed as soon as possible.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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diff --git a/processed/document_classification/train/Confidential/doc_4649.txt b/processed/document_classification/train/Confidential/doc_4649.txt
new file mode 100644
index 0000000000000000000000000000000000000000..93f10de40c70382f0cd2ce79d0814c62dfa91b35
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4649.txt
@@ -0,0 +1 @@
+HI i AM 26 YEAR OLD.I AM FACING PROBLEM OF SEVERE ACNE PROBLEM.ALSO TAKING HOMEOPATHIC MEDICINE BUT ITS NOT WORKING SO EFFECTIVELY....ALSO WHEN I FELL THEY ARE GETTING RECTIFIED ON THE SAME DAY SOME AGAIN POP UP.....AND ITS VERY PAINFULL.THEY ARE RED NOT WHITE AND ALSO LEAVING MARKS ON FACE,PLEASE SUGGEST ME SOME EXACT AND FAST WAY.......... HI, THANKS FOR CHOOSING HCM, severe acne problem may be due to reasons like hormonal imbalances polycystic ovaries(though your periods are regular pcos may be present) exposure to dust and pollution infections so meet your doctor rule out the cause first some good tips: completely clear out your dandruff take less fatty foods, go for good diet and exercise keep your skin away from pollution(use a scarf etc) try to control cause of acne frequent facewash as well as hand wash stop fast foods seriously have fresh fruits,green leafyveggies ,fruit juices reduce spicy foods dont scrub the area inorder to get rid of pimples because it makes your pimples spread dont squeeze them ,it leaves pores and dark patches clear your pimples by following the above measures or meet a doctor... once your pimples get cleared completely then only treatment of pores and black patches can be cleared succesfully . this happens naturally after your pimples clear off or you may need medication also(ointments like melacare helps in clearing marks but this should be used after complete eradication of pimples) remember dont go for facials when you have pimples it worsens the condition natural remedies like neem leaf paste and tulsi paste application can help you with quick results but when you apply anything on face check that it suits you and only when you are sure it is working go ahead with it and also remember that when few creams are used initially acne gets worse but later it works very well so it is up to you to judge whether to continue or stop it hope i answered your query feel free to contact me for further queries thank you
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diff --git a/processed/document_classification/train/Confidential/doc_4651.txt b/processed/document_classification/train/Confidential/doc_4651.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4a96ca1228bc2f435e17e70c577beeaf8b967cb4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4651.txt
@@ -0,0 +1 @@
+20 day before we come to know that my father is suffering from hepatitis B as well as 20% liver damage. he also had cirrhosis. After some of testing his medication has been started.from today noon he having sever pain in his abdomen and have loose motions. After consult to doctor we have given him econorm and plantocid.after 2 hours he having relief but now he is shivering like any thing and having fever 1.4 degree celcisus. please provide consultation regarding that. Hello, For diarrhea, he has been given a probiotic tablet. The fever could be due to associated liver inflammation. I suggest you investigate him with sgpt, crp and cbc estimation for primary workup. Meanwhile, paracetamol sos can be prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4652.txt b/processed/document_classification/train/Confidential/doc_4652.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e94798a0f8ccb32810e4f659a96523e89a2b911f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4652.txt
@@ -0,0 +1 @@
+i have not been to a dentist for three years after a bad treatment when he hit my nerve drilling and now i have a broken widsom tooth which is in half and a hole in another tooth,my teeth are yellow even tho i brush and my gums are sore and some times bleed and i suffer from tooth pain and i am scared of eating incase i get ooth pain please help me i want my teeth to look nice and pain free hellooo...read thru ur query...first of all i must say that dont be tensed...nxt thing i can say is that dont be scared of dentist...bcoz of one bad experience...it might have happened by chance that resulted in pain for u.(which im also sad to hear)...that doesnt mean everytime he causes pain...(so cheerup)...regarding yellowing u dont have to be sad its natural that many people have yellow teeth (including mine).yellowing doesnt mean that u have bad oral hygiene or u dont brush..its due to excessive deposition of dentin beneath the enamel...and regarding hole in the tooth u have to go to a dentist get it filled(if deep rootcanal treatment mayne required which can be confirmed by xray)...and if u still want to whiten ur teeth there are procedures like bleaching or veneering which will be done by dentist...to prevent further caries to ur teeth brush twice daily use chlorhexidine mouthwash and do flossing...these all can reduce the bleeding from gums(gingivitis)..so be cool meet a dentist get it done...hope ur benefitted something from this reply..have a healthy day!!!
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diff --git a/processed/document_classification/train/Confidential/doc_4653.txt b/processed/document_classification/train/Confidential/doc_4653.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae15deec35f3222209aadb3d7680fddb31091e81
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4653.txt
@@ -0,0 +1 @@
+I have been diagnosed with IDC breast cancer. So far I have been told that the ER and PR receptors are weakly positive (2% ER and 20% PR) and the HER2 is negative. I have also had an MRI which shows one suspicious lymph node which I will have an ultrasound/biopsy on next week. The mass in my left breast has measured at 3.2 CM. I have been told that the treatment should be 5 months of Chemo (ACT) and then surgery. I am wondering if I should be seeking a second opinion or if this course of treatment sounds correct. From discovery of the lump to now, it has only been a month so everything has been moving quite quickly. Upfront chemo followed by surgery is one of the suggested therapy for early breast cancer. On chemotherapy the lump may decrease in size and later the surgery could be a breast conservation on rather than a radical mastectomy.. Hormon receptor status is weak . So hormone therapy may not be very useful.. You are ilon the right course... Continue with the same.. Thank you
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diff --git a/processed/document_classification/train/Confidential/doc_4654.txt b/processed/document_classification/train/Confidential/doc_4654.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d23e2f40f5b8c1636dc20269a20ac6081a5ff1a8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4654.txt
@@ -0,0 +1 @@
+SIR, I DONT HAVE CHILDRENS .12 YEARS FINISHED.MY MAIN PROBLEM IS MY HUSBAND IS GOING UNDER DEPRESSION,INFERIORITY COMPLEX DUE TO HIS PROBLEM .WE TRIED ALL THE TREATMENT EVEN ICSI LAST YEAR THAT ALSO FAILED. NOW IAM THINKING ABOUT AT ANY COST AS EARLY AS POSSIBLE.CAN YOU ADVICE ME DOCTOR. SMITHA SUDHEER,KUWAIT Hi Dear,Not having child and feeling depressed is a normal phenomena.nut you should come out of this with the help of psychiatrist.you and your husband is going through depression and both of you need consult psychiatrist.with the help of drugs and psychotherapy you feel well and think of other option of having child.You can contact infertility specialist for such complain.What are the reports of both of you suggest?what is the reason behind not having child?Thank you
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diff --git a/processed/document_classification/train/Confidential/doc_4655.txt b/processed/document_classification/train/Confidential/doc_4655.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6c515341daab22d4161960cbb9786a6c8593803c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4655.txt
@@ -0,0 +1 @@
+There is a hard white ball on the edge of a fairly new scar on my forehead. Looks like a big whitehead but won t pop. No pain or itching comes from the spot. Just wondering if it is extra scar tissue or something else? Also, can it be removed or will it go away with time? thanks for sharing your health concerns with us!you have to mention the size of the lumps; however, possibilities are: a sebaceous cyst or a keloid like thing! Not likely to go away with time please ask your surgeon!an FNAC TEST IS THE BEST WAY TO CONFIRM IT!all the best...................
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diff --git a/processed/document_classification/train/Confidential/doc_4656.txt b/processed/document_classification/train/Confidential/doc_4656.txt
new file mode 100644
index 0000000000000000000000000000000000000000..caad475374e13ce1af41d79249f3d22e0df28500
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4656.txt
@@ -0,0 +1 @@
+hi i m 21 and this is the second time i had the implanon. Its been one month with it and im starting to feel numbness in my left arm. Also sometimes my arms starts shacking. I have also been getting symptoms like when i was pregnant. Should i be worry about this? HIThank for asking to HCMI really appreciate your concern, what the history given here it said that you have device implanted and now you have numbness in your arm, and one more query is you had a somewhat same symptoms when you where pregnant in fact this is just your delusive state of mind otherwise this is nothing to take with your arm and the Implanon, no need to worry about it the numbness may due to some functional elements, hope this information helps you, have a nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_4658.txt b/processed/document_classification/train/Confidential/doc_4658.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ffff6f30f2d1eb03bfd09293c5983355fe9c1aa9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4658.txt
@@ -0,0 +1 @@
+Hi I am currently on my third cycle of clomid and my doctor has called me to say that my last day21 blood test showed my progesterone was 118.4nmols so he thinks I should be pregnant. Done a home test and it s negative though. Could I still be pregnant or is there another reason why my progesterone is so high? My previous day21 results were 58.7 Thanks Laura Hello,welcome to Healthcare Magic.Urine pregnancy test kit may gives some time false negative results.Please do it with other brand kit and with first early morning urine sample.In first 3 months of pregnancy, progesterone level ranges between 15-90 ng/ml.It may be due to pregnancy but other factors are also there which change the level of hormone.Please consult your gynecologist for vaginal examination.Hope this will help you.Thanks for contacting.Have a healthy life ahead.Take care...
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diff --git a/processed/document_classification/train/Confidential/doc_4659.txt b/processed/document_classification/train/Confidential/doc_4659.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1ddbe7da62c7840add56d0b6ca7f6eefa3b9d0d4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4659.txt
@@ -0,0 +1 @@
+my 3 year old son has a constant bruise on the middle of the lower back. it is usually a yellowish color but today when i looked at it it has red spots. also when feeling it when he is standing up it feels like a bumb. but with him bending over its a semi large bulge Hi, Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
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diff --git a/processed/document_classification/train/Confidential/doc_4660.txt b/processed/document_classification/train/Confidential/doc_4660.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcedff5e7f8507ebb2e46d651145b0a783c0fe43
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4660.txt
@@ -0,0 +1 @@
+Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4661.txt b/processed/document_classification/train/Confidential/doc_4661.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b5779a26317f32df187a1902da1fb3402588744f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4661.txt
@@ -0,0 +1 @@
+Hello, I am 24 years old, I had been diagnosed with CIN 1 in june of 2012, after a normal pap in 2011. Then upon repeat test i had CIN 2 in aug of 2012. my doctor did a lazer ablation of my cervix in dec and my last 2 paps have been normal. but in july of 2013 my periods have been getting very irregular, heavy, and longer. I saw my OB and she prescribed birth control. A few weeks ago i had sever pain in my left pelvic area and went to the er. upon ultrasound they found a left "complicated hydropsalpix of 6.5cm with low level internal echoes and debris" rt ovary 4.1cm left 2cm. and possible endometriosis. The doctor in charge of my care has left the practice and My new OB that took my case does not seem to be concerned at all. Do i need a second opinion? I worry about cancer because my grandmother has had breast cancer twice, once at 35 and again at 64. 1 of her daughters (my aunt) has had ovarian cancer and another has had breast cancer. My father also has a sister with ovarian cancer. Given my family history, do i have a reason for concern? I am done having kids, i have 2, but when i asked my physician about the possiblily of a hysterectomy due to all the problems developing over the last year she said i was "too young to make that choice" Im just looking for another opinion. Thank you Hi,Thanks for writing in.With history of CIN 1 and family history of cancers, your concern and worry are genuine. At the same time you have been successfully treated for CIN 1 . At 24 years age it is too early to get hysterectomy done when your CIN 1 has been treated. Ovaries are necessary for hormonal production in young women and should not be removed unless indicated.The complicated hydrosalpinx can be treated by colposcopy. You may take a second opinion on that concerning its management.Hope this helps
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diff --git a/processed/document_classification/train/Confidential/doc_4662.txt b/processed/document_classification/train/Confidential/doc_4662.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3b33296ca5ad1d7eb4a4be7c9c580f3b445dccd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4662.txt
@@ -0,0 +1 @@
+Hello, My friend is in a issue right now... She has a month old baby who has the sweats and has spots on his tongue. Her doctor told her to bring him right to the ER, and they probably will do a spinal tap. She really isnt sure what it is, can you help me? hellothank you for trusting HCMdear any central nervous system infection we need to do spinal tap. for example meningitis (bacterial or viral), intracranial hemorrhage some times therapeutic use in raised intracranial tension. I think I answered to your question if you have more questions feel free to ask.take care
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diff --git a/processed/document_classification/train/Confidential/doc_4663.txt b/processed/document_classification/train/Confidential/doc_4663.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3431733833e6e1698e51d207e6cfbdb2caab90b3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4663.txt
@@ -0,0 +1 @@
+I am a heart patient undergone stent about 8 years back and very regularly visit narayana hrudalyala for periodic checkups. Now I have some dental problem and have gone to Narayana Hrudayala Dental centre at Rajajinagar. I need to undergo root canaling and Dr, Ramya who is attending me wants to have a clarification - as to if the local anesthisya that needs to be given i,e 2 ml solution NERVE BLOCK has to be given WITH OR WITHOUT ADRENALINE. Please clarify this. Thanks & Regards. S.Vasudevan - cell no. 0000 Thanks for your query, I have gone through your query.The root canal treatment can be done under local anesthesia without adrenaline.The local anesthesia with adrenaline will result in vasoconstriction and increases the blood pressure so you can get it done under local anesthesia without adrenaline since you are a cardiac patient.Another possibility is you can also do RCT under local anesthesia with adrenaline if your blood pressure at the time of procedure should be within normal limits.To be on the safer side, get it done under local anesthesia without adrenaline.I hope my answer will help you, take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4665.txt b/processed/document_classification/train/Confidential/doc_4665.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92202f2402b92e11a4c92d7aa9709ee50a913400
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4665.txt
@@ -0,0 +1 @@
+Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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diff --git a/processed/document_classification/train/Confidential/doc_4666.txt b/processed/document_classification/train/Confidential/doc_4666.txt
new file mode 100644
index 0000000000000000000000000000000000000000..018289a820a6195e0b1817ede493d7434498c7c1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4666.txt
@@ -0,0 +1 @@
+I have a period every 3 months and this is the first month i start to not have one. I have been reading a lot of things on the internet about pregnancy and signs. I have been having bad stomach pains, bad back pains, and now my legs are like cold skin deep and i took a test but it was negative. I still think i am because i still feel the same as i did before the test. Does this mean im pregnant? HiI have gone through your complaints.sorry to say this that you may not be pregnant now with this history .you are saying you read ininternet.not having periods is not only symptom that wil tel pregnancy.in the presence of missed period ,breast tenderness ,nausea and vomiting if present go for urine/ blood pregnancy test or ultrasonogram.first one thing i want to tell you that evaluate for why you are getting once in 3 months.it requires complete work up and then its important to regulate your periods.if this is done defenitely the chance of conception increases.consult Dr for evaluation.Thank youRegardsVasundhara
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diff --git a/processed/document_classification/train/Confidential/doc_4667.txt b/processed/document_classification/train/Confidential/doc_4667.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9d8612bf23ed6525bb5a3d17db87b810ef889ce3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4667.txt
@@ -0,0 +1 @@
+when to sit down on toilet lid before getting into shower was naked slipped off and fell back into a porcelain or ceramic tile toile paper holder built into wal vary hard. the round point hit in my lower back toward area red and left bruise with in one hour i was running a fever and have been for two days. Hello,Your symptoms could be related to a local infection or inflammation. I recommend going to the ER for a physical exam, a sacral X-ray study and some blood lab tests for inflammation (complete blood count, PCR, ESR).Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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diff --git a/processed/document_classification/train/Confidential/doc_4668.txt b/processed/document_classification/train/Confidential/doc_4668.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a21e7578a9845925686b3c5222e89ef9014d8f70
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4668.txt
@@ -0,0 +1 @@
+Hello doctor, I have a red color patch just below my neck. It just appeared a few weeks back. It comes and goes away. This time it looks a little prominent. It does not itch or bother me. I have attached photos for your reference. Gender: Female, age: 26, height: 160 cm, weight: 63 kg. Hello. It is pityriasis versicolor (a type of fungal infection). Kindly follow the prescription. 1. Apply Clotrimazole lotion over the area BD for two weeks. 2. Maintain hygiene of the area. 3. Wash with mild soap and water. 4. Avoid Dettol and other irritants. You will get better.
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diff --git a/processed/document_classification/train/Confidential/doc_4669.txt b/processed/document_classification/train/Confidential/doc_4669.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0453d0d9707cf8c3cda4f7450cd8ca97a9d3c92f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4669.txt
@@ -0,0 +1 @@
+hi, i am male 28yrs, i am suffering from like melasma and pigmentation (blackness like butterfly around side of nose ) doctor gave me melacare cream to apply, after a few days it was cured but the problem is when i stopped it comes again, so i was applying once in a 2 days from 5 years i want permanent cure for this what should i do...please help me HI THANKS FOR CHOOSING HCM melacare cream contains hydroquinone,that help in improving the complexion,by peeling the outer layer of skin and bleaching exposing sensitive layer underneath it this cream may make your skin dry do use a moisturiser use a sunscreen lotion when you go into sun use this cream only at night not encouraged when you have pimples apply mild soap it is better to avoid such creams ,the benefits are temporary try to go for natural remedy like neem or tulsi paste try to rule out other reasons of melasma in men like hormone imbalances, family history application of mustard oil on face exposure to sun certain medications etc Do not use products such as soap, after shave or lotions that irritate your skin, because they may cause the melasma to worsen. After the melasma clears up, continue wearing sunscreen to help prevent it from reoccurring. HOPE I ANSWERED YOUR QUERY FEEL FREE TO CONTACT ME FOR FURTHER QUERIES THANK YOU
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diff --git a/processed/document_classification/train/Confidential/doc_4670.txt b/processed/document_classification/train/Confidential/doc_4670.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7b0dc97773a6a5114831549fb6ba70d5091c6f8c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4670.txt
@@ -0,0 +1 @@
+Hi Dr. I was diagnosed with aplastic amnemia 7 years ago. I am currently on my lowest dose of cyclosporin 25mg. My platlet count today was 51 so my Dr doubled my dose again to 50mg. I would like to know why I have burning headache. And this then makes me nauscious? please help!! Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Severe headache is possibly due to anemia and hence reduced oxygenation causing weakenss, dizziness and hence a feel of headache.2. Medication and reduced WBC count possibly resulting in infection of GI tract could be making you nauseous.3. Continue the therapy and try to improve the various blood counts.Hope it helps.Any further queries, happy to help again.
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diff --git a/processed/document_classification/train/Confidential/doc_4672.txt b/processed/document_classification/train/Confidential/doc_4672.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d13fc68d2a27e508a12841fc8a2904c93ba967bb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4672.txt
@@ -0,0 +1 @@
+my son had allergy testing yesterday and I was given a paper that listed the things he is allergic to. Several of the items are obvious, as they are listed by their common name, but several of them I don't recognize. I don't know how to avoid these allergens if I don't know how they are commonly encountered. What can you tell me about Fusarium, Cladisporium herb., and Monilla. I think theses are molds, but need to know what we should be avoiding specifically. Thanks!! Hello.Thank you for asking at HCM.Yes, you are right - fusarium, cladosporium herbatum and monilla - all are fungi (molds).I would suggest following measures to reduce exposure to molds:1. Molds mostly grow over damp/moist areas. Hence, if there are any such areas in/around your home, there are high chances that they may be source of molds. Removal/professional treatment of such areas would reduce production of molds.2. Using dehumidifier/air conditioning to reduce humidity inside rooms is also an important measure as molds grow in humid environment.3. Ensuring adequate ventilation and sunlight exposure in rooms is also another measure as it may "wash away" mold spores from the room and sunlight will provide dry heat.Above measures are usually suggested to reduce mold exposure. Hope above information will be helpful to you.Wish your son the best of the health.Thank you & Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4673.txt b/processed/document_classification/train/Confidential/doc_4673.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8faf14766e6f9bd7cc02974c8c6a0910c69f160e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4673.txt
@@ -0,0 +1 @@
+For a week now i have had a rasied hard itchy spot on my testicles , its sore and the itch is horrible , thought it might be a chigger bite and thats what it seems like , but havnt been in woods or anywhere to come in contact with that , but the soreness is not consistent with a bite and its not getting anybetter and seems to be getting worse? Hi,You might be something from lichen planus of scrotum, topical steroid is used for the treatment of these conditions. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia
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diff --git a/processed/document_classification/train/Confidential/doc_4674.txt b/processed/document_classification/train/Confidential/doc_4674.txt
new file mode 100644
index 0000000000000000000000000000000000000000..03a992b5d870674b8ea6cc1e4e23e15ba54e5980
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4674.txt
@@ -0,0 +1 @@
+Hi doctor, My mother underwent gallbladder surgery 10 months ago. From past 3 months she started having chronic cough. She tried many home remedies. She did not recover completely. I took my mother recently for a health checkup. As I suspected the chest report was not absolutely fine. But, the doctor was not at all concerned about her cough and said everything is normal. Why is it so? I want to know what is the meaning of this x- ray report and what should be our next step? Presently she is under medication for thyroid as well as diabetes. I have attached her reports. Kindly have a look at them and suggest how to go about the treatment. Thank you. Hello. Thanks for choosing this platform. As you said your mother is having chronic cough 4 months after surgery. It can be just coincidental finding as her x-ray (attachment removed to protect patient identity) is showing prominent basal vascular markings and cough can be aggravated by surgery. The x-ray findings are suggestive of interstitial lung disease called lung fibrosis which can be confirmed only after HRCT (high-resolution computed tomography) scan of chest. So at the earliest, I advise you to do HRCT scan of chest to rule out IPF (idiopathic pulmonary fibrosis). Once the diagnosis is made, treatment can be started accordingly. IPF or lung fibrosis is a chronic and progressive condition. So, diagnosis should be made as early as possible.Talk to your pulmonologist regarding further investigations and treatment. He will guide you better as frequent follow-up visits are required for monitoring the disease. Autoimmunity. HRCT chest to rule out IPF. Interstitial pneumonia. IPF (idiopathic pulmonary fibrosis). 1. Steroids 2. Immunosuppressants. Strict control of BP and blood sugar is a must.
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diff --git a/processed/document_classification/train/Confidential/doc_4676.txt b/processed/document_classification/train/Confidential/doc_4676.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3c6a2320b7465201f4c40a2ec00e7d3ff501b79
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4676.txt
@@ -0,0 +1 @@
+i have been spitting up blood every morning for the past month, even when i wake up from naps i spit blood.... but during the day my spit is clear..... i have a pain in my chest and feels like my right lung as well. can u tell me what it could be from Cause of spitting up blood can be tuberculosis, bronchitis, pneumonia, bronchiectasis, and bronchogenic carcinoma. I will suggest u do a CT scan of chest with contrast.For temporary basis u can take tab Pause 500 mg thrice daily after food for 3 days.RegardsDR De
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diff --git a/processed/document_classification/train/Confidential/doc_4677.txt b/processed/document_classification/train/Confidential/doc_4677.txt
new file mode 100644
index 0000000000000000000000000000000000000000..06371bc0f0bcc8ded07296395dc90f2305545347
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4677.txt
@@ -0,0 +1 @@
+I have gotten numbness in my right hand when I drive/ hold the phone for years. When I put my hand in my lap for awhile(let go of steering wheel for awhile) it goes away but then comes back if I grip the wheel again. For the last few months this has gotten worse and now it happens all the tine off and on. When I wake up it is bad and then usually goes away after a bit, but lately it's not going away as easily or coming back sooner. My right shoulder/deltoid has been sore as well for awhile and it's sometimes hurts to raise my arm or cross it /adduct it over my torso. Is this a pinched nerve thing? What shall I do or what kind of dr should I see? Thanks you may be having cervical disc prolapse causing compression over the corresponding nerve root,or you may also have a periarthritis of shoulder.kindly consult a neurosurgeon
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diff --git a/processed/document_classification/train/Confidential/doc_4679.txt b/processed/document_classification/train/Confidential/doc_4679.txt
new file mode 100644
index 0000000000000000000000000000000000000000..74e05cb0e340a46f792b94458f381d6090e2c9cb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4679.txt
@@ -0,0 +1 @@
+Hi, I would really like to know why my heart always beats really fast after a full meal i'm 21 and not on any diet this usually always happens after I eat and have no idea what causes it to happen I do drink soda with caffeine but i've had caffeine all my life and never had any problems the fast heart beat lasts for a couple hours before slowing down to a normal rhythm and when I swallow I have a little discomfort pain in my throat what do you think is the problem with all this? Hi,It may have two causes: either your stomach is too full after eating or there are abrupt changes in blood glucose levels after eating. For both causes it is better to eat with small portions, but frequently. Don't drink soda or any other liquides with meal. Chew slowly. Take careCome back if you have any further questions
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diff --git a/processed/document_classification/train/Confidential/doc_4680.txt b/processed/document_classification/train/Confidential/doc_4680.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6a98bae4b1007586df24d3618e3d30cc7a0c2c63
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4680.txt
@@ -0,0 +1 @@
+Please find below the recent result of my Liver function and kidney function tests and help me with the meaning and implication of this. Electrolytes, Urea & Creatinine: S-CO2 31mmol/1 S-Urea 2.4mmol/1 Liver functions: S-Unconjugated Bilirubin 15umol/1 Liver Enzymes: S- ALT 43u/1 37 c My mail addresss is YYYY@YYYY hi, Both your liver function test and kidney function tests are normal.Blood urea and serum creatinine are measured for evaluating kiney functions. both are breakdown products of protein and if they are excreted normally by the kidneys, the blood levels of these will be within normal limits. Serum bilirubin is a byproduct of breakdown of old red blood cells in the body. Elevated unconjugated bilirubin and ALT means even though liver might be functioning normally, there is obstruction in the excreting system of liver. It could be because of stones, tumour, or strictures.regards
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diff --git a/processed/document_classification/train/Confidential/doc_4681.txt b/processed/document_classification/train/Confidential/doc_4681.txt
new file mode 100644
index 0000000000000000000000000000000000000000..878661b862cd4d7623b75043622470b34f73628c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4681.txt
@@ -0,0 +1 @@
+Hello. I have a 22 month old son that has had constipation issues since he was an infant. He is constipated and when I was changing his diaper I noticed that he has a few red rings around his anus. It looks like he may have been bleeding....not sure if it is just diaper rash, or if it is related to the constipation, or an allergy of some sort. Hi...Thank you for consulting in Health Care magic. I think your kid is having habitual constipation. I have certain questions and suggestions for you.Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fibre diet) appropriately?You can get back with answers at the following link - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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diff --git a/processed/document_classification/train/Confidential/doc_4682.txt b/processed/document_classification/train/Confidential/doc_4682.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cede588ee991b4d3c07e8dcda2289b497958344a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4682.txt
@@ -0,0 +1 @@
+Hi doctor, I am paromita. I have hypothyroidism problem and taking eltroxin 100 mg. I am suffering hair falls problem from last two years. 8 months back I checked my iron, it was good but serrum ferritin level was 17 . so I was taking fefolz and after 4 month ferritin lebel increased to 36. Then I stopped my medicine and now again my serrum ferritin lebel is 23. my hair falls has increased. So what should I do now ? How long I should take iron tablet? Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would recommend taking Ferritin injections which are better absorbed into the system. Ferritin and thyroid are very important factors for hair fall and must be corrected accordingly. Subsequently you could also consider doing PRP (platelet rejuvenation plasma) therapy where your own plasma which is rich in growth factors and platelets is injected into the scalp which further reduces the hair fall, strengthens the hair follicles and stimulates new hair growth. Alongside also start applying topical Minoxidil 5% every night on the scalp which also stimulates new hair growth. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar
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diff --git a/processed/document_classification/train/Confidential/doc_4683.txt b/processed/document_classification/train/Confidential/doc_4683.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3c69a2aa18b602055919529073132a12a8c23a6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4683.txt
@@ -0,0 +1 @@
+Hi doctor, My BP is normal. But when I go to a doctor, my BP becomes high. I checked for two times, and my BP was found to be high. I am not taking any medicines. My ECG is normal. How can I reduce my BP? Please suggest. Hi. The standard BP (blood pressure) ranges between 110 by 70 mmHg to 120 by 80 mmHg. I think your BP is within the range and any reading above this normal range is considered to be abnormal or high. High BP can be temporary or transient depending upon the triggers. A person can have high blood pressure if the BP remains consistently and persistently high for one to two weeks. In this case, tests like ECG (electrocardiography) can be done before the medications are given. You can reduce blood pressure by reducing the intake of salt, fatty foods, do a lot of exercises, and have a good sleep. Be relaxed.
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diff --git a/processed/document_classification/train/Confidential/doc_4685.txt b/processed/document_classification/train/Confidential/doc_4685.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cb33b9198998258b4b82c1ae3759c4b3608053ce
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4685.txt
@@ -0,0 +1 @@
+My husband finished his chemo treatment 3 weeks now for testicular cancer stage 1. He seems extremely fatigued and his hands are more swollen than when he was going through chemo. He had a bad headache yesterday, he said may have been caffeine withdrawal. Is this normal after chemo? HIThank for asking to HCMI really appreciate your concern from the history given here, I could say that chemotherapy could induces the numbers of side effects but that is all happens till the patient is on chemotherapy once the course of this is finished symptoms also disappears, and this is nothing to worry, take care of your husband and stop worrying, hope this information helps you, have a nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_4687.txt b/processed/document_classification/train/Confidential/doc_4687.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2bd8738212e654f5ebced056eec4fbe827c45d3e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4687.txt
@@ -0,0 +1 @@
+hi,i just had sex with my wife and urine instead of sperms came out of me.The same happened last month(twice) although it never happened before that to me .It is weird especially that we tried having sex while I'm laying on my back and I came normally.Btw my wife got pregnant one year ago but we lost the baby while she was in her second month and now she is trying to get pregnant. Thanks in advance DearWe understand your concernsI went through your details. If you had erection, if you had sexual pleasure and ejaculation and orgasm, then the liquid ejected definitely is semen. There is no other possibility unless you willingly pee. The thickness of your semen could be low or the semen could b watery. But it should be semen. I suggest you to collect the liquid next time and take it to a lab. Get yourself satisfied. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4688.txt b/processed/document_classification/train/Confidential/doc_4688.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c366989e93c4485cfe43ce481ae86b69525f327a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4688.txt
@@ -0,0 +1 @@
+Edema in Lower body, chest congestion, exercise intolerance, dry cough, can t climb up stairs, taking spirolactanone_furosimide for the last four years, mucus in mouth with exertion. Age 32 female. Cardiac size of upper normal limit. ESR level is 35. Other tests are normal. Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of congestive heart failure is more likely in your case.Congestive heart failure causes water retention in the body. This in turn causes edema in legs, chest congestion, cough, breathing difficulty on exercise.Your heart size is also on higher side of normal.So possibility of worsening cardiomegaly and heart failure is more.So get done 2d echo and coronary angiography.You may need digoxin, angioplasty and other cardiac supportive drugs on the basis of reports.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_4689.txt b/processed/document_classification/train/Confidential/doc_4689.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16a974cba9fb0730a40575b7074f643e38a8f325
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4689.txt
@@ -0,0 +1 @@
+Hi Doctor, I have got fatty. soft, palm size lump between my shoulders. It is just under the skin and moves easily. It is soft and painless and the only problem is that it is just on my spinal cord and is visible through the piece of garment I wear. Thanks for your help. HI,Dear,Thanks for the query to HCM.1-I have studied your query in depth.2-IN my opinion,this soft mobile palm sized lump on the spinal crest and between the shoulders, is -Sebaceous Cyst-if it not from the childhood or birth?Dermoid Cyst-if its since childhood? or may be Lipoma -as its painless and freely mobile.3-I would advise-to see you ER- surgeon-who would do X-ray Spine and would fix the medical cause for it amongst told above. and would treat by excision /biopsy ASAP , as it hurts you that its visible out of your garments.4-Hope this would solve yoru query to your satisfaction.5-Wellcome for more queries to me On HCM.6-Thnks once again for your inquisitive query.Have a Good Day..!!
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diff --git a/processed/document_classification/train/Confidential/doc_4691.txt b/processed/document_classification/train/Confidential/doc_4691.txt
new file mode 100644
index 0000000000000000000000000000000000000000..35c78c24bb9a49ec09140c817592d1bf26597dd5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4691.txt
@@ -0,0 +1 @@
+hi i am prema, i last period was 1st of feb, i take HCG test on 08th March is shows negative, via blood shows 0.10, pls confirm i am pregnant or not? and still no period has come and usually i have 2 to 3 days late period from the previous month, pls explain me Hello mam, thanks for trusting health care magic. All your tests tell us that you are not pregnant and your periods are delayed because of some other reason.Most common reasons for this delay are - - stress whether professional or domestic- new exercise schedule- change in eating habitsSo wait for a week for periods and in case you don't get them visit your gynecologist.In case you have further questions you can consult me on health care magic forum and i will be happy to help My URL is care
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diff --git a/processed/document_classification/train/Confidential/doc_4692.txt b/processed/document_classification/train/Confidential/doc_4692.txt
new file mode 100644
index 0000000000000000000000000000000000000000..36a06ff859ecee4f905c92fe025e473a63968061
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4692.txt
@@ -0,0 +1 @@
+my dad has jaundice and he gave his blood test and the report says that his liver is mildly enlarged in size (15.1 cm craniocaudal length in rt MCL) and it is written that no ascites or pleural effusion is seen.and there is impression that mild hepatomegaly. and so what does it mean is serious? my dad is 45 years old and his about 5 feet 7 inches something like that. Hi thanks for contacting HCM...Here he is having jaundice with hepatomegaly...So first cause Has to be searched for...To differentiate hemolytic and hepatocellular jaundice from obstructive urine urobilinogen estimated....Liver enzymes markedly raised in hepatocellular jaundice....In hemolytic jaundice PS shows normoblast and increase retic count....Meanwhile low fat diet taken in jaundice....Some good foods like carrot , aloe vera , dendelion , grape fruit juice , golden seal , lemon juice taken for healthy liver....With keeping this in mind consult gastroenterologist for exination....Avoid alcohol if habit...Take care...Dr.Parth
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diff --git a/processed/document_classification/train/Confidential/doc_4694.txt b/processed/document_classification/train/Confidential/doc_4694.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2d69ffa3895cfc4fc917c86c343fcd25a6ab4191
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4694.txt
@@ -0,0 +1 @@
+I have noticed recently my vessels along the bottom sides of my tongue are darker but one side, my left is like a huge cluster and plum color. What could this be an indication of? I hate going to the dentist, more recently because I had a dentist ruin two teeth the same day, now they sit in my mouth, broke because I dread knowing they now have to be pulled, there's no other option Thanks for your query, I have gone through your query.The vessels along the floor of the mouth or below the tongue could be a varicose vein or dilated sublingual vein. Nothing to worry it is benign condition, i will not harm you. if there is any change in the size then consult a oral physician and get a MRI done to rule out arterovenous malformation. if it is a dilated vessel then no need of any treatment. If it is a arterovenous malformation, then it has to be treated with sclerosing agents.I hope my answer will help you, take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4695.txt b/processed/document_classification/train/Confidential/doc_4695.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1447d1afaee19ed270d8f3daf4a240443e43179c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4695.txt
@@ -0,0 +1 @@
+I recently had blood drawn and experienced an electric shock once the needle went into my forearm. The pain subsided on my upper arm; however, I am having burning and itching sensation on my wrist where it looks like the median nerve is. I believe I suffered nerve damage, but I am also concerned about RSD. If my upper arm seemed to have healed fairly quickly, will my wrist heal? I am very worried. I went to the walk in clinic and was prescribed Prednisone for inflammation. The pain, burning, and itching is nearly gone since I have taken my first prescribed dose of Prednisone. hiIt seems you had phlebitis(inflammationof vein) indeed response to prednisone. Apply thrombophob gel also and take medicines as prescribed, you will be okaythanks
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diff --git a/processed/document_classification/train/Confidential/doc_4696.txt b/processed/document_classification/train/Confidential/doc_4696.txt
new file mode 100644
index 0000000000000000000000000000000000000000..86685273ea6197474465d4ac650c23e49c4a9572
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4696.txt
@@ -0,0 +1 @@
+What do I do for really bad stomach pains? I get the feeling that I want to vomit when ever I wake up, eat, or think about eating. The mornings are really bad. The pain can be really unbearable. I can t even have a nice lunch or dinner with my friends or family. It s really bad. This has been happening for the past 2 weeks Hi amehaleah983. Thanks for your question. You have severe stomach pain with vomiting so high probability you have any stomach pathology-most commonly peptic ulcer disease,gastritis,may be pyloric stenosis due to mass or ulcer in the pylorus and rarely due to hypertrophic obstructive cardiomyopathy(common in children),may be a stomach volvulus or atrophic gastritis.So please do a upper GI endoscopy,barium xray and USG whole abdomen must and as early as possible .depending on the report you may need a biopsy if a mass is detected and then consult a gastrosurgeon or general surgeon for his opinion. best wishes, Dr Sourav Ganguly
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diff --git a/processed/document_classification/train/Confidential/doc_4697.txt b/processed/document_classification/train/Confidential/doc_4697.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9b9f66ac013e7c26c95a6354d111ce3f4fedec40
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4697.txt
@@ -0,0 +1 @@
+Hi. my mum suddenly had and outbreak of a rash . Red spots on the bottom of her foot , now palm of her hands and now the arms and inner thigh are with red spots. We went to the doctor in the beginning stages and he thought it may be viral as it seems to be symmetrical. It seems to have spread now to the rest of the arm and inner thigh! I m concerned because she has been recovering at home from pnemonia about 8 weeks now after being hospitalized. Any idea of what to do as its really itchy and feels hot all over! She s using betometasone cream 2 times a day for the last day and a half!! food proteins suddenly satart reacting with body proteins causing the problem first it came on skin then stomachneed to get blood serum tests for specific antibodies for food proteins like milk wheat potato and common food you take by consulting allergeologistwithdraw the foods according to report to get rid of both problemsit seem to me food alergy ome of the g
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diff --git a/processed/document_classification/train/Confidential/doc_4698.txt b/processed/document_classification/train/Confidential/doc_4698.txt
new file mode 100644
index 0000000000000000000000000000000000000000..477e3beabd82f5078e37eb9c39890a2e5b6b855a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4698.txt
@@ -0,0 +1 @@
+What is the first line of treatment for rheumatic arthritis and osteoarthritis? I was diagnosis 5 years ago at age 47, positive rheumatoid factor of 20, sed rates have been 15-20. Problem is in the last 8 months joints in fingers , shoulders and knees are flaring more frequent. So is it time for a biologic? Hello, You can consult a rheumatologist and get evaluated. As a first line management you can take analgesics like Tramadol for pain relief. In severe cases you have to start on drugs like Methotrexate. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4700.txt b/processed/document_classification/train/Confidential/doc_4700.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2f72313377dfe4110d22e9130dc0c4e704b58be9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4700.txt
@@ -0,0 +1 @@
+Im concerned about my constant feeling of low blood sugar and feeling of discomfort in my abdomen . My doctor says my blood work shows normal blood-sugar levels. This is becoming very stressful and difficult to live with. I feel awful all the time and can hardly go anywhere without the nagging fear of something happening. Please help. Hello. Thanks for writing to us. From your description, it seems that you are suffering from severe anxiety and stress. Since your blood reports are normal and you have already been examined by a doctor, there does not seem to be any serious issue with you. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com
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diff --git a/processed/document_classification/train/Confidential/doc_4701.txt b/processed/document_classification/train/Confidential/doc_4701.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f8f1540f9846dfc37744552e7543d864442b6791
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4701.txt
@@ -0,0 +1 @@
+I was admitted to hospital and I m taking ceftriaxone injection as advised by doctor. I have dilution of 1 : 320, I m getting unbearable Headache and I m suffering from Loose motions as well. My Fever is ranging from 100 - 104. Please suggest if it is normal for a Typhoid patient Hi,Thanks for writing in.The antibiotic is not the ideal one for typhoid or for the symptoms you have described.The best combination for you would be a course of ciprofloxacin with metronidazole for a period of 10 days.You need monitoring of fever and preferably IV fluids as high fever can cause severe dehydration and can affect the kidneys and brain as well.It would be best to get admitted under the care of a GI specialist.Regards
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diff --git a/processed/document_classification/train/Confidential/doc_4703.txt b/processed/document_classification/train/Confidential/doc_4703.txt
new file mode 100644
index 0000000000000000000000000000000000000000..82b3e97b12957a1e4dbfa5688e841f2235686190
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4703.txt
@@ -0,0 +1 @@
+I don't understand what's wrong with me. Ever since 8th grade (8 years ago) I started have fainting spells. Recently they have increased and the symptoms are always the same. My stomach starts to feel upset (like I have eaten too much) and begins to cramp up. I then break into a cold sweat and become extremely hot. I will start to have excessive diarrhea and feel as though I'm going to throw up when all of sudden I get real light headed and pass out. I'm only out for a couple seconds but when I wake up I'm extremely tired and have hardly enough energy to walk. So far this year I have experienced one of these episodes about 5 times, including today. Everything happens within a matter of minutes and it's hard to predict the onset. i have been suffering with this for years.. i recently had an episode this last week and still not feeling right.. weak and feel like need loo all time.. last time was in hospital throwing up but they couldnt find what was wrong just a bug they said. but i am still not right.. i have been trying to live with it as they not much help. did you get any more info?
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diff --git a/processed/document_classification/train/Confidential/doc_4704.txt b/processed/document_classification/train/Confidential/doc_4704.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0258da5b0d9eb7e065724fa9ccff278561ade7f7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4704.txt
@@ -0,0 +1 @@
+i got a new medicine from my doctor today and i used a interactions checker and it interacts with 2 of my medicines should i still take it , i take prozac, vyvanse, topamax, valtrex, synthroid, zertec and percocet, my doctor wants me to start taking cymbalta to. Hello,Fluoxetine may increase the effects of lisdexamfetamine (vyanase), and side effects such as jitteriness, nervousness, anxiety, restlessness, and racing thoughts have been reported.Combining these medications can also increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.Please consult with your treating doctor he will examine and treat you with alternative medication. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_4705.txt b/processed/document_classification/train/Confidential/doc_4705.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b027b68d59a018aa0ed1a5f52509ddd12ca86fba
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4705.txt
@@ -0,0 +1 @@
+Does regular intake of PIOPAR medicine cause muscular pain including backpain? hello welcome to health care magic yes this medicine can definately cause muscular pain ...here is list of : feeling short of breath, even with mild exertion; swelling or rapid weight gain; chest pain, general ill feeling; nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); blurred vision; increased thirst or hunger, urinating more than usual; or pale skin, easy bruising or bleeding, weakness. Continue taking this medication can cause any of these less serious side effects: sneezing, runny nose, cough or other signs of a cold; headache; gradual weight gain; muscle pain; or tooth problems.please consult your doctor to stop this medication... take care payal
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diff --git a/processed/document_classification/train/Confidential/doc_4706.txt b/processed/document_classification/train/Confidential/doc_4706.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2933fb88130c21656665d9b470834811a345f970
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4706.txt
@@ -0,0 +1 @@
+Hello, I am a 55 yo male in pretty good health overall. 2 days ago, while in the shower, I felt something inside my navel. With very little effort I was able to remove it...I have been an E.M.T/ 2 years of nursing education and am now a Licensed Massage Therapist....in my whole life I have never seen anything like it. I have photos I would like, no need you to see so that you can tell me what it is. Can I post or send photos here? if so, please inform me how. signed loosing sleep over this I apologize, I thought this forum was without charge and I am truly unable to pay anything at this moment. sorry to waste your time Hi there ~ Without knowing what the material is that was removed from your umbilicus or having it analyzed in a pathological laboratory it is difficult to tell what the substance that was removed was. I hope you take the specimen to a pathologist and have it analysed. Take care and have a good day !
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diff --git a/processed/document_classification/train/Confidential/doc_4707.txt b/processed/document_classification/train/Confidential/doc_4707.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7d3a0e047033a21eb35d38e3ce927f0380586151
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4707.txt
@@ -0,0 +1 @@
+I am living in Vietnam as in one of typical tropical weather countries and esp during summer of which raining at the same time so it could be too hot prolonged and I do need to turn aircon on almost all day long and due to I have just had a new born baby, are there any effects to the newborn baby at all such as fungi growth from aircon, fluid in lungs or anything relating to this effects. Pls advise. Kind rgds & Thks Hi, It's better to keep baby in air conditioner as temperature can be set in AC and also auto clean option can be used in AC. But before using AC, do a service of AC. Hope I have helped you.
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diff --git a/processed/document_classification/train/Confidential/doc_4708.txt b/processed/document_classification/train/Confidential/doc_4708.txt
new file mode 100644
index 0000000000000000000000000000000000000000..befd6aedb670810fd9c8f25ffe7f4deff508aef8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4708.txt
@@ -0,0 +1 @@
+Hi, i have this question, i have a bump since a few months there were two and now i can see / feel one near my lower cheek in line with my mouth, it feels like a whitehead, once a week approximately the bump comes up, when i burst it, yellow liquidy type puss comes out and it smells really bad. What is this? Hi ! Good morning. I am Dr Shareef answering your query.It seems that you have got a benign cyst over your cheek, which off and on gets infected and causes the discharge to occur. You have to see a dermatologist/general surgeon in your area for a proper diagnosis and further management which could be simply antibiotic cover or a small minor surgery to remove the cyst in total. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_4710.txt b/processed/document_classification/train/Confidential/doc_4710.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a7b44ac9ecf86cdf07b9763d9b5908d62933d087
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4710.txt
@@ -0,0 +1 @@
+I had a fall on oct 24 th 2013 and I had an injury in D12 and lower disc. My query is that for how many days it will take to do my normal routine works. 2.) Doctor has advised for an injection in my spinal cord , so my query is that the injection is necessary or not. Hi there, welcome to HCM, thanks for your question.An injury to D12 vertebra and disc would take around 6 to 9 months to heal.But the recovery in spiral injuries depends on multiple factors like ahe of the individual (young heal earlier and elderly people heal late), the extent of injruy as seen on the imaging, the healing potential of the individual (different for all of us), treatment received, amount of rest taken and use of braces.It is also important to note that disc injuries at D12 level are relatively dangerous and associated with nerve and spinal cord injuries. Injuries at this level are also associated with alignment issues in the spine.I am sure you are under follow up with spime physician or surgeon for the same.It would be prudent to continue the same and give your body adequate time to heal ( 6 to 9 months on an average).Hope this answers your question.All the best.Thank you.with best regards. Dr.SBK
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diff --git a/processed/document_classification/train/Confidential/doc_4711.txt b/processed/document_classification/train/Confidential/doc_4711.txt
new file mode 100644
index 0000000000000000000000000000000000000000..81409e65d705d367b4f5390af91b293571628d9b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4711.txt
@@ -0,0 +1 @@
+Dr i plannin for baby last 6.7 month but i can t susess i cansult one dr she did my intarnal altra repot was very good again dr say to me come after 2 days i will check you by intarnal altra sound egg fatilize or not she say my egg was fatilized then give me one injectin and and said to me taking susten200 useing after intarcourse keep in vagina but at last i am not susess give me best idea Hi, Thanks for your query. I read your query and I understand your concerns. Your doctor is right please get the egg release tested by follicular growth scan. Have intercourse from the day eggs are about to release. You have a good chance of getting pregnancy. This method is not 100 % sure. You have to try few more cycles in the same way. You will get pregnant. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist.
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diff --git a/processed/document_classification/train/Confidential/doc_4712.txt b/processed/document_classification/train/Confidential/doc_4712.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1ddafe31663c750bbc85a65e57d4a19d41a38e2b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4712.txt
@@ -0,0 +1 @@
+I am a white female, 55 yrs old, mild diabetic, controlled with diet, exercise and metformin, 1,000 mg twice day. I am 5 7 , 180 lbs, I have been walking a mile to 2 a day about 4 days a week minimal. I have begun having rapid heart rate, tachycardia, upon exertion. I don t break out in a sweat or get nauseated, haven t really had arm or shoulder pain, but I do get tight in my chest, and minor shortness of breath. I can sit, and it goes away, until I exert again. I have minor medical knowledge, and know to get to ER if this gets worse and report to the doctor, but...was just wondering...do I need to go sooner than later? Hello. Thank you for your question and welcome to HCM. I carefully read your concern. You are a 55-year old woman, which is a borderline age for risk for cardiovascular disease. The pain in the chest you described, which is triggered by effort and goes away when you stop, fulfils some criteria of angina (chest pain caused by narrowing of coronary arteries - the arteries that surround the heart like a crown, hence the name, and supply its muscle with oxygen and nutrients). Of course, in this level of conversation, when none of the test were carried out, this is just an assumption judging by the characteristics of the pain. Therefore, I would strongly recommend you to do a cardiac check-up: EKG, echocardiogram and cardiac stress test. Also, I would recommend you to be put on a 24-hour blood pressure monitor, to determine if there is also high blood pressure (hypertension) or not. As for the rapid heart rate, if it goes up while exerting, and remains regular, then my opinion is that there is nothing to worry about. There is a simple formula for this - the heart rate accepted as normal, at a person that is exercising, is 220-age (165 beats per minute, in your case). My further recommendations would be, that you should do a complete blood count and measure the levels of the following cell derivatives: - glucose - HbA1c - urea and creatinine - AST, ALT, GGT - electrolytes - total cholesterol, LDL- and HDL-fraction, triglycerides I hope I wash helpful and thorough, with my answer. Feel free to contact me again. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4713.txt b/processed/document_classification/train/Confidential/doc_4713.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5d7471de8bee48fb2fa809fd68c2c32da92a6425
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4713.txt
@@ -0,0 +1 @@
+Hello my name is Alisha. I usually come on my period within 21 days. The last period went off jan 31. I had unprotected sex feb 1. I took next choice emergency contraceptive on the 3rd. It is now the 11th and i have my period. Could it be possible im pregnant? as u had taken emergency contraceptive on time...u won't get pregnant. .it provides 90 percent efficacy..n u got ur periods ...dat also say u r not pregnant
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diff --git a/processed/document_classification/train/Confidential/doc_4715.txt b/processed/document_classification/train/Confidential/doc_4715.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6101a96c3a0eb7636ad79113c509df8df7872802
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4715.txt
@@ -0,0 +1 @@
+I have allergy sinus problems. Like itchy nose and eyes, sneezing etc. I was advised by my doctor to have Lmontus for 2 weeks. I had it and stopped. two days later my allersy comes back. Can I have L montus for longer periods...how long can I have it for without causing any side effects? Hello.L-montus is a very safe drug. Side effects from it's long-term use are very rare.I have seen patients using it daily for many years also.However, it treats symptoms of allergy, it does not treat the allergy itself. That's why you will need to take it for long time. Wish you the best health.Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4716.txt b/processed/document_classification/train/Confidential/doc_4716.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6beb8876ec1cdfe1ed258d1335810aa6551dc864
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4716.txt
@@ -0,0 +1 @@
+Yes, my 6 year old son has small red bumps on his mouth. they look like pimples but only on his mouth and lips. no other symptoms. He also has some on his wrists and fingers. He has allergies to milk protein and I have other children with atopic dermatitis, this looks different. Hive like. Hand foot and mouth have gone through the school but he has no other symptoms. Just hive like bumps. Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.But always remember - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_4717.txt b/processed/document_classification/train/Confidential/doc_4717.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3c53b0dd062b6b7c5b5bd3444c2243ee587aefb2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4717.txt
@@ -0,0 +1 @@
+Hi , I master bated in the show today and squeezed hard and now I have notice blood blisters. Is there a away to get rid of them. Like pop them or if I let be will they go away quick. I have a get a way with wife this weekend . She is worried we won t be able to have sex. She is mad at me. Plz help HelloThanks for query.You have developed blister of blood due to dry,rough and vigorous handing of penis while masturbating ,Take antibiotics like Doxicycline to prevent infection and anti inflammatory medicine like Diclofenac twice daily .Do not attempt to poop them out .The blood will get absorbed within 4-5 days. Ensure to wash your genitals with warm water twice daily Ensure to avoid sexual encounters till it heals up completely. Dr.Patil.
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diff --git a/processed/document_classification/train/Confidential/doc_4720.txt b/processed/document_classification/train/Confidential/doc_4720.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2dc4a3c105304c90f89b53bc1621486783a0b42c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4720.txt
@@ -0,0 +1 @@
+Dear Doctor, we got the results of my husband's semen analysis. We have been trying for 8 months to get pregnant without success. Can you tell me if his results are normal and if not, what can we do to improve the quality. Results are as follows: Volume 1.5 ML Color Gray Clarity Opaque; Viscosity Very Increased (What does this mean?); PH 8.3 Motility 67; Qualitiative motility 3+(What does this mean?); Count 65.8 million per ML; Morphology 78% of spermatozoa appear normal. Abnormal spermatozoa consist of broden neck (Is this bad?) and coiled tail forms;Collection time; 7:20 a.m. Hi, Volume 1.5 ML Color Gray Clarity Opaque; ans : normal Viscosity Very Increased (What does this mean?)ans : can be due to dehydration PH 8.3 Motility 67 Qualitiative motility 3+(What does this mean?)ans: its normal Count 65.8 million per ML; Morphology 78% of spermatozoa appear normal. Abnormal spermatozoa consist of broadened neck (Is this bad?)ans: there will always be a few abnormal sperms. 40% of normal sperm is considered normal and coiled tail forms; Collection time; 7:20 a.m. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist
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diff --git a/processed/document_classification/train/Confidential/doc_4722.txt b/processed/document_classification/train/Confidential/doc_4722.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6307f8460c3f1aedb09a03a25a4015d70ad16a2b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4722.txt
@@ -0,0 +1 @@
+hi im 26 and i have had asthma since i was 6 month old asthma has become better over lazt 10 years. but for the last yr or so i keep getting chest infections every month or so. today om coughing up phlem my voice is going and my chest hurts when i breath and my throat hurts a little. i also work in a bakery for the last 12 years and flour and stuff has never bothered me. i go to the doctors every time and they just give me the same antibiotics / amoxycillin,prednisolone etc but they cant pin piont why it keeps happening. im going back today to see them can you help?? thank you Hello.Thank you for asking at HCM.I went through your history and from your history I would like to suggest you as follows:1. Were I treating you, I would suggest tablet montelukast and levocetirizine daily at least for 2-3 months.2. I would also start inhaler formoterol and budesonide in low dose daily for at least 2-3 months.3. Simultaneously, I would suggest you regular steam inhalation and warm saline gargles to hasten the healing process.4. Once you have no longer episodes of cough & chest complaints, I would plan to reduce your medications gradually.5. As you are working in a bakery, I would specially suggest you to cover your nose and mouth with a mask while working. If possible, you could take steps (like keeping window open) to improve ventilation in the area where you work.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Regular breathing exercises and a healthy diet rich in vitamins and minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will definitely help you in a long run.7. I would suggest you allergy testing, which will help you identifying substances causing troubles to you and also measures to avoid them.8. If above measures do not help, personally I would suggest you spirometry to know your lung capacity and identify type of lung problem you have.Hope above suggestions will help you.Regarding your main question, I would say, Asthma, if cannot be cured, can be very well controlled by regular medications without affecting your daily life. If allergy testing identifies some allergen, you may be prescribed specific allergen immunotherapy, which can change your immune system to improve your asthma. Also, if daily exposure to bakery dust (including yeast, wheat flour, egg, other dusts) is the cause of your symptoms, avoiding bakery dust will help you a lot.I must also mention that it takes long time to develop allergies and asthma. So no matter you have tolerated bakery dusts so far, may be it is now increasing your symptoms (it's known as Baker's asthma, you can read on internet).Should you have any further query, please fell free to ask at HCM.Wish you the best of the health.Thank you & Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4723.txt b/processed/document_classification/train/Confidential/doc_4723.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5ebaa6718f9873bbe636726f33823bd43a0f1f65
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4723.txt
@@ -0,0 +1 @@
+I am suffering from grade1 fatty liver from the past 2 years.Any remedy? age:55 yearsweight:85 kgheight:176cmtaking anti depressant &anti anxiety medicine regularly from past 10 years.Not diabeticNO BP problemhaving varicose veins in both legs Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Your BMI is 27.4 and you are a little overweight. This is one of the risk factors of fatty liver. You need to reduce weight to normalize your liver.You also need to check your lipid profile as high cholesterol is another risk factor for fatty liver.Good to hear that you are not a diabetic ( as this is another risk factor).I hope that answers your question.Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4726.txt b/processed/document_classification/train/Confidential/doc_4726.txt
new file mode 100644
index 0000000000000000000000000000000000000000..349758621e23b7c518a210dbdacd59a350c68670
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4726.txt
@@ -0,0 +1 @@
+hello Dr,my name is suresh kumar and my mother name is k.jayamani and she got the pain in her jaw severly like a electric shock and after that we gone to a dr, there he took the MRI SCAN and after that he told that she is strugling from the disease tregiminal neuralagia for that she is advised to take the tab. OXETOL 150mg, and tab. PREGALIN M75 mg. Trigeminal nerve Right side 1.maximum diameter 30mm 2.location of vascular loop indentation cisternal segment 3.area of contact superior surface 4.diameter of vessels 11mm 5.distance from REZ 32mm 6.culprit vessel right SCA IMPRESSION Vascular loop of right superior cerebellar artery abuts cisternal segment of right trigeminal nerve close to the REZ. Non-specific subcortical white matter hyperintensity in both cerebral hemisphere. Bilateral maxillary and sphenoid sinusitis. Hi, This mix of symptoms makes it difficult to pinpoint the cause without detailed history, examination and investigations. It would be better to see a neurologist and an ENT specialist. Blood tests should include a hemogram, ESR, c-reactive protein, liver function tests, homocyteine levels and urine analysis. Detailed investigations such as EEG, 3 Tesla MRI can wait.Take care. Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Iven Romic Rommstein, General Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_4728.txt b/processed/document_classification/train/Confidential/doc_4728.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e8617957d4f565968f3ddaf7206ec3cb5f8a39a7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4728.txt
@@ -0,0 +1 @@
+My baby has thrush that is getting worse! She was 10 weeks premature, after she turned 1 month old I was treated with antibiotic (macrobid) for a urinary tract infection. She is has been breastfed and now I need to know what I can do to get rid of yeast in both of us for good. Nystatin is not working! Hello. Thanks for your query. As a Breastfeeding Specialist I want to tell you that Nystatin is the right choice for you and for your baby. But in order to treat the thrush you have to be treated both with nystatin. You have to apply nystatin cream on you nipples twice a day, because yeast infections moves from mother to baby and from baby to mother if you are not treated both in the same time. Also you should keep good hygiene for your breast by changing your bras once a day and baby's clothes every time you could .
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diff --git a/processed/document_classification/train/Confidential/doc_4729.txt b/processed/document_classification/train/Confidential/doc_4729.txt
new file mode 100644
index 0000000000000000000000000000000000000000..992133f77742be23bd79a0691d0b28d4677ed62d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4729.txt
@@ -0,0 +1 @@
+My daughter has had a swollen lymph node or gland for about 2 months under the jaw near her ear. (could have been longer this is when i noticed it)Our family doctor told us to give it 3 more weeks. It is still there it is about 1 to 1 1/2 . She now has another one forming under her chin area. It is smaller. HiShe should get an FNAC ( Fine Needle aspiration Cytology ) of the enlarged lymph node. It may due to infection. But, it has to be confirmed by FNAC. If you come back after FNAC report, I will clarify further. Wish her good health. Regards
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diff --git a/processed/document_classification/train/Confidential/doc_4730.txt b/processed/document_classification/train/Confidential/doc_4730.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2c64161b88d827a7db851d29014ae55d9e152e34
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4730.txt
@@ -0,0 +1 @@
+hi my name is kristina....Me and my husband have been trying to get pregnant for 4 years now....i am 4 weeks and 1 day today but yesterday i started spotting but its just brown blood and only when i wipe after going pee.. i have had a pad on all night and no blood was on it when i got up.....what does this mean im scared im have a miscarriage what do you think? Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You are on 4 weeks and 1 day. Just brown spotting could be due to implantation bleeding, premenstrual symptoms, and hormonal imbalance. Implantation bleeding occurs at the time of the period and just like spotting, it is brown to pink colour. If your period is delayed by more than 8 to 10 days, then go for urine pregnancy test and or blood HCG test to confirm the pregnancy. Meanwhile avoid stress, take healthy diet, maintain proper pelvic hygiene, drink plenty of water, do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar
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diff --git a/processed/document_classification/train/Confidential/doc_4731.txt b/processed/document_classification/train/Confidential/doc_4731.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3f80145b4093cfd90a7da00ca472625bc25f6bdb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4731.txt
@@ -0,0 +1 @@
+My daughter is 18 months old she has had odd bowel movements since she was born, but lately it looks like they have increased and gotten worse. In the past hour she has had 3 watery bowel movements. She is screaming out and crying because she is in pain, when you try to wipe the excess poop away she clinches and cries and screams, My heart is breaking i am at a lost of what to do, Does anyone have any suggestions? Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of diarrhea which could be due to viral or bacterial infection. It is mainly due to disturbed electrolyte balance in body. Need not to worry. I would suggest you to maintain hydration of child well. Give curd in diet. Visit pediatrician once and get it examined. You should go for blood tests as well and start treatment after proper examination. you should give Ibuprofen to child along with proton pump inhibitors as well. Start giving oral rehydration fluids sip by sip to maintain the hydration. You should take Probiotics such as lactobacillus. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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diff --git a/processed/document_classification/train/Confidential/doc_4732.txt b/processed/document_classification/train/Confidential/doc_4732.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1bb564340dd4045f3175775e494724e5ba56f591
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4732.txt
@@ -0,0 +1 @@
+When I try to take a normal breath , pain surges down my back and tightens up the muscles. This has been going on for 1.5 to 2 weeks, every night, with the time it lasts increasing. It is starting to concern me severely. Age: 19 Sex: Male Additional: Chrons, Asthma You may have a musculoskeletal pain.simple analgesia like paracetamol and muscle relaxant tolperisone will help you.
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diff --git a/processed/document_classification/train/Confidential/doc_4733.txt b/processed/document_classification/train/Confidential/doc_4733.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e81337f419352143541f0c0a69321cf6258cbff
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4733.txt
@@ -0,0 +1 @@
+My 11 year old son has been lightheaded and dizzy for a couple of hours. Has had some ringing in his ears. He played several hours of competitive soccer over the weekend in temperatures of 85-95 degrees. Body temp is normal. What might this be? He s nervous which makes us nervous because that s not normally like him. Hi, welcome to HCM. Can understand your concerns. This could be due to hypotension, hypoglycemia or dehydration. Get the child examined by a doctor.
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diff --git a/processed/document_classification/train/Confidential/doc_4734.txt b/processed/document_classification/train/Confidential/doc_4734.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7c0ad96f11879a5f2fcb7d287b0a119dbd265088
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4734.txt
@@ -0,0 +1 @@
+My 5yr old was complaining about his legs burning and now is running fever! He says he does not feel bad but all he s done is lay around which is unusual! I am out of my home state and he has fl medicaid and What I have been told is his medicaid would not cover him in another state!! And I do not have his card on me! Hi...fever with burning sensation could be a symptom of viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.But if there is any rash or redness over the area of burning which you are quoting - I suggest you get him checked by a doctor.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_4735.txt b/processed/document_classification/train/Confidential/doc_4735.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a881d8428a0ffb6921807715a5d1df3518a8e9a6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4735.txt
@@ -0,0 +1 @@
+In my testis bag there are two testis and a circular body. This body is about 3 cm in size. It is soft and when pressed it disappear cusing irritation in my stomach. Wat is it? And why is it? hello it is not necessarily cancer. there are many non cancerous tumours in testis.you should do some tests like ultrasound of both testis,urine analysis, blood tests like -cbc,esr. then you will get basic idea. further test or treatment will depend on these reports.bye
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diff --git a/processed/document_classification/train/Confidential/doc_4737.txt b/processed/document_classification/train/Confidential/doc_4737.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5bda8098c041635db02a6510f75159a5348f977f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4737.txt
@@ -0,0 +1 @@
+Had organising pneumonia in summer. Not been well since. Steroids have had some effect. Now feet are swollen and smelly ( newly) productive cough is back, dizziness and fatigue worse. Ct scan of lungs, brochoscopy clear. Very little abnormalities in blood. Any ideas? Hospital and Gp baffled. Organizing pneumonia requires a longer course of steroidsi.e. for few months..Swollen feet can just be a side effect of steroids.. Nothing to be worried about that.. Just reduce your salt intake
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diff --git a/processed/document_classification/train/Confidential/doc_4738.txt b/processed/document_classification/train/Confidential/doc_4738.txt
new file mode 100644
index 0000000000000000000000000000000000000000..819fcbfdd67b6aac94f6ee99b5b45587af702e30
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4738.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here...I have chest pain that has been diagnosed as costochondritis, and it seems to alternate from my right upper back to my left upper chest. I am seeing a physio today and would like a cortisone shot. Are they allowed to do this treatment or is that a GP job? hellophysiotherapists cannot give you cortisone shots. it is a steroid drug and you need to go to your gp for the same. is the pain so unbearable that u need a steroid shot? havr you tried NSAIDs like diclofenac
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diff --git a/processed/document_classification/train/Confidential/doc_4739.txt b/processed/document_classification/train/Confidential/doc_4739.txt
new file mode 100644
index 0000000000000000000000000000000000000000..701225923ba0d9c56652db4261729942665aba1d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4739.txt
@@ -0,0 +1 @@
+This side Tarun Chug.I am 25 years old and basically belongs from Gangoh and right now working in Noida as an Engineer. I have a query that I am suffering from unwanted hairs on my back and chest and I want to permanently get rid of it. Please suggest me is it possible and how much approx I will have to pay? Please let me know that when I can visit your clinic for consulting? Thanks & kind Regards Tarun kumar +91-0000 hi Mr Tarun Chug yes there is solution for that for permanent get rid of it u have to undergo cryosurgery for permanent epilation and destruction of the hair follicles for which u have to consult a dermatologists and cosmetic surgeon he can guide u properly in this regard and ll tell u xactly how much u have to pay i think u got my point thank u
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diff --git a/processed/document_classification/train/Confidential/doc_4740.txt b/processed/document_classification/train/Confidential/doc_4740.txt
new file mode 100644
index 0000000000000000000000000000000000000000..73c5bbe51fdfa9591ac64b59121e944a860b9cae
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4740.txt
@@ -0,0 +1 @@
+Hello doctor, Does the natural background radiation level (3 mS v per year) add to cancer risk on top of a dose from medical imaging, or is natural radiation separate or safe since we all receive it? Hello. One mSv is the limit for the general public. The background is usually within this limit. But radiation workers have a limit of 20 mSv per year, which is also very safe. Also, doses from medical imaging can contribute. But the benefits from medical imaging offset any potential theoretical risks of increased cancer risk. Background radiation is 0.1 uSv per hour, which comes to about one mSv in a year.
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diff --git a/processed/document_classification/train/Confidential/doc_4741.txt b/processed/document_classification/train/Confidential/doc_4741.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b2f54c7388a5f40ccacb4ff1764c2d069b73683e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4741.txt
@@ -0,0 +1 @@
+Hi how are you? I thought that i had a uti however two urine samples taken by by gyno and then my pcp came back as neg for uti but had a high level of white blood cells. no i am getting a pain on my lower abd ( it feels like ovulation pain) what can it be Hi ! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would after clinically examination of your abdomen and a general examination, would advise for an ultrasound abdomen which would help in ruling out a few intra-abdominal pathology. The diagnosis would be based mainly on the physical examination finding, and the investigation findings.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_4742.txt b/processed/document_classification/train/Confidential/doc_4742.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dc6475468f5bc5b9c7dd89283578b635c6b974ad
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4742.txt
@@ -0,0 +1 @@
+I had a root canal and crown done to a molar several years ago to treat a tooth that had grown in without an enamel. Now 7 years later I have a painful lump on the boney part where the gums connect to the jaw. Its located directly below the tooth that has the crown. I am getting a throbbing pressure like pain in the bone of the jaw and feels as though there is pressure in the tooth. There is no swelling of my gums or face, no redness or any other symptoms. Just a painful lump on the bone conneccting the gums to the jaw.....do I have an abscess?? Or could it be something else? Hello, Welcome Thanks for consulting HCM, I have gone through your query, you have mentioned that you have undergone root canal treatment and crown placed on teeth several years back now you had pain dont worry may be there is Periodontal Pocket formation due to not proper maintain of hygiene , you do is consult dentist and go for investigations done If there is pocket formation or Periodontal Abscess then go for sacling and currettage and if due to Periapical Pathology then RE -RCT should be done Hope this will help you. Wishing you good health Regards Dr. Priyanka tiwari
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diff --git a/processed/document_classification/train/Confidential/doc_4743.txt b/processed/document_classification/train/Confidential/doc_4743.txt
new file mode 100644
index 0000000000000000000000000000000000000000..29b2a47dfae955c90e9e2a1ec37ee3c46fe451e5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4743.txt
@@ -0,0 +1 @@
+Hello doctor, I have choroid plexus AVM (sm grade 2) in the right temporal horn of the lateral ventricle. Doctor said embolization and gamma knife are not possible. So they opted for microsurgery and said surgery would lead to weakness on the left side. I want to know what are the other effects? How long will it exist? Will the effect become normal after some days? Please explain. I am currently on Eptoin 100 mg. Hello. I need to see the angiogram images to comment in detail. Anyways, I have listed the essential points : Your weakness will depend on the extent of the damage during surgery. If some blood vessels are damaged, which supply the bundle of nerves supplying the limbs, you can have a weakness. If it is damaged completely, you will have a severe weakness. Usually, that does not happen. If your weakness is partial, it will recover in six weeks. Provided you should do physiotherapy regularly. Apart from weakness, you may have a minimal visual impairment in the upper outer quadrant of your visual field. But this will not trouble you in your daily life. Apart from these two, there are no other major complications. Minor ones would be nonhealing wounds, CSF (cerebrospinal fluid) leak, development of hydrocephalus, etc.
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diff --git a/processed/document_classification/train/Confidential/doc_4744.txt b/processed/document_classification/train/Confidential/doc_4744.txt
new file mode 100644
index 0000000000000000000000000000000000000000..429a0b16659f87248489a164a9b69b676c2db0cf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4744.txt
@@ -0,0 +1 @@
+hello i have a question and im sure you hear it much to often, i have been taking pain pills for 9 plus years and have run out!!! i got no sleep lastnight non, my legs drove me crazy and i tossed and turned the whole night long!!!! what can i do the get over this and quick? anything that i can do at home or get at a local store or drug store? Thank you so much Hello, The symptoms seem to be related to leg pain,probably due to arthritis. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. It can be found over the counter. I also suggest using cold compresses for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4745.txt b/processed/document_classification/train/Confidential/doc_4745.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5be7a7aee52b13bb0c21d84823069765b1c27aa6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4745.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here... Yesterday an elderly lady passed out on me in the shower. She had a blood pressure of 40/110. She ended up having blood as her hemaglobin was 80. Today I discussed this with my uni tutor she said no way could she have bp that read that. She told me I was wrong. Could the BP be correct Hi, The correct interpretation of this BP is 110/40 mmHg and yes, that is possible and in fact, we do see this in a lot of our admitted patient. This reading of BP can cause loss of consciousness, giddiness and the patient should be given fluid with some salt temporarily before taking her to a medical facility. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist
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diff --git a/processed/document_classification/train/Confidential/doc_4746.txt b/processed/document_classification/train/Confidential/doc_4746.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0e6123abdd414f8a40763ac7f03ec1c2ccb3574a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4746.txt
@@ -0,0 +1 @@
+Hello doctor, I have had fluctuating elevated blood pressure for three to four years between 135-180/85-112 mmHg. I did not take any medication. I have had episodes of sudden fainting, pain and burning in the chest. When tested, ECG was fine. But four days ago, it was different. I had felt extremely fatigued for two days, then I felt pain in my center and left side of my chest. My hands seemed numb. I had periodic episodes of cold sweats on the back of my head and neck, as well as a dull ache in my left upper shoulder. The heaviness was there also. This stayed off and on all evening, during which I took two baby Aspirin, which provided a little relief. The next day, I was still very tired and my chest was sore. The pain was sporadic in my chest, like a quick stinging pain. When I tried to do anything, it would try to start again. During this time, my blood pressure reached its highest at 167/112 mmHg. The third day I felt better. I am currently on Zoloft 100 mg once daily. Does this sound like a heart attack? I was terrified. Hello. Your symptoms are not typical of a heart attack. They seem to indicate musculoskeletal pain or inflammation. Is the pain triggered by deep breathing or body movements? This would be another argument in favor of a musculo-skeletal pain. The increase in blood pressure values during these episodes is a normal physiological reaction to the pain. So, there is nothing to worry about. Anyways, an exercise cardiac stress test would help reassure you that nothing bad is going on. Regarding your blood pressure values, I would recommend you to measure your blood pressure frequently during a week and write those values down. If blood pressure values are frequently above the normal ranges (140/90 mmHg), antihypertensive therapy may be needed. Some blood lab tests are also necessary to investigate for other possible metabolic causes that may lead to this symptomatology: For more information consult a cardiologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4748.txt b/processed/document_classification/train/Confidential/doc_4748.txt
new file mode 100644
index 0000000000000000000000000000000000000000..df84b2ea4dce3bd64fce252d1ce55922fb625bb5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4748.txt
@@ -0,0 +1 @@
+Hi, Mother has been diagonesed with angina pain today and doctor has advised for angeograpy and probably angeoplasty if required. I have just come to know something about CITI angeography. Can you plz advise if CITI ageography is something which I can go for to further diagonse my mother's heart problme and then if require, can go in for Angeoplasty.? Hello and welcome to health care Magic forum. CT angiography s a noninvasive procedure, very specific but not sensitive. If your mother has high suspicion of CAD then she should undergo Coronary angiogram , because even after CT angiogram she has to undergo traditional angiogram .
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diff --git a/processed/document_classification/train/Confidential/doc_4749.txt b/processed/document_classification/train/Confidential/doc_4749.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a084b8007ba05d3ad88f51d6d94e125e529a62dd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4749.txt
@@ -0,0 +1 @@
+My right knee starting to hurt this eve, it felt like my interior ligament was "rolling" over something & it hurt quite a bit. Then, after icing it, I felt a small pea size limp that I could manipulate to move it around. Any ideas? I didn't doing anything out of ordinary today , but I do have osteo arthritis and Lupus. Hi...The interior ligament rolling inside your knee could be a tendon rolling over the bone. This is possible because your muscle tightness can tighten up the tendon rubbing onto the underlying bone... The spea sized ball what you feel is the inflammed tendon...I recommend you to..Continue icing frequently...5-6 times in a day on the pea sized lump area and area on the front of the thigh..keep it compressed with compression bandage...If you have a analgesic gel/ointment apply it on painful area...Gently knead on the muscles above the knee...Gently stretch the front thigh...back thigh...inner thigh and outer thigh muscles...Once pain gets relieved then start rehabilitation for your knee...keeping a rolled towel under your knee and pressing...Exercises like Bridging...leg extension...leg curls..calf raises helps to maintain strength around knee joint...and gentle stretch helps you to maintain your knee pain-free...Hope this is helpful for you...Kindly revert back in case you need any further information regarding this....
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diff --git a/processed/document_classification/train/Confidential/doc_4750.txt b/processed/document_classification/train/Confidential/doc_4750.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5f87e75740cda15e398a3b9ad831321e3475c65c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4750.txt
@@ -0,0 +1 @@
+hello doctor. i'm a nursing student from the philippines and we will be having our case protocol next week. i'm looking for an MRI scan, CT scan and laparoscopic result example for a person who has peptic ulcer and peritonitis at the same time and also had undergone billroth 1 a year ago.. Hi.It is good to know that you are a nursing student and want to know more. MRI and CT scan have limited role int he diagnosis of the Peptic ulcer, not much indicated as the oral contrast should not be given in such cases. They will find collection of fluid inside the peritoneal cavity. In Laparoscopy , you will find the perforation , and pus filled peritoneal cavity, may be adhesions too. The best simple diagnostic tool is X-ray of the abdomen in the standing position to find gas under diaphragm. This is a sure sign of a Perforation.
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diff --git a/processed/document_classification/train/Confidential/doc_4751.txt b/processed/document_classification/train/Confidential/doc_4751.txt
new file mode 100644
index 0000000000000000000000000000000000000000..214c864a360a76a64ab81c43c53d27005a6a347c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4751.txt
@@ -0,0 +1 @@
+Hi I woke up this morning with knee pain. I haven t knocked, banged or twisted it and found it painful to get out of bed and weight bear. It was sore to touch and got more swollen throughout the day. Little bit warm to touch. Do you think it could be gout or bursitis? hi, i appreciate your concern.painful and swollen knee,without any injury or twist,appears strongly a case of GOUT,or its varients.i always investigate my such patients for blood test,joint fluid aspiration and testing,to confirm the desease.in the meantime ,immobilization of knee in splint,ice therapy ,and safe painkiller may make u comfortable,as per advice of your family doctor.thanks. iwill be happy to answer any further quary.
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diff --git a/processed/document_classification/train/Confidential/doc_4752.txt b/processed/document_classification/train/Confidential/doc_4752.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e22a5afdb746cb045508a23422bb6ff284558f7e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4752.txt
@@ -0,0 +1 @@
+Hello doctor, My 16-month-old presents with intermittent limb weakness, hemiplegia, gait disorder, dysphagia, intermittent ataxia, brisk reflexes, seizures, and intermittent hypotonia. There are sudden bouts of alternating limb paralysis. There is sudden difficulty with balance and walking with falls every few steps. The baby is seemingly dizzy. There is dysphagia with no etiology. There is a paroxysmal tonic upgaze. The doctor has prescribed Diamox for ataxia today. The baby has a normal CBC, CMP, and CSF. I also have attached the spinal and brain MRI images here. I need a second opinion. Hello. I have gone through the images which you have sent (attachment removed to protect patient identity). Regards. For more information consult a radiologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4753.txt b/processed/document_classification/train/Confidential/doc_4753.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e70713bb3b6c65e3a6594356ac9a585351c575e9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4753.txt
@@ -0,0 +1 @@
+My husband has had a toothache, went to the dentist a few weeks ago and dentist said he did not see anything. The last few days, he has complained about the same tooth and in the last few hours, his right cheek has gotten swollen.He is seeint the dentist tomorrow a.m. again, but i am worried about him this evening and can he wait until morning? hello, if there is a swelling present than m sure there would be a infection.there is no need to worry. Just go to YOUR dentist ask fOR X-RAY of that area.if there is any deep cavity present related to that tooth than ask for root canal therapy. he ll be alright.
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diff --git a/processed/document_classification/train/Confidential/doc_4755.txt b/processed/document_classification/train/Confidential/doc_4755.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5bcba48ac05aeaf6a1c0be4ffab8f75b257f0ef0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4755.txt
@@ -0,0 +1 @@
+Hi doctor, My 2.5 years old is having a wet cough and running nose (no fever). It starts with a dry cough and in a day or two, converts to wet. The same process has been going on for a month. He stays healthy for 2 to 3 days and then falls sick. Advise medicine for current situation and supplements for immunity improvement. Hi. What you are describing seems to be something like hyperreactive airway disease. In such cases, we initially give a trial of Montelukast for a few weeks to a month and look at the response. Based on the response, we may add steroids followed by inhalers (different combinations) (again based on response). This requires multiple follow ups and evaluation in the initial few stages till stability. Hence I would recommend you to go to your pediatrician and ask him about the above thought process that I have described.
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diff --git a/processed/document_classification/train/Confidential/doc_4756.txt b/processed/document_classification/train/Confidential/doc_4756.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ec3c5b393ec661b3c2a0bceb3384f320406cd11e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4756.txt
@@ -0,0 +1 @@
+I was in an auto accident over six weeks ago and got beaten up by some hoodlums about 3 years ago. Both Have caused me to have terribly swollen feet. As if I have serious neuropathy which is very painful. What would be solutions to my problem. Bob Hello,As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your treating Doctor [Ortho] and to confirm exact cause do [X-ray and an MRI scan].2) Do take OTC painkiller like [Ibuprofen + Paracetamol] for pain and swelling.3) Your Doctor will decide treatment plan after investigation reports only and normally it is [Reduction, Immobilization, and Surgery] which your Doctor will decide.4) After healing consult with your physio for a specific exercise plan.Do follow few lifestyle modifications like this:1) Try to wear proper shoes. Use hiking shoes on rough terrain. Wear steel-toed boots in your work environment if necessary. Choose appropriate athletic shoes for your sport.2) Replace athletic shoes regularly. Discard sneakers as soon as the tread or heel wears out or if the shoes are wearing unevenly.3) Try to build bone strength. Calcium-rich foods, such as milk, yogurt, and cheese, really can do your body good. Taking vitamin D supplements also can help.4) Try to strengthen your ankle muscles. If you are prone to twisting your ankle, ask your physio for exercises to help strengthen the supporting muscles of your ankle.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo
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diff --git a/processed/document_classification/train/Confidential/doc_4757.txt b/processed/document_classification/train/Confidential/doc_4757.txt
new file mode 100644
index 0000000000000000000000000000000000000000..88eb50bbe4d49e078056d55d77621f0ab79c8607
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4757.txt
@@ -0,0 +1 @@
+Hi i m 15, 5 3, and i m anemic and have low white blood cells. Every since i went on a school trip a couple weeks ago, everyone threw up including me but they felt better afterwards. But i keep feeling nauseous and throwing up occasionally. Is this normal? Hi,As has been going on for a couple of weeks, It cannot be attributed to the same food poisoning which might have occurred two weeks ago to your colleagues. I feel that this might be an acid reflux. I suggest you consult your pediatrician regarding this.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_4758.txt b/processed/document_classification/train/Confidential/doc_4758.txt
new file mode 100644
index 0000000000000000000000000000000000000000..071b40531452b59f28427d031ac8d13074e93dea
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4758.txt
@@ -0,0 +1 @@
+Hello, my names tyler and im 24 , i had my bottom left molar extracted Thursday the 22nd , i was out of the office by 12pm, theres a whitish layer where the blood clot is and it doesn't look hollowed, is this normal and am i allowed to masturabate or have sex . Its been about 50 or 51 hours since the extraction Hello,As per your query, you have a blood clot at the tooth extraction which is normal after every extraction for the first 2 to 3 days. You can masturbate or have sex, no issues in that.I would suggest you maintain proper oral hygiene. Follow all post-operative instructions such as do warm saline gargles, do not suck or swish any liquid forcefully, do not eat hard food and avoid any kind of vigorous exercise.Eat very soft food. Drink cold water and have ice cream for rapid healing for 48 hours. Take a combination of Ibuprofen and Diclofenac drugs. Visit a dentist once, if symptoms keep on exaggerating or if bleeding does not stop.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari
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diff --git a/processed/document_classification/train/Confidential/doc_4759.txt b/processed/document_classification/train/Confidential/doc_4759.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f45c7c84a260b456c5fd64c6ce6da33da2f024b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4759.txt
@@ -0,0 +1 @@
+now i days i have 1 month or 19th day delay for my period. this time also it will happen this month 23day delay my period. and my question is this time me and my husband had a intercourse after 19th days period delay. so my question is that have any chance for for pregnant yes, there is a chance that you get pregnant . you should get a pregnancy test and a pelvic ultrasound to confirm pregnancy
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diff --git a/processed/document_classification/train/Confidential/doc_4760.txt b/processed/document_classification/train/Confidential/doc_4760.txt
new file mode 100644
index 0000000000000000000000000000000000000000..08d25418fb95638031021be3fb867e46d9268a61
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4760.txt
@@ -0,0 +1 @@
+I am a 60 year old male, in good physical condition with history of elevated cholesterol (controlled with medication), and chronic low back pain. For several months now, I have experienced profuse sweating in my lumbar region, so much so that it soaks through my pants and I have to place a napkin between my skin and underwear. My FP said that he does not know what the cause may be....any ideas or recommendations? Hi, Sympathetic overactivity of nerve cause increased sweating. You need to consult a neurologist for better understanding/treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
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diff --git a/processed/document_classification/train/Confidential/doc_4761.txt b/processed/document_classification/train/Confidential/doc_4761.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a3b856929fef38c8b086360251c2231973f284ec
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4761.txt
@@ -0,0 +1 @@
+Am feeling tired all the time, sick,leg pain,dry mouth, blurred vision, thirsty,feeling hot and cold,bubbles in the urine, headace symptoms happen diffrent times in the day and every day in the week.my cycle this month was 5 days heavy and last 2 days were very light. What could these symptoms be? Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to a cold or flu.I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest to rest,eat healthy and eat a healthy diet. I recommend to drink liquids.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4762.txt b/processed/document_classification/train/Confidential/doc_4762.txt
new file mode 100644
index 0000000000000000000000000000000000000000..53b34890b17dc9c7aaaa8d4cce63ce817406bceb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4762.txt
@@ -0,0 +1 @@
+Last year i had viral fever, and doctor gave me medicines where my bed became wet and after having medicine for 5 days, all my energy went away and i started feeling weak and my whole body pains if i do even small amt of work, I am tired easily, i am 44 years old and my weight is 72 kgs, so even going to gymn used to make me feel as if somebody has beaten me up, now after one year also i feel the same nerve pain and weaknessplease suggest, i will bless the person who cures me Hello, I appreciate your concern for your health. Your Current problem has nothing to do with your past viral fever. With your narrations your weight seems to be in a good range, but still you are feeling weakness. One important thing is after visiting gym or exertion, you feel weak and exhausted. My advice is please check your Hemoglobin (Hb) level and Vitamin B12 Level. Due to low hemoglobin, your blood's oxygen carrying capacity is reduced and that's why you feel weak and exhausted. According to your lab reports you may take iron, folic acid and Vitamin B12 supplements.Meanwhile drink lots of water, eat fruits and fruits juices, eat green leafy vegetable, avoid junk foods and carbonated drinks. This will supplement your natural vitamin and mineral store.
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diff --git a/processed/document_classification/train/Confidential/doc_4765.txt b/processed/document_classification/train/Confidential/doc_4765.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6f2203effef29a48b496bfb294f45d5522702517
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4765.txt
@@ -0,0 +1 @@
+Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4766.txt b/processed/document_classification/train/Confidential/doc_4766.txt
new file mode 100644
index 0000000000000000000000000000000000000000..65da370dbcff9a44dff3149e97d368cfe02cc655
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4766.txt
@@ -0,0 +1 @@
+basically i have been repeating myself alot lately i used to do it in the past but its been more common. its not like a stutter or stammer its only with one word out of a sentence. i will be speaking normally and then it hits me and i find my self repeating the word or sentance over and over sometimes even up to 20times. the wierdest thing is i can break away from saying it but to carry on telling the story i have to repeat it again. i was wondering if you have any answers as to what could be happening. DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description it is not easy to diagnose you properly. But I see a case of obsession here without any underlying physical / physiological cause. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4767.txt b/processed/document_classification/train/Confidential/doc_4767.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9862633ed7dde8a9d6a6bbf3fd25ad4a961630b4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4767.txt
@@ -0,0 +1 @@
+HAVE BEEN TAKING ESOKIT AND CYCLOPAM MEDICATION FOR 4 DAYS,LAB TESTS ON STOOL SHOWED I HAD H-PYLORI,NOW I FEEL BAD TEST IN MY MOUTH,HEART BUN AND TIRED,ARE THOSE SIDE EFFCTS ON THE MEDICATION ,AM SUPPOSE TO TAKE ESOKIT FOR 7 DAYS,BUT CYCLOPAM FOR 4DAYS(1X3).PLEASE ADVICE Hello, It is due to acid reflux and gastritis. Continue your esokit; and reside the intake of spicy foods. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain
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diff --git a/processed/document_classification/train/Confidential/doc_4769.txt b/processed/document_classification/train/Confidential/doc_4769.txt
new file mode 100644
index 0000000000000000000000000000000000000000..373d6022206cb358b178d8f4bee5471620ca6610
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4769.txt
@@ -0,0 +1 @@
+Hello Doctor, I have dry and scaly skin on my face. Especially cheeks. After I wash my face with mild soap or face wash I feel burning or streched feeling all over my face. I am not able to use any sun screen because of this as I feel irritation on skin after I apply sunscreen. Please help me get rid of this dry skin. I use dove soap and follow up with venusia cream after that. Hello,welcome to healthcare magic.I understand from your query that you are having extremely dry skin on your face.I would suggest that you use a soap free cleanser like Cetaphil cleanser for sensitive skin to wash your face. Limit face washing to 2-3 times a day as excessive washing will strip away the oils.Use a cream containing urea and lactic acid along with other moisturizing factors like shea butter, glycerol,etc for better relief from dry skin. Apply the moisturizer immediately after washing on damp skin so that the water soaks well into the skin.Do not scrub/ rub your skin.Avoid cosmetics with fragrances and colour.Drink plenty of water.Hope this helps you.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4770.txt b/processed/document_classification/train/Confidential/doc_4770.txt
new file mode 100644
index 0000000000000000000000000000000000000000..468256f6910c091d3942e45b643cd3bc63fee427
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4770.txt
@@ -0,0 +1 @@
+Hi doctor, I am 24 weeks pregnant. I have done the following tests: CBC with PS, ESR (Westergren's method) and routine urine examination. Also, I have tested for a GCT single sample after taking 75 g of glucose and TSH. Recently, I have got Mcdonald stitch. My current medication is Folvite, Pixit, Ecosprin 75, Susten SR 300, Mumfer D3 and Milical-OD3. Please have a look at my reports and let me know if anything to be worried. Also, what should be done to recover from it? Hello. Revert back with the test report to an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4771.txt b/processed/document_classification/train/Confidential/doc_4771.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3f45022e69dbc2b4a044c1015052b84a878ffca8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4771.txt
@@ -0,0 +1 @@
+I want to give my introduction first.I was asthma patient(allergic to dust).So in my childhood i was not normal like other child to play around.Since i was allergic to dust and some kind of foods(especially cool items) i used to sit in the house watching tv.I didn t have friends to play with.My father is having transferable job so i never had constant relationship with anyone.Now my problem comes,it started when i was at the age of 13 or 14.I saw a movie in which there was a kissing scene which created some type of sensation in me.Actually i liked it.Then at the age of 17 i saw some another english movie in which they had some nude scene,it gave me more sensation and a type of satisfaction.Whenever i see these type of movie i feel like more satisfied and feels it as if happening with me,i crosses my leg tightly till i get some type of satisfaction.I don t understand why its happening and how.Now i am 21,my friends watch porn,which i don t like to watch.I have a boy friend, i think to make love with him but in reality i scares and run away from the situation.Whenever i watch i tries to watch porn it makes me sick,uncomfortable and depressed.I am very conservative type of girl.I feel disgusting to see me,touch me.I want relationship but not sex.Now i had problem a with my parent they want me to marry someone which i don t want.I cant able to tell this to my parent.I really don t know what to do.Is it related to my past that i was alone in my childhood?Is it psychological disorder? DearWe understand your concernsI went through your details. I suggest you not to worry much. Your description in itself says that you just have fear for sexual activities, which so many young unmarried ladies have. When they get married and start liking husband, this shyness goes away and everything becomes normal and you start enjoying sex. Your current situation is not related to psychological disorder which needs any treatment. You are anxious and apprehensive about your sexual future just because you did not have any such relations. Almost half of the total women population across the world enter married life without sexual experience and shyness. Therefore you are not alone. Consult a psychological counselor.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4775.txt b/processed/document_classification/train/Confidential/doc_4775.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2bb2301b9b53bda2dc013a0274c44a9065575448
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4775.txt
@@ -0,0 +1 @@
+I had the flu about two weeks ago, dr. prescribed tamiflu . I got better except for asthma flare that doctor prescribed advair which I started three days ago (twice a day). This morning I keep having chills, but no fever . I feel shaky and muscles weak, but I did lay around a lot when I was sick. Should I reschedule today or should I see how things go today. medicines used for flue can trigger allergy and in your case affected lungsyou need to take antiallergics like fexofenadine 120 mg odand montelucast 10 mg bdwith bronchodilator syp and antacidsmefanic acid sos for fever and chillstake 3 week will be fine
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diff --git a/processed/document_classification/train/Confidential/doc_4776.txt b/processed/document_classification/train/Confidential/doc_4776.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67a7fa3adf9f1624ae1c4ff42997941852760ee6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4776.txt
@@ -0,0 +1 @@
+Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_4778.txt b/processed/document_classification/train/Confidential/doc_4778.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b1b2e3523620d741ac1a9b1c983623dadf186e9c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4778.txt
@@ -0,0 +1 @@
+Hello Doctor, I have a freind who unfortunally had a nerve severed in the back after an intervention. An accident like the doctor would say. I'm not here to blame the doctor since damage is done. He has lost erectile fonctions completly and now wants to terminate his life, he has a beaytifull 10 years old daughter so there for i must save his life true acceptence. So do you think that you could guide me for a medical resolution helloED after neuropathy of any kind can be resolved with intrapenile injections , VED or a penile prosthesis. One method may succeed in someone and others may not so the doctor has to judge what is best for your friend. People with this kind of a problem can have good sex life so relaxDR SAATIISH JHUNTRRAA
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diff --git a/processed/document_classification/train/Confidential/doc_4779.txt b/processed/document_classification/train/Confidential/doc_4779.txt
new file mode 100644
index 0000000000000000000000000000000000000000..839cf7a2ff6b16243e5f22fa3cf5bb565e017530
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4779.txt
@@ -0,0 +1 @@
+hi. im 31 y.o. female and i started to feel unwell more than 1 month ago. it started after i didnt get much sleep during 2 nights and in the morning when i started to exercise as my usual morning routine i had feeling as if my leggs were numb and it scared me and then i felt like my whole body was numb and i was very scared and thought that i was dying, i was panicking. after having cup of coffee and sitting down i started to feel better and all symptoms were gone. then, on occasion, some days id get this strong anxiety and then the feeling of body being numb would occur again and id b panicky again. these symptoms would come and go over the period of 1 month and also id feel like i cant breath in enough air. i had blood tests which were fine although i have thrombocytopenia and my platelates are low, but not at risk level, count of platelates is 57. my GP wants to do ECG and see if my heart is fine. today in the morning I had stressful news and I started to feel that all my actions, like dressing up, washing my face would slow down and I felt realy upset about the news. and then I started to feel this numbness in my body, hands and anxiety. I was scared to go out of the house but I forced myself and when I was in town I started suddenly feel as if Im on edge of passing out, everything in front of my eyes became like with red colour and I felt blood was coming to my head. I felt numbness in my body and I thought I was going to pass out. but I checked my blood pressure and it was fine. I ffelt again difficulty breathing and anxiety and feeling as if I am on druggs though I have never taken any druggs. I am realy anxious what is going on with me as also at this time I feel irritable because I have this fear that something badly wrong is happening with me and im scared that I'm dying. Please could you help me and tell me what is happening with me. Thank you. DearWe understand your concernsI went through your details. I suggest you not to worry much. You had a panic feeling during your exercise session. Instead of ignoring and going forward with daily routines, you started thinking too much about it. Yes. Everybody has health concerns. You also had. But your health concerns were actually increasing day by day. Not reducing when some clarifications were given. When doctor said nothing to worry, you had more doubts. Then you started thinking negatively and increased your apprehension and thereby anxiety. Now you are clear that you have no physical ailments. Now accept the fact and exercise, laugh at you, ignore the anxiety symptoms and learn to relax. Psychotherapy shall provide good results.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4782.txt b/processed/document_classification/train/Confidential/doc_4782.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6865c30bfc84c150b0d50714ac98ce0daeb665a7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4782.txt
@@ -0,0 +1 @@
+Hello, I have torn my frenulum some weeks ago and despite obstaining from sexual activity to let it heal again, it has just torn on the first attempt again since. What are my options from a medical perspective without having to resort to becoming a monk! I have read briefly about frenuplasty but have also heard that circumcision might be require (which I am not overly keen on). Thanks in advance. Hi, You must consult ana urologist personally, you can do surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
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diff --git a/processed/document_classification/train/Confidential/doc_4783.txt b/processed/document_classification/train/Confidential/doc_4783.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b45eb9868452289a1d384ae716901f343ddf7a3a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4783.txt
@@ -0,0 +1 @@
+i have suffered lowe back pain since i was 22,23. I have had many scans over the years to see what was wrong but always came back normal. In 2010 i had been said in a report that i had spondylolisthesis being caused by severe degenerative change in the facet joints bilaterally. There is uncovering of the intervertebral disc without herniation. Prominent calcification of the free margin of the disc at the right lateral aspect. There is mild central canal stenosis. Lateral recess is adequate. Nominal mild foraminal stenosis bilaterally in L5/s1. degenerative changes in the symphysis pubis. In the last 2 years i can not walk without getting bad pain where i had to get crutches and cant sit for long or stand for long. The more things i try to do the worse it gets. My doctor told me that this scan is fine and it is normal, but i dont understand what all this means.I wake up through the night with pains in both hips and bad bottom pains and tingling in my left leg Hello. Thanks for writing to us. The findings of your MRI scan are suggestive of degenerative changes of the spine. These are causing the nerve root irritation causing the symptoms that you are having. Taking muscle relaxants and regular physiotherapy exercises can help in retarding the further deterioration. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com
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diff --git a/processed/document_classification/train/Confidential/doc_4784.txt b/processed/document_classification/train/Confidential/doc_4784.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a8887b394713f0d7672ba7d88a3eeddba43829d8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4784.txt
@@ -0,0 +1 @@
+I am prescribed compressions socks. Last night when I took them off, I noticed a hard lump under my skin about 2 inches long a few inches above my ankle. I never noticed this before however before the compression socks my legs were swollen so might now have noticed. I am not sure if I should be calling my dr or if this can wait until my next appt a couple of weeks from now. It could be due to the compression stocking or it could be thrombophlebitis if it seems painful. Either way do not worry. Continue wearing your stockings. Are you wearing them for DVT or anything else? Do let me know so I can advice you better. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4785.txt b/processed/document_classification/train/Confidential/doc_4785.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcedff5e7f8507ebb2e46d651145b0a783c0fe43
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4785.txt
@@ -0,0 +1 @@
+Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4786.txt b/processed/document_classification/train/Confidential/doc_4786.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b7cfdde4587427e7a4cc519b6dfd2388827e6dcb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4786.txt
@@ -0,0 +1 @@
+hello, I took medroprogesterone on May 15 through may May 24. I finally had my period June 5th and started taking clomid 50MG on June 9th which was day five of my period and finished the clomid on June 13. Today is now the July 4 and is day thirty of my last period and I took a pregnancy test but it came back negative. Does that mean I am not pregnant and should take another round of medroprogesterone? Hello. Thanks for writing to us. Right now it is too early to say that you are not pregnant. You should wait for at least ten days for your periods to start spontaneously, retest your urine for pregnancy after that and then if it is negative, start with medroprogesterone. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com
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diff --git a/processed/document_classification/train/Confidential/doc_4787.txt b/processed/document_classification/train/Confidential/doc_4787.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6280aeeefc46dfaf72ea6dd60718b16f07f43457
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4787.txt
@@ -0,0 +1 @@
+For the past couple of days I have had deep pain in my right knee and ankle. The pain in my knee is just below the knee and feels like a rubber band constricting my leg. The pain in my ankle is also deep pain as if an injury to a bone and the pain circles the ankle. In addition to that, there is a bulge in the Achilles tendon that was extremely painful a couple of months ago. I have been fairly active as a 51 year old female, however I have already had total knee replacement on my left knee and disc fusion, rods, screws and cages placed in my low back. (Yep, walking train wreck). Lastly, the muscles on the insides of my legs feel as if I ve been riding a horse for days. Is there anything that could account for all of those symptoms, assuming it isn t due to stress & over use? This doesn t feel like pulled or strained muscles and I haven t had any falls or other injuries. Dear Patient,With the history of knee replacement on the left side the possibility of having osteoarthritis on the right side is too high, also possible that your right ankle is also showing arthritis changes, what you need to do is get your joints screened with X Rays to see the status of your joints, may be your other knee will also need a replacement. As far as the status of one knee replacement and spine surgery goes, this is no more unusual, as with changes in lifestyle and increased life expectancy these are becoming a routine. So just relax and get yourself screened, also if you are overweight than you should also reduce it as that will solve a lot of your problems.I hope I have been helpful in your understanding of your disease.Thank You
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diff --git a/processed/document_classification/train/Confidential/doc_4790.txt b/processed/document_classification/train/Confidential/doc_4790.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcd3aacd5ff5be08e9bda5cc8b081ce0ca56eb9f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4790.txt
@@ -0,0 +1 @@
+I have undergone IUI treatment for the first time and got failed. Doctor told me that My EGG is in very interior position (that is the reason for my infertility and my eggs are good only) I have to undego second one will it get succeed???? Pls advice HAI WELCOME TO HCMiui will give 10-15% success in cumulative cycles.you can try 4-6 cycles with ovulation induction with follicular monitoring.keep trying.
