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If you are a doctor, please answer the medical questions based on the patient's description. | Got an email with a suggestion that egg whites help heal burns. The egg white for burns has been posted and reposted, yet more than one site says its a hoax. Snopes advocates it, but Im aware thats just two people with a website and not a professional opinion. | Earle understand your concerns went through your details. I suggest you not to worry much. Definitely it is not a professional opinion. There are a lot of scientific and sterile way to treat burns. Instead of falling prey to these quacks or unscientific information, it is always better to consult a doctor in health issues. You shall be peaceful. 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: Got an email with a suggestion that egg whites help heal burns. The egg white for burns has been posted and reposted, yet more than one site says its a hoax. Snopes advocates it, but Im aware thats just two people with a website and not a professional opinion."
},
{
"from": "gpt",
"value": "Output: Earle understand your concerns went through your details. I suggest you not to worry much. Definitely it is not a professional opinion. There are a lot of scientific and sterile way to treat burns. Instead of falling prey to these quacks or unscientific information, it is always better to consult a doctor in health issues. You shall be peaceful. 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. | yes have been to many doctor but they cant find anything over a period on 7 yrs im have weekness of muscle and muscle pain im 42 years of age at its get worse now when im not working I mostly sleep because of feeling so week I have to make myself get up just to go to worku please tell me want kind of doctor I need to see or do you have any answer to what could be happening to me thank you, | HIIT could be chronic fatigue syn Chat Doctor. See a fibromyalgia specialist in fibromyalgia clinic and a general physician for requisite blood tests like CPM, serum LDH, lactic acid level in muscles. An Electromyography by a neurophysiologist for muscle assessment shall be useful neurologist can also do this. If history of glandular fever or infectious mononucleosis is there, done by Paul tunnel test, then chance for chronic fatigue syn | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: yes have been to many doctor but they cant find anything over a period on 7 yrs im have weekness of muscle and muscle pain im 42 years of age at its get worse now when im not working I mostly sleep because of feeling so week I have to make myself get up just to go to worku please tell me want kind of doctor I need to see or do you have any answer to what could be happening to me thank you,"
},
{
"from": "gpt",
"value": "Output: HIIT could be chronic fatigue syn Chat Doctor. See a fibromyalgia specialist in fibromyalgia clinic and a general physician for requisite blood tests like CPM, serum LDH, lactic acid level in muscles. An Electromyography by a neurophysiologist for muscle assessment shall be useful neurologist can also do this. If history of glandular fever or infectious mononucleosis is there, done by Paul tunnel test, then chance for chronic fatigue syn"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My name is Mina. I m 24 yrs old and I weight 111lbs. I went into the vitamin shop yesterday to find products to help burn fat and built. I specifically told the sale rep that I did not want anything that made me feel cracked out or gives shakes and hitters and he handed me OxyElite. I took one pill as directed and within an hour my heart pounding out of my chest for almost 6 hours straight. I developed a sharp pain on my left side of my chest right about my breast and today it feels like my upper chest area is so sore. I would like to know what caused my entire pectoral muscle to be so sore now? And what can I do to relieve or heal the soreness? And should I have seemed medical attention due to what I was felt for the duration of time? Should I still seek medical attention today? | Hello, It is not advised to take any sort of medicine for weight loss without consulting a doctor. These products in market have various adverse effects which can be severe at times with long term issues. I advise you to stop taking it and seek medical help for the same. There are different ways to lose weight which include exercising and getting a diet plan from dietitian. It will take time but it's a healthy way to lose weight. 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: My name is Mina. I m 24 yrs old and I weight 111lbs. I went into the vitamin shop yesterday to find products to help burn fat and built. I specifically told the sale rep that I did not want anything that made me feel cracked out or gives shakes and hitters and he handed me OxyElite. I took one pill as directed and within an hour my heart pounding out of my chest for almost 6 hours straight. I developed a sharp pain on my left side of my chest right about my breast and today it feels like my upper chest area is so sore. I would like to know what caused my entire pectoral muscle to be so sore now? And what can I do to relieve or heal the soreness? And should I have seemed medical attention due to what I was felt for the duration of time? Should I still seek medical attention today?"
},
{
"from": "gpt",
"value": "Output: Hello, It is not advised to take any sort of medicine for weight loss without consulting a doctor. These products in market have various adverse effects which can be severe at times with long term issues. I advise you to stop taking it and seek medical help for the same. There are different ways to lose weight which include exercising and getting a diet plan from dietitian. It will take time but it's a healthy way to lose weight. 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. | Two weeks ago I was stung by a young yellow jacket on my left inner forearm 2 inches above my wrist. After 10 days of pain and itching, rash and swelling, it finally went away. Two days ago it began aching in the same spot, and it hurts even more when I touch it from the outside but it s not on the skin surface. Tonight it s slightly raised from under-the-skin swelling and the raised surface is about the size of a small egg. | Hello dearWelcome to Chat Doctor family. I have evaluated your query in depth.@ This seems to be post-traumatic hematoma formation.@ Recommendations for better recovery $ Ice pack applications 3 times a day. $ Keep the part clean with antiseptic liquids. $ Ben Chat Doctor. $ Consultation further with a high resolution photograph of it would be of great help to comment for the need of antibiotic or further check up with doctor. Hope this will help you. Welcome anytime for any type of doubts. Regards dear take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Two weeks ago I was stung by a young yellow jacket on my left inner forearm 2 inches above my wrist. After 10 days of pain and itching, rash and swelling, it finally went away. Two days ago it began aching in the same spot, and it hurts even more when I touch it from the outside but it s not on the skin surface. Tonight it s slightly raised from under-the-skin swelling and the raised surface is about the size of a small egg."
},
{
"from": "gpt",
"value": "Output: Hello dearWelcome to Chat Doctor family. I have evaluated your query in depth.@ This seems to be post-traumatic hematoma formation.@ Recommendations for better recovery $ Ice pack applications 3 times a day. $ Keep the part clean with antiseptic liquids. $ Ben Chat Doctor. $ Consultation further with a high resolution photograph of it would be of great help to comment for the need of antibiotic or further check up with doctor. Hope this will help you. Welcome anytime for any type of doubts. Regards dear take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My boyfriend is in mexico, he suffers from stomach pain, bloatting etc constatntly, the dictors havent say that he has parasites, but a friend in mexico told him to take quinfamida just in case. Is it safe? I prefer to wait until he comes back to see the doctor, but he is very uncomfortable and needs to work | Hi thanks for posting your query on Chat Doctor. Quinafamide is an effective Chat Doctor. This is effective if he has documented parasitic infestations. But it is safe to use quinafamide as a presumptive management. I recommend your boyfriend to undergo upper gastrointestinal endoscopy to evaluate further. Meawhile tab Panto 40\u00a0mg can be helpful. Consult an expert Gastroenterologist for further assistance.thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My boyfriend is in mexico, he suffers from stomach pain, bloatting etc constatntly, the dictors havent say that he has parasites, but a friend in mexico told him to take quinfamida just in case. Is it safe? I prefer to wait until he comes back to see the doctor, but he is very uncomfortable and needs to work"
},
{
"from": "gpt",
"value": "Output: Hi thanks for posting your query on Chat Doctor. Quinafamide is an effective Chat Doctor. This is effective if he has documented parasitic infestations. But it is safe to use quinafamide as a presumptive management. I recommend your boyfriend to undergo upper gastrointestinal endoscopy to evaluate further. Meawhile tab Panto 40\\u00a0mg can be helpful. Consult an expert Gastroenterologist for further assistance.thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am feeling pain in the right side it seems to be that it in my lever my ultrsound blood test are ok i have triglycride 341 and lipase serum value is 90 and some time this pain seems to lower side of stomach pain is too high that i should take pain killer | Thank you for posting query at Chat Doctor. Presentation of abnormal lipid profile (increased TAG), most likely you have Fatty Liver Disease secondary to alcohol abuse and/or Overweight).better to also rule out viral causes, so further blood tests needed | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am feeling pain in the right side it seems to be that it in my lever my ultrsound blood test are ok i have triglycride 341 and lipase serum value is 90 and some time this pain seems to lower side of stomach pain is too high that i should take pain killer"
},
{
"from": "gpt",
"value": "Output: Thank you for posting query at Chat Doctor. Presentation of abnormal lipid profile (increased TAG), most likely you have Fatty Liver Disease secondary to alcohol abuse and/or Overweight).better to also rule out viral causes, so further blood tests needed"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Yesterday while at work I noticed out of the blue a small swollen knot the size of a marble on my left arm, in the middle between my wrist and elbow...on the same side as the back of my hand....it did not hurt..but I could roll it around and it was very scary to both myself and my coworkers...they suggested that I go to the emergency room, as one employee believed it was a blood clot in my vein...about 20 minutes later...it went down completely...today the skin there looks like a super super light bruise....should I seek a doctor for examination....not sure if I should be concerned....I am 39 years old and female | Hi! Welcome to Chat Doctor! The knot, being a colored one, must be related to blood most probably blood clot within a vein as some of your co-workers mentioned! You might have some unnoticed injury, pressure, hit or deficiency of some blood component! Please see your physician for some blood works and direct relevant physical examination and further advises! Please revert to us if any more queries are there; wishing you good health! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Yesterday while at work I noticed out of the blue a small swollen knot the size of a marble on my left arm, in the middle between my wrist and elbow...on the same side as the back of my hand....it did not hurt..but I could roll it around and it was very scary to both myself and my coworkers...they suggested that I go to the emergency room, as one employee believed it was a blood clot in my vein...about 20 minutes later...it went down completely...today the skin there looks like a super super light bruise....should I seek a doctor for examination....not sure if I should be concerned....I am 39 years old and female"
},
{
"from": "gpt",
"value": "Output: Hi! Welcome to Chat Doctor! The knot, being a colored one, must be related to blood most probably blood clot within a vein as some of your co-workers mentioned! You might have some unnoticed injury, pressure, hit or deficiency of some blood component! Please see your physician for some blood works and direct relevant physical examination and further advises! Please revert to us if any more queries are there; wishing you good health!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is a PD patient. Been on it for ten months. Had a cortisone shot in his knee last week. Has had complications with high blood sugar, diarrhea, dizzy and weakness. His dialysis is not working as well, lower UF. Have called his nurse, told to increase strength of dialysis fluids, helped at first but now back to low numbers with continued afore mentioned problems. | Hi and thanks for the query, I am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. Considering he is a PD patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. A combination of these two pathologies non their own could be very detrimental. Cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. I strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. Thanks and best regards, Bain LE, MD. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband is a PD patient. Been on it for ten months. Had a cortisone shot in his knee last week. Has had complications with high blood sugar, diarrhea, dizzy and weakness. His dialysis is not working as well, lower UF. Have called his nurse, told to increase strength of dialysis fluids, helped at first but now back to low numbers with continued afore mentioned problems."
},
{
"from": "gpt",
"value": "Output: Hi and thanks for the query, I am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. Considering he is a PD patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. A combination of these two pathologies non their own could be very detrimental. Cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. I strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. Thanks and best regards, Bain LE, MD."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was diagnosed with blood clots in my lungs two months ago and went on Warfarin. This was a result of surgery from a neck fusion in July. Below is what is going on with me. I am experiencing intense pain in my legs, calves, feet, and toes; pain, numbness, and tingling in hands and fingers; blood in my stools- tonight it seems to be more of a jelly-like consistency with light red blood; muscle pain; severe headaches; fatigue. My pain gets progressively more intense at nighttime. My main concern is that, even though I am on 4 mg warfarin, that I am still forming clots. I am not pleased or confident with my doctors care. Any thoughts? Thank you. Julie | The most common reason for developing blood clots in vasculature of lungs is any embolic, formed in the leg veins due to stasis cause by immobility for a prolonged period, dislodging and reaching the lungs via the right heart. The legs symptoms may be due to problem in the leg vessels. And the blood in stools can be due to enhanced bleeding tendency due to Warfarin. The monitoring of dose of warfarin is recommended by doing frequent INRS. And the legs' vasculature needs a thorough check-up by a color Doppler test of the lower limbs | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was diagnosed with blood clots in my lungs two months ago and went on Warfarin. This was a result of surgery from a neck fusion in July. Below is what is going on with me. I am experiencing intense pain in my legs, calves, feet, and toes; pain, numbness, and tingling in hands and fingers; blood in my stools- tonight it seems to be more of a jelly-like consistency with light red blood; muscle pain; severe headaches; fatigue. My pain gets progressively more intense at nighttime. My main concern is that, even though I am on 4 mg warfarin, that I am still forming clots. I am not pleased or confident with my doctors care. Any thoughts? Thank you. Julie"
},
{
"from": "gpt",
"value": "Output: The most common reason for developing blood clots in vasculature of lungs is any embolic, formed in the leg veins due to stasis cause by immobility for a prolonged period, dislodging and reaching the lungs via the right heart. The legs symptoms may be due to problem in the leg vessels. And the blood in stools can be due to enhanced bleeding tendency due to Warfarin. The monitoring of dose of warfarin is recommended by doing frequent INRS. And the legs' vasculature needs a thorough check-up by a color Doppler test of the lower limbs"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband was elbowed in the chest while playing basketball. About an hour later that area started to hurt and looked swollen and slightly bruised. He had trouble breathing because of the pain. It has been 12 days since that happened, and it is somewhat improved, but not gone. He has a physically demanding job, which is probably not helping it heal. He would like to know if it is necessary to go to the doctor. | Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Your husband is having blunt chest trauma due to elbow hit. In my opinion he should get done chest x-ray first to rule out rib fracture, pneumothorax and Pulmonary contusions. All these are complications of blunt chest trauma and cause chest pain with breathing difficulty. If chest x-ray is normal then no need to worry about these. He is mostly having musculoskeletal pain. Ask him to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, he will be alright in 1-2 weeks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband was elbowed in the chest while playing basketball. About an hour later that area started to hurt and looked swollen and slightly bruised. He had trouble breathing because of the pain. It has been 12 days since that happened, and it is somewhat improved, but not gone. He has a physically demanding job, which is probably not helping it heal. He would like to know if it is necessary to go to the doctor."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Your husband is having blunt chest trauma due to elbow hit. In my opinion he should get done chest x-ray first to rule out rib fracture, pneumothorax and Pulmonary contusions. All these are complications of blunt chest trauma and cause chest pain with breathing difficulty. If chest x-ray is normal then no need to worry about these. He is mostly having musculoskeletal pain. Ask him to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, he will be alright in 1-2 weeks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive recently have been having really bad stomach pains. The pain is right below where my ribs connect. It hurts most when i eat. And it hurts constantly when little amount of pressure is added. It seems swollen & when it hurts its hard to breathe or stand up straight. Ive also fealt naceous alot, random times of the day. | Hello, Thanks for the query to Chat Doctor. Forum. If I were your treating doctor for this severe pain in the stomach, I would come up with these possibilities, This includes.1 The first possibility is of acute gastritis (because as you mention that this is a recent pain) . Diagnosis can be confirmed by upper G I endoscopy, visualize erosion of gastric surface of stomach. Try raising the head of bed 4 inches above with blocks. It might also help to avoid eating or Chat Doctor. To help control stomach acid one should not | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive recently have been having really bad stomach pains. The pain is right below where my ribs connect. It hurts most when i eat. And it hurts constantly when little amount of pressure is added. It seems swollen & when it hurts its hard to breathe or stand up straight. Ive also fealt naceous alot, random times of the day."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for the query to Chat Doctor. Forum. If I were your treating doctor for this severe pain in the stomach, I would come up with these possibilities, This includes.1 The first possibility is of acute gastritis (because as you mention that this is a recent pain) . Diagnosis can be confirmed by upper G I endoscopy, visualize erosion of gastric surface of stomach. Try raising the head of bed 4 inches above with blocks. It might also help to avoid eating or Chat Doctor. To help control stomach acid one should not"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having a slight discomfort on the left side of my stomach just below the breast area. When I press on a certain area, it feels like there is a small bruise within the ribs. This is also accompanied by numbness that is only on the left side of my stomach area. Any suggestions? | Hello, I have studied your case and I think that this can be due to vitamin B 12 deficiencies. I would recommend you to get your serum B12 estimation and also ECG and cardiac checkup. If there is abnormal ECG then you need to take opinion of the cardiologist. If there is vitamin B 12 deficiencies then you need to take Methylcobal one daily. That will improve your tingling and numbness. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having a slight discomfort on the left side of my stomach just below the breast area. When I press on a certain area, it feels like there is a small bruise within the ribs. This is also accompanied by numbness that is only on the left side of my stomach area. Any suggestions?"
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case and I think that this can be due to vitamin B 12 deficiencies. I would recommend you to get your serum B12 estimation and also ECG and cardiac checkup. If there is abnormal ECG then you need to take opinion of the cardiologist. If there is vitamin B 12 deficiencies then you need to take Methylcobal one daily. That will improve your tingling and numbness. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter will be 7 months old on the 10th, shes had a runny nose and a small cough for about a month. She gets cold swears a lot but is never running a fever. Her doctor gave her medicine for a runny nose and congestion but no antibiotics. Is there something I can give her to get rid if it all. | Hi... Cough and cold are viral 95% of the times in child Chat Doctor. NO NEED FOR ANTIBIOTICS. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter will be 7 months old on the 10th, shes had a runny nose and a small cough for about a month. She gets cold swears a lot but is never running a fever. Her doctor gave her medicine for a runny nose and congestion but no antibiotics. Is there something I can give her to get rid if it all."
},
{
"from": "gpt",
"value": "Output: Hi... Cough and cold are viral 95% of the times in child Chat Doctor. NO NEED FOR ANTIBIOTICS. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi dont know if you can help, im really fed up because i dont know whats going on, ive been feeling quite hot and feverish quite often when just been walking around a while or in a hot room/having hot shower/ and strange burning/cold feelings on top of head for weeks now, then feeling miserable and cold for ages afterwards. I have colitis(on azathioprine/colazide) but seen specialist over that they say it isnt flared up and under control and probably not related, although vhaving scan in 6 wks as have been having lower pains from time to time. Im going to a gp again tommorow, and have already been, they keep saying im very anxious, that it isnt an infection, but last few days seems worse. bit dizzy eye went bit bloodshot in corner, went to a doctors last night, he said id got inflamed eye/conjunctivitus, that i dont need a cat scan,blood pressure was normal, im scared its something to do with a stroke/tumour/lymph thyroid/adrenal proble, its making me feel anxious all the time. | Hello, Thanks for choosing Chat Doctor for posting your query. From the description that you have given it appears that you are surely having anxiety symptoms. You might have noted yourself that your symptoms keep changing and are of transient in nature. It doesn't fall into any specific disease. You should visit your psychiatrist who can discuss carious treatment options with you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi dont know if you can help, im really fed up because i dont know whats going on, ive been feeling quite hot and feverish quite often when just been walking around a while or in a hot room/having hot shower/ and strange burning/cold feelings on top of head for weeks now, then feeling miserable and cold for ages afterwards. I have colitis(on azathioprine/colazide) but seen specialist over that they say it isnt flared up and under control and probably not related, although vhaving scan in 6 wks as have been having lower pains from time to time. Im going to a gp again tommorow, and have already been, they keep saying im very anxious, that it isnt an infection, but last few days seems worse. bit dizzy eye went bit bloodshot in corner, went to a doctors last night, he said id got inflamed eye/conjunctivitus, that i dont need a cat scan,blood pressure was normal, im scared its something to do with a stroke/tumour/lymph thyroid/adrenal proble, its making me feel anxious all the time."
