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. | A young man age 25 was just diagnosed with stage 4 melanoma. The tumor was ver large and bloody and on trunk. Hes had this thing for like 4 yeats but just started getting worse. Then last month he lost nearly 20 lbs in one month. Whats a fair prognosis? How long would he have to live? | Hi, Welcome to Chat Doctor forum. The survival rate of 5 years is considered to be 15 to 20 %, means 20 patients among 100 patients survive 5 years. Out look is better if the lesion is in the distant part, and in the lymph nodes than in organs. And if lactose deny Chat Doctor. Besides giving treatment give him fresh juices of palatable vegetables, to have an UN explained little recovery. Wishing him good health. Thank you. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: A young man age 25 was just diagnosed with stage 4 melanoma. The tumor was ver large and bloody and on trunk. Hes had this thing for like 4 yeats but just started getting worse. Then last month he lost nearly 20 lbs in one month. Whats a fair prognosis? How long would he have to live?"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor forum. The survival rate of 5 years is considered to be 15 to 20 %, means 20 patients among 100 patients survive 5 years. Out look is better if the lesion is in the distant part, and in the lymph nodes than in organs. And if lactose deny Chat Doctor. Besides giving treatment give him fresh juices of palatable vegetables, to have an UN explained little recovery. Wishing him good health. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have pain on the lower right hand side of my stomach. It hurts when I breath and when I sit and when I get up. The pain on the scale of 1-10 is about an 7 or an 8. I am sitting in chair now and it hurts. My stomach is also bloated. I have had this pain for about 2 to 3 days now. The pain is more intense today then it was the past 3 days. I have been taking the supplement CLA for weight loss. I have taken one capsule a day but I have not been taking it regularly for the past two months. I take it with 1400 mg of Fish Oil. What is wrong with me. Could I have pancreatic stones or gall stones. I do not have a fever and I am not vomiting. | HI. Gone through the history you have provided. Odd to know there is no fever, no vomiting in spite of pain in right lower abdomen.7 to 8 ON scale is severe enough. It hurts when you breath-there are few things like appendicular lump, kidney problems and inflamed gall bladder that can cause pain like this on the right side of abdomen. The best way to get the clinical examination by a Surgeon and ultrasonography to find the cause. Pancreatic stones do not present like this. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have pain on the lower right hand side of my stomach. It hurts when I breath and when I sit and when I get up. The pain on the scale of 1-10 is about an 7 or an 8. I am sitting in chair now and it hurts. My stomach is also bloated. I have had this pain for about 2 to 3 days now. The pain is more intense today then it was the past 3 days. I have been taking the supplement CLA for weight loss. I have taken one capsule a day but I have not been taking it regularly for the past two months. I take it with 1400 mg of Fish Oil. What is wrong with me. Could I have pancreatic stones or gall stones. I do not have a fever and I am not vomiting."
},
{
"from": "gpt",
"value": "Output: HI. Gone through the history you have provided. Odd to know there is no fever, no vomiting in spite of pain in right lower abdomen.7 to 8 ON scale is severe enough. It hurts when you breath-there are few things like appendicular lump, kidney problems and inflamed gall bladder that can cause pain like this on the right side of abdomen. The best way to get the clinical examination by a Surgeon and ultrasonography to find the cause. Pancreatic stones do not present like this."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I recently had surgery to remove a plate that had come loose from my upper jaw, right above my canine tooth . I also told the surgeon that I had noticed a hole that had been there since my initial double jaw surgery. The surgeon said he didn t notice any hole. Now, one week after surgery, the stitches that are right over the spot the hole was have popped loose and now there is a huge painful hole in my upper gum and lip, right above my canine tooth. My canine tooth has started hurting and my nose keeps running on the side of the hole. What could this possibly be? | Hello and welcome to Chat Doctor forum, according to the dental history provided by you, it seems, that you have had a congenital jaw problem, for which you have undergone a surgery. I am not able to make out through your dental history that what kind of hole it is. until I check clinically, but as you said post surgery you have been suffering from running nose and pain, it clearly signifies sinusitis(maxillary sinus). It is a condition, wherein, the maxillary sinus associated with upper teeth(canine to first molar) gets infected following surgeries, extractions and trauma. Therefore I advise you to visit your concerned dentist, he/she will prescribe you antibiotics and anti-inflammatory medication to resolve infection.I advise you to start warm saline rinses(3-4 times/day). And see your dentist soon.I wish you good health, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I recently had surgery to remove a plate that had come loose from my upper jaw, right above my canine tooth . I also told the surgeon that I had noticed a hole that had been there since my initial double jaw surgery. The surgeon said he didn t notice any hole. Now, one week after surgery, the stitches that are right over the spot the hole was have popped loose and now there is a huge painful hole in my upper gum and lip, right above my canine tooth. My canine tooth has started hurting and my nose keeps running on the side of the hole. What could this possibly be?"