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diff --git a/processed/document_classification/train/Confidential/doc_4792.txt b/processed/document_classification/train/Confidential/doc_4792.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62f91cafb140002e69a39519683a8f8bffe24d16
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4792.txt
@@ -0,0 +1 @@
+Hello Doctor, I am suffering from Facial pigmenation problem (due to hormone imbalance) for the last 2 years. As per the Dermotologist, used Melacare for a month at night times with Suncross sunscreen during the day time for every 3 hours, pigmentation vanisheed completely, but when I stopped Melacare, pigmentation patches became worst than before. Dermotologist advised to go for 6 Glycolic peels + 2 TCA peels to be continued with Banatan cream in the night and Sunscreen during the day. Till now, underwent 3 Glycolic peels for about 35% concentration, after every peel have PIH problem, its looking very dark, worst than then pigmentation. I was asked to use Clearway cream by the Doctor, on the new patches for 2 weeks and then again to continue with peels. I am really confused now and lost hope to continue this treatment. I feel very low to go out and face people or meet office friends as everybody questions about marks on my face. I am requesting your best advise and medicine to treat this pigmentation, with permanent cure is really appreciated. Hello, Thanks for writing to healthcare magic.You are having melasma.It is somewhat resistant to treatment.It is a common cosmetic problem in females and it will subside as age advances.Treatment which you are reciving is correct and continue with that.Only thing I want to add is get your thyroid checked.Also if you are taking any birth control pills stop that.I hope this will solve your problem ,to some extent.
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diff --git a/processed/document_classification/train/Confidential/doc_4794.txt b/processed/document_classification/train/Confidential/doc_4794.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d278238061fdb7a1571374cd86e6ea2785408a80
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4794.txt
@@ -0,0 +1 @@
+My periods started at 8th May 2010, on 6th day i had unprotected sex with my husband so I took I-pill after 1 day, I was bleeding for 4-5 days after taking i-pill, I tested for prganancy test it's negative. Now I am having white discharged slightly since 7-8 days.My periods still not came on 21st June.where as my periods should have started on 8th or 9th. Today 22st June 14 days are passed still my persiod not started what can be the cause. Curretnly I am goig thriugh some official stress is it causing my periods are late? or which can be the reason and what should I do in this case? HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.Delay in the normal dates of the cycle can be due to i pill that you have taken.As you had some bleeding after i pill and after missing the periods your urine test was also negative. So you need not worry about pregnancy. I pil can cause erratic, or delayed or heavy bleeding pattern.In case of doubts, please get morning's first sample of urine tested for pregnancy or blood beta HCG test is also useful for the same.As you said sometimes physical or mental stress can lead to disturbance in the cycles.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam
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diff --git a/processed/document_classification/train/Confidential/doc_4796.txt b/processed/document_classification/train/Confidential/doc_4796.txt
new file mode 100644
index 0000000000000000000000000000000000000000..36cce04cd5627fa2ac2bb33a59957586d77189b3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4796.txt
@@ -0,0 +1 @@
+Dear Sir/Madam, I was having itching on all over my outer penis skin, so i used dettol on those parts to clean it, but nw all over my penis there is burning sensation and there are many burn patches, which is now hurting me a lot. pls advice medication for the same along with medication for itching. Hi,It seems that you might be having local allergic reaction on your penis.Using undiluted Dettol precipitate the condition.Clean the part with running plane water.Apply some moisturizing cream locally.Take antihistamine like Cetrizine or Benadryl for itching for 2-3 days.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4797.txt b/processed/document_classification/train/Confidential/doc_4797.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f7256b4d60132726bf122647f565b7ddaa19468b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4797.txt
@@ -0,0 +1 @@
+I am 32, (5ft 6in, 8 stone) with 2 children and have had the contraceptive implant for well over a year. Since having it fitted I have suffered from mood swings, periods of extreme sadness, feelings of worthlessness and most of the time feel completely detached from the world around me. In between these periods I have felt extremely happy and excited about the future. It is probably also worth mentioning that just before I had the implant fitted my youngest son was diagnosed with autism and my husband lost his job this caused a huge amount of stress and could be the cause for my depression. I know my Grandma suffered with depression at the end of her life and my Mum has periods of it. I also suffered from depression as a child (from about age 10 to 15) and then I had post natal depression after my first child. Could the implant be the cause or could I be bi polar? I have read a lot about the condition and seem to tick a lot of boxes. Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Contraceptives can cause hormonal disturbances leading to mood changes and depression. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
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diff --git a/processed/document_classification/train/Confidential/doc_4798.txt b/processed/document_classification/train/Confidential/doc_4798.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff09ec0b8f09e20f3443038a0c8668ddfecbbcd8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4798.txt
@@ -0,0 +1 @@
+Yes pls. my 4yr son complains of stomach ache especially aftr food, temp was 37.4. ive given him cyclopam 5ml and cetamol 5 ml. fever down. he also complainsof eye ache edpecially if he looks up. cant open eyes very wide cz of pain. teary eyes. wat could be the problem. thanx Thank you for the question.By your description it seems the child is suffering from infection.Both the medicines will get rid of symptoms for some time, but they are not the treatment.It is advisable to take him to pediatrician/general doctor.
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diff --git a/processed/document_classification/train/Confidential/doc_48.txt b/processed/document_classification/train/Confidential/doc_48.txt
new file mode 100644
index 0000000000000000000000000000000000000000..42e42525bb7225d1c93d8b4f547a365d3a24a023
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_48.txt
@@ -0,0 +1 @@
+ip} Pi See ee eo” mii ge Sle . é | ey Department of State TELEX SECRET AN: 0860434-0965 SECRET PAGE 01 ISLAMABAD 12500 0512072 ACTION NEA-11 INFO LOG-00 COPY-01 AOS-00 INR-10 SS-00 CIAE-00 NSCE-00 SS0-00 INRE-00 /022 W from economy 252852 05121272 /50 0 0812042 JUN 86 FROM EMBASSY ISLAMABAD TO SECSTATE WASHINGTON IMMEDIATE 5478 EMBASSY RIYADH IMMEDIATE CONSULATE JEDDAH IMMEDIATE SECRET ISLAMABAD 12500 E.O. 12356: DECL:OADR TAGS: PREL, XO, US SUBJECT: AFGHANISTAN: RABBANI REF: STATE 178113 (EXDIS) SINCE RABBANI IS NOW IN SAUDI ARABIA, AND MAY DEPART FOR THE U.S. FROM THERE, SUGGEST DEPARTMENT REPEAT REFTEL TO RIYADH AND JEDDAH. LIKELIHOOD IS STILL THAT RABBANI WILL RETURN TO PAKISTAN BEFORE HIS DEPARTURE TO THE U.S. HINTON DEPARTMENT OF STATE A/CDC/MR REVISED THIS PAGE JULY 7 RELEASE: ( ) CLASSIFIED ( ) DECLASSIFY IN PART ( ) RELEASABLE TO ( ) NON-RESPONSIVE INFO. FOLLOWING PAGE FROM CABLE PROMOTIONS AUTHORITY TO: ( ) CLASSIFY ON OADB ( ) DECLASSIFY ON NS TS TO ( ) COPY TO OABR
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diff --git a/processed/document_classification/train/Confidential/doc_4801.txt b/processed/document_classification/train/Confidential/doc_4801.txt
new file mode 100644
index 0000000000000000000000000000000000000000..de0b947e273e83536ee3adbb101c264f4ac07c93
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4801.txt
@@ -0,0 +1 @@
+I am 24 yrs old, 5'1" and 109 lbs. We have been trying to conceive for 3 yrs. I have had a full work up and everything was normal. My husband has had a hernia/hydrocele repair that affected his right groin. What is the success rate of us trying to conceive on our own or should we start looking at IVF? Hi welcome to healthcaremagic.I have gone through your question.You have not mentioned tour husband s semen reports.As it should also be normal to conceive naturally on our own way.If normal then do intercourse in fertile period on alternate days.If not success then you can go for IUI intrauterine insemination, IVF invitro fertilization.These procedures should be done after consulting gynecologist.Hope i answered your question.Would be happy to help you further.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4802.txt b/processed/document_classification/train/Confidential/doc_4802.txt
new file mode 100644
index 0000000000000000000000000000000000000000..876b6600ae028445d18e2dfb8c9befe3cf6645b9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4802.txt
@@ -0,0 +1 @@
+Hi I am a female 40 years old experiencing what I thought was an allergic reaction then thought maybe it was herpes now not sure.....On Tuesday just after eating lunch my top lip began to tingle and swell. No apparent bumps or cold sores were visible. Since then I started taking Valcyclovair as I have had cold sores in the past. My top lip is swollen double the size of my bottom and the skin on my top lip all the way to my nose is oosing a clear fluid. Skin is irritated and raw not sure what it could be any suggestions? It looks like an allergic reaction to whatever you are that day. visit the ER. You might want to have a shot of Hydrocortisone. The symptoms should come down. Pay attention to the ingredients of that dish and avoid it in future.
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diff --git a/processed/document_classification/train/Confidential/doc_4804.txt b/processed/document_classification/train/Confidential/doc_4804.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0f681912c00808919a4a490067e0efcc949a1d0f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4804.txt
@@ -0,0 +1 @@
+Hello doctor, I have a question regarding memory. What if my ability to remember things is temporarily stunted? For example, if I eat too much junk food or go through depression, which I have heard inhibits memory recall, when I am back to normal, will the things I tried to remember be just as clear as before the problems? Or, will I have trouble remembering them? Thank you. Hi. For further queries consult a neurologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4805.txt b/processed/document_classification/train/Confidential/doc_4805.txt
new file mode 100644
index 0000000000000000000000000000000000000000..79c9051f1c836e86caed1f3596302c7be985d83c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4805.txt
@@ -0,0 +1 @@
+Hello doctor, I had a miscarriage at 12 weeks. It has been two months now. Can I plan for the next baby and conceive now? Hi. It is better if you conceive after two more months. Give a gap of four to five months after the miscarriage. The uterus will return back to its original contour in this time period. Until then, I suggest you practice contraception.
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diff --git a/processed/document_classification/train/Confidential/doc_4806.txt b/processed/document_classification/train/Confidential/doc_4806.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e8f78e703c372e2d0497ff6e829d0afaa76b0f11
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4806.txt
@@ -0,0 +1 @@
+Hi! I just found out that my 10 year old son has Triglycerides at 157, Cholesterol Total of 175, an AST level of 41, and an ALT Level of 61. Are these considered very high levels or is he okay? What kind of diet should I put him on to bring down these numbers to normal range? HiDon't worry as the values are not very high. I would recommend you to go for lifestyle changes and dietary modification. This includes outdoor activities and games, protein rich diet which is low in carbohydrates and fats but fibre rich. Ensure plenty of oral intake of water daily. Try reducing weight if the child is obese. Recheck the values after 3 months.Hopefully this will help him.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_4808.txt b/processed/document_classification/train/Confidential/doc_4808.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d07a1c8f8638751668d83e34b705b3a17f637d33
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4808.txt
@@ -0,0 +1 @@
+as of the past few days, i am experiencing rapid heart beat. it was short at first but has increased in duration to about 10 minutes at a time. when it occurs, i am not doing anything strenuous. i am 36 and in relatively good health. is this something i need to worry about? Dear- thanks for using our system. Rapid heart beat can be secondary to multiples causes. It is important to find out if the heart rate is more thatn 100 per /min and if it is regular or irregular.The best way to find out is taking your pulse and having an electrocardiogram. Medical conditions as panic attack or anxiety, hyperthyroidism, caffeine intake , are some examples of rapid heart beat. You need to see your doctor for a checkup, electrocardiogram and 24 hr holter monitor trying to identify why type of arrythmia you have. Some valvular conditions as mitral valve prolapse can give you rapid heart beat too.I hope that my advise has been helpfulDR.Sara
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diff --git a/processed/document_classification/train/Confidential/doc_4809.txt b/processed/document_classification/train/Confidential/doc_4809.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b75c5a2d10217ffe9b9ec850aa07c999a581c3e0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4809.txt
@@ -0,0 +1 @@
+hai sir, ihave 25 years old, i have only one testicles one is missing but that one is inside the abdomin but size is very small i check my sperm count level in 2 years back 72 million .can i make a pregency in my wife iam un married but my marrege after 2 months please give a advice Hi, in my opinion in most cases, more than enough hormones and sperm are produced in one healthy testicle for both a healthy sex life and the ability to fertilize eggs. So I really don't think that you should have any problem with your married sex life
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diff --git a/processed/document_classification/train/Confidential/doc_4810.txt b/processed/document_classification/train/Confidential/doc_4810.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2e0c09429e5c6a00238c161d478cb5dbcb1c60f9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4810.txt
@@ -0,0 +1 @@
+I have unusual growths better my Virginia and my anus. They don't pain but have grown significantly in the last 4 months. I fist noticed a small painless spot like a pimple but now they are like five and they are growing towards my anal opening. I last saw a Gyno 2years ago and had a Pap smear. The doctor said I was fine. I've not been sexually active for the last 3years. I'm scared that these growths could be cancerous. Hi, There is definitely a concern for you to be worried about. The possibilities that I can think of are-- HPV (Human Papilloma Virus) infection that cause viral warts.- Condyloma accuminata- Benign anal skin tags.Please get yourself evaluated on these lines. I do not think it is cancer. However, only a biopsy could confirm this.PAP smear is not related to these external growths. Hope this helps you.
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diff --git a/processed/document_classification/train/Confidential/doc_4811.txt b/processed/document_classification/train/Confidential/doc_4811.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5f5189556f26aabd2e93a5044df71bd9ec648aff
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4811.txt
@@ -0,0 +1 @@
+Hi, my husband was biten by a possum 2 weeks ago. He was admitted into the hospital one week ago for a condition unrelated to the bite. However, the emergency room started rabies vaccination as a precaution. He got the first and second dose of the vaccine in the hospital. He has since been released and is due to have another shot today and one a week from today. I am having a hard time finding a primary physican that carries the vaccine in his office. We've been told the best option is to return to the emergency room. Which will cost us a $150.00 co-pay. What should be do in the case that we can't afford the co-pay today. Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.I think you need not to admitted to the hospitals.Rabies can be caused by dogs, bats, cats and others in descending order. Possum can be counted on others category.So chance of rabies by it is very less. In my opinion there is no need to worry for the hospitalisation.Hospitalisation is important in case where the patient is very serious. I don't think you ate serious enough to get admitted.You can get your vaccination at the opd based clinic. No need to get admitted.Till you decide maintain good living habit by hygiene, good food and exercise.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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diff --git a/processed/document_classification/train/Confidential/doc_4812.txt b/processed/document_classification/train/Confidential/doc_4812.txt
new file mode 100644
index 0000000000000000000000000000000000000000..63d03d2447fcb94690ea7ccac1431105aaaafef4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4812.txt
@@ -0,0 +1 @@
+I am a lady of 38 yrs. Even after 8 yrs of marriage I have no child. I want to know whether I am capable of giving birth to a child or not. I just want to confirm whethr problem is with me or my husband. But before approaching him , I want to be sure about myself. Hi welcome to healthcaremagic.I have gone through your question.I would advise to do ovulation profile, thyroid profile, histosalpingography HSG to rule out any pathology.For your husband do semen analysis.After this consult gynecologist for further treatment.Hope i answered your question.Would be happy to help you in future.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4814.txt b/processed/document_classification/train/Confidential/doc_4814.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ce1c6fac73cd5d0dd026aa8575bf693d603495ae
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4814.txt
@@ -0,0 +1 @@
+My family and I have all been experiencing vomiting, diahrea and weakness today. My wife and I also have headaches, and I have a hard time going up the stairs in my home without losing my breath. Does this sound like h1n1? My wide just took my mother in-law to emerg because of the same symptome plus irregular heartbeat. She passed out on the toilet and is also very dizzy. what you are experiencing is probably food poisoning as every one is involved. may be the food you had yesterday was spoiled. H1N1 will be presenting as fever and berating difficulty and viral fever like symptom tiredness, head ache.main issue with food poisoning is dehydration due to fluid loss in case of vomiting and diarrhea which will give rise to the above complaint like tachycardia and week ness.drink plenty of fluids like water and butter milk, take antibiotic tablet ciprofloxacin TZ trice a day for 5 days. for vomiting can take ondensetron 4 mg tablet twice a day.watch for signs of dehydration like dry mouth and tongue fatigue and low blood pressure and increased heart rate. then you may need intra venous fluid.take care. any doubt feel free to contact me any time.
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diff --git a/processed/document_classification/train/Confidential/doc_4816.txt b/processed/document_classification/train/Confidential/doc_4816.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1045c88cc3fee8f1ae58a104e529e0ad52330edd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4816.txt
@@ -0,0 +1 @@
+my son has been having severe ab pain while running. He runs cross country and two miles into the race he develops a horrible pain in his side, right below the rib cage and a little lower down. We thought he was getting side stitches but I think its more than that. Hi.Thanks for your query. Getting severe pain in abdomen on running and particularly below the rib cage and a little lower down is indicative of a certain inflammatory process going on in the abdomen which needs proper evaluation:I would advise the following:CT scan of the abdomen and relevant tests of blood, urine and stool should help you to get the diagnosis and a plan for further treatment...
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diff --git a/processed/document_classification/train/Confidential/doc_4817.txt b/processed/document_classification/train/Confidential/doc_4817.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cdc27606b1c098548eef235c8a54879f199e65b6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4817.txt
@@ -0,0 +1 @@
+My sons girlfriend was just diagnosed with Mrsa. She has infection in her breast... They were going to do surgery, but called it off until they get it cleared up. How contagious is it? The doctor said as long as you don t touch it.You cant get it. Is this true?? I thought that it was very contagious HI, thanks for using healthcare magicMRSA (methicillin resistant stap aureus) refers to the presence of a bacteria that is resistant to standard antibiotics.It occurs mainly in persons with a history of frequent antibiotic use though it can also be spread from one person to the other.There are some persons who have this resistant bacteria and are not aware of it.As her doctors mentioned, it may be spread by contact with the infected area.I hope this helps
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diff --git a/processed/document_classification/train/Confidential/doc_4818.txt b/processed/document_classification/train/Confidential/doc_4818.txt
new file mode 100644
index 0000000000000000000000000000000000000000..614ca66a7cb11b54cdf15002c1d8bfacb98648ed
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4818.txt
@@ -0,0 +1 @@
+I went to the er and told them I thought I had a kidney infection cause my lower back was hurting and thought I had a uti they tested my blood and Urine and blood came back OK but urine was infected they gave my bactrim and it made me deathly sick now I m on cipro and not getting any better urine in dark brown now and both sides of my back hurt and I m feeling worse Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems like urinary concertion. You can take Cefadroxil twice daily for five days take Omeprazole twice a day for five days take proper amount of water. Go through ultrasound abdomen and pelvis consult urosurgeon. Cystoscopy is helpful for you. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_4819.txt b/processed/document_classification/train/Confidential/doc_4819.txt
new file mode 100644
index 0000000000000000000000000000000000000000..35cbb25ec0db20a3f7ccfeff96c7e5959a832a67
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4819.txt
@@ -0,0 +1 @@
+i got luckemia in 2000 i was 39 it was aml,i was given the choice to take an expermantal drug called mylatarg,it put me in intencivecare on a ventelator,i,pulled through, after 4 monts of treatment i went home.6 years latter i stsrted having pain in my back that went doun my legs, after being told i had a sheath toumor in my l5 area,but was nothing to worry abot. the pain continued finally my cancer dr got me am apt with a nuroligist for the back ,had mri ,dr said i had a tuor the size of a baceball on my spine they operated the next day did biopsy it was a lukemic toumor , he coukd not remove it all, so tryed to take chemo ,body rejected it also redation had 8 out of 28 treatments, body rejected it ,i was sent home , that was 6 years ago,i have been hurting in my righ side under ribcage for 6 monts ow the pain has gotton much worce with it affecting my stomach, i have been on my couch suffering for 4 days now, the drs here just seem to not care to find the cause, fearing for my life i have fought so hard to have , please help......... j Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. A CT thorax is required to look for rib Mets. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4820.txt b/processed/document_classification/train/Confidential/doc_4820.txt
new file mode 100644
index 0000000000000000000000000000000000000000..75b7ddffd47967f0e3e6ee8fb7ace5b289fe3ae9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4820.txt
@@ -0,0 +1 @@
+Last Sunday night and Monday night I had sensitive skin and severe chills. The chills lasted about 2 1/2 ours and my body was shaking spastically. I couldn t do anything to stop the chill. Throughout the week, my skin has felt sensitive and I had some minor chills. Last night I had severe shaking and chills again for about 2 1/2 hours. I had a terrible headache all night. This morning I woke with a rash all over my face, chest, stomach and back. What could this be? Hi, In my opinion, you could be suffering from a viral exanthem. Other possible diagnosis is drug hypersensitivity reaction. Try to rule out drug induced rash by remembering the drugs that you have taken. As the rash is extensive and you have fever, I request you to consult your Dermatologist immediately to get proper treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_4822.txt b/processed/document_classification/train/Confidential/doc_4822.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b3f39e958de82c9454b1287d19869344a076ae59
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4822.txt
@@ -0,0 +1 @@
+Abdominal pain on right side with pain in groin sometimes going down right leg, I already have Complex Regional Pain Syndrome and I'm used to pain but this pain feels different and is really getting me down as i feel nauseous from the pain especially when walking Hello...it seems you r suffering from KIDNEY/URETERIC STONES...kindly get a ULTRASOUND OF KUB REGION done n send me ur scanned copy of reports
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diff --git a/processed/document_classification/train/Confidential/doc_4823.txt b/processed/document_classification/train/Confidential/doc_4823.txt
new file mode 100644
index 0000000000000000000000000000000000000000..09afc8c4beb9eb9daf397e39a1fbe7b8f3a62656
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4823.txt
@@ -0,0 +1 @@
+hi im female 45 14 stone .i am diabetic taking metformin 500 recently got high blood pressure and cholesterol and been presribed amclodipine,ramipril and silvestram last few day having hot and cold sweats stomach pain and nausea unable to eat and feel very tired and have a headache Hello!Thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to amlodipine adverse effects. Hyperkalemia, could also explain some of your symptoms.Coming to this point, I would recommend consulting with your attending physician for a physical exam, a complete blood count and blood electrolyte levels. You may need to stop amlodipine and switch to another anti-hypertensive drug. Hope to have been helpful!Kind regards, Dr. Iliri
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diff --git a/processed/document_classification/train/Confidential/doc_4824.txt b/processed/document_classification/train/Confidential/doc_4824.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67a7fa3adf9f1624ae1c4ff42997941852760ee6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4824.txt
@@ -0,0 +1 @@
+Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_4825.txt b/processed/document_classification/train/Confidential/doc_4825.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f2798955a761fe885b8ccd2d3e3b655062adfa97
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4825.txt
@@ -0,0 +1 @@
+hi...dr...i m 22 year-old and having g6pd. before that my health was good enough for me to attain any activities. but now i m easier to feel fatigue and my hand keeps shaking. besides, my back started to get pain and love to sleep recently... dr... wat is my problem now? Dear friend,see there is no such permanent treatment for G6PD deficiency.only you have to know that some drugs or medicines are to be totally avoided.if you take this medicines then your blood cells will be broken in a very faster rate and you will be anemic.in fact,from my day to day clinical practice I have realized that the symptoms you experincing are all because of low blood cells in your body.try to take rest,concentrate on nutritious food and take hematinic to increase bloood cell in your body.in this way you will regain your body strength,overcome fatigue and your hands will stop shaking.to decrease your back pain you should go for some back strengthening exercise like flexion exercise of vertebral column.i sincerely believe it will decrease your back pain a lot.my best wishes for your health.thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4826.txt b/processed/document_classification/train/Confidential/doc_4826.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90b57a7e308c582e600e1e73ee07655fcc208045
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4826.txt
@@ -0,0 +1 @@
+i have a red itchy rash that comes and goes that s not on a regular basis but it appears on my arms, legs, feet , and hands. I went to the school nurse a few times and they said it looks like contact dermatitis from washing my hands, but i don t wash my legs too. There isn t really any changes in my soaps or lotions anything like that either. I don t know what to do because if i go to the doctors office it is not always on my body. Hi, From the description you have given it seems more like urticaria than contact dermatitis. In most of the cases, urticaria has no underlying cause. However worm infestation, particular food intake, foods with preservative like jams pickle and sauce, medicines, infections can cause urticaria. To treat the same, you might require a course of oral anti allergic like fexofenadine or cetirizine for couple of weeks. You can also apply calamine to soothe rashes. Hope that answers your query. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4829.txt b/processed/document_classification/train/Confidential/doc_4829.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9c21aa54c18e46f527aafb806c6b37d2929e8784
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4829.txt
@@ -0,0 +1 @@
+Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Hi. For further doubts consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4830.txt b/processed/document_classification/train/Confidential/doc_4830.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1267a753bcf1e2d63502627e05c400a2ebe1fadd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4830.txt
@@ -0,0 +1 @@
+Hi i am experiencing current pins and needles in my left arm and can not feel what im touching properly as well as my tongue is all tingly and my vision is a tad strange in my left eye. Im seeing a bright white aura light ive just switched a light in after being in the dark as well as having a massive migrane coming on. Not sure what to do Hello, I have studied your case. Due to compression of this nerve root there can be tingling numbness in your arm and pain. I will advise you to MRI cervical spine for better diagnosis.You can take trinerve forte consulting your doctor then it will be more helpful.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4831.txt b/processed/document_classification/train/Confidential/doc_4831.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1091bcd05490c901b4680f876d43e86b1433166
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4831.txt
@@ -0,0 +1 @@
+Hello, my father-in-law recently dyed his hair at a salon yesterday & today he has clear fluids coming out of his scalp continuously with red blisters. Is there anything over the counter we can purchase for him? He does not want to go to the doctor because he doesn t have health insurance. He s experimented with hair dye a few years ago with the same allergic reaction , but he said that time there was a stream of fluids coming from his head and even his nails fell off? Why he chose to dye his hair again? Who knows. Is there an indicator when the problem is serious enough to seek medical attention? Hello, It is obvious that he has a delayed hypersensitivity to hair dyes (Type IV hypersensitivity) that takes a few hours/days to manifest and lasts for several weeks sometimes. He must take oral corticosteroids and can also apply topical steroid creams plus antihistamine tablets to control the current situation. Patch test MUST be done after a few weeks to know which chemical is causing this reactin as the same chemical can be present in several other substances like toothpastes, washing powder, mouthwashes etc . Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_4833.txt b/processed/document_classification/train/Confidential/doc_4833.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2d5c3b9492b0d869cdfd13b3a7eac32eb89effe4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4833.txt
@@ -0,0 +1 @@
+I have autoimmune hemolytic anemia (Evans Syndrome). In Oct. 2010 I developed a cough that would not go away....had a ct scan and found multiple blood clots in both lungs. In addition they found some "spots" in the right lower lobe of my right lung. These spots continue to grow. A needle biopsy was attempted but the radiologist could not reach them with the needle. Could this be related to Evans syndrome or something unrelated entirely? Hello ! Evans syndrome does have increased for thrombosis (blood clots). With your clinical background , the multiple clots in lungs were reported as pulmonary emboli? Was it detected on plain CT or CTPA (CT Pulmonary Angiogram)? CTPA is the best modality to detect pulmonary emboli. Consult a physician and get autoimmune profile tests of blood done - like Anticardiolipin antibody, lupus anticoagulant, Antiphospholipid antibody , beta 2 glycoprotein antibody coz presence of any these is associated with increases risk of abnormal clotting in blood vessels. Also the spot in the lower lobe of your right lung can be due to infection or lung tumour. Kindly consult a chest specialist and take opinion in person . Despite antibiotic and antifungal medications, if the spot continues to grow , it is a concern. so it is essential to grow for bronchocoscopy and CT guided biopsy of the "growing spot" . Do Consult a chest physician in person at the earliest .
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diff --git a/processed/document_classification/train/Confidential/doc_4836.txt b/processed/document_classification/train/Confidential/doc_4836.txt
new file mode 100644
index 0000000000000000000000000000000000000000..986c78c202ef1326d5aef66e9c6f470d33303d85
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4836.txt
@@ -0,0 +1 @@
+Hello doctor,I know this may be too extreme for this site, but I am seeking all the advice I can get. My two months old baby was normal, healthy, happy, smiling. One fine day morning, I walked over to get him and noticed abnormal breathing inhaling but not exhaling. His body was solid gray and unresponsive.I immediately called emergency service. He was transported to an emergency room. He is in a coma, on life support, the red blood cell count is dropping, fluid on his brain, having seizures, and his blood pressure was at 320 when he was transported. They have run every test for primary infections plus more, and all comes back negative. The pediatric unit has never seen anything like this. They have contacted other specialist, and there has been no diagnosis. If anyone might have any clue of what it could be, please help me. We want him to come home and return to our happy lives. Hello. With the information you have given, I would try to analyze his condition. First, turning gray or blue means the oxygen levels in his body are low. Reasons could be many. From what you mentioned. He seems to be bleeding in the brain, that is why his red blood cells are coming down. Bleed in the brain also causes seizures and high blood pressure. Or sometimes high blood pressure itself can cause seizures, but the number 320 is very odd, I do not know if it is that much. This condition could be due to 1) infection, 2) Abnormal bleeding disorders, where the body cannot stop the bleeding process, due to deficiency of some factors responsible for it. It needs special tests. Ex; late hemorrhagic disease, deficiency of factors 8, 9, etc. 3) High BP could be because of the bleed itself, or high BP could have caused the bleeding, then reasons for high BP should be looked for.this needs special tests and scans, hormonal tests also. 4) Bleeding can be controlled by given FFP, cryoprecipitate in specific conditions. I know I can only provide you information, because the condition is serious, requiring a lot of tests, and treatment is not so simple. He needs treatment to control the bleeding, control BP, seizures. It involves a few specialties and can be life-threatening also.
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diff --git a/processed/document_classification/train/Confidential/doc_4837.txt b/processed/document_classification/train/Confidential/doc_4837.txt
new file mode 100644
index 0000000000000000000000000000000000000000..871013dee61139a516e700da575e2d0b0bada15f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4837.txt
@@ -0,0 +1 @@
+I ovulated on 20 th october and i was on progynova tablets from 10-20th day of my cycle . I was given clomiphene for ovulation. From 21 st doctor has asked to take regesterone medcine twice a day for last 10 days of cycle. I am ttc . I read somewhere that it would not help my fertllized egg to attach to uterus.. should i take this . I am confused doctor please help Regestrone will help to continue ur conception if ur egg has been fertilised and implanted. its kind of safeguarding u can take tat drug
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diff --git a/processed/document_classification/train/Confidential/doc_4838.txt b/processed/document_classification/train/Confidential/doc_4838.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dd5b96b8402d494012cf93bcf87e3bb066eaad21
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4838.txt
@@ -0,0 +1 @@
+Hi Doctor, I have a 22 month toddler who is currently have fever n runny nose n cough with phlegm. But I don t understand why is her gums swollen as well n she also has a pus on her tip of her tongue. Her gums are so swollen that upon starting to brush her teeth it started bleeding. Pls advise. Thank you. Hello,Thanks for consulting HCMRead your query as your child has runny nose , cough and swelling of gums dont be worried so much this can be due to viral infection I will suggest you to consult child specialist for cold and examination of oral cavity .Hope this will help you.
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diff --git a/processed/document_classification/train/Confidential/doc_4839.txt b/processed/document_classification/train/Confidential/doc_4839.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6a84000104fd03a4d66c166c4a6be94a826d66b7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4839.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4840.txt b/processed/document_classification/train/Confidential/doc_4840.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5e4bc32f4b3820e5ac6f172e4586f528d54f955b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4840.txt
@@ -0,0 +1 @@
+My neck started hurting yesterday when I got up but I thought I just slept wrong. Now my whole neck is in sever pain and I have chills. I can t sleep. No headache, no blurred vision. Just a lot of pain in my neck. I have been fighting what I think to be a head cold for a week or better. Dear patient there is possibility of neck spasm considering your symptoms. Are you using large pillows?Avoid that. Use low heigh soft pillow while sleeping. Tab myoril 4mg twice a day with tab ibuprofen 400 mg thrice a day should be taken for 3 days. Hot water fomentation with water bag helps pain relief. Apply diclofenac gel locally over area of pain. If you are getting cold also please consult physician. Hope this is useful.
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diff --git a/processed/document_classification/train/Confidential/doc_4841.txt b/processed/document_classification/train/Confidential/doc_4841.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3ab6ceca8f44641b9449c67ab602ac1190c9bb6b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4841.txt
@@ -0,0 +1 @@
+Good morning, I have the worst headaches starting at the back of my neck going all the way to the top of my head associated with needles and pins in my hands and feet. My muscles are sore throughout my body. Been having this for 7 years including 2 Carpal Tunnel operations as well as a neck operation. They also did a Risotomy procedure . Any ideas? I live on grandpa powders and pain killers. Hi,Thanks for writing in.It looks like you had rhizotomy procedure done for neck pain. In this procedure the selected nerve roots are blocked and this reduces the pain. As you have been having this neck pain for 7 years and now headache and tingling have also started therefore it will help to go back to your neurosurgeon and get a MRI scan of cervical spine done. This will show any new developments and disc changes that require attention and treatment so that your pain is treated. New procedures like laser assisted disc surgery and radiofrequency ablation are in use to release pressure over the pinched nerve roots and block the pain sensations in the area. These are well accepted by many patients and please discuss these treatments as you have already had a neck surgery without much relief in symptoms. Since it might be surgically difficult to decompress the nerves at various levels, doing radiofrequency ablation of nerve roots might be a better choice.
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diff --git a/processed/document_classification/train/Confidential/doc_4844.txt b/processed/document_classification/train/Confidential/doc_4844.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0d24687da199d480fa07eb5c8c133b6b104cce93
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4844.txt
@@ -0,0 +1 @@
+Two days ago I noticed a rash (flat, barely red, not very itchy) I took benedrl, put hydrocortisone crem on it and in the morning most was gone. Before bed it was in new places and more. Did the same as night before now almost gone again. I m 55 and in good health excersize . What is this Hello and welcome to healthcaremagicI would keep a possibility of Acute Urticaria. It can present as itching and skin welts/swellings all over the body.Urticaria OR hives can occur due to various causes like(to name a few):--Infections(bacterial , viral, fungal) --Drugs(Pain killers/ antibiotics etc) --Certain foods and food additives/preservatives --Physical Urticaria: Cold temperature, Heat, Pressure(Prolonged Standing, Sitting), Dermaographism etc. --Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc --Autoimmune disorders like SLE, RA etc. --A few cases have no underlying cause and are known as idiopathic urticaria. I would advice you to get few basic lab tests like Hemogram, stool for ova/cyst, Urine routine, Chest X-Ray.An oral antihistamine like Fexofenadine (Allegra 180 mg tab) OR Loratadine (Alaspan 10mg tablet) once or twice daily for a week would be suitable. They are non-sedating and wont affect your alertness level. A topical soothing lotion like calamine would help you symptomatically. take care regards
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diff --git a/processed/document_classification/train/Confidential/doc_4846.txt b/processed/document_classification/train/Confidential/doc_4846.txt
new file mode 100644
index 0000000000000000000000000000000000000000..52b1044953621f4a0ef04de824a204a71871a17a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4846.txt
@@ -0,0 +1 @@
+Hi My name is Preet from Slough United Kingdom. I have a frackles problem on my face can you please suggest me any cream to remove it because it looks very bad on face and suggest me any cream to glow on skin coz my skin looks very dull. Thank you Preet. Hello dear,welcome to HCM.I have read your query and understood your concern.I usually advice my patients to put a broad spectrum sunscreen with SPF 60 over face in the morning hours after every 2-3 hours.In night, apply depigmenting cream like combination of kojic acid and vitamin c over the freckles . Treatment need to be continued for atleast 3 months.stay healthy.
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diff --git a/processed/document_classification/train/Confidential/doc_4847.txt b/processed/document_classification/train/Confidential/doc_4847.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c891b33a88cf64e1392c43cb1d0134a03fa6ae5b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4847.txt
@@ -0,0 +1 @@
+My son just turned 17 a week ago. He has been on Prozac 20mg po daily for approx 2 months. His mood has improved, but he has become very tired. He does take it at night. I will talk to his DR that prescribed it but am concerned what other antidepressants are available for teens. Most literature I read does not advise most antidepressants for teens. Hi,I read your query and can understand your concern regarding adverse effects of antidepressants on your son. Your son has shown improvement on prozac (fluoxetine), although, he still seems only partially improved. First of all, regarding your concern about anti-depressants in teens, SSRIs like Fluoxetine, escitalopram and sertraline are actually safe enough options. They help in overcoming the symptoms of depression in adolescents very well and are actually recommended. After all, you won't want your son to continue feeling depressed. Regarding your son's current set of symptoms, he can be started on some kind of non-pharmacological treatment like Cognitive behavior therapy if someone in your area is qualified enough for that. He can be taught relaxation exercises. Alternatively, dose of fluoxetine can be increased further.Wishing your son speedy recovery.
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diff --git a/processed/document_classification/train/Confidential/doc_4849.txt b/processed/document_classification/train/Confidential/doc_4849.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a21220ed491ad5b79cc86930c71896e471fcb996
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4849.txt
@@ -0,0 +1 @@
+hi i have a boil under my arm for five days now its really swollen and painful.It came to head and started to drain but its still really swollen and painful it looks like its ready to pop. Ihave taken any antibiotics but have been taken plenty oranges pineapple and water.I also applied warm compresses to it.Can I use canesten cream on the area. Hello.Welcome.Normally abscesses in armpits burst of there own.Keep applying hot compresses.If it doesn't bursts in another two days get an incision and drainage done.Canes tan application has no role in it.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4851.txt b/processed/document_classification/train/Confidential/doc_4851.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cd29e577f388314dc199dff804e68c0335fbe275
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4851.txt
@@ -0,0 +1 @@
+I just got my bellybutton pierced last Saturday, and now I I think it is infected. I haven t gone in any pools or water besides showers, and I clean it then and spray a cleaning spray on it at least 4-5 times a day. It has a reddish ring around it, what do I do? Thank you for your query.Dear user ,infection of belly button is a superficial infection.u need to clean it with hydrogen peroxide and povidone iodine solution .or surgical spirit and povidone iodine.and apply povidone iodine cream and close the wound with cotton pad.do the dressing daily the reddishness will come down gradually.if it is not relived you can always write us back .regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4852.txt b/processed/document_classification/train/Confidential/doc_4852.txt
new file mode 100644
index 0000000000000000000000000000000000000000..beb8a3b545deb4618ef335745716930a824aab6a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4852.txt
@@ -0,0 +1 @@
+My 87 year old father fell off a ladder approx. 1 1/2 year ago. He broke both arms and shattered his left wrist which now has a plate in it. He also hit his head. He was taken to the hospital and they did tests to make sure his head injuries were not life threatening. He is now 88 and is going to a geriatric psychiarist and takes anixiety medecine. They do not seem to be helping him. He is lathargic and sleeps most of the time. He has no apetite. I was reading about dementhia and I would like your professinal opinion on should we request this test be done. His caregiver is my Mom who is 87. My sister and I live about 4 miles from them and are there when needed but also give them the respect they deserve and not smother them. It just seems that all they want to do is give him pills and have not taken any test such as for dementhia, alzheimers or parkinsons. We don't know where to turn. The Dr.'s he goes to are not very understanding. Please respond. Hi,Thank you for posting your query.I agree that he requires a detailed clinical evaluation by a physician as well as a neurologist.His condition could be secondary to dementia, or a metabolic derangement or side effects of psychiatry medications.Work up would include a CT scan of brain, thyroid profile, and vitamin B12 level.He would improve with medications.Hope it helps.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist
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diff --git a/processed/document_classification/train/Confidential/doc_4853.txt b/processed/document_classification/train/Confidential/doc_4853.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7068c68ba5c8794ba8cfcf666cfd8c4e79b7945d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4853.txt
@@ -0,0 +1 @@
+Hello doctor, When it comes to physical intimacy, my partner enjoys having sex with me. I am a male. For me, it seems blunt. In spite of the erection, my penis seems less sensitive and there is very little excitement. Is there something like sexual compatibility? That is, is one only compatible with certain women? I also do not enjoy much when it comes to touching her. She is the first person with whom I had sex with. Or, does it take some time for my body to get adjusted to her? Other than this, she is a great person and we have wonderful chemistry. Hello. Yes, it sometimes happens this way. You get an erection and can do intercourse because you are (probably) excited at the prospect of having sexual interaction with this woman, who you seem to have good chemistry with. But, you also probably did not realize at that time that she is not the right sexual mate for you, though a great intellectual companion. Although your body responded through erection and other bodily reactions, your mind remained cold and unresponsive because the sex appeal is missing or you just see her as an intellectual companion but not as a soulmate. This happens, and maybe a reason why there was very little sexual excitement during intercourse or upon touching her. That way, your guess that one is compatible with only certain type(s) of women is valid. What does this lead to? At least two possibilities are there. It depends on how you see the situation and how you mend yourself. For more information consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4854.txt b/processed/document_classification/train/Confidential/doc_4854.txt
new file mode 100644
index 0000000000000000000000000000000000000000..83d180ce24b7f5a6576b3461cd2571b2df2f897f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4854.txt
@@ -0,0 +1 @@
+my 3 year old daughter sweats a lot all throughtout the day,either it is summer,rainy or winter. then starts nose running along with sneezing. After the above condition is controlled, starts coughing, how can i prevent her from falling sick all the while? Thanks for askingI gone through your question, your daughter having frequently running nose,sneezing , cough. All the above symptoms are indicative of allergic disease. If i was your treating pediatrician., i would advise you 1. identify what trigger the symptoms, and try to minimize that triggering event2. I would advise to take tab levceitrizine 2.5 mg and montelekast 5 mg once daily for next 15 days , and see the response. so recommendation to prevent allegic exposure 1. no carpet in home, vacuum cleaning , frequent cleaning so that dust can not take place its place, avoid pet, . these are general guideline to prevent allergic prevention. hope i answer your query. wish health family
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diff --git a/processed/document_classification/train/Confidential/doc_4855.txt b/processed/document_classification/train/Confidential/doc_4855.txt
new file mode 100644
index 0000000000000000000000000000000000000000..23fd22b9c8d8ba75433c514150977abe6e3d9111
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4855.txt
@@ -0,0 +1 @@
+I was recently diagnosed with Cystitis after a year long continual bleeding and severe pain. After 2 scopes they found my bladder walls are bleeding; numerous biopsies were all negative, so the final outcome was Cystitis. However the bleeding, severe pain are still constant. I've been on Atarax, Vesicare and numerous antibiotics for the past year. I have had no relief of the pain...Any new treatments? Hi,I guess you have Interstitial Cystitis.You may try Tab Nortriptylline 25 mg once at bedtime daily after stopping Atarax.Do not take any antimicrobials .
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diff --git a/processed/document_classification/train/Confidential/doc_4857.txt b/processed/document_classification/train/Confidential/doc_4857.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ffe9a6f6a10b7d320ab718f5c3cb4135e873843f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4857.txt
@@ -0,0 +1 @@
+Hi am kwame I want join british army when I want adsc the doc told mme that I got heart murmur so he send me to specialist but my is ok today I want see my recuirter and he told me that they send me llater to give to my gp am worry is there any problem murmur is due to turbulence of bood flow across the heart valves.but it can occur in other conditions like anemia also.so do an echocardiogram and confirm that if you have any problem in heart. check your hemoglobin too.
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diff --git a/processed/document_classification/train/Confidential/doc_4858.txt b/processed/document_classification/train/Confidential/doc_4858.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e1d62c17860097996fa82045444deba60720e29c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4858.txt
@@ -0,0 +1 @@
+I ve been having anxiety for the past 7 months and recently I ve been getting mild headaches and weird sensations all over my head. I also get these weird feelings like numb-like waves that happen only for like 2 seconds. I also have tension around my neck and back/chest on the left side of my body. I really hope it s nothing really serious... earWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely opine that these could be signs of anxiety and apprehension. These could arise out of obsession also. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. I sincerely think, you need expert medical / psychological advise. Please consult a psychologist.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4861.txt b/processed/document_classification/train/Confidential/doc_4861.txt
new file mode 100644
index 0000000000000000000000000000000000000000..21ebaf226e30b906993f30314389a3f3153680a0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4861.txt
@@ -0,0 +1 @@
+Hello. My daughter is feeling stomach pain (she says it feel like a punch - from the inside trying to get out) and she's thrown up about three times between yesterday and today. She's hardly eaten because she can't keep it down and doesn't feel hungry. She doesn't have a fever. I've given her oral electrolyte, but even that she's not liking or able to keep down. Hello dear,The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract.Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food)2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food).3. Antibiotics like Ofloxacin+Ornidazole preparation twice daily (to be taken after food)4. Oral Rehydration Solution (ORS) for maintaining the hydration status of the body.5. Take soft, plain, non-spicy foods6. Avoid fast foods & gas producing food products like cabbage, etc.If symptoms still persist, it will be better to consult a Gastroenterologist & get a proper physical examination done to find out the exact cause.Investigations like complete blood count, stool examination & Ultrasound scan of abdomen will be helpful in detecting any pathological cause for the symptoms.There is no need to worry, your daughter will be fine.Wishing her a good health.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4862.txt b/processed/document_classification/train/Confidential/doc_4862.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e7bc5e5ab556ac3c814683e37254ccd9bd91c25e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4862.txt
@@ -0,0 +1 @@
+HI, I have tailbone pain and had bloody mucous in stool for a couple days last week. My bloodwork just came in and my doctor said it all looked good. Although i just told him about these symptoms today. He asked if i had a history of crohn s or colitis. I am 39 and female. my youngest of five children is 9 months old. Thanks for contacting healthcare magic. You have problem of tail bone pain that can treated by antiinflamatoru drugs like Ibuprofen or cox2 inhibitor drugs. That NSAIDS drugs helpful for reduce inflammation. Apply cold pack at affected area. Avoid excessive pressure at cocyx area.Avoid prolong sitting .Put donut shape pillow while sitting. If pain is increase due to constipation problem than take stool softner and high fiber foods.Injection of steroid helpful to decrease inflammation. Stretching of ligaments also helpful. You have problem of blood in stool that may because of hemorroid or anal fissure. Ulcerative colitis may cause blood in stool. Consent a physician for further diagnosis. Abdominal ultra sonography and stool examination test is helpful. I hope my guidance is helpful to you. ITakecare. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4864.txt b/processed/document_classification/train/Confidential/doc_4864.txt
new file mode 100644
index 0000000000000000000000000000000000000000..231955a48cffba204957a785482b11b97e22353f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4864.txt
@@ -0,0 +1 @@
+My wife have miscarraiged 2 babies earlier and 3rd one born but her husband(before) has gone for abortion but due to this situation an ectopic occurs and one blind nursing home aborted someway and sutured it. But after second marraige with mine I got the knowledge and during first pregnency it first hitted the blockade portion and make a severe liferisk, I told the treating doctors all and they ultimately aborted and rescued as the blood with ovum clotted in the same location. The second tube is not febrile. May I got a baby in future.......@Rabindraranjan ghosh as per ur history. ..in one tube..due to ectopic pregnancy probably tubectomy is done,other tube u can check wid hsg d potency. ..if intact...ur wife can conceive
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diff --git a/processed/document_classification/train/Confidential/doc_4866.txt b/processed/document_classification/train/Confidential/doc_4866.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a9e26510aa96e32b4e768be07736c73f4450b936
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4866.txt
@@ -0,0 +1 @@
+My hubby (who is quite medically fit, 5'11", and weighs 11 and a half stone) is due for groin hernia op 3 weeks before going on hols in the Gran Canaria. will he be able to swim IN THE SEA AND IN THE POOL? He actually feel it's not worth going away if he can't, but we do need to be certain he'll be okay to do so. Thanks! Hi thnak you for querry.in case of inguinal hernia it depends either it is direct or inderect and if indirect complete or incomplete.The only compication occur if he do exercise,strenous work or swimming the hernia may strangulate its most common in indierect and complete hernia.if hernia goes back easily when he lies down than no need to worry for swimming.hope the answer will help you for making decision.
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diff --git a/processed/document_classification/train/Confidential/doc_4867.txt b/processed/document_classification/train/Confidential/doc_4867.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cb87fd648f66a2a2238d87a63594999a2ccf2448
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4867.txt
@@ -0,0 +1 @@
+An ultrasound has just revealed liver diffusely echogenic and hepatic steatosis . I gather that is some kind of fatty liver (non-alcoholic). I am 5 7.5, 130 lbs, 73 years old and follow a pretty clean diet: no grains/sugars. I consume about 2 tbs MCT oil/coconut oil daily, occasional flax oil, olive oil, no heavy fatty foods or fried foods. I exercise daily about 30-40 min trail run and occasional swim about 30-45min. Can you tell me what I am doing or not doing to create this condition and what I should do about it. (My mother had hepatitis in the 50 s so I don t associate a letter w it. However it was chronic and consumed her for at least 5 years before she died a week after surgery on a blood clot). Hello,The given ultrasound suggestive of fatty liver and it could be a non alcoholic disease. Consult a gastroenterologist and get evaluated. You have to do a liver function test to assess the functional status. In most cases it will resolve with conservative management and only observation and follow up is required.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4868.txt b/processed/document_classification/train/Confidential/doc_4868.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4706421a274da264ce6dea0984852c5c68522efb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4868.txt
@@ -0,0 +1 @@
+My father is 71 years old . For few months now he has been accumulating yellowish fluid in his shoulder. He lives abroad. So far doctors have tried meds and drawing the fluid back down with needle but condition comes back. What are the possible reasons for the condition? Hello, This condition could be related to arthritis (local inflammation), due to chronic degerations of the joint. I would recommend taking ibuprofen against inflammation and performing some tests (uric acid plasma levels, inflammation tests). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka
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diff --git a/processed/document_classification/train/Confidential/doc_4870.txt b/processed/document_classification/train/Confidential/doc_4870.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eb0ea7b4e2b44e0d1e6550e28a6fca0dc7c03230
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4870.txt
@@ -0,0 +1 @@
+Ultra Sound Findings: There is increased echogenicity around the renal pyramids bilaterally which can be seen with nephrocalcinosis and a CT KUB is recommended. No hydronephrosis. There are two echogenic lessions within the left kidney with shadowing. Likely to represent calculi. What does this mean Hi,Thanks for writing in.There is a possibility of small stones forming in your kidneys on both sides. There are two small stone like areas in the left kidney. While ultrasound scan can certainly locate larger stones, some of the smaller stones need detailed evaluation in the presence of symptoms. A CT scan is sensitive to pick up stones measuring 2 mm in diameter which can be missed by ultrasound. Increased echogenicity around kidney pyramids might indicate small stone formation in progress. For complete assessment of kidney stones, a CT scan is to be done. Please continue drinking adequate amounts of water to flush out smaller stones.
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diff --git a/processed/document_classification/train/Confidential/doc_4871.txt b/processed/document_classification/train/Confidential/doc_4871.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bf801417f58eb6d8d2a4fbca7ce66e71141368db
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4871.txt
@@ -0,0 +1 @@
+I am a 19 year old female. I am having severe upper left abdominal pain every time after I eat. It usually lasts for about an hour to an hour and a half. I have small ulcers that are being well treated. I do not have an appendix or gallbladder, when they took them out both looked normal. I have tried to eat bland foods. I can not handle eating oatmeal, plain no flavoring oatmeal. I have been tested for several stomach diseases and they were all negative. Any advice helloIf your reports are normal than you need not to worry.By changing food habits you will feel better.I would suggest you to,Take light food,avoid fried & bakery products.Take buttermilk after lunch & milk after dinner.Take Dashamoolarista 3tsp with water twice a day.
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diff --git a/processed/document_classification/train/Confidential/doc_4872.txt b/processed/document_classification/train/Confidential/doc_4872.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0c3aecdba9a424d9830b313334f985fd4226963f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4872.txt
@@ -0,0 +1 @@
+Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4873.txt b/processed/document_classification/train/Confidential/doc_4873.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9d53995c0685f402d34e13a29ebdff37071e577f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4873.txt
@@ -0,0 +1 @@
+My family reports that I am having occasional episodes that sound like absence seizures. What I read says they are rare in adults and I am 62 y.o. female. I have a history of anti-depressant use and my daughter has heard that that may be associated with these. Hello!I understand your concern. Absence seizures are rare at your age but may happen. I would recommend you do an EEG which is absence seizures has a typical pathern and also a brain MRI to rule out any lesion of the brain like tumors, stroke etc which can cause absence in this age. If the diagnosis is absence I would recommend treatment with lamotrigine which is well tolerated at your age but not 100% effective in absence. It also has a stabilizing emotional effect. If it doesn't control seizures other drugs I would recommend to you are valproate and ethosuximide which are first choice for absence seizures. Antidepressants can cause seizures in the elderly but you have to rule out other causes.Hope to have been helpful!Best wishes Dr. Abaz Quka
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diff --git a/processed/document_classification/train/Confidential/doc_4874.txt b/processed/document_classification/train/Confidential/doc_4874.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cba51d1ed3404c3be33a9edeac53b1d1ab170f54
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4874.txt
@@ -0,0 +1 @@
+Me and my wife have been trying for a baby for the past 3 years. My wife is 30 and myself 31 years and she has regular cycle with 3 days bleeding. We dont have any miscarriages and this is our first baby. She dont have endometriosis/PID. she dont have any allergic or surgeries. My sperm concentration - 38 mi; Vol - 5 mi; motility - 56%; Morphology - 31%; My wife had Clomid and Letrozole to improve the chance of fertility. Nothing is working. So we are planning to go for IVF treatment. (This is our 1st IVF Treatment.) Whether we can go for IVF or wait for some time? How much it costs? What is our success rate? since i am working in US, i can stay in india max of 6 weeks. But she can be there as long as required. Whether doctors will do directly IVF or IUI and then IVF? Please give me brief details. As per General Gync point of view, our test results are normal. We both are very depressed and dont know what to do. Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Better to get IVF treatment immediately.I hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh
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diff --git a/processed/document_classification/train/Confidential/doc_4876.txt b/processed/document_classification/train/Confidential/doc_4876.txt
new file mode 100644
index 0000000000000000000000000000000000000000..47f707796c0e4cf24a8b89588528de153af63a59
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4876.txt
@@ -0,0 +1 @@
+Good afternoon My name is T,lnk,mi from Macedonia .I have 43 years oldMy question is : I have discus hernija in L5-S1.After the terapi with acupunktura I feel good , but My right leg is dont strong.Why??I waith 1 mounth but steel is softly.I have no painPlease answer meThanks HIThank for asking to HCMI really appreciate your concern, from the history given here I could say that you are having degenerative disc disease of a lumber spine, acupuncture wont work here, you have to see the neurologist for perfect treatment if you have not done the MRI study then get it done it and have opinion form neurologist, hope this information helps you, take care and have nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_4877.txt b/processed/document_classification/train/Confidential/doc_4877.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4fb2253ced9170cec449c9b7ec9f28b857bce1cf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4877.txt
@@ -0,0 +1 @@
+A woman has been using crutches for the last 3 years complains her leg hurts from a fall and might have nerve damage. She is always going to the ER for falls and is 36 yrs old does not work. Last year she showed up at a family party in a wheel chair . Now she likes the crutches. Sometimes just uses one crutch I think she s seeking attention. Hi,thank you for providing the brief history of the patient.As you mentioned the patient is on the crutch and is there any chance of having pain in the legs?Well that totally depends how she has learnt the Crutch Gait training. As there is always a specific way to use the crutch, frames, sticks, etc. If she learns properly she will not get any pain in the legs.Also, for performing crutch walking, One needs to have a stronger arms and a strong torso including the sound limb to be the best if there is injury on other side. If both legs are weak then until the upper limb and torso are strong it is tough to walk easily.Also, if the torso and upper limb are not stronger and still the patient is using the crutch then, what will happen is, the metabolism will be faster and the body will consume more energy which will lead her into pain and aches.She can opt for the physical therapist and strengthen the muscles required for the propulsion of the gait , even if it performed by using the crutches. Post under going the physical therapy, she might have the whole lot of opportunities to come closer to the functional activities at ease.With the grace of god i wish a speedy recovery.RegardsJay Indravadan Patel
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diff --git a/processed/document_classification/train/Confidential/doc_4878.txt b/processed/document_classification/train/Confidential/doc_4878.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6138382d77583d06aacf15946f6548c2d348460e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4878.txt
@@ -0,0 +1 @@
+two days ago I had an incident that the hospital called a TIA but my symtoms weren't much like those I have read about. I have a four hour block where I remember nothing. But I was consicious and asking my family strange questions. like what is the date? Basically the questions were about things that I know the answer to....The family said I did not slur my words and that my eyes looked fine and I acted like myself but asked these weird questions and Ido not remember talking to them. After the four hrs I was examined at the hospital and had a CT and a Doppler test. Everything looked normal. Do you think I had a TIA?r Hi,Thank you for posting your query.Yes, I agree with your doctors that you had a TIA. To be more precise, you had a type of TIA, which is called as TGA, transient global amnesia. In TGA, the person has amnesia and forgets many events, which explains your asking weird questions at that time.MRI brain would be useful in picking up small infarcts (blood clots) in the left side of your brain.Also, the risk factors should be screened for and treated, such as diabete, high BP, cholesterol, etc. I hope you are on aspirin and statins to prevent the recurrence of TIA or a stroke. Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist
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diff --git a/processed/document_classification/train/Confidential/doc_4879.txt b/processed/document_classification/train/Confidential/doc_4879.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0e96d3bf4f221549fb787b4ba161854ebba420d5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4879.txt
@@ -0,0 +1 @@
+I m very shy, don t talk to people first unless I m talked to, etc. A part of my wants to have more friends and do stuff with them. But another part of me wants to stay far away from any social interactions like going to the mall, the movies, and other places. And when they do invite me, I always find an excuse not to go. Is this an anti-social problem or is what I m doing just my social anxiety working? Whatever it is, I hate it. Hi well come to HCM. You are not at all anti social. It is just you are introvert and that is your personality, can be changed easily by you only by developing your interest in otheres and what they are doing, moving out with friends repeatedly will give you pleasure and gradually you will come out of it It may change with age as you built up your self confidance. Do not need any treatment for this. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4881.txt b/processed/document_classification/train/Confidential/doc_4881.txt
new file mode 100644
index 0000000000000000000000000000000000000000..27ac00ea14507e76bbe94da453330dafaf6b7764
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4881.txt
@@ -0,0 +1 @@
+Hi, My wife is end of her 33rd week pregnancy. She has mild itching @ palms, feet and on stomock. Dr suggested to for LFT. I did it and the results are normal except ALS & AST which is little higher than normal. Bile salt and bile pigment is absent. I am still concerned does she has OC? Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.I need to know her complete Liver Function Test report.Jaundice in pregnancy can be due to :1. Acute Fatty Liver Of pregnancy2. Viral Hepatitis E 3. HELLP Syndrome4. Obstructive causes.I advise you to get het complete LFT and Ultrasound Abdomen done to rule out all possible causes.She requires evaluation since rise in ALT and AST is there.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD
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diff --git a/processed/document_classification/train/Confidential/doc_4883.txt b/processed/document_classification/train/Confidential/doc_4883.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2bfa975d048edac430ee5b757eda7f89024ea02f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4883.txt
@@ -0,0 +1 @@
+I have RUQ pain. It initially started after my PCP switched me from Metformin to Janumet. The pain started 3 days after starting this medication. Stopped med on 4th day and went back on Metformin. Blood work showed elevated Liver enzymes...low 100 s. Pain continues to be interrmittent. Does not go thru to the back. No nausea, vomiting, diarrhea.. No major weight loss. All vital signs normal. I had CT with contrast of the abdomen which is normal (small fatty infiltrate of liver). PMH: Endometral CA (had hysterectomy), DM Type II, Thyroidectomy (non-cancer). My question is....could this be pancreatic cancer?? I am not seeing the symptoms, but I am concerned..or if not ... what??... where do I go from here? hi.noted history of RUQ pain and existing co-morbidities. it is possible that you have a gallstone disease. it could also be any pathology somewhere along your hepaticopancreaticobiliary tree area. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. other diagnostics (such as pancreatic enzymes, liver function tests, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. if it is indeed of gallstone in etiology, definitive treatment is surgical removal of the gallbladder or cholecystectomy. it can be done laparoscopically (goldstandard) or thru open technique. low fat diet is also advised.hope this helps.good day!!~dr.kaye
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diff --git a/processed/document_classification/train/Confidential/doc_4885.txt b/processed/document_classification/train/Confidential/doc_4885.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4502f13835947ca21f2791f59162a5d3a28939ac
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4885.txt
@@ -0,0 +1 @@
+Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. Hi. For further doubts consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4886.txt b/processed/document_classification/train/Confidential/doc_4886.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0ad21e9c726478f78f704ef8f7ecea83833b4096
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4886.txt
@@ -0,0 +1 @@
+Good day Doc Went to my GP for back pains and swolen legs at the bottom , he told me that I had kidney infection. And he gave me Cifran, Metazol, Cizole, Amiloretic and Alka Fizz. Now my stomach is loose and I feel exhausted. What can you advise. Regards carol Hi CarolMedication is okay.take plenty of water orally.avoid citrus fruits and juices.Do back strengthening exercises.blood sodium,pottasium,serum proteins,hemoglobin levels should be tested apart from urine routine test and urine culture and sensitivity.An ultrasound of abdomen to rule out any urinary system stone or calculus formationThanks for writing
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diff --git a/processed/document_classification/train/Confidential/doc_4887.txt b/processed/document_classification/train/Confidential/doc_4887.txt
new file mode 100644
index 0000000000000000000000000000000000000000..743ab171a31bd428205fb81283798b90690eb995
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4887.txt
@@ -0,0 +1 @@
+I ve had this pain in my left side of my neck. Had a sonogram of my carodit artery. Nothing was found then had a sonogram and blood work for my thyroid. Thyroid fine. Dentist said nothing in X-ray, had a cat scan done of lower head and neck with and without contrast. Waiting for results Hello, Most probably it is due to conditions like cervical spondylitis. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist you can consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4888.txt b/processed/document_classification/train/Confidential/doc_4888.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f4083702f3d081425af664a072204ce5d97880a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4888.txt
@@ -0,0 +1 @@
+My legs are swollen and from the knee down I have bumps that are seeping water. They are worse at night. I have had cellutitus in the past and have been hospitalized for 3 days. This is not hot to the touch. Should I go to the emergency room or just see my PCP? HIThis sounds like a venous stasis problem and not cellulitisNo need for the ER--seeing your PCP soon would be appropriate
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diff --git a/processed/document_classification/train/Confidential/doc_4889.txt b/processed/document_classification/train/Confidential/doc_4889.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4471f605e3ab6d5acaa3a7e82718a0448d94bf68
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4889.txt
@@ -0,0 +1 @@
+I had a blood test taken 3days ago and it was the most painful blood test is ever had, I had a sharp needle pain in lower to where the blood was taken and a sharp shooting pain. I told the lady that took my blood but she insisted it didn t hurt :/ annoyed me. Now my arm feels numb and slightly tingly and I keep getting horrible twitches when I move my arm. ? Please help me ? this is very unusual, obviously. The type of pain and 'shooting' imply a nerve is hit. THere are not major nerves in that area but certainly everywhere there are SOME nerves. With neuropathic pain:1) short run any nerve pill such as a lidocaine patch (you need ONE, cut into 2 cm squares, apply one 2x2 daily), anti-seizure med, or amitryptiline are likely to work at quite low cost2) long term minor nerves usually grow back ok.cannot say in your particular case.
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diff --git a/processed/document_classification/train/Confidential/doc_4890.txt b/processed/document_classification/train/Confidential/doc_4890.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a40fdafedb966cd35b349f655e6fda32aa2e6c54
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4890.txt
@@ -0,0 +1 @@
+Hi 37 yr old husband admitted for acute renal failure, presented with severe back pain complaining of pain radiating to abdomen and down to testicles. Kidney function was a 3.5 in 2 days of iv has dropped only to a 3.2. ultrasound of abdomen, kidneys, CT, and ultrasound of renal artery all negative no blockage. chest xray noted small non obstructive stone. Urinalysis no blood or proteinHistory.... Was taking 750mg of motrin each day for back pain (possible cause) and also protein workout supplements otherwise healthy. Why is function not improving when all tests appear normal and what is causing pain Hello. Thanks for writing to us. The back pasin that your husband is having could be related to the renal calculus or may be related to a nerve root compression at the level of spinal cord due to a degenerative disc disease. An MRI scan can help to detect the cause. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com
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diff --git a/processed/document_classification/train/Confidential/doc_4892.txt b/processed/document_classification/train/Confidential/doc_4892.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a884d5a2fe0808593b1c30e632cc9d793d08ccd6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4892.txt
@@ -0,0 +1 @@
+for the past few years my gums have become sore where my wisdom teeth seem to be pushing the gum but then after a week they retreat and it goes on and on i have a flap of gum that is also in the back lower corner of my mouth where they are supposed to come through and it swells up a lot in that area i have had an Absis before with it being drained by me accidentally while brushing my teeth im currently suffering from swollen gums and a bad taste in my mouth hello there , you are suffering from pericoronitis that is inflammation of gums overlying your wisdom tooth.This flap of loose gums invites accumulation of food debris which leads to fowl mouth odou,bacterial infection and in turn abscess formation. Rinse your mouth regularly with warm saline water till you visit a dentist. X ray examination of the tooth shows its position and if its impacted in bone go for surgical removal of tooth. if the tooth seems to erupt in coming time you can go for operculectomy that is excision of the overlying flap to remove the pocket and expose the tooth for eruption. i hope that helps,take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4893.txt b/processed/document_classification/train/Confidential/doc_4893.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b6097a20ed5918d823a3253d8041410d191b5e5b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4893.txt
@@ -0,0 +1 @@
+I have been diagnosed with aspergillosis from culture a year ago but recent culture shows nothing after 4 weeks. Cat scan in Denver shows ground glass looking things in lower left lung. Could this be the fungas lying dormant? I have been off steroids for asthma for a year now using only albuterol due to them contributing to the aspergillosis but wonder if recent tests accurate? I m also infusing IGG to keep my immune system up. Hello,Welcome to HCM,The diagnosis of Aspergillosis depends on the clinical symptoms of the patient like fever, cough, chest pain, skin test for A fumigatus, level of IgE and IgG, chest X-ray and CT-scan findings.Culture of saliva or pulmonary aspirates for Aspergillus pnemumonia also help to confirm the diagnosis.With regards to the treatment, systemic anti-fungal therapy is prescribed depending on the severity of the symptoms. You can take Tab Intraconazole, twice daily for 14 days.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4894.txt b/processed/document_classification/train/Confidential/doc_4894.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0a75a7ed2ed1e02db46fd9959ef06f6320c268ea
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4894.txt
@@ -0,0 +1 @@
+I had a small read rash on my neck before my uncle s wedding where I wore a heavy artificial necklace. The rash has worsened. It has become red, extremely itchy, stinging and clear pus comes out too. It has spread all around my neck and chin . I tried using betnovate , mederma , soframycin, boroline and cutisoft but these creams either worsened it ir had no effect. It has been 1.5 weeks now. I am on a vacation and there is no dermatologist around. What do I do? gud morng.. the symptoms u have mentioned points towards contact allergic dermatitis occurring due to allergy ..hence u should even take oral anti histamine trablets to control ur allergy ..tablet levocetrine twice daily for 3days can be taken .as ur having pus too ,its a sign of secondary bacterial infection and so taking antibitic like erythro twice for three days also will help u.. continue betnovate -g ointment and better take good diet full of iron rather avoiding some foods.. cause strengthening ur immunity will reduce the condition earlier ..or u can even take iron tablet daily one for atleast ten days.. dont do itching over the rash and avoid further ornaments in future too ..as ur allergic to it..usually such rash takes nearly 2wks to get relieved completely so have patience and take the treatment ..
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diff --git a/processed/document_classification/train/Confidential/doc_4895.txt b/processed/document_classification/train/Confidential/doc_4895.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b330d31d190499d61e9ea9df678310f0cc83ecb6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4895.txt
@@ -0,0 +1 @@
+Hi i have plaque building up on my bottom two middle teeth. I did make an appointment with my dentist to have my teeth cleaned but unfortunately its building up again. I have tried using all types of toothpastes and plaque remover however it just wont budge Hello, Thank you for consulting with HCM.Actually there is daily plaque build up, so you need to clear it daily. Cleaning plaque does not depend upon on which type of toothpaste you are using, you should know the proper brushing technique for it.So better you should visit your dentist again and ask him the proper brushing technique.Hope it will help you.
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diff --git a/processed/document_classification/train/Confidential/doc_4896.txt b/processed/document_classification/train/Confidential/doc_4896.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4307268db13b93417bafabf2fbe72d0c23fc0e1d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4896.txt
@@ -0,0 +1 @@
+sir , my brother is suffering from mentally problem for the last 8 years now he was using parnil-2,olimet-10mg and zapiz-2 medicines from six month. this medicines was pescribe by DR. raghunath kumar (HEHAL-RANCHI) SIR THE QUESTION IS MY BRO WAS NOT ACTIVE, HE FORGET EVERYTHING HE give reply to any question very lately he was always very silently he was a married person his wife leave her no income so sir pls help me are this medicines are useful. Hello, Welcome to Health Care MagicThe medicines Olimelt, parnil, zapiz etc are psychotherapeutic medicines. These medicines are given in a number of psychiatric disorders. I would require a little information about his clinical picture in order to clearly make his diagnosis. He might be suffering from some depressive disorder or some psychotic disorder. Due to familial dysfunction there occur aggravation of symptoms. I advise you to continue to give him medicines as per his doctors proper prescription.Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4897.txt b/processed/document_classification/train/Confidential/doc_4897.txt
new file mode 100644
index 0000000000000000000000000000000000000000..17a11dd7256585ab609ed4bce2b32123654a619f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4897.txt
@@ -0,0 +1 @@
+Hi.My name is Dhirender Bisht I AM HANDICAP PERSON I AM 46 YEAR YOUNG MAN .I HAD TRAIN ACCIDENT 5 YEAR AGO.SIR I DECIDE I GIVE MY KIDNEY TO KIDNEY FAILURE PARSON.SIR TELL ME IF I DO THIS WORK SHELL I FACING WITCH KINDS OF PROBLEM OR NOT .PLEAS GIVE ME RIGHT SUGGESTION.THANK YOU SIR Hello Dhirrnder, I really appreciate your thought and intention. Successful Kidney transplants are carried out all over the world today. For any transplant program, the utmost priority is the healthy donor. For kidney donation, firstly you will be thoroughly examined and investigated to look for any subclinical kidney disease or any risk factors (diabetes, HTN) predisposing you to future kidney problems.Now lets assume that you are completely healthy and donate one of your kidneys.Following are the precautions you ought to take in your future1. Routine blood tests ( kidney function, urine)2. Regular monitoring of your blood pressure 3. To avoid any addictions (alcohol, smoking)4. To avoid taking any medications in excess that are harmful for your kidneys (pain killers, nephrotoxic drugs)5. Lastly, remember you will be having a single kidney, so in simple ways if at home you have a electricity shut down, you switch over to back up. In the same way if you have some infection in future, you will have only one kidney to fight. Overall, it is one of the safest organ donations with little surgical or post surger complications till you maintain a healthy lifestyleFeel free to post any further queries Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_4898.txt b/processed/document_classification/train/Confidential/doc_4898.txt
new file mode 100644
index 0000000000000000000000000000000000000000..28f2cfc2728bccff31b6415396d96be8f2d8e8bb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4898.txt
@@ -0,0 +1 @@
+yes please.my bellie is geting verry large,hurts so all the way to my breast,i had a hilbeica hernya about 4 years ago and my bellie has been hurting more,more never better,went to gyn dr laskey in saratoga springs n.y. he dont like the look of it too i for about 3 days now keep sweeting so much ,i gained 41 pounds in 1 1/2 mo i was 109 now 141 what to do , i dont feel so goodi had my 1 and only child 5 years ago, june 12 1969 my birthday .i had a emegency c-sction too he was ok thow , i feel like tired every time i get this sweeting too, i fall asleep as soon as 5 minets too, out of breath a lot now too, HI. You need a proper evaluation of your symptoms , findings by a Doctor. The reason for such a weight gain in such a short time is very alarming as is other symptoms .Have a second opinion of Specialist Doctor like a Surgeon who can do a proper clinical evaluation have a diagnosis to be confirmed by appropriate tests.
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diff --git a/processed/document_classification/train/Confidential/doc_4901.txt b/processed/document_classification/train/Confidential/doc_4901.txt
new file mode 100644
index 0000000000000000000000000000000000000000..695ca4ec5ce857b1dc774bf68e46c2ead9a41951
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4901.txt
@@ -0,0 +1 @@
+Hello,i have dark & thik spot on inner thigh due to fungal infection ,doctor has priscribed me xyzal & zimig tablet & onabet cream,but does this cream really helps to reduce it?because it s been 10 days bt no change...or am i applying it in a wrong way?please help. Hello,Welcome to HCM,As you are having fungal infection for which your doctor has prescribed medicines like Tab xyzal ,Tab zimig tablet & onabet cream.Tab xyzal is a cetrizine drug which helps to control the itching following these fungal infection.Tab zimig is a Terbinafine which is an effective broad spectrum antifungal drug and Onabet Cream is Sertaconazole Nitrate which should be applied twice daily for four weeks and it should be applied to cover the affected areas.These medicines are enough to cure your condition but it requires minimum of 2-3 weeks to act effectively and reduce your symptoms.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4902.txt b/processed/document_classification/train/Confidential/doc_4902.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62af9e540cae83c794a99ff5bdc9813fb4e4f95b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4902.txt
@@ -0,0 +1 @@
+Hi I went to the doctor yesterday with chest pains and trouble breathing when I stand up. I have to lay on my back to breath the most air in but it hurts to take a full breath and when I stand up I start hyperventilating because I can barely breath and I went to the doctor my heart rate was 132 when it s suppose to be around 80 (I m 12) do you know what s wrong? Thanks for your question on HCM.I can understand your situation.In my opinion you should get done ECG first to rule out cardiac cause for your symptoms. As tachycardia (rapid heart rate) and breathing can be seen in cardiac cause.If ECG is normal than no need to worry for cardiac cause.Bronchitis can also cause breathlessness and tachycardia. So get done PFT (pulmonary function test) to rule out bronchitis.If all of the above investigations are normal than mostly you are having anxiety mostly.So avoid stress and tension. Be relax and calm.Consult psychiatrist and get done counseling sessions. Don't worry, you will be alright.
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diff --git a/processed/document_classification/train/Confidential/doc_4903.txt b/processed/document_classification/train/Confidential/doc_4903.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1d1a6e4353f242e688412c09a6972199faf4a385
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4903.txt
@@ -0,0 +1 @@
+Hello doctor, I began having frequent urination, and sometimes urinating every half an hour. I consulted my doctor and UTI was ruled out. I consulted a urologist and she did an abdominal and pelvic CT scan and no structural abnormalities were found. No cystoscopy was performed. She diagnosed me as having an overactive bladder and gave me Trospium and I am taking Estrace and Clonazepam along with that. I have some relief since taking Trospium, but I have been having urethral discomfort. Is this possibly because of the Trospium? Would the CT scan have shown any problems with the urethra? I did a urine culture and blood test also. Hello, Welcome to icliniq.com. You have been diagnosed as OAB (overactive bladder) since you had lower urinary tract storage symptoms. You need one USG KUB (ultrasound of kidney, ureter and bladder) and PVR (post-void residue) to look for post-void residual urine. You need to undergo uroflowmetry to see whether you have obstructed voiding pattern or not. Urine CS (culture test) is also required to exclude UTI (urinary tract infection). If you do not have UTI or obstructed flow or increased PVR we can suspect your symptoms as OAB. Now you were rightly prescribed Tropsium. Estrogen cream also helps to vitalize the local tissue and decreases local tissue irritation, decreases dryness in the vagina and periurethral area. If your symptoms are still not controlled with anticholinergics, then we can add Mirabegron 50 mg. Timing may be adjusted according to the severity of your symptom complex. I would sincerely suggest you go to one urologist's office and get investigated and treated. I have tried to guide you regarding treatment options. You need to maintain a voiding diary too, ideally for seven days, but at least for three days to know the pattern of your water intake and voiding frequency and volume. It will help your urologist to understand your disease process in a better way. Urine CS, uroflowmetry, USG KUB, PVR, and serum creatinine.
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diff --git a/processed/document_classification/train/Confidential/doc_4904.txt b/processed/document_classification/train/Confidential/doc_4904.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e8643652708939a3daed15e0d1386e1944a6daef
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4904.txt
@@ -0,0 +1 @@
+Hi, I am going to have a excisional biopsy to remove an intraductal papilloma. Chart shows I also have inumerable amphorus microcalcifications and one large calcific particles. They said there might be something hiding as the core biopsy was inconclusive except the papilloma is benign. What are the chances this could be cancerous? I'm worried. Hi, the chance of cancer in a calcification associated with intraductal papilloma is unlikely it is not associated with any atypical features which are seen under a microscope when pre malignant lesion as in ductal hyperplasia are seen.Once excised the intraductal pappiloma does not requiure further treatment Thanks and take care
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diff --git a/processed/document_classification/train/Confidential/doc_4905.txt b/processed/document_classification/train/Confidential/doc_4905.txt
new file mode 100644
index 0000000000000000000000000000000000000000..71f80434be1bcc9d109a3545a0db3a0cecdccfbd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4905.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 24 year old male. My height is 5'8" and weight is 53 kg. I want to gain weight. I do not feel hungry. I want to increase my appetite so that I can eat more. I also do not eat junk foods. I have always been underweight. I used a syrup to increase appetite when I was 14. But, I did not find that now in pharmacy. Please suggest good appetite enhancer. I am very upset because of my lean look. Hi. For further information consult a nutritionist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4907.txt b/processed/document_classification/train/Confidential/doc_4907.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0656108776e8a84050770b75bd51376d1310a1bd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4907.txt
@@ -0,0 +1 @@
+I fell 7 or 8 feet from a horse last saturday, landed flat on my back, except for a piece of frozen manure,knocked the wind out for a few moments but just seemed stiff, now have jabbing pain in lower back, when my wife touches close to lower spine have stabbing pain shooting downwards, seems lower than ribs but is starting to get worse can hardly get up and down when laying, seems to get worse the longer I stand or sit straight, Hi, Welcome to HCM, It seems that you might be having fracture of tail bone giving rise to severe pain while sitting straight or pain while get up while lying. Go for X-ray lumbo sacral region to rule out fracture of tail bone or any other injury on lumbo sacral region. Mean while use hard bed for sleeping and take rest. Ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_4908.txt b/processed/document_classification/train/Confidential/doc_4908.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd336a8f6f6f7e23c8d0aaf0686372187c5715f6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4908.txt
@@ -0,0 +1 @@
+my 8 month old sratches his face so hard when he has wind it bleeds. he gets that worked up that he can not bring up his gas. tryed infacol / gripe water he just really struggles to get his wind up wakes all night because he is to tired to burp any tips to help his wind to stop him hurting himself Hi...Thank you for consulting in Health Care magic.This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief.The two best ways to relieve this distress is -1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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diff --git a/processed/document_classification/train/Confidential/doc_4909.txt b/processed/document_classification/train/Confidential/doc_4909.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bacbedb2f7e22392d0f973eb40818d5c3ffce554
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4909.txt
@@ -0,0 +1 @@
+Hi doctor, Whenever we try for a baby my periods are getting delayed by 15 more days. In the mean time i am also feeling like pregnant. But after 45 to 50 days i am getting my periods. We are trying for a baby. Wat could be the reason and what i can do to conceive Hi I think there can be many reasons for delayed periods. So you should get yourself evaluated first. Do a thyroid profile and prolactin levels and a ultrasound for follicles. Also do a semen analysis of your husband. If everything is fine you can try with medicines and can do repeated ultrasound to see if ovulation is happening or not. If it's normal then you can try for 6 months. If it doesn't work out then you can go for IUI. Hope I have answered your question.
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diff --git a/processed/document_classification/train/Confidential/doc_4910.txt b/processed/document_classification/train/Confidential/doc_4910.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0763647b8a710080cbe3982fc324f93a75801d3d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4910.txt
@@ -0,0 +1 @@
+hi, Really need help! Me and my hunsband tried to have baby for 4 months but not sucessful. Doctor said that my endometrial near ovulation is 6mm which is too thin. However my husband have colitis and need to take mesalazine which been stopped 7 month already in order to have a healthy baby, but seems like it is not good for him to stop taking it for his health. Thus, we have to have a baby as soon as possible so that he can continue to take mesalazine. Would you please let me know if 6mm endometrial near ovulation is to thin to have a baby? How I can thick my endometrial and have a healthy baby because in those days I find healthy is really important! You can have nothing but health! Thanks a lot for your help! Hello, and I hope I can help you today.First of all, I want to reassure you that no matter what your endometrial measurement may be, 80% of couples will conceive within one year naturally. Couples are not diagnosed as infertile until you have been trying and been unable to become pregnant for over one year.Endometrial thickness is really only relevant in the context of couples trying to get pregnant through in vitro fertilization. The thickness of your uterine lining is somewhat related to your estrogen levels. When couples are undergoing IVF, treating with additional estrogen can thicken the uterine lining. However, because you've been only trying to get pregnant for four months, your endometrial lining may have absolutely nothing to do with the reason why you have not yet conceived. Furthermore, unless your husband's sperm count has been shown to be decreased, Mesalazine should not have any effect on fertility nor should affect any health of a developing baby should you conceive. Medications taken during pregnancy by the mother can affect the fetus, but not any medication taken by the father, because medication cannot be transmitted before fertilization through sperm. So unless the medication causes the sperm count to be low or abnormal, there is no medical reason why your husband needs to be off his medication for colitis in order for you and need to conceive successfully. I suggest that if he needs the medication for his health that he continue to take it. As for is maximizing your chance of healthy pregnancy, the best thing you can do is get plenty of sleep, eat a well-balanced diet, take prenatal vitamins, and tried to have regular(at least 2 to 3 days a week) unprotected intercourse from the time your menstrual period finishes until you begin to feel premenstrual symptoms.I hope that I was able to adequately answer your question today, and I wish you and your husband the best of luck in conceiving.Best wishes,Dr. Brown
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diff --git a/processed/document_classification/train/Confidential/doc_4911.txt b/processed/document_classification/train/Confidential/doc_4911.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a124c22c3599928622f9a1bf1a4f885b83bd0e2f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4911.txt
@@ -0,0 +1 @@
+I have completed my Radiation therapy for 35 days and for chemo cistapline for Cancer LA on 7 April 2010. My Oncologists say that total effect of cure can be known after 2/3 months and has suggested me for a visit on 28 May 2010. What do you say ? Hello dear. The effect of treatment can be said only after 8 to 12 weeks of the treatment as in between this period radiation effect persist and can lead to false results. So do not worry and get evaluated after a gap of 2 to 3 months. Hope you understand. Take care
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diff --git a/processed/document_classification/train/Confidential/doc_4912.txt b/processed/document_classification/train/Confidential/doc_4912.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d54d51a81e33a433f9c00d4540b02308433d260f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4912.txt
@@ -0,0 +1 @@
+Hi doctor. The question I want to ask is.. I am male of 28 & sometimes (2-3 times in month) experience night fall(seman discharge) sometime due to a dream &sometimes due to a unknown cause. When ever this happens, I gets wake up from sleep and goes to toilet to wash out the material. On washing, sometimes I pass urine and on passing urine I feel a severe pain at the site from where the urethra originate or at the base of the penis. Many times, I felt that that pain is due to pressence of residual seman which remained in the urethra and the seman,on contact with urine might create pain. As soon as I clear up the urethra by squeezing the residual seman ,pain gradually decreases. Plz, suggest some remedy for night fall and specially to counteract the pain. Thanks, In your reply's wait... hiii.welcome to our site.normally sperm produced should be excreted through nightfall only.dont be panic.it is normal only.if you dont have the masturbation habit,then sperms are ejected as this method only.thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4913.txt b/processed/document_classification/train/Confidential/doc_4913.txt
new file mode 100644
index 0000000000000000000000000000000000000000..698602b2ff68eff7352e37da1a5be511281579c8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4913.txt
@@ -0,0 +1 @@
+My father age 54, He is Having pain and block the upper side of stomach starts( that is food before entre in to the stomach). endoscopi test report say's there is one small bullge in that path than tha doctor gave the Rabekind Plus tablets for a week and ask to come again. But still he is having pain and block in sometimes. please doctors tell me the resonance for this pain and way it's happend suddenly to him.......thanks for advace..... that bulge might be hiatus hernia...due to lax esophageal sphincter...continue with those medications ...if no relief go ahead with laproscopic repair if hiatus hernia
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diff --git a/processed/document_classification/train/Confidential/doc_4914.txt b/processed/document_classification/train/Confidential/doc_4914.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5f9af7bc02de39d28ff93a2aa81355eb6fdf3d65
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4914.txt
@@ -0,0 +1 @@
+Hi I have been taking herbalife for 1 and half years. N i noticed that I am having skin allergies such as rashes on my hand and leg. Is this can be cured? Should I stop taking herbalife? Or can I continue taking herbalife? Can it help If I start to drink plenty of water? Pls advise. Thanks Doc. Herbalife products are mostly related to vitamins,nutrients and other inorganic suppliments in a large box.Some people may have allergy to perticular drug and overdose of suppliments also related to allergy.you should stop taking it rather switch to tablet form of suppliments which will b easy to maintain proper dose.tablet supradyn is better option,you can compare compositions of both,also it will be cheap for you,more better to consult a dieticien before taking such products.For Allergy take tablet cetzine10mg once a day.if not improved thn let it b checked by a dermatologist.Hav a good day
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diff --git a/processed/document_classification/train/Confidential/doc_4915.txt b/processed/document_classification/train/Confidential/doc_4915.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0c3aecdba9a424d9830b313334f985fd4226963f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4915.txt
@@ -0,0 +1 @@
+Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4916.txt b/processed/document_classification/train/Confidential/doc_4916.txt
new file mode 100644
index 0000000000000000000000000000000000000000..043be85191ffded068412700dd3d38a82236e510
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4916.txt
@@ -0,0 +1 @@
+Hi, everyone. I am 25 yrs old and had a circumcision 25 days ago. The stiches are all gone, the last stich feel out 5 days ago. The sensitivity is going fine, the wounds are completely all dry and no more lymph leaking. No more pain as well. The only problem I have now is the swelling ring just below the glans from the remaining foreskin. I mean it s been staying like that for the last 9 days. The beginning was good, but after day-16(which is 9 days ago), I haven t noticed any changes yet. Is it possible for the swelling to just stay like that for good? If it s not, what should I do to make the swelling gone?? Please help me.. Thank you so much. HelloThanks for query.Swelling around the coronal sulcus after surgery of Circumcision is due to edema at the site of suture line and is not abnormal .It will gradually get reduced over period of 2-3 months and become normal .No active treatment is required except to clean it up properly with warm water daily.Dr.Patil.
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diff --git a/processed/document_classification/train/Confidential/doc_4917.txt b/processed/document_classification/train/Confidential/doc_4917.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c66af68c84738aaa220a89e93ce8a50b458670a0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4917.txt
@@ -0,0 +1 @@
+I have Ehlers Danlos Syndrome and was born with scoliosis. I have had many successful surgeries on various body parts, 6- child births, 2- C-sections, sinus surgery,3- rhinoplasty, tonsillectomy, Hysterectomy, 2- bunionectomies, Anterial cervical discectomy with fusion. 3- Uretherial dilitations..My pelvis is unstable and my lower back is in constant pain. I was advised by a top neuro surgeon in Chicago,Il that my back could not withstand the surgery it needs and I would not make it thru surgery. Something about a 9 disc fusion with rods. I also have degenerative disc disease. Would an abdominaoplasty help with back support and alleviate the pain? The physical state of yours can be determined by direct examination only, and if your spine surgeon advises for correction by alternative techniques, then the concerning surgeon shall determine if you can undergo the said operation, its benefits, merits and demerits and feasibility. So trust your treating doc. Your condition can not be discerned on without giving a physical check
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diff --git a/processed/document_classification/train/Confidential/doc_4919.txt b/processed/document_classification/train/Confidential/doc_4919.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b33de0a6d4c0890131cd5690326edd77c1d72405
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4919.txt
@@ -0,0 +1 @@
+hi,i am 21 years old female,i have very minor piles problem for one year, how can i completely cure my body and became completely healthy by home remedies? Avoid constipation, have balanced non spicy diet and exercise regularly. Remain cheerful at heart while having hearty laugh. More of vegetables , fruits and milk increase immunity of your body. dr_lakhanpaul@yahoo.co.in
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diff --git a/processed/document_classification/train/Confidential/doc_4921.txt b/processed/document_classification/train/Confidential/doc_4921.txt
new file mode 100644
index 0000000000000000000000000000000000000000..60bc2713d5475e26afb30082183c765e537c61ab
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4921.txt
@@ -0,0 +1 @@
+Hi, my mum has a pea sized lump on the left side of her neck which appeared around 3 months or so ago. She had it checked out by the doctor who said it wasn't a problem and gave her antibiotics. However it is still there and has started to become painful now. I am worried as to what it can be...any suggestions? welcome to Health care magic.1.Most common lesions / lumps in the neck are lymph nodal enlargement.2.The lymph nodal enlargement is seen after some inflammation / infection, and underlying systemic diseases and malignancies.3.I would suggest you to see your doctor and get an ultrasound scan neck done, to confirm that its lymph node or some thing else ( lipomas, vascular lesion)4.It will also help to make out where the lesion is extending from.5.A FNAC needs for confirmation ( fine needle aspiration cytology)6.Better to get evaluated as soon as possible before it get complicated.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_4922.txt b/processed/document_classification/train/Confidential/doc_4922.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ee1060770387e7cd9053edd392ead02c33450c5a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4922.txt
@@ -0,0 +1 @@
+I have taken a blood test to see if I am a match to donate a kidney to my neighbor. I am. I have a lot of questions. -What is the most painful part of the transplant. I once had my gull bladder removed and the stiches were pretty painful when taken out. Will the incisions be like the ones in gull bladder surgery? -I am a avid runner, will I be able to continue running after my recovery? -Do donors experience weight gain or loss after surgery? - I understand after you donate a kidney you will likely develop hyper tension is that true? Thank you for your query. The incision to remove a kidney is a large one made on the back, radiating to the side. The incision pain will be similar to the one with your cholecystectomy . To remove the sutures should not be painful. Obviously for the first couple of days post operatively , pain medication will be administered . Although your kidneys do regulate your blood pressure having one kidney does not meen you will develop hypertension,also having one kidney has no effect on your weight. Running is possible with one kidney but caution will have to be taken, as ultra long distance running may cause mechanical trauma to the kidney. I trust this is helpful.
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diff --git a/processed/document_classification/train/Confidential/doc_4923.txt b/processed/document_classification/train/Confidential/doc_4923.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d08d237e53fdb46a301967a5966b4237c8613ef5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4923.txt
@@ -0,0 +1 @@
+my age is 41 right now... i have just done blood test and result is my WBC shows 10400.. Doctor suggest me to take antibiotics like Zifi and Mobin.. is it work out? please suggest me that i am very much fond of bananas... everyday i am eating 4 to 5 bananas at the time... please suggest me White blood cells, also called leukocytes, are an integral part of the immune system. They are responsible for protecting the body against infections and foreign bodies. The concentration of white blood cells in the blood stream is a key indicator of health. The normal concentration of white blood cells in the body for men and non-pregnant women is usually considered to be in the range of 4,500 to 10,000 leukocytes per microliter. A high white blood cell count usually indicates and the presence of an infection that the body is trying to fight. It may also suggest:• Anemia• Adrenal or thyroid gland issues• Bone marrow disease• Immune system disorders• Inflammatory disease• Leukemia• Medication-induced increase of leukocytes• Severe stress• Tissue damage. RegardsDR De
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diff --git a/processed/document_classification/train/Confidential/doc_4924.txt b/processed/document_classification/train/Confidential/doc_4924.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8b7b8d21635b334ddc12afa897fbda6a05ed3e42
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4924.txt
@@ -0,0 +1 @@
+Severe pain below rib cage in the middle, ?dizziness, hot sweats and nausea. Im 39 years old have no galbladder. Episodes only happen once or twice in every 2 to 4 months. They can last about 5 to 15 minutes or so. Hurts worse if I breath but if roll up pillow tuck under my gut bring legs to my chest n hold my breath and take gas x it will usually stop. There are cases where I have multiple episodes one right after another.what could this be HiWelcome to healthcaremagicI have gone through your query and understand your concern.By your description it seems to be due to acidity. Antacid, omeprazole are useful in it. But in such pain heart related cause should be excluded as any such pain can be cardiogenic. It will be better to consult a general physician. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4926.txt b/processed/document_classification/train/Confidential/doc_4926.txt
new file mode 100644
index 0000000000000000000000000000000000000000..acab9767f74f9c203b8290bb2f74d3bd2b1b3a0d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4926.txt
@@ -0,0 +1 @@
+I have a 6 months old baby and we started solid food but he doesn t seem it like it. We started with potato, carrots and sweet potatoes. He doesn t seem to get use to eating. I want to start with cerelac but is it good? How can I create an alternative for cerelac at home? Thanks for posting your query at HealthCareMagic. The process of introducing solids into the diet from exclusive breast feeding (or at times formula feed) is called weaning. Do not worry if the child does not like it initially. It is a new taste that he is not yet familiar with. You have correctly started with potato, carrots and sweet potatoes but also include some cereals like boiled rice and pulses. You may also give cerelac (wheat or rice). Do not worry as they are safe for your baby.The best alternative that you may provide at home is making a khichdi sort of thing by mixing the cereals, vegetables and boiling them and mashing them up.Hope that helps. Feel free to revert back in case of further queries if any.
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diff --git a/processed/document_classification/train/Confidential/doc_4927.txt b/processed/document_classification/train/Confidential/doc_4927.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0497c8bb428db338fab91e1b1effe5d5d6abb356
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4927.txt
@@ -0,0 +1 @@
+Hello, I have a rash on the side of my face, about the size of my thumb, it becomes aggravated when I use certain sunscreens of face wash, but it only appears in this area of my face. I'm not sure if it something that occurs when I sweat. I have tried vitamin e cream with mild success and 0.02% cortisone cream with success, however, it continues to flare up. Is there anything you can recommend to permanently remove this reaction? hi welcome to HCM-i had gone through your query and understand your concerns. i would come up with the possibility of CONTACT DERMATITIS is the cause for your sufferings.-this condition usually ALLERGIC BACKGROUND and the sunscreen lotion may be the triggering factor-avoid that lotion for prevention is advisabletreatment option; i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you
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diff --git a/processed/document_classification/train/Confidential/doc_4928.txt b/processed/document_classification/train/Confidential/doc_4928.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a77c01b4f3ec617673e428aa0d6f50d033a0d7c0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4928.txt
@@ -0,0 +1 @@
+My husband just went to the urioligist and they diagnosed him with acute prostasis and put him on antibiotics and anti inflamatory medicine but now he is getting pain below his right testicle can it be just another symptom. It has me a little nervous... Hello, The pain in your testes if associated with redness than epididymoorchitis also need to be ruled out by ultrasonography of testes. You can continue prescribed antibiotics and anti-inflammatory medication course. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4929.txt b/processed/document_classification/train/Confidential/doc_4929.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62e59c30d6274e9a94c69da89fe0b683086f29c3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4929.txt
@@ -0,0 +1 @@
+Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4930.txt b/processed/document_classification/train/Confidential/doc_4930.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba2939f91c579dc0c390c6fd5b9c527473014fd1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4930.txt
@@ -0,0 +1 @@
+Hi, I am 31 years Old Lady. My Height is 5.2 feet and weight is 65 Kilo. I have been married since 4 years. Now, Me and My husband are planning a baby. We are trying from last more than six months but no success. I earlier had a regular menstrual cycle of 38 days but from last 4-5 months, my period have become irregular. I consulted 1 doctor (Dr. Himangi Nengi) who advised me to do follicular monitoring. In that monitoring, Ovulation didn't occur, so she gave me ovulation Tablets (Fertomid 50) for five days from Day 3rd of my period to Day 7th. I am regularly following this medication from last 2 months and ovulation also happens but still, I am not able to concieve. Can you please suggest what should I do now and please suggest some best Gyneo/Infertility Doctors. Thanks Kaur HIThanks for posting your query. First of all the cause for infertility has to be evaluated . It could be due to some problems in you or your husband or both . So both of you have to get evaluated. I advise you to get the following tests done . Serum TSH, FSH, LH, Prolactin, AMH, Ultrasound Abdomen Pelvis and Serum Vitamin D 3. Also get Semen Analysis and Serum Vitamin D3 for your husband and revert back with reports. If you can tell me from which place you are I can suggest some good Infertility Doctors. Hope this information was useful to you. Any clarifications feel free to ask .
