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PranavHarshan

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sharegpt_formatted_chatdoctor

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[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have had a pulled groin before, but this time it feels like it is actually in my left testicle. the pain is on the underside and almost feels like i was kicked there. it has lasted for a few days now and felt worse tonight after standing for a long time. what could it be? hernia?" }, { "from": "gpt", "value": "Output: Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Hidden left testes Varicocele mostly. Consults with Urologist would resolve this issue. Other causes-like ? Hernia-inguinoscrotal need to be ruled out by Consults with Surgeon.USG with Color Doppler examination of the left testicle would fix the cause of this pulled groin with pains. Second opinion from Surgeon need to be taken to resolve these pains. This plan would reduce your dilemma with pulled groin with the worst pain after standing for long time. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. My 6-7 month boy is on Formula S26 no.2 and is having dark grey stools which sometimes are very hard, and sometimes painful. I feed him banana purity food no. 1 during the day. Could this be causing the dark grey stools or is there something else to worry about. He doesn t have a fever, diarreha or anything that I can see wrong with him." }, { "from": "gpt", "value": "Output: Hi, How long he is having this problem? Constipation can make stool hard and dark colored. In this case, treating constipation will take this back to normal. For such cases, I used to give bisacodyl suppository once to relieve rectum, and advise parents to give fiber rich items like oats, vegetable mix and fruit juice. Most babies will respond to this, otherwise needing a short course of laxatives. In later case, we should rule out hypothyroidism too. Your doctor will guide in this. If his stool is persistently gray even after relieving constipation, urine is yellow or if there is jaundice, let us get his serum bilirubin done to rule out obstruction to bile flow. Hope I have answered your question. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i m 25 years old and i m married since one n half year we r planing for the children but my problem is bi lateral poly cystic ovaries and we r consult a docter she suggested a tablet ovofar 100 mg and i started the tablet second day of my cycle . my last menstral cycle started on 26 oct. but my menstral cycle is not yet started on this month. my doubt is why my the menstral cycle become irregular even after consuming the ovofar tablets . And i am alo uing duphaston 10 mg tabelet these are pregency confrom." }, { "from": "gpt", "value": "Output: Hi Thanks for your query, PCs is commonly associated with irregular menstruation and infertility due to ovulation problem. Ova far is given for induction of ovulation for usually 5 days starting from the day 2 and not for regulation of cycle. Unfasten is a progesterone. Progesterone is given for luteal phase support for progesterone deficiency in the second half of the cycle. It helps in sustaining the pregnancy after it occurs. Hope it helps you, Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am suffering from 6mm kidney stone on right side of the kidney. doctor as asked me to take lot of water, tender coconut water and have told it wil come out. I am taking spasmo prvoxyn pain killers...but its been 8 days now..stone has not come out and pain is stil thr...." }, { "from": "gpt", "value": "Output: Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety.You've not given details of the stone position in the kidney. Have you had stone formation or treatment in the past.? You need to take a medicine to shrink the size of the stone. So take Potassium Magnesium Citrate tablets twice daily. Gradually the stone starts to shrink and should flush out with fluid intake of 15 glasses daily. Coconut water may be stopped. If you've any doubts, send it as a direct question to me, with all reports. Chat Doctor. Manga." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell two months ago on ice and landed on my shoulder. I developed swelling at the base of my neck looks like a lump and causes pain in my left arm and neck when I move in certain directions. I had a mri and cat scan both are negative for tumor and/or muscle ligament damage. Primary doctor says a fat deposit but that makes no sense to me. I can not close my collar on my shirt." }, { "from": "gpt", "value": "Output: Hi, If CT scan and MRI studies are normal you need not worry as both are very sensitive and specific for diagnosis of spine and muscle pathology. Swelling may be due to soft tissue edema or hematoma at base of neck. Local application of ice packs and tablet Choral Forte thrice a day will help in reducing soft tissue swelling. Give rest to shoulder and neck for a week and swelling will reduce. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have recently discovered a lump on the inner part of my left breast. its pretty big for a lump and the first time I squeezed it, a considerable amount of pimple-like pus came out. Now the lump is still there, no more pus coming out, and its tender to the touch. It doesnt feel the same as breast tissue and im nervous about it." }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor .1. Your history suggest that you are having an infective breast abscess.(painful lump with discharge) 2. Please do not squeeze / compress the lesion / lump.3. In this case visit your GP let it get examined - request for an ultrasound breast.4. That will give exact nature of the lesion / lump (solid, cystic, mass), its source (muscle, dust, gland) and its extensions. 5. Treatment in this case would be a small incision and Chat Doctor. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: how to effectively treat sinusitis?I started taking amoxilin antibiotic 1-1-1 for 5 days. but 2 times i skipped the intake. after completing the course my sinusitis didnt reduce. Its very difficult to open my eyes now. what should i do?Pls give me a solution" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You should take higher antibiotics like cephalosporins or levofloxacin to treat your sinusitis. You should also take antihistamines to reduce that. 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 Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had just taken the plan b pill yesterday at 5" }, { "from": "gpt", "value": "Output: Hi. Thanks for asking in Chat Doctor. The antibiotics like Ampicillin, Amoxicillin, Tetracycline, Azithromycin and Co-trimoxazole interfere with the function of plan B by suppressing the intestinal microflora and decreasing the duration of action of Levonorgestrel present in plan B. Since you have already taken Plan B and the above said antibiotics will reduce the efficacy of plan B you can take some other antibiotic like Cephalosporins or Azithromycin. Although Azithromycin belongs to the same group of Azithromycin it does not have any interaction with Levonorgestrel (progesterone) and only interferes with estrogen activity. Since plan B does not contain estrogen, it is safer to take Azithromycin. Also, Azithromycin is very effective in throat infection. You're treating Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my daughter 2 years 2 months weighs 12 kgshas always been a fussy eater but from last 2 weeks she has stopped eating.Yesterday she had only one egg in whole day. I asked from Doc, he said it is perfectly fine as far as she is active. he prescribed some hunger medicines also, but even then her appetite is not increasing. I am having night mares thinking of her diet. I am giving her soaked raisins but that also come out from her body in full. Please help." }, { "from": "gpt", "value": "Output: Please stop worrying and having nightmares about something that does not actually even qualify to be called a medical problem! Child Chat Doctor. You cannot judge a children appetite by what she is eating, but by how much she is growing (your daughter is THRIVING) and how active she is (which she appears to be!) Trust your children doctor. What he has said is correct. Stop any hunger medicines if you ARE using these treatments. Best wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor, i did a liver function test and showed an increasing of my SGPT to 66, i m excersizing in the gym everyday, also i m taking whey protein along with amin acids supplements. my question is there any relation between the whey protei and amino acids with liver enzym. Thanks" }, { "from": "gpt", "value": "Output: Hi.thanks for posting query at ChatDoctor.to the best of my knowledge, I do not know any case in which whey protein caused liver damage moreover, 66 value should not be concerning. Usually values of two times the upper limit of normal (or above 85 to 100) maybe properly investigated. You may decrease the duration and intensity of workout and recheck liver enzymes after few weeks .hope to answer your concern regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doc,I used a cream called EVE GLOW 15g , It was said that it will help to skin smoothness and complexion and it does exactly as mentioned, I have used it for more than 2 weeks. I was getting good results. But suddenly I noticed kind of black patches (dark skin ) below my nose and around my mouth. when I had moustache I didnt notice it much, but when I shaved it is very much notable and looks weird. I am 26 yr old male.Kindly suggest me a good remedy to get rid of this ASAP, also let me know whether I could continue using this cream. It has has not affected any other part of my face expect below my nose (moustache are) and around my mouth. Looking forward to hear from you.Thanks,Satish" }, { "from": "gpt", "value": "Output: Hi, SatishThanks for your query. Eve glow is composed of HY Chat Doctor. You seem to have developed post inflammatory hyperpigmentation due to retinoid. You may discontinue using the cream and for reduction of dark patches you may do as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Recent blood tests done on me - CBC w/Differential/Platelet - show my red blood cell count is 5.35. Hemoglobin is 16.1. Hematrocrit is 48.3. I take B-12 injections ev. other week because my entire ilium was removed and 1/2 colon due to Crohn s Disease in remission since 1979. Reason was that I needed iron injected since I could not absorb it. Have been taking these injections since 1985 with no problems. These CBC numbers have been heightened a little since that time anyway & my GE doc said it is to be expected. Now my new, younger GP says he s concerned about the numbers because it may show I need oxygen through supplemental therapy. I presently have Idiopathic Interstitial Pulmonary Disease, DX in 2012. My GP wants the CBC redrawn now. He thinks the numbers are too high. I don t. I also was DX with Peripheral Neuropathy in 2003 - I take Lyrica for that. Your thoughts for the doctor s concern?" }, { "from": "gpt", "value": "Output: Hi, The fact remains that you are taking an injection of iron and vitamin B12. These are the 2 main components that are needed for blood formation. So, personally, I think your older GP is correct. However, to be fair, loss of oxygen intake capacity due to lung disease also causes the hemoglobin to rise. Peripheral neuropathy does not play a role in it. The ideal way I would suggest is to test iron and vitamin B 12 levels. If these levels are high then the injection of iron and vitamin B 12 can be stopped. Monitor hemoglobin monthly thereafter. If it remains high then the lungs are the trigger. Else the injection may have been the cause. This is, of course, assuming you have no acute problem needing urgent treatment. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain under my rib cage on the left side . I know the gallbladder is on the right side, but anyway I had a ejection fraction test done in 2005 with results of 7.1. Today almost seven years later had another ejection fraction test done on the gallbladder and it was 9%. I also have severe sweating,burp a lot and have loose bowels. I had a normal abdominal ultrasound except for fatty infiltration throughout the liver. Liver measuring 16 cm. AP.I had no pain during ejection fraction test.Do you have any advice for me?" }, { "from": "gpt", "value": "Output: Hello,1) Ejection fraction is used to measured functionality of heart. Chest pain with such low ejection fraction indicate cardiac problem and need consultation with internal medicine specialist.2) Continuous burping with chest pain suggest possibility of HERD. It requires consultation with medical gastroenterologist. It occurs due to irritation of esophagus from stomach content which moves upward due to weak esophagus-stomach junction. Sometimes it requires upper GI endoscopy also to confirm severity and extent of involvement." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir i am suffering from rh. Arthritis and i am getting treatement from last 1and half years..the medicines are methotrexate .hydrochloroquine sulphate...how long this treatment shall be continued...there is some improvement in my condition.. Regards" }, { "from": "gpt", "value": "Output: Hello, As medicine therapy will help to reduce the joint inflammation and also help to keep the condition under the control. But the process of the condition might lead to joint pains, stiffness, reduced joint range of motion, muscle weakness etc. I will advise starting physiotherapy along with the medicine, so the body becomes more controlled, strong and stable joints. The exercises will help to reduce the joint compression occurring due to muscle weakness and thereby avoid the pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir i m a engineering student ....in last semester i have to give 3 /4 hr time for making drawing in bendind position .now there is pain setup in back hip so i feel light pain when i sit..what i have to do?i m also want do some gym work but im not able to do it" }, { "from": "gpt", "value": "Output: Hi as you told you are engineering student and make dig so while making this don't stress yourself take some rest after each dig and change your position that will help you and the other important things is your posture may be not correct if not then correct it and do some strengthening exercises and stretching that will help you can take physiotherapy they will tell some strengthening exercises and correct posture so that after this you can do gym also and you can use hot water pack to relief pain 2 to 3 times that will help you to relief pain wish you good health" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Had a molar extracted. 2+ months ago. Went back for checkup 1 week later. Teeth lined up. Healed normal. And then out of nowhere- 5 weeks later - my jaw retracted.severly. My chin and neck align. Now have overbite significantly. And my bite is off alignment. And if I relax - my tongue hangs out through my teeth. Its scary because it happened so quickly. Ive been a TMJ clenched for years. But this is crazy weird." }, { "from": "gpt", "value": "Output: Hi. Thanks for the query. The symptoms of sudden retraction of the jaw with increase overbite and also loss of alignment of teeth is pointing towards jaw dislocation. You should consult an Oral Surgeon and get evaluated so that a thorough clinical examination should be done followed by a panoramic x-ray to rule out the exact condition of the jaw joints. Once the exact status is ruled out and if the jaw is dislocated then it can be reduced into its appropriate position either by manual reduction or surgery. For now avoid straining the jaw too much to try to bring it to normal position and take a soft diet. The Doctor can also advise you mouth guards in case if you have teeth clenching habit. Physiotherapy and stress relaxation techniques shall also be advised. Hope this helps. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! I got my ultrasound at 12 wks. It shows both uterine arteries have high resistance flow ( mean is. 85) .the baby s growth is perfect. my gynae has given me ecosprin75. Is it safe for the baby? Will it lead to excessive blood loss during delivery? This is my second child and I have 5 yr old who was delivered normal. Thanks!" }, { "from": "gpt", "value": "Output: HELLO THERE. YES CONSPIRING IS SAFE. BUT ITS USE IS INDICATED ONLY WHEN YOU HAVE PREVIOUS HISTORY OF RAISED BLOOD PRESSURE OR GROWTH RESTRICTION IN PREVIOUS PREGNANCY.HOWEVER HIGH RESISTANCE IN THE UTERINE ARTERIES ARE ALSO INDICATIONS THAT YOU MIGHT DEVELOP THESE COMPLICATIONS LATER IN PREGNANCY.CONSPIRING HELPS To avoid THESE. DO NOT WORRY ABOUT HAVING BLEEDING DURING DELIVERY. THIS IS BECAUSE CONSPIRING IS STOPPED AFTER 34 WEEKS SO THERE IS NO RISK OF EXCESS BLEEDING AT DELIVERY. TAKE CARE." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...Hi I am 35 weeks pregnant and because I felt quite swollen around my vagina I decided to have a look. The area a round the vagina opening in lumpy, with a big lump towards the back of the opening (so on the outside). I also think if I lean back i can see inside my vagina which looks very swollen as the sides are touching and also looks white. The GP said it could be thrush and gave me some cream. BUT, i have no pain or itching or any more discharge than i would expect for this late in pregnancy. What is it? Is it just presure from the baby? Will it sort itself ou after birth?" }, { "from": "gpt", "value": "Output: HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you Seem to have Extreme edema due to retained body fluid, in the last week of pregnancy, with faced labia and lower Vaginal Wall, which would need Gone/Obstetric opinion. Thrush needs to be ruled out by Dermatologist and Gone. Till then continue Thrush cream from your GP. Excessive mucoid Vaginal Discharge is the possibility in My opinion. Treatment-Consult Obstetric Surgeon-Private part hygiene with mild detail solution. Wait and watch with Gene suggestions till the Delivery is suggested. Other causes need to be ruled out by Second opinion from your doctor which would help you to plan treats in the future. Hope this would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had undergone for BMV in 2005,im 49yrs old female,doc advised me to take nebistar-H 5mg once a day,lanoxin.25mg(OD),hydrochlorothizaid 12.5 mg 1/2(OD),acotrom3mg/2mg(alternat epitril.5mg(od),i had AF4 yrs back after BMV,my BP is always bet 120/65 and HR -68-75,i feel pain in my left arm.some giddiness for few weeks,pls advise me how long shall i take acitrom and epitril or i should undergo some tests?" }, { "from": "gpt", "value": "Output: Hello, I have gone through your query. Thanks for using Chat Doctor. Basically you will need some medicines Life long. You had BMV almost 10 yrs back, and you have irregular heart rhythm i.e. Atrial Fibrillation. So you have to continue Citron to prevent clot formation and stroke.to keep rate under control you will need Register group of medicine. You may discuss discontinuing lanolin if your heart function is normal. I suggest you to get your Echo done to look for any restenosis or leakage of mitral valve requiring any further intervention. My best wishes Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am XXXXXXX hello sir i live in guwahati, assam(India).i am 31 yrs old.sir i am having low platelet count problem since my nine yrs of age,altough due to my low platelate i dont have any complicacies , i am very fit and lead a very normal life with no problems whatsoever. Only when i get hurt on my body a purple colour spot occurs and after some period of time say after six or seven days it gets lighten and disappears.my bleeding time also appears to be normal.I have been married since 7 yrs and have 2 children.earlier my platelet count used to stay within the range of 25-30 thousand,but since last 2 yrs it remains within 10-15 thousand.when iwas 11 yrs i had undergone a platelet transfusion & bone-marrow testing (the report for my bone marrow was ok),but it did not help in increasing the count.my spleen X-ray is also normal but since we have heard that the platelet count between 10-15 thousand is not normal & can cause any risk at anytime, so i just wanted to ask u what type of treatment i should follow.i dont want to undergo any surgeries or any transfusions any more & would prefer going through an ayurvedic treatment, so please suggest what should i do. I m taking only homeopatChatDoctoredicine for this problem and also other problems if i get like cold, cough,fever etc but i m affected with these problems very rarely.I have never taken any allopatChatDoctoredicine for my platelet problem due to the fear of side effects." }, { "from": "gpt", "value": "Output: Hi, dear. I have gone through your question. I can understand your concern. Your platelet count is very low. Life-threatening bleeding can occur with this count. You should take treatment urgently. You should go for bone marrow biopsy to know the cause. 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 Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have a bulging disc and have been in pain for over a year and i feel my condition is getting worse at the l4 l5 level one doctor says i need decompression fusion and is ready to do the surgery and another doctor is sending me for a emg/ncs n is not sure my pain is coming from my disc? i am confused" }, { "from": "gpt", "value": "Output: Hi, thank you for posting! I have gone through your query and I understand your concerns. Your symptoms tell that you suffer from herniated disc. This condition is treated with non-steroidal anti-inflammatory medications. Chiropractic procedures can also help. If this treatment doesn't improve your health condition, surgery is necessary.However, you should contact your neurosurgeon for a physical examination. After he has evaluated your condition, he will be able to determine the needed treatment. All the best." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been having severe pain in between in shoulder blades radiating to left armpit and down left arm and under left breast. My chest xrays were not helpful and I am scheduled for a MRI in one week. The pain is unbearable. what could be the problem?" }, { "from": "gpt", "value": "Output: Dear friend to diagnose your problem it needs more history from you. By the way, you are planning for the MRI then it will rule out the underlying cause. After that treatment will be more specific. But temporarily you can take analgesic like ibuprofen or for severe pain take combination of diclofenac+paracetamol+chlorzoxazon/serratiopeptidase for pain relief. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have a sharp, poky pain in my abdomen on the right side directly along where the belly button is but on the right side. The pain woke me up last night and when I take a deep breathe, it feels like something poking or stretching that hurts. This episode has happened to me 3 times off and on for the last 2 1/2 weeks and its sometimes hurts to walk. I also had a migraine yesterday and a slight one today" }, { "from": "gpt", "value": "Output: Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You have got a pain abdomen, on right side of bellybutton. You are getting the pain on and off, with a gap in between. It may be due to urinary tract infection, stone in the urinary tract, or some infection of the cecum, or ascending colon. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i had a really bad chest impact from a steering wheel off a 4 wheel hunting vehicle now i am coughing a lot just wondered what it could be, the impact was mostly in my stomach area and its very sore.I can breath fine didnt know if i should go to the ER" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having blunt chest trauma. And this can cause rib fracture, Pulmonary contusions, pneumothorax, musculoskeletal injury etc. All these causes cough. So better to get done chest x-ray first. If chest x-ray is normal than no need to worry much. You are having musculoskeletal injury only. You may need antihistamine Chat Doctor. Start painkiller and muscle relaxant" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I had a retreat on a root canal and after five days my gum feels very tender and slightly swollen, my dentist prescribed Methylprednisolone, but after reading the side effects of one saying this medication may cause you to be unable to fight an infection, I am worried about taking this medication. Is this a good drug to take for an infected tooth/gum?" }, { "from": "gpt", "value": "Output: Hi. Welcome to Chat Doctor. As per your complaint as you have a re-treatment Root canal on your tooth and even after that you have tenderness and swelling over the gum then it means that you still have infection in the tooth that might be lingering or there is a recurring infection. In this case although methylprednisolone that is a steroid can help in reducing swelling, but it will not fight with the infection and will cause recurring flaring up on infection. I would suggest you to consult your dentist or an Endodontist and get evaluated and a course of antibiotics and a combination of anti-inflammatory painkiller and serratiopeptidase will help in reducing infection and swelling. But in case if still there are repeated flaring up of infection then extraction of tooth is the only option. Hope this helps. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi sir,my granny is 92 yrs oid and she has recently undergone a surgery for stomach perforation,which later resulted in kidney dysfunctioning but somehow she got thru using powerful antibiotics.Now since yesterday she is not passing urine/stools. Kindly suggest some thing as we cant take her to a hospital at dis age" }, { "from": "gpt", "value": "Output: Hi, welcome to Chat Doctor. Surgery for stomach perforation is high risk surgery especially in old age. It can affect kidney function by multiple ways - low BP, blood loss, medications/painkillers/antibiotics. As per your history, she has not passed urine since yesterday. It is very critical to evaluate for kidney function if patient has not passed urine for more than 6 hours especially after major surgery. Check her S. creatinine, BP and do sonography of abdomen. Maintain adequate HY Chat Doctor. Get you surgeons opinion. Then consult nephrologist, or you can communicate with me also with reports. I think this would be helpful to you. Best wishes. TC." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi with stage 4 aids which it has been only discovered when the toxoplasmosis and tumors in the nose and pancreas were found, the cd4 cells are now at 150. will they go up again once in one month they will operate on the pancreas cancer? the nose tumor has been removed alreadyand its fine. the lesions provocked by the toxo are still there they menaged to get rid of the infection but the demages are hard to cure , will they cure? without medications, dementia takes over the mind, will that cure? movements walking is very slow. will this go back to normal?? thank you in advance. i know it is a lot of questions i hope u can help me" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. 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." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my wife has serious brochitis , possibly bodering on pneumonia. Has has a lot of hard coughing and I can feel the mucous in her lungs when she breathes. She has had abad headache over her left eye and side of her head all last night and this morning. She is woried she may have an aneurysm.please advise" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Most common cause for bronchitis is lung infection. So in my opinion, you should consult pulmonologist for your wife and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. She may need antibiotic, anti histamine, anti-inflammatory Chat Doctor. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 5 year old son complaining of chest pain while jumping on a trampoline. We just got the trampoline yesterday and he s only been on it a few times. He has only been jumping up and down - pretty controlled. Nothing crazy on it (yet). Any idea if this is serious?" }, { "from": "gpt", "value": "Output: Hi...by what you quote I feel that your kid is having a muscular pain and unless he is breathless or having unconsciousness or seizures you need not worry. If pain in severe you can give - Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My Hepatitus B is positve cutoff value is 10, SGPT is 105. And there is permanent heaviness(hardsness) near my liver, no hunger, food digestion is very slow. I want to confirm is it Hepatitus problem or a stomoc problem. If it is stomac problem how can i confirm." }, { "from": "gpt", "value": "Output: Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Your SGPT is more than 2 times the upper limit of normal, and it is significantly elevated. Since you are also positive for hepatitis B, I would advise you to get a complete work up done including Head, HBO DNA etc. To know whether the heaviness is due to stomach problem, you can get an upper GI endoscopy done. I hope that answers your question. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor,I am 30 years old healthy male. Planning to get married soon. I am a virgin. I am worried about my penis size. Its 3 - 3.5 inches when erect. will i be able to lead a normal sexual life? will there be any problem satisfying my wife sexually??? I am really worried .... please clarify..." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I can assure you there will not be any problem in your after marriage sexual life. People worry unnecessarily about the length of their penis. You must understand, even a two-inch-long erect penis can satisfy any woman across the world. That is because, woman vagina has sexual pleasure nerve endings only up to two inches. Therefore, I sincerely suggest you not to get anxious or worried about the problem. Please marry with confidence and have passion and love with your wife. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Pain in half of the teeth. Starting from 1st up tooth going to the end plus the same at the bottom. Pain is jumping through the teeth. I had visit 2 months ago- feeling one tooth plus doing 4 vaneers on top 1,1,2,2. What can means pain like this? Doctor checked all the teeth and they were ok." }, { "from": "gpt", "value": "Output: Hi welcome to the Chat Doctor, and thanks for asking your query here There may be several reasons for this kind of dental pain, This may be due to a cervical abrasion of teeth causing hypersensitive, or it may be related to any tooth which has invisible crack or decay and needs to be treated by root canals you have veneered your 4 front teeth it is also possible that your pain is originating from any of Thimbu as your Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doc.I get nervous very soon and my ears become red when I am nervous. I am not able to speak properly. I think all these problems are due to onanism. Please let me know how to get rid of this embarrassment. Due to this shame I get very upset and feel dejected myself.Please reflect your views on this issue.Thanks" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. I hope you understand organism means masturbation habit. Masturbation is no sin and in fact healthy. Masturbation cannot be the reason any sort of health problem unless you overdo it. Overdoing means doing it at least 14 times a week. From the description, I cannot read much, and therefore diagnosis may not be possible. Please be more descriptive. 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." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been diagnosed with clival mass - chordoma -- adjacent to the brainstem and about the size of a grape. I m being referred to one of the medical teaching schools for further evaluation. Can they biopsy this? IF it is benign, what is repercussion of not doing anything with it... or is that an option?" }, { "from": "gpt", "value": "Output: Hi, Thanks for writing in. The lives is part of the bone in the inside of the skull. This is a small bone that has a pea sized area in front where the pituitary gland is found. The lives is a bone located behind the pituitary, A Cordoba is a tumor of bone origin and is regularly noted in relation to the lives. It is part of a family of cancers called sarcoma, which include cancers of the bones, cartilage, muscles and other connective tissue. Chordomas are thought to arise from remnants of the embryonic notochord and might have cell origins since birth and start proliferating at a later age. They are usually slow growing and recur after treatment. Because of their proximity to critical structures biopsy is difficult and requires skilled approach. Often it is diagnosed on CT scan or MRI scan and treatment is given. Having it evaluated in a teaching school will give you more options of treatment and cure." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my friend has seen many specialist he was diagnose a/s. he went to the emergency room and had many test done they didnt find anything. he is having sharp chest pains what can the problem possible be. my one friend said that he might need to have his neck alignment." }, { "from": "gpt", "value": "Output: Hello and thank you for join Chat Doctor. Despite the clinical picture I need some more information about your friend as follows" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I took the 1st pill (mifepristone) yesterday & am due to go back for the second pill today but have realised I have made a mistake & still want these babies (there twins) What has happened to my babies now I have taken this & will the pregnancy still go out ok? Thanks" }, { "from": "gpt", "value": "Output: Hallow Dear, Tab. Mifepristone has to be followed by Tab. Bisoprolol 24-48 hours later. Please take it. These medicines are known to cause developmental abnormalities in the baby. Hence, it is not advisable to revert the decision to continuation of pregnancy after consuming the tablet(s). I would advise you to continue with the complete regime now and complete the termination since you have already consumed Mifepristone. You may go for fresh pregnancy after this termination. I hope you got the message." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 18 year old daughter is experiencing numbness of her tongue, lower lip and left cheek. She has experienced numbness of her tongue and lip before but has always gone away quickly. This time its still numb and going into the left side of her cheek. she has no known dental issues." }, { "from": "gpt", "value": "Output: Hi, If there is numbness of tongue, lips and left cheek with no known dental issue can be due to causes like either Allan reaction or nerve related issue or beginning of Bells Palsy. So I would suggest you to consult a Neurophysician and get evaluated and a thorough clinical evaluation and investigations like MRI scan can help in diagnosis and treatment will be done accordingly. Resolution of the cause can help in reversing the symptoms. For nerve related problem the medications that is steroids and antibiotics are appropriate and along with it, you should also do alternate warm and cool compresses and take Vitamin Supplements. For allergies into allergic medicine like Fexofenadine or Levocetrizine and steroid shot can help. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was not punctual at meals. also due to hectic work fluid consumption too is very poor. from the last 3 months I am getting abdomen pain whicChatDoctores up to the chest . unbearable. Doctor suggested topcid 40 tablet one during night. Last two days I did not take it & now the pain is unbearable. kindly sugest me the remedies" }, { "from": "gpt", "value": "Output: Hello! Most likely you are suffering from peptic ulcer. If your pain is related with meals intake, and a chest pain is like burning this might be it. However, when chest pain appears, it is always necessary to rule out any heart diseases like ischemic heart disease as a heart attack may come up with similar symptoms. At least ECG should be performed and other heart tests if necessary. If it's about peptic ulcer, treatment can be started only after gastroduodenoscopy (it is necessary to rule out any malignant tumors, and check if there is Helicobacter Pylori infection). If your gastric mucosa is infected by these bacteria, antibiotics treatment associated with H\\u2082 blockers treatment is necessary. If gastroduodenoscopy show nothing, it is possible that you are suffering from gall stones and ultrasound of abdomen is necessary. Hepatic and pancreas tests should be performed as well. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been diagnosed with hbp for over 10 years now, and I take medication (Losartin 100mg) once per day.I monitor my bp everday, and today my reading was 130/72.I have been experiencing lower back pain, muscle spasms in the abdominal area, legs, etc...I have also had low grade headaches that radiates to all sides of head, and soreness behind my eyes. Sometimes I feel a bit dizzy as well. Something just feels off." }, { "from": "gpt", "value": "Output: Here lower back pain can be due to back muscle strain. And spasm in back muscle comes due to weakness of spinal muscles as well due to working in wrong posture for a long time. Abdominal muscle spasm is actually not a proper symptom you need to say more in this like is there any discomfort in abdomen ?, or do you have diarrhea?, do you have this problem from long time or started recently?, how is your bowel and gastric health? Then only we can give you proper guideline. Now spasm in leg muscle could be related to long-standing or related to back pain only. But to get diagnose properly I suggest visiting or tho or physio and get your self examined properly for evaluation purpose. Here you are complaining of headache and soreness in eyes as well I strongly believe this all symptoms together indicates your body is in too much stress. You need some time to rest and relax your self. So take a break and even after that if It's not fine then do visit doctor for proper health check up. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife as dry mouth and really bad. She is at a point where they are thinking of removing all her teeth.She also as red finger tips and palms and for no reason when she wears socks her legs break into a rash.For the dry mouth she as tried everything sold in the drug store." }, { "from": "gpt", "value": "Output: Hello Fairbanks for your query, I will be most happy if I could help you out. First be relaxed and make your wife relax and reassure her. I have thoroughly gone through your query and found that you have not mentioned few things, so it is difficult to reach on any diagnosis on the basis of these two signs(Chat Doctor. If someone with same symptoms arrives in my clinic, I must ask few questions-Since how long time the problem is occurring??- Are you having any problem like" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, For the past week in the mornings severe dizzyness and pressure on the right side of my lover skull and there is a heavyness and tightness. I cannot sleep on my back for the pressure and sometimes my face feels tight and I was wondering if this is a sinus infection and what to do about it. Thankyou" }, { "from": "gpt", "value": "Output: Hello, It is possible that your symptoms point to sinus congestion, but they could also be the symptoms of a headache syn Chat Doctor. In order to have this condition properly evaluated and treated I recommend you seek out the services of a qualified doctor or neurologist who will then, obtain the proper history and perform the proper tests to tell what the diagnosis is which should lead to proper therapeutics. Hope I have answered your query. Let me know if I can assist you further. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i wanted to know if im hypoglycemic. i must eat every hour or two or else i will feel sick. I start to shake and i feel dizzy, weak and light headed, like im going to pass out. im also quite cranky and sleepy. if i eat a sugary breakfast with no protein, i will get extremely hyper, but then i will crash. once i eat protein, i start to feel better. my mother and her mom also have hypoglycemia. im a fourteen year old female. am i hypoglycemic?" }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have hypoglycemia. Your symptoms sound like that. You should go for fasting blood sugar levels and post radial blood sugar levels. Search for the cause also. Go for ultrasound abdomen once. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my Mother in Law has cancer of the Pancreas that has spread to the liver and lungs. She has lost a lot of weight and in the last 5 days has gone from having pale skin colour to being very badly Jaundiced. At what stage of this particular cancer does the jaundice happen and what normally happens from now on with this cancer. As she is my Mother In Law I dont want to interfere but I lost my own mum 7 yrs ago from Overian cancer, so I just want to be strong and supportive for my husband and family." }, { "from": "gpt", "value": "Output: HelloWelcome to Chat Doctor. Pancreas cancer that has spread to long and liver is stage 4 diseases and unfortunately outcome is very poor for this stage. Jaundice a start in this stage at any time. Main problem she will be facing are pain, jaundice , fluid in abdomen. There are strong pan medications like morphine which can help her. For jaundice, she might need stenting to bypass biliary obstruction. Palliative chemotherapy or targeted therapy(Marcela) can be an option if she is in condition to tolerate treatment. Hope this answers your query. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hyi, anwr your health queries right now ? Please type your queryre..my 1 month baby is passing out gas nd eating every hrs and still her stomach makes noise nd cry alots she. Don t sleep that much just half a hrs what should I do it s like she have lots of gas" }, { "from": "gpt", "value": "Output: Hi... Thank you for consulting in Chat Doctor. 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 Chat Doctor. 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 Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards -" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My bp was 153/113 yesterday at my doctors visit,and i have a headache that will not go away. I have a pinched nerve in my back and have been dealing w/ this for about 3 weeks, and have been taking over the counter pain killers. Could this be the cause?" }, { "from": "gpt", "value": "Output: Hello, NSAIDs group of painkillers like diclofenac or ibuprofen etc. can raise the BP, but your headache itself can raise blood pressure. Anyway, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure 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 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. If your blood pressure is persistently above 140/90 MMH then you should have treatment." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im a 25 year old and have been using morr f from a year after consulting a dermatologist since i could feel front line hair being reduced. i cant say that my hairline has improved greatly. I dont have dandruff and even my ancestors were not bald. could you please suggest if i should continue further?" }, { "from": "gpt", "value": "Output: Hello. Thank you for writing to us at Chat Doctor You seem to have an Chat Doctor. Your treatment includes topical minoxidil along with finasteride. Yes, you should continue it further because the goal of therapy is to arrest or slow down further progression. New hair that regrows with this treatment is an added advantage but response varies from individual to individual. However, if you discontinue this treatment your alopecia may continue to progress further. Hair loss in An" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a lump in ma left ass cheek near the anal.. It s like a harder than ma usual ass cheeks its paining a lot whither touched or untouched... Earlier i have felt same thing and its not this much pain.. Nw its nearly a week.. No sings for decreased.." }, { "from": "gpt", "value": "Output: Hi, dear. I have gone through your question. I can understand your concern. You may have some piles or perianal abscess. You should go for examination. Go for fine needle aspiration cytology if lump is tumor like. If it is abscessed then go for incision and Chat Doctor. 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 Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had this lump like a size of a golf ball it is hard and hurts when I touch it. It is near my jaw line. I have had an old filling break off on my one molar and thinking this could be the cause of the swelling on my jaw line. I am hoping it is not an abcess. I do not have dental insurance, and a little worried as to what it could be. I have never had this problem before. I have been taking idrophrone to keep the swelling down which as not been helping." }, { "from": "gpt", "value": "Output: hello, The lump associated with the fractured filling may be due to re-infection/periapical infection of the broken filling. Pleease do visit a dentist and get clinical and x-ray examination. If there is abscess, get it Chat Doctor. Infected pulp has to be removed completely. Take complete course of antibiotics and analgesics. Frequent warm saline and sodium hypochlorite rinse may help. Avoid biting on hard foods with the restored tooth. Take care." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctor, my husband is very short tempered. He is undergoing yoga from past 15 days.Last night he didnt had good sleep. From morning the anger is increasing at a rapid speed. He has torn a book, banged the notice board, is banging often to reduce the anger. Your immediate solution is requested." }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Anger is a mixed emotion and is also a defense mechanism. Body and mind tries to vent the dangerous emotion out. Your husband should learn to adjust to situations which makes him angry. You should be able to assist him by not creating such situations. Yoga, if done, systematically along with breathing meditations, should help to reduce the temper tantrums. But basic understanding about the situations in life is required. He needs to learn. 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." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My mother fell in the bathroom on the back of her head. It was a loud fall and she immediately bled. The wound is not deep but the impact was enough to separate the skin( less than 1/4 inch) We wrapped her head - applied pressure- and iced and are checking on her every hour to monitor signs of concussion. Should we go to the doctor and get a CT scan in the morning?" }, { "from": "gpt", "value": "Output: Hello, If your mother feels well, is alert, oriented, with no changes in her behavior, not with intense headache, no vomiting, no symptoms like double vision, vision loss, weakness or numbness of the limbs, balance or coordination difficulties etc., then you do not necessarily need to go and get a CT scan. If any such manifestations appear though then you should urgently head to the ER. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 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" }, { "from": "gpt", "value": "Output: Wash genital organs more often, Chat Doctor. 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 My.trachomas and CHL.trachomas, 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 genetic, but maybe they don't Wash genital organs properly 2 times daily with usual wateriest regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doc I m using radiant k c & flutivate from past one year I m unable to discontinue this medicines. I had hyper pigmentation problem. If I discontinue this medicines after 3 or 4 days small pimples will appear on complete face kind of irritation & dark circle will become more. since i m getting married i m afraid whether this will affect my future kids can I continue with the same medicine during pregnancy" }, { "from": "gpt", "value": "Output: Hi doc i m using radiant k c & cultivate from past one year i m unable to discontinue these medicines.I had hyperpigmentation problem.if I discontinue these medicines after 3 or 4 days small pimples will appear on complete face kind of irritation & dark circle will become more.since i m getting married i m afraid whether this will affect my future kids can I continue with the same medicine during pregnancy" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 9 year old son woke up with a headache this morning which then developed into a fever 101.4 . Tylenol only helps until 30 minutes before his next dose. Then it goes back up. He has the chills and a fever and a stuffy nose. What could it be? Mono? Influenza? Sinus infection?Thanks, Worried Mom" }, { "from": "gpt", "value": "Output: Welcome to the ChatDoctorMost likely it seems to be a self limiting viral illness. Don't worry they are usually common in the kids. You can take the following measures to help him" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have chest pain on my right side including right hand. The pain has been there for three days. The pain comes early morning. Iam fifty one years old. All reports viz scan, x ray of heart normal. No pressure. Could tell me what is wrong with me and remedies.thanks" }, { "from": "gpt", "value": "Output: Hi I can understand your concern... Noted you have chest pain since three days... No other complaint present and x-ray, heart scan all normal..... So you have mostly musculoskeletal pain... If ribs are tender to touch it can be Costco Chat Doctor. ... Here is some advice for it..... Take analgesic for pain. Hot compress applied... Enough rest.... Avoid bed sleep posture.... Avoid heavyweight lift. Avoid strenuous activity.... After week if still pain continue I would like to examine your respiratory system by auscultation... Take care.Don't worry....." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My cousin has been suffering crippling and debilitating headaches for a couple of days now. She suffers from high blood pressure and her blood pressure right now is 169/113. Is this causing her headaches? And her blood pressure medication doesnt seem to be working. Should we take her to the ER?" }, { "from": "gpt", "value": "Output: Hi, Headache due to hypertension is less likely in this case, but it could be due to other reason and most common is migraine, if blood pressure is not responding to single molecule then second molecule can be added and for that you can discuss with cardiologist even the blood pressure need to be measured by physician itself. Hope I have answered your query. Let me know if I can assist you further." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I started taking Levothyroxine in Dec. 2013 (25 MCG). In Feb. 2014 it was increased to 50 MCG. About a week after starting at the higher dose I started experiencing severe leg cramps when I retired for the night. They are so bad that I can not lay on either side and am constantly jumping out of bed because of the cramping. Prior to taking this medication I had no problem with leg cramps. I stopped taking the medication 3 days ago and find the cramping is subsiding considerably." }, { "from": "gpt", "value": "Output: Hi I am Chat Doctor. . In my opinion yes I think it's the cause of your severe leg cramps but indirectly as a lot of studies say that it decreases the bone density and thus alters serum calcium and other minerals . For now I suggest some lab investigation to diagnose mineral level in blood for proper evaluation and management, However, estrogen use appeared to negate the adverse effects of thyroid hormone on bone mineral density. I think you may need to decrease dosing or ask your endocrinologist for the best alternative for your case that suits your body requirements. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my name is julie I ve been haing some health problems for about six years or so they are getting worse my bones hurt constantly I feel very weak and worn ou for no reason I ve gained so much weight got no reason I hardly eat because headaches and not feeling well makes me loose my appetite. I m so cold all the time even in the sun it gets so bd my skin feels like a piece of ice I get leg cramps backaches that are unbearable I feel so old like I can barely walkathon times. It feels like something s inside my body jumping around it hurts so badly. Doctor ran blood test a week ago said she hadn t got results but my vitamin is very very low in my blood what should or can I do. Help me I m miserable ?" }, { "from": "gpt", "value": "Output: Hello madam.symptoms" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 4 year old son has a very rounded ball of skin (now approx 3/4mm on his inside lower lip. It is the same colour as the rest of his mouth but has been there and growing for around 4 months, maybe slightly longer. It doesn t hurt but is definitely getting bigger. He has a fungal toenail infection in each toe on one foot which doesn t seem to be going despite topical medication - he s had it well over 2 years but is otherwise very healthy and fit. What is it?" }, { "from": "gpt", "value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of lump on the inner lip which is mainly because of viral infection such as herpes, canker sore or frictional keratitis. I would suggest you not to panic about it. Maintain oral hygiene by brushing and flossing daily. Do Listerine mouthwash rinses. Your symptoms will resolve in 10-14 days. Chat Doctor. Avoid hot, sharp, spicy food. Take ibuprofen if it is tender to touch. If symptoms keeps on persisting visit oral physician once and get it biopsied and examined. You should start treatment after complete examination. Hope your concern has been resolved. Get Well Soon. Best Wishes," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my 2 year old daughter has been suffering with intestinal infection due to which passing watery stools and vomitings sometimes. She was prescribed oflaxacin 5 ml twice a day along with metrogyl 5 ml thrice a day. She is getting better but would like to know if oflaxacin is ok to be given to toddlers? Pls. Help" }, { "from": "gpt", "value": "Output: Ofloxacin can have an adverse effect of hampering the division of normal cells of the body while it inhibits the growth of bacteria. It is effective for intestinal infections. Since the adverse effects affect very small number of individuals, ofloxacin is widely used by doctors without any reports of growth retardation. I think that giving this short course would not be problematic for your child. Please complete the course of antibiotics since you have begun it." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir my father in law had deep fallen in Paralysis and here Doctor is saying that his 75% brain is totally dead and he is abount to untreatable.he has gone about Coma.so please as soon as suggest me where can he recoverRam Kumar DewanganRaigarh(C.G.)Mo." }, { "from": "gpt", "value": "Output: Hello Ram! Welcome and thank you for asking on Chat Doctor! I am sorry about your father-in-law, but you should know that his situation seems to be really serious. He may have had a stroke, which has damaged most of his brain. From the other hand, you should know that after the stroke, this part of the brain which is damaged begins to swell and compress the remaining part of the brain. This leads to coma and irreversible changes. The prognosis is very reserved, because there is not much to be done. Unfortunately, there is no cure to this clinical situation, and the only thing you can do is to wait and hope. But, there are really low changes for him to wake up from Coma, considering the degree of brain damage. Hope you will find this answer helpful! Kind regards," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good Day - I HAVE I THINK CHRONIC CONDITION WITH MY SKIN ESPECIALLY ON HOT DAYS MY SKIN GETS A FINE RASH - FLAIRS UP WITH RED PATCHES ALSO AROUND THE NECK , EAR AREA ,BECOMING DRY AT TIMES . IM CURRENTLY USING DAZIT FOR THE LAST 1YR AND 3 MNTHS , THE BIODERMA FACIAL WASH AND HYDRACRYSTAL URIAGE , BIODERMA SUNBLOCK WORKED LIKE MAGIC UNTIL THEY DISCONTINUED IT, SO NOW IM BACK AT STAGE ONE USING ADVANTAN CREAM INBETWEEN PLS HELP ESTELLE" }, { "from": "gpt", "value": "Output: Good Day to You too Estelle. To the best of my knowledge, Bioderma products are still very much in the market & I prescribe them on a daily basis & have been over the last decade! If you do not get the sunscreen in your parts, might I recommend a Bioderma product called Modern PO Zinc cream that can act as a sunscreen & a skin Southerner & usually recommended for babies who ail from diaper rash. It is safe & works like a charm save for the noticeability factor. Please do continue with the other Bioderma products in the interim. Good Luck & here swishing you a safe & radiant complexion always!! Cheers! Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son woke up one morning with verdigo. He went to the dr. and he gave him an antibiotic and antihistamine. He is still having problems, especially trying to sleep at night. Can he try an over the counter sea sick med. while on the other meds or what is your suggestion." }, { "from": "gpt", "value": "Output: Hi there, if vertigo is what your son is currently experiencing, I would recommend he try over the counter meclizine. I would either wait until the courses of the antibiotic and antihistamine are finished or ask your pharmacist what the antibiotic/antihistamine are and just make sure there are no known dangerous interactions with meclizine. It is also a bit sedating, so it may help your son sleep at night. I wish you all the best and hope my answer was helpful for you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my mother had stage 4 colon cancer that had spread to the lymph nodes in her liver, she was getting chemo and seemed to be doing fine. She told me the doctor said she was in 98% remmision. She went to the hospital 10 days ago for bad pain and trouble urinatitng. I talked her friday after she had her lung drained. They had to drain inection from her colon and then said she had phenmonia. I left her in ICU at around 7" }, { "from": "gpt", "value": "Output: HiT hanks for posting. I understand your concern. Unfortunately metastatic cancer has got unpredictable behavior and can worsen quickly. However, in her case it appears that an infection was the culprit. Because of low immunity from chemo, the infection spread rapidly and caused the demise. Of course cancer was also spreading as seen in the fluid in the lungs, but it was probably not the only cause. Hope this helps. Please get back if you need any more clarificationsRegards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...good morning" }, { "from": "gpt", "value": "Output: Hi dear, From what you describe it does not look like a heart issue. If it was something cardiac it would be associated with symptoms that are serious.Also, as you said your ECHO and ECG were normal. I would recommend1. Get X-ray shoulder done2. If it is inconclusive and pain persists please do MRI of shoulder as there could be tendinitis (inflammation of the tendon)3. Try over the counter painkiller (Tylenol or ibuprofen)I wish you an early recovery dear. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Dr. i am 24yr old i am planing for my pregnancy from past 3 months. I got my last Menstrual period on 30.05.2014. But 16.06.2014 onwards i have light brown colour flow. i went to dr. and she adviced me to take Etosys Tab for 2 days 2tabs per day. is this Etosys stops pregnency or is it shows any side effects in pregnency?" }, { "from": "gpt", "value": "Output: Hi, I will suggest you the best possible treatment options. 1) First do not panic. 2) If you have missed your periods, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. 3) Secondly, even if you are pregnant, then tablet Tranexamic acid does not have any negative impact on the ability to get pregnant nor does it affect pregnancy. It is the medicine that helps to prevent bleeding and is in fact offers protection, if there is bleeding during pregnancy. I hope this answer helps you. Let me know if I can assist you further. Thanks," } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a painful lump in the lower portion of my upper left arm. A doctor that looked at it said it is a tumor but not sure of the type. I noticed it 6 weeks ago. I also have a painess tumor (unknown of cell type) in my left arm pit. Should I be concerened? Both have grown fast and since noticing tumors, they have doubled in size." }, { "from": "gpt", "value": "Output: Welcome to Chat Doctor. 1. Painless lump on the arm by location if it's at the joint it can be a ganglion.2. But else where on the arm and pain less - than goes in terms of lipomas (fat containing cells).3. To solve problem - I would have asked for an ultrasound scan - that would help to assess the nature of the lump, its source and its extensions. (both arm lump and axillary lump / arm pit)4. And if required an FNAC - fine needle aspiration cytology would be helpful to know the nature of the cells. The armpit / axillary region lump most probably an enlarged lymph node.5. So get an appointment and get the scan done and needful treatment done. Good luck Hope I have answered your query.Anything to ask do not hesitate. Thank you." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am overwhelmingly tired. I ran to the mail box and I could hear myself weezing. I have two dogs and walk all the time so I do not think I am out of shape. Lately I walk a few steps out side and feel like I am going to go down from being so tired. YYYY@YYYY" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Fatigue, difficulty in breathing and wheezing are seen in lung infection, bronchitis etc. So chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). So consult pulmonologist and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I ve been suffering with shortness of breath, lack of sexual drive, tired during the day, and simply feeling out of sorts. Also, my face gets red, red. My blood pressure is normal. 185/85 and then 176/76. I m scheduled for a stress test. Also, remembering that my sister had a brain anerosina. What do you think?" }, { "from": "gpt", "value": "Output: Dear, We understand your concerns went through your details. From the given information, it seems that you are stressed and anxious. Shortness of breath, lack of sexual Chat Doctor. Your systolic pressure shows the stress related disorder. As you are already waiting for the stress test, wait for its results. Let the experts determine. If you require more of my help in this aspect, please use this URL. http" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: pls. help me, my liver is weak, what will I do, what food im going to eat, vitamins , or drink, thank you" }, { "from": "gpt", "value": "Output: Hi Thanks for posting your query Unfortunately your information is inadequate You need to describe the symptoms that you are suffering from Anyway we usually realize that any digestion problem is labelled as liver weakness by the patients, if that is the case I would suggest you go for a proton pump inhibitor once a day and a probiotic twice a day that will sort your issues Hope this helps Am available for any followup queries" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had oral surgery today, and I went to sleep after getting home. When I woke up, my top lip is swollen up very bad, but I am not in any pain! It also feels numb on that Lip and in other places. Should I be concerned, or can I wait until morning and go back to the dentist? My oral surgery was done about 11 hours ago." }, { "from": "gpt", "value": "Output: Hi. Thanks for the query. If the top lip is swollen after oral surgery, and you do not have any symptoms like pain then it can be most probably due to allergic reaction to any of the medication that must be given to your post surgery. So my suggestion is to as of now take anti allergic like Ben Chat Doctor. . In case if the swelling does not improve consult an Emergency room and get evaluated. If the medications will be found as the culprit then it should be replaced for avoiding the symptoms in the future. Hope this helps. Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have brown urine that has been confirmed to have blood and high protein in it. I also have testicular and abdominal pain. I am awaiting the results of a CT Scan, but do not believe there to be kidney stones. I am concerned over possible cancers, etc. Any ideas?" }, { "from": "gpt", "value": "Output: Brown urine and protein should be evaluated further. You have not mentioned your age else I could have help you better. Frank blood in urine is mostly due to stone in urinary tract and infection, but there are other causes as well. Testicular pain may be because of orchids or epididymis orchids. But if there is any swelling over testes or in scrotum then it is to be evaluated by ultra sonography (USG). You should also undergo USG abdomen to find the cause of abdominal pain. As you have already undergone CT Scan (abdomen+pelvis presumably) you should wait for the report to come as it won't take much time. Consult with CT report again here." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my side hurts between my hip and lower ribs on my right side. its been going on for about a month now. im thinking its my kidney. I did a bit of reading and the only other symptoms related to my kidney is dry mouth, metal mouth, the pain in my side, my breathing is different sometimes and a bit of anxiety." }, { "from": "gpt", "value": "Output: Hello, on the right side between the hip and ribs are two main organs i.e. Kidney and the liver. Do you have any other associated symptoms along with the pain? If you only have pain in that region I would suggest you undergo a simple USG scan of abdomen. If everything comes normal then it might just be muscular type of pain also. So I would suggest you to take up a USG scan of abdomen and depending on the report we can see what can be done. Thank you" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi my Dr recently found I had a fatty liver and a small amount of fluid around my liver my right side underneath my ribcage has been hurting on and off for 6 months until recently more often and has been constantly hurting none stop for 2 days I just ate something and threw it all up.is like to know whats causing this pain." }, { "from": "gpt", "value": "Output: Welcome to ChatDoctorOnce it is proved that your mother has gall stones, it is best to consult surgeon and get a check-up and follow advice. Usual accepted method of treatment is removal of stone with gall bladder.laparoscopic cholecystectomy being the gold standard today. Please discuss with your doctor and take appropriate treatment. Gall stones usually cause indigestion specially after fatty meal. Avoiding fatty meal and digestives may only help symptom wise. Stones are known to cause severe pain and needs analgesics specially injections. The stone prevent the free passage of bile after gall bladder contraction after food and cause pain." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, my name is Ray. I have had bladder cancer of the lowest grade and a reoccurance about 4 years ago. I took a fish test about 10 days ago and no results back yet. How long should this test actual take. Im asking an outside source so theres no covering carelessness or followup issues. thank you...." }, { "from": "gpt", "value": "Output: Hi, dairy have gone through your question. I can understand your concern. It doesn't take so long foe test itself. Testing takes not more than 24 hrs. But most of the laboratories are not doing tests on daily bases. So it may be the reason. Consult your pathologist and ask for the results. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: a couple of weeks ago i fell backwards on a big rock at the lake. a few days later other than back pain i noticed a lump in my adominal area above my penis in groin area. it has not gone away. should i worry or what could it be. doesnt look like any hernia pictures ive seen." }, { "from": "gpt", "value": "Output: Hi thank you for trusting ChatDoctorI read your query and understand your concern I am sorry for the accident you habit is quit common that after physical stress or accidents inguinal hernia happens It isn't a risky situation You should avoid physical activity meantime It is recommended that you schedule an ultrasound to see the herniation dimension Anyway you don't have reason to worry too muchSometimes it does away itself can be more helpful if you upload a photo of herniationWish you good health and fast recovery Best regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor , I am 27 years old and i am planning to have a baby. What checkups, or multivitamins shld I take in order to to ensure a good health of my baby. I have heard that u need to prepare for 3 months earlier to ensure a healthy child. please advice me as to regarding the diet , multivitamins etc. please guide me." }, { "from": "gpt", "value": "Output: Hi, You want to start garbhasanskar, then consult ayurvedic doctor. Some points of garbhasanskar- body purification by panchakarma, proper diet like milk green vegetables. You should be strong by physical and mental state so start yoga. Do your both general check up like HE which is very important. Start milk with shatavari which is important for uterus, growing fetus. Eat Chat Doctor. . Green vegetables all fruits except papaya." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type youhir query here...hi i hope you can give some good advise..im frustrated with not getting anywhere with dr meds....i have had a chronic dry cough going into my 3rd week...i am 60yr old female and assume its seasonal allergys...i work in resv office ..talking 10hrs non-stop....dry cougChatDoctore after laryngitis....coughing spasms can last for several hours day or nite...cannot exert myself or laugh without dry coughing....i feel like i have popcorn stuck in my throat and cant cough it up...non productive ..no phleghm...." }, { "from": "gpt", "value": "Output: Hello ! You seem to have exercise induced asthma. To have this under control you need to be on regular Inhalers. You can take Levosalbutamol inhaler few minutes before exercise to prevent symptoms. Tab. Montelukast taken before exercise also helps. Also try changing your breathing pattern from predominantly mouth breathing to nasal breathing as this helps to prevent bronchospasm. Avoid strenuous exercise. Hope this helps. Do Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was lying on the edge of my bed all of a sudden my left ankle stated paining really bad and swrlling up its swollen now and hurts my yoes feels ytight what cout ot be i drink neer a lpt e your question here..." }, { "from": "gpt", "value": "Output: Hello, You may be suffering from gout and there is possibility of acute attack of gout which is the reason for pain. In Gout due to increase in blood levels of uric acid it gets deposited in small joints of foot especially 1st metatarsophalangeal joint and sometimes ankle. I would like to do your serum uric acid level. Meanwhile, start tab Diclofenac sodium twice a day for pain relief. Keep yourself HY Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a chemical pregnancy the week of Nov 9th-13th. Beta ChatDoctor at the dr was an 8 on the 12th. I then started bleeding and having mild on the 14th. I now have yet to start my period, have ALOT of preg symptoms(boobs hurt, BAD heartburn, nauseated, stretching of abdomin) but getting negative HPT. HELP PLEASE!!!!!!!" }, { "from": "gpt", "value": "Output: Hi dear, I have gone through your question and understand your concerns. Engorgement of breast and nausea can also be present in the premenstrual period or in other hormonal imbalance. If your urine pregnancy test is negative, then the pregnancy is ruled out. I will suggest you to wait for a week for the periods to come, if still they are absent, then you should get your hormonal profile done to confirm the diagnosis and get treated accordingly. Hope you found the answer helpful. Wishing you good health. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi question. my son is 3.5 years and has had an episode when he was 2 years plus if balinitis and when he was 3 of foreskin being too tight. So hydrocortisone cream applied and within weeks foreskin has opened. we stretch foreskin ver gently just enough to see the opening of glans. do nt force skin back any further. in sme instances when he pees his willys tip goes red when he has peed. Should i be worried with any of which i have said to you" }, { "from": "gpt", "value": "Output: Hi...by what you say this could be normal finding due to Effort usage, or it could be balanoposthitis. I suggest you upload an image on this website and get back to us. 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 Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I just went thru surgery for knee replacement and my understanding was I stopped breathing - I remember there was something my throat -finally came thru but whatever medicine they gave me made me sort of crazy and they put me on the crazy floor! they said I could norelease the carbon dioxcine(SP) I am COPD?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. In my opinion you had intubation with endotracheal tube for general anesthesia during surgery. So the thing you felt in throat must be endotracheal tube. And COPD patients tend to show retention of carbon dioxide (CO2 narcosis) during general anesthesia as they can not exhale it. So increased CO2 in the body can depress central nervous system. This high CO2 along with general anesthesia lead to stoppage of breathing." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, my name is naveed, age 30 married for 2 years and no child . i want to have some suggestions on my semen reportabsistance 5 days, quantity" }, { "from": "gpt", "value": "Output: Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible.we your report indicate that you have a bit of infection and that is wits basically causing poor semen quality and sperm count, so you are taking treatment and hopefully this win resolve and get better but trust me SM times its all in the hands of god because ppl can get pregnant with even little percentage of alive sperms but in your case even if you have full alive and a very good sperm count nothing can happen unless your wife is fully treated, and she is having polycystic ovaries which is a treatable condition and people conceive after treatment take your wife to gynecologist she will prescribe treatment and your wife will be alright and meanwhile you take your treatment too and soon you will have babies.... I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son had aortic valve replaced 3 years ago.about 10 days ago he came down with flu like systems..fever bad backache chills..r Finally took to hospital and the next day he was told that he had bacteria in the blood Has been in hospital since last Saturday.." }, { "from": "gpt", "value": "Output: Bacterial infection in blood can be treated by the following wain almost every case of sepsis, patients need to be hospitalized, treated with appropriate intravenous antibiotics, and given therapy to support any organ dysfunction. Sepsis can quickly cause organ damage and death; therapy should not be delayed as statistics suggest as high as a 7% mortality increase per hour if antibiotics are delayed in severe sepsis. Most cases of sepsis are treated in an intensive care unit (ICU) of the hospital by critical care medicine specialists, infectious disease specialists, and others as needed. Appropriate antibiotics to treat sepsis are combinations of two or three antibiotics given at the same time; most combinations usually include vancomycin to treat many MRSA infections. Some commonly used antibiotics used ceftriaxone (Rocephin), meropenem (Merged), ceftazidime (Format), cefotaxime (Claghorn), cefepime (Maritime), piperacillin and tazobactam (Syn), ampicillin and sulbactam (Uneasy), imipenem/dilatation (Primarily), levofloxacin (Joaquin), clindamycin (Clean). However, once the infecting organism is isolated, labs can determine which antibiotics are most effective against the organisms, and those antibiotics should be used to treat the patient. In addition to antibiotics, two other major therapeutic interventions, organ-system support and surgery, may be needed. First, if an organ system needs support, the intensive care unit can often provide it (for example, intubation [mechanical ventilation] to support lung function or dialysis to support kidney function) or a central venous catheter and fluid replacement with intravenous fluids and/or antihypertensive medication to raise blood pressure (norepinephrine [Devoted] or phenylephrine [Neo-Synephrine] administered by IV). Secondly, surgery may be needed to Chat Doctor. Amputation of extremities has been done to save some patients lives. Regards" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, based on symptoms, bloating in abdominal region, pain in chest, between shoulder blades and under right shoulder blade, suspect gall bladder attack. (symptoms since Sunday 11/9). Have appt with pcp this Friday. What would prompt me to go to emergency room if is gall bladder? More severe pain? More severe pain in particular region?(have already had heart checked year ago - all ok; digestive problems have been ongoing journey since then to figure out cause; last few days worse than ever.)" }, { "from": "gpt", "value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. Mainly pain is on the right side and so also in right shoulder joint. Possible reason may be .1 Hepatomegaly, diagnosis can be confirmed by ultrasound of liver .2 Gall bladder stone or cholecystitis, diagnosis can be confirmed by physical examination of gall bladder (Murphysis sign) .3 Thickened pleura is also the most important reason of such type of pain. Diagnosis can be confirmed by X-Ray chest as well ultrasound. In my opinion consult a physician and get his opinion as physical examination as well ultrasound of this area is very important in this case. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir i had enlarged and studded with multiple pheripheral follicles and with thick echogrnic stroma.my doctor asked me to take metformin 500mg and clomiphene citrate 150g.we are planning for baby.is it possible to conceive.normal utreus endometrial cavity,bilateral polycystic ovaries." }, { "from": "gpt", "value": "Output: Hi, I think you can conceive. You will need some medical support for that. In polycystic ovaries, the problem is with ovulation. So, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: iam having hperthyroid and polycystic ovaries iam taking thyronorm 75 and glyciphage sr twice daily .now i have tsh value 5.2 .can i get pregnant now .docter had given me siphene 50 mg to take on 3rd day of my period and continue for 4days and said to intercourse after 12 days .i want to know this 12th day from starting of period or from after finishning siphene.and also i am taking medicine for pco from about six months i just want to know is it safe to get pregnant now." }, { "from": "gpt", "value": "Output: Hi, I think you can become pregnant. Continue the thyroid tablet, but better to increase the dose by 12.5 mcg after discussing with your doctor. The cut-off for TSH in pregnancy is 2.5. Now, regarding the intercourse, you can have intercourse every 2 to 3 days after your periods stop. You can also start that from 12th day counting the starting of your period as day 1, not after finishing Sphere. You can track your ovulation by repeated ultrasound and when follicle is more than 17 to 18 mmm, take injection for rupture. Progesterone will be given for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Talk to your doctor regarding this. It is safe to become pregnant now." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My father is 65 and is suffering from Osteoarthritis. He is too scared to get operated so we tried few Ayurvedic treatments. He got some temporary relief back then but it has become very painful for him now. Is there any solution to this without being operated?" }, { "from": "gpt", "value": "Output: Hello, As he is 65 and with Grade III osteoarthritis of the knee why don't you try the Physiotherapy? It will help reduce inflammation by using the therapeutic ultrasound therapy and pain by TENS therapy. Exercise to improve the muscle strength and this has helped many to avoid surgery. In my clinical practice of over 12 years, most cases have responded well to physiotherapy and guided exercise. No case is operated once the proper knee rehabilitation program is planned and implemented. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi! My friend has hepatitis B, and we live very far from each other. She recently told me she has hepatitis B, and last night I told her not to go to this party, in conjunction also with what her doctor told her, because she has an open wound in her hand and it was much better to stay at home and lay low to avoid infecting others. She told me she wont go but she ended up going, and right now I am just angry that she risked infecting others because she wanted to have fun. Am I overreacting, because she did tell me that she was going to be very careful when she first pleaded with me to go to this party?" }, { "from": "gpt", "value": "Output: Hi thanks for asking question. Yes hepatitis B can spread through open wound. Hepatitis B can spread through sharing items of infected person like razor, toothbrush etc. It can also spread if you come in contact with her secretions or in contact with open wound. Your anger is obvious. You should counsel her calmly and give her advice that how hepatitis B spread, and she is putting community in danger by going through open wound. She should at least have covered wound with bandage or Chat Doctor. It can also spread through sexual relation to infected person. She can live well but with care not infecting others. Wish you good health. Take care" } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I ve had chest pain now for over a week. It seems more to be toward the top right to middle of my chest. I m a 28 year old young Man who smokes, but I have no cough or anything. The pain is constant and I keep finding myself rubbing my chest. I m very worried about this because I am so young. is i required to consult doctor the please suggest whom ?? like who is specialist in such cases ..like if we have skin problem then we consult skin doctor like that ..please help me out its paining little with every beat ..." }, { "from": "gpt", "value": "Output: Hello Recurring chest pain need proper evaluation even in young age. You can consult internal medicine specialist. It may be due to May reason like cardiac, pulmonary,acid reflux, musculoskeletal reasons etc. You need clinical correlation and investigations. Investigations include routine hologram, random blood sugar, renal function test, liver function test, lipid profile, ECG in all leads, chest X-ray(PA view).ECHO and upper GI endoscopy can be done if needed. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Age 76, 511, 175# diabetic, in control, coronary artery disease. Getting head and chest cold with extreme coughing. Cant stop coughing. Gave vitamin C, home made chicken soup. Hot toddy, vicks on back, face and chest, throat.sucking on lemon. Nothing helping. Robitussin DM sugar free, sugar free cough drops. Cant stop. Anything else I can do?" }, { "from": "gpt", "value": "Output: It seems you have severe bronchitis, Take acetaminophen with anti-allergic and decongestant combination, Steam inhalation, warm saline gargle, bronchi dilator like albuterol or albuterol puffs if not available may be oral and(I do not know which part of world you belong to, but your area is bacterial infection prone you must start with a broad spectrum anti-biotic) As such you are diabetic though under control you are more prone to infections which may have serious complications. See your doctor as soon as possible to avoid complications. Good Luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi,ihave high blood pressure and high cholesterol.i exercise regularly and eat better. lately ive been having anxiety attacks. the anxiety makes my hearth beat very fast to about 92 and doesnt come down it last all day and it gives me headaches, losens my stomach, gives me hot flashes and chills. what can i do to make it better?. my doctor gave me xanax but it only works for a little while" }, { "from": "gpt", "value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety is to be understood well to have good treatment. Anxiety is of various kinds, and your description do not give any details of your anxiety. Secondly, anxiety needs to learned, managed and then removed. You should know the basic causes of anxiety to manage it. The best method is psychotherapy which helps to alter your lifestyle to suit your anxiety problems. Yoga and meditation also helps immensely. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi sir.. I am having 2 month baby.i dont find sufficient milk for my baby.i am using lactare tablet 1 in the morning and 1 in the evening.please let me know how many months can i use those pills.and also about the dosage and does it has any side effects. thanks in advance." }, { "from": "gpt", "value": "Output: Hectare tablets can be used once or twice a day for up to 2 to 3 months. But the following measures should also be done. Tablet alone cannot increase milk production. Eat at least one serving of leafy green vegetables in a day. Include foods like ghee, pomegranate, carrots, barley, cumin seeds, garlic, apricots and oatmeal on your meal. Massage the breasts for a while before feeding every time...this is supposed to increase the milk flow. Feed your baby well, atleast once every 2 hours. The more you feed more will be the milk produced. Feed for longer so that your baby gets enough of fore milk and hind milk which is richer in fat.Don't take any stress and tension. Sleep when the baby sleeps. Eat well and feed your baby well. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have skin infection on glans of my penis along with below skin of glans or i can say internal skin of penis. Sometime It s cure within 1 week but it s again coming while doing intercourse. Or sometimes infection came by itself after heal of 1 week automatically. Glans and internal skin are become red and white color death skin always discharge that i observed while doing bath. I used Candid-B but using this i am not getting 100% cure and that s why infection is coming again and again. Because of this my sex life is also disturbing and also became frustrated sometime. Would you please suggest me what should i do so that it s cure 100%." }, { "from": "gpt", "value": "Output: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Your infection is somewhat serious in nature. So here local application of cream won't work. I suggest you should take the oral antibiotics along with the antifungal medication. Doxycycline and fluconazole oral antibiotics can work. As it is STDs I advise you both should take the medication. Continue the medication until all the infection is cured. Please avoid intercourse during the period, or you can use the condom during this time. Take the completed treatment to cure you complete. You can wear the cotton undergarments and should change it twice daily. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my wife was diagnosed with ovarian cancer 9 years and has been on various chemos the entire time.She recently deveoped pleurel effusion and had the fluid taken out.The results showed cancerous cells consistant with the ovarian cancer in the fluid.what does this mean as far as her treatment goes and is this the begining of the end stage?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. Presence of malignant cells in pleural effusion means your wife is having Malignant Pleural Effusion. This is because of spread of ovarian cancer in the pleura. It is commonly seen in ovarian cancer. Malignant spread of pleura most commonly present as effusion and rarely as tumor mass and nodule. So this makes your wife stage 4 cancer patient. And despite various chemotherapy if she develops malignant pleural effusion means she is going towards end stage disease. Put pigtail catheter for removal of fluid. This gives her symptomatic relief. So consult pulmonologist for treatment options." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I was involved in a mini domestic explosion cause by gas in the kitchen. I had some burns which were treated with antiobiotics and creams. It has been a couple of weeks now and I have a bloated stomach with pain on my left abdomen - are the two related? should I be worried?" }, { "from": "gpt", "value": "Output: HIT hank for asking to ChatDoctorI really appreciate your concern here you have a history of antibiotic therapy and antibiotic induces the abdominal pain and some time loose motion too because this disturbs the intestinal flora, this can be treated with the \\\"Lyophilized Lac to bacillus\\\" and for the abdominal pain the best option is\\\" Dicyclomine\\\" hope this information helps you, take care and have nice day." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a rhinoplasty last march 18,2012 back in the philippines, it was ok for 2 months now i am having a problem.. And 6 weeks ago, i got pimple .. And doctor prescribe me anibiotic (amocixillin and Keflex) been taking for more than a month but didnt do any good.. Still look infected.. Just one 1/2 inch size of red spot, look inflamedred but didnt hurt me .. And the doctor suggesting me it might be infected and need to be removed but he didnt only culture .. Do u think i should wait for a while or do i need to remove it now?" }, { "from": "gpt", "value": "Output: Dear Rose, Do you have redness/pimple on the tip of nose? If yes, did you receive an implant during your rhinoplasty? If no implant was placed during surgery, there is no need to worry. The pimple will go away. However, if an implant was placed this could be implant infection. In that case, antibiotic trial is suggested, which you have already received. Salvaging the implant in this condition will be rather difficult. You may be advised culture specific antibiotics failing which implant removal is the only option. Once the infection subsides secondary rhinoplasty using autologous tissue such as your own bone or cartilage can be planned. Stay in touch with your doctor. Best Regards." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi.my son is 1.10yrs n when he was 2month old he suffered chest conjetion. Last winter he again had chest problem. N my winter went pathetic. Then a doctor suggest myteka sachets 4mg. He is taking myteka from 4 months.he is fine .now winter is coming again.n I m very worried. Is myteka OK? Any tips for winter please." }, { "from": "gpt", "value": "Output: Hi...your child may be suffering from either just a viral illness during winter or episodic Wheeler triggered by winter season. Myteka helps if your child has wheezing problem. If it is just viral illness which is common during the winter, meters doesn't help much. Keep the child warm and avoid contact of child with other person suffering from cold.f you are happy with my answer kindly rate me. Regards- Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, my windpipe has been hurting for 24hours. its worse when i take a deep breath but hurts also when i move! py shoulders have experienced some pain too? its not a bad pain, it`s just there and concerns me a little. i cant get appointment with my gp for some days and don`t really think i should go to a and e?" }, { "from": "gpt", "value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about this pain or go to ER (emergency room). By your history and description, possibility of musculoskeletal pain is more because you are having chest pain on movements. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 days. If not improving then consult doctor and get done ECG to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi my name is sherrell me and my husband had sex today he came insde of me on last day og my period i was spoting and i got my period on the 16 and i post get on the 18 i can stil get pergnant and i have wait the 14 on the 30 i have my period for 6 days" }, { "from": "gpt", "value": "Output: Hi, there is very little chance of pregnancy by intercourse during periods because it is not the time of ovulation. But it is better to take emergency pill to avoid the little chance of pregnancy. Sometimes ovulation is early that cant be predicted, so there still is a minor chance of pregnancy by unprotected intercourse at any time of the cycle. Hope I have answered your question. Regards Chat Doctor." } ]

[ { "from": "human", "value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband recieved his test results yesterday, we were freaking out becuase the results stated he has 99% morphology, low sperm count, etc. Basically thripple wammy. They suggested IVF, but I was wondering if thers is any chance to improve this problem naturally, ie vitamins, food, etc. Is it possible that if he re-tests the results may come out different? What are the odds of achieving pregnancy with ICIS + IVF as a last resport.?" }, { "from": "gpt", "value": "Output: HelloThanks for your query. Please upload the exact semen analysis report. There are various causes of abnormal semen analysis. You should consult an Pro An Chat Doctor. Some causes are treatable, such as infections and blockage, and others are not, such as genetic causes.IT is difficult to say offhand without an examination.IVF _ CSI reports also depend on the count and other parameters.Consult an infertility specialist." } ]