},
{
"from": "gpt",
"value": "Output: Hello and welcome to Chat Doctor forum, according to the dental history provided by you, it seems, that you have had a congenital jaw problem, for which you have undergone a surgery. I am not able to make out through your dental history that what kind of hole it is. until I check clinically, but as you said post surgery you have been suffering from running nose and pain, it clearly signifies sinusitis(maxillary sinus). It is a condition, wherein, the maxillary sinus associated with upper teeth(canine to first molar) gets infected following surgeries, extractions and trauma. Therefore I advise you to visit your concerned dentist, he/she will prescribe you antibiotics and anti-inflammatory medication to resolve infection.I advise you to start warm saline rinses(3-4 times/day). And see your dentist soon.I wish you good health, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hey, um so I just want to get some facts on my chest pain, had if for about 2 months now on and off, only happens when I wake up from drinking alot of alcohol the night before , it s a sharp tight pain, I also feel like I can t breath or that I m going to die. I am a daily smoker , drug abuser and alcohol use. I m just curious to know why it s happening and why has it only been coming on the last 2 months. I m a 17 year old male so it s kinda scaring me I got bad chest pains at such a young age . Also with the chest pains I feel dizzy, my arms and legs go numb and tingly like pins and needles, im short of air and its just a really unpleasant feeling. I should also tell you that I was hospitalized from it about 2 months ago , they ran scans and only told me thy i had severe lung scaring from smoking. Thanks fo taking your time to read this as please get back to me ASAP . Josh | Thanks for your question on Chat Doctor. N my opinion we should first rule out cardiac and pulmonary causes. Since you are smoker chances of cardiac and pulmonary diseases are more. So first get done ECG to rule out cardiac cause. Get done PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than your chest pain is due to HERD(Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. And due to this acid of the stomach tends to come up in the esophagus and cause the symptoms. Smoking and alcohol both make this sphincter loose and cause reflux. So better to quit alcohol and smoking as soon as possible. Eat healthy and stay fit. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hey, um so I just want to get some facts on my chest pain, had if for about 2 months now on and off, only happens when I wake up from drinking alot of alcohol the night before , it s a sharp tight pain, I also feel like I can t breath or that I m going to die. I am a daily smoker , drug abuser and alcohol use. I m just curious to know why it s happening and why has it only been coming on the last 2 months. I m a 17 year old male so it s kinda scaring me I got bad chest pains at such a young age . Also with the chest pains I feel dizzy, my arms and legs go numb and tingly like pins and needles, im short of air and its just a really unpleasant feeling. I should also tell you that I was hospitalized from it about 2 months ago , they ran scans and only told me thy i had severe lung scaring from smoking. Thanks fo taking your time to read this as please get back to me ASAP . Josh"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. N my opinion we should first rule out cardiac and pulmonary causes. Since you are smoker chances of cardiac and pulmonary diseases are more. So first get done ECG to rule out cardiac cause. Get done PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than your chest pain is due to HERD(Castro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. And due to this acid of the stomach tends to come up in the esophagus and cause the symptoms. Smoking and alcohol both make this sphincter loose and cause reflux. So better to quit alcohol and smoking as soon as possible. Eat healthy and stay fit."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello doctror, My aunt is suffering from renal carcinoma and one of her kidney has been removed 4 years back. Before 8 months, again another attack has been detected in the sternum and ribs. We consulted a doctor and he adviced for chemo treatment for 1 month in alternate days. After he told for paliative care and prescribe a tablet called evertor in daily basis. Sir I want to know whether she will come back to her normal life? What is your opinion about this case? | Hi Neethugopinath, Your aunt has already undergone neurectomy and has metastasis to sternum and ribs. It is not possible to have routine life as a normal person will have. Again it needs other parameters to predict prognosis of patient with metastatic renal carcinoma like LDH enzyme levels, He levels, Ca levels. SO I will elaborate few criteria which will help to get clear picture regarding your aunty. Patients in the favorable-risk group (zero risk factors) had a median survival of 20 months. Patients with intermediate risk (1 or 2 risk factors) had a median survival of 10 months. Patients in the poor-risk group (3 or more risk factors) had a median survival of only 4 months. The prognostic factors are as follows | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello doctror, My aunt is suffering from renal carcinoma and one of her kidney has been removed 4 years back. Before 8 months, again another attack has been detected in the sternum and ribs. We consulted a doctor and he adviced for chemo treatment for 1 month in alternate days. After he told for paliative care and prescribe a tablet called evertor in daily basis. Sir I want to know whether she will come back to her normal life? What is your opinion about this case?"
},
{
"from": "gpt",
"value": "Output: Hi Neethugopinath, Your aunt has already undergone neurectomy and has metastasis to sternum and ribs. It is not possible to have routine life as a normal person will have. Again it needs other parameters to predict prognosis of patient with metastatic renal carcinoma like LDH enzyme levels, He levels, Ca levels. SO I will elaborate few criteria which will help to get clear picture regarding your aunty. Patients in the favorable-risk group (zero risk factors) had a median survival of 20 months. Patients with intermediate risk (1 or 2 risk factors) had a median survival of 10 months. Patients in the poor-risk group (3 or more risk factors) had a median survival of only 4 months. The prognostic factors are as follows"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | A few weeks ago... Every once in a while, I would just be at work standing at my cash register ringing up groceries & all of a sudden I would gasp for air. Just once... It s only happened @ (3) times... Maybe once there & twice at home.. I don t understand? Why would I do that? | Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset involuntary gasp without any respiratory symptoms (cough, breathlessness, chest pain) is commonly due to stress and anxiety. But if you are smoker or having above-mentioned symptoms then better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to rule out lung related causes. If you are asymptomatic and nonsmoker then no need to worry. Stress and tension can cause sudden involuntary gasps. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. 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: A few weeks ago... Every once in a while, I would just be at work standing at my cash register ringing up groceries & all of a sudden I would gasp for air. Just once... It s only happened @ (3) times... Maybe once there & twice at home.. I don t understand? Why would I do that?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset involuntary gasp without any respiratory symptoms (cough, breathlessness, chest pain) is commonly due to stress and anxiety. But if you are smoker or having above-mentioned symptoms then better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test) to rule out lung related causes. If you are asymptomatic and nonsmoker then no need to worry. Stress and tension can cause sudden involuntary gasps. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. 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. | I was give prednisone 20g (3/single daily) for 5 days because of scaitica. It is the end of day 4 and my back hurts, my hamstring/calf are strained and palpitate frequently. I make myself get up to have mobility but mostly lying on the floor. I used the bathroom this morning and my right glute tightened causing me to fall. The flute has been palpitating all day. What can I do? | Hi, Thank you for your question to Chat Doctor. The symptoms you have described are related to the muscle spasms. Muscle relaxant like chlorzoxazone or cyclobenzaprine are helpful. Cyclobenzaprine is available in 5 and 10 MG and is supposed to be taken 3 times a day. Physician supervision is necessary to monitor for side effects. If oral steroids (prednisone) are not helpful epidural injection of a mixture of a steroid and local anesthetic can be tried. These are done by spine surgeons or pain specialists. Hope this is helpful. Wish you the best. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I was give prednisone 20g (3/single daily) for 5 days because of scaitica. It is the end of day 4 and my back hurts, my hamstring/calf are strained and palpitate frequently. I make myself get up to have mobility but mostly lying on the floor. I used the bathroom this morning and my right glute tightened causing me to fall. The flute has been palpitating all day. What can I do?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for your question to Chat Doctor. The symptoms you have described are related to the muscle spasms. Muscle relaxant like chlorzoxazone or cyclobenzaprine are helpful. Cyclobenzaprine is available in 5 and 10 MG and is supposed to be taken 3 times a day. Physician supervision is necessary to monitor for side effects. If oral steroids (prednisone) are not helpful epidural injection of a mixture of a steroid and local anesthetic can be tried. These are done by spine surgeons or pain specialists. Hope this is helpful. Wish you the best."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My 32 year old son has had high blood pressure since he was 18 when we found it. Yesterday 9/30/14 he called me and said he was dizzey .when I got there he was on the floor and I could not wake him up. After about 20 minutes while we were trying to get him to the car to go to the doctor he came to. he refused to go to the doctor because he was afraid he would be put in the hospital and he cant afford insurance. his blood pressure was 214/184. after about thirty minutes he said he was fine. He is stressed because his job has cut his hours to 20 a week. should we try to force him to go to the DR? | Hello there, Thank you for relying on Chat Doctor. The condition you described is an emergency which definitely needs medical care, or it might be fatal later. If he was diagnosed at an age 18,was he on antihypertensives?. If not then he should be immediately be on one. Left uncontrolled, he may wind up with a disability, a poor quality of life or even a fatal heart attack. High blood pressure might cause damage to his heart(Coronary artery disease, Enlarged left heart, heart failure), brain(Transient ischemic attack, mild cognitive impairment, stroke), kidney(failure) and a lot more if not treated. So I would suggest you to force him to see a doctor. Nothing is worth a life. In the meantime, he should follow strict diet plan like;1)Low salt and low fat diet2)eat fruits and vegetables which are rich in potassium and magnesium3)Exercise at least 30-40minutes a day to lose those extra body fat. Hope it helped. Feel free to ask any more queries. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My 32 year old son has had high blood pressure since he was 18 when we found it. Yesterday 9/30/14 he called me and said he was dizzey .when I got there he was on the floor and I could not wake him up. After about 20 minutes while we were trying to get him to the car to go to the doctor he came to. he refused to go to the doctor because he was afraid he would be put in the hospital and he cant afford insurance. his blood pressure was 214/184. after about thirty minutes he said he was fine. He is stressed because his job has cut his hours to 20 a week. should we try to force him to go to the DR?"