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. From the description that you have given it appears that you are surely having anxiety symptoms. You might have noted yourself that your symptoms keep changing and are of transient in nature. It doesn't fall into any specific disease. You should visit your psychiatrist who can discuss carious treatment options with you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My sister has hepatitis c and her liver enzymes are very high 3000. Her stomach is very hard due to an inguinal hernia that isnt repaired. She had a high fever last night. Shes had ultrasound and MRI, what other imaging studies and tests should she have? | Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. With such high counts of liver enzyme, your sister requires admission and management as she is at risk of developing hypoglycemia and also encephalopathy. I would advise you to get her investigations urgently like | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My sister has hepatitis c and her liver enzymes are very high 3000. Her stomach is very hard due to an inguinal hernia that isnt repaired. She had a high fever last night. Shes had ultrasound and MRI, what other imaging studies and tests should she have?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. With such high counts of liver enzyme, your sister requires admission and management as she is at risk of developing hypoglycemia and also encephalopathy. I would advise you to get her investigations urgently like"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My dad had a stint put in in October. Hes felt chest compressions and tightness in his chest the last few days. Last night he said it felt like his heart was leaking.... Does this make sense? He wont go to the dr. because he went Monday and the dr set up a stress test, but it isnt until March. | Hello, Brief answer | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My dad had a stint put in in October. Hes felt chest compressions and tightness in his chest the last few days. Last night he said it felt like his heart was leaking.... Does this make sense? He wont go to the dr. because he went Monday and the dr set up a stress test, but it isnt until March."
},
{
"from": "gpt",
"value": "Output: Hello, Brief answer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Burping to relieve mild pressure in heart area, like there is something there. Breathing fine. On high blood pressure mess, vasotec and triameterene. I have ASD, having echo Doppler tomorrow. Is this angina? Im female 50, generally good health n fit. | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would like to explain that your symptoms are not related to any cardiac disorder (including angina). The symptoms you refer, may be related to a gastric disorder, like gastritis or dyspepsia. Anxiety could also mimic a similar symptomatology (due to phenomena of air swallowing related to anxiety). I recommend performing a fibrogastroscopy if the problem persists or is associated to heart burn.Meanwhile, I would recommend not to worry about it and having a healthy diet, avoid spicy food and take plenty of water. Hope to have been helpful! Best regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Burping to relieve mild pressure in heart area, like there is something there. Breathing fine. On high blood pressure mess, vasotec and triameterene. I have ASD, having echo Doppler tomorrow. Is this angina? Im female 50, generally good health n fit."
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would like to explain that your symptoms are not related to any cardiac disorder (including angina). The symptoms you refer, may be related to a gastric disorder, like gastritis or dyspepsia. Anxiety could also mimic a similar symptomatology (due to phenomena of air swallowing related to anxiety). I recommend performing a fibrogastroscopy if the problem persists or is associated to heart burn.Meanwhile, I would recommend not to worry about it and having a healthy diet, avoid spicy food and take plenty of water. Hope to have been helpful! Best regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i am 25 year old female from india i have hole in my heart from childhood now i am consulting with a doctor and he suggest me penigra 25 mg pills once in a day i want to know its work with this problem becouse i heard that this tablet can be use for sex only | Hi, Yes, these tablets are usually sold for sex, but it has another function, which is now used widely in medicine. It can lower the pressure in pulmonary artery. It is the vessel taking blood from the heart to the lungs. High pressures in that vessel may develop in patients with heart defects, such as yours, so we prescribe this medication, to decrease the pressure there. However, if the pressure went up in your pulmonary artery, I would recommend you to talk to your doctor about the possibility of the surgery. Wishing you a good health. In case of any further questions don't hesitate to contact me. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i am 25 year old female from india i have hole in my heart from childhood now i am consulting with a doctor and he suggest me penigra 25 mg pills once in a day i want to know its work with this problem becouse i heard that this tablet can be use for sex only"
},
{
"from": "gpt",
"value": "Output: Hi, Yes, these tablets are usually sold for sex, but it has another function, which is now used widely in medicine. It can lower the pressure in pulmonary artery. It is the vessel taking blood from the heart to the lungs. High pressures in that vessel may develop in patients with heart defects, such as yours, so we prescribe this medication, to decrease the pressure there. However, if the pressure went up in your pulmonary artery, I would recommend you to talk to your doctor about the possibility of the surgery. Wishing you a good health. In case of any further questions don't hesitate to contact me."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter is 4 years old and she was riding her bike inside the house she hit the wall and when she went forward the bar Handelof the bike then hit her upper right chest and now it seems to be bruising and has a bump which is now getting bigger. What should I do? | Hi.based from your description, the lump could be secondary to the trauma she recently had. It could only be an inflammatory reaction, wherein swelling ensues and will subside eventually in a few days time. Fibrous tissue formation may also be occurring especially on the area that was injured, hence the appearance of the bump. A consult with her doctor is best for clinical evaluation. Observation and analgesics may be given for now. If the signs and symptoms persist for more than a week, diagnostics (such as X-ray) and management (medical and/or surgical) will be directed accordingly. 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: My daughter is 4 years old and she was riding her bike inside the house she hit the wall and when she went forward the bar Handelof the bike then hit her upper right chest and now it seems to be bruising and has a bump which is now getting bigger. What should I do?"
},
{
"from": "gpt",
"value": "Output: Hi.based from your description, the lump could be secondary to the trauma she recently had. It could only be an inflammatory reaction, wherein swelling ensues and will subside eventually in a few days time. Fibrous tissue formation may also be occurring especially on the area that was injured, hence the appearance of the bump. A consult with her doctor is best for clinical evaluation. Observation and analgesics may be given for now. If the signs and symptoms persist for more than a week, diagnostics (such as X-ray) and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My aunt (aged 51) has been diagnosed with Esophageal cancer in Stage 4. Doctors are advising radiation therapy combined with chemotherapy. They also doubt whether she can withstand radiation therapy since she is too weak and weighing only 35 kgs. Is there any other treatment available? How long is the life expectancy? | Hi, Thanks for writing in. Cancer is a difficult condition to treat and if your aunt has stage 4 cancer then survival even with the best care can vary from 6 months to two years. It is important to know the exact area of cancer involvement. Cancer in esophagus happens due to the growth extending in to the lumen and then proliferating to cause obstruction to ingested foods. Surgery cannot be done at this stage and therefore radiation therapy has been recommended by her doctors. To increase passage of flow through the cancer area, you can discuss with your doctors if she can be given monitored doses of radiation followed by inserting a metallic stent to cause improvement in swallowing. Radiation is best and chemotherapy may be even more difficult for her in this case. 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: My aunt (aged 51) has been diagnosed with Esophageal cancer in Stage 4. Doctors are advising radiation therapy combined with chemotherapy. They also doubt whether she can withstand radiation therapy since she is too weak and weighing only 35 kgs. Is there any other treatment available? How long is the life expectancy?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Cancer is a difficult condition to treat and if your aunt has stage 4 cancer then survival even with the best care can vary from 6 months to two years. It is important to know the exact area of cancer involvement. Cancer in esophagus happens due to the growth extending in to the lumen and then proliferating to cause obstruction to ingested foods. Surgery cannot be done at this stage and therefore radiation therapy has been recommended by her doctors. To increase passage of flow through the cancer area, you can discuss with your doctors if she can be given monitored doses of radiation followed by inserting a metallic stent to cause improvement in swallowing. Radiation is best and chemotherapy may be even more difficult for her in this case. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi ! i have wheatisChatDoctorplexion .i used cosmelite and it helped me to become fairer.i am using regular sunscreen.but my skin becomes darker when i stop to use cosmelite and also in winters. i want to ask should i need to use cosmelite for lifetime. | Hello Kristi, welcome to Chat Doctor.I will be glad to be of assistance. Cosmelite cannot be used lifelong. In fact, it should be used for a maximum of 3-4 months not more than that. I will recommend that you use glycolic acid 6% cream on full face every night. That will also cause evening out of your skin tone and a bright complexion. The sunscreen has to be reapplied once every 4 hours. That will ensure good efficacy of the sunscreen. Hope my recommendations are useful to you. Please let me know if you have any queries. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi ! i have wheatisChatDoctorplexion .i used cosmelite and it helped me to become fairer.i am using regular sunscreen.but my skin becomes darker when i stop to use cosmelite and also in winters. i want to ask should i need to use cosmelite for lifetime."
},
{
"from": "gpt",
"value": "Output: Hello Kristi, welcome to Chat Doctor.I will be glad to be of assistance. Cosmelite cannot be used lifelong. In fact, it should be used for a maximum of 3-4 months not more than that. I will recommend that you use glycolic acid 6% cream on full face every night. That will also cause evening out of your skin tone and a bright complexion. The sunscreen has to be reapplied once every 4 hours. That will ensure good efficacy of the sunscreen. Hope my recommendations are useful to you. Please let me know if you have any queries."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have bipolar disorder, a few anxiety disorders, panic attacks and chronic fatigue syndrome. The panic attacks come between the mania and depressed cycles. They last 4 to 6 weeks. Each day I have one, they last from 3 to 4 hours or the whole day. Sometimes i wake up in the middle of the night and find myself attached to the ceiling because the attack was there immediatly when I wake up. These 4 to 6 weeks happen 4 times a year. Recently I have noticed that Adderall makes them go away. Ive only tried it the last couple of days so the trial is not very well documented. I will expierment again today because although it is only 6 | His had gone through your query. Aderall has limited use in depression or bipolar disorder. It won't reduce anxiety or panic attack. If you have bipolar depression with panic attack then medicines like SSRI will Be choice. In SSRI paroxetine/sertraline/Escitalopram will be useful ion panic attack and depression. Anxiolytic like Mizoram and clonazepam will help to reduce acute attack, and it will be taken as and when required. Consult psychiatrist and discuss all this options. Take medicine after proper consultation with a doctor. Get well soon. Still if you have query then feel free to ask me directly on http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have bipolar disorder, a few anxiety disorders, panic attacks and chronic fatigue syndrome. The panic attacks come between the mania and depressed cycles. They last 4 to 6 weeks. Each day I have one, they last from 3 to 4 hours or the whole day. Sometimes i wake up in the middle of the night and find myself attached to the ceiling because the attack was there immediatly when I wake up. These 4 to 6 weeks happen 4 times a year. Recently I have noticed that Adderall makes them go away. Ive only tried it the last couple of days so the trial is not very well documented. I will expierment again today because although it is only 6"
},
{
"from": "gpt",
"value": "Output: His had gone through your query. Aderall has limited use in depression or bipolar disorder. It won't reduce anxiety or panic attack. If you have bipolar depression with panic attack then medicines like SSRI will Be choice. In SSRI paroxetine/sertraline/Escitalopram will be useful ion panic attack and depression. Anxiolytic like Mizoram and clonazepam will help to reduce acute attack, and it will be taken as and when required. Consult psychiatrist and discuss all this options. Take medicine after proper consultation with a doctor. Get well soon. Still if you have query then feel free to ask me directly on http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi DoctorMy mother has undergone surgery for breast cancer 15 days ago. Drs have removed the entire breast and had sent it for testing. Today we got to know it was 3rd stage cancer..What will happen now? Is that curable? Request you to kindly guide me.. | Stage 3 breast cancer is curable. Treatment will be guided by the patients age and the tumors' estrogen receptor, progesterone receptor and Her2 new receptor status. Stage 3 requires chemotherapy followed by radiation therapy. If the Her2 new receptor status is positive then she will be given Herceptin (trastuzumab) as well which is a biological therapy. And if her estrogen or progesterone receptor status is positive then she will be given hormone therapy for a minimum duration of 5 years as well. This is just a sketch of the treatment. You can discuss it with your treating oncologist. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi DoctorMy mother has undergone surgery for breast cancer 15 days ago. Drs have removed the entire breast and had sent it for testing. Today we got to know it was 3rd stage cancer..What will happen now? Is that curable? Request you to kindly guide me.."
},
{
"from": "gpt",
"value": "Output: Stage 3 breast cancer is curable. Treatment will be guided by the patients age and the tumors' estrogen receptor, progesterone receptor and Her2 new receptor status. Stage 3 requires chemotherapy followed by radiation therapy. If the Her2 new receptor status is positive then she will be given Herceptin (trastuzumab) as well which is a biological therapy. And if her estrogen or progesterone receptor status is positive then she will be given hormone therapy for a minimum duration of 5 years as well. This is just a sketch of the treatment. You can discuss it with your treating oncologist."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | new to seizures. had first one at 41 and still trying to figure out what kind I am having. I have a blank stare and kind of check out for a few minutes and then for about 10-20 minutes later I come back to I don t know. MRI shows brain is good so far. Currently on Topamax and Dilantin. Losing memory . I can follow directions during a | Hi, Welcome to Chat Doctor forum. It appears that you are getting seizures due to the hypertension, and there also may be atherosclerosis. It should be confirmed that the hypertension is always under control, and never touching the higher reading. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan, and E.E.G. for diagnosis. Avoid taking the Chat Doctor. Wishing for a quick and complete recovery. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: new to seizures. had first one at 41 and still trying to figure out what kind I am having. I have a blank stare and kind of check out for a few minutes and then for about 10-20 minutes later I come back to I don t know. MRI shows brain is good so far. Currently on Topamax and Dilantin. Losing memory . I can follow directions during a"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. It appears that you are getting seizures due to the hypertension, and there also may be atherosclerosis. It should be confirmed that the hypertension is always under control, and never touching the higher reading. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan, and E.E.G. for diagnosis. Avoid taking the Chat Doctor. Wishing for a quick and complete recovery. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My daughter has had low abdominal pain with indigestion, we have been to the er a few times and they have done cat scans and ultrasounds. They said she has free fluid in the low peritoneal cavity and thought she had PID. None of her cultures came back positive and she has been on antibiotics for several days with no improvement | Dear Ma'am, Sorry to hear about your daughters' problem. You should also get a urine culture done as PID is often associated with urinary infection and that is often neglected.Also, PID and UTI require a prolonged course of antibiotics (for at least 5-7 days). If her pain is still persisting, she should also undergo an abdominal ultrasound, which will give information about the rest of the abdomen as well. Hoping for the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My daughter has had low abdominal pain with indigestion, we have been to the er a few times and they have done cat scans and ultrasounds. They said she has free fluid in the low peritoneal cavity and thought she had PID. None of her cultures came back positive and she has been on antibiotics for several days with no improvement"
},
{
"from": "gpt",
"value": "Output: Dear Ma'am, Sorry to hear about your daughters' problem. You should also get a urine culture done as PID is often associated with urinary infection and that is often neglected.Also, PID and UTI require a prolonged course of antibiotics (for at least 5-7 days). If her pain is still persisting, she should also undergo an abdominal ultrasound, which will give information about the rest of the abdomen as well. Hoping for the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi how are you? I am in a lot of pain. I have been having abdominal pain for about 2 weeks now. t is severe pain. Started out in my lower abdomen and then increased to the left side. Now it is all over (abdomen) and sometimes in my shoulder. It hurts to walk. I cant sleep properly because it hurts to lay down. When i walk fast or take a deep breath my insides hurt. It almost feels as though my insides are crushed. My stomach feels like its swollen. The pain is very very bad. Do you know what this can be? I have went to the doctor. The gave me an ultrasound and i am suppose to go Friday to profound on it. | Hi. Thanks for your query and an elucidated history. I wonder how is it possible that with such a classical history suggestive of peritonitis you are not yet admitted and investigated faster. This is a classical history of peritonitis, wherein one gets pain even on walking and on lying down as your history says so. Shoulder pain and all history is suggestive of a serious condition inside the abdomen unless until proved. I would advise such a patient to get admitted and kept on intravenous fluids and antibiotics. Patient should not take anything orally. Investigations include- ultrasonography / CT scan of abdomen if there is a doubt or to confirm the findings of Ultrasonography. Hologram to see for hemoglobin and whit cell count. Urine - stool tests Standing X-ray of the abdomen to see for gas under diaphragm, Surgery if required anytime | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi how are you? I am in a lot of pain. I have been having abdominal pain for about 2 weeks now. t is severe pain. Started out in my lower abdomen and then increased to the left side. Now it is all over (abdomen) and sometimes in my shoulder. It hurts to walk. I cant sleep properly because it hurts to lay down. When i walk fast or take a deep breath my insides hurt. It almost feels as though my insides are crushed. My stomach feels like its swollen. The pain is very very bad. Do you know what this can be? I have went to the doctor. The gave me an ultrasound and i am suppose to go Friday to profound on it."
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and an elucidated history. I wonder how is it possible that with such a classical history suggestive of peritonitis you are not yet admitted and investigated faster. This is a classical history of peritonitis, wherein one gets pain even on walking and on lying down as your history says so. Shoulder pain and all history is suggestive of a serious condition inside the abdomen unless until proved. I would advise such a patient to get admitted and kept on intravenous fluids and antibiotics. Patient should not take anything orally. Investigations include- ultrasonography / CT scan of abdomen if there is a doubt or to confirm the findings of Ultrasonography. Hologram to see for hemoglobin and whit cell count. Urine - stool tests Standing X-ray of the abdomen to see for gas under diaphragm, Surgery if required anytime"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Have recently had flu and suddenly feel very unhappy, worthless, scared and cant cope with simple daily tasks. Irritable, frightened of being alone, might be better if not around for everyone else. Been offered sertraline by doctor but concerned about potential side effects. What can I do? | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have recently had flu and suddenly feel very unhappy, worthless, scared and cant cope with simple daily tasks. Irritable, frightened of being alone, might be better if not around for everyone else. Been offered sertraline by doctor but concerned about potential side effects. What can I do?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i am 21 years old girl a medical a third year mbbs studenthave got severe pain in abdomen around umblicus i have been prescribed metrogyl compound but no change | Hi Sana, Welcome to Chat Doctor. Pain around umbilicus which shifts to right Iliad Fossa, is typical of Appendicitis. You have not mentioned whether your Stool examination was done prior to starting Metro, because it is the Chat Doctor. If you do not have Amoebas, metro alone is of little value. Better get an Ultrasound Study done as well as routine blood test to rule out infection (Appendicitis), since Total count of WBC of more than 11000 with necrophilia is indicative of infection. Of course a surgeon can also provisionally diagnose appendicitis by eliciting rebound tenderness at McBirney Point. It is prudent to avoid blind treatment. As far as possible a firm diagnosis supported by investigations is ideal, before starting any treatment, exception being relieving the patients' agony by immediate management of that agony. Wish you speedy recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i am 21 years old girl a medical a third year mbbs studenthave got severe pain in abdomen around umblicus i have been prescribed metrogyl compound but no change"
},
{
"from": "gpt",
"value": "Output: Hi Sana, Welcome to Chat Doctor. Pain around umbilicus which shifts to right Iliad Fossa, is typical of Appendicitis. You have not mentioned whether your Stool examination was done prior to starting Metro, because it is the Chat Doctor. If you do not have Amoebas, metro alone is of little value. Better get an Ultrasound Study done as well as routine blood test to rule out infection (Appendicitis), since Total count of WBC of more than 11000 with necrophilia is indicative of infection. Of course a surgeon can also provisionally diagnose appendicitis by eliciting rebound tenderness at McBirney Point. It is prudent to avoid blind treatment. As far as possible a firm diagnosis supported by investigations is ideal, before starting any treatment, exception being relieving the patients' agony by immediate management of that agony. Wish you speedy recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Is there any way to get rid of a sperm granuloma/ epidmylitis at home? Vasectomy 2 years ago and now swelling and a grape sized lump in one testicle . Family md prescribed antibiotic, not seeming to work. Very painful. Ultrasound showed an enlarged vein . Referred us to urologist who performed vasectomy. No openings for a few more days. Anything that we could do in the meantime? | HIT hank for asking to ChatDoctorI really appreciate your concern at the most you can keep your scrotum on little elevated position at the resting position (Sleeping) for that you have to just low down your undergarment below the scrotum level then put the whole scrotum on belt of undergarment, along with this you can have \"Tab Ibuprofen 400 mg three times in day, hope this information helps you have a good day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Is there any way to get rid of a sperm granuloma/ epidmylitis at home? Vasectomy 2 years ago and now swelling and a grape sized lump in one testicle . Family md prescribed antibiotic, not seeming to work. Very painful. Ultrasound showed an enlarged vein . Referred us to urologist who performed vasectomy. No openings for a few more days. Anything that we could do in the meantime?"
