instruction
stringclasses 1
value | input
stringlengths 0
11.2k
| output
stringlengths 2
3.3k
| conversations
listlengths 2
2
|
|---|---|---|---|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi im vincent im 14 and i started to notice a pain in my back about 3 monthes ago in the dimple of my back and it will hurt when i move my back quickly and move my leg. when it got as bad as it does i cant move at all and the next morning i would feel nothing than about a month later it will hurt again | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think that there is some pathology developing in the back. This may be mild at the moment and may be gradually building up. So I would seriously suggest that you move for an imaging modality like MRI/X-ray (the former being the preferred modality). The physiotherapy is usually a good option for people who have backache. So look for a qualified physiotherapist around you who may help you with the pain and also the fomentation techniques.Painkillers may be taken once in a while, but I would suggest you avoid them as far as possible due to the possibilities of long term problems like gastritis and kidney damage hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi im vincent im 14 and i started to notice a pain in my back about 3 monthes ago in the dimple of my back and it will hurt when i move my back quickly and move my leg. when it got as bad as it does i cant move at all and the next morning i would feel nothing than about a month later it will hurt again"
},
{
"from": "gpt",
"value": "Output: Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think that there is some pathology developing in the back. This may be mild at the moment and may be gradually building up. So I would seriously suggest that you move for an imaging modality like MRI/X-ray (the former being the preferred modality). The physiotherapy is usually a good option for people who have backache. So look for a qualified physiotherapist around you who may help you with the pain and also the fomentation techniques.Painkillers may be taken once in a while, but I would suggest you avoid them as far as possible due to the possibilities of long term problems like gastritis and kidney damage hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A large dog bit my foot yesterday. The bite caused very minimal superficial damage to my skin, but when I touch a spot on the arch of my foot it causes a shock of pain and I have discomfort when I go up onto the ball of my foot while walking. Any ideas as to what might be wrong? | Hi thanks for asking question. You have superficial dog bite at foot. Your skin somewhat get damaged and superficial nerves injury, so you definitely feel pain. I advise you to clean bite area with soap and eater. Then apply sterile bandage over it. Apply topical antibiotic cream over affected area to prevent infection. If source of dog or its status not known then better to take antirabies vaccine. I hope I have solved your query. Take healthy diet and more fruits.Don't worry . | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A large dog bit my foot yesterday. The bite caused very minimal superficial damage to my skin, but when I touch a spot on the arch of my foot it causes a shock of pain and I have discomfort when I go up onto the ball of my foot while walking. Any ideas as to what might be wrong?"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. You have superficial dog bite at foot. Your skin somewhat get damaged and superficial nerves injury, so you definitely feel pain. I advise you to clean bite area with soap and eater. Then apply sterile bandage over it. Apply topical antibiotic cream over affected area to prevent infection. If source of dog or its status not known then better to take antirabies vaccine. I hope I have solved your query. Take healthy diet and more fruits.Don't worry ."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi..am a resident of gurgaon aged 35years. I am looking for surgery for kidney stone removal...the stone size is around 18mm and is stuck in the duct leading to extreme pain. Please note am a diabetic with fluctuating sugar levels...since my medical policy does not cover the ailment as of now, am looking for an economical solution...would appreciate if i could get an approx price quote too | Hey. Welcome to Chat Doctor. Let me first inform you that, if the stone size is less than 10 mm, then definitely there is a chance to flush it out from our body by specific medicines. In your case, the stone size is 18 mm, and also it is stuck in the ureter as informed by you, which is giving you severe pain. In my opinion, you can go ahead for surgery. Do not worry it will be not an open surgery. Lithotripsy is done in such cases, which is minimal invasive surgery. Hope I have answered your question. If you have any other questions, then I will be happy to answer it. Wish you good health. Take good care of yourself. Warm Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi..am a resident of gurgaon aged 35years. I am looking for surgery for kidney stone removal...the stone size is around 18mm and is stuck in the duct leading to extreme pain. Please note am a diabetic with fluctuating sugar levels...since my medical policy does not cover the ailment as of now, am looking for an economical solution...would appreciate if i could get an approx price quote too"
},
{
"from": "gpt",
"value": "Output: Hey. Welcome to Chat Doctor. Let me first inform you that, if the stone size is less than 10 mm, then definitely there is a chance to flush it out from our body by specific medicines. In your case, the stone size is 18 mm, and also it is stuck in the ureter as informed by you, which is giving you severe pain. In my opinion, you can go ahead for surgery. Do not worry it will be not an open surgery. Lithotripsy is done in such cases, which is minimal invasive surgery. Hope I have answered your question. If you have any other questions, then I will be happy to answer it. Wish you good health. Take good care of yourself. Warm Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello ive been on implanon for 3 years and 3 months. While on implanon my periods stopped completely and now that my implanon is expired i still havent had a period.. my question to you is, should i be worried about not having a period yet and is it possible for me to concieve with an expired implanon still in my arm? | Hello, you don't need to worry about your periods. It will come back within 4-6 months after the body has adjusted its hormone levels. Implant is a hormone based contraceptive which is effective only for 3\u00a0years. You can get pregnant with expired implant as the hormone it was releasing is finished, and your status is you are using no contraceptive at present, so there are chances of conceiving without periods similar to conceiving in lactational amenorrhea. Therefore, if you do not desire to get pregnant then remove the expired one and get a new implant inserted or use OCP or injections as per your choice. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello ive been on implanon for 3 years and 3 months. While on implanon my periods stopped completely and now that my implanon is expired i still havent had a period.. my question to you is, should i be worried about not having a period yet and is it possible for me to concieve with an expired implanon still in my arm?"
},
{
"from": "gpt",
"value": "Output: Hello, you don't need to worry about your periods. It will come back within 4-6 months after the body has adjusted its hormone levels. Implant is a hormone based contraceptive which is effective only for 3\\u00a0years. You can get pregnant with expired implant as the hormone it was releasing is finished, and your status is you are using no contraceptive at present, so there are chances of conceiving without periods similar to conceiving in lactational amenorrhea. Therefore, if you do not desire to get pregnant then remove the expired one and get a new implant inserted or use OCP or injections as per your choice."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | what side of the chest do your put your hand on to feel the heart beat? Is it the front? whats the techincal word for it? is your heart as big as your fist? why is this so? how many times does a human heart beat in a day? how many times does it beat in a year? how many times in a 22 year olds life? how hard does the heart squeeze blood into the chambers? is your pulse stronger as a child? what in diamtere is the largest artery in the body and the aorta? | Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. 1) what side of the chest do your put your hand on to feel the heart beat? Left side in fifth intercostal space, and simply speaking It's just below the nipple.2)Is it the front? Yes it is felt in front.3) what's the technical word for it? It is called as apical beat/ apex beat.4) is your heart as big as your fist? Why is this so?It's just a rough estimation, yes It's almost as big as your fist, and it is because size of every organ is according to body size if you are big your fist and heart will both be big a dwarf will have fist and heart both small.5)how many times does a human heart beat in a day? It beats 72 times in a minute, beats 103680 times in a day .6)how many times does it beat in a year?37843200 times a year.7)how many times in a 22-year-olds life?832550400 times till 22 years 0 days 0 seconds of age.8)how hard does the heart squeeze blood into the chambers? Hard enough to push it till the farthest organs of body.9) is your pulse stronger as a child? Yes beats more times compared to adult heart.10)what in diameter is the largest artery in the body and the aorta? Aorta is the largest artery it has a diameter of 2.1 cm square. I hope this answered your question, If you have more queries I am happy to answer you. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: what side of the chest do your put your hand on to feel the heart beat? Is it the front? whats the techincal word for it? is your heart as big as your fist? why is this so? how many times does a human heart beat in a day? how many times does it beat in a year? how many times in a 22 year olds life? how hard does the heart squeeze blood into the chambers? is your pulse stronger as a child? what in diamtere is the largest artery in the body and the aorta?"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. 1) what side of the chest do your put your hand on to feel the heart beat? Left side in fifth intercostal space, and simply speaking It's just below the nipple.2)Is it the front? Yes it is felt in front.3) what's the technical word for it? It is called as apical beat/ apex beat.4) is your heart as big as your fist? Why is this so?It's just a rough estimation, yes It's almost as big as your fist, and it is because size of every organ is according to body size if you are big your fist and heart will both be big a dwarf will have fist and heart both small.5)how many times does a human heart beat in a day? It beats 72 times in a minute, beats 103680 times in a day .6)how many times does it beat in a year?37843200 times a year.7)how many times in a 22-year-olds life?832550400 times till 22 years 0 days 0 seconds of age.8)how hard does the heart squeeze blood into the chambers? Hard enough to push it till the farthest organs of body.9) is your pulse stronger as a child? Yes beats more times compared to adult heart.10)what in diameter is the largest artery in the body and the aorta? Aorta is the largest artery it has a diameter of 2.1 cm square. I hope this answered your question, If you have more queries I am happy to answer you. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a female, 57 years old, 130 lbs, 5 4 . Over the last 5 years I have been diagnosed with a posterior fossa meningioma, a slpeen hemingioma, and have developed about 30 Cherry Angiomas across my stomach and legs. About 2 years ago I had a Novasure ablation for uterine fibroids. I have very variable blood pressure (highest | Hi, So meningioma hematoma are usually benign. However, posterior fossa tumor with high BP and slow pulse rate may be caused by raised ICT. And if it is so it requires removal. However so many fluctuations of BP raise questions about authentic measurement as BP in same arm every time or it's a difference in two limb measurement. And if It's not then you may have endocrine tumor specially chromaffinomas, associated pheochromocytoma. You need evaluation for the same. 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 am a female, 57 years old, 130 lbs, 5 4 . Over the last 5 years I have been diagnosed with a posterior fossa meningioma, a slpeen hemingioma, and have developed about 30 Cherry Angiomas across my stomach and legs. About 2 years ago I had a Novasure ablation for uterine fibroids. I have very variable blood pressure (highest"
},
{
"from": "gpt",
"value": "Output: Hi, So meningioma hematoma are usually benign. However, posterior fossa tumor with high BP and slow pulse rate may be caused by raised ICT. And if it is so it requires removal. However so many fluctuations of BP raise questions about authentic measurement as BP in same arm every time or it's a difference in two limb measurement. And if It's not then you may have endocrine tumor specially chromaffinomas, associated pheochromocytoma. You need evaluation for the same. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 4 weeks pregnant dr. said i miscarriaged but my ChatDoctor have doubled i still fill pregnant my ChatDoctor started 430 when i miscarriaged went back to dr. they went to 850. but im still bleeding could i still be pregnant they did ultra sound and didnt see a sac | Hello, Thanks for posting in Chat Doctor. Chat Doctor is a hormone secreted from the placenta and uterine wall junction. You said you are still bleeding, that means you did not have yet finished total abortion. It is still incomplete abortion. It occurs when some part of product of concepts is still attached to the wall mimicking that pregnancy is still there and continue to secrete hormones thinking pregnancy is continued. Either you observe for few more days until the bleeding stops on itself or if it does not stop, kindly consult a gynecologist as you may need small procedure called as dilatation and curettage where they will completely clean the uterus of any remaining bits n pieces. Then the Chat Doctor values will decrease. Hope it helps you. Thank you | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 4 weeks pregnant dr. said i miscarriaged but my ChatDoctor have doubled i still fill pregnant my ChatDoctor started 430 when i miscarriaged went back to dr. they went to 850. but im still bleeding could i still be pregnant they did ultra sound and didnt see a sac"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for posting in Chat Doctor. Chat Doctor is a hormone secreted from the placenta and uterine wall junction. You said you are still bleeding, that means you did not have yet finished total abortion. It is still incomplete abortion. It occurs when some part of product of concepts is still attached to the wall mimicking that pregnancy is still there and continue to secrete hormones thinking pregnancy is continued. Either you observe for few more days until the bleeding stops on itself or if it does not stop, kindly consult a gynecologist as you may need small procedure called as dilatation and curettage where they will completely clean the uterus of any remaining bits n pieces. Then the Chat Doctor values will decrease. Hope it helps you. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello My name is Luiza ,i,m 23 years old and profesional fotomodel I born in Europe ,now living in Canada .I have problem my skin ,i think is anetoderma .Please let my know if is any cures ,or surgical treatment to stop this disease . When i was 12 years old start from small spot on my chest ,but now is biger and biger . Please answer me ,im very ,very scary. Please Thank You Luiza from Calgary | Hi Luiza, Thanks for writing to us. Anetoderma is an plasmolytic disorder where elastin of dermal skin tissue is destroyed leading to laxity and out pouching of skin. Though medical treatment is available none is supposed be very effective. For smaller lesions surgical excision can be tried. I would advise you to consult a dermatologist so that the diagnosis can be confirmed first as your self diagnosis might be wrong! Hope that helps. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello My name is Luiza ,i,m 23 years old and profesional fotomodel I born in Europe ,now living in Canada .I have problem my skin ,i think is anetoderma .Please let my know if is any cures ,or surgical treatment to stop this disease . When i was 12 years old start from small spot on my chest ,but now is biger and biger . Please answer me ,im very ,very scary. Please Thank You Luiza from Calgary"
},
{
"from": "gpt",
"value": "Output: Hi Luiza, Thanks for writing to us. Anetoderma is an plasmolytic disorder where elastin of dermal skin tissue is destroyed leading to laxity and out pouching of skin. Though medical treatment is available none is supposed be very effective. For smaller lesions surgical excision can be tried. I would advise you to consult a dermatologist so that the diagnosis can be confirmed first as your self diagnosis might be wrong! Hope that helps. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, i have been having some health issues for over a year now. weight loss, bloating, gas, pelvic pain, lower back pain, diarrhea on and off, recently had abenign polyp removed from the neck of my womb and 3 colon polyps removed, still waiting on the results for colon polyps, i have a follow up in march 2 get results so they must be benign. well i have had a hard painless lump on my left ribcage between the 9th and 10th rib for over 4 years i think, it doesnt move but im sure its grown some. what do u think it could be? im 37 female | Thanks for posting your query to Chat Doctor. As I understand you are having problem in different system of body. I tried to save your query .painless lump on rib cage could be a benign mass for which you need to undergo ultrasound and biopsy examination under guidance of Surgeon. Pelvic pain and lower back pain could be due to muscle spasm which require opinion of an orthopedic surgeon. Gastric trouble could be due to your food habits, so you need to manage your dietary habit.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 been having some health issues for over a year now. weight loss, bloating, gas, pelvic pain, lower back pain, diarrhea on and off, recently had abenign polyp removed from the neck of my womb and 3 colon polyps removed, still waiting on the results for colon polyps, i have a follow up in march 2 get results so they must be benign. well i have had a hard painless lump on my left ribcage between the 9th and 10th rib for over 4 years i think, it doesnt move but im sure its grown some. what do u think it could be? im 37 female"
},
{
"from": "gpt",
"value": "Output: Thanks for posting your query to Chat Doctor. As I understand you are having problem in different system of body. I tried to save your query .painless lump on rib cage could be a benign mass for which you need to undergo ultrasound and biopsy examination under guidance of Surgeon. Pelvic pain and lower back pain could be due to muscle spasm which require opinion of an orthopedic surgeon. Gastric trouble could be due to your food habits, so you need to manage your dietary habit.thanks ."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hey.. im a 20 year old boy .. for the past 3 months i have been suffering from cough whicChatDoctore as fit either at night or wen i wake up in the morning . Mostly at nite . So i consulted a docctor and he gave me montek lc which i ate for a month. BUt it dint help much. SO he changed it 2 montek 10.. which i ate for another month and it dint help either. they wud supress my cough but then the sypmtoms would reappear. i went 4 a blood test and chest x ray they are fine just my eusophill is 10 % higher than normal. then i changed my doctor and he has given me ketasma saying i m8 have allergic bronchitis. my symptoms are coughing fits charactersd by ithchyness in my chest and slimy -sting like mucus . !! | Hi thanks for asking question. Here your eosinophils are high. So it could most probably allergic lung condition like allergic bronchitis or asthma. Take Chat Doctor. Avoid allergen like dust, pollen, cold times or any foods to which you are allergic. For diagnosis of cough variant asthma pulmonary function test done for it. Second although chances are less high eosinophil could be by parasitic infection like by malaria or round worms. So PS for malaria at night and stool examination done for rule out it. Take care. Wish you good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hey.. im a 20 year old boy .. for the past 3 months i have been suffering from cough whicChatDoctore as fit either at night or wen i wake up in the morning . Mostly at nite . So i consulted a docctor and he gave me montek lc which i ate for a month. BUt it dint help much. SO he changed it 2 montek 10.. which i ate for another month and it dint help either. they wud supress my cough but then the sypmtoms would reappear. i went 4 a blood test and chest x ray they are fine just my eusophill is 10 % higher than normal. then i changed my doctor and he has given me ketasma saying i m8 have allergic bronchitis. my symptoms are coughing fits charactersd by ithchyness in my chest and slimy -sting like mucus . !!"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. Here your eosinophils are high. So it could most probably allergic lung condition like allergic bronchitis or asthma. Take Chat Doctor. Avoid allergen like dust, pollen, cold times or any foods to which you are allergic. For diagnosis of cough variant asthma pulmonary function test done for it. Second although chances are less high eosinophil could be by parasitic infection like by malaria or round worms. So PS for malaria at night and stool examination done for rule out it. Take care. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I hope that the marina I do for a year and I got to put in a bleed for four months straight After nauseous and lightheaded dizziness back pains lower pelvis pains ovary pains Around six months after it was put it in I called my OB and they said that it was nothing don t work And I could never feel my string And they said not to Worry about It was just how my uterus was set Well it s only getting worse I feel nauseous every day and lightheaded and feel pain once. I can t shake the feeling that in pregnant have not takin a test what should I do. | Hello madam, from the history you have given, well IRENA contains levonorgestrel, which is a progesterone hormone which can cause side effects like nausea, breast tenderness, sometimes abdominal discomfort, break through bleeding. But as the symptoms get worsen, I would suggest you to consult your gynecologist for a check-up to be sure that IRENA is in its proper position. The chances of pregnancy with IRENA in situ in its normal position is very less. Hope I was helpful to you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I hope that the marina I do for a year and I got to put in a bleed for four months straight After nauseous and lightheaded dizziness back pains lower pelvis pains ovary pains Around six months after it was put it in I called my OB and they said that it was nothing don t work And I could never feel my string And they said not to Worry about It was just how my uterus was set Well it s only getting worse I feel nauseous every day and lightheaded and feel pain once. I can t shake the feeling that in pregnant have not takin a test what should I do."
},
{
"from": "gpt",
"value": "Output: Hello madam, from the history you have given, well IRENA contains levonorgestrel, which is a progesterone hormone which can cause side effects like nausea, breast tenderness, sometimes abdominal discomfort, break through bleeding. But as the symptoms get worsen, I would suggest you to consult your gynecologist for a check-up to be sure that IRENA is in its proper position. The chances of pregnancy with IRENA in situ in its normal position is very less. Hope I was helpful to you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been getting blisters on my upper left jaw teeth gums. I cant even chew on that side of my mouth! My dentist took x-rays and said they did not show anything and that I did not have any decay in those upper jaw teeth. He gave me a prescription for antibiotics and told me if they help then I might need a root canal. Well, they helped but I am still puzzled by this situation. My dentist said he would have to refer me to an oral surgeon in another town as he didnt perform that type of surgery. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of blisters on upper gums which seems to be due to blood dysplasias, gingivitis/ periodontitis and due to poor oral hygiene. Need not worry about it. I would suggest you to visit oral physician once and get it examined. Go for complete examination and start treatment after that. Go for blood tests as well. You should take care of oral hygiene maintenance. Go for scaling and root planning it is due to deposition of deposits. Use antiseptic mouthwash. Brush and floss twice a day. Avoid intake of sharp and spicy food. Do warm saline gargles several times a day. Hope your concern has been resolved. Get Well Soon. Best Wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have been getting blisters on my upper left jaw teeth gums. I cant even chew on that side of my mouth! My dentist took x-rays and said they did not show anything and that I did not have any decay in those upper jaw teeth. He gave me a prescription for antibiotics and told me if they help then I might need a root canal. Well, they helped but I am still puzzled by this situation. My dentist said he would have to refer me to an oral surgeon in another town as he didnt perform that type of surgery."