},
{
"from": "gpt",
"value": "Output: Hello there, Thank you for relying on Chat Doctor. The condition you described is an emergency which definitely needs medical care, or it might be fatal later. If he was diagnosed at an age 18,was he on antihypertensives?. If not then he should be immediately be on one. Left uncontrolled, he may wind up with a disability, a poor quality of life or even a fatal heart attack. High blood pressure might cause damage to his heart(Coronary artery disease, Enlarged left heart, heart failure), brain(Transient ischemic attack, mild cognitive impairment, stroke), kidney(failure) and a lot more if not treated. So I would suggest you to force him to see a doctor. Nothing is worth a life. In the meantime, he should follow strict diet plan like;1)Low salt and low fat diet2)eat fruits and vegetables which are rich in potassium and magnesium3)Exercise at least 30-40minutes a day to lose those extra body fat. Hope it helped. Feel free to ask any more queries."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here... My wife is suffering from depression. And she loses her memory. She can be very angry and get upset for nothing. she can hit somebody and after some time she behaves as if nothing has happened. what do you think she is having problem./ | Hi there, Thanks for writing to us, The information provided by you is not sufficient to make a confident diagnosis. From the available information, there is a possibility that your wife is having dissociative spells where she loses memory to those particular events. Memory loss as such is a symptom that is commonly encountered in either depressive illness or in some organic causes of illnesses. It requires a detailed psychiatric evaluation and if felt necessary, a neurological consultation. Hope this helps, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here... My wife is suffering from depression. And she loses her memory. She can be very angry and get upset for nothing. she can hit somebody and after some time she behaves as if nothing has happened. what do you think she is having problem./"
},
{
"from": "gpt",
"value": "Output: Hi there, Thanks for writing to us, The information provided by you is not sufficient to make a confident diagnosis. From the available information, there is a possibility that your wife is having dissociative spells where she loses memory to those particular events. Memory loss as such is a symptom that is commonly encountered in either depressive illness or in some organic causes of illnesses. It requires a detailed psychiatric evaluation and if felt necessary, a neurological consultation. Hope this helps, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, My daughter is two years now. Should I get the vaccination done against typhiod? Also, I looked at the vaccination list and found out that Hepatitis A vaccination is only suggested, is it imporatnt to get it done? Also, if I get get typhiod vacine done now how long should i wait to get Hep A vaccine done? I also wanted to know the app prices of typhiod and Hep vaccines | Hi.... I suggest that you get both hepatitis A and typhoid vaccination on the same day. Hepatitis A vaccination has to be repeated with a booster dose after 6 months. Cost is around 1000 rupees. There are two types of typhoid vaccines. One is a v i polysaccharide vaccine which is cheaper one and costs you around 200 to 250 rupees, but the immunity is only about 50 to 60%. The second type is typhoid conjugate vaccine which is costly vaccine around 1800 rupees, but the effectiveness is 99%. I suggest just you go ahead with hepatitis A vaccine and typhoid conjugate vaccine on the same day. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, My daughter is two years now. Should I get the vaccination done against typhiod? Also, I looked at the vaccination list and found out that Hepatitis A vaccination is only suggested, is it imporatnt to get it done? Also, if I get get typhiod vacine done now how long should i wait to get Hep A vaccine done? I also wanted to know the app prices of typhiod and Hep vaccines"
},
{
"from": "gpt",
"value": "Output: Hi.... I suggest that you get both hepatitis A and typhoid vaccination on the same day. Hepatitis A vaccination has to be repeated with a booster dose after 6 months. Cost is around 1000 rupees. There are two types of typhoid vaccines. One is a v i polysaccharide vaccine which is cheaper one and costs you around 200 to 250 rupees, but the immunity is only about 50 to 60%. The second type is typhoid conjugate vaccine which is costly vaccine around 1800 rupees, but the effectiveness is 99%. I suggest just you go ahead with hepatitis A vaccine and typhoid conjugate vaccine on the same day. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a healthy 58 yrs old woman. I race walk competively. I have been going faster lately. Sometimes my heart rate goes to 230 for 10-20 seconds. When I end my race walking trainings (4 miles average), my heart rate drops down quickly, no problem. Should I worry about the 230? | Hello thanks for posting here. A heart rate of 230 on exertion definitely requires evaluation. However first we need to evaluate whether you really reach that 230 reading. While running the heart rate detector may mistake your body vibrations and movements for heart beats and count them accordingly. Hence the heart rate may erroneously show a high reading. So you have to check whether it happens to you only or with everyone. Another thing that can be done is a treadmill test. It requires you to run on a treadmill, the speed of which increases gradually to a point till your heart rate reaches a target rate. This TMT test will continuously record your EKG while you are running so all aberrations and errors can be rules out. It will definitely show whether you really have a fast heart rate on exercising. If it documents very fast heart rate further work up can be done. Wishing you good health. 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 a healthy 58 yrs old woman. I race walk competively. I have been going faster lately. Sometimes my heart rate goes to 230 for 10-20 seconds. When I end my race walking trainings (4 miles average), my heart rate drops down quickly, no problem. Should I worry about the 230?"