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorI really appreciate your concern at the most you can keep your scrotum on little elevated position at the resting position (Sleeping) for that you have to just low down your undergarment below the scrotum level then put the whole scrotum on belt of undergarment, along with this you can have \\\"Tab Ibuprofen 400 mg three times in day, hope this information helps you have a good day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, im a 21 year old college student and i was diagnosed with Chrons when I was bout 11. I was recently hospitalized for about a week due to severe left side pain, nausea, and vomiting. My GI doctor perscribed me prednisone but i havent seen any change. I can barely keep any foods down and my stomach is very swollen to where i cant button my pants. Its hard to be in college and to constantly throw up all day. For some reason, the only thing that tends to stay down is crackers, but i cant see myself surviving off crackers for the rest of my life. Any advice? Please help | HI, thanks for using Chat Doctor The prednisone was to try to reduce the inflammation in the bowel by suppressing the immune response but if it is not helping there are other immune suppressant medications that can be used. You should go to your doctor for a review so he or she can change to medication to another that may be able to help you. There are over the counter agents that may help with the swelling (if linked to bloating) and the vomiting e.g. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, im a 21 year old college student and i was diagnosed with Chrons when I was bout 11. I was recently hospitalized for about a week due to severe left side pain, nausea, and vomiting. My GI doctor perscribed me prednisone but i havent seen any change. I can barely keep any foods down and my stomach is very swollen to where i cant button my pants. Its hard to be in college and to constantly throw up all day. For some reason, the only thing that tends to stay down is crackers, but i cant see myself surviving off crackers for the rest of my life. Any advice? Please help"
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor The prednisone was to try to reduce the inflammation in the bowel by suppressing the immune response but if it is not helping there are other immune suppressant medications that can be used. You should go to your doctor for a review so he or she can change to medication to another that may be able to help you. There are over the counter agents that may help with the swelling (if linked to bloating) and the vomiting e.g. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a problem with my eyelids and the area above them swelling for the past few years. I assume thisight be an allergy symptom. It doesn t happen all the time. Recently I ve connected it to staying in hotels with the air conditioner running. Is it perhaps a reaction to mold in the AC unit? Might it also be the bedding or chemicals used to clean the bedding? It only occurs when I lie down in the bed. If I am up late, the swelling does not happen. | Hello, Mould allergy aggravated by AC units is a good possibility but hotel rooms are notorious to harbor dust mites and dust allergy would be likely. Skin tests to molds, dusts, cockroach need to be done to exclude these allergies. If you are using any eye mascara or facial cleaning products, you need to get a patch test in order to exclude a delayed chemical hypersensitivity. Skin prick tests and patch tests are different, so you need to see an Allergist or a Dermatologist to sort this out. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a problem with my eyelids and the area above them swelling for the past few years. I assume thisight be an allergy symptom. It doesn t happen all the time. Recently I ve connected it to staying in hotels with the air conditioner running. Is it perhaps a reaction to mold in the AC unit? Might it also be the bedding or chemicals used to clean the bedding? It only occurs when I lie down in the bed. If I am up late, the swelling does not happen."
},
{
"from": "gpt",
"value": "Output: Hello, Mould allergy aggravated by AC units is a good possibility but hotel rooms are notorious to harbor dust mites and dust allergy would be likely. Skin tests to molds, dusts, cockroach need to be done to exclude these allergies. If you are using any eye mascara or facial cleaning products, you need to get a patch test in order to exclude a delayed chemical hypersensitivity. Skin prick tests and patch tests are different, so you need to see an Allergist or a Dermatologist to sort this out."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my question is Do I have a biopsy of the liver to find out what unknown bumps or growths are. No one has seen these before they are not the normal looking cancer or non cancer bumps. I also do not have a Portal vein attached to the liver and they dont know it has been functioning for 16 years without it. | Hi thanks for asking question. Noted you have growth in liver since long duration. If you are smoking and having history of OC pills then liver hematoma like growth may present. So if in USG it is vascular then care taken while doing biopsy. Here it can be simple adenoid. It could be chronic inflammatory or infective condition. So after examination and according to suspicion USG guided biopsy can be taken to differentiate whether it is about infection, inflammatory or tumor condition. If you have bleeding and coagulation disorder then biopsy can be done very carefully. Wish you good health. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my question is Do I have a biopsy of the liver to find out what unknown bumps or growths are. No one has seen these before they are not the normal looking cancer or non cancer bumps. I also do not have a Portal vein attached to the liver and they dont know it has been functioning for 16 years without it."
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. Noted you have growth in liver since long duration. If you are smoking and having history of OC pills then liver hematoma like growth may present. So if in USG it is vascular then care taken while doing biopsy. Here it can be simple adenoid. It could be chronic inflammatory or infective condition. So after examination and according to suspicion USG guided biopsy can be taken to differentiate whether it is about infection, inflammatory or tumor condition. If you have bleeding and coagulation disorder then biopsy can be done very carefully. Wish you good health. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband is an organic farmer that lifts HEAVY 100# coolers to the truck for market and as of this morning he had pain below is sternum and did not eat or feel well all day. Thought it was a muscle strain or tear. By 6PM the pain was in the lower right side with some nausea and he is weak I do not think he has a fever. I pushed down on the right lower abdomen and then release fast and he said it was tender pushing down but not on the release. We live 35 miles from a hospital and hate to take him in if not necessary. Thank you | HI. Thanks for your query and an elucidated history. You have posted the history as if you have read from the book | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband is an organic farmer that lifts HEAVY 100# coolers to the truck for market and as of this morning he had pain below is sternum and did not eat or feel well all day. Thought it was a muscle strain or tear. By 6PM the pain was in the lower right side with some nausea and he is weak I do not think he has a fever. I pushed down on the right lower abdomen and then release fast and he said it was tender pushing down but not on the release. We live 35 miles from a hospital and hate to take him in if not necessary. Thank you"
},
{
"from": "gpt",
"value": "Output: HI. Thanks for your query and an elucidated history. You have posted the history as if you have read from the book"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi... Last friday i had too much barbeque and i started drinking smirnoff ice and i think i got drunk. When i woke up the next morning my stomach hurted really bad. It hurts at the upper stomach and it feels weird. Now its wedneaday and it is still hurting. What is wrong with me? | Hi. Thank you for your question. Let me assure you are fine and need not panic. Pain in the abdomen after intake of alcohol can be due to many causes particularly Acute episode of pancreatitis, Peptic ulcer, etc. I will advise you to your surgeon at the earliest and get investigations to rule out pancreatitis or peptic ulcer disease. To my patients i advice following 1)Investigations | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi... Last friday i had too much barbeque and i started drinking smirnoff ice and i think i got drunk. When i woke up the next morning my stomach hurted really bad. It hurts at the upper stomach and it feels weird. Now its wedneaday and it is still hurting. What is wrong with me?"
},
{
"from": "gpt",
"value": "Output: Hi. Thank you for your question. Let me assure you are fine and need not panic. Pain in the abdomen after intake of alcohol can be due to many causes particularly Acute episode of pancreatitis, Peptic ulcer, etc. I will advise you to your surgeon at the earliest and get investigations to rule out pancreatitis or peptic ulcer disease. To my patients i advice following 1)Investigations"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi i have feeling heaviness in my left arm and left side of the chest i have performed all the test.ECG,ECHI,ETT,LFT,UREA CREATNINE,CBC All are ok.but now a days i am feeling pain on my liver side and suddenly this pain transfer from liver to the right upper side of my arm. i have feeling shortness of breath as well since 1 month.Please advice | Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases for your symptoms because your ECG and 2d echo are normal. By your history and description, possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT values. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi i have feeling heaviness in my left arm and left side of the chest i have performed all the test.ECG,ECHI,ETT,LFT,UREA CREATNINE,CBC All are ok.but now a days i am feeling pain on my liver side and suddenly this pain transfer from liver to the right upper side of my arm. i have feeling shortness of breath as well since 1 month.Please advice"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases for your symptoms because your ECG and 2d echo are normal. By your history and description, possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT values. Don't worry, you will be alright. 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. | Good Morning,Dear Doctors,I have two problems | Degree understand your concerns went through your details. I suggest you not to worry much. You are just exaggerating. Just answer these questions.1. Are you able to concentrate on movies? Interesting movies?2. Are you able to remember the stories, actors, actresses of these movies?3. Songs?4. Are you able to remember the food you ate last night? Definitely yes. I know the answers always shall be YES. That means both your doubts are cleared. You have good concentration power, and you do not have any memory problem. Then why are you not able to concentrate on studies? Cant remember what you studied? Because they are not interesting. Once you make them interesting, they shall be unforgettable. There are so many techniques to study effectively. See this website | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good Morning,Dear Doctors,I have two problems"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. You are just exaggerating. Just answer these questions.1. Are you able to concentrate on movies? Interesting movies?2. Are you able to remember the stories, actors, actresses of these movies?3. Songs?4. Are you able to remember the food you ate last night? Definitely yes. I know the answers always shall be YES. That means both your doubts are cleared. You have good concentration power, and you do not have any memory problem. Then why are you not able to concentrate on studies? Cant remember what you studied? Because they are not interesting. Once you make them interesting, they shall be unforgettable. There are so many techniques to study effectively. See this website"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have I have an 18 year old son that suffered a traumatic Brian injury when he was 23 months old. He suffers from ADHD symptoms as well as being unable to control his impulsivity and emotions he also has problems with his executive function and has a cognitive disorder. All this means he is hyper active and can t contol his impulses or his emotions. Traditional medications do not help much. Would medical marijuana use help him ? | Dear, We understand your concerns went through your details. It is proven that in medicinal doses marijuana can be used to help cognitive disorder. Your psychiatrist or neurologist will be able to give you the perfect guideline. If you require more of my help in this aspect, please use this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have I have an 18 year old son that suffered a traumatic Brian injury when he was 23 months old. He suffers from ADHD symptoms as well as being unable to control his impulsivity and emotions he also has problems with his executive function and has a cognitive disorder. All this means he is hyper active and can t contol his impulses or his emotions. Traditional medications do not help much. Would medical marijuana use help him ?"
},
{
"from": "gpt",
"value": "Output: Dear, We understand your concerns went through your details. It is proven that in medicinal doses marijuana can be used to help cognitive disorder. Your psychiatrist or neurologist will be able to give you the perfect guideline. If you require more of my help in this aspect, please use this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Last night i felt a bump on the roof of my mouth at the back. The bump is a bit sore when food or my tongue touch it. i looked in the mirror this morning and the bump is pea sized and there are two large dark areas on the roof around the bump. They almost look like bruises. I am 20 years old, never smoked before and rarely drink alcohol. Whay could this possibly be? | Hello there.... What do u mean by bump? Swelling? There are few age related swellings /lesions in the palate that arise with indefinite etiology... One need not have a history of smoking or alcohol consumption to have them. They might be associated with minor salivary glands of the palate also. Impacted upper third molars erupting palatially would also give such a clinical picture. Since yours is the right age for the eruption of wisdom teeth, that might also be the cause. Get yourself evaluated from an Oral and Maxillofacial Surgeon only. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last night i felt a bump on the roof of my mouth at the back. The bump is a bit sore when food or my tongue touch it. i looked in the mirror this morning and the bump is pea sized and there are two large dark areas on the roof around the bump. They almost look like bruises. I am 20 years old, never smoked before and rarely drink alcohol. Whay could this possibly be?"
},
{
"from": "gpt",
"value": "Output: Hello there.... What do u mean by bump? Swelling? There are few age related swellings /lesions in the palate that arise with indefinite etiology... One need not have a history of smoking or alcohol consumption to have them. They might be associated with minor salivary glands of the palate also. Impacted upper third molars erupting palatially would also give such a clinical picture. Since yours is the right age for the eruption of wisdom teeth, that might also be the cause. Get yourself evaluated from an Oral and Maxillofacial Surgeon only."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A stomach ache wakes me every morning. The Drs PA gave me a pill to dissolve under my tongue. He thought it was a spasm. Had a bad night last night after having FRIED SHRIMP for dinner. Up most of night w/a bad stomach ache. I also have reflux issuesDo You think it is gall bladder? | HIT hank for asking to ChatDoctorI really appreciate your concern your acid reflux problem may not be due to the gall bladder, but nowadays, the \"Gastroesophageal reflux disease (HERD) is common and the changing lifestyle could be the reason behind this stressful condition, like anxiety and depression, but this can be best controlled with the medicine called PPI (Proton pump inhibitor) hope this information helps you, have nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A stomach ache wakes me every morning. The Drs PA gave me a pill to dissolve under my tongue. He thought it was a spasm. Had a bad night last night after having FRIED SHRIMP for dinner. Up most of night w/a bad stomach ache. I also have reflux issuesDo You think it is gall bladder?"
},
{
"from": "gpt",
"value": "Output: HIT hank for asking to ChatDoctorI really appreciate your concern your acid reflux problem may not be due to the gall bladder, but nowadays, the \\\"Gastroesophageal reflux disease (HERD) is common and the changing lifestyle could be the reason behind this stressful condition, like anxiety and depression, but this can be best controlled with the medicine called PPI (Proton pump inhibitor) hope this information helps you, have nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im a 30 yr old woman, I do not have a history of medical problems, the last few weeks when I lay on my stomach I have been feeling a strong pulsation, much stronger than in my chest. When I lay on my back I feel an area with a very strong pulse on my abdomen, near my umbilicus. I know the major artery, the aorta runs in the abdomen... So is a strong pulse a concern. Or just normal aortic flow? | Hi. Thanks for your query and an elucidated history. Very good question... If you are feeling this for the first time , the surgical problems concerned with this feeling like a cyst or a mass lying on the aorta have to ruled out by an urgent ultrasonography and color Doppler examination, ; the findings are positive to confirm this by a contrast enhanced CT scan of the abdomen and of necessary of the chest too... If the investigations and clinical examination by your Doctor are normal, enjoy life- it is possible that you have lost a lot of weight and lost abdominal fat... (this is on a lighter vain) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im a 30 yr old woman, I do not have a history of medical problems, the last few weeks when I lay on my stomach I have been feeling a strong pulsation, much stronger than in my chest. When I lay on my back I feel an area with a very strong pulse on my abdomen, near my umbilicus. I know the major artery, the aorta runs in the abdomen... So is a strong pulse a concern. Or just normal aortic flow?"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and an elucidated history. Very good question... If you are feeling this for the first time , the surgical problems concerned with this feeling like a cyst or a mass lying on the aorta have to ruled out by an urgent ultrasonography and color Doppler examination, ; the findings are positive to confirm this by a contrast enhanced CT scan of the abdomen and of necessary of the chest too... If the investigations and clinical examination by your Doctor are normal, enjoy life- it is possible that you have lost a lot of weight and lost abdominal fat... (this is on a lighter vain)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | thank you- Ihave been diagnosed with Barrett s esophagus . I have read a lot about Radio frequency ablation And I would like to get this done . I do not have dysplasia according to the pathology report at this time based on A pathology report. I am very nervous about waiting another two years before I can get another endoscopic Procedure done. I could advance to cancer by then. I have read where a lot of people with no dyspasia have been treated and with good results in eliminating Barrett s. my insurance won t pay for RFA unless you have dysplasia. What if I Pay for it myself ? is there any way I can get this RFA Procedure done? Where can I get this procedure? | Dear Friend ... Welcome to Healthcare for your queries ... I read your query and would like to help you to get RFA procedure done. You can have good result if done in earliest without dysplasia. I would suggest you to Consult your treating physician and can be done in nearby Hospital without insurance. Do not be nervous as it is curable one. You are not likely to develop dysplasia changes faster therefore do not be worried. You can also visit MGH (Digestive Health Care)55 Fruit Street Boston, MA 02114\u00a0Hours | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: thank you- Ihave been diagnosed with Barrett s esophagus . I have read a lot about Radio frequency ablation And I would like to get this done . I do not have dysplasia according to the pathology report at this time based on A pathology report. I am very nervous about waiting another two years before I can get another endoscopic Procedure done. I could advance to cancer by then. I have read where a lot of people with no dyspasia have been treated and with good results in eliminating Barrett s. my insurance won t pay for RFA unless you have dysplasia. What if I Pay for it myself ? is there any way I can get this RFA Procedure done? Where can I get this procedure?"
