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If you are a doctor, please answer the medical questions based on the patient's description. | My son is only ten weeks old and has been to the er three times. On Zantac for acid reflux very irritable still gagging. I also just noticed he has a blister on his foot and now has rash on his face with pimples. He has clear discharge from his eyes constantly. And also has been making a hiccup sound and twitching in his sleep. Please help me and my son Matthew | Thanks for posting your query at Chat Doctor. Clear discharge from his eyes is not a cause of concern. The opening of his nasolacrimal duct might have not yet developed and a certain type of simple massage at the angle of eye and nose over a period of time will give him relief. For his acid reflux continue Santa. But chances are that he is not being burped properly after feeds. Make sure that the child is placed in erect posture, possibly on lap, for about 20 minutes after each feed. In any case, keep his head end raised after feeds. Probably with such interventions his reflux would subside. The blister over his foot is probably unrelated. Apply emollients or moisturizers over they are. Hiccups and twitches during sleep are normal, and you need not worry about it. I hope that helps. Feel free to revert in case of further queries. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son is only ten weeks old and has been to the er three times. On Zantac for acid reflux very irritable still gagging. I also just noticed he has a blister on his foot and now has rash on his face with pimples. He has clear discharge from his eyes constantly. And also has been making a hiccup sound and twitching in his sleep. Please help me and my son Matthew"
},
{
"from": "gpt",
"value": "Output: Thanks for posting your query at Chat Doctor. Clear discharge from his eyes is not a cause of concern. The opening of his nasolacrimal duct might have not yet developed and a certain type of simple massage at the angle of eye and nose over a period of time will give him relief. For his acid reflux continue Santa. But chances are that he is not being burped properly after feeds. Make sure that the child is placed in erect posture, possibly on lap, for about 20 minutes after each feed. In any case, keep his head end raised after feeds. Probably with such interventions his reflux would subside. The blister over his foot is probably unrelated. Apply emollients or moisturizers over they are. Hiccups and twitches during sleep are normal, and you need not worry about it. I hope that helps. Feel free to revert in case of further queries."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I suffer from extremely irritable hands and feet at night, so much so that I find it difficult to sleep, despite feeling exhausted, some times I wake because of it. My GP has told me to try drinking some tonic water but I m thinking that I could need iron | Hi, Extremely irritable hands and feet at night awakening you can be due to the following reasons | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I suffer from extremely irritable hands and feet at night, so much so that I find it difficult to sleep, despite feeling exhausted, some times I wake because of it. My GP has told me to try drinking some tonic water but I m thinking that I could need iron"
},
{
"from": "gpt",
"value": "Output: Hi, Extremely irritable hands and feet at night awakening you can be due to the following reasons"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good afternoon,I have a swollen knot right where my leg meets up with pelvis near my scrotum. It has been a little bump for over 2 years but now it is a nice size and it hurts. What could that be? Not sure if it is a cyst or lymph node but I am concerned. | Hello! Thank you for the query. In this location such lump can be caused by inguinal hernia, enlarged lymph node or some kind of benign skin lesion (like lipoma or sebaceous cyst). As enlarged lymph node may need some diagnostics and inguinal hernia needs to be fixed with surgery, I suggest you to consult a surgeon with this issue. In case of doubts, ultrasound should be done. If its enlarged lymph node, biopsy might be necessary to verify it. Hope this will help. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good afternoon,I have a swollen knot right where my leg meets up with pelvis near my scrotum. It has been a little bump for over 2 years but now it is a nice size and it hurts. What could that be? Not sure if it is a cyst or lymph node but I am concerned."
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. In this location such lump can be caused by inguinal hernia, enlarged lymph node or some kind of benign skin lesion (like lipoma or sebaceous cyst). As enlarged lymph node may need some diagnostics and inguinal hernia needs to be fixed with surgery, I suggest you to consult a surgeon with this issue. In case of doubts, ultrasound should be done. If its enlarged lymph node, biopsy might be necessary to verify it. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my husband who is 39 yrs old had swelling in his tesicles and pain in the back and scrotum now tat the swelling is come down and tere is no pain in it he hasdeveloped a painless lump in his testicle which has caused me worry please can u explain why this has happned and what are the side effects of removing testicles? | Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the painless testicle lump with back pain-Your query has swelling in testicle with pain in back and scrotum. This swelling has come down with a painless lump in the testicle. This story is a bit confusing in your query and hence needs a Second opinion from ER Surgeon, as its very necessary to confirm the possibilities which arise from the query facts-as -this lump could be due to -a testicle swelling which has pain in back-indicating spread of the swelling to the lymph nodes in the abdomen. This lump lately has grown down -indicating a secondary HY 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 who is 39 yrs old had swelling in his tesicles and pain in the back and scrotum now tat the swelling is come down and tere is no pain in it he hasdeveloped a painless lump in his testicle which has caused me worry please can u explain why this has happned and what are the side effects of removing testicles?"
},
{
"from": "gpt",
"value": "Output: Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the painless testicle lump with back pain-Your query has swelling in testicle with pain in back and scrotum. This swelling has come down with a painless lump in the testicle. This story is a bit confusing in your query and hence needs a Second opinion from ER Surgeon, as its very necessary to confirm the possibilities which arise from the query facts-as -this lump could be due to -a testicle swelling which has pain in back-indicating spread of the swelling to the lymph nodes in the abdomen. This lump lately has grown down -indicating a secondary HY Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im having face pain on my right side. It causes my jaw, the bone under eye and temple, sometimes my eye to have a lot of pain. I have had a ct scan that showed the bone moving toward my nose. I never talked to the doc so thought it was no big deal. But it is becoming one. any advise? | Thanks for your query, I have gone through your query. The pain on the right side of the face can be because of the infection of the bone secondary to spread of infection from the tooth. Consult an oral physician and get a radiograph like OPG to rule out the infection in the teeth. Go along with the CT and take opinion from the oral physician and confirm the diagnosis. Do not delay, once the diagnosis is confirmed, it can be treated accordingly. I hope my answer will help you, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im having face pain on my right side. It causes my jaw, the bone under eye and temple, sometimes my eye to have a lot of pain. I have had a ct scan that showed the bone moving toward my nose. I never talked to the doc so thought it was no big deal. But it is becoming one. any advise?"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The pain on the right side of the face can be because of the infection of the bone secondary to spread of infection from the tooth. Consult an oral physician and get a radiograph like OPG to rule out the infection in the teeth. Go along with the CT and take opinion from the oral physician and confirm the diagnosis. Do not delay, once the diagnosis is confirmed, it can be treated accordingly. I hope my answer will help you, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am problems focusing on one thing, I am at all times thinking of atleast 10 different things. If i read a paragraph i can comprehend the whole thing ,but also be thinking about something else in vivid detail, then when I finish I could not even begin to tell you want I just read. | Degree understand your concerns went through your details. I suggest you not to worry much. From the given description, I just can conclude you that you have concentration problem. You should have mentioned your age and other medical conditions. I assume that you are a teenager or a young adult. Concentration cannot be lost on single subjects. If you are able to see a blockbuster movie continuously, then you have good concentration level. If you are able to play a video game, then you have good concentration. Then what could be reason for your low concentration in reading your education related books. Lack of interest, of course. The books are boring. You do not have the passion with your subject. You are not alone. Millions of youth around the world are on the same path. Once you are able to cultivate interest, in the study subjects, the wandering stops. 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: I am problems focusing on one thing, I am at all times thinking of atleast 10 different things. If i read a paragraph i can comprehend the whole thing ,but also be thinking about something else in vivid detail, then when I finish I could not even begin to tell you want I just read."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. From the given description, I just can conclude you that you have concentration problem. You should have mentioned your age and other medical conditions. I assume that you are a teenager or a young adult. Concentration cannot be lost on single subjects. If you are able to see a blockbuster movie continuously, then you have good concentration level. If you are able to play a video game, then you have good concentration. Then what could be reason for your low concentration in reading your education related books. Lack of interest, of course. The books are boring. You do not have the passion with your subject. You are not alone. Millions of youth around the world are on the same path. Once you are able to cultivate interest, in the study subjects, the wandering stops. 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."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have some question that I really want to know, hopefully you can give me the answers, thanks! 1. what color liquid leaks from the nose and is a sign of a concussion? 2.what knid of abnormal eye pupil exam is shown? 3.identify two tests that are done to diagnose a concussion? | 1. In a concussion, there shouldn't be any visible changes to the head. If there is fluid leaking out of the nose and its clear, it could be cerebrospinal fluid (CSF) meaning there needs to be a leak repaired or there could be a meningitis. This can happen from a cribriform plate fracture often seen in frontal head injuries.2. There also should not be an abnormal pupil exam. If there is one, you need to go to the ER immediately.3. To diagnose concussion, it is basically any head injury that causes an alteration in mental status. There can be tests done, but they are usually done to rule out something else like a contusion (blood in the brain) or neck fracture for example. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have some question that I really want to know, hopefully you can give me the answers, thanks! 1. what color liquid leaks from the nose and is a sign of a concussion? 2.what knid of abnormal eye pupil exam is shown? 3.identify two tests that are done to diagnose a concussion?"
},
{
"from": "gpt",
"value": "Output: 1. In a concussion, there shouldn't be any visible changes to the head. If there is fluid leaking out of the nose and its clear, it could be cerebrospinal fluid (CSF) meaning there needs to be a leak repaired or there could be a meningitis. This can happen from a cribriform plate fracture often seen in frontal head injuries.2. There also should not be an abnormal pupil exam. If there is one, you need to go to the ER immediately.3. To diagnose concussion, it is basically any head injury that causes an alteration in mental status. There can be tests done, but they are usually done to rule out something else like a contusion (blood in the brain) or neck fracture for example."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Thanks a lot for your help Doctor. Can I pls ask what are the adverse effects of Demetia? Could it have been brought on by a severe shock to the patient., e.g. hearing that only daughter is divorcing her husband of 32 yrs even though there were not obvious signs of marital problems. | Hithanks for using Chat Doctor Dementia is not merely a problem of memory. It reduces the ability to learn, reason, retain or recall experience and there is also loss of patterns of thoughts, feelings and activities. Additional mental and behavioral problems often affect people who have dementia, and may influence quality of life, caregivers, and the need for institutionalization. As dementia worsens individuals may neglect themselves and may become disinhibited and may become incontinent. Behavior may be disorganized, restless or inappropriate. There are a lot of causes of dementia like old age, vascular cause, neurological etc., but it does not occur due to psychological cause. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Thanks a lot for your help Doctor. Can I pls ask what are the adverse effects of Demetia? Could it have been brought on by a severe shock to the patient., e.g. hearing that only daughter is divorcing her husband of 32 yrs even though there were not obvious signs of marital problems."
},
{
"from": "gpt",
"value": "Output: Hithanks for using Chat Doctor Dementia is not merely a problem of memory. It reduces the ability to learn, reason, retain or recall experience and there is also loss of patterns of thoughts, feelings and activities. Additional mental and behavioral problems often affect people who have dementia, and may influence quality of life, caregivers, and the need for institutionalization. As dementia worsens individuals may neglect themselves and may become disinhibited and may become incontinent. Behavior may be disorganized, restless or inappropriate. There are a lot of causes of dementia like old age, vascular cause, neurological etc., but it does not occur due to psychological cause. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my wife is diabetic, she also have ashma. prior to her knee replacement she suffer wound ulcer in her leg and took several months to heal before the surgery was performed. everything is okay now and her blood sugar is under control except for some occasional spike though she is taking insulin twice daily. The issue now is having burning foot pain, itchy and swelling find it hard to walk with out the aid of rollator. questions. how she can improve her blood circulation, prevent poor blood circulation, pain and neuropathy.another than these, her knee replacement is a success. she is 78 year old now, is her age a factor. | Hello, In a person with long-standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity. Chat Doctor. Strict dietary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my wife is diabetic, she also have ashma. prior to her knee replacement she suffer wound ulcer in her leg and took several months to heal before the surgery was performed. everything is okay now and her blood sugar is under control except for some occasional spike though she is taking insulin twice daily. The issue now is having burning foot pain, itchy and swelling find it hard to walk with out the aid of rollator. questions. how she can improve her blood circulation, prevent poor blood circulation, pain and neuropathy.another than these, her knee replacement is a success. she is 78 year old now, is her age a factor."
},
{
"from": "gpt",
"value": "Output: Hello, In a person with long-standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity. Chat Doctor. Strict dietary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife aged 36 had giddiness yesterday. We just started our shopping and she was standing in a shop. suddenly she felt uneasiness. We made het sit on a chair. After a few seconds she became unconsious. We sprinkled water on her face and after a few seconds she opened her eyes. Then she took rest for 10-15 minutes in the shop and then we moved out. That time she felt like gas coming out of mouth from stomach . She was feeling uneasiness and giddiness feeling for another 1 hour or so. There after she was normal. Some months back also she had similar uneasiness but she did not become unconcious. Please give some suggestions/remedies | Hi, Thank you for posting your query. Your wife needs to be evaluated to find out the reason for her unconsciousness. The causes could range from simple exhaustion to lack of blood flow to brain and heart problems. Initially, please consult a physician, and get her hemoglobin, blood sugar and cholesterol checked up. Later on, she may need neurology and cardiology evaluation, if no causes are found. In addition, she has to ensure adequate sleep, regular meal timings, and avoid stress. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife aged 36 had giddiness yesterday. We just started our shopping and she was standing in a shop. suddenly she felt uneasiness. We made het sit on a chair. After a few seconds she became unconsious. We sprinkled water on her face and after a few seconds she opened her eyes. Then she took rest for 10-15 minutes in the shop and then we moved out. That time she felt like gas coming out of mouth from stomach . She was feeling uneasiness and giddiness feeling for another 1 hour or so. There after she was normal. Some months back also she had similar uneasiness but she did not become unconcious. Please give some suggestions/remedies"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. Your wife needs to be evaluated to find out the reason for her unconsciousness. The causes could range from simple exhaustion to lack of blood flow to brain and heart problems. Initially, please consult a physician, and get her hemoglobin, blood sugar and cholesterol checked up. Later on, she may need neurology and cardiology evaluation, if no causes are found. In addition, she has to ensure adequate sleep, regular meal timings, and avoid stress. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am a girl and when ever i touch my neck/chest it gets red. it does not hurt and goes away within 1-2 minutes. the same things happens to my ears but they burn as well. i am allergic to some kind of metal and i am pretty sure it is not nickel. why is this happening?!?!?! | Hi, This is not an abnormal condition rather it might be physical urticaria occurred as a result of physical touch, pressure, heat, cold,anxiety, exertion etc. Secondly, it can be true dermatographism occurs as a result of pressure by fingertip, pen,key etc., and it generally disappears after few minutes without any treatment. So, if you are suffering from this then first thing you don't have to worry. It subsides by itself, or you may take antihistamines like Ben Chat Doctor. You can consult dermatologist for further advise. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am a girl and when ever i touch my neck/chest it gets red. it does not hurt and goes away within 1-2 minutes. the same things happens to my ears but they burn as well. i am allergic to some kind of metal and i am pretty sure it is not nickel. why is this happening?!?!?!"
},
{
"from": "gpt",
"value": "Output: Hi, This is not an abnormal condition rather it might be physical urticaria occurred as a result of physical touch, pressure, heat, cold,anxiety, exertion etc. Secondly, it can be true dermatographism occurs as a result of pressure by fingertip, pen,key etc., and it generally disappears after few minutes without any treatment. So, if you are suffering from this then first thing you don't have to worry. It subsides by itself, or you may take antihistamines like Ben Chat Doctor. You can consult dermatologist for further advise."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My dad is diabetic, has hbp, fatty liver. He literally screams in pain off and on throughout the day, every day...for 2 years now. The doctor says there is nothing he can do except give him pain medication. He takes clonodine and his doctor gave him oxycodine, which he doesnt want to take because it is so addictive. What the heck can we do? | Hello, Thanks for the query. Since patient has long-standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic Chat Doctor. Because routine non-steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My dad is diabetic, has hbp, fatty liver. He literally screams in pain off and on throughout the day, every day...for 2 years now. The doctor says there is nothing he can do except give him pain medication. He takes clonodine and his doctor gave him oxycodine, which he doesnt want to take because it is so addictive. What the heck can we do?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for the query. Since patient has long-standing diabetes and hypertension plus pain (as described), he needs to be treated with a semisynthetic narcotic Chat Doctor. Because routine non-steroidal analgesics if used for long duration can lead to kidney damage. In diabetes as well as in hypertension kidney function is already affected. So in such situation Oxycodone is definitely a better choice. It does lead to physical dependence if used for a long time. However, if pain control has to be provided then that is the best alternative. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my daughter is 3 and I noticed today that the toenail on each of her big toes is not connected at base of her toe anymore. No blood or anything, but it is very obviously not connected at the cuticle/base of her toe. What causes this? What do I need to do for her? Will it reattach? | Hi, Thankyou for your query.First I would like to know that if she is having other problems also like joint pain, tiredness and weakness, recurrent fever or particular rashes and itching. As all of above-mentioned symptoms if associated with fall of toenails, it could be caused by an autoimmune disease.Otherwise it could be fungal infection or because of wearing tight shoes. Ofter falling of toenails, they will not reattach but develop newly slowly. Hopefully my answer is helpful. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter is 3 and I noticed today that the toenail on each of her big toes is not connected at base of her toe anymore. No blood or anything, but it is very obviously not connected at the cuticle/base of her toe. What causes this? What do I need to do for her? Will it reattach?"