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diff --git a/processed/document_classification/train/Confidential/doc_4931.txt b/processed/document_classification/train/Confidential/doc_4931.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9997827c2a45f4e7e2b2361714d138e65550aab8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4931.txt
@@ -0,0 +1 @@
+Hi doctor, I have polycystic ovary syndrome and my periods get delayed sometimes. From the past four days, I am having pain in my left pelvic area. I got an ultrasound done, and it shows 4.5 cm cyst in my right ovary. Why am I having pain on my left side when the cyst is on the right? Could this pain be due to the cyst? Hi. The pain that you are experiencing is not due to the ovarian cyst, as the cyst is on the right side and pain is on the left side. This pain might be caused by an infection or any other pathology. So, I suggest you repeat an ultrasound of the pelvis if the pain is severe. PCOS (polycystic ovarian syndrome) will cause irregularity in the menstrual cycle but will not cause such a pain. I wanted to know the type of cyst you have, When was the ultrasound done? You will require a repeat ultrasound after three months, to know whether the size of the cyst is same or if it is increasing. Revert with more information to an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4932.txt b/processed/document_classification/train/Confidential/doc_4932.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1b312d0dbd905230ec71ba56aa47ad514fd7f18f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4932.txt
@@ -0,0 +1 @@
+i have been having a sensation in my foot and lower leg that started few weeks ago. it started in my foot near my ankle and felt like the blood pulsing. now i feel that same feeling in my lower leg its almost like a fluttering,pulse. no pain no swelling. also occasional sensations of heat in that leg I would suggest being seen by a vascular surgeon. the first thing that needs to be ruled out is a deep vein thrombosis- which is a clot- though from your description seems unlikely as there is no pain or swelling. If vascular etiologies are ruled out, then consider tarsal tunnel syndrome which often can mimic vascular sensations by affecting the nerve. You should also see a foot and ankle specialist for confirmation.
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diff --git a/processed/document_classification/train/Confidential/doc_4935.txt b/processed/document_classification/train/Confidential/doc_4935.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3f2bd1056b07f89084271d5a5a32ace47e17dd09
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4935.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here...Yes, I recently injured my back at work. I've been put on flexeral, then skelxin, and then Valium for a muscle relaxer. They also gave me 7.5 mg hydrocodone/ 650 acitaminephan. The Valium works better than the others but I'm still having a hard time controling the constant pain, and the sharp spasm pains. The pain it just too much and it's affecting my everyday life and job. Dear patient You have injured your back and only medication cannot help, rest is also required. Since back injury can vary from minor sprain to fracture u out should be investigated with Xray of involved spine region anteroposterior and lateral views to rule out fracture. If it's normal sprain is diagnosis. For complete relief you have to take rest for 3 days at least and apply cold compress on affected area. Take tab diclofenac plus thiocolchicoside combination twice a day along with tab ultracet one at bedtime for 7 days. You will be fine in a week. All the best.
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diff --git a/processed/document_classification/train/Confidential/doc_4936.txt b/processed/document_classification/train/Confidential/doc_4936.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9fbc7d2d436cb6d91cb467bb3b5ff9a220c89bdd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4936.txt
@@ -0,0 +1 @@
+My brother just had his first baby and it is the first grandson to my parents. My mother has had a history of bad allergies and constantly has a stuffy nose and a pack of tissues in her purse. She recently went to the doctor and the doctor signed a note stating that she has no infectious ailments to his knowledge after examination. My brother and sister-in-law have never let my mother hold or visit the baby in any manner. Is this reasonable in any way, and is there any risk to my mother merely visiting and holding this several week old baby? Hi,Welcome to healthcare magic.I had gone through your question. I can understand your concern. She could be having allergic rhinitis.If there is no infections element, no harm in handling the baby.I recommend the following.1) Ask her to avoid allergens like dust, dandruff of pets..2) Oxymetazoline nasal drops3) Antihistamines like levocetrizine with montelukast. If she is breast feeding avoid taking this.4) Steroid nasal spray.Hope I have answered your question. If you have any questions, I am happy to help.Wish her a good health.Regards,Dr Paparaja S MBBS MS
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diff --git a/processed/document_classification/train/Confidential/doc_4937.txt b/processed/document_classification/train/Confidential/doc_4937.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ed093d4f50299c395f15af1bad6767d3c6660853
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4937.txt
@@ -0,0 +1 @@
+My 4 year old has had about a 103 fever for the last 2 days. It began with what her pediatrician was the onset of eye and ear infection on Thursday (4 days ago). She currently also has watery eyes, eye goo , and is burping quite a bit. I hope you can offer me some advice. Thank you Hello, All the multisystemic complaints which you are telling or fitting into viral illness. I will explain to you how a viral illness behave so that you can feel more confident. Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
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diff --git a/processed/document_classification/train/Confidential/doc_4938.txt b/processed/document_classification/train/Confidential/doc_4938.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9a08094e8f9bfe8a04f9395eca5f9218c45ced7c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4938.txt
@@ -0,0 +1 @@
+I was told I have an ulcer on my cervix I have side and lower back pain and feeling pain like I am having a period I know longer have them I am 54 years old have been feeling sick and light headed and loosing my balance a bit I am all so a insulin diabtic my doctor gave me strong antibiotic what do you think could be wrong with me please HIThank for asking to HCMI really appreciate your concern if this is really ulcer of cervix then this need to be treated properly with the proper treatment this will be fine soon if I would be your doctor then I would treat this condition with following treatment,1) Povidone intra vaginal suppository three time in day to be inserted in vagina 2) Tab Diclofenac with Acetaminophen three times in day 3) Tab Metronidazole 400 mg twice in day for five days hope this information helps you have good day.
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diff --git a/processed/document_classification/train/Confidential/doc_4940.txt b/processed/document_classification/train/Confidential/doc_4940.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9aaafb5917066f664e2f098fec5a84a13db63964
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4940.txt
@@ -0,0 +1 @@
+When getting up on my legs, the pain down the back of my right legs is so bad it causing me not to be able to put pressure on my foot to walk. its like a pain from my thigh down my leg. pain is in the back of my knee. also when standing it feels like muscle tearing in my thigh on the left leg. Hi there, thanks for your question at HCM .Pain radiating along your back of thigh and legs, suggests pinching of a nerve in your spine. Since its present mainly on movements and you are painfree at rest it suggests a dynamic stenosis. If its affecting your daily routine, I suggest you to get an X Ray if your spine at first. Most vlikly your pain wil respond well to pain killer medicines. physiotherapy protocol including core stabilisation and muscle strengthening. If you still persists to have pain 6 weeks into therapy , it would be prudent to do further tests whcih will include an MRI. Hope this helps.All the best. Regards.Dr.SBK
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diff --git a/processed/document_classification/train/Confidential/doc_4941.txt b/processed/document_classification/train/Confidential/doc_4941.txt
new file mode 100644
index 0000000000000000000000000000000000000000..53acaf3bc8c9bc8b36e0db6826808cad64c2e7d7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4941.txt
@@ -0,0 +1 @@
+Hi. I've been experiencing watery diarrhea for the past week, and I have pain in my left abdomen which sometimes radiates to my back. I called my doctor, who recommended the BRAT diet, and that hasn't helped. The abdomen pain just started two days ago, several days into the diarrhea. Is this related? Doctor also ordered a stool sample, but by the time the lab was opened after the holidays, my bowel movements returned to soft stool. I still have the pain in my lower left front side, and sometimes my back on the left side. I've started to eat some normal foods again, but then the watery diarrhea returned. Any advice or thoughts? Now it's the weekend and the office is closed, of course! Thank you. Hi Welcome to HCM, This could be an intestinal flu, since have prolonged diarrhea please be treated with OTC meds by consulting your doctor. Drink plenty of water. Thanks for writing to us.
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diff --git a/processed/document_classification/train/Confidential/doc_4943.txt b/processed/document_classification/train/Confidential/doc_4943.txt
new file mode 100644
index 0000000000000000000000000000000000000000..36ac97dab363d6146e0a8be74c67e225baf40b89
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4943.txt
@@ -0,0 +1 @@
+My 8 year old has had a low-grade fever (between 99 and 101) for 6 days and is coughing a lot (hear it in his chest) - I took him to the doctor on Monday, and they said it must be viral. He is still feeling poorly. He has a stiff neck - could have slept on it wrong - but I don t know. Should I be worried or keep giving him Tylenol to manage temp? Hi,It seems that he might be having viral infection but after 6 days still it persisted, there might be having chance of bacterial infection as well.He might require one course of antibiotic for 3-5 days.consult your doctor and get him examined again.Give him light diet and plenty of water.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4944.txt b/processed/document_classification/train/Confidential/doc_4944.txt
new file mode 100644
index 0000000000000000000000000000000000000000..131b6dc6b5b38c2c905e64dffd320cab9b7e66b0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4944.txt
@@ -0,0 +1 @@
+hy my sperm count is very small , means i have noticed that it is very less viscous in liquid shape.. also i want to ask that whenever i get up after sleep my underwear is slightly wet bt i dn't undrstand why it is do it is conform that this is not because of nightfall .. may be any fluid from my penis or testicles DearWe understand your concernsI went through your details. Sperm quantity and viscosity depends on many factors like stress, hydration etc. Low viscosity, color etc never determines the health of sperm cells. Therefore, don;t read too much into this. Secondly, there are many fluids which are mixed with your sperm while it comes out of your penis. The thickness is determined by these fluids. The wetness on your trousers could be due to involuntary leakage of semen, urine or other liquids. Keep your these parts clean and dry. Avoid anxiety.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4945.txt b/processed/document_classification/train/Confidential/doc_4945.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8de119d99b223055e6cb92b5c6e74bea76010717
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4945.txt
@@ -0,0 +1 @@
+My 14 month old daughter is teething and for the past week or so has been constipated. Some of her diapers have been a yellow and pasty almost like play dough. Others have been pretty solid but also a yellow color. I can t remember the last time I changed a dark brown diaper. Could this be caused by the teething, a cold, milk allergy? Hi Thanks for posting your query. There are few problems expected during teething like irritation, excessive cry, excessive salivation, diarrhea. Constipation is as such not noticed during teething. But, stomach upset is expected due to infection as child keeps sucking the things due irritation in the gums. Even cold is not directly related to constipation. It would be of great if you provide me some more information to guide you better. Since how long your child is having constipation? Did constipation start after introducing any weaning food? Is she on any formula milk? Constipation could be due to intolerance to some food especially milk. It is more with formula milk compared to breast milk/cow milk. Introducing fiber-rich foods into her diet, such as fruits, vegetable purees and cereals like porridge will help. Fluids are equally important and the baby should be given plenty to drink for example water and diluted fruit juice. Massaging the baby's tummy can help relieve some of the tension in the bowels. Consult your pediatrician to rule out stomach infection if the above mentioned treatment doesn't work. I will be available if you have any followup queries. Thank you consulting me. Wishing you good health. Regards, Dr. Jyoti Patil.
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diff --git a/processed/document_classification/train/Confidential/doc_4947.txt b/processed/document_classification/train/Confidential/doc_4947.txt
new file mode 100644
index 0000000000000000000000000000000000000000..04b39674478e2bca4a7031da49ffb1de992b4a4e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4947.txt
@@ -0,0 +1 @@
+My baby girl is 40 days old . She is having congestion and also sneezes out little white cough ,she has vomitted out milk also twice in 2 days when she is coughing . Doctor has prescribed Mucolite drops 3 drops * 2times and Sinarest drops ,4 drops * 3 times ,and Nasoclear ,but congestion is still there .There is no fever as such . Is it ok to give Mucolite drops and how long will it take for congestion to clear. Hi,Thank you for asking question on health care magic.The treatment offered is quite OK.It takes about 5-7 days for clearing.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
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diff --git a/processed/document_classification/train/Confidential/doc_4948.txt b/processed/document_classification/train/Confidential/doc_4948.txt
new file mode 100644
index 0000000000000000000000000000000000000000..634f8ef01a20ff59eaca9a444b975a99c7a3a78e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4948.txt
@@ -0,0 +1 @@
+Hello, I have pain in the right shoulder collarbone as it shoots pain down my arm almost to the elbow. I am able to raise my arm and at times this make the pain subside. I have had this pain constantly for the last number of months. I ice it and feels better. Would heat packs be better? Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If the pain is persistent for more than one month, without delay, you should consult a physician. Physician will check you for general problems and if necessary refer to a bone specialist. Do not self treat or self medicate.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
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diff --git a/processed/document_classification/train/Confidential/doc_4949.txt b/processed/document_classification/train/Confidential/doc_4949.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3e268a7a0fb5ae66d71890d95b3c3d98979f9954
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4949.txt
@@ -0,0 +1 @@
+Hello, I m sheetal n my one year old son varun is suffering from cough n cold due to which he didn t sleep last night. He also have a bad stomach infection for which he is I am giving him zifi 50 4ml (anti biotic) n rinifol 2.5ml twice a day which was prescribed by my doc. Doctor for his cough n cold has given me T minic drops, 5 drops thrice a day. But his cold n cough has worsen bcos of yoghurt. Pls suggest me some ayurvedic cure for cold n cough for my one year old. hi, thanks for the question. you can stop t-minic drops and use cetrizine in its place. and for cough if you want ayurvedic medicine you can use koflet by himalaya.
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diff --git a/processed/document_classification/train/Confidential/doc_4950.txt b/processed/document_classification/train/Confidential/doc_4950.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3cdf5cc585f3e9ad52ac416c387bd37f52314805
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4950.txt
@@ -0,0 +1 @@
+Hi. For the last month I've been experiencing strange aching feelings in my arms and chest, I get palpitations but my pulse rate is slow:about 60 bpm and my blood preasure shoots up to about 170/92, then my BP drops back to mormal. This happens two or three times a day. I am a fit 58 year old woman; weigh 110 lbs, and 160cm in height. Thanks 170 sometimes and sometimes normal ...these things are due to adrenergic surges ..you need drug as beta blocker as metoprolol bidoprolol atenolol..but please see your local doctor he will decide which is better drug for you ...avoid coffee tea fast foods fried foods ...donot overexert yourself physically ...also get your sugar checked ..you can go for slow morning walk and avoid exposure to cold ...
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diff --git a/processed/document_classification/train/Confidential/doc_4951.txt b/processed/document_classification/train/Confidential/doc_4951.txt
new file mode 100644
index 0000000000000000000000000000000000000000..87eec37732fa39aa3715fa6e29fa89f1034e82c4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4951.txt
@@ -0,0 +1 @@
+my son age 5 years,weight 22 kg,height 105 cms has 2-3 small lumps on the right side of his neck.so i did a montoux test,CBC, and T-IgM test.The MT test was nagative but the T-IgM test the reading as 0.91 which is borderline value.Does it mean that my son has TB and what is the diet for it. Thanks for your question on Healthcare Magic. I can understand your concern. No, this value does now suggest active tuberculosis. These are antibodies against tuberculosis. They can be present if child is vaccinated with BCG vaccine in past. So borderline positive antibodies don't suggest TB. Simple viral upper respiratory tract infection (URTI) is the most common cause for cervical Lymphadenopathy in children. So give him treatment for URTI for 1 week. His swellings will mostly reduced. Don't start anti tubercular drugs on this report. Give him plenty of fluids orally. Avoid oily and spicy food. Warm water gargles 5-6 times a day is also beneficial. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_4952.txt b/processed/document_classification/train/Confidential/doc_4952.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3ef2265539cc003bf59f8a08624df351cc73915
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4952.txt
@@ -0,0 +1 @@
+I am a 26 yr old female in good health, also pregnant . I just received a call from my Dr saying that a blood test came back positive for Hepatitis C . I am overwhelmed and scared, and wondering how long might I live for? What will happen next? Is there any hope for treatment? And will my baby be ok? Hello. Welcome to HealthcareMagic forum. Heptitis C is just a routine water borne liver infection. There is nothing to be so much scared of. It is completely curable. It will not have any adverse effect on your baby.Rest assured. Dr. Rakhi Tayal
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diff --git a/processed/document_classification/train/Confidential/doc_4953.txt b/processed/document_classification/train/Confidential/doc_4953.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1decc09eab8b13f2dcebaf4044e38deb3029bf59
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4953.txt
@@ -0,0 +1 @@
+Hello, I am a black female who is 54 years old. My symptoms are breast heaviness, ankle swelling, a smelly discharge from my vagina and a bloated belly. I am also a controlled diabetic 2, active and I eat healthy. Never use alcohol nor cigarettes, and I still have a normal period every month. Is it possible my meds are interfering w/ me? I take insulin, janumet, metformin, and linzess for chronic constipation. I had a period over 2 wks. ago, yet, my breasts are still full and I have the bloating. I truly hope this is a benign condition. Hello, Metformin can cause abdominal bloating; flatulence etc as side effects. However, none of the drugs mentioned is known to cause breast heaviness, ankle swelling. Insulin though can cause weight gain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_4956.txt b/processed/document_classification/train/Confidential/doc_4956.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d3fda6d013d3b1753fb7d92192702363f2f80fcc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4956.txt
@@ -0,0 +1 @@
+can you help me what it means: specimen: seminal fluid REMARKS: color pearly white, PH: alkaline, Volume: 3.1 ml, Viscosity: highly viscous, Liquefaction time: more than 3 hours, MOTILITY: FAST FORWARD: 45%, Sluggish: 25% on-motile:30% MORPHOLOGHY: normal cells:91%,abnormal: 9% pin hed 5%, amorphous head 4% WBC 3-5/hpf, rbc 0-2/hpf TOTAL SPERM COUNT: 92.8mil/ml... am i capable of becoming a father? The color, volume, pH are within normal limit. The liquefaction time is increased. It means the semen takes more time to get a near transparent appearance. In a normal person, it should take less than 1 hour to get liquefied. It may get increased in many situations. But, right now, it cannot be commented on as you have increased WBC in semen. Viscosity is also increased.Sperm count is normal. We, clinically take 39 million of total sperm count as normal.Motility of the sperm is very good. Clinically, we consider 40% or more total motility (rapid + progressive motility) as normal. Percentage of normal sperm is also within normal limit. Clinically, 04% sperm with normal morphology is considered as normal.Now, WBC. It is increased. Clinically, no WBC should be found in semen of a normal person. So, it’s increased level indicates possibility of bacterial infection. As I have told, sometimes, this increased WBC can lead to increased time required for liquefaction. Sorpt semen analysis after taking a course of antibiotics.Hope I have answered your queries.. Good day
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diff --git a/processed/document_classification/train/Confidential/doc_4958.txt b/processed/document_classification/train/Confidential/doc_4958.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd959225a415b179a45b894c3ba8bce154b8374c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4958.txt
@@ -0,0 +1 @@
+My husband had a pacemaker/defibrillator put in a month ago. Since then he has been able to eat very little - eats mostly yogurt, Ensure, fruit, etc. His stomach feels like it's filled with air. He also got pneumonia, then congestive heart failure. Could it be medication or an after-effect of what he has been through. We see the cardiologist Friday and hope we'll get some answers. But maybe you can come up with some answers. Thank you. Hello Thanks for posting at HCM. Loss of appetite after a pacemaker/defibrillator insertion is uncommon. But it is common after a pneumonia or congestive heart failure. I think the loss of appetite is as a result of the pneumonia and heart failure. Medications like antibiotics can also decrease appetite. You have to ensure that his nutrition is proper. Ensure is a good protein supplement along with fruits and milk products. Antibiotics are usually continued for 10-14 days after pneumonia depending on severity.He will gradually regain his appetite. There are some appetite boosting medications also like syrup aptivate or syp neogadine elixir. These brands can have different names in different countries. I don't know which country you are from. You can ask your doctor for appetite boosting medications. It is the course of disease and a pneumonia and congestive heart failure can take about one month for the patient to recover. Wishing him good heath. Regards
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diff --git a/processed/document_classification/train/Confidential/doc_4959.txt b/processed/document_classification/train/Confidential/doc_4959.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4502f13835947ca21f2791f59162a5d3a28939ac
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4959.txt
@@ -0,0 +1 @@
+Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. Hi. For further doubts consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4960.txt b/processed/document_classification/train/Confidential/doc_4960.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4ab0e43a4e4501a222e6c050d2c31bcda470024c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4960.txt
@@ -0,0 +1 @@
+My boyfriend has upper back pain, sharp stabbing pains on the left side of his stomach, yellow urine, chills, constipation and vomiting. He was told he might have stones or and infection. We can t get to see a doctor till Mon and don t want to go to emergency room. How do we know what it is and how to treat it? Hi, I had gone through your question. I understand your concern.Short answer: Suggestive of Hepatitis, needs emergency care.Detailed answer: Many symptoms which you have mentioned are suggestive of possible Viral hepatitis. He needs immediate emergency care. Diagnosis can be confirmed once the investigations are done. Treatment depends on the diagnosis. Right now to reduce the pain, he can take Analgesics. Repeated Vomiting leads to dehydration which is again a serious problem.I am of the opinion that he should be taken to a doctor as soon as possible.Regards,Dr. Prathap Kumar
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diff --git a/processed/document_classification/train/Confidential/doc_4961.txt b/processed/document_classification/train/Confidential/doc_4961.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a6ab2e0d2557d79a6a4f865d6508ab357c324bc2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4961.txt
@@ -0,0 +1 @@
+i got kicked by a horse on my leg about 4 months ago. It bruised and was quite painful for about 2 weeks. However although the bruise has gone i still feel pain in the area if i accidentily rug my leg on a table or something. should it still hurt 4 months later as im rather worried ? Hi, even after healing of external bruise, internal healing can take several weeks more. There can be a torn ligament or muscle that may require immobilisation. An MRI would be a good idea--regards
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diff --git a/processed/document_classification/train/Confidential/doc_4962.txt b/processed/document_classification/train/Confidential/doc_4962.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c341b0079c6f6ae0f5f507034ae0e7b5b896bbca
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4962.txt
@@ -0,0 +1 @@
+Hi I was recently diagnose to have HIV and am still awaiting for my first apointment with the CDC. I am however now having a ringworm problem at my lower butt area. As I am still awaiting for my first appointment with the CDC I am currently having no medications in regards to my HIV. Is there any ways I could keep my ringworm problem in control at home at the mOment ? Hello, As per ayurveda you have to follow some diet regulation for ringworm infection. Like, avoid curd, pickle and other sour food, fermented food, pungent food. Do not wear skin-tight cloths For local application use HALDI(turmeric powder) and PALASH BEEJ(Butea seeds) and make paste with Luke warm water and apply it on infected part, for 3- 4times in a day, till the infection is cured. Do not take any internal medicines yourself right now, consult your doctor for HIV. If you follow diet and apply this herbal paste you can definitely get good result. If you have any query regarding Ayurveda please feel free to ask. Thanks. Dr. Pradip Hira (B.A.M.S) [Ayurveda Consultant & Panchkarma Specialit-Ahmedabad]
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diff --git a/processed/document_classification/train/Confidential/doc_4963.txt b/processed/document_classification/train/Confidential/doc_4963.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6cdf80fabeec8664549fe3216849d654b77991d2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4963.txt
@@ -0,0 +1 @@
+I have reported with very high SGOT level with my recent liver enzyme test (115), and my ESR level is also increased up 55 mm, what does this indicate, and how should I control this condition? ( I'm a 52 yrs old High blood pressure patient taking medicines over 15 yrs.) Hi thanks for asking question....Whenever there is inflammation or infection or cancer in body ESR can be high....You have elevated liver enzyme also.So hepatitis like condition has to be ruled out.USG done if show finding of hepatitis or abscess or any tumour.You can have drug induce hepatitis also.You have not mentioned drug you are using for hypertension...Take low fat diet.Fruits more.One tsp licorice with honey taken.If you have heart problems or celiac disease or muscular problem then also it can elevated.If needed viral marker also can be done as further work up.Dr.Parth Goswami
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diff --git a/processed/document_classification/train/Confidential/doc_4964.txt b/processed/document_classification/train/Confidential/doc_4964.txt
new file mode 100644
index 0000000000000000000000000000000000000000..09a7628108cd7c8439e4eaf534c3de3dd0e06a51
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4964.txt
@@ -0,0 +1 @@
+My husband seems to get this blotchy rash on his face, back, chest and it's starting to go on his arms when he drinks. It always starts in his ears and face and he complains about being hot when the rash starts. He only drinks beer and he could have 2 beers or 6 beers, it happens either way. It seems to go away faster if he drinks a lot of water. The rash doesn't itch or hurt, and it's not bumpy. I also have noticed that it has gotten much worse as he ages. Any idea what this is? Hi,It may be pellagra like dermatitis due to alcohol. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend to give him niacin containing tablets and apply mild steroid cream. Exposure to sun rays should be avoided. Tell him to stop alcohol.. even beer.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_4965.txt b/processed/document_classification/train/Confidential/doc_4965.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff5585d96a5cfac61ae1317dde55196db2f27a20
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4965.txt
@@ -0,0 +1 @@
+I have an undiagnosed inflammatory disease = 8 months now My spine burns up to 5 or 6 days at a time, and I become too exhausted to know what I am doing. Now, I have a small, hard lump on my arm under the elbow = the burning of my back and spine just consumes almost every day of the week. I cannot see a rheumatologist for a month and a half. Hi and welcome to HCm. Thanks for the query. Well you should do ultrasound and xray to verify what kind of lesion is this lump. it ca be related to your primary disease but also it can be something else. Most commonly we see ganglion cysts,bursitis or bone exsostosis. Wish you good health. Regards
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diff --git a/processed/document_classification/train/Confidential/doc_4966.txt b/processed/document_classification/train/Confidential/doc_4966.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d8443739cf02be203b2bd377576574ae3f7a0db8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4966.txt
@@ -0,0 +1 @@
+I am a 54 year old woman in good physical condition. I have recently started having intermittent chest pressure with an increase in pressure when I bend over or take a deep breath. I m not sure weather it could be from push ups with a row at the top,using 5lb wt. or something else. I feel that maybe that particular exercise is too strenuous for me. I also should say that I work in a nursing home in rehab as a therapist. Many of the patients I work closely with have pneumonia this time of the year, and are coughing when they are with me. I have had a flu shot, but not a pneumonia shot as I feel I am too young and have a healthy immune system . Did I get too cocky? What do you think. Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of musculoskeletal pain is more. But since you are in direct contact with pneumonia patients and pneumonia spreads through aerosol, we should definitely rule out lung infection in your case. So get done chest x ray. If chest x ray is normal then no need to worry for pneumonia. Musculoskeletal pain is more likely. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas.. Don't worry, you will be alright with all these. And it is advisable to take pneumococcal vaccine in your profession. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_4967.txt b/processed/document_classification/train/Confidential/doc_4967.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7e61873f90232d51b03a24608e59e6445bbb0f34
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4967.txt
@@ -0,0 +1 @@
+Hello sir, my ESR is 120, CRP is 98 and HLA B27 is positive. So doc suggested me to take 1. Saaz 500 mg 2times a day, Naproxen 500mfg 2 times a day, Methotrexate 15mg once a week, folic acid 5mg once a week and depo-medrole inj 80mg once a week for 4weeks. I have been taking this course for more then 1 month but there is no relief from cronic pain in both knees, ankles of both legs and middle finger with heavy swelling. So plz suggest me what should I do. Thanks and regards - Sachin From the test results that you have mentioned you have peripheral arthritis as seen in RA but the HLA b27 is typically positive in Ankylosing spondylitis.the 2 disease can occur together in a person but rarely.You have any other symptoms like urethritis,psoriasis,lower back pain?the treatment you are receiving it takes time to imporve condition.Get your painful joints' xrays done.Keep taking the medicines and do not stop it in between.Visit a physiotherapist it will help as exercising is good,it ll release the stiffness.you might have given next appointment in 2-3 months and would have advised to carry recent blood tests that are adviced by your doctor.For this its always better to see a rheumatologist if have not yet.
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diff --git a/processed/document_classification/train/Confidential/doc_4968.txt b/processed/document_classification/train/Confidential/doc_4968.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d6bcd88994d3f75aa2a11273f5d5ba5e2cd32a4e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4968.txt
@@ -0,0 +1 @@
+Hello. I am a 36 year old female. I have been haing intermittent pain in my chest for a week or so on the left side of my sternum which includes after the pain episode the feeling of cold water running down my chest and left arm. and then I become very tired. Hi,Dear,Thanks for your query to HCM.Dear I read facts of your query and reviewed it in context to your query health issues.I understood your health concerns and feel Concerned about them.Based on the facts of your query the reply of your query is-Chest pain could be from GERD with Acid Reflux.Get it checked from your Family Physician.If need be have Second opinion from Constuling Physician and investigate if need be.But in the absence of other information,I would suggest you to go for Physician Consults.As the facts could be different from what you submitted.So looking in to the sensitive complaint of yours,I would suggest you to rule out-Ischemic heart disease(which is least possibility)/spondylitis/ possibility by Consulting and investigating with Physician and Cardiologist doctor.It would be prudent to have physical Check from Consulting Physician before planning further investigations and treatment for it.Other causes need to be ruled out in any case.Do's -suggested for your case-Check with Family Physician and thereafter with Consulting Physician and then with Cardiologist- if need beGet ENT surgeons opinion to rule out other causes of GERD accompanied.Don't miss to have checks for Chest issues by X-ray Chest/ECG if needed, to rule out any causes related to heart and lungs.Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.Need to Check with family Physician and Cardiac-specialist if need be, if things don't recover.-Other causes need to be verified with your family GP doctor and Cardiac-Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or Gp doctor and if need be with Cardiac/ENT specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above do's which would resolve your complex health issues.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard.Good Day!! Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
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diff --git a/processed/document_classification/train/Confidential/doc_4970.txt b/processed/document_classification/train/Confidential/doc_4970.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9f30d397ff02bc2142da024209b746a266be5323
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4970.txt
@@ -0,0 +1 @@
+My resting heart rate is 102 BPM. I take Lexapro, risperdal, and vyvanse. I just added a decongestant to alleviate pressure on my ear canals causing vertigo. I realize the raised heart rate is most likely a result of these medications. Is this cause for concern? Lexapro 10mg per day Risperdal .25mg per day Vyvanse 70mg per day Hello, Decongestants can increase a person's heart rate.This can lead to further complications if the user has pre-existing conditions.So, I suggest to avoid using decongestants.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Dorina GurabardhiGeneral & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_4971.txt b/processed/document_classification/train/Confidential/doc_4971.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fe5ec319524e4a205b213a1e86e09b5be289c9fb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4971.txt
@@ -0,0 +1 @@
+I’m wheezing with a non productive cough from the flu. I have a history of asthma but have been symptom free for 8 plus years. I have a pro air inhaler, I’m taking mucinec expectorant and Zertec-d. I don’t have medicine for my old nebulizer or a preventative inhaler. I just looked and my allergists office is closed on thursdays. My chest burns. My stomach muscles hurt. What else can I do for the symptoms? I should have known it cost money. Never mind. I’ll go to the er when I can’t stand it anymore Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.For chest burn at least use soda bicarb containing fluids like cold drinks, use excess water, cold milk, or ice-creams. You need x-rays and again inhaler therapy and antibiotic for treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar
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diff --git a/processed/document_classification/train/Confidential/doc_4972.txt b/processed/document_classification/train/Confidential/doc_4972.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3db4684f7bf7540a2a3d5d0b96b4596f8c7e593a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4972.txt
@@ -0,0 +1 @@
+hi good morning i have pains in my left side of my lower belly went to my doctor who sent me for an ultra sound which shows i have 15 + follicles,is that cancerous and is it curable. Then he said i may not have kids not a problem i have 4 lovely daughters and i tie my tubes date 14-08-2000 where it was cut and laser burn it is call [BTL] for short here in Trinidad and Tobago please help Dear bybygirl there is no reason to worry. More then 95% of ovaric cysts and follicle disorders are benign. Usually hormone disbalans trigger ovary hypertrophy and menstruation abnormalities. Your pain can be caused by ruptured follicle or cyst. You should check your estrogen and progesterone levels . Also laparoscopic examination can be performed to clearly visualize your ovaries and also can be theapeutic . Ovaric cancer are the one of the worst tumors but it would be seen on US as a fast growing mass, you can check tumor markers just to be sure. Wish you good health, Dr. Ivan Romic (Rominho)
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diff --git a/processed/document_classification/train/Confidential/doc_4973.txt b/processed/document_classification/train/Confidential/doc_4973.txt
new file mode 100644
index 0000000000000000000000000000000000000000..074f068db99b54c0e53908358bb54debc1bd63ab
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4973.txt
@@ -0,0 +1 @@
+I had sex with my wife last night, almost immediately there after UT burned when I peed, I had not noticed much today, but tonight when I went to shower it was burning again, I had a white milky looking fluid in my penis, and it seems to be burning continually now not stop Burning sensation with urine is almost synonymous with urinary tract infection. You should get you urine sample analysed for blood n pus cells n proteins n also get a culture study done. As you say d color is white , a stone could b a cause as well. U should also get a USG of k.u.b region.
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diff --git a/processed/document_classification/train/Confidential/doc_4974.txt b/processed/document_classification/train/Confidential/doc_4974.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b7b0bcd3bcc0a0536ca43f5ca43c46973fe81525
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4974.txt
@@ -0,0 +1 @@
+Hi.. my daughter has just shown signs of Vitiligo... white spots on back and pinkish on and around eye. Consulted a dermatologist and he said its early or pre vitiligo. we wish to know whether we opt for Allopathic or Ayurvedic or Homeopathic treatment. Choice of treatment is highly confusing for us. Want to treat her asap before it spreads and ensure mininal side effects. Please advice on method of treatment. there no term like pre vitiligo please do not hurry to treat this conditon apply liquidparrafin one hour before bath expose the child to early morning sunlight ,avoid talcum powder .of cource the best treatment is allopthy
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diff --git a/processed/document_classification/train/Confidential/doc_4975.txt b/processed/document_classification/train/Confidential/doc_4975.txt
new file mode 100644
index 0000000000000000000000000000000000000000..54a68cb4a4ebdba4c828f1131a4544b68091e8cd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4975.txt
@@ -0,0 +1 @@
+hellow doc am sue from kenya have been married for four years but no kid i was told that my follopian tubes are broked is there ant thing i can do apart from going for opparation is there any medicine i can take to to unbroke my follopian tube plz tell me Hi welcome to healthcaremagic.I have gone through your question.Your fallopian tubes should be blocked not broken!!!!Blocked fallopian tubes couldn't be reopened by medicines.Surgery should be done to recanalization of tubes.Hope i answered or question.Would be happy to help you further.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4976.txt b/processed/document_classification/train/Confidential/doc_4976.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6f2203effef29a48b496bfb294f45d5522702517
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4976.txt
@@ -0,0 +1 @@
+Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_4977.txt b/processed/document_classification/train/Confidential/doc_4977.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8ee055c15aeea2ceb09d67c245ce2b6ecc27f691
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4977.txt
@@ -0,0 +1 @@
+Hi Mom is a patient of Diabetics for last 10 yrs and has High blood pressure, 3 weeks back she was admitted to hospital with Severe Lung infection (neumonia) and was on ventilator for 5 days and in ICU for nearly 7 days now doctor says she would require dialysis as infection has effected her kidney, She did not had any problem prior to this , I have consulted another specialist nephro and he asked me for getting Kidney profile and Hemogram test which i did where i saw a Urea level of 23 and creatinine level of 4.6, My question is can this be due to the fact the she had infection and it effected kidney also and can this be cured or she wil need regular dialysis from know on. Hi friend Welcome to Health Care Magic Sorry to see several problems - The best one to seek in the situation is a nephrologist - you are right in consulting one. Infection can cause all these - often leading to shock and Multi Organ failure. Ther chance for reversal are not predictable until after the infection has cleared. There is one thing that needs attention - Urea of 23 and creatinine of 4.6 ?? - this is rather unusual' If it is not your typing error, it suggests skeletal muscle problem, rather than kidney! The nephrologist will assess and assist Take care Wishing speedy recovery God bless Good luck
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diff --git a/processed/document_classification/train/Confidential/doc_4978.txt b/processed/document_classification/train/Confidential/doc_4978.txt
new file mode 100644
index 0000000000000000000000000000000000000000..47630df9145513f8cc0e858dbb4aa58ed8c3101b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4978.txt
@@ -0,0 +1 @@
+Hi I have had an dental abscess in lower wisdom tooth for three months been on clindamycin 300mg 4 times a day basically once a month with another perscription I have temple pressure and pain jaw sinus pressure ear pain and swollen throat gland saw doctor in er last Thursday finally was able to get a appt on the 17th this month to meet my surgeon im a worry wart and dont want to die cause I wasn't smart and read stuff online do you think im fine Hi,If there is abscess in root of molar tooth, it may not respond with antibiotics.In this situation pus should be drained or extraction of molar tooth is required.Consult dentist and get examined.He will decide the plan of treatment.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4979.txt b/processed/document_classification/train/Confidential/doc_4979.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0028c0f161ba6b008842707a2742bf92759310a9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4979.txt
@@ -0,0 +1 @@
+Hi there,i am starting to realize that i could possibly have Parinoid Skitz...i have been suffering 4 a few years now,also drink and drug abuse has been a problem on and off 4 about 15 years,i am 29 and find everyday tasks difficult,i can t communicate or express myself propperly sometimes and feel that others are always judging me as stupid or lazy,i have become very interested in human phycology as a result of trying to find out the cause and effect. Also i have taken a keen intrest in Buddhist philosophy and meditation practice. I go through very intense periods of straightness,no alcohol or intoxicants 4 days,weeks or months which do benifit amazingly,almost to a point of whethering mania and confidence only to come chrashing down into depression when i get bored,loose faith or get too intense and get smashed on a one night binge out with friends.and all that good work is wasted and onset of paranoid skitz.comes on. Drink and drugs trigger it off, where as when im straight,i still have deranged delusional thought patterns but i don t feed or respond to them,they are simply conditioned phenomina,coming and going,rising and falling,changing all the time.(i don t cling to them so much) Or my minds creation,if i believe the voice in my head,i can create my own heaven or hell creation and destruction. I generally believe that mental illness is just affliction with ones own ego and in Buddhist doctrine,the ego is not a real thing,it is a delusion, just ones own mental projection through ones perception of the 5 sense organs and as to how one inturprits and responds to that stimuli. Hi, As you are already aware of your problem then schizophrenia become least probable diagnosis in your case. In schizophrenia person do not insight for being ill. For me your problem is closely related to substance use. Simplest way to help yourself is by stopping substance. If after that some symptoms remain then for assessment and treatment, you can visit specialist like psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal
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diff --git a/processed/document_classification/train/Confidential/doc_4980.txt b/processed/document_classification/train/Confidential/doc_4980.txt
new file mode 100644
index 0000000000000000000000000000000000000000..359bd1bbbe93f098807aed078e5213acd993d293
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4980.txt
@@ -0,0 +1 @@
+I am a female age 32 due some reasons I am not able to face people especially male ....I am scared of male ... i have cultivated a strange behavouir of looking at their private parts that I dont do intentionally.... i cannot resist.... I hve gone 2 or 3 molestations in my childhood may b that is the reason.... I am not able to Live peacefully now DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given symptoms, this is just a case of obsessive thinking or a compulsive behavior. In short OCD, but not clinically manifested. If you try to resist it, the behavior pattern will try to over whelm you. Therefore, the best treatment method is ignorance. That can be easily achieved by busying yourself for a period of around 30 days. Make yourself so engaged that you have no spare time to think about this. Ignorance sometimes is a bliss.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_4982.txt b/processed/document_classification/train/Confidential/doc_4982.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1ee7d152658dcb19213394004eecb6cd13137818
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4982.txt
@@ -0,0 +1 @@
+I don't get sick often...and it is because of this... that sometimes I worry when something unexpected happens in my body. This morning I felt {9am} a slightly sharp vertical pain from my stomach area...(coming from about one (1) inch away - to the right - from the center area between my belly button and the bottom of my sternum...I thought I'd drink some tea, and it eventually went away. It is now about 4pm...finished eating about an hour ago, and the pain came back!I though I get an opinion...ty. Rob Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like you have indigestion problem or GERD. You can take omeprazole for that if available over the counter. Or try not to take meal on full stomach, and don't take liquids after meal. When you take your meal, you should not lie down immediately and have a little walk of at least 40 steps. There is nothing much to worry about. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Imran Zeb
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diff --git a/processed/document_classification/train/Confidential/doc_4983.txt b/processed/document_classification/train/Confidential/doc_4983.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c0214b50d5011372f63eaf4a2373aff52ed95031
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4983.txt
@@ -0,0 +1 @@
+Respected Doctor My mother is suffering from Jaundice from past 15-20 days due to liver cancer .Because of jaundice the doctors have stopped her chemotherapy .They are saying during jaundice we can t continue with the chemotherapy. So what should we do..? And can you suggest me a healthy diet for her so that we can cure jaundice fast..and her chemotherapy can be started again. Please reply soon Thanking you Hello! Thank you for the query. Most likely your mother has jaundice due to impeded bile flow from liver bile ducts. In such case, it is possible to restore bile flow with two procedures. First one is ERCP where with endoscope it is possible to put small tube into the bile ducts what should help with bile flow. Second is percutaneous transhepatic drainage where with a needle liver bile ducts are drained from the outside (through the skin). Unfortunately there is no specific diet for such type of jaundice. Hope this will help. Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_4984.txt b/processed/document_classification/train/Confidential/doc_4984.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d4dc0ea336eaf6dec783dca9a1b010659fc89683
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4984.txt
@@ -0,0 +1 @@
+I have copd. I was on symbicort 2puffsmorning and 2 puffs evening. Along with Tudorza 1 puff morning 1 puff evening. Due to cost I ask doctor to see if I could get cheaper. I m trying spiriva once daily. With qvar 80 once a day. I started out spiriva in am it only lasts 4 hours at most. So have switched to evening. I have started cheating with at least one puff if symbicort especially if I leave the house. I tried advair and second day my voice leaves me. There is a new product breo inhaler would it be worth trying. I don t smoke anymore. I have oxygen at home. Do you think there might be a pill we could take Hello dear, thanks for your question on HCM. I can understand your situation and problem. COPD (chronic obstructive Pulmonary disease) is chronic, progressive obstructive disease of the airway. It is incurable. Inhaled treatment is the first line therapy for COPD. And if patient is not improving or controlled with Inhaled treatment then we can add oral bronchodilators too. Oral bronchodilators are theophylline group. Acebrophyllin and doxophyllin are commercially available. Since both are prescribed drugs, you need doctor's prescription for them. You should also enroll yourself in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will improve your lung function and decrease the symptoms. So consult pulmonologist and discuss all these.
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diff --git a/processed/document_classification/train/Confidential/doc_4985.txt b/processed/document_classification/train/Confidential/doc_4985.txt
new file mode 100644
index 0000000000000000000000000000000000000000..706dce165cf6e3a2a0536709afa67c66342558b6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4985.txt
@@ -0,0 +1 @@
+My partner has developed a solid lump about 2cm on the INSIDE of his left buttock close to his anal passage. He's in absolute agony with it. What could it be? This is the fourth day he's had it now and it's just gotten more painful. He does a lot of driving, could this be the reason why? Hi,From history it seems that there might be having developing abscess over that region.This can be due to ingrown hair follicle infection and part remained more wet due to perspiration and less airy.Her might require one course of antibiotic and anti-inflammatory medicine course for 5 days.Once abscess is formed, it might require incision and drainage of pus.With antibiotic medicine there are all chances of clearing the infection.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4986.txt b/processed/document_classification/train/Confidential/doc_4986.txt
new file mode 100644
index 0000000000000000000000000000000000000000..845fc64052f86ccb77e5e6bcbaab7cb075f4812c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4986.txt
@@ -0,0 +1 @@
+i had a mri and have several automune disorders,hypothyroisim,have had b12 defeciency have thalasemia minor,pernicoisanemia. my brain shows demylienating severe does that mean i inherited adult luekodystrophy from my dad. or is my brain changing because of disorders im not weak and falling my dad was when he was my age. thank you. they said it might ne adrenelennueropathy. Hello, I would explain that demyelination and leukodystrophy are two different disorders. They have different characteristics on MRI. I would like to review your MRI report for a more professional opinion if you could upload them for a second opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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diff --git a/processed/document_classification/train/Confidential/doc_4988.txt b/processed/document_classification/train/Confidential/doc_4988.txt
new file mode 100644
index 0000000000000000000000000000000000000000..37227de94fb571aac8379278a71f3573162f4277
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4988.txt
@@ -0,0 +1 @@
+My 15 year old son has a swollen left hand, in addition he has raised spots on his hands and forearms and on his legs. The spots ich and look like a cross between hives and swimmers itch. Symtoms started late last night with just the spots itching, Then progressed to his swollen hand. What do you think it is? HiIt could be some allergy or insect bite.Show to a doctor.Meanwhile give give him Allegra 90 mg once a day, and Prednisone 4mg BD for 3 days.He may apply beclametasone ointments on itchy areas alsoA CBC blood count should be done.if has pain, give Tylenol.Avoid any other medication if was on before, consult physician.Look to any diet he's been allergic or intolerant to
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diff --git a/processed/document_classification/train/Confidential/doc_4989.txt b/processed/document_classification/train/Confidential/doc_4989.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a93168038ca0e9dbf7a2a5d5372b4374bac8f67e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4989.txt
@@ -0,0 +1 @@
+Hi a friend of mine has been having fever on and off for the last 4 days, he has rashes in most parts of his body (then on occasion it disappears but right now when he started having fever it stayed red and itchy), he's having head, body and joint aches and a heavy feeling in his eyes. Lab result was low wbc and a trace of blood in his urine. What could this be? Hi. Fever with rash and joint pain is seen in many conditions. Most commonly seen in viral fever like dengue or other viral fever. You have low wbc count which also favour that. Go to the doctor and take treatment. And regularly measure platelet count. You may have low platelet. If it is severely depleted then it may leads to life threatening bleeding. So keep close watch on that. And take plenty of fluid orally. It will go away in few days.
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diff --git a/processed/document_classification/train/Confidential/doc_4990.txt b/processed/document_classification/train/Confidential/doc_4990.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf5653e2a7145eaf2a6da7f6cc0caf73c61266f1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4990.txt
@@ -0,0 +1 @@
+I m trying to find a doctor that can help treat my family for yeast fungal overgrowth. we have been going back in forth to doctors for since 2008 which we bought a home in 2007. Every since we moved in that house we started being sick , and we lived there almost 6 years, and i came to the conclusion it was the house making us ill.. I ve done alot of research but no doctor will help me, and t states you can move out of the mold environment and still have the problems and that we gotta get it out of our system or it will keep you sick !!!! Please help find a doctor that can help us .. i live in greenville ms thks Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that you should be tested for fungal allergen testing. If it is positive you should start with anti fungal medication. Once the treatment is started it gradually disappears.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
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diff --git a/processed/document_classification/train/Confidential/doc_4991.txt b/processed/document_classification/train/Confidential/doc_4991.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5e46b2affddbcb81b1f69f1984701c581212953e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4991.txt
@@ -0,0 +1 @@
+I went to get my IUD out and they couldn't get it because it's tissue has been going around the strings. I'm freaking out. They also did a pregnancy test which came out negative but I've heard that with an IUD it's hard to see if your pregnant with Just an urine test? Hello,I have gone through the query and understood the concern. Pregnancy test can be performed as usual with an IUD in situ. If it happens to be a hormone IUD, it may be difficult to read the test, but, there should be no interference with the result. In fact, in such a scenario, the blood test and sonogram help a lot. If your IUD could not be removed under naked vision, I would suggest ultrasound-guided removal, which is often successful. If still difficult, you will need a hysteroscopy. Hope you find this information useful. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_4992.txt b/processed/document_classification/train/Confidential/doc_4992.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b385e1df8142f4180d18abb69c5b19b760676d64
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4992.txt
@@ -0,0 +1 @@
+Hi there, i have had a really sore upper left arm i am a housekeeper at a buzy backbackers in town and my job is very physical making 171 bed lol um my arm is so sore ican hardly move it iwent to work this morning and it wasnt painful at all i was able to work fi e but now i have come home and ican hardly move it the pain is so bad ..... i am a 39 year old woman that is well with no medical issues... im thinking i may have strained my upper arm how???? Can you please suggest what may be going on thanks :-) Hi,I am Dr Ramez Mohamed, I had gone through your question and understand your concerns. I think you suffer from inflammation of the left shoulder joint or inflammations of the origin of the muscles and ligaments forming the joint and so as a result of the continuing use of the joint, resulting in compression of the bone-forming the joint on the ligaments and ms. With rising up of the arm may be extremely painful. You must get an X-ray and MRI scan to detect the defect and further investigation : ESR , CRP You have to take some of the pain relievers and anti-inflammatory with no moving the arm for at least two weeks with arm sling and you will feel completely comfortable.Hope the above information helps you and if you have additional or follow up questions then please don't hesitate in writing to us. I'll be happy to answer your questions.
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diff --git a/processed/document_classification/train/Confidential/doc_4993.txt b/processed/document_classification/train/Confidential/doc_4993.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0bc9e460dd8f63e25a06c2199511fccf39941007
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4993.txt
@@ -0,0 +1 @@
+me and my girlfriend were fooling yesterday,we kissed and for the first time my penis touched her vagina but there was no penetration,when i felt like coming i moved my penis quickly to a laps and thats were i released my semen,now she has started her period today,is there a risky of her being pregnant and does the menstrual fluid wash away the semen in case there was a bit of spillage?please help if she has got her period then there are no chances of getting pregnant from your last event of sex.
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diff --git a/processed/document_classification/train/Confidential/doc_4994.txt b/processed/document_classification/train/Confidential/doc_4994.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a5f2d68ea9b30cb49470762063652362351d7362
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4994.txt
@@ -0,0 +1 @@
+i have had many signs and symptoms of pregnancy like a lte period getting sick the veins on my sides are very noticable and on my arms and chest and legs but i took a test it came back negative and then i was a week late but after that i got my period. is there any way i could still be pregnant? i also have leg cramps and pains in my arms too Hallow Dear,The first cardinal symptom of pregnancy to appear is missing a period. All other symptoms like nausea & vomiting, frequent urination and the breast symptoms like engorgement with tenderness, dark discolouration of nipples & areola with widening of areola and secretions through nipples appear subsequently, usually 10 to 15 days after missed period. Though you had some vague symptoms, ultimately you have got your menses. Probably after having the menses, the symptoms also might have vanished. When in doubt, urine examination for pregnancy gives clue. That also is negative in your case.So Madam, no missed period and pregnancy test negatives confirms that you are not pregnant. Dr. Nishikant Shrotri
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diff --git a/processed/document_classification/train/Confidential/doc_4995.txt b/processed/document_classification/train/Confidential/doc_4995.txt
new file mode 100644
index 0000000000000000000000000000000000000000..39e206f5b174fb9e98e735967aea9c1f48c8a53e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4995.txt
@@ -0,0 +1 @@
+my sister has been experiencing pain in the throat since May after a shingles shot. Symptoms occured exactly2 weeks after and she has been going to an oncologist, ent, gastronologist and none have been able to find what iscausing the pain. She also had an outbreak of sores in her throat after the vaccine in which md thought it was avirus but no one has biopsied to see why she is having this horrible pain. She is now beside herself since ct scans,mris, endospies(2) have been performed and still severe pain. She is a cancer survivor and is horrified of cancer of the throat. What should she do? Could she have had a slight outbreak of shingles and is having the pain that comes after shingles. Very worried and do not know where to turn now. pain as a presentation of cancer is very rare and presence of pain usually indicates inflammation or infection. as she had shingles, must have developed post herpetic neuralgia which causes a severe radiating pain on slight touch of affected area. it requires physician or neurologist consultation for the use of anticonvulsants. in severer cases ablation of the affected ganglion may be useful.you have not mentioned the type of cancer she had earlier?
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diff --git a/processed/document_classification/train/Confidential/doc_4996.txt b/processed/document_classification/train/Confidential/doc_4996.txt
new file mode 100644
index 0000000000000000000000000000000000000000..066f36a10fc902c34862424a900c3fa2c9aa3c5a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4996.txt
@@ -0,0 +1 @@
+My 17 year old son had frequently raised blood pressure.He recently has renal ultra sound which reveals bilateral renal parenchymal disease grade 1?.Cortical ecogenicity of both kidneys is slightly increased and corticomedullary differentation is preserved.What all this mean and how it can be treated . HelloThanks for choosing HCM. As he is having hypertension there will be effect in his kidneys in which the high Bp will damage the function of the kidneys. Please have regular serum creatinine test done and if there is any increase in that you consult a nephrologist to start the treatment. The most important treatment for him is to maintain his bp. ThanksDr.Alekhya
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diff --git a/processed/document_classification/train/Confidential/doc_4997.txt b/processed/document_classification/train/Confidential/doc_4997.txt
new file mode 100644
index 0000000000000000000000000000000000000000..472c8d821f624e6ae50b3610f54b463f98c0b1aa
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4997.txt
@@ -0,0 +1 @@
+I'm 19 and I have high blood pressure sometimes and others it is perfectly normal. I am on progestin only birth control pill and I want to get the Implanon implant. Will my doctor perscribe it to me if my blood pressure is high when he takes it? I am also overweight. Hi,It is not normal to have high blood pressure at this age. What is your BMI? One reason for your high blood pressure could be you being overweight. You must reduce weight. This is important for your overall well being too.I advise you to first consult physician to find out the cause for high blood pressure and get it treated.You can have the Implanon inserted while being treated for high blood pressure. There is no problem with it.I hope I have answered to your satisfaction.
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diff --git a/processed/document_classification/train/Confidential/doc_4999.txt b/processed/document_classification/train/Confidential/doc_4999.txt
new file mode 100644
index 0000000000000000000000000000000000000000..905ac76049cfbf77afe0449b7fcf9888fecb95a4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_4999.txt
@@ -0,0 +1 @@
+I sometimes feel dizzy when standing and talking with a person. My buttocks is itchy and only when I press on my upper chest I feel a small area (size of nickel) of pain. I had my upper chest checked out a while ago and the doctors could not find anything with an x-ray, bone scan. I am 37, 5,4", and 123 pounds Hi, Dizziness, pain in chest and itchiness all the symptoms are not related to each other. Blood pressure either high or low may be responsible for the dizziness. Get a regular checkup of BP by your GP. Pain in the chest may be a vague symptom. Take anxiolytic to get relief. Itching on buttocks may be due to fungal infection or dry skin. Consult the dermatologist and get a perfect remedy to get cure of the skin condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_50.txt b/processed/document_classification/train/Confidential/doc_50.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6b9604c98023af100efe9d011101f557e57c7e11
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_50.txt
@@ -0,0 +1 @@
+ip} Pi See ee eo" mii ge Sle . é | ey Department of State TELEG SECRET AN: 0860434-0965 SECRET PAGE 01 ISLAMABAD 12500 0512072 ACTION NEA-11 INFO LOG-00 COPY-01 AOS-00 INR-10 SS-00 CIAE-00 NSCE-00 SS0-00 INRE-00 /022 W door communications 252852 05121272 /50 0 0812042 JUN 86 FA ANENBASSY ISLAMABAD TO SECSTATE WASHINGTON IMMEDIATE 5478 AMEMBASSY RIYADH IMMEDIATE AMCONSUL JEDDAH IMMEDIATE SECRET ISLAMABAD 12500 E.O. 12356: DECL:OADR TAGS: PREL, XO, US SUBJECT: AFGHANISTAN: RABBANI REF: STATE 178113 (CExo1s)/ SINCE RABBANI IS NOW IN SAUDI ARABIA, AND MAY DEPART FOR THE U.S. FROM THERE, SUGGEST DEPARTMENT REPEAT REFTEL TO RIYADH AND JEDDAH. LIKELIHOOD IS STILL THAT RABBANI WILL RETURN TO PAKISTAN BEFORE HIS DEPARTURE TO THE U.S. HINTON DEPARTMENT OF STATE A/CDC/MR REVISED thet pare Vt 7 RELEASE ¢ CLASSIFY ) GAcise (' ) DECLASSIFY in PART ( )RiLE ( )Won-responsive info. FOL, B20 it PA promotions _ 8 authority to: q )GLAcrye ox . OADB ( )DOVius NS TS to( pSor( )C, OABR SECRET
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diff --git a/processed/document_classification/train/Confidential/doc_5000.txt b/processed/document_classification/train/Confidential/doc_5000.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bdd272351f9760cc5120ad39e072b9f5f2ed3983
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5000.txt
@@ -0,0 +1 @@
+Last night I woke from my sleep with a Sharp Pinch and a burst sound on the left side of my head just above my ear. I could not sleep in fear of a bug bite . Today, my face feels warm and my ear feels wet, yet my left hand has a numbing sensation. Everything looks normal. It felt like I was stabbed with a needle could this just be a pinched nerve? At what point should I be concerned. I have Thyroid issues, along with scoliosis and spinal Bifida (very very mild) Dear probably it is a periferic problem of the seventh cranial nerve, facial nerve.You have to take vitamins and self physiotherapy use gym to activate the muscle and if the problems persist consult your neurologist.Wishing you the best
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diff --git a/processed/document_classification/train/Confidential/doc_5002.txt b/processed/document_classification/train/Confidential/doc_5002.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ed8b5cc9a882c144b2504d49fd0e92818b82f4fa
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5002.txt
@@ -0,0 +1 @@
+Hello doctor,I am a 35 year old male. I have been suffering from erectile dysfunction and have tried PDE-5 inhibitors. They work, but they do not give results anymore. I quit smoking, a few years ago, when I was diagnosed with ED. My morning erection is also not as strong as it used to be. Many check-ups in the past have revealed that my lipid profile and fasting blood glucose are normal. I tested low-normal on testosterone on many occasions, around 285 ng/dl to 330 ng/dl. I have recently started using Enanthate 50 mg every third day with 0.25 mg of AI on the day of injections, as taking 250 mg bi-weekly was giving too many highs and lows. The decision to self-administer testosterone replacement therapy was made because medications have not been helpful. I am about to get married and would be on short vacation. I do not want to start the consultation at that time and waste whatever little time I will have. I would like to try penile injection therapy. Can I be prescribed that if I visit a specialist in person? Would it be an expensive treatment? Hello. For further queries consult a psychiatrist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5003.txt b/processed/document_classification/train/Confidential/doc_5003.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90012fa2347bd196a5a97226d20846d581f108c0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5003.txt
@@ -0,0 +1 @@
+hi? i hand washed my clothes on Sunday and afterward my index finger was swollen like i it was squeezed by a door. later on Tuesday the area around the joint on my index finger turned black and itchy.. it still swollen and painful when i try to bend it. what could be the problem Hello, As this is a skin reaction to the soap is one. Second, there will some skin tissue wear and tear due to friction and since it was squeezed by the door so there will be a muscle injury. Just apply coconut oil and do gentle massage and use hot water fermentation for the finger muscles to relax. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5004.txt b/processed/document_classification/train/Confidential/doc_5004.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d27280ede61b796ac930b3927aa0fb2c98e7e94a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5004.txt
@@ -0,0 +1 @@
+I am 57 yrs old and I was climbing down off ladder and lost my balance and missed the last step on the ladder and landed on the hard floor with all my weight on my right knee I heard a loud pop but i still walked on it for about 2 hours then it hurt to bad to keep walking. I was a doctor at a clinic and she put me on light rest walking 2 hours a day. My knee is still hurting and it has been 4 weeks now. What do I do? hi,thank-you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As I gone through the history I feel you should consult a orthopedic and get the knee assessed. As the pain is still not reduced. Also, by understanding your mechanism of injury I feel you must have injured your ligament. As you are 57, the degenerative changes in the knee must have been present and can damage any soft tissue with smallest or hardest impact.Also, your ortho may recommend you an MRI of knee to see the soft tissues within the joint.Post which the treatment will be planned. With proper medication and a combination of physical therapy you will have better strength and your mobility will also improve.in my clinical practice such cases of ligament injuries are always delayed to undergo physical therapy and the recovery time is delayed. So I advice you to take up at the earliest and make a rehabilitation process start soon.RegardsJay Indravadan Patel
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diff --git a/processed/document_classification/train/Confidential/doc_5005.txt b/processed/document_classification/train/Confidential/doc_5005.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2a39022f1678abf52ca557427d95019b6c534d1e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5005.txt
@@ -0,0 +1 @@
+sir, my son is 5months now. he had viral fever last week and recovered. now for the past5 days he is passing yellowish green frothy stools 6-7 times a day( usually few minutes after feeding ). he is active and have no problem. what could be the reason and tell me the management? Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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diff --git a/processed/document_classification/train/Confidential/doc_5006.txt b/processed/document_classification/train/Confidential/doc_5006.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1221bea9f3b66eb0564c5622c40ebcb692ad49c2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5006.txt
@@ -0,0 +1 @@
+My Recent Lab Reports are as follows: CHOLESTEROL, TOTAL= 239mg/dL LDL CHOL, CALCULATED= 145mg/dL HDL CHOLESTEROL=34mg/dL CHOLESTEROL/HDL RATIO= 7.0 TRIGLYCERIDES=301mg/dL GLUCOSE, FASTING (PLASMA)=103 mg/dL Somebody suggested me to take Dr. Reddy's Mega-3 capsules per day to reduce triglycerides. Will it help me to reduce above counts? Is there any side effects. For how long I can take the Capsules. Hi I can understand your concern....Your cholesterol level high....Particularly triglyceride very high.The drug you are telling is docosahexonoic acid which is omega 3 Fatty acid rich.It is used as nutritional supplement .But for lower down cholesterol you can better use atorvastatin like good drug that will be beneficial...You have to change life style habit for lower cholesterol.Take less fried and fatty food....Fruits more.Green leafy veg more.Regular one hour active flooring exercise done.Jogging , running will be good.Avoid smoking.Although you have not asked I would suggest you to do following investigation .......-tread mill -blood pressure measurement -usg abdomen for fatty liver and gall stoneTake care
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diff --git a/processed/document_classification/train/Confidential/doc_5007.txt b/processed/document_classification/train/Confidential/doc_5007.txt
new file mode 100644
index 0000000000000000000000000000000000000000..98db71ec170bf04dc02f7d990eb4843e9f0979f9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5007.txt
@@ -0,0 +1 @@
+This has happened to me 2 times in the last month. This time it lasted for about a minute and a half - the first time about 45 seconds. The upper part of my body - my arms felt like they were both going numb at the same time and sort of ticklish. it felt the exactly the same on both sides of my body - while it was disappearing I felt it sort of flow out of my body - kind of had a tight chest feeling towards the end while it was going away. now I am fine - but it was scary. I am a 62 year old female. Hello, As per your history, it may be due to nerve compression at the cervical spine level. For further assessment, you may require MRI neck and nerve conduction studies after consultation. For pain, you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also help. You may require tablet Pregabalin and multivitamin after consultation. Do regular physical therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5008.txt b/processed/document_classification/train/Confidential/doc_5008.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fe76cfc814b507abda6f9ad6a55eb3176bb5cd72
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5008.txt
@@ -0,0 +1 @@
+I have just been diagnosed with Chiari malformation. However I am reading that this is something that happens at birth. I am a 55 year old woman. Why would symptoms appear now? I am having headaches regularly thus the MRI on my head. What course of action is there? I have not met with a neurosurgeon yet. Hi,Thank you for posting your query.I have noted your MRI brain findings as well as the symptoms.You are spot on in doubting that why would Chiari malformation cause symptoms at the age of 55, even though it occurs at birth.I agree with you that Chiari malformation is an incidental finding in your case, and your headaches are unrelated to that. Therefore, Chiari malformation can be left alone and no surgery is needed.At the same time, we need to find out the cause of headache in your case, and treat that.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:
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diff --git a/processed/document_classification/train/Confidential/doc_5009.txt b/processed/document_classification/train/Confidential/doc_5009.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0106f1345c7d585c5110d2258ff7e6b337454fac
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5009.txt
@@ -0,0 +1 @@
+My baby girl was born on 13th December 12. Her weights was 3.19 kgs. she was diagnosed with heart murmur by doctor. and doctor suggest me for ECO test. after ECO test he told me that my baby has 2 defects in heart. one is 7.5 mm (L R) secundeum interatrial septum defect and second is 5.2 mm (L R) Membrance interventricular septum defect. he told me it is minimum size of defect. so we needs to wait for 3 month and after that we will check it again. it could be fill automatically. so please tell is it possible to fill this hole without a operation Hi, ASD >5 mm is significant and is unlikely to close spontaneously. The natural course of a VSD depends to a large degree on the size of the defect. A significant number (30–50%) of small defects close spontaneously, most frequently during the 1st 2 yr of life. Small muscular VSDs are more likely to close (up to 80%) than membranous VSDs are (up to 35%). The vast majority of defects that close do so before the age of 4 yr, although spontaneous closure has been reported in adults. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5010.txt b/processed/document_classification/train/Confidential/doc_5010.txt
new file mode 100644
index 0000000000000000000000000000000000000000..685fad32a4f2b168f1e65d517b59aed6dea3cc74
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5010.txt
@@ -0,0 +1 @@
+is pancreaticsides are cureable .... what precautions is require to over come this diseases, my child already have and now she knows it is not creable she has lost her smile daily she is in tensions is pancreaticsides are cureable .... what precautions is require to over come this diseases, my child already have and now she knows it is not creable she has lost her smile & daily she is in tensions
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diff --git a/processed/document_classification/train/Confidential/doc_5011.txt b/processed/document_classification/train/Confidential/doc_5011.txt
new file mode 100644
index 0000000000000000000000000000000000000000..203691759530c2a30665ca3cfa32da54c96c1d24
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5011.txt
@@ -0,0 +1 @@
+can lever cerrosis is curable by medicine.If apatient suffering from lever cerrosis can not afford cost of lever transplant than for how long he can survive with medicine. age of patient s age is 60 yrs and his health is in general good. Also he does not take alcohol & he does not have any bad habit.Pl. advice hello, i am sorry to inform you but cirrhosis is a irreversible condition. the functioning of the liver can not be changed by the medicines. however with medicines we can prevent complications arising from cirrhosis and improve the generl health of the patient. you need to monitor the weight, look out for symptoms like swelling of abdomen and legs, vomiting of blood etc. if symptoms worsen i would advise you to consult your physician. i the mean time continue the prescribed medicines. i hope i have answered your quey. take care
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diff --git a/processed/document_classification/train/Confidential/doc_5012.txt b/processed/document_classification/train/Confidential/doc_5012.txt
new file mode 100644
index 0000000000000000000000000000000000000000..91a58899af419b91ee8988a7e21a86ca2168d56d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5012.txt
@@ -0,0 +1 @@
+I think I have ADHD but I'm not sure. I'm 13 years old and I'm making pretty good grades in school (B+'s, A-'s) but whenever I'm doing my homework I always get distracted and walk around, email my friends, play with my dogs, etc. etc. And my mom always tells me when I bring up the subject that I'm just overreacting and I'm just stressed but I don't know if it's just that. The only thing that makes me doubt that I have ADHD or something like that is I've never really been like this before- I've always been talkative in classes but I've never had real difficulty getting my homework done. Hi. Usually children have ADHD when they are really small. like when they are between the ages of 4 to 7-8. Ask your family if you had ADHD or any such attention disorder when you were little. if you did, ask them to take you to a therapist or a psychiatrist. If, however, you do not have a history related with ADHD, but you still feel uneasy with yourself while working, try segregating your time frame. work on your paper for twenty minutes and then take a five minute break and do what you wish. then come back and repeat this 20 - 5 minute frame again. hope this helps you. if it doesn't, visit your family doctor and await suggestions.
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diff --git a/processed/document_classification/train/Confidential/doc_5013.txt b/processed/document_classification/train/Confidential/doc_5013.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f04421c3762d484f6bcf92ca4b68505c78aad18c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5013.txt
@@ -0,0 +1 @@
+I fell down my stairs two weeks ago and had a tramatic brain injury and cannot walk with out a walker. I just got sent home from rehab because of insurance. I have terrible headache that pain pill do not help and now when I cough I am seeing some blood in my phlegm. Thanks for your question on Health Care Magic. I can understand your concern. No direct connection between head injury and hemoptysis (blood in sputum). But unknowingly, you might have injured chest (blunt chest trauma) while falling from stairs. And this might have injured lungs and cause bleeding. So better to get done chest x ray to rule out lung injury as a cause for your hemoptysis. Your headache is mostly due to head injury. So consult doctor and get done chest x ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5014.txt b/processed/document_classification/train/Confidential/doc_5014.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d572e7d18979421e642238bbca68a775168cd755
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5014.txt
@@ -0,0 +1 @@
+Hi, I just had spinal surgery due to C3 and C4 slipped into my spinal cord. That was 3 months ago. I lost a lot of muscle mass. As I have been slowly increasing my walking I have started to get severe cramps in arms and legs. I am also constantly exhausted. What kind of Doctor should I see to investigate these issues. Hi, Severe cramps in muscle can be due to calcium or vitamin deficiencies. You should consult a Neurologist or physician. Calcium and vitamin supplements can be taken for relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Neeraj Kumar
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diff --git a/processed/document_classification/train/Confidential/doc_5015.txt b/processed/document_classification/train/Confidential/doc_5015.txt
new file mode 100644
index 0000000000000000000000000000000000000000..08d34fc68ea750c4cfd407708989acd0c6ce1aaf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5015.txt
@@ -0,0 +1 @@
+getting shocking pains through my head that make me dizzy and blackout its like two at a time quick joults that are very painful they come about every couple minutes its not a headact or migraine been going on for awhile now and every day gets worse Hello,Your symptoms could be related to ice peak headache, which a benign type of headache. Trigeminal neuralgia or other types of neuralgia cannot be excluded too.I would like to know the exact location of the pain? Is it triggered by eyes opening, eating or laughing?I recommend consulting with a neurologist for a physical exam. A brain MRI and some blood lab tests (complete blood count, PCR, sedimentation rate) are needed too.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka
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diff --git a/processed/document_classification/train/Confidential/doc_5016.txt b/processed/document_classification/train/Confidential/doc_5016.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4a6f6fe5d68b928e454bc02a89e7ad8ea33b49bd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5016.txt
@@ -0,0 +1 @@
+Hi,I have recently been diagnosed with chronic narcolepsy. I am extremely worried due to the fact that I have recently taken out a mortgage on a new property and as a result of my condition I have been forced to cut my working hours substantially. My main worry is that I can no longer afford the repayments and I have been told that stress makes my condition worse. When I took the mortgage 12 months ago I did take a life and critcal illness policy and I have spoken to them in great detail. Apparently I am not covered by this policy as my condition is not considered to be life threatening. I am at my wits end. Any advice or feedback on this would be much appreciated.Many Thanks HIThanks for using healthcare magicI think, you are in stress and due to that reason, you are facing problem. In case, you are feeling tiredness, sleepiness or low mood, you can try some antidepressant like paroxetine or some stimulant like modafinil that would keep you active and help you to come out of current problem. You can also try some relaxation exercise. In case, you need further help, you can ask.Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5018.txt b/processed/document_classification/train/Confidential/doc_5018.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4545301bdd79aae0e8fb93a34e991477f7ce2d1e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5018.txt
@@ -0,0 +1 @@
+Hi, I developed a bruise on my chest this morning (centered basically where a necklace would hang), and I've been coughing a fair bit today. I figured the cough was from allergies, but now I'm starting to feel a bit dizzy. Are these symptoms related? Should I go and see a doctor, or am I being a hypochrondriac? Hello dear, Thank you for your question. Bruises usually come from local trauma whereas hives (urticaria) are the main manifestation of allergy. And usually allergic skin manifestations are numerous in different parts of the body. So your bruise doesn't seem connected with the other symptoms.Cough can come from different causes including: allergic, infective etc. You need to check it with your doctor, in case it persists.The dizziness you have been experiencing, needs attention especially in presence of other symptoms or when you have had it for more than a couple of days. In your case dizziness and cough might come from a simple viral infection that can pass in a few days.I hope this helped.Best wishes,Dr. Alma
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diff --git a/processed/document_classification/train/Confidential/doc_5019.txt b/processed/document_classification/train/Confidential/doc_5019.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2095476d463f4ba65d7d1dbc6eece4775069b23d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5019.txt
@@ -0,0 +1 @@
+35yr 58 kg gay male. had a nite out, osom time but i think i overdid it with de sex. been getting fisted and i feel a rather unusual throbbing pain area which seems to be suceptible to pressure and position.. has lasted 4 2 days and b4 i go c somebody id like to ask ur advise Hi, It may be due to some trauma due to increased sex. If there are pain and swelling you may need medicines. Get a direct checkup. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN
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diff --git a/processed/document_classification/train/Confidential/doc_5022.txt b/processed/document_classification/train/Confidential/doc_5022.txt
new file mode 100644
index 0000000000000000000000000000000000000000..710e91f2e04a065d41c28cd4508fbcd63dd5d2b8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5022.txt
@@ -0,0 +1 @@
+hi sir.. my friend has taken rat poison..and now doctors are saying its too late now..her vomiting is not in control..her age is 19..weight around 48kg..Doctors are saying poison has spread in all her body..2 days before she had taken.. plz..suggest me a way to help her..plz sir Usually rat poisons are fatal n dangerous.Most probably the way u are telling it could be aluminum or zinc phosphide poisoning.Best management can be done only in golden hour of presentation.Management can be suggested according to the complications developed.Rat poisoning best management is usually done much before the development of complications to prevent it.In complicated cases magnesium sulphate for life thretening arrhythmias, digitalization for cardiac failure, vitamin c and methylene blue if associated methemoglobinemias.Intra aortic balloon pump or exchange transfusion are of last options.
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diff --git a/processed/document_classification/train/Confidential/doc_5023.txt b/processed/document_classification/train/Confidential/doc_5023.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4fe497f5dd4151bb71a0687d13991910a3030878
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5023.txt
@@ -0,0 +1 @@
+My son is two and four months old. From last one month he is getting recurring fever after every fortnight which stays for two days to three.Had got his urine test done. Routine shows 2-4 h.p.f pus cells and a few epithelial cells.waiting for the culture report. Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son is having symptoms of recurring fever which is due to impaired and reduced immunity of body. Presence of pus cells in urine is clear indication of infection to child. Need not to worry about it. Avoid cold carbonated beverages. You should get stool culture done as well. Take diet rich in fruits and multivitamins. Visit pediatrician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Crocin as well every 4-6 hrly. If symptoms still persists go for blood tests and then start treatment as per that. Take antipyretic drug such as paracetamol and along with that do tepid sponging in between depending on intensity of fever. Hope your concern has been resolved.Get Well Soon.Best wishes,Dr. Harry Maheshwari
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diff --git a/processed/document_classification/train/Confidential/doc_5024.txt b/processed/document_classification/train/Confidential/doc_5024.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6676733e120a3c0068b8359ddacbb16ebd545441
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5024.txt
@@ -0,0 +1 @@
+my 4 yr old daughter has been crying off and on for 1 month about her stomach she has regular bowel movements and can only eat a little bit at a time till she starts crying that her belly hurts and after aboui20 min she is up playing again .. she complains 1st thing in am and several times through the day and before bed call dr. he said keep her diet bland no milk products did that for 4 days and she still complained any ideas Tthanks for follow up . The most common cause of pain is infection. Pain is signal of inflammation.You should react.Try to give to her antibacterial medicine - niftas 1 tab 3 times 3 days if good effect-then continue, if it will not help gi've antibiotic - cefixime. For absorbtion of toxins you can give charcoal 1 tab for night.For relief of pain- syp cyclopam(dicyclomin), follow light diet, give blended food and soup every 4hours.Recovery soonDr.Svetlana
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diff --git a/processed/document_classification/train/Confidential/doc_5025.txt b/processed/document_classification/train/Confidential/doc_5025.txt
new file mode 100644
index 0000000000000000000000000000000000000000..78e850ef5a16803e11ae3dc0dcc1822d1be57f3b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5025.txt
@@ -0,0 +1 @@
+I have three circular rashes about three inches apart that form a triangle shape under my arm below my armpit just behind the side of my breast and also the same thing on the other side of my body under the other arm. I also have sharpe pain that comes and goes by my right shoulder blade. The pain has been there about two months. What could these symptoms be? Thanks Welcome to HCMGreetings of the dayNamasthe If the rash is associated with itching then its most likely fungal infection, use Candid TV lotion for it twice a week and it will definitely help.Take Careregards
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diff --git a/processed/document_classification/train/Confidential/doc_5026.txt b/processed/document_classification/train/Confidential/doc_5026.txt
new file mode 100644
index 0000000000000000000000000000000000000000..68c41fe7c39a3f2c3f1c3cc0c2105474490bc8d7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5026.txt
@@ -0,0 +1 @@
+urine protein discharges 1028.4 please advice further managment Hi shailank; welcome to HealthcareMagic Please write in detail the urine report as well as the symptoms you have so that we will be able to guide you .Just on basis of what you have written it is difficult to give proper advice. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5027.txt b/processed/document_classification/train/Confidential/doc_5027.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2afbedeba0bf1a1dce4e0df5241490710cea7229
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5027.txt
@@ -0,0 +1 @@
+my son went to my gp the other day and they told me he had a bad water infection and he had protine and blood in his we they also thort it might be his kidneys and they told me if he gets worse take him straight back he is not having the same symtoms but he is going dizzy quite alot do i need to take him back again Hi, dearI have gone through your question. I can understand your concern.Your son has urinary tract infection. He has protein and blood in urine so he may have some infection in kidney. It can leads to dizziness. You should consult your doctor again. He need to test creatinine level, protein level and electrolytes level. Then he should take treatment accordingly.Hope I have answered your question. If you have nay doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5028.txt b/processed/document_classification/train/Confidential/doc_5028.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cc09ec7792a623dabaa4702873b8d9d259c37359
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5028.txt
@@ -0,0 +1 @@
+since last monday i have ahad sore breast/nipples among other symptoms: headache dizziness blurred vision sore breasts /increase/ tender increase in nipple size/ not as pink once felt nauseas widder waist tired moody frequent urination hard time sleeping/stomach discomfort discharge back aches I took a pregnancy test this sunday and it was negative, i should get my period around june 3rd? could i be pregnant or could this be related to lyme disease? HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Please do not panic.2]If you have regular periods and you have missed your periods; and still your urine test is negative, then you are mostly not pregnant.3] In this case it is just prolonged period. You can wait for the onset of periods or induce periods with Tab REGESTRONE 5mg 2 times a day for 5 days.4] Also all your symptoms can be related to Premenstrual Syndrome- PMS.I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Have adequate water intake , say 8 – 10 glasses per day. Avoid deep fried foods, bakery products, and refined sugars.Avoid substance abuse, if any.Vitamin E, B LONG F, PRIMOSA one each at night for 3 months will be of help.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar
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diff --git a/processed/document_classification/train/Confidential/doc_5029.txt b/processed/document_classification/train/Confidential/doc_5029.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5af3d887756d8ef00d9ec1abfb35cac7799c206a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5029.txt
@@ -0,0 +1 @@
+Hi Doctor. I just got back from my CT scan. 3 months ago they located a 2 cm mediastynum cyst on the right side of my chest. My doctor sent me to get another CT 3 months later to see if it grew. Thy told me that it looks the same and that it is on the right side of my body near my heart. What should I do? And what is it? Respected user, hi I evaluated your query thoroughly .* Mediastinal cyst has vivid pathologies ranging from benign neuronal tumors to malignant ones .* Mediastinal cyst evaluation needs correlation with detailed history of the patient , clinical assessment , signs elicited by the consultant, exact location in the mediastinum with in depth analysis of reports , Biopsy of the lesion giving histopathological evidence of the disease.Hope this helps you.Welcome for any further queries.Thanks for using Healthcaremagic.com & giving me an opportunity to assist you.Wishing you healthy life ahead.Regards dear take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5030.txt b/processed/document_classification/train/Confidential/doc_5030.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c5b0c1ff613334a57e03c5b17d31825a240cd99d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5030.txt
@@ -0,0 +1 @@
+something in the roof of my mouth i noticed earlier that i have a piece of food or something lodged in the roof of my mouth its not very painful but i can feel it when i run my tounge across. i dont know if this is an emergency or if it can hold off for at least 16 hours. so can should i seek medical attention asap or can i wait this out? i really have no clue. hello thanks for consulting at hcm..some food material might have stuck in the palate region,, i suggest you do salt water saline,,also apply topical anesthetic in that area,,then again recheck whether you feel the food is still stuck there,, hydrate yourself well,, drink plenty of juices and warm water,,if still bothers you then you can take a consult with a oral physician,,nothing to very since it is not painful,,hope it helps,,take care
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diff --git a/processed/document_classification/train/Confidential/doc_5031.txt b/processed/document_classification/train/Confidential/doc_5031.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5f2945c817c6f9140b1ecedbfd548b01e5fe39be
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5031.txt
@@ -0,0 +1 @@
+My 14 year old son had routine blood work and urine test last week. Just got the results and his liver enzymnes are at 65. Also, there was a trace of blood in his urine. We go back in for re-test in 3 weeks. What level of concern should we (his parents) have at this point and what reseach should we be doing? Hi,First repeat the exams. Look blood in urine could appear in health boys, there are some reasons for that like huge and strong exercises in the day or 1 day before the test, fever, some kinds of food, but may be the result of a bladder or renal infection, a stone. So repeat the exam if show blood again ask for a urine culture and renal usg.
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diff --git a/processed/document_classification/train/Confidential/doc_5032.txt b/processed/document_classification/train/Confidential/doc_5032.txt
new file mode 100644
index 0000000000000000000000000000000000000000..54939ebb7e92032dc0ca26fe687a893b8f7befed
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5032.txt
@@ -0,0 +1 @@
+My platelet count is 79 and occasional large and giant platelet found in blood .My total cholestrol is 7.7. What is the implication of it to my health? Also, what can I do about it? Thanks! Hi, Your platelet count is low and this can predispose you to bleeding from the nose, from the gums, under the skin ( in the form of red spots) and prolonged bleeding from cuts. The cause would need to be determined by doing a bone marrow biopsy. The treatment would depend upon the identified cause. Meanwhile, I would suggest you get a platelet count done weekly and totally avoid situations where you can get injured. Your cholesterol levels are high and this has been found to predispose you to heart disease and other diseases of the blood vessels. They need to be managed with a mixture of dietary interventions and drugs like statins. Please have a low fat diet with your saturated fat intake Exercise for atleast 50 minutes daily. This should be primarily cardiovascular exercise like walking, jogging, skipping or swimming. Speak with your physician about the need for statins like atorvastatin. Hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_5033.txt b/processed/document_classification/train/Confidential/doc_5033.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c6a984fc4d090948600fab7e47e3566cd7b94ec8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5033.txt
@@ -0,0 +1 @@
+Question My 6 month old son has a naval point which is leaking a liquid which dries out to a white colour. The problem has persisted for 3 weeks and the baby has already been treated for infection with an antibiotic, but this did not help. Presently suspected is gall bladder complications. The general condition of the baby is normal except for this liquid coming out of his umbilical cord. Your advise on this will be very helpful. Good morning my dear ---your son most likely has a connection which was present in the embroyo which normally closes but can persist sometimes.This is called the omphalomesentric duct ----it can be a sinus,a cyst or a fistula---can be in connection with any internal organ and can sometimes contain a lining similar to stomach or intestine .Best is to check wit a pediatric surgeon who will make some ultrasound images and may give relief by surgically excising the connection.antibiotics alone may not heal and there will be recurrent discharge fronm the site.
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diff --git a/processed/document_classification/train/Confidential/doc_5034.txt b/processed/document_classification/train/Confidential/doc_5034.txt
new file mode 100644
index 0000000000000000000000000000000000000000..63db8444eee0e11b6d8813cf3d2d4636487bd9b1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5034.txt
@@ -0,0 +1 @@
+Hello my husband has been sick for 3 days now we had a dr come out day 2 and he said it was a virus and to keep up panadol and nurofan to help fevers and low temperatures. Day 3 and he slept on the lounge as he couldn t get up as he was to cold he was in warm clothes with 2 blankets on and shivering and then hot sweats. He has had headache sore muscles silvers (quite bad teeth chatter) dry cough exhausted for 3 days get worse at night. Please help Hi,It seems that he might be having bacterial infection getting bad cough and high temperature.He might require one course of antibiotic medicine course for 5 days.Continue giving panadol for fever, body ache till it controls with antibiotic.Give plenty of water.give him complete rest.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5035.txt b/processed/document_classification/train/Confidential/doc_5035.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f823d9461e698a0f58a3a64bc411d8f1dd7d3f37
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5035.txt
@@ -0,0 +1 @@
+MY ARM FEELS VERY RESTLESS AND WHEN DRINKING A DRINK WAS SHAKING THIS IS MY LEFT ARM,I ALSO HAVE RIGHT SHOULDER WHICH IS CONSTANTLY ACHING AND ACHES WHEN USED ALOT.MY HIPS HAVE ALSO STARTED TO FEEL STIFF AND I FEEL CLICKS IN MY SPINE,WHAT COULD ALL THIS MEAN?I ALSO GET SHOOTING PAINS THROUGH MY HEAD. Hello,Your symptoms could be suggestive of a bulging disc in the cervical vertebral column. For this reason, I recommend consulting with a neurologist for a physical exam and performing a cervical spine MRI.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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diff --git a/processed/document_classification/train/Confidential/doc_5036.txt b/processed/document_classification/train/Confidential/doc_5036.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1321450b6071f8788a04e81c8a90747aaf4b95e3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5036.txt
@@ -0,0 +1 @@
+does gabapentin really help pain in lower back. My husband was put on that last week and so far, nothing! He fell 45 years ago and the five bones to the pelvis were like a spider web and coccyx (tail bone) was crushed. He feel 25 feet to the ground and landed on his tail bone with both legs straight. Then 8 years ago, he was moving a bath tub and he over corrected using a cart and it pushed him backward but he remained on his feet just pushed all the muscles backward. Now at age 72 he can hardly do anything, pain is so bad. He does yard work on his knees and can hardly get up out of a chair. Pain all of the time even when riding in a car? Will this Gabapentin help this pain? other pain meds have not worked. dear user, intake of Gabapentin helps reduce nerve pain, but also causes dizziness, drowsiness, nausea, or vision changes, swelling of legs and may also cause tremor.try to avoid it.
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diff --git a/processed/document_classification/train/Confidential/doc_5038.txt b/processed/document_classification/train/Confidential/doc_5038.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf58ecd941d4446ad12c2137f49de8e8b01767cb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5038.txt
@@ -0,0 +1 @@
+I run a low grade fever not over 99 degrees temp at night, a rash with tiny blisters that started on my chest (collar area) then it spread to first my arms and external vaginal area, then my legs and now it is getting on my face - it burns, feels like a sun burn and looks like I have been scalded; I am retaining fluid where the rash is. This has happened in the past. This started in August, seemed to be about to clear up, and then this past weekend it seemed to start over but worse. Hi i think it is not a sunburn as unexposed areas are also involved.rule out immunobullous disorders.herpes infection.immunobullous disorders can be ruled out by biopsy and immunoflouroscence.whereas herpes can be ruled out by tzanck smear where u will find multinucleated cells.treat the condition with atarax 25 mg at night.antibiotic twice daily and use of wysolone 30mg tapered off to 10mg within one fortnight and application of gentisn violet for unruptured blisters and fucibet ointment for ruptured blisters
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diff --git a/processed/document_classification/train/Confidential/doc_5039.txt b/processed/document_classification/train/Confidential/doc_5039.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7b13d8d47bbb715ca58f538b611d90995e7e2cbc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5039.txt
@@ -0,0 +1 @@
+I have been experiencing some heart palpitations, night sweat followed by chills. I feel depressed with a general not feeling well feeling. My head sometimes feels like something is moving around. Since Friday my right hand is on pins and needles. I ve been to the cardiologist been hospitalized with many tests run for heart issues with all negative results. My friends said it could be the effects of menopause plus I can t sleep at nights. Help Hi...Welcome to HEALTHCARE MAGIC...I have gone through your query and can understand your concerns...The mentioned symptoms in your query relates with menopause, as anxiety is one of the common symptom experienced by women going through this phase. It’s possible for anxiety and stress to cause physical symptoms, like heart palpitations, problem sleeping, cold or sweaty hands and/or feet, feelings of panic, fear, and uneasiness, numbness or tingling in the hands or feet and depression.I will advise you to make necessary changes in your life style like:-Start Exercising-Exercise releases endorphins and tires muscles, both of which drastically reduce your anxiety experience. Exercising, especially jogging is extremely important for managing anxiety.Avoid Stress-Avoiding stress is often easy to say and difficult to do. You can go for Common stress-management therapies like yoga, tai chi, biofeedback, guided imagery, and aromatherapy.Hope this information helps...Thanks & Regards,Dr.Shiwani
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diff --git a/processed/document_classification/train/Confidential/doc_5040.txt b/processed/document_classification/train/Confidential/doc_5040.txt
new file mode 100644
index 0000000000000000000000000000000000000000..45bb9fce52ca3b8dac6355d4645a23370b051a7a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5040.txt
@@ -0,0 +1 @@
+Ok jan2 surgery for inguinal hernia also diagnosed with possible detached groin and or abdominal muscles yesterday i had for first time black specs sum bigger blackish brown eraser size peices also sum stringy stuff that looked like pulled pork or sumthin wich has not been eatin also bright red blood in a runny mucusy stool a little concerned as er did stool sample today and came up with nothing when i got home of course more blood and other contents hi,thank you for the brief history of you.since it is a possible detached groin or abdominal muscle and the possibility can also be less.what I will advice is to get the scanning done to rule out any of the possible factor of doubt. Also since you had an inguinal hernia surgery you should slowly start doing mild exercises to strengthen the muscles as to avoid any muscle wasting. start with breathing exercises like deep breathing and diaphragmatic breathing by placing the hand over the incisional area as to safeguard it.on a later stage you should strengthen the core muscles and the spinal muscles. Also to focus on the muscle of the hip and thigh to provide good stability to the joints involved.with the grace of God you will have a good health and recovery
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diff --git a/processed/document_classification/train/Confidential/doc_5041.txt b/processed/document_classification/train/Confidential/doc_5041.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7d8b0ede285e1aba01e9dab5965de9fc1bb3ed5e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5041.txt
@@ -0,0 +1 @@
+Hi dr I m 34 married 4 yrs back. I dont get aroused my penis does not get eraction not once in a day except in the morning i.e. morning wood. Generally after 10 days I get the feel to have sex. Sex thoughts come into my mind but still my penis does not eract untill I start foreplay but as soon as my thoughts are diverted I lose eraction. I cant keep up my penis eract even for 1 min. I have to start sex right after I get eraction. I want to know whether I m suffering from ED or something else and what are the causes and cure for my problem. plz help me. DearWe understand your concernsI went through your details. Please do understand that most of the erectile dysfunction problem are due to stress and anxiety and obsession. In your case too, I suspect the same because you do have erection in the morning. The details you gave in the query are not enough to diagnose your anxiety problem. You may consult a psychological counselor or sexologist who will advise you more on this aspect.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5042.txt b/processed/document_classification/train/Confidential/doc_5042.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c256d70102a9d803b1fd13f98ac0491bdc0a3444
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5042.txt
@@ -0,0 +1 @@
+My husband was diagnosed with polysistic kidney disease 3 yrs ago...I hear there is no cure for this...just control blood pressure which he does with medication.....his kidney function is 30..he is 49 yrs. old why cant they offer him a transplant. I understand this disease causes all sorts of other problems...what can you suggest Hello.When polycystic kidney causes problems in blood pressure and renal function (elevation of blood levels urea and creatinine) the solution is transplantation.The transplant cured but is necessary to get a compatible kidney to her husband, all kidneys are not useful for any patient.I wish you good health.(if the answer has helped you,please indicate this)
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diff --git a/processed/document_classification/train/Confidential/doc_5043.txt b/processed/document_classification/train/Confidential/doc_5043.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3ad43a8f81233fe40779f2473da0032384050279
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5043.txt
@@ -0,0 +1 @@
+I am a 62 year old male with type 2 diabetes, since gastric by pass surgery I am no longer hyperglycemic but, I have episodes of low blood sugar now. What is a healthy blood sugar level? right now my blood sugar is 86 and I am sleepy and yawning, yesterday I was sleepy on the road to work and when I checked my blood sugar it was 70 but, I perked right up when I had a diet supplement milkshake. Hi thank you for querry,As there is diffrent blood sugar levels in fasting condition and 2 hours after food.FBS is taken in fastong condition it should be 60 to 110.After food its RBS should be below 180 in diabetic patients.you should regulate your sugar level.Take food and snakes at proper time with life style modification also.consult your Dr.in case of severe hypoglycemic attacks or hyperglycemia or in case of any complication regarding medication and sugar level.Hope the answer will help you.wish you a good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5044.txt b/processed/document_classification/train/Confidential/doc_5044.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0a74dfab1cb9251c4ed79c298afd4a324f13f6b6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5044.txt
@@ -0,0 +1 @@
+My daughter is 2 years old, almost 3 and she was told by her doctor that she has group b strep. How did she get this? I do not have step b. I was tested when I was pregnant with her and it was negative. Also, she was delivered c-section. Will she have any complications through life? And will she always have step b? group b streptococci are usually not harmful at this age group. they live normally on body surface and certain body cavities. these sometime cause disease such as pneumonia, meningitis which needs treatment. so u need not to worry.