},
{
"from": "gpt",
"value": "Output: Dear Friend ... Welcome to Healthcare for your queries ... I read your query and would like to help you to get RFA procedure done. You can have good result if done in earliest without dysplasia. I would suggest you to Consult your treating physician and can be done in nearby Hospital without insurance. Do not be nervous as it is curable one. You are not likely to develop dysplasia changes faster therefore do not be worried. You can also visit MGH (Digestive Health Care)55 Fruit Street Boston, MA 02114\\u00a0Hours"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my back feels uncomfortable its not quite pain but its just making me feel like squirmingkind of irritable its worth when im sat down im also getting some pain in my ass in wear my lungs would be it feels like a bruise sort of sensation any ideas as to why this is happening also i have a feeling of my heart missing a beat and sometimes racingive also had increased appetite but weight lossand ive been suffering with diarrhoea and stomach painand also dizzinessi do know i have low blood pressurei have juvenile rheumatoid arthritis and have also been diagnosed with autoimmune encephalitisjust not sure whats causing me symptoms . thank you for your time | Welcome to Chat Doctor I have gone through your query and understand your concern. Your musculoskeletal pain can be due to vitamin D deficiency, so you can test your vitamin D level and if found low you can supplement it with vitamin D3. You can take analgesic such as ibuprofen for pain relief. Multivitamin supplements will be helpful. You can see general physician for your problem of missed beats, dizziness and diarrhea etc. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my back feels uncomfortable its not quite pain but its just making me feel like squirmingkind of irritable its worth when im sat down im also getting some pain in my ass in wear my lungs would be it feels like a bruise sort of sensation any ideas as to why this is happening also i have a feeling of my heart missing a beat and sometimes racingive also had increased appetite but weight lossand ive been suffering with diarrhoea and stomach painand also dizzinessi do know i have low blood pressurei have juvenile rheumatoid arthritis and have also been diagnosed with autoimmune encephalitisjust not sure whats causing me symptoms . thank you for your time"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. Your musculoskeletal pain can be due to vitamin D deficiency, so you can test your vitamin D level and if found low you can supplement it with vitamin D3. You can take analgesic such as ibuprofen for pain relief. Multivitamin supplements will be helpful. You can see general physician for your problem of missed beats, dizziness and diarrhea etc. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi.Every night I have clear bubbly yuk that I have to spit out. If I don t spit it out I have to cough and then it comes up. I am up all night doing this. I just lay down and take a towel to bed with me and spit it our alnight. What can I do. I take singular and take prilosec. Doesn t help. | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out congestive heart failure (CHF) first. Your symptoms (frothy sputum, cough, chest up position) especially at night are characteristic feature of CHF.CHF causes pulmonary edema and this causes all the symptoms. So better to consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). You may need diuretics and other cardiac supportive Chat Doctor. 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.Every night I have clear bubbly yuk that I have to spit out. If I don t spit it out I have to cough and then it comes up. I am up all night doing this. I just lay down and take a towel to bed with me and spit it our alnight. What can I do. I take singular and take prilosec. Doesn t help."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out congestive heart failure (CHF) first. Your symptoms (frothy sputum, cough, chest up position) especially at night are characteristic feature of CHF.CHF causes pulmonary edema and this causes all the symptoms. So better to consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). You may need diuretics and other cardiac supportive Chat Doctor. 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. | My yesterday s blood test result showed 160 Sgot , 87 SGPT , D. bilirubin - 0.3, T.bilirubin 1.3 and uric acid 8.4. Before a week result was 126 Sgot , 89 SGPT , D. bilirubin - 0.8, T.bilirubin 1.9 and uric acid 9.5. Except for SGOT and SGPT my other results have improved. How can i make improvement for those two result. I am taking my food very carefully. and i haven t taken alchol since 2 month. Is it due to uric acid and liver problem ? or other factor can make those two result high? What other test i have do do ? | Hi ts Your SGPT and GOT levels are showing signs of a mild liver inflammation. This is often seen with following conditions 1. Long term alcohol intake2. Some viruses involving the liver like hepatitis B and C3. Obesity or metabolic syn Chat Doctor. HbsAg2. Anti HCV antibody. 3. ultrasound of abdomen SGPT and GOT takes time for improvement. You need to continue to be abstinent from alcohol. On an average it would take 2-3 months to resolve with continued abstinence and medications. So continue on the path of a good lifestyle, and you would surely see good results. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My yesterday s blood test result showed 160 Sgot , 87 SGPT , D. bilirubin - 0.3, T.bilirubin 1.3 and uric acid 8.4. Before a week result was 126 Sgot , 89 SGPT , D. bilirubin - 0.8, T.bilirubin 1.9 and uric acid 9.5. Except for SGOT and SGPT my other results have improved. How can i make improvement for those two result. I am taking my food very carefully. and i haven t taken alchol since 2 month. Is it due to uric acid and liver problem ? or other factor can make those two result high? What other test i have do do ?"
},
{
"from": "gpt",
"value": "Output: Hi ts Your SGPT and GOT levels are showing signs of a mild liver inflammation. This is often seen with following conditions 1. Long term alcohol intake2. Some viruses involving the liver like hepatitis B and C3. Obesity or metabolic syn Chat Doctor. HbsAg2. Anti HCV antibody. 3. ultrasound of abdomen SGPT and GOT takes time for improvement. You need to continue to be abstinent from alcohol. On an average it would take 2-3 months to resolve with continued abstinence and medications. So continue on the path of a good lifestyle, and you would surely see good results. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, my fiance 38yr had major MI , his main artery was 100% blocked, the operation was done within 1 Hr after MI, he underwent Angioplasty and stenting, after one month he went back to normal, doc said everything is ok, he s taking the medicine and living an ordinary life, he stopped smoking and rests more, my question is | Hi, The stent doesn't affecting the lifespan, the disease does. They put the stent, opened the blocked artery, which gave a chance to his heart to function normally. If he continues follow his doctors' advice, take the medications and follow healthy lifestyle, he has good chances, that his disease will not progress quickly, and he may have long life. Wishing a good health to your father. In case of any further questions don't hesitate to contact me. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, my fiance 38yr had major MI , his main artery was 100% blocked, the operation was done within 1 Hr after MI, he underwent Angioplasty and stenting, after one month he went back to normal, doc said everything is ok, he s taking the medicine and living an ordinary life, he stopped smoking and rests more, my question is"
},
{
"from": "gpt",
"value": "Output: Hi, The stent doesn't affecting the lifespan, the disease does. They put the stent, opened the blocked artery, which gave a chance to his heart to function normally. If he continues follow his doctors' advice, take the medications and follow healthy lifestyle, he has good chances, that his disease will not progress quickly, and he may have long life. Wishing a good health to your father. In case of any further questions don't hesitate to contact me."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I had a hard bump about the size of a pea on my scrotum that was visibly dark underneath the skin. I squeezed it like a pimple and, after putting on a lot of pressure, it popped and shot a large amount of blood all over the place but nothing more. After cleaning and looking the lump is much smaller but only continued to bleed a little bit. There was no pain when touched and I have put neosporin on the now popped lump. What is this? | Hello, It seems to be a superficial bacterial skin infection of the scrotum. You can apply topical Newsprint cream over that bump. Make that area clean and avoid tight-fitting cloth. Wear loose underwear. If no improvement with Newsprint like antibiotic cream than consult surgeon for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I had a hard bump about the size of a pea on my scrotum that was visibly dark underneath the skin. I squeezed it like a pimple and, after putting on a lot of pressure, it popped and shot a large amount of blood all over the place but nothing more. After cleaning and looking the lump is much smaller but only continued to bleed a little bit. There was no pain when touched and I have put neosporin on the now popped lump. What is this?"
},
{
"from": "gpt",
"value": "Output: Hello, It seems to be a superficial bacterial skin infection of the scrotum. You can apply topical Newsprint cream over that bump. Make that area clean and avoid tight-fitting cloth. Wear loose underwear. If no improvement with Newsprint like antibiotic cream than consult surgeon for detailed evaluation. 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. | My 11 year old son has woken up violently vomiting 4 of the past 5 nights. He does not have a fever nor is he sick acting or feeling. He wakes up and comes down stairs in a panic and vomits. I have read online it could be some form of epilepsy. Any suggestions! | Welcome to the ChatDoctorI have gone through your question and understand your concern. The symptoms can occur due to gastritis associated with overnight fasting, or it may be a form of juvenile myoclonic epilepsy. The hallmark characteristics of juvenile myoclonic epilepsy are the presence of myoclonic jerks that occur on awakening from sleep either in the morning or from a nap. They are typically described as shock-like, irregular and arrhythmic movements of both arms. Sometimes these movements are restricted only to the fingers making the patient or individual look clumsy or prone to Chat Doctor. They are precipitated by alcohol intake, stress and sleep deprivation. If you feel that the episodes are associated with above-mentioned symptoms, then an electroencephalogram (EEG) will be useful to detect any occult epilepsy. Else, you may start antacids for him to relieve gastric acidity which might be the cause of these episodes of vomiting. Hopefully this 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: My 11 year old son has woken up violently vomiting 4 of the past 5 nights. He does not have a fever nor is he sick acting or feeling. He wakes up and comes down stairs in a panic and vomits. I have read online it could be some form of epilepsy. Any suggestions!"
},
{
"from": "gpt",
"value": "Output: Welcome to the ChatDoctorI have gone through your question and understand your concern. The symptoms can occur due to gastritis associated with overnight fasting, or it may be a form of juvenile myoclonic epilepsy. The hallmark characteristics of juvenile myoclonic epilepsy are the presence of myoclonic jerks that occur on awakening from sleep either in the morning or from a nap. They are typically described as shock-like, irregular and arrhythmic movements of both arms. Sometimes these movements are restricted only to the fingers making the patient or individual look clumsy or prone to Chat Doctor. They are precipitated by alcohol intake, stress and sleep deprivation. If you feel that the episodes are associated with above-mentioned symptoms, then an electroencephalogram (EEG) will be useful to detect any occult epilepsy. Else, you may start antacids for him to relieve gastric acidity which might be the cause of these episodes of vomiting. Hopefully this will help you. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was very afraid to brain because i was missing the brain memory day by day i do know these problem start minimum one month. How to solve? | HelloWelcome to Chat Doctor first you must mention your age, as in old age we expect memory loss due to senile changes. Consult neurologist to find the cause & get it treated. There can be many reasons for decreased memory, over stress, lack of proper sleep, over expectation, poor non-nutritious diet. So first have sound sleep, discuss things with your friend, topic discussed is more remembered than just read. Also look for hemoglobin. Start iron & vitamin supplements. Wish you speedy recoveryDisclaimer | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was very afraid to brain because i was missing the brain memory day by day i do know these problem start minimum one month. How to solve?"
},
{
"from": "gpt",
"value": "Output: HelloWelcome to Chat Doctor first you must mention your age, as in old age we expect memory loss due to senile changes. Consult neurologist to find the cause & get it treated. There can be many reasons for decreased memory, over stress, lack of proper sleep, over expectation, poor non-nutritious diet. So first have sound sleep, discuss things with your friend, topic discussed is more remembered than just read. Also look for hemoglobin. Start iron & vitamin supplements. Wish you speedy recoveryDisclaimer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor - I DIDNT KNOW YOU NEEDED A CREDIT CARD TO GET AN ANSWER - - CAN I GET AN ANSWER WITHOUT PAYING ? Yes, thank you for answering my question | Hi, I have gone through your question and understand your concerns. In my opinion, most probable cause of your symptoms may be occipital neuralgia, a condition where occipital or upper and back neck nerves are pinched or compressed along their way. Another possibility of your symptoms may be high blood pressure. You need to discuss with your primary care Doctor above-mentioned possibilities and tests needed in order to have a correct diagnosis. 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 Doctor - I DIDNT KNOW YOU NEEDED A CREDIT CARD TO GET AN ANSWER - - CAN I GET AN ANSWER WITHOUT PAYING ? Yes, thank you for answering my question"
},
{
"from": "gpt",
"value": "Output: Hi, I have gone through your question and understand your concerns. In my opinion, most probable cause of your symptoms may be occipital neuralgia, a condition where occipital or upper and back neck nerves are pinched or compressed along their way. Another possibility of your symptoms may be high blood pressure. You need to discuss with your primary care Doctor above-mentioned possibilities and tests needed in order to have a correct diagnosis. 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. | I have been having pain and diagnosed with cervical radiculopathy. I am having pain constantly on my right side neck, head, and shoulder area and sometimes radiating down my arm and legs. I have not been able to work. I am going to see a Neurologist. I am wondering how long will I be out of work. | Hi, There's really no telling without an examination how long you will be sidelined from anything because its entirely dependent the cause of the problem and what can be done to fix it such as therapy, surgery, medication, etc. After the visit with your neurologist, you will be able to ask that same question and get a much more refined answer since they will know how this all came to be and what the recommendations will be to get you better....this might include a reduction in your work duties as opposed to having to be absent. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been having pain and diagnosed with cervical radiculopathy. I am having pain constantly on my right side neck, head, and shoulder area and sometimes radiating down my arm and legs. I have not been able to work. I am going to see a Neurologist. I am wondering how long will I be out of work."
},
{
"from": "gpt",
"value": "Output: Hi, There's really no telling without an examination how long you will be sidelined from anything because its entirely dependent the cause of the problem and what can be done to fix it such as therapy, surgery, medication, etc. After the visit with your neurologist, you will be able to ask that same question and get a much more refined answer since they will know how this all came to be and what the recommendations will be to get you better....this might include a reduction in your work duties as opposed to having to be absent. 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. | Sir, my knee injured since 1 month , i show to doctor , doctor suggest to me you need aspiration.after aspiration swelling is reduce and pain also but not completed .i was taken two medicine Emanzen-D, rantac after aspiration.now at time he is suggest gfmplze NICE, RANTAC. these are write medicine for me..plz doctor help me these knee problem denger for me..plz also suggest what am i do.kindly request to u.. | Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, it's clear from what you say that your knee had a blood collection following injury, but this blood collection is a sign of internal damage, and what you need now is to get yourself an MRI of the knee joint and see it internally and find out the cause of hematoma. I hope that answers your query. If you want any more clarification, contact me back. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir, my knee injured since 1 month , i show to doctor , doctor suggest to me you need aspiration.after aspiration swelling is reduce and pain also but not completed .i was taken two medicine Emanzen-D, rantac after aspiration.now at time he is suggest gfmplze NICE, RANTAC. these are write medicine for me..plz doctor help me these knee problem denger for me..plz also suggest what am i do.kindly request to u.."
},
{
"from": "gpt",
"value": "Output: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, it's clear from what you say that your knee had a blood collection following injury, but this blood collection is a sign of internal damage, and what you need now is to get yourself an MRI of the knee joint and see it internally and find out the cause of hematoma. I hope that answers your query. If you want any more clarification, contact me back."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | About 8 hours Ago I ran full force into a cupboard door and hit the top of my forehead hard. I have a small bump and bruise but that is not what s bothering me. I did not blackout but have been a little dazed and out of it. I am having a severe headache all over my head towards the back and my neck. Im dizzy nauseous, have a full head and ear feeling and pressure feeling in my head. Should I go into be evaluated or are these symtoms expected after hitting your head? As a side note I have a history of pseudotumor cerebri that was sudden onset last year said to be caused by possible birth control pIlls I was always at spinal tap pressure of 25 borderline high and severe headaches. I have been doing well and off all meds for last 5 months and have been headache free for last 5 months. Could this history have caused more complications when hitting my head? I m just not getting any better with max doses of over the counter pain relievers, ice and rest. Could I really have hit my head hard enough to cause a problem? What do I do? | Hello, Thank you for using our website,First, you need to be put under a medical supervision for 24 hours. If there is no deterioration in the level of conscious, you should take a painkiller and a bed rest for 3 days. But, if there is a deterioration in your level of conscious, you should do an CT Brain to exclude intracranial hemorrhage. The history of pseudo tumor cerebra could make the treatment of intracranial hemorrhage more difficult. Let me know if you need more information. Hope I have answered your query. Let me know if I can assist you further. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: About 8 hours Ago I ran full force into a cupboard door and hit the top of my forehead hard. I have a small bump and bruise but that is not what s bothering me. I did not blackout but have been a little dazed and out of it. I am having a severe headache all over my head towards the back and my neck. Im dizzy nauseous, have a full head and ear feeling and pressure feeling in my head. Should I go into be evaluated or are these symtoms expected after hitting your head? As a side note I have a history of pseudotumor cerebri that was sudden onset last year said to be caused by possible birth control pIlls I was always at spinal tap pressure of 25 borderline high and severe headaches. I have been doing well and off all meds for last 5 months and have been headache free for last 5 months. Could this history have caused more complications when hitting my head? I m just not getting any better with max doses of over the counter pain relievers, ice and rest. Could I really have hit my head hard enough to cause a problem? What do I do?"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for using our website,First, you need to be put under a medical supervision for 24 hours. If there is no deterioration in the level of conscious, you should take a painkiller and a bed rest for 3 days. But, if there is a deterioration in your level of conscious, you should do an CT Brain to exclude intracranial hemorrhage. The history of pseudo tumor cerebra could make the treatment of intracranial hemorrhage more difficult. Let me know if you need more information. Hope I have answered your query. Let me know if I can assist you further. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband and myself started ttc from Feb 12 and conceived in April 12. Unfortunately it was an ectopic pregnancy and done a laproscopy on June 12. After that my gynac suggested me a rest for 3 months and prescribed me folic acid . But I m yet to conceive. On Jan 12th I got my periods and my gynac suggested me to take Oosure for 30 days, Cervifert for 10 days(started yesterday), and Rizorich for 30 days. Can i expect conception dis month...... | Hello, These are all supportive medicines for healthy pregnancy. Basically pregnancy depends on proper timing of ovulation & unprotected sex. Ovulation occurs approx 14 days before due date. It is better to use ovulation prediction kit (OPK) to predict ovulation time and prepare for that day for unprotected sex for high chance of pregnancy. Avoid stress, take healthy diet with Vitae & Folic acid supplements, control body wt and proper sleep. Be well. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband and myself started ttc from Feb 12 and conceived in April 12. Unfortunately it was an ectopic pregnancy and done a laproscopy on June 12. After that my gynac suggested me a rest for 3 months and prescribed me folic acid . But I m yet to conceive. On Jan 12th I got my periods and my gynac suggested me to take Oosure for 30 days, Cervifert for 10 days(started yesterday), and Rizorich for 30 days. Can i expect conception dis month......"
},
{
"from": "gpt",
"value": "Output: Hello, These are all supportive medicines for healthy pregnancy. Basically pregnancy depends on proper timing of ovulation & unprotected sex. Ovulation occurs approx 14 days before due date. It is better to use ovulation prediction kit (OPK) to predict ovulation time and prepare for that day for unprotected sex for high chance of pregnancy. Avoid stress, take healthy diet with Vitae & Folic acid supplements, control body wt and proper sleep. Be well."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i wake up in the morning feeling dizzy, its like i am going to have a fever and keep on farting, and had a pain on my upper stomach its like there is a heavy feeling inside of it. I checked my blood pressure and it is 90/60. i need your advice on what should i do. thank you. | Hello, Since your blood pressure is low 90/60 this could be the cause for you feeling dizzy in the morning. Getting a cardiac assessment done should be of choice. Because 90/60 is considered as low blood Pressure, and it needs cardiologist attention. Now for gastric, you need to improve your eating habits and also metabolism so gastric issues don't prevail longer. You should consider meeting up a cardiologist and not ignore the low blood pressure. 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: i wake up in the morning feeling dizzy, its like i am going to have a fever and keep on farting, and had a pain on my upper stomach its like there is a heavy feeling inside of it. I checked my blood pressure and it is 90/60. i need your advice on what should i do. thank you."
},
{
"from": "gpt",
"value": "Output: Hello, Since your blood pressure is low 90/60 this could be the cause for you feeling dizzy in the morning. Getting a cardiac assessment done should be of choice. Because 90/60 is considered as low blood Pressure, and it needs cardiologist attention. Now for gastric, you need to improve your eating habits and also metabolism so gastric issues don't prevail longer. You should consider meeting up a cardiologist and not ignore the low blood pressure. 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. | Hi, this only happens when I workout after having not worked out for a while, however it is such a pattern break, and alarming, that I worry. After exerting at the gym, it s like a switch is turned, and I feel the onset, and it always fully manifests once I feel the onset. Shortness of breath, light headed (always anticipate passing out, but it never happens) fingers tips start tingling like crazy - all of them. Skin turns very very pale, I look visibly ill. Lasts around 15 minutes. There s no stopping it. I try slow controlled breaths, drinking water, laying down. All I can do is wait for it to pass. I don t think it s a panic attack, because it only happens after lifting weights, and it also usually doesn t happen if I ve been working out consistently, only when I start after not having been to the gym in a while. Keep in mind, I m not over exerting, not lifting anything crazy, pretty standard stuff. Let me k ow what you think. | Hello, To me the symptoms appear like the onset of a syncope. A syncope is usually caused by reduced blood supply to the brain. The first thing that I would like to get done for you is the cardiac evaluation. The heart problems are very well known to manifest after exertion. When one works out on a regular basis then body gets accustomed to that level of exertion and this adaptation goes off with stopping the activity. Probably that is causing the problem for you when you start it after a gap. I would definitely want a heart check up. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, this only happens when I workout after having not worked out for a while, however it is such a pattern break, and alarming, that I worry. After exerting at the gym, it s like a switch is turned, and I feel the onset, and it always fully manifests once I feel the onset. Shortness of breath, light headed (always anticipate passing out, but it never happens) fingers tips start tingling like crazy - all of them. Skin turns very very pale, I look visibly ill. Lasts around 15 minutes. There s no stopping it. I try slow controlled breaths, drinking water, laying down. All I can do is wait for it to pass. I don t think it s a panic attack, because it only happens after lifting weights, and it also usually doesn t happen if I ve been working out consistently, only when I start after not having been to the gym in a while. Keep in mind, I m not over exerting, not lifting anything crazy, pretty standard stuff. Let me k ow what you think."