},
{
"from": "gpt",
"value": "Output: Hi, Thankyou for your query.First I would like to know that if she is having other problems also like joint pain, tiredness and weakness, recurrent fever or particular rashes and itching. As all of above-mentioned symptoms if associated with fall of toenails, it could be caused by an autoimmune disease.Otherwise it could be fungal infection or because of wearing tight shoes. Ofter falling of toenails, they will not reattach but develop newly slowly. Hopefully my answer is helpful. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | When Im constipated I finally have a hard bowel movement and I get a burning feeling in tip of penis. When Im done I look into the bowl and see white flakes in the water and sometimes inside my urethra. This is horribly uncomfortable. I also have problems maintaining an erection. Ive been to an urologist and he didnt do a darn thing to help me | Hello share your concern. White flakes in urine with burning sensation in tip of penis is suggestive of UTI (urinary tract infection)I would advise you for a battery of tests like urine culture and sensitivity and an ultrasound if need be to find out underlying causative microorganisms, you may require a course of antibiotics according to reports. Constipation can be treated with dietary modification like incorporation of lots of fresh fruits and vegetables or dietary fiber in your diet, avoidance of spicy and junk food. Laxative like lactulose or stool softeners like liquid paraffin can be tried in long-standing constipation. Hope I could answer your question. Best wishes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: When Im constipated I finally have a hard bowel movement and I get a burning feeling in tip of penis. When Im done I look into the bowl and see white flakes in the water and sometimes inside my urethra. This is horribly uncomfortable. I also have problems maintaining an erection. Ive been to an urologist and he didnt do a darn thing to help me"
},
{
"from": "gpt",
"value": "Output: Hello share your concern. White flakes in urine with burning sensation in tip of penis is suggestive of UTI (urinary tract infection)I would advise you for a battery of tests like urine culture and sensitivity and an ultrasound if need be to find out underlying causative microorganisms, you may require a course of antibiotics according to reports. Constipation can be treated with dietary modification like incorporation of lots of fresh fruits and vegetables or dietary fiber in your diet, avoidance of spicy and junk food. Laxative like lactulose or stool softeners like liquid paraffin can be tried in long-standing constipation. Hope I could answer your question. Best wishes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello I have been taking Celebrex for some time for arthritis pain. I have been fortunate to have avoided pain in my arms and shoulders until just recently. the pain will actually awaken me from a dead sleep. in my arms shoulders, wrist. I am sitting in my recliner awaiting my narcotic pain killer to start working so I can finish my nights sleep. and suggestions come to mind? | Hi, thank you for providing the brief history of you. As mentioned by you, about the sharp pain in the arms, shoulders and wrists, I will advise to undergo a complete neuromuscular assessment. Also, this sharp shooting pain can be due to the pathology of the nerve. And for which your or tho may advise you for an MRI, which will help understand the physiology of the soft tissues in the cervical spine. Post which with a combination of medicine and physical therapy, the symptoms will come into control, also, on a later stage, exercises will be taught to strengthen the muscles and avoid nerve impingement, which is common for this kind of sharp pain. Usually, patients recover with good health in 2-3 weeks, and later stages, exercises are followed at home. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello I have been taking Celebrex for some time for arthritis pain. I have been fortunate to have avoided pain in my arms and shoulders until just recently. the pain will actually awaken me from a dead sleep. in my arms shoulders, wrist. I am sitting in my recliner awaiting my narcotic pain killer to start working so I can finish my nights sleep. and suggestions come to mind?"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for providing the brief history of you. As mentioned by you, about the sharp pain in the arms, shoulders and wrists, I will advise to undergo a complete neuromuscular assessment. Also, this sharp shooting pain can be due to the pathology of the nerve. And for which your or tho may advise you for an MRI, which will help understand the physiology of the soft tissues in the cervical spine. Post which with a combination of medicine and physical therapy, the symptoms will come into control, also, on a later stage, exercises will be taught to strengthen the muscles and avoid nerve impingement, which is common for this kind of sharp pain. Usually, patients recover with good health in 2-3 weeks, and later stages, exercises are followed at home. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had part of my colon removed due to cancer just about a year ago and the doctors said they removed all the cancer and it had not gone out the intestine but the Mayo clinic where I had the surgery said to have this cea test every 3 months. Last test was 2.8 slowly been going up and I am worried. What are the next steps to take? | Hi, Thanks for writing in. Colon cancer is treated completely by surgery if detected in early stage. However, CEA is to be done regularly to know the progressive increase and possibility of a recurrence of the tumor. Colon cancer might cause liver spread and this also has to be looked for by doing an ultrasound scan and CT scan if required. It is important to discuss the rise on CEA with your doctor and then proceed with doing an ultrasound scan or CT scan and if there is a strong suspicion then a PET CT scan might be necessary. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had part of my colon removed due to cancer just about a year ago and the doctors said they removed all the cancer and it had not gone out the intestine but the Mayo clinic where I had the surgery said to have this cea test every 3 months. Last test was 2.8 slowly been going up and I am worried. What are the next steps to take?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Colon cancer is treated completely by surgery if detected in early stage. However, CEA is to be done regularly to know the progressive increase and possibility of a recurrence of the tumor. Colon cancer might cause liver spread and this also has to be looked for by doing an ultrasound scan and CT scan if required. It is important to discuss the rise on CEA with your doctor and then proceed with doing an ultrasound scan or CT scan and if there is a strong suspicion then a PET CT scan might be necessary. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have ebv (Epstein barr virus), low platelets, low vitamin d, very Nevada s joint pain, also including fatty liver disease, high bad cholesterol, slightly high glucose, my doctor is awful and said I m fine but I know I m not my sister has lupus my grandma has diabetes and we have severe tumors in our family including celiac disease please tell me what kind of doctor I should go see | Hi I did review your concern.ABV infection generally has no antibiotic or antiviral treatment. Rare cases have been treated with Riboviria but mostly nothing is required, and it will heal on its own. I would recommend you to consult an endocrinologist and start on diet and lifestyle modification as well as if needed to start on statin medications like atorvastatin for high bad cholesterol(mostly LDL). Fatty liver can be due to alcohol or due to high sugar and obesity and stopping alcohol as well as decreasing sugar and weight will help in reversing this condition. I hope this helps. Wish you all the best. Thank you for using Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have ebv (Epstein barr virus), low platelets, low vitamin d, very Nevada s joint pain, also including fatty liver disease, high bad cholesterol, slightly high glucose, my doctor is awful and said I m fine but I know I m not my sister has lupus my grandma has diabetes and we have severe tumors in our family including celiac disease please tell me what kind of doctor I should go see"
},
{
"from": "gpt",
"value": "Output: Hi I did review your concern.ABV infection generally has no antibiotic or antiviral treatment. Rare cases have been treated with Riboviria but mostly nothing is required, and it will heal on its own. I would recommend you to consult an endocrinologist and start on diet and lifestyle modification as well as if needed to start on statin medications like atorvastatin for high bad cholesterol(mostly LDL). Fatty liver can be due to alcohol or due to high sugar and obesity and stopping alcohol as well as decreasing sugar and weight will help in reversing this condition. I hope this helps. Wish you all the best. Thank you for using Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 20 yr. old son had a mri done with contrast. When I viewed a side view I noticed a black round spot on the back of his head above the brain stem. Can you give me any indication as to what this may show? It looks like there should be a noticeable lump protruding from the back of his head, although this is not the case. Any info would be appreciated. | Hello, The reporting of MRI involves viewing images acquired in various planes (vertical, horizontal etc.), with various settings (T1, T2 etc.). The appearance of same structure may vary greatly in different sequences (like white vs black). So it may be difficult to comment on the MRI from the description you have given. Consult your radiologist who has seen all the images. Also, the reason for which MRI was done will put things in perspective. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 20 yr. old son had a mri done with contrast. When I viewed a side view I noticed a black round spot on the back of his head above the brain stem. Can you give me any indication as to what this may show? It looks like there should be a noticeable lump protruding from the back of his head, although this is not the case. Any info would be appreciated."
},
{
"from": "gpt",
"value": "Output: Hello, The reporting of MRI involves viewing images acquired in various planes (vertical, horizontal etc.), with various settings (T1, T2 etc.). The appearance of same structure may vary greatly in different sequences (like white vs black). So it may be difficult to comment on the MRI from the description you have given. Consult your radiologist who has seen all the images. Also, the reason for which MRI was done will put things in perspective. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had my implanon removed over two weeks ago and have been actively trying to conceieve. I had it in for the full 3 years, with no periods, only spotting here and there. I now have a very light pink almost a discharge , but its not thick, very thin/lght. I took a pregnancy test 3-4 days ago and it said neg, which I wasn t really expecting anything yet. The discharge is not heavy enough for a tampon . a light panty liner does the trick. what could it be? I am 22y/o causcasion weigh 140 and 5 8 . Thanks, Erica | Hi thanks for the query. This discharge may be mid-cycle discharge or due to some infection. If you have itching, irritation or foul smelling discharge then chances of infection are more. In that situation, you should take antibiotic pessaries after proper prescription. I don't see any advantage of pregnancy test so early. Hope this information is helpful and informative to you. If you have further queries you can directly reach out to me on the following URL | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had my implanon removed over two weeks ago and have been actively trying to conceieve. I had it in for the full 3 years, with no periods, only spotting here and there. I now have a very light pink almost a discharge , but its not thick, very thin/lght. I took a pregnancy test 3-4 days ago and it said neg, which I wasn t really expecting anything yet. The discharge is not heavy enough for a tampon . a light panty liner does the trick. what could it be? I am 22y/o causcasion weigh 140 and 5 8 . Thanks, Erica"
},
{
"from": "gpt",
"value": "Output: Hi thanks for the query. This discharge may be mid-cycle discharge or due to some infection. If you have itching, irritation or foul smelling discharge then chances of infection are more. In that situation, you should take antibiotic pessaries after proper prescription. I don't see any advantage of pregnancy test so early. Hope this information is helpful and informative to you. If you have further queries you can directly reach out to me on the following URL"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor, This question is in relation to my mothers health. My mother is sixty three, she has been having hot flushes from the age of forty eight. At present they are unbearable , approx nine years ago she was dignosed with skin cancer on her nose, which was treated and cured. As a percaution the doctors did more tests and discovered she had breast cancer . She was very lucky it was got in the early stage, so the doctors operated, removed the lump and then recieved six weeks of radium treatment. Thankfully she has been clear since. At present the hot flushes are very frustrating for her | Hi!welcome to Chat Doctor! The severity and duration of hot flashes varies among women going through menopause. Some women have hot flashes for a very short time during menopause. Other women may have hot flashes at least to some degree for life. To prevent hot flashes, your mother should avoid these triggers | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor, This question is in relation to my mothers health. My mother is sixty three, she has been having hot flushes from the age of forty eight. At present they are unbearable , approx nine years ago she was dignosed with skin cancer on her nose, which was treated and cured. As a percaution the doctors did more tests and discovered she had breast cancer . She was very lucky it was got in the early stage, so the doctors operated, removed the lump and then recieved six weeks of radium treatment. Thankfully she has been clear since. At present the hot flushes are very frustrating for her"
},
{
"from": "gpt",
"value": "Output: Hi!welcome to Chat Doctor! The severity and duration of hot flashes varies among women going through menopause. Some women have hot flashes for a very short time during menopause. Other women may have hot flashes at least to some degree for life. To prevent hot flashes, your mother should avoid these triggers"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | When I lay down at night my feet twitch. Just one twitch about every 30 seconds or so. Both feet. I can feel something originating in my groin area then sorta shooting down to my foot and causing a twitch. It keeps me from falling asleep quickly and is not painful, just sooo annoying. It is starting to happen during the day now. | Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: When I lay down at night my feet twitch. Just one twitch about every 30 seconds or so. Both feet. I can feel something originating in my groin area then sorta shooting down to my foot and causing a twitch. It keeps me from falling asleep quickly and is not painful, just sooo annoying. It is starting to happen during the day now."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, My mom is 70 yrs old and Asthamatic and uses Budecort inhaler thrice daily for the past 6 months. She was prescribed Deriphyllin but gets discomfort and palpitations with it. After inhalation she feels better but complains of epigastric distention and would like to know what to do . She is breathless on walking only, not sitting or lying. Please help | Hi, Thanks for posting your query. Budecort contains budesonide, a steroid. Taking steroid 3 times in day for long time is not a recommended guideline. This is better option in acute exacerbation. She should take beta 2 agonists and anticholinergics by inhalation method. Deriphylline has side effects of palpitation and it's not a better option to take deriphylline. Any medicine taken orally is exposed to whole body while medicine taken by inhalation method is exposed to lungs only where the primary disease is existing. So you should go for inhalation therapy. Thanks, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, My mom is 70 yrs old and Asthamatic and uses Budecort inhaler thrice daily for the past 6 months. She was prescribed Deriphyllin but gets discomfort and palpitations with it. After inhalation she feels better but complains of epigastric distention and would like to know what to do . She is breathless on walking only, not sitting or lying. Please help"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for posting your query. Budecort contains budesonide, a steroid. Taking steroid 3 times in day for long time is not a recommended guideline. This is better option in acute exacerbation. She should take beta 2 agonists and anticholinergics by inhalation method. Deriphylline has side effects of palpitation and it's not a better option to take deriphylline. Any medicine taken orally is exposed to whole body while medicine taken by inhalation method is exposed to lungs only where the primary disease is existing. So you should go for inhalation therapy. Thanks,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have been diagnosed with osteitis pubis. i have had this condition for the last ten years and I dont find relief in anti inflammatory drugs neither do i like taking them. my worst pain comes on after i walk carry heavy stuff or push anything. i am looking for some pilates or yoga postures to correct my problem | **1. Since the case is diagnosed, and you are under supervision and management, thus prior to any holistic approach, consult an Orthopedic surgeon for relevant examination and investigation [since condition is 10 years old] to exclude osteomyelitis of pubis bone or related structures. [nerve injury/compression]2. Exercises for estates pubis rehabilitation concentrate on stretching and strengthening all affected areas, including the groin, lower back, hips and thighs. 3. Rehabilitation under the guidance of an experienced Physiotherapist is highly recommended. The return to normal activities/condition should be totally guided by their experience to avoid a future re-aggravation.PS. It may take the rehabilitation process in excess of 3 months.4. Some exercise recommended for estates pubis is/are | [
{
"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 osteitis pubis. i have had this condition for the last ten years and I dont find relief in anti inflammatory drugs neither do i like taking them. my worst pain comes on after i walk carry heavy stuff or push anything. i am looking for some pilates or yoga postures to correct my problem"
},
{
"from": "gpt",
"value": "Output: **1. Since the case is diagnosed, and you are under supervision and management, thus prior to any holistic approach, consult an Orthopedic surgeon for relevant examination and investigation [since condition is 10 years old] to exclude osteomyelitis of pubis bone or related structures. [nerve injury/compression]2. Exercises for estates pubis rehabilitation concentrate on stretching and strengthening all affected areas, including the groin, lower back, hips and thighs. 3. Rehabilitation under the guidance of an experienced Physiotherapist is highly recommended. The return to normal activities/condition should be totally guided by their experience to avoid a future re-aggravation.PS. It may take the rehabilitation process in excess of 3 months.4. Some exercise recommended for estates pubis is/are"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have sinus infections on and off, now I am having a post nasal drip, and very bad breath, the roof of my mouth is yellow and my throat has pink sores on it,my tongue is always white despite good oral hygiene, am using Listerine mouth wash but it does not help especially with the rotten meat breath, how do I stop it?I also have tonsil tones once in a while | Hello and Welcome to Chat Doctor, Thanks for writing to us. It can be caused by variety of things including diet, medication, poor oral hygiene, and diseases or conditions such as diabetes, HERD, lactose intolerance, gum disease, and more. Maintaining proper oral health can help reduce or eliminate bad breath. Brush at least twice a day with fluoride toothpaste, brush the teeth after meals, brush the tongue, replace your toothbrush every two to three months, use dental floss regularly, see your dentist at least twice a year. Hope this helps you. Wishing you good health... 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 sinus infections on and off, now I am having a post nasal drip, and very bad breath, the roof of my mouth is yellow and my throat has pink sores on it,my tongue is always white despite good oral hygiene, am using Listerine mouth wash but it does not help especially with the rotten meat breath, how do I stop it?I also have tonsil tones once in a while"
},
{
"from": "gpt",
"value": "Output: Hello and Welcome to Chat Doctor, Thanks for writing to us. It can be caused by variety of things including diet, medication, poor oral hygiene, and diseases or conditions such as diabetes, HERD, lactose intolerance, gum disease, and more. Maintaining proper oral health can help reduce or eliminate bad breath. Brush at least twice a day with fluoride toothpaste, brush the teeth after meals, brush the tongue, replace your toothbrush every two to three months, use dental floss regularly, see your dentist at least twice a year. Hope this helps you. Wishing you good health... Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was recently diagnosed with Type II Diabetes and idiopathic sclerosing mesenteritis. I am experiencing bouts of dull to severe left sided abd pain that is now being felt in my left mid-back. I have had a CT scan (2 wks ago) that says that the hazy area on my left side has worsened since the last CT scan (June 2014). I can tell that the physicians in my area are not familiar at all with the mesenteritis and really don t know how to treat me. My last HGBA1C was 6.1 and I am not on any insulin at this time as my blood sugars are always between 80-120, yet I feel a little funny after at least 1-2 small meals daily. I am becoming depressed, have lost over 50 lbs in 4 mths, and having a hard time understanding where to turn next. Is there an institute in the US that deals specifically with this type of diagnosis? | Hi. I have read and understood your query-very specific and neat. I would advise you to consult a Gastroenterologist, and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multidisciplinary problem, where super-specialists of many fields will be involved. Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes. Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries. Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications. Wishing you a proper diagnosis and treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was recently diagnosed with Type II Diabetes and idiopathic sclerosing mesenteritis. I am experiencing bouts of dull to severe left sided abd pain that is now being felt in my left mid-back. I have had a CT scan (2 wks ago) that says that the hazy area on my left side has worsened since the last CT scan (June 2014). I can tell that the physicians in my area are not familiar at all with the mesenteritis and really don t know how to treat me. My last HGBA1C was 6.1 and I am not on any insulin at this time as my blood sugars are always between 80-120, yet I feel a little funny after at least 1-2 small meals daily. I am becoming depressed, have lost over 50 lbs in 4 mths, and having a hard time understanding where to turn next. Is there an institute in the US that deals specifically with this type of diagnosis?"