},
{
"from": "gpt",
"value": "Output: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of blisters on upper gums which seems to be due to blood dysplasias, gingivitis/ periodontitis and due to poor oral hygiene. Need not worry about it. I would suggest you to visit oral physician once and get it examined. Go for complete examination and start treatment after that. Go for blood tests as well. You should take care of oral hygiene maintenance. Go for scaling and root planning it is due to deposition of deposits. Use antiseptic mouthwash. Brush and floss twice a day. Avoid intake of sharp and spicy food. Do warm saline gargles several times a day. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my lips are dark in color when i was young like in school they were normal not much pink but not too dark even now i am 23 years old and from last few years i m feeling that my lips are darker now and any lipstick i apply doesnt suite me because of this reason. i went to a skin specialist and she asked me whether i bite my lips from my teeth or not i said may be i didnt give attention on this. but may be when they are dry i lick them. so she gave me depiwhite advanced depigmentation cream, i just wanted to know that it will effect or not? secondly after leaving it will my lips can get more darker or any other side effects? becuase i dont want them to be more darker. | Hi.thanks for your query. You need to know about the causes of dark lips to be taking precautions better. A lot of people have it genetically predetermined, although parents may/may not have it. A frequent cause of non-genetic lip darkening is the use of lipsticks /colored balms/gloss, as these tend to darken the lips over a period of time. So try and not use it too often. If you have to use it, then let it be alleged free and replace them every 2 months. I would advise you to start using medicated lip balms with SPF and to reapply it several times in a day.that helps in reducing further darkening. Definite cream or any others having Comic acid can be used twice a day for lightening of lip color. It usually does not have side effects. However u can check for tolerance of the product by applying it for a short time on the first application. If you have a genetic tendency to dark lips, the pigmentation has chances of coming back after the cream is stopped. U can also opt for mild chemical peels once in 15-30 days to exfoliate better and lighten faster. Take care! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my lips are dark in color when i was young like in school they were normal not much pink but not too dark even now i am 23 years old and from last few years i m feeling that my lips are darker now and any lipstick i apply doesnt suite me because of this reason. i went to a skin specialist and she asked me whether i bite my lips from my teeth or not i said may be i didnt give attention on this. but may be when they are dry i lick them. so she gave me depiwhite advanced depigmentation cream, i just wanted to know that it will effect or not? secondly after leaving it will my lips can get more darker or any other side effects? becuase i dont want them to be more darker."
},
{
"from": "gpt",
"value": "Output: Hi.thanks for your query. You need to know about the causes of dark lips to be taking precautions better. A lot of people have it genetically predetermined, although parents may/may not have it. A frequent cause of non-genetic lip darkening is the use of lipsticks /colored balms/gloss, as these tend to darken the lips over a period of time. So try and not use it too often. If you have to use it, then let it be alleged free and replace them every 2 months. I would advise you to start using medicated lip balms with SPF and to reapply it several times in a day.that helps in reducing further darkening. Definite cream or any others having Comic acid can be used twice a day for lightening of lip color. It usually does not have side effects. However u can check for tolerance of the product by applying it for a short time on the first application. If you have a genetic tendency to dark lips, the pigmentation has chances of coming back after the cream is stopped. U can also opt for mild chemical peels once in 15-30 days to exfoliate better and lighten faster. Take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 12 year old daughter has mild autism and epilepsy. She has been complaining of abdominal discomfort and headaches. This evening I noticed she has bruising along her spine starting at the base and goes about six inches up is this something I should be concerned about? | Thank you for following up. Bruising is usually result of hit due her epilepsy attack or other causes. She has lots of bruising that's why I suggest her blood vessels are weak and easy injured. In addition, we can check blood test and plat elates with clotting for excluding of some hematological diseases. For speedy disappearing of bruising you can apply small amounts heparin ointment, for example- tomophobe, if she complains a pain then apply diclofenac gel for relief the best Be healthy! Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 12 year old daughter has mild autism and epilepsy. She has been complaining of abdominal discomfort and headaches. This evening I noticed she has bruising along her spine starting at the base and goes about six inches up is this something I should be concerned about?"
},
{
"from": "gpt",
"value": "Output: Thank you for following up. Bruising is usually result of hit due her epilepsy attack or other causes. She has lots of bruising that's why I suggest her blood vessels are weak and easy injured. In addition, we can check blood test and plat elates with clotting for excluding of some hematological diseases. For speedy disappearing of bruising you can apply small amounts heparin ointment, for example- tomophobe, if she complains a pain then apply diclofenac gel for relief the best Be healthy! Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having abdomen pain for about three weeks or so. last week i went through e.r. due to pain located on my right side around the middle part of my ribs i guess. mt lower back hurts from time to time. the pains are sharp and i couldnt walk and everytime i breathe it hurts. my breast get tender and it feels like o wanna throw up. i got my tubes tied 13 years ago and a partial hystetecomy 2 years ago. i find myself going to the bathroom alot. i feel something moving around the right side. whsts going on? Also on sept. 17 i went through e.r. cause o was constipayed. now im fone. can you help me? | Hello there! Pain is the gift of procedures, bowel chemistry changes, adhesions occur after manipulation, tubal ligation and hysterectomy, so nearby adhesions might be the reason for your pain, Going often to washroom explains frequency issues. Is it urine or stools, if urine get a urine routine exam and if stools modify the diet with more fiber in it. It hurts on breathing with kinda want to throw up these symptoms occur when gall bladder is in trouble. Tpo be on the safer road do a simple ultrasound abdomen and pelvis with serum amylase urinary amylase to lipase ratio and plain digital abdominal X-ray AP view. Constipation gives a suspicion of ovarian pain, chocolate cysts are associated with alternate diarrhea and constipation. An ultrasound will help. , meanwhile try some antispasmodics like season, and NSAIDs, I hope this would help, I am here if you need me regards Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive been having abdomen pain for about three weeks or so. last week i went through e.r. due to pain located on my right side around the middle part of my ribs i guess. mt lower back hurts from time to time. the pains are sharp and i couldnt walk and everytime i breathe it hurts. my breast get tender and it feels like o wanna throw up. i got my tubes tied 13 years ago and a partial hystetecomy 2 years ago. i find myself going to the bathroom alot. i feel something moving around the right side. whsts going on? Also on sept. 17 i went through e.r. cause o was constipayed. now im fone. can you help me?"
},
{
"from": "gpt",
"value": "Output: Hello there! Pain is the gift of procedures, bowel chemistry changes, adhesions occur after manipulation, tubal ligation and hysterectomy, so nearby adhesions might be the reason for your pain, Going often to washroom explains frequency issues. Is it urine or stools, if urine get a urine routine exam and if stools modify the diet with more fiber in it. It hurts on breathing with kinda want to throw up these symptoms occur when gall bladder is in trouble. Tpo be on the safer road do a simple ultrasound abdomen and pelvis with serum amylase urinary amylase to lipase ratio and plain digital abdominal X-ray AP view. Constipation gives a suspicion of ovarian pain, chocolate cysts are associated with alternate diarrhea and constipation. An ultrasound will help. , meanwhile try some antispasmodics like season, and NSAIDs, I hope this would help, I am here if you need me regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have no room for my wisdom teeth so doctor suggested for the extraction of the wisdom teeth. Is extraction that necessary? Does it have any side effects like loss of sight etc.. ? Will I face any problems or pain infuture after extraction of teeth? | Hello and thank you for your questions. The risks of losing your sight from an extraction of third molars is close to impossible. Most common side effects of third molar extractions are temporary | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have no room for my wisdom teeth so doctor suggested for the extraction of the wisdom teeth. Is extraction that necessary? Does it have any side effects like loss of sight etc.. ? Will I face any problems or pain infuture after extraction of teeth?"
},
{
"from": "gpt",
"value": "Output: Hello and thank you for your questions. The risks of losing your sight from an extraction of third molars is close to impossible. Most common side effects of third molar extractions are temporary"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello good day, Im having problem with my epididymitis infection I had my checkup last 3weeks before and was given by an antibiotic Ciprobay 21 tablets 3 times a day then it worked well but just now its been a week it came back again, what should I do? | Hi and thank you so much for this query. I am so sorry to hear about this epididymitis that you have reported. I will suggest that you get re-evaluated and do a urine and semen culture to find out what the causative germ is and what antibiotic is best to treat this infection. Maybe the germ was not exactly sensitive to ciprofloxacin and did not result in a complete sterilization of the infection site. Also, how is your sexual life? If you have multiple sexual partners and do not use protection all the times, you need to start doing so. I hope this helps. I wish you well. Feel free to ask for more information and clarification if need be, and I will gladly respond to. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello good day, Im having problem with my epididymitis infection I had my checkup last 3weeks before and was given by an antibiotic Ciprobay 21 tablets 3 times a day then it worked well but just now its been a week it came back again, what should I do?"
},
{
"from": "gpt",
"value": "Output: Hi and thank you so much for this query. I am so sorry to hear about this epididymitis that you have reported. I will suggest that you get re-evaluated and do a urine and semen culture to find out what the causative germ is and what antibiotic is best to treat this infection. Maybe the germ was not exactly sensitive to ciprofloxacin and did not result in a complete sterilization of the infection site. Also, how is your sexual life? If you have multiple sexual partners and do not use protection all the times, you need to start doing so. I hope this helps. I wish you well. Feel free to ask for more information and clarification if need be, and I will gladly respond to."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was diagnosed 8 weeks ago with a large thoracic t8/9 herniation I have improved slightly and am waiting to see a nurosurgeon, my arms hurt , although the pain is much better I am so tired from the stinging burning in my back and feel I now have a trapped nerve, I am due to go on holiday in April should I be we ll enough to fly and are there any risks to me flying? So to ask further questions, but I do not know what I am allowed to do and what I am not, can drive, can I go swimming can I exercise? Please can you advise, I feel so alone , thankyou | Hello, Thoracic disc herniation because of the relatively difficult surgery, are treated initially conservatively with pain medication, rest, etc. In cases of spinal cord impingement and subsequent symptoms in the lower limbs (pain, weakness, numbness, urinary problems, etc.), surgery to decompress the spinal cord is necessary. Since you feel better, you can continue with conservative treatment. You can fly, but, avoid physical efforts, weights, etc. Moderate exercise may help. 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 was diagnosed 8 weeks ago with a large thoracic t8/9 herniation I have improved slightly and am waiting to see a nurosurgeon, my arms hurt , although the pain is much better I am so tired from the stinging burning in my back and feel I now have a trapped nerve, I am due to go on holiday in April should I be we ll enough to fly and are there any risks to me flying? So to ask further questions, but I do not know what I am allowed to do and what I am not, can drive, can I go swimming can I exercise? Please can you advise, I feel so alone , thankyou"
},
{
"from": "gpt",
"value": "Output: Hello, Thoracic disc herniation because of the relatively difficult surgery, are treated initially conservatively with pain medication, rest, etc. In cases of spinal cord impingement and subsequent symptoms in the lower limbs (pain, weakness, numbness, urinary problems, etc.), surgery to decompress the spinal cord is necessary. Since you feel better, you can continue with conservative treatment. You can fly, but, avoid physical efforts, weights, etc. Moderate exercise may help. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HI,I have recently had a malignant melenoma removed, sentinal biopsy is all clear, negative and wider incision negative, but about 6 weeks after I have had a kind of weird chest infection which wont seem to go away with very bad caugh although it has eased since, but I am also getting pain in my arm pits on and off especially when I stress out , could this be because of some lymphoma under the arms from the removal. Ken | Sorry to hear about your recent health worries. It sounds like you have some kind of respiratory infection, and this can cause enlargement of the lymph nodes near the arm pit (the axillary region). This is probably more likely than a new cancer or lymphoma causing enlargement of these lymph nodes. I do suggest seeing your doctor about this infection though since it may be involving your lymph nodes. All the best and I hope you feel better. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HI,I have recently had a malignant melenoma removed, sentinal biopsy is all clear, negative and wider incision negative, but about 6 weeks after I have had a kind of weird chest infection which wont seem to go away with very bad caugh although it has eased since, but I am also getting pain in my arm pits on and off especially when I stress out , could this be because of some lymphoma under the arms from the removal. Ken"
},
{
"from": "gpt",
"value": "Output: Sorry to hear about your recent health worries. It sounds like you have some kind of respiratory infection, and this can cause enlargement of the lymph nodes near the arm pit (the axillary region). This is probably more likely than a new cancer or lymphoma causing enlargement of these lymph nodes. I do suggest seeing your doctor about this infection though since it may be involving your lymph nodes. All the best and I hope you feel better."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi , may I answer your health queries right now ? Please type your query here... I am having low sperm count ,almost nill. I took sidda medicines for 5 months but no improvement. Then I went to homeopathy again they given tests for scanning of scrotum , but it is not that much problem regarding the size. But lateral sides are small. Every month conducted semen analysis but no improvement in sperm count. Hormones tests also they have done, results shows that low testestrones and high FSH. They given medicines but no improvement for me. I took for 6 months and I left . No child after 2 years of marriage due to this infertility. Kindly give ur advise sir | Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. What is your sperm count what percent of your sperms are motile? Please let me know the entire report. About the erection problem, you can try Tab Tadalafil at a low dose of 5 to 10\u00a0mg a little while before you need to perform. Also, time your performance according to her fertile period which starts on the 10th day after she gets her period. Meanwhile, get your Semen culture done to rule out any infection which can be a treatable cause of the problem. For the low count, you can try Ayurvedic medicines which have proven to increase the counts. Take care. Feel free to contact again | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi , may I answer your health queries right now ? Please type your query here... I am having low sperm count ,almost nill. I took sidda medicines for 5 months but no improvement. Then I went to homeopathy again they given tests for scanning of scrotum , but it is not that much problem regarding the size. But lateral sides are small. Every month conducted semen analysis but no improvement in sperm count. Hormones tests also they have done, results shows that low testestrones and high FSH. They given medicines but no improvement for me. I took for 6 months and I left . No child after 2 years of marriage due to this infertility. Kindly give ur advise sir"
},
{
"from": "gpt",
"value": "Output: Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. What is your sperm count what percent of your sperms are motile? Please let me know the entire report. About the erection problem, you can try Tab Tadalafil at a low dose of 5 to 10\\u00a0mg a little while before you need to perform. Also, time your performance according to her fertile period which starts on the 10th day after she gets her period. Meanwhile, get your Semen culture done to rule out any infection which can be a treatable cause of the problem. For the low count, you can try Ayurvedic medicines which have proven to increase the counts. Take care. Feel free to contact again"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 28 weeks & 5 days as per LMP. Age of gestation is 30 weeks 1 day. Fetal measurements | Hi, I guess your concern is about accuracy of gestational age according to your imp and by ultrasound. Firstly, my straight forward answer is that gestational age according to your LMP is more accurate than your ultrasound gestational age. Because gestational age accuracy is changing according to each trimester of pregnancy. And it is more accurate if it is done in first trimester (it is from 1-12 weeks) and its accuracy will decrease in second trimester (13-28 weeks) and it is lowest in third trimester(29-40 weeks). So gestational age according to your LMP is most accurate. Secondly you have query about your excess liquor. Because the normal liquor ranging from 5-18\u00a0cm, and during this gestational age liquor is usually excessive, it decreases with time. With the above informative you can try out my suggestions-1. Don't worry, everything is alright.2. According to your ultrasound findings your baby is growing normally.3. If you are still worried then feel free to discuss with your treating doctor/gynecologist. 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: Hi, I am 28 weeks & 5 days as per LMP. Age of gestation is 30 weeks 1 day. Fetal measurements"
},
{
"from": "gpt",
"value": "Output: Hi, I guess your concern is about accuracy of gestational age according to your imp and by ultrasound. Firstly, my straight forward answer is that gestational age according to your LMP is more accurate than your ultrasound gestational age. Because gestational age accuracy is changing according to each trimester of pregnancy. And it is more accurate if it is done in first trimester (it is from 1-12 weeks) and its accuracy will decrease in second trimester (13-28 weeks) and it is lowest in third trimester(29-40 weeks). So gestational age according to your LMP is most accurate. Secondly you have query about your excess liquor. Because the normal liquor ranging from 5-18\\u00a0cm, and during this gestational age liquor is usually excessive, it decreases with time. With the above informative you can try out my suggestions-1. Don't worry, everything is alright.2. According to your ultrasound findings your baby is growing normally.3. If you are still worried then feel free to discuss with your treating doctor/gynecologist. 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 I am going back to my Dr. Tuesday that I would like to find something to help my pain I just had a total knee replacement on the fourth when I was at the hospital I was allergic to everything they give me Names of all the drugs tramadl-Percocet-Alvaniy not sure if I m spelling that right , and also Dynamic, Advaned and also very allergic to a injection Dilaudid Thanks | Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised As post TKR you are having pain this is common, and it takes some time for the muscle to regain the flexibility. Once the flexibility is attained the knee regains the mobility and the pain subsidesAlso, the Strengthening of the muscles around the knee is needed to avoid any muscle pressure pain. In my clinical practice we do find patients post TKR complains of pain. We look forward for a complete clinical assessment and recommend physical therapy. They respond well. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello I am going back to my Dr. Tuesday that I would like to find something to help my pain I just had a total knee replacement on the fourth when I was at the hospital I was allergic to everything they give me Names of all the drugs tramadl-Percocet-Alvaniy not sure if I m spelling that right , and also Dynamic, Advaned and also very allergic to a injection Dilaudid Thanks"
},
{
"from": "gpt",
"value": "Output: Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised As post TKR you are having pain this is common, and it takes some time for the muscle to regain the flexibility. Once the flexibility is attained the knee regains the mobility and the pain subsidesAlso, the Strengthening of the muscles around the knee is needed to avoid any muscle pressure pain. In my clinical practice we do find patients post TKR complains of pain. We look forward for a complete clinical assessment and recommend physical therapy. They respond well. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have told that my white blood cell count is 0.8 and that i need iron tablets for a low blood count, however i have been taking iron tablets since last July and although it has improved it appears i am still low, what could be wrong?I feel fine within myself | Hello, Good to contact us. If I am your treating doctor I would like to tell you that if you are low of iron you should give us the ferritin level or hemoglobin level, so we can evaluate your low hemoglobin content and advice you further. I would like to know from you a hemoglobin level of yours? I also want to add to you that iron treatment should be taken for long duration. It will take a month to increase your 0.1 gram of hemoglobin. So in my advice you should continue your treatment and monthly or two monthly test your hemoglobin level. If you have anything else to ask kindly contact me. THX 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 told that my white blood cell count is 0.8 and that i need iron tablets for a low blood count, however i have been taking iron tablets since last July and although it has improved it appears i am still low, what could be wrong?I feel fine within myself"
},
{
"from": "gpt",
"value": "Output: Hello, Good to contact us. If I am your treating doctor I would like to tell you that if you are low of iron you should give us the ferritin level or hemoglobin level, so we can evaluate your low hemoglobin content and advice you further. I would like to know from you a hemoglobin level of yours? I also want to add to you that iron treatment should be taken for long duration. It will take a month to increase your 0.1 gram of hemoglobin. So in my advice you should continue your treatment and monthly or two monthly test your hemoglobin level. If you have anything else to ask kindly contact me. THX Chat Doctor"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | -hello doc gud morning i am having twins borned at 2nd nov 12; due to sm complecation their mother was at hosptal so could nt feed them well, yeterday when i went to pedi. He suggested me nestle nan pro 1; when i started fedding kids they started to hav disentry what should i do in that case? | Hi, Thank you for asking question on Chat Doctor. Feeding with non pro-1 will not cause loose motions/dysentery. Dysentery is caused by bacterial infection. When a new food is offered, usually some alteration of bowel habit will occur. Get the stool examined and give treatment as per doctors suggestion. Sporolac sachets with OZ syrup may help. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: -hello doc gud morning i am having twins borned at 2nd nov 12; due to sm complecation their mother was at hosptal so could nt feed them well, yeterday when i went to pedi. He suggested me nestle nan pro 1; when i started fedding kids they started to hav disentry what should i do in that case?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for asking question on Chat Doctor. Feeding with non pro-1 will not cause loose motions/dysentery. Dysentery is caused by bacterial infection. When a new food is offered, usually some alteration of bowel habit will occur. Get the stool examined and give treatment as per doctors suggestion. Sporolac sachets with OZ syrup may help. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive had this for a while.A few weeks ago I had bumps on my scalp, then one day it got a bit itchy, so i scratched it and a it came off! The bump came off and some liquid started cominging out. And the liquid smells really bad. Once it dries I get alot of dandruff.I just dont want to go to the doctor before I know what I have. | Welcome to Chat Doctor .1.It's an infective / inflammatory cause - it can be infective cyst, (carbuncle / fur uncle) hair follicle inflammation.2. Since its already broken - clean the area with antiseptic liquids, and keep it Chat Doctor. 3. Get an anti-inflammatory local appliance cream - it will help in healing process.4. Keep the local area clean and hygienic. To avoid infections.5. Do not scratch the area - it will disturb healing and cause re infection. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Ive had this for a while.A few weeks ago I had bumps on my scalp, then one day it got a bit itchy, so i scratched it and a it came off! The bump came off and some liquid started cominging out. And the liquid smells really bad. Once it dries I get alot of dandruff.I just dont want to go to the doctor before I know what I have."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1.It's an infective / inflammatory cause - it can be infective cyst, (carbuncle / fur uncle) hair follicle inflammation.2. Since its already broken - clean the area with antiseptic liquids, and keep it Chat Doctor. 3. Get an anti-inflammatory local appliance cream - it will help in healing process.4. Keep the local area clean and hygienic. To avoid infections.5. Do not scratch the area - it will disturb healing and cause re infection. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i consumed tablet minimum 30 in my life time. but now i m nt having tablets since from i1 year.........i am un married now. and working...i will get marriage in some months...my question is that is is that unwanted-72 causes on my childbearing? quick reply | Hi, Welcome to Chat Doctor, thanks for posting your query. I understand your concern. Unwanted 72 is an emergency contraceptive pill, and it should not be taken as a regular contraceptive pill. It is meant for emergency situations when you have unplanned unprotected sex. I strongly suggest you to stop taking the pill as regular as you are taking it now, because it sure does have side effects and I could cause permanent changes to your menstrual cycle too. It does have an effect on your chances of getting pregnant in the future. I advise you to meet a gynecologist at the earliest who will prescribe you a regular contraceptive pill which you can take daily to prevent pregnancy, also you could ask your partner to use condoms to avoid taking pills. Hope this helps, and answers your query satisfactorily. Do write back to me if you need further assistance, Wish you good health, Take care. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i consumed tablet minimum 30 in my life time. but now i m nt having tablets since from i1 year.........i am un married now. and working...i will get marriage in some months...my question is that is is that unwanted-72 causes on my childbearing? quick reply"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor, thanks for posting your query. I understand your concern. Unwanted 72 is an emergency contraceptive pill, and it should not be taken as a regular contraceptive pill. It is meant for emergency situations when you have unplanned unprotected sex. I strongly suggest you to stop taking the pill as regular as you are taking it now, because it sure does have side effects and I could cause permanent changes to your menstrual cycle too. It does have an effect on your chances of getting pregnant in the future. I advise you to meet a gynecologist at the earliest who will prescribe you a regular contraceptive pill which you can take daily to prevent pregnancy, also you could ask your partner to use condoms to avoid taking pills. Hope this helps, and answers your query satisfactorily. Do write back to me if you need further assistance, Wish you good health, Take care. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having horrible pain that is mostly on the right side under my rib cage.My stomach cant get any bigger or harder.Pressure like someone is pushing my ribs up,and pain from time to time radiates all around my rib cage.....Lately noticed I am a full blown narcoleptic....Please help.......Milena B. | Hi Milena ! Good evening. I am Chat Doctor answering your query. Even though it needs clinical assessment for a diagnosis, from your history, it seems that you have inflammation/calculi in your gall bladder/biliary system giving rise to such intermittent severe pain. If I were your doctor, I would advise you to avoid fatty/oily food which would precipitate the pain more due to contraction of the gall bladder to empty bile into the intestines. I would advise you a bland diet, some routine investigations like a CBC, a blood sugar, liver function test, a serum amylase and lipase to rule out associated pancreatitis, and an ultrasound abdomen to see the status of the biliary tree including the gall bladder to exclude a stone causing cholecystitis and also to know the status of the pancreas. Further management would depend on the result of clinical examination and reports of the related investigations. Till then, you could go for an anti-spasmodic along with a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having horrible pain that is mostly on the right side under my rib cage.My stomach cant get any bigger or harder.Pressure like someone is pushing my ribs up,and pain from time to time radiates all around my rib cage.....Lately noticed I am a full blown narcoleptic....Please help.......Milena B."