},
{
"from": "gpt",
"value": "Output: Hello, To me the symptoms appear like the onset of a syncope. A syncope is usually caused by reduced blood supply to the brain. The first thing that I would like to get done for you is the cardiac evaluation. The heart problems are very well known to manifest after exertion. When one works out on a regular basis then body gets accustomed to that level of exertion and this adaptation goes off with stopping the activity. Probably that is causing the problem for you when you start it after a gap. I would definitely want a heart check up. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My wife is suffering serious depression and is now on medication. She has been feeling empty headed in her mind and did not know what to do. She has been wanting to get cured in a hospital. May I ask under what condition is she required to remain in hospital.? Would it be a mental hospital? | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it appears that your wife is having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. She needs proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. If it is severe then she needs to be hospitalized. She can be admitted in any general hospital or a nursing home having a psychiatrist attached to it. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My wife is suffering serious depression and is now on medication. She has been feeling empty headed in her mind and did not know what to do. She has been wanting to get cured in a hospital. May I ask under what condition is she required to remain in hospital.? Would it be a mental hospital?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it appears that your wife is having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. She needs proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the Chat Doctor. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. If it is severe then she needs to be hospitalized. She can be admitted in any general hospital or a nursing home having a psychiatrist attached to it. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my father was diagnosised with renal problem and his creatitine level and urea level was increasing day by day from 4.5 to 6.1 within three days and he become restless on the fourth day. Doctors did not dialysis him on the three days. On the fourth day they dialysis him and he expired. What will be the cause sir?. We have lost a valuable father for us? | Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety and share your loss. To begin with, certainly your father was not in good health. You haven't written his age, nor his other medical problems with duration. There must be some reason for his kidney failure, needing dialysis. The other medical reasons could contribute to rapid deterioration, once dialysis was stopped. Dialysis may not be indicated to be done daily. The exact cause, as to why dialysis wasn't done for three days, can be asked to the treating doctor. Chat Doctor. Manga. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my father was diagnosised with renal problem and his creatitine level and urea level was increasing day by day from 4.5 to 6.1 within three days and he become restless on the fourth day. Doctors did not dialysis him on the three days. On the fourth day they dialysis him and he expired. What will be the cause sir?. We have lost a valuable father for us?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety and share your loss. To begin with, certainly your father was not in good health. You haven't written his age, nor his other medical problems with duration. There must be some reason for his kidney failure, needing dialysis. The other medical reasons could contribute to rapid deterioration, once dialysis was stopped. Dialysis may not be indicated to be done daily. The exact cause, as to why dialysis wasn't done for three days, can be asked to the treating doctor. Chat Doctor. Manga."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my son is 3 yr 10 months, having high fever (beteen 102 to 103) for last 12 hrs, I have given Crosin syrup thrice but fever comes down a little bit only that too for sometime only, I am giving sponge as well to reduce fever, what else I can do to reduce fever, pls advice. Thx a lot Saleem Mumbai | For high grade fever ...please give proper dosage of paracetamol ...dosage is 15 mg per kg and for your child dose will be approx 7 ml of syrup Robin containing paracetamol 125 mg per 5 ml and dosage to be repeated exactly 8 ...if this does not work give it 6 hourly .and if still no effect den in place of syrup Cronin...u have to give syrup ketogenic plus (magnetic acid 50 mg and paracetamol 125 mg per 5 ml) but DAT have to be given 12 hourly ...besides this give plenty of liquid to child ...and get her CBC done to rule to bacterial infection and malaria also to be ruled out ...usually high grade fever is viral and does not need antibiotics... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my son is 3 yr 10 months, having high fever (beteen 102 to 103) for last 12 hrs, I have given Crosin syrup thrice but fever comes down a little bit only that too for sometime only, I am giving sponge as well to reduce fever, what else I can do to reduce fever, pls advice. Thx a lot Saleem Mumbai"
},
{
"from": "gpt",
"value": "Output: For high grade fever ...please give proper dosage of paracetamol ...dosage is 15 mg per kg and for your child dose will be approx 7 ml of syrup Robin containing paracetamol 125 mg per 5 ml and dosage to be repeated exactly 8 ...if this does not work give it 6 hourly .and if still no effect den in place of syrup Cronin...u have to give syrup ketogenic plus (magnetic acid 50 mg and paracetamol 125 mg per 5 ml) but DAT have to be given 12 hourly ...besides this give plenty of liquid to child ...and get her CBC done to rule to bacterial infection and malaria also to be ruled out ...usually high grade fever is viral and does not need antibiotics..."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I took Doxycycline 100mg twice a day for a week and a half for acne . I developed severe fatigue , pain in joints, pain in throat, swelling of my tongue and sores around body including vagina. I stopped taking the medication on 11/16/12, but i still am feeling fatigue and the sores are still there, but they are healing. I went to the urgent care, they sent me to the er, er said there is nothing to be done, contact pcp, but my pcp does not have an opening for 3 and a half months. Did I have an allergic reaction to the doxycycline? I still feel very tired, what should I do? | Hello and welcome to Chat Doctor. From the nature and sudden onset of your symptoms after taking Doxycycline, it is possible that they could be indicative of an allergic reaction. Since you have stopped the medication and your symptoms are subsiding, you don't have to worry much. It may sometimes take a few days for your symptoms like tiredness and fatigue to completely settle down. I would advise you to take plenty of fluids and eat a healthy, nutritious diet. If your symptoms remain persistent or worsen, then I would advise you to see a doctor for further evaluation, since certain conditions like anemia or vitamin deficiencies can cause persistent fatigue. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I took Doxycycline 100mg twice a day for a week and a half for acne . I developed severe fatigue , pain in joints, pain in throat, swelling of my tongue and sores around body including vagina. I stopped taking the medication on 11/16/12, but i still am feeling fatigue and the sores are still there, but they are healing. I went to the urgent care, they sent me to the er, er said there is nothing to be done, contact pcp, but my pcp does not have an opening for 3 and a half months. Did I have an allergic reaction to the doxycycline? I still feel very tired, what should I do?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor. From the nature and sudden onset of your symptoms after taking Doxycycline, it is possible that they could be indicative of an allergic reaction. Since you have stopped the medication and your symptoms are subsiding, you don't have to worry much. It may sometimes take a few days for your symptoms like tiredness and fatigue to completely settle down. I would advise you to take plenty of fluids and eat a healthy, nutritious diet. If your symptoms remain persistent or worsen, then I would advise you to see a doctor for further evaluation, since certain conditions like anemia or vitamin deficiencies can cause persistent fatigue. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i want some moisturizer and cream name so that my skin can glow and become more fair. my skin is normal..not dry and not oil.but glow is not their.dont know which suncream i will use, or which cream... mean dont what product i will perfer cream ,suncream ,moisturizer for face....confused. | Hi, Your skin is normal skin, and you just want to improve its look. You want glowing skin...right? I would like to give you following tips...- have positive thinking-avoid anxiety and worries-have enough sleep-have healthy nutritious diet-avoid excessive sun exposure, use sunscreen gel like sun mask aqua gel-cleanse the face with mild face wash - you may apply vitamin E and aloe vera containing cream like silver or Pad cream hope this would be helpful to you. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i want some moisturizer and cream name so that my skin can glow and become more fair. my skin is normal..not dry and not oil.but glow is not their.dont know which suncream i will use, or which cream... mean dont what product i will perfer cream ,suncream ,moisturizer for face....confused."
},
{
"from": "gpt",
"value": "Output: Hi, Your skin is normal skin, and you just want to improve its look. You want glowing skin...right? I would like to give you following tips...- have positive thinking-avoid anxiety and worries-have enough sleep-have healthy nutritious diet-avoid excessive sun exposure, use sunscreen gel like sun mask aqua gel-cleanse the face with mild face wash - you may apply vitamin E and aloe vera containing cream like silver or Pad cream hope this would be helpful to you. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Do Limbic Encephalitis sufferes ever recover their memory and emotions to the degree of a managable home life. My partners simptoms were constant crying, panick attacks, almost primal behaviour, short term memory loss, long and random memory loss, constantly eating and major confabulating. Unfortunatly I left my partner as I felt I was having a breakdown myself, being unable to detach from his behaviour, even though I love him dearly. | Hi, Thank you for posting your query. I am sorry to hear about your partners' illness, and the separation that followed. Limbic encephalitis patients do recover. However, the recovery is slow and gradual, and often partial. The extent of recovery depends on the severity of encephalitis and the ensuing brain damage, the treatment offered, and the rehabilitation process, which includes good family support too. I hope it helps. I would be pleased to answer any follow-up queries. Best wishes, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Do Limbic Encephalitis sufferes ever recover their memory and emotions to the degree of a managable home life. My partners simptoms were constant crying, panick attacks, almost primal behaviour, short term memory loss, long and random memory loss, constantly eating and major confabulating. Unfortunatly I left my partner as I felt I was having a breakdown myself, being unable to detach from his behaviour, even though I love him dearly."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. I am sorry to hear about your partners' illness, and the separation that followed. Limbic encephalitis patients do recover. However, the recovery is slow and gradual, and often partial. The extent of recovery depends on the severity of encephalitis and the ensuing brain damage, the treatment offered, and the rehabilitation process, which includes good family support too. I hope it helps. I would be pleased to answer any follow-up queries. Best wishes, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having the symptoms of severe abdominal pain for the past week my doctor did blood work an ultrasound and a ct scan and we ruled out appendicitis, ovarian cysts, and pregnancy. I was put on a antibiotic and a prescription for pain, its been two days and now i have the symptoms of bloating, headaches, slight constipation that is black in color, frequent need to urinate, loss of appetite, fatigue, and nausea along with the abdominal pain. I was wondering if you could tell me what these could possibly be symptoms of | Hi. Thanks for your query and an elucidated history. If the appendicitis has been ruled out and CT / USG already done, I would think of a general disease like Typhoid or gastroenteritis of some sort. Please go for blood tests for typhoid / blood culture and sensitivity, urine tests and other relevant blood tests must already must have been done. Continue antibiotics. Your Doctor will change according to the reports and your response to the treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been having the symptoms of severe abdominal pain for the past week my doctor did blood work an ultrasound and a ct scan and we ruled out appendicitis, ovarian cysts, and pregnancy. I was put on a antibiotic and a prescription for pain, its been two days and now i have the symptoms of bloating, headaches, slight constipation that is black in color, frequent need to urinate, loss of appetite, fatigue, and nausea along with the abdominal pain. I was wondering if you could tell me what these could possibly be symptoms of"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query and an elucidated history. If the appendicitis has been ruled out and CT / USG already done, I would think of a general disease like Typhoid or gastroenteritis of some sort. Please go for blood tests for typhoid / blood culture and sensitivity, urine tests and other relevant blood tests must already must have been done. Continue antibiotics. Your Doctor will change according to the reports and your response to the treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A year ago I had left lung cancer and surgeon removed half my left lung I have had pneumonia twice before cancer I m 59 lhe last month caughinh really sever titeness only on left side chest I also have several stents have had heart attach 3 times on SSDI lost ins only have part b at this time | Hi, Yes, tiredness is common in cancer survivor patients. However, it is not wise to label any tiredness due to cancer. Cancer survivors are able to lead an almost normal healthy life. So if there is any tiredness, that needs to be evaluated for common causes. I would like to know details, such as is this tiredness new or been there for more than 6 months? Has it worsened recently or intensity has remained the same? Are you able to do your daily activities with ease or there is discomfort? Have you noticed blood in stools? Any other associated symptoms? These clues will help me determine the probable cause. In your case, it is very important to rule out whether the symptoms are cancer-related/ pneumonia-related/heart-related. 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: A year ago I had left lung cancer and surgeon removed half my left lung I have had pneumonia twice before cancer I m 59 lhe last month caughinh really sever titeness only on left side chest I also have several stents have had heart attach 3 times on SSDI lost ins only have part b at this time"
},
{
"from": "gpt",
"value": "Output: Hi, Yes, tiredness is common in cancer survivor patients. However, it is not wise to label any tiredness due to cancer. Cancer survivors are able to lead an almost normal healthy life. So if there is any tiredness, that needs to be evaluated for common causes. I would like to know details, such as is this tiredness new or been there for more than 6 months? Has it worsened recently or intensity has remained the same? Are you able to do your daily activities with ease or there is discomfort? Have you noticed blood in stools? Any other associated symptoms? These clues will help me determine the probable cause. In your case, it is very important to rule out whether the symptoms are cancer-related/ pneumonia-related/heart-related. 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. | hi, i have a problem with my lower left side back pain. I actually masturbate for few years already. From age 16. Im now 18. The pain just have been for few month and its worsen because i didnt care about it and continued to masturbate about once a day or more. How to reduce the pain? Do i need some exercise or i have to meet with doctor? I also take some supplement. Glucosamine sulphate and chondroitin sulphate. thank you | I do not think that the back pain has any relation to your masturbation. At this age, the back pain is rather likely to be caused due to improper posture during sitting or lying down. Certain back exercises would give you relief. Please visit a physical therapist for the same. You may try taking some muscle relaxant tablet twice daily for a couple of days and see if you get relief as it is usually caused due to muscle spasm in lower back. Hot compress will also give you relief. No supplements required. Glucosamine or Chen Chat Doctor. Please do not self-medicate and visit a 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 a problem with my lower left side back pain. I actually masturbate for few years already. From age 16. Im now 18. The pain just have been for few month and its worsen because i didnt care about it and continued to masturbate about once a day or more. How to reduce the pain? Do i need some exercise or i have to meet with doctor? I also take some supplement. Glucosamine sulphate and chondroitin sulphate. thank you"
},
{
"from": "gpt",
"value": "Output: I do not think that the back pain has any relation to your masturbation. At this age, the back pain is rather likely to be caused due to improper posture during sitting or lying down. Certain back exercises would give you relief. Please visit a physical therapist for the same. You may try taking some muscle relaxant tablet twice daily for a couple of days and see if you get relief as it is usually caused due to muscle spasm in lower back. Hot compress will also give you relief. No supplements required. Glucosamine or Chen Chat Doctor. Please do not self-medicate and visit a doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive had cold sweats for the last three nights, my body temp is low (Im freezing!), and my back has been aching, lots of joint and musle aches.I am 29, 118lbs healthy ( no allergies)with two systs on my left ovaries (if thats relevant). I went to Nicaragua in March 2011 and didnt take any shots before going. I live in Canada. | Hi. It is unlikely that you have some illness 4 years after visiting Nicaragua. But, nevertheless, symptoms you described are not pleasant, and you should check at your doctor. Did you measured your body temperature, or you just felt like cold? Sometimes chills are sign of fever and sweats are sign of body regulation. Anyway, you should use lots of teas and water and I would visit my doctor for these problems. All the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive had cold sweats for the last three nights, my body temp is low (Im freezing!), and my back has been aching, lots of joint and musle aches.I am 29, 118lbs healthy ( no allergies)with two systs on my left ovaries (if thats relevant). I went to Nicaragua in March 2011 and didnt take any shots before going. I live in Canada."
},
{
"from": "gpt",
"value": "Output: Hi. It is unlikely that you have some illness 4 years after visiting Nicaragua. But, nevertheless, symptoms you described are not pleasant, and you should check at your doctor. Did you measured your body temperature, or you just felt like cold? Sometimes chills are sign of fever and sweats are sign of body regulation. Anyway, you should use lots of teas and water and I would visit my doctor for these problems. All the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi..i hav a dark complexion..my frnds suggested to use betnovate c for fairness or either melacare cream..r these cream beneficial..will dey gimme fair complexion..if not..den plz suggest me d best cream so dat i can get fair complexion with glowing skin | Hello, Thank you for posting on Chat Doctor. Betnovate-c and Delaware are not good options for fairness as they contain steroids and other contents which can badly damage your skin. For better complexion, use mild cream containing comic acid, soy isoflavones, albumin etc. on regular basis (Mel aglow). Use good quality water-based sunscreen regularly to avoid tanning and pigmentation due to sunlight. Use good moisturizer like Eocene to keep your skin well HY Chat Doctor. You can opt for simple office based procedures like chemical peeling, microdermabrasion, monotherapy etc. Use glycolic acid based face wash for gentle exfoliation of dead skin. Hope this will help a long way in solving your problem. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi..i hav a dark complexion..my frnds suggested to use betnovate c for fairness or either melacare cream..r these cream beneficial..will dey gimme fair complexion..if not..den plz suggest me d best cream so dat i can get fair complexion with glowing skin"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for posting on Chat Doctor. Betnovate-c and Delaware are not good options for fairness as they contain steroids and other contents which can badly damage your skin. For better complexion, use mild cream containing comic acid, soy isoflavones, albumin etc. on regular basis (Mel aglow). Use good quality water-based sunscreen regularly to avoid tanning and pigmentation due to sunlight. Use good moisturizer like Eocene to keep your skin well HY Chat Doctor. You can opt for simple office based procedures like chemical peeling, microdermabrasion, monotherapy etc. Use glycolic acid based face wash for gentle exfoliation of dead skin. Hope this will help a long way in solving your problem. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have done a tonsileectomy after suffering from tonsilitis for 25 yrs . Then I am facing problems of acute pharyngitis. I am taking medicines like azobact and amoxicylin quite often say in a gap of 2 months . but no heal . please help. I am sinus problems as well. | Hello, As you have episodes of pharyngitis at frequent intervals, I'll suggest please get a throat swab culture and sensitivity done. There must be a gap of 4-5 days between last antibiotic and the culture sensitivity test. Just give a call to a path lab, and they will explain to you the procedure. If your test is positive then you will get the name of the most effective antibiotic and that will have to be taken as per the advice of your doctor. In the meantime please try to do warm saline gargle as many times a day as possible. Avoid spicy food and cold water. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have done a tonsileectomy after suffering from tonsilitis for 25 yrs . Then I am facing problems of acute pharyngitis. I am taking medicines like azobact and amoxicylin quite often say in a gap of 2 months . but no heal . please help. I am sinus problems as well."