},
{
"from": "gpt",
"value": "Output: Hi. I have read and understood your query-very specific and neat. I would advise you to consult a Gastroenterologist, and he may take a help of a Cardio-thoracic Surgeon. This is going to be a multidisciplinary problem, where super-specialists of many fields will be involved. Although your diabetes is under control and HbA1c is normal, such type of mesenteric arterial stenosis is caused as a long term bad-effect of diabetes. Fortunately with the advent of stents and a role of interventional Radiologists you can certainly get a relief after putting in a stent in the artery with an occlusion. It is similar to stent in the heart arteries. Go for further investigations and management, Keep the diabetes under control with proper diet, exercises and medicines to avoid further complications. Wishing you a proper diagnosis and treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor,I am looking for neurologist to treat my mother who is suffering from sever back pain and also neck pain. Her head/neck is shacking because of some reason. Can you please suggest me what would be the reason, and the treatment for my mother? | Hi, thank you for posting. I have gone through your query and I understand your concerns. Her symptoms are caused by neck arthritis. The compressed nerves by arthritis are causing the shake of the head. To treat arthritis your mother should take non-steroidal anti-inflammatory medications such as Meloxicam. Massage and chiropractic procedures can also help. Before starting the treatment your mother should confirm the diagnosis by getting the following tests done | [
{
"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 looking for neurologist to treat my mother who is suffering from sever back pain and also neck pain. Her head/neck is shacking because of some reason. Can you please suggest me what would be the reason, and the treatment for my mother?"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for posting. I have gone through your query and I understand your concerns. Her symptoms are caused by neck arthritis. The compressed nerves by arthritis are causing the shake of the head. To treat arthritis your mother should take non-steroidal anti-inflammatory medications such as Meloxicam. Massage and chiropractic procedures can also help. Before starting the treatment your mother should confirm the diagnosis by getting the following tests done"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have post polio. I recently completed ( 4 weeks ago) 192 hours of chemotherapy and 25 rounds of radiation. I am having a very difficult time bouncing back. Oncologist tells me the chemo is still working (my hair is still falling out but I am not getting my energy back. Could the post polio have something to do with this since i have a very high sensitivity to all drugs. | Hi, Thanks for writing in. Polio is a sequela of post infection paralysis to muscles of a limb. This is not related to chemotherapy or its outcome. The recovery after chemotherapy remains unaffected irrespective of whether a patient had polio. The polio is an irreversible paralysis due to an infection which you probably had during childhood. The manifestations of polio will no longer matter in the present scenario. Since you have weakness of muscles from before due to polio therefore it might take a little longer to get yourself in to normal physical work. This is not due to the effect of polio but a generalized reduced ability to adapt yourself for normal regular daily activities. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have post polio. I recently completed ( 4 weeks ago) 192 hours of chemotherapy and 25 rounds of radiation. I am having a very difficult time bouncing back. Oncologist tells me the chemo is still working (my hair is still falling out but I am not getting my energy back. Could the post polio have something to do with this since i have a very high sensitivity to all drugs."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Polio is a sequela of post infection paralysis to muscles of a limb. This is not related to chemotherapy or its outcome. The recovery after chemotherapy remains unaffected irrespective of whether a patient had polio. The polio is an irreversible paralysis due to an infection which you probably had during childhood. The manifestations of polio will no longer matter in the present scenario. Since you have weakness of muscles from before due to polio therefore it might take a little longer to get yourself in to normal physical work. This is not due to the effect of polio but a generalized reduced ability to adapt yourself for normal regular daily activities. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | stomach pain, back pain. i got my first depo provera birthcontrol shot in june22,2011 a week after receiving the shot. i started to have stomach pains and back pains. its now october 21,2011 and its gotten worse my obgyn gave me antibiotics. and not happened. i dont know what too do its getting worse everyday. i can barley get to sleep. | I have gone through your question and appreciate Your concern. First don't neglect your health. Consult orthopedic spine specialist And Get examined if required MRI of spine Should be done to rule out any pathology. For pain in abdomen do USG of abdomen. General measures which will help u avoid bending forward and lifting heavy Weights. Hot fomentation thrice a day. Local Analgesic gel for local application Muscle relaxants and analgesics will help you. After relief of pain muscle Strengthening exercises Will help u strengthen your back muscles. Bed rest and lie on hard bed. Thanks U can write me back for any query. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: stomach pain, back pain. i got my first depo provera birthcontrol shot in june22,2011 a week after receiving the shot. i started to have stomach pains and back pains. its now october 21,2011 and its gotten worse my obgyn gave me antibiotics. and not happened. i dont know what too do its getting worse everyday. i can barley get to sleep."
},
{
"from": "gpt",
"value": "Output: I have gone through your question and appreciate Your concern. First don't neglect your health. Consult orthopedic spine specialist And Get examined if required MRI of spine Should be done to rule out any pathology. For pain in abdomen do USG of abdomen. General measures which will help u avoid bending forward and lifting heavy Weights. Hot fomentation thrice a day. Local Analgesic gel for local application Muscle relaxants and analgesics will help you. After relief of pain muscle Strengthening exercises Will help u strengthen your back muscles. Bed rest and lie on hard bed. Thanks U can write me back for any query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sure i woke up with my back sore then i got a sinus pain on my right side of face my arms started to hurt bad then my spine hurt then i started body aches , drank water then sat down felt like pressure around back and front abdomen felt like my muscles were like milky | Hi, As there might be not any generalized symptoms of weakness unless there is a viral infection. You can try taking the paracetamol, for now, to see if any ease is happening. Because most times with just paracetamol there will be ease to the symptoms. In case there are no changes in the symptoms then we need to assess you on a clinical basis and some blood tests to be done to check out any particular pathology. 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: sure i woke up with my back sore then i got a sinus pain on my right side of face my arms started to hurt bad then my spine hurt then i started body aches , drank water then sat down felt like pressure around back and front abdomen felt like my muscles were like milky"
},
{
"from": "gpt",
"value": "Output: Hi, As there might be not any generalized symptoms of weakness unless there is a viral infection. You can try taking the paracetamol, for now, to see if any ease is happening. Because most times with just paracetamol there will be ease to the symptoms. In case there are no changes in the symptoms then we need to assess you on a clinical basis and some blood tests to be done to check out any particular pathology. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sis my husband is suffering from fever since 4 months all the tests have been done but all results are negative doctor says .. it must be fungal infection ..n started medice called vericornazole n he took it for 45 days but no results.. still he is suffering from fever.. what should i do.. ples. advice | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your husband have persistent fever since last 4 months which could be due to viral/ bacterial infection of body. I would suggest you nothing to worry about it. You should take NSAID medication along with antibiotic such as Levofloxacin. You should take plenty of fluids. Furthermore, you should take soft and bland food. Furthermore, you should take fresh juices in diet. Visit general physician once and get it examined. Go for blood tests as well. Start treatment after prescription. You should take proper rest. 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: sis my husband is suffering from fever since 4 months all the tests have been done but all results are negative doctor says .. it must be fungal infection ..n started medice called vericornazole n he took it for 45 days but no results.. still he is suffering from fever.. what should i do.. ples. advice"
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your husband have persistent fever since last 4 months which could be due to viral/ bacterial infection of body. I would suggest you nothing to worry about it. You should take NSAID medication along with antibiotic such as Levofloxacin. You should take plenty of fluids. Furthermore, you should take soft and bland food. Furthermore, you should take fresh juices in diet. Visit general physician once and get it examined. Go for blood tests as well. Start treatment after prescription. You should take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have felt my pulse in my head, primarily on the left side for three weeks. Not only can I feel it, I can hear it. It is so loud that it s hard to concentrate on other things. It doesn t hurt like a headache. I have also had a drastic change in my vision in the past two months. I am able to sleep at night, but as soon as I wake up, the first thing I am cognizant of is the pulsating in my head. It is getting worse instead of better. I have a history of having had a meningioma on the left cerebella lobe peripheral, 2004. I fear this could be a sign of another brain tumor. Are there other things that could cause these symptoms? | Hi, I had gone through your question and understand your concerns. Your symptom leads more towards vascular malformation of the brain (probably rural arteriovenous fistula) so I suggest you to consult a Neurologist and discus possibility of imaging study of cerebral vascular structure with MRA or DSA. Treatment depends on these imaging studies findings. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I have felt my pulse in my head, primarily on the left side for three weeks. Not only can I feel it, I can hear it. It is so loud that it s hard to concentrate on other things. It doesn t hurt like a headache. I have also had a drastic change in my vision in the past two months. I am able to sleep at night, but as soon as I wake up, the first thing I am cognizant of is the pulsating in my head. It is getting worse instead of better. I have a history of having had a meningioma on the left cerebella lobe peripheral, 2004. I fear this could be a sign of another brain tumor. Are there other things that could cause these symptoms?"
},
{
"from": "gpt",
"value": "Output: Hi, I had gone through your question and understand your concerns. Your symptom leads more towards vascular malformation of the brain (probably rural arteriovenous fistula) so I suggest you to consult a Neurologist and discus possibility of imaging study of cerebral vascular structure with MRA or DSA. Treatment depends on these imaging studies findings. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has constant pain in his hands as well as finger joint pain. We are trying to figure out what could be causing it. It happens multiple times per week. Tests have shown no arthritis upon blood work. No change after stopping pravastatin for two weeks. | Hello, Is the pain he feels radiating, tingling, numbing? Is your husband diabetic or have any signs of high blood pressure? What is his job profile? Is he having job-related to more usage of wrist and finger? If the RA factor has turned negative in the reports that it is a big relief that one of the differential diagnosis has turned out negative. What is my provisional impression to the history is there can be two possible factors which need a thorough examination. One either this could be a repetitive stress injury or two it could be nerve entrapment. But as I said this is just my provisional impression and without having a thorough examination of the job profile and more details about the history I cannot conclude it which can make you panic. What I would suggest it please check these two things online or consult a doctor and see if either of one fits into the category if not then we have to re-examine the history and restart the process of diagnosis. On time being with related to treatment part, I would say try dipping hand in hot water and do wrist and finger movements. You can even use a sponge ball inside the hot water and perform squeezing activity. This should help to a good extent to control the pain symptoms until we come to a precise diagnosis. 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: My husband has constant pain in his hands as well as finger joint pain. We are trying to figure out what could be causing it. It happens multiple times per week. Tests have shown no arthritis upon blood work. No change after stopping pravastatin for two weeks."
},
{
"from": "gpt",
"value": "Output: Hello, Is the pain he feels radiating, tingling, numbing? Is your husband diabetic or have any signs of high blood pressure? What is his job profile? Is he having job-related to more usage of wrist and finger? If the RA factor has turned negative in the reports that it is a big relief that one of the differential diagnosis has turned out negative. What is my provisional impression to the history is there can be two possible factors which need a thorough examination. One either this could be a repetitive stress injury or two it could be nerve entrapment. But as I said this is just my provisional impression and without having a thorough examination of the job profile and more details about the history I cannot conclude it which can make you panic. What I would suggest it please check these two things online or consult a doctor and see if either of one fits into the category if not then we have to re-examine the history and restart the process of diagnosis. On time being with related to treatment part, I would say try dipping hand in hot water and do wrist and finger movements. You can even use a sponge ball inside the hot water and perform squeezing activity. This should help to a good extent to control the pain symptoms until we come to a precise diagnosis. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, the other day I noticed that I have a lump on my anus. It is about the size of a pea and the same color as the rest of my anus. It doesn t really cause me any pain when sitting or pooping but it is rather alarming. It s not really hard but it isn t really soft either. | Hi, Dear,Good Early Morning, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your lump in the knee-is as follows--Could be-External Piles without pains and soft lump.Don't worry, it could be treated by -a-Anal Dilation conservatively, b-Or By Excision and Ligation of the External Piles with High ligation if the Internal Piles associates with it. It could be treated at the best hands from ER Surgeon. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, Chat Doctor. N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, the other day I noticed that I have a lump on my anus. It is about the size of a pea and the same color as the rest of my anus. It doesn t really cause me any pain when sitting or pooping but it is rather alarming. It s not really hard but it isn t really soft either."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Good Early Morning, and Thanks for the query to Chat Doctor. I studied your query in details and understood your concerns.@My impression of your lump in the knee-is as follows--Could be-External Piles without pains and soft lump.Don't worry, it could be treated by -a-Anal Dilation conservatively, b-Or By Excision and Ligation of the External Piles with High ligation if the Internal Piles associates with it. It could be treated at the best hands from ER Surgeon. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at Chat Doctor clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, Chat Doctor. N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having some chest pain which i never experienced before. I am now at the highest weight i have ever been in my life. Almost 200. I also am very inactive. I have asthma. I started drinking seltzer last night. I dont know what this could be, the pain i mean... because I have asthma for all my life... but am super inactive now and at my highest weight. THis has never happened. IDK what it could be if i should consider it something serious. But I want to check and not be stupid and end up in bad condition without paying attention to symptoms if this could potentially be bad. thank you for your help. i would appreciate some insight. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In obese patient, for chest pain, we need to first rule out cardiac cause (coronary artery blockage). So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Your symptoms can be due to worsening of underlying asthma. So get done PFT (pulmonary function test) to rule out this and start treatment accordingly. I also advice you to get done lipid profile and if you have high cholesterol and triglycerides than start lipid lowering 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 having some chest pain which i never experienced before. I am now at the highest weight i have ever been in my life. Almost 200. I also am very inactive. I have asthma. I started drinking seltzer last night. I dont know what this could be, the pain i mean... because I have asthma for all my life... but am super inactive now and at my highest weight. THis has never happened. IDK what it could be if i should consider it something serious. But I want to check and not be stupid and end up in bad condition without paying attention to symptoms if this could potentially be bad. thank you for your help. i would appreciate some insight."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your situation and problem. In obese patient, for chest pain, we need to first rule out cardiac cause (coronary artery blockage). So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Your symptoms can be due to worsening of underlying asthma. So get done PFT (pulmonary function test) to rule out this and start treatment accordingly. I also advice you to get done lipid profile and if you have high cholesterol and triglycerides than start lipid lowering Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir, I was in AC for a week and got affected by sore throat and short ness of breath , went test for asthama and COPD along with allergy test with ECG . But my test report are positive Dr. Dr Advice me to take Romilast fx n now its almost 3 weeks over ..though reduced however some time shortness of breath make me sick .Pl advice | Thanks for your question on Chat Doctor. I can understand your concern. Viral respiratory tract infections are very common in Air conditioned spaces. Such viral infection can cause bronchitis. Best treatment for bronchitis is inhaled bronchodilators (formoterol or albuterol). Since you are not taking these inhaled Chat Doctor. So start inhaled bronchodilators and inhaled corticosteroid (ICS) (budesonide or fluticasone) after consulting your doctor.Don't worry, you will be alright after starting these | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, I was in AC for a week and got affected by sore throat and short ness of breath , went test for asthama and COPD along with allergy test with ECG . But my test report are positive Dr. Dr Advice me to take Romilast fx n now its almost 3 weeks over ..though reduced however some time shortness of breath make me sick .Pl advice"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Viral respiratory tract infections are very common in Air conditioned spaces. Such viral infection can cause bronchitis. Best treatment for bronchitis is inhaled bronchodilators (formoterol or albuterol). Since you are not taking these inhaled Chat Doctor. So start inhaled bronchodilators and inhaled corticosteroid (ICS) (budesonide or fluticasone) after consulting your doctor.Don't worry, you will be alright after starting these"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my 16 yr old daughter, otherwise healthy, experienced a sharp pain when she dove into the pool last night for swim practice. she says lower lung area. today it hurts when she drinks/swallows and pain is still there. she has a cough, but could be unrelated | Thanks for your question on Chat Doctor. In my opinion she should get done chest x-ray to rule out lung infection. Because swimming can cause aspiration of some water in lungs and this can lead to infection. Her symptoms like pain on coughing and swallowing can be due to infection. So we should first rule out lung infection. So get done chest x-ray. If chest x-ray is normal than no need to worry much. This can be due to muscle pull because of swimming. So ask her to avoid heavyweight lifting, strenuous exercise. Take Pain killer and muscle relaxant. Apply warm water pad on affected site. No need to worry, she will be alright. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 16 yr old daughter, otherwise healthy, experienced a sharp pain when she dove into the pool last night for swim practice. she says lower lung area. today it hurts when she drinks/swallows and pain is still there. she has a cough, but could be unrelated"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. In my opinion she should get done chest x-ray to rule out lung infection. Because swimming can cause aspiration of some water in lungs and this can lead to infection. Her symptoms like pain on coughing and swallowing can be due to infection. So we should first rule out lung infection. So get done chest x-ray. If chest x-ray is normal than no need to worry much. This can be due to muscle pull because of swimming. So ask her to avoid heavyweight lifting, strenuous exercise. Take Pain killer and muscle relaxant. Apply warm water pad on affected site. No need to worry, she will be alright."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a bulging disc and have had it for eight months, it is on the L4 L5 and also have a slipped spine on the L4, the doc will be doing surgery to get the L4 nerve out of the way since it is being compressed between bone and the disc. This is on my left side and have noticed since this happen that on the same side below my shin there appears to be a dent that goes across the bone. it is quite significant and I did not mention this to him.....should I be concerned? | Hi, Thanks for your query. You are having degenerative disease with L4 disc prolapse. If you are having tingling and numbness or weakness of legs, then you may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over your nerves. Along with that conservative measures are a must | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a bulging disc and have had it for eight months, it is on the L4 L5 and also have a slipped spine on the L4, the doc will be doing surgery to get the L4 nerve out of the way since it is being compressed between bone and the disc. This is on my left side and have noticed since this happen that on the same side below my shin there appears to be a dent that goes across the bone. it is quite significant and I did not mention this to him.....should I be concerned?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. You are having degenerative disease with L4 disc prolapse. If you are having tingling and numbness or weakness of legs, then you may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over your nerves. Along with that conservative measures are a must"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | For the last week I ve had quick sharp pains in my left calf then moved to my left hip then to my left breast and now to my left top row of teeth... With a headache. Its so weird to me that its all on my left side. I am female 47 years of age and I was diagnosed with fibromyalgia 2 years ago. Could tha be the cause of all these weird pains within a week? | Hi, thank-you for providing the brief history of you. As you been diagnosed with fibromyalgia, this condition called fibromyalgia is an inflammation of the fibers of the muscles. The muscle is composed of numerous muscle fibers and inflammation there leads to pain. Due to inflammation of the muscle fibers there is slowing of the metabolism and also excess production of lactic acid.Also, the sharp pain in hip and calf can be related to the pinched nerve in the lumbar spine as the para spinal muscles must have got weaker. Also, taking physical therapy - Therapeutic ultrasound therapy and TENS therapy should help reduce pain. But the important role will be played by the exercise as to strengthen the muscle and improve the output of the muscles. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: For the last week I ve had quick sharp pains in my left calf then moved to my left hip then to my left breast and now to my left top row of teeth... With a headache. Its so weird to me that its all on my left side. I am female 47 years of age and I was diagnosed with fibromyalgia 2 years ago. Could tha be the cause of all these weird pains within a week?"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of you. As you been diagnosed with fibromyalgia, this condition called fibromyalgia is an inflammation of the fibers of the muscles. The muscle is composed of numerous muscle fibers and inflammation there leads to pain. Due to inflammation of the muscle fibers there is slowing of the metabolism and also excess production of lactic acid.Also, the sharp pain in hip and calf can be related to the pinched nerve in the lumbar spine as the para spinal muscles must have got weaker. Also, taking physical therapy - Therapeutic ultrasound therapy and TENS therapy should help reduce pain. But the important role will be played by the exercise as to strengthen the muscle and improve the output of the muscles. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...my 4 year old has a rash up her one arm and a small patch on her back (bottom of neck) it is red a little bumpy with a tiny black looking center. in the morning it was not there at all and by bedtime i seen it. she does not have a fever and the rash is not itchy. | Hi... Thank you for consulting in Chat Doctor. 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. Regards - | [
{
"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...my 4 year old has a rash up her one arm and a small patch on her back (bottom of neck) it is red a little bumpy with a tiny black looking center. in the morning it was not there at all and by bedtime i seen it. she does not have a fever and the rash is not itchy."