},
{
"from": "gpt",
"value": "Output: Hi Milena ! Good evening. I am Chat Doctor answering your query. Even though it needs clinical assessment for a diagnosis, from your history, it seems that you have inflammation/calculi in your gall bladder/biliary system giving rise to such intermittent severe pain. If I were your doctor, I would advise you to avoid fatty/oily food which would precipitate the pain more due to contraction of the gall bladder to empty bile into the intestines. I would advise you a bland diet, some routine investigations like a CBC, a blood sugar, liver function test, a serum amylase and lipase to rule out associated pancreatitis, and an ultrasound abdomen to see the status of the biliary tree including the gall bladder to exclude a stone causing cholecystitis and also to know the status of the pancreas. Further management would depend on the result of clinical examination and reports of the related investigations. Till then, you could go for an anti-spasmodic along with a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a red skin rash in the folds/rolls of my fat belly, on and behind my ears and under my breasts. Fiery red and dry and itchy and sometimes raw and hurts. Was told it was a yeast infection like atletes foot and have been using Clotrimazole USP 1% cream and Nystatin powder alternately to no avail, had it a long time - HELP! | Hello, Thanks for the query. Itching and rash in all the folds cannot be due to fungal infection. Probably you are suffering from airborne contact dermatitis. You might require treatment with oral and systemic steroids depending on the severity of condition. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a red skin rash in the folds/rolls of my fat belly, on and behind my ears and under my breasts. Fiery red and dry and itchy and sometimes raw and hurts. Was told it was a yeast infection like atletes foot and have been using Clotrimazole USP 1% cream and Nystatin powder alternately to no avail, had it a long time - HELP!"
},
{
"from": "gpt",
"value": "Output: Hello, Thanks for the query. Itching and rash in all the folds cannot be due to fungal infection. Probably you are suffering from airborne contact dermatitis. You might require treatment with oral and systemic steroids depending on the severity of condition. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My elderly mother complains that her chest and arms hurts when she urinates. The pain shoots down to her hands and stops when she is through urninating. Could this be a symptom of something else? She says she has a kidney infection but I wonder if she means bladder infection. Although, she says it does not hurt when she pees. | Thanks for your question on Chat Doctor. I can understand your concern. Neither kidney infection nor bladder infection can cause chest pain and arm pain while urination. These infections will cause burning and painful micturition, but she is not excreting having all these symptoms, so no need to worry about infection. Urination is considered as moderate heavy exertion. So basically she is having chest and arm in on moderate heavy exertion. So we should first rule out heart diseases for this. So get done ECG and 2d echo. If both are normal then no need to worry about this chest and arm pain. Sometimes, simple musculoskeletal pain due to awkward position while urination can also cause similar pain. So don't worry, she will be alright. Better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My elderly mother complains that her chest and arms hurts when she urinates. The pain shoots down to her hands and stops when she is through urninating. Could this be a symptom of something else? She says she has a kidney infection but I wonder if she means bladder infection. Although, she says it does not hurt when she pees."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Neither kidney infection nor bladder infection can cause chest pain and arm pain while urination. These infections will cause burning and painful micturition, but she is not excreting having all these symptoms, so no need to worry about infection. Urination is considered as moderate heavy exertion. So basically she is having chest and arm in on moderate heavy exertion. So we should first rule out heart diseases for this. So get done ECG and 2d echo. If both are normal then no need to worry about this chest and arm pain. Sometimes, simple musculoskeletal pain due to awkward position while urination can also cause similar pain. So don't worry, she will be alright. Better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had an abscessed tooth and am now experiencing nausea, stiffness and pain in my upper abdomen and a burning sensation down my neck and in my chest. I am currently on an antibiotic, but not sure if I should go back to the doctor again to address the most current symptoms | Hi thanks for asking question. Noted you having tooth abscess and taking antibiotic for it. Now this symptom could be because of gastritis induce by antibiotic. Are you taking which antibiotic ?? It is better to take omeprazole plus risperidone combination Chat Doctor. Get your CBC count done. If high count with necrophilia even after use of antibiotic, then chest x-ray done to just rule out spread of infection to lung parenchymal. If fever increasing and chances of infection spread into blood lead to bacteremia then intravenous antibiotic may be needed. I hope my suggestion will be useful to you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have had an abscessed tooth and am now experiencing nausea, stiffness and pain in my upper abdomen and a burning sensation down my neck and in my chest. I am currently on an antibiotic, but not sure if I should go back to the doctor again to address the most current symptoms"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. Noted you having tooth abscess and taking antibiotic for it. Now this symptom could be because of gastritis induce by antibiotic. Are you taking which antibiotic ?? It is better to take omeprazole plus risperidone combination Chat Doctor. Get your CBC count done. If high count with necrophilia even after use of antibiotic, then chest x-ray done to just rule out spread of infection to lung parenchymal. If fever increasing and chances of infection spread into blood lead to bacteremia then intravenous antibiotic may be needed. I hope my suggestion will be useful to you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I started my period on June 4th and ended on the 8th and I had sex with one guy that night. On the 11th of June I had sex with another guy but he put on a condom 5 minutes after we started to keep from nutting inside of me. I had sex with the first guy again on June 15th. I later had sex with the same guy that whole next week. I missed my period for July & when I took a pregnancy test on July 6th I was pregnant. I went to the doctor and they said I was approximately 8 weeks pregnant. My due date was March 7th 2015 but when I went to get an ultrasound on August 11th my doctor told me my due date was now March 11th 2015 and I conceived between June 13-15th. So who is the father? I believe I got pregnant on July 18th because of my first due date on March 11th. I just think my baby is growing fast so therefore the CRL measurements of my baby made the doctor change my due date to March 7th. | Hello, and I hope I can help you today. Unfortunately, ultrasound findings of the dating the pregnancy can be off for up to five days. So the changing of your due date by four days does not really change the possibility of your first partner having been the father of your baby. Furthermore, sperm can remain alive in your genital tract for up to five days, and once you ovulate, the egg remains alive inside you for up to 72 hours. This is the reason that no test can accurately assess the date of conception based on the exact dates that you had intercourse. Women typically ovulate two weeks before their period arrives. If you have a 28-day cycle, and your last period started on June 4, you likely ovulated around June 18. So either of the men you had sex with between the 15th and approximately the 20th could be the father of your baby. I hope that this information was helpful to you and that I was able to adequately answer your question even though it is not possible with medical science to determine the paternity of your pregnancy. I wish you the best of luck with your pregnancy and good health. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, I started my period on June 4th and ended on the 8th and I had sex with one guy that night. On the 11th of June I had sex with another guy but he put on a condom 5 minutes after we started to keep from nutting inside of me. I had sex with the first guy again on June 15th. I later had sex with the same guy that whole next week. I missed my period for July & when I took a pregnancy test on July 6th I was pregnant. I went to the doctor and they said I was approximately 8 weeks pregnant. My due date was March 7th 2015 but when I went to get an ultrasound on August 11th my doctor told me my due date was now March 11th 2015 and I conceived between June 13-15th. So who is the father? I believe I got pregnant on July 18th because of my first due date on March 11th. I just think my baby is growing fast so therefore the CRL measurements of my baby made the doctor change my due date to March 7th."
},
{
"from": "gpt",
"value": "Output: Hello, and I hope I can help you today. Unfortunately, ultrasound findings of the dating the pregnancy can be off for up to five days. So the changing of your due date by four days does not really change the possibility of your first partner having been the father of your baby. Furthermore, sperm can remain alive in your genital tract for up to five days, and once you ovulate, the egg remains alive inside you for up to 72 hours. This is the reason that no test can accurately assess the date of conception based on the exact dates that you had intercourse. Women typically ovulate two weeks before their period arrives. If you have a 28-day cycle, and your last period started on June 4, you likely ovulated around June 18. So either of the men you had sex with between the 15th and approximately the 20th could be the father of your baby. I hope that this information was helpful to you and that I was able to adequately answer your question even though it is not possible with medical science to determine the paternity of your pregnancy. I wish you the best of luck with your pregnancy and good health. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have hypersensitive glans i m 19 years old ... icant even touch my glans ... so what can i do? | Degree understand your concerns went through your details. The problems are not with the glans. The glans is supposed to be sensitive because it has nerve endings which will be stimulated during sexual intercourse. It has to be stimulated when inside vagina and makes up and down movement. That is the reason why the glans has been provided with covering in the form of foreskin. Everyone has the glans sensitive and yours is no exemption. Don't worry about that. Hyper sensitive is not the word to describe it. Hope this answers your query. Available for further sexological clarifications. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have hypersensitive glans i m 19 years old ... icant even touch my glans ... so what can i do?"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. The problems are not with the glans. The glans is supposed to be sensitive because it has nerve endings which will be stimulated during sexual intercourse. It has to be stimulated when inside vagina and makes up and down movement. That is the reason why the glans has been provided with covering in the form of foreskin. Everyone has the glans sensitive and yours is no exemption. Don't worry about that. Hyper sensitive is not the word to describe it. Hope this answers your query. Available for further sexological clarifications. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my son has a lump in his neck, thyroid tests clear. He had a biopsy yesterday and we now wait for results. The lump sometimes reduces in size - today we thought it had disappeared but now it is back. It only hurts because it is pressing on his throat. We are worried it is thyroid cancer. His voice is ok (though he shouts as his dog on his farm and this causes hoarseness!!!). He has had a very large amount of stress recently and has lost weight - could the lump be linked to stress? | Welcome to Chat Doctor .1. The different things can arise are hypoglossal cyst, brachealcleft cyst, lymphocele, and a lipoma.2.If this case I would get an ultrasound neck done and see the content and extension of the lesion and come to a conclusion.3. As you have already got a sample taken - wait for the result.4. And after that needful action can be taken. Anything to ask ? Do not hesitate. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my son has a lump in his neck, thyroid tests clear. He had a biopsy yesterday and we now wait for results. The lump sometimes reduces in size - today we thought it had disappeared but now it is back. It only hurts because it is pressing on his throat. We are worried it is thyroid cancer. His voice is ok (though he shouts as his dog on his farm and this causes hoarseness!!!). He has had a very large amount of stress recently and has lost weight - could the lump be linked to stress?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor .1. The different things can arise are hypoglossal cyst, brachealcleft cyst, lymphocele, and a lipoma.2.If this case I would get an ultrasound neck done and see the content and extension of the lesion and come to a conclusion.3. As you have already got a sample taken - wait for the result.4. And after that needful action can be taken. Anything to ask ? Do not hesitate. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My sister is dealing with trigeminal neuralgia. So much pain even when she swallows. Can not eat or even brush her teeth without pain. Neurontin cause her blood pressure to go up. She has been dealing with this for several months. She has been to her dentist, had chiropractic adjustments (which did help some). Also been to a neurologist one day, he will be out of the offfice for 3 weeks. Her next appt in 2 months. She does has an appt with another neurologist next week. But she is having a lot of pain today and for the last several days. Has lost 7 lbs (she cannot afford to lose). Any suggestions? | Hi, Thank you for posting your query. I can understand the extent of discomfort in your sister, on account of facial pain due to trigeminal neuralgia. Neurontin has been tried but is causing side effects. The best medication to be used in trigeminal neuralgia is regret (carbamazepine). I use it in initial doses of 200 mg twice daily, and depending on the response, the dose can be gradually increased to 600 mg twice daily. It is a generally safe medication, however, it may cause Chat Doctor. Some patients may not respond to regret. They should undergo MRI and MR angiogram to find out the underlying reason for trigeminal neuralgia. Such refractory cases may require a surgery called as microvascular decompression (MVD). I hope it helps. Please get back if you require any additional information. Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My sister is dealing with trigeminal neuralgia. So much pain even when she swallows. Can not eat or even brush her teeth without pain. Neurontin cause her blood pressure to go up. She has been dealing with this for several months. She has been to her dentist, had chiropractic adjustments (which did help some). Also been to a neurologist one day, he will be out of the offfice for 3 weeks. Her next appt in 2 months. She does has an appt with another neurologist next week. But she is having a lot of pain today and for the last several days. Has lost 7 lbs (she cannot afford to lose). Any suggestions?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. I can understand the extent of discomfort in your sister, on account of facial pain due to trigeminal neuralgia. Neurontin has been tried but is causing side effects. The best medication to be used in trigeminal neuralgia is regret (carbamazepine). I use it in initial doses of 200 mg twice daily, and depending on the response, the dose can be gradually increased to 600 mg twice daily. It is a generally safe medication, however, it may cause Chat Doctor. Some patients may not respond to regret. They should undergo MRI and MR angiogram to find out the underlying reason for trigeminal neuralgia. Such refractory cases may require a surgery called as microvascular decompression (MVD). I hope it helps. Please get back if you require any additional information. Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have been experiencing pulsating sharp pains inside the right side of my neck, for the past couple of weeks. Sometimes I only have this a couple of times a day, sometimes 3 or 4. It feels like I m being zapped in my neck with quick electric shocks, and it is painful. These episodes last about 3 to 5 mins. It happens only in one spot in my neck, and I m getting worried about it. I get a very slight ache in the temple area after an episode. Can you help me identify what might be causing this, and what should I do about it | Hello, Your symptoms could be related to occipital neuralgia. Coming to this point, I would recommend performing a cervical spine X-ray study and some blood lab tests (complete blood count, PCR, ESR for inflammation). In the meantime, I recommend taking Indomethacin 150\u00a0mg twice daily for a week (if there are no contraindications). 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 been experiencing pulsating sharp pains inside the right side of my neck, for the past couple of weeks. Sometimes I only have this a couple of times a day, sometimes 3 or 4. It feels like I m being zapped in my neck with quick electric shocks, and it is painful. These episodes last about 3 to 5 mins. It happens only in one spot in my neck, and I m getting worried about it. I get a very slight ache in the temple area after an episode. Can you help me identify what might be causing this, and what should I do about it"
},
{
"from": "gpt",
"value": "Output: Hello, Your symptoms could be related to occipital neuralgia. Coming to this point, I would recommend performing a cervical spine X-ray study and some blood lab tests (complete blood count, PCR, ESR for inflammation). In the meantime, I recommend taking Indomethacin 150\\u00a0mg twice daily for a week (if there are no contraindications). 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. | I have large painful abscess obove my right molar, cheek is swollen gum swollen I am allergic to most antibiotics but have heard they do not reach inside abscess anyway, my creatine is 85, my blood pressure 100/60 - I am distraught dont know what to do next Dr gave me antibiotics I wish I could take them but I cant as I react badly every time. Anne | Hi. Thanks for the query. If you have a tooth abscess that is due to infection in the tooth which has progressed below the root tips causing infection and pus formation. Antibiotics are a must to be taken in this case as it will fight infection and reduce the pus and swelling. So if you are allergic to a number of antibiotics, then first you should go for a blood test to rule out the safe antibiotics for you and then your Dentist can prescribe the same to you as taking antibiotics is a must for reducing infection. Once the infection becomes less than the tooth can be treated with root canal treatment or extraction can be done depending upon the condition of the tooth. You also need to take anti-inflammatory painkillers like Advil or Alive and serratiopeptidases. Do cool compresses over the swelling and do warm saline gargles. Hope this helps. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have large painful abscess obove my right molar, cheek is swollen gum swollen I am allergic to most antibiotics but have heard they do not reach inside abscess anyway, my creatine is 85, my blood pressure 100/60 - I am distraught dont know what to do next Dr gave me antibiotics I wish I could take them but I cant as I react badly every time. Anne"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. If you have a tooth abscess that is due to infection in the tooth which has progressed below the root tips causing infection and pus formation. Antibiotics are a must to be taken in this case as it will fight infection and reduce the pus and swelling. So if you are allergic to a number of antibiotics, then first you should go for a blood test to rule out the safe antibiotics for you and then your Dentist can prescribe the same to you as taking antibiotics is a must for reducing infection. Once the infection becomes less than the tooth can be treated with root canal treatment or extraction can be done depending upon the condition of the tooth. You also need to take anti-inflammatory painkillers like Advil or Alive and serratiopeptidases. Do cool compresses over the swelling and do warm saline gargles. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am 34 years old.fair complexion .i have sevral age spots brown in colour on my face.i applied melacre for the first time and the spots had disappeared.now they have appeared again on my face.i have been applying melacare and depiwhite alternatively on the for the past 6 months but there has been no improvement.kindly suggest me a cream or an ointment which can help ins fading these brown spots. | Hi, Thanks for writing in. You seem to have postinflammatory hyperpigmentation or plasma. Melacare contains steroid called mometasone. It is a potent steroid and long term use can damage your skin permanently. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You can apply Closely cream at nighttime over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Chemical peeling can give good and long-lasting results. 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 am 34 years old.fair complexion .i have sevral age spots brown in colour on my face.i applied melacre for the first time and the spots had disappeared.now they have appeared again on my face.i have been applying melacare and depiwhite alternatively on the for the past 6 months but there has been no improvement.kindly suggest me a cream or an ointment which can help ins fading these brown spots."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. You seem to have postinflammatory hyperpigmentation or plasma. Melacare contains steroid called mometasone. It is a potent steroid and long term use can damage your skin permanently. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You can apply Closely cream at nighttime over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Chemical peeling can give good and long-lasting results. Take care. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have recently visited my doctors for extreme abdominal pain especially on my right side and central stomach . He sent me for blood and stool samples (suspecting gallstones) but i am waiting for the results. I ve just been sleeping and woke up with excruciating stomach pain. Went to the bathroom, passed stools but they where like stones, all clumped together and very very hard but covered in blood. And i mean covered. I have had blood in my stools for a while now and the pain is getting worse. I have pics if that helps? Thanks. | Hi there, what you have described suggests that you are suffering from constipation and have developed anal fissures due to the hard stools. Your stomach ache could be related to that. You need to use stool softeners and a local anesthetic jelly for complete evacuation of your bowels. Due to the pain you are not able to do so and that in turn is causing constipation and hard stools. You need to take something to soften your stools and evacuate it regularly for a week to 10 days and also lidocaine jelly for local application at the anal fissure to let it heal. After that you need to have food with high fiber like green leafy veg. And fruits regularly. You also need to shift from refined food products to wholesome grains. Get regular exercise as they also help in regularizing your bowel movements. Chat Doctor. These simple measures should help or else your doctor might recommend some surgical procedure. 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 have recently visited my doctors for extreme abdominal pain especially on my right side and central stomach . He sent me for blood and stool samples (suspecting gallstones) but i am waiting for the results. I ve just been sleeping and woke up with excruciating stomach pain. Went to the bathroom, passed stools but they where like stones, all clumped together and very very hard but covered in blood. And i mean covered. I have had blood in my stools for a while now and the pain is getting worse. I have pics if that helps? Thanks."