},
{
"from": "gpt",
"value": "Output: Hello, As you have episodes of pharyngitis at frequent intervals, I'll suggest please get a throat swab culture and sensitivity done. There must be a gap of 4-5 days between last antibiotic and the culture sensitivity test. Just give a call to a path lab, and they will explain to you the procedure. If your test is positive then you will get the name of the most effective antibiotic and that will have to be taken as per the advice of your doctor. In the meantime please try to do warm saline gargle as many times a day as possible. Avoid spicy food and cold water. 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 my daughter is six and started to have a fever yesterday around 3 | Hi, thank you for posting! I read your query very carefully, and I understand your concerns. Her symptoms are caused by the complication of a viral infection. In these cases taking a lot of fluids, eating a lot of vegetables and fruits and bed rest are recommended. To find the diagnosis a physical examination by a pediatrician, a strep test and complete blood count are necessary. A urine test is necessary too. 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 daughter is six and started to have a fever yesterday around 3"
},
{
"from": "gpt",
"value": "Output: Hi, thank you for posting! I read your query very carefully, and I understand your concerns. Her symptoms are caused by the complication of a viral infection. In these cases taking a lot of fluids, eating a lot of vegetables and fruits and bed rest are recommended. To find the diagnosis a physical examination by a pediatrician, a strep test and complete blood count are necessary. A urine test is necessary too. Take Care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son is 12 yrs old. On 29/07/14 at around 14 hrs, we have suddenly noticed that his neck turns right and his left hand turns towards left and become stretched for few seconds (max 5-6 sec) in standing condition and becomes normal after that. The same thing has happened twice on 31/07/14 and once on 01/08/14 (last). We came to know from him that this type of disorder happened also 6 months back but we were not reported. We went to Doctor (neurologist) and as advised MRI brain and EEG was done. There was nothing in MRI of brain but EEG shows some disorder. Accordingly Dr has prescribed a medicine named DESVAL ER 500 once daily for 6 months. Thereafter we went to another doctor (neurologist) , after going thru thorough check he has prescribed ESLIZEN 400 once daily for a month and reporting after one month. We have started ESLIZEN 400 yesterday only and please advice . | Hi, Thankyou for your query. Since your child is having problem of epilepsy, and it has to be treated according to doctors advice. As for how long he is getting seizure, it is not noticed, and now you should continue the medicine as prescribed by your doctor, to be seizure free and accident free, as seizure can happen anywhere, anytime where sometime no care can be possible and child can be accident-prone like biting of tongue, head injury after falling and incontinence etc continue the medicines as prescribed by neurologist and follow accordingly. Regards. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son is 12 yrs old. On 29/07/14 at around 14 hrs, we have suddenly noticed that his neck turns right and his left hand turns towards left and become stretched for few seconds (max 5-6 sec) in standing condition and becomes normal after that. The same thing has happened twice on 31/07/14 and once on 01/08/14 (last). We came to know from him that this type of disorder happened also 6 months back but we were not reported. We went to Doctor (neurologist) and as advised MRI brain and EEG was done. There was nothing in MRI of brain but EEG shows some disorder. Accordingly Dr has prescribed a medicine named DESVAL ER 500 once daily for 6 months. Thereafter we went to another doctor (neurologist) , after going thru thorough check he has prescribed ESLIZEN 400 once daily for a month and reporting after one month. We have started ESLIZEN 400 yesterday only and please advice ."
},
{
"from": "gpt",
"value": "Output: Hi, Thankyou for your query. Since your child is having problem of epilepsy, and it has to be treated according to doctors advice. As for how long he is getting seizure, it is not noticed, and now you should continue the medicine as prescribed by your doctor, to be seizure free and accident free, as seizure can happen anywhere, anytime where sometime no care can be possible and child can be accident-prone like biting of tongue, head injury after falling and incontinence etc continue the medicines as prescribed by neurologist and follow accordingly. Regards. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I live in Canada so my numbers might be different from the US standards. My last CBC blood test came back that my white blood cell count was 12.7 (doctor said likes to see it below 11). She says this indicates cancer (did I mention her bedside manner sucks?). I have been having problems with a couple of teeth for the last 4 months and have had several procedures done on them and I am going back again this week. Seems coincidental that my WBC was high the last two times and fits in to the time period of the tooth problems. I should mention that I smoke which probably doesnt help. This is the first time I have had a high WBC without a valid reason for it (i.e. sinus infection, diarrhea etc.). Should I be freaking out? | Hi! Welcome to Chat Doctor! The normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microliter in an adult. White blood cells help protect the body against diseases and fight infections. There are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of Leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause, in your case it can be due to infection in your teeth. The degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophil leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment. Your WBC count is only slightly raised so don't worry. A course of antibiotics will bring it down. Take care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I live in Canada so my numbers might be different from the US standards. My last CBC blood test came back that my white blood cell count was 12.7 (doctor said likes to see it below 11). She says this indicates cancer (did I mention her bedside manner sucks?). I have been having problems with a couple of teeth for the last 4 months and have had several procedures done on them and I am going back again this week. Seems coincidental that my WBC was high the last two times and fits in to the time period of the tooth problems. I should mention that I smoke which probably doesnt help. This is the first time I have had a high WBC without a valid reason for it (i.e. sinus infection, diarrhea etc.). Should I be freaking out?"
},
{
"from": "gpt",
"value": "Output: Hi! Welcome to Chat Doctor! The normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microliter in an adult. White blood cells help protect the body against diseases and fight infections. There are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of Leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause, in your case it can be due to infection in your teeth. The degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophil leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment. Your WBC count is only slightly raised so don't worry. A course of antibiotics will bring it down. Take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi,I am 28 years old. In my childhood i had a breathing problem.From past 10 years i didnt face that problem.But now It seems like restarted. I am getting cold more and more drowsy nose,Dry cough.I do smoke. This is the cause for this ?Please tell me what to do now ? | Hi thanks for contacting Chat Doctor.... I have gone through your query.... First rule out allergic condition like asthma by pulmonary function test by spirometry .... Second as you have smoking habit, so bronchitis has to be ruled out.... Chest x-ray useful for it..... Symptomatic management done ad presentation is not severe.... As a doctor I will suggest you to stop smoking as it is respiratory irritants.... Try to avoid exposure to dust, pollen, smoking, pollutants ..... Antihistaminic Chat Doctor. ... More water... Fried food and spicy less .... If blocked nose then oxymetazoline spray given... Put cut ginger piece in boiling water ...allow for 5 minute....then cool and | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi,I am 28 years old. In my childhood i had a breathing problem.From past 10 years i didnt face that problem.But now It seems like restarted. I am getting cold more and more drowsy nose,Dry cough.I do smoke. This is the cause for this ?Please tell me what to do now ?"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor.... I have gone through your query.... First rule out allergic condition like asthma by pulmonary function test by spirometry .... Second as you have smoking habit, so bronchitis has to be ruled out.... Chest x-ray useful for it..... Symptomatic management done ad presentation is not severe.... As a doctor I will suggest you to stop smoking as it is respiratory irritants.... Try to avoid exposure to dust, pollen, smoking, pollutants ..... Antihistaminic Chat Doctor. ... More water... Fried food and spicy less .... If blocked nose then oxymetazoline spray given... Put cut ginger piece in boiling water ...allow for 5 minute....then cool and"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have been having chest pain, almost a tight feeling since february but doctors couldnt find anything and said if it happens come back. well past few days i will have those chest pains and they last just few minutes then go away and then come back and so on. what could it be? | Thanks for your question on Chat Doctor. I can understand your concern. Irregular chest pain is commonly seen due to stress and anxiety. But better to first rule out heart related diseases for your chest pain. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Stress and anxiety related chest pain is more likely in your case. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have been having chest pain, almost a tight feeling since february but doctors couldnt find anything and said if it happens come back. well past few days i will have those chest pains and they last just few minutes then go away and then come back and so on. what could it be?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Irregular chest pain is commonly seen due to stress and anxiety. But better to first rule out heart related diseases for your chest pain. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Stress and anxiety related chest pain is more likely in your case. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I went to the ER last night with chest pain that was worse when I lay down. They did two EKGs which showed abnormalitiy in T wave referred me for stress test with echo whicChatDoctore back normal. I am 27 and have been having chest pain on and off for a month... What could it be?I am 4 11 and weigh 113... nothing significant in medical history... when I was at ER my potassium level was 3.4 so they gave me a supplement. Everytime I go the doctor they tell me I have indigestion yet meds are not relieving it | Hello, mostly it's an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Does this pain increase on deep breathing, if you could be a plan from lining of lungs or heart which will need evaluation and OTC medicine like ibuprofen or diclofenac till evaluation is complete. | [
{
"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 ER last night with chest pain that was worse when I lay down. They did two EKGs which showed abnormalitiy in T wave referred me for stress test with echo whicChatDoctore back normal. I am 27 and have been having chest pain on and off for a month... What could it be?I am 4 11 and weigh 113... nothing significant in medical history... when I was at ER my potassium level was 3.4 so they gave me a supplement. Everytime I go the doctor they tell me I have indigestion yet meds are not relieving it"
},
{
"from": "gpt",
"value": "Output: Hello, mostly it's an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Does this pain increase on deep breathing, if you could be a plan from lining of lungs or heart which will need evaluation and OTC medicine like ibuprofen or diclofenac till evaluation is complete."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 73 yr old diabetic and has prostate cancer who is a black male which all os inder control but mow has a growth pn scrotum he has had o e blood transfusion and 5 iron iv transfusion he is also taking fiber vut he co tinues to bleed from recrim had colonososcopy and mo problem there as well. He has high blood pressure also | Hi, Sorry to hear the condition. If more details were available it will be easier to answer your queries. The colonoscopy report is not clear to me. Is there any separate pathology or prostate cancer invades the colon should be mentioned. If the disease is advanced there is a scope of palliative radiotherapy to control the bleeding, but that can be decided on the basis of colonoscopy report. Please consult your oncologist. Other medical problems like diabetes hypertension to be treated by respective super specialists. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 73 yr old diabetic and has prostate cancer who is a black male which all os inder control but mow has a growth pn scrotum he has had o e blood transfusion and 5 iron iv transfusion he is also taking fiber vut he co tinues to bleed from recrim had colonososcopy and mo problem there as well. He has high blood pressure also"
},
{
"from": "gpt",
"value": "Output: Hi, Sorry to hear the condition. If more details were available it will be easier to answer your queries. The colonoscopy report is not clear to me. Is there any separate pathology or prostate cancer invades the colon should be mentioned. If the disease is advanced there is a scope of palliative radiotherapy to control the bleeding, but that can be decided on the basis of colonoscopy report. Please consult your oncologist. Other medical problems like diabetes hypertension to be treated by respective super specialists."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain in my left shoulder due to cervical disc degeneration. There is a bone spur compression on a nerve that causes shoulder muscle to continuously be contracted on a Charlie horse. Continuous pain. Nerve ablation was unsuccessful due to the bone spur being in the way. Any suggestions? Nerve blocks, cervical epidurals have not worked. Physical therapy did not work. I take flexeril and ibuprofen for pain. Any suggestions? | Hi there. You could be suffering from cervical spondylosis which is causing pinched nerve and the symptoms you are experiencing. You may need surgical decompression of the nerve to remove the bone spurs. Avoid bending the neck forwards and avoid lifting heavy weight on the back. Apply hot water bottle for pain relief. In your cause I believe you need surgical treatment to give you better relief on the whole. Consult your Orthopedic surgeon for the same. Wishing you a speedy recovery. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain in my left shoulder due to cervical disc degeneration. There is a bone spur compression on a nerve that causes shoulder muscle to continuously be contracted on a Charlie horse. Continuous pain. Nerve ablation was unsuccessful due to the bone spur being in the way. Any suggestions? Nerve blocks, cervical epidurals have not worked. Physical therapy did not work. I take flexeril and ibuprofen for pain. Any suggestions?"
},
{
"from": "gpt",
"value": "Output: Hi there. You could be suffering from cervical spondylosis which is causing pinched nerve and the symptoms you are experiencing. You may need surgical decompression of the nerve to remove the bone spurs. Avoid bending the neck forwards and avoid lifting heavy weight on the back. Apply hot water bottle for pain relief. In your cause I believe you need surgical treatment to give you better relief on the whole. Consult your Orthopedic surgeon for the same. Wishing you a speedy recovery."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctor, I was admitted in hospital for Dengue and during a routine check-up in Nov. 12, my liver was found with multiple minute sized SOLs covering both the lobes. I conducted LFT, CT-scan and MRI and I was informed that it is benign. The liver function test is also normal. The CEA test is 6.5 and Cancer Marker test is also far below range. I conducted blood test for Echynococcus Serology and it was also negative. The MRI Radiologist told that it may be a hemangioma but the structure is different from the normal hemangioma. Kindly guide what can be the finding - multiple minute sized SOLs and what is the next step to be taken. Yours Sincerely, Radha, Ghaziabad | Hi there, as you have done all the tests to rule out any other cause of the sols and hematoma is more likely. It is a benign liver condition and one of the predisposing factors are intake of oral contraceptive pills. If you were on the pills earlier or now that would explain the hematomas. You will have to stop the pills and adopt other method of contraception., If you are otherwise asymptomatic then you need not do anything at this juncture but follow up routinely with LFTS and ultrasound studies. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Doctor, I was admitted in hospital for Dengue and during a routine check-up in Nov. 12, my liver was found with multiple minute sized SOLs covering both the lobes. I conducted LFT, CT-scan and MRI and I was informed that it is benign. The liver function test is also normal. The CEA test is 6.5 and Cancer Marker test is also far below range. I conducted blood test for Echynococcus Serology and it was also negative. The MRI Radiologist told that it may be a hemangioma but the structure is different from the normal hemangioma. Kindly guide what can be the finding - multiple minute sized SOLs and what is the next step to be taken. Yours Sincerely, Radha, Ghaziabad"
},
{
"from": "gpt",
"value": "Output: Hi there, as you have done all the tests to rule out any other cause of the sols and hematoma is more likely. It is a benign liver condition and one of the predisposing factors are intake of oral contraceptive pills. If you were on the pills earlier or now that would explain the hematomas. You will have to stop the pills and adopt other method of contraception., If you are otherwise asymptomatic then you need not do anything at this juncture but follow up routinely with LFTS and ultrasound studies. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been dealing with pain in my low back, pelvic region and upper legs for a couple of years now. My MRI showed an annular tear at L5 S1 with a broad base protrusion. There is no obvious impingement of the canal. My pain is worse after sitting for more than fifteen or twenty minutes and my legs are heavy and uncomfortable for the first few steps after sitting. My low back also pops and snaps a lot with movement. I had previously gone to a pain clinic and they tried injections with little, then no relief. I ve seen another pain doctor who tells me that there is no reason that he can see for my pain, other than inflammation in my SI. He injected those and I seemed to get some relief at first, but it didn t last through one lawn mowing. | The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Between the bones we also have nerve roots originating in the spinal cord and passing through foramen between bones. You seem to be having discs at a particular level that is protruding between the bones and this protrusion is backwards and causing symptoms. The discs protruding at level L 5 - S 1 with a tear at the periphery of the disc. It might also cause obliteration of lateral recess and neural foraminal compromise. This is leading to pinching of nerves causing severe pain. There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers for up to a year. Injections are also given for relief. However, this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the lower back region by a neurosurgeon. Presently, laser assisted surgical techniques and radio frequency ablation is also available. The inflammation at SI joint requires regular injections. You can try to feel more comfortable at work by taking small breaks every 30 minutes and not straining your spine especially the painful areas. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been dealing with pain in my low back, pelvic region and upper legs for a couple of years now. My MRI showed an annular tear at L5 S1 with a broad base protrusion. There is no obvious impingement of the canal. My pain is worse after sitting for more than fifteen or twenty minutes and my legs are heavy and uncomfortable for the first few steps after sitting. My low back also pops and snaps a lot with movement. I had previously gone to a pain clinic and they tried injections with little, then no relief. I ve seen another pain doctor who tells me that there is no reason that he can see for my pain, other than inflammation in my SI. He injected those and I seemed to get some relief at first, but it didn t last through one lawn mowing."