},
{
"from": "gpt",
"value": "Output: Hi... Thank you for consulting in Chat Doctor. 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. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello doctor,I am 30 years old.My serum triglycerides is 527mg/dl.serum cholesterol is 182mg/dl,ldlis 100 and hdl is 28.as i know my serum triglycerides is very high.how much harmful it is for my health?Plz suggest me what i have to do to make it normal. | Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. It is harmful but not acutely, since it will increase risk of cardiovascular diseases. It should be treated with dietary changes and medications for lipid lowering. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. | [
{
"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.My serum triglycerides is 527mg/dl.serum cholesterol is 182mg/dl,ldlis 100 and hdl is 28.as i know my serum triglycerides is very high.how much harmful it is for my health?Plz suggest me what i have to do to make it normal."
},
{
"from": "gpt",
"value": "Output: Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. It is harmful but not acutely, since it will increase risk of cardiovascular diseases. It should be treated with dietary changes and medications for lipid lowering. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I m on birth control and I had unprotected sex two days ago. I have missed one (two at the most) days, but remembered immediately and took it. The pill I am on allows you to do this and take your next pill as you normally would without having to use backup birth control. I am now having a brown discharge and would like to know what you think this means and if I should take the morning after pill. Thanks. | Hello, and I hope I can help you today. You were completely correct in following the proper instructions for what to do when you forget to take your pill. If you miss one pill but take it within 24 hours of when you forgot it, the effectiveness of the pill is not reduced, and you still rely on it as primary contraception. However, one of the side effects of taking the pill at irregular intervals is having spotting when you are not supposed to have your period. The brown discharge you see is actually very light bleeding and will usually stop within a few days after you take your pill at the same time every day. There are apps you can download (if you have a smartphone) or email programs on the internet that will send you a reminder to take your pill every day. Or a good low-tech method to help you remember is to coordinate taking your pill with something you do around the same time every day (like brushing your teeth) so you get into a daily habit. I hope I adequately answered your question and that this information was reassuring. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I m on birth control and I had unprotected sex two days ago. I have missed one (two at the most) days, but remembered immediately and took it. The pill I am on allows you to do this and take your next pill as you normally would without having to use backup birth control. I am now having a brown discharge and would like to know what you think this means and if I should take the morning after pill. Thanks."
},
{
"from": "gpt",
"value": "Output: Hello, and I hope I can help you today. You were completely correct in following the proper instructions for what to do when you forget to take your pill. If you miss one pill but take it within 24 hours of when you forgot it, the effectiveness of the pill is not reduced, and you still rely on it as primary contraception. However, one of the side effects of taking the pill at irregular intervals is having spotting when you are not supposed to have your period. The brown discharge you see is actually very light bleeding and will usually stop within a few days after you take your pill at the same time every day. There are apps you can download (if you have a smartphone) or email programs on the internet that will send you a reminder to take your pill every day. Or a good low-tech method to help you remember is to coordinate taking your pill with something you do around the same time every day (like brushing your teeth) so you get into a daily habit. I hope I adequately answered your question and that this information was reassuring. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a mild pcod I am planning for a baby for last one yr but I consult my gyno 2 months back then I come to know abt this .I am taking chrominac a ..should I able to conceive or not .my age is 32 I have a 5 yr old daughter that time I concevie naturally.. | Hello dairy understand your concerned have mild PCs and pregnancy is possible after taking proper treatment. I would suggest taking treatment under the advice of the gynecologist. You can continue chroming as it decrease the insulin resistance. Along with that you can also ask the doctor | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a mild pcod I am planning for a baby for last one yr but I consult my gyno 2 months back then I come to know abt this .I am taking chrominac a ..should I able to conceive or not .my age is 32 I have a 5 yr old daughter that time I concevie naturally.."
},
{
"from": "gpt",
"value": "Output: Hello dairy understand your concerned have mild PCs and pregnancy is possible after taking proper treatment. I would suggest taking treatment under the advice of the gynecologist. You can continue chroming as it decrease the insulin resistance. Along with that you can also ask the doctor"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | CT Scan shows a 12 mm cyst in the lower pole of the left Kidney also a 1.6 cm hypodense mass in the left adrenal gland as well a prominent extrarenal right renal pelvis is present. I have sarcoidosis in my lymph glands and my lungs . Are these cysts a concern or should I put it down to my sarcoidosis and just forget I have them? | Hi, Thanks for writing in. A 12 mm cyst in lower pole of left kidney is not a concern. However, you might get it followed up after 6 months by ultrasound scans to know any change in size and appearance. Cysts less than 30 mm are not of much importance. If you are above 60 years of age then an occasional cyst is an expected finding in the kidneys. The 16 mm hypodense area in the left a Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: CT Scan shows a 12 mm cyst in the lower pole of the left Kidney also a 1.6 cm hypodense mass in the left adrenal gland as well a prominent extrarenal right renal pelvis is present. I have sarcoidosis in my lymph glands and my lungs . Are these cysts a concern or should I put it down to my sarcoidosis and just forget I have them?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. A 12 mm cyst in lower pole of left kidney is not a concern. However, you might get it followed up after 6 months by ultrasound scans to know any change in size and appearance. Cysts less than 30 mm are not of much importance. If you are above 60 years of age then an occasional cyst is an expected finding in the kidneys. The 16 mm hypodense area in the left a Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife was hospitalized for 3 days for dengue (Rash all over and joint aches but no fever) She tested positive in IGM and negative in IGG & Antigen. She was discharged 1 week back. Day by day her joint aches have returned and she particularly finds the ache in the bone leading from neck to mid chest (ribs?) unbearable. The doctor has prescribed Ultracet for aches today (twice a day) but she has no relief. Can you suggest an alternative? | Hi, Welcome to Chat Doctor. If she tested positive for IGM, it is acute infection of Dengue. Dengue is a viral infection caused by mosquito bite and is characterized by headache, fever, rash and joint pains. The joint pains will take some time to reduce at least 3-4 weeks. Attract is good enough for the pain. She can take the medications three times daily instead of twice a day. Adequate rest and local application of analgesic gel would help to some extent. Wishing her a speedy recovery. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife was hospitalized for 3 days for dengue (Rash all over and joint aches but no fever) She tested positive in IGM and negative in IGG & Antigen. She was discharged 1 week back. Day by day her joint aches have returned and she particularly finds the ache in the bone leading from neck to mid chest (ribs?) unbearable. The doctor has prescribed Ultracet for aches today (twice a day) but she has no relief. Can you suggest an alternative?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. If she tested positive for IGM, it is acute infection of Dengue. Dengue is a viral infection caused by mosquito bite and is characterized by headache, fever, rash and joint pains. The joint pains will take some time to reduce at least 3-4 weeks. Attract is good enough for the pain. She can take the medications three times daily instead of twice a day. Adequate rest and local application of analgesic gel would help to some extent. Wishing her a speedy recovery. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi for a few weeks now I have been feeling heart palpitations they are so strong at times it feels.like my heart is going to stop ...I was admitted to a phsych hospital because my anxiety and depression was bad after being in ers so often they diagnosed it with anxiety related because my EKG came back normal also xrays I dont know what to do backside my anxiety medications arent working I have to my psychiatrist that.klonopin,has worked in the past but she isnt allowed to prescribe narcotics there and I also dont wanna keep pushing and look like a drug seeker please help | Dear NilsaYou seem to know a lot but not about your body and its functions know what is palpitation and don't know why it is coming. Palpitation, sweating, trembling, goose bumps etc. are symptoms related to fear. They come when a Chat Doctor. Normal procedure when human beings fear. Understand the body mechanism logically, and you can win over anxiety. Again health conscious people have this kind of problem. Immediately consult a qualified counselor (not psychiatrist)Wish you good future. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi for a few weeks now I have been feeling heart palpitations they are so strong at times it feels.like my heart is going to stop ...I was admitted to a phsych hospital because my anxiety and depression was bad after being in ers so often they diagnosed it with anxiety related because my EKG came back normal also xrays I dont know what to do backside my anxiety medications arent working I have to my psychiatrist that.klonopin,has worked in the past but she isnt allowed to prescribe narcotics there and I also dont wanna keep pushing and look like a drug seeker please help"
},
{
"from": "gpt",
"value": "Output: Dear NilsaYou seem to know a lot but not about your body and its functions know what is palpitation and don't know why it is coming. Palpitation, sweating, trembling, goose bumps etc. are symptoms related to fear. They come when a Chat Doctor. Normal procedure when human beings fear. Understand the body mechanism logically, and you can win over anxiety. Again health conscious people have this kind of problem. Immediately consult a qualified counselor (not psychiatrist)Wish you good future."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My Dr has suggested that I have narcolepsy and is suggesting medication. I am 68 years old and had a heart attack when I was 57. My blood pressure and colestrol are being controlled by medication. Is it safe for my heart to take medication for narcolepsy? | If you truly have narcolepsy then, a sleep study which includes what is called a MSLT will give you the answer and would be a much better thing to do in order to verify the diagnosis rather than blindly taking medication that can affect the heart and also has other side effects that I'm sure you'd rather NOT have. If you would like a more comprehensive consultation please write me at | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My Dr has suggested that I have narcolepsy and is suggesting medication. I am 68 years old and had a heart attack when I was 57. My blood pressure and colestrol are being controlled by medication. Is it safe for my heart to take medication for narcolepsy?"
},
{
"from": "gpt",
"value": "Output: If you truly have narcolepsy then, a sleep study which includes what is called a MSLT will give you the answer and would be a much better thing to do in order to verify the diagnosis rather than blindly taking medication that can affect the heart and also has other side effects that I'm sure you'd rather NOT have. If you would like a more comprehensive consultation please write me at"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | which is good for me. i want preg as soon as possible 29yrs,pcod,irregular periods, taken three month course for pcod after that two months past doctor take USG but not found any major follicle in this. now she recommened another three month course with duloute -L and ebexid. what would you suggest? another doctor recommend ovulation induction drug i.e some clomipine type.?IS this safe for me i am confused .which doctor i had to follow? i want preg soon. if i choose induction drug method Is it solve my problem .otherwise one more month would be wasted.and then i have to follow three month course. | Hello Kyoto;welcome to Chat Doctor Duolute-L is a hormonal pill and is given to you to make your periods regular and treat POD.POD is one of the cause of infertility because most of the time the ovulation is absent or does not take place and in such cases the doctor advises camphene to induce ovulation. So if your POD is treated and your periods have become regular then you can take camphene for induction of ovulation. So finish your course of Duo lute and discuss with your doctor regarding the use of camphene and take it under the guidance of your doctor. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: which is good for me. i want preg as soon as possible 29yrs,pcod,irregular periods, taken three month course for pcod after that two months past doctor take USG but not found any major follicle in this. now she recommened another three month course with duloute -L and ebexid. what would you suggest? another doctor recommend ovulation induction drug i.e some clomipine type.?IS this safe for me i am confused .which doctor i had to follow? i want preg soon. if i choose induction drug method Is it solve my problem .otherwise one more month would be wasted.and then i have to follow three month course."
},
{
"from": "gpt",
"value": "Output: Hello Kyoto;welcome to Chat Doctor Duolute-L is a hormonal pill and is given to you to make your periods regular and treat POD.POD is one of the cause of infertility because most of the time the ovulation is absent or does not take place and in such cases the doctor advises camphene to induce ovulation. So if your POD is treated and your periods have become regular then you can take camphene for induction of ovulation. So finish your course of Duo lute and discuss with your doctor regarding the use of camphene and take it under the guidance of your doctor. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have been having kind of a tingling feeling in my left arm and leg through to my toes lately. And today my jaw started to feel kind of funny. I have relapse remitting MS and have been told its normal with the tingling. But my 42 yr old boyfriend had a heart attach this past Sunday | Hi, This left arm pain and tingling may be a part of multiple sclerosis or cervical spondylosis with radiculopathy or myocardial infarction etc. Until examination is done it is difficult to say what it is. use tablet Pregabalin once daily for five days. Use tablet Methylcobalamine once a day for five days. If symptoms not improved please consult your Cardiologist/ neurophysician they will examine and treat you accordingly. 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: Hello, I have been having kind of a tingling feeling in my left arm and leg through to my toes lately. And today my jaw started to feel kind of funny. I have relapse remitting MS and have been told its normal with the tingling. But my 42 yr old boyfriend had a heart attach this past Sunday"
},
{
"from": "gpt",
"value": "Output: Hi, This left arm pain and tingling may be a part of multiple sclerosis or cervical spondylosis with radiculopathy or myocardial infarction etc. Until examination is done it is difficult to say what it is. use tablet Pregabalin once daily for five days. Use tablet Methylcobalamine once a day for five days. If symptoms not improved please consult your Cardiologist/ neurophysician they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I stubbed my smallest toe 9 days ago, iced it pretty quickly and the initial swelling and bruising subsided but cannot wear any shoes,or put any significant weight on the foot.it swells after a days activities(I have to be up and about)and still hurts. I m not totally convinced the toe is broken but good grief, I m ready for this be over. Am I just being impatient and how long does it take to resolve. I m wearing sandals in cold weather! Sorry this seems so benign but it s really incapacitating. By the way, my knee (on the same leg)is now killing me.Im hoping there s no connection. Thanks so much. | Hi, As per the complaint, knee pain can occur due to causes like overexertion, aging while can also be due to certain disorders like anterior cruciate ligament injury, torn meniscus, knee bursitis, tendinitis, arthritis, gout, infections, etc. I would suggest you consult an orthopedic and get evaluated and a thorough clinical evaluation and investigations like X-ray, MRI scan, blood test etc., can be done to rule out the exact cause of the pain and treatment can be done accordingly. As of now, you can take an anti-inflammatory painkiller like Ibuprofen, muscle relaxant like Chlorzoxazone, apply an analgesic gel over the knees and put knee braces. Limit exertion as it can add up to pain. 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 stubbed my smallest toe 9 days ago, iced it pretty quickly and the initial swelling and bruising subsided but cannot wear any shoes,or put any significant weight on the foot.it swells after a days activities(I have to be up and about)and still hurts. I m not totally convinced the toe is broken but good grief, I m ready for this be over. Am I just being impatient and how long does it take to resolve. I m wearing sandals in cold weather! Sorry this seems so benign but it s really incapacitating. By the way, my knee (on the same leg)is now killing me.Im hoping there s no connection. Thanks so much."
},
{
"from": "gpt",
"value": "Output: Hi, As per the complaint, knee pain can occur due to causes like overexertion, aging while can also be due to certain disorders like anterior cruciate ligament injury, torn meniscus, knee bursitis, tendinitis, arthritis, gout, infections, etc. I would suggest you consult an orthopedic and get evaluated and a thorough clinical evaluation and investigations like X-ray, MRI scan, blood test etc., can be done to rule out the exact cause of the pain and treatment can be done accordingly. As of now, you can take an anti-inflammatory painkiller like Ibuprofen, muscle relaxant like Chlorzoxazone, apply an analgesic gel over the knees and put knee braces. Limit exertion as it can add up to pain. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor, since 6 yrs i am taking different types of medicines for pcod,now i have been prescribed for rejumet as i am now overweight even i am trying to get conceive for the past 4yrs but i am failure.is there any way to overcome with all this problem? | Hi, PCOD is very complex disease and sometime difficult to manage. Treatment response is variable. Treatment should be taken under experienced gynecologist after USG scan, ovarian follicle study and reproductive hormone analysis. If your period will not regular then Chat Doctor. One your period will become regular then you use following treatment to attain pregnancy | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor, since 6 yrs i am taking different types of medicines for pcod,now i have been prescribed for rejumet as i am now overweight even i am trying to get conceive for the past 4yrs but i am failure.is there any way to overcome with all this problem?"
},
{
"from": "gpt",
"value": "Output: Hi, PCOD is very complex disease and sometime difficult to manage. Treatment response is variable. Treatment should be taken under experienced gynecologist after USG scan, ovarian follicle study and reproductive hormone analysis. If your period will not regular then Chat Doctor. One your period will become regular then you use following treatment to attain pregnancy"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Dr. Mintz! I just want to ask what is the connection of Hepatitis B to Fatty Liver? My cousin has a fatty liver and was surprised when her Sgpt and Sgot count did not lower after a month of medication. She is now starting another month of medication with stronger doses of medicine as advised by her physician. Can you please help us find out the cause and possible solution for her problem..? | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Hepatitis B do not cause fatty liver at any stage. The relation is if both are present the progression of liver disease is more. For fatty liver | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Dr. Mintz! I just want to ask what is the connection of Hepatitis B to Fatty Liver? My cousin has a fatty liver and was surprised when her Sgpt and Sgot count did not lower after a month of medication. She is now starting another month of medication with stronger doses of medicine as advised by her physician. Can you please help us find out the cause and possible solution for her problem..?"
},
{
"from": "gpt",
"value": "Output: Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Hepatitis B do not cause fatty liver at any stage. The relation is if both are present the progression of liver disease is more. For fatty liver"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am 35, 5 9 and about 180 pounds. Just recently had a scope done on my knee to repair a torn meniscus and the dr found a dimple on my cartilge. Nothing was done at the time as the main concern was the meniscal tear but just wondering what i can do to not require any more surgery. | Hello, I have studied your case. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Due to old injury to knee there is early degeneration of knee joint.Lifestyle changes will help in reducing pain which include, VISCOSUPPLEMENTATION | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am 35, 5 9 and about 180 pounds. Just recently had a scope done on my knee to repair a torn meniscus and the dr found a dimple on my cartilge. Nothing was done at the time as the main concern was the meniscal tear but just wondering what i can do to not require any more surgery."