},
{
"from": "gpt",
"value": "Output: Hello thanks for posting here. A heart rate of 230 on exertion definitely requires evaluation. However first we need to evaluate whether you really reach that 230 reading. While running the heart rate detector may mistake your body vibrations and movements for heart beats and count them accordingly. Hence the heart rate may erroneously show a high reading. So you have to check whether it happens to you only or with everyone. Another thing that can be done is a treadmill test. It requires you to run on a treadmill, the speed of which increases gradually to a point till your heart rate reaches a target rate. This TMT test will continuously record your EKG while you are running so all aberrations and errors can be rules out. It will definitely show whether you really have a fast heart rate on exercising. If it documents very fast heart rate further work up can be done. Wishing you good health. Thank you"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | dear dr. my 17yrs daughter is suffering from severe allergy since 3yrs. i have tried many drs. but all ae gone in vain. she is taking alaspan 10g. and it makes her drowsy. plz tell me what i should do. i am very much worried with her health, bcoz she is becoming waek day by day. she has obesity also. susmita chatterjee west bengal | Hello Sushmita Since you are from India, so you will understand better. First I want to tell you that your 17 years old daughter is having allergic rhinitis and this is a precursor of asthmatic allergic bronchitis and later on turn into ASTHMA, if proper care in not taken. Causative or triggering factors for this allergy are, dust, mite, hay, fodder, fine dusting powder, sudden fall and rise of temperature, pollen, mold, smokes, pests (cockroaches) , pets in house. If possible take care about avoidance. These measures also help | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dear dr. my 17yrs daughter is suffering from severe allergy since 3yrs. i have tried many drs. but all ae gone in vain. she is taking alaspan 10g. and it makes her drowsy. plz tell me what i should do. i am very much worried with her health, bcoz she is becoming waek day by day. she has obesity also. susmita chatterjee west bengal"
},
{
"from": "gpt",
"value": "Output: Hello Sushmita Since you are from India, so you will understand better. First I want to tell you that your 17 years old daughter is having allergic rhinitis and this is a precursor of asthmatic allergic bronchitis and later on turn into ASTHMA, if proper care in not taken. Causative or triggering factors for this allergy are, dust, mite, hay, fodder, fine dusting powder, sudden fall and rise of temperature, pollen, mold, smokes, pests (cockroaches) , pets in house. If possible take care about avoidance. These measures also help"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im 23 AND im on sprintec on my first pack but I had 3 pills left b4 finishing the pack when I had unprotected sex.. am I ok.. how long till I should have waited | Dear cookie if you are taking regular pills without missing a single day then nothing to worry at all it sometimes happens that 3-4 pills remains inside the packet it's all depends upon the cycle duration sometimes it comes early then some pills left to take from new cycle you have to start new pills' packet only then also till next period occurs wait for the same, if your periods will get delay by 7 days then got checked about the pregnancy by prey card all the best bye | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im 23 AND im on sprintec on my first pack but I had 3 pills left b4 finishing the pack when I had unprotected sex.. am I ok.. how long till I should have waited"
},
{
"from": "gpt",
"value": "Output: Dear cookie if you are taking regular pills without missing a single day then nothing to worry at all it sometimes happens that 3-4 pills remains inside the packet it's all depends upon the cycle duration sometimes it comes early then some pills left to take from new cycle you have to start new pills' packet only then also till next period occurs wait for the same, if your periods will get delay by 7 days then got checked about the pregnancy by prey card all the best bye"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Ive been having these sharp pains in my chest for about a week. They come and go and started in just a spot on my chest but have streched over the spand of my chest in a little over a week. I have been sick for about 3 weeks and have been coughing a lot, but i dont know if that has anything to do with it. | Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks) and fever and now developed chest pain. So we should definitely rule out pneumonia in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. Chest x-ray is must for the diagnosis of pneumonia. You will need antibiotics, antihistamine, anti-inflammatory and other supportive 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 these sharp pains in my chest for about a week. They come and go and started in just a spot on my chest but have streched over the spand of my chest in a little over a week. I have been sick for about 3 weeks and have been coughing a lot, but i dont know if that has anything to do with it."
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks) and fever and now developed chest pain. So we should definitely rule out pneumonia in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. Chest x-ray is must for the diagnosis of pneumonia. You will need antibiotics, antihistamine, anti-inflammatory and other supportive Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello! My 6-month old fell off my bed (about 3ft high) and he was already tired before falling, so after the fall he cried for about 10 minutes and I gave him a bottle of milk (which he drank the whole 8oz) and he fell asleep. Should I let him sleep? Oh, and he also had a little blood coming out of his nose. Thanks for any advice. | Welcome to the ChatDoctorI understand your concerns but don't worry. You may monitor his pulse rate, respiration and tone at home. If there is persistent increased pulse rate, continuous bleed, poor tone, seizure, poor activity even after expected sleeping time then do visit a pediatrician for proper clinical examination and definitive management. If everything seems to be fine then there is no need for any other treatment. 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 6-month old fell off my bed (about 3ft high) and he was already tired before falling, so after the fall he cried for about 10 minutes and I gave him a bottle of milk (which he drank the whole 8oz) and he fell asleep. Should I let him sleep? Oh, and he also had a little blood coming out of his nose. Thanks for any advice."