},
{
"from": "gpt",
"value": "Output: The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. Between the bones we also have nerve roots originating in the spinal cord and passing through foramen between bones. You seem to be having discs at a particular level that is protruding between the bones and this protrusion is backwards and causing symptoms. The discs protruding at level L 5 - S 1 with a tear at the periphery of the disc. It might also cause obliteration of lateral recess and neural foraminal compromise. This is leading to pinching of nerves causing severe pain. There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers for up to a year. Injections are also given for relief. However, this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the lower back region by a neurosurgeon. Presently, laser assisted surgical techniques and radio frequency ablation is also available. The inflammation at SI joint requires regular injections. You can try to feel more comfortable at work by taking small breaks every 30 minutes and not straining your spine especially the painful areas."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a bloodpressure reading of 130/110.at present i have been adviced tab telmade a h with solman omega3.Can u suggest is this a good combination or do i have to find another combinations and also i want to know when is the best time to consume omega3 | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Celesta is a very good blood pressure antihypertensive. Omega-3 it's not a treatment for blood pressure, it helps to lower your cholesterol and triglyceride levels. If you have mean values below 140 / 90 mmHg than you are ok.the schema is ok. If you catch any high value than I would recommend a check up with a cardiac echo, a full blood analyze to check your renal function and a holder pressure monitoring to evaluate your values during day and night. After this we can decide if it is necessary to change anything Hope I was helpful. Best regards, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a bloodpressure reading of 130/110.at present i have been adviced tab telmade a h with solman omega3.Can u suggest is this a good combination or do i have to find another combinations and also i want to know when is the best time to consume omega3"
},
{
"from": "gpt",
"value": "Output: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Celesta is a very good blood pressure antihypertensive. Omega-3 it's not a treatment for blood pressure, it helps to lower your cholesterol and triglyceride levels. If you have mean values below 140 / 90 mmHg than you are ok.the schema is ok. If you catch any high value than I would recommend a check up with a cardiac echo, a full blood analyze to check your renal function and a holder pressure monitoring to evaluate your values during day and night. After this we can decide if it is necessary to change anything Hope I was helpful. Best regards, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | afer 40yrs marrige i think he is narcissisist he gets crazy spells no matter vhere yells at me like crazy man. after 40 yrs marriage i think my husband is narcissist loves hem selt take pictures from he s self gets crazy spells jell like mad man anywhere controls my life i shouldn t have opinion not one person is smarter then hem manipuloi he think he s ono who know everything. I red 6 books i don t have daud about he isn t should i divers hem , He hit me ones & that ones was to many. maria | Degree understand your concerns went through your details. I suggest you not to worry much. Before concluding that your husband is narcissistic, please talk to him. Talk to him with the help of your well-wisher, or please contact a psychological counselor. Know the reason for his behavior and the cure is easier. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: afer 40yrs marrige i think he is narcissisist he gets crazy spells no matter vhere yells at me like crazy man. after 40 yrs marriage i think my husband is narcissist loves hem selt take pictures from he s self gets crazy spells jell like mad man anywhere controls my life i shouldn t have opinion not one person is smarter then hem manipuloi he think he s ono who know everything. I red 6 books i don t have daud about he isn t should i divers hem , He hit me ones & that ones was to many. maria"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. Before concluding that your husband is narcissistic, please talk to him. Talk to him with the help of your well-wisher, or please contact a psychological counselor. Know the reason for his behavior and the cure is easier. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had recurring rashes, lasting for a week or so. They are red, not raised and have small scabs. They are particularly annoying on my scalp, but have appeared on my arms, my hands, my wrists and my chest. Creams prescribed by the doctor have done little to alleviate the symptoms. They first arrived soon after my return form Myanmar. I remember feeling physically low at the time but did not have a high fever. During investigations, the GP found a Keratoacanthoma, this was removed. Should I be concerned about scrub typhus? Could the Keratoacanthoma have been the eschar? The initial rash was nine months ago, but the most recent was last week. Thank you | Hi, It may be due to some allergy... may be called purity simplex. The rash may be pruritic, papulovesicular and crusted. It is not scrub typhus. And it is also not related to keratoacanthoma. Dust, grass, soap, pollutants. etc. may cause such rash. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream and take tab cetirizine 10 mg daily till the improvement. 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: I have had recurring rashes, lasting for a week or so. They are red, not raised and have small scabs. They are particularly annoying on my scalp, but have appeared on my arms, my hands, my wrists and my chest. Creams prescribed by the doctor have done little to alleviate the symptoms. They first arrived soon after my return form Myanmar. I remember feeling physically low at the time but did not have a high fever. During investigations, the GP found a Keratoacanthoma, this was removed. Should I be concerned about scrub typhus? Could the Keratoacanthoma have been the eschar? The initial rash was nine months ago, but the most recent was last week. Thank you"
},
{
"from": "gpt",
"value": "Output: Hi, It may be due to some allergy... may be called purity simplex. The rash may be pruritic, papulovesicular and crusted. It is not scrub typhus. And it is also not related to keratoacanthoma. Dust, grass, soap, pollutants. etc. may cause such rash. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream and take tab cetirizine 10 mg daily till the improvement. 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. | Sirs, I have fever & head Pain for Past one week, on Checking with our Doctor & blood test, Report says my Liver SGPT is 271 now ( 3 months before i had Piles & on that time on check up my Sgpt is only 43 , I took Siddha treatment & get Cured ) ...I M really drunker for past 10 years but for past 1 year i left it & Consumed very rare , once in month ). my Age is 41 Weight 68 Height 5.4 ... my Doctor advice me to avoid liquor & Non veg , oily foods. & also informed i have Typhoid in intial stage. Kindly advice me in this regard. Mukunth Kumar | Hello Month Kumar, Welcome to Chat Doctor, and thanks for your query. I understand your concern and problem. You have hepatitis; an inflammation of the liver. There are several possible reasons for hepatitis. One and the most likely is alcohol. Viral infections, certain medicines are other common causes. Does the SIDA medicine that you took for hemorrhoids contain any heavy metal powders or extracts? You should avoid alcohol now and also fat containing food if you have difficulty in tolerating them. Was the diagnosis of Typhoid based on blood culture? The method to diagnose typhoid in the first week of illness, is identifying the organism in a blood culture. Wish you a quick recovery! If you have further queries, I am available on the web Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sirs, I have fever & head Pain for Past one week, on Checking with our Doctor & blood test, Report says my Liver SGPT is 271 now ( 3 months before i had Piles & on that time on check up my Sgpt is only 43 , I took Siddha treatment & get Cured ) ...I M really drunker for past 10 years but for past 1 year i left it & Consumed very rare , once in month ). my Age is 41 Weight 68 Height 5.4 ... my Doctor advice me to avoid liquor & Non veg , oily foods. & also informed i have Typhoid in intial stage. Kindly advice me in this regard. Mukunth Kumar"
},
{
"from": "gpt",
"value": "Output: Hello Month Kumar, Welcome to Chat Doctor, and thanks for your query. I understand your concern and problem. You have hepatitis; an inflammation of the liver. There are several possible reasons for hepatitis. One and the most likely is alcohol. Viral infections, certain medicines are other common causes. Does the SIDA medicine that you took for hemorrhoids contain any heavy metal powders or extracts? You should avoid alcohol now and also fat containing food if you have difficulty in tolerating them. Was the diagnosis of Typhoid based on blood culture? The method to diagnose typhoid in the first week of illness, is identifying the organism in a blood culture. Wish you a quick recovery! If you have further queries, I am available on the web Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im Danielle. I have a rash that started our on my neck 2 days ago. Yesterday it spread to my chest and today it looks like it maybe on my arms. I havent had anything new so I dont know what it could be. It maybe a heat rash but Im a dark skin African American girl so I dont know what heat rash should look like on me. Please help. Its really itchy too | welcome to Chat Doctor Forum You seem to have developed sun burns due to excessive sun exposure... You need to apply a topical steroid containing mometasone cream over the affected area at least twice a day over the affected area in order to decrease the inflammation. And take some oral antihistamines like levocetrizine once a day. You should use a sunscreen (SPF>26) every time before you go out in the sun in the future,. Regarding a sunscreen, it is important that you should apply adequate amount of sunscreen over all the exposed areas before going out in the sun,It should at least be applied 30 minutes before any kind of sun exposure, and it should be reapplied every 3-4 hours in you stay out in the sun... Hope it helps Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im Danielle. I have a rash that started our on my neck 2 days ago. Yesterday it spread to my chest and today it looks like it maybe on my arms. I havent had anything new so I dont know what it could be. It maybe a heat rash but Im a dark skin African American girl so I dont know what heat rash should look like on me. Please help. Its really itchy too"
},
{
"from": "gpt",
"value": "Output: welcome to Chat Doctor Forum You seem to have developed sun burns due to excessive sun exposure... You need to apply a topical steroid containing mometasone cream over the affected area at least twice a day over the affected area in order to decrease the inflammation. And take some oral antihistamines like levocetrizine once a day. You should use a sunscreen (SPF>26) every time before you go out in the sun in the future,. Regarding a sunscreen, it is important that you should apply adequate amount of sunscreen over all the exposed areas before going out in the sun,It should at least be applied 30 minutes before any kind of sun exposure, and it should be reapplied every 3-4 hours in you stay out in the sun... Hope it helps Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am Male and my blood group is O+ve. I intend to get married to a lady having blood group O-ve. Can there be some blood group incompatibility issues during child birth or after the 1st child? Can the new born(s) suffer from any kind of disease, including Thalassemia. Is there something like 1st child will be fine and the subsequent ones will have problems? What is RH/RF (not sure) factor? I heard some kind of injections are given to mother to resolve such blood group incompatibility issues with the fetus during pregnancy, what are the side effects on mother due to such injections? Is blood group/type checking of would be bride and groom necessary for any reason apart from possibility of having HIV virus? | Hello welcome to Chat Doctor sir, Incompatibility in the newborn fetus may cause HDNB(hemolytic disease of newborn)depending upon the severity of red cell breakdown.this is because of Rh antibodies developed in the mother(if mother is Rh -ve) because of either previous blood transfusion or birth to a baby who is Rh\u2019ve.1. If the above said antibodies develop before the 1st childbirth(that means if blood transfusion done).,then 1st baby will affect.2. If the above said antibodies develop after the birth of 1st childbirth your 1st baby will be normal.and for second pregnancy these antibodies travel across placenta and make red cell to break in the baby. Rh means rhesus factor... Rh +ve means presence of Rh antigen in the blood.n\u00e9 negative means absent. Regarding your query.you are O+ve and your would be is O-ve. If she had prior blood transfusion that too receives +ve blood.then you need to take anti D injection.nowadays that +ve blood is not giving to -ve one in the fear of future problems. After the 1st pregnancy your wife had to receive anti D immunoglobulin to suppress her immune status because of babies blood.after taking of this anti D then further pregnancies would be normal.no problem will arise. Incompatibility doesn't cause thalassemia,it is an inborn genetic error in the red blood cells. There is no side effects to that injection. Before marriage checking for HIV status is mandatory,..other else not necessary and not required.hope you understand my answer and suggestion. Thank you 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 Male and my blood group is O+ve. I intend to get married to a lady having blood group O-ve. Can there be some blood group incompatibility issues during child birth or after the 1st child? Can the new born(s) suffer from any kind of disease, including Thalassemia. Is there something like 1st child will be fine and the subsequent ones will have problems? What is RH/RF (not sure) factor? I heard some kind of injections are given to mother to resolve such blood group incompatibility issues with the fetus during pregnancy, what are the side effects on mother due to such injections? Is blood group/type checking of would be bride and groom necessary for any reason apart from possibility of having HIV virus?"
},
{
"from": "gpt",
"value": "Output: Hello welcome to Chat Doctor sir, Incompatibility in the newborn fetus may cause HDNB(hemolytic disease of newborn)depending upon the severity of red cell breakdown.this is because of Rh antibodies developed in the mother(if mother is Rh -ve) because of either previous blood transfusion or birth to a baby who is Rh\\u2019ve.1. If the above said antibodies develop before the 1st childbirth(that means if blood transfusion done).,then 1st baby will affect.2. If the above said antibodies develop after the birth of 1st childbirth your 1st baby will be normal.and for second pregnancy these antibodies travel across placenta and make red cell to break in the baby. Rh means rhesus factor... Rh +ve means presence of Rh antigen in the blood.n\\u00e9 negative means absent. Regarding your query.you are O+ve and your would be is O-ve. If she had prior blood transfusion that too receives +ve blood.then you need to take anti D injection.nowadays that +ve blood is not giving to -ve one in the fear of future problems. After the 1st pregnancy your wife had to receive anti D immunoglobulin to suppress her immune status because of babies blood.after taking of this anti D then further pregnancies would be normal.no problem will arise. Incompatibility doesn't cause thalassemia,it is an inborn genetic error in the red blood cells. There is no side effects to that injection. Before marriage checking for HIV status is mandatory,..other else not necessary and not required.hope you understand my answer and suggestion. Thank you Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had what looks like blood in my urine, went the doctor but have not gotten the results yet. However it seems like the only thing in diet that changes when this happens is my drinking \"Red Bull\" can this cause bloody or red urine. I have no pain or other symptoms. | Hi, To find out if you have blood in the urine, we have to look at the urine report. Blood in the urine may be gross hematuria which means many red cells in the urine. Gross hematuria can be seen with our eyes as red urine. There is another type called microscopic hematuria where red cells are seen under the microscope. If red cells or red cells casts are present in the urine along with protein in the urine it means there is a kidney problem especially in a structure called glomerulus. Red cells or Frank blood in the urine may occur more commonly due to stones. It may also be seen with certain infections. Above the age of 40, we also try to rule out the possibility of kidney or bladder cancer. Certain medicines and certain food items may color the urine red but in this case the urine report is negative for blood or red cells. A condition called hemoglobinuria where the muscles are affected may cause red urine. The first step therefore is to read the urine report. Blood in the urine is usually investigated with an ultrasound initially follower by other tests according to the most likely cause. Should you require further assistance, please post your urine, blood and other reports here so that I may provide you more information regarding your query. Best regards, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had what looks like blood in my urine, went the doctor but have not gotten the results yet. However it seems like the only thing in diet that changes when this happens is my drinking \\\"Red Bull\\\" can this cause bloody or red urine. I have no pain or other symptoms."
},
{
"from": "gpt",
"value": "Output: Hi, To find out if you have blood in the urine, we have to look at the urine report. Blood in the urine may be gross hematuria which means many red cells in the urine. Gross hematuria can be seen with our eyes as red urine. There is another type called microscopic hematuria where red cells are seen under the microscope. If red cells or red cells casts are present in the urine along with protein in the urine it means there is a kidney problem especially in a structure called glomerulus. Red cells or Frank blood in the urine may occur more commonly due to stones. It may also be seen with certain infections. Above the age of 40, we also try to rule out the possibility of kidney or bladder cancer. Certain medicines and certain food items may color the urine red but in this case the urine report is negative for blood or red cells. A condition called hemoglobinuria where the muscles are affected may cause red urine. The first step therefore is to read the urine report. Blood in the urine is usually investigated with an ultrasound initially follower by other tests according to the most likely cause. Should you require further assistance, please post your urine, blood and other reports here so that I may provide you more information regarding your query. Best regards, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have cough since 2 weeks, I took avil tablet for 3 days ,half tablet at a time and stopped. The cough has reduced after that but 2 days again the cough has started and then I took half tablet avil and it got controlled a bit. I dont have any mucous or yellow color sputum. 4 weeks back I had yellow sputum so I took Novomax antibiotic and it has reduced but the cough is still persisting. mY age is 27, height is 5feet 4inch,weight is 65. I take iron tablets some times as I am anaemic a bit. I am unable to know what kind of a cough it is and why it is still persisting..please give me some advice and anything to worry. . | Thanks for your question on Chat Doctor. I can understand your concern. You are having Chat Doctor. This is commonly seen with 1. Lung infection like tuberculosis of pneumonia 2. Bronchitis 3. Allergic cough. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. 4. Eosinophil count and total serum IGE level to rule out allergic cough. On the basis of above reports, you man need antibiotic or anti-tubercular | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have cough since 2 weeks, I took avil tablet for 3 days ,half tablet at a time and stopped. The cough has reduced after that but 2 days again the cough has started and then I took half tablet avil and it got controlled a bit. I dont have any mucous or yellow color sputum. 4 weeks back I had yellow sputum so I took Novomax antibiotic and it has reduced but the cough is still persisting. mY age is 27, height is 5feet 4inch,weight is 65. I take iron tablets some times as I am anaemic a bit. I am unable to know what kind of a cough it is and why it is still persisting..please give me some advice and anything to worry. ."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having Chat Doctor. This is commonly seen with 1. Lung infection like tuberculosis of pneumonia 2. Bronchitis 3. Allergic cough. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. 4. Eosinophil count and total serum IGE level to rule out allergic cough. On the basis of above reports, you man need antibiotic or anti-tubercular"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi..in my follicular study today(17th day) the right ovary is 10*7 mm and left ovary is 13*11 mm with minimal free fluid, it was the same on the 15th day with no free fluid.I had taken Siphene(10 mg) from the 3rd day of my periods....we are travelling tomorrow and not sure if we can do the study for the 19th day......my query is to understand if a ChatDoctor injection is must to ensure I conceive... | Hi welcome to Chat Doctor. I have gone through your question. As on 17th day there is minimal free fluid suggest that ovulation might have taken place. As sphere is prescribed to stimulate ovaries. ChatDoctor in given to develop uterine wall, so growing fetus can implant and develop. So Chat Doctor in should be taken according to my advice. Hope I answered your question, would be happy to help you further. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi..in my follicular study today(17th day) the right ovary is 10*7 mm and left ovary is 13*11 mm with minimal free fluid, it was the same on the 15th day with no free fluid.I had taken Siphene(10 mg) from the 3rd day of my periods....we are travelling tomorrow and not sure if we can do the study for the 19th day......my query is to understand if a ChatDoctor injection is must to ensure I conceive..."
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor. I have gone through your question. As on 17th day there is minimal free fluid suggest that ovulation might have taken place. As sphere is prescribed to stimulate ovaries. ChatDoctor in given to develop uterine wall, so growing fetus can implant and develop. So Chat Doctor in should be taken according to my advice. Hope I answered your question, would be happy to help you further. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I read that gastritis may be masking a case of ovarian cancer. It was a recent article but I dont remember where. My wifes mother died from ovarian cancer. She has one sister (out of 3) who has had breast cancer twice. Christina, my wife has had gastritis for months now. Her doctor performed endoscopy and found everything appears normal. Christinas gynecologist performed an exam including ultrasound over 2 years ago and found nothing unusual. What are the chances of Christina having ovarian cancer? Shouldnt she have a complete exam at least once a year? Medicare wont pay for more than once every 2 years. Is there a good blood marker for ovarian cancer besides CA125? Thanks!! ...Ron | Hi, Thanks for writing in. Gastritis is inflammation of the mucosa of stomach in reaction to increased amount of acid formation. It is unlikely for gastritis to be responsible for ovarian cancer. However, if there is cancer ovary in her family then your wife might do an ovarian cancer tumor marker test. There is a blood test called CA 125 which is a cancer marker test for ovarian cancer. This is a simple test and tells a possibility of cancer in the ovary. This is not related to gastritis. Doing this test once a year will benefit her. 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 read that gastritis may be masking a case of ovarian cancer. It was a recent article but I dont remember where. My wifes mother died from ovarian cancer. She has one sister (out of 3) who has had breast cancer twice. Christina, my wife has had gastritis for months now. Her doctor performed endoscopy and found everything appears normal. Christinas gynecologist performed an exam including ultrasound over 2 years ago and found nothing unusual. What are the chances of Christina having ovarian cancer? Shouldnt she have a complete exam at least once a year? Medicare wont pay for more than once every 2 years. Is there a good blood marker for ovarian cancer besides CA125? Thanks!! ...Ron"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Gastritis is inflammation of the mucosa of stomach in reaction to increased amount of acid formation. It is unlikely for gastritis to be responsible for ovarian cancer. However, if there is cancer ovary in her family then your wife might do an ovarian cancer tumor marker test. There is a blood test called CA 125 which is a cancer marker test for ovarian cancer. This is a simple test and tells a possibility of cancer in the ovary. This is not related to gastritis. Doing this test once a year will benefit her. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | age is 26 and height is 5 6\"and weight is 42 kg. i have a 15 months baby .before i was 48 kg but in a month i loose my weight around 5 kg .i eat lot a fruit and meal(lunch and dinner).but i feel like stress everytime.so pls give some tips 4 gain weight | Hi, Your weight loss seems to be related to the underlying stress that you mentioned. Once that is treated, your weight will recover spontaneously. You should consult a psychiatrist for complete evaluation and initiating treatment. Anti-depressants like sertraline will help to overcome your stress. Alternatively mirtazapine can be used as anti-depressant which has one of the effects of weight gain. You should also start exercising daily. It will help you relax and feel better and also help in improving your physical health. I do hope that I was able to answer your query. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: age is 26 and height is 5 6\\\"and weight is 42 kg. i have a 15 months baby .before i was 48 kg but in a month i loose my weight around 5 kg .i eat lot a fruit and meal(lunch and dinner).but i feel like stress everytime.so pls give some tips 4 gain weight"
},
{
"from": "gpt",
"value": "Output: Hi, Your weight loss seems to be related to the underlying stress that you mentioned. Once that is treated, your weight will recover spontaneously. You should consult a psychiatrist for complete evaluation and initiating treatment. Anti-depressants like sertraline will help to overcome your stress. Alternatively mirtazapine can be used as anti-depressant which has one of the effects of weight gain. You should also start exercising daily. It will help you relax and feel better and also help in improving your physical health. I do hope that I was able to answer your query. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had a head cold and productive cough for about 3 weeks. I have not felt bad (with the exception of being stopped up) or ran fever the whole time. Now my back hurts on the left side and it feels like I may have pulled something. Could this have any correlation? | Hi, thanks for posting your concern in the Chat Doctor. My recommendation is to visit your local doctor to rule out pneumonia, any infection or inflammation involving the spine etc. In case of a bad pneumonia you may have back pain, so occurs in spinal pathology. In cough and fever for more than 2 weeks, tuberculosis must also be ruled out. Any other lung pathology should also be ruled out. A complete blood count, CRP, sputum for microscopic examination and culture, chest X-ray pa view may be done. Your doctor will decide whether any further investigation will be needed depending upon the clinical findings. For any further questions please write back to us. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had a head cold and productive cough for about 3 weeks. I have not felt bad (with the exception of being stopped up) or ran fever the whole time. Now my back hurts on the left side and it feels like I may have pulled something. Could this have any correlation?"