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Due to old injury to knee there is early degeneration of knee joint.Lifestyle changes will help in reducing pain which include, VISCOSUPPLEMENTATION"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear sir, I am Ajmal 35 years old male.I have a stone problem.I had small stones and one 14mm stones in left kidney .on 19/02/2013 I undertake an ESWL treatment.After that treatment am taking the following pills. 1)spasmo-proxyvon-1-0-1 2)flavocip-1-1-1 3)urimax-0-0-1 now I have a continuous pain in right side.after taking pills am still having pain.am taking foods are very light only.drinking lots of water too.What to do sir? | Hi, Thanks for writing in. Going by your query, you have few small stones and one big 14 mm stone in your left kidney for which you had ESL. Medicines given areSpasmoproxyvon an anti-spasmodic and pain reliever. Flavocip a urinary antispasmodic. Urimax (tamsulosin) for prostate problems. You might be knowing that ESL breaks larger stones into small portions and then these come out in urine. If your right side is paining now, I suggest you get an ultrasound scan and tell the radiologist that you have right side pain. In case of kidney stones symptoms can recur on the opposite side after a few months due to new stone formation. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear sir, I am Ajmal 35 years old male.I have a stone problem.I had small stones and one 14mm stones in left kidney .on 19/02/2013 I undertake an ESWL treatment.After that treatment am taking the following pills. 1)spasmo-proxyvon-1-0-1 2)flavocip-1-1-1 3)urimax-0-0-1 now I have a continuous pain in right side.after taking pills am still having pain.am taking foods are very light only.drinking lots of water too.What to do sir?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Going by your query, you have few small stones and one big 14 mm stone in your left kidney for which you had ESL. Medicines given areSpasmoproxyvon an anti-spasmodic and pain reliever. Flavocip a urinary antispasmodic. Urimax (tamsulosin) for prostate problems. You might be knowing that ESL breaks larger stones into small portions and then these come out in urine. If your right side is paining now, I suggest you get an ultrasound scan and tell the radiologist that you have right side pain. In case of kidney stones symptoms can recur on the opposite side after a few months due to new stone formation. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My right heel is numb on the back right corner....it seems to have happened the last 2 days...I did do some workouts at a gym at our office this week...wondering if anything I did could have caused it? I do sit most of the day at my desk....I try to get a walk in during the day, but don t always manage to. | Hello, There is a nerve that supplies feeling to the back inner corner of the heel called the medial calcaneal nerve. This nerve is sensory only and does not power any muscles. It's possible that if the workouts you were doing were new, and your shoes didn't fit quite right, that you could have irritated this nerve. This nerve isn't commonly irritated, or at least it doesn't bother people enough to come to the doctor. Perhaps you want to make sure you have good fitting exercise shoes, but I wouldn't worry either way because it will probably go away on its own. 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: My right heel is numb on the back right corner....it seems to have happened the last 2 days...I did do some workouts at a gym at our office this week...wondering if anything I did could have caused it? I do sit most of the day at my desk....I try to get a walk in during the day, but don t always manage to."
},
{
"from": "gpt",
"value": "Output: Hello, There is a nerve that supplies feeling to the back inner corner of the heel called the medial calcaneal nerve. This nerve is sensory only and does not power any muscles. It's possible that if the workouts you were doing were new, and your shoes didn't fit quite right, that you could have irritated this nerve. This nerve isn't commonly irritated, or at least it doesn't bother people enough to come to the doctor. Perhaps you want to make sure you have good fitting exercise shoes, but I wouldn't worry either way because it will probably go away on its own. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi ...i have facet joint desease but over last few monts ive been gettin a numbness in both legs on and off over last few months...they feel numb at the top of my legs but are so painfull feels like my bones have been crushedthe lower half...do u think i should be concerned or is the part of my problems with my facet joint problem | Hello, As I see the above-mentioned history I feel it is related to lumbar spine intervertebral disc injury and so does the symptoms of numbness, tingling and radiating pain has come. I will advise for an MRI scan of the lumbar spine, so we can understand the soft tissue pathology better. With core stability, spinal muscle strengthening exercises and lower limb strengthening exercises you pain should come down. Use hot water fermentation which will help reduce the spasm of the lumbar spine muscles. 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 ...i have facet joint desease but over last few monts ive been gettin a numbness in both legs on and off over last few months...they feel numb at the top of my legs but are so painfull feels like my bones have been crushedthe lower half...do u think i should be concerned or is the part of my problems with my facet joint problem"
},
{
"from": "gpt",
"value": "Output: Hello, As I see the above-mentioned history I feel it is related to lumbar spine intervertebral disc injury and so does the symptoms of numbness, tingling and radiating pain has come. I will advise for an MRI scan of the lumbar spine, so we can understand the soft tissue pathology better. With core stability, spinal muscle strengthening exercises and lower limb strengthening exercises you pain should come down. Use hot water fermentation which will help reduce the spasm of the lumbar spine muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello about 2 weeks ago i noticed just above my cheek bone was sore like it was a bruise but it wasnt. When i touch it is pain beyond pain. I get shooting pains to my eye and a severe headache righ after. Its horriblebut i have tmj also could that be an issue | Hello, As due to inflammation at the TMJ there will be trouble to the facial nerve and this could be the reason for the cause do the symptoms. I will advise getting it examined. Also, there is one more factor which works here is the trigeminal neuralgia which is little different from the facial nerve symptoms, but that also is excruciating pain. Getting it examined by a neurologist will be of advice and sooner medication will be advised. 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: Hello about 2 weeks ago i noticed just above my cheek bone was sore like it was a bruise but it wasnt. When i touch it is pain beyond pain. I get shooting pains to my eye and a severe headache righ after. Its horriblebut i have tmj also could that be an issue"
},
{
"from": "gpt",
"value": "Output: Hello, As due to inflammation at the TMJ there will be trouble to the facial nerve and this could be the reason for the cause do the symptoms. I will advise getting it examined. Also, there is one more factor which works here is the trigeminal neuralgia which is little different from the facial nerve symptoms, but that also is excruciating pain. Getting it examined by a neurologist will be of advice and sooner medication will be advised. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife just had a colonoscopy today along with endoscopy. The did a biopsy of her esophagus. Now she is running a low grade fever of 99 to 99.4. Is this normal? The discharge instructions say call your medical doctor if you have a fever but our MD does not have an on call. She s very scared she may have an infection. She has cancer and also just got over a respiratory infection. | Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you there is possibility of infection in your GIT. You should contact the concerned hospital for your fever to get further management. You can take paracetamol tablet to allay from fever till you attend the hospital will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife just had a colonoscopy today along with endoscopy. The did a biopsy of her esophagus. Now she is running a low grade fever of 99 to 99.4. Is this normal? The discharge instructions say call your medical doctor if you have a fever but our MD does not have an on call. She s very scared she may have an infection. She has cancer and also just got over a respiratory infection."
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you there is possibility of infection in your GIT. You should contact the concerned hospital for your fever to get further management. You can take paracetamol tablet to allay from fever till you attend the hospital will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, i have felt nauseated and unwell x 4 days. Pain on right side of back and now, just above illiac crest, now spreading towards front. pain increasing in intensity and comes and goes, Radiates toward groin , in waves. Nausea and dizziness increase with these waves 38 yr old female. there is no reason I know of for the nausea no fever , no significant changes in GU, of GI, only very slightly elevated BP | Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, i have felt nauseated and unwell x 4 days. Pain on right side of back and now, just above illiac crest, now spreading towards front. pain increasing in intensity and comes and goes, Radiates toward groin , in waves. Nausea and dizziness increase with these waves 38 yr old female. there is no reason I know of for the nausea no fever , no significant changes in GU, of GI, only very slightly elevated BP"
},
{
"from": "gpt",
"value": "Output: Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am shantanoo and 48 year old male. For about a year i feel a pain on the left side of the chest. It is around 3 inches below the collar bone. I can feel the pain when I press on the area. Looks the pain is superficial. The pain can be felt when I press down on the collar bone also, at a place near the middle of the chest. What should I do? I have a feeling that it aggravates when I do lot of typing on the computer | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific body position (typing and computer work) and pressing. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain.2. Apply warm water pad on affected areas of chest.3. Take simple painkiller and anti-inflammatory Chat Doctor. 4. Avoid heavyweight lifting and strenuous exercise.5. Sit with proper back support.Don't worry, you will be alright with all these. 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, I am shantanoo and 48 year old male. For about a year i feel a pain on the left side of the chest. It is around 3 inches below the collar bone. I can feel the pain when I press on the area. Looks the pain is superficial. The pain can be felt when I press down on the collar bone also, at a place near the middle of the chest. What should I do? I have a feeling that it aggravates when I do lot of typing on the computer"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific body position (typing and computer work) and pressing. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain.2. Apply warm water pad on affected areas of chest.3. Take simple painkiller and anti-inflammatory Chat Doctor. 4. Avoid heavyweight lifting and strenuous exercise.5. Sit with proper back support.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Painful skin rash on the arm. Could it be a spider bite?I have what I think is a spider bite on my thigh. It s a red ring, about 1.5 inches in diameter. It s raised and hard in the center with what looks like a white speck right in the middle. It s been there a couple of days and is painful to the touch and just a little sore. What do you think it may be? | Hello. Thanks for writing to us at Chat Doctor Seems like it is bacterial infection of the skin, since it is sore and probably has a central pus point. Spider bites are different, burning is a prominent feature in spider bite, and they usually do have some itching, as well. If you were one of my patients I would have treated you empirically with an oral antibiotic; one from penicillin group of Chat Doctor. That would be good enough. It is a prescription | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Painful skin rash on the arm. Could it be a spider bite?I have what I think is a spider bite on my thigh. It s a red ring, about 1.5 inches in diameter. It s raised and hard in the center with what looks like a white speck right in the middle. It s been there a couple of days and is painful to the touch and just a little sore. What do you think it may be?"
},
{
"from": "gpt",
"value": "Output: Hello. Thanks for writing to us at Chat Doctor Seems like it is bacterial infection of the skin, since it is sore and probably has a central pus point. Spider bites are different, burning is a prominent feature in spider bite, and they usually do have some itching, as well. If you were one of my patients I would have treated you empirically with an oral antibiotic; one from penicillin group of Chat Doctor. That would be good enough. It is a prescription"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello,im 22 years old, weight 57 kg, height 165. my period is 4 days late and there is a porbability for pregnancy but im not sure! ive been feeling light cramping and specially in my left leg since the due date of the period but nothing comes out except few white discharge. during the intercourse there was no ejaculation of semen near the vaginal area. so could this still be a posibility of pregnancy? and when exactly should i start worrying? if my period is how many days late. thank you | Hello dairy understand your concerned there is ejaculation around vaginal opening then there may be chance of pregnancy because motile sperm can enter into vagina. But if you did sex during fertile phase of cycle then high chance of pregnancy. If you did sex during safe period of cycle then nothing to worry. If your period will delay by more than 7 days from normal expected period date then you think about pregnancy. If period will delay by more than 7 days then go for urine pregnancy tests and or blood Chat Doctor test to confirm pregnancy. Abdominal cramp and vaginal discharge could be due to hormonal imbalance, premenstrual cramp, pregnancy. So meanwhile avoid stress, take healthy diet, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello,im 22 years old, weight 57 kg, height 165. my period is 4 days late and there is a porbability for pregnancy but im not sure! ive been feeling light cramping and specially in my left leg since the due date of the period but nothing comes out except few white discharge. during the intercourse there was no ejaculation of semen near the vaginal area. so could this still be a posibility of pregnancy? and when exactly should i start worrying? if my period is how many days late. thank you"
},
{
"from": "gpt",
"value": "Output: Hello dairy understand your concerned there is ejaculation around vaginal opening then there may be chance of pregnancy because motile sperm can enter into vagina. But if you did sex during fertile phase of cycle then high chance of pregnancy. If you did sex during safe period of cycle then nothing to worry. If your period will delay by more than 7 days from normal expected period date then you think about pregnancy. If period will delay by more than 7 days then go for urine pregnancy tests and or blood Chat Doctor test to confirm pregnancy. Abdominal cramp and vaginal discharge could be due to hormonal imbalance, premenstrual cramp, pregnancy. So meanwhile avoid stress, take healthy diet, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is 70, had a stroke from a blood clot on the right side of his brain and hospitalized for 6 weeks, He is now home using 100 mg enteric coated aspirn daily. He is incontinent and wears diapers, but is progressing daily, with assisted walking, speeks and understands and can hold a conversation well, eats unassisted, Today he has been passing bright red blood with his urine. He has no temperature or pain or discomfort.. He has never had a problem with this before. Is it the aspirin therapy? Should I stop the aspirin therapy? What should I do about this? | Hi Heath aspirin medicine acts on platelets and blocks theme platelets are an essential component of clotting mechanisms by that count, yes bleeding can be due to aspiring I doubt it, it's not that frequent.I am not sure about the neurological status yes I would suggest holding aspirin too in one of my patients I would suggest an urgent hospitalization for management of frank hematuria will suggest the same to meet a urologist as soon as possible to know if there is need for an intervention Best of luck 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 is 70, had a stroke from a blood clot on the right side of his brain and hospitalized for 6 weeks, He is now home using 100 mg enteric coated aspirn daily. He is incontinent and wears diapers, but is progressing daily, with assisted walking, speeks and understands and can hold a conversation well, eats unassisted, Today he has been passing bright red blood with his urine. He has no temperature or pain or discomfort.. He has never had a problem with this before. Is it the aspirin therapy? Should I stop the aspirin therapy? What should I do about this?"
},
{
"from": "gpt",
"value": "Output: Hi Heath aspirin medicine acts on platelets and blocks theme platelets are an essential component of clotting mechanisms by that count, yes bleeding can be due to aspiring I doubt it, it's not that frequent.I am not sure about the neurological status yes I would suggest holding aspirin too in one of my patients I would suggest an urgent hospitalization for management of frank hematuria will suggest the same to meet a urologist as soon as possible to know if there is need for an intervention Best of luck Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having discomfort to the back of both knees (in the bend of the knee) for quite a while. My doctor examined me for a Bakers cyst, which was ruled out. It often feels like I need to stretch my knees, especially if I am sitting at my desk working at the computer. Oftentimes, I extend my legs to alleviate the discomfort. It really isnt painful....just very uncomfortable and annoying. Tylenol seems to alleviate the discomfort to some degree, but I really dont want to be dependent on NSAIDS for the long term. Is there a homeopathic remedy that I could consider as an option? My PCP has not been able to offer me a solution. | Hi sir/madam, Thanks for your question on Chat Doctor. Knee pain can be treated wonderfully well with HomeopatChatDoctoredicines, which are natural and therefore, safe for use. HomeopatChatDoctoredicines are helpful in both acute and chronic knee pain. They are safe for use among all age groups, without any risk of toxicity. HomeopatChatDoctoredicines are very effective in managing knee pain of degenerative, traumatic as well as inflammatory origin. They help in relieving the pain in the knee and the accompanying symptoms such as swelling, tenderness and stiffness. Foods to be Avoided | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been having discomfort to the back of both knees (in the bend of the knee) for quite a while. My doctor examined me for a Bakers cyst, which was ruled out. It often feels like I need to stretch my knees, especially if I am sitting at my desk working at the computer. Oftentimes, I extend my legs to alleviate the discomfort. It really isnt painful....just very uncomfortable and annoying. Tylenol seems to alleviate the discomfort to some degree, but I really dont want to be dependent on NSAIDS for the long term. Is there a homeopathic remedy that I could consider as an option? My PCP has not been able to offer me a solution."
},
{
"from": "gpt",
"value": "Output: Hi sir/madam, Thanks for your question on Chat Doctor. Knee pain can be treated wonderfully well with HomeopatChatDoctoredicines, which are natural and therefore, safe for use. HomeopatChatDoctoredicines are helpful in both acute and chronic knee pain. They are safe for use among all age groups, without any risk of toxicity. HomeopatChatDoctoredicines are very effective in managing knee pain of degenerative, traumatic as well as inflammatory origin. They help in relieving the pain in the knee and the accompanying symptoms such as swelling, tenderness and stiffness. Foods to be Avoided"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i had fissures problem some 8 months back at that time i take hot water bath and proctosedyl ointment at that time i got relief but from that time now and then i have a pain and burning sensation. this pain and burning sensation arises in 15 days interval . I want to ask how to get rid of this problem permanently? | Hi, Thanks for posting in Chat Doctor. I understand your concern. The medications and measures what you are using for the problems with fissures would give you only temporary relief. Along with it, it is also essential to avoid constipation by taking fiber rich diet and consuming stool softness along with it as it would aggravate the condition. In initial stages, the medications and conservative measures would be helpful. In case your problem persists, you need to consult Surgeon, get examined clinically and undergo fissurotomy, which would get rid of the problem permanently. Hope the information provided would be helpful. 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 had fissures problem some 8 months back at that time i take hot water bath and proctosedyl ointment at that time i got relief but from that time now and then i have a pain and burning sensation. this pain and burning sensation arises in 15 days interval . I want to ask how to get rid of this problem permanently?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for posting in Chat Doctor. I understand your concern. The medications and measures what you are using for the problems with fissures would give you only temporary relief. Along with it, it is also essential to avoid constipation by taking fiber rich diet and consuming stool softness along with it as it would aggravate the condition. In initial stages, the medications and conservative measures would be helpful. In case your problem persists, you need to consult Surgeon, get examined clinically and undergo fissurotomy, which would get rid of the problem permanently. Hope the information provided would be helpful. All the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here... Hello, sir. I want to ask you about my mother. blood is coming out of her mouth with sliva. Earlier, it was coming after few months, then few weeks, right now it come after one week. It was pure blood. Can you tell me what is reason behind it? Reply Please. | Hello, Thanks for consulting Chat Doctor, Read your query, as your mother has bleeding from mouth this blood in saliva can be due to some reasons like poor oral hygiene, due to deposition of food debris in sublingual areas of gums, may be due to periodontal problem, age related periodontitis. Don't be worried so much I will suggest you to consult oral surgeon and go for oral examination if there is any gingival or periodontal problem then you should for its treatment. Hope this will help you. Wishing your mother good health. | [
{
"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... Hello, sir. I want to ask you about my mother. blood is coming out of her mouth with sliva. Earlier, it was coming after few months, then few weeks, right now it come after one week. It was pure blood. Can you tell me what is reason behind it? Reply Please."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for consulting Chat Doctor, Read your query, as your mother has bleeding from mouth this blood in saliva can be due to some reasons like poor oral hygiene, due to deposition of food debris in sublingual areas of gums, may be due to periodontal problem, age related periodontitis. Don't be worried so much I will suggest you to consult oral surgeon and go for oral examination if there is any gingival or periodontal problem then you should for its treatment. Hope this will help you. Wishing your mother good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im 21years 8months of old. recently because of excessive pain i got u/s for scortum and im diagnosed with bilateral Grade 1 varicocele and epididmyal cyst on the right testis.im having pain or discomfort from past one year. please teme the best solution possible, because Im afraid of ma on coming marriage life | HelloThanks for query. Based on your statement you have Bilateral Grade 1 Varicocele with Epididymis Cyst on Rt side. Grade one Varicocele do not require any active intervention and can be dealt with measures like wearing scrotal support, avoiding Chat Doctor. And taking mild painkillers when required. As regards Epididymis Cyst it is benign painless cyst and does not require any treatment. Monitor the grade of Varicocele by doing Ultra Sound Scanning of Scrotum every six months and get your semen analysis done to know the total sperm count to rule out Oligospermia which is deciding factor as regards surgical intervention to treat Varicocele. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im 21years 8months of old. recently because of excessive pain i got u/s for scortum and im diagnosed with bilateral Grade 1 varicocele and epididmyal cyst on the right testis.im having pain or discomfort from past one year. please teme the best solution possible, because Im afraid of ma on coming marriage life"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Based on your statement you have Bilateral Grade 1 Varicocele with Epididymis Cyst on Rt side. Grade one Varicocele do not require any active intervention and can be dealt with measures like wearing scrotal support, avoiding Chat Doctor. And taking mild painkillers when required. As regards Epididymis Cyst it is benign painless cyst and does not require any treatment. Monitor the grade of Varicocele by doing Ultra Sound Scanning of Scrotum every six months and get your semen analysis done to know the total sperm count to rule out Oligospermia which is deciding factor as regards surgical intervention to treat Varicocele."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have an angiolypoma on my right kidney. It is connected to the kidney by a artery or a vein. My question is how many veins or arteries would be feeding the growth?I am 64 years old. I had an embolization done in order to shrink the tumor, but it did not do its job. | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. If there is no improvement after enolization then surgery should be done. Veins and arteries can be resected and replaced with vascular grafts or venous grafts, so you should consult this with your urologist. It should not be delays because tumor may grow in this case. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have an angiolypoma on my right kidney. It is connected to the kidney by a artery or a vein. My question is how many veins or arteries would be feeding the growth?I am 64 years old. I had an embolization done in order to shrink the tumor, but it did not do its job."