},
{
"from": "gpt",
"value": "Output: Hi there, what you have described suggests that you are suffering from constipation and have developed anal fissures due to the hard stools. Your stomach ache could be related to that. You need to use stool softeners and a local anesthetic jelly for complete evacuation of your bowels. Due to the pain you are not able to do so and that in turn is causing constipation and hard stools. You need to take something to soften your stools and evacuate it regularly for a week to 10 days and also lidocaine jelly for local application at the anal fissure to let it heal. After that you need to have food with high fiber like green leafy veg. And fruits regularly. You also need to shift from refined food products to wholesome grains. Get regular exercise as they also help in regularizing your bowel movements. Chat Doctor. These simple measures should help or else your doctor might recommend some surgical procedure. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, my 2 yr old daugter has purple hard lumps all over the bottom of both feet , she tries and scratches her feet and complains she has bindis. i have checked her hands and other parts but only on her feet , i noticed them 2 days ago , but more now ?? what could it be ? | Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, my 2 yr old daugter has purple hard lumps all over the bottom of both feet , she tries and scratches her feet and complains she has bindis. i have checked her hands and other parts but only on her feet , i noticed them 2 days ago , but more now ?? what could it be ?"
},
{
"from": "gpt",
"value": "Output: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi im jean from phils. I want yo work abroad in hongkong as dh. Ive gone for medical exams but sadly i wad unfit to work due to my chest x-ray that there are hazy infiltrates seen in left upper lung .. I had a ptb before last nov. 1999. Ive done my treatment for 6 months.im taking 6 diff. Kinds of anti-tb meds.. After i got my xray result ive done also my 3 sputum test..and the result was negative.. I just want to ask if theres a herbal medicines or any medicines that can cure the hazy infiltrates or should i say ptb scars seen in my left upper lung? Or maybe a film coated tablet so that next time ill get medical exams it would be clear?? i just want to thank you in advance.. Hoping you can help me.. The agency manager told me that the hongkong employers are strict.. They do not accept pulmonary certification even if it scars.. | Hi, In active Pulmonary TB, infiltrates or consolidations and cavities are often seen in the upper lungs with or without mediastinal or Hilary lymphadenopathy. However, lesions may appear anywhere in the lungs. In HIV and other immunosuppressed persons, any abnormality may indicate TB or the chest x-ray may even appear entirely normal. Old healed tuberculosis usually presents as pulmonary nodules in the Hilary area or upper lobes, with or without fibrotic scars and value loss Bronchiectasis and pleural scaling may be present. Herbal Remedies. 1, GARLIC may boost the immune system and also has antibacterial properties. 2. Milk is the rich source of calcium and is much needed to cure TB fast. 3. Vitamin D to the successful prevention and treatment of TB. Take a high quality COD LIVER OIL capsules. 4. Take THALEESHADI CHURN with OSHAWA KATHAK SINGER added with honey, twice daily. 5. Take CARAVAN IRISH AMELIA two times daily with milk. 6. Take VASARISHTAM 30 ml twice daily. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi im jean from phils. I want yo work abroad in hongkong as dh. Ive gone for medical exams but sadly i wad unfit to work due to my chest x-ray that there are hazy infiltrates seen in left upper lung .. I had a ptb before last nov. 1999. Ive done my treatment for 6 months.im taking 6 diff. Kinds of anti-tb meds.. After i got my xray result ive done also my 3 sputum test..and the result was negative.. I just want to ask if theres a herbal medicines or any medicines that can cure the hazy infiltrates or should i say ptb scars seen in my left upper lung? Or maybe a film coated tablet so that next time ill get medical exams it would be clear?? i just want to thank you in advance.. Hoping you can help me.. The agency manager told me that the hongkong employers are strict.. They do not accept pulmonary certification even if it scars.."
},
{
"from": "gpt",
"value": "Output: Hi, In active Pulmonary TB, infiltrates or consolidations and cavities are often seen in the upper lungs with or without mediastinal or Hilary lymphadenopathy. However, lesions may appear anywhere in the lungs. In HIV and other immunosuppressed persons, any abnormality may indicate TB or the chest x-ray may even appear entirely normal. Old healed tuberculosis usually presents as pulmonary nodules in the Hilary area or upper lobes, with or without fibrotic scars and value loss Bronchiectasis and pleural scaling may be present. Herbal Remedies. 1, GARLIC may boost the immune system and also has antibacterial properties. 2. Milk is the rich source of calcium and is much needed to cure TB fast. 3. Vitamin D to the successful prevention and treatment of TB. Take a high quality COD LIVER OIL capsules. 4. Take THALEESHADI CHURN with OSHAWA KATHAK SINGER added with honey, twice daily. 5. Take CARAVAN IRISH AMELIA two times daily with milk. 6. Take VASARISHTAM 30 ml twice daily."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello sir,My brother is of age 23 and studied till 10th standard. he is helping to father in your grossary shop ,but suddenly he is doing myschef things like tearing the bags breaking soaps if we avoid him he do the more he got more anger and his eyes got red and ... he do | Hi, I can understand your concern regarding the behavior of your brother. His behavior is definitely of concern, and he will need complete evaluation for proper diagnosis and management. More details in form of duration, pervasiveness of behavior, sleep and appetite, etc. is required. Some of the conditions that might be suspected includes depressive episode. In addition, I will also want to rule out any intake of Chat Doctor. I would suggest you get a psychiatric evaluation for your brother at the earliest. He might also need certain investigations like a brain scan. Management will be done only according to the underlying condition. Hope this information was helpful. Best wishes. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello sir,My brother is of age 23 and studied till 10th standard. he is helping to father in your grossary shop ,but suddenly he is doing myschef things like tearing the bags breaking soaps if we avoid him he do the more he got more anger and his eyes got red and ... he do"
},
{
"from": "gpt",
"value": "Output: Hi, I can understand your concern regarding the behavior of your brother. His behavior is definitely of concern, and he will need complete evaluation for proper diagnosis and management. More details in form of duration, pervasiveness of behavior, sleep and appetite, etc. is required. Some of the conditions that might be suspected includes depressive episode. In addition, I will also want to rule out any intake of Chat Doctor. I would suggest you get a psychiatric evaluation for your brother at the earliest. He might also need certain investigations like a brain scan. Management will be done only according to the underlying condition. Hope this information was helpful. Best wishes."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor Im a 26 year old , healthy female and have been going through stressful changes recently. Lately, every time Im about to dose of to sleep my heart beat raises, and my breathing gets heavier. It goes back to normal as soon as I fully wake up. Sometimes I try not to pay attention and fall asleep. | Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor Im a 26 year old , healthy female and have been going through stressful changes recently. Lately, every time Im about to dose of to sleep my heart beat raises, and my breathing gets heavier. It goes back to normal as soon as I fully wake up. Sometimes I try not to pay attention and fall asleep."
},
{
"from": "gpt",
"value": "Output: Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi My 22 yrs old nephew met with a car accident on 18th Apr 2014. GCS 3. He is in coma since then. He has acquired ICU infections, Klebsiella fever 104 , but better now , put on collistine, he has had slight infection in blood and urine as well; Motor movement | Hi, Thank-you for providing the brief history of you. As it was an ETA and serious injuries leading to low GCS score, he needs a thorough attention. CT is always good for helping Doctor for planning further medical management. As his hand movement are recovering there will be a positive sign as well. Grabbing the tube is due to the irritation happening to the trachea and the brain is trying to perform some activity for hand to move and grab the tubes out. This is a positive reaction but by grabbing the tube and pulling it out may lead to serious issues. Now since we have to only wait and see how his brain is recovering from the TBI as its all-time framed reactions. Also, if the ventilator is advised than there is a serious brain stem issue for which an MRI or CT has to be performed. Surgery for anything may not be of a good choice since the patient is in comatose state. Also, having the urine and lung infection he may need a good oxygen supply for allowing the body to heal. As oxygen is a major source of energy supply for the normal human physiological functions to keep in mind that many of the infections are due to hospital acquired, and he needs to be kept completely hygienic for each and everything. Frontal lobe injury will take its own time to injury and since the brain will be still in a shock state this comatose state will come down as the inflammation in the brain comes down. Important to mention that shifting the patient in this situation for more than 20 kilometers will not be good 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 22 yrs old nephew met with a car accident on 18th Apr 2014. GCS 3. He is in coma since then. He has acquired ICU infections, Klebsiella fever 104 , but better now , put on collistine, he has had slight infection in blood and urine as well; Motor movement"
},
{
"from": "gpt",
"value": "Output: Hi, Thank-you for providing the brief history of you. As it was an ETA and serious injuries leading to low GCS score, he needs a thorough attention. CT is always good for helping Doctor for planning further medical management. As his hand movement are recovering there will be a positive sign as well. Grabbing the tube is due to the irritation happening to the trachea and the brain is trying to perform some activity for hand to move and grab the tubes out. This is a positive reaction but by grabbing the tube and pulling it out may lead to serious issues. Now since we have to only wait and see how his brain is recovering from the TBI as its all-time framed reactions. Also, if the ventilator is advised than there is a serious brain stem issue for which an MRI or CT has to be performed. Surgery for anything may not be of a good choice since the patient is in comatose state. Also, having the urine and lung infection he may need a good oxygen supply for allowing the body to heal. As oxygen is a major source of energy supply for the normal human physiological functions to keep in mind that many of the infections are due to hospital acquired, and he needs to be kept completely hygienic for each and everything. Frontal lobe injury will take its own time to injury and since the brain will be still in a shock state this comatose state will come down as the inflammation in the brain comes down. Important to mention that shifting the patient in this situation for more than 20 kilometers will not be good Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my brother is addict to panparag n now aday he is laughing talking himself and hyper thoughts went to psychtiatrist he is depression please suggest any good rehabilation center to recover from i | Dear Madam/Sir The amount of information provided is usually seen in mental illness called psychosis, and probably it is not due depression. Use of tobacco is very common in such condition. It is not clear for how long he is suffering, whether any treatment was tried and which place you belong to so that we can suggest any treatment center. With provided information it may be recommended that -1-Patient require medication(? Antipsychotics) immediately for safety of self and others thus consult a qualified psychiatrist.2-Try rehabilitation if patient does not improve completely.3- Depending on the patient status continuous supervision for daily routine and other activity is required. Hope he will get well soon. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my brother is addict to panparag n now aday he is laughing talking himself and hyper thoughts went to psychtiatrist he is depression please suggest any good rehabilation center to recover from i"
},
{
"from": "gpt",
"value": "Output: Dear Madam/Sir The amount of information provided is usually seen in mental illness called psychosis, and probably it is not due depression. Use of tobacco is very common in such condition. It is not clear for how long he is suffering, whether any treatment was tried and which place you belong to so that we can suggest any treatment center. With provided information it may be recommended that -1-Patient require medication(? Antipsychotics) immediately for safety of self and others thus consult a qualified psychiatrist.2-Try rehabilitation if patient does not improve completely.3- Depending on the patient status continuous supervision for daily routine and other activity is required. Hope he will get well soon."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am very greatfull for your attention and services Is it safe for my 6 months babay boy to use bromhexine syrup? ? He don t cough so much and i and my GP are sure that he hasn t sore through and he is not affected by bacteria. By the way his GP advice is to use Bromhexine 3 times a day, but i prefer not, what is your idea? | Hello, Babies below one year of age are very tiny and sensitive, so it is always better to use as less medicine as possible. And the problem you have described is very common in babies. I suggest you to give steam inhalation to the baby, and hopefully he will be improved. If still problem persists after 2/3 days, then you can use chlorpheniramine male ate Chat Doctor. 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: Hi, I am very greatfull for your attention and services Is it safe for my 6 months babay boy to use bromhexine syrup? ? He don t cough so much and i and my GP are sure that he hasn t sore through and he is not affected by bacteria. By the way his GP advice is to use Bromhexine 3 times a day, but i prefer not, what is your idea?"
},
{
"from": "gpt",
"value": "Output: Hello, Babies below one year of age are very tiny and sensitive, so it is always better to use as less medicine as possible. And the problem you have described is very common in babies. I suggest you to give steam inhalation to the baby, and hopefully he will be improved. If still problem persists after 2/3 days, then you can use chlorpheniramine male ate Chat Doctor. 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. | Help I am a 27 year old female who is fairly active. While I have always had problems with my knees especially my right knee recently. I ve never really gone to the doctor and had an actual diagnosis that anything is wrong yet though. But I was laying on my stomach on a lawn chair outside and when I stood up to walk inside my knee started hurting. Not like the usual pain it was very foreign and very weird. I looked down at my knee and it looked fine until I went to bend it. When I bend it something protrudes from my knee cap and it looks whitish. The pain isn t as bad now I can walk on it but it is really bothering me to what it could be. | Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised with MRI of knee. As the pain in the knee is persisting a thorough assessment is needed. Due to ligament injuries within the knee joint, such types of pain can be expected. On a longer run, this ligament injuries if left untreated leads to early OA knee, that is the degenerative changes in the knee joint. Also, undergoing an MRI of the knee should help understand the soft tissues better and then you have to undergo physical therapy for 2-3 weeks post which you can follow the exercises at home itself. Any prevention in the early stages provides good results. In my clinical experience, early detection helps in early time and late detection cases responds slowly. RegardsJay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Help I am a 27 year old female who is fairly active. While I have always had problems with my knees especially my right knee recently. I ve never really gone to the doctor and had an actual diagnosis that anything is wrong yet though. But I was laying on my stomach on a lawn chair outside and when I stood up to walk inside my knee started hurting. Not like the usual pain it was very foreign and very weird. I looked down at my knee and it looked fine until I went to bend it. When I bend it something protrudes from my knee cap and it looks whitish. The pain isn t as bad now I can walk on it but it is really bothering me to what it could be."
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised with MRI of knee. As the pain in the knee is persisting a thorough assessment is needed. Due to ligament injuries within the knee joint, such types of pain can be expected. On a longer run, this ligament injuries if left untreated leads to early OA knee, that is the degenerative changes in the knee joint. Also, undergoing an MRI of the knee should help understand the soft tissues better and then you have to undergo physical therapy for 2-3 weeks post which you can follow the exercises at home itself. Any prevention in the early stages provides good results. In my clinical experience, early detection helps in early time and late detection cases responds slowly. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Have experienced neck pain on left side for approx. 2 months which has progressed to shoulder and chest pain, shortness of breath and pain when taking deep breath. Heavily fatigued and low energy along with down feeling. No injury to neck. I take heavy meds and have pain pump implant for lumbar pain and fusion for injury 4 years earlier. Could left side pain be heart related, and what type of MD should I seek. | It appears to be cervical spondylosis. Itcan be progressive effect other part Jasper effect of nerve route. Use neck color and hard bed avoid pillow at bedtime can take tab Coquitlam twice daily and apply warm fomentation can be pied lumber spine but not likely to effect neck it is not related to heart problem. Can take ECG and consult cardio gist MRI neck can be taken and consult neurologist for examination and advise on treatment | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have experienced neck pain on left side for approx. 2 months which has progressed to shoulder and chest pain, shortness of breath and pain when taking deep breath. Heavily fatigued and low energy along with down feeling. No injury to neck. I take heavy meds and have pain pump implant for lumbar pain and fusion for injury 4 years earlier. Could left side pain be heart related, and what type of MD should I seek."
},
{
"from": "gpt",
"value": "Output: It appears to be cervical spondylosis. Itcan be progressive effect other part Jasper effect of nerve route. Use neck color and hard bed avoid pillow at bedtime can take tab Coquitlam twice daily and apply warm fomentation can be pied lumber spine but not likely to effect neck it is not related to heart problem. Can take ECG and consult cardio gist MRI neck can be taken and consult neurologist for examination and advise on treatment"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi I am a 27 yo male. I am highly sexually active . In 2009 I was diagnosed with UTI after having multiple sex partners the same time. I had some white pus come out of penis & had burning on urinating . My left prostate got slightly enlarged. I was given a dose of antobiotics which I took regularly & the symptoms subsided. Some things stayed the same such as 1. feeling of testes being a little tight 2. slower urination 3. Semen is yellowish or pale in color. ( I do intake onions regularly but even when I dont & then ejaculate the color is yellow or pale) 4. Pain slight heavy feeling in testes while sitting its been few yrs now and the above 3 still exist. I have met many urologists .. all acknowledge but say it is fine . 3 days back I ejaculated in bed ( wet dream) but I found it was somewat painful. Yesterday I had oral sex and again I found ejaculation a bit painful. Please advise if there is anything serious ? Also pls advise if there is a test I could do to check testosterone level. | Hello Thanks for query. The symptoms that you have strongly suggest being due to Chronic Prostatitis. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture.In the meanwhile start taking antibiotics like Doxycycline along with anti-inflammatory medicine Diclofenac twice daily. Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get cured hence one has to take appropriate antibiotics for a period of 6-8 weeks. 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 am a 27 yo male. I am highly sexually active . In 2009 I was diagnosed with UTI after having multiple sex partners the same time. I had some white pus come out of penis & had burning on urinating . My left prostate got slightly enlarged. I was given a dose of antobiotics which I took regularly & the symptoms subsided. Some things stayed the same such as 1. feeling of testes being a little tight 2. slower urination 3. Semen is yellowish or pale in color. ( I do intake onions regularly but even when I dont & then ejaculate the color is yellow or pale) 4. Pain slight heavy feeling in testes while sitting its been few yrs now and the above 3 still exist. I have met many urologists .. all acknowledge but say it is fine . 3 days back I ejaculated in bed ( wet dream) but I found it was somewat painful. Yesterday I had oral sex and again I found ejaculation a bit painful. Please advise if there is anything serious ? Also pls advise if there is a test I could do to check testosterone level."