},
{
"from": "gpt",
"value": "Output: Welcome to the ChatDoctorI understand your concerns but don't worry. You may monitor his pulse rate, respiration and tone at home. If there is persistent increased pulse rate, continuous bleed, poor tone, seizure, poor activity even after expected sleeping time then do visit a pediatrician for proper clinical examination and definitive management. If everything seems to be fine then there is no need for any other treatment. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I had a bad fall down a flight of stairs Wednesday night I have a really bad bruise on the lower backside of my back and I hit my head on the door busting my eye and causing it to bleed but the past couple days I ve been feeling sick to my stomach bad headaches and occasional spotting when I urinate. I m not sure if I need to go to the hospital or not | Hi, Thanks for your query. From the description that you have provided, it seems that you have suffered a soft tissue injury. You need to provide rest to the back. Avoid massaging the area. Doing a hot fomentation will be helpful. Avoid forward bending. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the X-ray/MRI of the area affected under his/her guidance do hope that you have found something helpful, and I will be glad to answer any further query. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I had a bad fall down a flight of stairs Wednesday night I have a really bad bruise on the lower backside of my back and I hit my head on the door busting my eye and causing it to bleed but the past couple days I ve been feeling sick to my stomach bad headaches and occasional spotting when I urinate. I m not sure if I need to go to the hospital or not"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for your query. From the description that you have provided, it seems that you have suffered a soft tissue injury. You need to provide rest to the back. Avoid massaging the area. Doing a hot fomentation will be helpful. Avoid forward bending. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the X-ray/MRI of the area affected under his/her guidance do hope that you have found something helpful, and I will be glad to answer any further query. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Last period was December 6-11, been spotting some. The early part of this month and yesterday. All HPT s are negative except 1 from two days ago was a very faint positive, and blood test from yesterday is negative. Still no period. Could I still be preganent? or are there a million reasons for this? | Hallow Dear, You have to be rather cautious with the symptoms you are describing. If your pregnancy test is faint positive, and you are spotting, the first diagnosis to be looked for is pregnancy outside the uterine cavity (ectopic pregnancy). Do you have pain in the abdomen also? This is a very serious condition which lands into life-threatening bleeding emergencies requiring blood transfusion and surgical intervention to save the life. Please report to your Gynecologist for due assessment of the condition. You may have to undergo Laparoscopy for diagnosis or certain clinical tests can diagnose this condition. Please do not waste time. Rush to The Gynecologist ASAP. Take care please. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Last period was December 6-11, been spotting some. The early part of this month and yesterday. All HPT s are negative except 1 from two days ago was a very faint positive, and blood test from yesterday is negative. Still no period. Could I still be preganent? or are there a million reasons for this?"
},
{
"from": "gpt",
"value": "Output: Hallow Dear, You have to be rather cautious with the symptoms you are describing. If your pregnancy test is faint positive, and you are spotting, the first diagnosis to be looked for is pregnancy outside the uterine cavity (ectopic pregnancy). Do you have pain in the abdomen also? This is a very serious condition which lands into life-threatening bleeding emergencies requiring blood transfusion and surgical intervention to save the life. Please report to your Gynecologist for due assessment of the condition. You may have to undergo Laparoscopy for diagnosis or certain clinical tests can diagnose this condition. Please do not waste time. Rush to The Gynecologist ASAP. Take care please."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Have I suffered a concussion? A week ago, I passed out and hit the back of my head on the ground while I was abroad. I thought I had recovered after a few hours, but the plane ride home left me feeling very weak and nauseous. These past few days, I have experienced a lot of dizziness and nausea. These feelings intensify after I eat. I feel unbalanced when I walk, and woke up this morning with ringing in my left ear that disappeared after 10 minutes. Should I be concerned? I am also scheduled to undergo liposuction/fat transfer in a week. Am I still OK to undergo the procedure? | Hello! Welcome on Chat Doctor ! Your symptoms are quite normal after a head trauma. They do not indicate any serious medical complication. Anyway, I would recommend having some rest for some days and avoid abrupt head movements. If the dizziness persists, it would be necessary consulting with an ENT specialist to exclude any possible inner ear disorder (benign paroxysmal positional vertigo). Hope you will find this answer helpful! Kind regards, | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Have I suffered a concussion? A week ago, I passed out and hit the back of my head on the ground while I was abroad. I thought I had recovered after a few hours, but the plane ride home left me feeling very weak and nauseous. These past few days, I have experienced a lot of dizziness and nausea. These feelings intensify after I eat. I feel unbalanced when I walk, and woke up this morning with ringing in my left ear that disappeared after 10 minutes. Should I be concerned? I am also scheduled to undergo liposuction/fat transfer in a week. Am I still OK to undergo the procedure?"
},
{
"from": "gpt",
"value": "Output: Hello! Welcome on Chat Doctor ! Your symptoms are quite normal after a head trauma. They do not indicate any serious medical complication. Anyway, I would recommend having some rest for some days and avoid abrupt head movements. If the dizziness persists, it would be necessary consulting with an ENT specialist to exclude any possible inner ear disorder (benign paroxysmal positional vertigo). Hope you will find this answer helpful! Kind regards,"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, may I answer your health queries right now ? Please type your query here...My 6 month old has a cold with a cough and lots of mucous. I just noticed a large dark red spot on the side tip of his toungue. Worried About what it could be. He had a cold every month for the past 3 months | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint red spot at the side tip of tongue can be due to causes like inflamed tongue papillae, arteriovenous malformation like hematoma, broken blood vessel, hematoma etc. I would suggest you to consult a Periodontist and get him evaluated, and he can do a clinical evaluation and treat accordingly. As of now feed him with soft foods, do alternate warm and cool compresses over the lump and also maintain a good oral hygiene. Hope this helps. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, may I answer your health queries right now ? Please type your query here...My 6 month old has a cold with a cough and lots of mucous. I just noticed a large dark red spot on the side tip of his toungue. Worried About what it could be. He had a cold every month for the past 3 months"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint red spot at the side tip of tongue can be due to causes like inflamed tongue papillae, arteriovenous malformation like hematoma, broken blood vessel, hematoma etc. I would suggest you to consult a Periodontist and get him evaluated, and he can do a clinical evaluation and treat accordingly. As of now feed him with soft foods, do alternate warm and cool compresses over the lump and also maintain a good oral hygiene. Hope this helps. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi!! I have asthma since my childhood,, am from Tanzania east Africa and now am 30yrs old, the whole of this week I have been sick I do receive asthma attack frequently. is this problem cured? or what best medicine I can use cause is giving me hard time | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi!! I have asthma since my childhood,, am from Tanzania east Africa and now am 30yrs old, the whole of this week I have been sick I do receive asthma attack frequently. is this problem cured? or what best medicine I can use cause is giving me hard time"