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diff --git a/processed/document_classification/train/Confidential/doc_5047.txt b/processed/document_classification/train/Confidential/doc_5047.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3a41c93b1727dee5965def5c775325be027ea8cf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5047.txt
@@ -0,0 +1 @@
+Hi there, I am 33 overweight female with high blood pressure, have suddenly developed tingling feet and hands while lying in bed and having weird head spins. Am on blood pressure medication and currently on weightwatchers losing an average of 1 kilo a week. Should I be concerned about tingling in hands and feet Hello, 2 things I would like to recommend. 1) Keep a tab on blood pressure if you have a machine at home . Make sure that the blood pressure is well under control with medication . A slight variation in comparison to normal self may result in all symptoms you describe. 2) see which medication you are taking for reducing weight . Most of they have a lot of side effects which include an increase in blood pressure which may cause headache and tingling . An exact information on the medication will help me be more objective . However if your blood pressure is normal and yet you are having symptoms , Stop the weight watcher medication . Hoping I could help . Regards Dr. Priyank Mody
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diff --git a/processed/document_classification/train/Confidential/doc_5048.txt b/processed/document_classification/train/Confidential/doc_5048.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3ef7b8668fea8092db0dd24049bc162c554e670d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5048.txt
@@ -0,0 +1 @@
+I am curious why my feet get swollen every now and again, though i do regular exercise, am not overweight and it happens like 4 times a week. They are often okay when i wake up in the morning. I work from home and try to keep my feet elevated and move around regularly. Hello, I think you should get the scanning for the kidney and also the heart done. Due to reduced venous return, the swelling can be there. There is even the possibility of the kidney malfunction leading to swelling. Until we check the physiological status of the heart and kidney we cannot give you an accurate cause for it. As with respect to swelling, there are multiple factors associated like heart conditions, kidney conditions, diabetes, etc. Until we have some clinical platform and lab reports it will not be fair on our part to make you panic. Get things examined by the laboratory so we can assist you better. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5049.txt b/processed/document_classification/train/Confidential/doc_5049.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0b81f5ea1feb1ff3246013b37de00fcfe9640155
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5049.txt
@@ -0,0 +1 @@
+Hi doctor, Earlier in my life I had the problem of over-masturbation. This was related to my mental depression as well. However, I have recovered from the habit of over-masturbation. But, still I masturbate once in four days. This causes fatigue, back pain and leg pain. Can I use supplements such as Ashwagandha or Shilajit for the same? What is the recommended dosage? Which is better Ashwagandha or Ginseng? Which variety of Ginseng is good? Also can I use supplement for my mental depression such as Brahmi or Ginkgo biloba? Which one would be better? I am overweight. I have borderline cholesterol and slightly fatty liver. Further I am already using psychiatric medicines for depression and obsessive compulsive disorder. Apart from this I am using Omega 3 fatty acid and Liv 52. I have attached herein my recent blood reports for your reference. Thank you. Hi. Revert back after three months to an ayurveda specialist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5050.txt b/processed/document_classification/train/Confidential/doc_5050.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3a1447e5858853753f88899274869c7d0abdf2d4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5050.txt
@@ -0,0 +1 @@
+Hello, My son today has been complaining about pins and needles in his chest . He does have Asthma and takes flovent on a daily basis as a preventative. He complained that he had it at school for only a few short times and now this evening he said he had it again. It moved from one side of his chest to the other. Do you think this is related to his Asthma? What could this be a sign of? I have read a few things on-line it may have to do with his heart? sometimes the preventors are not able to prevent the symptomps you can add antiallergy ca add montelucast safely 5 mg tds for 2- 3 week you can add liquid antacid ulgel 2 tsf tds to counter any effect of reflux which can also present with this kind of symptomps
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diff --git a/processed/document_classification/train/Confidential/doc_5051.txt b/processed/document_classification/train/Confidential/doc_5051.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6e8611993cd53f4cb4ba891251c74974cf56577e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5051.txt
@@ -0,0 +1 @@
+My small brother got sudden fever past 1 weeks ago after playing football in rain.at evening he complains of fever but nobody cares him as they think that boy was just bloffing.The next day child feels difficult in moving his both leg and hands.He cannt even make a stronger fist.after few days.. his leg started geting some improvement and walked but with mild awkward gait.he complaints of pain in aand around neck and shoulder blade plus back pain too. He got treatm,ent of acupuncture also but no recovery of his hand fnctions. He cannt even squeeze the exercise ball. I am very worried wht happened to my brother, Doctors told him its only weakness of lims thats all.can u plz tell me what might happened to my brother. He is of 15 years old boy. Hi,Ramesh, Thanks for query, it seems he might have influenza causing severe bodyache,sinusitie causing pain in eye ball. Go for blood test for TC,DC,ESR,Platelet counts. After reports go for treatment accordingly. Give plenty of water,light diet. Ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_5052.txt b/processed/document_classification/train/Confidential/doc_5052.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1d2ae5fd49fb374c67b06ee20dfcedf981cc0cd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5052.txt
@@ -0,0 +1 @@
+how are you? long time already i have problem with my backbone and i have a treatment one year but my heart still the same it just reduct little bit. i still heart , my muscle paint 4-5 i was scanned already and i want to operators but i afraid the result . so i need your common . sorry my English not i can explain more anything that i want to tell you please help me i felling i lost haft of my life already.regard you piden from cambodia Hello, Thanks for your query.From description it seems you might be suffering Mechanical back pain. It is a common medical problem.Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.1. Lie on hard bed2. Taking muscle relaxants in combination with mild pain killers will help you.3. Hot water fomentation to back 2-3 times a day and applying a local analgesic gel on the affected area will also help in providing a relief.4. Physiotherapy - Interferential therapy (IFT) to your back will help you relieve the pain5. Avoid driving, leaning forward, sitting for prolonged time or lifting heavy weights. These activities can increase your back pain.You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily.Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedician.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5053.txt b/processed/document_classification/train/Confidential/doc_5053.txt
new file mode 100644
index 0000000000000000000000000000000000000000..da96d46899203119832a67b86e28aed969631329
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5053.txt
@@ -0,0 +1 @@
+i just noticed blister looking bumps on my sons neck, (front and back of the neck), and a small one on both eyes, and one on his mouh. I just found out he was given tuna, at his 1 year bday party, three days ago, and baby corn caserole, he has never tried any of these things before. Could it be an allergic reaction to the tuna, and corn? Hello,I can understand your concern. Yes, there is a chance that the child is allergic to either corn or tuna. I would advise you to visit a pediatrician for the prescription of the antihistamine to control the allergic reaction. If the ulcer in the mouth is painful, you can apply local Benzocaine gel over that such as Mucopain, 3-4 times in a day.If he develops recurrent episodes of such allergic reactions, you should go for a blood test that evaluates what substances the child is allergic to so that the exposure can be avoided in the future.I hope this information helps you. Thank you for choosing HealthcareMagic. I wish the child feels better soon.Best,Dr. Viraj Shah
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diff --git a/processed/document_classification/train/Confidential/doc_5054.txt b/processed/document_classification/train/Confidential/doc_5054.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcedff5e7f8507ebb2e46d651145b0a783c0fe43
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5054.txt
@@ -0,0 +1 @@
+Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5055.txt b/processed/document_classification/train/Confidential/doc_5055.txt
new file mode 100644
index 0000000000000000000000000000000000000000..70a7dc39094e890788421e794cbd8a9d1b99ced7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5055.txt
@@ -0,0 +1 @@
+I have a reoccurring rash on the insides of my wrists. It's read and itchy. I used to wear jewelry but stopped. I do use essential oils and thought this might be the reason. But I am not applying to the effected area. I'm not so concerned a bout what it is (but am curious) but how to stop it. Hi, It could most probably due to jewelry, the condition is known as contact dermatitis. Does it resolves after stopped wearing the jewelry. In that case, the diagnosis is most probably contact dermatitis. Do visit your Dermatologist to confirm the diagnosis and to initiate the treatment. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5056.txt b/processed/document_classification/train/Confidential/doc_5056.txt
new file mode 100644
index 0000000000000000000000000000000000000000..99f4a47baa6557a4c7bbe9c1d4171e20c1528e44
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5056.txt
@@ -0,0 +1 @@
+Hi doctor, My brother is suffering from extreme numbness and pain in soles and palms. He also experiences constipation, weight loss, dizziness and lack of appetite. Please help. Hello. I had gone through the data you have posted. For further information consult an internal medicine physician online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5057.txt b/processed/document_classification/train/Confidential/doc_5057.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e534cf816e0ce38aa753e4207a2d4f2c68914142
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5057.txt
@@ -0,0 +1 @@
+I bent down to pick up my daughter and had immediate pain in low back, hot sensation up back, sick to stomach, loss of vision for about 10 minutes, bad headache, legs weak, and tingling in face, top of head, back of head. I did this a week ago and still experience tingling in head and face. My iron was 9.1 and blood test came back normal. Hello, I have studied your case. There is possibility of transient ischemic episode leading to pain in your back and loss of vision temporary. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. Another probability is due to compression of this nerve root there is pain in your back.You may require MRI brain and spine.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, you can consult physiotherapist for help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5058.txt b/processed/document_classification/train/Confidential/doc_5058.txt
new file mode 100644
index 0000000000000000000000000000000000000000..515332c330b49f053e93c752bd0d10836dde10b3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5058.txt
@@ -0,0 +1 @@
+3 days ago my left back gum swelled up and hurt, so I rinsed with salt water and flossed and it felt better. However, the gums around the tooth have receded quite a bit and the inside feels like it has been cut and like there is something stuck deep under the gum. I have at least 2 cavities on the tooth and have a dental appointment scheduled for 1 week from now. I also have a doctors appointment in 2 days. Is there anything else I can do? Should I be receiving more urgent care? Hi,Welcome to the forum,According to your clinical symptoms i suppose that you have developed infection in your tooth that had spread to the periapical tissues.A thorough clinical examination by the Dentist is required.Get the x-ray done of the infected tooth based on which it can be filled using restoration or can be root canal treated.Get complete mouth scaling polishing and curettage done.Take lukewarm saline and antiseptic mouthwash rinses.Gingival recessions can be treated using periodontal surgeries.Take care!Regards..
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diff --git a/processed/document_classification/train/Confidential/doc_5059.txt b/processed/document_classification/train/Confidential/doc_5059.txt
new file mode 100644
index 0000000000000000000000000000000000000000..24b398759fae3274a71ef4e223bd8c2c9cd09def
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5059.txt
@@ -0,0 +1 @@
+Every month or so my 13 year old son gets major diarrhea and vomits once. He does not run a fever during this time. He also complains of having a rotten egg taste in his mouth or of burping rotten egg taste. What is this and why does it keep recurring? dear userabout your question i would like to tell you that recurrent diarrhea has some causes in this age of your son.......allergy to food cause the intestinal movement to increase rapidly so causing diarrhea and vomiting.......so you should notice if there is food that if he eat symptoms increase to avoid that food second if your son had intestinal infection of the past or had severe gastroenterities that may cause damage of intestinal epithelium and so maldigestion and recurrent diarrhe occur and it will need some time to improve gradually as it is self limitedif your son eat unhealthy food or fatty food or spicy food that may cause these symptomsalso you should do stool culture for him and widal test to detect if there is salmonnela infection causing typhoid or another intestinal infectionas the intestinal infection viral or bacterial should be managed to end of this problemhope that helps youi wish you and your son happy life
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diff --git a/processed/document_classification/train/Confidential/doc_5060.txt b/processed/document_classification/train/Confidential/doc_5060.txt
new file mode 100644
index 0000000000000000000000000000000000000000..57f57b0830a6d97ddc418033a99fe8f70f4dce6b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5060.txt
@@ -0,0 +1 @@
+Hi I am a college student, currently on holiday.... Lately I have been sleeping very irregularly. For instance if I wake up in the morning within the space of 4-5 hours I will feel drowsy and fall asleep... I also have cold fingers and toes and piercing pains in joints... I was told my vitamin d levels are critically low. Hello, You should sleep 8 hours during night and take vitamin d supplements to reach the normal level. Also walk in fresh air and eat healthy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Blerina Pasho, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5061.txt b/processed/document_classification/train/Confidential/doc_5061.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6ce90792ffb1cd585d92dfe7491e7709b4a1fef0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5061.txt
@@ -0,0 +1 @@
+my 3 year old has a rash covering her torso, front and back, also her neck. It didn t get to her back until yesterday and this morning it has went further down her back. I have been putting hydrocortazone on to relief the itch. she has had a minor cold the past week but is no longer sick now. But she is with a rash. what could it be? Hi, It is probably a viral infection that need to be seen by a pediatrician, but at the mean time, you can continue on cortisone. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5062.txt b/processed/document_classification/train/Confidential/doc_5062.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8b44628c5327a4cf3216dc40dd14b0fb9f4adfc3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5062.txt
@@ -0,0 +1 @@
+Ok, yesterday I starting feeling like I have a cramp in middle of my chest, but it is very mild. Sometimes I don t even feel it. I notice if I crouch my shoulders forward I feel it, but not so much when I pull my shoulders back. So I was thinking it may be gas in my chest??? So what do you advise? Hello, I have studied your case.According to your history and complains such kind of pain can due to compression of nerve and muscle sprain due lifting of heavy bag/gym on shoulder.When such patient comes to my hospital we usually take x ray spine to see for severity of nerve compression.Another differential can be nerve compression due to disc bulge which may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.You may need to take rest for early healing.I will advise to start antacids [proton pump inhibitors like] rabeprazole 20 mg twice a day for gastric trouble.Sucralfate will protect gastric mucosa and will give protective covering.Gastric hyperacidity can lead to altered mouth taste.You may need to avoid acidic food like bakery items, smoking, alcohol, cheese, stress.Eat fresh food and soup with fruits juices.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav
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diff --git a/processed/document_classification/train/Confidential/doc_5063.txt b/processed/document_classification/train/Confidential/doc_5063.txt
new file mode 100644
index 0000000000000000000000000000000000000000..da1e414475c3fcd07117db22dc95101e57952511
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5063.txt
@@ -0,0 +1 @@
+im 23 weeks pregnant, i dont know if this has anything to do with it, but last week i noticed a small bump on my inner right thigh, its hard and it hurts, this week it has only gotten bigger. i'm afraid it might be some serious but dont know what to do can you please help? Welcome to health care magic. 1.There are tow possibility according to your history. First is lymph nodal enlargement which is seen in localised or systemic infection / inflammation.2.Second is vascular cause which can be suspected in pregnancy like venous insufficiency causing bulges.3.Finally localised infective aetiology with collection of pus - hair follicular infection.4.It need to get examined and a ultrasound scan will help to know the nature of the lump and its source and extensions.5.So get an appointment and get treated. Good luck.Hope i have answered your query.Any thing to ask do not hesitate Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5064.txt b/processed/document_classification/train/Confidential/doc_5064.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a1b0c4c33c60e559234f904f3fd9fe509dd01e84
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5064.txt
@@ -0,0 +1 @@
+my baby is 14 month old, from five days passing hard stool.one day i noticed red blood in her stool.at the time of passing stool baby is crying.baby is taking junior horlicks from two months before. and also regulary taking pure cow milk everyday along with mother breast feeding.we are very afraid to see the blood in her stool. Hello,Hard stool ate often accompanied by bright red fresh blood in children. Blood appears only in hard stool and not in the soft stool. Increase her fluid intake. If her constipation is cured then give her a mild laxative for a few days. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Varinder Joshi
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diff --git a/processed/document_classification/train/Confidential/doc_5065.txt b/processed/document_classification/train/Confidential/doc_5065.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4cafc9c09448d5cb13e8655902472a16fca4acb4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5065.txt
@@ -0,0 +1 @@
+Hi Dr.Gopi,This is Beemarajan from Singapore. i would like to ask some thing about MVP(Mitral Valve Prolapse)i was having some pain on left side chest for more than 45 days. then i went to consult Dr. Alagarasan,Thanjavur,india, he had taken the echo,he said nothing major problem on your heart,it is some valve goes in and comes out.(from the report i came to know that i have MVP problem) he has advised to take these tablets( TOCOXID EC 400mg,RAZEP IT CAP).when i take these tablets i dont feel any pain.he asked me to take these medicines for 2 months.after completing 2 months again after some days i feel the same pain. now i am taking the same medicines.if i stop taking medicines i feel some pain on my chest. do i need to continue full life time or is there any treatment for that?Please advice.Many thanks Hello SirMVP diagnosed in the early stages is not much of a problem. Once the disease progresses maybe 1 or 2 decades later then it might require surgery which is the definitive treatment.rest, the medicines that you have been taking are not specific for this disease entity but if you are feeling good after taking them then you can continue doing so
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diff --git a/processed/document_classification/train/Confidential/doc_5066.txt b/processed/document_classification/train/Confidential/doc_5066.txt
new file mode 100644
index 0000000000000000000000000000000000000000..69af3ead94853818c93ebfed1fd79ac40eb1cda0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5066.txt
@@ -0,0 +1 @@
+Hi, I have a very bad headache as if my head is going to explode. Reddish yellow discharge from my left nostril , clear discharge from my right nostril. My eyes are watery and paining from inside. Also, I have upper jaw pain and general feeling of illness . I am currently using over the counter medications, but cannot get relieved. I cannot sneeze too hard because I am getting blood from the nostril, But if I dont, my nose is getting stuffed up and I cannot breathe. I recently got the cold, got rid off it and after 2 days, I got this problem. Can you please suggest me something? Thank you Hi, Welcome to HCM, From your history it suggests that you are having acute rhinitis with sinusitis. Go for antibiotic medicine, decongestant medicine like Diominic DA and some anti-inflammatory medicines. Put some decongeatant nasal drops in nostrils. Apply antibiotic cream in the nostrils. Go for Vicks vapor inhala tion. Avoid cold drinks, fried and junk food. ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_5067.txt b/processed/document_classification/train/Confidential/doc_5067.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0e12f32ae7bcdaa68feac7c679960dc5283d1f27
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5067.txt
@@ -0,0 +1 @@
+I have recently noticed that i have a swollen lymph node on the bacl left side of my neck. you cant see it, i noticed it but palpating the area. it does not bother me other then the fact i know it is there. i have no other symptoms. my parents say they cant feel it however i can. it also kind of feels like a muscle. but there is not one on the other side Hello, As your lymph node is asymptomatic please get its fnac done to reach upto a proper diagnosis for treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Jaideep Gaver
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diff --git a/processed/document_classification/train/Confidential/doc_5068.txt b/processed/document_classification/train/Confidential/doc_5068.txt
new file mode 100644
index 0000000000000000000000000000000000000000..160f179f26d65e1539f738b33ce830531f1edb30
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5068.txt
@@ -0,0 +1 @@
+Hi sir this is Rahul 25 i have been in relationship with a woman from past 4 years single partner recently i had unprotected sex with her i trust her i had sex with her i noticed a symptoms of white discharge in penis and pain during urination for 3 days i consulted my general physician he took HIV test and hbsag test everything found negative he said i hav pus cell of 2-4 so i'm suffering from UTI he prescribed me few medicnes now discharge have stopped but still i panic tat i have STD please help Hi, These symptoms and signs are suggestive of STD especially if there is associated with pain, fever, urethral discharge, and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be a sign of uroinfection or urinary stones and some other genital infection but this is less common. In every case, antibiotic therapy may be required so the test should be done as soon as possible so that appropriate treatment can be started. Till that try to drink plenty of fluids, avoid sexual intercourse and rest. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_5069.txt b/processed/document_classification/train/Confidential/doc_5069.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4444e6e9a0b0fc3226f114c58e4ec1dfd5941f6b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5069.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here...My two month old puppy is very playful and active. He scratches and bites while playing. He was bought from a nice family having a male and female dog and the puppy parents have been vaccinated. I have a small scratch mark in my hand with little bit of bleeding. Would like to know whether i would have to take anti rabies injection. Should i take the vaccine everytime he bites. I have a 12 yr old son who loves the puppy and iam very worried about him being bitten/scratched by the puppy Hi,Welcome to HCM.I understand your concern about you and your son getting scratched by your newly acquired pet. It is not necessary to get rabies vaccine if the vaccinations of the puppy are complete. However, make sure you clean the wound thoroughly with soap and running water. Also make sure that your pet gets vaccinated regularly. Training of the pet is also necessary to avoid accidents at home especially with young children.Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5071.txt b/processed/document_classification/train/Confidential/doc_5071.txt
new file mode 100644
index 0000000000000000000000000000000000000000..272857eeb888bc6c5ffa14298878f535fef2af6f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5071.txt
@@ -0,0 +1 @@
+Age: 15 Height: 5'10" weight: 156 Just 2 weeks ago i've experienced chest pain. I never had chest pain before, so i went to the doctor and he told me it was respiratory(i have asthma) related because I my heart sounded fine. Why is it that i'm feeling this for the first time in all of my life? Hi thanks for contacting HCM...When allergen exposure high and your immunity low , infection can be there...And viral infection can lead asthma attack ...Your first step is to confirm asthma....Your ECG normal ....no heart problem present as per your history....Spirometry , pulmonary function test done for it...Now if asthma confirmed or allergic reaction then try to avoid exposure to allergen like dust , pollen , environment pollutants etc.....Smoking avoided.....If no asthma then pain can be by bronchitis like condition....For congestion relief steam inhalation and antihistaminic useful....One tsp ginger with honey is good herb remedy....Remember auscultation respi examination is having utmost importance that guide further investigation....If repeated asthma attack occurs then metered dose inhaler can be started with salbutamol sos when needed.....Take care....Dr.Parth
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diff --git a/processed/document_classification/train/Confidential/doc_5073.txt b/processed/document_classification/train/Confidential/doc_5073.txt
new file mode 100644
index 0000000000000000000000000000000000000000..df93c291cec1a1868a32be426a35ad833db9b43c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5073.txt
@@ -0,0 +1 @@
+My 9 yr old granddaughter has lower stomach pain. Went to drs and said she was at start of ulcer, gave meds for ulcer, and nausea. But she still complains constantly of nor feeling good. I'm at a loss . I don't know if she is actually NIR feeling well or wants attention. Please help. Hi, Unless there are red flag signs like - green or bilious vomiting, incessant vomiting, blood in stools, blood in the vomit, rash, joint pains, seizures or family history of renal of gallstones - you need not worry about the pain abdomen. The possibilities are - 1. Mesenteric adenitis. 2. Attention seeking behavior. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology
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diff --git a/processed/document_classification/train/Confidential/doc_5074.txt b/processed/document_classification/train/Confidential/doc_5074.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcedff5e7f8507ebb2e46d651145b0a783c0fe43
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5074.txt
@@ -0,0 +1 @@
+Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5075.txt b/processed/document_classification/train/Confidential/doc_5075.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ca4facabafdeeecb0d38b436ad1c4f0912ecbde6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5075.txt
@@ -0,0 +1 @@
+Hi, I hv developed itchy hands and feet over the last 20 days...hv taken medication for worms and allergy too.but the medicines only seem to help till the time the prescribed dose is completed....thereafter itching starts again and is also spreading to rest of the body....can u advise what could be the reason and remedy It might be due to scabies most probably. For treatment you can use scaboma or calamine lotion for local application stat at night after taking bath with warm water along with avil or cetrizine for itching. You can take cap zevit or cap metilda-forte once daily in afternoon along with tab bandy-plus one stat at night than after 7 days.
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diff --git a/processed/document_classification/train/Confidential/doc_5076.txt b/processed/document_classification/train/Confidential/doc_5076.txt
new file mode 100644
index 0000000000000000000000000000000000000000..96465143307b50efed681faced652c9eadb05a4b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5076.txt
@@ -0,0 +1 @@
+I am a rower and began experiencing rib pain the other day. I m pretty sure nothing is broken, but where the rib connects to the sternum I have a lot of discomfort. I am a little short of breath and there is a popping sound. It is painful when I move and am laying down, but is not painful to the touch. Hi, As this sounds like a costochondritis. The joint where it is painful is the costochondral joint and it is due to strain happened there. I will advice to not to activities which leads the joint to be more in strain and also allow the joint to relax more. Do hot water fermentation and slow deep breathing while supporting the joint over the chest and wait and see if the pain reduced. Also an x-ray will be of good choice to look out for. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5077.txt b/processed/document_classification/train/Confidential/doc_5077.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ca6c47b6f2327864e18073bf9b27737b0b255160
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5077.txt
@@ -0,0 +1 @@
+I have a persistent sharp pain in my lower right abdomen. Suffered blunt force trauma (lacerated liver) about 8 weeks ago. Could the pain still be attributed to the accident? If so, how long until the pain goes away? Are there any additional concerns with regards to the pain? Hullo and welcome to this forum. Pain radiating from liver is usually referred to "upper" part of right abdomen pain in lower right side of abdomen may be due to appendicitis, which is a surgical emergency, or colitis, infection/inflammation of the colon. Do consult a surgeon immediately without further delay.
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diff --git a/processed/document_classification/train/Confidential/doc_5078.txt b/processed/document_classification/train/Confidential/doc_5078.txt
new file mode 100644
index 0000000000000000000000000000000000000000..873787c5f885ff9a544ad382da842a6eee738da3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5078.txt
@@ -0,0 +1 @@
+I have been diagnosed with a mild case of mouth thrush but, I cannot find the mouth wash my doctor prescribed for me. If I am spelling it properly, it is fluconarole the doctors penmanship is terrible. Hopefully you can help me. I cannot pay even your modest fee. I have small cell lung cancer, but on limited SSI for household bills only. Hello,The medication is called Fluconazole. Diflucan is the US brand name of a tablet that is swallowed . The medication is available by prescription. Dosage and length of use is determined by your doctor. This can vary and must be confirmed for your circumstances. Fluconazole may be given as a liquid, tablet or capsule. For oral thrush, popular alternative rinses or lozenges, are Clotrimazole, Nystatin, Itraconazole and Ketoconazole. There are combination solutions called "magic mouth" that vary in composition with an anti-fungal medicine, anti-inflammatory medicine and possibly pain medication to help treat thrush and provide symptom relief.Concerns with other medications you may be taking must be considered. I see you have a condition with cancer. You must confer with your doctor to follow the medication as directed. The pharmacy can clarify all details with the doctor and will clearly label the medication with instructions.Thank you for contacting HealthcareMagic. I am glad to offer further assistance and hope you will be able to fill your prescription soon. I hope you find my information useful. Iam sorry, but I do not know your location to make recommendations on cost saving locations for this medicine.
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diff --git a/processed/document_classification/train/Confidential/doc_5079.txt b/processed/document_classification/train/Confidential/doc_5079.txt
new file mode 100644
index 0000000000000000000000000000000000000000..05e4b5a99fc9542d62644b2cd920c81b345cebab
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5079.txt
@@ -0,0 +1 @@
+Last month, I woke up with a tingling along my inner ankle. It has progressively worsened to burning pain. Just yesterday, it spread to the heal and the pain doubled to where it hurts to walk on it. If I take NSAIDS and stretch, I can walk, but not comfortably. Hi, You may be having plantar fascitis. In this condition there is inflammation of the calcaneal tuberosity. Calcaneum tuberosity bears weight of whole body so you get pain on walking and weight bearing. Treatment is use of soft heel cushion and soft slippers. Ankle stretching exercises in morning before getting out of bed and hot wax bath helps in pain relief. Tablet Ultracet P twice a day can be taken for pain relief. Visit to orthopedic surgeon for detailed clinical examination is recommended. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza, Orthopaedic Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_5080.txt b/processed/document_classification/train/Confidential/doc_5080.txt
new file mode 100644
index 0000000000000000000000000000000000000000..02178bb4a9143dd04947f720ada8de6b8766aa06
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5080.txt
@@ -0,0 +1 @@
+My son was born 8/22/08 and during his scheduled appointment on 10/22/08 he received his vaccinations DTAP-HEPB-IPV, HIB-OMP, DTAP-HEPB-IPV. After getting home I noticed the injection site was inflamed and red and disregarded it as normal injection side effects and did what doctor told me to by warm compresses and rubbing it.It started off as a red spot half the size of a pea. To this day it is still there and has grown as he has grown and is now the size of a nickel.It flares up from time to time and looks almost like a hive at times and itches and swells up to the size of a quarter or half dollar. Frustrated,I can not figure out what this is.Any suggestions? It is most probably a foreign body reaction, caused by the injection. It is increasing in size with the growth of the child. If it is causing any symptoms it needs to be removed, usually it is symptomless. To confirm get a ultrasonography done. Also check on the immune status of the child, get Hepatitis B antibodies (HBsAg) done.
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diff --git a/processed/document_classification/train/Confidential/doc_5081.txt b/processed/document_classification/train/Confidential/doc_5081.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e909defd3ea0e4496a190d85d9be15e437adf478
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5081.txt
@@ -0,0 +1 @@
+hi, i just got to know from my breast ultrasound reports that i have a well defined cystic area measuring approx. 4.4mm. is seen in the dermis layer of the sin of the left axillary region. both breast show predominantly fibro grandular parenchyma. there is no evidence of any Sol/ Architectural distortion/ calcification . both nipple, reteroareolar region, skin,subcutaneous tissues and axillary tail region are normal. i am 23 years old female and i went to the gynaecologist yesterday in order to check if i had breast cancer . i was very scared because from last 4 months i had some pimple sort of thing on my left underarm . also i felt some burning pain on my left breast and on the underarm too. i also have spondolysis symptoms so i have the pain on th eentire left side. please tell me is it related to any cancer. i am very scared. Dear Ma'am,Sorry to hear about your problem. The breast ultrasound report appears to be absolutely normal. The pimple which you have described under the armpit (axilla) is probably an infected sebaceous cyst (infection of the hair follicle) and will subside with time. If it is inflamed and not settling, you can take a course of antibiotic. There are no symptoms suggestive of cancer but you should continue to do breast self examination regularly.Hoping for the best. Dr. Rohan KhandelwaBreast Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_5084.txt b/processed/document_classification/train/Confidential/doc_5084.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38dc8e6e0d2032bed686587156a9b7ef5cfdc7ff
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5084.txt
@@ -0,0 +1 @@
+i have taken loette tablets for 2 yrs and frm last 1 yr i have stopped, now willing to get concieved i have undergone Hsg test as well, now i have got a ist period after my HSG, i am now in confused status, i am scared whether i will get concieved or not Hi there Please do not panic. If you have regular cycles, your fallopian tubes are patent and partner's semen reports are normal then you need not worry about the pregnancy. Low dose contraceptive pills do not have any negative impact on getting pregnant. Please start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in this period, then You Stand chance to get pregnant. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar.
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diff --git a/processed/document_classification/train/Confidential/doc_5085.txt b/processed/document_classification/train/Confidential/doc_5085.txt
new file mode 100644
index 0000000000000000000000000000000000000000..51d2d1ca21badc3c2541a0a31d319431450aa398
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5085.txt
@@ -0,0 +1 @@
+infant 8 m.;healthy active .c/o freq [7-8]of loose motions-greenish semi solid-occassionaly watery;low grade fever;caterrh-cough;no vomiting-apperent dehydration.what should be line of rx especially anti ameobicidals/antibiotics if required.----indian standerds. Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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diff --git a/processed/document_classification/train/Confidential/doc_5087.txt b/processed/document_classification/train/Confidential/doc_5087.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f4111f641cbb867c47629073a5542551b0443f41
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5087.txt
@@ -0,0 +1 @@
+my liver is with homogenous parenchymal echogenecity. a septated anechoic mass is seen at segment 8 of the right hepatic lobe measuring 3.1 cm in diameter. what shall i do in order for me to stop this from growing or to get rid of it? thanks and GOD bless. HIThank for asking to HCMI really appreciate your concern looking to the history given here I would like to say that, without knowing the exact nature of growth in your live it is difficult to say anything moreover the entire management of this lesion would be depend upon the type of lesion and for that you have to get done some important test, like biopsy CT thorax, these test would clear then diagnosis, hope this information helps you, have a nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_5088.txt b/processed/document_classification/train/Confidential/doc_5088.txt
new file mode 100644
index 0000000000000000000000000000000000000000..da7c5aec0d39253e6f02aabe97ca4c3f24b71061
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5088.txt
@@ -0,0 +1 @@
+r when i was born but gradually my skin became dark and my face is brown in colour i want to became white so is there any tips for becoming whiter especially any creams hello doctor i am 17 years old boy and my name is kamal i was whiter when i was born but gradually my skin became dark and my face is brown in colour i want to became white so is there any tips for becoming whiter especially any creams??? i have dry skin type..... pls doctor help me hello kamalwelcome to health care magicthere is no such cream which will bring bck ur complexion if at all any is just on temporary basis.take care of ur diet.drink plenty of water.apply sun protective creams while going outside and wear sun glasses.have food rich in vitamins.take fresh fruits and juices.vitaminC rich foods like amla is good for skin.
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diff --git a/processed/document_classification/train/Confidential/doc_5091.txt b/processed/document_classification/train/Confidential/doc_5091.txt
new file mode 100644
index 0000000000000000000000000000000000000000..43f13ee4d39654f99b957e859b4bcc3db5ebd418
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5091.txt
@@ -0,0 +1 @@
+hi sir, i had sex with my gf and after 48 hours of sex i had given her an unwanted 72 pill it is almost six days gone but her period has not came yet. it is after 20 days of her period i had sex with her. i am afraid if she is pregnant.. please help sir. Hello dearI understand your concernChance of the pregnancy is very less because1. You dis sex 20th day of the period and it is safe period2. You took unwanted 72 after 48 hours and it prevent the pregnancy in around 70-80%.But period can be delayed by 10-12 days as it cause prolongation of second phase of the cycleWait for the period to comeIf period will delay by more then 12 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy.If you will be pregnant then still you can terminate intrauterine pregnancy by abortion pill under the advise of the gynecologistMeanwhileAvoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact HCM for further health queryBest regardsDr. Sagar
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diff --git a/processed/document_classification/train/Confidential/doc_5092.txt b/processed/document_classification/train/Confidential/doc_5092.txt
new file mode 100644
index 0000000000000000000000000000000000000000..64e78785faced3ef9fa088eae9c9e153f0c39044
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5092.txt
@@ -0,0 +1 @@
+I went to the Dr today...I had a CPX a month ago. I went in to talk with the Dr today and found out I have HPV (some abnormal cells) and my LDL is only 38. I am worried due to I am a CMA and my understanding too low of LDL could mean cancer. I have only had one partner for over 20 years and I am 36 years old. Hi, dearI have gone through your question. I can understand your concern.Low LDL level has no relation with any cancer. It is a type of cholesterol. You have HPV positive. so it increase the risk of cervical cancer. For that you should go for regular screening test. Pap smear examination is the screening test for cervical cancer and you should go for regular screening. No need to worry. Just be relaxed. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5093.txt b/processed/document_classification/train/Confidential/doc_5093.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2d55a99181f9087a02c9a1b994cac2c9bedf8683
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5093.txt
@@ -0,0 +1 @@
+hi doctor i m taking eptoin 100 tablets 3tab daily at bed time.i hav been taken this medicine from last 6years is there any harm to me or my body for having this eptoin 100 long time .6 years back in a night whn i was sleeping i don,nt know wht will happen .but my parents on that time is with me they told me wht happen ,but i didn t know.so in the morning my whole body paining and i hav got slight cut on my toungue.its very painfull.so next day we rush to the doctor than he told me it s a seizure attack but its not to be worrying sitution thn he started eption 100mg for three years, but somehow after 1 year its a single miss of tht dose, docter told me i hav to restart my medicine course from the next day for next three years Hi, The advice from the doctor is right. You cannot afford to miss a single dose. Coming to long term affects of taking Eptoin, the benefits outweigh the risks. Having said that I suggest to get Serum Eptoin levels once every 6 months. It also needs a follow up in 4 month with the same doctor to check the side effects. Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5094.txt b/processed/document_classification/train/Confidential/doc_5094.txt
new file mode 100644
index 0000000000000000000000000000000000000000..33350435627c7045cf4379fa35aa585b5d378ad9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5094.txt
@@ -0,0 +1 @@
+Have a small abscess on the first molar on the lower right side of my mouth. Going to dentist tomorrow. The tooth is capped and I think I want to have it pulled due to finances with root canal and crowns. I have no molars behind this tooth. Will I have trouble eating if I decide to pull it? Thanks for your query. I have gone through your query.Yes first molar plays a major role in chewing because its the key for occlusion.you will have difficulties in chewing if you get the tooth removed. If the tooth has sufficient bone support then try to save it. You can get the RCT done first that clears the infection. Once you get the money you can get the crown placed in later stages.since you dont have any teeth behind first molar, you cannot go for fixed appliance even if you want in future. Try to save the tooth. I hope my answer will help you. Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5095.txt b/processed/document_classification/train/Confidential/doc_5095.txt
new file mode 100644
index 0000000000000000000000000000000000000000..56b0eb8a563570446d264bc4ef77c42e7e284516
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5095.txt
@@ -0,0 +1 @@
+hello, I have not been sexually active for months and I have been recently masturbating at least every day for the past 2 weeks. Today I noticed painful urination and some blood in my urine. Is masturbation related? I am also in another country and the food is different from that in the U.S. Hello and welcome to health care magic. Pain during urination and Hematuria are signs of urinary tract infections and not due to Masturbation. My advice is to visit a Urologist /Physician and let him test your urine and blood. He will give you antibiotics like Norfloxacin for 5 days and bladder muscle relaxants like flavoxate to reduce the pain. Make sure to drink at least 2 litres of water per day. And this UTI is not food related. Hope this discussion will be helpful to you. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5096.txt b/processed/document_classification/train/Confidential/doc_5096.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2ac8abc999b1ce615b7a93900012cec8f2ec689a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5096.txt
@@ -0,0 +1 @@
+FELL DOWN LAST TUESDAY IN THE YARD ON RIGHT KNEE. KNEE BRUISED AND PURPLE AT BOTTOM OF KNEE. LEFT SIDE OF FOOT ABOVE HEEL PURPLE NOW AND FRONT OF CALF TURNING PURPLE IN PLACES. ELEVATING IT AND TAKING NAPROXIN AS OFTEN AS POSSIBLE. SWELLS AND ITCHES OCCASIONALLY. WHAT ELSE CAN I DO FOR IT? JUST WAIT FOR IT TO HEAL? Hi, Firstly take an X-ray. As it is important to look out for any bone Injury which may get unnoticed at times. Also do hot water fermentation and use crepe bandage to support the knee and ankle joint. Keep the leg elevated over a pillow and do ankle toe movements slowly. Wait for the X-ray report and also allow the skin discoloration to come down. Strengthening of the thigh muscles shall be followed once the pain is reduced. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5097.txt b/processed/document_classification/train/Confidential/doc_5097.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e72a19b35fd148ecf7aba0d52573ed166142b059
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5097.txt
@@ -0,0 +1 @@
+I had takin a little bit of meth last night while i was drinking alcohol and earlier this evening i started gettin g rashes under my arms, neck, stomach,head and back. i keep gettin chills all over my body. And also tingles everywhere. what does this mean and what do i do. Hi, meth...methamphetamine is CNS stimulant drug and likely to get abused by its euphoriant effect so it should not be taken without medical prescription and defiantly not to be taken with alcohol. Your rashes,irritation, all over body could be due to interaction of both of drugs.u consult dermatologist or physician for skin problem and meth..drug use
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diff --git a/processed/document_classification/train/Confidential/doc_5098.txt b/processed/document_classification/train/Confidential/doc_5098.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d519eb0a2fda7d3c97a899f18439105d4b6ffa10
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5098.txt
@@ -0,0 +1 @@
+hey i was curious about bumps the showed up on the side of my penisew thiere somewhat in a clump but then there one under my head of my penis and one by the hair area and its not herpes cause there no blisters there the same coler as my skin and cant pop i tried... any ideas? Hi, The cause of such bumps depends on your age, pain and sexual activity. At age more than 40, associated with pain and bending, it may be Peyronie's disease. In younger age, it may be because of injury or simply skin boils or pimple. It's difficult to comment without examining it. Please get it checked by the doctor. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sujoy Dasgupta, OB & GYN Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5099.txt b/processed/document_classification/train/Confidential/doc_5099.txt
new file mode 100644
index 0000000000000000000000000000000000000000..afa9968d076717f2c9d4d89eb6dbab904cd6933c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5099.txt
@@ -0,0 +1 @@
+Hii I m 29 yrs.... I m having gallstones of 22mm.... but yet I dint felt any symptoms other than indigestion ( not always, sometimes) I am taking ayurvedic treatment... the stone is too big.... vl it b cured.... should I go for surgery or stick to ayurvedic medicine...I want to plan my pregnancy now Hi, I understand your concern.I see similar problems many times in my clinic. And I always try to get more dipper with examination, particularly if patient planing a pregnancy.Gallstone disease during pregnancy may escalate attacks of colic and can lead to surgical treatment during pregnancy, that's why such question have to be discussed together with your gynecologist.Usually I recommend to make a laparoscopic cholecystectomy, then follow a special diet during whole pregnancy.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5100.txt b/processed/document_classification/train/Confidential/doc_5100.txt
new file mode 100644
index 0000000000000000000000000000000000000000..826e82b5d34a4721a0b754c764d766bcb149720c
--- /dev/null
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@@ -0,0 +1 @@
+hello madam i am married from last 3 year but not conceived...i am on treatment by Dr. NUTUN JAIN...MUZAFFARNAGAR....from last 2 years...she did lap also but no result...3 times IUI....this month she gave me dexsona + siphene...plz tell me the problem then I m suggested plz try for Ayurveda treatment..in ayurveda there is uttar basti treatment vary helpful to conceive
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diff --git a/processed/document_classification/train/Confidential/doc_5101.txt b/processed/document_classification/train/Confidential/doc_5101.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dd7628f4e634b441907519c7501a176c7444334e
--- /dev/null
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@@ -0,0 +1 @@
+Two year old vomiting for about two weeks, no fever, started out only vomiting during the night after she would go to bed and now in the evenings. Doctor prescribed and anti-biotic. She stopped throwing up for about two days and now it is back and worse than ever. Doctor ran a CBC and ordered a stomach x-ray it they were normal. Anyone have an idea on what this could be? Hi, tahnk you for posting your query here. Forom what you ve described, it seems like your child has GERD (reflux). they tend to vomit when going to bed or after a heavy meal.My advice would be to give smaller meals, a little more frequently, avoid chocolate/tea/coffee which increase reflux. To make her walk around a bit after her meals, not immediately lie down. keep her bed reclining at a 30 degree angle (you could put some blocks under her head-end side of the bed).Ask your doctor about starting domperidone which helps reflux. ondansetron half hour before food will help the vomiting.Hope this helps you, take care.Regards,Dr. Vaishnavi
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diff --git a/processed/document_classification/train/Confidential/doc_5102.txt b/processed/document_classification/train/Confidential/doc_5102.txt
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index 0000000000000000000000000000000000000000..ab5e3ef3f3635d8dabdd375fc9e05d2620d4e802
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@@ -0,0 +1 @@
+I have a quarter sized lump on my anal opening that bleeds fresh blood mostly all the time it is kind of tender and does not itch or anything like i have had it for a couple years too embarrassed to tell my doctor there are times i wake up with dried blood in my boxers quanity quite a bit for what this is what is it? Hi ! Good evening. I am Dr Shareef answering your query.The lump on your anal opening could be a prolapsed hemorrhoid which would be bleeding on friction with clothes. The tenderness could be due to super added infection on it.When you visit your doctor, you should have complete faith in him and tell him all the details of your problem without any hesitation. This way you would be better examined by your doctor, and would derive maximum benefit from his services apart from getting yourself treated well. You have to get it examined by your doctor /surgeon for a definitive diagnosis and treatment.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_5103.txt b/processed/document_classification/train/Confidential/doc_5103.txt
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index 0000000000000000000000000000000000000000..a84d4f0624ddf44384b2019f2caefca5b3d62b44
--- /dev/null
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+My child has a hard lump under the bottom eyelashes but not near the rim of the botton eyelid. It is red in color and has been there since right before Thanksgiving. They have given him oral antibiotics and now an ointment but it is for the inside of the eye and they are having me put it on the lump. Nothing is happening. What should I do? Child is 5 yrs, 39.4 lbs., no major illnesses Hi, Thanks for query to My HCM virtual Clinic.I studied all details of your query.I understood your health concerns about treatment of lump on Eyelids-Treatment-As the treatment given from your doctor is not reducing the eye lump,it is natural to be worried for your sons eye lump.Your son seems to have Chalazion / or Meibobian Cyst-which is the cystic swelling of the eyelid blocked oil glands.Hot Compresses,Anti-inflammatory oral Syrup,would take care of it as such lumps reduce on its own in 2-3 mths time with this treatment.IF no reduction please consult Opthalmic / Eye Surgeon who would treat it accordingly after verifying local conditions of eyelid lump.Hope this reply would help you in resolving this complex query and anxiety with it.I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at HCM.Welcome for any further query in this regards.Good Day!!Dr.Savaskar M.N.M.S.Genl- CVTS.Senior Surgical Specialist.
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diff --git a/processed/document_classification/train/Confidential/doc_5104.txt b/processed/document_classification/train/Confidential/doc_5104.txt
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index 0000000000000000000000000000000000000000..22aae9601ea9301c0839b2912d6566127264594b
--- /dev/null
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+Hi, may I answer your health queries right now ? Hi. My husband has MS and now he got flu. He has infection in throat and serious fever. Fever make him unable to move, so we have problem even with going to bathroom. I need to do some thing for his fever as soon as possible To reduce the temp now you can give him CROCIN tablet immediately which will reduce temp and make him feel little better and also cold sponging will help if temp is more than 100F. Regarding his throat infection he may need to take antibiotic like AZITHROMYCIN daily for 3days .but to suggest dose we need to know his age,weight and all his current medication and also we need to do physical examination of throat.after giving crocin once he feels little better and goes to loo it is better you take him to a family physician and get him treated.food given to him should be hot and also try to ensure warm drinking water till throat becomes normal.
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diff --git a/processed/document_classification/train/Confidential/doc_5105.txt b/processed/document_classification/train/Confidential/doc_5105.txt
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index 0000000000000000000000000000000000000000..f416221a2b67686bb35de9a49e7bee67f20fb333
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5105.txt
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+Hi how u doing? just want to know i been trying so hard to have a baby for the pass 2 to 3 years and it didnt work for me. I have place in a order for clomids it takes 10 to 25 business days to reach. I just want to know how many pills do i take each day? Clomid contains clomiphene. Is used to stimulate the follicles of ovaries.So follicles increase in the size and get mature for ovulation and they help in fertilization.Idly this drug should be started on 3rd day and continue for 5 days. It can be given as 50 mg od to 100 mg od. If 50 mg doesnt work then dr can increase the dose.So it is better to consult a gynecologist after his/her advise take this medicines.
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diff --git a/processed/document_classification/train/Confidential/doc_5106.txt b/processed/document_classification/train/Confidential/doc_5106.txt
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index 0000000000000000000000000000000000000000..6d1667f25ae186382c64603cff0d22bb6585c38f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5106.txt
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+i have a swelling under my jaw and between the jaw and vochal card without pain....can u suggest the treatment and tests and reasons .....i am experincing this problem since 15 days...before this i have not any problems like this...i am 20 years old and 5.5 inches and 54 kgs.i already concerned a doctor ...they gave a treatment for a period of 10 days ....but no improvement....hence they offered me some tests like ultra sound scanning and some tests for neck Hello, Thanks for consulting HCM, Read your query, as you have swelling under jaw and vocal cord region this can be due to some factors like carious , decayed or any root stump present In oral cavity ,inflammation or obstrustion of submandibular gland , phayrngitis or laryngitis condition . I will suggest you to consult an oral surgeon for examination of oral cavity and swelling of jaw and neck region , if cause is of swelling is not ruled out then consult ENT Specialist for examination of neck.Hope it will help you. Wishing you good health.Regards , Dr. Priyanka tiwari
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diff --git a/processed/document_classification/train/Confidential/doc_5107.txt b/processed/document_classification/train/Confidential/doc_5107.txt
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index 0000000000000000000000000000000000000000..4437880292a891acf131e88f63f6b50c3dc1773c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5107.txt
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+Morning, I have had what appears to be an allergy reaction to pollen since moving from One city to another. Runny eyes, runny nose, very bad chest cough, hot and cold flushes, slight temperature elevation. Saw my GP who said it was a reaction to pollen due to area I live in. Gave me Telfast 180mg. I have had this for more than 3months. Very tired, lack of sleep at night due to coughing fits etc. Also take a Multi Vitamin as well. I m 56 yrs and not getting any younger. Starting affect my daily routines, work, and external activities. Any suggestions please. Tony Allergic rhinitis is not a rare disease and can effect a people of differernt ages. All the symptoms that you are having are more or less classical for this condition. There are three major ways to go about in treating Allergic Rhinitis1. Prevention - Taking medications to avoid having the symptoms2. Symptomatic - Taking medication to alleviate the symptoms you are experiencing.3. Immunotherapy - Make you immune to the allergens causing the symptoms in the first place.In your case as your symptoms have already started. We need to get your symptoms in control first. You are unfortunately having the full package of symptoms i.e., your eyes, your nose and your chest, all three things are involved. If your symptoms have failed to settle with an anti allergic medication like telfast and are experiencing fatigue and lack of sleep then its better you see your physician sooner than later. I would suggest that you should be on the following drugs initially and then the drugs can be slowly tapered off.1. Steroid nasal spray2. Anti allergic eye drops3. Anti Allergic oral medication4. A Steroid + Beta Agonist inhaler (If the chest on examination reveals narrowing of airways)5. In extreme types of allergic Rhinitis your physician can even give you a few days of oral steroids to get your symptoms under control quickly.Once your symptoms are under control then he can concentrate on referring you to an allergy specialist for immunotherapy which can take weeks to months to get the adequate relief required. Till then your drugs will help keep your symptoms at bay and help you go about your daily work with little or no problems. I hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_5108.txt b/processed/document_classification/train/Confidential/doc_5108.txt
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index 0000000000000000000000000000000000000000..2310242c1f0c467f9a4c804a74f2cbdcff98e582
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5108.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here...My baby is 6 months old and cutting through her third tooth (first on the top gum) She has been upset all day and I've just noticed on her top gum, beside the new tooth, is an red open sore. It's as though a tooth should be coming through but there isn't one there, it just looks red and sore. When her other teeth came through they didn't look like that. Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns.....As per your complain it seems that the open sore area over the gum behind the newly erupted milk tooth can be most probably due to the other tooth that might be going to erupt in the due course of time and the gum might be tearing to let the tooth erupt..Do not worry, you can apply a numbing gel over the sore but be precise to apply a very small quantity that too only on the sore but only after clinically getting her evaluated by a Paediatric dentist..You can also do cool compresses over it..Feed with cool milk..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora..
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diff --git a/processed/document_classification/train/Confidential/doc_5110.txt b/processed/document_classification/train/Confidential/doc_5110.txt
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index 0000000000000000000000000000000000000000..91e2d44d9be2026e690ff3c110ec02be164f528c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5110.txt
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+I have a very large growth on one side of my rib cage and a smaller one on the opposite side. One doctor believes that it is a lipoma and another doctor thinks that the muscles split after delivering three close to nine pound babies. I was rushed to the hospital in the Fall of 2010 for severe pain under my right rib cage . Nothing was concluded from all the cat scans and utra-sounds that they took. I was sent home with Vicadin and still in pain. The second doctor that I previously spoke about said that the emergency room doctors would have noticed cancerous tumor at that time if there was one . I did go to physical therapy to try to pull the muscle back together. No noticable changes were found. The therapist said that surgery would be the only way to correct this. If, however, this is a limpoma,what type of home remedy would you recommend? I am so confused. Should i disregard this as being something serious or should i try to handle this on my own? Hello, I have a certain question regarding the swelling. Has it increased its size? is there any similar swelling? And as you have said nothing was concluded from CT and USG. A big probability is it might be a LIPOMA itself. Which is a benign swelling and can be removed with a simple surgery. TO CONCLUDE: 1) Get to a surgeon and consult 2) If it's a LIPOMA can be removed by simple surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr ASIF, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5111.txt b/processed/document_classification/train/Confidential/doc_5111.txt
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index 0000000000000000000000000000000000000000..84bafc554679aa789fcc94e43996d75f6c8b4b07
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5111.txt
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+I fell down three steps to the garage on Feb 20th,and fell on my face, hitting the left side of my forehead, just above my left eye, on the hard cement floor. I was not able to save my face with my hands as I was carrying a basket .I went to a hospital emergency dept., and was given a C.T. scan. There was no bleeding or other problems internally. The lump was as large as a ducks egg...and now it is about the size of a pigeon s egg. there are still black marks under my left eye , as the veins continue to clear out the blood. How can I help this process to speed up ? Hi ! Good morning. I am Dr Shareef answering your query.With your history this seems to be a resolving hematoma in the subcutaneous tissues of the area. As the hematoma was large enough initially, it might take more time for the blood to get absorbed gradually. You can apply a pressure bandage over it if need be. However, it would take its own time unless it has got organised. In that case it might have to be evacuated by a small incision under local anaesthesia. You have to take the opinion of a general surgeon in that case. I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the health care magic forum for your query on health. Wishing you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_5113.txt b/processed/document_classification/train/Confidential/doc_5113.txt
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index 0000000000000000000000000000000000000000..59e14ffd2ebf5c9ae43065173ccdd4b994dec4a2
--- /dev/null
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+My wife is 24 weeks pregnant. Today she got thick bown discharge. Her OS is also opened, dilates 2cms. the opening detected at 20 weeks. now she is advised strict bed rest and proluton 250 mg is being injected weekly. The activity of child in the womb is normal. now we are worried about the thick brown discharge. Pls comment Bkn discharge is common in pregnancy but brown means she had slight bleeding . still for confirmation get her check by gynaecologist .
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diff --git a/processed/document_classification/train/Confidential/doc_5114.txt b/processed/document_classification/train/Confidential/doc_5114.txt
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index 0000000000000000000000000000000000000000..0c3aecdba9a424d9830b313334f985fd4226963f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5114.txt
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+Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5115.txt b/processed/document_classification/train/Confidential/doc_5115.txt
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index 0000000000000000000000000000000000000000..893e091009a1b685a93e4ca5990f25aae2761426
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5115.txt
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+Hi, yes I would like to know what could be causing a tightness across the upper abdoman. It is present all the time and I have been having this for the last 4 years. Sometimes I have to stand up if I am sitting or have to go lay down because it is so uncomfortable. Also I don t know if this is associated with it but every morning I wake up or even just wake up from a nap I have a really bad headache across the back of my head with pain in my neck that runs down into my upper back. Thank you HI. As this is there for 4 years means you must have shown to many Doctors and must have taken medicines too . Go for MRI of the spine you will get the problem responsible for both the problems you have.
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diff --git a/processed/document_classification/train/Confidential/doc_5116.txt b/processed/document_classification/train/Confidential/doc_5116.txt
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index 0000000000000000000000000000000000000000..0db49cfda3a218e2afa78fdf22001ce6bb3f6e3a
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+++ b/processed/document_classification/train/Confidential/doc_5116.txt
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+I need a knee replacement but I m very scared. was told my legs are to big with fat and could get bold clots and die. I have bone on bone and wearing a hole in bottom bone. Lots of arthristis (sp wrong).. Don t know what to do? Have no life. Can t hunt with my husband. I understand getting any operation done is scary , there are some details which are missing to guide you properly , your age , your weight ,exact xray report , how much compression is there??? have you tried conservative treatment before and for how long? If you are really not in favour of going for knee replacement , these are the things you should work on 1.reduce your weight (knee joint is a weight bearing joint , even 2 kgs reduction will make a difference )2.hot fomentation3. strengthening exercises for knee as guided by physiotherapist.4.calcium rich diet5. continue walking if all this helps you by 50% at-least continue with it otherwise knee replacements are good answer to improve your quality of life.
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diff --git a/processed/document_classification/train/Confidential/doc_5117.txt b/processed/document_classification/train/Confidential/doc_5117.txt
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index 0000000000000000000000000000000000000000..a1cfca2d7f187912c03f8ff074f8e3e1f27f513c
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+Im43YEARS young and have been diagnosed with cervical and thoraic disc herniatios and neural foramina stnenosis also i ond left shoulder blade osteophyte formation with a ridge. I get left arm weakness ,NUMBNESS and severe pain in neck down my arm. I received 8 epidurals between the neck and thoraic spine with temporary relieve.Im in physical therapy which only provides relief right after they do it. my doc want to do a cervical discetomy is that now the best way to go Dear friend , if conservative measures are not helping, modern spinal microdiscectomies come to help. If an expert is advising surgery, then in good surgical hands, at good high turnover centres, discectomies could help, esp. if you have distressing neuro signs. I am not a spine surgeon. but looking at the results of surgeries at our centre, I think they should help you. I would advise you to go by your specialist's suggestion. thanks for being at HCM and hope to keep posted on your progress. good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5118.txt b/processed/document_classification/train/Confidential/doc_5118.txt
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index 0000000000000000000000000000000000000000..adcf8eb4bdf47adc985a5b57248c903bb8908509
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5118.txt
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+My 12 year old granddaughter has developed excessive breasts. Ultrasound showing multiple large solid tumors. She has biopsies scheduled for next week in Michigan. Can you tell me what the incidence of this being carcinoma. Adult females have fibrocystic disease and fibroadenomas, but I ve never hear of a twelve year old. We are very worried. Hi...even adolescent girls can have fibrocystic disease and fibroadenomas. this is occurring due to hormonal changes due to epidemiological shifts. The biopsy results will be conclusive. Do not worry. Nothing will be untreatable in todays science.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_5119.txt b/processed/document_classification/train/Confidential/doc_5119.txt
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index 0000000000000000000000000000000000000000..f0b977d589859b0eb643b8f4cba98321cf67d8fd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5119.txt
@@ -0,0 +1 @@
+Hallow Doctor, I am Mrs S. Banerjee, Age 30 wight 55 kg Height 5 ft, Hormon report = all are well , My ovary are affected with PCOS, I use metformin for last 3 year, and use letrozole 2.5 , After that i got pregnant , But unfortunetly i have a MC on feb 2011, After that i cannot ovulate , My endometrial echo is thick 15 mm , Should i go through ovarian drilling and is it safe and can i get pregnant after that? Hi, sorry about the MC. Irregular menstural cycles & inability to conceive are the common problems for women with PCOS. Improper ovulation & excess amount of androgen are the main reasons. Ovarian drilling (ovarian diathermy) is done in women with PCOS to improve the fertility rate. Destroying part of the ovarian tissue restores regular ovulatory cycles in around 80% of women. It is a surgical procedure that triggers ovulation. It is an option only when other measures like weight reduction & fertility drugs fail. It is a safe procedure in expert hands. The aim of this laproscopy procedure is to destroy testosterone producing tissue in the ovary. A combination of Letrazole & Clomiphene Citrate has been found to be useful in improving ovulation. Your BMI is in normal range but the endometrial thickness is high (normal 6.7mm). Since Letrazole has not helped you, you can undergo ovarian drilling. Good Luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5120.txt b/processed/document_classification/train/Confidential/doc_5120.txt
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index 0000000000000000000000000000000000000000..b45097b08bbeb33077da30be5ed9de430fac747e
--- /dev/null
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+I just fell today while hiking onto a log. I have a large lump on my thigh just above my knee. Few hours later it is now turning into a bruise. Just a little pain. I am far from my home and my doctor., I have taken advil. Any advice until I get home would be greatly appreciated. Thank you Hi,It seems that there might be having formation of hematoma following fall producing large lump.As there is not much pain, nothing to worry for having any injury in knee or fracture.Apply ice pack 2-3 times a days for 2-3 days.Swelling will subside gradually.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5121.txt b/processed/document_classification/train/Confidential/doc_5121.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0164f4341f05aa29d721baf36ff1e969d8826843
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5121.txt
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+When my boyfriend broke up with me, he was crying and very emotional. This was very strange because he is not an emotional person at all. He couldn’t move; it was almost like he was paralyzed. Fortunately after a few minutes he could move again. It was really scary and obviously sad because he was breaking up with me. Could you explain the temporary paralysis? I just don’t understand how that happened, and he was not exaggerating. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Due to underlying stress people can have conversion or dissociate reaction. It could have been one of such conversion episode. They tend to remit after a few weeks or months. People do it unconsciously. There are medicine and psychotherapy available to tackle such episodes. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5123.txt b/processed/document_classification/train/Confidential/doc_5123.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90c4d9f9f028b3aef1d64f8f86b766f0cca5af4a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5123.txt
@@ -0,0 +1 @@
+Hello Dr. Mia Lundi my name is Latisha shivers and I am 34 years of age and I been going thought some female issues. I been on birth control since high school and until now and I been having on and off bleeding and I also been through several different types of birth control and it seems like the same constant bleeding keeps on recurring. Now as we speak I went to another doctor for an second opinion today and she told me to take one pill in the morning, and one pill at night. Now Dr. Lundi I don't feel comfortable with that but for and three opinion am I suppose to do that because I really want to which to the patch.I Hello LatishaThanks for writing to us for your health concern.You might be experiencing on and off breakthrough bleeding due to low dose of birth control hormones.In this scenario, doctors often prescribe preparations with higher hormonal content.Hence, the advice to take two pills a day.I understand your reluctance to do so.The generic patch too might give you trouble, as it has equivalent hormonal content ( similar to the pills ).Why dont you give the IUD a try , or maybe Implanon ?That might serve your purpose better.All the best.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5124.txt b/processed/document_classification/train/Confidential/doc_5124.txt
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index 0000000000000000000000000000000000000000..1a2039876f583a9a16d2fcaa5ddeb221ff8b2c41
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5124.txt
@@ -0,0 +1 @@
+Hello doctor, I got my number 32 extracted at 1:30 PM. It is now 12:40 AM. I am not bleeding a lot but it is still coming out. Any advice? I would like to sleep but would hate to swallow blood in my sleep thus making me sick. Can I sleep with gauze in mouth? Hi. I have gone through your question. I can understand your concern. If the bleeding is still there and you are not able to sleep, change the guaze and wet the another guaze and put it there. If bleeding will not stop you can use a guaze with ice pack. My suggestion is do not be apprehensive, as raised blood pressure is also the cause for bleeding. You can also visit an emergency room for further treatment. The two reasons may be the left root stem and high blood pressure provided you do not have any underlying blood disorder. Yes do not sleep with guaze as it may obstruct your airway and can be fatal too.
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diff --git a/processed/document_classification/train/Confidential/doc_5127.txt b/processed/document_classification/train/Confidential/doc_5127.txt
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index 0000000000000000000000000000000000000000..2481c503f648ce852ad38ef316c25eb232b3989b
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+i get sick to my stomach after eating at times and just out of the blue. And i have been eating a lot more than usual, i am on the birth control shot and my cycle is not normal so i spot a lot. I get sharp pains through my stomach once in a while, and in my privates after intercorse but i took a pregnancy test and it was negative. Is there a chance i could be pregnant? hi,thank you for your query,the fact that you are experiencing irregular periods and spotting and also cramping is a sign of the side effects of the birth control.it means that your birth control method is not suited for you.these are not the signs of pregnancy.but still if you want to be sure,you can undergo a blood test.i would advise you to consult an OB/GYN to change your birth control method.thank you,wishing you good health
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diff --git a/processed/document_classification/train/Confidential/doc_5128.txt b/processed/document_classification/train/Confidential/doc_5128.txt
new file mode 100644
index 0000000000000000000000000000000000000000..98091439c3b2ca6b4a11bb9f4a7b9879a024ec12
--- /dev/null
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@@ -0,0 +1 @@
+I recently had a CT Scan and prior blood work. My doc. informed me I have a mass on both of my adrenal glands and I also had white cells in my urine. What could the mass's be and could they be related to the white cells in my urine as a sign of something? HelloYour CT findings suggests bilateral adrenal mass.Adrenal mass may be due to many causes like benign or malignant causes.You may need hormonal assay and CT guided biopsy.Commonly adrenal mass is due to adenoma,this is a benign cause.WBC in urine may indicate urinary tract infection.You may need clinical correlation and investigations like routine hemogram,random blood sugar,Urine culture and sensitivity(C/S).You may need antibiotics depending upon C/S report.You should drink plenty of water.Get well soon.Take CareDr.Indu Bhushan
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diff --git a/processed/document_classification/train/Confidential/doc_5129.txt b/processed/document_classification/train/Confidential/doc_5129.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3fcb538a143a91c919351b6770013b5021fa4a3a
--- /dev/null
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@@ -0,0 +1 @@
+Hi..I took a bilirubin test 3 months back..It was around 4.8 and i took medication for a month and it came down to 0.3...Again, last week, took a bilirubin test and it increased to 4.5....I don t reason for relapse jaundice...Checked for hepatitis b and it s negative as well..What could be the reason for relapse jaundice and how should I ensure that this will not come again... I, m currently under medication. jaundice is not always due to hepatitis sometimes obstructions in bile flow can also cause jaundice take an abdominal CT to confirm about billiary obstructions if that is not the case there is a high chance your will recover completely and probably it will never repeat after 2nd instance it is very rare
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diff --git a/processed/document_classification/train/Confidential/doc_5130.txt b/processed/document_classification/train/Confidential/doc_5130.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92577abc0a1cc38921603c4a39c1338e106d27d5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5130.txt
@@ -0,0 +1 @@
+hi i had a right rear molar extracted about 3 years ago and in its location a hard lump or protrusion has appeared in the last week that is painful. Can this be a piece of bone the was left over from the extraction or a abscess .? Should i take any over the counter meds until I can afford to go to the dentist in about 2 weeks. Also what would be the most likely treatment for either? Dear friend.Thanks for sharing your concern.The hard lump that you are experiencing over the extraction site could be definitely a bone piece or an out growth called exostosis.It is better to get it clinically examined to avoid any cyst or tumor developing there.you can take pain killer for the time being but please see your dentist soon.Also do warm saline rinses every day until you see your dentist and maintain very good oral hygiene.Hope it helps.Thanks.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5132.txt b/processed/document_classification/train/Confidential/doc_5132.txt
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index 0000000000000000000000000000000000000000..15faf2828cd73ca3a2932e147eb70a002c68c2ee
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+Hey my name is Amber Mamerow, I am 19 years old and I am having a really difficult time. I guess the only way that i can really explain how i feel is to start at the very beginning so i hope you all have time. I have no one else to ask and no one else is taking me seriously. So i decided that i would try one more time to talk to someone. Since around the age of 13 i was on paxil, it helped A LOT with anxiety, i never found a need to get off of it until i accidentally found myself pregnant at age 18. When i was at the OBGYN the nurse told me that i could not be on paxil while i was pregnant and that i needed to try Zoloft. I never saw the Dr, i never talked to them or anything, i just discontinued my paxil and i began zoloft. The first few days i didn’t feel too bad, i didn’t feel quite right, but i didn’t feel terrible. Than for the next month almost (give or take) after that i had every bad side effect that i could have imagined. I read the side effects for the zoloft and i had 90% of what was listed. I told the Drs several times that i didn’t feel good and that i didn’t want to try any other pill i just wanted to stop taking all of them. After i stopped taking everything all together i felt like i was having withdrawal. I have not felt good since. I am no longer pregnant... i did have an abortion.. but that is a touchy subject.. but i figured that’s also involved with health so i needed to not leave out any details. It has been about 8 months since i have stopped all together and i still to this day do not feel good, every single day i have this odd headache. It feels like pressure in my head. I still have some of the issues that i developed while taking zoloft, which i was told would go away once i stopped and 8 months later i am still dealing with, such as my ears ringing, constantly. I never had that problem before this. I have had countless problems since zoloft and i have been trying to feel better without resulting back to paxil, i like being able to know that i can live without it, i no longer have panic attacks, and if i do on a rare occasion i can control it. I feel i have no need to go back on to paxil, but my dr pretty much insists that i go back on it because he is convinced the way that i feel now is all because of that. The way that i feel right now is a pressure in my head, mainly in my forehead and in the back of my head. If i press on certain parts of my head its sore as if its a soft spot. I have a chronic sinus infection that i have had to treat on and off the allergy seasons with antibiotics, which make that clear up, and strangely enough make my head feel completely better. Many of the Dr s thought that it was the sinus infections that was making my head feel weird. But i asked them why than would i feel pressure in the back of my head when i have no sinus s there? So that blew that theory out. I have also had bacterial and yeast infections every once in a while that also had to be treated with antibiotics, and again, (no sinus infection issues at the time) my head would feel better. Another example of this was when i had another bacterial or yeast infection of some kind and while i was taking my antibiotic it began to make my head feel better, but before i was done taking them it started to feel weird again... So talking with my nose dr he decided that it would be a bad idea to take anymore antibiotics because he thought that they were treating SOMETHING in my head, but no one knew for sure what that SOMETHING was. But he said that if we kept miss treating it with antibiotics than it would soon become immune to them. So since then i have refused to take another antibiotic because i do not want to make anything any worse, but the problem is we have made ZERO progress on what is actually wrong, i have spent over 500 dollars trying to find out what exactly is wrong and we have gotten no where. I began to get worried and i asked for an MRI, and a CT scan, apparently they both came back normal, but i had no one read them to me or go over what exactly there was... but they did assure me that i had no tumor or anything. So that helped reassure me for the time being. I have had multiple blood tests for many different things and they assure me that i have no infections or anything, (which confuses me, because if i have a chronic sinus infection.. shouldn’t that show up?..) but either way they assure me that there is no infection. So i am feeling like i am on my own. I have done research trying to find something, anything that could give the same kind of symptoms of what i am feeling, and i stumbled across meningitis. Now i understand that meningitis is usually severe and can do damage in as little as one day... but i have also found and i will quote it exactly as i found it Occasionally, if someone has been on antibiotics for another infection, the symptoms can take longer to develop or may be less intense my source is from WEBMD. Meningitis can also be caused by the spread of an infection occurring near the brain, such as from the ears or the sinuses. It is also an occasional complication of brain, head, or neck surgery. which i was thinking could have something to do with my sinus infection ( which i now have AGAIN, but cant treat because i cant take antibiotics until we find out what is wrong with my head and why it feels better with antibiotics). I have tried talking to 3 different doctors. My primary, My ear nose and throat doctor, and they both ended up sending me to another doctor... which i cant quite remember who or what he is suppose to do.. but all i remember is him being extremely rude and ignored anything and everything that i had to say.. so i got absolutely no where with him. I left his office in tears and had to pay 80 or more dollars just to be in the same exact spot I’ve been in for months. I have had blood work done and many other things done, i asked my primary doctor out of desperation and last measures to see if i could get a spinal tap to make absolutely sure that it was not meningitis. I am exhausting every option, i am running out of money and i am desperately searching for an answer. I am 19 years old and i have no idea what is wrong with me, it is effecting my everyday life and i have spent so much time, energy and money into figuring out the possible cause of what is going on. I feel like no one is taking me seriously now because my primary doctor has just suggested that i try taking my paxil again. Its very frustrating because i feel like no one takes me seriously once they learn that i have anxiety and they assume that it is all in my head or just taking a simple pill with help make everything better. It just seems like whatever it is, is getting worse, and i would really appreciate help from anyone that is willing to help. I have not taken antibiotics in many months and i feel like my head just keeps getting worse. I don’t know how to explain it... i have been told that it could be cluster headaches... but i have had headaches, i have had migraines.. they are nothing like this. It is a constant, all day everyday, from the second that i wake up to the minute before i fall asleep the same feeling. Lately i have felt extremely tired, my eyes have started to hurt.. i had to go to the eye dr because my vision has been doing weird things, but they said that i have perfect vision and the only problem i have is i have hard corneas.. or whatever that is that causes you to have higher pressure in your eyes without having glaucoma. I have been noticing trails, i see halos around objects mostly people, i see something that i would consider visual static.. and this has all started just recently.. about maybe a month its been happening and getting worse. At first i could see visual static and maybe every once in a while i would see trails, than i started to see halos. I try to ignore it, because i don’t have enough money to go in for a check up any more, i don’t know whets wrong so i don’t know how to have anyone fix it. The reason that i decided to write to you today and not try to ignore it like i do every other day is because i was in the shower today and out of no where i felt like i was going to pass out, i felt this weird sensation that the room was just getting dark and i was just going to pass out, so i jumped out of the shower and sat on the floor for a minute. I had this stabbing pain in my back and my stomach and i felt like i was going to puke, when i felt as if i could stand i did so, and i left the room to get some fresh air, immediately i felt as if i was going to puke again and i ran into the bathroom and i had one dry heave... and felt completely normal again. That is the first time anything like that has ever happened to me before. So please, i am completely lost on what to do. All i want to know is how do i find out what could be wrong with how my head feels. What could be causing it, why does it feel better with antibiotics and what can i do. Please if you have any words of advice please let me know. I am sorry for such a long note but i am running out of people to talk to. Please and thank you. Amber Mamerow Hello Amber. I completely understand how it feels not to be taken seriously. While I was going through your answer, diagnoses like chronic sinusitis, cerebral venous sinus thrombosis and also vascular headaches did occur to me, but they are difficult to prove with a normal MRI or CT (not vascular headaches though, they appear normal on imaging). The paxil you were taking earlier is not only an anti-anxiety drug but also is used in certain intractable pains, hence I feel your doctor had asked you to restart it hoping for some positive results. However, since you are firm that you donot want to restart it, and I appreciate the decision of trying to manage without the anxiety pills, I feel we have to move on to other possibilities - Benign Intracranial Hypertension is one of them. I would suggest you to get Vitamin A levels too. A spinal tap would certainly help in this case to reach a diagnosis. Hope this helps.Regards,Dr Geeta
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diff --git a/processed/document_classification/train/Confidential/doc_5133.txt b/processed/document_classification/train/Confidential/doc_5133.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ada56fb583573340136bf4a7a97dfcc3d0c32ae1
--- /dev/null
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+Hi had back surgery four weeks ago tomorrow s1 decompression still had pain after the surgery in left buttock and left leg and numbness in left foot had nerve block injection one week after surgery no relief still taking a lot of pain relief mainly endone also went back to Nero last week and I am now on neurtin but no relief as yet please help Hi had back surgery four weeks ago tomorrow s1 decompression still had pain after the surgery in left buttock and left leg and numbness in left foot had nerve block injection one week after surgery no relief still taking a lot of pain relief mainly endone also went back to Nero last week and I am now on neurtin but no relief as yet please help hi welcome, first itself i say surgery for disc compression is not the remedy since the disc is not an over growth or any unwanted item of body we should protect that one with the treatments. i am an ayurvedic doctor who done all research work in lowerback pain (sciatica) for the last 7 years both in MD and PhD , i can say we can treat this without surgery, any way you did that so we can make you only some more better way without pain killers you will not feel pain. that much i can do for you since surgery over. write to us in detail we can discuss about you christyjoseph1@gmail.com 09895313720 thanking you
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diff --git a/processed/document_classification/train/Confidential/doc_5134.txt b/processed/document_classification/train/Confidential/doc_5134.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7039827fa4162b140b2b44595d0e878c47080f83
--- /dev/null
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+Hi, I am Raj. My uncle age 50 got pain above the waist (back side-left). We have done X-Ray but did not get any factute or any thing . So doctor adviced some medichine but its not helpfull. What might be the problem ? which specialist doctor should we consult ? Thank U ! you need to get an NCV don't for the upper limbs. it could be a spasm of the flexor or extensor retinaculum. apparently you may undergo an MRI to check if any possible tissue damage is there. visiting and orthopedic specialist or a physical therapist will be of help. sometimes exercise helps advised by a physical therapist.
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diff --git a/processed/document_classification/train/Confidential/doc_5135.txt b/processed/document_classification/train/Confidential/doc_5135.txt
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index 0000000000000000000000000000000000000000..8db77b4b47af308b24572c719a065c8b459da162
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+I am a 61 year male on good health, although a week ago I suffered a laceration on my right thumb. I had a tetanus shot two years ago. Problem: In the last two days I feel a needle like pricking around my nipples I notice them in the afternoon or evening like once every hour when I am standing Good day and thank you for being with healthcare magic! You may be suffering from Herpes Zoster. This is a reactivated chicken pox virus and is not an STD. This is felt as pain in the chest area dermatomal in location. Other conditions would be mastitis (inflammation of the mammary gland) - rare in men, and chest pain that is cardiac in origin. I would ask you to see a doctor to be safe. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes.
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diff --git a/processed/document_classification/train/Confidential/doc_5136.txt b/processed/document_classification/train/Confidential/doc_5136.txt
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index 0000000000000000000000000000000000000000..b4d1e6072b9835925cf0ea203be259c111799e37
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+Hello doctor, I am looking for a detailed read and interpretation of the MRA. Please be as detailed as possible with any abnormal findings you may see. My symptoms are progressive vision loss in the right eye, temporal headaches, and tenderness on the right side, headache on back of the head (right side), scissoring reflex via retinoscopy. I have attached my files. Hello. I have seen your reports. (attachment removed to protect patient identity). MR arteriogram shows The intracranial parts of both internal carotid arteries appear normal in caliber. There is hypolplasia of the A1 segment of the right anterior cerebral artery. The proximal left anterior and bilateral middle cerebral arteries and the arteries of the circle of Willis are normal in caliber. The right posterior cerebral artery is hypoplastic. The vertebral, basilar and left posterior cerebral arteries and their branches appear normal. No aneurysm or dissection or vascular malformation. There is no obvious vascular looping around the bilateral trigeminal nerves in the cisternal parts in the given images.
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diff --git a/processed/document_classification/train/Confidential/doc_5137.txt b/processed/document_classification/train/Confidential/doc_5137.txt
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index 0000000000000000000000000000000000000000..f8dbca553298ac1c137baaab80b096605e698318
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+Hello my name is Bonnie, my 6 year old daughter has been complaining on pain on right side for few months now. Her pediatrician sent us to a GI Dr. She was on zantac, now prevacid 24hr twice a day and no relief. Shes still burping food up and now her stools are dark green. Could we be missing something? She has infectious gastroenterocolitis. I suggest-cefixime 4 mg/kg/dose twice a day for 5 days;-visilac 1 capsule once a day for 1 month;-enzymes syrup for 14 days-rice diet-ORSWishing you daughter speedy recovery
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diff --git a/processed/document_classification/train/Confidential/doc_5138.txt b/processed/document_classification/train/Confidential/doc_5138.txt
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index 0000000000000000000000000000000000000000..cdc70adc90656cfa2d0e1b930509a7300b04d5d2
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+OK I have a 1cm hemangiolipoma in my right kidney (USN due in a month) I have what appears to be a small (2 cm?) blister like lipoma on my back. I had a frined take a picture of it beacuse I can t get a good look in the mirror. I am an RN and did some research and know that these lipomas can also show up in the brain and lungs so why not the skin? Isn t one question free? Hi, Angiomyolipomas of kidneys are known to be associated with an entity called Tuberous sclerosis which can manifest with skin lesions. These are usually seen as crops on face and the angiomyolipomas also are seen in both the kidneys in such patients. Without actually having had a look at the lesion on your back it will be difficult to predict what it could be, but it does not sound like a tuberous sclerosis lesion at present. Your being an RN makes it easy for you to understand medical literature, and thus if at next USG, your doctor picks up an enlargement of the angiolipoma or if there are fresh ones, you should be concerned and discus with your urologist as to the next step. If there is no growth of the lesion, and it is less than 2cm, i suggest you can wait and watch if you have no symptoms.
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diff --git a/processed/document_classification/train/Confidential/doc_5139.txt b/processed/document_classification/train/Confidential/doc_5139.txt
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index 0000000000000000000000000000000000000000..c6ec1650a068081c0187e66ef9bf1f71323ec345
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+Thank U Dr. My name is XXXXXXX, I am 41yrs old, I have an problem in face under eye there is an black pigmentation like straight line under both eye, if there is any problem it is very ugly to see to, and In my lip there is an white pigmentation. And important is I have an sensitive skin . So I am not using any face cream. what is the probelm. Please solve my probelm Doctor. Thanking you ROSY Hello and Welcome to Healthcare Magic. Thanks for your query. Common causes for having dark pigmentation under the eye are: -Iron deficiency anemia -Stress, anxiety or depression -Lack of sleep, poor sleep hygiene -Poor water intake -Smoking and alcohol -Chronic illness -Unknown causes (idiopathic). So, it is important to identify specific and treatable cause for best result. In most of the cases reasons for having dark circles below eyes are multiple and that's why multimodal approach becomes necessary for the treatment. General treatment consists of: -Iron and B complex vitamins -Apply almond oil around eyes in night -Put slices of cucumber above your eyes daily for 15 minutes -For stress (if present): daily morning walk, meditation and yoga -Proper sleep for 7 to 8 hrs per day, follow sleep hygiene -Plenty of water, fresh fruits, vegetables and salads intake -Using sunscreens: if your skin is sensitive for sunlight If above steps failed (which is less likely), then you should visit dermatologist for treatment options like: Medicines, Chemical peeling and Laser treatment. Best wishes, Dr. Sheeba Stephen
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diff --git a/processed/document_classification/train/Confidential/doc_5140.txt b/processed/document_classification/train/Confidential/doc_5140.txt
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index 0000000000000000000000000000000000000000..9ec11f6b043ea320a7488fd4edfdb8424e72c780
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+Hi,I am taking femilon tablet for the past 2 months to avoid pregnancy..But for the third month i missed taking the tablet for one day . Me and my husband had sex that night and i am really worried about the pregnancy now?can you let me know the status my condition ? is there any way to avoid it now ?Please Note : Missed taking my tablet on the 11th day of my cycle.Please advise.Maks hello,thank you for using health care magic,well if it is less than 24 hours since when you involved in unprotected sex take emergency contracertive pill asap.. take its another dose after 12 hours of first dose..if it is already more than 24 hours consult gynecologist and go for IUD insertion.. if you get IUD inserted with in 5 days of unprotected sex than there are rare chaces of pregnancy...in future if you forget to take pill take it as soon as you remember and continue it in rest of cycle normally..plus for that particular cycle use additional method of contraception like condom..hope this helps you,..Regards,Dr.Nehal..
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diff --git a/processed/document_classification/train/Confidential/doc_5141.txt b/processed/document_classification/train/Confidential/doc_5141.txt
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index 0000000000000000000000000000000000000000..914d6977db0ccd449efba52eb92420b1962a60f6
--- /dev/null
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+Hi, may I answer your health queries right now ? Please type your query here...I ve been on the hcg diet and have horrible back pain acoss the shoulders and lower neck, friend is having the same pain she is on phase III of the diet with a lose of 33 pds, I ve been on it for 25 days with an 11lb lose. Why?? Hi there.You should be on a balanced diet of adequate proteins, fats and carbohydrates. Also important to keep well hydrated during hCG therapy. If you are intolerant to this diet, you may need to caese it.
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diff --git a/processed/document_classification/train/Confidential/doc_5143.txt b/processed/document_classification/train/Confidential/doc_5143.txt
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index 0000000000000000000000000000000000000000..d186832cfca2dafe1ccd4191f583e1df1b7746e3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5143.txt
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+Hello doctor, I am getting wisdom teeth at the back of my mouth. Now I am 22. But I am teething and it feels uncomfortable. What to do to get relief from it? Hi. Wisdom tooth eruption will occur periodically. You will feel pain and pressure in months. For relief, you may take tablet Brufen 400 mg twice a day for three days. Put oral gel Clinica (Chlorhexidine with Metronidazole) three to four times a day for a week in that particular area. And lastly that is most important, do saline water mouthrinses three times a day for two weeks. It will relieve the soreness of gum areas. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses.
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diff --git a/processed/document_classification/train/Confidential/doc_5144.txt b/processed/document_classification/train/Confidential/doc_5144.txt
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index 0000000000000000000000000000000000000000..41253e014b85a436a36a8568c59c6a25670c4a22
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5144.txt
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+Hello doctor. I am 28 years old. Have a son 7 years old. I started having a constant heart beat of between 112 and 117 beats per minute. At first i thought i was unfit. I bought a trojan exercise bicycle and tried to ride that. My pulse then goes up to 163. I then stopped because i dont know if its dangerous.. should i seek medical help? Or maybe just by Cardio care disprins? Please help? Check ur thyroid hormones and get an ECG. Do u feel irregular pulse/heart beat sometimes ? Do u have palpitations? Blood pressure? Revert back & also get examined by physician .
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diff --git a/processed/document_classification/train/Confidential/doc_5146.txt b/processed/document_classification/train/Confidential/doc_5146.txt
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index 0000000000000000000000000000000000000000..01c8b03d8eca593cd185d2c1d1e049ca5436acef
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+I ve been having blood blisters pop up on my hands on occasion. They last only a few days, fade away and appear more like liver spots, then disappear. There s no pain. I take various meds for fibromyalgia and have been having dental problems with implants that aren t taking properly. I have an artificial hip. Because of the dental problems and fibromyalgia onset after hip surgery, my oral surgeon had me tested for metal allergies. I m highly allergic to palladium, but not titanium as he had feared. i think allergic to foreign material as the implants are not pure as if something is mixed in that you will have problemsor medicines like ibuprufen paracetamol calcium diet suppliments can be causelocal ointments creams shampoo soap or foodscan get guidence from allergy specialist who can find the cause after testsand treat your
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diff --git a/processed/document_classification/train/Confidential/doc_5147.txt b/processed/document_classification/train/Confidential/doc_5147.txt
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index 0000000000000000000000000000000000000000..dae4d8382fb9e31d79a87131d40ac313b6a76dfd
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+I have Follicular Lymphoma ( initially large cell follicular ) treated with R CHOP and put in remission for 3 years. Relapsed one year ago with follicular only and treated with Rituxan. Had a 3 month remission and than relapsed. Being treated again with Rituxan. Cancer returned to left side of neck and clavicle both relapses. However--I am now experiencing sciatic pain ( with no cause) could this be the lymphoma? 38 years old female Hi,Follicular lymphoma is a indolent disease, so the patient leaves with a disease for a long duration. Although the involvement of bone is rare, it can involve any part of the body. You need to undergo MRI of the spine to see for the cause of sciatic pain.It may also give a clue if there is relapse of lymphoma to spine and bone scan also may show the uptake. The involvement of spine can be conformed only with biopsy of the lesion. With the presence of disease elsewhere in the body, biopsy of spine may not be required and requires treatment for lymphoma.Hope i have answered your question.
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diff --git a/processed/document_classification/train/Confidential/doc_5151.txt b/processed/document_classification/train/Confidential/doc_5151.txt
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index 0000000000000000000000000000000000000000..e578e743f3db32ff4a383771943d76eaf0f80bb7
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+++ b/processed/document_classification/train/Confidential/doc_5151.txt
@@ -0,0 +1 @@
+My 3 yr old has just drank a small amount of piriton from the bottle i do not know how much, but i know there was not much in the bottle, there was less then a 1/4 bottle but i wondered how much is a dangerous amount and should i take him to the hospital, HiWelcome to the HCMPiriton syrup has Chlorpheniramine drug. In my opinion you should immediately go to ER as you are not sure about the exact amount taken by the child.Chlorpheniramine is a sedative drug and may lead to many side effects at high doses which needs careful monitoring and management accordingly.The estimated lethal dose of chlorphenamine is 25 to 50mg/kg body weight. Symptoms and signs include sedation, paradoxical excitation of the CNS, toxic psychosis, convulsions, apnoea, anticholinergic effects, dystonic reactions and cardiovascular collapse including arrhythmias.Symptomatic and supportive measures should be provided with special attention to cardiac, respiratory, renal and hepatic functions and fluid and electrolyte balance. For further questions, you may contact me.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5154.txt b/processed/document_classification/train/Confidential/doc_5154.txt
new file mode 100644
index 0000000000000000000000000000000000000000..96dfbd64e9a1728711aea9d80bd455f00ef0a097
--- /dev/null
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@@ -0,0 +1 @@
+Hi I cut my shin on my left leg last sat on a melal pinic table it was a tiny cut so i did no more but it still has not scabed over and its very hard to touch all around it? ther is also a red mark all around the bit where the skin was taken? would you think this is infected/ Hello,Thanks for posting your query.It takes 3-4 days to be scabbed.However only after examination it is decided whether wound is infected or clean.So consult your Doctor for further intervention.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5155.txt b/processed/document_classification/train/Confidential/doc_5155.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa7b618ca8f80c39cc2b28850de0c276ab0e9a2a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5155.txt
@@ -0,0 +1 @@
+Hi i am taking Oroxine tablets and i am suffering from water retention in my body, my feet are swelling to a degree i can t walk. I consulted with my doctor, he prescribed me medication for water retention i can t keep taking the water retention tablets all my life. are there any other medicine which doesn t have water retention as a side effect? regards Hello and welcome to HCM.As an Urologist, i can fully understand your concern.Oroxine is a treatment, which one needs to take for a lifetime.But, blood levels of TSH and Free T4 , need to be monitored every year, or earlier, in some cases.You should also check your blood sugar, creatinine, sodium, potassium, lipid profile , urine routine , and blood pressure.You're welcome to contact me by name, with the reports.Wish you well.
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diff --git a/processed/document_classification/train/Confidential/doc_5157.txt b/processed/document_classification/train/Confidential/doc_5157.txt
new file mode 100644
index 0000000000000000000000000000000000000000..865250a73ca1e687463189a5cd2f1be239356267
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5157.txt
@@ -0,0 +1 @@
+PLEASE PLEASE HELP. FOR 3 DAYS A MALE IN HIS MID FOURTIES WITH A HISTORY OF HIGH BLOOD PRESSURE HAS BEEN WAKING UP COMPLIANING OF NAUSEA AND SWEATING. HE WENT TO THE EMERGENCY ROOM AND THE GAVE HIM A POTASSIUM PILL, BUT TODAY HE COMPLAINED OF IT AGAIN. HE HAS A HISTORY OF HIGH BLOOD PRESSURE, BUT A NIGHT AGO, IN THE EMERGENCY ROOM HIS HEART BEAT WAS AT 53. WHICH IS GOOD. HE EXCERCISES, BUT CARRIES A LOT OF WEIGHT IS HIS ABDOMINAL AREA. WHAT SHOULD WE DO? Hi,How much was his blood pressure during sweating episodes, was it too high? Possibilities are, there can be excessive rise in BP which is causing his symptoms. Secondly it may be due to slow heart which may be very low during sleep leading to symptoms, is he on any beta blockers or drugs which decrease heart rate. If yes, it should be stopped. Also one thyroid tested is needed. If both of above is negative then he may need holter monitoring. Also his troponin and ecg is must. He should follow healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure and pulse rate regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. High risk activity like driving should be avoided til diagnosis is confirmed.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode
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diff --git a/processed/document_classification/train/Confidential/doc_5158.txt b/processed/document_classification/train/Confidential/doc_5158.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6aedc2f9812bcd5c65c8785f3eea1bb8afe3e38e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5158.txt
@@ -0,0 +1 @@
+daughter is nine...for past two years complains of periodic dizziness and is usually accompanied with a low fever...this happened again yesterday and she said she felt nauseas. It comes and goes... Pediatrician said she gets this way when allergies act up...I dont know that I agree. may be csom(chronic suppurative otitis media) more common in this age as by ur history cold, low grade fever. u should check her ears by an ENT specialist to rule out the condition. tab like sturgeon vertin may help her in aeilating her symptoms of dizziness. and tab montelukast may be used for cold and allergic purpose. a course of antibiotics can b used for treating her ear infection.feel free to ask any queries. thank u. .
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diff --git a/processed/document_classification/train/Confidential/doc_5159.txt b/processed/document_classification/train/Confidential/doc_5159.txt
new file mode 100644
index 0000000000000000000000000000000000000000..51c1574a344ed389d7857e2fe618efff87b7319a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5159.txt
@@ -0,0 +1 @@
+Q : Hi, I had recently test my ultrasound scan found early fatty changes in liver. Then I had a LFT(liver function test) That is Total billirubin 1.20, Conjugated billuribin 0.29, A.S.T.(SGOT) 56 A.L.T.(SGPT) 89 Alkaline phosphatase 159. In my Lipid profile shown that Cholesterol 227, triglycerides 290, HDL cholesterol 39, LDL cholesterol 130 VLDL 58. Doctor prescribed the medicine named as Hepexa M, Fibator EZ, VSL-3 Rabium dsr for 3 month,. i had already avoid alcohol, fatty foods and controlled a lot of my diet having exercise, after 2.5 month i lose 8 kg weight (81kg to 73kg), now my lipid profile is normal,may this type of case occures after heavy diet control and above medication use in 2.5 month, my age 33, height 5.6 inch Hi.thank you for posting query at HCM.definitely, exercise and strict diet along with medication aids in weight reduction and improving the abnormal liver enzymes reading. however, you need to monitor your liver enzymes and lipid profile every 6 months to 1 year.secondly, visit your treating physician and take his advice for discontinuation of drugs and/or dose adjustment. Prevention is better than cure. So, try to maintain ideal weight to avoid complications of being overweight.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik
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diff --git a/processed/document_classification/train/Confidential/doc_5160.txt b/processed/document_classification/train/Confidential/doc_5160.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ddb40189dadfcc4635165536271df4493972584a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5160.txt
@@ -0,0 +1 @@
+For the past couple days, I have had redness on the roof of my mouth near my teeth and gums. I did try some medication for canker sores and have used it twice. The brush applicator causes the red area to bleed when. Any suggestions as to what this may be caused from and how I can treat it? I was on antibiotics for a few (2) days; I took bactrim for a UTI . Please help. Thanks. Hi, I read your problem.See, mouth sores can be due to stress or vitamin -B deficiency.For mouth sores, use topical anaesthetics that contain benzocaine, lignocaine, tetracaine will help to relieve from redness of gums.Also take vitamin -B complex.Don't stop antibiotic course for UTI. Use soft bristled brush and mouthwash also.I would advice you to visit your dentist also. Have a nice time... take care
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diff --git a/processed/document_classification/train/Confidential/doc_5161.txt b/processed/document_classification/train/Confidential/doc_5161.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b8ec102bf8382cdd0a86b5c4613124cb2d010c0e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5161.txt
@@ -0,0 +1 @@
+I have a hard lump to the right of my left hip bone. Hurts to push down on. I recently had some lingering cramp pain in my lower stomach for 3-4 days. Almost like achy. I also had my period 2 days late this month for 7 days then had a period again 2 weeks later. I am on birth control but just started it again 2 months ago or so. Doesn t hurt to pee or anything and no stinging pain. I did notice after intercourse I smelt kinda off from my normal for about 1 week. Is this lump normal for girls? What is it? Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of hard hip bone lump, I would come up with three possibilities, these include: 1. skin or hair follicle infection due to some friction injury 2. The second possibility is of an ischiorectal abscess 3. The last possibility is of some infected cyst or benign tumor / tumor like condition Overall, it is inflammatory and not worry about this!I suggest you to go for ice/cold compress in the region with local hygiene and take some topical antibiotics and wait for 2/3 day; if not relieved please don't forget to write to us again...Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5162.txt b/processed/document_classification/train/Confidential/doc_5162.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e2c3978b681b241fd25c521765c97c1886bb80f6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5162.txt
@@ -0,0 +1 @@
+Hello doctor, My baby is 3.5 months old and she is passing her stools in green color from past 2 weeks. She is exclusively on breast feeding. I tried babylac, econorm with ofloxin metronidazole suspension 0.5ml for 3 days but it didn t helped. I consulted another doctor who has given zinc powder 0.5ml a day for 14 days, enterogemnia 5ml twice daily for 3 days and walamycin suspension 0.5 ml for 4-5 days. I didn t see any result even after using that for 2days as still she passes her stool in green color and watery.My baby weighs 5.2 kg approx My baby activity is normal. Now she has even severe cold.as it s been 2 weeks I am worried a lot.. Please help HiWelcome to the HCMThe breastfed baby's stools may change in color, and baby may even have an occasional green stool. Consistently green stools, however, may indicate a problem, such as imbalance in foremilk/hindmilk, or sensitivity to something in mom's diet, such as dairy. Green stools do not always indicate a problem.If your babies activity and weight gain is normal, it is very unlikely to have green poops due to some infection. So in my opinion there is no need for any medical treatment. Only check if he is properly breastfed and is getting hind milk properly.Whether your child has a cough, a cold, or the flu, you can try these gentle, effective, and safe home remedies:1.Have a humidifier or a cool-mist vaporizer going in your child's bedroom when she's sleeping, resting, or playing in the room.2. Saline nasal Drops easily available help clear the nose when kids are too young to blow their nose. For babies, a bulb syringe really comes in handy if a stuffy nose interferes with breastfeeding or bottle-feeding. Try using it about 15 minutes beforehand.3. Vapor rubs.If still child continues to have cold, try phenargan syrup 2.5 ml twice daily for3-5 days.In case of any further questions, do call back.
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diff --git a/processed/document_classification/train/Confidential/doc_5163.txt b/processed/document_classification/train/Confidential/doc_5163.txt
new file mode 100644
index 0000000000000000000000000000000000000000..245796579b4ba3d9ed71647345dcdce48e095942
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5163.txt
@@ -0,0 +1 @@
+I m a 55 yr. old female, diabetic last 35 years and am experiencing sore like pain in my mouth, gums, tongue, throat although there are no visable sores. I m on Zolpidium, Tramadol, Hydroxyzine and Omeperozal. My teeth enamel seem to be thining and some teeth are very thin close to my gums. What can it be ? Hello,People with diabetes are more susceptible to developing infections, as high blood sugar levels can weaken the patient's immune system defenses. So, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. At the other side, as with all infections, serious gum disease may cause blood sugar to rise.In my opinion you may have a periodontal disease .This is the most common dental disease affecting those living with diabetes and your pain can be a sign of mouth problems caused by diabetes. My advice for you is to consult your dentist as soon as possible and keep your blood glucose numbers as close to your target as possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Xhardo
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diff --git a/processed/document_classification/train/Confidential/doc_5164.txt b/processed/document_classification/train/Confidential/doc_5164.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cbf10a2a2a2840b7721bf63cc689ab209436403e
--- /dev/null
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@@ -0,0 +1 @@
+My daughter had her eyebrows waxed 5 hours ago, and the area just below them is still very red. I put hydrocortisone on them about an hour ago, and she said they've stopped hurting; but they're still red. Should I be concerned or do anything differently? it can be post inflammation, and hydrocortisone takes it regular time to heal. you can apply it one more time after 7-8 hrs.redness will go
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diff --git a/processed/document_classification/train/Confidential/doc_5165.txt b/processed/document_classification/train/Confidential/doc_5165.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cd4ea12f11ba6cd59d577c25c71a0d327ca4054f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5165.txt
@@ -0,0 +1 @@
+Hi I am Rajesh & for the first time i am facing problem while passing urine & i have under gone x ray , urine test , blood test . x-ray says there is no stones in the kidney , after that doctor directed me to take more water & KMG cit to mix in the water & have 3 times a day & two types of tablet which are meftal spas , OMTECH D. after taking these medicenes i am experiencing loose motion please adivse the action to be taken. KMG Kit has the side effects of loose motions because Magnesium citrate absorbs more water from the intestines and this follows loose motions. You have not clearly mentioned for how many days you are using KMGkit. It should not be used for more than 5 days. If you experience adverse symptoms please consult your doctor ASAP. Mefthalspas and OMTECH-D doesnt cause loose motions.
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diff --git a/processed/document_classification/train/Confidential/doc_5166.txt b/processed/document_classification/train/Confidential/doc_5166.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6da12b8181c9e47f092ffb3e025b1cdb05b5d49e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5166.txt
@@ -0,0 +1 @@
+Hi Doctor,My wife, who is a pregnant of 7 weeks has taken Mifeprin KIT on doctors advice as there is an issue with the baby/foetus. Now, my wife is suffering with heavy bleeding and she is complaining of heavy pain below the stomach. We would like to know if there is any home remedy to reduce the pain?Thanks in advance. , don't try any home remedies now. have an immediate visit to your obstretician this heavy bleeding is due to abortion of the fetus. all the time it might not have aborted fully and she may need Dilatation and Curettage. any left out contents inside the uterus will cause severe bleeding. so immediate medical attention is needed .Natural remedies will not work this time.hope this explains.with RegardsDr.Amarnath
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diff --git a/processed/document_classification/train/Confidential/doc_5167.txt b/processed/document_classification/train/Confidential/doc_5167.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a7650884212b3f560f3f271d64cb7daded1344c3
--- /dev/null
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+My mom had tremors. I think it is starting for me. Also when I am laughing hard my face around my mouth twitches so violently. It is very noticeable and embarrasing for me. I then try and control my face not to laugh. Does this seem like tremores to you? Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain lip/mouth twitching also known as Lip Fasciculations is an involuntary contraction of lip muscles and can occur due to a number of causes like injury or inflammation of facial nerve that supplies the muscles of face, panic attacks, anxiety, deficiency of potassium and electrolytes,viral infection, Facial nerve palsy , increase in levels of parathyroid hormone, Parkinsonism etc..I would suggest you to consult a Neurophysician and get evaluated and he can do a thorough clinical evaluation along with investigations like MRI SCAN, blood tests, Electromyogram, Nerve conduction velocity etc to rule out the exact cause of the symptoms and treatment of underlying cause can relieve the symptoms..As of now you can take a nutritious diet with multivitamin supplements and high Potassium containing foods like banana, watermelon etc..Keep stress minimal by doing meditation and breathing exercises..Do warm compresses over the lips and the areas that twitch..Limit intake of alcohol, tea, coffee etc..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
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diff --git a/processed/document_classification/train/Confidential/doc_5168.txt b/processed/document_classification/train/Confidential/doc_5168.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fcb315d85860b1d3baeb2e98d1b917877040435a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5168.txt
@@ -0,0 +1 @@
+I am currently using the pill injection as contraceptive, used for 3 months but do not like it. I have 3 months worth of mycrogynon pills which I would like to use again, have used this for 10 years and i have 2 children within his time so it works for me. My depo is due Monday 23rd jan, when should I start taking the mycrogynon again? Thanks Hi,Yes, you can start your hormonal contraceptive on the day that you are due for a Depo shot. Because Depo-Provera remains in your body for up to 15 weeks after your last shot, you can start your first birth control pill at any time. For the first seven days of using the pill, I would suggest you to use an additional method of contraception such as condoms since the pills can take 7 days to become fully effective.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5169.txt b/processed/document_classification/train/Confidential/doc_5169.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d8f18dc2820cd757c5befad3b3c37e6425824a31
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5169.txt
@@ -0,0 +1 @@
+2 days ago i started with swollen gum around 1 tooth the day after my gums are swollen everywhere and i am beginning to feel cold but i am burning hot and also have a red soar on the tip of my tongue.. i brushed the soar on the tongue.. it is white now but bugger and still swollen gums (bleeding a little bit)and i notticed a small red or white spot (like on my tongue) but on my gum between 1 toothand my neck is soar where my tonsils or glands are..plus i am starting to have a small discomfort when i swallowi am starting to worry Hi..Thanks for the query..Swollen and bleeding gums with pain and ulcers on tongue can be due to viral Infection..It can also be due to allergies..So my suggestion is to consult an Oral Physician and get evaluated..If Allergic reaction is suspected you can be advised antiallergic medication, Steroid shot and warm saline gargles..Gargles with 1:1 solution of milk of magnesia and benadryl can help..Do cool compresses over the gums..Do antiseptic mouthwash gargles..Use soft toothbrush to brush your teeth..If it is due to Viral infection antiviral medication like Acyclovir can be advised..Hope this helps..Regards..