},
{
"from": "gpt",
"value": "Output: Hello Thanks for query. The symptoms that you have strongly suggest being due to Chronic Prostatitis. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture.In the meanwhile start taking antibiotics like Doxycycline along with anti-inflammatory medicine Diclofenac twice daily. Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get cured hence one has to take appropriate antibiotics for a period of 6-8 weeks. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Sir , Good morning!!!!!!!how r u? I am harisa, from Wayanad ,Kerala.Presently working in Dubai,Sir My Question is.i am 30 years old Female.But i dont have Any Feelings LIke a Women..my thoughts,all feelings as a men ..what i will do now..my marriage is almost fixed.but i feel very bad to my all cercumstances...really i am confused.please help me | Welcome to Chat Doctor ! I have gone through your question carefully and from my clinical experience I can advise that you must see a psychiatrist. I can understand that it is a stressful situation but please donor take any wrong step/ decision which might harm you or your family. There are several cases like yours, with proper counselling, and may be along with medicines, one is able to decide for his/ her self in a confident way. The treatment will not force you to change your outlook to life but will help you in looking at the problem areas, and then make an intelligent decision for yourself. Take care, Hope the reply is helpful for you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Sir , Good morning!!!!!!!how r u? I am harisa, from Wayanad ,Kerala.Presently working in Dubai,Sir My Question is.i am 30 years old Female.But i dont have Any Feelings LIke a Women..my thoughts,all feelings as a men ..what i will do now..my marriage is almost fixed.but i feel very bad to my all cercumstances...really i am confused.please help me"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor ! I have gone through your question carefully and from my clinical experience I can advise that you must see a psychiatrist. I can understand that it is a stressful situation but please donor take any wrong step/ decision which might harm you or your family. There are several cases like yours, with proper counselling, and may be along with medicines, one is able to decide for his/ her self in a confident way. The treatment will not force you to change your outlook to life but will help you in looking at the problem areas, and then make an intelligent decision for yourself. Take care, Hope the reply is helpful for you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Have swollen eyes, red almost burnt like patches on side of face, itching and burning/itching under my ear lopes what is this. Say allegry doctor a week ago. allergic to grass, birch. ragweed. dont think this is causing anything at this time of year..From Minnesota | Hi and welcome to ChatDoctorFrom your description it does seem like an allergic reaction. The causes maybe various-food items, dust, pollen, outdoor plants, any recent outdoor activity, new cosmetics or jewelry(earrings), also could be due to sun exposure which may have aggravated an allergy. Did you take any new medication? In any case keep a note of whether it is increasing and if there are any factors which cause it to increase. Does anyone around have similar complaints? Take a course of antihistamines like fexofenadine daily for a week. If the rash is severe apply a light layer of fluticasone cream at night for a week and stop. During the day you can use a soothing lotion with calamine/aloe vera for the face. Use a gentle cleanser. If it persists inspire of treatment consult your dermatologist. Also, you can do tests for allergy sensitivity if required. Do remember, if you are allergic to something, you must be careful to avoid it, as any re exposure will cause a reaction again. So keep a track of such events. Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have swollen eyes, red almost burnt like patches on side of face, itching and burning/itching under my ear lopes what is this. Say allegry doctor a week ago. allergic to grass, birch. ragweed. dont think this is causing anything at this time of year..From Minnesota"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to ChatDoctorFrom your description it does seem like an allergic reaction. The causes maybe various-food items, dust, pollen, outdoor plants, any recent outdoor activity, new cosmetics or jewelry(earrings), also could be due to sun exposure which may have aggravated an allergy. Did you take any new medication? In any case keep a note of whether it is increasing and if there are any factors which cause it to increase. Does anyone around have similar complaints? Take a course of antihistamines like fexofenadine daily for a week. If the rash is severe apply a light layer of fluticasone cream at night for a week and stop. During the day you can use a soothing lotion with calamine/aloe vera for the face. Use a gentle cleanser. If it persists inspire of treatment consult your dermatologist. Also, you can do tests for allergy sensitivity if required. Do remember, if you are allergic to something, you must be careful to avoid it, as any re exposure will cause a reaction again. So keep a track of such events. Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi, sir i am having infection on my face since 6months. that is my infection is in brown color and in round shape.i have used and i am still using photoban-30 cream.by using this will my infection be removed completely without any mark on my face? will my mark completely removed form my face? at first i had itching on that spot by using this photoban my iching has gone but still i have mark on my face will that mark dissapear by using this cream.please suggest. | Hi John, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. Photoban 30 is a sunscreen and use it continuously. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Treatments like chemical peeling will be very helpful. Discuss these option with your dermatologist. 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, sir i am having infection on my face since 6months. that is my infection is in brown color and in round shape.i have used and i am still using photoban-30 cream.by using this will my infection be removed completely without any mark on my face? will my mark completely removed form my face? at first i had itching on that spot by using this photoban my iching has gone but still i have mark on my face will that mark dissapear by using this cream.please suggest."
},
{
"from": "gpt",
"value": "Output: Hi John, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. Photoban 30 is a sunscreen and use it continuously. You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Treatments like chemical peeling will be very helpful. Discuss these option with your dermatologist. Take care. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a dull pain in my upper left region of my back close to my neck and when i tilt my head back it makes my left arm go numb. what can be causing this? i am 29 64 300lbs and no history of heart diease, diabetes, high blood pressure i play football an work out regularly. | Hi welcome to Chat Doctor. After going through your query my opinion is that you are suffering from cervical neuropathy. It may be due to spondylitis and cervical disc prolapse, mostly. Avoid pillow, take analgesics and vitamin B12. Consult orthopaedician and have an x-ray and MRI done. Consult physiotherapist, learn physiotherapy, for static neck muscle exercises. Hope hour query get solved. Welcome for further queries. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a dull pain in my upper left region of my back close to my neck and when i tilt my head back it makes my left arm go numb. what can be causing this? i am 29 64 300lbs and no history of heart diease, diabetes, high blood pressure i play football an work out regularly."
},
{
"from": "gpt",
"value": "Output: Hi welcome to Chat Doctor. After going through your query my opinion is that you are suffering from cervical neuropathy. It may be due to spondylitis and cervical disc prolapse, mostly. Avoid pillow, take analgesics and vitamin B12. Consult orthopaedician and have an x-ray and MRI done. Consult physiotherapist, learn physiotherapy, for static neck muscle exercises. Hope hour query get solved. Welcome for further queries."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Last night I was at a party with no available restroom. I had been drinking, so I had to go really bad, but I held it until I got home. I ran straight to bathroom, sat down and started to go, I went a lot at first, then suddenly without warning it completely stopped midstream. I still had the urge to urinate, and my bladder still felt very full, and I was experiencing some burning. I tried pushing but could not get a single drop out. When I wiped with the tissue I felt something hard, I was mortified to feel a kidney stone lodged in my urethra! Part of it was sticking out, I could grab it with my fingernails, but I couldn t pull it out. I spent nearly 2 hours wiggling it, pulling it, pushing it, trying to turn it but it was stuck. Finally it came out, and I was able to void my bladder, and I m feeling fine. I had no warning, I m familiar with kidney stones, I ve passed many before, the biggest bring 8mm. Those always caused me excruciating pain, but this one did not. All day I was wearing a tight corset as part of my Halloween costume, maybe I was compressed so tight I didn t feel it? I don t know. I measured my stone and it it 18mm. I always was told a stone that large would be unable to pass, so I m wondering if stones that large are common, and if people pass them without medical intervention, or am I unique?? | HelloThanks for query. You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) The shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . We do get patients with passing large sized stone without pain. This is very common in patients who have history of repeated and recurrence of stone disease. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last night I was at a party with no available restroom. I had been drinking, so I had to go really bad, but I held it until I got home. I ran straight to bathroom, sat down and started to go, I went a lot at first, then suddenly without warning it completely stopped midstream. I still had the urge to urinate, and my bladder still felt very full, and I was experiencing some burning. I tried pushing but could not get a single drop out. When I wiped with the tissue I felt something hard, I was mortified to feel a kidney stone lodged in my urethra! Part of it was sticking out, I could grab it with my fingernails, but I couldn t pull it out. I spent nearly 2 hours wiggling it, pulling it, pushing it, trying to turn it but it was stuck. Finally it came out, and I was able to void my bladder, and I m feeling fine. I had no warning, I m familiar with kidney stones, I ve passed many before, the biggest bring 8mm. Those always caused me excruciating pain, but this one did not. All day I was wearing a tight corset as part of my Halloween costume, maybe I was compressed so tight I didn t feel it? I don t know. I measured my stone and it it 18mm. I always was told a stone that large would be unable to pass, so I m wondering if stones that large are common, and if people pass them without medical intervention, or am I unique??"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) The shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . We do get patients with passing large sized stone without pain. This is very common in patients who have history of repeated and recurrence of stone disease. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello DR. I iam 24 years old.i want to know i am pregnant or not . My last month my date was coming on 3rd OCT 2013 and i done the test of prega news on 8 th OCT 2013 and result was 2 pink lines appear but one is dark pink and another is light pink in appearance. What is result m i pregnent or not. I done this test at night 11.3o pm My periods generally delay by a week. plzzz suggest me | Hi, If you notice two pink lines with the test, the result is positive and this means you are pregnant. You may repeat the test with a fresh early morning sample of urine. If you usually have your periods around a week late, you should perform the test after this week of waiting is over which I think you have already done. Please see a specialist for clinical confirmation. You can also get a trans-vaginal sonogram to assess the status. Hope your query is clarified. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello DR. I iam 24 years old.i want to know i am pregnant or not . My last month my date was coming on 3rd OCT 2013 and i done the test of prega news on 8 th OCT 2013 and result was 2 pink lines appear but one is dark pink and another is light pink in appearance. What is result m i pregnent or not. I done this test at night 11.3o pm My periods generally delay by a week. plzzz suggest me"
},
{
"from": "gpt",
"value": "Output: Hi, If you notice two pink lines with the test, the result is positive and this means you are pregnant. You may repeat the test with a fresh early morning sample of urine. If you usually have your periods around a week late, you should perform the test after this week of waiting is over which I think you have already done. Please see a specialist for clinical confirmation. You can also get a trans-vaginal sonogram to assess the status. Hope your query is clarified. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 29years old.I musterbate 2-3times in a week.but since 3-4 month my penis does not response properly when I am mentally exited.and my penis would not strong at that time and spurm come out without being strong my penis.is it symptom of reducing sex power?what my problem?I am very tensed about it.pleas give me solution. | Degree understand your concerns went through your details. Please understand masturbation cannot result in sexual problems of health problems. But if done more than specified, it can provide you with unnecessary anxiety. Please introspect. I think you are anxious about your sexual performance. Most of the erectile dysfunction are due to the fact that the person is anxious about sexual performance. Please consult a psychologist for counseling. 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 am 29years old.I musterbate 2-3times in a week.but since 3-4 month my penis does not response properly when I am mentally exited.and my penis would not strong at that time and spurm come out without being strong my penis.is it symptom of reducing sex power?what my problem?I am very tensed about it.pleas give me solution."
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. Please understand masturbation cannot result in sexual problems of health problems. But if done more than specified, it can provide you with unnecessary anxiety. Please introspect. I think you are anxious about your sexual performance. Most of the erectile dysfunction are due to the fact that the person is anxious about sexual performance. Please consult a psychologist for counseling. 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. | Im 31 weighing 70kg. Ive never had a dental problem but my palate has become very sensitive. At first I thought it was the toothpaste I was using but I have long since discontinued using it. What causes a sensitive palate? Im concerned. Its been 3 months now. | Thanks for using Chat Doctor. Read your query. Palate sensitivity as you are having can be due to various reasons few being having scalding cup of coffee or some really hot and spicy food, which may burn the palate. Palate can also usually hurt when you have a bacterial or viral infection like throat, sinus infection, thrush or even the common cold. If you are under stress the formation of canker sores can also be a reason. I would advise to reduce the spicy food if you take any, and reduce the stress levels which can be increasing the problem. You can apply Mucosal/Denote for relief two to three times a day. Do warm saline gargling. Consult a GP and start with multivitamin. If still not better consult your dentist, and he will have a look at it and suggest the best possible treatment. Hope this was helpful. Thanks and regards. Any further queries are welcome. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im 31 weighing 70kg. Ive never had a dental problem but my palate has become very sensitive. At first I thought it was the toothpaste I was using but I have long since discontinued using it. What causes a sensitive palate? Im concerned. Its been 3 months now."
},
{
"from": "gpt",
"value": "Output: Thanks for using Chat Doctor. Read your query. Palate sensitivity as you are having can be due to various reasons few being having scalding cup of coffee or some really hot and spicy food, which may burn the palate. Palate can also usually hurt when you have a bacterial or viral infection like throat, sinus infection, thrush or even the common cold. If you are under stress the formation of canker sores can also be a reason. I would advise to reduce the spicy food if you take any, and reduce the stress levels which can be increasing the problem. You can apply Mucosal/Denote for relief two to three times a day. Do warm saline gargling. Consult a GP and start with multivitamin. If still not better consult your dentist, and he will have a look at it and suggest the best possible treatment. Hope this was helpful. Thanks and regards. Any further queries are welcome."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am currently 18 weeks pregnant. I undergone ultrasound scan and the results said that my foetal had small choroid plexus cyst with in the right lateral ventricle measures 5 x 5 mm. I consulted with my doctor and she asked me to take triple marker test. I am restless regarding this. I can t to control my emotions. Please help me to get rid of this. Guide me regarding this issue. What I do next? I am waiting for your reply. | Hi Welcome to Chat Doctor ! Ma'am sorry to hear that your baby has choroid plexus cysts. You should consult a neurologist or neurosurgeon for this cyst, but before that please undergo triple marker test as it is done to detect congenital abnormalities. If you have any further query then you can come back to Chat Doctor. I will definitely help you and guide you appropriately. With 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 am currently 18 weeks pregnant. I undergone ultrasound scan and the results said that my foetal had small choroid plexus cyst with in the right lateral ventricle measures 5 x 5 mm. I consulted with my doctor and she asked me to take triple marker test. I am restless regarding this. I can t to control my emotions. Please help me to get rid of this. Guide me regarding this issue. What I do next? I am waiting for your reply."
},
{
"from": "gpt",
"value": "Output: Hi Welcome to Chat Doctor ! Ma'am sorry to hear that your baby has choroid plexus cysts. You should consult a neurologist or neurosurgeon for this cyst, but before that please undergo triple marker test as it is done to detect congenital abnormalities. If you have any further query then you can come back to Chat Doctor. I will definitely help you and guide you appropriately. With Regards Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi.. I had a pair of high heel boots on last Sunday. I walked on a slippery floor and fell flat on my butt very hard! The way I fell was simular to a James Brown spit with one leg foward and the other bent. I was able to get up on my with very little pain at the time. I figured the pain would present the next day in my leg or tail bone but to my surprise the pain was very mild in my leg and there was no pain in bottom at all. I noticed two days later my side was hurting with a mild to moderate pain. The pain is located exactly in a certain spot up under my rib cage on my right side. If I put any kind of pressure or even slightly push it the pain goes from a 3 to a 10! It hurts so bad that even scream out loud after I push it. It does not hurt when I breathe nor when I walk. I can feel it but not to the point where I can t do anything. I cant sleep on my right side without feeling the pain because of the pressure to my side. I can t even lean up against my counter top while in the kitchen. I m 5 1 tall,145lbs and a healthy 35 yr old woman otherwise and I can not understand how can a slip and fall to my bum can cause this nagging pain in my side for a whole week. I was thing that maybe it was a sore musle at first but now I m not sure. I think I may have really damaged something!!! | Hello, Based on your description of your complaints, you may be suffering from a broken rib or a bruised chest cage. As you have already said that the pain is there only when you touch it or when you lie on your side it may just be a bruise. Even if it was a fractured rib the treatment is just observation for 4 weeks. In about 4 to 6 weeks the pain decreases, and it will heal. The discomfort will be there when you cough or sleep on that side. One important thing if you experience sudden increase in pain or difficulty in breathing then consult your doctor immediately. 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: Hi.. I had a pair of high heel boots on last Sunday. I walked on a slippery floor and fell flat on my butt very hard! The way I fell was simular to a James Brown spit with one leg foward and the other bent. I was able to get up on my with very little pain at the time. I figured the pain would present the next day in my leg or tail bone but to my surprise the pain was very mild in my leg and there was no pain in bottom at all. I noticed two days later my side was hurting with a mild to moderate pain. The pain is located exactly in a certain spot up under my rib cage on my right side. If I put any kind of pressure or even slightly push it the pain goes from a 3 to a 10! It hurts so bad that even scream out loud after I push it. It does not hurt when I breathe nor when I walk. I can feel it but not to the point where I can t do anything. I cant sleep on my right side without feeling the pain because of the pressure to my side. I can t even lean up against my counter top while in the kitchen. I m 5 1 tall,145lbs and a healthy 35 yr old woman otherwise and I can not understand how can a slip and fall to my bum can cause this nagging pain in my side for a whole week. I was thing that maybe it was a sore musle at first but now I m not sure. I think I may have really damaged something!!!"
},
{
"from": "gpt",
"value": "Output: Hello, Based on your description of your complaints, you may be suffering from a broken rib or a bruised chest cage. As you have already said that the pain is there only when you touch it or when you lie on your side it may just be a bruise. Even if it was a fractured rib the treatment is just observation for 4 weeks. In about 4 to 6 weeks the pain decreases, and it will heal. The discomfort will be there when you cough or sleep on that side. One important thing if you experience sudden increase in pain or difficulty in breathing then consult your doctor immediately. 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. | 6 mm left UV junction calculus causing proximal mild hydripureteronephrosis.... The above was my USG report for abdomen 5 days back after which i have taken a lot of fluids..... can i please be advised if this stone will pass through by fluids or if i need some other medication ? | HI. The diagnosis is so obvious that there is a stone which had obstructed the urinary flow at the junction of the ureter with the Urinary bladder. The size of the stone is 6 mm. IT is a bit difficult to pass into the bladder is the stone is not smooth in surface or the sphincter is fibrosis. Fluid therapy is Thebes of course. I would advise you to repeat the ultrasonography to see whether the stone has passed into the bladder or not. If it is passed into the bladder, nothing to worry as this will easily pass from the bladder out of the body. IF it is still impacted, I would recommend you to consult a Urologist as you may need an assisted removal through a cystoscope examination and treatment. If there is sign of urinary infection or the urine examination shows infection additional antibiotic is necessary. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 6 mm left UV junction calculus causing proximal mild hydripureteronephrosis.... The above was my USG report for abdomen 5 days back after which i have taken a lot of fluids..... can i please be advised if this stone will pass through by fluids or if i need some other medication ?"
},
{
"from": "gpt",
"value": "Output: HI. The diagnosis is so obvious that there is a stone which had obstructed the urinary flow at the junction of the ureter with the Urinary bladder. The size of the stone is 6 mm. IT is a bit difficult to pass into the bladder is the stone is not smooth in surface or the sphincter is fibrosis. Fluid therapy is Thebes of course. I would advise you to repeat the ultrasonography to see whether the stone has passed into the bladder or not. If it is passed into the bladder, nothing to worry as this will easily pass from the bladder out of the body. IF it is still impacted, I would recommend you to consult a Urologist as you may need an assisted removal through a cystoscope examination and treatment. If there is sign of urinary infection or the urine examination shows infection additional antibiotic is necessary."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 28 years old and hight is 5/3 i m suffering from skin problem from 6-7 years , I have pimples on my face which i get in summer days in winter i get clear my skin but due to so many pimples i got marks n pores on my face skin luks v ugly , Now again have pimples as summer started now want to go for surgery or any therapy which can change my skin as same or plain as der is no spots or pores . I am from Ludhiana want to know its cost also. and let be know better treatment | Honestly modern medicine has no permanent cure for your problem. There are so any causes of your problem. Stress is one of the major factors. You can try our ancient method of Panama with very promising result. Anglo Film and Papal Bhaji CN be practiced for 15 -20 mins first thing in the morning. You have to have patience. It may take 2-3 months for the signs of result. You have to reduce oils and fats. Vegetarian diet is better. Your diet and thoughts should be pure. (AGAR AUR BIHAR BUDDHA HONDA CHALICE) | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 28 years old and hight is 5/3 i m suffering from skin problem from 6-7 years , I have pimples on my face which i get in summer days in winter i get clear my skin but due to so many pimples i got marks n pores on my face skin luks v ugly , Now again have pimples as summer started now want to go for surgery or any therapy which can change my skin as same or plain as der is no spots or pores . I am from Ludhiana want to know its cost also. and let be know better treatment"
},
{
"from": "gpt",
"value": "Output: Honestly modern medicine has no permanent cure for your problem. There are so any causes of your problem. Stress is one of the major factors. You can try our ancient method of Panama with very promising result. Anglo Film and Papal Bhaji CN be practiced for 15 -20 mins first thing in the morning. You have to have patience. It may take 2-3 months for the signs of result. You have to reduce oils and fats. Vegetarian diet is better. Your diet and thoughts should be pure. (AGAR AUR BIHAR BUDDHA HONDA CHALICE)"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, I have been using yaz about a year now... Since then I have been getting sore throat... When I consulted with my Dr he said was Acute Tonsilitist... and it occur every month arround my period... For the past three months I noticed that the gums around my wisdom tooth are swollen and very painful plus there is a lump under my jaw... | Hi. Can understand your concern. As per your complaint sore throat around periods is a part of PREMENSTRUAL SYN Chat Doctor. . It is not seen in all women but can be seen with some around the time of periods. In this condition avoiding spicy food and taking an antacid before meals during and around periods can help. Warm saline gargles can be relieving. Swelling of gums around the wisdom tooth occurs as a result of inflammation and is known as PERITONITIS, and it can occur as a result of infection by food deposition between the gum flap and the wisdom tooth or if the flap is bitten by the opposite jaw tooth. It can lead to pain radiating to jaw, throat, ear,eye and head. In this condition consultation with a dentist and getting an x-ray done is needed. In case tooth is not impacted and will erupt normally removal of the gum flap by a minor surgical procedure can help. In case of impacted tooth extraction can provide permanent relief. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi there, I have been using yaz about a year now... Since then I have been getting sore throat... When I consulted with my Dr he said was Acute Tonsilitist... and it occur every month arround my period... For the past three months I noticed that the gums around my wisdom tooth are swollen and very painful plus there is a lump under my jaw..."