},
{
"from": "gpt",
"value": "Output: Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am 42 years old Man. My SGPT/ALT IS 76 U/L [REF | Hi I can understand your concern.Don't worry. Noted you have elevated cholesterol with slight increase Sept. Get your USG abdomen to detect secondary fatty liver or gall stone like condition. If both this negative then you might have Chat Doctor. ... Your aim is to reduce weight with decrease cholesterol... Take low fat diet. Do regular one hour swimming or running. Cheese, pizza, non veg taken very less.... Fruits more. With the time Sept will be normal. No need for much worry.... Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am 42 years old Man. My SGPT/ALT IS 76 U/L [REF"
},
{
"from": "gpt",
"value": "Output: Hi I can understand your concern.Don't worry. Noted you have elevated cholesterol with slight increase Sept. Get your USG abdomen to detect secondary fatty liver or gall stone like condition. If both this negative then you might have Chat Doctor. ... Your aim is to reduce weight with decrease cholesterol... Take low fat diet. Do regular one hour swimming or running. Cheese, pizza, non veg taken very less.... Fruits more. With the time Sept will be normal. No need for much worry.... Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am training for the London marathon unfortunately I tripped over while running and fell on my chest. The pain has been awful. When I lie down I struggle to sit up, and coughing is really painful. I m not sure if I ve cracked a rib or am bruised. I have been take painkiller but they don t seem to be doing anything. I am ment to be running the marathon in 2 weeks so have tried to run or go on the cross trainer the last 4 days but it s painful. What do you recommend I do. I really want to run the marathon I have hundreds of people that have sponsored me so don t want to let my charity down. I fell on Tuesday but don t seemed to feel any better. | Thanks for your question I completely understand your question it seems as you got a rib fracture you need to visit a pulmonologist and get an urgent chest X-ray done the pulmonologist can see the chest X-ray and will rule out any fracture he may prescribe you with some analgesics like paracetamol to control the Piedmont panic it can be a simple muscle injury which ll heal in some time, but you need to visit a pulmonologist thanks feel free to ask more questions may god bless you with good health | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am training for the London marathon unfortunately I tripped over while running and fell on my chest. The pain has been awful. When I lie down I struggle to sit up, and coughing is really painful. I m not sure if I ve cracked a rib or am bruised. I have been take painkiller but they don t seem to be doing anything. I am ment to be running the marathon in 2 weeks so have tried to run or go on the cross trainer the last 4 days but it s painful. What do you recommend I do. I really want to run the marathon I have hundreds of people that have sponsored me so don t want to let my charity down. I fell on Tuesday but don t seemed to feel any better."
},
{
"from": "gpt",
"value": "Output: Thanks for your question I completely understand your question it seems as you got a rib fracture you need to visit a pulmonologist and get an urgent chest X-ray done the pulmonologist can see the chest X-ray and will rule out any fracture he may prescribe you with some analgesics like paracetamol to control the Piedmont panic it can be a simple muscle injury which ll heal in some time, but you need to visit a pulmonologist thanks feel free to ask more questions may god bless you with good health"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Salutation, My mother aged (52), diagnosed nasophayranx carcinoma since 2009, (Undifferentiated type) but treatment mode is homeopathy, for the last 3 years she has no such big complication, for the last 2 months a small tumor has been developed below the nose plate and having headache. What should we do? kindly suggest. | Dear friend. Thanks for sharing your concern. As far as nasopharyngeal carcinoma is concerned, it should be well diagnosed and treated by oncologist as it involves eminent facial structures. I would suggest going and see the oncologist first and get it examined, simultaneously also discuss the headache arising due to that. As it might be putting pressure on the nerves during progression. Hope it helps. Thanks. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Salutation, My mother aged (52), diagnosed nasophayranx carcinoma since 2009, (Undifferentiated type) but treatment mode is homeopathy, for the last 3 years she has no such big complication, for the last 2 months a small tumor has been developed below the nose plate and having headache. What should we do? kindly suggest."
},
{
"from": "gpt",
"value": "Output: Dear friend. Thanks for sharing your concern. As far as nasopharyngeal carcinoma is concerned, it should be well diagnosed and treated by oncologist as it involves eminent facial structures. I would suggest going and see the oncologist first and get it examined, simultaneously also discuss the headache arising due to that. As it might be putting pressure on the nerves during progression. Hope it helps. Thanks. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 54 yo female, and in good health. No history of any health problems at all and Im not on any daily medication. However, i have a family history of heart problems. For the past two days I have been having a mild, dull pain in my left chest area. I cant really say it is pain, but more discomfort. I am also having episodes of dizziness, especially when the discomfort is more severe. This has happened three or four times in the past 24 hours. Could this be my heart? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, these symptoms can be due to cardiac (heart related) diseases. You are above 50 and have strong family history of heart diseases, so we should first rule out heart diseases in your case. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am a 54 yo female, and in good health. No history of any health problems at all and Im not on any daily medication. However, i have a family history of heart problems. For the past two days I have been having a mild, dull pain in my left chest area. I cant really say it is pain, but more discomfort. I am also having episodes of dizziness, especially when the discomfort is more severe. This has happened three or four times in the past 24 hours. Could this be my heart?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Yes, these symptoms can be due to cardiac (heart related) diseases. You are above 50 and have strong family history of heart diseases, so we should first rule out heart diseases in your case. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. 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. | I have a large flap like bump on the inside of my cheek near my back molars like the size of a tictac. It looks the same color as the inside of my cheek only the center is filled white like a pimple. It is not as painful as a canker sore, but there is some pain now and again. Its been there a few days and has grown since i first noticed it. My girlfriend as well has developped one so thinking its something caused by a contagious factor or just big coincidence. What could this be and is this something that needs treated or will drain and go away on its own? | The ulcer near you molar can be a bite lesion (your upper and lower opposite molars hurting your cheek tissue while coming together while biting) most probably, but it is not contagious. Infact most of the common oral ulcer conditions are not contagious except herpes. I advice you to visit an oral physician to rule out the rest. At my clinic i advice my patients to start with oral vitamin A supplements for a fortnight and apply denote over the affected area for a couple of days along with Betadine rinses .it will take a few days to subside, but a visit to a dentist will ensure a proper diagnosis to it, and it can be avoided in the future. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a large flap like bump on the inside of my cheek near my back molars like the size of a tictac. It looks the same color as the inside of my cheek only the center is filled white like a pimple. It is not as painful as a canker sore, but there is some pain now and again. Its been there a few days and has grown since i first noticed it. My girlfriend as well has developped one so thinking its something caused by a contagious factor or just big coincidence. What could this be and is this something that needs treated or will drain and go away on its own?"