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. If there is no improvement after enolization then surgery should be done. Veins and arteries can be resected and replaced with vascular grafts or venous grafts, so you should consult this with your urologist. It should not be delays because tumor may grow in this case. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | What is a good alternative to metformin if you are experiencing diarrhea and are starting to have allergic reactions such as rash, hives swelling of lips. Could not relate allergy to any one food or drink and reactions are not always the same. Sometimes may be hives on legs and buttock, other times may be lip swelling or swelling on head and back of neck. Use zantac and loratidine some times with good relief, other times with minimal relief and will add benadryl. | HI, thanks for using Chat Doctor You should consider formal allergy blood tests to make sure there is no other source of your allergic reaction. Allergy tests can be done for food, Chat Doctor. If it is related to the metformin you should discontinue it. Diarrhea is a common complication of metformin, but the others are not common, this is why other causes should be ruled out. There are other oral or injectable medications that can be used but none of them would be in the family of metformin. I hope this helps | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What is a good alternative to metformin if you are experiencing diarrhea and are starting to have allergic reactions such as rash, hives swelling of lips. Could not relate allergy to any one food or drink and reactions are not always the same. Sometimes may be hives on legs and buttock, other times may be lip swelling or swelling on head and back of neck. Use zantac and loratidine some times with good relief, other times with minimal relief and will add benadryl."
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor You should consider formal allergy blood tests to make sure there is no other source of your allergic reaction. Allergy tests can be done for food, Chat Doctor. If it is related to the metformin you should discontinue it. Diarrhea is a common complication of metformin, but the others are not common, this is why other causes should be ruled out. There are other oral or injectable medications that can be used but none of them would be in the family of metformin. I hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I WENT TO THE DR ON TUEDSAY OF THIS WEEK. I HAVE TWO FOLICALS ON MY RIGHT OVARY THAT MEASUERED 22CM AND 24 CM THROUGH ULTRASOUND. I HAVE BEEN ON CLOMID FOR 2 CYCLES AND WAS GIVEN THE ChatDoctor TRIGGER SHOT. MY QUESTION IS, WHEN SHOULD I HAVE HAC INTERCOURSE TO CONCEIVE? | Hello, and I hope I can help you today. From the time you receive an Chat Doctor trigger shot, your body has been trigger to ovulate. Therefore, you should start immediately after Chat Doctor injection having intercourse daily for three days and spacing out to every other day for seven days. If your period is late, you should perform pregnancy test or see your doctor for a pregnancy test. If you produced two follicles this month, and you do not conceive, your doctor should keep you at the current dose next month, as developing follicles over 2 cm in size should result in ovulation. It is always best when going through fertility treatment to have regular intercourse just in case spontaneous ovulation occurs without the Chat Doctor trigger shot. I hope I was able to adequately answer your question today, and I hope that you're tempted pregnancy are successful. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I WENT TO THE DR ON TUEDSAY OF THIS WEEK. I HAVE TWO FOLICALS ON MY RIGHT OVARY THAT MEASUERED 22CM AND 24 CM THROUGH ULTRASOUND. I HAVE BEEN ON CLOMID FOR 2 CYCLES AND WAS GIVEN THE ChatDoctor TRIGGER SHOT. MY QUESTION IS, WHEN SHOULD I HAVE HAC INTERCOURSE TO CONCEIVE?"
},
{
"from": "gpt",
"value": "Output: Hello, and I hope I can help you today. From the time you receive an Chat Doctor trigger shot, your body has been trigger to ovulate. Therefore, you should start immediately after Chat Doctor injection having intercourse daily for three days and spacing out to every other day for seven days. If your period is late, you should perform pregnancy test or see your doctor for a pregnancy test. If you produced two follicles this month, and you do not conceive, your doctor should keep you at the current dose next month, as developing follicles over 2 cm in size should result in ovulation. It is always best when going through fertility treatment to have regular intercourse just in case spontaneous ovulation occurs without the Chat Doctor trigger shot. I hope I was able to adequately answer your question today, and I hope that you're tempted pregnancy are successful. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i cut my finger pretty deep yesterday with shears while cutting hair and i have been keeping it covered with a band aid but it is a \"flappy\" cut so every time i have to change the band aid it starts bleeding profusely again. i was told by my educator to use super glue but i dont have any i only have wood glue... what would you suggest i do? | Hello dear, I read carefully your problem. I think, superglue, or every kind of glue should not be putted to your wounded finger, or it may get infected and complicate the wound more. Depending on how long your wound is, you may need one of the above treatments | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i cut my finger pretty deep yesterday with shears while cutting hair and i have been keeping it covered with a band aid but it is a \\\"flappy\\\" cut so every time i have to change the band aid it starts bleeding profusely again. i was told by my educator to use super glue but i dont have any i only have wood glue... what would you suggest i do?"
},
{
"from": "gpt",
"value": "Output: Hello dear, I read carefully your problem. I think, superglue, or every kind of glue should not be putted to your wounded finger, or it may get infected and complicate the wound more. Depending on how long your wound is, you may need one of the above treatments"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m a 16 year old male, I have arm pit hair, pubic hair, and a little bit of facial hair. My penis and testicles are small, almost like a baby, I m, 5ft 10inches, weighing 250lbs., recents doctors say I m big boned and a healthy weight for me is 200lbs. When will my penis grow | The length of your penis is not mentioned in the question, however it is not very important that you have a very long reproductive organ. You need not have that complex that you have a very small penis. The average erect penile length is about 12.8 to 15 CMS when completely erect. Also, as you are 250 lbs, you find your penis to be small when is flaccid position. You can try to reduce your body weight, if you smoke or Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I m a 16 year old male, I have arm pit hair, pubic hair, and a little bit of facial hair. My penis and testicles are small, almost like a baby, I m, 5ft 10inches, weighing 250lbs., recents doctors say I m big boned and a healthy weight for me is 200lbs. When will my penis grow"
},
{
"from": "gpt",
"value": "Output: The length of your penis is not mentioned in the question, however it is not very important that you have a very long reproductive organ. You need not have that complex that you have a very small penis. The average erect penile length is about 12.8 to 15 CMS when completely erect. Also, as you are 250 lbs, you find your penis to be small when is flaccid position. You can try to reduce your body weight, if you smoke or Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi my name is Tami! I had my gall bladder removed Aug. of last year and the reason cause I was having cramps underneath my ribs and back and my lining of my gall bladder was very hard and my liver enmzes were high! Well this morning at 1am I woke up to the same cramping under my rib cage and cramps in my back and same problem as before my removal if my gall bladder! My question is how is this suppose if my gall bladder is gone? Can I still develop gall stones? | Hi.what you're probably experiencing is post-operative pain or discomfort. This usually occurs on the first few days after your surgery and will eventually subside. The pain/discomfort after gallbladder surgery occurs not only the post-operative site area, but also over your flanks and sometimes back region. Complete your antibiotics as prescribed and take your pain medications as needed. A follow-up with your surgeon is also best for clinical evaluation. Hope this helps. Good day!!~ 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 name is Tami! I had my gall bladder removed Aug. of last year and the reason cause I was having cramps underneath my ribs and back and my lining of my gall bladder was very hard and my liver enmzes were high! Well this morning at 1am I woke up to the same cramping under my rib cage and cramps in my back and same problem as before my removal if my gall bladder! My question is how is this suppose if my gall bladder is gone? Can I still develop gall stones?"
},
{
"from": "gpt",
"value": "Output: Hi.what you're probably experiencing is post-operative pain or discomfort. This usually occurs on the first few days after your surgery and will eventually subside. The pain/discomfort after gallbladder surgery occurs not only the post-operative site area, but also over your flanks and sometimes back region. Complete your antibiotics as prescribed and take your pain medications as needed. A follow-up with your surgeon is also best for clinical evaluation. Hope this helps. Good day!!~ Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a lower lumbar fusin about 5 years ago, DR. told me then my neck was worse than my back, but my neck did not hurt then. I have been having numbness in my left leg, feelings of tingleing in same leg at times, my left hand , the tendons in it are sticking up, and the twofingers cramp up and very painful at times, all this on left side only. My neck on left side makes large popping noises. Should I see the orthopedic DR or just my internest, pain in left shoulder and back very bad | I read your question and I understand your concern. Spinal changes in lumbar and cervical region often go hand in hand so since it was in no good condition 5 years ago its no big surprise your neck is causing trouble now. The symptoms are related to nerve root or spinal cord compression by these structural changes. As for who to see first, initial medical therapy is fairly standard with painkillers and physical therapy, but since you might have tried these before and are known to have advanced changes already, an MRI evaluation and orthopedic/neurosurgical consult is recommended. I hope to have been of help. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a lower lumbar fusin about 5 years ago, DR. told me then my neck was worse than my back, but my neck did not hurt then. I have been having numbness in my left leg, feelings of tingleing in same leg at times, my left hand , the tendons in it are sticking up, and the twofingers cramp up and very painful at times, all this on left side only. My neck on left side makes large popping noises. Should I see the orthopedic DR or just my internest, pain in left shoulder and back very bad"
},
{
"from": "gpt",
"value": "Output: I read your question and I understand your concern. Spinal changes in lumbar and cervical region often go hand in hand so since it was in no good condition 5 years ago its no big surprise your neck is causing trouble now. The symptoms are related to nerve root or spinal cord compression by these structural changes. As for who to see first, initial medical therapy is fairly standard with painkillers and physical therapy, but since you might have tried these before and are known to have advanced changes already, an MRI evaluation and orthopedic/neurosurgical consult is recommended. I hope to have been of help."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My dog bite a woman when she was 12 weeks pregnant. Broke the skin on her face. She was taken to the ER and treated. Her baby girl was just born 2 weeks ago and she has two holes in her heart and a weak heart valve. Doctors say there is nothing they can do. Could this be an effect of the dog bite? | Welcome to the ChatDoctorIts very unlikely to be the effect of dog bite. Dog bites are usually managed by anti rabies vaccines and immunoglobulins. Also, in cases of wounds, stitches may be required under antibiotic cover. There are medicines which are safe in pregnancy and are used by doctors if they know that the patient is pregnant. Congenital heart diseases are the most common congenital anomalies in newborns. It's really sad to hear about the baby. But some things cannot be changed. So, don't worry and stop blaming yourself. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My dog bite a woman when she was 12 weeks pregnant. Broke the skin on her face. She was taken to the ER and treated. Her baby girl was just born 2 weeks ago and she has two holes in her heart and a weak heart valve. Doctors say there is nothing they can do. Could this be an effect of the dog bite?"
},
{
"from": "gpt",
"value": "Output: Welcome to the ChatDoctorIts very unlikely to be the effect of dog bite. Dog bites are usually managed by anti rabies vaccines and immunoglobulins. Also, in cases of wounds, stitches may be required under antibiotic cover. There are medicines which are safe in pregnancy and are used by doctors if they know that the patient is pregnant. Congenital heart diseases are the most common congenital anomalies in newborns. It's really sad to hear about the baby. But some things cannot be changed. So, don't worry and stop blaming yourself. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello im 16 years old boy and i think i have a depression i dont have many friends and basicly i dont have social lifa i feel sad I love to play basketball but recently i have think about quiting . My appetite have increase and since im alone a lot I eat I have gained a 20kg ponds this summer and now im 110kg so i was 90 or even 85 i was in good shape now im fat lonley guy i feel worthless and even if my situation get a bit better when school starts I am afraid that same thing will happen to me next summer what should i do i feel hopeless and my self-confidence i at level 0 | Hi young man! There is nothing majorly wrong with you. You are basically overeating to overcome depression. Try to go out and mingle with people and make new friends. Indulge yourself in outdoor sports so that you end up making new friends. Try to exercise, meditate,read self-help and other books. I am sure you will overcome your problem if you follow this advice. But even after this you don't find any change in your problem than speak with your family and get a professional help by consulting a psychologist or a counselor. I am sure you will be positive and overcome this transient problem. I hope this information is useful to you. I wish you all the best and a great future ahead. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello im 16 years old boy and i think i have a depression i dont have many friends and basicly i dont have social lifa i feel sad I love to play basketball but recently i have think about quiting . My appetite have increase and since im alone a lot I eat I have gained a 20kg ponds this summer and now im 110kg so i was 90 or even 85 i was in good shape now im fat lonley guy i feel worthless and even if my situation get a bit better when school starts I am afraid that same thing will happen to me next summer what should i do i feel hopeless and my self-confidence i at level 0"
},
{
"from": "gpt",
"value": "Output: Hi young man! There is nothing majorly wrong with you. You are basically overeating to overcome depression. Try to go out and mingle with people and make new friends. Indulge yourself in outdoor sports so that you end up making new friends. Try to exercise, meditate,read self-help and other books. I am sure you will overcome your problem if you follow this advice. But even after this you don't find any change in your problem than speak with your family and get a professional help by consulting a psychologist or a counselor. I am sure you will be positive and overcome this transient problem. I hope this information is useful to you. I wish you all the best and a great future ahead. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I had a ultrasound done and pending the results. The dr. seems to think it s gallbladder stones due to the pains and swollen abdomen. The person performing the ultrasound saw my liver fatty . What do you think this could be? I ve not been able to work for about 5 days... I am always VERY tired.. I sleep and sleep and wake up and want to sleep more. Thanks. | Hello, Welcome to Chat Doctor. It is now very easy and will helpful in prevention and treatment of fatty liver. Do regular exercise and yoga with meditation. Make exercise schedule fix. Minimum 1 hour brisk walking is necessary. Take fresh fruits and green veg more. Chat Doctor. Also take protein rich diet, beans etc. Strictly avoid spicy and oily diet. Avoid fast foods including bread, jam, pow etc. Also take help from nutritional specialist. Hope these all will be helpful to you. Thanks for contacting us. Take care... | [
{
"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 ultrasound done and pending the results. The dr. seems to think it s gallbladder stones due to the pains and swollen abdomen. The person performing the ultrasound saw my liver fatty . What do you think this could be? I ve not been able to work for about 5 days... I am always VERY tired.. I sleep and sleep and wake up and want to sleep more. Thanks."
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor. It is now very easy and will helpful in prevention and treatment of fatty liver. Do regular exercise and yoga with meditation. Make exercise schedule fix. Minimum 1 hour brisk walking is necessary. Take fresh fruits and green veg more. Chat Doctor. Also take protein rich diet, beans etc. Strictly avoid spicy and oily diet. Avoid fast foods including bread, jam, pow etc. Also take help from nutritional specialist. Hope these all will be helpful to you. Thanks for contacting us. Take care..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | It s been 5 days i m getting a pain in my lower abdomen.I ve also had 2 weeks medicine for kidney stones.The pain is severe when i try to poop and pee.The pain comes in very sharp and twisted and then goes away.It pains when i walk,move,laugh and cough and i can t evrn pass out gas.My tummy has grown bigger.The doctor said i ve got bladder infection and i m having antiobiotics.It s been 3 days now but still the pain hasn t gone.Please help me.... | HelloThanks for query. Intermittent severe pain in abdomen is mostly due to presence of impacted stone either in kidney or ureter and needs to be investigated. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. Further treatment will depend upon result of these tests and final diagnosis as regard size of the stone, site of the stone and degree of obstruction it has caused. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: It s been 5 days i m getting a pain in my lower abdomen.I ve also had 2 weeks medicine for kidney stones.The pain is severe when i try to poop and pee.The pain comes in very sharp and twisted and then goes away.It pains when i walk,move,laugh and cough and i can t evrn pass out gas.My tummy has grown bigger.The doctor said i ve got bladder infection and i m having antiobiotics.It s been 3 days now but still the pain hasn t gone.Please help me...."