},
{
"from": "gpt",
"value": "Output: Hi. Can understand your concern. As per your complaint sore throat around periods is a part of PREMENSTRUAL SYN Chat Doctor. . It is not seen in all women but can be seen with some around the time of periods. In this condition avoiding spicy food and taking an antacid before meals during and around periods can help. Warm saline gargles can be relieving. Swelling of gums around the wisdom tooth occurs as a result of inflammation and is known as PERITONITIS, and it can occur as a result of infection by food deposition between the gum flap and the wisdom tooth or if the flap is bitten by the opposite jaw tooth. It can lead to pain radiating to jaw, throat, ear,eye and head. In this condition consultation with a dentist and getting an x-ray done is needed. In case tooth is not impacted and will erupt normally removal of the gum flap by a minor surgical procedure can help. In case of impacted tooth extraction can provide permanent relief. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I m experiencing very regular lightheadness. Dizzy. Like I m going to faint but I don t. Generally I m really fit and active but my body feels heavy lately and my muscles tight. I keep getting pains in my right hip thigh and knee ( I rub on magnesium and this seems to help). I feel I m urinating quite a lot, maybe twice an hour, but I do try to drink a lot of water. I m also experiencing pains similar to period pains but there not during my cycle. Been quite a heavy drinker for many years but upon feeling this way I have given up and not had a drink for 2 months. This seems to have made the lightheadness more frequent. Also feeling regular fatigue when I m normally full of energy. Craving more sugar foods when I generally eat a very very healthy diet with a super low salt and sugar intake. I m a smoker aged 40. Female | Hello, What I can advise after going through your complaints is to get your blood pressure and sugar level checked. There are a lot of causes for dizziness and generalized weakness and fatigue. Sometimes it can also be due to alcohol with Chat Doctor. I would suggest you visit your general practitioner and get your blood pressure and sugar level checked. 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 m experiencing very regular lightheadness. Dizzy. Like I m going to faint but I don t. Generally I m really fit and active but my body feels heavy lately and my muscles tight. I keep getting pains in my right hip thigh and knee ( I rub on magnesium and this seems to help). I feel I m urinating quite a lot, maybe twice an hour, but I do try to drink a lot of water. I m also experiencing pains similar to period pains but there not during my cycle. Been quite a heavy drinker for many years but upon feeling this way I have given up and not had a drink for 2 months. This seems to have made the lightheadness more frequent. Also feeling regular fatigue when I m normally full of energy. Craving more sugar foods when I generally eat a very very healthy diet with a super low salt and sugar intake. I m a smoker aged 40. Female"
},
{
"from": "gpt",
"value": "Output: Hello, What I can advise after going through your complaints is to get your blood pressure and sugar level checked. There are a lot of causes for dizziness and generalized weakness and fatigue. Sometimes it can also be due to alcohol with Chat Doctor. I would suggest you visit your general practitioner and get your blood pressure and sugar level checked. 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. | DEAR SIR,I recently come to know that i am having kidney stone at left side .At beginning stage i used to get pain at left side which is minor. no blood in urine(urine test), i confirmed using scanning and found of size 5mm. Doctor suggested to take Crystone tablet for 1 month along with lots of water . I followed the instruction for 1 month but i m still feeling its presence at left side and and feel it movement. So how to overcome this problem. | Hi, many thanks for the query! You should do follow up USG PUB, FT, look if stone is stuck in ureter causing obstruction to urine outflow. Take antispasmodics, diuretics, painkillers with your doctors' opinion. If Sr. Uric acid is raised, take uric acid synthesis inhibitors like allopurinol, urine alkalizing agents with your doctors' opinion. Chat Doctor. Wish you a good health. Take care. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: DEAR SIR,I recently come to know that i am having kidney stone at left side .At beginning stage i used to get pain at left side which is minor. no blood in urine(urine test), i confirmed using scanning and found of size 5mm. Doctor suggested to take Crystone tablet for 1 month along with lots of water . I followed the instruction for 1 month but i m still feeling its presence at left side and and feel it movement. So how to overcome this problem."
},
{
"from": "gpt",
"value": "Output: Hi, many thanks for the query! You should do follow up USG PUB, FT, look if stone is stuck in ureter causing obstruction to urine outflow. Take antispasmodics, diuretics, painkillers with your doctors' opinion. If Sr. Uric acid is raised, take uric acid synthesis inhibitors like allopurinol, urine alkalizing agents with your doctors' opinion. Chat Doctor. Wish you a good health. Take care. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my arm was fractured abt 3 years ago .. today in the gym, i lifted more than usual weight and i started to feel the pain in the same arm .. the pain is less but similar to the pain when i fractured my arm ... will i be able to workout ever again .. i am scared ... | Hello, If you are having old fracture at arm and feeling pain then you should be cautious. If lifting of weight is causing pain then I will advise you to have an X-ray of affected part to know the reason behind pain. This can be due to incomplete union or stress fracture. Till then, you should avoid bearing weight on affected arm. Take care. Hope I have answered your question. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my arm was fractured abt 3 years ago .. today in the gym, i lifted more than usual weight and i started to feel the pain in the same arm .. the pain is less but similar to the pain when i fractured my arm ... will i be able to workout ever again .. i am scared ..."
},
{
"from": "gpt",
"value": "Output: Hello, If you are having old fracture at arm and feeling pain then you should be cautious. If lifting of weight is causing pain then I will advise you to have an X-ray of affected part to know the reason behind pain. This can be due to incomplete union or stress fracture. Till then, you should avoid bearing weight on affected arm. Take care. Hope I have answered your question. 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 frient suffring from HbSE. He tested hi blood in aug 2010 and that time hi HbSE was + but ratio was O. But now he again tested his blood in April and his ratio is incerse its .32 but guide me what is the treatment can we stop it on less than 1 stage. please tell me the solution its very urgent for him . he is taking baba ramdev medician for this is this helpful for him. have you ever seen that anyone inprove with baba ramdev medician | Your friend have sickle cell - hemoglobin E.it is a genetic disorder and NO improvement occur with baba raided medicine. We can only reduce the severity of disease or prevent complication. So, 1. Avoid pickling crisis.by maintaining oxygen saturation level in body 2. Avoid hypoxic conditions 3. Take HY Chat Doctor. Test blood every 6 months for HBS and He level 5. For better treatment take opinion from HEMATOLOGIST. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello my frient suffring from HbSE. He tested hi blood in aug 2010 and that time hi HbSE was + but ratio was O. But now he again tested his blood in April and his ratio is incerse its .32 but guide me what is the treatment can we stop it on less than 1 stage. please tell me the solution its very urgent for him . he is taking baba ramdev medician for this is this helpful for him. have you ever seen that anyone inprove with baba ramdev medician"
},
{
"from": "gpt",
"value": "Output: Your friend have sickle cell - hemoglobin E.it is a genetic disorder and NO improvement occur with baba raided medicine. We can only reduce the severity of disease or prevent complication. So, 1. Avoid pickling crisis.by maintaining oxygen saturation level in body 2. Avoid hypoxic conditions 3. Take HY Chat Doctor. Test blood every 6 months for HBS and He level 5. For better treatment take opinion from HEMATOLOGIST."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My medical aid has rejected a claim for a incisional hernia, stating that the 3 previous operations were the problem and that these procedures were not covered by medical aid. The first procedure was 25 years ago it was a gastric bypass at age 15, I had no problems until 5 years ago and a doctor convinced me that if I dont change the JIB procedure to a RNY that my life expectancy will be shortened by 20 years but I was very healthy and BMI of 20, he lied to the medical company and they paid for a gastrectomy, I started gaining weight and went to go see another doctor for advise and he just wanted to operate, he said that the previous doctor made a mess, I trusted this doctor and had to pay out of my own pocket because of my low BMI but didnt want to gain all the weight back and he reassured me that I would look fantastic. But this was not the case, this operation only made me gain more weight and I had constant pain. When I went back several times to show him the stomach is pertruding when i lift my neck his reply was that his does the same. What am I to do? I also have Sarcoidosis and Lupus anti-coagulant anti-bodies. I am in a lot of pain and eating less and less due to the embarresment of my stomach swelling out all the time. Please help! | Hi. Thanks for your query. The causes of swelling of the abdomen can be | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My medical aid has rejected a claim for a incisional hernia, stating that the 3 previous operations were the problem and that these procedures were not covered by medical aid. The first procedure was 25 years ago it was a gastric bypass at age 15, I had no problems until 5 years ago and a doctor convinced me that if I dont change the JIB procedure to a RNY that my life expectancy will be shortened by 20 years but I was very healthy and BMI of 20, he lied to the medical company and they paid for a gastrectomy, I started gaining weight and went to go see another doctor for advise and he just wanted to operate, he said that the previous doctor made a mess, I trusted this doctor and had to pay out of my own pocket because of my low BMI but didnt want to gain all the weight back and he reassured me that I would look fantastic. But this was not the case, this operation only made me gain more weight and I had constant pain. When I went back several times to show him the stomach is pertruding when i lift my neck his reply was that his does the same. What am I to do? I also have Sarcoidosis and Lupus anti-coagulant anti-bodies. I am in a lot of pain and eating less and less due to the embarresment of my stomach swelling out all the time. Please help!"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for your query. The causes of swelling of the abdomen can be"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello, over the last few years I have had a lump on my upper back near spine. It hurts on and off but recently has been causing a lot of pain. Not so much that I cannot lay on it but it hurts to touch. I am going to the doctors tomorrow but would like some idea of what to expect. Laura, 14. | Hi, dairy have gone through your question. I can understand your concern. You may have lipoma, neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello, over the last few years I have had a lump on my upper back near spine. It hurts on and off but recently has been causing a lot of pain. Not so much that I cannot lay on it but it hurts to touch. I am going to the doctors tomorrow but would like some idea of what to expect. Laura, 14."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You may have lipoma, neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello!, Perhaps with my question I will need a dentist or can you answer my questions regardless? I recently used a mouth rinse (Optic White for whitening) and I came across a feeling as if burning from eating a lot of salt and when I rinsed out with water and looked on my inner bottom I came across blotches of white... I m kind of worried I just burned the inside of my mouth... | Dear friend. Thanks for sharing your concern. Your symptoms suggest that you have developed an allergic reaction upon exposure to your present mouth rinse. It is advised to discontinue its usage temporarily, so that the symptoms get relieved. Nothing to worry about it, just wait for a week and see if there is any improvement. If not in that` case you need to visit your dentist for oral examination. Hope it helps. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello!, Perhaps with my question I will need a dentist or can you answer my questions regardless? I recently used a mouth rinse (Optic White for whitening) and I came across a feeling as if burning from eating a lot of salt and when I rinsed out with water and looked on my inner bottom I came across blotches of white... I m kind of worried I just burned the inside of my mouth..."
},
{
"from": "gpt",
"value": "Output: Dear friend. Thanks for sharing your concern. Your symptoms suggest that you have developed an allergic reaction upon exposure to your present mouth rinse. It is advised to discontinue its usage temporarily, so that the symptoms get relieved. Nothing to worry about it, just wait for a week and see if there is any improvement. If not in that` case you need to visit your dentist for oral examination. Hope it helps. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my family doctor pushed my lower left rib in when i was 11. Im am currently 19 years of age and now I have a sharp pain right below it to the point that it hurts to breath and I cant take full breaths. It also feels like my heart beats fast sometimes. Please help! | Hi thanks for asking question. If you have history of trauma then muscular strain or tear can lead to chest pain at lower part. If you had done heavy weight lifting or any unusual activity then pain can also occur by strain of muscle. The blunt trauma can lead spleen injury and pain can be there.USG done for it... If ribs tender to touch and painful Costco Chat Doctor. Rest needed and analgesic can give. If still no cause clear x-ray done for rib fracture identification. If fever present then chest x-ray done for rule out respiratory pathology. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my family doctor pushed my lower left rib in when i was 11. Im am currently 19 years of age and now I have a sharp pain right below it to the point that it hurts to breath and I cant take full breaths. It also feels like my heart beats fast sometimes. Please help!"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. If you have history of trauma then muscular strain or tear can lead to chest pain at lower part. If you had done heavy weight lifting or any unusual activity then pain can also occur by strain of muscle. The blunt trauma can lead spleen injury and pain can be there.USG done for it... If ribs tender to touch and painful Costco Chat Doctor. Rest needed and analgesic can give. If still no cause clear x-ray done for rib fracture identification. If fever present then chest x-ray done for rule out respiratory pathology. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi sir who best hospital for kidney transplant in chandigarh,jalandhar,banglore and delhi.sir who paper i will ready for kidney transplane.sir i am very sad because my mother in suffer from kidney disies.sir if my mother will be not well then i am also died please sir help me please i am very sad. | Thanks for choosing Chat Doctor. Your parents are lucky to have son like you. Any way you should consult a transplant surgeon and his team which normally consists of a social worker and counselor who will help you to prepare papers for this. They are used do it and also know the law requirements, so they are the best person for you to get help. All the cities that you have mentioned are bigger cities, so you can go either of them. If you have financial issues then go a government institute or else you can go private hospitals. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi sir who best hospital for kidney transplant in chandigarh,jalandhar,banglore and delhi.sir who paper i will ready for kidney transplane.sir i am very sad because my mother in suffer from kidney disies.sir if my mother will be not well then i am also died please sir help me please i am very sad."
},
{
"from": "gpt",
"value": "Output: Thanks for choosing Chat Doctor. Your parents are lucky to have son like you. Any way you should consult a transplant surgeon and his team which normally consists of a social worker and counselor who will help you to prepare papers for this. They are used do it and also know the law requirements, so they are the best person for you to get help. All the cities that you have mentioned are bigger cities, so you can go either of them. If you have financial issues then go a government institute or else you can go private hospitals."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 28 years old ,its my second time i want to conceive,i have regular periods,had two medical abortions,my doc prescribed me letroz,i want to know are my chances high for getting pregnant ?as i have regular periods,or two abortions can be a PROBLEM. | HelloChatDoctor user I understood your concern and My opinion is that ya there is a very good possibility of pregnancy even after two abortions, but you should be more conscious like taking regular folic acid and progesterone tablets You should do S TSH, BSL, Hemoglobin, anticardiolipin antibody test before conception and early pregnancy test If all this test comes normal than nothing to worry I hope my answers help you Thanks | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 28 years old ,its my second time i want to conceive,i have regular periods,had two medical abortions,my doc prescribed me letroz,i want to know are my chances high for getting pregnant ?as i have regular periods,or two abortions can be a PROBLEM."
},
{
"from": "gpt",
"value": "Output: HelloChatDoctor user I understood your concern and My opinion is that ya there is a very good possibility of pregnancy even after two abortions, but you should be more conscious like taking regular folic acid and progesterone tablets You should do S TSH, BSL, Hemoglobin, anticardiolipin antibody test before conception and early pregnancy test If all this test comes normal than nothing to worry I hope my answers help you Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi gud am,,i have 10 month old son and he is coughing for 4 days , and his coughen worsen at night to the point that he is vomiting. but fter he vomits, he sleeps soundly. i am giving him ambroxol, is cotrimoxazole good for babies cough? and is it compatible with ambroxol? thank you in advance | As you have discussed in your history your son is most probably suffering from upper respiratory tract infection. For this you can give him syrup co-amoxiclav 2.5 ml three times daily or syrup cefixime-cv 2.5 ml twice daily or syrup co-trimoxazole 2.5 ml four time daily along with syrup febrex-plus or syrup aerosol 2.5 ml three times daily for persistent cough with syrup vomiting or syrup ondansetron 2.5 ml twice daily for vomiting. As you have asked about co-trimoxazole I will say it is really very effective in this case. You can also nebulize your son with albuterol nebulizer at your family doctors clinic as it gives too mucChatDoctorfort to your child. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi gud am,,i have 10 month old son and he is coughing for 4 days , and his coughen worsen at night to the point that he is vomiting. but fter he vomits, he sleeps soundly. i am giving him ambroxol, is cotrimoxazole good for babies cough? and is it compatible with ambroxol? thank you in advance"
},
{
"from": "gpt",
"value": "Output: As you have discussed in your history your son is most probably suffering from upper respiratory tract infection. For this you can give him syrup co-amoxiclav 2.5 ml three times daily or syrup cefixime-cv 2.5 ml twice daily or syrup co-trimoxazole 2.5 ml four time daily along with syrup febrex-plus or syrup aerosol 2.5 ml three times daily for persistent cough with syrup vomiting or syrup ondansetron 2.5 ml twice daily for vomiting. As you have asked about co-trimoxazole I will say it is really very effective in this case. You can also nebulize your son with albuterol nebulizer at your family doctors clinic as it gives too mucChatDoctorfort to your child."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My husband has nerve damage among other problems,no lower reflex,if he sits for awhile then trys to stand,he shakes all over for seconds to 2-3 minutes. we have been to nerve dr.,nuerologist, and no diagnosis. He also repeats himself alot,gets confused,frustrated easily,looses things,etc. when I tell drs. this, they just look at me. I just want a diagnosis and a good dr. | Hi, Where is the nerve compression you think? Nerve compression in the spinal cord may lead to weakness in the lower limbs may lead to tremor. Also, check for other possibilities for tremors and weakness like parkinsonism or essential tremor or Chat Doctor. Until examination is done it is difficult to say what it is. Please get it done MRI brain and spinal cord, get examined for blood investigations for hemoglobin or folic acid,b12 level. Use tablet B-Plex Forte once a day for five days. Please consult your euro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My husband has nerve damage among other problems,no lower reflex,if he sits for awhile then trys to stand,he shakes all over for seconds to 2-3 minutes. we have been to nerve dr.,nuerologist, and no diagnosis. He also repeats himself alot,gets confused,frustrated easily,looses things,etc. when I tell drs. this, they just look at me. I just want a diagnosis and a good dr."
},
{
"from": "gpt",
"value": "Output: Hi, Where is the nerve compression you think? Nerve compression in the spinal cord may lead to weakness in the lower limbs may lead to tremor. Also, check for other possibilities for tremors and weakness like parkinsonism or essential tremor or Chat Doctor. Until examination is done it is difficult to say what it is. Please get it done MRI brain and spinal cord, get examined for blood investigations for hemoglobin or folic acid,b12 level. Use tablet B-Plex Forte once a day for five days. Please consult your euro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My wifes mother and her aunt (Mothers sister) died of cancer (Lung cancer for mother and uterus cancer for aunt) in last one one year. My wife is 32 years old and underweight (~ 43 Kg) and Im worried whether my wife would have genetic to get cancer. What test she should take to confirm that she has cancer or not?Thanks for annswering | Hi!welcome to Chat Doctor! I would like to tell you that cancer is such a common disease that it is no surprise that many families have at least a few members who have had cancer. Sometimes, certain types of cancer seem to run in some families, but only a small portion of all cancers are inherited. If you are feeling that your wife is underweight ask her to increase her nutrition and HY Chat Doctor. Feel relaxed. Hope 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: Hi, My wifes mother and her aunt (Mothers sister) died of cancer (Lung cancer for mother and uterus cancer for aunt) in last one one year. My wife is 32 years old and underweight (~ 43 Kg) and Im worried whether my wife would have genetic to get cancer. What test she should take to confirm that she has cancer or not?Thanks for annswering"
},
{
"from": "gpt",
"value": "Output: Hi!welcome to Chat Doctor! I would like to tell you that cancer is such a common disease that it is no surprise that many families have at least a few members who have had cancer. Sometimes, certain types of cancer seem to run in some families, but only a small portion of all cancers are inherited. If you are feeling that your wife is underweight ask her to increase her nutrition and HY Chat Doctor. Feel relaxed. Hope this will help you!take care!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Is it possible ny 21 year old could of developed idiopathic scoliosis from having a lumbar puncture performed when she was 18 myths old.she had meningococcal septocemia. Doctor is waiting for xray results to confirm scoliosis . Suffering g from back and chest pains for last year. Thank you | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that the scoliosis spinal column deformation can not be caused by a lumbar puncture even in a very young age. But chronic deficiency of vitamin D or calcium or even a wrong posture can lead to these symptoms. I recommend performing vitamin D and calcium plasma levels to exclude this possibility. A spinal column CT scan would help give more information on the anatomy of your spinal column and possible treatment options. Meanwhile, I recommend correcting your posture and perform a lot of physical activity which is important for the reinforcement of the back muscles. Hope you will find this answer helpful! Best wishes, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Is it possible ny 21 year old could of developed idiopathic scoliosis from having a lumbar puncture performed when she was 18 myths old.she had meningococcal septocemia. Doctor is waiting for xray results to confirm scoliosis . Suffering g from back and chest pains for last year. Thank you"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that the scoliosis spinal column deformation can not be caused by a lumbar puncture even in a very young age. But chronic deficiency of vitamin D or calcium or even a wrong posture can lead to these symptoms. I recommend performing vitamin D and calcium plasma levels to exclude this possibility. A spinal column CT scan would help give more information on the anatomy of your spinal column and possible treatment options. Meanwhile, I recommend correcting your posture and perform a lot of physical activity which is important for the reinforcement of the back muscles. Hope you will find this answer helpful! Best wishes,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My name is Leslie, about a week ago, my tooth broke off, The whole top of it, and the root is still stuck in my jaw and its causing excruciating pain, and I cannot eat anything with out it hurting. I couldnt get an appt to see my dentist until May 12th, and oragel isnt working anymore. How is the Dentist going to remove the root? | Helloo Leslie...read through your query.....first I have to say don't be tensed on how dentist will remove it...he is trained to remove it well without hurting u...so don't be tensed about that....till the appointment it's better if u take amoxicillin and diclofenac for 5 days and do salt water gargle.......but actually I have to ask u when is the appointment????please reply with proper appointment date...thank u have nice day!! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My name is Leslie, about a week ago, my tooth broke off, The whole top of it, and the root is still stuck in my jaw and its causing excruciating pain, and I cannot eat anything with out it hurting. I couldnt get an appt to see my dentist until May 12th, and oragel isnt working anymore. How is the Dentist going to remove the root?"