},
{
"from": "gpt",
"value": "Output: The ulcer near you molar can be a bite lesion (your upper and lower opposite molars hurting your cheek tissue while coming together while biting) most probably, but it is not contagious. Infact most of the common oral ulcer conditions are not contagious except herpes. I advice you to visit an oral physician to rule out the rest. At my clinic i advice my patients to start with oral vitamin A supplements for a fortnight and apply denote over the affected area for a couple of days along with Betadine rinses .it will take a few days to subside, but a visit to a dentist will ensure a proper diagnosis to it, and it can be avoided in the future. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a tiney red pimple like dot inside my cheek.. I thought is was from a place where I bit my lip during implant surgery. at first it was a long sore like that But now I have the red pimple has it not healing. My Dentist is going to remove it in 3 weeks but Im getting nervous about cancer | Helloo....read through your query....everything that is red is not cancer!!so first don't get tensed...since it was due to bite and later became red it can be an inflamed minor salivary gland and best treatment for it is removal of gland ...don't get tensed by hearing removal of gland.u have 1000s of minor salivary gland so removing this cant make any difference...so better to get it done....so don't worry be cool....wait for 3 months if it heals then no removal otherwise remove it.hope my reply will help u keep smiling...have a healthy day!!! | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a tiney red pimple like dot inside my cheek.. I thought is was from a place where I bit my lip during implant surgery. at first it was a long sore like that But now I have the red pimple has it not healing. My Dentist is going to remove it in 3 weeks but Im getting nervous about cancer"
},
{
"from": "gpt",
"value": "Output: Helloo....read through your query....everything that is red is not cancer!!so first don't get tensed...since it was due to bite and later became red it can be an inflamed minor salivary gland and best treatment for it is removal of gland ...don't get tensed by hearing removal of gland.u have 1000s of minor salivary gland so removing this cant make any difference...so better to get it done....so don't worry be cool....wait for 3 months if it heals then no removal otherwise remove it.hope my reply will help u keep smiling...have a healthy day!!!"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Approx 2 months I started suffering from dizziness, noticed my pulse was irregular. I have had 2 ecgs the first said abnormal qrst contour consistent with old inferior mi and non specific st depression. the second showed pvcs and prolonged qt. I have just had a 24hr holter which showed over 3000 pvcs, sinus tachcardia with some bigeminy and trigeminy. My gp told me this is nothing to worry about and is referring me to cardiology as routine. I have also been having left arm pain and pain radiating into my left neck and shoulder. the last couple of days I am experiencing a severe stabbing pain upper left chest below collar bone and the arm pain is worse. The pain is intermittent but lasting atleast 30 mins, sometimes hours. Should I be concerned? or should I wait for my appointment which will be around 2 months?many thanks Jackie | Hips more than 300o in an ECG are to be taken seriously, 3 or more PCs taken together in succession are called nonsustained ventricular tachycardia, if duration is less than 30 sec, if duration is more than 30 seconds it's called ventricular tachycardia. Most common cause of PCs in ECG are ischemic myocardium, that is when blood supply to heart is less or compromised, inferior wall me also signifies it. Yes you should be very concerned about it few baseline investigations like 2d echo tread mill test should be done as early as possible to identify ischemia to heart. Medicines like beta blockers and nitrates could be started initially by GP before you reach a cardiologist | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Approx 2 months I started suffering from dizziness, noticed my pulse was irregular. I have had 2 ecgs the first said abnormal qrst contour consistent with old inferior mi and non specific st depression. the second showed pvcs and prolonged qt. I have just had a 24hr holter which showed over 3000 pvcs, sinus tachcardia with some bigeminy and trigeminy. My gp told me this is nothing to worry about and is referring me to cardiology as routine. I have also been having left arm pain and pain radiating into my left neck and shoulder. the last couple of days I am experiencing a severe stabbing pain upper left chest below collar bone and the arm pain is worse. The pain is intermittent but lasting atleast 30 mins, sometimes hours. Should I be concerned? or should I wait for my appointment which will be around 2 months?many thanks Jackie"
},
{
"from": "gpt",
"value": "Output: Hips more than 300o in an ECG are to be taken seriously, 3 or more PCs taken together in succession are called nonsustained ventricular tachycardia, if duration is less than 30 sec, if duration is more than 30 seconds it's called ventricular tachycardia. Most common cause of PCs in ECG are ischemic myocardium, that is when blood supply to heart is less or compromised, inferior wall me also signifies it. Yes you should be very concerned about it few baseline investigations like 2d echo tread mill test should be done as early as possible to identify ischemia to heart. Medicines like beta blockers and nitrates could be started initially by GP before you reach a cardiologist"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | im w/ my boyfriend here- he wont let me take him (and wont take himself)to a clinic or e-room at hosp. to find out whats wrong- he for last week or so complains and also silently suffers from pain in his chest mostly but not only when he eats, especially chunky foods like peices of meat... he says its difficult to describe so maybe if he were asked the best suited questions....please help | Thanks for your question on Chat Doctor. I can understand your concern. Chest pain after eating chunky food is mostly due to gastritis. So tell him to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole tablet on empty stomach twice daily.4. Avoid stress and tension, be relaxed and calm.5. Go for walking after meals.6. Quit smoking and alcohol if he has these habits. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: im w/ my boyfriend here- he wont let me take him (and wont take himself)to a clinic or e-room at hosp. to find out whats wrong- he for last week or so complains and also silently suffers from pain in his chest mostly but not only when he eats, especially chunky foods like peices of meat... he says its difficult to describe so maybe if he were asked the best suited questions....please help"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Chest pain after eating chunky food is mostly due to gastritis. So tell him to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole tablet on empty stomach twice daily.4. Avoid stress and tension, be relaxed and calm.5. Go for walking after meals.6. Quit smoking and alcohol if he has these habits. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 16 year old son, 6 ft 1, 178 lbs has had pain by left nipple, and under left shoulder blade in back for two + years, was diagnosed with costochondritis 2 years ago which has never improved, has pain daily, now feels pulsating heart in left chestnot on any meds, no previous surgeries, no other medical history | Hi thanks for contacting Chat Doctor... Here according to your complaints cardiac causes has to be ruled out. For that ECG and ECHO useful... If cardiac cause present treated accordingly... Second you had history of Costco Chat Doctor. So pain might be ongoing from that. Muscular strain can be there which lead pain... If severe pain MRI useful for sassing severity. If needed physiotherapy might help. Transcutaneous electrical nerve stimulation one of the modality for Costco | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 16 year old son, 6 ft 1, 178 lbs has had pain by left nipple, and under left shoulder blade in back for two + years, was diagnosed with costochondritis 2 years ago which has never improved, has pain daily, now feels pulsating heart in left chestnot on any meds, no previous surgeries, no other medical history"