},
{
"from": "gpt",
"value": "Output: Hi, thanks for posting your concern in the Chat Doctor. My recommendation is to visit your local doctor to rule out pneumonia, any infection or inflammation involving the spine etc. In case of a bad pneumonia you may have back pain, so occurs in spinal pathology. In cough and fever for more than 2 weeks, tuberculosis must also be ruled out. Any other lung pathology should also be ruled out. A complete blood count, CRP, sputum for microscopic examination and culture, chest X-ray pa view may be done. Your doctor will decide whether any further investigation will be needed depending upon the clinical findings. For any further questions please write back to us. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I fell on my left foot 3 weeks ago playing basketball. I went to the doctors and they took and xray and it came out to be fractured. A piece of bone chipped off the ankle on the left side. I was given a splint to stabilize the ankle and given crutches. A week ago I was finally able to walk on my foot, but now I realize that when I move my toes or my foot I get a a burn feeling. If my foot sits there on idle it gives me this tingling feeling? Did I damage the sensory nerve in my foot cause of the fall? Is there some cream I can put on there? The burning feeling is preventing me from being able to therapy my foot because of the pain. If I touch my foot it does feel numb at parts. I have been icing and elevating my foot everyday for 3 three weeks and have even used Epsom salt to have the swelling go down. | Hello, I have studied your case. Numbness can be due to nerve dysfunction. You can take vitamin B12 for reducing symptoms. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg If not relieved then I will advise you to MRI ankle and EMG/CV [nerve conduction study for better diagnosis. For these symptoms neurotrophic [Pregabalin] medication can be started consulting your doctor. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I fell on my left foot 3 weeks ago playing basketball. I went to the doctors and they took and xray and it came out to be fractured. A piece of bone chipped off the ankle on the left side. I was given a splint to stabilize the ankle and given crutches. A week ago I was finally able to walk on my foot, but now I realize that when I move my toes or my foot I get a a burn feeling. If my foot sits there on idle it gives me this tingling feeling? Did I damage the sensory nerve in my foot cause of the fall? Is there some cream I can put on there? The burning feeling is preventing me from being able to therapy my foot because of the pain. If I touch my foot it does feel numb at parts. I have been icing and elevating my foot everyday for 3 three weeks and have even used Epsom salt to have the swelling go down."
},
{
"from": "gpt",
"value": "Output: Hello, I have studied your case. Numbness can be due to nerve dysfunction. You can take vitamin B12 for reducing symptoms. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg If not relieved then I will advise you to MRI ankle and EMG/CV [nerve conduction study for better diagnosis. For these symptoms neurotrophic [Pregabalin] medication can be started consulting your doctor. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I am a dentist and I believe one of my patients has developed a tic Doulouex. It is a mild case but it began right after having a root canal done on his lower second molar by a vey good specialist on the ipselatereral side. The trigger point is about where the trigeminal nerve exists the mandible on the surface of the skin. This is extremely rare to me so I dont know how to treat it or who to refer it to. Can you give me a suggestion? | Greetings from Chat Doctor members, Dear Doctor, I have understood your query. It is very important to first confirm the diagnosis of trigeminal neuralgia as many other medical and dental conditions have similar presentation of pain. Improper diagnosis may lead to patient dis-satisfaction and with Chat Doctor. Once you come to definite diagnosis, then comes the treatment choices. There are a number of medications that control the pain of trigeminal neuralgia. The most commonly prescribed first line | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I am a dentist and I believe one of my patients has developed a tic Doulouex. It is a mild case but it began right after having a root canal done on his lower second molar by a vey good specialist on the ipselatereral side. The trigger point is about where the trigeminal nerve exists the mandible on the surface of the skin. This is extremely rare to me so I dont know how to treat it or who to refer it to. Can you give me a suggestion?"
},
{
"from": "gpt",
"value": "Output: Greetings from Chat Doctor members, Dear Doctor, I have understood your query. It is very important to first confirm the diagnosis of trigeminal neuralgia as many other medical and dental conditions have similar presentation of pain. Improper diagnosis may lead to patient dis-satisfaction and with Chat Doctor. Once you come to definite diagnosis, then comes the treatment choices. There are a number of medications that control the pain of trigeminal neuralgia. The most commonly prescribed first line"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a history of a hernia which was diagnosed 2 years ago. Today is the first day that I noticed I did not have my normal bulge which has been there for 10 years. I was admitted to the hospital yesterday after passing out following a bowel, I was discharged today from the hospital because they thought I had a cardiac issue, I have never had this type of issue before. The day before I wore a tight girdle which provided much relief from a large hernia that I was diagnosed with 2 years ago. I kept asking if by wearing the girdle I could have caused an issue with the bowel, I was told no. While I was in the hospital, I have had no appetite and I shared concerns that when I tried to eat anything today it caused discomfort in my abdomen. I also developed a headache on the left side. Since I have been home I have vomited just a little, have not urinated or had a bowl movement, I have a sharp pain on my right side and pain in my back which is also on the right side, and woke up with night sweats. Is this something to be concerned about now or can I wait till morning. | Hello! Thank you for the query. The main problem with hernia is that it may stick and cause bowels obstruction. And you never know when and if its happens. Typical symptoms of bowels obstruction are nausea, vomiting, lack of stool and gasses, bloating and sometimes cramps. The other thing is that you have also urinating problems and back pain. This makes kidney infection very possible. Actually with bowels obstruction kidney infection can appear as you do not absorb water and do not urinate enough. Both conditions can be life-threatening. That is why you should not wait with them. Please go to ER. Urinalysis, abdominal x-ray and ultrasound are necessary. Surgery might be the only treatment. 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: I have a history of a hernia which was diagnosed 2 years ago. Today is the first day that I noticed I did not have my normal bulge which has been there for 10 years. I was admitted to the hospital yesterday after passing out following a bowel, I was discharged today from the hospital because they thought I had a cardiac issue, I have never had this type of issue before. The day before I wore a tight girdle which provided much relief from a large hernia that I was diagnosed with 2 years ago. I kept asking if by wearing the girdle I could have caused an issue with the bowel, I was told no. While I was in the hospital, I have had no appetite and I shared concerns that when I tried to eat anything today it caused discomfort in my abdomen. I also developed a headache on the left side. Since I have been home I have vomited just a little, have not urinated or had a bowl movement, I have a sharp pain on my right side and pain in my back which is also on the right side, and woke up with night sweats. Is this something to be concerned about now or can I wait till morning."
},
{
"from": "gpt",
"value": "Output: Hello! Thank you for the query. The main problem with hernia is that it may stick and cause bowels obstruction. And you never know when and if its happens. Typical symptoms of bowels obstruction are nausea, vomiting, lack of stool and gasses, bloating and sometimes cramps. The other thing is that you have also urinating problems and back pain. This makes kidney infection very possible. Actually with bowels obstruction kidney infection can appear as you do not absorb water and do not urinate enough. Both conditions can be life-threatening. That is why you should not wait with them. Please go to ER. Urinalysis, abdominal x-ray and ultrasound are necessary. Surgery might be the only treatment. Hope this will help. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | goodmornig doctor sir, i m 19 yrs old and i m preparing for medical exams bt i lost many logics and solution very early even after 2 days i hd learnt , i m confused is it the ause of excess masturbation which i practice every day since i ws 15 . i feel very tired and some time i hd too much back pain . and i try to stop masturabation bt i cold not pls help doctors how can i keep my self away frm it and create my 100 %focus on studies . pls i try my best to leave my masturbation pls solve my problem doctor | Hello, I understand your concern regarding your studies and health, for your kind information masturbation does not cause any weakness to the body, but it can be worrisome if done in excess like every day, the worst thing about it that it wastes your valuable time and distracts your focus and concentration towards studies..... you need to be determined about not thinking of masturbation ...like start with small goal that you will not masturbate for 2 days and then make it once a week.... it will give you happiness that you are saving a lot of time.... another very good way to increase your will strength is yoga ... do meditation and yoga early morning to improve your mental strength.... remember it's all in mind... I hope I have answered your query... let me know if you need more help.!take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: goodmornig doctor sir, i m 19 yrs old and i m preparing for medical exams bt i lost many logics and solution very early even after 2 days i hd learnt , i m confused is it the ause of excess masturbation which i practice every day since i ws 15 . i feel very tired and some time i hd too much back pain . and i try to stop masturabation bt i cold not pls help doctors how can i keep my self away frm it and create my 100 %focus on studies . pls i try my best to leave my masturbation pls solve my problem doctor"
},
{
"from": "gpt",
"value": "Output: Hello, I understand your concern regarding your studies and health, for your kind information masturbation does not cause any weakness to the body, but it can be worrisome if done in excess like every day, the worst thing about it that it wastes your valuable time and distracts your focus and concentration towards studies..... you need to be determined about not thinking of masturbation ...like start with small goal that you will not masturbate for 2 days and then make it once a week.... it will give you happiness that you are saving a lot of time.... another very good way to increase your will strength is yoga ... do meditation and yoga early morning to improve your mental strength.... remember it's all in mind... I hope I have answered your query... let me know if you need more help.!take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i have epigastric pain about three weeks and i t stopped for two days but now i am feeling in whole body. sometimes have breathing problems and passing through urine feeling burning and coulor changes sometime please tell what it could be thank you | Welcome to Chat Doctor You are probably having urinary tract infection which explains the burning micturition. Is there any blood in urine. The pain you experience is due to probable gastritis which can also cause breathlessness, nut to be safe better to get an ECG done to rule out heart problems which can also cause similar picture. Eat bland diet, less fat, more semisolid and cool. Chat Doctor. Eat fresh fruits and green leafy vegetables. Better to get your urine tested at Urologist Clinic and if necessary get your stomach examined by endoscopy to look for ulcers. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi i have epigastric pain about three weeks and i t stopped for two days but now i am feeling in whole body. sometimes have breathing problems and passing through urine feeling burning and coulor changes sometime please tell what it could be thank you"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor You are probably having urinary tract infection which explains the burning micturition. Is there any blood in urine. The pain you experience is due to probable gastritis which can also cause breathlessness, nut to be safe better to get an ECG done to rule out heart problems which can also cause similar picture. Eat bland diet, less fat, more semisolid and cool. Chat Doctor. Eat fresh fruits and green leafy vegetables. Better to get your urine tested at Urologist Clinic and if necessary get your stomach examined by endoscopy to look for ulcers."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my. Husband went to dentist yeaterday morning for a tooth abcsess. She injected him twice for the pain amd sent him home with prescription for antibiotics. Last might his mouth started swelling. Now the swelling is more than it was at 11 | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint swelling in mouth seems to be most probably due to Dental Abscess as the pus formation below the root tips of tooth can perforate the bone and get accumulated in the soft tissues leading to swelling inside the mouth as well as on the cheek. He should continue taking the antibiotics and if there is pain anti-inflammatory painkiller like Advil can be taken. Do cool compresses over the cheek. But one thing I would like to tell you that antibiotics can reduce the swelling and infection to some extent, but it will not provide permanent relief. In order to get permanent relief you should consult your dentist and get an x-ray of tooth done. If the tooth is in condition that it can be saved Root Canal Treatment followed by antibiotics and painkillers will provide permanent relief. In case if tooth is grossly decayed and cannot be saved extraction is advisable. Hope this information helps. Thanks and regards. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my. Husband went to dentist yeaterday morning for a tooth abcsess. She injected him twice for the pain amd sent him home with prescription for antibiotics. Last might his mouth started swelling. Now the swelling is more than it was at 11"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint swelling in mouth seems to be most probably due to Dental Abscess as the pus formation below the root tips of tooth can perforate the bone and get accumulated in the soft tissues leading to swelling inside the mouth as well as on the cheek. He should continue taking the antibiotics and if there is pain anti-inflammatory painkiller like Advil can be taken. Do cool compresses over the cheek. But one thing I would like to tell you that antibiotics can reduce the swelling and infection to some extent, but it will not provide permanent relief. In order to get permanent relief you should consult your dentist and get an x-ray of tooth done. If the tooth is in condition that it can be saved Root Canal Treatment followed by antibiotics and painkillers will provide permanent relief. In case if tooth is grossly decayed and cannot be saved extraction is advisable. Hope this information helps. Thanks and regards. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Good Morning | Hello there, I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for Chat Doctor. Hope this helps. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Good Morning"
},
{
"from": "gpt",
"value": "Output: Hello there, I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for Chat Doctor. Hope this helps. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 41 year old male. Symptoms started as body aches, flush feeling, just feeling like no energy. A day ago i noticed what looked like the start of a pimple on my forehead. Today several red spots on forehead, upper chest, some on back, crease of arms, neck area. They dont really itch to bad. I also feel constipated at times, some belly aches and small amount of diarreha. My wife is convinced its chicken pox. I also started an anxiety med two nights ago to help me sleep. Didnt notice rash till after i started the med but the other symptoms were present the day before i started med. Started med due to lack of sleep i was getting from wearing a cpap mask at night. | Hi, It will be better if you can upload the photos of the lesion. This will help in making diagnosis. If chicken pox you need to take acyclovir with other symptomatic treatment. Chicken pox presents similar to flu with vesicular rashes. It cannot be pimples as all the lesions cannot appear in a day. Since you started anxiety medicines this can be due to its reaction also. Without examination and knowing about medicine we can't confirm the diagnosis. So better to upload a photo of the problem or else get examined by your doctor once. I hope this information helps you. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 41 year old male. Symptoms started as body aches, flush feeling, just feeling like no energy. A day ago i noticed what looked like the start of a pimple on my forehead. Today several red spots on forehead, upper chest, some on back, crease of arms, neck area. They dont really itch to bad. I also feel constipated at times, some belly aches and small amount of diarreha. My wife is convinced its chicken pox. I also started an anxiety med two nights ago to help me sleep. Didnt notice rash till after i started the med but the other symptoms were present the day before i started med. Started med due to lack of sleep i was getting from wearing a cpap mask at night."
},
{
"from": "gpt",
"value": "Output: Hi, It will be better if you can upload the photos of the lesion. This will help in making diagnosis. If chicken pox you need to take acyclovir with other symptomatic treatment. Chicken pox presents similar to flu with vesicular rashes. It cannot be pimples as all the lesions cannot appear in a day. Since you started anxiety medicines this can be due to its reaction also. Without examination and knowing about medicine we can't confirm the diagnosis. So better to upload a photo of the problem or else get examined by your doctor once. I hope this information helps you. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | yes my name is sherry hill and i have mastoiditis. I have a hole in my eardrum in my left ear i vant hear anything out of it and i recently was admitted into the hospital i got out january 21. I supposed to have followed up with an ear nose and throat doctor but i havent because i have no medicaid and no money i have taken all my antibiotics and now im having headaches like everyday i take tylenol it works for a little then it starts hurting again what should i do is this something serious? | Hi Sherry, I understand your difficult situation but as we all know healthy is better than wealthy. There are five stages of the disease, and it is better to stop it asap to have fewer complications like your hearing loss, intracranial extension of the infection etched you finish the treatment with antibiotics as your doctor prescription? Did you have ear discharge or temperature? If the answer is positiver than consulting ENT doctor is a MUST. The disease has severe complications, and it is better to follow up than cure the side effects of the disease. Hope that helped | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: yes my name is sherry hill and i have mastoiditis. I have a hole in my eardrum in my left ear i vant hear anything out of it and i recently was admitted into the hospital i got out january 21. I supposed to have followed up with an ear nose and throat doctor but i havent because i have no medicaid and no money i have taken all my antibiotics and now im having headaches like everyday i take tylenol it works for a little then it starts hurting again what should i do is this something serious?"
},
{
"from": "gpt",
"value": "Output: Hi Sherry, I understand your difficult situation but as we all know healthy is better than wealthy. There are five stages of the disease, and it is better to stop it asap to have fewer complications like your hearing loss, intracranial extension of the infection etched you finish the treatment with antibiotics as your doctor prescription? Did you have ear discharge or temperature? If the answer is positiver than consulting ENT doctor is a MUST. The disease has severe complications, and it is better to follow up than cure the side effects of the disease. Hope that helped"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | The start of my last menstural period was Oct 25 2010. Lasted about 7 days. According to that, I m supposed to be 12 weeks today (Jan 15 2011). However, I went for my dating ultrasound yesterday and was told I was only 10 weeks and 6 days. Therefore they couldn t do the Nuchal Translucency scan. My question is, what exactly is gestational age? Does this calculate when the baby was concieved? And if so, the baby would have been concieved the last day of my period (Unlikely, I thought?) I m confused as to which age I should be using. If my gestational age was different, shouldn t everybody else s be? I hear people say I was only off by 2 or 3 days , but wouldn t that mean they also concieved during their period? Please help. | Hallow Dear, The gestational age of the baby is in fact the actual age of the baby. Naturally it is from the day of conception. However, it is not possible in day to day life to locate the day of conception. Hence, it is customary to calculate the day of expected due date of delivery or even the duration of pregnancy from the date of last menstrual period. This is the clinical way of assessing the duration of pregnancy. Total duration of pregnancy which is said 280 days is counted from the date of last menstrual period. Ultrasound calculates the duration of pregnancy according to the measurements of the baby. It has some error factor ranging from 2 weeks to few days depending upon the stage and duration of pregnancy. I hope this gives you clear knowledge about the age of the baby. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The start of my last menstural period was Oct 25 2010. Lasted about 7 days. According to that, I m supposed to be 12 weeks today (Jan 15 2011). However, I went for my dating ultrasound yesterday and was told I was only 10 weeks and 6 days. Therefore they couldn t do the Nuchal Translucency scan. My question is, what exactly is gestational age? Does this calculate when the baby was concieved? And if so, the baby would have been concieved the last day of my period (Unlikely, I thought?) I m confused as to which age I should be using. If my gestational age was different, shouldn t everybody else s be? I hear people say I was only off by 2 or 3 days , but wouldn t that mean they also concieved during their period? Please help."
},
{
"from": "gpt",
"value": "Output: Hallow Dear, The gestational age of the baby is in fact the actual age of the baby. Naturally it is from the day of conception. However, it is not possible in day to day life to locate the day of conception. Hence, it is customary to calculate the day of expected due date of delivery or even the duration of pregnancy from the date of last menstrual period. This is the clinical way of assessing the duration of pregnancy. Total duration of pregnancy which is said 280 days is counted from the date of last menstrual period. Ultrasound calculates the duration of pregnancy according to the measurements of the baby. It has some error factor ranging from 2 weeks to few days depending upon the stage and duration of pregnancy. I hope this gives you clear knowledge about the age of the baby."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am prone to allergies (dust, pollen etc). I woke up this morning with a pretty bad case of sneezing. By this afternoon, whenever i sneeze, my breasts hurt; like tiny pinpricks or stinging all over them. The pain lasts for about 3-5 minutes after the sneeze. is this normal in allergic rhinitis? | You appear to suffer from Allergic Rhinitis.It's common to have cold and sneezing in the early morning. As cold air is a powerful trigger of allergy, but is not medically desirable to continue suffering like this. You need to first take a PNS X-ray & role out sinus involvement also. Then you would be suffering with Rhine sing bronchial allergy. Which require more care.1) you need to start an antihistamine like tab. Montec-Lc one tab per day for 15 days initially(only at night after dinner)2) you need to take nasal inhaler namely Donate spray per nostril per day.3) do not get exposed immediately from to be 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 prone to allergies (dust, pollen etc). I woke up this morning with a pretty bad case of sneezing. By this afternoon, whenever i sneeze, my breasts hurt; like tiny pinpricks or stinging all over them. The pain lasts for about 3-5 minutes after the sneeze. is this normal in allergic rhinitis?"
},
{
"from": "gpt",
"value": "Output: You appear to suffer from Allergic Rhinitis.It's common to have cold and sneezing in the early morning. As cold air is a powerful trigger of allergy, but is not medically desirable to continue suffering like this. You need to first take a PNS X-ray & role out sinus involvement also. Then you would be suffering with Rhine sing bronchial allergy. Which require more care.1) you need to start an antihistamine like tab. Montec-Lc one tab per day for 15 days initially(only at night after dinner)2) you need to take nasal inhaler namely Donate spray per nostril per day.3) do not get exposed immediately from to be Chat Doctor."
}
]
|
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