},
{
"from": "gpt",
"value": "Output: Helloo Leslie...read through your query.....first I have to say don't be tensed on how dentist will remove it...he is trained to remove it well without hurting u...so don't be tensed about that....till the appointment it's better if u take amoxicillin and diclofenac for 5 days and do salt water gargle.......but actually I have to ask u when is the appointment????please reply with proper appointment date...thank u have nice day!!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 50yoa caucasion male, non smoker, non drinker. 72 tall and weight is 245. only health problem is blood pressure, I just started taking 20mg of Lisinopil. as part of my yearly exam I got a liver functions test..my AST is 32 and my alt is 61. (test indicates 9-46 U/L is normal). I have recently taken to consuming apx 500-700mg of ibuprofen for a tooth ache. can you tell what is going on with my liver? is this something I should worry about. My doc has me set up for hepatitis series next week to check that. | HelloIncreased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, ANA estimation, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Further requirement of medicines depends upon findings. Findings are not related to recent intake of ibuprofen. Get well soon. Take Care Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 50yoa caucasion male, non smoker, non drinker. 72 tall and weight is 245. only health problem is blood pressure, I just started taking 20mg of Lisinopil. as part of my yearly exam I got a liver functions test..my AST is 32 and my alt is 61. (test indicates 9-46 U/L is normal). I have recently taken to consuming apx 500-700mg of ibuprofen for a tooth ache. can you tell what is going on with my liver? is this something I should worry about. My doc has me set up for hepatitis series next week to check that."
},
{
"from": "gpt",
"value": "Output: HelloIncreased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, ANA estimation, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Further requirement of medicines depends upon findings. Findings are not related to recent intake of ibuprofen. Get well soon. Take Care Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Doctor, I had fever, cough and body pain from last friday till Sunday, Upon medication fever has gone and body pain reduced. However cough has not reduced. I sweat a lot especially at night. I feel very tired and drowsy for the past 2 days. Is this normal for viral fever or could this be a symptom of any other viral fever like Dengue, H1N1 or TB? | HiT hank you for asking ChatDoctori have gone through your query. Cough is not a usual symptom for dengue. But body pain and tiredness are characteristic findings. Doing a blood routine and platelet count will be helpful. Platelet count will be usually low in case of dengue. If it is low then you can go for dengue and lento immunoglobulin test to rule out Dengue or leptospirosis. H1N1 will have predominant respiratory symptoms. If you have such symptoms then you can go for throat swab to rule out H1N1. Only if cough lasting more than 2 weeks TB test will be required. Take plenty of fluids. Take chewable vitamin C also. A consultation with physician is also well appreciated. Hope this may help you. Let me know if anything is not clear. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello Doctor, I had fever, cough and body pain from last friday till Sunday, Upon medication fever has gone and body pain reduced. However cough has not reduced. I sweat a lot especially at night. I feel very tired and drowsy for the past 2 days. Is this normal for viral fever or could this be a symptom of any other viral fever like Dengue, H1N1 or TB?"
},
{
"from": "gpt",
"value": "Output: HiT hank you for asking ChatDoctori have gone through your query. Cough is not a usual symptom for dengue. But body pain and tiredness are characteristic findings. Doing a blood routine and platelet count will be helpful. Platelet count will be usually low in case of dengue. If it is low then you can go for dengue and lento immunoglobulin test to rule out Dengue or leptospirosis. H1N1 will have predominant respiratory symptoms. If you have such symptoms then you can go for throat swab to rule out H1N1. Only if cough lasting more than 2 weeks TB test will be required. Take plenty of fluids. Take chewable vitamin C also. A consultation with physician is also well appreciated. Hope this may help you. Let me know if anything is not clear. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HELLO MY SON IS 7 MONTHS OLD AND SUFFERING FROM COUGH AND COLD FROM LAST 10 DAYS AND DOCTOR SUGGESTED NEBULAZATION THERAPY TO MELT A COUGH. NOW COUGH IS CONGESTED IN THE CHEST AN SUGGESTED MEDICINE SINAREST-AF,CEPODEM 100. MY EMAIL ID IS sachin_eternity@ WWW.WWWW.WW | HIF I were your family doctor I would not recommend Minaret and Code type of medicine at first instance to such a small child when other measures such as steaming, either plain or of herbal decoction are very safe and easy to give and natural ones. These have better and SAFE effects and no side effects. You may like to see any good Ayurveda physician in your locality for this. You can always opt for such medicine if natural ways do not cure your child. One thing is sure that steaming will not enhance the cough and cold. Hope this guides you well. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HELLO MY SON IS 7 MONTHS OLD AND SUFFERING FROM COUGH AND COLD FROM LAST 10 DAYS AND DOCTOR SUGGESTED NEBULAZATION THERAPY TO MELT A COUGH. NOW COUGH IS CONGESTED IN THE CHEST AN SUGGESTED MEDICINE SINAREST-AF,CEPODEM 100. MY EMAIL ID IS sachin_eternity@ WWW.WWWW.WW"
},
{
"from": "gpt",
"value": "Output: HIF I were your family doctor I would not recommend Minaret and Code type of medicine at first instance to such a small child when other measures such as steaming, either plain or of herbal decoction are very safe and easy to give and natural ones. These have better and SAFE effects and no side effects. You may like to see any good Ayurveda physician in your locality for this. You can always opt for such medicine if natural ways do not cure your child. One thing is sure that steaming will not enhance the cough and cold. Hope this guides you well."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir . I am Rohit ,i am about 18 year my height is 5 foot 5 inch and weight is 44kg . i have lot of problem . (1).my sperm is leaking 4 to 5 times in a weak i have this problem from 1 year . (2). having habit of hand-pump to get enjoy the sex feeling but after sperm leakage i feel very bad and aggressive on yourself .(3)my sperm leake in night. (4)sometime my stool is oily. kindly help me how i solve this problem..have a nice day sir | Hello, Usually vasectomy won't cause semen leakage. After vasectomy only pre-cum or prostatic secretions may be ejaculated. Yet, semen leakage may be seen in pathological conditions like 1. Nocturnal emissions2. Medication side effects3. Prostate problems4. Nerve injury Please consult your doctor, he will examine and check for it then treat you accordingly. 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: Hello Sir . I am Rohit ,i am about 18 year my height is 5 foot 5 inch and weight is 44kg . i have lot of problem . (1).my sperm is leaking 4 to 5 times in a weak i have this problem from 1 year . (2). having habit of hand-pump to get enjoy the sex feeling but after sperm leakage i feel very bad and aggressive on yourself .(3)my sperm leake in night. (4)sometime my stool is oily. kindly help me how i solve this problem..have a nice day sir"
},
{
"from": "gpt",
"value": "Output: Hello, Usually vasectomy won't cause semen leakage. After vasectomy only pre-cum or prostatic secretions may be ejaculated. Yet, semen leakage may be seen in pathological conditions like 1. Nocturnal emissions2. Medication side effects3. Prostate problems4. Nerve injury Please consult your doctor, he will examine and check for it then treat you accordingly. 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. | ear Doc - My father is 66-68 years old , diabetic . He has more pain lumbar stenosis problem . Since a month he gets extreme pain while walking - more so from the fact that she leads a sedentary lifestyle . he undergoes physiotheraphy at home on a daily basis . Sugar is well under control . he takes ULTRACET for her body / joint pain . My query was is there a better way to manage her pain ? Her consulting ortho was recommending a supplement jab on her knees , which I am not in favor of (considering her complications) I read about these medicines and was wondering if it is safe for here considering he is also lumbar stenosis problem patient . he is already sugar and BP patient. Sir please.... any your require medicine please i am pure family sir | Hellenes injection suggestion by an orthopedic surgeon means your father has additional knee arthritis because of which he has more pain on walking.Therefore, It's advisable to follow the doctor as it will give relief for pain and permit easier walk and improve quality of life, since he is diabetic, it is all the more necessary that he walks to burn calories and thus less of medication doses for diabetes may be needed. For lumbar stenoses, ask your doctor how much narrowing is there and how much pain in back is limiting the movements, in extreme cases, a decompression surgery maybe a good solution, but since you have not mentioned any such opinion from doctor, presume he doesn't think surgery is the requirement for now, just knee cortisone injection would be very helpful best wishes | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: ear Doc - My father is 66-68 years old , diabetic . He has more pain lumbar stenosis problem . Since a month he gets extreme pain while walking - more so from the fact that she leads a sedentary lifestyle . he undergoes physiotheraphy at home on a daily basis . Sugar is well under control . he takes ULTRACET for her body / joint pain . My query was is there a better way to manage her pain ? Her consulting ortho was recommending a supplement jab on her knees , which I am not in favor of (considering her complications) I read about these medicines and was wondering if it is safe for here considering he is also lumbar stenosis problem patient . he is already sugar and BP patient. Sir please.... any your require medicine please i am pure family sir"
},
{
"from": "gpt",
"value": "Output: Hellenes injection suggestion by an orthopedic surgeon means your father has additional knee arthritis because of which he has more pain on walking.Therefore, It's advisable to follow the doctor as it will give relief for pain and permit easier walk and improve quality of life, since he is diabetic, it is all the more necessary that he walks to burn calories and thus less of medication doses for diabetes may be needed. For lumbar stenoses, ask your doctor how much narrowing is there and how much pain in back is limiting the movements, in extreme cases, a decompression surgery maybe a good solution, but since you have not mentioned any such opinion from doctor, presume he doesn't think surgery is the requirement for now, just knee cortisone injection would be very helpful best wishes"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a previous history of kidney stones. My lower left back hurts, as in my kidney hurts. Sometimes the I can also feel the other kidney. It isn t really pain like kidney stones, I can just feel my kidneys. Only time I have experienced this is after kidney stones. This is not going away, and the I visited my regular doctor, and they told me I had blood in my urine. | Hello, I got your chief complaint, and it is due to kidney stones most likely you have pain and bleeding in urine. However, to initiate a treatment needs us to know size of stones, location and health of kidneys which would be decided by necessary investigations like ultrasound, urinalysis. I suggest you visit to emergency room as soon as possible. Remember blood in urine always needs to be taken care immediately. 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 a previous history of kidney stones. My lower left back hurts, as in my kidney hurts. Sometimes the I can also feel the other kidney. It isn t really pain like kidney stones, I can just feel my kidneys. Only time I have experienced this is after kidney stones. This is not going away, and the I visited my regular doctor, and they told me I had blood in my urine."
},
{
"from": "gpt",
"value": "Output: Hello, I got your chief complaint, and it is due to kidney stones most likely you have pain and bleeding in urine. However, to initiate a treatment needs us to know size of stones, location and health of kidneys which would be decided by necessary investigations like ultrasound, urinalysis. I suggest you visit to emergency room as soon as possible. Remember blood in urine always needs to be taken care immediately. 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. | well i have off late pain in the back right side just above butt and front side down to thigh. Sometimes it reaches toe.the pain is pulsative like a pulse beat; the pain starts stops and again starts. sometimes it extends to right testicleis it kidney stone? the pain may also go to sholder to neck also but not always. | Hello am Chat Doctor. I have read your message. I think, on the basis of the symptoms, there are 2 possible causes-1. Kidney stones2. Lumbar and cervical radiculopathy. I suggest the following tests-a. MRI lumbar and cervical spine. Ultrasound abdomen. Do let us know the reports. Based on the reports, further suggestions and treatment options can be discussed.Meanwhile, simple painkillers like ibuprofen with antacids like rant ac may be used. Best of luck, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: well i have off late pain in the back right side just above butt and front side down to thigh. Sometimes it reaches toe.the pain is pulsative like a pulse beat; the pain starts stops and again starts. sometimes it extends to right testicleis it kidney stone? the pain may also go to sholder to neck also but not always."
},
{
"from": "gpt",
"value": "Output: Hello am Chat Doctor. I have read your message. I think, on the basis of the symptoms, there are 2 possible causes-1. Kidney stones2. Lumbar and cervical radiculopathy. I suggest the following tests-a. MRI lumbar and cervical spine. Ultrasound abdomen. Do let us know the reports. Based on the reports, further suggestions and treatment options can be discussed.Meanwhile, simple painkillers like ibuprofen with antacids like rant ac may be used. Best of luck,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I am 30, and I had a mammogram and ultra sound today as a follow up-to a biopsy 6 months ago. Everything is fine, but my question is whether I should wait until next moth to try to get pregnant. Would the radiation affect the baby if I do get pregnant? | Hi, I understand your concern. Radiation affects fetus differently at differently. It depends on the time & extent of exposure to radiation. Actually radiation reaches fetus in comparatively less dose, as it goes through mothers body to reach it. - Radiation exposure in first 2 weeks of conception may cause fetal death. - exposure to large dose radiation( Like dose received from 500 chest X-rays) in early weeks of conception (2 to 18 weeks of pregnancy) is hazardous to fetus- it causes developmental defects in fetus-specially brain developments.- leading to low IQ s & mental retardation or stunted growth./ likelihood to develop cancer in later life. _ Same type of consequences are observed in fetuses between 18 and 26 weeks when exposed to double the dose of radiation. -After 26 weeks baby is fully grown & there is no possibility of developmental defects after radiation exposure except for slightly more chances of having cancer in later life. * Though no bad effects of radiation exposure of mother before conception are reflected on fetuses, the conception should be postponed, specially when it is a planned conception. It can be easily postponed till next month. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. I am 30, and I had a mammogram and ultra sound today as a follow up-to a biopsy 6 months ago. Everything is fine, but my question is whether I should wait until next moth to try to get pregnant. Would the radiation affect the baby if I do get pregnant?"
},
{
"from": "gpt",
"value": "Output: Hi, I understand your concern. Radiation affects fetus differently at differently. It depends on the time & extent of exposure to radiation. Actually radiation reaches fetus in comparatively less dose, as it goes through mothers body to reach it. - Radiation exposure in first 2 weeks of conception may cause fetal death. - exposure to large dose radiation( Like dose received from 500 chest X-rays) in early weeks of conception (2 to 18 weeks of pregnancy) is hazardous to fetus- it causes developmental defects in fetus-specially brain developments.- leading to low IQ s & mental retardation or stunted growth./ likelihood to develop cancer in later life. _ Same type of consequences are observed in fetuses between 18 and 26 weeks when exposed to double the dose of radiation. -After 26 weeks baby is fully grown & there is no possibility of developmental defects after radiation exposure except for slightly more chances of having cancer in later life. * Though no bad effects of radiation exposure of mother before conception are reflected on fetuses, the conception should be postponed, specially when it is a planned conception. It can be easily postponed till next month. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was recently working out with a trainer for the first time. During the workout I felt fine. It was after the stretching that I felt my heart rate up and my arms tired and tingling. When walking to the car I felt a bit nauseous. I am still sore from the workout a couple days later, but are fine otherwise. Is this just from a lack of activity? I am 47, weigh 178 and have no health issues nor have had any. Last physical 2 years ago showed everything fine | Hello, After going through your medical query I understand your concern and I would like to tell you that heart rate is ever-changing phenomenon depending on your physical activity, stress and physiological changes. After workout, you might have low blood sugar levels, and you felt a rapid heart rate, so it is recommended for you to have 2 digestive biscuits or a cup of juice before workouts. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was recently working out with a trainer for the first time. During the workout I felt fine. It was after the stretching that I felt my heart rate up and my arms tired and tingling. When walking to the car I felt a bit nauseous. I am still sore from the workout a couple days later, but are fine otherwise. Is this just from a lack of activity? I am 47, weigh 178 and have no health issues nor have had any. Last physical 2 years ago showed everything fine"
},
{
"from": "gpt",
"value": "Output: Hello, After going through your medical query I understand your concern and I would like to tell you that heart rate is ever-changing phenomenon depending on your physical activity, stress and physiological changes. After workout, you might have low blood sugar levels, and you felt a rapid heart rate, so it is recommended for you to have 2 digestive biscuits or a cup of juice before workouts. 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. | My 3 yr old was hit in the face, mainly bridge of nose, by a baseball bat, on accident by older brother. There is some swelling now, bruising, he s congested, but he has a 100.4 temp. Should he be seen by a dr? No bleeding. What would they do if it was broken? | Hi, Welcome to Chat Doctor, If I were your pediatrician, I would suggest you consult an orthopediacian or an ENT surgeon, only to be very sure there is no problem to be sorted out. If at all there is a fracture, the management will vary depending on the type and extent of fracture. Mild one needs a small plaster bandage, but a major one might need surgery. However, it doesn't sound like a major fracture or something. He might have had some soft tissue injury which is causing swelling and nose congestion. Hot compresses, nasal decongestant Chat Doctor. Hope child gets well soon. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 3 yr old was hit in the face, mainly bridge of nose, by a baseball bat, on accident by older brother. There is some swelling now, bruising, he s congested, but he has a 100.4 temp. Should he be seen by a dr? No bleeding. What would they do if it was broken?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor, If I were your pediatrician, I would suggest you consult an orthopediacian or an ENT surgeon, only to be very sure there is no problem to be sorted out. If at all there is a fracture, the management will vary depending on the type and extent of fracture. Mild one needs a small plaster bandage, but a major one might need surgery. However, it doesn't sound like a major fracture or something. He might have had some soft tissue injury which is causing swelling and nose congestion. Hot compresses, nasal decongestant Chat Doctor. Hope child gets well soon. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have bad breath. It seems like it is coming from my throat , uvula or tonsils or surrounding area. My mouth hygiene is more than excellent, no bad decay, no tarter, I visit the dentist every 6 month, I do mouth washes, coconut oil pulling regularly, all kind of expensive mouth wash, hydrogen peroxide...etc. but the problem is not in my mouth its in my throat, I also dont have frequent infections or tonsil stones. Is there surgical treatment for this condition | Hi. Thanks for the query. Well, bad smell concentrated in throat can be due to causes like acid reflux, post nasal Chat Doctor. . Treatment medical or surgical will depend on the cause. As the problem is in throat, so my suggestion is to consult an Otorhinolaryngologist and get evaluated. He can do a Laryngoscopy and if needed upper G. I Endoscopy and even advise sinus x-ray to rule out the exact cause. Treatment can only be decided then. As of now chew sugar-free chewing gum that are mint or menthol flavored to mask bad smell. You can also do steam inhalation with adding Eucalyptus oil in boiling water. You can chew cardamom to mask bad smell. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have bad breath. It seems like it is coming from my throat , uvula or tonsils or surrounding area. My mouth hygiene is more than excellent, no bad decay, no tarter, I visit the dentist every 6 month, I do mouth washes, coconut oil pulling regularly, all kind of expensive mouth wash, hydrogen peroxide...etc. but the problem is not in my mouth its in my throat, I also dont have frequent infections or tonsil stones. Is there surgical treatment for this condition"
},
{
"from": "gpt",
"value": "Output: Hi. Thanks for the query. Well, bad smell concentrated in throat can be due to causes like acid reflux, post nasal Chat Doctor. . Treatment medical or surgical will depend on the cause. As the problem is in throat, so my suggestion is to consult an Otorhinolaryngologist and get evaluated. He can do a Laryngoscopy and if needed upper G. I Endoscopy and even advise sinus x-ray to rule out the exact cause. Treatment can only be decided then. As of now chew sugar-free chewing gum that are mint or menthol flavored to mask bad smell. You can also do steam inhalation with adding Eucalyptus oil in boiling water. You can chew cardamom to mask bad smell."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a manila colored stool about two weeks ago. After that I had knife-like shooting pain in the base of my stomach for several days and now diareha for two weeks. (About three years ago this same thing happened and they did a scan. Couldn t figure out what it was. Said my intestines just seemed a bit full and sent me home. About 6 months later I ended up with Chronic appendicitis and had my appendix and part of my small and large intestine removed. Was in the hospital for a week, got a secondary infection that almost killed me and was never able to run again - former half marathon runner.) I am a 49 year old female. | Hi thanks for posting your query on Chat Doctor .the sequence of symptoms which you underwent suggest localized myogenic infection most notably \"acute appendicitis\" which went on to produce chronic appendicitis on delaying the surgical attention for some reasons for 6 months as in your case.appendicitis is known to occur following sudden occlusion of its lumen. As it's a vestigial organ, its always removed by surgery. Its produces symptoms like vomiting, pain initially on the left side of the lower abdomen and later pain migration to right side of stomach. Chronic appendicitis is more dangerous in terms of complication as its more prone to produce spreading infection at the time of surgery...it can also be prone to rupture further complicating surgery, affecting nearby bowel loops causing \"gangrenous appendicitis\" as in your case. You underwent your surgery at this stage of the disease.a more comprehensive approach is needed at the earliest, would have saved some of those bowel loops and prevented serious peritoneal infection in your case, anyhow now you are operated and the infective focus removed, you are out of danger, and you will soon be normal, of course you need to curtail your athletic activity to a large extent post surgery. Follow a healthy dietary regimen post surgery to improve your general health. Thank you. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a manila colored stool about two weeks ago. After that I had knife-like shooting pain in the base of my stomach for several days and now diareha for two weeks. (About three years ago this same thing happened and they did a scan. Couldn t figure out what it was. Said my intestines just seemed a bit full and sent me home. About 6 months later I ended up with Chronic appendicitis and had my appendix and part of my small and large intestine removed. Was in the hospital for a week, got a secondary infection that almost killed me and was never able to run again - former half marathon runner.) I am a 49 year old female."