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diff --git a/processed/document_classification/train/Confidential/doc_5170.txt b/processed/document_classification/train/Confidential/doc_5170.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4e7432f04dd0eb427fbfc741ccf78fdd5cf9156b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5170.txt
@@ -0,0 +1 @@
+I have left flank pain, left rib pain, muscle knots in lef flank pulling one rib out of place, onset of headache/nausea today, increasing pain - had x-ray last week if upper back and left flank, some mild arthritis that I’m told doesn’t account for rib pain. Urine screen about three months ago, everything looked fine. Abdomen tender when examined by Dr. last week. Was sent for x-ray and to continue PT, f/u w/ PCP tomorrow night, worried about increasing pain, unsure if am should go to ED or wait til PCP appt tomorrow night. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can take Tramadol and paracetamol combination 2 times a day for five days take Omeprazole twice a day for five days take Cefixime twice a day for five days. Take rest. Don't bend your back. Take proper sleep, apply Diclofenac spray at pain site 2-3 times in a day apply warm water bag application at pain site 2-3 times in a day. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5172.txt b/processed/document_classification/train/Confidential/doc_5172.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a0182bad1cf453016c26fb7856114a35b6b42848
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5172.txt
@@ -0,0 +1 @@
+My 3 year old has been complaining of back pain for the past 3 weeks. We have had her urine tested and blood work has come back normal. We were told it could be that she s constipated even though she poops 2-3 times a day. We started giving her miralax 3 days ago and she started drinking Pediasure with fiber. Is this all I can do at this point? How long before we might start seeing a change? Hello,Did your child have any history of trauma? If yes get an mri spine done.Otherwise usg abdomen for evaluation of other abdominal pathologies.
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diff --git a/processed/document_classification/train/Confidential/doc_5173.txt b/processed/document_classification/train/Confidential/doc_5173.txt
new file mode 100644
index 0000000000000000000000000000000000000000..caa7f29bd64502782aeb95b1d861c1ac09fadfed
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5173.txt
@@ -0,0 +1 @@
+Hi, I recently consumed MDMA crystals and by the way me and my friends felt can assume that it must have been cut with another chemical. I am fairly experienced with the usage of MDMA and infer this as the drug experience lasted in total about 14 hours, had terrible migraines and as bad an upset stomach. However after 1 or 2 days I started developing numb big toes but only the tops of them. It has been a week or so and am wondering what to do and if I should be worried. This is the first time this is happening and where I stay, India, it is not so easy to talk to a doctor about such matters. Any help is appreciated.Top Hi and welcome to HCM.This can definitely be effect of MDMA and this is the first thing to think of. Your body tells you that you must stop using it immidiately or ti may have very serious consequances. Various other symptoms can be caused by these drugs and this is just the beginnng of it. Numbness may indicate neural disorder but also itcan be blood clotting in your peripheral vessels. You need to see doctor if your symptoms persist.Wish you good health.Regards
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diff --git a/processed/document_classification/train/Confidential/doc_5174.txt b/processed/document_classification/train/Confidential/doc_5174.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f38fbf5a834b4d27168183310f98bc14abafdac1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5174.txt
@@ -0,0 +1 @@
+hi my name is Linda. 2 years ago i had open heart surgery where i was told of having Congestive Heart Failure.However for the past few days, my right shoulder has been hurting severely which made me stay up all night. So i was wondering if i have a frozen shoulder. Hello,I read carefully your query and understand your concern. Your symptoms can be related to a frozen shoulder.I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. Physical therapy is the most common treatment for a frozen shoulder. So,if the symptoms continue, I also recommend physical therapy. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5175.txt b/processed/document_classification/train/Confidential/doc_5175.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0de7c45d002b6c13be79d56a62c1aae8d03feb53
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5175.txt
@@ -0,0 +1 @@
+The last 2 weeks i've had pinpoint pains by on my chest. A couple that reoccur are a small pain by my left collar bone, by my left rib and a pinpoint pain on the right side of my chest. When I think about about I have shortened breaths and its scary. My arm doesn't get num but it just seems to be certain spots that have pain which feel like if you were to grab your finger and poke your face. Its not unbearable pain, but just a little nub so to say. I have no medical insurance and don't know what to do Hello,I evaluated your query in detail. Age is the major factor to be considered in etiology missing here. According to the narration seems non-specific neurotic pain with more of the anxiety exacerbation of the issue due to underlying fear of heart problem. My suggestions for you at present: • Take simple analgesic as Tylenol as per dosage of age criteria• Deep breathing exercises with yoga are the main pillars of your management part • Avoid weight lifting/heavy workouts• Maintain hydration with plenty of liquids• Avoid smoking/alcohol if using• Avoid stress, anxiety• Have regular sound sleep of 7 to 8 hours • Consult your family doctor once for BP measurement and general evaluation if required he may order you x-ray chest if needed rather than scarringHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
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diff --git a/processed/document_classification/train/Confidential/doc_5176.txt b/processed/document_classification/train/Confidential/doc_5176.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0b8de1e6c8bdc85204fdafcdd2fb64dff411e71f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5176.txt
@@ -0,0 +1 @@
+i had unprotected sex and took the morning after period. I had more unprotected sex after that, we were using the withdrawal method. At my estimated menstrual period time, i got all the symptoms-cramps, tender breasts, pimples etc but very little blood quite unusual as i usually have a very heavy flow. Could i be pregnant? HiI can understand your concern for the delayed period following unprotected sex.Delayed period following unprotected sex and symptoms like cramps, breasts tenderness, pimples are suggestive of an early pregnancy.Withdrawal method is not an effective form of birth control. Sperms can enter the vagina if withdrawal isn not properly timed or if pre-ejaculation fluid contains sperm. Of every 100 women whose partners use withdrawal, 4 will become pregnant each year if they always do it correctly. Of every 100 women whose partners use withdrawal, 27 will become pregnant each year if they do not always do it correctly. Pregnancy is also possible if semen or pre-ejaculate is spilled on the vulva.So, I advise you to get the pregnancy test done on an early morning urine sample and consult a gynecologist.Hope this answers your query.
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diff --git a/processed/document_classification/train/Confidential/doc_5177.txt b/processed/document_classification/train/Confidential/doc_5177.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1a981349f57a6b971fab921e370cddeae0d30921
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5177.txt
@@ -0,0 +1 @@
+I have a kidney stone that is 2.7 cm in size. I have seen my urologist and he has given me 2 options. 1 to have the stone blasted in 2 separate procedures, or be hospitalized and have the stone removed through a small incision (a tube placed in the incision.) I know that the procedure through my back will allow them to remove all of the stone at one time, but I am concerned that I will have to be off of work for over 10 days. However I have read that there are side affects from the blasting technique as well. I don't know which procedure to do... Dear Sir,Sorry to hear about your problem. Your stone is quite big and the blasting procedure would require multiple sittings to completely get rid of the stone. Such a big stone usually mandates a surgery although with the new blasting techniques these days doctors are able to deal with such stones as well. The blasting technique is associated with a small risk of pain during and after each procedure and a risk of infection but you do not require prolonged admission.On the other hand the surgical part will take care stone in one sitting but would require a lengthy admission.Hoping for the best. Please feel free to clarify any other query.
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diff --git a/processed/document_classification/train/Confidential/doc_5178.txt b/processed/document_classification/train/Confidential/doc_5178.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6444bbf23e88bd236f447b1f8acd723a0b601699
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5178.txt
@@ -0,0 +1 @@
+ive had pain in my ribs for a few months and recently had further tests done which show i have fluid on my lungs i also had a blood test which showed my ca125 levels were raised and have now been sent to see a specialist what is it they are considering? Hello As you explain the history ca 125 os for tumors unfortunately however wait fo the specialist opinion Regards Dr.Jolanda
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diff --git a/processed/document_classification/train/Confidential/doc_5179.txt b/processed/document_classification/train/Confidential/doc_5179.txt
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index 0000000000000000000000000000000000000000..c40df0c87a9b66baf5560e56d364feef2874f03e
--- /dev/null
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@@ -0,0 +1 @@
+Hi doctor, I am a childless woman for the past six years after marriage. Recently, we went to an IVF center. All my reports and my partner's reports were normal. The doctor prescribed me medicines such as Letrozole, Metital, Supradyn, Folmet, and Meprate. I am confused about Meprate. I am maintaining a calendar to track my menstrual cycle so that intercourse during ovulation can increase the chances of pregnancy. How are Meprate and intercourse related? Please guide me. Hi. Most of the medications given in the process of treatment help in having a regular menstrual cycle, regular ovulation, and to get rid of irregular periods and to support conception. Meprate is progestin. It will act as progesterone which reduces the overgrowth of endometrial thickness, and they help in ovulation. They are given in patients having irregular cycles. After ovulation, it helps in conception. For quitting the medications, you have to consult your treating doctor. Have folic acid regularly.
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diff --git a/processed/document_classification/train/Confidential/doc_5180.txt b/processed/document_classification/train/Confidential/doc_5180.txt
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index 0000000000000000000000000000000000000000..f415a0fe598cfe0711cc9cdcdc66b849688525cb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5180.txt
@@ -0,0 +1 @@
+Generally feel unwell - though symptoms largely not specific as vary over time. Lat week had pain in left side of lower abdomen, today have nausea.Feel as though am constantly running a slight temperature and suffer with periods of hot sweats - both at night and during the day. Am well past the menopause at 63. Constant feeling of tiredness. Am diabetic and have under active thyroid. Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your symptoms could be related to thyroid hormone imbalance or any other metabolic disorders (vitamin deficiency, electrolyte imbalance, etc.). An inflammatory disorder or a chronic infection can not be excluded either. Coming to this point, I would recommend consulting with your GP for a physical exam and some tests: - a chest X ray study- complete blood count for anemia- PCR and sedimentation rate for inflammation- an abdominal ultrasound- thyroid hormone levels- HbA1C (considering the fact that you are diabetic)- blood electrolytes. You should discuss with your doctor on the above tests. Hope you will find this answer helpful!Best wishes!
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diff --git a/processed/document_classification/train/Confidential/doc_5181.txt b/processed/document_classification/train/Confidential/doc_5181.txt
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index 0000000000000000000000000000000000000000..dd21658b814eeebe88a980eed29b0563b2d1b6ff
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5181.txt
@@ -0,0 +1 @@
+My husband has a sudden onset, painful, lump on the right side of his clavicle. He had an x-Ray and the doctor thought it was arthritis. He is a smoker x 30 years. Should he get a second opinion or take doctor s advice and wait to see if it goes down? Hi,Thnks for the Query.1-I have studied your story indepth.2- I would advise you to have second opinion by a surgeon in your area.3-Mail the x-ray plate copy and the report-and I would advise a second opinion on it,4-AS its sudden onset-lump on the right sided clavicle,till the time second opinion on the lump and the x-ray report is taken-I would not advise any treatment plan in such case.5-Mostly it appears to be -infectious lump-on the clavicle -which needs to confirmed after the second opinion . or may be other wise-as told by your doctor....6-Right way is to go to surgeon and attend to it -with his advise....Hope I made it very clear about the treatment of painful lump on the clavicle-and its only by going to surgeon-as immediate treatment needs to be planned. Thnks.Wellcome for any more queries in this matter.
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diff --git a/processed/document_classification/train/Confidential/doc_5182.txt b/processed/document_classification/train/Confidential/doc_5182.txt
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index 0000000000000000000000000000000000000000..e51cd3acea7c823979ff92b4060d2c5813d8b02d
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@@ -0,0 +1 @@
+what if i take herbal medicine for acne and other problem though i m hypothyroid patient. Is it ok to take herbal medicine being a thyroid patient? please help. hiii Welcome to HCM. As you are presents with hypothyroid,you should take Tab Eltroxin and dose depends on your biochemical value of TSH. Try herbal medicine for acne..may get good result. All the best.
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diff --git a/processed/document_classification/train/Confidential/doc_5183.txt b/processed/document_classification/train/Confidential/doc_5183.txt
new file mode 100644
index 0000000000000000000000000000000000000000..881bb91c14f5519842fe801e0aad16ebc5aa1a1d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5183.txt
@@ -0,0 +1 @@
+Hi, my father underwent CABG on Dec 2. He started taking bath from Dec 8 after the surgeon advised so. It seemed then that his stitches had healed. Today we found a water like liquid coming out from where the upper end of the incision started. We observed that after he felt something there. Is it something to worry about? What should be the first aid? We are going to see the surgeon tomorrow.Thanks Hello there,I am dr.milan an infectious disease specialist answering your question,This watery fluid coming is of two type either infection or noin-ifectious, inflammatory.If infection is there it cause associated symptoms like fever and bodyache etc. Sometimes it is inflammatory because there is cut has been made and presence of stitches cause local irritation cause serous(watery) fluid from there by inflammatory response of our body.You should go for culture examination of that watery fluid along with complete blood count to rule out infection.I advise you to maintain hygienic cleaning of wound and take rest along with healthy diet. Please Follow your surgeon's opinion.Hope i have given appropriate guidance to you.if you have any query you can consult me anytime.Give me star rating according to your satisfactory level.Thanking you.
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diff --git a/processed/document_classification/train/Confidential/doc_5184.txt b/processed/document_classification/train/Confidential/doc_5184.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e4bf747027952bb1cf068c1207b673e8628116a8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5184.txt
@@ -0,0 +1 @@
+I am professional Telecom Consultant and i had performed consultancy in different countries. Recently I was going to some country and a medical problem occured which name is Hepatitus B ( HBsAG ) which seems positive in my report rest i have throughly check with doctor and they told me its negative on your body and its not affecting you at all so no treatment required. But you are a carrier of this problem and it will show your report positive so because of this issue i am not able to get work permit in any middle east country and there is no medical way to get rid of this problem. help me to solve this issue. I would be very thank ful to you. Hi welcome to HCMForum. it is better you consult a gastroenterologist for treatment. these days many medicines are discovered. besides i advise you some diet restrictions as Avoid fatty foods like fries, ghee, nonvegetarian dishes etc. eat the things rich in carbohydrtes like pilses, fruits & juices. besides i advise you to consult gastro enterologist of our paid channel ASK A DOCTOR NOW. wishing for an early recovery.
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diff --git a/processed/document_classification/train/Confidential/doc_5185.txt b/processed/document_classification/train/Confidential/doc_5185.txt
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index 0000000000000000000000000000000000000000..92bee868e905c3b7df9bd8c6ad1770426c73b9f2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5185.txt
@@ -0,0 +1 @@
+I had stomach pain in the lower right side of my abdomen that felt like contractions. I have had a complete hysterectomy so it is not pregnancy-related. The pain has subsided but my right side feels very tight and like I could have another cramp/contraction at any time. The most common cause of right side lower abdominal pain is acute appendicitis.I would advise you to get ultrasound abdomen to rule out appendicitis. For cramps you can take any antispasmodic like Tab Meftalspas.
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diff --git a/processed/document_classification/train/Confidential/doc_5186.txt b/processed/document_classification/train/Confidential/doc_5186.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2eb9e55ee5302055f0f2f66e241cf5538351479b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5186.txt
@@ -0,0 +1 @@
+Hi It s my 5th month of pregnancy..Dr. told me that there is some issue in both kidney of my baby.. According to radialogist report both fetal kidney shows mild fullness and fetal bladder is empty..i am much worried.. plz tell what to do..whats the reason? Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. While development of kidney, utters & bladder in fertal body development. The reading of full kidneys &empty bladder can be seem while the things are yetto fully matured. So one finding is not to be considered for final diagnosis. Repeated readings after some in feral are taken before such diagnosis is made. Many a times normality is found in subsequent readings. So be cool. In case the repeated readings have same findings. Certain specific tests are done before coming to final conclusion. So just be positive and follow your doctor's advise. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5188.txt b/processed/document_classification/train/Confidential/doc_5188.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80522c6d5407905b2d20b60480bebe2ea8738be4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5188.txt
@@ -0,0 +1 @@
+Hi,im 31years old..trying for second baby ..one month delayed in periods..so I checked wit test card it showed faint line..den checked wit gynec she took scan n said 3unruptured eggs are der wait for 10more days..but after ten days I got bleeding but again the eggs are in same state wen I scanned today..doc said need to do laparoscopy...is it needed?guide me pls yes its needed to have better view of the eggs ..because to know the condition of there rupture...laparoscopy is more accurate
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diff --git a/processed/document_classification/train/Confidential/doc_5189.txt b/processed/document_classification/train/Confidential/doc_5189.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c8b9c49a614567d2e54ac0007d226567b5d068c2
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+++ b/processed/document_classification/train/Confidential/doc_5189.txt
@@ -0,0 +1 @@
+i have a boil in my upper eye lid....its been over 10 days..i thought it will go away but it hasnt...during the first few days there was a little pain...now its painless..now i think it could be a chalazion...is there any way i can get rid of this without surgical treatment?? Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain a boil over the upper eyelid can be a stye or a chalazion..In case if it is present just at the margin of eyelid it can be a stye while if it is present slightly away from eyelid it can be a chalazion..I would suggest you to do warm compresses over the eyelid and also put steroid eye drops..Do it atleast for a week and in case if it still does not resolve consult an Ophthalmologist and get evaluated and he can put steroid injections over the lump directly to shrink it..In case if it still does not resolve surgery is the only option left..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
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diff --git a/processed/document_classification/train/Confidential/doc_5191.txt b/processed/document_classification/train/Confidential/doc_5191.txt
new file mode 100644
index 0000000000000000000000000000000000000000..60e4945932bd448896cbf63f46b518cd82635da2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5191.txt
@@ -0,0 +1 @@
+Hello doctor, I have a problem with my teeth. I started using Hexidine mouthwash last month for whitening of teeth, but it is not helping me, and soon my teeth are becoming brownish at some places. What should I do to clean it? Hi. Using Chlorhexidine mouthwash for more than 15 days in continuation causes brownish discoloration, that is the reason your teeth are becoming brownish. Now that you have developed chlorhexidine discoloration, I do not think scaling will be of any use. Instead, I would suggest you for either bleaching or veneering. Veneering is the solution for the type of stains that you have developed. Dental veneers are thin flakes of tooth-colored material, which are applied over the original teeth. Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5192.txt b/processed/document_classification/train/Confidential/doc_5192.txt
new file mode 100644
index 0000000000000000000000000000000000000000..08a800be9c45ee507b2a7a403966a7f5ab727466
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5192.txt
@@ -0,0 +1 @@
+I am an insulin dependent, taking human mixtard 25 units in morning & 30 units in night, aged 48 years from last fifteen days I am feeling severe pain in legs, and afternoon times severe tiredness, pls help, moreover I have undergonea hydronephrectomy in 1986. Hello, As you are diabetic I will advise you to start doing exercises as most cases with diabetes will have some kind of a pain in the lower limbs and tiredness due to dysfunction of the metabolism. For improving the metabolism and improving the muscle strength for ADL one is always advised to do exercises. As your age us 48 it's always good to do some exercise rather making the muscles weaker. In my clinical practice of over 12 years, most diabetic cases have similar complaints and they do well with exercise as they keep on doing with regularity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5193.txt b/processed/document_classification/train/Confidential/doc_5193.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fa98b5d4b14ea89029575da8ca4af826b27ba3d0
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+++ b/processed/document_classification/train/Confidential/doc_5193.txt
@@ -0,0 +1 @@
+My sister is 8 years old. She has red bumps all over legs up to her stomach. Some of the bump gets big and some are already big. She says it hurts but it dosen t itch She says it bothers her and its rough. I don t think chicken pox because it dosen t look blisterish Hi...by what you quote it could be HSP - Henoch Scholein Purpura. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
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diff --git a/processed/document_classification/train/Confidential/doc_5194.txt b/processed/document_classification/train/Confidential/doc_5194.txt
new file mode 100644
index 0000000000000000000000000000000000000000..416ccf9569cbd541aaa456dbd50f43c95274477d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5194.txt
@@ -0,0 +1 @@
+got an allergy spreading all over my body.. what's the right dosage if i'll take celestamine table? or how many tablets a day? Hi ilhen; welcome to HealthcareMagic Celestamine or for that matter any anti allergic should be taken after consulting a doctor.The dose of all medicines depends on body weight of a patient and is calculated accordingly.Please always consult a doctor in case of allergic reactions. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5195.txt b/processed/document_classification/train/Confidential/doc_5195.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2c6a533f953eda60fa1f24c0bb68178762ffc993
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5195.txt
@@ -0,0 +1 @@
+I have been seeing black fluffy like specks in my semen, I thought it probably was just blood, but it has been showing up for months, I am virgin and i do not have any STD, i am pretty worried about this, what do i have?also, I have back pain, it gets pretty bad after i masturbate, maybe I could have an infection? HelloI appreciate your concern.Looking at your description, you might have got infection of urogenital tract, may be due to poor hygiene during masturbation.In my opinion you should go for urine test for microscopy and culture.according to reports, you may require a course of antibiotics under medical supervision.Meanwhile take plenty of fluids 3 to 5 liters per day either plain water or fruit juices, which will help by flushing off the urogenital tract.Maintain good hygiene.Hope I could answer your question, please feel free to ask for further clarification.Best wishes
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diff --git a/processed/document_classification/train/Confidential/doc_5196.txt b/processed/document_classification/train/Confidential/doc_5196.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8cdb406cf8b748fa7836d1ffd6f480abb285afe2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5196.txt
@@ -0,0 +1 @@
+Hi there. I just wanted to get an answer, I have the same thought reapeat over again all day and in the morning i get random songs playing in my head which slowly wear off to a word then that word repeats for few hours then goes away is this OCD I also have fear to touch things sometimes. Hello,The symptoms point towards possibility of having OCD.Please see a psychiatrist in person, he will interview you in detail to pin point the diagnosis. Undetected and untreated this will persist and increase. Had i been treating you, i would have given you clomipramine 25-100mg daily at night along with therapy session for thought stopping and ERP.Both meds and therapy are essential for complete cure of this illness.Wish you good luck.Dr. Manisha GopalMD psychiatry
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diff --git a/processed/document_classification/train/Confidential/doc_5197.txt b/processed/document_classification/train/Confidential/doc_5197.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e4390c33ccfe2a26a05d71468871e0a9969742e3
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@@ -0,0 +1 @@
+well my grandads just recenly passed away and i just dont feel up to anything i hardly go to school my friends knock i just want to be with people i just dont want be be aloe , its been a while since he passed away and i just carnt see up to doing anything can you help me ?? HiWelcome to HM.I understand your concern.It is not depression. It is Grief reaction.Grief can be define by felling of emotional instability due to loss of loved one.It is natural to some extent.But when it interferes with daily routine it suggest pathological grief.Better to wait for any drug till 2 months. Usually it will resolve within 2 months.Try to keep yourself busy.Discuss with family and friends.Accept what you have lost and reality.Accept what is now you have and what you will be.Because it is fact that you have to do all this to come out from it.Do not be alone as you talk with people it helps in adaptations.This condition can be treated with mild dose of SSRI and benzodiazapin if it affects you more.still have a query then feel free to ask.Always here to help you.Thank you.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5198.txt b/processed/document_classification/train/Confidential/doc_5198.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0dccdf10624e3a7d65b1f1251ec5c77109e1f164
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5198.txt
@@ -0,0 +1 @@
+My daughter has an indentation in her upper left arm. It is about the size of a quarter. It appeared all of a sudden with no known injury, but is slightly painful when lifting or pushing on it. An MRI was done and the tech said there is a knot under it. We do not have official results yet. Any idea what it could be? Hi ! Good evening. I am Dr Shareef answering your query. I would advise you to consult a general surgeon along with your reports, as it is not possible to opine on it simply on the MRI report without a clinical examination. If the MRI is inconclusive, there may be a need for a FNAC (fine needle aspiration cytology) for a histological diagnosis. The surgeon has to decide on this investigation. Wish your daughter an early relief of the problem.Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_52.txt b/processed/document_classification/train/Confidential/doc_52.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7c9bb95a6e02fdbb2099af5d7953f8aa308d5b0d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_52.txt
@@ -0,0 +1 @@
+E.O. 12356: DECL:OADR TAGS: PREL, XO, US SUBJECT: AFGHANISTAN: RABBANI REF: STATE 178113 (Cables) Since Rabbani is now in Saudi Arabia and may depart for the U.S. from there, suggest Department repeat RefTel to Riyadh and Jeddah. Likelihood is still that Rabbani will return to Pakistan before his departure to the U.S. Hinton Department of State A/CDC/MR Revised text per 7/8 authority: DECL:OADR TAGS: PREL, XO, US SUBJECT: AFGHANISTAN: RABBANI REF: STATE 178113 (Cables) Since Rabbani is now in Saudi Arabia and may depart for the U.S. from there, suggest Department repeat RefTel to Riyadh and Jeddah. Likelihood is still that Rabbani will return to Pakistan before his departure to the U.S. Hinton Department of State A/CDC/MR
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diff --git a/processed/document_classification/train/Confidential/doc_5200.txt b/processed/document_classification/train/Confidential/doc_5200.txt
new file mode 100644
index 0000000000000000000000000000000000000000..425e207bb6ebf473ef01ddfc69305be9cd42d0ba
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5200.txt
@@ -0,0 +1 @@
+How large can a localized* renal cell carcinoma be and still be effectively treated via embolization. *There has been no renal vein or tumor membrane invasion, and no lymph node involvement. The tumor was discovered after sudden onset of back pain, nausea, vomiting, fever. Blood tests were done with a-symptomatic results. CT Scan revealed a very large tumor that has totally involved the kidney. Surgery is scheduled within two days. helloThanks for query.Only treatment option for large Renal Cell Carcinoma involving whole kidney is Radical Nephrectomy.Renal Cell Carcinoma of even a small size can not be treated by embolization.Go ahead and get surgery done .Dr.Patil.
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diff --git a/processed/document_classification/train/Confidential/doc_5202.txt b/processed/document_classification/train/Confidential/doc_5202.txt
new file mode 100644
index 0000000000000000000000000000000000000000..14500c0dbc8f04574a7594145eb65885a0bb2744
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5202.txt
@@ -0,0 +1 @@
+Hi doctor, My son is 6 years old and has been diagnosed with ADHD, ODD and sensory integration disorder. He had Adderall XR 5 mg for a while and recently was changed to Strattera 27 mg. My son has been experiencing major insomnia, high aggressive behaviors which involved throwing objects at people, hitting, punching people, kicking and biting especially adults. As his mother I do not believe that he has ADHD. Although he has ODD, it is a normal thing in a 6 year old. However, the behavior is not becoming better and it has actually become worst to the point where he is on the verge of being kicked out of everything. I want to take him away from all medications, because I do not want my 6 year old on them to begin with. However, I am out of ideas and it scares me because my son could be really wonderful, but currently he is not at all. Can you help me with any suggestions? Hello. Revert back with the answers to an internal medicine physician online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5203.txt b/processed/document_classification/train/Confidential/doc_5203.txt
new file mode 100644
index 0000000000000000000000000000000000000000..371c6efc639e1c9d6144afda1f194d55db933a6b
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+++ b/processed/document_classification/train/Confidential/doc_5203.txt
@@ -0,0 +1 @@
+i am recently being diagnosed with Hep B as my wife and a child does not have this desease. I visited doctors in many of the hospitals and was advised that, i don t need any treatment further as it s virus is under control. If i would start having this Liv.52 HB, is there a possibility that, i could be cured completely & if yes, for how long do i need to take it. I shall, indeed thank you for your valuable advise in this regard please. Hello, Individuals who remain HBsAg positive for at least six months are considered to be hepatitis B carriers.Carriers who have seroconverted to HBeAg negative status, in particular those who acquired the infection as adults, have very little viral multiplication and hence may be at little risk of long-term complications or of transmitting infection to others. However you should keep on monitoring your ALT levels and if they are ever found above 60,then you would require the treatment with interferons and immune modulators. 40% of individuals with hepatitis B having normal ALT have hepatic fibrosis. Treatment with LIV -52 has no role. One can never get rid of HEP B,if he is having this infection for more than 6 months. Keep in regular touch with your gastroenterologist and start the treatment immediately,the moment you find that there is reactivation of the disease. Get your wife and child vaccinated with HEP B vaccine. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5204.txt b/processed/document_classification/train/Confidential/doc_5204.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b64e6cf06f20e139e72e4034c33bc625c6b6f44
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5204.txt
@@ -0,0 +1 @@
+I was diag. with mild low oligo last week. I am 25 Wks. Everything else looks fine. Baby is growing fine with no problems. Why would my fluid be low? I was low/normal 2 weeks earlier. What are the statistics that all will be fine and deliver closer to due date? And what are the benefits of bed rest? Low AF volume has many causes, from low production to fluid loss due to rupture of the membranes. Since you are fine and did not report fluid loss from your genitalia we can dismiss that as a probable cause. Next we must consider low production due to kidney absence or malformations but that do not seem to be case either. Another cause is placental insuficiency but the baby is doing fine and growing as expected for a normal pregnancy. Being that said I would mention a seldom considered cause, that is, poor maternal hydration. Before considering that you ask for an appointment to perform Doppler studies of the placental-fetal circulatoon I would suggest you drink more water during the day, water, not juices and sodas, water. Within hours AF level could improve. Good Luck!
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diff --git a/processed/document_classification/train/Confidential/doc_5206.txt b/processed/document_classification/train/Confidential/doc_5206.txt
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index 0000000000000000000000000000000000000000..1972f71f285997bcf61590bbbc67cf274d8ac689
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5206.txt
@@ -0,0 +1 @@
+Hi, I am a frequent masturbater, 3-4 times a day, everyday. I ve noticed that I don t really produce a lot of ejaculate anymore if at all and well, my wife and I are wanting to concieve for a child, I was just curious as to how this would affect our chances in trying to become pregnant? Thanks in advanced. Hello there, Imagine your semen stores to be like a bottle kept under a tap. It needs time to fill up. If you masturbate frequently then when you ejaculate the volume of semen would decrease with each ejaculation . So if you are planning to conceive then avoid masturbation for some time and you would see your ejaculate increase in volume. Hope this helps you.Please feel free to ask for any further clarifications.Dr Arun A
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diff --git a/processed/document_classification/train/Confidential/doc_5207.txt b/processed/document_classification/train/Confidential/doc_5207.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4252790b249579e76caa9d9fb47576f04c5f6a75
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5207.txt
@@ -0,0 +1 @@
+Hello, about 3 weeks ago I was stung in the forehead by a honeybee and my entire face swelled for days. Received cortisone and antihistamine shot the next day. Eventually it all settled. A few days ago I was somehow stung by (I think) mosquitoes on my legs (8 stings) and I reacted terribly with swelling, itching and wheals... it is getting slowly better, but a friend told me that reaction may have been caused by the cortisone shot I had receive a few weeks ago. Does that make sense? Thank you! Michele Hello,Welcome to HCM,As you were stung by the honey bee it will causes localized reaction like swelling of the face and aother reactions.I would suggest washing the area with soap and water followed by application of ice over that area.You can apply a steroid cream like hydrocortisone or fluticasone cream two to three times, this will helps to resolve the redness and treat localised reaction and inflammation.Atarax drops, 3 drops twice in a day for two to three daysThe aforementioned measures will help to improve the condition.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5209.txt b/processed/document_classification/train/Confidential/doc_5209.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9a60ebdf69b464746be669dff91dfea4b5f32f64
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5209.txt
@@ -0,0 +1 @@
+I have seizures and have been on phenobarbital and dilantin since 1999, and take 5ml of Dilantin 3x a day and I take 60mg of phenobarbital in the morning and 90mg at night is there a different drug out there that would work and I wouldn't have to take it as often? Dear I am sorry for your health problems.These last 10 years there are been so much developments for treatment epilepsy.I will strongly recommend to take contact with a neurologist and change your treatment.Wish you all the best
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diff --git a/processed/document_classification/train/Confidential/doc_5210.txt b/processed/document_classification/train/Confidential/doc_5210.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c0f00a9f6d27249a913713b82e11fa1cf9570c7b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5210.txt
@@ -0,0 +1 @@
+hi,im jnkna im twenty one,i have been married for two years,and i have been trying to get pregnant for three years now,but no luck,i have had so many test with my body with a gynae,but found nothing wrong,i have irregular periods and suffers from anaemia,but they say that its got nothing to do with the fact that cant conceive,my husband is 31 and doesnt have any children,he is not a fan of alchohol and cigarrettes,so what could be the problem? please help me HAI WELCOME TO HCM UNEXPLAINED INFERTILITY IS THE ONE REASON WHERE PEOPLE WONT CONCEIVE AFTER ALL NORMAL TEST REPORTS.IT MAY BE DUE TO FAILURE OF FUSION OF SPERM AND EGG.INVITROFERTILISATION IS THE TREATMENT OPTION FOR YOU TO CONCEIVE.CONSULT AN INFERTILITY SPECIALIST.
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diff --git a/processed/document_classification/train/Confidential/doc_5211.txt b/processed/document_classification/train/Confidential/doc_5211.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f797c956a845a1079243972f4ce10b8d6fcfaf71
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5211.txt
@@ -0,0 +1 @@
+Hi, I have a disc hernations are C-5,6 &7. I see my endocrinologist yearly, (a little over due), - when the neurosurgeon viewed my cervical MRI, he noted a large thyroid with nodgles - which I already know. My question is - can a large thyroid/goiter with nodgles cause a cervical hernation? Hi,Actually it is a rare condition but I think in your case it may have exaggerate the underlying cervical disc herniation. I think your neurologist can give you a more precise answer according to your cervical conditionHope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan
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diff --git a/processed/document_classification/train/Confidential/doc_5213.txt b/processed/document_classification/train/Confidential/doc_5213.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9e219e9fd256d577fa83f3c3163d9671c21f05c9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5213.txt
@@ -0,0 +1 @@
+I have diverticulitis and was prescribed ciprofloxacin. Once I finished my prescription I got a really bad yeast infection. It's been 3 weeks and I still itch. I also take metformin....sometimes because it makes my heart beat fast. So I stop taking it. But I'm tired of this rash.....what should I do? Thanks for your query at HCM!I am Infectious Disease Specialist! I went through your query!Please continue your metformin and consult your physician before stopping. Describe your lesions in detail? Which part?Apply topical clotrimazole cream twice daiy for 7 days. Single stat dose of oral fluconazole is also the treatment for a candial infection.Also intake of oral antihistamine like either cetrizine, fexofenadine or loratadine(10mg once) once or twice dailyHappy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query.Take care!Dr. Sheetal VermaInfectious Disease Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5214.txt b/processed/document_classification/train/Confidential/doc_5214.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4de8f348d185f3a5923a3d5ddf534445636d9b8c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5214.txt
@@ -0,0 +1 @@
+I am just trying to see if there is a cause for my step mother's pottassium to drop. She is undergoing the process of finding out where her cancer has originated but they cannot do any surgerys, etc. until her potassium is in normal range. I t will come up with medication, but then drop again. I was just looking for what might be the cause. Thanks for your question on HCM.There are many causes for potassium loss in cancer patients. But the most common ones are.1. Poor oral intake.2. Excess loss in urine.3. Excess loss in stool (diarrhoea).Cancer patients tend to have poor appetite. So their oral intake is low.If cancer has spread in kidney than this csn alter the function of kidney and cause excessive loss in urine.Cancers patients are prone to gastrointestinal infection as their body defence is weakened. So diarrhoea can be the cause.Better to start potassium supplements.
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diff --git a/processed/document_classification/train/Confidential/doc_5215.txt b/processed/document_classification/train/Confidential/doc_5215.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a4c805f792b63d4ffc8ed1db77181ac82074badd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5215.txt
@@ -0,0 +1 @@
+hi, i want to ask out of so many desensitizing toothpastes available of different brands and withing the same brands. on what basis should we choose?eg out of sensodent,sensodent K,sensoform and sensodent KF? Can such tooth pastes can be used over a prolonged period of time? Hello,Choosing a desensitizing tooth paste depend on your degree of tooth wearing and the amount of sensitivity. You should start with a very basic one like plain sensodent , apply for 10-15 minutes, do it for two times daily for at least 1 week. If you did not feel relief from that then you should visit your dentist as he will examine the tooth and then prescribe you what is needed, as without proper examination just experimenting with anything is not done.Hope it will help youThank you
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diff --git a/processed/document_classification/train/Confidential/doc_5216.txt b/processed/document_classification/train/Confidential/doc_5216.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b8a9abdb8061f52cdc1fba25d0f10226bffacb00
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5216.txt
@@ -0,0 +1 @@
+Hello doctor, I am 18 years old and I have been prone to masturbating for the past three years, and now I have erectile dysfunction. Is there any way I can treat this without any medication or any surgery? I have not consulted any doctor yet. Hello. Masturbation is normal and does not cause physical problems or sexual problems. Also, do not give any importance to an advertisement that mentions that masturbation cause health problems or destroys life, and masturbation does not require any treatment. Erectile dysfunction can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests like sugar and hormones. Stop smoking if you smoke. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. But general exercise will help you.
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diff --git a/processed/document_classification/train/Confidential/doc_5217.txt b/processed/document_classification/train/Confidential/doc_5217.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a014953e0d3436f070138b52fe333ca8853c37c7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5217.txt
@@ -0,0 +1 @@
+I took Postinor2 less than 24 hours after sex and the other pill 13 hours after that. I know I need to eat it in 12 hours time but something happened and I took it one hour late. Does that affects the effectiveness of Postinor? Do I need to get another set of pills and take two right away to reduce the risk of getting pregnant? . Hi thanks for your question. You have to take postinor 2. Postinor 2 can help to prevent you from getting pregnant, after unprotected sex, The first tablet has to be taken within 72 hours (3 days) of unprotected sex. The tablets are more effective if they are taken as soon as possible after unprotected sex. You need to take 2nd tablet 12 hours (but no more than 16hours) after first. So relax you have taken the medicine well within the prescribed limit. Hope I answered your question.
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diff --git a/processed/document_classification/train/Confidential/doc_5218.txt b/processed/document_classification/train/Confidential/doc_5218.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b49206690fafd788d5a9e27ff3f3a1eae4be762
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5218.txt
@@ -0,0 +1 @@
+Hi,my guestion is this,12 years ago I had rotator cuff surgery,when the Dr.was doing the surgery he found a calcium ball in my arm he said it was the size of a mans thum knuckle,I been having pain around the same spot where the calcium ball had been,the doctor sent me for a MRI it show everything was fine,I also so had a MRI 12 years ago before my surgery,it DID NOT SHOW THE CALCIUM,my guestion is this can this be my problem again and if so why doese nt the calcium show up in a x-ray,or MRI? Thank You Yes, it may be part of side effects of chemotherapy, but some investigations should be done first. It may be acute gouty arthritis so serum uric acid should be done first.You must not be worry early about this. I hope you are well.
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diff --git a/processed/document_classification/train/Confidential/doc_5219.txt b/processed/document_classification/train/Confidential/doc_5219.txt
new file mode 100644
index 0000000000000000000000000000000000000000..81ba8f581dbd6c9b0fe5398da49f025052f8aadb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5219.txt
@@ -0,0 +1 @@
+I had two fillings done today on the lower teeth, one was very deep and a large dose of anesthetic had to be used. The numbness was still around after 3-4 hours and I ate something small 3 hours later when I still had some numbness although I tried not to chew on that side of the mouth. I now have severe headache on my forehead and top of my head, its gradually worsening and keeping me up. What could the headache be from? Heloo pt-The most likely explanation to your symptoms is that the nerve inside the tooth may be inflammed. This can occur when the cavity and therefore the filling is very close to the nerve inside the tooth. The condition is called irreversible pulpitis and the treatment is root canal therapy. There are simple tests a dentist can do to confirm this diagnosis. The radiating pain you are describing is not uncommon with inflammed or infected teeth.
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diff --git a/processed/document_classification/train/Confidential/doc_5220.txt b/processed/document_classification/train/Confidential/doc_5220.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c52f2d547d3e82515a7c1dcfb1d657e5fcc58c5a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5220.txt
@@ -0,0 +1 @@
+hi, i am a 39 yr old female, and absolutely terrified of the dentist, haven t been to one since i was in high school (or earlier) and it s caught up with me with a vengence...just in the last 3 months i ve lost 3 of my teeth in my lower jaw...they just appeared to be loose one day and eventually just came right out...since then, my front teeth are now getting looser and i ve gotten a few puss pockets in my gums as well...i m really scared, and i mean totally terrified on what to do Thanks for your query, I have gone through your query.The loose teeth could be because of the gum infection secondary to deposits.Consult a good dental surgeon or periodontist and get your teeth cleaned(scaling and root planing) once and maintain the oral hygiene after that. You have to get your teeth cleaned once in a year. You have to take a radiograph to check the bone level in all the teeth.I hope my answer will help you, take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5221.txt b/processed/document_classification/train/Confidential/doc_5221.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7a393cf6e6b04c0081987ebe2673ebd2e9a87b71
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5221.txt
@@ -0,0 +1 @@
+Dear sirWe are done MRI scan that result as below 1disc desiccatiin is seen at L3-4 to L5-S1 levels2 Diffuse disc bulge at L3-4level causing thecal indentation.3 Diffuse disc bulge with annualr tear and facetal arthosis at L4-5level causing thecal. Hi,1disc desiccatiin is seen at L3-4 to L5-S1 levels this signifies that disk of your lumbar spine degenerated due to ageing process which is irreversible and responsible for back pain.2 Diffuse disc bulge at L3-4level causing thecal indentation means mild dural /cord compression result in numbness and tingling in legs.3 Diffuse disc bulge with annualr tear and facetal arthosis at L4-5level causing thecal denoted arthritis of small joints of spine which again a degenerative condition.but your MRI not look terrible from surgical point of view.just do physiotherapy.
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diff --git a/processed/document_classification/train/Confidential/doc_5223.txt b/processed/document_classification/train/Confidential/doc_5223.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38abe3e1912e0ac5fe3264c5ad25884255a23ae1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5223.txt
@@ -0,0 +1 @@
+Which of the following medications are blood thinners: Levothyroxine Cialopram Minoxidil Hydrochlorohiazide Valsartan Januvia Oxybutynin Pravastatin Sodium Bysolic Pramipexole My husband is having surgery and needs to stop taking any blood thinners. Thank You XXXX Hello, None of the medications you have mentioned is a blood thinner and he should not stop any of these without consulting the doctor. The medications you wrote are for thyroid problems, hypertension, high cholesterol, depression, muscle spasms (Parkinson), etc. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. Regards, Dr. Antoneta Zotaj, General and Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5224.txt b/processed/document_classification/train/Confidential/doc_5224.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0072c77e148a34797cb9a827cf83a1896179c9b9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5224.txt
@@ -0,0 +1 @@
+I went to the dentist today. She stated she used septocaine. While giving administering the septocaine, sparks were shocking me and burning my tongue . After the septocaine wore out, my tongue is raw and there are puncture marks on my lips . Are there chemicals in spectocaine which could possibly have similar signs affects? hi, Septocaine is a local anesthetic which usually does not have any side effects until one is specifically allergic to it, which is a rare occurence. while giving any local anesthetic there is a burning senstation in the area where the material is getting deposited, which is normal. If your dental procedure took a long time then the cracking of lips and raw tongue maybe due to cnstantly keeping your mouth open. lips get dry and crack when the mouth is open for a long time, applying any good lip balm should solve the problem. if the discomfort persists or increases, i would strongly recommend that you consult your dentist. Regards
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diff --git a/processed/document_classification/train/Confidential/doc_5225.txt b/processed/document_classification/train/Confidential/doc_5225.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a1c0a755ef77b812879e048e41ec5d78f04b2006
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5225.txt
@@ -0,0 +1 @@
+Hi my 3 month old has a bad rash all over her body. It itches her and we don't know what it is its even in the palm of her hands what can it be I've tried everything what can I do nothing's working we live in Korea but the health care for military isn't very good please help she's been suffering since 1 month she's on nutriguiem milk. Is this rash recent? It is probably alergic. It could be related to the new milk he is on, or it could be an alergy from other environmental cause. Considering the age, you should see a doctor as soon as possible. There are other causes of skin rashes in this age, and not many medications approved for small children.
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diff --git a/processed/document_classification/train/Confidential/doc_5227.txt b/processed/document_classification/train/Confidential/doc_5227.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2aaef3fa2cea166eb3f19744177b42fecb79fbf5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5227.txt
@@ -0,0 +1 @@
+Hello doctor,I have done a CT scan of the brain recently and found everything was normal but with mega cisterna. The report shows scalp hematoma but that was from childhood and operated. I am worried about mega cisterna. Please suggest. Hello. I have gone through the reports (attachment removed to protect patient identity). Your CT scan is normal. Mega cisterna magna is a normal variant. So do not worry about that. Scalp hematoma is a collection of blood outside your skull (bone) and is, therefore nothing to worry about. It cannot be due to very old injury as it usually gets absorbed or calcified. It may have resulted from a minor trauma that you may have forgotten. For more information consult a neuro surgeon online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5229.txt b/processed/document_classification/train/Confidential/doc_5229.txt
new file mode 100644
index 0000000000000000000000000000000000000000..801860899a9b9475212d74fbb6ab188e44388526
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5229.txt
@@ -0,0 +1 @@
+MR imaging reveals diffuse disc bulges at L4-5 and L5-S1 levels indenting the thecal sac with mild narrowing of bilateral neural foramina......................and doctor recommended me Laser surgery ...and don t know what to do at this age..Isn t there any solution out...as every doctor gives me his personal different advise...some says medicines and some exercise and some surgery and some says it is normal so don t be panic just take medicines Hi Ayush, MR image showing disc bulging is very common however it is very important in spine to match clinical symptoms and MRI finding. I need to know about the severity of the problem? location of pain? and your MRI images especially cuts at L4-5 and L5-S1. By the way what's your age right now? If you have significant leg symptoms then i would consider doing epidural block. Laser surgery is a marketing tool rather than a research proven technique and I would not suggest that from this information. Medicine and exercise is obviously better option if it is bringing your pain under control.
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diff --git a/processed/document_classification/train/Confidential/doc_5230.txt b/processed/document_classification/train/Confidential/doc_5230.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9751b4189f0ece899fdf574527fb680d8cac86e2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5230.txt
@@ -0,0 +1 @@
+hi, I fell down the stairs 2 weeks ago and hurt my leg, the way I fell I landed on my shin, there was a bruise but now that its gone there's a small hard lump under the skin about the size of a pea. its sore to touch, and I still feel pain while I'm walking. do you know what this could be ? hi I understand your situationyou got hard painful lump after traumaDiagnosis:its most probably a sub-periosteal hematoma formation due to direct trauma to your shin then gradually became harden due to fibroses.it will be painful due to movement and touchingTreatment:you can let it and apply gentle pressure over it with taking topical or oral painkillersif no benefit you can excised by surgery by specialist.
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diff --git a/processed/document_classification/train/Confidential/doc_5231.txt b/processed/document_classification/train/Confidential/doc_5231.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e8bb320777af21be741f2ceb96c7efe66e56b68a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5231.txt
@@ -0,0 +1 @@
+I have this deep muscular pain in my left shoulder chest area. I can t sleep on my left side. It hurts when I breathe deeply. Also I cant hold a cup of ice water too long on with that arm....I had simular pain in my right arm for 10 years before it went away... hi,thanks for mentioning little history about you. you should meet a cardio or a physician if it is a left sided pain. if they give thumps up that all is fine then you should do some regular breathing exercises and also some simple strengthening exercises for hand and legs. it will help you. but if the symptoms are bothering than get checked once. there is no harm in getting checked.thank you
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diff --git a/processed/document_classification/train/Confidential/doc_5232.txt b/processed/document_classification/train/Confidential/doc_5232.txt
new file mode 100644
index 0000000000000000000000000000000000000000..365c84b7303c43a3fa892e2d762c23c2fe2b26d8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5232.txt
@@ -0,0 +1 @@
+i am 27 years old now.. recently i had undergone a pelvic ultrasound and the doctor diagnosed me that i have PCOS. Me and my husband are trying to have a baby now.. the OB give me an OVAMIT.. i had take it once.. ahmm, actually we already have one child.. a baby girl.. and shes already 4 years old now.. buy that long years we dont have any baby yet.. even a sign of pregnancy.. i dont even taking pills or any family planning.. my hubby and i are usually do the natural method... not even wasting any sperm cells just to be get pregnant... for that year long we really miss to have a little boy... pls help us...pls give me any medicine that would be work better than OVAMIT... i am begging... plsssss.... best regards Hello, Thanks for the query to H.C.M. Forum. Ovamit ( clomifene ) is used in anovulatory infertility . As you are having pcos and already there is one daughter so you are a patient of secondary infertility . Causes of infertility may be . 1 anovulation , diagnosis can be confirmed by study of follicles and also study of dominant follicle. 2 uterus is unable to receive fertilized ovum . Diagnosis can be confirmed by study of endometrium thickness , if this thickness is less then 10 mm , no chance of pregnancy.3 Hormonal imbalance may be the another reason of secondary infertility . Diagnosis can be confirmed by blood examination of estrogen , androgen , F S H / L H ratio. In my opinion first of all consult a gynecologist and after all above mentioned measures , deal accordingly . Good luck. Dr. HET
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diff --git a/processed/document_classification/train/Confidential/doc_5233.txt b/processed/document_classification/train/Confidential/doc_5233.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd3fa50792aa46bdfe727ed235bfb7063c21b191
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5233.txt
@@ -0,0 +1 @@
+Hello doctor, My grandmother is 90 years old. She had a brain hemorrhage two days back. She is in ICU. She is unconscious from the last two days. There is toe movement and sometimes, there are some leg movements. She has high blood pressure. The doctors in my place are saying nothing can be done. What are the options that we have now? Hi. External ventricular drainage. For further information consult a neurologist online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_5234.txt b/processed/document_classification/train/Confidential/doc_5234.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7de3923b341a5ac3df9009804192d9cfcbe61599
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5234.txt
@@ -0,0 +1 @@
+hello, if someone has those symptom of lupus that they might have it? hi lupus is not only skin disease it involve many system so if u have those symptom that does not mean that u have lupus you should consult dermaatologist for this
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diff --git a/processed/document_classification/train/Confidential/doc_5235.txt b/processed/document_classification/train/Confidential/doc_5235.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3722f76590b1222f7001551f47189ebb4a94b29f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5235.txt
@@ -0,0 +1 @@
+I was wondering what would happen if a 17p progesterone shot were accidentally given into a vein instead of the muscle? I give them to myself weekly because i am pregnant with triplets and always aspirate to make sure it s not in a vein, but was curious as to what would happen if it did go into a vein? HiHormones are to be injected only into the thigh or buttock muscle.Hormones generally have a suspension like consistency and when injected into veins, blood clots can appear in the veins of the legs and can travel to the lungs. In severe cases it can also cause pulmonary embolism, which can be fatal.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5236.txt b/processed/document_classification/train/Confidential/doc_5236.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6f4ff83bfe4ad86e11ce35b99dbec98d6645f086
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5236.txt
@@ -0,0 +1 @@
+I am currently having an IC flair up (which I have not had in a long time and it had been controlled with diet); I am also experiencing upper respiratory allergy symptoms (sinus drip, sore throat, coughing). I do have an appointment with my family dr. this after noon. What kind of treatments should I expect? Do you have any suggestions. Hi thanks for contacting health care magic...Noted you have flu like symptoms...Sore throat , cold etc...It may be viral or allergic infection....Symptomatic management done...For cold decongestent taken like oxymetazoline.... If it seems pure allergic and if feel by doctor he might prescribe you azelestine antihistaminic nasal spray ....Cetrizine also useful....I would like to suggest you to do your CBC .If lymphocytosis viral and if eosinophilia allergic could be cause....Drink more water....Steam inhalation useful....Avoid excess spicy food...You will recover within few days....If still not improving then according to your physical examination further work up will decided....Take care...Dr.Parth
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diff --git a/processed/document_classification/train/Confidential/doc_5237.txt b/processed/document_classification/train/Confidential/doc_5237.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6b948f92db40bb5c8c466f980343924532eea5b3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5237.txt
@@ -0,0 +1 @@
+If I m talking sprintec birth control pills and I finished all the blue pills, and now taking my inactive white pills, but I don t have my period, and a guy ejaculates in me , can I get pregnant, or is the active pills still working in my body. It s been three days, with no period and taking the white pills, and my bf has ejaculated in me Hello dearUnderstand your concernYes you are protective if you had take all the active blue tablet regularly.Now no matter your partner ejaculate inside the vagina as you are fully protective. Continue your inactive pill and finish it. Bleeding will come in next 4-5 days.Chance of pregnancy is nil because1. You had sex in safe period of cycle2. Fully protective by contraceptive pill.Avoid stress, eat healthy diet, drink plenty of fluids and do regular exercise and yoga.Hope this may help youBest regardsDr. Sagar
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diff --git a/processed/document_classification/train/Confidential/doc_5238.txt b/processed/document_classification/train/Confidential/doc_5238.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e932f99b1470efb56ef098dffc14cc87a5157b3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5238.txt
@@ -0,0 +1 @@
+In 1994 I had a brain aneurysm clipped. Symptoms were awful headaches. The aneurysm didn't burst, but had leaked. in 2009 I had gastric bypass and have had multiple hospitalizations since for mainly infections, the last being sepsis. I've been vomiting the last month, several times per week and last week it was so violent it gave me a massive headache similar to the ones I had with my brain aneurysm. Should I be concerned it could be another one? Yes it is a matter of concern with your noticeable past history.. I suggest you should do a MRI or CECT brain after consulting with a neurophysician..
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diff --git a/processed/document_classification/train/Confidential/doc_5239.txt b/processed/document_classification/train/Confidential/doc_5239.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92202f2402b92e11a4c92d7aa9709ee50a913400
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5239.txt
@@ -0,0 +1 @@
+Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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diff --git a/processed/document_classification/train/Confidential/doc_5241.txt b/processed/document_classification/train/Confidential/doc_5241.txt
new file mode 100644
index 0000000000000000000000000000000000000000..01208e35f48b4aa1ec0f908618b987909464876d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5241.txt
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+Please read the below case history & awnser the questions at the end Mr. Gurcharan Singh / Male DOB: 24.12.1936 Initially Strong Athletic Built / Non Vegetarian / Tea totaller / Strong Willed 1980: His BP raised to 170/250 and effected all vital organs, resulting swelling in brain, heart enlargement & renal failure (RCF). One of his heart beat got missed in readings of ECGs. He was treated in PGI, Chandigarh (India) and was put on to medicines. 1993: He was taken to local cardiologist due to sudden excess nose bleeding & said cardio physician put him on to some medicines for keeping the BP low. 2001: He felt angina pain in the chest. Was again taken to PGI, Chandigarh (India) for angiography & then was shifted to Escorts Heart Hosp., Delhi (India) & Heart Bye Pass surgery was performed there (CABG done (LIMA to LAD)). 2002: Dr. K.S. Chug (Ex – HOD, Nephrology (PGI-Chandigarh) was consulted. He pointed out that though his BP is stable (80/140) but Urea, Cratenine was on higher side (Createnine – 4.5 & Urea – 132) and put him on additional medicines for the same. Below said is the complete medicine list that was recommended: 1. Tab Dytor 20 mg, once daily 2. Tab Amlopres 5 mg, once daily 3. Shelcal 500 mg, twice a day 4. Alfacip 0.25 mg, once daily 5. Heamup (Iron), once daily 6. Clavix 75 mg, once daily 7. Simcard 10 mg, once daily 8. Razo-D (SOS, if vomit sensation persists) 2005: He again had a severe nose bleeding & nose coterie procedure was done in Silver Oak Hosp., Mohali (India) by an ENT surgeon. 2007: Fistula was made on his left wrist due to Ctatenine – 7.5 & Urea - 220. Consulted dietician again and started recommended dietary precautions & strict medicine routine. Feb’ 2010: - Started taking Homeopathy medicines along with allopathic medicines (primarily as: BERBERIS VULGARIS & ECHINACEA ANGUSTIFOLIA) from a qualified Homeo Physician - Started checking parameters (Urea & Cratenine) on monthly basis & after 2 – 3 months of homeopathy medicines, slight reverse trend in the said parameters was observed for the first time in last 2 years. BP is observed stable on the whole. - Fistula was never used for dialysis but it started budging out like a water filled balloon so we approached local surgeon for closing said fistula & he did the same for us. - Swelling in the feet, itching on back side of neck, less appetite, laziness (feeling sleepy/drowsy in whole of the day time), red/blood coloured patches on his hands & arms, etc. were discussed with homoeopathic physician on weekly basis and with his medicines the same got partially managed. - Body immunity level seems low as frequently catching cough, cold, etc. increased. - Hernia problem also there from quite long but aggravates rarely and got subsided of its own after some time (5 – 6 hrs.) Oct’ 2010: - Mucus (chocolate/brown coloured) vomiting - Severe giddiness/dizziness Was immediately taken to Local Hosp. & was observed in ICU for 24 hrs., CT Scan/MRI done and everything was found normal. Then it was guessed that it may happen due to intake of vegetable with high urea/pesticide spray or aftereffects of Iron capsule (was regularly taking Iron capsule from last 5 -6 years) Jan’ 2011 – Jun’2011: - Cratnine toggled between 6 to 7 - Urea toggled between 180 to 195 Jul’ 2011: Cratnine reached 7.8 Oct’ 2011: - Cratnine crossed 8 - Continuous low appetite / itching on back of neck increased / vomit sensation quite frequently / drowsiness increased during day time / feeling chest pain once to twice a day - Got him admitted in local hospital : • Angiography done: CART done on 15.11.2011 s/o triple vessel disease, patent graft and cardiologist advised that his angina to be controlled with medicines itself as major blood vessels are in OK shape & only a small blood flow interruption in one of the minor veins so no need for putting stunt. • Found that suffering from chronic kidney disease stage V , chronic AF/CVR, unstable angina, hypertension, BPH, coronary artery disease P/S CABG in 2001 (LIMA to LAD). Having frail body & weighing 50.4 Kg. • Started hemo-dialysis ( done on 15 oct, 17 oct & 25 oct) Now it is recommended by the nephrologist that Mr. Gurcharan Singh being a heart patient should opt for Peritoneal Dialysis & surgery to be performed to tackle his hernia, making fresh fistula again & putting catheter in his kidneys. Presently he is on below said medicines: 1. Tab Pantocid-D, twice a day (empty stomach) 2. Tab Urimax-D 0.4 mg, once a day 3. Tab Clavix 75 mg, once a day 4. Tab Flavedon MR, Twice a day 5. Tab Monit GTN 6.4 mg, twice a day 6. Tab Modlip-ASP (10+75 mg), once a day 7. Tab Dytor 40 mg, once a day 8. Tab Shelcal 500 mg, twice a day 9. Tab Alpha-Cip 0.25 mg, once a day 10. Tab Nikoran 5 mg, twice a day 11. Tab Amtas 5 mg, twice a day Our Queries: 1. What type of dialysis is best for him & why? 2. Generally, till how long he can comfortably continue with present heart & kidneys situation. 3. He has been given his first hepatitis shot on 15th Oct’11 & said injection course shall be continued till Apr’12. How to protect him from any type of infections till then? 4. If peritoneal dialysis is recommended, then: - it should be done manually (3 times a day) or with machine (Baxter brand is available here). - What all precautions needed to be taken for making the possibility of infection as ZERO. - Dietary routine (extensive list of items: ‘To be taken with qty.’ & “Not to be taken”) 5. Other precautions (living routine / medicine / diet / which path tests with what frequency) 6. His HB is low as 8.0 so if we will go for HB increasing injections then how to control his BP? Hello Gursharan and welcome to HCM.As an Urologist,i can understand your concern.Your question takes time.You've Prostate enlargement with CAD,H.T.,Anemia and renal failure.You'll need a hemodialysis,till your renal function,electrolytes and anemia are stable. You'll be advised to have maintainence dialysis, 2-3 per week.A low salt,low protein,restricted fluid intake is standard advise given.Regular check-up with tests of Hb,creatinine,electrolytes and B.P.is a must.If you want my expert opinion,send all reports,as a direct question to me.Dr.Matthew J. Mangat.
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diff --git a/processed/document_classification/train/Confidential/doc_5242.txt b/processed/document_classification/train/Confidential/doc_5242.txt
new file mode 100644
index 0000000000000000000000000000000000000000..590111eb1e216e2bc41a85e9a05004d70981abc2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5242.txt
@@ -0,0 +1 @@
+My friend is having fleeting nausea. It is moderately intense: he sweats and feels as if he is going to vomit. Vomiting has occurred on a few occasions. He said that he feels better when he eats something: the nausea seems to go away almost instantly. Please point me in a general direction to assist him in his symptoms until he can get an appointment date with his primary care physician. Thank you so much! Hi,Thanks for writing in.If your friend is having symptoms of nausea and sweating which shows improvement on eating then conditions like low blood glucose and anxiety related stress are to be investigated in detail. What happens is there is a possibility of the blood sugar level going down to sub normal and then this causes decreased glucose metabolism in the brain and other organs. While slight low glucose in blood might be tolerated for a short time, longer durations of hypoglycemia can cause dizziness, weakness, nausea and sweating. It is important to eat well and take adequate amount of nutritious foods rich in vitamins and proteins. If his food intake is normal then he should get investigated for any malabsorption syndrome due to which there is less amount of glucose entering his system. He should also relax and stay stress free and have small meals at short intervals.
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diff --git a/processed/document_classification/train/Confidential/doc_5243.txt b/processed/document_classification/train/Confidential/doc_5243.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b26a8311c3a1fc8e646ba59c3bb2f1fdc3c16d1c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5243.txt
@@ -0,0 +1 @@
+I am 30 weeks pregnant and was just diagnosed with perianal abscess for the first time in my life. The doctor did not drain the abscess and I was just put on a course of anti-biotics for 10 days. Will I be ok with this treatment? Will the problem reoccur? Hi dear, I have gone through your question and understand your concerns.If the perianal abscess is small, then it can be treated by antibiotics.However, if it is large and extensive, involving more of the perianal area, then the drainage should be done.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma
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diff --git a/processed/document_classification/train/Confidential/doc_5244.txt b/processed/document_classification/train/Confidential/doc_5244.txt
new file mode 100644
index 0000000000000000000000000000000000000000..085dc239b1d19cc17faad7bac13a2e6fa35792bf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5244.txt
@@ -0,0 +1 @@
+Hello doctor, I am a 36-year-old woman and I take Paxil for OCD, 40 mg a day. When I went off the medicines several years ago, I had a long period of time before I had symptoms again, but then they did return. So after some time, I began the Paxil again. I had been very slowly weaning off and I had been taking 7 mg or less per day for five months before I noticed any problems. Before that, I was taking about 14 mg per day for another five months. Is that normal? I mean it makes me wonder if I really need the medication because I had a long time on a low dose or none at all without symptoms. Hi. Medicines are prescribed in little high doses to quell the acute symptoms and then maintenance doses to maintain the minimum threshold. Weaning off is to maintain the satisfactory threshold and to stop. But in the majority of the cases, weaning off or rather the whole process of treatment should be augmented with psychotherapies associated with the diagnosed condition. In your case, CBT (cognitive behavior therapy) should be augmented with the medicine. Combining medicines with CBT provides the brain with the much-required equilibrium and help maintain the chemical balance. Thus, when you wean off the medicine, the natural threshold can be maintained without medicine and with CBT. Talk to your psychiatrist or therapist regarding the procedure. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5245.txt b/processed/document_classification/train/Confidential/doc_5245.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cb6f5804e51b01fa428ffaa3ffa1ff522fb681c5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5245.txt
@@ -0,0 +1 @@
+right now i m just fed of my life i don t know what to do... i just wanna achieve everything in life but without taking any risk....these days i m little bit disturbed..... i want to be an A+ grade student but nable to do that.......i even love a girl but never ever had the courage to walk up to her and ask her......please doc please do help me i m in great need of your help......!!!! Hello dear. Your problem is very common of teenage. Dont worry go for some counselling sessions to builtup confidence. Dont be upset try to live stressfree life. Grade doesnt matter to become successful in life. Never loose hope. I never got A grade in my school. But still i am performing better than my A grade collegues. Go front of your girl and say whatever you want to say. Never keep in mind as when time goes it never comes back. You can take help of some antidepressants like escitalopram. So dont worry. Hope my suggestions helpful and thankful to you. Take care. And sont forget to give five stars.
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diff --git a/processed/document_classification/train/Confidential/doc_5246.txt b/processed/document_classification/train/Confidential/doc_5246.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9ab5546e1fea3c27b8bc8d0a8c3602bb0152242f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5246.txt
@@ -0,0 +1 @@
+I ve been told I have a belly button hernia and another to the right of it. My Dr. said the one on the right is not likely to cause a problem. I m feeling pain and extension in that area as well as above the belly button. Could it be something else flaring? hi,thank-you for providing the brief history of you.As you have hernia this could be leading to pain as the inflammation could have arised.Undergoing physical therapy should help you. a hernia is bulging of an organ or tissue through an abnormal opening.So to correct the muscle patterns there will help reduce the hernia tissue. Also the pain will subside.In my clinical practice most cases with hernia respond well to physical therapy and doesn't need surgery.Regards Jay Indravadan Patel
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diff --git a/processed/document_classification/train/Confidential/doc_5247.txt b/processed/document_classification/train/Confidential/doc_5247.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4f3ff61f5d9d69542e017c6fadad2479b79f3d4a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5247.txt
@@ -0,0 +1 @@
+I've recently watched a documentary (what if cannabis cured cancer) and even read some medical newsletters on the beneficial effects of Marijuana on the human body, In the documentary they talked about the possibility of cannabis curing cancer, due to the cancer killing agent in THC cannabidiol (CBD) , just wanted to get your views on this topic The research on this matter is highly controversial and I would say, in its incipient stage, Cannabis are not used to cure cancer but they are used for palliative care in cancer as they improve hunger and give a sense of wellbeing. Medicinal Marijuana has some modifications and is being studied under medical supervision for use in debilitating conditions like HIV and certain cancers.i hope this helps sir. Drugs are harmful to health when overceding their amount and that should never be forgotten.thank you
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diff --git a/processed/document_classification/train/Confidential/doc_5248.txt b/processed/document_classification/train/Confidential/doc_5248.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b467daa2c3dc760dc50bd0eaa821daa2de57c017
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5248.txt
@@ -0,0 +1 @@
+I had two four cell embryos transferred on day two which was four days ago. I have woken up very hungry each day since. Is this a sign of anything? I don t seem to feel different in any way. The embryos are from my partner who is 35, I am 38. She had 8 eggs collected we kept four and shared four with an anonymous recipient. Three of the four we kept were good for icsi but only two fertilised, these are the two i now have. Should I feel anything? Hello there,I can understand your concern. The symptoms you are having of hunger do not suggest anything in particular. One may not feel any different after an embryo transfer. It will take about 2 weeks before a pregnancy test can confirm whether your embryos have stuck to the uterus lining. Till then wait and be calm. You cannot do much and you may not feel anything at all. Some women feel mild pulling pain in the lower abdomen but these are all non specific. So dont worry and relax. Wait for the pregnancy test and till then take the medicines that your treating gynaecologist has suggested. Hope this helps.All the best and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5250.txt b/processed/document_classification/train/Confidential/doc_5250.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf043101483a980784de86ee3991372258b95c75
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5250.txt
@@ -0,0 +1 @@
+Hi ,my fathers age is now 77 years. He is facing frequent chest pain for which I have already consulted a cardiologist recently with ECO,ECG & Angiogram. As per test report doctor advised that there is 2 blockage with more than 90 % & need to undergo angioplasty with 2 stent at the earliest. Please advise if the same can be treated by medicine or surgery is the only option keeping in mind his age ?? Hello,Considering his age as well best treatment is angioplasty, which is not a major procedure. However, he can be maintained in the medicines also provided he is responding adequately and symptom free. But this is inferior to angioplasty even at this age group and risk of heart attack and decreased heart function will be more with this. Hope this helps you and get back if you have any doubts.
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diff --git a/processed/document_classification/train/Confidential/doc_5251.txt b/processed/document_classification/train/Confidential/doc_5251.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67a7fa3adf9f1624ae1c4ff42997941852760ee6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5251.txt
@@ -0,0 +1 @@
+Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_5252.txt b/processed/document_classification/train/Confidential/doc_5252.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0de6cf79549af39f700202ffc11de107dd8a8ff1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5252.txt
@@ -0,0 +1 @@
+My six year old son had fever 4 days ago and started to have loose motion 3 days ago and still going on and now he is getting red spots around face and hands. We have seen the doctor yesterday and given medicine for loose motion. Why there are red spots coming? please suggest. Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_5253.txt b/processed/document_classification/train/Confidential/doc_5253.txt
new file mode 100644
index 0000000000000000000000000000000000000000..acd2e0c174db8f587c9ca77c0224bff4560f0620
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5253.txt
@@ -0,0 +1 @@
+i have recently given birth to a baby. during pregnancy i developed rashes on my arms (they dont itch). i had asked my gynae what i should do about it but she just asked me to wait and said they will subside on their own. but i am still little worried as it looks really bad! Can u suggest something? Hi.As per your case history you are having allergic dermatitis.My treatment advice is – 1. Avoid using any new products like soap or perfume.2. Apply a mild antibiotic plus steroid cream like fusiderm-B cream twice daily on it.3. Take an antihistamine like levocetirizine for 7-10days .4. Other treatment options are oral steroid and hydroxyzine given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL.
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diff --git a/processed/document_classification/train/Confidential/doc_5254.txt b/processed/document_classification/train/Confidential/doc_5254.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0ddfaea2b71ac7cae8b021d005b88453e20085f4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5254.txt
@@ -0,0 +1 @@
+For a week now I have had a gnawing, uncomfortable feeling in my stomach, especially after eating small amounts of food. This occurs maybe half hour or so after eating. Its pretty much been constantly there for the whole week. I stayed home after the first day because I thought I had a stomach flu, but it s continued all week. Nighttime is very uncomfortable. I had a meal replacement drink because I was afraid to eat a meal but the pain and fullness feeling still came shortly after. No matter how small amount of food or drink I have, the full feeling and sharp pain still occur. Can you help me? Hi Most likely you are suffering from Acid Peptic Disoder. You need to take simple soft diet without spices. Antacid suspension/gel containing oxetacaine 10ml 4 times daily before taking food with Proton-pump inhibitors (PPIs)- omeprazole 20mg, pantoprazole 40mg, rabeprazole 20mg in the morning empty stomach will be helpful. If needed you can take extra dose of Proton-pump inhibitors in the evening empty stomach. Instead of Proton-pump inhibitors, you can take H2 receptor antagonists - renowned brand Ranitidine (common brand name Zantac by Glaxo) 150mg morning and evening empty stomach may be used. Regards Ranjit
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diff --git a/processed/document_classification/train/Confidential/doc_5257.txt b/processed/document_classification/train/Confidential/doc_5257.txt
new file mode 100644
index 0000000000000000000000000000000000000000..13d229b3e1e2d09623683c4c1b2daaf67be72089
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5257.txt
@@ -0,0 +1 @@
+Hi I found out I was pregnant just after Christmas on 1st jan I started bleeding went to my doctor who really wasn t bothered didn t even examine me. I then referred myself to an epu for a scan where baby was seen with strong heartbeat and measured 8 weeks 1 day. Radiographer found no reason for bleeding. I continued to bleed and saw 3 different doctors all as unhelpful as the first. On 14th jan started getting really bad cramps and heavy bleeding went to hospital and was told I had miscarried to let it pass naturally. A week later I feel more pregnant than I did before and am sure I can feel movements as this is my 3rd pregnancy. Pregnancy test is still strong positive could I still be pregnant Hello,You are suffering from heavy vaginal bleeding with abdominal cramp in 8-10 wks pregnancy.As per USG report, fetal heart beat was good enough. So, there is possibility of threatened type of miscarriage where complete recovery is possible.If bleeding persists constantly, then you may need Micronised Progesterone Tab or Depot injection to prevent future miscarriage and support pregnancy. But it is not always 100% effective. Consult with your gynecologist for suggestive measures.Take folic acid supplements, protein rich diet, avoid long journey/heavy work, maintain personal hygiene, take complete bed rest. Be well and take care.For more consultation, you may visit on Soumen
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diff --git a/processed/document_classification/train/Confidential/doc_5258.txt b/processed/document_classification/train/Confidential/doc_5258.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5818f05dae4ac74a8fbb3b80135579d451011d40
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5258.txt
@@ -0,0 +1 @@
+Hi, I have been bitten by either mosquito or some type of bug behind my thigh just from sitting outside. The day the bits are still itchy and if I scratch them, they become all red and the itch it terrible. Can you tell me why they are still there the next day or two? Thank you. We are looking at either mosquito or bed bug bites. Yes bed bugs also are in public places like chairs, sofas or bus seats. You can wash the area with soap and water as the alkalinity in soap will reduce the itching. Also applying calamine lotion to the area would help . You can take a cetrizine tablet too just once a day to reduce itchiness for 3 days.Thank you for your query.
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diff --git a/processed/document_classification/train/Confidential/doc_5259.txt b/processed/document_classification/train/Confidential/doc_5259.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b70275bd0ffd1697a830d939f26d588f8717f57f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5259.txt
@@ -0,0 +1 @@
+I have pain in my chest, under my left breast, happens quite often, recently had an ekg, doctor said everything fine, could be just acid reflux; I have been under a lot of stress in the past year or so taking care of my mom; my primary doctor says life is tough, life goes on and to just deal with the stress Hi thanks for contacting HCM...Yes acid reflux and gastritis can lead reffred chest pain....Avoid taking stress that can aggravate your condition...For stress you can try yoga and exercise daily...Psychiatric counselling session will also be helpful....If needed psychiatrist may prescribed you anxiolytic drugs.. .You can take omeprazole acidity ...Avoid excess spicy foods...Avoid smoking, alcohol , meat like irritants...Excess tea and coffee avoided...Drink lots of water.....Don't worry .Try to be tension free....If chest pain increasing consult physician for examination..Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5260.txt b/processed/document_classification/train/Confidential/doc_5260.txt
new file mode 100644
index 0000000000000000000000000000000000000000..308e04107fe5bc99e1a24cb8f15fa49647ddb1e2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5260.txt
@@ -0,0 +1 @@
+Hello, I am a chronic patient of liver issue.Had a streak of jaundice for 4 yrs till 2004.Then the bilirubin level was under control.But from 8-10 months again the bilirubin level is raised and the SGOT & SGPT level also is raised pretty much.For your reference the total bilirubin is 3.2 ,SGOT is 236 and SGPT is 286. Can you please tell me what might be the reason. Thanks Hello, Welcome on HCM. You must get Liver Function Test done and a thorough general examination so establish the cause of this much rise. You must come with more details of body symptoms to come to any conclusion for what to do according to symptoms and what you are suffering from. Good luck Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5261.txt b/processed/document_classification/train/Confidential/doc_5261.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcedff5e7f8507ebb2e46d651145b0a783c0fe43
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5261.txt
@@ -0,0 +1 @@
+Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5262.txt b/processed/document_classification/train/Confidential/doc_5262.txt
new file mode 100644
index 0000000000000000000000000000000000000000..111b4fd9816d0ab578d024d97f418ef3aef3d3a5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5262.txt
@@ -0,0 +1 @@
+Hello doctor, This is a concern regarding my mom, whose mental health has become poor due to sort of negative thoughts after a year ago death of my dad. She is 51 years of age. I can seen her speaking to herself, hitting her head with her hands as something disturbing her brain, and lack of sleep. When asked, she is not expressing it in detail as she feels they are very bad evil thoughts and does not want to disturb us. She is restless even when lying down or sometimes at sleep. Please suggest me on what to do to relieve her from this state and make her happy. Dear The symptoms corresponds to Post Grief Psychological Disorder. But it hadn't subsided for more than a year. Then it is a concern. Self talk, hitting head and lack of sleep - Note the frequency of these symptoms. Get to a psychiatrist with these details. Because this illness should not develop into psychoses. Wish her speedy recovery.
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diff --git a/processed/document_classification/train/Confidential/doc_5263.txt b/processed/document_classification/train/Confidential/doc_5263.txt
new file mode 100644
index 0000000000000000000000000000000000000000..976351426b3715826e446f8d279b630a5c0acbfb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5263.txt
@@ -0,0 +1 @@
+gd morning.my boy baby is 8 month.he is 8 kg.before 1 month suddenly his colour faded and now he is perfectly dark.i give ragi powder 4 times daily.am in UAE.very hot climate.now use jhonson and j baby oil in body and parachute oil in head.i changed soap and oil one month before.sebamed soap now before jhonson and j soap.is there any remedy?what are foods that can give fro this month?my sister told dont give ragi if too hot is the climate.really? Hi, Thanks for writing to Healthcare magic.At outset I would like to know, what is the tone of your and your husbands colour?If both of you are from deeper tone of colour, then the child will also have similar tone. Seba med products can be continued. Please do refer to my article on weaning food for baby this helps you
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diff --git a/processed/document_classification/train/Confidential/doc_5264.txt b/processed/document_classification/train/Confidential/doc_5264.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b6ee24b3c007b4e876c8b57b67d24ad2d9a6e2bf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5264.txt
@@ -0,0 +1 @@
+hi! i am taking divalproex and oxycabamazepine for the past 5 months as i got depressed after a psycho deceived me in the name of marriage,now my weight is 5feet 4 and weight is 88kilos , age -38. I want to change medication as i feel dull and sedated at times,please help Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You have mentioned that you are depressed but unfortunately the medicines that you have mentioned doesn't have anti depressant in it. Both are primarily mood stabilizers. Along with the mood stabilizers you need to be on antidepressants as well. If sedation is a problem then you may choose bupropion or fluoxetine as antidepressants as they are nonsedative anti-depressants.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
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diff --git a/processed/document_classification/train/Confidential/doc_5265.txt b/processed/document_classification/train/Confidential/doc_5265.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4adc662e02ff8084f6af52c1a7c1cad39c0202f6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5265.txt
@@ -0,0 +1 @@
+i have been on depo injection for a little over a year. last shot taken was may and should have expired last august. i have not had my period since. my OB prescribed 10 mg provera for ten days but it did not bring in a period. after a transvaginal ultrasound reveal thin endometrial lining .19cm, but otherwise normal ovary and uterus. January was prescibed again 10mg provera to be taken in ten days. currently on the 6th pill. is this the right way to bring a period? we re currently actively trying to conceive for baby No. 2. Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Since you have thin endometrium there might be difficulty in getting periods. If you dont get periods by provera this time, ask you gynecologist to prescribe estrogen tablets next time along with progesterone which will help in endometrial growth and hence bring period. I hope I answered your query. I will be available for any follow up queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist.
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diff --git a/processed/document_classification/train/Confidential/doc_5266.txt b/processed/document_classification/train/Confidential/doc_5266.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a03403cc5ce4e495a578d7a63e870afc23d4a2b4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5266.txt
@@ -0,0 +1 @@
+Its clearly difficult for me to put things in words when I wake up every morning I forget Things. I feel fuzzy and confused. I feel tired and fatigued. Slowly and slowly I revive my self but there are times when I can t really recover and feel disconnected. I don t remember name at times. Its getting exceptionally complicated to write these days hi dear,first of all what is your age and since when you have such complain?is there any medical illness you have like hypertension , diabetes etc.any history of head injury?without detail history one can not say anything.hows your mood and sleep and appetite pattern?consult psychiatrist Thank you
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diff --git a/processed/document_classification/train/Confidential/doc_5267.txt b/processed/document_classification/train/Confidential/doc_5267.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5975a94d97f5777eda4d0aab7e4052b8aa18ff80
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5267.txt
@@ -0,0 +1 @@
+I was in a car accident also 2 months ago. I suffered a chest contusion that covered most of my right breast. I have noticed since the bruising has went away, I now have a large indentation on the breast. Do I need to be concern? With what I m read on the web, I m afraid that I met have breast cancer now. Hello, Consult a general surgeon and plan for an ultrasound scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5269.txt b/processed/document_classification/train/Confidential/doc_5269.txt
new file mode 100644
index 0000000000000000000000000000000000000000..15b6bec9365a58ca1b92825da6f6c028b9df8427
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5269.txt
@@ -0,0 +1 @@
+I'm 40 and have had Slight discomfort on left side of my chest, kind of a little pressure, actually felt like i may even stop breathing just for a couple seconds then everything went back to normal but i was so tired and no energy after this episode....What could this have been...actually twice this has happened over last few weeks Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart related diseases because left sided chest discomfort is commonly seen with heart diseases. So get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases. Sometimes, stress and anxiety can also cause similar kind of chest pressure and left sided chest pain. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5271.txt b/processed/document_classification/train/Confidential/doc_5271.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f8a0a4a6993193a9a2dc8d4b630ba8e0a7b9bbd1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5271.txt
@@ -0,0 +1 @@
+Hi, I will be 37yrs in sept 2012,married in 2002.I had taken treatment and after 7yrs of marriage i had my first child in 2009(boy-1.9kgs in the start of 9th month itself.Gods grace and miracleous gift as even though my fertility doc- last one who did my treatment for 2.5yrs and doc who did my laproscopy for Tube test last resort to see why i am not responding to the IUI treatment also.... said both my tubes are blocked.Trusting in Gods Divine Providence i asked my doc to continue treatment for 1more cycle if gods will then things will work and it did work out...else will adopt.Praise the Lord.....Now he is 2.5yrs.I am trying for 2nd one.I have pcod so get periods when i take hormone tabs only.I am 5.1 and 62kgs. i have gained weight due to pcod.Earlier treatment doc got no results from Glucophage , clomid , progesterone tabs.She then gave me Glucophage ,clomid,prednisolon(as get chest congestions when i take hormone tabs,even would reduce the inflamations in my tubes too) ,femora,actos,menopar thats when i conceived in 2 cycles of this treatment.Now my question is.... This time July 2012...My doc gave Deviry10mg for 5days to get my periods100mg,with it my LMP was 19th july 2012.then tld to tk Siphene 100 for 5dys from 20th july 2012 till 24th july.on 24th july 6th day RO 16cc, and LO 13cc ,MTF.with 5mm endo.As of 31st july 2012 i.e. 13th day of cycle results Multiple tiny follicules with no dominant eggs seen with endometrium 9mm.Now doc has given Progynova 2mg to be taken for 10days and to do follicular scan tom also ie. 14thday of cycle.as per docs i donot produce eggs hence no ovulation and irregular cyles leading to PCOD since so many yrs.What is your feedback and suggestion on my case.Is this cycle fine or not. if not whats your suggestion.Your views on my profile will help me understand my case better.Your Views will be highly appreciated... mumbai Hello. Thanks for writing to us. The follicles seen at the beginning of the cycle are likely to be due to polycystic ovaries. At the mid cycle- near 14th day, since there are no follicles, it means there was no ovulation in this cycle. You need to continue with the treatment you are getting for next cycle too. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com
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diff --git a/processed/document_classification/train/Confidential/doc_5272.txt b/processed/document_classification/train/Confidential/doc_5272.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1cc252058783afd75aacc16c75a30555f0e9e10e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5272.txt
@@ -0,0 +1 @@
+Hi Dr. I am feeling a pin in my right right of the stomach and I visited last day to the doctor. After checking and getting the tests he give me the feedback that my blood count , urine and liver is normal. There is no need to worry about kidney stone , appendix. I am a muslim and fasting . Actually the pain started after ramadan started. Finally dr. give me the conclusion that it happened due to gas formed in the stomach but the pain stick on to one point and still small pain is there. It didn t moved to any other locations. Please give me advise up on this matter. DEAR CLIENT YOUR PAIN MIGHT BE DUE TO PROLONG FASTING WHICH CAUSES ACIDITY AND GASTRIC PAIN AS YOU HAVE RAMADAN..ITS BETTER TO TAKE SOME ANTI ACVID DRUGS LIKE PANTOPRAZOLE EVERY MORNING AND NIGHT..
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diff --git a/processed/document_classification/train/Confidential/doc_5273.txt b/processed/document_classification/train/Confidential/doc_5273.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf3bd9e19b9ca7561d54df42e403e4410bdd4451
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5273.txt
@@ -0,0 +1 @@
+Today I have been feeling some pain in my stomach sort of a mixture between cramps and gas pains, I went to the bathroom and as I was about to flush I saw a red string in the toilet looked a bit furry, I wasn t bleeding at all I did notice a small bright red on my toilet paper but very very tiny, I have no idea what this could mean Hi welcome to Health care magic forum. Thanks for calling H.C.M.F. As you describe there was mild pain of abdomen, like cramps and gas pain. When you go to bath room there is tiny blood on the tissue paper. The cause could be fissure in ano, amoebiosis, or some infection of intestines. I advise you to consult a surgeon for diagnosis and treatment. you may need to have proctoscopy for confermation. Wishing for a quick recovery. Best regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5274.txt b/processed/document_classification/train/Confidential/doc_5274.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f26b4953942c424b149981fef2fa4cf894f7931a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5274.txt
@@ -0,0 +1 @@
+Hi my name is . I just experienced severe cramps in my lower right and left part of my stomach and in my lower right and left part of my back. I also am cramping under my breasts. In myhands and feet.. I feel dehydrated. I am adiabetic. and have fibcan u help me fybromyalgia. I have copd. Can help me understandwhats going on? Hi.All the fibromyalgia patients have a stress problem which may be the reason for most of your problems . You may be having IBS. Diabetes may add on the problem by super-added infection.COPD may not have to do anything with the present problem . Get the treatment first to control the diabetes if it is not under control. Get a course of an antibiotic as you need a support to cure the problems and as an antibiotic cover is needed when there are so many problems at the same time .Get properly investigated and consult a Doctor,. Try to get a muti-disciplinary approach to tackle all the problem at the same time to get a chance of recovery and a control for a long time.
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diff --git a/processed/document_classification/train/Confidential/doc_5275.txt b/processed/document_classification/train/Confidential/doc_5275.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f759d845bf0590ae581b2e97ebb8e1feb9cccd5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5275.txt
@@ -0,0 +1 @@
+Hi I m 27,male experiencing frank hematuria for the last 7 years .i have done all the exams possible .but no unswers.im really worried because I can never know if the blood would come after the intercorse .and it never comes after masturbation .always after penetration.never with the ejaculation .its a lot of blood with big dry pieces.that hurt when comes of...my life is n stand by .no relationships and no plans for the future ...please help Hi,Thanks for writing in.Treatment of frank hematuria is based on the cause for it.This might include, for instance, taking antibiotics to clear a urinary tract infection, trying a prescription medication to shrink an enlarged prostate, or shock wave therapy to break up bladder or kidney stones. If there is any problem with prostate and urethra like a stricture then that must be treated first.It is important to get imaging investigations like ultrasound scan and CT scan of the abdomen to know the origin of hematuria. There might be a stone anywhere from the kidney to urinary bladder causing the hematuria. It can also be caused due to any growth in the urinary tract or bladder. This should be investigated quickly and treated if present.If the underlying condition isn't serious, no treatment is necessary.
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diff --git a/processed/document_classification/train/Confidential/doc_5276.txt b/processed/document_classification/train/Confidential/doc_5276.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf0035893dce6eb965d033ebf2ec860b69cb7149
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5276.txt
@@ -0,0 +1 @@
+Hi doctor, I have run out of Lamictal and the pharmacy will not open for the next two days. I am going to miss the dose for the next three nights. I am on Lamictal 200 mg at night along with two of Lorazepam. I have now terrified myself by reading internet chat groups. I also take Vyvanse and Effexor in the morning. Is this really terrible? Is there anything I can do to ameliorate the withdrawal symptoms? Thank you. Hi. I read your query and understand your concerns. Now, in case if there is any withdrawal symptom then please do the following: For further information consult a psychiatrist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5277.txt b/processed/document_classification/train/Confidential/doc_5277.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0888cf70015169386c9eeec85ff20e3b8640c032
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5277.txt
@@ -0,0 +1 @@
+Hello doctor,I am a 65-year-old male who has until recently been playing tennis regularly. I have been on beta blockers for about 15 years, first on 50 mg Atenolol and then on 10 mg Bisoprolol. They lowered my pulse rate to about 60 but then about three years ago I started to get AFib. The episodes of AFib became more frequent and painful so that I needed to use a GTN spray to reduce the pain. It got so that I could not lie down and had to sleep propped up against pillows. The painful episodes would last about three hours and they occurred every couple of days.I gradually reduced the Bisoprolol and stopped them completely after a few weeks. I am currently on Aspirin too. Now my pulse is erratic but I can sleep lying down fine and I am not experiencing the painful bouts of AFib anymore. Should I be looking at taking some other medication or am I just experiencing withdrawal symptoms which will eventually pass? Please provide your opinion. Hello. Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications. Normally, your heart contracts and relaxes to a regular beat. In atrial fibrillation, the upper chambers of the heart (the atria) beat irregularly (quiver) instead of beating effectively to move blood into the ventricles. If a clot breaks off, enters the bloodstream and lodges in an artery leading to the brain, a stroke result. About 15–20 percent of people who have strokes have this heart arrhythmia. This clot risk is why patients with this condition are put on blood thinners. The cornerstones of atrial fibrillation management are rate control and anticoagulation and rhythm control for those symptomatically limited by AF. The clinical decision to use a rhythm-control or rate-control strategy requires an integrated consideration of several factors including a degree of symptoms, likelihood of successful cardioversion, the presence of comorbidities, and candidacy for AF ablation. Ideally, to treat atrial fibrillation, the heart rate and rhythm are reset to normal. Cardioversion can be conducted in two ways: Electrical cardioversion: In this brief procedure, an electrical shock is delivered to your heart through paddles or patches placed on your chest. The shock stops your heart's electrical activity momentarily. When your heart begins again, the hope is that it resumes its normal rhythm. The procedure is performed during sedation, so you should not feel the electric shock. Cardioversion with drugs: This form of cardioversion uses medications called antiarrhythmics to help restore normal sinus rhythm. Depending on your heart condition, your doctor may recommend trying intravenous or oral medications to return your heart to normal rhythm. This is often done in the hospital with continuous monitoring of your heart rate. If your heart rhythm returns to normal, your doctor often will prescribe the same anti-arrhythmic medication or a similar one to try to prevent more spells of atrial fibrillation. After electrical cardioversion, your doctor may prescribe anti-arrhythmic medications to help prevent future episodes of atrial fibrillation. Medications may include Dofetilide, Flecainide, Propafenone, Amiodarone, and Sotalol. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Consult your cardiologist, get a 2D (two-dimensional) echocardiogram, a 24-hour Holter done and follow the following medicines and procedures. They are not withdrawal symptoms. A full evaluation is required. For more information consult a cardiologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5278.txt b/processed/document_classification/train/Confidential/doc_5278.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae16e70c73a7b04d42aad913e9067d553bfe2eaf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5278.txt
@@ -0,0 +1 @@
+I am a cancer survivor. I had a hysterectomy 6 years ago. Precancer cells removed back in March and I see my ongologist every 4 months. I began taking new vitamins...Shaklee Vitalizer Gold. I have a friend who was interested in them as I feel great since I started taking them. My energy level has greatly improved. My friend who was just treated for breast cancer told me that her doctor told her to stay away from soy. These new vitamins that I am just loving...have soybean oil and soy lecithin in it. I googled it and I see mixed reviews on whether I can take this or not. My distributor from shaklee who also is a good friend of mine told me that I can take these vitamins and that she is going to provide me the information regarding this. I'm just curious of your thoughts on soybean oil in vitamins if I previously had cervical cancer. hi , i have read your query . soya oil is good for health but not in every case .since it increase risk of breast cancer in some people be cautioned to use it i.e dont use it without discussing your doctor .even thought direct link has not been proved abour soya and cervical cancer but you still be careful to use it ..never ever ask or follow your friend for you health always take advice of doctor ....i hove you have understand my point i want to tell you ..thanx
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diff --git a/processed/document_classification/train/Confidential/doc_5279.txt b/processed/document_classification/train/Confidential/doc_5279.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f207db7a83d9ed8b95931348e235876dfe5b4db
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5279.txt
@@ -0,0 +1 @@
+My daughter is 4years old and she have these bumps that comes & goes on her head , They are very hard & the size of a pea & If it gets squeezed yellow stuff comes out & plus & blood . Sometimes it will come out on its on , I have taking her back & forth too the doctor but he seems like he can t find out what it is can someone please help me !!!! & oh yea they are very itchy & it s painful if they are touched HiShe has multiple sebaceous cysts over scalp which are getting infected. She should be shown to Dermatologist or General surgeon .I prescribe Antibiotics like Clindamycin capsule along with Cefuroxime tablet and anti inflammatory tablets to my patients with similar complaints. Nothing to worry. Wish her good health. Regards
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diff --git a/processed/document_classification/train/Confidential/doc_5280.txt b/processed/document_classification/train/Confidential/doc_5280.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0232aef673bfe8feeacbc7bd953bbe6826a65efa
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5280.txt
@@ -0,0 +1 @@
+My chest has hurt for 3 days now. It s hurts when I breathe, and cough. There is a lot of pain and pressure in the center of my chest, like my whole chest, especially when I bend, lay down, squat down. That pain when I do those 3 things spreads to my head. I ve had a headache for 4 days now. My whole body feels like I have the flu, achey and painful joints. I m a 34 yr old female, with SLS,and cardiomiopothy. I also get dizzy spells 5-6 times a day, lasting 10-30seconds, they cause extreme brightness in my eyes to where I can t see and my head feels hot. My BP is 88/ 57 and pulse is 80bpm. Any thought, help, advice I welcome. Thank you for your time. Hi Dear !! Thanks for your query to HCM.Read and reviewed facts of your health query.I understood your health concerns. My Impression-Based on facts of your query,You seems to suffer from-LRTI with Low Blood Pressure from CardioMyopathy.Meticulous use of antihypertensive drugs,early checks to treat the cause of Chest pain would resolve your issues of dizziness/ headaches.Anitibiotic treatment for lung infections causing achy painful joints, which are common with cardiomyopathic failed cardio-respiratory functions.The review of anti-arrhytmic drugs and pacemakers for anti-arrhythmic problems would reduce the frequency of dizzy spells , which are mainly due to VFS/Premature beats/ AFs with Cardiomyopathy,Regular treatment reviews from Cardiologist even for lung infections is needed in your case, as these lung infections are related to arrhythmia induced heart failures of your heartHope this would help to plan treatment with your doctors.Keep Me updated whenever needed , 24 x 7, to help you out by even,online tips for You, on weekly basis. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
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diff --git a/processed/document_classification/train/Confidential/doc_5281.txt b/processed/document_classification/train/Confidential/doc_5281.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4a85c58941332e0a11489ef906d4b1c98a9769fc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5281.txt
@@ -0,0 +1 @@
+I have been to the ER 2 times within the week....I have moderate to severe pain that began on the left mid-abdomen and moved to the right mid-abdomen. Was given antibiotics and pain meds upon 1st visit after blood work and CT showed no abnormalities. Pain continued, with more nauseau, returned to GP who sent me to the ER again. ysUrinalis and abdominal xrays were normal. Again sent home to continue antibiotics and pain meds. Was told "if pain continues for more than 7 days from 2nd visit, return to GP" and also told "sometimes the body hurts, and then heals itself...feel better soon". And am being treating as a diverticulitis attack and told to use the BRAT diet. What should I do next?? This evening my pain level is probably around and 7-8. HI.You are already under treatment and investigated taking medicines , I wounder why the CT scan is normal; if it is normal , means there is a problem that is not detectable on CT , X-ray or so. The commonest cause that can be missed are colitis- inflammation of the large bowel as it causes the pain in the areas described by you. This can be a part of the Irritable Bowel Syndrome. Colonoscopy and a therapeutic trial of antispasmodic and anti-anxiety medicines helps .
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diff --git a/processed/document_classification/train/Confidential/doc_5282.txt b/processed/document_classification/train/Confidential/doc_5282.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b49a38516fb9198ad82c13f0ee934a1d89a9af1c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5282.txt
@@ -0,0 +1 @@
+I'm 30 years old, in perfectly good health. Last week I cut my thumb - stopped the bleeding after maybe 1/2 an hr, cleaned + bandaided it up, change dressing every couple of days and didn't think much about it. Now, 10 days later, the cut seems healed but the area around it appears greenish (no pus) and is numb. Should I see a doctor about this? Thanks for posting you query to health care magic. No need to worry as complete healing not take place yet blood present inside tissue disintegrate and give green discoloration .if you are not having any pain or fever o need to worry . numbness will take long time to releive as damage nerve tissue grow very slowly for which you can take multivitamin tablet.if complaint increases contact to surgical specialist. hope you are satisfied with my answer . feel free to communicate if any query . regards, Dr.Manish Purohit Infectious disease specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5283.txt b/processed/document_classification/train/Confidential/doc_5283.txt
new file mode 100644
index 0000000000000000000000000000000000000000..36f2b7d1a6b225e764236ed80308b2a69cb894b9
--- /dev/null
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@@ -0,0 +1 @@
+My son had some form of bug bite on the back of his neck. The doctor gave him a prescription cortisone. Now, approximately two weeks later, he has two lumps approximately 1 - 2 1/2 inches away from the original bite. I assume they are enlarged lymph nodes. How concerned should I be? Hi, thanks for writing to HCM and sharing your son's health concerns!Yes, you are correct; this neck lump is nothing but an enlarged lymph node due to recent inflammation in the surrounding area!This is normal reactive/preventive action of our body's immunity system towards any infection, agents or insult...!Therefore, this one does not need any treatment as this is expected to disappear within 6-10 weeks but should be monitored! I would further suggest you, if still not convinced, to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5284.txt b/processed/document_classification/train/Confidential/doc_5284.txt
new file mode 100644
index 0000000000000000000000000000000000000000..50f0da786f184cd4916a96043e94884fc38da16f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5284.txt
@@ -0,0 +1 @@
+Hello doctor, If an individual has genital herpes and performs oral sex on a non-infected person, is it possible for it to still be transmitted? Hi. I read your query and understand your concerns. First of all, I would like to inform you that there is definite risk of transmission of HSV if there was direct skin to skin contact such as sex, oral sex, passionate kissing among others. However, the risk is low provided there was no active lesions at the area of contact. But practically speaking people with active genital lesions can have active lesions over the oral mucosa which can shed the virus, which can be transmitted to their partner. I also like to make it clear that itching and burning sensation are very rare before appearance of lesions. It is good idea to get tested for herpes antibodies.