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. Intermittent severe pain in abdomen is mostly due to presence of impacted stone either in kidney or ureter and needs to be investigated. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. Further treatment will depend upon result of these tests and final diagnosis as regard size of the stone, site of the stone and degree of obstruction it has caused."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello I was told I had planter fascia over 18 mnths ago then assumed that a heal spur was causing the pain. Sometimes the pain in my heal is excruciating when I stand from rest or as my shift progresses ( I work in disabilities) most severe pain is in my right foot I also for over twelve months have pain in the left of my neck that has waves of severity xrays show nothing on the neck | Hello, Thank you for contacting me at \"Ask a Doctor\". I will try to answer your question to the best of my ability. The treatment for plantar fasciitis involves stretching the calf area, applying ice, taking several medications such as ibuprofen. Seeing a physical therapist can also help. Bone spurs are very common and in themselves do not usually cause pain. Most of the pain from plantar fasciitis comes from the soft tissues. Sometimes for severe plantar fasciitis I will prescribe a night splint. Surgery is almost never indicated for this condition. As regards the neck issue, it sounds as though this might be soft tissue in origin, particularly if your x-rays are negative. You could be experiencing mild muscle spasm or a simple strain of the soft tissues in the cervical region. It might be a good idea to pay a visit to a physical therapist who can teach you some stretches and some exercises to do at home. If your neck feels stiffer than simple applications of heat will help. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello I was told I had planter fascia over 18 mnths ago then assumed that a heal spur was causing the pain. Sometimes the pain in my heal is excruciating when I stand from rest or as my shift progresses ( I work in disabilities) most severe pain is in my right foot I also for over twelve months have pain in the left of my neck that has waves of severity xrays show nothing on the neck"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for contacting me at \\\"Ask a Doctor\\\". I will try to answer your question to the best of my ability. The treatment for plantar fasciitis involves stretching the calf area, applying ice, taking several medications such as ibuprofen. Seeing a physical therapist can also help. Bone spurs are very common and in themselves do not usually cause pain. Most of the pain from plantar fasciitis comes from the soft tissues. Sometimes for severe plantar fasciitis I will prescribe a night splint. Surgery is almost never indicated for this condition. As regards the neck issue, it sounds as though this might be soft tissue in origin, particularly if your x-rays are negative. You could be experiencing mild muscle spasm or a simple strain of the soft tissues in the cervical region. It might be a good idea to pay a visit to a physical therapist who can teach you some stretches and some exercises to do at home. If your neck feels stiffer than simple applications of heat will help. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a kidney infection in September last year and it went away after taking the 14 days worth of antibiotics. It came back after a few days then. I went back to the doctor in October to find I had another UTI (again with a high fever of 102 or 103 and burning when urinating). After that round of antibiotics it didn t fully go away. I still had a slight burning when urinating and after the urine and culture tests, I no longer had a UTI. I then had few STD tests done and were all negative. Now in January I still have painful urination and just started to get painful bumps around my vagina and clitorus. I have been with the same man (husband) for 10 years and have had 2 children (August of 2010 and June of 2012). I recently got my period he first time in Decemner after having my second child and noticed it now hurts to use a tampon . Please help me. I don t know what else to do. | Hi young lady, welcome to Chat Doctor. You seem to be getting recurrent urinary infection after your second pregnancy. There could be a few reasons for this. You will need to consult your GP/ Family physician and get a few tests arranged first - Urine routine and culture (mid-stream urine please) and Ultrasound of Kidneys and bladder (pre- and post-emptying the bladder) at the very least. Some people tend to develop bladder diverticula or tend to retain some urine in bladder even after they think they have emptied it. Any stagnant urine is a good culture medium for bugs! I am not sure what these lumps you mention are - best to check out with a gynecologist. I don't want to just make some assumptions without examining someone and cause you to worry. It could be infection, warts, or something called endometriosis, or something else. Only after examination (and tests like a smear or biopsy) can we identify the problem. You have been with only one partner for past 10\u00a0years, but you are never sure of the other person are you! I am not suggesting anything, but want you to get examined by an appropriate specialist asap and not neglect this. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a kidney infection in September last year and it went away after taking the 14 days worth of antibiotics. It came back after a few days then. I went back to the doctor in October to find I had another UTI (again with a high fever of 102 or 103 and burning when urinating). After that round of antibiotics it didn t fully go away. I still had a slight burning when urinating and after the urine and culture tests, I no longer had a UTI. I then had few STD tests done and were all negative. Now in January I still have painful urination and just started to get painful bumps around my vagina and clitorus. I have been with the same man (husband) for 10 years and have had 2 children (August of 2010 and June of 2012). I recently got my period he first time in Decemner after having my second child and noticed it now hurts to use a tampon . Please help me. I don t know what else to do."
},
{
"from": "gpt",
"value": "Output: Hi young lady, welcome to Chat Doctor. You seem to be getting recurrent urinary infection after your second pregnancy. There could be a few reasons for this. You will need to consult your GP/ Family physician and get a few tests arranged first - Urine routine and culture (mid-stream urine please) and Ultrasound of Kidneys and bladder (pre- and post-emptying the bladder) at the very least. Some people tend to develop bladder diverticula or tend to retain some urine in bladder even after they think they have emptied it. Any stagnant urine is a good culture medium for bugs! I am not sure what these lumps you mention are - best to check out with a gynecologist. I don't want to just make some assumptions without examining someone and cause you to worry. It could be infection, warts, or something called endometriosis, or something else. Only after examination (and tests like a smear or biopsy) can we identify the problem. You have been with only one partner for past 10\\u00a0years, but you are never sure of the other person are you! I am not suggesting anything, but want you to get examined by an appropriate specialist asap and not neglect this."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, My dad recently dx with ESRD, started dialysis a week ago. He has comorbidties, CHF, DM, MI(3 weeks ago). Need angio, unable to have this done because he of fluid retention. He has had 18L of fluid pulled off over the past 2.5 weeks. He is having such extreme abdominal cramping x 5 days. Abd. Exray -, labs stable. He has had a productive cough x 1 week. No cx done. I m in Vegas, my parents are in MI. I just left 1.5 weeks ago. He s worsening, I m a nurse, I think he s dying am I over reacting? Do I need to go back? What are possible reason for abdominal spasm? I ve seen patients respond this way as the body adjust to major fluid shift. I m so uncertain. I just need a clue, please advise. Thanks | **1. People with ESD and having diabetes and undergone dialysis can have possible complication of hyperosmolar state and/or infection [peritonitis] which can be possible causes of abdominal spasm.2. Since MI [myocardial infarction] CHF [congestive heart failure] are example of hyper catabolic conditions thus could be associated factor for abdominal spasm3. Attending Doctor(s) are in better position to evaluate the cause and condition. [since ABD. X-ray and Lab investigations came normal] | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, My dad recently dx with ESRD, started dialysis a week ago. He has comorbidties, CHF, DM, MI(3 weeks ago). Need angio, unable to have this done because he of fluid retention. He has had 18L of fluid pulled off over the past 2.5 weeks. He is having such extreme abdominal cramping x 5 days. Abd. Exray -, labs stable. He has had a productive cough x 1 week. No cx done. I m in Vegas, my parents are in MI. I just left 1.5 weeks ago. He s worsening, I m a nurse, I think he s dying am I over reacting? Do I need to go back? What are possible reason for abdominal spasm? I ve seen patients respond this way as the body adjust to major fluid shift. I m so uncertain. I just need a clue, please advise. Thanks"
},
{
"from": "gpt",
"value": "Output: **1. People with ESD and having diabetes and undergone dialysis can have possible complication of hyperosmolar state and/or infection [peritonitis] which can be possible causes of abdominal spasm.2. Since MI [myocardial infarction] CHF [congestive heart failure] are example of hyper catabolic conditions thus could be associated factor for abdominal spasm3. Attending Doctor(s) are in better position to evaluate the cause and condition. [since ABD. X-ray and Lab investigations came normal]"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 63 and I have gallstones, I have started noticing upper arm pain and upper leg pain mostly at night, plus I have a hard time bending over. I work a part time job that requires some lifting at times and the next day i have pain. I have lost over 50 pounds on a very low or almost fat free diet to help my gallbladder problem. Any ideas? | Hi and welcome to Chat Doctor. Thanks for the query. There is diet for people with gallbladder and liver problems, but the best solution would be surgery since this is permanent treatment. Everything else is not so efficient, so you may have problem with it in the future. In every case you need to eat fewer fats, avoid coffee and alcohol, avoid overeating and Chat Doctor. Wish you good health. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 63 and I have gallstones, I have started noticing upper arm pain and upper leg pain mostly at night, plus I have a hard time bending over. I work a part time job that requires some lifting at times and the next day i have pain. I have lost over 50 pounds on a very low or almost fat free diet to help my gallbladder problem. Any ideas?"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. Thanks for the query. There is diet for people with gallbladder and liver problems, but the best solution would be surgery since this is permanent treatment. Everything else is not so efficient, so you may have problem with it in the future. In every case you need to eat fewer fats, avoid coffee and alcohol, avoid overeating and Chat Doctor. Wish you good health. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good afternoon, I have a question , I fell in my coxcis and then flat in my back. I have sacroiilitis and now for the past three month I have a pain and stiffnes in the back of my neck and heavyness in back of the head and pain in the middle of my spine when I bend over. What should I do since I dont have medical insurance. Thanks for responding I dont know what to do please help | Hallo dear friend i he studied your case use ring cushion for sitting, it will release pressure on coccyx with some medication [like enterotoxin 60 mg]local injection therapy will also work calcium supplement with it D take rest, , hot or cold fomentation avoid lifting weights sit with taking support to your back take silt bath [sitting inleukwarm water]physiotherapy - USG for further query contact on Chat Doctor. Com | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good afternoon, I have a question , I fell in my coxcis and then flat in my back. I have sacroiilitis and now for the past three month I have a pain and stiffnes in the back of my neck and heavyness in back of the head and pain in the middle of my spine when I bend over. What should I do since I dont have medical insurance. Thanks for responding I dont know what to do please help"
},
{
"from": "gpt",
"value": "Output: Hallo dear friend i he studied your case use ring cushion for sitting, it will release pressure on coccyx with some medication [like enterotoxin 60 mg]local injection therapy will also work calcium supplement with it D take rest, , hot or cold fomentation avoid lifting weights sit with taking support to your back take silt bath [sitting inleukwarm water]physiotherapy - USG for further query contact on Chat Doctor. Com"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello my name is amrita . i m 29 years old woman i have a 1 year child since 1 month im getting very veryyyyyyyyyyyyyyy oily skin after ing a child my skin became normal but since last month i m very upset b cs my skin has become very oliy. what is cause and what ia parment solution | Hello, Welcome to Chat Doctor. Skin types vary from person to person and in some individuals, it tends to be very oily. This occurs due to excessive oil secretion by the oil glands on the face. One of the causes for this is excessive washing of the face. When you wash your face too many times, it strips the natural oil from the face and paradoxically increases the activity of the oil glands to compensate for the loss of natural oils. Wash your face with a cleanser containing 2% salicylic acid twice a day. Do not use thick creams. Avoid oiling your hair. Avoid fried foods and foods with high glycemic index. Hope this 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: hello my name is amrita . i m 29 years old woman i have a 1 year child since 1 month im getting very veryyyyyyyyyyyyyyy oily skin after ing a child my skin became normal but since last month i m very upset b cs my skin has become very oliy. what is cause and what ia parment solution"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor. Skin types vary from person to person and in some individuals, it tends to be very oily. This occurs due to excessive oil secretion by the oil glands on the face. One of the causes for this is excessive washing of the face. When you wash your face too many times, it strips the natural oil from the face and paradoxically increases the activity of the oil glands to compensate for the loss of natural oils. Wash your face with a cleanser containing 2% salicylic acid twice a day. Do not use thick creams. Avoid oiling your hair. Avoid fried foods and foods with high glycemic index. Hope this helps you. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My mother has few lumps in the throat area, which the doctor diagnose typhoid cancer. My mother is about 75 years old. Doctor advise to operate as the cancer cell has not spread. How do I know whether the cancer has not spread and because of her age even though she is healthy, after the operation how do we know whether it will not affect her quality of life which she enjoy now | Hi, dairy have gone through your question. I can understand your concern. Thyroid cancer can be diagnosed by fine needle aspiration cytology and ultrasound thyroid. Ultrasound of thyroid gives exact site and location of cancer, and it gives idea whether cancer has spread or not. Treatment and prognosis depends on type and stage of cancer. However, you should go for surgery. It is required in all types. 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: My mother has few lumps in the throat area, which the doctor diagnose typhoid cancer. My mother is about 75 years old. Doctor advise to operate as the cancer cell has not spread. How do I know whether the cancer has not spread and because of her age even though she is healthy, after the operation how do we know whether it will not affect her quality of life which she enjoy now"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Thyroid cancer can be diagnosed by fine needle aspiration cytology and ultrasound thyroid. Ultrasound of thyroid gives exact site and location of cancer, and it gives idea whether cancer has spread or not. Treatment and prognosis depends on type and stage of cancer. However, you should go for surgery. It is required in all types. 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."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. My mom has been in extreme pain for 5 days now with what she says is kidney stones. She did pass one last year after about 5 hours, and she says the pain is the same, so she \"knows\" that it is stones again. However, she now has a very sore throat and says she is just getting a cold. Do I need to be worried? | Hi, I am sorry to know about your mothers condition. She is probably having a stone in the ureter (the tube connecting kidney with bladder). Since it is a very painful condition and can affect kidney function and/or general condition, it is very important that she gets medical attention as soon as possible. There are excellent medicines which can control the pain within minutes. However, I cannot prescribe them online. Once you get a confirmation of diagnosis using ultrasonogram and urine microscopy testing, your treating physician will be able to sole the problem very quickly. A single dose of over the counter pain medication can be given for emergency (if she does not have pre-existing liver or kidney disease). Make her Chat Doctor. I am available for further guidance at any point of her treatment. Wish your mother a speedy recovery, Best regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. My mom has been in extreme pain for 5 days now with what she says is kidney stones. She did pass one last year after about 5 hours, and she says the pain is the same, so she \\\"knows\\\" that it is stones again. However, she now has a very sore throat and says she is just getting a cold. Do I need to be worried?"
},
{
"from": "gpt",
"value": "Output: Hi, I am sorry to know about your mothers condition. She is probably having a stone in the ureter (the tube connecting kidney with bladder). Since it is a very painful condition and can affect kidney function and/or general condition, it is very important that she gets medical attention as soon as possible. There are excellent medicines which can control the pain within minutes. However, I cannot prescribe them online. Once you get a confirmation of diagnosis using ultrasonogram and urine microscopy testing, your treating physician will be able to sole the problem very quickly. A single dose of over the counter pain medication can be given for emergency (if she does not have pre-existing liver or kidney disease). Make her Chat Doctor. I am available for further guidance at any point of her treatment. Wish your mother a speedy recovery, Best regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir iam 23 years old boy.iam suffering from jaundice since march 2012.I take lot of madicens of different consultants.My billruibn level is sometimes 1.5 and after few days 2 and vice versa.But my sgpt and sgot is always normal.Doctors told me this is different jaundice and this is not going to harm u in life.But sometimes i fell pinches in lower abdomen .Other wise all things are normal.i want to vanish jaundice.Is it really this jaundice is not going to harm me in life.Ans plz | Hi and welcome to Chat Doctor. It sounds like some congenital liver animal disorder and usually this is not harmful at all and it won't cause serious consequences. But you should rule out some other more serious liver conditions such as hepatitis or autoimmune disorders. Also gallbladder stones can cause periodic jaundice as well. Hepatic diet and certain medicines may be helpful, but the right causes hold be established by extensive work up before any treatments you good health. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir iam 23 years old boy.iam suffering from jaundice since march 2012.I take lot of madicens of different consultants.My billruibn level is sometimes 1.5 and after few days 2 and vice versa.But my sgpt and sgot is always normal.Doctors told me this is different jaundice and this is not going to harm u in life.But sometimes i fell pinches in lower abdomen .Other wise all things are normal.i want to vanish jaundice.Is it really this jaundice is not going to harm me in life.Ans plz"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. It sounds like some congenital liver animal disorder and usually this is not harmful at all and it won't cause serious consequences. But you should rule out some other more serious liver conditions such as hepatitis or autoimmune disorders. Also gallbladder stones can cause periodic jaundice as well. Hepatic diet and certain medicines may be helpful, but the right causes hold be established by extensive work up before any treatments you good health. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My father has been diagnosed with cholesterol deposit in gall bladder and cyst in the liver. He frequently suffers from pain in the stomach, legs and used to be heavy smoker so has smokers cough as well. Is the high LDL and cycst in liver (which was present in an ultrasonography done two years ago as well) a cause for concern? | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases these spots are benign growths such as cysts or hematomas. Hematoma is very small and this can't cause such symptoms unless larger than 10\u00a0cm. He should do MRI SCN or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma. His abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I don't think this is causing his symptoms. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father has been diagnosed with cholesterol deposit in gall bladder and cyst in the liver. He frequently suffers from pain in the stomach, legs and used to be heavy smoker so has smokers cough as well. Is the high LDL and cycst in liver (which was present in an ultrasonography done two years ago as well) a cause for concern?"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases these spots are benign growths such as cysts or hematomas. Hematoma is very small and this can't cause such symptoms unless larger than 10\\u00a0cm. He should do MRI SCN or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma. His abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I don't think this is causing his symptoms. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello ,Dec. Of 2013 a 75 / 85 lb heater fell from the ceiling a 12 inch screw struck across my shoulder and the heater fell into my arm, I have a tear in my rotor cuff and nerves damaged in my arm and hand I ve been receiving therapy how long does nerves take to repair | Hi, thank-you for providing the brief history of you. It is sad to hear that a big object fell on your shoulder directly. I hope there are no burns to a greater extent. God bless us all. Coming to your query. You have damaged the rotator cuff muscles and the nerve as well. Now first thing we need a thorough deep neuromuscular assessment of the injured area. What is the status of the motor movements and also the sensation in the area and beneath it. To understand this better a Neuromuscular assessment will help to figure out the possibility of the regaining of the motor and sensory functions. Understanding that the healing of the nerve depends on the grade of the nerve injury. Also, by understanding the NCV test we can still estimate the possible causes and benefits to achieve by exercises. How is the rotator cuff status? Are you having a good mobility now, or it is stiff shoulder now? Without having a thorough assessment it will be a blind comment which is possible. Undergoing physical therapy will help improve the nerve by electrical stimulation and exercise. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello ,Dec. Of 2013 a 75 / 85 lb heater fell from the ceiling a 12 inch screw struck across my shoulder and the heater fell into my arm, I have a tear in my rotor cuff and nerves damaged in my arm and hand I ve been receiving therapy how long does nerves take to repair"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of you. It is sad to hear that a big object fell on your shoulder directly. I hope there are no burns to a greater extent. God bless us all. Coming to your query. You have damaged the rotator cuff muscles and the nerve as well. Now first thing we need a thorough deep neuromuscular assessment of the injured area. What is the status of the motor movements and also the sensation in the area and beneath it. To understand this better a Neuromuscular assessment will help to figure out the possibility of the regaining of the motor and sensory functions. Understanding that the healing of the nerve depends on the grade of the nerve injury. Also, by understanding the NCV test we can still estimate the possible causes and benefits to achieve by exercises. How is the rotator cuff status? Are you having a good mobility now, or it is stiff shoulder now? Without having a thorough assessment it will be a blind comment which is possible. Undergoing physical therapy will help improve the nerve by electrical stimulation and exercise. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I understand a lot of people deal with this dizziness if they get up to fast but I think mines worst. Like when I get up, I have a blurry vision and sometimes even total blackout, my body feels week. The back of my head feels warm and tingly, it was weird but I could still stand up and even walk. It clears out in a few seconds and I couldnt actually recall what I did during that temporary blackout. I googled it and the signs are very much alike to this disorder, called presyncope? Am I correct? Is it dangerous? Is it a brain trauma? Does it have anything to do with anxiety disorder? | Hi, Thank you for posting your query. Your symptoms are indeed suggestive of presyncope. As such, it is not dangerous, however, we need to find out the underlying cause. This could be related to low BP or fall in BP when standing (postural hypotension). Please also check your blood hemoglobin level, as low hemoglobin can cause similar symptoms. Anxiety can contribute to the symptoms. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I understand a lot of people deal with this dizziness if they get up to fast but I think mines worst. Like when I get up, I have a blurry vision and sometimes even total blackout, my body feels week. The back of my head feels warm and tingly, it was weird but I could still stand up and even walk. It clears out in a few seconds and I couldnt actually recall what I did during that temporary blackout. I googled it and the signs are very much alike to this disorder, called presyncope? Am I correct? Is it dangerous? Is it a brain trauma? Does it have anything to do with anxiety disorder?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. Your symptoms are indeed suggestive of presyncope. As such, it is not dangerous, however, we need to find out the underlying cause. This could be related to low BP or fall in BP when standing (postural hypotension). Please also check your blood hemoglobin level, as low hemoglobin can cause similar symptoms. Anxiety can contribute to the symptoms. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good evening sir, thie Ganesan from T.N, in 2010 i was diagnosed with fatty liver along with first degree esophogaus varices, then i stopped drinking alchohol, after 3 years in 2013 i lost wife, sicnce then i have been drinking, last few days i have abdominal pain just below right rib, what it may be? | Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? As far as pain in the abdomen is concerned there area lot of differentials like epic ulcer disease, gall bladder problem, duodenal problem, Costco Chat Doctor. You need to be examined by the doctor so that exact cause can be sort out. If I am your attending doctor I would get your abdominal ultrasound along with LFTS and BBC. And ECG. IS there any association of food intake with the pain? Does it come on full stomach or empty stomach? You need to assessed fully before a reasoned conclusion can be | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good evening sir, thie Ganesan from T.N, in 2010 i was diagnosed with fatty liver along with first degree esophogaus varices, then i stopped drinking alchohol, after 3 years in 2013 i lost wife, sicnce then i have been drinking, last few days i have abdominal pain just below right rib, what it may be?"
