
Three-quarters of Internet users in the U.S. are going online to answer questions about their health. But with hundreds of thousands of health websites, separating the useful and reliable from the questionable and potentially harmful can be a tough task. We look at how Americans are using online health resources and how they're changing the doctor-patient relationship.
Do an Internet search for "symptom checker" and the top results are likely to be WebMD, Mayo Clinic and Drugs.com. Health websites like these yield a list of possible diseases and conditions that match at least one of your symptoms selected from a drop-down menu of factors. Though all include disclaimers about the medical advice given and recommend calling 911 if symptoms worsen or persist, the variety of possible diagnoses can vary widely among the websites.
For example, a search for the possible cause of moderate knee joint pain in a 25 to 34-year-old male turns up eight to 28 different results:
| WebMD | Mayo Clinic | Drugs.com |
|---|---|---|
| Repetitive Motion Injuries | ACL injury | Ankylosing spondylitis |
| Tendinitis | Gout | Anterior cruciate ligament (ACL) injury |
| Pseudogout | Osteoarthritis | Arthritis associated with Inflammatory Bowel Disease |
| Septic Arthritis | Posterior cruciate ligament injury | Bursitis |
| ACL Injury | Pseudogout | Chondromalacia |
| Bursitis (Prepatellar) | Rheumatoid arthritis | Fibromyalgia |
| Chondromalacia Patella | Septic arthritis | Fracture |
| Gout | Sprains and strains | Gout |
| Knee - Meniscus Tear | Joint infection, including Lyme disease | |
| Knee Strain | Knee sprain | |
| Lupus | Osteoarthritis | |
| Lyme Disease | Posterior cruciate ligament (PCL) injury | |
| Obesity | Pseudogout | |
| Osteochondritis Dissecans | Psoriatic arthritis | |
| Patellofemoral Pain Syndrome | Reiter's syndrome | |
| Psoriatic Arthritis | Rheumatoid arthritis | |
| Rheumatic Fever | Spondyloarthropathy | |
| Rheumatoid Arthritis | Tendonitis | |
| Sarcoidosis | Torn meniscus | |
| Sickle Cell Crisis | ||
| Sickle Cell Disease | ||
| Sporotrichosis | ||
| Stress Fractures | ||
| Ulcerative Colitis | ||
| Crohn's Disease | ||
| Henoch-Schonlein Purpura | ||
| Posterior Cruciate Ligament Injury | ||
| Shingles (Herpes Zoster) |
In another case, trying to diagnosis heart palpitations in a 45 to 54-year-old female can come back with a handful of responses or 17 responses:
| WebMD | Mayo Clinic | Drugs.com |
|---|---|---|
| Atrial Fibrillation | Atrial fibrillation | Sinus tachycardia |
| Panic Attack | Heart arrhythmias | Certain types of arrhythmias |
| Generalized Anxiety Disorder | Hyperthyroidism (overactive thyroid) | |
| Acute Stress Reaction | Premature ventricular contractions (PVCs) | |
| Excessive Caffeine Use | ||
| Heart Rhythm Disorder | ||
| Low Potassium (Hypokalemia) | ||
| Premature Ventricular Contractions (PVCs) | ||
| Mitral Valve Prolapse | ||
| Fibromyalgia | ||
| Aortic Regurgitation | ||
| Atrial Flutter | ||
| Hyperthyroidism | ||
| Supraventricular Tachycardia | ||
| Thyroid Storm | ||
| Vitamin B12 Deficiency | ||
| Pseudohypoparathyroidism |
Ear pain in a child, however, result in more similar diagnoses across the websites:
| WebMD | Mayo Clinic | Drugs.com |
|---|---|---|
| Ear Canal Infection | Common Cold | Common Cold |
| Earwax Blockage | Ear Infection | Fluid In Ears |
| Middle Ear Infection | ||
| Chronic Sinusitis | ||
| Foreign Object In The Ear Canal | ||
| Respiratory Syncytial Virus | ||
| Ruptured Eardrum | ||
| Swimmer's Ear |
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