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diff --git a/processed/document_classification/train/Confidential/doc_5285.txt b/processed/document_classification/train/Confidential/doc_5285.txt
new file mode 100644
index 0000000000000000000000000000000000000000..468df3ce50ccca1d2ba1b135c32d31701b12d0ec
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5285.txt
@@ -0,0 +1 @@
+My blood pressure is 82/57 in mornings, generally 90/60. In the mornings I feel like I may faint when I get up for a few seconds. In the day I feel very detached at times, sometimes feel like fainting followed by a panic attack. I have been told that my connective tissue is slightly differernt as I am slightly hyper mobile, thanks Hi, dear. I have gone through your question. I can understand your concern. Your blood pressure is very low. You may go in hypotensive shock. So you should take treatment for your hypotension. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5286.txt b/processed/document_classification/train/Confidential/doc_5286.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f63daaa3259cd07de8d483c2d1587d9dd724339
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5286.txt
@@ -0,0 +1 @@
+Hi doctor, My 10 year old daughter had an appendectomy two days back. She was in horrible pain after that. They wished to send her home, but since the pain could not be controlled with Tylenol or Ibuprofen they decided to keep her in hospital. Then the next morning she had bad diarrhea. She went around 10 times in two hours. It concerned me, but they informed me that the diarrhea is normal. Her pain was still pretty bad, so they finally decided to try something stronger that we could take her home. It did work for three hours and they sent her home. By the time we got home, she was in horrible pain. She was crying most of the night until falling asleep. Yesterday, I noticed a lump on her back that was warm to touch and when I touched it she said that lump is the reason for her pain and it hurts her really bad. As I was concerned I called her doctor, but they said that they have no idea what I was talking about and they would like to check her in ER the next day. I know as a parent we over analyze everything. I did not to take her to the ER because of a muscle strain. Also, I do not want to over look something that could make her worse. What could the lump be? Should I be concerned? She still has fever and pain. Please help. Hi. For further information consult a paediatric surgeon online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5287.txt b/processed/document_classification/train/Confidential/doc_5287.txt
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index 0000000000000000000000000000000000000000..d828bceaecd5c84863d0c18232d0a35cc0e16914
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5287.txt
@@ -0,0 +1 @@
+Hello doctor. I just got injured on the little finger of my left hand while playing a cricket match. There is a blood clot and the last segment of my little finger is swollen and slightly purplish. What should I do? I had put my finger in a bowl of ice for about 5 min. Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suppose it is only a minor injury without any fissure or fracture in your distal phalynx, and for the first 48 hours icing will be benefecial. Use NSAIDs like declophen or ibuprufen as an analgesic and to decrease the inflammation, use topical anti inflammatory gels (like voltaren gel). Sometimes if the swelling is extensive, we add an antiedematous drug (alpha chemotrypsin), also elevating the hand or an arm sling or slabs to decrease its mobility. If no progress or the swelling stays ask your physician for an x-ray just to assure your little finger is free of any injuries. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly
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diff --git a/processed/document_classification/train/Confidential/doc_5288.txt b/processed/document_classification/train/Confidential/doc_5288.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e9ff4b0b020c205532487cb158d06009e6c8231b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5288.txt
@@ -0,0 +1 @@
+STIFF LOW BACK PAIN EVERY MORNING SPECIFICALLY WHEN I TAKE Chicken, Fish, or Heavy Food in Dinner, but The pain surprisingly subsides STIFF LOW BACK PAIN EVERY MORNING SPECIFICALLY WHEN I TAKE Chicken, Fish, or Heavy Food in Dinner, but The pain surprisingly subsides/decreases in minutes once I start my exercise workout includes Jogging, Body Building, Muscle Fitness Training,. etc., ABNORMAL URINATION since 2yrs urology reports normal PLEASE HELP? ABNORMAL URINATION since 2yrs urology reports normal PLEASE HELP? Suffering with ABNORMAL URINATION since last 2yrs, Consulted Urologist undergone Tests all reports normal. MY PROBLEM It starts immediately after urination there is a strong urge and uncomfortable condition unable to sit or sleep at least for next 3-4 hrs and strong feeling and urge to urinate more after. To relax I apply strong pressure only by FORCE just few drops maybe up to 3ml to 5ml comes out twice in 3-4 hrs resulting into ease, into a RELAXING state of COMFORT. MYSELF I am a 26 yr old healthy Weight Trainer-COACH into Physical Training, I consulted urologist and undergone extensive tests all are normal and also underwent medications but no use. IMPORTANT Often twice a week my PENIS shrinks right in the middle visible like shrunk, pressed, squeezed right in the middle, both other ends are normal and thicker, THIS HAPPENS twice in a week irregularly.Dear Doctors and if anyone who experienced or know about this via Y-Answers-PLEASE ADVISE and HELP ME, May God Bless you all who wish to HELP ME. Hello it appear you have some infection of trigon area in the urinary bladder.in this last part of urination is painful & infected. so you need culture of urine in three part , first sample ,middle sample & last sample separately.spasm of back muscles can occur due to many reasons ,all are not due to organic cause ,even simple bad posture ,some dietary habits also predispose to morning stiffness.Get frequent investigation to find the reason ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery”
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diff --git a/processed/document_classification/train/Confidential/doc_5290.txt b/processed/document_classification/train/Confidential/doc_5290.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b4c56f66411182f6eded661168e674e16e1af47
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5290.txt
@@ -0,0 +1 @@
+Hi, I am a female, age 22, in great health. I have never had any allergies my entire life, nothing at all. Tonight my face has turned bright red, slightly splotchy and very very hot...seemingly an allergic reaction. I cannot identify what or if it is potentially serious. Besides the face I have no other symptoms. I was drinking a glass of wine when this started. I have never had a problem with wine before, but have read different levels of sulfates in wine can cause reactions... Hello,Yes, the older the wine the more reactions one can have if they have intolerance to sulphites that is present in all wines.This is usually a self limiting reaction unless you feel short of breath which happens in people with underlying asthma, and they need to be more careful.Sulfite-free diet is not recommended, as non-sedating antihistamines will work.Best Wishes.
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diff --git a/processed/document_classification/train/Confidential/doc_5291.txt b/processed/document_classification/train/Confidential/doc_5291.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8c4d031d08c9a36b390dd8ae74cf77e3210a33da
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5291.txt
@@ -0,0 +1 @@
+for over 7 years i have had constant pain in arms and legs, my left foot is very tender and sore and numb my right leg is not as bad, i have difficulty holding items in hands for too long and cramp up, had many tests done including an ms tests 2 weeks ago but havent got results yet so im assuming negative Hello, Thanks for writing to us, I have read your query, this can be due to pinched nerve in spine.Due to compression of nerve root there can be pain and numbness in your foot.I will advise you to do MRI spine and EMG-NCV [Nerve conduction study] and consult to orthopaedic surgeon.Peripheral numbness can be due neuropathy. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate peripheral neuropathy. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetable.Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take Inj methylcobalamine.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5292.txt b/processed/document_classification/train/Confidential/doc_5292.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c257e34fb1ac8666e8154a1b8821d1740f6371b4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5292.txt
@@ -0,0 +1 @@
+I have a reoccuring calf muscle strain going on several years now....anyway it has flared up again..I ve been resting with ice pack on it and elevating my leg. Ibuprofin doesn t seem to help even though I take a couple more than directed on the bottle. If I remember right originally I was told to take something else,,, but I can t remember.. can you help Physical therapy session will definitely help, if you say its recurring calf strain, there is suspected muscular knot formation in the muscle of calf. which would eventually reducing the length of muscle to function efficiently Dry Needling session with fascial and deep tissue release with adequate stretching of calf muscle and later strengthening the CalF ( Gastro and soleues) will help in reducing the painalso check if you have flat feet
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diff --git a/processed/document_classification/train/Confidential/doc_5295.txt b/processed/document_classification/train/Confidential/doc_5295.txt
new file mode 100644
index 0000000000000000000000000000000000000000..194018203e6b862f27b670e49b6955484c481341
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5295.txt
@@ -0,0 +1 @@
+I have had a sinus blockage for years. I do not suspect swollen sinuses or sinusitis because when I lay down the drainage runs to the downward sinus leaving the anterior sinus free and clear. When I turn over, the same thing happens on the other side showing that the upward sinus is unobstructed. Lately my salivary glands have become swollen as well. I visited an ENT and was sen to get an MRI which was not dispositive and turned out to be expensive and useless. At that point the ENT wanted to surgically remove all salivary glands without even having diagnosed the problem or taking a needle biopsy. This seemed strange to me and unwarranted absent any confirmation. Are the two conditions related and what should I do? Hi, welcome to health care magic forum, well as you know that you are suffering from sinusitis and surgery is not the right choice, so i will now advice you to start homeopathic treatment for your sinus problem, you will find complete cure for this problem in Homeopathy with out any side effects. you can show to your local Homeopathic physician or you can mail us at info@drkackerhomeopathy.com or visit us at www.drkackerhomeopathy.com
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diff --git a/processed/document_classification/train/Confidential/doc_5296.txt b/processed/document_classification/train/Confidential/doc_5296.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9bf08b6ae8dcffdbc790aac9580f68b5e786d778
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5296.txt
@@ -0,0 +1 @@
+I've just run half a marathon apart from the usual aching muscles my lower back was really sore. I thought it might be where my clothes rubbed but when my sister looked at my back she said it looked like a bruise was coming out? could this be from the impact of running ? my back was sore all last night but apart from being a bit stiff seems fine today. What can this be? Here i would like to know weather you also have this kind of experience previously or this is your first time problem. as per your explanation i suggest you might have problem with your lower back at disc level. incase if you have numbness as well radiating pain to your lover legs then i suggest to take a mri of your back and visit doctor based on the report.to reduce the stiffness i suggest you visit a physiotherapist doctor who can help you with physiotherapy treatment to relax your soft tissues as well also suggest on back strengthening exercises which will help you to improve strength and stamina of your lower back. you can also use hot pack at home to reduce the stiffness from the soft tissues by giving relaxing effect on soft tissues with the heat.you can also use some pain relieving ointment immediately after the use of Hot pack. at any point of time if you feel the pain is increasing in terms of intensity and there is a discoloration or rashes over the skin then i suggest to visit the doctor immediately and do the needful. take care
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diff --git a/processed/document_classification/train/Confidential/doc_5297.txt b/processed/document_classification/train/Confidential/doc_5297.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7bf8b353d6427a07d4e96d3ebbcde4ac10be7c7b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5297.txt
@@ -0,0 +1 @@
+My mum (aged75) fell 6 months ago and banged her head just above right eye. She said the other day it's still very tender to touch. Since this fall she has also developed a few memory problems. She got eyes tested other day and they said there was no deterioration in her sight. What should we do? HiThanks for using healthcare ageMemory problem may be due to some internal injury or shock. Some time due to shock or some internal bleeding, patients feel some memory issues. In that case, just get her CT head done and consult a neurologist to rule out any underline problem. For under eye, just consult a ophthalmologist. Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5298.txt b/processed/document_classification/train/Confidential/doc_5298.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cc0f1ff6ef4e0cd3b238a51bfcda758402fab9be
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5298.txt
@@ -0,0 +1 @@
+Congestive Heart Failure # is at 3000. My friend is going through Renal Failure & getting ready for Dialysis. With level being so high is it ok for her to have that emergency cath put in until her port has healed. Dr. says it has andother 3 mos. to heal.She is 80 yrs. old. congestive cardiac failure along with renal failure and fluid overload is a deadly combination for which dialysis may be a life saving measure and may solve both problems. hence any catheter access for dialysis is justified on an urgent basis.
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diff --git a/processed/document_classification/train/Confidential/doc_5300.txt b/processed/document_classification/train/Confidential/doc_5300.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b6b4b1ef044d0163673e0ae9a87fc4c031e90538
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5300.txt
@@ -0,0 +1 @@
+Please i need help i am a 37 year old female a smoker,, i have copd in my lungs.but my question is i have been coughing and spitting up blood i have the worst pain in the middle part of my back into my shoulders..can a dr please tell me whats going on This symptom is serious and requires immediate medical evaluation. There are many causes of coughing up blood and you need further testing. This would start with a chest x-ray and likely a CT of the chest and possibly bronchoscopy.
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diff --git a/processed/document_classification/train/Confidential/doc_5301.txt b/processed/document_classification/train/Confidential/doc_5301.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bcfdf66c565a9abf1a2233341e33ee7e86fcd9b9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5301.txt
@@ -0,0 +1 @@
+I used Neutrogena face wash and moisturizer for the first time and now my eyes and face are swollen. they have been swollen for over 24 hours. my face feels dry, tight and quite itchy. I have never had a reaction like this to any products. I have mild allergies to perfumes and dyes but have never experienced anything this severe. Hello, As you mentioned that you are using this product for the first time and have developed swelling of face and eyes with itch, it is quite clear that you are having a reaction to these products. You should quickly wash you face to clear off any left over material and consult a physicians who would like to start you on some anti histaminics. Allergies can be sometimes bad and you shouldnt wait for long. You having not experienced anything this severe doesn't make you immune to allergies. Infact sometimes the body can react to the products which you have been using for long. Its very unpredictable. Once you are better, never ever use the same product which you reacted to. Hope I am able to solve your concerns. Get well soon.
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diff --git a/processed/document_classification/train/Confidential/doc_5302.txt b/processed/document_classification/train/Confidential/doc_5302.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fbe62cd0007b8567349028ee88291451870a6ab8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5302.txt
@@ -0,0 +1 @@
+My son 7 years old has been diagnosed HSP Henoch schonlein purpura 3 months back, Dr started steroid for a month, his rash was cleared but again he was infected after a month, so we changed his Dr. his new Doctor stopped all oral medication and told us that it will have with unknown period so no need to be worry but whenever it starts again u can give him anti-allergic syrups for atleast 4 weeks, but we are observing that during his medication he has infected again n again, we have taken Urine D/R and Cretinine test and all are Ok, I want to ask u that what is the duration of this disease. Is this disease ever under control by this medication what we are giving to him, Really we are much worried about his health, and plz suggest us any precaution, side effects of this disease and the main cause of this disease. i ll be very thankful to you Best Regards HI .I could understood your pain,HSP mainly involves skin as rash and purpura,joint pains, kidneys and gut with loose stools or severe cramps.It usually subsides and self limiting, but may recur in few people. YOU CAN GIVE pain medications like paracetamol, naproxen .only ,if he had severe gut pain with bleed and proteins in urine you will be advised steroid medications.Apply,emolients/moisturiser locally.If still the rash and pain persists, NEED TO GIVE STEROIDS FOR A SHORT DURATION,pLEASE SHOW TO A PEDIATRIC RHEUMATOLOGIST ,IF YOU ARE GETTING RECURRENT SYMPTOMS.hOPE IT ANSWERS YOUR QUERY
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diff --git a/processed/document_classification/train/Confidential/doc_5304.txt b/processed/document_classification/train/Confidential/doc_5304.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4ffb4cec2f55483e3ab1c5ff036f7585bc251593
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5304.txt
@@ -0,0 +1 @@
+I banged my leg about 3 weeks ago. It was very painful and I had a large bruise. The bruise had since gone away but there is a small lump here I hit it. The lump is still painful. What should I do? It s on my right lower leg about halfway down on the outside. welcome to Health care magic.1.The bruise due to the haematoma formation under the subcutaneous / muscular plane and inflammatory collection (features of cellulitis).2.In your case you said its mostly resolving - you can apply a local thrombolytic cream available in the market ( needs to apply twice a day).3.If its red and painful on touch - get an ultrasound scan of the lesion, as it could be a infective bacterial abscess, which may need to do an incision and drainage.4.In this case, better see your GP let him examined and depending on the findings one can take the needful steps.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5306.txt b/processed/document_classification/train/Confidential/doc_5306.txt
new file mode 100644
index 0000000000000000000000000000000000000000..43b114dd374a0562a5811df320792807fbc88b69
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5306.txt
@@ -0,0 +1 @@
+Hi,I was in the ER 8 hours ago with severe pain from several kidney stones, one 5mm., that are about 15% of their way through. I was given morphine and another drug to relieve pain. So far the pain has not come back and I don't seem to have passed the stone. Will the pain come back at this point or do u think I am clear? Thank you Hello & Welcome to HCM,thanks for asking the query to HCM, It might be reoccur the pain,whenever it obstruct the way of urination or sore the kidney wall it create the pain.well first you must go for ultrasound of lower abdomen and the exact position of stone and take the proper stone removal treatment along with take precaution in your diet and drink a lot of water for its flushing.Hope my answer will be effective for you.Thanks & Regards:Dr.Soni Verma Homoeopathic Physician,Nutirtionist
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diff --git a/processed/document_classification/train/Confidential/doc_5307.txt b/processed/document_classification/train/Confidential/doc_5307.txt
new file mode 100644
index 0000000000000000000000000000000000000000..882dd01e4a27ddf057cc7c652c81fbffd02a6249
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5307.txt
@@ -0,0 +1 @@
+my 3 year old was playing outside today. It was very sunny all day. I had applied sunscreen to his ears and neck prior to going outside. Several hours later he was complaing of itching and when I looked at him the sides of his face had raised red blotches and his ears were bright red. Could he be allergic to the sun? HIThank for asking to HCM I really appreciate your concern looking to the history given here I could say that the child must be having allergy to the sun and this need to be avoided right now the condition can be treated with the "Diphenhydramine" lotion this would come around and no need to worry about this, hope this information helps you take care and have a nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_5308.txt b/processed/document_classification/train/Confidential/doc_5308.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6fbeedab3a76a92c07765846253f60d9e16d594e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5308.txt
@@ -0,0 +1 @@
+I have a 5 year old daughter who has been having chronic stomach pain for the last two years. They come and go. Usually in the middle of the night. they last for an hour or so. She throws up and then she is fine. Done all the test and eliminated suspected food. Nothing has helped. Any suggestions? Hi.Thanks for your query and proper history. I can understand the plight the child and you must be going through.Your daughter is just 5 years old and hence the causes of pain in the abdomen for the past 2 years can be as follows. The most probable cause of pain in a child -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms.The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.Also given is a dose of medicines active against worms in intestine.I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.If this is indicative of appendicitis , please go for the surgery of appendectomy.
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diff --git a/processed/document_classification/train/Confidential/doc_5309.txt b/processed/document_classification/train/Confidential/doc_5309.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c079fc1cf254012343210102376591318003c51d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5309.txt
@@ -0,0 +1 @@
+my mother has been recently having seizures. she had polio when she was 2months old. she is now 54yrs old and she has been to a neurologist. how ever she is slow minded and not in the best of health. she has fibromyalgia and alot of joint pain. can this polio cause her seizures and if so why? Hello, Polio is recognized in association with epileptic disorders that usually develop years later on the order of about 10-12% of affected polio victims. The study that demonstrated these statistics was rather small (only 200 cases) and only looked at in a retrograde fashion. The mechanism by which polio should be associated with an increased risk of seizure disorder is unknown at this time. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
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diff --git a/processed/document_classification/train/Confidential/doc_5310.txt b/processed/document_classification/train/Confidential/doc_5310.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d178c4c6f09bf099fe0543e25953cf479411ad12
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5310.txt
@@ -0,0 +1 @@
+I m taking phenobarbiton 90mg and eptoin 100mg at night for last 12 years, as I suffered from epilepsy. I m 39 years old. last couple of years I feel very shivering while I face a croud. hands through out the body starts shievering, that I met the neufologist and she prescribed betacap 20. can I know about this? does betacap increases weight or makes dryness in mouth? can it control bp? thanks in advance I read your question and I understand your concern.From your description the neurologist must have considered your episodes as related to anxiety, a panic disorder. They are not due to your epilepsy treatment (on the other hand in epileptic patients anxiety or mood disorders are found more often than in the general population).Regarding your questions on Betacap, it is a drug which causes neither weight gain nor mouth dryness, do not fear about that, usually those effects are linked with anti-depressants. It is a drug belonging to the beta blockers class and apart from being used for panic disorder (like in your case) it is also used to treat high blood pressure, so if that is an issue as well it should help.I hope to have been of help.
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diff --git a/processed/document_classification/train/Confidential/doc_5311.txt b/processed/document_classification/train/Confidential/doc_5311.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d06167d233d092811d322ce78d81ac011f2c6655
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5311.txt
@@ -0,0 +1 @@
+Hello, I am 23 years old and over the last 6 months or so I have this weird thing going on in my throat. I feels like there is a lump just to the right (my right) and a tiny bit below my adam's apple. I don't notice it all the time but it seems to "swell" up when I sneeze and when I push on it, it clicks and goes away. It doesn't hurt at all but I am wondering if anyone has ever heard of this happening? Hi,Good Evening and Thanks for the query to My virtual Clinic at HCM.This could be a laryngocel?pharyngocele-if increases with valsalvas manouever ?or could be Zenkers diverticulum -or pharyngeal pouch -if with swallowing difficulty.So mostly-it is layrngocele or pharyngocele as no dysphagia is complained by you.CT study of the pharynx and larynx would fix the diagnosis.This reply would help you to plan treatment with ER Surgeon /Ent Surgeon.Welcome for any further query in this regard.Hit Thanks if this reply is helpful to you.With Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5312.txt b/processed/document_classification/train/Confidential/doc_5312.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5760beaf4a2f7f3ffa87a7e6988eb11accbd04f9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5312.txt
@@ -0,0 +1 @@
+Hello doctor, Do adenoid glands contract after a certain age? Is it natural for all people? What to do if these glands are enlarged and result in air obstruction? Hello. About your query regarding adenoids, I would like to say these are lymphoid tissue located at the roof of the nasopharynx and as usual, they are meant to protect the body from infections. They are always found in infants and they are at their maximum size at the age of 5 years, after that, they start regressing in size up to 8 years if the nasopharynx is free from infection. On the other hand, if an individual is having recurrent respiratory tract infections in childhood, the adenoids will grow up to a large size.
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diff --git a/processed/document_classification/train/Confidential/doc_5313.txt b/processed/document_classification/train/Confidential/doc_5313.txt
new file mode 100644
index 0000000000000000000000000000000000000000..243a0e2379bcdd326847dd46b8b66adaa310032e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5313.txt
@@ -0,0 +1 @@
+Hi I had Botox and have swelling in the orbiculas oculi seems as if fluid shifts all the way up to brow leaving saggy skin and hollow eye when standing long periods when I get upon the morning it shifts back down closer to eyelid looking more normal what causes this and when will it stop Think of the caveman with shelf eyebrows and hollow eyes Hi, Consult an ophthalmologist and get evaluated. It can happen after Botox and will settle by itself. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5314.txt b/processed/document_classification/train/Confidential/doc_5314.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e316e4d783db60b01b23c9f275a1f8365a05e4db
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5314.txt
@@ -0,0 +1 @@
+Hi I thought I got bitten by an insect but my arm swole up so I could not bend it. I had around 20 largish blisters around the area. Is there a weed that may have caused this, there were stinging nettles there that pricked my other arm but that was fine after a few hours. HelloThank You for contacting HCM.These symptoms are due to allergic response from the insect bite or weed plant. I would suggest you following :> Take levocetirizine one at night for allergy> Try to avoid touching the plant.> Avoid touching the bitten area with dirty hands.> take a piece of cloth, warm over flame and then place over swelled area. IT will give soothing effect.> take acetaminophen for pain (if occurs)Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5317.txt b/processed/document_classification/train/Confidential/doc_5317.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f6752627d93ff2dc19953a33bc4141afe32ec2c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5317.txt
@@ -0,0 +1 @@
+Hi, I m 19 and I started dipping about 6 months ago. I wasn t really a can a day kind of guy, more like a can a week. Anyways, I stopped a few days. And haven t had any thoughts of doing it again. Now I m paranoid I have or am getting oral cancer of some kind. An area of my gums were slightly bleeding as I brushed my teeth, I woke up with a sour taste in my mouth as well as whitish stringy type of saliva.. Also I noticed a peas sized lump in both sides of the insides of my cheeks. They are painless and colorless. And lastly an area of my gum was really red but that was just one night. Am I paranoid or should I be worried? I can t go to the dentist or doctor because my parents have no clue I dipped and I can t tell them. I m done now though. Please help! HiI would advise you to do a pet scan.If any suspicious lesion is found then biopsy has to be done.RegardsDr de
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diff --git a/processed/document_classification/train/Confidential/doc_5318.txt b/processed/document_classification/train/Confidential/doc_5318.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e4710267bcd0be1c66aa68b05ae85e275bc6c95c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5318.txt
@@ -0,0 +1 @@
+I am a 61 year old male taking Crestor for high cholesterol. Recently had a heart scan with a score of 700. An irregular heart beat is believed to be from birth. I am experiencing pin prick sensations in the left chest area. Are these sensations heart related?I also have a high level of fatigue and low blood pressure. Dear; thanks for using our service.Crestor is a save drug and is has been found to improve mortality in patients with hyperlipidemia and coronary artery disease. It is important to have a cardiological evaluation of this chest disconfort . You have risk of coronary artery disease; older than 40 y/o,hyperlipidemia and male. It is good that you had an excellent results in the heart scan, but regular electrocardiogram and possible stress test is indicated.I hope that my advise has been helpfulDr.Sara
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diff --git a/processed/document_classification/train/Confidential/doc_5319.txt b/processed/document_classification/train/Confidential/doc_5319.txt
new file mode 100644
index 0000000000000000000000000000000000000000..14c25760d17116175b33d2e16abc39713e3234e4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5319.txt
@@ -0,0 +1 @@
+I am 51 years old, and have become intolerant of heat. I perspire very easily, but mostly in the coccyx area. I will literally become dripping wet, looking as though I've wet my pants, which as you can imagine is extremely uncomfortable and embarrassing. I am 130 pounds, 5'5", have been dealing with a strange fatigue and pain in my upper abdomen that radiates to my back. I am also chronically thirsty. Hi there..Thanks for writing in.You haven' t mentioned if you are a male/ female.If female, then menopausal period might explain the cause of your symptoms.Other possibilities I can think of are Thyroid disorders, Diabetes, which can also present with increased sweating, thirst, fatigue. To rule out these medical conditions get a TSH, FBS and PPBS done.Acidity related symptoms are also possible with upper abdominal pain radiating to the back. If the pain is on the right upper abdomen radiating to the back, gall stones might be the cause. Get an ultrasound abdomen done to rule out gall stones and other pathologies.Hope this helps.Regards,Dr. Divya Kuttikrishnan
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diff --git a/processed/document_classification/train/Confidential/doc_5320.txt b/processed/document_classification/train/Confidential/doc_5320.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d930e73894a83685e91b5eac1fd6ba751096e5d4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5320.txt
@@ -0,0 +1 @@
+Hi I am 20 years old and I weigh 120pounds.I have developed a small lump on my left n right shin same spot,like 2 to 3 inches below my knee.they are painless,it does not hurt when I jump or run.I am wondering what this could be.and maybe it does not hurt since it might barely be starting Hi.Thanks for your query, albeit short and specific.The development of painless lumps on shin of tibia at the same spots can be due to a condition called exostosis.This is a familial disease.Benign in nature and have to be kept under observation.Needs no active treatment at the moment.
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diff --git a/processed/document_classification/train/Confidential/doc_5321.txt b/processed/document_classification/train/Confidential/doc_5321.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f14a7e28b0a071e57bc9dc04fdced76174bce068
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5321.txt
@@ -0,0 +1 @@
+Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5323.txt b/processed/document_classification/train/Confidential/doc_5323.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0b964f48d8b3a10c52953dba0d351e08ee098dc6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5323.txt
@@ -0,0 +1 @@
+I have been suffering from some kind of allergy for the last 4 years. It will happen once in a while. I get sneezing and running nose from the moment i get up from the bed. It lasts till the night. I dont know what i am allergic to. Its not dust, because i am the cleaner in my house and i dont get sneezing when i deal with dust. Its not any season specific. I am kind of confused.. When i get this allergy, thats a spoiled day.. i sneeze continuously... and by the middle of the day i will be very tired.. Could you please put some light on my allergy and suggest me what kind of medicine i should take to stop this sneezing Hello,Welcome to HCM,As you are prone for allergic reaction, you should be very careful otherwise it may be dangerous to the life. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition.I would suggest you to undergo skin prick test (SPT) for different allergens like pollen, mite,food and dust causing these symptoms and you can identify them and protect yourself from exposing to these allergens. Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SCIT) or sublingual immunotherapy (SLIT).For the present symptoms you can take Tab Montek LC which helps to control the symptoms, but it is temporary. You need to avoid these dust allergens to protect yourself from getting these allergy symptoms.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5324.txt b/processed/document_classification/train/Confidential/doc_5324.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ee27a7680868123a14f7de6346bd51b4f73256eb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5324.txt
@@ -0,0 +1 @@
+I had a knot on my 2nd toe at the joint below the nail. It looked like it had a center with a round circle on top of the knot. I mashed on it and a clear sac came out filled with clear fluid in it. A round little sac with clear fluid and left a hole in the knot Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems in relation with bursa cyst or sebaceous cyst .* Needs to be confirmed with physical examination or at least a photo pic evaluation as an attachment to give more precise judgement .Wishing you fine recovery .Feel free to ask any further doubts .Regards .
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diff --git a/processed/document_classification/train/Confidential/doc_5325.txt b/processed/document_classification/train/Confidential/doc_5325.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a708307a80eb27825702d6bb34eb479c48735783
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5325.txt
@@ -0,0 +1 @@
+My tooth feels loose at the bottom. I got up this morning and brushed my teeth and when I ran my toungue on the bottom row, one of them felt sharp on the bottom. I've noticed it before, and just recently went to the dentist and forgot to mention it, but he didn't notice it either. it feels worse today. Is it going to fall out. I have pretty straight teeth its jst the four bottom that aren't. Hello,I assume you are concerned with the tongue side of your lower front near the gum tissue? You may have some recession and root exposure. This area can accumulate tartar quickly. This can be sharp or break off, leaving a rough edge. If your entire tooth feels loose or mobile, then I suspect bone loss. You should consider X-rays of this area and a periodontal evaluation. If you just had a routine exam and cleaning, you should contact your dentist and inquire about your periodontal health.if your teeth are sharp and chipping at the biting edge, then you may grind your teeth at night. This stress can damage enamel and the ligament holding the teeth in bone. Teeth can move with pressure. A night guard to protect your teeth is a suggestion. Have you had recent changes in the position of your lower teeth? Both grinding teeth and bone loss can cause this to occur.More details and a clinical exam would be helpful to further evaluate your dental condition. I am glad to answer additional questions. Thank you for your inquiry.
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diff --git a/processed/document_classification/train/Confidential/doc_5326.txt b/processed/document_classification/train/Confidential/doc_5326.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92202f2402b92e11a4c92d7aa9709ee50a913400
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5326.txt
@@ -0,0 +1 @@
+Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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diff --git a/processed/document_classification/train/Confidential/doc_5327.txt b/processed/document_classification/train/Confidential/doc_5327.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2f77180d9cda28bd11b5a820b3c6ff152f2f1e7b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5327.txt
@@ -0,0 +1 @@
+I recently had a PICC inserted. (Approximately 4 wks ago) During insertion I had some cardiac palpitations. It was pulled back till it stopped & checked by XRAY.It was removed in 8 days. Since insertion I have continued to have heart palpitations. Could the PICC insertion or line caused this? I had a halter monitor for 48 hrs which showed PVC s & PAC s. During insertion , it can cause ectopics & arrhythmias. But as u told it has been removed , no source now to trigger it. So if still u r having palpitations and ectopic beats, visit ur doctor and get done 2D ECHO and necessary tests he might advise after examination. I hope this helps u.
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diff --git a/processed/document_classification/train/Confidential/doc_5328.txt b/processed/document_classification/train/Confidential/doc_5328.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2286cf1d6068d772307fbee49bb30d406be14eba
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5328.txt
@@ -0,0 +1 @@
+Thank you. My name is Dory Garcia and I am a mother of a 25 year old kidney patient currently on dialysis who is a candidate for a kidney transplant. Her sister is a donor. Howev er, when we got their laboratory results the recipient is CMV negative while the donor is CMV positive. Can the transplant still proceed What are the risks? My email address is YYYY@YYYY . I will appreciate any comments thanks. YES the transplant can be done, CMV profylaxis with valgancyclovir for 3 to 6 months to the recipient after transplant is needed . generally no special risk involved. slight chance of post transplant CMV disease. but it is not a reason to not to do transplant.
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diff --git a/processed/document_classification/train/Confidential/doc_5329.txt b/processed/document_classification/train/Confidential/doc_5329.txt
new file mode 100644
index 0000000000000000000000000000000000000000..935b476e8639ce7771c697e1e8b646d062ae5b20
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5329.txt
@@ -0,0 +1 @@
+Hi Doctor this is Ravi here... One of my relatives daughter, just 11 yrs. old is having a hole in her heart. The hole is increasing with the time. They have been advised to consult doctors in Sai Baba Hospital which has good facilities for the same. Hello, As mentioned about the condition I am sorry to hear about it. Coming straight to your query I think there might be a need of the surgery as there is no development in the case. Since surgery is the only choice left the physicians must have recommended opting for sai baba hospital due to financial constraints. Look forward with bravery towards the surgery as that is the only choice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5331.txt b/processed/document_classification/train/Confidential/doc_5331.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38b41a8e555bb4572684d4ab8e3ba7a16c86c621
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5331.txt
@@ -0,0 +1 @@
+Hello. I don t know if you re familiar with penis enlargement through exercises, but I thought I d ask a question pertaining to jelqing. I m uncircumcised. Is it necessary to retract the foreskin when jelqing? They say it s good to keep the foreskin retracted so that it bears less of the tension, resulting in the shaft being stretched properly. Thoughts? Hi,It is definitely preferable to retract the foreskin while jelqing.The effects will be more demonstrable then and it has been explained that way.So, I would advice you to retract it whenever you do it.Take care,Dr Rishi, New Delhi, India.
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diff --git a/processed/document_classification/train/Confidential/doc_5332.txt b/processed/document_classification/train/Confidential/doc_5332.txt
new file mode 100644
index 0000000000000000000000000000000000000000..79a89a94f10d5ade4e35215c7c5e0f409bc01b39
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5332.txt
@@ -0,0 +1 @@
+My son is a 7&a half old month twin:) last weekend he was taken 2 hospital as he was shortness of breath:( he had oxygen in the ambulance on the way&they checked his blood sugar levels by pricking his foot I was told it were meant 2 b 5&it was 12.9.they told me that was high:( it turned out he had bronchitis...but when the doc ad come around the ward she explained everything 2 me.I asked about the high sugar levels&she had told me there was no sugar in his urine so he could home...I explained 2 her b4 leaving that he only like eating sweet puddings&would try savoury bt after 1 mouthful he would start gagging&be sick...she said that was fine.so I just wanted 2 know was she right&is there anything more I can do 2 help him? Thanks Thank you for following up, it seems he has nasal drip and that's why he has gagging . The acute bronchitis signs and symptoms usually include:-Cough.-Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood.-Fatigue.-Shortness of breath.-Slight fever and chills.-Chest discomfort. I suggest - Saline nasal drops;- Lozenges: Strepsils, Sualin 1 tablet 4 times - Gargling with salt water- A soft bland diet , try to avoid sugar, replace with fruits- Kuka syrup 5 ml 2 times
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diff --git a/processed/document_classification/train/Confidential/doc_5333.txt b/processed/document_classification/train/Confidential/doc_5333.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dad5569e9e3fec39f4a7294a61f26b05da6b32ff
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5333.txt
@@ -0,0 +1 @@
+Hi Dr, My baby is 6 months old and is suffering with loose motions since 5-6 days. His stools are some times watery and sometimes semi solid. Color changed to green since last two days. Medication prescribed by pead is Z n D drops for 10 day and sporlac powder for 3 days. After the stool routine, it is said that the infection is very mild and no need to try on anti boitics at this stage. (pus cells 8-9/hdf is the report result remaining all nil). After giving those medicines (sporlac and z n d given for one day till now), his stool became still darker green color and morw watery. Is that because of the zinc drops? Or sholud i start with anti boitics right now or should wait for 3 more days and decide as prescribed by the pead ? Kindly reply. your babby is probbaly suffering from teething diarroeah most of the time no treatment is required except giving ORS .Zn drops will be help to certain extent pre &pro biotics will also help please do not give any antibiotics as on now
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diff --git a/processed/document_classification/train/Confidential/doc_5334.txt b/processed/document_classification/train/Confidential/doc_5334.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90f43d56a23c3301a8c33c56bb6e714760df8465
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5334.txt
@@ -0,0 +1 @@
+Having pain in my right hand starting from shoulder till finger. Seems like one nerve is fluctuating with a rate and the pain is increasing. If I am tieing my hand with something, feeling relaxed. Please suggest how to recover. It is happening from last one week. Have not lifted anything heavy nor have worked more. Thank you In my opinion you have a cercial injury , ( thoracic inlet syndrome ) also have a cervical ct scan for possible cervical spondylosis Good Luck
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diff --git a/processed/document_classification/train/Confidential/doc_5335.txt b/processed/document_classification/train/Confidential/doc_5335.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b21d8614d850419065d7deecb0cf478d1f1d9e89
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5335.txt
@@ -0,0 +1 @@
+Hi the back of my head and mainly neck hurts when I sit up or stand its not a headackes as such more like a dull ack I haven't been in any accident I was told it could be a tention headackes but I'm not stressed out I'm a 31 year old male from the uk please help me YYYY@YYYY I read your question carefully and understand your concern. A headache which occurs with standing up is suggestive of a spinal fluid leak. This usually closes by itself within a few days, but it is advised to see a doctor to get an MRI scan to rule out other causes of headache. Take Tylenol (max 3g a day) and caffeine (200mg 1-1-0) for pain relief. Hope you will find this answer helpful!Kind regards,Dr. Wu
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diff --git a/processed/document_classification/train/Confidential/doc_5336.txt b/processed/document_classification/train/Confidential/doc_5336.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dcc81dd569e94adecef33eaeeaf5ef53c3daa6a8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5336.txt
@@ -0,0 +1 @@
+Hello Dr. I am devi here from Bangalore , from past 15 days i hv a pain down to my chest and above my stomach i.e the middle portion , in the beginning i thought it is gastric as the symptoms was as of that . But after hving medicine for gastric i dont hv any relief, then i went to Ayurvedic dr , by one touch and asking all the sysmptoms he suggested it is gall baldder stones, and gave me medicine for that , after hving that from the 3rd day i was completely out of that pain but that was just for 5 days then again the same pain has started. what should i do. i hv decided to go for a scanning , but dr pls. can u guide me regarding this. I am 42 yrs now., Thanks & regards Hi and welcome to Healthcare magic. You should do ultrasounds first to evaluate is tehre any gallbladder stone or hepatal pathology. Also pancreatic disorders can cause such pain. Till that you should change your dieatry habbits and eat easier food,avoid coffee,alcohol and smoking. There are certain medicines for gallbladder issue but it isnt very sucessful so the surgery is the best option if indicated. Thank you for your querry.
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diff --git a/processed/document_classification/train/Confidential/doc_5337.txt b/processed/document_classification/train/Confidential/doc_5337.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0647b271d7ea4e9bedeb7c37367959f5673f57dd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5337.txt
@@ -0,0 +1 @@
+I am a 19 year old female. I dislocated my patella 5 years ago and have had 5 surgeries. I have been through countless times of physical therapy tried all types of braces had injections and also tried medicine. I still have severe pain with my knee and it is hard to complete daily activities. Hi, There seems to be a cartilage injury present at the time of dislocation which over time will lead to patellofemoral joint arthritis. A cartigram proves to be diagnostic, MRI can be used also. Only after the confirmation of diagnosis and its extent, we can choose between conservative management such as intra-articular hyaluronic acid inj to surgical management such as arthroscopic debridement to joint replacement. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_5338.txt b/processed/document_classification/train/Confidential/doc_5338.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4739e5cfedf30541362413d6a5974a6b44f0ad7c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5338.txt
@@ -0,0 +1 @@
+I was on Cymbalta for about a year at 90mg and experiencing severe loss of appetite and nausea, last few weeks. I have been advised to reduce to 60mg a day for a week then 30mg for a week, then stop. I am experiencing severe agitation, crying for no reason, overly sensitive and overall fatigue and just feel horrible and more depressed. Is this normal? Greetings !Welcome to the site.Well, no this is not normal as it seems like you are still reeling under the depressive cognition and Cymbalta after 1 year long use has become ineffective owing to increased tolerance/ resistance that your body must have developed against it.So while I support the idea of bringing you off Cymbalta but the weaning strategy can be improved by first bringing you down to 60 mg dose and after 1 week further down to 40 mg dose / day and then after 1 week down to 20 mg / day dose and then after 1 week taking 20 mg dose every alternate day for another week and then stopping the drug completely. This slow tapering of the dose is essential to prevent development of withdrawal syndrome which can further worsen the condition.Also alongside the withdrawal of Cymbalta there is a need to replace it with another anti depressant which can be done by introducing Lexapro ( generic name -- escitalopram ) at dose of 5 mg / day in the morning when you have reduced Cymbalta to 20 mg / day regular dosing. This process of introducing a new drug while discontinuing the older one is called as Cross- titration, kindly discuss about this with your doctor.After 1 week of being on 5 mg dose / day the dose can raised to 10 mg and then after 2 weeks further up the dose to 20 mg /day as per the discretion of your doctor.I am hopeful that such sort of replacement of the current Cymbalta with Lexapro will prove to be useful in bringing you out of the clutches of depression which is present at the moment.I hope this helps.Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5340.txt b/processed/document_classification/train/Confidential/doc_5340.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9f560d416d6f2bd00df4aeeca302e56d7b1b03e5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5340.txt
@@ -0,0 +1 @@
+age: 38, had etopic pregnancy in 2011, did 3 cycles of IUI but not succeeded. IVF: first cycle with embro transfer done 10 days ago(on 21 Feb 2014) this morning 3am felt sudden cold(so cold that I could not stop shivering which lasted around 5-10mins). After the cold subsided, felt severe cramps at lower admen for about 3mins. after the cramps subsided, I still feel cold and shivered sightly throughout the night. Also, I sweat a lot. I have been having the cold shivers with sweat two days before every menstrual period comes since last year(also during the time I did the IUI). Before I started the IVF procedure, I have told my doctor but he did not show much concern that it will affect the IVF. Your symptoms are very non-specific, meaning they can be a attributed to a a number of things or it could be completely benign. The fact that you are having these symptoms (shivering and sweating) close to your menstrual cycle could mean that it is simply related to your period. Before every period, some women experience different symptoms, and the shivering/sweating may just be the symptoms you experience before your period. The fact that your symptoms were much worse with IVF may just be a reflection of the increased hormones incurred throughout IVF. Be positive, and take a pregnancy test ASAP. Good luck!
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diff --git a/processed/document_classification/train/Confidential/doc_5341.txt b/processed/document_classification/train/Confidential/doc_5341.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b38f428329391e8d1fe37a9ccebb36a18f9dab45
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5341.txt
@@ -0,0 +1 @@
+i have had no pains or aches until i went down my local doctors and told them that i thought i had anxiety problems and they jut gave me a anti anxiety tablet without even checking me over, next thing i know i felt like i was having a fit and all my muscles and bones really hurt and i didn t know what to do, i have recently recovered but still get these types of panic attacks, and also don t feel the same as i did originally before hand please help helloAnxiety disorder is treatable with good counseling and mild medicines.In case you developed ache symptoms with particular drug prescribed, then your doctor should change it to simpler forms like clonazipam or ecitalopram if necessary.Confide in your doctor what drives you to anxiety, any surrounding factor, stress related to work, family, future,career,job or anything-or if its there even without any extrinsic factors, i.e. if it is endogenuous without known facts or stressful conditions.The treatment for endogenousanxiety or depression can be offset with mood elevators anti depressants while extrinsic cause requires counselig as well as certain anxiolytic drugs. Side effects are known to occur and if you vist a psychiatrist or psychologist you shall have more definitive treatment, although a general practitioner too can treat wih mild tranquilizer prescription that may suit you.Do visit a clinical psychologist counseler alsothanks
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diff --git a/processed/document_classification/train/Confidential/doc_5342.txt b/processed/document_classification/train/Confidential/doc_5342.txt
new file mode 100644
index 0000000000000000000000000000000000000000..636ce64b8cd43ff075073f5b69bb435a8d220b09
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5342.txt
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+39 yr old male, 20 yr military service. PTSD anxiety and hypertension. Current meds .5 mg klonopin, 10mg zolpidem for sleep. For hypertension 25 mg hydrochlorothiazide and 10 mg Amplodipine. Symptoms persist, no relief. Heart palpitations regular. Help. Thanks for your question on Healthcare Magic. I can understand your concern. You are having post traumatic stress disorder (PTSD). This causes anxiety and panic disorder. Both of them cause sympathetic over activity in the body. And this sympathetic over activity causes hypertension and palpitations. So we should first control your stress, anxiety and panic disorder. Only drugs are not sufficient in such patients. Counselling by psychiatrist is also very important. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. Counselling plays very important role along with anxiolytic drugs in control of symptoms. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5343.txt b/processed/document_classification/train/Confidential/doc_5343.txt
new file mode 100644
index 0000000000000000000000000000000000000000..33333887f322d880d241b10ad6c161186e8d2ba2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5343.txt
@@ -0,0 +1 @@
+My dad was recently seen by a physician for dizziness, intense abdominal pain (for 2-3 minutes), then sweating and feeling he was going to fall. Dr. took x-rays of some sort, saw calcification along his spine and sent him to his cardiologist for testing. They have discovered his right carotid artery is completely blocked (don t know whether internal or external) and are going to do a CT scan today to determine the percentage of blockage in other arteries. Why would a blocked carotid artery cause abdominal pain? Should we be looking for something else (abdominal aneurysm , etc.)? Hi welcome to Health care magic forum. Thanks for calling H.C.M.F. Your father consulted the doctor for dizziness, abdominal pain, and sweating. hi is diagnosed with calcification along his spine, and cardiologist diagnosed blocked carotid artery, and ordered for C.T.scan for looking for the block of other arteries. He may need to have a color doplor for exact diagnosis of blocks of other arteries. If necessary your cardiologist may order latter. If there is a block of the abdominal arteries, one may get abdominal pain, due to ischemia of the abdominal tissues. Wishing for a quick recovery . Best regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5344.txt b/processed/document_classification/train/Confidential/doc_5344.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b609ee8063c740f7cbaa3b3d76dd5537e7e028a6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5344.txt
@@ -0,0 +1 @@
+I have been exposed to poison ivy, oak and whatever else is unknown to me in the back yard garden full of trees of many kinds. Four days ago I started feeling body ache, diarrhea, and yesterday I was feeling the itchiness in inside parts of my legs and under my feet. I thought the diarrhea was because I drank some kind of juice or tea or fiber nutrients such as multigrain rise, Ezequial cereal, or other so I stoped drinking juices and consuming such nutrients. Last night I had fever and I could not sleep, so I decided to research in the internet about this poison ivy staff and I found info on how to treat it with apple cyder vineger in water and a good cold-warm shower. I was having a lot of cramping in my legs, which I thought it was because I walked so much. I also took 2 allergy tablets of antihystamine and after a while I felt as sleep. Fever is gone, as far as I feel, but the diarrhea persists. What can I do to treat it without going to the hospital? see, poision ivy plant's oil can cause allergy from mild reaction to anaphylaxis, so u might have allergic to it and u also have taken OTC by yourself.u must go to the dermatologist to get proper symptomatic and antiallergic treatment rather than taking self medication.dont ever do that
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diff --git a/processed/document_classification/train/Confidential/doc_5345.txt b/processed/document_classification/train/Confidential/doc_5345.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ea7226d95cf8f05fb27b81304dbb445b7adfec78
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5345.txt
@@ -0,0 +1 @@
+Examination :CHEST (AP/PA/L/O)~XRPN-FILM[14x17 (1)] Interpretation: There are minimal suspicious hazes Opa cities in the right upper lobe. The hearth in not enlarge.The great vessels are not unusual. The trachea is at midline. The diaphragm,Sulci,and bony thorax are unremarkable.IMPRESSION:Apicolordotic view is suggested,What is the meaning of the doc.Thank you Thanks for your question on Healthcare Magic. I can understand your concern. Normally chest x ray is taken in PA (posteroanterior) view. In this view, upper part of lung is overlapped by ribs and clavicle. So any opacity in upper part of lung is not properly visualized in PA view. So apicolordotic view is ordered. In this chest x ray is taken in such a way that upper part of chest is visualized without being overlapped by ribs and clavicle. So for better diagnosis of your left upper zone suspicious opacity, apicolordotic view is ordered. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5346.txt b/processed/document_classification/train/Confidential/doc_5346.txt
new file mode 100644
index 0000000000000000000000000000000000000000..042b72408eed623b5047147ec03e6594d9890725
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5346.txt
@@ -0,0 +1 @@
+My 16 yo son has a fever of 1o3.1 (axillary) and a headache from his R ear to the back of his head w/symptoms since ?4 pm today yet did not mention until 8:30 pm . He took 3 ibuprofen at that time, approx. 30 min ago. When should he be taken to Dr or ER. height 6 1 and 180 lbs Hello dear.Your son probably has right ear infection.You should consult your doctor for opinion.I wpuld recommend antipyretics like paracetamol tablet (500 mg one tablet 4-6 hrs apart till fever is there) and capsule amoxil 500 mg thrice daily for 5-7 days.Hope it will help.Stay Blessed :-)
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diff --git a/processed/document_classification/train/Confidential/doc_5347.txt b/processed/document_classification/train/Confidential/doc_5347.txt
new file mode 100644
index 0000000000000000000000000000000000000000..033bc860ccf8318d7e7ef39ad6c8591d1da60167
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5347.txt
@@ -0,0 +1 @@
+I found a bump today above my elbow on my arm. It looks like skin raised up and liquid comes out when you press on it. I was using a heating pad last night and was wondering if my skin could have blistered or is it something serious that I should get checked out. Hi. Welcome to HMC. You should post one photograph of it then only exact cause can be identified and treated accordingly. If only water is coming then mostly it is blister and nothing to worry. Only apply Neosporin powder and keep it clean. If some dirty fluid is coming it may be pus and needs drainage by surgeon.Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5348.txt b/processed/document_classification/train/Confidential/doc_5348.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c44c542dfa074227f0b383a18f94e283cacf2f52
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5348.txt
@@ -0,0 +1 @@
+I have taken several different brands of at home pregnancy tests. All of the blue ones (EPT, Equate, Clearblue) keep coming back with a faint blue line. The pink ones (first response, dollar tree) keep coming back COMPLETELY blank. I even splurged and bought a digital test because it supposedly will give a pregnant or not pregnant response... I got a picture of a book - both times. I m so confused... am I pregnant or not? Thanks for consulting us at the best healthcare portal. I am glad to assist you as your consultant today.It is all ambigious situation and it happens sometimes with the home self testing kits. Added to this is the time elapsed for conception.My suggestion to you is to go for a Laboratory Pregnancy test. With that lab report go to your OBGYN for complete evaluation for further assistance. She will definitely go for an ultrsound to comfirm the age of fetus (if any).I am hopeful that it will be helpful guide for you to proceed and come out of frustration. Let me know if you have any doubts. Healthiest Regards!Dr. Sumaira Kousar
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diff --git a/processed/document_classification/train/Confidential/doc_5349.txt b/processed/document_classification/train/Confidential/doc_5349.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6091ae09688d71c400d6beecdf5d38cd53ec1160
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5349.txt
@@ -0,0 +1 @@
+Hello Dr. I have recently been diagnosed with cholecystitis was prescribed ranitidine, ondansteron (to prevent vomiting), meclizine, tramadol and baclofen, then went back to Dr. who then said I have a kidney infection, prescribed me cephalexin, 500mg 2Xday for 7 days which I just finished this AM. Now, I have pain in my pelvic region, bladder hurts to urinate....Symptoms I've been experiencing include tiredness, dizziness, nauseated and have vomited a few times,bloated feeling, swelling in facial area, right flank into back pain (intermittent, sometimes extremely painful, can't lay down on right side), lower back pain at times. IN a previous scan for a different health matter, It was revealed to me through my medical chart that I have a cyst on a kidney. Please give me your opinion on this dilemma. Thanks. Hi ! The cyst in the kidney could just be a coincidental finding. However, seeing your present symptoms, you can go for a review ultrasound scan of your pelvis and abdomen. It seems that the urinary infection of yours is persisting even after taking a course of antibiotic which is an indication for going for a urine culture and sensitivity test. Cholecystitis is a different entity which needs evaluation and treatment separately, and this also could be a reason for your nausea, vomiting and bloated feeling. Please visit your family physician with your urine culture and sensitivity report for a review. Wishing you an early recovery.
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diff --git a/processed/document_classification/train/Confidential/doc_5350.txt b/processed/document_classification/train/Confidential/doc_5350.txt
new file mode 100644
index 0000000000000000000000000000000000000000..300dfdba3196ac0df01422e56ff648c96fbc079d
--- /dev/null
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+19 yr old patient with great medical history except optic nerve atrophy felt dizzy for few days and seemed little isolated and sometimes saying strange things.Then one day feels so dizzy, rapid heartbeat, faints, feels like she is dying.She regains consciousness very fast and recalls everything that happened when she fainted and in the ambulance.Then randomly she got dizzy for a few days and switched between 2 personalities.One remembered fainting details and height, weight, close family members but not their own name and refused to remember things in their history such as what high school they attended.Maybe when she is more dizzy she switches to someone religious and starts saying prayers for dying and prayers you say to make you a good person and claimed that god told her to say.She denies the major issues we think that could cause her anxiety but she name off smaller issues that bother her.Says she can prevent fainting now.When asked what she feels traumatized from she said she cant tell us almost as if she was possessed and she would get in trouble if she told us but when asked a few times she spelled it h-i-g-h s-c-ho-o-l. Claims no major traumatic abuse type thing happened.Says she has been holding onto feelings from h.s.that felt good at the time but are causing depression cuz she wants to let go.She graduated 1.5 years ago from h.s. very happy and absolutely no sign of anything bothering her.She got married 8 months ago and knows her husband loves her and she wants to give him her full love but sometimes feels like she is afraid to make that deep of a connection. DearWe understand your concernsI went through your details. I suggest you not to worry much. You had panic attack. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5351.txt b/processed/document_classification/train/Confidential/doc_5351.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9b0145cb34d950cb821b2868b14e77fb19385abb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5351.txt
@@ -0,0 +1 @@
+My daughter aged 6 years 112cm and 20kg had double STING procedure to correct her defected urethra tubes. She suffered constant UTI s. She still complains of sore tummy and her urine is still very cloudy but no foul smell. Her urine samples have come back negative.Her last ultrasound showed a slight swelling in her left urethra. Is there anything more that can be done or needs done? he must done MRI to know the type of swelling an must take agood amount of water and fluid and eliminate the salt from diet
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diff --git a/processed/document_classification/train/Confidential/doc_5352.txt b/processed/document_classification/train/Confidential/doc_5352.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c22eacb2ecc360058b3b393195cf2cc549f341aa
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5352.txt
@@ -0,0 +1 @@
+Hi doctor, My sister is showing some strange attitude. She says that she is hearing a strange voice and acting strangely. Are these due to depression? What are the symptoms of depression? What are the causes of depression? Before three years, she was treated for depression, and still on medication. But, sometimes she put up strange behavior like aloud in the singing in the midnight and restless but will insist she is fine. How do I help my sister? How long does it take to cure? Does medication for depression make the patient see more than required? Hi. Hearing a strange voice is a symptom of psychosis which can be a symptom of depression. Low mood, lack of interest in previously pleasurable activities and lethargy are some significant symptoms of depression. Genetic cause, a reaction in an unhealthy way to a life stressor, hormonal changes especially in females are some causes of depression. Recovery from depression varies with client symptoms. High mood and confusion can be a symptom leading to seeing of images. Consulting a doctor is essential.
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diff --git a/processed/document_classification/train/Confidential/doc_5353.txt b/processed/document_classification/train/Confidential/doc_5353.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eedbe2c6da88098d744767ec670a502686445571
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5353.txt
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+I have woken up this morning and found that when I look at the bottom row of teeth, along the gum line, the gum goes down towards my jaw, making a big dent in where the gum line should be. Any ideas on what could have caused this and how to fix it?thanks Hello, Thanks for your query.Periodontal disease is the infection of the gums, and it gradually destroys the support system for your teeth. Dental plaque is the primary cause of gum disease. Bacteria inside plaque creates toxins, which irritate the gum tissue. Irritated gums may swell and bleed. If the irritation continues for too long, the gums separate from the teeth, causing spaces to form.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5354.txt b/processed/document_classification/train/Confidential/doc_5354.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3018c5091e193491a385ed9d6b11e407c36eeb2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5354.txt
@@ -0,0 +1 @@
+My 16 month old son got really sudden bad breath around 12 hours ago, he would not eat any tea and barely wanted to drink, he s woke me up a few times tonight and when I went in around half an hour ago his head was burning and all the too half of his body, he s being wining and clingy Hello dear,welcome to health care magic forum.I am dr aslam here to help you.Bad breathing along with fever suggest some infection going on in the oral cavity like pharyngitis or gingivitis. After proper diagnosis, this can be managed with antibiotics and antipyretic for a few days. Kindly see your pediatrician without any delay for correct diagnosis and treatment. Hope you will find this answer useful. Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5355.txt b/processed/document_classification/train/Confidential/doc_5355.txt
new file mode 100644
index 0000000000000000000000000000000000000000..72f6c9df66a38a21fc0d6ef94723377149dad39d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5355.txt
@@ -0,0 +1 @@
+Hi doctor, I was told that there is a 10 percent mild blockage in my heart that can be made to zero by medicine. Is it possible? How long I have to use medicine? And to clear any blockage is there any fruit juices or any remedy that can help? Doing daily exercise will be helpful to reduce blockage. Hi. I have reviewed your health query and want to add that it is all relative situation meaning that every patient has a different scenario. Some patients have no issues with cholesterol but some have a family history of raised cholesterol levels. Patients may also have a family history of heart and blood vessel disease. If we control the physical factors, it reduces the risk of heart diseases and blockage issues. Yes, exercise, as you mentioned, is very helpful in keeping the things in balance. Your query about medicines to control the disease depends on what medications are we talking about. There may be a bunch of classes of medications in heart disease. Taking medications is mandatory in your case. If it does not lower the percentage of blockage, it will definitely be helpful in blocking any further derangement. Your cardiologist can discuss the issue better as he is having detailed medical history upfront. Cholesterol can be maintained in normal limits and your cardiac health can be kept in check. Blood pressure medications also help in some patients who have the basic issue of high blood pressure. If someone has the blood vessel disease we can give medications to relieve the spasm of vessels and dilate the blood vessels. Sometimes we raise the blood flow to heart muscles and in this way the blockage to heart vessels is relieved.
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diff --git a/processed/document_classification/train/Confidential/doc_5357.txt b/processed/document_classification/train/Confidential/doc_5357.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38377f8cdf1fe6bd6fbd1baceb5ca85b9fe33dbb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5357.txt
@@ -0,0 +1 @@
+Hello, My name is Avinash. My wife, had a fall from a staircase about a month back. She has severe pain in back, neck, ankles and toes and hence she had the x rays done for her ankle, back of neck and shoulder, and the toes. There are no cracks found in the bones. But the pain is high in the back of neck and it goes down the shoulders and chest. What could be the problem. We have an 8 months old daughter, and my wife is still breast feeding her. hi there may be muscular injury so it will take sometime to recover you can use hot pack to relief the pain and use declofanic gel and neck isometrics and back strengthening exercise that will very helpful for her and take physiotherapy treatment it will help her a lot wish her a good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5358.txt b/processed/document_classification/train/Confidential/doc_5358.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3330fce97bff38dda3034a8a81cf2c452238d948
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5358.txt
@@ -0,0 +1 @@
+I was preforming a hand job on a man and he asked me to to swallow some of his cum. I did and after a lil bit the back of my throat started itching. It went a way a few moments later. I was thinking maybe it was allergies since I'm allergic to dust and shellfish. What is this since one person isalleric to one protein he may be allergic to other proteins also you are right this is allergic reaction can use aniallergic tab to clear this allergy
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diff --git a/processed/document_classification/train/Confidential/doc_5359.txt b/processed/document_classification/train/Confidential/doc_5359.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a6db7b8b4824b3307f92bee195f0890c558d99d8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5359.txt
@@ -0,0 +1 @@
+Hi doctor, My son is 17 months old. I am a working mom. My son was on breastfeed till two days back. Of late, my son has stopped eating breakfast, because he sucks milk the whole night. For the past few days, he eats only two mouths of food in the afternoon and night. We tried everything like changing the taste, texture and type of food. My sister suggested me to stop breastfeeding, so that he will start eating food. And, I did the same. My son literally cried for two nights and yesterday, he was quite fine. But, his food intake is the same. I am emotionally feeling very bad. Whenever I lay down, he kisses me for milk. He hugs me and looks at me in a sad way. Some of my office peers suggested me to feed him milk for 2 years. What if he still does not eat food? At least before I was relieved he was breastfed. What should I do? Shall I continue feeding him for another six months? Hi. For further information consult a paediatrician online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5360.txt b/processed/document_classification/train/Confidential/doc_5360.txt
new file mode 100644
index 0000000000000000000000000000000000000000..baa0ffc4d29f8aa861b1ae204f15a185bc2b8115
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5360.txt
@@ -0,0 +1 @@
+When traveling to low altitudes, less than 3,000 , i have experienced chest pressure that starts about 10 minutes at the resting elevation. The pressure is centralized across the breast area and feels like gas. I do get burps, but then I get a shallow breathing. Seems like it s hard to breathe normally. I have had like a dizziness that starts from my body and goes to my head and doesn t last long - a few seconds. Then the back of my neck becomes stiff and tight and somewhat sore. I took a tums and the pressure did subside a little, but went away completely, as did all other symptoms, after we went back to our normal elevation of about 800 . Any idea what could be the problem? thanks for asking your questionI completely understand your problemas we go to high altitudes the atm pressure decreases and concentration of oxygen decreases and air becomes more denser so in order to escape from these symptoms of high altitude slow ascending and slow descending is followed that will acclimatize your body in due course of breaks in between climbing to high altitudes.thanks/regardsfeel free to ask more questionsmay god bless you with good health
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diff --git a/processed/document_classification/train/Confidential/doc_5361.txt b/processed/document_classification/train/Confidential/doc_5361.txt
new file mode 100644
index 0000000000000000000000000000000000000000..959d222acf5857479e0f154f8a088270e79088e0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5361.txt
@@ -0,0 +1 @@
+i have a problem with my electrolytes being low, ie calcium, potassium & magnesium. Last week I spent a day in the hospital receiving IV infusions for low calcium and magnesium, I also had to drink liquid potassium. Today, when I eat I feel nauseous. Why? Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Possible gastric irritation due to intake of liquid potassium and irregular diet.2. You can take anti-emetics to eat food. Nausea will also reduce.3. For gastritis, proton pump inhibitors or H2 blockers can be taken. It will reduce nausea.Hope it helps.Any further queries, happy to help again.
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diff --git a/processed/document_classification/train/Confidential/doc_5362.txt b/processed/document_classification/train/Confidential/doc_5362.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c21ea51cca7f9b55f07f4a2fbc0f4e1fda58282e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5362.txt
@@ -0,0 +1 @@
+i am 30yrs, height 175 cm, weight 85 kg, male. i never had any medical problems except the occasional cold or fever. My problem is that i am not able to show interest in sex with my wife. during sex also the penis take long time to get erect and then loose the erection very soon. due to this i and my wife are not able to enjoy sex. i used to masturbate a lot when i was unmarried. kindly help me. Hi, Masturbation won't be the cause for your issue. Low interest in sex can be due to hormonal imbalance or anxiety. Going for a laboratory investigation will help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist
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diff --git a/processed/document_classification/train/Confidential/doc_5363.txt b/processed/document_classification/train/Confidential/doc_5363.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fd6aa9bd1f68c6a7f81380dfd82aef4e97a23e45
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5363.txt
@@ -0,0 +1 @@
+am 17years and have two fibroadenomas. The left one is bigger than the right one and the left one is paining me. Is fibroadenoma painful and how long does it takes to go? What is the treatment for it. Can it develop into breast cancer? Or does it increase breast cancer? Hi...it is a non malignant condition and does not predisposes to malignancy...take vit e and primrose oil...it will take a few months to resolve..you may also take analgesic for the pain...Dr. Ashish Verma
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diff --git a/processed/document_classification/train/Confidential/doc_5364.txt b/processed/document_classification/train/Confidential/doc_5364.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bbe9ec26bc3ccea2c4b0ba488619973d3131ac8a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5364.txt
@@ -0,0 +1 @@
+hello, iam having pain on my lower right side of abdomen. test had been done few days ago and everyhting came normal and even the pregnancy test came negative. i have a history of ovarian cyst but present test shows i dont have any cyst. plz tell me what should be done. HI, thanks for using healthcare magicPain can originate from any structure in the area from the skin inwards.Since the ultrasound did not show any problems with the ovaries then other causes need to be considered.This would include issues such as: hernia, inflammation of the muscle or tendons in this area particularly iliopsoas pain.Pain due to these muscles can be detected by physical examination.The use of anti inflammatory pain killers would help.I hope this helps
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diff --git a/processed/document_classification/train/Confidential/doc_5365.txt b/processed/document_classification/train/Confidential/doc_5365.txt
new file mode 100644
index 0000000000000000000000000000000000000000..65c27a023020b574d75b61d74271915165bf27e3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5365.txt
@@ -0,0 +1 @@
+I am just starting to get over chicken pox. I am 54 years old and now I have numbness and bloating along with some pain on my sides and back. Is this cause for concern. It is just over 2 weeks since I came down with the chicken pox. I got them after my husband had shingles. Any viral disease can cause arthralgia and joint pain. This will take some time to recover may be months. Avoid cold weather, apply heat to that side and back. you can use local applicant.
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diff --git a/processed/document_classification/train/Confidential/doc_5366.txt b/processed/document_classification/train/Confidential/doc_5366.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16249146f7d33be267d6be49c868e1fb25dedad9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5366.txt
@@ -0,0 +1 @@
+I had a CTSCAN of my stomach and pelvic area about 4 weeks ago - the day after the scan I went into what felt like hyperthyrodism (spelling) , BP up, vomiting, sweating, day or 2 later i noticed my tongue swollen, then my face is swollen and other areas i just discovered not to easy to see *wink are swollen. I tried antihistamines but they are not working. Should I see about a GP about predisone. I drank the oral solution gastrografin - which i have found similar side effects as I am mentioning as well as a delayed reaction to the solution. what about your urine output, is it normal or decrease because dye can cause kidney problem leading all manifestation. So should get renal function test done. you should see gp. he ll probably prescribes you some drugs which will increase urine output
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diff --git a/processed/document_classification/train/Confidential/doc_5367.txt b/processed/document_classification/train/Confidential/doc_5367.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5a3ed0c549ecbc347c5b71dde22214d9299c2973
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5367.txt
@@ -0,0 +1 @@
+I got robbed and got hit on my face my eyes are fine but i got a swelling around my eyes and my cheeks. I have a swelling on my cheeks and its purple around my eyes. I have been applying Ice pack is there any other suggestion to quicken the process Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that due to hitting over the cheek there has been trauma to the soft tissues leading to inflammation and swelling that occurs due to accumulation of inflammatory exudate that is released from inflamed tissues..The purple appearance is due to rupture of small blood vessels due to trauma and there is spillage of blood into the soft tissues leading to purple appearance..I would suggest you to continue icing the area and also you can take anti inflammatory painkiller like Ibuprofen..You can apply Heparin gel as it help in faster fading of bruise but keep it away from eyes..In case if there is no improvement in the area or there is pain and discomfort, consult a General Physician and get evaluated and he can also get x ray done to check for any bony fractures and treat you accordingly..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
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diff --git a/processed/document_classification/train/Confidential/doc_5368.txt b/processed/document_classification/train/Confidential/doc_5368.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1ef6b5a2c47f82b28cb1ba2e6fa70acc7a6c544d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5368.txt
@@ -0,0 +1 @@
+Hi I have had a cold or flu for 6 days, fever spiking at 102.5, loss of appetite, terrible coughing, mostly unproductive and raspy except in morning when the product is green and sticky, i have some edema in my lower legs and around my neck and fluttery feeling in my chest well u must take antiallergic like tab. citrizine 25mg 1 daily at bed time or we fr 5 days . tab paracetamol sos. tab. amoxiciling/clavulanic acid 625mg thrice fr 7 days. also take soups, blacks tea , honey and boiled egg. keep yourself away frm dust and cold
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diff --git a/processed/document_classification/train/Confidential/doc_5369.txt b/processed/document_classification/train/Confidential/doc_5369.txt
new file mode 100644
index 0000000000000000000000000000000000000000..efb91b4d5f5be3ec8173732d715ffff3a7354462
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5369.txt
@@ -0,0 +1 @@
+My 14 year old son picks his skin around his fingers layer by layer, sometimes till they bleed He also touches his head, stroking his hair at least 3-4 stokes each time. He has recently told me he hums and talks to himself while at school and alone - he seems worried about it and says he is mad. He has not yet hit puberty either and is small for his age say around 12 year old size. Hi and welcome to Healthcare Magic. Thanks for your question... With the limited information which you have given, I reckon that some symptoms (such as repeated skin picking, repeated touching, stroking of the hair) may indicative of "compulsive" behaviour. "Compulsions" are repetitive, unwanted acts or rituals or behaviour which the person is aware of doing but is unable to control, thus resulting in distress. Compulsions can exist alone or may often be associated with underlying "obsessions" (which are repetitive, unwanted thoughts, ideas or mental images) as part of a disorder called Obsessive Compulsive Disorder (OCD). You need to elaborate more on his other behaviour, for example, the humming and talking to himself. Such symptoms, in childhood, can be due to a variety of causes (they could even be some kind of obsessive / compulsive symptoms, especially because your son is well aware of them and is distressed by them). What I would strongly advice you to do is to get a consultation with a Child Psychiatrist, who would be able to assess your son in detail and advise the appropriate management plan. Please do not hesitate or delay as it would only be putting your son through more unnecessary suffering and distress. All the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist
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diff --git a/processed/document_classification/train/Confidential/doc_5370.txt b/processed/document_classification/train/Confidential/doc_5370.txt
new file mode 100644
index 0000000000000000000000000000000000000000..871be41671990e2af02e76e7f63df6bbbc95aca9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5370.txt
@@ -0,0 +1 @@
+hi i am 29 yrs old male unmaaried and mech engineer. i feel weak erection and often in stress and anxiety. due to that i found some disorders a my penis. how to cure this disesase. My penis when in active shape it is not round BUTactually it shapes becomes flat. also i never saw sperm coming out it in active. are my veins blocked or some thing else. do you recommend any specialist for it. also i always feel, nervous, anxiety and stress in my whole body. in whole 24 hour i hardly sleep 2 or 3hours at night only. is i am patient of insomiania also will u plz tell me how to cur that or recommend the doctor for it. Hello,If you are anxious and stressed, it is natural that you may not get erection of to feel weak erections. In that sense you could need treatment for anxiety and stress or depression rather than sexual problems. If you are not sexually aroused, semen may not come outside through your penis. You may consult an urologist for further investigation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
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diff --git a/processed/document_classification/train/Confidential/doc_5371.txt b/processed/document_classification/train/Confidential/doc_5371.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f9ee4eb114a27cca1210d9f1a0788cd5421945ec
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5371.txt
@@ -0,0 +1 @@
+I stopped taking my birth control pills and three days later had unprotected sex in which he ejaculated inside of me. I have an app that i use to keep track of my cycles and all of this was during the week I would have been highly fertile and would have ovulated. I am now having withdrawal bleeding. Could I still be pregnant? Hi, if you are having withdrawal bleeding, it is highly unlikely for you to get pregnant. Sometimes, there can be implantation bleeding also. So, just check a urine pregnancy test at home to clear the doubt. Hope I have answered your question. Regards Dr khushboo
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diff --git a/processed/document_classification/train/Confidential/doc_5372.txt b/processed/document_classification/train/Confidential/doc_5372.txt
new file mode 100644
index 0000000000000000000000000000000000000000..139a5768ba331758df72f33ebef59bcdb92ec096
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5372.txt
@@ -0,0 +1 @@
+Hello there, I have a boyfriend that is having some heart issues. he says that his heart is doing something funny,getting light headed,breaking out in a sweat then got cold and clammy. he felt like he couldn t breath then thought he was going to have a panic attack. his lips are numb and tingly as well as his finger tips. Hi welcome to HCM.I understand your query and concern.Heart issues usually stem from anxiety related panic attacks.In all such cases its always safe to have organic heart lesions ruled out.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives like atenlol and anxiolytics like alprazolam will help.Reduce the intake of fatty and fried food.Drink plenty of water to maintain adequate hydration like 3-4 liters of water a day. One pomegranate a day will help to keep your heart at good pace without clot formation.Stressmanagemet is extremely vital in your case. Practice yoga and meditation regularly.Consult a Cardiologist for further expert management.Post your further queries if any.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5373.txt b/processed/document_classification/train/Confidential/doc_5373.txt
new file mode 100644
index 0000000000000000000000000000000000000000..870759b364f02b3adfcdf7d93fe0d3fb570c6327
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5373.txt
@@ -0,0 +1 @@
+Hello, I am an 18 year old male and for the last day or so, I have felt discomfort/ache in my left testicle. I also tend to feel pain in my lower back, and when I touch a special place in my left abdomen it hurts a little. I also have started to get pains in my left leg. I have inspected my testicles continously and there is no lump or swelling, neither does it hurt when I touch them. Lower back pain has always been common for me, but not this feeling of discomfort in the testicle. What can this be? Hello, It may be due to testicular torsion. For further assessment, you may require ultrasound scrotum after physician consultation. For pain, you can take tablet acetaminophen. Do regular physical therapy. Avoid strenuous activity. Use scrotum support. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale, Family and general physician
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diff --git a/processed/document_classification/train/Confidential/doc_5374.txt b/processed/document_classification/train/Confidential/doc_5374.txt
new file mode 100644
index 0000000000000000000000000000000000000000..252c76353c1f4d5b43b4e69320b5dd3d29be8a0d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5374.txt
@@ -0,0 +1 @@
+i am taking dilantin as a result of a siezure suffered after being bashed and recieving intracranial haemorrhage/subdural haematoma and subarachnoid haemorrhage, this happened about the 28th dec 2013.after spending 30 days in brisbane hosp the swelling had gone down enough to come home. i have not had any seizures since but am still on 260 mgs of dilantin. I want to know if this is an overhigh dose and how long should i be taking it for thankyou from michael If u don't have seizures for almost 3 yrs.....u can taper off dilantin. Almost 80 % of such patient don't get repeat seizure.Recurrence also depends upon location of hemorrhage.
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diff --git a/processed/document_classification/train/Confidential/doc_5375.txt b/processed/document_classification/train/Confidential/doc_5375.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8d186989dde568407a986d31c5dda36b6c8c1691
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5375.txt
@@ -0,0 +1 @@
+I have been having sharp pains in my upper abdomen on and off for about 3 weeks. Last night my right shoulder became very sore. I have been extremely dizzy for the last 2 days and have had vomitting and diarrhea on and off for the last 3 weeks. I have seen 2 doctors and have been booked in for an ultrasound to see if its my gallbladder . Is there anything i can do in the meantime or any other suggestions you might have to my symptoms. I am also having trouble sleeping. Have been eating a very low fat diet, at doctors suggestion, and trying to do a little exercise everyday, although finding this hard some days. Have lost approx 7 kilos since the beginning of the year. Hi welcome to Health care magic forum. Thanks for selecting H.C.M.F. As you describe you had upper abdominal pain, feeling dizzy, had vomiting and diarrhea, on and off for last 3 weeks. Had shoulder pain, doctors suspected gallbladder pain. I suppose it is the infection of the intestines, as there is vomiting and diarrhea . You may need to be treated with antibiotics, anti spasmodics, anti emetics, and lactic acid bacillus preparations for clearing the infection. Of course as there is shoulder pain to exclude the gall bladder involvement it is better to have an ultrasound . Wishing for a quick and complete recovery. Best regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5376.txt b/processed/document_classification/train/Confidential/doc_5376.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6557c46388746c19702dd22818864c4b4224f3d8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5376.txt
@@ -0,0 +1 @@
+Female, aged 73, wight approx 68k, height 5ft 4in, history of depression. Diagnosed ankylosing spondylitis aged 30 [but severe back pains since 19 years], with iritis, and HLA 27 blood test positive. I have had all the usual drugs; NSAIDs make no difference, MTX, sulfasalazine not much difference, high doses of prednisolone [60mg per day, reducing by 5mg every 3 days for iritis] very good for pain relief, but unsustainable long-term. NOW, August 2015, all joints painful and stiff, especially mornings, no energy and little enthusiasm. I Live in Sri Lanka, so always warm! What do you suggest? ANGELA SANDERS hiPhysical therapy is a very helpful thing in such cases apart from symptomatic pain medicines.You may also consult an rheumatologist if any biologic or newer medicines would be of any helpbest wishes
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diff --git a/processed/document_classification/train/Confidential/doc_5377.txt b/processed/document_classification/train/Confidential/doc_5377.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d557b0bcd818e31f40c04a7ab7bdcbacb0fb7287
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5377.txt
@@ -0,0 +1 @@
+my wife age 46 years is suffering from touch-ability i.e. she uses to wash every things which is brought outside from the market. she feels panic if things are not happened as per her wish. She is religious in her view and deed but she behaves on these issues unlikely which is done by other ladies. However she likes cleanliness but I think this type of behavior is not normal. I want to consult with doctors at Jamshedpur(Jharkhand).You suggest me to which field related doctor I require to consult. Hello, Thanks for writing in I do not find anything wrong with her behavior from what you have mentioned. Cleanliness is part of everyday life, and some people are a little extra cleanliness conscious. It necessarily doesnt have to be obsession.She panicking about little things is also quiet normal unless you notice it happening everyday and disturbing her everyday life activities. Visiting a COUNSELOR/PSYCHOLOGIST/PSYCHIATRIST will help you and your wife understand if everything is normal. Stay Healthy!
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diff --git a/processed/document_classification/train/Confidential/doc_5379.txt b/processed/document_classification/train/Confidential/doc_5379.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f8ae0eae0533d5425ac6d63cf653805e07dfd06e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5379.txt
@@ -0,0 +1 @@
+I in the past i had urinary tract infections with blood clot coming from the tongue of my vagina very painful and now i have two cyst on my kidneys the kidney doctors flushed them out , now my friend need a kidney she is living off 4% and i was thinking of giving her one but my doctors said it is too risky and now in a few months i am going to do a hysterectomy i have fibroid measured 311cc and this is only on the right they could not see the left side of ovary compared to 157cc in 2008. I don t know how to tell her i cant do it again, I just learn about the fibroid a few days ago Hello madam ,I appreciate your concern for your friend. But with cysts in the kidney, it isnt good to donate, as the kidney might not function to the extent desired once transplanted. Having said that we need the size of the cysts, your age , to decide on the severity of cysts.Hope i was of help.
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diff --git a/processed/document_classification/train/Confidential/doc_5381.txt b/processed/document_classification/train/Confidential/doc_5381.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2a5bd0f083ba437ec66f7feb221196e9c0c63778
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5381.txt
@@ -0,0 +1 @@
+Have difficulty in breathing whenever I have to climb up aflight of stairs. Am having sweaty palms and feet lately. may i know what are the causes or symptons of that. I am 35yrs old,60kg weighing, height 1.64. Have never sufferred any kind of medical condition. Hey there,For sweaty hands and feet one of the cause is Hyperthyroidism,get done your thyroid profile,Breathing difficulty might be due to same complains.
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diff --git a/processed/document_classification/train/Confidential/doc_5382.txt b/processed/document_classification/train/Confidential/doc_5382.txt
new file mode 100644
index 0000000000000000000000000000000000000000..907e8d48a72875552fe024d7ea2bb8d521bbf3e0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5382.txt
@@ -0,0 +1 @@
+Last night, I got a mysterious pain in my hands, both in the lower palm area. Also, I ve lately noticed strange feelings in my back beneath the skin, and itching at the surface.The last part seems irrelevant to me, but they might be connected. I dunno. Hello,Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability.Your symptoms are very nonspecific and it is very difficult to give you a true clinical impression of your problems. From the sounds of it this is probably something very minor and will resolve spontaneously. If your symptoms worsen or you develops any new symptoms I would suggest that you see your primary care physician as soon as possible.I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions.Best wishes,Adrian Rawlinson MD
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diff --git a/processed/document_classification/train/Confidential/doc_5383.txt b/processed/document_classification/train/Confidential/doc_5383.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a6429bdf842f2b23206b0b2ea9d57b90d47e583a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5383.txt
@@ -0,0 +1 @@
+Hello doctor, My son is 9 months old and we visited a cardiologist a week ago. He does not have any symptoms and is a healthy child. All the dimensions were within range and ejection and fraction were 70 and 40. What they did find was a slight increase in trabeculations of the left ventricle. I have read, a slight increase in trabeculations in a healthy adult is not a worrying find, but I do not find anything about the children. Is this worrying? And does it really want a follow-up? Hello. Trabeculations are a normal findings in the left ventricle in both the adults and children. When these become excessive along with an increase in LV thickness, then it is considered abnormal. Now this slightly increased trabeculations is entirely a subjective finding. One may interpret as increased, while the other may think these as normal. So, considering the normal ejection fraction of 70 percent and other normal dimensions, this may be a normal finding. However, since there is some doubt created now, it is better to repeat an echo after a year or two or if any symptoms appear. So, it is probably a normal finding, however, better to follow it up for confirmation. I hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_5384.txt b/processed/document_classification/train/Confidential/doc_5384.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb175f4c030d50b20f147e59b9f7fd4626e78c35
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5384.txt
@@ -0,0 +1 @@
+Hi sir. I am havig sex with my girl friend once in every month. I am giving unwanted 72 every time with in 72 hrs of time. By that she is geting perious every time 1 week before the regular. Is any problem of using like this and is any problems will cause in the future. Means that any permanent pregnency lost chances. Plase kindly answer for this qn. Hello,Unwanted 72 pill itself does not cause problem in future pregnancy or conceiving issue.But frequent use of that kind pill causes irregular period with impairment of normal ovulation. So it may cause delaying in pregnancy or conceiving problem. For natural conception, period must be regular.Here she can take combined OCP monthly basis instead of frequent emergency pill. Combined OCP gives highest protection (99.9%) against pregnancy with regularization of period.Next, when you will try for baby, all kind of contraceptive methods are to be stopped for at least 1-2 months to regain fertility.Hope it helps for you. Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5385.txt b/processed/document_classification/train/Confidential/doc_5385.txt
new file mode 100644
index 0000000000000000000000000000000000000000..043f880364cdae08ff5687075a6a220cc28781fc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5385.txt
@@ -0,0 +1 @@
+what is the best topical medicine for hemrhoids? Also is there any medicine you recommend to take by mouth?My husband has pain from hemrhoids and his doctor recommended not staying on the toilet too long, to takemeta-mucil and use disposable baby wipes. He is not doing these things. He is 80 years old and would notwant any surgery, **A. Jatyadi tail can be applied externally for lubrication, around the anal region (also helps in relieving the associated itching)B. Pilex tablet, Arshohar Yoga, Pilon Tablet, Kankayan Gutika are some of the well known Prescription drugs available.1. Give high fibre diet,fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages.2. Avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.3. Give less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals)- take old rice,bottle gourd,moong dal,kali marich, pomegranate,jaiphal,hot water, adequate rest and sleep.- take fried cumin seeds 500mg, fried asafetida (hing) 125mg, shweta parpati 500mg, mix them and take with honey three times a day.- 1 glass lukewarm water every morning and night.- to stop bleeding:coconut water from 1 coconut and add 2 table spoon full (tsf) sugar and drink.- drink 1 cup potato juice daily for 1 month.- 4tsf sugar+ 4tsf bitter gourd juice and drink for 1 month- 3 pinches dried ginger+ 2 cup butter milk, drink after lunch and dinner for 1 month- eat 2 tsf plain white butter + 1 tsf sesame powder before lunch and dinner and drink 2 cup butter milk + 3-4 pinches of black salt after lunch and dinner- give: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar, raw radish and avoid tea,coffee, garlic,onion, fish, hot spices, sitting for long hours.PS:.if job demands sitting, make sure he get up every half an hour to relax for 5 minutes and then sit back,make a sponge cushion for his chair.. Again piles, is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism so can be taken safely.
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diff --git a/processed/document_classification/train/Confidential/doc_5387.txt b/processed/document_classification/train/Confidential/doc_5387.txt
new file mode 100644
index 0000000000000000000000000000000000000000..11817b978953c9795bca334a0cd6f9c92eeb5aa2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5387.txt
@@ -0,0 +1 @@
+Hello doctor, My father is 71 years old. He having abdominal pain in the middle for the past four to five days. Pain is constant and mild to moderate in intensity. He is not having any issue in passing stools or urine but sometimes complains of burning sensation while passing stools. His appetite is good. No vomiting or diarrhea. No fever. His current medial history includes diabetes and hypertension. He is an Alzheimer patient. Can you please prescribe some medication for his abdominal pain. Hello. I can understand you must be very upset about your father's health. Well, you see the abdominal pain in such age is often an alarming finding, and I urge you to get him some investigations before giving any blanket cover of medicines. Common possibilities in his age are: 1. Mesenteric ischemia, which is the narrowing of the blood vessel supplying the blood to abdominal organs. This can frequently occur in old age with diabetes and hypertension. The pain arises because of lack of blood supply to organs like small bowel, large bowel, and others. 2. The second possibility is pain due to any organ within the abdomen which is inflamed commonly the pancreas (a gland over the back of the tummy), and large bowel. 3. And lastly, since he has a problem with constipation the gas accumulation can also be the reason of his abdominal pain. But remember, we cannot say that it is because of gas distension unless we exclude all other possibilities which are more concerning. I suggest you to get investigations which I write below. Only after the investigation, we can be able to diagnose the problem and treat it appropriately. I really hope this set of investigations will help us to approach the problem correctly. Mesenteric ischemia. Pancreatitis, gall bladder or common bile duct stones. Colitis, colonic neoplasia. Gas, constipation related. Compete blood count. Serum amylase and lipase. Liver function tests. Serum lactate level and serum CRP (c-reactive protein). HbA1c (glycated hemoglobin). Lipid profile. Stool for detailed report. Stool for occult blood on consecutive three days. Stool for fecal calprotectin. Capsule Esomeprazole 40 mg half an hour before meals. Ispagol husk two tablespoons full with water daily. Follow up after investigation.
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diff --git a/processed/document_classification/train/Confidential/doc_5388.txt b/processed/document_classification/train/Confidential/doc_5388.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4766429631808f05b02f20e9867dcc1676000205
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5388.txt
@@ -0,0 +1 @@
+Hi. Im 30 yr old male. 5 11 270lbs. Good health. & fairly active. Up until 3 wks ago. Sharp pain in the left side of my back. A pain i have periodically felt over the yrs. always figured i pulled muscle or sunthing of that nature.. This time. It moved fr to the front. Still on the left side. Real uncomfortable pain. Worsens at times. But mostly just discomfort. So after 3/4 days of abdominal pain. I go get checked. Pee d in cup, & gave blood. Blood was in my urine. So they xray d.. Ultra sound. & ct scan. Still nothing. That was 2 days ago. Im having irregular bowel movemnts. That isnt much. & green. Im starting to worry. Any ideas? Or diet u recommend? Hi, As a first line of management you can try analgesics like Acetaminophen or Tramadol. If pain persists better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5390.txt b/processed/document_classification/train/Confidential/doc_5390.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2f3d733918ea25fc65aff9b4a29e722b8fe67b5b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5390.txt
@@ -0,0 +1 @@
+My son has some rashes on his face below his sideburns,they r rough to touch,some look like whiteheads and generally they become red when exposed to sun,also he has got very tanned.Any solution ??he is 6 year old.I am using cetaPhil to wash his face everyday.These rashes have become more now after we moved to Singapore few months back.Can you please help.thankyou. Hi,From the description it seems he might be having these lesions due to sun allergy known as polymorphous light eruptions. To treat the same, you may apply a mild steroid cream like flutivate cream twice in a days over his lesions. Also he should avoid sun exposure as much as possible. If the lesions are very itchy, you may give him syrup cetirizine.Hope that helps. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5391.txt b/processed/document_classification/train/Confidential/doc_5391.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1c2454a271242fe9f77838d2243f7f75bd491669
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5391.txt
@@ -0,0 +1 @@
+i took uristat and noticed red urine.these were red gell cap's,but i do have pain in right lower back.and severe depression.i thought they were stool softener's.they were my wife's who died 3 year's ago from c.o.p.d..could it have been the uristat or the pain in back mean's something.i have blood test's reguraly and the only problem was high colesterol.i was on statan's but stopped as last blood result's were o.k. Hello. Thanks for writing to us. The pain in the right lower back with a red colored urine could be related to a renal infection or a stone formation. It could be a muscular pain also. You need to get a urine examination done and go for an ultrasound scan to find out the cause.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,drtayal72@gmail.com
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diff --git a/processed/document_classification/train/Confidential/doc_5395.txt b/processed/document_classification/train/Confidential/doc_5395.txt
new file mode 100644
index 0000000000000000000000000000000000000000..33437d13dec1c7aa7f276435ae5218497abffc6d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5395.txt
@@ -0,0 +1 @@
+Had a ct scan in Nov due to abdominal pain found out i have fluid in my kidney and left kidney is swollen tthought I brought the ct scan that was on a disk come to find out it was the ultra sound I had done in Dec Dr say some dark spots. What could that mean? I also have endometreosis and a cyst on my right ovrey. Had a bladder scope done today as Well Dr says my bladder is fine.but where iI pee from is very small help Hello and welcome to HCM.As an Urologist, i can fully understand your concern.Fluid and swelling of kidneys, can be caused by many diseases.If you can send the CT scan and the last ultrasound scan report, here to me, as a direct question, i can give you an expert opinion.Kindly include reports of urine culture and blood reports, with madication being taken. Wish you well.Dr.Matthew J. Mangat.
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diff --git a/processed/document_classification/train/Confidential/doc_5396.txt b/processed/document_classification/train/Confidential/doc_5396.txt
new file mode 100644
index 0000000000000000000000000000000000000000..41121e547b98ff580e882bb29778ece26432e4e8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5396.txt
@@ -0,0 +1 @@
+I am 24 years male, height: 5 ft. 10 inchs weight: 64 kgs since, 4 days I m suffering from smegma problem..I have been washing 2 or 3 times a day, despite after few hours, it restores as excess.. I have slight pain while moving the prepuce backwards.. Rest of, its normal... How can I get rid off this promblem??? hiit is due to inability to take back the skin so the washing is not proper consult a surgeon to see if surgery is needed Dr Saatiish Jhuntrraa
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diff --git a/processed/document_classification/train/Confidential/doc_5397.txt b/processed/document_classification/train/Confidential/doc_5397.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8b9376d1f5581eed790eddc50fc86b04924a8248
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5397.txt
@@ -0,0 +1 @@
+ok well ive got some kind of rash that looks acne all over on hands and feet face and it didnt get this bad until a few days ago i put this acne cream on my face and comes to find out it was three years old so idon know if its allergic reaction or what can ya help Well come to HCMThis may not be acne but this could be allergic condition and acne medicine wont work here, the condition need to be treated with oral antihistamine and the best, option would be "Tab Hydroxyzine" 10 mg three times in day no need to apply acne cream hope this information helps, have a nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_5398.txt b/processed/document_classification/train/Confidential/doc_5398.txt
new file mode 100644
index 0000000000000000000000000000000000000000..494f62d445d0724e6e0a218ba2bbc83003a9b65e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5398.txt
@@ -0,0 +1 @@
+I was in a hot tub for about 45 minutes. When I got out I had hives from my midsection to my feet. My throat started to close up - scary but didn't affect my breathing. Felt like cold-induced asthma which I occasionally get when I exercise in the cold. I'm a 61 yr old woman in excellent health. Normal breathing resumed in about 20 minutes, hives are mostly gone, but a few remain. What's up with that? Might it be the chemicals in the hot tub? Thanks. Hello,Welcome to HCM,You may be having allergy to the detergents you used in the tub, that why the hives are predominately over the immersed part of the body.As your symptoms are coming down nothing to worry. But you should be careful regarding this in future, identify the chemical responsible for the hives and try to avoid that.All the symptoms which you had are the classical effects of allergic reaction.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5399.txt b/processed/document_classification/train/Confidential/doc_5399.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cac447b7cc8c42bf106ce8858a8930a655d6a684
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5399.txt
@@ -0,0 +1 @@
+HI I AM 28 YR OLD I HAD DONE SOME REGULAR BLOOD TEST AND FOUND MY GPT LEVEL WAS 39 (ACC TO LAB IT SHOULD BE LESS THAN 33) SO I AM BIT WORRIED IS THERE ANYTHING TO BE WORRIED ABOUT? OTHER LIVER TEST ARE NORMAL, ALSO I TAKE MINI PILL CAN THAT EFFECT THE GPT LEVEL . PLEASE LET ME KNOW WHAT IS THE CAUSES OF THESE ELEVATED GPT LEVEL. WAITING FOR THE REPLY himild increase in the liver enzymes is usually not indicative of the liver damage especially if only one enzyme is raised.oral contraceptive pills can cause transient increase in the liver enzymes .please recheck the levels in 6-8 weeks if it is increasing , you may need to go for further investigations to rule out liver damage.Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_54.txt b/processed/document_classification/train/Confidential/doc_54.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bda014944cc133ee1d01708485e9827abeed5e26
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_54.txt
@@ -0,0 +1 @@
+SPECIAL PANEL REQUIRED REX QW SEC QE T SCAT SECTION 61 OF 02 ISLWWEAG 14115 FOL NGO SENT ACTICH SECSTATE THFO LABUL, LONDON. MOSCOW MB BY CEU 17 AL LS WTO TO YOU: QUIT SECRET SECTION G1 OF G2 ILEMAN 11118 FS Sa 8 a8 8 By EH ET 7 Veg A -| é |, B(a) wT, (3) _ DISTRIBUTED TO CORRECT OLSTE ACTION UFO a at / CHS(4) OKI) I3:mECC(*) 3312) Jaf SECDEF:(*) SECDEF(§) USOP(11) He a OM 1) OX 1) EI) OF-101) WSO-10) Bsiyws0G) 28 m1) AIOXL) m4) OK 4) OTC) OND ATSIE 4s +CD WASHINGTON DC +CSAF WASHINGTON DC OK CC WASHINGTON DC 7-0 F32- OLA" from cores tequim ; y , G ss MCN5199/03377 YOR985199/1:27Z TA SECRET SPECAT CLEAR PEST CBE AY. B-| . L3@)E. y. () /k CLR LS ORCKB WAR YT OK 2x KA/Z EAL Ams yy 4 BLL MUL aS ie NAIAS HY ALLE LYALL pe fc. Vitod __ DATE Rivetgrits ye fs (9 Petre by ) DECLASS _9 VO) EXCIE °° (x) DECLASSIFY T ( ) DENY ( ) Non-responsive FOI, EO or PA exemptions G-! TS authority to: ( ) CLASSIFY as " OADR chad RO FOMABADESTN kao or ( ) C, OADR qeeese? GUL 9«@ .. ee SECRET SPECAT PRIORITY TYUS MENILAGZS7 1981124 P UBI262 QL s°. gee ee e ee ee MDGASSY [SLeusS DC eee eee e 0 arcon we COLLECTION Niamey: ebseaksy Seung af °, °, MDGS) LIVIN BTS ee PeASy TOR IA 4e eo oe USCC MOL EE CC. 1 £1 01s meer Se" ESL CARACHL 4317 S£C RC T SPECAT SECTION G2 OB G2 IS.mungay 14135 oo B-! 13(a)(S ) qe J $. BL AIMDIIZE coMSIDECEDD. uITur UNQUOTE RATTRAY BT ACTION (Rm) TWFO CICS(8) OIS(1) J9-meCCL*) J3C2) JeL1) ISL) * SECDEF:(°) SECDEF(®) USDP(13) ASO:PA(2) ASD:PARE(1) OR(1) DOKL) EDC) OL-1€1) JSO-1(1) MWSC2) VOL) WP(1) OIOK1) O€(1) OB(4) OT(1) DIA IgATeAD) ° +OCSA WASHINGTON DC +OD WASHINGTON DC +CSAF WASHINGTON DC *OK CC WASHINGTON DC TOTAL COPIES REQUIRED © 49 MCN"65199/03379 YOR°88199/11272 740988 199/22202 SECRET SPECAT eec5e COPY NUMBER-------- COSN=MAU35S9 PAGE 1 OF 1 18611242 JUL 85 SECT 002 GF 002
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diff --git a/processed/document_classification/train/Confidential/doc_5400.txt b/processed/document_classification/train/Confidential/doc_5400.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3403c7d387fea1f08a5ed7a4ae8b03d66039cb1d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5400.txt
@@ -0,0 +1 @@
+i have a rough mole most circular in shape, light to slightly dark brown in color, rough and bump about the size of half a pencil eraser. it is red in the middle and often itches and feels strange. Like I said it is rough and bumpr unlike other moles that are smooth to the skin. It is located in the center of my chest between my deltoids... HIThank for choosing HCMAs you described here the location of this lesion it seems it could be the wart, or a simple mole, the final diagnosis is depend upon the clinical examination, in either of conditions it need to be excised under local anesthesia and the specimen should be sent for hestopathological examination for differential diagnosis, better consult to some skin specialist for further advise, Have good day.