},
{
"from": "gpt",
"value": "Output: Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? As far as pain in the abdomen is concerned there area lot of differentials like epic ulcer disease, gall bladder problem, duodenal problem, Costco Chat Doctor. You need to be examined by the doctor so that exact cause can be sort out. If I am your attending doctor I would get your abdominal ultrasound along with LFTS and BBC. And ECG. IS there any association of food intake with the pain? Does it come on full stomach or empty stomach? You need to assessed fully before a reasoned conclusion can be"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had pain in my lower right abdomen for about 5 weeks now. 5 weeks ago I went to the emergency room because they thought it may be my appendix but it was just lose fluid, but they didn t know what kind of fluid. The next night we went back and they checked my blood and said nothing was wrong but they didn t take another xray or anything. I do have anxiety and I have had stomach aches from that before but this is different before it was an ache in the center of my stomach like butterflies but now this time it is in the lower right of my stomach and it is now starting to be slightly on my left so I was just wondering if you could think of any main things it could. thanks | Hi. Thanks for your query. Your history is rally classical as if from the text-books. The pain had been in the center of the abdomen and shifted to the right lower abdomens is very classical of appendicitis. Appendicitis, even though a common surgical problem can present in many forms and is really very difficult in many cases. Usually a high resolution ultrasonography helps in a diagnosis and CT scan is confirmatory in almost all the cases. I would advise seeing a Gastroenterologist and request for a CT scan of the abdomen to get a proper diagnosis. If this is appendicitis, you have to undergo appendectomy operation as it is already late. Left sided mild pain can be due to spread of infection to this part of the abdomen. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had pain in my lower right abdomen for about 5 weeks now. 5 weeks ago I went to the emergency room because they thought it may be my appendix but it was just lose fluid, but they didn t know what kind of fluid. The next night we went back and they checked my blood and said nothing was wrong but they didn t take another xray or anything. I do have anxiety and I have had stomach aches from that before but this is different before it was an ache in the center of my stomach like butterflies but now this time it is in the lower right of my stomach and it is now starting to be slightly on my left so I was just wondering if you could think of any main things it could. thanks"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. Your history is rally classical as if from the text-books. The pain had been in the center of the abdomen and shifted to the right lower abdomens is very classical of appendicitis. Appendicitis, even though a common surgical problem can present in many forms and is really very difficult in many cases. Usually a high resolution ultrasonography helps in a diagnosis and CT scan is confirmatory in almost all the cases. I would advise seeing a Gastroenterologist and request for a CT scan of the abdomen to get a proper diagnosis. If this is appendicitis, you have to undergo appendectomy operation as it is already late. Left sided mild pain can be due to spread of infection to this part of the abdomen."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i had the flu/fever for 4 days, got better, then developed a sinus infection 2 days later. I went to my doctor and she prescribed me the 10 day antibiotic amoxicillin for my sinus infection. I have been taking it for 3 days now but the first day I was on it I got that wispy feeling in my throat that you get just before you get a cough. The next day I started lightly coughing. The next day I started a deeper cough and I could feel it may have traveled to my lungs. Today is slightly better but I still have congestion and a cough. Also throughout my entire 2 weeks so far of being sick, there has been a sore-like pain throughout my left arm, particularily my triceps brachi long head, flexor carpi ulnaris, and also the top of my rectus abdominis right under my diaphragm. What is wrong with me? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the wispy feeling in throat and coughing is due to irritation in throat that initiates bouts of vigorous coughing and due to coughing there can be pain in chest due to muscle stretching while coughing. It seems like you have an upper respiratory tract infection and all the symptoms are due to it, and you need not worry as body aches or muscle pain and cough and congestion are due to it. You should take a course of antibiotics like Augmenting or azithromycin or levofloxacin, take Tylenol for raised body temperature and body pain, take decongestants like Phenylephrine and do warm saline gargles, steam inhalations, saline nasal irrigation and suck throat lozenges. Chat Doctor. . Take ample of rest. Hope this information helps. Thanks and regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i had the flu/fever for 4 days, got better, then developed a sinus infection 2 days later. I went to my doctor and she prescribed me the 10 day antibiotic amoxicillin for my sinus infection. I have been taking it for 3 days now but the first day I was on it I got that wispy feeling in my throat that you get just before you get a cough. The next day I started lightly coughing. The next day I started a deeper cough and I could feel it may have traveled to my lungs. Today is slightly better but I still have congestion and a cough. Also throughout my entire 2 weeks so far of being sick, there has been a sore-like pain throughout my left arm, particularily my triceps brachi long head, flexor carpi ulnaris, and also the top of my rectus abdominis right under my diaphragm. What is wrong with me?"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the wispy feeling in throat and coughing is due to irritation in throat that initiates bouts of vigorous coughing and due to coughing there can be pain in chest due to muscle stretching while coughing. It seems like you have an upper respiratory tract infection and all the symptoms are due to it, and you need not worry as body aches or muscle pain and cough and congestion are due to it. You should take a course of antibiotics like Augmenting or azithromycin or levofloxacin, take Tylenol for raised body temperature and body pain, take decongestants like Phenylephrine and do warm saline gargles, steam inhalations, saline nasal irrigation and suck throat lozenges. Chat Doctor. . Take ample of rest. Hope this information helps. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is nine and she has quite a fatty mons pubis which she says is quite painful in particular the mornings. It has always been quite large for her age but has steadily gotten bigger. What do you think may be causing the appearance and the pain? | Fatty Mons pubis is usually due to fat deposition over bone which doesn't respond to exercise. It's a genetic make of the body which should not be an actual cause of pain in your daughter.It's important to rule out other reasons such as urinary tract infection or menstruation related pains (if a case of early puberty). Also check for any local site infection. Procedures like liposuction and surgery not recommended for this condition usually. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter is nine and she has quite a fatty mons pubis which she says is quite painful in particular the mornings. It has always been quite large for her age but has steadily gotten bigger. What do you think may be causing the appearance and the pain?"
},
{
"from": "gpt",
"value": "Output: Fatty Mons pubis is usually due to fat deposition over bone which doesn't respond to exercise. It's a genetic make of the body which should not be an actual cause of pain in your daughter.It's important to rule out other reasons such as urinary tract infection or menstruation related pains (if a case of early puberty). Also check for any local site infection. Procedures like liposuction and surgery not recommended for this condition usually."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a problem with TMJ and have not been able to eat for about 4 weeks. I put everything in the blender. Chicken, Veggie, Rice, ect. I believe that I have a balance diet , but all my food is liquified. Not have soar gums. Is it because I am not eating normally? In other words, not chewing my food and just gulping it down because it is blended. | Hi, you are suffering from TMJ joint pain due to which you are unable to chew food properly. There are many exercises which can be taught by a physiotherapist to relax the muscles, you can also apply hot packs over the joint area, can also take some good muscle relaxants. Visit a good physiotherapist to learn exercises and get routine checkup done regularly by dentist. Avoid opening your mouth too wide. 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 a problem with TMJ and have not been able to eat for about 4 weeks. I put everything in the blender. Chicken, Veggie, Rice, ect. I believe that I have a balance diet , but all my food is liquified. Not have soar gums. Is it because I am not eating normally? In other words, not chewing my food and just gulping it down because it is blended."
},
{
"from": "gpt",
"value": "Output: Hi, you are suffering from TMJ joint pain due to which you are unable to chew food properly. There are many exercises which can be taught by a physiotherapist to relax the muscles, you can also apply hot packs over the joint area, can also take some good muscle relaxants. Visit a good physiotherapist to learn exercises and get routine checkup done regularly by dentist. Avoid opening your mouth too wide. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 39 weeks pregnant. I have been using Mederma Stretch Mark Therapy. But I just noticed that it has hyaluronic acid in it. What effects can this ingredient have on the baby? | Hi there,Do not worry, using hyaluronic acid on the skin will not affect your baby in any way, and it need not concern you. The medications are applied to decrease the number and thickness of stretch marks, the stretch marks are very common in pregnancy especially during the first pregnancy. The number and thickness of stretch vary for different women and whether they become light with treatment cannot be predicted. 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: I am 39 weeks pregnant. I have been using Mederma Stretch Mark Therapy. But I just noticed that it has hyaluronic acid in it. What effects can this ingredient have on the baby?"
},
{
"from": "gpt",
"value": "Output: Hi there,Do not worry, using hyaluronic acid on the skin will not affect your baby in any way, and it need not concern you. The medications are applied to decrease the number and thickness of stretch marks, the stretch marks are very common in pregnancy especially during the first pregnancy. The number and thickness of stretch vary for different women and whether they become light with treatment cannot be predicted. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir,my mom facing a problem saying that whenever she looked at any one irrespective of gender she only can see genital organ of that person and transfers bad energy into next persons eye and that also behaves in same manner.she said she is not able to feel any emotion.she sleepless and there is weight loss too.she is 45 yrs had muocardial infarctions and asthma.she is suffering fro various mental problem since many years | Degree understand your concerns went through your details. I suggest you not to worry much. The description you gave is not enough for a proper diagnosis of the case. She could be obsessive towards sexual thoughts. But you also say that she is troubled by so many mental problems. Best option is to consult a psychiatrist for proper diagnosis and treatment. Do not delay, for delay can cause serious implications. 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: sir,my mom facing a problem saying that whenever she looked at any one irrespective of gender she only can see genital organ of that person and transfers bad energy into next persons eye and that also behaves in same manner.she said she is not able to feel any emotion.she sleepless and there is weight loss too.she is 45 yrs had muocardial infarctions and asthma.she is suffering fro various mental problem since many years"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. The description you gave is not enough for a proper diagnosis of the case. She could be obsessive towards sexual thoughts. But you also say that she is troubled by so many mental problems. Best option is to consult a psychiatrist for proper diagnosis and treatment. Do not delay, for delay can cause serious implications. 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"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | About a month and a half ago, I came down with a dry cough for a couple days which turned into a productive cough. The phlegm produced was light yellow to light green at times, and often worse in the morning and early evening. I began taking Mucinex and ibuprofen to help with sleeping and congestion. The Mucinex made the cough more productive and I was able to expel some of the congestion;however, I often felt a tightness in my throat and upper chest after coughing fits. I have no history of asthma or other lung conditions. I have never had bronchitis . The main thing concerning me is the while the productive aspect of the cough has discontinued, I still have this nagging dry cough at night that keeps me from getting to sleep and staying asleep. I have no nasal congestion or sore throat , but do occasionally have headaches during the day above both eyes that come and go when heading outside. I occasionally hear a bubbling or gurggle in the back of my throat on expiration. I have not seen a doctor because a summer cold has been circulating, and I really don t feel bad otherwise. Any thoughts...? | You had an attack of respiratory tract infection which may even have gone down to your lungs. Though the infection is cured, you have developed `Hyper Reactive Airway Disease` which is a known occurrence. You should take frequent nebulization with also and decor and take airport inhalers 2 puffs 2 to 3 times a day. You may also take a tablet of doxyphyllin400 twice a day for some time. The symptoms should disappear in due course of time. If symptoms persist despite these measures, you may have to undergo some tests for which you should consult a pulmonologist. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About a month and a half ago, I came down with a dry cough for a couple days which turned into a productive cough. The phlegm produced was light yellow to light green at times, and often worse in the morning and early evening. I began taking Mucinex and ibuprofen to help with sleeping and congestion. The Mucinex made the cough more productive and I was able to expel some of the congestion;however, I often felt a tightness in my throat and upper chest after coughing fits. I have no history of asthma or other lung conditions. I have never had bronchitis . The main thing concerning me is the while the productive aspect of the cough has discontinued, I still have this nagging dry cough at night that keeps me from getting to sleep and staying asleep. I have no nasal congestion or sore throat , but do occasionally have headaches during the day above both eyes that come and go when heading outside. I occasionally hear a bubbling or gurggle in the back of my throat on expiration. I have not seen a doctor because a summer cold has been circulating, and I really don t feel bad otherwise. Any thoughts...?"
},
{
"from": "gpt",
"value": "Output: You had an attack of respiratory tract infection which may even have gone down to your lungs. Though the infection is cured, you have developed `Hyper Reactive Airway Disease` which is a known occurrence. You should take frequent nebulization with also and decor and take airport inhalers 2 puffs 2 to 3 times a day. You may also take a tablet of doxyphyllin400 twice a day for some time. The symptoms should disappear in due course of time. If symptoms persist despite these measures, you may have to undergo some tests for which you should consult a pulmonologist."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 21 year old son has shingles. The rash is from his back all the way around to his stomach. Huge blisters and a lot of pain. Is there any home remedy that can help with the excruciating pain? He has tylenol with codeine, but it doesn t help at all, and he can t sleep. | I've had shingles, so I know how awful it can be. He should also be on an oral antiviral medication such as acyclovir or Acyclovir at least at the beginning of the outbreak. If he cants sleep even with the Tylenol with codeine, consider talking with his doctor for nerve pain management such as with gabapentin or amitriptyline. The latter is also quite sedating. Usually gabapentin or amitriptyline is used after the rash has gone if there is residual pain. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 21 year old son has shingles. The rash is from his back all the way around to his stomach. Huge blisters and a lot of pain. Is there any home remedy that can help with the excruciating pain? He has tylenol with codeine, but it doesn t help at all, and he can t sleep."
},
{
"from": "gpt",
"value": "Output: I've had shingles, so I know how awful it can be. He should also be on an oral antiviral medication such as acyclovir or Acyclovir at least at the beginning of the outbreak. If he cants sleep even with the Tylenol with codeine, consider talking with his doctor for nerve pain management such as with gabapentin or amitriptyline. The latter is also quite sedating. Usually gabapentin or amitriptyline is used after the rash has gone if there is residual pain."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have had a really bad cough for four weeks now. It started with long coughing fits in the day and these have reduced but have been added to by coughing fits at night which feel like they go on for ever. Also during these I cannot breathe in which initially caused me to panic but I found I could breathe in if I calmed down but this took some time. Chemist gave me a Ventolin inhaler to open airways during attack which helped a bit. Also I have an almost constant tickling sensation in the back of my throat and at night for the last week my chest has felt tight - ventolin inhaler has helped relieve this. Finally I feel like something is stuck in the right hand side of my throat but cant normally cough it up as cough is generally unproductive, except first thing in the morning when I am able to cough up some clear phlegm but also tend to vomit as well. Occasional dry mouth at night doesnt help. Really getting fed up with this now - went to doctors two weeks ago who thought I had the after effects of a viral chest infection and thought it would all clear up within a week - now two weeks on there is no sign of this. Can you advise? Thanks | Hi and thank you for choosing Chat Doctor to post your health concern. I read carefully your question and my opinion is 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 have had a really bad cough for four weeks now. It started with long coughing fits in the day and these have reduced but have been added to by coughing fits at night which feel like they go on for ever. Also during these I cannot breathe in which initially caused me to panic but I found I could breathe in if I calmed down but this took some time. Chemist gave me a Ventolin inhaler to open airways during attack which helped a bit. Also I have an almost constant tickling sensation in the back of my throat and at night for the last week my chest has felt tight - ventolin inhaler has helped relieve this. Finally I feel like something is stuck in the right hand side of my throat but cant normally cough it up as cough is generally unproductive, except first thing in the morning when I am able to cough up some clear phlegm but also tend to vomit as well. Occasional dry mouth at night doesnt help. Really getting fed up with this now - went to doctors two weeks ago who thought I had the after effects of a viral chest infection and thought it would all clear up within a week - now two weeks on there is no sign of this. Can you advise? Thanks"
},
{
"from": "gpt",
"value": "Output: Hi and thank you for choosing Chat Doctor to post your health concern. I read carefully your question and my opinion is as follows"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor,I am suffering from sever cough allergy, I have taken medication from last two months with no outcome. the moment i stopped taking medicine it starts again. also the medicine i am taking containis steroid for which i cant even plan for pregnancy. pls help me | Hi thanks for contacting Chat Doctor ... You are having severe allergic cough...since long duration .... So needs for identifying causative allergen.... You can consult pulmonologist for physical examination and auscultation... You can do allergy test for identifying allergen like dust, certain foods, mold ,pollen etc.... Patch test is example for it.... And then causative allergen exposure avoided.... Chat Doctor. ... Smoking not done if having habit ... Environmental pollution exposure limited... Fruits taken more.... When allergic congestion antihistamines | [
{
"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 suffering from sever cough allergy, I have taken medication from last two months with no outcome. the moment i stopped taking medicine it starts again. also the medicine i am taking containis steroid for which i cant even plan for pregnancy. pls help me"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor ... You are having severe allergic cough...since long duration .... So needs for identifying causative allergen.... You can consult pulmonologist for physical examination and auscultation... You can do allergy test for identifying allergen like dust, certain foods, mold ,pollen etc.... Patch test is example for it.... And then causative allergen exposure avoided.... Chat Doctor. ... Smoking not done if having habit ... Environmental pollution exposure limited... Fruits taken more.... When allergic congestion antihistamines"
}
]
|
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