},
{
"from": "gpt",
"value": "Output: Hi thanks for posting your query on Chat Doctor .the sequence of symptoms which you underwent suggest localized myogenic infection most notably \\\"acute appendicitis\\\" which went on to produce chronic appendicitis on delaying the surgical attention for some reasons for 6 months as in your case.appendicitis is known to occur following sudden occlusion of its lumen. As it's a vestigial organ, its always removed by surgery. Its produces symptoms like vomiting, pain initially on the left side of the lower abdomen and later pain migration to right side of stomach. Chronic appendicitis is more dangerous in terms of complication as its more prone to produce spreading infection at the time of surgery...it can also be prone to rupture further complicating surgery, affecting nearby bowel loops causing \\\"gangrenous appendicitis\\\" as in your case. You underwent your surgery at this stage of the disease.a more comprehensive approach is needed at the earliest, would have saved some of those bowel loops and prevented serious peritoneal infection in your case, anyhow now you are operated and the infective focus removed, you are out of danger, and you will soon be normal, of course you need to curtail your athletic activity to a large extent post surgery. Follow a healthy dietary regimen post surgery to improve your general health. Thank you. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I went to donate plasma today and they told me that my haemoglobin level was 116 and they were concerned it was too low to donate but as it was only plasma they took the donation. What recommendations do you have to raise it to a healthier level. As I don t have any other symptoms such as lethargy do you have any suggestions as to how it has dropped to this level. Thanks | Hello. I guess your He (hemoglobin) is 11.6 and not 116. If it is so it is borderline for an Indian girl and definitely low for an Indian male. For menstruating female it is common to have low He and most of the time they are asymptomatic. There is no reason to worry about such He. If you want to maintain a good hemoglobin level i advice you to have a balanced diet containing mainly green leafy vegetables, fruits like apple, dates etc. (if you prefer nonveg food-liver, fish etc.)these will help you increase iron content of your body stores and prevent iron deficiency anemia which is common.nonveg food and milk also helps to restore your it B12 levels and prevent or B12 deficiency anemia (megaloblastic anemia).hope I have helped you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I went to donate plasma today and they told me that my haemoglobin level was 116 and they were concerned it was too low to donate but as it was only plasma they took the donation. What recommendations do you have to raise it to a healthier level. As I don t have any other symptoms such as lethargy do you have any suggestions as to how it has dropped to this level. Thanks"
},
{
"from": "gpt",
"value": "Output: Hello. I guess your He (hemoglobin) is 11.6 and not 116. If it is so it is borderline for an Indian girl and definitely low for an Indian male. For menstruating female it is common to have low He and most of the time they are asymptomatic. There is no reason to worry about such He. If you want to maintain a good hemoglobin level i advice you to have a balanced diet containing mainly green leafy vegetables, fruits like apple, dates etc. (if you prefer nonveg food-liver, fish etc.)these will help you increase iron content of your body stores and prevent iron deficiency anemia which is common.nonveg food and milk also helps to restore your it B12 levels and prevent or B12 deficiency anemia (megaloblastic anemia).hope I have helped you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi , dr , i am 24 year old , i feel Rt testicular pain , i sought medical advice . i was asked to do semenal analysis and scrotal doplex. doppler was normal semenal analysis | HI, thanks for using Chat Doctor Semen analysis provides a general idea of fertility. Your concentration or count of 94 mill/ml is normal, it is considered good if it is above 20 mill/ml. The motility is normal if more than 50% are moving. In your result a total of 65% were moving though only 30% were rapid. The volume of semen is also normal. The low white cell count shows that no infection is present. Semen analysis also generally looks at the morphology (shape of sperm, does it appear to look normal). This is not mentioned. Based on the results given, there should not be any major fertility issues. I hope this helps | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi , dr , i am 24 year old , i feel Rt testicular pain , i sought medical advice . i was asked to do semenal analysis and scrotal doplex. doppler was normal semenal analysis"
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor Semen analysis provides a general idea of fertility. Your concentration or count of 94 mill/ml is normal, it is considered good if it is above 20 mill/ml. The motility is normal if more than 50% are moving. In your result a total of 65% were moving though only 30% were rapid. The volume of semen is also normal. The low white cell count shows that no infection is present. Semen analysis also generally looks at the morphology (shape of sperm, does it appear to look normal). This is not mentioned. Based on the results given, there should not be any major fertility issues. I hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Back and waist pain,hotness of the body,stomach pain, quick ejaculation.I have gone to lab, and the result is No bacterical growth after 48hours,cyst of histolytica seen and malaria is that enough for me to be experiencing those things.I need help urgerntly please. | HiT hanks for posting your query. I appreciate your concern for the present symptoms. The cysts are the infective forms of the protozoal parasite Enatamoeba histologic which are found in the asymptomatic carriers (persons harboring the infective form of the parasites but not suffering from the disease). These cysts are mainly localized to the lumen of intestinal tract, they are no invasive and hence do not cause any disease. Whereas the trophozoites are the invasive forms of the parasite responsible for the disease (meiosis). The body heat (fever), stomach and waist pain could be due to malaria. Hope this answers your question. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Back and waist pain,hotness of the body,stomach pain, quick ejaculation.I have gone to lab, and the result is No bacterical growth after 48hours,cyst of histolytica seen and malaria is that enough for me to be experiencing those things.I need help urgerntly please."
},
{
"from": "gpt",
"value": "Output: HiT hanks for posting your query. I appreciate your concern for the present symptoms. The cysts are the infective forms of the protozoal parasite Enatamoeba histologic which are found in the asymptomatic carriers (persons harboring the infective form of the parasites but not suffering from the disease). These cysts are mainly localized to the lumen of intestinal tract, they are no invasive and hence do not cause any disease. Whereas the trophozoites are the invasive forms of the parasite responsible for the disease (meiosis). The body heat (fever), stomach and waist pain could be due to malaria. Hope this answers your question."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 4 years ago I stopped smoking with chantix . After the first year of not smoking, anytime I stressed out my face broke out into a rash . I was on other medication at the time that I quit taking and it went away. I did have it checked and all they could come up with was i had dandruff of the face. My wife and I have sex a lot. She left town to take care of her mother for about 2 months. I know for sure she never did me wrong and neither did I. Well after she got back and from having sex I have red spots on my penis and ever had a spot rub raw to where it has to scab up to heal. It minght sound strange but I was wondering if it could be from the Chantix. Yes I will go In soon and be checked but its a little embarresing. (sorry can t spell) | 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. No it may not be related to chant ix. It appears to be an STD infection. Its advisable that you go get checked for the STDs. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this below-mentioned link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 4 years ago I stopped smoking with chantix . After the first year of not smoking, anytime I stressed out my face broke out into a rash . I was on other medication at the time that I quit taking and it went away. I did have it checked and all they could come up with was i had dandruff of the face. My wife and I have sex a lot. She left town to take care of her mother for about 2 months. I know for sure she never did me wrong and neither did I. Well after she got back and from having sex I have red spots on my penis and ever had a spot rub raw to where it has to scab up to heal. It minght sound strange but I was wondering if it could be from the Chantix. Yes I will go In soon and be checked but its a little embarresing. (sorry can t spell)"
},
{
"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. No it may not be related to chant ix. It appears to be an STD infection. Its advisable that you go get checked for the STDs. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i have kleb.pneumonia in urine, took ciprofloxacine 5 days, did not work, yesterday took monuril 3g, symptoms seem worse, i am to have a urine test monday but this is when i will be on holiday abroad, i am worried monuril hasnt worked , how long is safe to be untreated, the lab report suggested imipeneme , but doctor is trying other abx. what is your advise? | Hi, Welcome to Chat Doctor. I understand your concern regarding UTI caused by Klebsiella pneumonia. Klebsiella is a coliform which is normally found in the urinary tract and only significant count on culture is considered relevant. Your doctor is right in trying control as it is one of the effective antibiotics against Klebsiella. I suggest you complete the course of antibiotics prescribed. Clearance of infection can be confirmed only by testing. I suggest you get a urine test done wherever you are going, and the results are available in 24-48 hours. Imipenem is a broad spectrum antibiotic used only when organism is resistant to commonly used antibiotics, so your doctor is right is not using it until very necessary. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have kleb.pneumonia in urine, took ciprofloxacine 5 days, did not work, yesterday took monuril 3g, symptoms seem worse, i am to have a urine test monday but this is when i will be on holiday abroad, i am worried monuril hasnt worked , how long is safe to be untreated, the lab report suggested imipeneme , but doctor is trying other abx. what is your advise?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor. I understand your concern regarding UTI caused by Klebsiella pneumonia. Klebsiella is a coliform which is normally found in the urinary tract and only significant count on culture is considered relevant. Your doctor is right in trying control as it is one of the effective antibiotics against Klebsiella. I suggest you complete the course of antibiotics prescribed. Clearance of infection can be confirmed only by testing. I suggest you get a urine test done wherever you are going, and the results are available in 24-48 hours. Imipenem is a broad spectrum antibiotic used only when organism is resistant to commonly used antibiotics, so your doctor is right is not using it until very necessary. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have just been released from the hospital with pneumonia and I have been home 3 days with chronic coughing. On antibiodics, prednisone and cough syrup and I have swelling in the pelvic region and black/blue/purple and red bruising. Can that be from coughing so hard? I did not have it when I left hospital 3 days ago. I am 50 year old, in good shape, woman | Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia is infective condition. And in acute infection, steroids are generally not given because steroids can worsen underlying infection as it causes immunosuppression. So ideally, prednisone should not be given in acute infection like pneumonia. Prednisone can cause skin rashes as a side effect. So possibility of prednisone induced skin rash is more in your case. Certain antibiotics can also cause skin rashes. Better to consult dermatologist and discuss all these and if possible stop prednisone. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have just been released from the hospital with pneumonia and I have been home 3 days with chronic coughing. On antibiodics, prednisone and cough syrup and I have swelling in the pelvic region and black/blue/purple and red bruising. Can that be from coughing so hard? I did not have it when I left hospital 3 days ago. I am 50 year old, in good shape, woman"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia is infective condition. And in acute infection, steroids are generally not given because steroids can worsen underlying infection as it causes immunosuppression. So ideally, prednisone should not be given in acute infection like pneumonia. Prednisone can cause skin rashes as a side effect. So possibility of prednisone induced skin rash is more in your case. Certain antibiotics can also cause skin rashes. Better to consult dermatologist and discuss all these and if possible stop prednisone. 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. | dear doc, i am suffering from this phlegm formation in my body since last 4 to 5 years.. it just forms in my body and it now troubles me very much. i feel as if it blocks my veins to brain/head and i cannot raise my head and i feel my head very heavy. i am on antibiotic almost 15 days in a month.. but i am not getting a permanent solution.. i also took homeo medicine for some time but once i stopped it has again started. will i have to take homeo medicine all my life ??? can u tell me how long i should take this medicine? also if u can help me with ayurvedic medicine. kindly assist. regards | Dearths condition relates to oaf visit in Ayurveda. The symptoms you are mentioning indicate towards sinusitis. Well apart from medicines that restrict phlegm formation you also need immune boosters to check recurrence. Have turmeric in hot milk. Use honey in any form. Avoid cold atmosphere and cold things. Amongst medicines, you can use swamla as immune booster and mahalakshami villas RAS sworn yuk at. Oaf KET RAS or tribunal birth RAS can be considered as per the symptoms. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dear doc, i am suffering from this phlegm formation in my body since last 4 to 5 years.. it just forms in my body and it now troubles me very much. i feel as if it blocks my veins to brain/head and i cannot raise my head and i feel my head very heavy. i am on antibiotic almost 15 days in a month.. but i am not getting a permanent solution.. i also took homeo medicine for some time but once i stopped it has again started. will i have to take homeo medicine all my life ??? can u tell me how long i should take this medicine? also if u can help me with ayurvedic medicine. kindly assist. regards"
},
{
"from": "gpt",
"value": "Output: Dearths condition relates to oaf visit in Ayurveda. The symptoms you are mentioning indicate towards sinusitis. Well apart from medicines that restrict phlegm formation you also need immune boosters to check recurrence. Have turmeric in hot milk. Use honey in any form. Avoid cold atmosphere and cold things. Amongst medicines, you can use swamla as immune booster and mahalakshami villas RAS sworn yuk at. Oaf KET RAS or tribunal birth RAS can be considered as per the symptoms."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi i want to get pregnant after an abortion in jan this year.even after having unproctected sex for past 3 months i could not concieve.i get my periods regularly and last month i had bled dark brown bloodclots juz for a day .i had consultated a gyanee she said to wait for 3 months , | Hi, I have gone through your question and understand your concerns. Infertility is said to occur when one fails to conceive after one year of successful unprotected intercourse. Moreover, since you have conceived once, so it is appropriate for you to wait for at least three months before undergoing any infertility investigations and management. Chances to conceive in each menstrual cycle is only 20-25 %, therefore do not take stress and try for natural conception for at least next3-4 months. Hope you found the answer helpful. Wishing you good health. 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 want to get pregnant after an abortion in jan this year.even after having unproctected sex for past 3 months i could not concieve.i get my periods regularly and last month i had bled dark brown bloodclots juz for a day .i had consultated a gyanee she said to wait for 3 months ,"
},
{
"from": "gpt",
"value": "Output: Hi, I have gone through your question and understand your concerns. Infertility is said to occur when one fails to conceive after one year of successful unprotected intercourse. Moreover, since you have conceived once, so it is appropriate for you to wait for at least three months before undergoing any infertility investigations and management. Chances to conceive in each menstrual cycle is only 20-25 %, therefore do not take stress and try for natural conception for at least next3-4 months. Hope you found the answer helpful. Wishing you good health. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was recently diagnosed with glandular fever, I am normally a healthy and extremely sporty active person. I have noticed lumps and bruising on my shins which I havnt bashed? I also have itchy skin and what looks like exczma on my elbows? Are these as a result of the glandular fever? | Hello, Welcome to Chat Doctor, Glandular fever, as you say has been diagnosed by tests is a viral disease with self limiting nature. Its symptoms usually resemble to flu like state. Along with fever, nausea, headache there is sore throat and lymphadenopathy. Inflammation of tonsils can occur which can can lead to pain behind your ear as well as your jaw. It usually subsides as the inflammation decreases with medication. Wait for some time and have regular medication as you are taking for glandular fever, if any. If still persist, I suggest you to consult a physician for proper examination and management. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was recently diagnosed with glandular fever, I am normally a healthy and extremely sporty active person. I have noticed lumps and bruising on my shins which I havnt bashed? I also have itchy skin and what looks like exczma on my elbows? Are these as a result of the glandular fever?"
},
{
"from": "gpt",
"value": "Output: Hello, Welcome to Chat Doctor, Glandular fever, as you say has been diagnosed by tests is a viral disease with self limiting nature. Its symptoms usually resemble to flu like state. Along with fever, nausea, headache there is sore throat and lymphadenopathy. Inflammation of tonsils can occur which can can lead to pain behind your ear as well as your jaw. It usually subsides as the inflammation decreases with medication. Wait for some time and have regular medication as you are taking for glandular fever, if any. If still persist, I suggest you to consult a physician for proper examination and management. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | sir,i am a patient of bph of size 44 ml,there are two small stones in lower calyces of left kidney.largest stone is .89cm. Today i have done my urine RE,found a few R.B.C. please advice me what to do & why urine contains occult blood.SPSA-1.6,UROFLOMETRY- 562/17/9 | Good Day, and thank you for being with Chat Doctor ! Basically blood in the urine can be brought about by kidney stones, prostate enlargement or both. I would suggest getting treated for kidney stones either by medical dissolution (potassium citrate) or shockwave therapy (ESL) to get rid of your stones. For your prostate if you have urinary frequency then I would suggest seeing a urologist to get medicine to decrease the size of the prostate (finasteride). I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: sir,i am a patient of bph of size 44 ml,there are two small stones in lower calyces of left kidney.largest stone is .89cm. Today i have done my urine RE,found a few R.B.C. please advice me what to do & why urine contains occult blood.SPSA-1.6,UROFLOMETRY- 562/17/9"
},
{
"from": "gpt",
"value": "Output: Good Day, and thank you for being with Chat Doctor ! Basically blood in the urine can be brought about by kidney stones, prostate enlargement or both. I would suggest getting treated for kidney stones either by medical dissolution (potassium citrate) or shockwave therapy (ESL) to get rid of your stones. For your prostate if you have urinary frequency then I would suggest seeing a urologist to get medicine to decrease the size of the prostate (finasteride). I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi. doctor my husband , had deranged liver function test last day. He is non alcoholic and non smoker. His wt is 85 and he gained this from 67 - 85 within 1 yr. His viral markers are all negative His BP is 130/80, he is not hypertensive or DM. SGOT/PT- 66/200 ,T.Bil- 1.2 | Hi and welcome to Chat Doctor. Thanks for the query. These are slightly elevated got and it doesn't need to indicate anything or just mild fatty liver which is seen if gaining weight to fast. He should just change his dietary habits for start and see wills got fall. It probably will. Some other more serious liver disease would manifest differently. He should do ultrasound of liver and gallbladder also. Wish you good health. Regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi. doctor my husband , had deranged liver function test last day. He is non alcoholic and non smoker. His wt is 85 and he gained this from 67 - 85 within 1 yr. His viral markers are all negative His BP is 130/80, he is not hypertensive or DM. SGOT/PT- 66/200 ,T.Bil- 1.2"
},
{
"from": "gpt",
"value": "Output: Hi and welcome to Chat Doctor. Thanks for the query. These are slightly elevated got and it doesn't need to indicate anything or just mild fatty liver which is seen if gaining weight to fast. He should just change his dietary habits for start and see wills got fall. It probably will. Some other more serious liver disease would manifest differently. He should do ultrasound of liver and gallbladder also. Wish you good health. Regards"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi doctor, Im suffering from herniated disc and sciatica, Ive followed the treatment so it relieves me. but when I stop this treatment, the pain come back. so Id like to ask if is there any solution without drugs, example walking or swimming ...I dont know.thanks. | Hi, As diagnosed with PIED with radiculopathy it should be managed conservatively with regular physiotherapy (spinal extension exercises), avoiding serious work/exercise bending forward, warm compression with vitamins, analgesic, muscle relaxant (if pain) n PPI under guidance of orthopaedition. If symptoms aggravates, bladder bowel involve, neurological involvement ...... then may require decompression. So in my opinion be in regular follow up and treatment accordingly including physiotherapy .hope it'll help Thanks n regards | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi doctor, Im suffering from herniated disc and sciatica, Ive followed the treatment so it relieves me. but when I stop this treatment, the pain come back. so Id like to ask if is there any solution without drugs, example walking or swimming ...I dont know.thanks."
},
{
"from": "gpt",
"value": "Output: Hi, As diagnosed with PIED with radiculopathy it should be managed conservatively with regular physiotherapy (spinal extension exercises), avoiding serious work/exercise bending forward, warm compression with vitamins, analgesic, muscle relaxant (if pain) n PPI under guidance of orthopaedition. If symptoms aggravates, bladder bowel involve, neurological involvement ...... then may require decompression. So in my opinion be in regular follow up and treatment accordingly including physiotherapy .hope it'll help Thanks n regards"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.