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diff --git a/processed/document_classification/train/Confidential/doc_5402.txt b/processed/document_classification/train/Confidential/doc_5402.txt
new file mode 100644
index 0000000000000000000000000000000000000000..199ec7a5088e3e0b407f80cf9c8e4317975d9802
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5402.txt
@@ -0,0 +1 @@
+My right eye begins to twing/spam every time I yawn. I ve yawned no less than 20 to 30 times a day. This has currently been going on for 3 or 4 days. In just the past several hours my right arm (just above my elbow) has begun to do the same. I m a 46yr old female with MS. Hello,Your symptoms could be related to myoclonus. I recommend consulting with your attending physician for a physical exam.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
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diff --git a/processed/document_classification/train/Confidential/doc_5403.txt b/processed/document_classification/train/Confidential/doc_5403.txt
new file mode 100644
index 0000000000000000000000000000000000000000..032d1f02943bc0c308f468401ad87273d674bf75
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5403.txt
@@ -0,0 +1 @@
+Hello doctor, I was subjected to a loud noise in my left ear. Since then, I have had a high pitch whine and my ear clicks. It seems as if I can contract a muscle in my ear and force it to click and then sometimes it seems to happen on its own. It happens more often than not, with brief episodes where it will not and I cannot make it click. Hello. Your problem could be diagnosed following a simple audiological evaluation with tests called pure tone audiometry and impedance audiometry to determine any hearing loss and eustachian tube dysfunction that you might be having. Treatment will depend on the result of these two investigations. For more information consult an ENT otolaryngologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5404.txt b/processed/document_classification/train/Confidential/doc_5404.txt
new file mode 100644
index 0000000000000000000000000000000000000000..de89307e042c02b2e8dbf644c179ddc1de9881d5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5404.txt
@@ -0,0 +1 @@
+Hi, I have just diagnosed as having empty stella syndrome for the past 3 weeks. Since that day I had left side lower back pain and cannot sit on the soft sofas and setting in the the car/driving more than 30 minutes as I would feel burning sensation at my lower back. Mild dizziness or feeling to fall when walking. Is there any connection between the ESS and lower back pain and dizziness. Have you checked your hormone levels, you seem to have some generalised weakness which may be due to decreased secretion of one or more pituitary hormones.
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diff --git a/processed/document_classification/train/Confidential/doc_5406.txt b/processed/document_classification/train/Confidential/doc_5406.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff97d94e4236a0f52309ef3fea606a0786b657da
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5406.txt
@@ -0,0 +1 @@
+Hello, my name is Andrew. I m 18 and I recently noticed a rash on my shoulder that is near my armpit area. It is just beside the beginning of my bust and it is red and looks kinda like a cigarette burn. I also noticed some dry skin patches that don t hurt and aren t too noticeable that are almost symmetrical with the first rash. These aren t red or burn-like. I ve had dry skin pretty much my whole life due to the dry climate (Las Vegas) . I am afraid that it could be something bad. I had a blood and urine test in August and was told I was completely healthy. I m sexually active, but haven t had sex in a few weeks and plan being away from sex for awhile. Again, these just recently showed up. I don t know if its from dirt, sweat, allergies or even a possible HIV , but I need help because I m terrified. I don t think it s HIV because I haven t had any other symptoms of it besides a rash. Also I read on a blog that this woman had the same exact thing as I have described and she said that she found out she was allergic to wheat. So if you can help me that would be greatly appreciated. Thank you. Hi I think you have a fungal infection of the skin which you might have contracted from your female partner who had the similar patches. It is called Tenia corporis and can be easily treated by using local clotrimazole cream and may require oral anti-fungal medicines too. Better consult a dermatologist who'll surely help you.
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diff --git a/processed/document_classification/train/Confidential/doc_5407.txt b/processed/document_classification/train/Confidential/doc_5407.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1af40e6e958b3540c18c803d9bd85857155aef30
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5407.txt
@@ -0,0 +1 @@
+I am 80 yrs man in East Delhi.Height 154 cms,Weight 60 kg.I have fungus on front portion of my tongue for last about 15 days.I feel very bad. I sip water every time but no relief. At night my throat goes dry and very frequently I have to get up and drink water. A chemist suggested to take Fluka-150 (Cipla) to take with water one tablet after every 3 days for 7 deays. Is it safe or please suggest me proper medication in Delhi East. Thanks. My ID is YYYY@YYYY Hi,From history it seems that there might be having oral thrush giving this problem.Take Fluka 150 mg once in a week for 4 weeks.Take probiotic like Lactobacillus or B.complex, folic acid medicine for few days.Avoid constipation.Apply Gention violet lotion on the tongue.Keep oral hygiene proper.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5408.txt b/processed/document_classification/train/Confidential/doc_5408.txt
new file mode 100644
index 0000000000000000000000000000000000000000..46a251e3a503d03672dbe0b00ad646d34247758c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5408.txt
@@ -0,0 +1 @@
+My doctor started my 10 year old daughter on Zoloft, sertraline really, and the next day after starting it, she has now this quarter sized lump under her chin, like under her tongue but on the outside of her throat, not inside, and it's very painful to the touch and hard, I felt it. Is she having an allergic reaction? She isn't having difficulty breathing but the lump is so painful it hurts to put too much pressure on it. She started the Zoloft medication on 5/9/11. Hi,Dear thanks for the query to HCM.Cause of the lump under chin of your daughter is -as follows-a-Zoloft is known to cause skin rash.But what you describe is a solo-pimple like / or insect bite like lump under the chin.Allergic reaction is remote possibility but insectbite?spider?is the most probable cause of that lump.Hope this would help your worry to take proper steps for health of your daughter.Wellcome again if you have any more query in this regard.Have a Good Day.
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diff --git a/processed/document_classification/train/Confidential/doc_5410.txt b/processed/document_classification/train/Confidential/doc_5410.txt
new file mode 100644
index 0000000000000000000000000000000000000000..40550a6eed9a11cd78e2294443a5fefc86268146
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5410.txt
@@ -0,0 +1 @@
+My brother has been diagnosed with a GI Cancer and will begin chemo treatments next week. I was researching the drugs and have found that two have a major drug reaction---major being described as risk outweighs the benefit! The drugs are Adrucil and Leucovorin; what would be the reason for using the two together? Do I keep quiet or ask him? Dear, I think you have wrongly been informed about the side effects of these drugs. They are safe and can be given conveniently. i will say the reverse benifit overweighs the risk. At least with first 4 or 5 cycles of chemotherapy there will absolutely be no problem. Dr. Ticku
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diff --git a/processed/document_classification/train/Confidential/doc_5412.txt b/processed/document_classification/train/Confidential/doc_5412.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bbf8d3a9b411a872f0360da5b8b655de3f41e04d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5412.txt
@@ -0,0 +1 @@
+hello doc,I was visited by a patient 24/m who had blackish extremities(both palms and dorsum , both feet and dorsum, tongue and both axillae) which was noticed initially as a small patch on one of his fingers before 3 years.It has been aggravating for the past 3 months.Pt has a h/o poor appetite since last month.Routine examinations suggest 12% of haemoglobin and decreased rbc count .6-7 pus cells in urine and 4-6 epithelial cells. His vit b12 levels are less. What could be the possible diagnosis?Regards,Dr.anjali Hello Dr. Anjali, however h/o patient is not suggestive of many things but possible one diagnosis is "MELANOGENESIS". This is a type of melanoma ( nodular or pigmented), 2nd thing may be metastasis has stated in this patient. As far as concerned about pus cells in urine actually 5-6 are nearly normal ,loss of appetite, weakness are all indicator of melanoma so pl consider this thing also in your's diagnosis.
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diff --git a/processed/document_classification/train/Confidential/doc_5413.txt b/processed/document_classification/train/Confidential/doc_5413.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d464189c033bd27b653bcde8b068df9595f9c5db
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5413.txt
@@ -0,0 +1 @@
+My MIL is cardiac patient who underwent angioplasty 6months ago. She has now been diagnosed with pyenolonephritis and her creatinine is 3.79 BUN is 25 urea is 52 .She was also detected with Hepatitis C. Only urologists have seen her and not nephrology.. is this curable? And they have suggested some stents for the kidney as well. Is it required? Her vomiting and lose motions have not stopped inspite of all the antibiotics they are pumping. welcome to hcm ... as she is a known cardiac patient and had undergone angioplasty ...such patients are also prone to have blood vessel in other body parts ..she must have developed blockage in her kidney artery renal artery that is why she is advised stent in kidney ..please go ahead it is required ...
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diff --git a/processed/document_classification/train/Confidential/doc_5414.txt b/processed/document_classification/train/Confidential/doc_5414.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9e1bbae71a85aabf4f2c98b11e3996a0c02a85ef
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5414.txt
@@ -0,0 +1 @@
+6 year old male with high fever, pain on urination, lower right side abdominal pain. CT scan inconclusive for appendix. Urine culture showed no growth. Augmentin given for UTI. After almost 48 hours, still running high fever and pediatrician puzzled with no growth urine culture. Appointment made with pediatric nephrologist in two weeks. We are worried. He's had no history of UTI in the past. He has had intermittent low grade fever with and without hives present over the last few weeks. No other symptoms. What could we be looking at? Hi friend, Welcome to Health Care Magic Fever is generally due to infection. It is not always easy to pin point the cause. Augmentin is a good antibiotic - give another day or two / Some fevers settle down by fourth day only / if not, the child needs to be examined again...and the antibiotic changed.... Take care Wishing speedy recovery God bless Good luck
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diff --git a/processed/document_classification/train/Confidential/doc_5415.txt b/processed/document_classification/train/Confidential/doc_5415.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5b35c41e94396a5de940422a703d386ac5db3e5a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5415.txt
@@ -0,0 +1 @@
+Hi. My 4 year old son has a yellow blister type spot on his gum above his top front tooth on the left side. It comes up then goes after a day or so. It has been pooping up for about a month. Is there anything to worry about? Im really scared. Thankyou. Thanks for your query, I have gone through your query.The blister like bump on the gums can be a deentoalveolar abscess secondary to the tooth infection. Nothing to be panic, consult a oral physician and get it evaluated. You need to take radiograph like IOPAR to confirm the diagnosis. If there is a tooth infection, you need to get the tooth treated endodontically. Mean while you can take a course of antibiotics like amoxicillin 125mg TID for 5 days(if you are not allergic).I hope my answer will help you, take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5416.txt b/processed/document_classification/train/Confidential/doc_5416.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e7d5e72477ead9be634068abe3a3b13d0c2eb119
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5416.txt
@@ -0,0 +1 @@
+HiI have just woken up, and noticed that a lymph node on the right side of my neck is swollen. A week or so ago, I had a swollen one just behind my ear, on the same side if I remember correctly My tonsils were giving me some trouble a few months ago, and I had anti-biotics to rid my infection, perhaps it is coming back? My dentist recommended that I had my tonsils removed quite some time ago, but another dentist I visited said that he would only consider removing them if I had persistent problems with them.So perhaps the swollen lymph node is something to do with this. I m 20 years of age, my diet has been somewhat poor the last couple of weeks, but otherwise I would say I am quite healthy in general.Thank you. Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you have a recent history of throat infection and even if it is coming back also presently then there is a possibility that the swollen lymph nodes are due to Reactionary Lymphadinitis and it is not a serious condition and when you will take medication for treating the infection like antibiotics the swollen lymph nodes will resolve gradually..You should consult an Otolaryngologist and get evaluated and get tested for bacterial infection [ rapid strep test] and viral infection [ rapid mono test] to rule out the exact cause of infection and treatment can be planned accordingly..If there are recurring episodes of the same then Tonsillectomy will only provide permanent relief..As of now do alternate warm and cool compresses over the lymph nodes..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora.
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diff --git a/processed/document_classification/train/Confidential/doc_5417.txt b/processed/document_classification/train/Confidential/doc_5417.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10b9450b590079e0ca790870d13c6140fd8024ba
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5417.txt
@@ -0,0 +1 @@
+my blood pressure is going way high and low lately many problems- surgery errors now hernia and arterial fibrillation bulldozing our property no tresass court actions i need to take something to bring it down now being told I need medication 400.00 monthly I cant afford no drug ins what is your suggestions right now im having veinous insuffientcy hbp part involved need the surgery for it too in progress plus hernia future always two procedures first colonoscopy with anti freeze then another at hospital freeway down the middle two weeks to heal or walk HelloWelcome to Ask a Doctor serviceI have reviewed your query and here is my advice.Underlying cause of uneven hemodynamic system is matters, although it is very less likely, it is always be the high blood pressure, if you are going to read it on your own then it may show you great deal of fluctuation so better to see the physician, moreover such condition may not cause any obvious condition, venous insufficiency of what region is question ? it is being treated according to vein disease of related region or area, for the hernia it is again what type hernia is there in which area on body it is happening, surgery is the option for most of hernia. Hope I have answered your query, let me know for further assistance.
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diff --git a/processed/document_classification/train/Confidential/doc_5418.txt b/processed/document_classification/train/Confidential/doc_5418.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3823fcf4c9e75fb1e72b1605aaa6ddf0a35772bd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5418.txt
@@ -0,0 +1 @@
+It is 4 am. My husband 86 yo Parkinson s with dementia has PEG. Body rejected tube feedings and now is constantly trying to pull out the feeding tube. I don t want to restrain him at this end stage. Can I remove it at home or possibly cut it close to the skin and cover? Hi, Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I am happy to answer your queries. I have read your question with care and understand your concerns. Let me try to help you. Question : Can I remove it at home or possibly cut it close to the skin and cover?Answer : No. You need to take him to a hospital for this. Don't try this at Home. Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5419.txt b/processed/document_classification/train/Confidential/doc_5419.txt
new file mode 100644
index 0000000000000000000000000000000000000000..700113ad3a09f9b7037093103fa64ac8b4640f61
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5419.txt
@@ -0,0 +1 @@
+i am 21 years old, and for the past few months i've been loosing alot of hair and my skin is very dry on my face and scalp, i think its seborrhoeic dermatitis. i'm more concerned about the hair loss though, could it be a lack of iron, or over active tyroid? Hello, yes, for a diffuse hair loss without a significant preceding history, u need a complete blood count and a thyroid profile done, if any abnormality appears on these, correction of those will rectify ur problem.For the dry skin, use a good soap like dermadew soap for bathing and apply a good moisturiser like efatop-PE lotion post bathing.Seborrheic dermatitis presents with itching and extensive flaking on the scalp, ears, nasolabial folds etc., if you have these problems, then consult a dermatologist for confirmation of diagnosis and appropriate management.ThanksTake care.
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diff --git a/processed/document_classification/train/Confidential/doc_5420.txt b/processed/document_classification/train/Confidential/doc_5420.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d3e7fbfce49e8dc55b487643b4b7417402fb44c8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5420.txt
@@ -0,0 +1 @@
+Well actually i am suffering from a lot of hair fall plus whenever i scratch my head i feel white particles and at the end of every strand there is one that sort of a particle but i am definitely sure i dont have lice. And can you please help me in front i am totally going bald and i am only 21years old female hi, welcome to HCM,you are suffering from seborrheic dermatitis of scalp.wash your scalp with ketoconazole+ZPTO shampoo.apply beclomethasone + clotrimazole lotion once daily.take tab cetrizine 10mg once daily.this will resolve your problem.thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5421.txt b/processed/document_classification/train/Confidential/doc_5421.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38fc55fb45b33262010ac94d123407b06320c779
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5421.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here... hi, i have recentlly been to see my gp who said i have tonsillitus. im just wondering if its normal to have lower back and groin pains with this? As a few weeks prior to this i had cystitus which seemed to clear nut follwin a urine sample after this episode came back that i have a large amount of white blood cells and protien in my urine. i feel rather ill, feverish aching headaches and very swolln glands that are tender to touch Hi,From history it seems that your problem of having cystitis is still there producing back pain and groin pain.Tonsillitis does give rise to generalized body-ache and malaise producing this type of problem.Consult your doctor and get examined.Take plenty of water.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5422.txt b/processed/document_classification/train/Confidential/doc_5422.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb5d50f81800ffe840b15436fea4862acec9003a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5422.txt
@@ -0,0 +1 @@
+Hi aim 41 years of age and for the last few days I ve been feeling pins like sensation in my left chest side Also when I breath in deep I can feel that pin in my left side I m guessing in the heart Should I be conserened or is it just a side effect from stress Hi thanks for contacting HCM....According to your complaint few possibility is present...First if you are taking excess stress then it can occur..Rest done...Avoid stressful situation...Yoga helpful...If needed counselling done by psychiatrist....Second it could be simple musculoskeletal pain...Rest with analgesic useful...Avoid heavy weight lift and strenous exercise...Take proper sleep posture while at bed...Thirdly if you have still problem and cause not clear detailed history and examination needed to do further work up...To rule out respiratory causes pulmonary function tests and chest x ray useful...Hope your concern solved...Take care...
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diff --git a/processed/document_classification/train/Confidential/doc_5423.txt b/processed/document_classification/train/Confidential/doc_5423.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a4f9329f28c071747c49e0e2bbaa8b0856ed9bef
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5423.txt
@@ -0,0 +1 @@
+Lately in the mornings I wake up early (5 am) in discomfort with a full bladder. After urination I am in painful agony. The pain is shooting in lower left abdomen and will usually last for 20 min to a few hours. In the past I have had several ongoing problems with UTI's but this is completely different. Any ideas? Hello, welcome to healthcare magic forum,See it seems to be a kidney like problem, it will be wise to get a urine examination done along with a ultrasound, by this we will get clue to move forward towards diagnosis and treatment.Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5424.txt b/processed/document_classification/train/Confidential/doc_5424.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8995c50a27bcf8a71d97bdfa3b0f28d05c85f777
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5424.txt
@@ -0,0 +1 @@
+I know you can not give a true diagnosis. However, I think I may have ADHD and or ADD, what is the process in which I would take to get an actual diagnosis. If it is proved that I have either or, then what happens next because I have also in the past been diagnosis by a licensed therapist with Generalized panic disorder and social anxiety disorder along with depression. I do not wish to be on synthetic man made drugs, I do wish to do something more natural based. Here are some of my symptoms. Before what I consider a big event, like a job interview, or going to the DMV, starting a new school, or something like that, the night before I will not sleep. Along with that when I am feeling excited, stressed, sad, in a state of urgency, I become very scatter brained. In my daily life I do struggle to manage my personal finances and loath completing household chores. Along with these bullet points • Lack of focus and trouble listening and paying attention • Being easily distracted, disorganized, and frequently forgetting and losing things • Failing to follow through • Making mistakes that seem careless. I do make lists, I make every good intention to write them down then forget my lists... Help Please. Another thing, I try to make plans with people, but I end up canceling on them at the last minute. Perhaps this goes back to my social anxiety thing.... I want to go out and socialize I love people but I am scared to socialize, anything outside of work and grocery shopping, i m pretty much a hermit. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To diagnose ADD or ADHD you need to visit a psychologist or psychiatrist. There are standard psychometric tests to diagnose these psychological disorders. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
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diff --git a/processed/document_classification/train/Confidential/doc_5425.txt b/processed/document_classification/train/Confidential/doc_5425.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7fdc8bf7306cca60967528af259096916e9bc959
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5425.txt
@@ -0,0 +1 @@
+I am having whooping type of cough. ihave been told by chest physician it is allergic. i am suffering since 2 months. recntly i have been put on telecast f tabs sice 4 days. . how long it takes to act. and how long i have to take this hello,thanks for ur query,2months old cough should be evaluated with xray chest and blood tests. telecasdt-f tablet used in prevention of allergic rhinits and asthma.it should be taken for 4-6moths and tapered slowly depanding on ur symptoms.u need to see an ent surgeon for farthur evaluation and treatment.all d best.take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5426.txt b/processed/document_classification/train/Confidential/doc_5426.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d3bd4893fc392afa7bb3238516858237ad60978f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5426.txt
@@ -0,0 +1 @@
+Hi doctor, I want to confirm something about my pregnancy.i have missed my period today is 63 days.my last period date is January30.in pregnancy kit I am getting negative I checked at 50 days .when can I take pregnancy test.six months back I have pcod.after that I used medicine after that I went for checkup doctor told that after scanning no pcod.please suggest me when can I take pregnancy test. Currently I am taking ovofit and polic acid tablates.can I take this medicine after my pregnancy confirm? hi, you are having delayed Periods probably due to Anovulation. As your pregnancy test was negative at 50days , I would advise you to recheck again tomorrow morning, if it's negative it's advisable to take medication for withdrawal bleeding. and PCOS is not diagnosed based only on the ultrasound reports, it's a lifestyle disorder. So you need to work on modifying the same like weight reduction, Regular excercises, dietary modifications, to get your Hormonal balance in place so that you get periods on time which will ensure you are ovulating on time too. in that way if you have been trying for a pregnancy that also can be natural without the need for any medications. ?PCOS, ? Thyroid. -Complete hemogram, -Glucose tolerance test, HbA1c levels, -Lipid profile, RFT, LFTs, -Serum Calcium, Vitamin D3 & B12 levels -Serum Fasting & Post Prandial Insulin levels. -Serum FSH, LH, Estradiol, Prolactin levels, Thyroid profile (T3, T4, TSH, Anti TPO) on 2nd/3rd day of next menstrual period. Thyroid or Prolactin abnormalities, -Tab. Meprate or Deviry 10mg twice daily for 5 days and then stop. -To wait for withdrawal bleed within next 7-10days. -To get blood tests done on 2nd or 3rd day of periods. -Reduce weight. -Maintain menstrual diary. -Regular excercises at least one hr daily ( follow health coach instructions). -Lifestyle and dietary modifications (as per diet coach's advice). -Future risks of Diabetes, hypertension, heart diseases explained. -Possible difficulty in conception explained - To consult fertility expert for the same. To follow up with the test reports advised.
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diff --git a/processed/document_classification/train/Confidential/doc_5428.txt b/processed/document_classification/train/Confidential/doc_5428.txt
new file mode 100644
index 0000000000000000000000000000000000000000..91f0df5d79b8f349059d0073c30fab54b6315d67
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5428.txt
@@ -0,0 +1 @@
+Hi doctor, My mother is 63 years old. Her weight is 60 kg and her height is 5'2''. For the last two-three days, she was getting an eye burn. Yesterday, she felt like a sand particle inside her left eye. Also, dropping of the eyelid. So today we started putting some over the counter eye drop. While putting drop we noticed a black mark inside the white of her eye. Is it a matter of concern? Hi Welcome to icliniq.com. I have seen the picture. (attachment removed to protect patient identity). This appears to be a mole. By seeing her eyelids it appears a bit swollen so can be a mild infection. Start Moxifloxacin eye drop six times a day for seven days, Refresh tears eye drop six times a day for seven days, FML-T (Tobramycin, Fluromethalone acetate) eye drop three times a day for seven days. Take tablet Cefixime 200 mg twice daily for three days (kindly rule out any allergies beforehand), Occupol eye ointment (Chloramphenicol and Polymyxin-C sulfate) at bedtime.
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diff --git a/processed/document_classification/train/Confidential/doc_5429.txt b/processed/document_classification/train/Confidential/doc_5429.txt
new file mode 100644
index 0000000000000000000000000000000000000000..84b776f1c73db999f92e409ce324271f08dbaf39
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5429.txt
@@ -0,0 +1 @@
+I am 70 year old end stage of renal disease my biopsy from clavicle was necrotising granulomatous inflammation suggestive of TB, XPert PCR and special stains for TB were not positive, however Quantiferon Gold was positive for TB on ATT but liver enzymes gets elevated frequently urine output is also decreasing please advise HIThank for asking to HCMSome time clinical symptoms are very important rather than the lab. reports I have seen many cases in which the lab. reports was very bad but patient does not have any clinical symptoms related with the reports and they are really doing fine, so I advise you to take it easy if do not have any clinical sing or symptoms then why to worry the value of chemical reaction of our body goes on changing from time to time, keep your moral high every thing will be okay have nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_5430.txt b/processed/document_classification/train/Confidential/doc_5430.txt
new file mode 100644
index 0000000000000000000000000000000000000000..49323f80185cc02b835b3beacbff66485c23c698
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5430.txt
@@ -0,0 +1 @@
+I would like to ask about a patient I have met in the remote area of my country when i was there for my field works, a patient complained that she initiated to have weakness and after 2 or 3 days she could not walk at all even to leave her leg, with this symptom how can we treat and advise her? Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. However, the answer is a little difficult because such paralysis may be cause by many different causes, simply knowing there is weakness is by no means enough and tests are needed to identify the cause before we start discussing treatment which varies according to the cause. The most likely possibilities would be peripheral nerve damage like for example in acute polyradiculoneuritis (Guillain-Barre syndrome) or spinal cord damage due to inflammation, stroke, tumors etc. As I said a proper neurological exam as well as probably tests like spinal MRI an EMG are needed. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5431.txt b/processed/document_classification/train/Confidential/doc_5431.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5ce693ef3c51c054f85f81597b806b1b6d4b7bd1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5431.txt
@@ -0,0 +1 @@
+Hello I am 6 weeks post TAH BSO for endometrial cancer stage 1a with 30 pelvic lymph nodes removed. I have bilateral numbness in my upper thighs and have intermittent swelling in left groin into superpubic area. Swelling recently is worse than right after my surgery. Worsens with activity and lessens with ice packs and rest. Is this to be expected? How long will the swelling and numbness continue? The swelling you are experiencing is lymphedema.Meet a physiotherapist.Manual lymphatic drainage methods can be learnt.Loose clothingCompression wraps in the regionElevated legs while sleeping etc can help alleviate the symptoms.It takes months to years to subside and some amount of residual edema is expected.
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diff --git a/processed/document_classification/train/Confidential/doc_5432.txt b/processed/document_classification/train/Confidential/doc_5432.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e2ef5eab91d6a4b6595f2af5968510ed49594da
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5432.txt
@@ -0,0 +1 @@
+Hi I am Gerry Gramata....42 years old...BMI 28....I was diagnosed to have a fatty liver since 2007...I took medication and changed my life style...since then I did not take alcohol and give importance to exercise....I am actually an excellent athlete now (badmintn, basketball, running)... I admit that I was a heavy drinker years before...For now, some of the feeling are seldom experience are....I sometimes felt week during exercise seems my energy went depleted instantly however taking in carbo will bring back my strength...everytime I take godex which i resumed lately two weeks now...i feel burning sensation in my liver area....can I prolong taking in godex for two months without side effects? thank you for your answers... Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).I will like to advise:1. Continue with exercise2. Take less caloric diet to reduce your weight3. Get transaminase, glucose and lipid profile levels in blood and manage accordingly4. take tablet ursodeoxycholic acid and vitamin E5. Continue with Godex capsuleI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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diff --git a/processed/document_classification/train/Confidential/doc_5433.txt b/processed/document_classification/train/Confidential/doc_5433.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0f67731dd931ee7cccba2b0c60a95f3a2172e851
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5433.txt
@@ -0,0 +1 @@
+I was sitting on the pool table at a bar and this guy punched me full force in my right middle back. It is very sore to touch and has been for 3 days. Every time I bend down or cough it hurts. If I press on it the pain radiates down to my buttock. The pain is like an injection being inserted into the buttock/ hip/ lower back. Please help. Just want to know if it anything serious or whether it is soft tissue damage. Most likely it is soft tissue injury. However I would suggest to get thoracic spine Xrays AP/Lat to rule out any spine fracture.
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diff --git a/processed/document_classification/train/Confidential/doc_5435.txt b/processed/document_classification/train/Confidential/doc_5435.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3171505ea5ff3e6870995df471ccd09e302bd674
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5435.txt
@@ -0,0 +1 @@
+Hi, my belly button is pierced and I recently grew this bump on it that looked like it was puss filled and goey on the bottom hole inside my belly button. I did a salt water cleanse and it s going away but inside my belly button I have a red rash thing the shape of a ring. It itches and it s been there for 3 days. Help please! Hi,It seems that you got infection in your belly button due to piercing.go for one antibiotic medicine course for 3-5 days.Clean the part with antiseptic lotion and apply antibiotic cream locally.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5438.txt b/processed/document_classification/train/Confidential/doc_5438.txt
new file mode 100644
index 0000000000000000000000000000000000000000..73f69c5430f9dcbdcbedca4d0c9a31960f54a5fb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5438.txt
@@ -0,0 +1 @@
+we have come to know that my wife may be pregnant today morning when we consult the doctor. after checking he prescribed all9 and gestofit sr300. after taking the medicine all9 2 hrs later she felt that her period has started. is it possible that she is pregnant. Hello, Yes, it is still. Possible that she could be pregnant please get serum Beta HCG level to confirm pregnancy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Haleema Yezdani, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5439.txt b/processed/document_classification/train/Confidential/doc_5439.txt
new file mode 100644
index 0000000000000000000000000000000000000000..77f02d7a36ffbe46f17d95cb4641dbc060eaff39
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5439.txt
@@ -0,0 +1 @@
+My 8 month old baby over the last two days has had her tongue turn black, starting in the back and moving forward. She does not breast feed, has not recently taken medications. She seems to be in no pain and the tongue feels the same temp as her body. Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain black discolouration of tongue can be due to a condition known as Black Hairy tongue and can be due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc..I would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids..It can take a few days to resolve and in case if it does not resolve consult a Pedodontist and get evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
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diff --git a/processed/document_classification/train/Confidential/doc_5440.txt b/processed/document_classification/train/Confidential/doc_5440.txt
new file mode 100644
index 0000000000000000000000000000000000000000..29014d3643e8f6dfc2a4fd2da0b5c9cab4f594f2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5440.txt
@@ -0,0 +1 @@
+I am 51 years old female and I have pain in the area of my liver, I believe it is due to too much alcohol over the weekend, apart from not drinking is their any thing you can suggest to relieve my pain. I do not have a head ache.Thank you, I didn't realise this was a paid service I can not pay for this at the moment so not to worrygood bye greetings.definitely pain in around that area can be because of some pathology at the liver.so yes alcohol can be one of the reasons.also it can be because of acidity.do you have any fever associated?if you have any other symptom like vomiting,pain on putting pressure on that area,more pain on bending forward,let know.hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_5441.txt b/processed/document_classification/train/Confidential/doc_5441.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a90c48f12cc47fe3eace1e6080b8e9990b9b7117
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5441.txt
@@ -0,0 +1 @@
+my husband and I has been trying to get pregnant for three years he has a low sperm count that has been our issue. But this past month my period was light. I begin to have cramps a week to two weeks before my period they still have not left me its been 3 weeks. I'm having off again on again nausea constant back pain and mild cramps. I took a tes 2 weeks ago it was neg. Could i be pregnant? Hello, 1. Jump to a healthy, balanced diet rich in vegetables and whole grains.2. Regular physical activity.3. Try to reduce stress.4. If you are overweight, losing excess weight, maintain your weight.5 Do not smoke.Sperm Count Low Home Remedies1. Garlic is the most effective remedies to increase sperm count. Garlic contains selenium, which can increase the sperm count, the most important part of one.2. The Onion: Onion is a very good heart and blood thinners. Improve blood circulation, blood flow to the genitals, and increase sperm count over time.3. Celery: Celery also serves as an excellent home remedy to use, to increase sperm count. Celery contains androsterone, increase sperm count and sperm health. Celery is also beneficial to sexual dysfunction.4. Eggs: Eggs are a good source of selenium and other important nutrients. The eggs are very effective in the treatment of various diseases such as erectile dysfunction, loss of libido; reduce the level of egg, and so on. Testosterone improves blood circulation, increase the intensity.5 Water is one of the most inexpensive home remedies to increase sperm count. Water to maintain moisture, and keep the circulation flow. Water to nourish sperm; increase sperm count and sperm health. Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5442.txt b/processed/document_classification/train/Confidential/doc_5442.txt
new file mode 100644
index 0000000000000000000000000000000000000000..43f4de45b5835a1bccd15a6a6c1a5d469fc15d38
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5442.txt
@@ -0,0 +1 @@
+Hello Doctor,Thanks for taking time to answer the question I post here. After marriage I have severe stomach/abdominal pain where I cannot even move. i just bend downwards holding my stomach-- even breathing becomes very difficult. I have one advil pill and it eases the pain in 20 mins... is it normal? I have come across this situation twice. First time i got scared and went to ER. They took some tests and provided a report stating everything is normal. But am confused here.Can you please help? Hi! Good evening. I am Dr Shareef answering your query. With your history of getting abdominal pain of such severity after marriage, I could think of either a resistant UTI (urinary tract infection) or a PID (pelvic inflammatory disease). If I were your doctor, I would advise you for a routine and microscopic test of urine followed by a culture and sensitivity test and treat it if positive. The PID could be diagnosed by a gynaecological examination and a vaginal swab culture and sensitivity test. Apart from this, a general abdominal examination along with an ultrasound of abdomen would be required to rule out any other intra abdominal pathology. Till then, I would advise you with an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_5443.txt b/processed/document_classification/train/Confidential/doc_5443.txt
new file mode 100644
index 0000000000000000000000000000000000000000..472447604665369a11e9113f763f2b36fa345bfe
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5443.txt
@@ -0,0 +1 @@
+Hello doctor, I require some information about sinus infection. 1. What are sinus infections, and what causes it? 2. Suggest some reasons why we are getting frequent sinus infections, and what should done? Hello. 1. Sinus infections (sinusitis) are swelling or inflammation of the tissue lining the sinuses. 2. Causes include a virus, bacteria, fungus, allergies, polyps, tooth infections. 3. Blockage of the nose, especially if you are allergic or having nasal polyps makes you prone to have frequent sinusitis. Plus, congenital illness or weak immunity also puts at risk for sinus infections more often than healthy patients. Prevention consists of keeping nasal pathways clean, stay well hydrated, avoid dry air places. You can use air humidifiers to moisten the air. Eat healthily, get enough sleep, and exercise more.
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diff --git a/processed/document_classification/train/Confidential/doc_5444.txt b/processed/document_classification/train/Confidential/doc_5444.txt
new file mode 100644
index 0000000000000000000000000000000000000000..76d962c003c8b4f80d846ceebe300694305ef537
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5444.txt
@@ -0,0 +1 @@
+I have had laryngititis twice in a space of about about 3 and a half weeks, it has just started developing again and leaves me almost conpletely voiceless. What could be causing it? And what can I do I fo to prevent it when I feel it coming on such as yesterday when my throat first started to hurt? YYYY@YYYY Mostly these are viral infections. Try with warm salt water gargling and steam inhalation. Also build your immunity by consuming good nutritious food.
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diff --git a/processed/document_classification/train/Confidential/doc_5446.txt b/processed/document_classification/train/Confidential/doc_5446.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eca6a8a371f7065e56959368c3d16ec31561ed09
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5446.txt
@@ -0,0 +1 @@
+Hi, I am wondering if someone has major edema in legs, feet and belly and diagnosed with end stage liver disease...is there any hope? Asking for a family member. She has just been prescribed two diuretics. Wondering what is in store for her, as well as us the family. Your information is greatly appreciated. Thank you. Welcome at HCM i have gone through your query and being your physician I completely understand your health concerns... Life expectancy depends upon how bad the liver functions are. You need to to get her LFTs along with abdominal ultrasound scan to look for ascites . . Your doctor will calculate the overall score called child Pugh score ...it includes bilirubin levels along with serum albumin and PT, degree of ascites and encephalopathy.... Five year survival rate is calculated on this score which us 70% for child A( mild disease).. Meet hepatologist for proper work upRegardsDr saad sultan
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diff --git a/processed/document_classification/train/Confidential/doc_5447.txt b/processed/document_classification/train/Confidential/doc_5447.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4c15a068414297ba41588c598bb4db20e2dbe2e8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5447.txt
@@ -0,0 +1 @@
+Hello Doctor, I married before 7 years ago. We don't have chid. Before of two years my marriage, Me and my wife were doing sex. But from I did the sex first time to till date, I never fill frection/penetration due to my wife's vagina is very loose that I believe. My penis size is also normal (5 inch). My wife had a boyfriend before I met hir. I asked couple of time about that but she always told me she never been intercourse with anyone else. I tried many positions but never fill like that. whenever I did the sex always I fill like nothing. Please advice me. Dear Sir,If you ejaculate each time that you have sexual intercourse with your wife, and I mean if you ejaculate inside her, and if you have sex in the right period during the menstrual cycle (meaning 2-3 days before and after her mid-menstrual period, counting the first day of the menstrual hemorrhage as the starting point of the cycle), and you are still not able to make her pregnant then I would suspect some female or male causes that prevent her from becoming pregnant. In this case I would advise both of you to see a specialist in order to determine the cause(s). In this is not the case the fact that the vagina is too loose and you dont feel much pleasure when having sex should not interfere with your ability as a cuople to conceive. You have to try for at least 12 months to achieve pregnancy by natural methods (sex) before thinking to go to a specialist.On the other hand, try to change the position while having sex with your wife because maybe this will help with the friction and the pleasure both of you should get from having sex with the one you love!
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diff --git a/processed/document_classification/train/Confidential/doc_5448.txt b/processed/document_classification/train/Confidential/doc_5448.txt
new file mode 100644
index 0000000000000000000000000000000000000000..493dd42eea82756d64e87801f0fa63a1b8448c31
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5448.txt
@@ -0,0 +1 @@
+i took geodon (ziprasidon) medicine for 2 days, i had loss of memory, i am taking quitipine for past 5 years?doctor adviced this medicine for loss of weight,but after changing to geodon (ziprasidon) i had loss of memory, how to regain memory and get rid of this situation Hi,Thanks for writingZiprasidone, in 2 days, is very unlikely to cause serious memory problems. For your complaint, I suggest you speak to your doctor in detail. Hope that helps,Dr A Rao
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diff --git a/processed/document_classification/train/Confidential/doc_5449.txt b/processed/document_classification/train/Confidential/doc_5449.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7beba904662a1985c5e84a050f0419c5d80bc8c9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5449.txt
@@ -0,0 +1 @@
+Hi doctor,I suffer from severe pain on the right side of my head from several years. The pain is especially in the area between the frontal lobe and parietal lobe, probably in the area of the motor strip and sensory strip. The pain is in the form of vibrations of low frequency. The painful vibrations extend through the part mentioned in the brain to the right side of tongue in the path of a straight line. The pain reduces as I press at temples, and I feel relief at the problematic area, and the pain starts again as I remove pressure from the temples. The pain starts if I work, think, listen, or write, and if I keep working during the pain, it increases and compels me to stop working. Loud sounds become unbearable during the pain. Simple relaxation or sleep relieves me from pain. It has become a major obstruction during my studies, and it makes me uncomfortable at times. I had my MRI checked, and it showed no problem. Hi. For more information consult a neurologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5450.txt b/processed/document_classification/train/Confidential/doc_5450.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e183ef4d81b5bd2621984c21173caaaa98873203
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5450.txt
@@ -0,0 +1 @@
+I went to the dentist today, they said I have cavities, and am losing my jaw bone, then they gave me a paper to see an oral and maxillofacial surgery DDS, it says "Please evaluate lesions on post palate right and left side" and i cannot read the rest -- ???? Can anyone help tell me what i am sort-of in for??? thanks thanks for your query, i have gone through your query, the infection secondary to decay of teeth might have resulted in osteomyelitis means infection of the bone resulting in destruction of bone. or it can be secondary to periapical cyst or any benign tumor of the jaw. you can take a radiograph of the jaw like OPG which can reveal the lesion. i hope my answer will help you. take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5451.txt b/processed/document_classification/train/Confidential/doc_5451.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f630233aa3a9cd57f6d0db01f32560913666b60e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5451.txt
@@ -0,0 +1 @@
+I have dry socket from a wisdom tooth extraction a week ago, the dentist put paste into it for pain, there is brown stuff in the socket, my dentist didn t tellme to remove anything.... should I remove what s in there? I have an appointment in a day and a half and its been a couple of days ? Is it cotton or part of the paste dry socket is because after extraction the blood clot got dislodged from the socket. so ideally the dry socket should be curetted which means it should be cleaned & irrigated with medicine & obtundent dressing which is already given to you must be placed. the brown discharge or paste is the dressing. it will take around a week for the pain to subside. you should go for regular dressings, & maintain that area clean. food lodgement in the socket can again cause infection & give more trouble. use betadine mouthwash twice a day to help in healing. betadine should be diluted with equal amount of water, & after rinsing with it you should not intake water for atleast 20 mins.
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diff --git a/processed/document_classification/train/Confidential/doc_5452.txt b/processed/document_classification/train/Confidential/doc_5452.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd07d3b51f808b8538cd270ed4bc4b237ade5cae
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5452.txt
@@ -0,0 +1 @@
+my daughter, age 25, was diagnosed as having multiple linear stomach ulcers, but bacteria infection ruled out and not on NSAIDs. She was put on prilosec about 3 weeks ago, but still has stomach problems. tonight, she had extreme pain for aboutt an hour and temperature dropped to 95.1 degrees. She dfeels light headed. Should she get to a hospital? Hi! Good evening. I am Dr Shareef answering your query.Yes, I would advise you to take her to the ER of your nearest hospital for a physical examination and any other related investigation like an ultrasound abdomen. This advice is because of the history of extreme pain in her abdomen.Thanks for choosing health care magic to clear doubts on your health problems. I wish her an early recovery. Dr Shareef.
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diff --git a/processed/document_classification/train/Confidential/doc_5453.txt b/processed/document_classification/train/Confidential/doc_5453.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4294b4174c605e341109951ee2812f73cb2d3007
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5453.txt
@@ -0,0 +1 @@
+Hi doctor, I have been experiencing dry lips and around my mouth which is itchy and gets red. I have used all sorts of lip balm but nothing seems to be working. I drink lots of water throughout the day as well. This is getting me really worried now. Can you help, please? Hi. I have gone through your case. Immediately stop using all different types of lip balms and lipsticks. Apply 1 percent of Hydrocortisone ointment and apply two times a day for seven days. After that, apply only Petroleum jelly or Vaseline twice daily for the next seven days. Avoid spicy food. Maintain good oral hygiene. Avoid lip rubbing and if you are habitual of rubbing your tongue, then please avoid it as saliva also irritates the skin. Use only white-colored toothpaste. Cross-reactivity between different cosmetics.
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diff --git a/processed/document_classification/train/Confidential/doc_5454.txt b/processed/document_classification/train/Confidential/doc_5454.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0abccecb579ddf14eb9a55fb67c810ce77bc7ce7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5454.txt
@@ -0,0 +1 @@
+My lower left abdomin is painful when I push on it. I have noticed that going number 2 has gone from being normal to almost nothing...my lower back feels stiff and hurts at times...it's only been 3 days but it doesn't seem right...should I be worried? i. Yes you should be worried. Consult a Gastro. I would advise you to take an antibiotic and Metronidazole for full 5 days and see the results. This is called colitis = infection and inflammation of a large bowel. Take plenty of oral fluids
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diff --git a/processed/document_classification/train/Confidential/doc_5457.txt b/processed/document_classification/train/Confidential/doc_5457.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7822309d2c094a767ae506badd66d86655e45e1e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5457.txt
@@ -0,0 +1 @@
+I am being treated for tuberculosis. The diagnosis was made after a pericardial effusion over my heart and other related symptoms such as fever and lethargy. Eight months have passed and now i have a slight pain in the area under my left rib when i press it or i stretch my hands above my head. Other than that i do feel a bit of pain in my legs specially at joints. I fear a drug resistant TB as i have heard stories regarding this specially with the fact that i am a heavy smoker. Thanks for your question on HCM.In my opinion you should consult pulmonologist and get done 1. Chest x ray 2. PFT (Pulmonary Function Test)Since you are smoker we need to rule out bronchitis first. So PFT is needed. Chest x ray is needed to rule out any infection like TB present or not.And quit smoking as soon as possible.Chances of MDR TB is very low in your case as you had extra pulmonary (pericardial) TB. MDR in extra pulmonary cases is very low. It is more seen in pulmonary TB patients. So no need to worry about MDR TB.
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diff --git a/processed/document_classification/train/Confidential/doc_5458.txt b/processed/document_classification/train/Confidential/doc_5458.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9c21aa54c18e46f527aafb806c6b37d2929e8784
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5458.txt
@@ -0,0 +1 @@
+Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Hi. For further doubts consult a sexologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5460.txt b/processed/document_classification/train/Confidential/doc_5460.txt
new file mode 100644
index 0000000000000000000000000000000000000000..de055db686b466e9bb1d8fa3f3751b23f52a5025
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5460.txt
@@ -0,0 +1 @@
+Hello. I noticed on thursday evening one bump on the outer lip of the vagina and then on saturday morning i found some bumps underarms and more bumps on the vagina. neither bumps are red and ozzing anything at all. the bumps undersarms are a bit sore. Hello,It seems to be fungal infection from your description . Apply Terbinafine hydrochloride ointment thrice daily to the lesion.Use loose clothing.Maintain hygiene.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5461.txt b/processed/document_classification/train/Confidential/doc_5461.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7056a020e1180fd512aa90068b325758531c3850
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5461.txt
@@ -0,0 +1 @@
+Hi doctor, I am 27 years old. Four months ago, I had the PPP removal along with CO2. Now, for the last 30 days, I have been noticing some dark lines on my penis head. Is that something to worry? Hello. Please attach a picture to ascertain if it is something to worry. Thank you. Revert back with a photo to a dermatologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5462.txt b/processed/document_classification/train/Confidential/doc_5462.txt
new file mode 100644
index 0000000000000000000000000000000000000000..defdc83df7dee2c83c5f50daf3bdbadc884ce3d1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5462.txt
@@ -0,0 +1 @@
+helo doctor, i had a problem with skin from 12years approximately, i have been went to so many doctors, but no use, my skin allergy seems like a mosquito bite, later it turns sevear wound with in 3 to 4 days after it heals, at the time of healing i will get itching sensation, plz suggest me what shall i have to do. HI, thanks for using healthcare magicThe reaction to insect bites can vary from one person to the next. In some cases, it can be severe.You would first need to consider reducing the bites by checking your environment for collections of water and using mosquito repellents as often as needed (reapply as often as allowed).If bitten, then apply a topical antihistamine to the area or take a oral antihistamine. This would reduce the inflammatory response and your desire to scratch the area.When you scratch, infection can occur.If infection occurs then use a topical antibiotic.I hope this helps
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diff --git a/processed/document_classification/train/Confidential/doc_5463.txt b/processed/document_classification/train/Confidential/doc_5463.txt
new file mode 100644
index 0000000000000000000000000000000000000000..72d6ba36c074ff34754ee347d0186d37ef88c9b4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5463.txt
@@ -0,0 +1 @@
+hi i m married age 28 i have three year old daughter and now then i had irregular periods now diagnosed with polistic ovaries right now i m having glucophage three times a day and gng to start diane 35 4 months course and after tht my gyno told me she is gng to give me medicines to concieve i m lil over weight and trying to loose weight will this help me to have child i m worried Hi, thanks for using healthcare magic Polycystic ovarian syndrome is associated with infertility, irregular periods, polycystic ovaries, insulin resistance, high levels of testosterone. It is normally treated with metformin/glucophage and weight loss for most persons. If the person does not wish to conceive then an oral contraceptive pill which can normalise the period is used, if the woman wishes to conceive then additional medication to assist ovulation (release of a normal ovum or egg) can be used. You should continue with the glucophage and if possible consider losing any excess weight, a loss of 7 to 10 % will help. If this by itself is not successful in helping you concieve, additional therapies would be used I hope this helps
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diff --git a/processed/document_classification/train/Confidential/doc_5465.txt b/processed/document_classification/train/Confidential/doc_5465.txt
new file mode 100644
index 0000000000000000000000000000000000000000..efcab106284da11f9418f0ce181d1c46ee399abd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5465.txt
@@ -0,0 +1 @@
+I have numerous lumps in the epigastric area of my stomach, I have bloating and nausea. I also have this feeling that is in the center of my chest that feels like pressure into the back until I feel like I cant breathe. When this happens I feel uncomfortable sitting. I have not gained weight but have gained mass. I feel best if I don t eat but then feel starving. When I eat even a little or have a cup of tea it can start back up. Im 5 8 and now up to about 200 lbs. While I know I need to lose weight but would this all be from just being fat? and how do people stand it. I am at my wits end HiThanks for your query.Based on your query, my opinion is1. The lumps on your abdomen in epigastric region are probably just subcutaneous fatty tissue being prominent or lipoma. 2. Your weight is on the higher side, which is causing this.3. Chest and abdominal discomfort is due to gastritis or GERD ( gastro esophageal reflux disorder) as the gastro esophageal reflux will be more in obese individuals causing chest pain/ discomfort.4. Do not lie down immediately after having food.Try to reduce weight as obesity is the cause of most of your problems and in the long term it can lead to hypertension/ diabetes/ cardiovascular diseases.5. Have a healthy lifestyle, make dietary changes. Hope this helpsRegards
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diff --git a/processed/document_classification/train/Confidential/doc_5466.txt b/processed/document_classification/train/Confidential/doc_5466.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d259bbe24f648d7a5f8d4236d6a3ed9d61183197
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5466.txt
@@ -0,0 +1 @@
+my 8 month old developed what was diagnosed as impetigo on her bottom/after using fuciden cream it cleared apart from one spot which quickly became swollen and developed into a deep abcess after a few days.she was admitted to hospital and was unwell with a high fever.after 4 days they brought her in for surgery and drained the abcess. they took a swab and it tested positive for mrsa.they gave her antibiotics to combat this for 24 hrs. since surgery she has been well apart from a lot of wind .its nearly 3 weeks since surgery and the wind is no better.also today i have noticed a couple of the same impetigo like spots on her bottom again.should i be concerned.i ave made an app with my gp for tomorrow. Hello,welcome to HCM,Impetigo is an acute highly contagious disease affecting superficial layers of the epidermis and it is caused by Staphylococcus aureus and Group A beta hemolytic streptococci.Treatment of impetigo involves1.Local wound care with chlorhexidine or sodium hypochlorite will prevent the transmission of impetigo.2.Topical antibiotics cream like T Bact Ointment.3.Oral antibiotics covering both Staphylococcus aureus and Group A beta hemolytic streptococci.Thank you.
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diff --git a/processed/document_classification/train/Confidential/doc_5467.txt b/processed/document_classification/train/Confidential/doc_5467.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b0455ea1059620ff7364f25fa984b509857f9407
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5467.txt
@@ -0,0 +1 @@
+In the past few weeks, I've been getting this feeling this weird feeling at the tip of my penis like pee or semen is going to come out. After i'm done peeing when i wiggle my penis the feeling is as if a semen is going to come out. I've checked and nothing comes out. I'm concerned about the fact that it keeps happening. Any ideas? Thanks! Hello and thanks for your question.It's my first priority to help you.Well possible causes may include Balanitis,Urethritis.And you should hydrate yourself with plenty of fluids.Do cool water sitz bath with betadine solution for 10-15 minutes.You should wear loose fitted cotton clothes to prevent friction.Try OTC AZO pills and cranberry juice.You should avoid scented soaps for washing.If your symptoms'll persist then urinalysis should be done.Hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_5468.txt b/processed/document_classification/train/Confidential/doc_5468.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92e38f0a9a179e7ebb0728533a15247550437680
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5468.txt
@@ -0,0 +1 @@
+I have been taking medication for bone tb[in left SI joint] ,its been a year now .My doctor has asked to stop the medicine by 15th Sep.Now from yesterday i am feeling little pain in left buttock .I am very much worried about this ,as i have to travel to Europe for business trip in Dec .kindly tell me i will be fine or is it something serious . My tb is not completely cured ? Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. if symptoms persist better to consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5469.txt b/processed/document_classification/train/Confidential/doc_5469.txt
new file mode 100644
index 0000000000000000000000000000000000000000..364a855545ec58ebf2b5fe3845cf1005a9ff3606
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5469.txt
@@ -0,0 +1 @@
+Hi Doctor, My mother has undergone hemithyrodictny 1.6yr before and prior to that operation for breast cancer + RT + CT in the year of 2006. now she is having a burning sensation at the lower left stomach which comes occasionally and increases at night, she is also feeling a pain behind the right ear.. could you please suggest me regarding this Hi.Thanks for your query and concern for your Mother.She has already undergone Hemithyroidectomy and Operation +RT + CT for Cancer of the breast.The causes of pain in the left lower abdomen can be due to Colitis, secondaries of the cancer in the abdomen.I would advise CT scan of the abdomen and Colonoscopy to find out the actual reasons so that further treatment can be planned ..The cause of the pain behind the right ear can be again a lymph node due to secondary of the cancer or a muscle spam .. Clinical examination and FNAC will help to get a right diagnosis.
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diff --git a/processed/document_classification/train/Confidential/doc_5470.txt b/processed/document_classification/train/Confidential/doc_5470.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e1bda74970118ba3813a8ed80cd484b8f554382b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5470.txt
@@ -0,0 +1 @@
+I got kicked by a horse on Sunday. I have a huge long bruise taking up the majority of the outside of my femur and on the side of my knee. On my knee I have a large lump and very dark colored bruise except in the middle is white. And it s super tender. What is this? Hello, As I can understand from the history, I feel this is a blood clot happened due to muscle injury over the thigh. Since you mention the knee I will recommend you to get it examined and also an MRI on a safety basis as sometimes the inflammation in the tissues get septic and needs proper medical attention. For now, you can do quick icing to reduce pain and inflammation. Any ignored injury leads to problems in the latter stages of life. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5471.txt b/processed/document_classification/train/Confidential/doc_5471.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bd0d7201b812438164c5d16cf9ed6c09de27ae5b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5471.txt
@@ -0,0 +1 @@
+It started in my hands, mainly my middle finger on both hands. They don’t hurt all the time but when they do I have extreme pain in my wrists as well! I have to drive some days with wrists supports on. When I wake up in the morning and get out of bed I hobble like I’m 100 years old. It takes a few minutes before I can walk upright and normal without pain. My hands some mornings as well as my wrists hurt so badly I sit in the shower for 30 minutes running very hot water on them so I can function. I experience weakness on the days I have the pain which effects my forearm and upper arm strength and my shoulders ache during these times as well. Hi, If the pain and tingling feeling is from the wrist down to your fingers worse at night then probably you have what is known as Carpal Tunnel Syndrome. Please get your thyroid and vit D levels checked too. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5472.txt b/processed/document_classification/train/Confidential/doc_5472.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9fc7e7da470420a2fd1853fdaaa0feaff3773640
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5472.txt
@@ -0,0 +1 @@
+Are Ntheir anynsio other medications available for Narcolepsy besides gfillinAdderall and long acting Adderall? I've haddifficulty filling my scripts due to a supposed shortage of certain CII medications, such as Adderalls and the Methadone I take for chronic back pain. Hello, Thanks for your query.** I suggest you to follow the below mentioned measures to reduce your back pain-- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Avoid lifting weights as it imparts more strain on your back- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. if you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.- You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.- At times, spinal steroid injections and Facet blocks will help in alleviating the lower back pain.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
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diff --git a/processed/document_classification/train/Confidential/doc_5473.txt b/processed/document_classification/train/Confidential/doc_5473.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e0cecc7b4afae3517ae4e367cb7810ccbb362254
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5473.txt
@@ -0,0 +1 @@
+My father is 70 year old and is suffering from Parkinson's disease since 7 years. He used to take Syndropa CR, Ropark 0.5 and Parkin 2mg and Entacom as medicine. For last few days he has development a new symptoms of talking wrong imaginary things. Is this common to parkinson disease. there are 2 possibilitiesa. this may be a part of the dementia. the dementia may make the person talk irrelevently. the dementia is present in a large number of patients and often it comes late. b. may be an effect of the medications, the dopamine based medicines may have simlar effects. it is known to cause such symptoms.best to meet a neurologist for the readjustment of the dose.Best of luckDr Mittal
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diff --git a/processed/document_classification/train/Confidential/doc_5474.txt b/processed/document_classification/train/Confidential/doc_5474.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2f9d41850a45d946f713535f4acce464d0abfb8c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5474.txt
@@ -0,0 +1 @@
+Hi Doctor, I am taking duphaston 10mg after my ovulation date , 2 tablets in a day & 2 tablets in night from past 1 week and I have abdominal pain, Leg pain, cramping, back pain sometimes pain in left & right ovary side.....but there was no signs of implantation bleeding....Am I pregnant? HiImplantation bleeding occurs when the fertilized egg attaches to the lining of the uterus. Implantation bleeding typically is a light spotting or bleeding that occurs about ten to fourteen days after conception.You need to wait for few more days.Urine pregnancy test should be done by 10 days of missed period.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5475.txt b/processed/document_classification/train/Confidential/doc_5475.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2ea77e87bb451feba04942f06266aba2dbeeea16
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5475.txt
@@ -0,0 +1 @@
+Last Thursday I went to the doctors after having a bad cough. I was told that I have acute bronchitis and I was given a nasal spray. however it does not seem to be working, I seem to be getting worse. I am now having chest and back pains and I am loosing breath quickly! I am supposed to be seeing my doctor again tomorrow but I am worried that it could be more serious and that it might need to be seen to quicker. Can you help me? Yes I can certainly help you. Start steam inhalations three times daily for 10 mins each time.Start an inhaler like seretide/advair two puffs two times daily and you should feel relieved. I think you also should get a Xray chest to rule out any tuberculosis and CBC count to look for any infection.You can also take a terbutaline syrup sos to feel relieved
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diff --git a/processed/document_classification/train/Confidential/doc_5476.txt b/processed/document_classification/train/Confidential/doc_5476.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6a849f87057af8f8ec17c562f0bcb5ae7f2e16b8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5476.txt
@@ -0,0 +1 @@
+ive had shoulder pain for about 10 months now which goes down my arm to my hand some days its fine but other days i can hardly lift my arm and putting a coat on is not easy i have also noticed i have a hard lump on my collar bone near my shoulder blade was just wondering what thisw could be? **1. initially seek an opinion of orthopedic surgeon, it might be possible that your range of motion/movement, might be/is compromised.2. shoulder pain can occur independently due to over exertion [strain], overuse [tendonitis] or due to certain disease state[rheumatoid arthritis, diabetes, over active thyroid], thus examination becomes necessary.PS. further testing may be required like plain X-ray, [revealing narrowing of space or damage to bones], MRI [reveal details of shoulder joint] and blood tests [ to rule out any inflammatory conditions]3. since collar bone fracture is one example of shoulder pain [as there is hard lump on collar bone in your history], so it could possible be example of pinched nerve pressing on the nearby structures.4. In Ayurveda we treat frozen shoulder on the line of Avabahuka:. Initially dry heat. . successful and result oriented prescription is:I. vatakulantak ras, rasraj ras,panchamrit lauha guggulu.II. rason sura,dashmoola arishta.III. erand pakIV. Lehsun ksheer pak. avoid eating spicy, fried, pungent and oily foods. [The aim of the Ayurveda treatment is to bring the vitiated vata in equilibrium. The most popular kerala therapy is pizhichil, you may ask an experienced Panchkarma Doctor about the same]
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diff --git a/processed/document_classification/train/Confidential/doc_5477.txt b/processed/document_classification/train/Confidential/doc_5477.txt
new file mode 100644
index 0000000000000000000000000000000000000000..37f7540222926da06142861bb2b90e210c1daae5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5477.txt
@@ -0,0 +1 @@
+Hi. About 2 weeks ago, I started to itch along my arms and hands. I noticed about two bumps on my hand and several on my arms. I thought they were mosquito bites. They were very itchy and hurt just a little but went away after a couple of days. They left dark spots however, which I thought a bit odd, as a mosquito bite usually would not leave such dark marks on me. Then about last Thursday, I started to itch under my chin. A swelling that made me look like I had a double chin developed but by Monday, it had gone down and has left a dark mark. Last night, my two upper arms started to itch and I have two large swellings on each arm now! What could this be? Can someone help please. HIThank choosing HCMI would be happy to answer your query, from the history given here I could say that this is the allergic condition and it can be due to many things among that the first could be auto-immune response, second environmental, food allergy, medicine allergy, psychological, and others, in rare case it could be due to systemic disease and all of these condition anti-histamine and steroid can be tried like Tab Levocetirizine 10 mg three times in day, Tab Dexamethasone 10 mg three times in day for 5 days, hope this helps you.
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diff --git a/processed/document_classification/train/Confidential/doc_5478.txt b/processed/document_classification/train/Confidential/doc_5478.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2940adac0e5871365a9ef76abb54a1002ce7036d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5478.txt
@@ -0,0 +1 @@
+I am 28,5'2, 130-135. I was diagnosed with a heart murmur when I was 14 but it comes and goes. I recently have been having problems. My breathing has really decresed, my pulse is lower than usual, and my heart feels like it stops then starts again. It feels like I am not breathing enough. Hi,If you have heart murmur, I would advise you to undergo echocardiography. If it comes back normal, then nothingto worry. Young people frequently have such complaints without any abnormality. Follow healthy lifestyle abd it will disappear gradually.Take careCome back if you have any further questions
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diff --git a/processed/document_classification/train/Confidential/doc_5480.txt b/processed/document_classification/train/Confidential/doc_5480.txt
new file mode 100644
index 0000000000000000000000000000000000000000..70a0bda03d0707b65a828cfe157bb9ce8289a545
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5480.txt
@@ -0,0 +1 @@
+I was diagnostic with Guillain Barre SyndromeI got about 75%better from my paralyzation, then about 18 months later I started getting worse. (Way worse). The weakness and drastic weight.change I can handle, it's the.pain in my hands & feet, and the severe anxiety like I'm not going to get another breath. I was diagnosed after waking up paralyzed fron gallbladder surgery & my DR. retiered. Which was.3states away. I live in Reno, NV. Area. Please help me with a DR. That takes Medicaid. Sincerely M. Bohannan (775)443-1984 HIThank fro asking to HCMSorry to hear that but GB syndrome is one time game, after attack of virus it start doing its job and finished it soon and go away and this is emergency phase right treatment and in time medical care brings good result and it takes few weeks,,, then what ever happen to patient later on must not be because of GB syndrome, and that can be managed accordingly and for this any family physician will take care of this , no need to worry you will get alright, discuss it with your doctor have nice day.
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diff --git a/processed/document_classification/train/Confidential/doc_5481.txt b/processed/document_classification/train/Confidential/doc_5481.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f277c24b091f314320d57d51e74b4c899db37a32
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5481.txt
@@ -0,0 +1 @@
+At the base of my spine and like above the anal opening, but still in the butt crack there is something hard right at the ending of the spine and it has been hurting for a while now. When I squeezed it tonight a light yello mucous like substance shot out and now there is just clear fluid. Is this a cause for concern? Could the clearish fluid be spinal fluid? Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.Based on the facts of your query, you seem to suffer from-Pilonidal Cyst with abscess,which ruptured and formed Pilonidal Sinus.Treatment-USG / CT study of the Pilondal sinus and Second expert Opinion from Surgeon would help plan further treatment for you.As the recurrence is more with this sinus-I would suggest following options-Debridement of the Pilonidal Sinus with Excision of the Sinus or Marsupilisation of the Pillonidal Sinus.Coccygectomy-Removal of SacroCoccygeal / or tail bone would end the possibility of the recurrence of such pilonidal sinus with recurrent abscess.Hope this would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
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diff --git a/processed/document_classification/train/Confidential/doc_5482.txt b/processed/document_classification/train/Confidential/doc_5482.txt
new file mode 100644
index 0000000000000000000000000000000000000000..98363f08229c125d5c42816932651ef051f10808
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5482.txt
@@ -0,0 +1 @@
+My sister, has had a "wound" that started in the middle of her head. She had very bad dandruff and has a nervous habit at picking at her scalp, which is why this wound was created. She has had this for about a year now. Constantly picking and the wound moving slowly up her scalp to her forehead. It is now in the middle of her forehead and she has been doing very well at not picking at it, for obvious reasons, she is embarrassed of it and now people can see it. However, over the past few days it has gotten progressively worse. There is now two wounds, relatively close together. The skin around the wounds are red and she is claiming that they feel numb. Should she be worried? Is it possible that she has gotten bacteria in there and now has some bacteria that is flesh eating? Should she seek medical attention? What are the concerns her for MRSA? She has a small child, 3 years old, I'm concerned for transmission for my neice as well. Thanks for posting your query to health care magic.you need to take care for wound . immediately contact to local surgeon for proper cleaning and dressing of wound as if infection can worse the condition .you also consult to dermatologist for dandruff problem as scratching will again create wound .I suggest to collect wound swab for culture and sensitivity examination and send to microbiology lab . It will suggest you organism responsible for infecion and treatment option for it . You will require systemic medication along with local care of wound .Feel free for any furher query.Regards,Dr.Manish PurohitInfectious disease specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5483.txt b/processed/document_classification/train/Confidential/doc_5483.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d17dbd3a7bd2fb7f44ceb3c850857f496784f27d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5483.txt
@@ -0,0 +1 @@
+Hello doctor, I just got home from a mission trip. Three days into the trip, I started getting chills accompanied by diarrhea once or twice a day, usually in the morning. I took Imodium each day and continued doing activities. Three days after diarrhea, I got a scratchy throat. The next day, I got a stuffy nose as well. The day after that, I flew home. My throat felt less scratchy, but my glands swelled up and it was painful to swallow. I still had diarrhea that morning. The next day (yesterday) I got a fever of 100.8, chills, fatigue, and coughs. I had a stuffy and runny nose throughout the day, and the left side of my nose got congested that there was painful pressure in my sinus. On the bright side, there was no diarrhea yesterday and the swelling in my glands went down. But last night diarrhea came back and then happened again this morning. It is now been a week since diarrhea first started. I still feel feverish and I am still very congested. Should I be concerned? I am currently taking Ibuprofen, Sudafed and Mucinex. Hello. I went through your post, you have mentioned the duration of illness as one week which makes it an acute illness. The characteristic features of your illness are loose motion, fever, congestion in nose and sore throat. All these are features of acute viral infection, because of loose motion the possibility of influenza are high. Viral infections of this kind are self-limiting and settles in one to two weeks. I would suggest to stop Ibuprofen as it causes rashes and platelet dysfunction in viral infection. You can take Paracetamol 650 mg eight hourly. Last but not least, take plenty of fluids and go for CBC (complete blood count) to see whether there is any decrease or increase in cell count.
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diff --git a/processed/document_classification/train/Confidential/doc_5484.txt b/processed/document_classification/train/Confidential/doc_5484.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cffefa6a7e3d3236e5cc87462e1e6eb02900cc8a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5484.txt
@@ -0,0 +1 @@
+Hi I was having inefficient vitamin D and I was not aware about that and taking penadol frequently as I was feeling temperature after some days I visit doctor and come to know that my vitamin D is 16 and sgpt was 77. Please help me is there any medicine required for it Hello, The low levels of Vitamin D can be corrected with the help of proper supplements. You can start with vitamin D3 supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
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diff --git a/processed/document_classification/train/Confidential/doc_5485.txt b/processed/document_classification/train/Confidential/doc_5485.txt
new file mode 100644
index 0000000000000000000000000000000000000000..58432587394270599e6f0b6deccedba8eb9ea545
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5485.txt
@@ -0,0 +1 @@
+im 22 n 1 year married but i cant concieve bcz my gynae says i have a PCOS n i have irregular periods before my marriage. im taking DIANE 35 and GLUCOPHAGE 1500 MG daily n last month i take clomid 50mg but now on thiz month same problem i had irregular period. my dr. recomment again diane 35.. kindly tell me what can i do?? HelloIf I were your treating doctor for this infertility case ( not getting pregnant ) and also having PCOD ( Poly Cystic Ovarian Syndrome or Disease) I would come up with these measures , these include.1 Clomid or clomiphene or clomifene 50 mg daily for 5 days starting on the 5th day of menstrual cycle or at any time if there is amenoorhea ( or wait for menses date in spite of irregular date and count 1st day of bleeding as day one ) .Now get in folliclular study on 14-15 day for ovulation . Keep watch over size of dominant follicle and its release date ( it must attain 19-20 mm ) . Sex on these days on regular basis from 13th to 15th days.If ovulation does not occur, a 2nd course of 100 mg for 5 days may be used as commencing as early as 30 days after the previous therapy. Further treatment may not be recommended if pregnancy has not occurred after a total 6 treatment cycles . Glucophage 1500 mg you can take but in my opinion diane 35 ( cyproterone +ethinylestradiole ) tablet don't use it.2 Also get in SEMEN analysis of your husband .Hope these measures will be helpful for you.
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diff --git a/processed/document_classification/train/Confidential/doc_5486.txt b/processed/document_classification/train/Confidential/doc_5486.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6a84000104fd03a4d66c166c4a6be94a826d66b7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5486.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5487.txt b/processed/document_classification/train/Confidential/doc_5487.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c5bf74e50cf889b7623df5e521d9887555312ea2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5487.txt
@@ -0,0 +1 @@
+My belly button is swollen and there is a small hard lump under the skin. It is painful and red. I was initially worried that I might have a hernia, but then thought it could be chaffing. I am a carpenter and had just finished a job where I was sweating heavily and bent over all day. What would explain this? Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in all the details you gave.I understood the concerns you have.Treatment-Don't be anxious and panicky.You seem to have boil of the belly button,as it with pain and redness.But it could also be tense umbilical hernia,which could be painful and red due to stretching.I would advise you to cool down and wait till you consult with ER Surgeon ,which would fix the cause and treat for your belly button lump.Welcome for any more query to HCM in this regard.Write Excellent review and hit thanks if this reply Helps you out.Have a Good Day.Dr.Savasakr M.N.
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diff --git a/processed/document_classification/train/Confidential/doc_5489.txt b/processed/document_classification/train/Confidential/doc_5489.txt
new file mode 100644
index 0000000000000000000000000000000000000000..69e74a27eeb248ee485ebfd95eaf124486096594
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5489.txt
@@ -0,0 +1 @@
+just found out I have a lump on my groin area . Its the size of a walnut and this is the first time I noticed by taking a bath . I will be going to the doctor but could it be a herena . I am 68 years old and scared to find out if it is CANCER. just need a peace of mind thank you Hi,From history it seems that you might be having direct inguinal hernia.At this age due to lax abdominal and pelvic floor muscle one gets hernia.There might be possibility of having enlarged inguinal lymph node as well./Nothing to worry about cancer.Consult surgeon and get examined.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5491.txt b/processed/document_classification/train/Confidential/doc_5491.txt
new file mode 100644
index 0000000000000000000000000000000000000000..85bcd02371bc8b560b658ef138484ff93926459a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5491.txt
@@ -0,0 +1 @@
+Hello doctor,My son is 13 years old. We are based in Greater Noida which is in the outskirts of Delhi.Since he was five years old he as been suffering from asthma whenever there is season change during March/April and October during which he generally starts getting allergic cold. I used to earlier give him Asthalin inhaler but since last 4-5 years he is using Levolin inhaler to resolve the attack. Lately I have started nebulizing him at home using 0.63mg Levolin respule morning and evening and inhaler several times during the day. I have also started giving 0.5mg Budecort respule along with that recently, as his asthma is not coming under control for the last almost 1.5 weeks now. He wakes up in the middle of the night after 2 hours of nebulization and complains of feeling breathless and needs to take multiple puffs using the inhaler, sometimes much more than the prescibed dose as mentioned in the medicine leaflet. I have being trying to get him to inhale steam as well as that gives him temporary relief. He is really breathless when he wakes up at 6:00 in the morning and even had to miss school 2 days last week. I need your help to advice me on the right dosage of inhaler and nebulization to get the asthma attack under control. Do you suggest any other medicines? I definitely would want to avoid oral steroids or any strong medicines. Hello. It seems your son is suffering from bronchial asthma. It is known to aggravate with seasonal changes. You need to understand that by nebulizing him regularly, he will get dependent on nebulizers. In my opinion, he should be nebulized with the doses you are already doing only in case of acute attack. Once the acute attack settles, which usually takes 5-7 days, he should be weaned off nebulizers. Revert back to a pulmonologist online for further follow up -->
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diff --git a/processed/document_classification/train/Confidential/doc_5492.txt b/processed/document_classification/train/Confidential/doc_5492.txt
new file mode 100644
index 0000000000000000000000000000000000000000..97ac6a784e29f2f51cd0afdd7ce90db1247fa454
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5492.txt
@@ -0,0 +1 @@
+my daughter is 7 and has had siezures since she was 1. She usually has 4-8 siezures a year. had EEG had MIR found nothing. She has had 3 siezures in the last 2 weeks and now has a throbing pain in upper left leg. She says it feels like her heart is beeting in her leg. complians her heart beats fast at times. the pounding as she calls is has been off and one since her siezure this morning. your child is experiencing tinitus. it may be because of valproate toxicity..right now what is the weight of your childwhich medication is your child is taking and which dosage?
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diff --git a/processed/document_classification/train/Confidential/doc_5493.txt b/processed/document_classification/train/Confidential/doc_5493.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bc7fd6f9dab3bc1eb2232308a2b737d75b9f1e1a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5493.txt
@@ -0,0 +1 @@
+dear doctor i got suprazole 200mg x2 tab , amoxil 500g and brufan 500mg for every 8 hrs for my one of upper jar teeth infection, when i take this together i fell like lifeless, then i stop brufan , while brushing blood also bleeding from gum, pls advice me for this ,i did root cannal for infected teeth. but still lit bit pain there. Thanks for using Health Care Magic.Read your query.Having gone through your query,I would advice you to take the medication on full stomach and take lots of fluids and keep yourself hydrated.You can stop Brufen if you do not have pain or take a paracetamol for it.Do continue the dose of antibiotics,if the tiredness is increasing please consult your dentist and have the antibiotics changed.Bleeding gums is due to the inflammation of the gums,which will reduce once you get your scaling done .Pain after root canal or some discomfort which usually remains will go down gradually.Hope this was helpful and you have a speedy recovery.Thanks and regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5494.txt b/processed/document_classification/train/Confidential/doc_5494.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c097a5435c52e741c8fecea301cccdb457daa7dc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5494.txt
@@ -0,0 +1 @@
+Hello, I had an Adenopathy in October with fever (39 max) for about 5 days, I did blood tests back then for CMV, EBV, Hepatitis A IgM & HBs, they were negative whereas results for SGOT, SGPT, Phosphatases alcalines & GGT were respectively 78, 101, 240 & 67. They were high. The doctor asked me to redo the liver tests this month and the levels are now even higher with no fever or any specific symptoms. The new levels are: SGOT: 145, SGPT: 241, Phosphatases alcalines: 222 & GGT: 62. My doctor asked me today to visit a gastroenterologist to diagnose the problem. I have an appointment next week but i'm terribly concerned now. What can really be the problem? Can it be hepatitis? HIV? An STD? I did my Pap test 2 month ago everything is normal.I take lots of ponstant forte during period. I've also been taking pills to lose weight (forte pharma minceur.It's worth mentioning that I had an unprotected sexual relation more than 2 years ago and I had hepatitis B and HIV tests twice, 5 month and one year and a half after the potential risk, but they were all negative. Please advise! Hi,Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis ( HAV, HBV, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice:- abstinence from "Alcohol"- AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obeseIf HbsAg is positive also test for HBV DNA and HbeAg. HBsAg can not be completely eradicated in a patient suffering from HepB. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral LOad on a PCR.If HBV DNA count in PCR are not high, liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months. Hope to answer your concern. Any further questions are welcome. Wish you good health.Regards,Dr Tayyab Malik
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diff --git a/processed/document_classification/train/Confidential/doc_5495.txt b/processed/document_classification/train/Confidential/doc_5495.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dbcad137aae271c57fd4675670546edf93a83287
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5495.txt
@@ -0,0 +1 @@
+I am a 29 yr old female. I had anal sex 4 days ago. It was very dry and he ended up tearing me a little. It didn t hurt much. He ended up lubricating both our parts with his saliva. At the time he had a large cold sore on his mouth, that kept opening whenever he ate. The next day I had itching and irritaion on my anus. The next day this was accompanied by nasuea and headache. Now i have bumps around and in my anus, a fever, headache, nausea, chills, and my bum hurts so much I can barely move, sit, or lay on my back. Do I most likely have herpes now? Hello Miss,Welcome to Health Care Magic. I have gone through your query and I understand your concern. The possibility that you may be infected with Herpes Simplex Virus (HSV) is very high. You also mentioned that you had also a little fissure on your anus, and it could also be the site of entering various bacteria and infect you. In order to give a definite diagnose, you have to visit your local physician, who may order cultures (blood, tissue, and fluid samples) of the sores and send them to a laboratory for examination. Your doctor can typically diagnose a herpes infection by a visual examination of the herpes sores. Although they are not always necessary, your doctor may confirm his or her diagnosis through a laboratory test.Genital herpes is not the only condition that can produce these symptoms. Sometimes, HSV is mistaken for vaginal yeast infections, bacterial infections, or bladder infections. The only way to know whether they are the result of HSV or another condition is to be checked by a health care provider.Hope I answered your question. If you have other question, don't hesitate to ask again.Take Care,Dr. Ina Zaimi
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diff --git a/processed/document_classification/train/Confidential/doc_5496.txt b/processed/document_classification/train/Confidential/doc_5496.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e9de10fb1f02275c4315c22c78ed61746934f1de
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5496.txt
@@ -0,0 +1 @@
+Hello Doctor i am 30 years old.when i was at the age 17 i was detected for jaundice and the doctors told liver was badly affected and i was suggested liv52. by that time i was in normal weight.but after i was continuously putting on weight and now i am 79kgs and my height is 5 1 only after taking so many medications i am not decreasing my weight.and my scan is telling Grade I Fatty liver . i am having type II diabetes also.(when i was pregnant i got but after 3 years it is not in control). doctors are saying if i reduce my weight surely sugar will comes under control. want advice to overcome fatty liver and reduce weight. Thanks hi liver is an organ that can well revert back to normal even though its been affected some part of the life. Fatty liver grade 1 as reported to you is quite common if BMI is more. It can be reverted back to normal on having control over fatty diets and over food stuffs containing high content of triglycerides.
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diff --git a/processed/document_classification/train/Confidential/doc_5497.txt b/processed/document_classification/train/Confidential/doc_5497.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6a37d93fb385cabe62cb3ad322ec0b1b2f2614a1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5497.txt
@@ -0,0 +1 @@
+Hi doctor, 1. I recently had full body health checkup. I am uploading the reports. Can you please review and suggest me required medical care or treatment? It seems lipid profile and ultrasound reports are not satisfactory. Please review and advice. 2. And one more thing is I am suffering from urticaria (Getting red rashes on skin which scratch or apply pressure on skin. These rashes disappear in few minutes) from last 1.5 years. I am taking Desolor 5 mg tablets thrice a week. Can you advice me if any advanced and permanent treatment to this problem instead of prolonged usage of tablets? I do not have any smoking or drinking habit. Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). You are having grade 1 fatty liver. You are also having elevated cholesterol which justifies fatty liver. So you need start lipid lowering drug like Rosuvastatin 10 mg once a day at night before going to sleep for 30 days. Get done repeat Lipid profile after 30 days. Avoid oily and spicy food. Avoid junk food. Avoid cheese, butter, etc. Do regular exercise like walking, running, cycling and swimming, etc. For urticaria, take Montelukast and Levocetirizine combination (Montek LC).
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diff --git a/processed/document_classification/train/Confidential/doc_5498.txt b/processed/document_classification/train/Confidential/doc_5498.txt
new file mode 100644
index 0000000000000000000000000000000000000000..82520250c6e3149efe0a243113b6d802b51d060b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5498.txt
@@ -0,0 +1 @@
+Are night sweats common after the flu? I had flu symptoms - fever, aches, chills, headache and cough for four days. Last night my fever finally subsided and was 99.1 at 8pm. I was and am still battling, a now worse, cough (now terrible chest cold), but thankfully fever is gone. I woke up four times drenched in sweat, flipping my pillows and moving to a diff section of the bed. The 4th I had to get up and change the sheets and pillows. I've had the flu, but it's been years. I must say, I don't recall ever experiencing anything like this afterwards. Is this normal? How many nights could this potentially last? Thank you! Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Sweating is the bodies response to cover up the temperature in the fever.So whenever you have fever in the end of fever you will have sweating this will counteract the body temperature or you can say it will bring down the temperature.So this will continue until you are cured with the infection or in other word without infection cured this cycle will continue.If you are having sputum culture and sensitivity can be helpful for diagnosis and treatment of the organisms isolated.Please start doing the respiratory exercise. This will be helpful in clearing the chest rapidly.Please maintian good local hygiene this will equally helpful in curing the infections as antibiotics do.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
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diff --git a/processed/document_classification/train/Confidential/doc_5499.txt b/processed/document_classification/train/Confidential/doc_5499.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c39813e5fa7e2cec658ccb57dafa9532583ac1f5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5499.txt
@@ -0,0 +1 @@
+Could an abscessed tooth be causing muscle pain and cramping in other areas of the body than the mouth? Hi, An abscess can result in muscle pain only in the Head and Neck region. An abscessed tooth can also give rise to fever. A dentist should be consulted and antibiotics and treatment for the tooth should be obtained.
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diff --git a/processed/document_classification/train/Confidential/doc_55.txt b/processed/document_classification/train/Confidential/doc_55.txt
new file mode 100644
index 0000000000000000000000000000000000000000..168824405bf58fc22aec644ab4d4e02df5e8883d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_55.txt
@@ -0,0 +1 @@
+SECRET REFT AS RELATIVELY QUIET WITH ONLY TWO OVERFLIGHTS OF PAKISTAN TERRITORY (HE DID NOT HAVE DATES/DETAILS AS YET) AND ONE AIRSTRIKE HAVING TAKEN PLACE. A FEBRUARY 5 ATTACK BY FOUR DRA/SOVIET AIRCRAFT FIRING APPROXIMATELY ONE AT ASADABAD ONE KILOMETER WEST OF ARANDU. 2. (SECRET) SOURCES REPORT THAT SOVIET TROOPS REMAINED BOGGED DOWN AT ASADABAD (CHAGASARAY) IN THE KUNAR VALLEY AND JAJI/ALI KHEL IN PAKTIA PROVINCE. THERE ARE ALSO REPORTS OF SOVIET DIVISIONS STATIONED IN THE JALALABAD AREA AND ONE BATTALION AT TORKHAM. 3. (SECRET) THE SOVIETS REPORTEDLY HAVE DISPATCHED ANOTHER BATTALION TO KANDAHAR AIRFIELD TO BEEF UP SECURITY AND HAVE SENT MIG-23S BACK TO SHINDAND UNTIL NEW REVETMENTS AND OTHER SECURITY MEASURES ARE COMPLETED. IT IS ALSO REPORTED THAT TRIBAL-CENTRAL GOVERNMENT RELATIONS ARE “TENSE” IN PAKISTAN'S NORTH WEST FRONTIER PROVINCE. 4. (SECRET) ACTION: EMBASSY ISLAMABAD SHOULD FOLLOW UP ON THESE REPORTS AND PROVIDE ANY ADDITIONAL INFORMATION ON SOVIET ACTIVITIES ALONG THE PAKISTAN-AFGHAN BORDER. EMBASSY SHOULD ALSO MONITOR TRIBAL-CENTRAL GOVERNMENT RELATIONS AND REPORT ANY SIGNS OF ESCALATION. INFORMATION SHOULD BE SHARED WITH STATE DEPARTMENT AND OTHER APPROPRIATE AGENCIES. 5. (SECRET) INFO: EMBASSY BEIJING, EMBASSY DHAKA, EMBASSY KATHMANDU, EMBASSY COLOMBO, EMBASSY NEW DELHI, EMBASSY MOSCOW, EMBASSY RIYADH, EMBASSY TOKYO, SECDEF, USCINCCENT, USCINCPAC, CINCPACFLT, USMISSION USNATO, USUN NEW YORK, AMCONSUL KARACHI, AMCONSUL LAHORE, AMCONSUL PESHAWAR. 6. (SECRET) TAGS: MOPS, PREL, UR, AF, PA. 7. (SECRET) SUBJECT: PAK-AFGHAN BORDER INCIDENTS.
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diff --git a/processed/document_classification/train/Confidential/doc_5501.txt b/processed/document_classification/train/Confidential/doc_5501.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fa1067914dfbea89f61759b61e79331c2c586a81
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5501.txt
@@ -0,0 +1 @@
+hi doctor ,presenlty i was residing in kuwait for work purpose,but actually iam an indian.Sir/madam whenever i go back to india on my vocation i feel my health condition pretty good and also my breathing is well but whenever iam in kuwait i felt hard to breath in mornings as well as while walking on the roadsides...also i have more cough when iam in kuwait (iam male,age:26 and my body weight 85 kg 5.75 height).iam using rotahaler-rotacaps it giving me the freedom from my breathing struggle.i cant understand what is my problem exactly...i did my x-ray tests in india everything was normal...pls give me a fine solution...also tell me can i continue with the rotahaler or not? also can i know the names of anti allergic drugs for bronchitis Hi, mohammed Ali, Thanks for query, Usually it should not happen it is likely that if atmosphere in Kuvait is of humid then you may get breathing problem. Go for blood test for eosinophilia, which may produce this type of problem. You may take antiasthmatic drugs like Eto-salbetol tab. As an antihistamine you can take Cetrizine or levo-cetrizine. ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_5502.txt b/processed/document_classification/train/Confidential/doc_5502.txt
new file mode 100644
index 0000000000000000000000000000000000000000..56f416a73488bab6914b793600cd6571197baf7b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5502.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5503.txt b/processed/document_classification/train/Confidential/doc_5503.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b112063035b45eecb9be7758d02141cc06afd7fc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5503.txt
@@ -0,0 +1 @@
+yesterday on my left hand my finger next to my thumb locked up and would not move. my hand swelled and it hurt so bad. after about five minutes my finger was able to me but i was still in some pain. i took ibrofen. this is the second time this is happend. I am 42. Hello,I read carefully your query and understand your concern. The symptoms seem to be related to tendonitis which is an inflammation of the tendon in the finger.I suggest using anti-inflammatory medications such as Ibuprofen to relieve the symptoms.I also suggest using cold compresses for local application.I recommend using a splint to maintain the finger immobilized.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5504.txt b/processed/document_classification/train/Confidential/doc_5504.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7a6919c7bee17b06f0b3f110a27a5aae17d53575
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5504.txt
@@ -0,0 +1 @@
+My husband has pulmonary fibrosis, has brackets and rod in his back, and has had replaced both knees and shoulders. He is in constant pain. What can be done to relieve this pain? He has been taking oxycodone 10-325 ace, six per day, but that does not stop the pain Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Apply cold pack when it hurts. Don't apply hot packs as they are contraindicated to be used where implants are settled. Put emphasis on positioning while sitting and standing. Right positioning and ergonomics like sitting straight can work wonders. Do isometric exercises of back, hip, knee, it will also relieve the pain and discomfort. Once pain gets subsided then feel free to contact for further exercises regime and that can be discussed later on.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Harsh Swarup
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diff --git a/processed/document_classification/train/Confidential/doc_5505.txt b/processed/document_classification/train/Confidential/doc_5505.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dee9ad049edb5548246d3cbfa67a52b1e6ab94bc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5505.txt
@@ -0,0 +1 @@
+I have inflamation in different joints that comes and goes. I will be sore for a couple of days and then fine for a few more and then it will come back in a different joint. It also includes the hands - specifically the index finger becomes sore and tight - I can t squeeze my hand shut and don t have any strength in the hand. Blood tests only show a rise in some liver enzyme everything else is fine. Any ideas what this might be? Thanks for your help. Felicity Hi As per your description it appears to be fleeting arthritis ( Transient synovitis) in which only one joint is involved at a time. The treatment for this condition is anti inflammatory pain killers only when required. If it is very frequent then i suggest medical check up.
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diff --git a/processed/document_classification/train/Confidential/doc_5506.txt b/processed/document_classification/train/Confidential/doc_5506.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f69ea12b47762153ffdcb68997e308bfae0b0ebc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5506.txt
@@ -0,0 +1 @@
+Pain in right posterior knee upper and lower leg on weight bearing.have been going to pt for 3 months .am told it is my muscles .and need to strengthen them. X-ray ...no arthritis. Fell Jan that s when pain started.told by PT I did not need mri.....6 months of pain and no progress Hi, Once the arthritis has been ruled out, it can be due to ligament or tendon injury. You can try analgesics like Ibuprofen or Diclofenac for pain relief. If symptoms persist, you can consult an orthopedic and plan for an MRI scan. Wishing you good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussai
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diff --git a/processed/document_classification/train/Confidential/doc_5507.txt b/processed/document_classification/train/Confidential/doc_5507.txt
new file mode 100644
index 0000000000000000000000000000000000000000..00a648868cf6bf65a9ff4cda8b0b5f8cf57effb7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5507.txt
@@ -0,0 +1 @@
+Hi I am a 30 year old Male. I am having tightness in my head. NO Pain. the tightness is majorly in the back side of my head..back upper & middle side. I have anxiety issues. this tightness started last evening. i have carried out my daily activities today. But i have been feeling it most part of the day. No other symptoms. Should I be worried? do I need any medication? How much time will this take to get fine? Please advise. Thanks. HiWhen you have already acknowledged that you have anxiety issues, this explains the tightness in head. It should not be a danger to life so you can relax in that sense. You certainly need to be evaluated by a psychiatrist for anxiety issues . These symptoms may stay for a couple of days , go away and come back so permanent relief is by management of anxiety issuesTAKE CAREDR SAATIISH JHUNTRRAA
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diff --git a/processed/document_classification/train/Confidential/doc_5508.txt b/processed/document_classification/train/Confidential/doc_5508.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8a27dbcfc1c7406b9a011e8be58a0c36808d44b0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5508.txt
@@ -0,0 +1 @@
+last 2 year we are trying for a baby. but steel now i m dose not able to conceive. so my doctor suggst me for HSG test. but in present scenario she is not available. my HSG report is like that. uterine cavity is normal. Right tube not opacified. Left tube opacified with peritoneal spillage. my question is is there any problem for pregnancy? if yes, then what is the remedy of this problem? Hello Thank you for your query. Your HSG shows that your right tube is blocked ( not open ). This definitely is a problem for pregnancy, because with only one Fallopian tube open, chances of pregnancy are diminished. The further treatment depends on many factors. Your age, semen analysis of your partner, your ovulation studies and your hormonal tests. Pregnancy is technically possible with one tube open, however, since you are trying for 2 years now, please consult an Infertility Specialist and undergo the above evaluation. In presence of any abnormality, you should consider a hysteroscopy and laparoscopy, as HSG is not 100 % confirmatory and during laparoscopy, attempt can be made to open the blocked tube. If the laparoscopy also confirms tubal disease, you can go in for IVF/ IUI as per the results. take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5509.txt b/processed/document_classification/train/Confidential/doc_5509.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6d8a322528286ea419dee6dfaad9699cf6dc0d65
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5509.txt
@@ -0,0 +1 @@
+Hello doctor,I am 36 years old, male, 6'1", 265 lbs. I have a question about total bilirubin. I had it checked four weeks ago and it was at .41 mg/dl and one month later it jumped to .82 mg/dl. My alkaline phosphatase is at 1.173 ukat/l and four weeks ago was at 1.003 ukat/l. The doctor was not concerned by this but the highest I have seen it was three years ago when it was at .53 (total bilirubin).However, during the last month, I went from 282 lbs to 265. I have been extremely stressed out about it. Health problems and my anxiety are high. I barely slept the night before the tests and am possibly dehydrated. Could these factors have contributed to the increase? I am concerned about bile duct obstruction. Hello. Since this question was posted under diabetology, I am wondering if you have any endocrine issues. The question asked here is about gastroenterology. The liver tests would be concerning for a liver process like gallstone if the enzymes were not coming back down or if you had pain in your right abdomen. Any fever? Dehydration can sometimes cause the numbers to be slightly up. It is important to have a follow up with your GP. You can also run the query through a gastroenterologist on icliniq.
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diff --git a/processed/document_classification/train/Confidential/doc_5511.txt b/processed/document_classification/train/Confidential/doc_5511.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fe8533214cca26302cb35e6c2619b88bec466485
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5511.txt
@@ -0,0 +1 @@
+Hi sir, Am lavanya. I have PCOS for last 10 yrs. got marriage 1 1/2 yrs back.. Me & my husband trying for baby.. currently am taking clomid 50mg.. this is 2nd month am taking.. last month bleeding was veyr low & also it was different (no stomach pain).. can i increase clomid dosage? can i take metformin daily? Hi,I understand your concerns.Following is my reply:1) Dont self medicate yourself.2) Please see your fertility SpecialistYou can contact me anytime directly to ask question by pasting following link in your browser:XXXX
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diff --git a/processed/document_classification/train/Confidential/doc_5512.txt b/processed/document_classification/train/Confidential/doc_5512.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90df59558b0c7d8929d795220c6f52bfbb8a582b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5512.txt
@@ -0,0 +1 @@
+hi. I actually just had the nerve conduction test done where they used the electrodes and zapped my hands and arms and once that test was done they did the one with the needles where there stuck em in several places on the hands and up around the elbow ect. I just cant remember the exact names of both tests but at the end of the test I was told I do have carpal tunnel but he couldn t tell me yet as to what severity. if I have to have surgery how long does it usually take to recover? also can they do both hands at the same time? I m real worried about missing time from work. Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After a carpal tunnel surgery it can take 2-3 weeks to recover fully. Regular physiotherapy is needed. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5513.txt b/processed/document_classification/train/Confidential/doc_5513.txt
new file mode 100644
index 0000000000000000000000000000000000000000..21ab3889eaf99f6e97616a247207dfa43b373244
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5513.txt
@@ -0,0 +1 @@
+For the past two weeks my entire body has been itching extremely bad..i m miserable..and theres little raised bumps where i have been constantly itching now..I dont know if this is because of stress or what else it could be from?? I m not anymore stressed than i normally would be and I have no allergies I am aware of. What could it be??? Hi thanks for your question.The small raised bumps whcih your mentioning could be due to constant itching. Itcung could be due to some allergens present in your environment or you might be consuming some food to which you are allargic Other common cause of itching include scabies ,which is infection and involves whole body. I would suggest you to consult some physician to differentiate between allergic reaction amd scabies further management will depenf on diagnosis. Hope this answer your question.
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diff --git a/processed/document_classification/train/Confidential/doc_5514.txt b/processed/document_classification/train/Confidential/doc_5514.txt
new file mode 100644
index 0000000000000000000000000000000000000000..08acc5e32a8ec016edae01650df9957c3e984e8d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5514.txt
@@ -0,0 +1 @@
+I had bells palsy 2 yrs ago and it didn t heal! Now when I get hot my eye draws shut my right side of my face pulls up, the right temple hurts bad and my left arm hurts and starts to tingle!! It s weird that all this happens as soon as I walk outside when the temperatures are high!! Hi, The onset or worsening of neurological symptoms involving cranial nerves with heat as a trigger is called Uhthoff's phenomenon. It is not clear to me that the Bell's palsy is exactly tied to what is happening and in fact, there is a chance that you are not suffering from true Bell's palsy to begin with but rather a central nervous system mimicker. My recommendation is that you speak with your primary doctor and ask to be referred to a Neurologist for the purpose of going back and relooking at the diagnosis of Bell's Palsy in the light of your neurological symptoms which are exacerbated by heat. There is a good chance the neurologist will order tests and studies on you such as an MRI of the brain and cervical spinal cord with Gadolinium contrast. This may disclose the reason for these problems. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
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diff --git a/processed/document_classification/train/Confidential/doc_5517.txt b/processed/document_classification/train/Confidential/doc_5517.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b3fd8608b7fc71dd691de3a4d297c4e3d48711b0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5517.txt
@@ -0,0 +1 @@
+About a month ago a red, dry patch appeared on my shoulder . I originally thought it was ringworm , but the anti fungal medication only made it worse. After applying the medicine, the patch grew from the side of a dime to the size of a quarter. It does not itch and is not painful. It is simply and red, scaly patch. What do you think it could be? Hi, Thanks for writing in. The condition can be xerotic eczema,discoid eczema, ringworm etc. As it has worsen after antifungal application it is likely that it is eczema. You can apply a good moisturizer with shea butter twice daily along with mild steroid like hydrocortisone cream.Continue this for 2-3 weeks for visible effects. Hope this helps. Regards DrSudarshan MD
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diff --git a/processed/document_classification/train/Confidential/doc_5518.txt b/processed/document_classification/train/Confidential/doc_5518.txt
new file mode 100644
index 0000000000000000000000000000000000000000..28f399e2f36a3179120996029eae309fbc505f31
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5518.txt
@@ -0,0 +1 @@
+I have just noticed on my 6 year old forehead some not a cable veins I ve never seen them there before and they led down to the inner corner of his eye on one side two days ago he was off school due to having head pains he gets headaches a lot cus he was born with genetic syndrome which has made his head grow in a different shape to other children s. The veins seem to of only lasted 5 minutes what do I do? Hi...If you can provide with the details of the syndrome which he was diagnosed with and a photograph of the veins whenever they become prominent it will be helpful for me to guide you.Any skin condition is best diagnosed after directly seeing it. Kindly upload a photo and other details requested and I will get back to you.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_5519.txt b/processed/document_classification/train/Confidential/doc_5519.txt
new file mode 100644
index 0000000000000000000000000000000000000000..08b2f604fec17a11203bb35c1e5ac9417d2c0f31
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5519.txt
@@ -0,0 +1 @@
+I ve been woken up by pain in right forearm for the past couple nights. It s not extremely crippling pain but it s enough to the potent where I can t ignore it and sleep through it until it s gone. I recently sprained this wrist and I m not sure if that has something to do with it. Hello, Yes, you guessed it right. it is related to a wrist sprain. Due to injury at the wrist, there will be muscle wasting in the Forearm muscles which needs attention to regain the normal strengthening. As sprain in the wrist always makes the Forearm muscles weaker. Once done things should be fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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diff --git a/processed/document_classification/train/Confidential/doc_5520.txt b/processed/document_classification/train/Confidential/doc_5520.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67e3376d625ea515e9981d612d01c67aaa047d1e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5520.txt
@@ -0,0 +1 @@
+Hello SirI am Shiv Vinay Sharma From Faizabad.I am suffring form Kidney problem,since Nr.abt back 2-Months.,My Creatinine. Has been.9.1 m/dl,Urea after treatment 105 Now, (Before-136M/dl), Now Albumine-100 ( Before-Very More Than), & Hb.8.3 M/m/dl,-presently My Treatment running form Lko A Nephrology Doctor, So want to Your Important Consult. Hello Shiv and welcome to HCM.As an Urologist,i understand your anxiety.You're having kidney failure,which may need dialysis,depending on electrolytes and kidney function tests. Anemia is a result of that.Now a kidney biopsy is needed,to find out the cause of the failure.Further treatment will depends on reports.You also need to do these tests :1. 24 hours urine protein and culture.2. RBS,LFT,platelets,electrolytes and uric acid,with IgA anti-body tests.3. ultrasound scan-KUB,with residual urine.If you've any doubts,send all reports to me,as a direct question.Dr.Matthew J. Mangat.
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diff --git a/processed/document_classification/train/Confidential/doc_5521.txt b/processed/document_classification/train/Confidential/doc_5521.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9bd5f332696928e96cc813db78443c2347f8e582
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5521.txt
@@ -0,0 +1 @@
+I have these random bumps on body that itch very bad and I scratch them and when they break open a clean liquid comes out and they scab over but each day I am getting more and more. at first I thought they were mosquito bites but now I have a few on my fingers my nipple my back arms feet top groin etc just random. Hi, The rash could most probably due to an insect bite hypersensitivity reaction. But other possible diagnosis is scabies. You could take an antihistamine tablet and apply an antibiotic ointment for a week. If you do not get any improvement in a week or your rash worsens during the course of treatment, I request you to consult your dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_5522.txt b/processed/document_classification/train/Confidential/doc_5522.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67c01b11d0178200c4a2bbb99ed78000cc855967
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5522.txt
@@ -0,0 +1 @@
+I just woke up and I have a pain in and under my rib cage on left side three inches from my sternum, in the ribs and under, like a rib is out maybe, it hurts more when I inhale but hurts all the time, like something is stuck or lodged under there, I very dizzy and my arms feel a little weak, I feel whoozy... Anxious too Thanks for your question on HCM.I can understand your situation and problem.Your chest discomfort is on left sided with arm weakness, so we need to rule out cardiac cause first.So get done ECG first to rule out cardiac cause.If ECG is normal than no need to worry much for cardiac cause.Chest pain on inhalation is also seen in pleurisy (inflammation of pleura). So get done chest x ray to rule out possible causes of pleurisy like pneumonia, pleural effusion, tuberculosis etc.If chest x ray is also normal, I think it is musculoskeletal pain mostly due to muscle pull.So try to follow these for better symptomatic relief.1. Avoid strenuous exercise and heavyweight lifting.2. Avoid movements causing pain.3. Avoid bad postures in sleep.4. Take good painkiller and muscle relaxant.5. Apply warm water pad on affected site.
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diff --git a/processed/document_classification/train/Confidential/doc_5523.txt b/processed/document_classification/train/Confidential/doc_5523.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1ca11f593e388ae1d72ec244b497ed9b8fde812a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5523.txt
@@ -0,0 +1 @@
+Hi, I have query related to my father who is diagnosed with Conus cauqda syndrome; he is suffering from this since Dec 2011. We had MRI, NCV and EMG initially doctors said its GBS tests but later once it was reveladed he is having bladder and bowel incontiennce they said it's motor axonal polyneuropathy with myletis paraplgesis. He is unable to stand, walk and have bladder, bowel incontinence. We have tried multiple hospitals however; his condition is still the same; he is under psychotherapy from last 8 months however recovery seems to be very slow; in last 8 months he is just able to move his right leg little bit but cant lift it normally. Please suggest if we/doctors are missing something and something can be speed up his recovery. hi,Conus cauda syndrome is a condition in which tip of end of spinal cord and neighbouring roots are effected .There are many causes of such involvement.It can be secondary to disc prolapse,local tumour compressing these structures or can even infection of spinal cord covering that is meninges which can be treated.So I suggest you to consult neurologist and proper investigation to be done to know the cause and treat accordinglyregardsDr Sandhya ManorenjNeurologist hyderabad
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diff --git a/processed/document_classification/train/Confidential/doc_5524.txt b/processed/document_classification/train/Confidential/doc_5524.txt
new file mode 100644
index 0000000000000000000000000000000000000000..02d38f6e27a9220fa0d4d3f98d994836cbe38295
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5524.txt
@@ -0,0 +1 @@
+Hello doctor,I have health anxiety and migraines. I have started seeing after-images quite frequently, especially when inside and looking outside to a road or across the road. I am blinking and seeing a positive after-image for less than a second. This is extremely worrying for me as I am unsure why this is happening. I do not know if this is caused by something else. But, I have had my eyes checked and everything was fine. Could this be symptoms of migraine aura? I have had a sore head for a while now in both temples. Hello. I understand your concerns. Your symptoms are most likely due to migraine which cause severe headache, mainly on one side that lasts for few hours (up to 72 hours) may be associated with other features like limb numbness, nausea, photophobia, and other different symptoms. In many cases, migraine is preceded by aura which could be auditory or visual symptoms like the one you described. The other possible causes include: Please provide me with more details in order to reach the appropriate diagnosis: I suggest: Medications are required to abort acute attacks and to prevent attacks if frequent.Follow up is required to confirm the diagnosis and to exclude any serious conditions.Neurological assessment is recommended. For more information consult an internal medicine physician online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5525.txt b/processed/document_classification/train/Confidential/doc_5525.txt
new file mode 100644
index 0000000000000000000000000000000000000000..edc16af711c4e4c3766c19b0b7da1b120e6059d1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5525.txt
@@ -0,0 +1 @@
+I am diagnosed with osteoporosis. I also have curvature of spine. Most recently and today being the absolute worse pain started when I got out of bed. I took a hot shower but did not ease pain. It is prominent at the lower left pelvic area but in my backside. After driving my car getting out of car after being seated is excruciating until I can get my bearings to walk. My regular primary care physician is telling me to ice it and rest and of course take Aleve and Tylenol. I m worried I may have fractured. I did make appointment to see an Orthopedic surgeon on March 24th but would appreciate any added suggestions. I am 62 year old woman . Can any of you doctors help me? Hi, Consult an orthopedician and get an MRI scan done. As a first line management, analgesics like Aceclofenac or Tramadol can be taken for pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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diff --git a/processed/document_classification/train/Confidential/doc_5527.txt b/processed/document_classification/train/Confidential/doc_5527.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4a0472bd4f3de38e993d67e9f28e9019fa28f951
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5527.txt
@@ -0,0 +1 @@
+Hello doctor,I sometimes see flashes or running light in my eyes since last one and a half year. They come once in 3 to 4 months. I can see only flashes for 10 minutes, after then my vision is back to normal. I consulted a doctor around a month back she even checked my retina and vision both were fine and gave no medicine. After that, four days ago, it happened again. So, I consulted a new doctor. He prescribed Toba DM and Flur eye drops. I am 18 years old boy, 5’4", weight 45 kg. I am fearing about whether it is a retinal tear. Hi. Flashes are seen in retinal tears, but they are also seen in various other conditions. It is great that you have got your retina evaluated. But in the prescription (attachment removed to protect patient identity), there is nothing mentioned which requires Toba DM or Flur for management. I would recommend that you discuss with your doctor why those medications have been started or you stop using them immediately. Long-term use of steroid drops may lead to high intraocular pressure and damage to vision due to glaucoma. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5528.txt b/processed/document_classification/train/Confidential/doc_5528.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f0f5c75f64c43abb0df8d4af3ac1c9a5865c7494
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5528.txt
@@ -0,0 +1 @@
+I am having problem in passing urine. I am takaing Urimax 04 mg in the morning and was taking Roliflo in the evening. Now that Roliflo is not available, I was prescribed Trofame XR cappsuslels but these capsules perhaps do not suit me as it seems to block urine free flow. Which medicine I should use in its place Thanks Oh are you having Prostate issue. If you are not gettin help frm medicines, then you will need to undergo surgery as the ultimate treatment. But with timely medicines, they say that surgery can be prevented.
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diff --git a/processed/document_classification/train/Confidential/doc_5529.txt b/processed/document_classification/train/Confidential/doc_5529.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4ad4525b4e20b47c19bd2ec2e62acee56e6d306e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5529.txt
@@ -0,0 +1 @@
+Hello. I have been taking medications for pain for several years. Always going through a pain management dr because that is their specialty. In February I changed my pain management dr because I didn t think I was getting the level of care I needed. I found a new dr that not only prescribed medications but also did procedures which seemed to help me more than just being on medication. I have had several drug screens over the years all of which I ve never had a problem with. Recently one of my drug screens came back with methadone and morphine. I didn t even know what methadone was until it was explained to me. I have NEVER misused my medications or taken ANYTHING other than what has been prescribed to me. I guess my question is how would I test positive for medications that I have never taken? Hello, The usual test done is a dipstick. There is some animal serum that was immunized against a particular drug and made to light up if it binds the drug. BUT it can bind to similar compounds that are not a drug and sometimes it just misfires. A better and far more expensive test is MASS SPEC. It is less likely to misfire. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
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diff --git a/processed/document_classification/train/Confidential/doc_5530.txt b/processed/document_classification/train/Confidential/doc_5530.txt
new file mode 100644
index 0000000000000000000000000000000000000000..800ba9dd433d4be20e52535f83c67ed091843e6f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5530.txt
@@ -0,0 +1 @@
+I just started using herbalife products. Just today I have had many instances where it had felt like my heart is skipping a beat. It has been happening all day and has happened as many times as 6 times in a minute. Should I go to the er? Is this type of thing common? Do you think it is related to the headline herbalife products? Hello,Herbal life products can cause various types of problem like headache,dehydration,bloating,hypertension anxiety etc and this could be due to the component of caffeine in it.However these symptoms may be there in you independent of consumption of herbal life.Whatever the reason,you should go to ER snd get yourself examined and it would be better to stop using these products as they don't suit you.Thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5531.txt b/processed/document_classification/train/Confidential/doc_5531.txt
new file mode 100644
index 0000000000000000000000000000000000000000..56f9bc78cba3230f69fc509e737db58974741f05
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5531.txt
@@ -0,0 +1 @@
+sir my father is 67 and he is having acute pain in his left leg downwards. in mri it was detected that L4 and L5 disc has slightly come out of his normal position which is compressing the nerve passing there from and creating acute pain we have undergone the treatment of pain killers and injecting gel but it has not worked amd it was all for short term relief and now six to seven months have passed and there is no correction plz plz plz you suggest me the best way to overcome this problem Hello,Since all that time passed and no improvement with conservative therapy, surgery should be considered. The surgery aims to decompress the nerve and in most cases results in immediate improvement. Discuss with a Neurosurgeon for these issues.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
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diff --git a/processed/document_classification/train/Confidential/doc_5533.txt b/processed/document_classification/train/Confidential/doc_5533.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb3cd4c1431fdd506d2930f0ec4f4090317163e6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5533.txt
@@ -0,0 +1 @@
+My leg always feels numb and now it is starting to give me a really bad sharp pain running up my hip, I had an ultra sound because my doctor wanted to see if i had maybe a blood clot, but nothing...this pain is really interferring with me walking...and sometimes i have to stop because the pain in so sharp hi,thank you for providing the brief history of you.A thorough clinical neuromuscular assessment is advised.As you have a sharp shooting pain and numbrness you need to undergo a Neuromuscular assessment along with MRI of lumbar spine as this may be due to pinched nerve.post which taking a physical therapy like therapeutic ultrasound therapy and TENS therapy will help reduce the pain. Later stages exercises will be implemented to improve the stability of the spine and strengthening of the muscle to improve the quality of life.As your symptoms are classical for suspecting the pinched nerve I will recommend to undergo physical therapyin my clinical experience patients with similar complaints are majorly having pinched nerve and respond well to physical therapy.RegardsJay Indravadan Patel
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diff --git a/processed/document_classification/train/Confidential/doc_5534.txt b/processed/document_classification/train/Confidential/doc_5534.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ec078abc5a7acf2400a49860ae7eb83f7e7caeca
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5534.txt
@@ -0,0 +1 @@
+My husband has been complaining of throbbing full pains in his upper chest, right below his collarbone area. After exertion it is worse and seems to go up his neck and into his ears as well. Does this sound like a serious problem or will it go away in time? Hello,Possibility of musculoskeletal pain is more likely because it is throbbing type and worsening with exertion. So tell him to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. Avoid sudden jerky movements of chest and shoulder.3. Apply warm water pad on affected areas.4. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside. Don't worry he will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar
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diff --git a/processed/document_classification/train/Confidential/doc_5535.txt b/processed/document_classification/train/Confidential/doc_5535.txt
new file mode 100644
index 0000000000000000000000000000000000000000..42e3fe810c91e372b29a45ee4ffee0bcc7f523f4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5535.txt
@@ -0,0 +1 @@
+I have been off the depo shot for 7 months and throughout those 7 months I have had brown discharge every single day. Is there a way to stop this discharge. It is medium brown color , has an oder and is heavy enough for a pad. The OBGYN says its normal but how can I stop this?!! Hi,Thanks for the query. After stopping the depo, it may take some time for regularization of hormonal levels. That may be responsible for your brown discharge. Usually this discharge will subside soon. But having discharge for seven months is somewhat abnormal. So, once go for ultrasound and coagulation profile. These will help in ruling out any abnormality. If no abnormality is detected, you can take anti fibrinolytic drugs to control the brown discharge with your doctor's advice. If the discharge still persists, you may need hormonal pills for one month to regularize the cycles. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5536.txt b/processed/document_classification/train/Confidential/doc_5536.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4607394c4cd595968afda13ce2e1a809e2c0c337
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5536.txt
@@ -0,0 +1 @@
+Hi doctor, My 18 month old daughter has had problems since birth and I am desperate for a second opinion. The history is complicated trying to explain the symptoms but I will do my best. It was detected polyhydramnios in pregnancy. My daughter born at 36 weeks 4 days through emergency C-section due to pre-eclampsia. Her weight was 3070g. NG tube passed three times due to polyhydramnios. We went home on day two. Readmitted on day five for phototherapy. Till 4 months of age, several visits with health visitor and GP for colic like symptoms and constipation. She will scream in pain which opening her bowel and only opening her bowels every four to five days. Over this time they tried Colief, Infacol, Lactulose, Glycerin suppositories, Ranitidine, Gaviscon and Domperidone, nine different formulas and we also tried all common natural remedies for reflux like keeping upright after feeding, etc. No alleviation of symptoms at all with exception of glycerin suppositories which did seem to help the constipation. In 8 months pediatric consultant suggests functional constipation and recommends higher dose of Lactulose and Movicol for 16 weeks. He suggested that we are giving her too many glycerin suppositories and that is making her dependent on glycerin to open her bowels. And so Glycerin was stopped. We delayed weaning whilst waiting for appointment. At this point, her symptoms completely changed to intermittent diarrhea and constipation, bowel frequency increased to once a day, colic like pain and she does not start vomiting until the consistency of the food moves up to a more solid consistency. The laxatives made absolutely no difference. In her 10 months of age the constipation has turned to diarrhea. The doctor is happy that it was functional constipation and discharged her. At 11 months, she had first acute episode of chronic diarrhea and forceful vomiting lasted for 16 days which coincides with the introduction of cow's milk. During 11-14 months of age she was introduced to solid food. Chronic forceful vomiting which does not seem to follow any pattern. A food diary is followed for several weeks and there does not seem to be any consistent non-IgE allergy as a cause. During her 14 months of age we had an appointment with dietician and switched from normal formula to Pepti and then Neocate. Her chronic wheeze disappears overnight but chronic vomiting continues. She troubleshoots overfeeding as a cause. We are feeding her more as she is vomiting. When we did not substitute the feeds she lost weight. So, if she vomited a feed we gave her another one hour later, we fed her small quantities throughout the day to try and prevent vomiting. Again in 15 months consulted her dietician and he suggested definite non-IgE cow's milk protein allergy and to try trial and error with other three common allergies- soy, wheat and dairy. So, then for a month we followed strict elimination of those three. This month she had only Neocate liquid diet plus corn snacks (organix) and one paella meal. Symptoms improved but sporadic forceful vomiting remains. She tolerated only one baby paella meal well which is overcooked rice, very mushy consistency. Now again we attempted to challenge the three foods back in and move beyond this one meal. All attempts were failed. Her reaction to us seems to be much more about the consistency of the food rather than what the food is. She can tolerate a large amount of breadcrumbs, but cannot tolerate a piece of toast. We continue with food diary and there really is no clear pattern which isolates one food. Again in her 17 months age when we consulted her dietician he was unsure whether the symptoms fit FPIES at all and suggests gastro referral. Then she had second acute episode. We went A and E on day five and was sent home with suggestion of gastroenteritis. Chronic vomiting and diarrhea lasted 15 days. She lost 10% of her body weight. Sent home on Neocate as the only diet. But, there is no evidence of gagging, choking or problem swallowing. No fussing or wriggling during feeding. Four months back, her weight was 12.3 kg and now 10.9 kg. Her barium x-ray showed mild malrotation but at MDT it was decided this was not explanation of symptoms. We have recently tried Omeprazole to rule out severe reflux and it made no change. Genetic blood tests, kidney and abdominal ultrasound were normal. For us her symptoms now are identical to what they were like before the onset of weaning. Again, she is suffering from intermittent colic pain and constipation, but there is no vomiting. She is not sleeping well at all. We have increased her water intake and added Lactulose and the stools are no longer hard, but she still seems uncomfortable. Stools are very dark green. We have tried a couple of solids. She prefers crunchy food. She tolerates corn-based crisps as they basically dissolve into crumbs into your mouth. We tried peas, grapes and she passed all of the peas, grapes and beans completely undigested in her feces. Without solids she does not sleep well at all, because the Neocate just does not fill her up for long enough and so she is screaming all night because she is hungry. So, we tried a few solids and she is still screaming half the night with colic like pain. She is clearly in pain because she is absolutely screaming. She is pretty inconsolable, but the only thing that does relieve it is sucking on something like a bottle of water. She is waking up about every 20 to 30 minutes throughout the night. During the day she still has this colic like symptoms and she is tired and clingy and uninterested in playing. She does tend to have one to two hours a day of good time where she will play happily. One month back we had consultation with SLT. Her elder sister is under SLT. Hi. 1. Hirschsprung disease. 2. CMPA Barium enema study. Continue on same diet till further plan. Revert back with the previous investigation reports to a paediatrician online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_5537.txt b/processed/document_classification/train/Confidential/doc_5537.txt
new file mode 100644
index 0000000000000000000000000000000000000000..87c323664bfe5554fe05c8529b5ad92ec77e9294
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5537.txt
@@ -0,0 +1 @@
+Hi I have had constant twitching in my upper right of my back presumably because of bad posture during wide-grip pull ups. Two weeks ago I heard a tear in my back when doing this the pain seemed to now shoot to my ribcage in my side it's hard to sleep and cough or tighten my abs. Afraid to exercise but anxious to get back to routine. Any idea of what I did or how long healing will take? Thanks! Hi,You probably have pulled a muscle or there might be a tear. You need to rest for 2 weeks. Apply ice if there is swelling. After 2 weeks slowly start exercising under the guidance of a physiotherapist. Give him a visit now for further management.
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diff --git a/processed/document_classification/train/Confidential/doc_5538.txt b/processed/document_classification/train/Confidential/doc_5538.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9f994e5e07a57bda8d2de60e20a9a30373a5377e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5538.txt
@@ -0,0 +1 @@
+Hello, I m having difficulty breathing through my mouth after I sneeze or cough. I feel my chest tighten and then I start wheezing. I have seen my doctor and he said it was bronchial asthma. He prescribed some medication for three days with an inhaler. I finished taking the medication and only took the inhaler one time (four times that day, as prescribed). I later went back and he said everything was gone and now have tracheitis. I had another appointment with him today and he said that I now have a cold and what I am feeling is coming from my throat. Should I be worried? As I explained to him again and again... every time I sneeze or cough or even laugh (hard) I end up with a wheezing (while breathing in through my mouth). Your symptoms are suggestive of bronchial asthma and you have to take inhalers on a regular basis especially the controller ones like seroflo or foracort. Consult your local physician for correct dosage and technique of taking inhalers.
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diff --git a/processed/document_classification/train/Confidential/doc_5539.txt b/processed/document_classification/train/Confidential/doc_5539.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f367a97526c6f2059f6edd1e5e7820aa410f804
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5539.txt
@@ -0,0 +1 @@
+Hi Doctor, my husband has spermcount - 13 million/ml motility - active -20% Sluggish -20% Dead -60% Pus cells - 26-28 Redblood cells - 0-2 Epithelial cells - nil please tell me what all this mean. Is it possible to conceive normally? or if he should undergo treatment ? then what are the treatments? Hello, Welcome to HCM, I am Dr. Das Firstly, the sperm count is lower than required ( normal is 15 million / ml as per WHO 2010). Secondly, motility is lower than required ( normal is > 50% as per WHO 2010). Thirdly, pus cells are increased. It indicates presence of lower urinary tract infection. So, take some broad spectrum antibiotics, for the infection. It will improve the sperm report. Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5540.txt b/processed/document_classification/train/Confidential/doc_5540.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae5dc53728e9b52181c7ccd3f1e80cc7059c4f91
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5540.txt
@@ -0,0 +1 @@
+My 6 year old daughter feel sick all the time-for several months now. Almost in waves several times per day. She aches and says her head and tummy hurShe has not had a fever but the glands in her neck are lumpy. I suspect she has anxiety because when I massage her and have her breathe deeply it helps. Any other ideas? thanks--uninsured and worried mom DearWelcome to HCMWe understand your concernsI went through your details. I am sure that anxiety and obsession in young children do produce such symptoms as is mentioned here. But before attributing these behavior to anxiety, a thorough physical investigation is needed. I hope you had consulted a pediatrician in this regard. Let the doctor assess the condition and diagnose. Please consult pediatrician. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5541.txt b/processed/document_classification/train/Confidential/doc_5541.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3996b05349237f02092702105a1479b598521985
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5541.txt
@@ -0,0 +1 @@
+I have been having a problem with either a nerve along the outside and along the side of my right knee cap. It rarely hurts while walking or moving around. It is VERY painful if I kneel down ON the knee to do anything at all unless I massage the area first. I have never injured it any time as far as I can remember. I suspect arthritis or something in that family. Just wondered what remedy your could suggest to alleviate the soreness? Thanks. Ron Hi RonNothing to worry.Just apply voltaren gel twice a day and take Aleve tab twice a day after meals for 10 days.wear a knee support or knee cap .it will settle.Only wait and watch that no swelling comes
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diff --git a/processed/document_classification/train/Confidential/doc_5542.txt b/processed/document_classification/train/Confidential/doc_5542.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dbbc273762d935aba503dfa43a1af7ffa2c54cb5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5542.txt
@@ -0,0 +1 @@
+Hello doctor, I have anxiety and panic attacks from last six years. My doctor prescribed Nexito Forte 10 mg. My doctor tapered the tablet to Nexito Plus 5 mg three years back. My questions are: Is the relapse due to decreasing the dosage? Should I increase it again? Hello. The dose of the particular drug depends upon many reasons. So, it is difficult to tell that this dose is effective or not for the particular person. Now coming back to your questions, first Nexito Plus (Escitalopram and Clonazepam) has only half of the dose compared to Nexito Forte (Escitalopram and Clonazepam). So, when tapering the dose, few persons may relapse. If you develop the symptoms of anxiety, you need to increase the dose again. And it is quite difficult to predict who is going to relapse. Secondly, as the Nexito Plus has a lower dose of the drug, it is quite prudent that it may not be effective in all persons. So, increasing the dose is a good option. Similarly, when one is tapering the dose, some symptoms may reoccur. Then one has to slow down the pace of tapering as to avoid the relapse. So, if you are stable on Nexito Plus, then no need to increase the dose, but if you have symptoms then you need to increase it. The dose is basically changed according to the response and side effects, one is tolerating. It is individually designed to meet the requirements of that particular person. Thanks and regards. For more information consult a psychiatrist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5543.txt b/processed/document_classification/train/Confidential/doc_5543.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a2643aaefdf517cc5b8754d8388b6614af755dbb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5543.txt
@@ -0,0 +1 @@
+Hi Doctor, my father is diabetic & left his insulin used syringe on bed. The used syringe were taken by my son, who is 20 months old now, and pricked in his hand. yes, syringe does not contain any insulin, however, it was used multiple time by my father. Now, I m too worried & don t know what should I do... Can you pleaseeeee suggest & guide me. HelloThank You for contacting HCM.First of all, did you wash your son's hand with any antiseptic solution afterwards?? Secondly, is your father suffering from any disease like Hepatitis or any other prolonged illness? Whenever there is any such scenario then multiple things are checked. e.g for how long it was in contact. Was there bleeding afterwards. Is patient suffering from any prolonged disease & was that area washed with antiseptic solution.In most of the cases it is unlikely that such pick will cause any problem. Also it depends in above mentioned questions. If above mentioned questions are -ve then you need not to worry. He will be fine. Thank You
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diff --git a/processed/document_classification/train/Confidential/doc_5545.txt b/processed/document_classification/train/Confidential/doc_5545.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0c3aecdba9a424d9830b313334f985fd4226963f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5545.txt
@@ -0,0 +1 @@
+Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5546.txt b/processed/document_classification/train/Confidential/doc_5546.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dda6d62b85f5dc61a95da2466f69224654498ff6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5546.txt
@@ -0,0 +1 @@
+Hi Doctor, 5 months ago I fell on my back awkwardly while playing basketball and ever since the center of my chest has been hurting whenever i do activites, i can reduce the pain by popping my chest but it never goes away, what do you believe may be the problem? Thanks for your question on HCM.In my opinion it seems muscular pain only but since it is chest pain, we have to rule out cardiac causes. So better to get done ECG first.If this is normal than it must be musculoskeletal pain only.And chances of musculoskeletal pain are more as you are having trauma history.Try to follow these for musculoskeletal pain.1. Avoid heavy weight lifting.2. Avoid strenuous exercise. 3. Avoid bad postures in sleep.4. Take good painkillers and muscle relaxant.5. Apply warm water on affected part.6. Wear chest belt so that minimal movements occur.
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diff --git a/processed/document_classification/train/Confidential/doc_5547.txt b/processed/document_classification/train/Confidential/doc_5547.txt
new file mode 100644
index 0000000000000000000000000000000000000000..06d580c93f1d004be92439d7155f3d9cf70e2767
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5547.txt
@@ -0,0 +1 @@
+sure...patient with pseudomonas in knee replacement, on cefepine, sudden obtundation, hypercalcemia to 13.4, hypokalemia to 3.1, hyperventilation with Pco2 20, HCO3 18, bumped creatinine from 0.8 to 1.8, no CNS response to normalization of those electrolyte abnormalities. Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.this is probably due to sepsisa blood culture and sensitivity would confirm the diagnosisHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5549.txt b/processed/document_classification/train/Confidential/doc_5549.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7c44c67d927a7271bbaa418e3ff0ba91adf6870f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5549.txt
@@ -0,0 +1 @@
+Hello doctor,I have been experiencing mild depression since I was a child. My family problem made me extra depressed. After three years, I fell in love with a girl, but then she left me. This created a check for me, so I wanted to study more to prove myself. The depression kept increasing, but I started to be more talkative.I used to see the light coming outside people faces. Also, the depression stayed there. I also experienced wondering mind. There was an episode of racing thoughts once. I had to take massive, sleeping pills to sleep. In the end, a psychiatrist diagnosed me as bipolar type 2. He put me on Seroquel, but it was not sufficient. Sometimes it took the depression off, but other times the depression was still here.My parents took me to see a psychiatrist overseas, and he also diagnosed me with bipolar. He did put me on Lithium and Abilify 10 mg. I never felt this good before. My question is, do I only have depression? And not bipolar. Lithium can help improve depression symptoms, so maybe that is the case of what is happening. If I only have depression, I should be put on antidepressants. Hello. It is good to know that you are feeling better on your current medication of Lithium and Abilify (Aripiprazole). From the information you have given, it is difficult to provide a comprehensive opinion, but it does look like you have experienced some hypomanic symptoms in addition to depressive features. That is why your doctor would have diagnosed you with bipolar 2. Often people get diagnosed with depression, and it is easy to miss bipolar 2 unless a comprehensive assessment is done. So I presume you had a thorough assessment. I will suggest discussing your queries with your doctor during your next review so that he can explain as well. Continue your medication as prescribed. Also, try to get some psychological therapy as well. In due course, when you continue to be stable, your doctor may consider decreasing the medication gradually under close supervision. It may not happen for at least a year. Avoid habits that can destabilize your mood. Avoid alcohol. It helps to exercise regularly.
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diff --git a/processed/document_classification/train/Confidential/doc_5551.txt b/processed/document_classification/train/Confidential/doc_5551.txt
new file mode 100644
index 0000000000000000000000000000000000000000..741673772a81dbef3c90b02ed626598f0f5e7dca
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5551.txt
@@ -0,0 +1 @@
+hello, i smashed my left thumb two weeks ago and it it is still swollen abd the nail looks like ts doing to fall off and is still very sore. a week ago my left shouder started aching badly and wont stop. can this be related? i had a heart attack in march of 2007 and i know shoulder pain can be a symptom. im 6 foot and weigh 220 lbs shoulder pain can be angina but it shouldn't be at same pin point place. your pain is muscular or skeletal. you should take some analgesic if pain is severe
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diff --git a/processed/document_classification/train/Confidential/doc_5553.txt b/processed/document_classification/train/Confidential/doc_5553.txt
new file mode 100644
index 0000000000000000000000000000000000000000..169aff230a30aabd55cb99efbc0e7ed08644f966
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5553.txt
@@ -0,0 +1 @@
+Hello doctor,My mother is having cancer. Please find the details below and advise.Details :-------- Here is the details of the problems and treatment done for my mother.1. She reported itching,fatigue and jaundice. 2. She got admitted in hospital for treatment of jaundice.3. Doctor did CT scan, sonography of abdomen and found cholangiocarcinoma.4. Doctor has done ERCP and put sten on right side to reduce jaundice 5. Doctor has done CT guided biopsy . Biopsy report says : CINICAL : CT mass involving liverlobe and neck of gallbladder (carcinoma gall bladder) GROSS : Single core 1.5 cm (All) MICRO IMPRESSION : Liver Biopsy : Metastatic AdenocarcinomaCurrently the bilirubin level is 4 mg/dl which was 10mg/dl 10 days ago, now the doctor has advised to reduce the bilirubin and come back after three weeks for further treatment for cholangiocarcinoma.Currently my mother is very weak due to jaundice, we have not yet informed her about cholangiocarcinoma. We are not sure what should be good for her whether we should go for chemo or surgery since she is very weak.Please advise us what should be the next step. We heard there are lot of side effects of chemo ,we feel that she may not have the strength for chemo side effects.Is there any good treatment in ayurvedic or homeopathy which will be good for her.Thanks. ** Since the said condition [cholangio carcinoma] is surgical, thus it is best to have your Doctor to look into the matter, what can be initiated is Dietary Regime in such cases:1. Take:. Cucumbers, Green beans, Sweet potatoes, Avocados, Vinegars [all types], Garlic, ripe tomatoes, lemon juice in the morning with hot water, apples, berries, papaya, pear.. Vegetable juices - Beet and cucumber are especially helpful to gallbladder, avoid cabbage.. Avoid all fruit juices except organic grape juice and organic apple: fresh, self-juice is best [ dilute with water before drinking]. High fibre [fresh fruits and vegetables] and low fat diet [skimmed milk], hing, old brown rice, barley, horse gram, moong dal, ginger, green leafy vegetables, oil massage, boiled water,2.Avoid:. Eggs, Onions, Beans and legumes,Coffee,Oranges, grapefruit,nuts,fried Foods, Spicy foods,Chocolate,Ice cream, Carbonated water, Tap water, artificial sweeteners, sugar, preservatives, refined and bleached foods .. Fried foods, urad dal, tomato, turnip, milk and milk products, constipating/heavy food, soda, alcohol, tea, potato, beet root, dry raisins, sour food, cashew nuts.. Take 3 gm ajwain [carom] seeds and eat, thereafter drink warm water.. Chew sugarcane pieces and keep swallowing the juice.. Drink 1 cup spinach leaf juice daily for 1 month.. Drink 1 cup of radish leaves for 14 days.. Take 3-4 spoons of olive oil in evening with warm water or milk.. Grind onion and extract 20 gm juice and to it add 50 gm sugar candy powder [mishri] and drink.PS. Take vitamin-C-rich foods in your daily diet: like amla, orange, grapefruit, kiwi, cantaloupe, mango, strawberries, broccoli, red pepper, or tomato juice. [Since vitamin C is needed to properly synthesize bile; and deficient intake causes bile to become cholesterol-rich and increasing the likelihood of stone formation].. Do check with baseline Investigations.
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diff --git a/processed/document_classification/train/Confidential/doc_5554.txt b/processed/document_classification/train/Confidential/doc_5554.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5e9b06d91837cc2298e6f66a84c96b63585a87f3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5554.txt
@@ -0,0 +1 @@
+my sister is suffering from minimally invasive follicular carcinoma of thyroid left lobe...she is undergoing surgery of total thyroidectomy today...what is the prognosis of the disease???? which are the possible immediate metastasis areas of this cancer Hello,For follicular carcinoma prognosis is good , after surgery pt has to undergo radioactive iodine therapy for remaing bit of cancer.thanks
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diff --git a/processed/document_classification/train/Confidential/doc_5555.txt b/processed/document_classification/train/Confidential/doc_5555.txt
new file mode 100644
index 0000000000000000000000000000000000000000..748428e7b367cf7d3256177a9bf4e8198bad4950
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5555.txt
@@ -0,0 +1 @@
+there is white deposition between foreskin n glans penis....its bit sticky.....white deposition is there when i skip bath for even one day otherwise its only sticky....it smells when i skip bath....i m taking alcohol regularly for 2years n i m 30yrs old....i took 4 fluconozol tablets n even applied hcl cream but its has only reduced the problem but did not altogether finished it.....i have no sexual contact for last 13 months.....n i got this problem 4 months back....is this any thing to do with HIV.... Hi, The white normal deposition is smegma which is normal, if it is excessively deposited, it can be due to bacterial or fungal infection. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
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diff --git a/processed/document_classification/train/Confidential/doc_5556.txt b/processed/document_classification/train/Confidential/doc_5556.txt
new file mode 100644
index 0000000000000000000000000000000000000000..052ceb8d15b0cd1fcc760ff5e00633c62ffecb36
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5556.txt
@@ -0,0 +1 @@
+i have recently had blood work done for low B12 my levels are at 70. but my iron is fine and i have kidney pain...any ideas? Welcome to healthcaremagic, Deficiency is vit B 12 levels is probably because of yourself being vegetarian. you sholud see physician and get treated for the same. Kidney pain has nothing to do with vit B 12 levels and you should get further investigated with ultrasound KUB
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diff --git a/processed/document_classification/train/Confidential/doc_5557.txt b/processed/document_classification/train/Confidential/doc_5557.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d01e987a55e911253cf57fbda29a7ef14fa8df3d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5557.txt
@@ -0,0 +1 @@
+I HAVE BEEN SUFFERING FROM AR ,ECKO TEST IS AO-37MM,LA-41MM RVID-0.9CM,LVID(ed)-58mm,LVID(ES)-30MM,IVS/LVPW-11MM,EF-67%,LV&LA-DILATED,AORTIC VOLVE IS TRILEAFLET,LV end diastolic volume-208ml,LV end systolic volume-69ml,Aortic annulus-27mm ,Dr adv me to AVR, What is your opinion Hello,I would like to tell that deciding whether to go for an aortic valve replacement (AVR) or not requires a lot of considerations to be made on the basis of history, clinical examination as well as other tests, not just on the basis of echo report. As mere the presence of aortic regurgitation, even when it is moderately severe, is not necessarily an indication for surgery. So my opinion to you is to go for second cardiologist opinion personally for proper evaluation and treatment plan.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhanu Partap
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diff --git a/processed/document_classification/train/Confidential/doc_5558.txt b/processed/document_classification/train/Confidential/doc_5558.txt
new file mode 100644
index 0000000000000000000000000000000000000000..91a9586856ab5f7ac903531565415e1ea8a23018
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5558.txt
@@ -0,0 +1 @@
+I had a welt-like rash on my upper arms, shoulders and back last night after dinner. It spread rapidly and moved around those parts of my body. My wrists and hands were also itchy with bumps. This morning I woke up with a sore throat and runny nose, like I had a cold. What could it be? Hi, It may be allergic urticaria and allergic rhinitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take antihistaminics like bepotastine under supervision of your doctor. Avoid contact with suspected allergens and also avoid dietary stuff which may precipitate the disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
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diff --git a/processed/document_classification/train/Confidential/doc_5559.txt b/processed/document_classification/train/Confidential/doc_5559.txt
new file mode 100644
index 0000000000000000000000000000000000000000..784c36ef7f2678df5918266bd9ba33bc0a5b0b7c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5559.txt
@@ -0,0 +1 @@
+I donated plasma today, I used to do it regularly a few months ago but for some reason today my hands started swelling and I became very light headed and almost fainted. This has never happened before. My hands are still a bit swollen, Should I be concerned? Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.U seem to have generalised weakness and deficiency of vitamins,calcium,minerals proteins and micro-nutrients.Though temporary,it will eventually heal.Take rest and some healthy protein powder.Physiotherapy,analgesics,anti-inflammatory drugs should help.Nothing to worry about.I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
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diff --git a/processed/document_classification/train/Confidential/doc_5560.txt b/processed/document_classification/train/Confidential/doc_5560.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b3b792974598ddb47e5b9c831e4f93b45cac94b0
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5560.txt
@@ -0,0 +1 @@
+Hi my daughters rugae looks a bit inflamed. I remember mine feeling similar as a child for periods of time. Im wondering if this is normal and due to something, maybe just growth as shes able to eat fine etc or whether it could be anything serious. I will take her to the drs or dentist anyway but was just curious to see what you thought. Kind Regards HiThanks for writing to health care magic.The rash could be atopic dermatitis or vitamin deficiencyThis needs constant application of moisturising oinments daily and good intake if fruits and vegetables.Try avoiding dairy products to see if that helps.Wishing your child good healthRegardsDr Arun
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diff --git a/processed/document_classification/train/Confidential/doc_5561.txt b/processed/document_classification/train/Confidential/doc_5561.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f68ef9ebc2c27a2bcb7ade4b45294d5ccfe4f6b5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5561.txt
@@ -0,0 +1 @@
+my son is 34 yrs old and obese(about 300lbs) and now his blood work shows elevated liver enzymes as well as a gallbladdder number that is not normal. his tryc.,his sugar,his colesterol are all high. what can he do quickly to get on the right track. the dr is doing a 2nd blood test to make sure the first one was correct.he is already on blood pressure pills,including fluid pills. I am so worried about him and knew his over weight problem was going to turn into something much worse. he is a very stubborn guy but he is scared now,really scared. He might see that a Mom does know best and he should have listened to me.help! HelloElevated liver enzymes may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes,obesity etc.High liver enzymes may be due to altered lipid profile in your son's case.Findings also suggests altered lipid profile.He may need few investigations like routine hemogram,viral markers,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner.It will control increased lipid level.He also need diet and life style modification.He should avoid saturated aft and go for brisk walk regularly.He also need medicines for diabetes mellitus.Get well soon.Take CareDr.Indu Bhushan
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diff --git a/processed/document_classification/train/Confidential/doc_5562.txt b/processed/document_classification/train/Confidential/doc_5562.txt
new file mode 100644
index 0000000000000000000000000000000000000000..df8b4940ab3f0914c6b625cc6502f30ab0f8e3a5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5562.txt
@@ -0,0 +1 @@
+Hi, I am 25 years old and I recently had a bump along my lower back that seems tense sometimes. Along with episodes of swelling in my left foot and shin and my penis and groin area also experience swelling but no pain on either. I recently stopped working out, but prior I did do exercises that consisted of heavy dead lifts. Do you know what this could be a result of? Hi,Dear thanks for the query to HCM.Cause -for-a-the lump on lower back -a clinical check is required from your family doctor as the information from the query is non-commentable as its incomplete and very vague.Plz call back again with more information. And I would love to help you out from the complex query worrying you.So check up with family doctor and update that clinical check up data to me ASAP.Hope this would help your worry to take proper steps for health.Wellcome again if you have any more query in this regard.Have a Good Day.
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diff --git a/processed/document_classification/train/Confidential/doc_5563.txt b/processed/document_classification/train/Confidential/doc_5563.txt
new file mode 100644
index 0000000000000000000000000000000000000000..56f416a73488bab6914b793600cd6571197baf7b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5563.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5564.txt b/processed/document_classification/train/Confidential/doc_5564.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9e9382942cc214aa195958c5514505d7324bdc75
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5564.txt
@@ -0,0 +1 @@
+Hi doctor, My stomach was burning for three hours yesterday night. I took Gaviscon once, but the burning did not go, so I took it a second time. I have slight chills. From two days, I am eating out, which was normal, and I did not overeat. I have eaten in this place previously also. I used to get slight burning sensation before, but yesterday it was very severe. I had chills for the first time. Even now I have slight chills. Right now also I have slight chills. I have acid reflux and fatty liver grade 2. Currently, I take Nexpro RD 40 twice a day, and Ursocol twice a day. Please advise. Hi. You seem to have developed acid reflux following intake of food from outside. In such cases, I recommend the following: I hope it helps you. If you have any further query, please ask me. For further queries consult a medical gastroenterologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5565.txt b/processed/document_classification/train/Confidential/doc_5565.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f3b639c82800accb441212a66c4dec2b160e1ad4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5565.txt
@@ -0,0 +1 @@
+Hi i am 25 year old. 3 year before i have got started hair fall seriously. Till now i have lost my half of my hair from the scalp. I have consulted many dermatologist and have tried many remedies like minoxidil biotin etc but all was invain. Please suggest me some idea 2 get rid from the such problems. Thank you. Hi, As per your query you have symptoms of hair fall which seems to be due to improper cleanliness, environmental factors, hormonal changes, fungal infection and could be due to stress. Sometimes it is due to genetic factors as well. Need not to worry. I would suggest you wash your scalp 3 times a week with very mild shampoo containing least chemical ingredients. We have to find the exact cause and start treatment as per that. Avoid excessive stress and drink plenty of water to stay hydrated. Maintain proper hygiene of your scalp and wash hairs every alternative day and take Indian gooseberry powder half spoon. Consult dermatologist once for proper examination. The doctor may prescribe Finasteride preparations and along with that multivitamin preparations as well. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist
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diff --git a/processed/document_classification/train/Confidential/doc_5566.txt b/processed/document_classification/train/Confidential/doc_5566.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c41a34ee153c8d6934e42be46784243341133b2c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5566.txt
@@ -0,0 +1 @@
+Hello doctor, My right shoulder is excruciatingly painful. I play quarterback in football and I am 16 years old. Since I participate in a throwing sport, dead arm syndrome is something that I suspect may be the cause of my pain. I have also noticed that my upper right trapezius if lower than my left one. Please help. Hello. As mentioned by you that you might be suffering from dead arm syndrome. At present I would suggest you to follow price protocol, that is protection, rest, ice, compression, and elevation. I would suggest you to stop doing any sports activities which aggravate your pain. Once pain subsides you need to strengthen the shoulder muscles as this condition develops due to weak shoulder muscles. I would suggest consulting any physiotherapist to learn how to strengthen your muscles. It is very important before you proceed to play otherwise you might get reinjury. If your condition does not improves within a week consult any physiotherapist. I hope this helps.
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diff --git a/processed/document_classification/train/Confidential/doc_5567.txt b/processed/document_classification/train/Confidential/doc_5567.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4e038480974bda61c356e99dd5465fde6facc9c6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5567.txt
@@ -0,0 +1 @@
+Hello, the left side of my lip is in a sort of paralysis , I can only half smile, half inhale on a cigeratte, I went to the densit because I had one of my right lower wisdom tooth pulled last Tuesday, this is on the Opposite side tho, he said this shouldnt be affecting my the lower left side of my lip, plus this happened yesterday And I had the tooth pulled a week ago, I have not eatten anything unusual or Been exposed to any differnt sort of chemicals, so my question is what could cause the left lower side of my mouth to be like this..? hiii its nothing to do with your wisdom tooth extraction....as extraction was done of the opposite side. it seems that there might me some sort of infection on your left side of the oral cavity which is causing the compression of the nerve which is resulting in these symptoms. the neural tissue takes time to repair....from days to months & some times even years well it may also be bell's palsy.....it is facial paralysis of half side of the face.....its pretty much treatable condition. i would suggest that you should consult a dentist as soon as possible for the correct diagnosis & prompt treatment.
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diff --git a/processed/document_classification/train/Confidential/doc_5569.txt b/processed/document_classification/train/Confidential/doc_5569.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e939e974e73c2af81e140ffc38112a8279648e30
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5569.txt
@@ -0,0 +1 @@
+MAle , 51 years oldI had a full blood picture, VDRL and urine analysis.for med insurance purposes.Blood picture all normal, VDRL negative, 10-15 pus cells in urine is the only symptom not in normal range.I understand there are dozens of possible reasons for pus in urine, including kidney stones (that I had 15 years ago) and a urine culture is advisable.However on a simpler note: Urine analysis was midday, previous day had a vigorous masturbate, could that be the cause?Many thanks Hello Thanks for writing to HCMYou are suffering from urinary tract infection(UTI).It is not related to masturbation done on previous day.UTI is indicated by presence of excess pus cells in urine.You need few more investigations like routine hemogram,Random blood sugar,Renal function test,Urine culture and sensitivity and Ultrasound of abdomen. Further investigations can be done if needed.At present you need proper antibiotics after culture and sensitivity report.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan
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diff --git a/processed/document_classification/train/Confidential/doc_5570.txt b/processed/document_classification/train/Confidential/doc_5570.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8f22e1802fa4f120fe6a4b8c1480e99a744bb0fc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5570.txt
@@ -0,0 +1 @@
+My son had a big boil on the chin. After it burst and fluid came out, over a period of time there is a small pit / dimple chin formed (a fine hole can be seen). Occassionally fluid from the same oozes out..esp after bath with hot water. What is the treatment for the same. We have done an x-ray of the chin and there is nothing found. Dr. has indicated sinus of the chin. can u help Thank you for following up, I will advice local therapy, wash sinus with hydrogenium peroxide, around apply iodine and inside put antibiotic -1% chloramphenicol 2 times 5 days.In addition general antibiotic-amoksiclav or ofloxacin 5days in dosage according to age.Visilak 1 capsule 1 time for pofilaxis of disbacteriosis during antibiotic therapy 14 days.For increasing immunity zincovit 5ml 1 time 1 month and of cause give him natural antibiotics-garlic and onion every day. For increasing of phagocytosis add vitamin C 500 mg 1 time 10 days Recovery soonDr.Svetlana
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diff --git a/processed/document_classification/train/Confidential/doc_5571.txt b/processed/document_classification/train/Confidential/doc_5571.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6a84000104fd03a4d66c166c4a6be94a826d66b7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5571.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5572.txt b/processed/document_classification/train/Confidential/doc_5572.txt
new file mode 100644
index 0000000000000000000000000000000000000000..634ca66ca23465fa0be0ca0c5d62aadd0fc8de88
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5572.txt
@@ -0,0 +1 @@
+daughter has high functioning asperer she has been treated by several doctor she suffers from severe depression and anxiety she was on Prozac for several years then starting cutting they took her off she refuses to leave her room my insurance cut her benefits I am at my wits end every year she get worse.she is 16 Greetings !I am sorry to learn about your daughter's condition.Well if she has responded to prozac before and she had previously not developed resistance or increased tolerance against the drug then she should be again placed on prozac since this is a tried and tested drug with good results in the past.However if prozac had become ineffective due to prolonged usage then she needs to be placed on a new anti depressant drug such as escitalopram at dose of 5 mg / day to begin with and the dose to be raised to 10 mg / day after 2-3 weeks if the need arises.This drug escitalopram is a better ssri anti depressant as compared to prozac and is also faster acting and associated with relatively fewer side effects.So i have laid down two options in the form of re-introduction of prozac or use of new drug like escitalopram, either should be able to manage her depression and anxiety.I hope this helps.Regards
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diff --git a/processed/document_classification/train/Confidential/doc_5573.txt b/processed/document_classification/train/Confidential/doc_5573.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5a10cf724b05ab49aa632442ded9d2254cd926a3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5573.txt
@@ -0,0 +1 @@
+my blood pressure is rangeing from 150/90 to 136/86 my health issues are i have lupus. hoshimoto's thyroiditis, chronic aneima, and severe svts usually once a twice amonth heart rate ranging from 275 to 310 . should i be concerned that my blood pressure has gotten higher in the last couple of months and i don't take any meds. What is your age? But anyway Heart rate is too high and take adequate cardiac care.
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diff --git a/processed/document_classification/train/Confidential/doc_5574.txt b/processed/document_classification/train/Confidential/doc_5574.txt
new file mode 100644
index 0000000000000000000000000000000000000000..97cc78f381e49ab507294494e6b25b8ef4ddc7d8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5574.txt
@@ -0,0 +1 @@
+I m 29 weeks pregnant and have had itching at the top of my labia majora either side of my clitoris. I thought it may be from when I shaved that same area as it s been pretty much since then. But that was a good two months ago now. I looked tonight and saw that I had two small lines of open skin on that same area. It s uncomfortable and sometimes itchy. Hi,It seems that these bumps might be due to razor bumps.Due to lack of proper local hygiene during pregnancy it might have precipitated.clean local part and apply triple action cream for few days.Maintain good local hygiene.Ok and take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5575.txt b/processed/document_classification/train/Confidential/doc_5575.txt
new file mode 100644
index 0000000000000000000000000000000000000000..25a8da99a93676767f005cf71a5b14ff03ae5bfb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5575.txt
@@ -0,0 +1 @@
+Age - 7 years, weight - 17 kg , name - vansh (male) fever for past 11 days now , max upto 102 deg, TLC - 16700 & so DLC also not good. WIDAL OK, MP- negative. Pain in chest , sometimes seems like vomiting.Pls suggest medicine , doctor given OFLOMAC + Crocin but more fever after 2 doses of it. Hello welcome to the health care magicaccording to history provided you are having higher leukocyte count and your WBC differential count also not within limit so kindly let me know your differential WBC count for giving comment on that.you can be prescribed antibiotic course and complete the course of prescribe antibiotics to you.I need to check your platelet count also and investigate with sgpt and sgot as well.after seeing report I can comment for the and let me know if I can guide you furtherhope this will help you
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diff --git a/processed/document_classification/train/Confidential/doc_5576.txt b/processed/document_classification/train/Confidential/doc_5576.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3237e3c8ab9cf0eae35206d57f4c514b761953e4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5576.txt
@@ -0,0 +1 @@
+Sir,This is Sileman.Shaik from VIJAYAWADA, A.P,INDIA.I am suffering with male infertilty problem.5years before i gone for vericosil operation.But my problem not yet solve.and then go for testicular baiapsy.In report i am suffering of HYPOSPERMATOGENISIS WITH LEYDIG CELL HYPER PLASIA.Please give me the suggeston and treatment where i go near my town. Thanking you sir Hi, Thanks for posting your query. I am telling you a bitter truth that there is no herbal or medical therapy that can increase sperm count. So go for another option like In-Vitro-Fertilization to get rid of this problem. Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5577.txt b/processed/document_classification/train/Confidential/doc_5577.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5b267760d58fffcd62076019e5528f9ca64d7cdd
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5577.txt
@@ -0,0 +1 @@
+My son (2 years old) has fever of 104 that doesn t go down with Tylenol or ibuprofen , watery eye (left eye with a black circle around and itchy) also a strong headache that can t move his head fast because will hurt, sleeping a lot and not eating except popcorn and water. He s being on this condition for 31 hours now, he is completely down that don t even want to play his favorite games anymore. What can I do? I suggested this condition as Acute sinusitis, on the basis of the following symptoms most common cause is infection, allergy or autoimmune problems, most cases are due to viral infection. treatment is symptomatic management .steam inhalation,paracetamol for pain and fever.gargle ( betadine / warm saline ) hand hygiene .antihistamine .
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diff --git a/processed/document_classification/train/Confidential/doc_5578.txt b/processed/document_classification/train/Confidential/doc_5578.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ec29b733565d01a248bae709dd75f074304878bf
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5578.txt
@@ -0,0 +1 @@
+hi i had a tooth out and it would not clot and had to have it stitched. i was advised to go to my dr for blood tests - they foned today and said the coagulants were fine and i was to go back for some more blood tests - what else could they be looking for Hello,if by coagulants you mean INR (or prothrombin time) or activated partial thromboplastin time then you should also check a complete blood count for platelet number disorders and blood clotting time. If both are normal its very unlikely that you have a blood problem. Regarding platelets, their number could be normal but functionality may be impaired but if the blood clotting time is normal, your wounds should be clotting on time!I hope I've helped.If you'd like to ask more, please let me know. I'll be glad to help.Kind Regards!
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diff --git a/processed/document_classification/train/Confidential/doc_5579.txt b/processed/document_classification/train/Confidential/doc_5579.txt
new file mode 100644
index 0000000000000000000000000000000000000000..48b52bf31fb73a6008a863ce90efcd50f6830c36
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5579.txt
@@ -0,0 +1 @@
+SIR my daughter 24 days old she is sneezing from the day of birth.we consulted childeran doctor on 12 th day he recommended t-minic drops and saline nasal spray,we used it for one week but no use again we contacted the doctor to day ,he said notting to worry . he saked to contuniue the above medicane addition he recommended betnesol oral drops.is this medicen safe to use please advice ble Hi... this is a long acting steroid and should not be used without a proper indication. What you are saying is not at all a indication for using such a steroid medication.I suggest you not to use Betnesol drops in your young baby.Regards - Dr. Sumanth
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diff --git a/processed/document_classification/train/Confidential/doc_5580.txt b/processed/document_classification/train/Confidential/doc_5580.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f14a7e28b0a071e57bc9dc04fdced76174bce068
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5580.txt
@@ -0,0 +1 @@
+Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5581.txt b/processed/document_classification/train/Confidential/doc_5581.txt
new file mode 100644
index 0000000000000000000000000000000000000000..759a8f2cd796f6728d11ce599950635245487215
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5581.txt
@@ -0,0 +1 @@
+Bank holiday Monday I got lots of itchy welts. They returned on the Tuesday and Wednesday nights in differing places. The same Tuesday my glands came up (painfully so) and after a few days I gained many flu symptoms one by one including a blocked nose and a (very) sore throat. I also began to be very gassy though my stomach did not hurt. I have slept very little at night and my appitite was gone by the Thursday. Sunday night I gagged while brushing my teeth, burped, dry heaved twice then threw up. Only bile came out. I noticed that I would release gas just after I drank and that my saliva would get thicker. Now it is always thick. I tried Beechams tablets and it barely touched it. Night Nurse worked for a few hours but I felt a lot worse when I woke up fully (3.40 am) - I had woken up many times in the night before it and managed to sleep again but after that point, getting back to sleep was very hard. It has been a week and a half since all this started and I an desperately seeking relief. Can you help me? thanks for posting your query to HCM. As I understand you are suffering from some kind of alergic illness as all this symptom goes in favor of some expouser to allergen . along with this you have also got gastritis. you dont need to be worried as it can be releived by medication . I suggest you to take some antihistaminics tablet and NSAIDS group of tablets for releiving your flu like symptoms and some antacids and PPIs like pentoperazole to releive gastric illness. thanks and feel free to follow up .
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diff --git a/processed/document_classification/train/Confidential/doc_5582.txt b/processed/document_classification/train/Confidential/doc_5582.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aac6d8a49e4759cff9c7221a2ee1f27b68ce09fc
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5582.txt
@@ -0,0 +1 @@
+How long does it take to recover from a severe chronic reaction to Gold. I am only allergic to Gold. I have wore it all my life. I had an allergy test done and Gold is all I was positive for. I know the reaction went on at least two years before I could get answers I have had reaction pretty much on all parts of my body. I am currently going through healing process I do know when the reaction of the salt grains come out it itchs and then burns like you are on fire. hi sir/madam,Thanks for your question on Healthcare Magic.Treat your reaction by removing your earrings and washing the area with plenty of water to remove any remaining irritants. You can also apply an over-the-counter topical cortisone cream such as hydrocortisone cream. If your symptoms do not improve in five to seven days, you may need to speak with a doctor.hope this was helpful.have a healthy day.
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diff --git a/processed/document_classification/train/Confidential/doc_5584.txt b/processed/document_classification/train/Confidential/doc_5584.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0c937ec67b475aa15b026a2e83095d926f3c5d11
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5584.txt
@@ -0,0 +1 @@
+i think i could be pregnant. the first day of my last period was march 19 2010. i havent had my period this month and i m having all symptoms of it except a positive test and severe pain. i ve taken tests online and they all say i may be. how can i really find out without getting a home test? in delayed cycles sometimes urine test is delayed positive. to confirm it go for serum beta Hcg a blood test.if Hcg test negative then you are not pregnant.symptoms can be due to hormonal imbalance.
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diff --git a/processed/document_classification/train/Confidential/doc_5585.txt b/processed/document_classification/train/Confidential/doc_5585.txt
new file mode 100644
index 0000000000000000000000000000000000000000..96a77834adfd84dd07539de3ee901c6882dbac30
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5585.txt
@@ -0,0 +1 @@
+Hi doctor, I have a quite wide open bite. I am 24 years old and want to get them fixed with braces. The open bite is so big that I can thrust a pencil in my mouth with my teeth closed. I have attached a photo for your reference. Will it require surgery or can it be fixed with braces? How long will it take to fix them? Hi. I have seen the picture you have attached (attachment removed to protect patient identity). For further information consult a dentist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5587.txt b/processed/document_classification/train/Confidential/doc_5587.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4f4c7bb1c8a3290145880e80f6e7f7468a9ebd23
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5587.txt
@@ -0,0 +1 @@
+my daughter was at nursery and when she woke up she had a rash which then got worse. took her to doctors who said it might be fungal infection or allergy. we gave her the steroid cream and in the middle of the night she woke up crying covered in a red rash. gave her calpol and piriton. when she woke up it had completely disappeared. had no symptoms during the day but when she woke up this morning she had a few red welts around her bottom. what could this be? thanks Dear parent,You have not mentioned age of the child.By your description it seems she has some allergic eruption. Keep in touch with the doctor. Some times it may take a few visits to come to a diagnosis.
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diff --git a/processed/document_classification/train/Confidential/doc_5589.txt b/processed/document_classification/train/Confidential/doc_5589.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0ec2dbc758a926a86ad6b33d006705cc0b4c188a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5589.txt
@@ -0,0 +1 @@
+Hello doctor, I am 23 years old and I have this problem for the last three years. My underarm is too dark and I cannot wear sleeveless tops. I am getting married soon and am really embarrassed because the sensitive area is also with dark skin and I really need an absolute solution. Hello. I have noted your concern. Regards. For further queries consult a dermatologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5591.txt b/processed/document_classification/train/Confidential/doc_5591.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e59a24386fa3d9dd68c7ad20584a39ac5b849922
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5591.txt
@@ -0,0 +1 @@
+Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness.
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diff --git a/processed/document_classification/train/Confidential/doc_5592.txt b/processed/document_classification/train/Confidential/doc_5592.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c2fb6631b2a0671df44492690811eb159b778848
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5592.txt
@@ -0,0 +1 @@
+hye doctor.. my husband 40 years old. v married for 1 year plus.. no baby.. do semen analysis shown my husband sperm count less but for me everytin ok.. my husband got diabetic just diagnosed few months after our marriage.. so doctor I can still be pregnant ar if my husband condition like tis... hai, with wellcontrolled diabetes without any complication you can get pregnant.as your husband got diagnosed diabetes recently., so major complication will not be there.but with less sperm count it means less than 20 million/ml will not be able to make it.consult a infertility specialist for treatment and management for low count.thank youhope i answered your query
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diff --git a/processed/document_classification/train/Confidential/doc_5593.txt b/processed/document_classification/train/Confidential/doc_5593.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eaff5acb77859d9156f17b0aa0cbc97aaff383c9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5593.txt
@@ -0,0 +1 @@
+Thank You. I have been fighting planters fasciitus for years. I do all my exercises and have orthotics in my shoes made by a doctor, also I have had pain injections in my feet. No help. I m only 57 years old and my feet are always sore.. Please help??????? HiPlantar fascitis is helped by contrast fomentation, alternate hot and cold water dipping of foot each for a minute for total 10 minutes.some physical therapist use ultrasonics massage to give relief.Orthotics, soft foam insole in footwear are used.If there's flat feet, then suitable medial raise sole footwear are advised by podiatristsApply voltage gel to soles after contrast bathBest wishes
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diff --git a/processed/document_classification/train/Confidential/doc_5594.txt b/processed/document_classification/train/Confidential/doc_5594.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16283669df1027e4fdff912e19af4fda1694cb1d
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5594.txt
@@ -0,0 +1 @@
+My 5 year old daughter has been very lathargic-pretty much sleeping the whole time, not eating, has had a average temp of 99.4 and has not vommited since about 11 am yesterday. She was sick a week ago last week on Monday/Tuesday with fever and vomitting. She has been drinkng fluids the past day but not eating. What do you think it is and what should I do? Thanks! Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Parent you have not told if she's passing motions. If not then take her to a pediatrician, otherwise also the way you are describing her condition, it's better to visit a doctor rather than waiting at home. Hope I have answered your query. Let me know if I can assist you further.
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diff --git a/processed/document_classification/train/Confidential/doc_5595.txt b/processed/document_classification/train/Confidential/doc_5595.txt
new file mode 100644
index 0000000000000000000000000000000000000000..671752e3c1cbe9dcad7a7d8dcd7d44e6a0646376
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5595.txt
@@ -0,0 +1 @@
+Respected doctor, my wife is suffering from joint pain for past some months. today we have taken a lab test. it shows RH FACTOR NEGATIVE,,URIC ACID 5.6 ASO ..POSITIVE could you please let me know what is ASO, does she need any surgery ? is it very harmful? expecting your valuable consult .thanking you sir your tests suggest that she has seronegative arthritis.an aso titer in an adult does not have much value, it was not required to be done in the first place.
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diff --git a/processed/document_classification/train/Confidential/doc_5596.txt b/processed/document_classification/train/Confidential/doc_5596.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f7914398aa44606d8b4f0191d428177aaabdaa1
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5596.txt
@@ -0,0 +1 @@
+I had a CBC test done about one week ago as a routine before my yearly visit to my oncologist. It was marked that it was not necessary to fast so I did not. Copies of the results were sent to my GP, he sent me an order to get a fasting blood sugar test because my blood sugar was at 146. They did ask me if/what I had to eat and I said I had breakfast 45min to 1hr before I was having the test. Wouldn't 146 after eating be expected? Aged 51, 5'5", 115lbs; history of gestational diabetes 13 &18 years in the past. Hi, dear. I have gone through your question. I can understand your concern. You have gone for random blood sugar. Its not high. But we can't accurately decide whether its normal or not because of variable timing and food. You should go for fasting blood sugar and 2 hr postprandial blood sugar for perfect result. Go for it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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diff --git a/processed/document_classification/train/Confidential/doc_5597.txt b/processed/document_classification/train/Confidential/doc_5597.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b08d04b7970f4137c1db4c42a64a735beb52181e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5597.txt
@@ -0,0 +1 @@
+I am on Selexa 30 mg but asked my doctor if there was something that might help me focus ... have started a new job and feel anxious ... he prescribed Effexor but I do not want to switch if this will not make a significant difference. I have been through lots of loss lately ... Hi and thanks for the query,It is important to note that people react or respond differently to different drugs, especially drugs acting on the nervous system. Switching could be justified in case Selexa remains ineffective even at a maximal dose. Kind regards
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diff --git a/processed/document_classification/train/Confidential/doc_5598.txt b/processed/document_classification/train/Confidential/doc_5598.txt
new file mode 100644
index 0000000000000000000000000000000000000000..41fc316aac316d700846eb6e14a81057d3700528
--- /dev/null
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+hello,,my husband last yer was confine then his diagnos is pleural effusion then he takes many mdicine for 1 month,,and last week there company conduct a annual examination like xray,,it suddenly my husband have residual fibrosis what does it means.it is treatable doc?please help my problem,,God bless If it was pleural effusion then the medicines should have been properly for 6 months for tuberculosis. However if you aren't from India then the effusion can have many other causes. Second the residual fibrosis must be a pleural thickening that is often a result of the untreated pleural effusion. You cannot do much about that thickening unless if it is causing you some problem. Vote thanks if the answer helps you
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diff --git a/processed/document_classification/train/Confidential/doc_5599.txt b/processed/document_classification/train/Confidential/doc_5599.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3663863adf62def43a4d4fdc7a37c573483f7110
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5599.txt
@@ -0,0 +1 @@
+My 23 year old son Fell down from Bicycle during Army training and he has been advised to take 20 days sick leave for treatment....... There is no fracture of bones... Muscle of outer side of thigh is having pain ... that muscle lost its stiffness. It became loose when comparing the other thigh’s muscle.. He can’t run now... can’t walk comfortably.. When consulted, the doctor prescribed.... EVION LC,.....PRYNERV-M.....AND LIBOTRYP Tabs for 10 days.. My son has limited period of sick leave and has to report to camp after 19 days... there is no considerable relief after taking 4 days medicine..... Due to the limited period of sick leave ,,, please advice whether we have to consult another doctor or to wait ... OR , is the present prescribed medicine will suffice for relief after 10 days... can he continue his training after 20 days ...????? Even if leave is of limited period, body takes its own time. Use ice pack 5 times daily for 10 minutes every time. He will get more relief.It would be ideal to get MRi of knee to know what exactly has happened to knee.
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diff --git a/processed/document_classification/train/Confidential/doc_56.txt b/processed/document_classification/train/Confidential/doc_56.txt
new file mode 100644
index 0000000000000000000000000000000000000000..44bd8a57e2af7ea5ec10512a83ed6ceee377a6fb
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_56.txt
@@ -0,0 +1 @@
+* Based on information not available from GOA sources. NOTE: With the excepcian of US. MAP, all figures are estimates; information not available from GOA or other source. Investment In Country Sources Third Country Grants Purchases from Third Countries* Purchases from U.S. Commercial* FMS Cash® FAS Credit U.S. Grant Aid Funded (Training) 0.5 EOA Total Investment * Based on information not available from GOA sources. NOTE: With the exception of US. MAP, all figures are estimates; information not available from GOA or other source. OPERATIONS AND MAINTENANCE in Country Sources Third Country Grants Purchases from Third Countries* Purchases from U.S. Commercial FAS Cash* FAS Credits U.S. Grant Aid Funded EDA Total O&M TOTAL INVESTMENT AND O&M data. TABLE F-3 AFGHANISTAN RESOURCE UTILIZATION PROJECTION {Quantity/S in Millions) FY-80 FY-81 FY-82 (Planning Period) 0.5 0.5 0.5 Identify significant projected purchases in military capabilities portion of country narrative. - SEE ATTACHED NOTES FY-83 0.5
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diff --git a/processed/document_classification/train/Confidential/doc_5600.txt b/processed/document_classification/train/Confidential/doc_5600.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62e59c30d6274e9a94c69da89fe0b683086f29c3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5600.txt
@@ -0,0 +1 @@
+Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5601.txt b/processed/document_classification/train/Confidential/doc_5601.txt
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index 0000000000000000000000000000000000000000..650fe77154f03c1eedffd988681ed79ddce70861
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5601.txt
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+Hi, Doctor my name is Vishal, i was bitten by a dog on 23/01/2011, after that i wash the wound bu bentodine and day (24/1/2011) i was taken rabipur first shot. after the second shot of rabipur i was suffering from very pain-full headache with in the one month. during the injection period i was drink alcohol this is safe or not, if not can i take another three shots of rabipur. Hello to healthcare magic,You should know that alcohol interacts whit a lot of medications and substances. Up to now there are no known interactions between Rabipur and alcohol. However you should be very careful and cautious for any signs and symptoms!
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diff --git a/processed/document_classification/train/Confidential/doc_5602.txt b/processed/document_classification/train/Confidential/doc_5602.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d63abbe8bb3034022e6a58263166ecb68b581a95
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5602.txt
@@ -0,0 +1 @@
+My six year old daughter started to complain of intermittent periumbilical pain approx 3 weeks ago. She awoke abruptly in the middle of the night with severe abdominal pain and fever. Within a couple hours the pain was gone and the fever was gone later that day. Since then she has had intermittent periumbilical pain. Nothing seems to relieve or worsen the pain. She started in yesterday with pain again and diarrhea . She has had 4-5 episodes of diarrhea. No blood in stools . No nausea/ vomiting . She is running a low grade fever today, however she did just get over a viral URI approx 2 days ago...but hasn t ran a fever for two days. I m unsure if this could be appendix, intestinal issue, or what other etiology. Do you have any advice? Thanks! Hi Rachy, Thanks for writing your query. After reading your post, it seems that your daughter is having some infection in intestine leading to pain in abdomen, fever and diarrhoea. You can send her stool for examination. She should be treated with antispasmodic like dicycloverine , antacid like omeprazole, probiotic and antibiotic according to the report of the stool investigation. Paracetamol can be given for fever. She should be given any medicines after getting her medically examined by her Paeditrician. Give her light diet with less spice and oil for few days until her stool is normal. Her pain doesnot seems to be due to appendix as the appendicitis pain is more towards right side of umblicus. I hope this is helpful to you. Thanks.
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diff --git a/processed/document_classification/train/Confidential/doc_5604.txt b/processed/document_classification/train/Confidential/doc_5604.txt
new file mode 100644
index 0000000000000000000000000000000000000000..871b4509a0c68c05bdcfb107d3164858927a794b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5604.txt
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+Well i am on the phone with my cousin right now. she just drove herself to the doctors this morning because she said her heart was pounding very fast, and she had a tingling feeling down her arm and saw pulsating vein in her left palm. dr. said her pressure was 180 over 104 DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDERSTAND YOUR CONCERNYOUR COUSIN BP IS VERY HIGH AND SUCH HIGH BP CAN CAUSE SYMPTOMS OF PALPITATION AND POUNDING VESSELSI ADVISE YOU TO URGENTLY CONSULT THE ER AND GET HER BLOOD PRESSURE CONTROLLED AFTER WHICH THE CONSULTING PHYSICIAN CAN EVALUATE HER TO FIND THE CAUSE OF HER DISEASEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
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diff --git a/processed/document_classification/train/Confidential/doc_5605.txt b/processed/document_classification/train/Confidential/doc_5605.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ed8acf6bb6571d0e275773df59d5d1b8a3a582e7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5605.txt
@@ -0,0 +1 @@
+hello, i got a gastroscopy today and the doc had problems puting the ansthitc nedel in my arm and after few times he put it somewhere to find out it was in pain and after telling him he moved it to the hand .now about 10h later i still have some pain and kinda swallen in the shot area especially when i move it . so should i do something about and how bad is this thing thank you Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your pain might be because of extravasation of the fluid during placement of catheter outside the vein. Swelling is also due to accumulation of that extravasation fluid.Tratment is ice fomentation, strict limb elevation. Tab diclofenac 50 mg twice a day is for pain relief. Tab chymoral forte twice a day is for reduction of swelling. It has to be taken before meals. This will resolve in few days.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza
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diff --git a/processed/document_classification/train/Confidential/doc_5606.txt b/processed/document_classification/train/Confidential/doc_5606.txt
new file mode 100644
index 0000000000000000000000000000000000000000..119e674f3a784b2babffd71a02f9a1c9a8b138b8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5606.txt
@@ -0,0 +1 @@
+Just over a month ago I had a seizure and in the fall I bumped my head and back, I am still suffering from bad back pain but I m more interested about my head, it feels like I have a small dent which is tender to touch, I am also suffering from dizzy spells, is a fracture a possibility or would that cause more severe symptoms? hello dear, I can help if you give more details... were you treated/ scanned? anyway it could be a fracture and even mild brain trauma. you need urgent medical evaluation , if not done already. pl. see a nerulogist or neurosurgeon or atleast your physician soon ... keep me posted on the progress and good luck....
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diff --git a/processed/document_classification/train/Confidential/doc_5607.txt b/processed/document_classification/train/Confidential/doc_5607.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a359216dd043bc98788d592cdff007e3de2220b5
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5607.txt
@@ -0,0 +1 @@
+Hello doctor, I think one of my wisdom teeth is growing in, and lately, it has been causing a lot of pain. I also notice that part of my gums have been growing over the tooth, and the tooth now is almost completely covered. What can I do for the pain, and should I visit a dentist? Hello. I understand your concern. The situation you are in is very likely to be pericoronitis, a soft tissue inflammation of the tissues surrounding an erupting wisdom tooth. You should see the dentist at the earliest as the situation may or may not resolve on its own due to numerous variety of size, shape, and eruption pathway of the wisdom tooth. It may also involve occasional cheek bites and ulcerations. You may use topical anesthetic gel and painkillers until you see the doctor.
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diff --git a/processed/document_classification/train/Confidential/doc_5608.txt b/processed/document_classification/train/Confidential/doc_5608.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0cf163ec1af8f62f9c8b387f86f051d3b4ee4b37
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5608.txt
@@ -0,0 +1 @@
+hi my name is meron i orginally from ethiopia but now i live in china before i came to china i used to have alargi problem i dont know wat type but once or twice a year by body will start to each it will start like mosqito bite then when i start scraching i couldnt stop it will live a mark it lastes maybe for one week but since i came to china it started againe and first i thought it will live but it s been 4 month and it is come and go.pls doctures tell me what my problem is Hi, Meron. Thanks for query. it seems that you are having some allergy. try to identify the allergen and then avoid that allergen. Take some antihistamine like Cetrizine for allergy and itching. Apply Zinc calamine lotion or some moisturizing lotion. Use cotton wears. Ok and bye.
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diff --git a/processed/document_classification/train/Confidential/doc_5609.txt b/processed/document_classification/train/Confidential/doc_5609.txt
new file mode 100644
index 0000000000000000000000000000000000000000..49231051648f91ab3fec276775d368316cb6e513
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5609.txt
@@ -0,0 +1 @@
+Hi, im 15 and suffered a mild testical injury jumping to a pool, it was painful for abit but subside in a few minutes, the next day at night, i masterbated and i began to feel an odd ache in my right testical, the next morning it was pretty painful and ended up going to the ER, said it wasnt anything major, then I went to 3 more doctors and all of them said it was just an inflammation of the testicals, over the next few weeks it slowly went away, now 3 months past and it's come back, but on my left testicle, i have minor pain but its annoying, and i experience pain when i hold in urine for a period of time and the testicle is tender and painful when i touch it, i dont know whats wrong Thanks for asking in healthcaremagic forum Inflammation and pain due to injury might have caused you problem at first. But now inflammation and pain without injury may be due to infection (epidymo orchitis). So, please visit surgeon for examination and further management. All the best.
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diff --git a/processed/document_classification/train/Confidential/doc_5610.txt b/processed/document_classification/train/Confidential/doc_5610.txt
new file mode 100644
index 0000000000000000000000000000000000000000..952d9a95722e2c54edaf1be4087a02d4005ad8d4
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5610.txt
@@ -0,0 +1 @@
+Hello doctor, I have pain in right knee and recently went through a periodic medical examination. In the report, I found the following advice. Reduce body weight, low-calorie high fiber diet. Avoid Squatting, tablet Thyronorm 75 mg one tablet before breakfast. Recheck lipids, TSH after 12 weeks. Consult orthopedic surgeon. Is there any issue with my health? Hello. Your report does not show your laboratory test (attachment removed to protect patient identity). What we have in the abdominal ultrasound is that you have fatty liver. This is a common problem in patients with metabolic syndrome (overweight, high triglycerides, and low HDL, high blood pressure). This is why you are suggested to reduce body weight and have a low-calorie diet. The Thyronorm is prescribed whenever your thyroid hormones are low (this is called hypothyroidism and it a very common disease). I guess (since I do not know your laboratory results) this is what resulted from your tests. Also, when your thyroid hormones are low you usually gain weight, are constipated, and your triglycerides and cholesterol get higher than usual. You need to take the medication 75 mcg, at least 30 to 40 min before breakfast (in order to be absorbed well by your body), every day and recheck your blood thyroid hormones in 6 to 8 weeks (12 weeks is more than recommended in medical articles). Your weight control usually helps knee problems. Acetaminophen 500 mg every 8 or 12 hours can help with the pain and the swelling. If this persists for more than a week you do need to see an orthopedic surgeon in order to search for the cause.
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diff --git a/processed/document_classification/train/Confidential/doc_5611.txt b/processed/document_classification/train/Confidential/doc_5611.txt
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index 0000000000000000000000000000000000000000..da9a190b4da1a592bd9d0c54bdc7325cea5d9bc9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5611.txt
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+sir i am suffering from allergic cought, symptoms are at night fell uncomfortable in brathing, heavy chest, no cough, when i am at GYM then i also feel that my chest become heavy and difficult to breath, when i drink cold water or cold fluidy items chest become conjestion , but at night a sound from chest when i breath, and difficult to breathing, this symptoms from previous 3 to 4 years , please tell me some vaccine that my chest become clean and healty , with regard, Ravi Kant I think you have asthma ravi. Kindly get a spirometry done with a recent Chest Xray and see a chest physician.You may need an inhaler to feel normal and that will certainly be based on your testsTill then you can start syrup Grilinctus BM 2tsf 3 times daily
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diff --git a/processed/document_classification/train/Confidential/doc_5612.txt b/processed/document_classification/train/Confidential/doc_5612.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b415c8cc611c98280b937308ce47f2c0af9d4d2
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5612.txt
@@ -0,0 +1 @@
+My daughter is 7 month old and she has runny nose sneezing and lots of mucus drainage but no fever. Our 5 year old daughter had all these symptoms but with a cough. Now my 7 month old daughter and I are sick but what can I do to make my little girl feel better. She isn't drinking her formula either Hi dear,I understand your concern,running nose is sign of usual viral infection. Use Nasoclear and Paediatric nasal drop 2 drops 2 -3 times especially before breastfeeding that she can eat. For elder daughter you can give same and Kuka syrup 5 ml twice for 5 days,Sualin 4 times, Zincovit 1 teaspoon daily for 1 month for boosting immunity.Hope it helps
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diff --git a/processed/document_classification/train/Confidential/doc_5613.txt b/processed/document_classification/train/Confidential/doc_5613.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e38b7998138091e1da48c08db67e592e7a89c49f
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5613.txt
@@ -0,0 +1 @@
+Hello doctor, I was slapped on my face today. It has been three hours now but there has been no dizziness, severe pain or fluid flow. I played soccer on the beach and drove scooter over 10 km in between without any issues. All I feel now is a slight pain in my ear when I put my small finger inside the ear. I wish to know whether there will be any future trouble if no major symptoms prevail during the first few hours? Also, I am considering scuba diving (beginners session) tomorrow. Can I take the classes? Hello. You seem to be asymptomatic. Pain while putting finger can be due to mild edema of the external ear canal due to injury. Since you do not have any symptoms suggestive of middle ear involvement, I do not think you will have any problem in the future. But to be on the safer side you please take anti-inflammatory enzymes like Trypsin and Chymotrypsin for three days which will reduce any inflammation present. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regarding scuba diving, I would advise you to avoid for a week or go ahead only after ear examination. By any chance, if you have injured your eardrum then diving will increase the chances of infection. For more information consult an ENT Otolaryngologist online -->
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diff --git a/processed/document_classification/train/Confidential/doc_5614.txt b/processed/document_classification/train/Confidential/doc_5614.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5003ebd1820b3bdb44aee168813aca0e17c5a90e
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5614.txt
@@ -0,0 +1 @@
+I have had constant, dull lower left quadrant pain for almost 4 months now. I recently had a blood test that showed an elevated IgE of 2617 with the normal range being <114. I also have had tingling in my hands and feet for over a month now. Any ideas? Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way.The elevated IgE levels mean that you are allergic to some thing however it cannot tell you what you are allergic to. For that a skin test or allergen specific IgE test has to be done. Your abdominal pain and tingling in hands or feet may be related or even be two separate entities. A complete history and physical examination would be required for getting to a diagnosis. Some relevant examination like CBC, stool examination, USG or even scopy may be required to get to a diagnosis.I suggest you consult a physician who would help you with a diagnostic workup and appropriate management plan.
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diff --git a/processed/document_classification/train/Confidential/doc_5615.txt b/processed/document_classification/train/Confidential/doc_5615.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3615da39209b7b4d0f2228ab4ed7676fa23b0b6c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5615.txt
@@ -0,0 +1 @@
+I have a blocked nose for the last 2 weeks and noticed that my chest is also tight.I use a Astma pump to relieve the chest tightness.Can the cheat tightness be linked to my blocked nose?I walk up a flight of stairs and am short of breath afterwards for around 30 seconds Hello, As you explain the history you should use the inhaler during efforts such as yours. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist
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diff --git a/processed/document_classification/train/Confidential/doc_5616.txt b/processed/document_classification/train/Confidential/doc_5616.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3efe7f5572ca2ae88bc2d226b16a335ed712802b
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5616.txt
@@ -0,0 +1 @@
+Hi i just rescued my daughter from shooting up a pain killer called Proxicodone like synthetic heroin - i got her into a safe rehab but am experiencing pain down my left arm. The day after her safety my blood pressure ran 180/110. I remained high for a few hours then i got it down to 120/80 yet the pain down my left arm has not let up - should i have this checked out or is it normal to feel this after such a shock i am 58 years old and 105lbs. Please advise Hi,You have had a big shock and stress.The pain and high blood pressure are consequences of it.Your blood pressure is already normalized and pain should disappear gradually. Take Ibuprofen twice daily for couple of days, if it doesn't help at all or you continue to have pain after some days, then see a doctor.Take careCome back if you have any further questions
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diff --git a/processed/document_classification/train/Confidential/doc_5617.txt b/processed/document_classification/train/Confidential/doc_5617.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c23fbacc0bf8851165809b10d7d5e746a0c290ed
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5617.txt
@@ -0,0 +1 @@
+Hi, may I answer your health queries right now ? Please type your query here...HI I AM UMAR FAROOQ ONE MONTH BEFORE I FEEL PAIN IN MY BOTH ARM AND BURNING IN MID OF CHEST I ADMIT IN HOSPITAL DOCTORS TOOK THE BLOOD TEST AND TOLED ME YOUR INSIME IS HIGH SO THEY ADMIT ME FOR TREE DAY AND ADVISE ME FOR ECHO TEST AND ENGIOGRAPHY SO ECHO TEST RESULT IS 57% AND FIND TWO CORNARY BLOCK DURING ENGIO.NOW THEAY ASK ME THEY WILL PUT STENT I WANT TO KNOW WHAT IS RELIABLITY OF STENT AND CAN WE KNOW THE BLOKAGE WITH ECG RESULT THANK Hi There I understand your concern for your health and I would like to tell you about your queries one by one1. The reliability of the STENTS depends on how well you take your medicines after stenting, how well you take the advised precautions, no smoking ( if you do ), adapting healthy lifestyle habits life daily morning walks, no junk or fried food, healthy diet, weight control and how your body respond to stent.2. ECG only gives a clue about blockage, accurate assessment is done by Angiography only.I wish you Good health
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diff --git a/processed/document_classification/train/Confidential/doc_5618.txt b/processed/document_classification/train/Confidential/doc_5618.txt
new file mode 100644
index 0000000000000000000000000000000000000000..44a09c9ef1990578aa16bd43e414aac19b15139c
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5618.txt
@@ -0,0 +1 @@
+What do you do when your depressed & can't stop thinking about death? start on antidepressant like nexito 10 mg. it will show improvement in 10-20 days. and undergo counselling...
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diff --git a/processed/document_classification/train/Confidential/doc_5619.txt b/processed/document_classification/train/Confidential/doc_5619.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1d4864953fa419540c71cbec8f300b060ac476d6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5619.txt
@@ -0,0 +1 @@
+I am 28 yrs old, married since 5 yrs. Recently me and my hubby planned to have baby. My first day of periods was on the 26th Jan 2010. We had sex on 9th - 14th every day. Now i have tenderness in the breast, heartburn, dizziness, tiredness, sudden sweating, a chill feeling, i feel like just sitting down, today i had loose motion, at times i feel nusea, no sleep in the night, lost apetite. Am i pregnant? Today is the 25 day of the cycle and i have a 28 day cycle. Can you suggest me the best date when i can take a pregnancy test, if you think i could be pregnancy. Hallow Dear,Since your menstrual cycle is of 28 days, you had menses on 26th January, the period between 9th and 14th February is a highly fertile period for you. The egg release (ovulation) happens 14 days prior to next expected period. The egg has life of 24 hours while the sperms are active for 72 hours. Hence your intercourse falls in the fertile period. It gives a good possibility of pregnancy. However, the first cardinal symptom of the pregnancy is missed period. You are yet to miss your period. All other cardinal symptoms; i.e. nausea & vomiting, frequent urination and breast symptoms like engorgement with tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions from the nipples appear about 10-15 days after missed period. Home pregnancy test on urine should be performed on overnight first morning urine sample 8 days after missed period. Earlier, these tests may give false negative tests. You are yet to miss your period. So HPT done at this time may by misguiding. Wait for your period. If you miss the period, then perform this test after a week. Alternatively, you may opt for Beta hCG test. These are very sensitive and specific tests and give reliable results even few days before missing a period. I wish you all the best luck for your motherhood. Dr. Nishikant Shrotri
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diff --git a/processed/document_classification/train/Confidential/doc_5620.txt b/processed/document_classification/train/Confidential/doc_5620.txt
new file mode 100644
index 0000000000000000000000000000000000000000..86fbb08d70d1a955788c78b468a6d1cab14f62e9
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5620.txt
@@ -0,0 +1 @@
+Hi doctor, I am a 52 year old male. I have a lump just on top of my soft palate next to uvula. The lump was pink or red, medium and painless without bleeding. Three weeks ago, I found it, and I did not notice anything before. There is no such history in my family. I visited my GP, and he referred me to an oral surgeon. Is the lump, a dangerous one? What would you recommend for it to subside? I have uploaded my lump photos. It is not painful even if I touch the lump with my tongue. After doing warm salt water gargle, the lump reduced a bit. I am not a smoker. I am a known diabetic and hypertensive. I do not have a cough or throat problem now or before. Hi. Based on your query and attached images (attachment removed to protect patient identity), my opinion is as follows: Excision biopsy of the lesion. Squamous papilloma. Revert with the results to a geriatrician online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_5621.txt b/processed/document_classification/train/Confidential/doc_5621.txt
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index 0000000000000000000000000000000000000000..d6dc8ebedef4718bc2a54b45696390185aa9d969
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+The soles of my feet (heels & toes) & palms, mostly my feet, itch terribly especially at night. I ve noticed red spots on my feet & hands then recently on my arms, legs, back & stomach. Ive taken bendrhyll with little relief. I m on a 40 dosage of prednisone for the last 6 days, but the itchy episodes still come several times daily. Cortisone creams are no relief & I m waiting for lab blood work related to allergies. I don t know what to avoid! This is driving me insane! I THINK IT TO BE FUNGAL NOT ALLERGY AND CORTISONE TRIGGERS ITCAN TAKE ANTIFUNGAL FLUCONAZOLE 150 MG ONCE A WEEK FOR 4-6 WEEKTAKE ANTIALLERGIC EBASTINE 10 MG BDTAB CPM NIGHTADD ANTACID GEL TDSAPPLY ANTIFUNGAL OINTMENT CREAMS AND POWDERS ON AFFECTED PARTSKEEP DRY AND SWEAT FREEANTIALLERGIC TO BE TAKEN FOR 3 WKAND OTHERS CAN CONTINUE FOR 4-6 WK AS IT IS TOUGH TO REMOVE FUNGUS EASILY FROM BODY
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diff --git a/processed/document_classification/train/Confidential/doc_5622.txt b/processed/document_classification/train/Confidential/doc_5622.txt
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index 0000000000000000000000000000000000000000..67a7fa3adf9f1624ae1c4ff42997941852760ee6
--- /dev/null
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+Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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diff --git a/processed/document_classification/train/Confidential/doc_5623.txt b/processed/document_classification/train/Confidential/doc_5623.txt
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index 0000000000000000000000000000000000000000..b0522d9fb882c542d12401b90ec165d47340f1c8
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5623.txt
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+i had a CBD stricture. My bilirubin levels went up and I had obstructive jaundice. Initially with MRCP procedure doctors said I had a stone in my bile duct. They performed ERCP to remove the stone but after procedure doctors said they could not find any stone. They put a plastic stent in my bile duct. I researched the net and found that CBD stricture can be caused by an injuey, a previous surgery, or pancreatic cancer. I did not have the previous two. When I asked the doctors about the pancreatic cancer, they said they did a test for that and it would have shown up on the MRCP reports. Anyway, any idea why the CBD stricture might have been caused? I am overweight (115 kg, 27 yrs, Male). When I was admitted to the hospital, i weighed 95 kgs. I also used to drink and smoke. Hi there,Thanks for posting in HCM.Biliary stricture can be benign ( meaning not cancerous) or malignant ( due to cancer).The benign causes include stones, injury and previous surgery.Malignant causes include cancer of the bile duct or the head of the pancreas.If you can post the MRCP report I can tell you the probable cause.Regards.
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diff --git a/processed/document_classification/train/Confidential/doc_5624.txt b/processed/document_classification/train/Confidential/doc_5624.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b563285ba1965995d12b51a8864192629183b440
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5624.txt
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+I have what i thought was a broken blood vessel on my stomach and turned out to be like a red blood mole and i scratched it and it was bleeding for like 2 hours last night and it stops when i tape gauze to it. I was just wondering if i should just keep doing that tell it heals or go see a Dr HiThanks for your queryBased on your query, my opinion is1. Bleeding on skin should normally stop within three minutes. If it persists it indicates some bleeding problems maybe decreased platelet counts/ defective platelets/ vascular disorders.2. In your case it persisted for two hours which is abnormal. So you need to consult a doctor to evaluate the cause of bleed and appropriate course of action.3. You are not sure if its a mole or just a tear. So its important to know the type of lesion. That will help the lesion to heal faster as a mole can be excised so that you would not have this problem again.4. If its any other lesion, this would be confirmed with biopsy.Hope this helps.Regards
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diff --git a/processed/document_classification/train/Confidential/doc_5625.txt b/processed/document_classification/train/Confidential/doc_5625.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4d5ff4dc961878be21fcf485c00716390af469f6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5625.txt
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+Pain in lower right pelvis, in lower lumber and no appetite. My left lower leg and left foot extremely swollen and feel wet but are not wet. My heart feels like butterflies from time to time and sometimes my words come out wrong; Like the first syllable of one word in a sentence being in front of another word and vice versa or not being able the articulate a word I want to say. (I have been on 10emq Potassium, 20mc Furosemide, and 75mcg Levothyroxine for the last four months. My TSH was 42 four months ago when I began Hypothyroidism treatment and a starting weight of 455lbs. now 437.6lbs. 35 year old Female 5ft 6in tall) Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need to rule out any infection and secondary deep vein thrombosis, consult your GP for examination and required investigations, and then only proper treatment be initiated.I hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini
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diff --git a/processed/document_classification/train/Confidential/doc_5626.txt b/processed/document_classification/train/Confidential/doc_5626.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3e202875b930e960117bfde1a89d2b048cbd85f6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5626.txt
@@ -0,0 +1 @@
+Good Morning: I had a tick that was attached to my side. My husband removed it. It is now red and itchy. This has been a week. I have an extremely swollen gland in my groin area and am extremely tired. I am a type 2 diabetic but my last a1c was 5.6. I am not overweight. Any ideas? Thanks. Hello there,I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for drainage of pus by the physician.Hope this helps.Take care.
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diff --git a/processed/document_classification/train/Confidential/doc_5627.txt b/processed/document_classification/train/Confidential/doc_5627.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dd2c4b4985946e63a9315b68efe5299db2ca7c76
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5627.txt
@@ -0,0 +1 @@
+hii.. i turned 16 in dis september... n i had sex wid my lover yesterday around 11.30 am. he s not sure if during d tym of sperm release his penis was completely out of my vagina ..n v r afraid if any sperm myt hv stil entered in me. amean v r nt sure if v had protected sex. please guide if i shud take an i- pill for safety Hi,When was your last menstrual period? Are your menstrual cycles regular?If you have regular cycles the first week and the last week of your menstrual cycle are safe. If you have had unprotected sex during this period it does not result in pregnancy. So there is no need to take I PILL.Please note that the fluid released before ejaculation also contains sperms and can cause pregnancy. You are not sure whether the penis was completely out of vagina. So there is a definite possibility of pregnancy if you have had sex on days other than safe period. In this case you should take I PILL. The earlier after sex you take the emergency contraception more effective it is ( 95% effective if taken within 24 hours).There is a small possibility of method failure. So if your period is delayed for more than a week get a pregnancy test done. I hope I have answered to your satisfaction.
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diff --git a/processed/document_classification/train/Confidential/doc_5628.txt b/processed/document_classification/train/Confidential/doc_5628.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f1ffbe677cf9a59fe8d0bc0a588bbcf01bbdab7
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5628.txt
@@ -0,0 +1 @@
+Hi doc,This query is concerned with my brother.He has done btech and after that 3yrs of job with an mnc. Age 28 now.Problem is since past 1-2 yrs he has got some spiritual inclination and now is kind of drawing himself back from family affairs and wants to become a monk but only after permission frm my mothr.He has left his job n right now living with us. Behavior is normal except for he sleeps late in night n so rises also very late. Tries to stay secluded. Does meditation etc but never in a disciplined way. One night few days back he took a bath at 2am. He is emotionally detached with every one or atleast tries to be.We want him to meet you but before tht wanted to confirm if u see any psychological abnormality in this case.Would appreciate ur immediate response and some contact details.Thanks,Deepika DearWe understand your concernsI went through your details. I suggest you not to worry much. The behavior pattern is little worrying. Normally every people should show some inclination towards spirituality at the beginning of adulthood. Your brother's behavior in that context is normal. But the activities are a bit abnormal. We can say morbid faith disorder. Not fully. Engaging him and taking him to another place for some one month or so should help change the attitude. Also take him to a place where troubled and challenged people live. He might need psychotherapy. Change in lifestyle. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5629.txt b/processed/document_classification/train/Confidential/doc_5629.txt
new file mode 100644
index 0000000000000000000000000000000000000000..59ea589a5946e3287ed28a6989b01769cf8ff46a
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5629.txt
@@ -0,0 +1 @@
+Hi doctor, My wife is suffering from Aspergillus otomycosis. She has had tympanoplasty surgery. She then had a surgical ear cleaning, removing the infected skin in her middle ear. This initially worked to remove the fungus, but now her ear seems to be infected again. I am not sure if it is a fungus, but her ear seems to be infected again. She has taken Clotrimazole, and she is currently taking an alcohol or borax solution. Hello. In one of the pictures (attachment removed to protect patient identity) sporangia seem to be there, but in the rest of the pictures, it is just wax. However, it is not likely to require debridement. It should go with the medications she is using.
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diff --git a/processed/document_classification/train/Confidential/doc_5631.txt b/processed/document_classification/train/Confidential/doc_5631.txt
new file mode 100644
index 0000000000000000000000000000000000000000..48c41f9aae90421a06ad94862f76ac782e208674
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5631.txt
@@ -0,0 +1 @@
+My 5 year old daughter has a history of UTI s...Sunday she had fever 103, wetting accident overnight and next day. I would swear she had another UTI. Urinalysis showed trace white cells in urine, but no bacteria. IV Rocephin and fluids were given due to her clinical representation at ER on Monday...but since the urinalysis didn t look that bad , they didn t send her home with anything. Also her blood came back and her WBC was within normal limits. So Dr. said it was a virus. Her fever subsided Tuesday evening...gone all day yesterday and now today her fever is on the climb again at 101.8. Is it possible it was too early for the labs to detect? Her system has alway been very reactive. I just want to know if I should have her examined again. As urine culture is negative, few white cells are present in urine and blood report is within normal limits, possibility of another UTI seems unlikely.Give paracetamol or ibuprofen for fever. Continue antibiotics as prescribed by your doctor. Viral fever usually resolves within 3-5 days. If no relief then consult doctor once again.
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diff --git a/processed/document_classification/train/Confidential/doc_5632.txt b/processed/document_classification/train/Confidential/doc_5632.txt
new file mode 100644
index 0000000000000000000000000000000000000000..89e1ce6bbfeefabdcb5c3b7776fc1b0f1a23f2b6
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5632.txt
@@ -0,0 +1 @@
+Hi,My mind always gives me thoughts all the time even when I am doing some work, talking with somebody or watching TV. Sometimes, it seems that it is trying to impose its thoughts over me. It is now getting very disturbing, I am not able to bear it. My mind is giving me thoughts which I do not want to think. If I try to control it it becomes aggressive. I am not able to understand what to do. DearWe understand your concernsI went through your details. I suggest you not to worry much. This is simply called obsession. You had that disturbing experience once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it and close your eyes. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
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diff --git a/processed/document_classification/train/Confidential/doc_5636.txt b/processed/document_classification/train/Confidential/doc_5636.txt
new file mode 100644
index 0000000000000000000000000000000000000000..576140bb6ec3efa46deb336ba8e8d6e5374c4fe3
--- /dev/null
+++ b/processed/document_classification/train/Confidential/doc_5636.txt
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+my daughter have been having some difficult breathing.....last time, when she was in school, she told me she had trouble breathing and her stomach started to hurt...she doesn't have asthma...and she also said that she was pale and she started to sweat a lot...she felt like she was about to faint. She had breakfast and lunch. She is eating and drinking properly. But we are kind of scared that there might be something wrong with her. Something like this happen before...when she was around 13, when she came out of the shower, she had some trouble breathing too. So please give me answer... Thanks for your question on Healthcare Magic.I can understand your concern.Since asthma has been already ruled out, she should be evaluated for valvular heart diseases (VHD). VHDs are commonly seen with children. Recurrent unexplained breathing difficulty, fainting, paleness, sweating etc are commonly seen with VHDs. So better to take her to cardiologist and get done ecg, 2d echo and stress test (trade mill test). She may need surgical correction if VHD has been detected. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
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