},
{
"from": "gpt",
"value": "Output: Hi thanks for contacting Chat Doctor... Here according to your complaints cardiac causes has to be ruled out. For that ECG and ECHO useful... If cardiac cause present treated accordingly... Second you had history of Costco Chat Doctor. So pain might be ongoing from that. Muscular strain can be there which lead pain... If severe pain MRI useful for sassing severity. If needed physiotherapy might help. Transcutaneous electrical nerve stimulation one of the modality for Costco"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am a 26 yr old female, i have been experiencing some chest pain for 24 hrs, coming and going last night and since about 11am today comming frequent left and right and in center, right before my chest pain last night I discovered throat swollen, white puss bumps, throat hurts nothing crazy! i didnt sleep last night cause of it, I am in pain now and scared to fall asleep. I took 2 antacids, my husband thought it might be acid reflux. it has seemed to help a little. Should I be worried? | Hello, If I were you, I would go to the doctor and do a complete blood count, chest radiography and an ECG. If it is lung infection with a throat infection, you might need to take an antibiotic. The ECG is to see how is the heart and to rule out any possible cardiac problem that would cause the chest pain. You should take the antacids as long as they release you. 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 26 yr old female, i have been experiencing some chest pain for 24 hrs, coming and going last night and since about 11am today comming frequent left and right and in center, right before my chest pain last night I discovered throat swollen, white puss bumps, throat hurts nothing crazy! i didnt sleep last night cause of it, I am in pain now and scared to fall asleep. I took 2 antacids, my husband thought it might be acid reflux. it has seemed to help a little. Should I be worried?"
},
{
"from": "gpt",
"value": "Output: Hello, If I were you, I would go to the doctor and do a complete blood count, chest radiography and an ECG. If it is lung infection with a throat infection, you might need to take an antibiotic. The ECG is to see how is the heart and to rule out any possible cardiac problem that would cause the chest pain. You should take the antacids as long as they release you. 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 have HBV can you help me ? is there medicine for this scare ?i badly need your help on this.in case you want to get in touch with me please my email | HIT hanks for posting your query. By HBV I hope you mean Hepatitis B Virus. First don't get scared. If you are infected with HBV then we need to check whether the HBV virus is multiplying inside your or it is just sitting in your body without multiplying. To know this you need to get a test called HBV DNA PCR (quantitative). Kindly get this test done as the necessity to treatment depends on the result. Hope this information was useful to you. Any clarifications feel free to ask. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i have HBV can you help me ? is there medicine for this scare ?i badly need your help on this.in case you want to get in touch with me please my email"
},
{
"from": "gpt",
"value": "Output: HIT hanks for posting your query. By HBV I hope you mean Hepatitis B Virus. First don't get scared. If you are infected with HBV then we need to check whether the HBV virus is multiplying inside your or it is just sitting in your body without multiplying. To know this you need to get a test called HBV DNA PCR (quantitative). Kindly get this test done as the necessity to treatment depends on the result. Hope this information was useful to you. Any clarifications feel free to ask."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have a bump on the back of my leg. on my thigh. and im not sure if its ring worm or a bug bite? My boyfriend right now has ring worm and its not covered up and i think i go it from him but im not sure. could you help me too try to see what it is. thank you. | Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon and dermatologist-if need be. It could be Varicose vein lump or could be ringworm transferred from your boyfriend.USG would rule out the MB Cyst of the knee. Dual Image Doppler study and physical examination from Surgeon would fix the cause of the lump on the back of the leg. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I have a bump on the back of my leg. on my thigh. and im not sure if its ring worm or a bug bite? My boyfriend right now has ring worm and its not covered up and i think i go it from him but im not sure. could you help me too try to see what it is. thank you."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon and dermatologist-if need be. It could be Varicose vein lump or could be ringworm transferred from your boyfriend.USG would rule out the MB Cyst of the knee. Dual Image Doppler study and physical examination from Surgeon would fix the cause of the lump on the back of the leg. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My name is Ken Karson, I am an inner city hospital which is often the sight of emergency treatment for IV users. I have a history of using whatever needles I can get o injections and often am not careful about the cleanliness of his skin at injection sights. Some of the symptoms I have experienced are Rapid irregular heart beat marked shortness of breath petechial lesions of the skin conjunctiva and the oral mucosa weight loss back pain night sweats urine abnormalities. | Hello thanks for posting here. Given your history and symptoms, you have high probability of infective endocarditis. It is a disease of the heart valves. IV users are most likely to get right sided infective endocarditis of heart valves because of unsterile methods by which bacteria gain direct access to the heart endocardium. And also, please get your HIV Bag and HCV checked which are transmitted by blood, given your history of iv use. To evaluate infectious endocarditis, you must do a blood culture which is a blood test and a 2 D echo which will demonstrate bacterial growth on the valves of the heart. Take care. Regards. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My name is Ken Karson, I am an inner city hospital which is often the sight of emergency treatment for IV users. I have a history of using whatever needles I can get o injections and often am not careful about the cleanliness of his skin at injection sights. Some of the symptoms I have experienced are Rapid irregular heart beat marked shortness of breath petechial lesions of the skin conjunctiva and the oral mucosa weight loss back pain night sweats urine abnormalities."
},
{
"from": "gpt",
"value": "Output: Hello thanks for posting here. Given your history and symptoms, you have high probability of infective endocarditis. It is a disease of the heart valves. IV users are most likely to get right sided infective endocarditis of heart valves because of unsterile methods by which bacteria gain direct access to the heart endocardium. And also, please get your HIV Bag and HCV checked which are transmitted by blood, given your history of iv use. To evaluate infectious endocarditis, you must do a blood culture which is a blood test and a 2 D echo which will demonstrate bacterial growth on the valves of the heart. Take care. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | my husband is 43 yrs old, and was born with one fully functioning kidney and a non functioning kidney. He had a stint put in 13 years ago, due to the ureter closing off. The stint was removed a few weeks later. He has had no problems since. Now, he is having a lot of pain in the right flank area. It is painful to the touch. He keeps insisting it isn t his kidney because the pain is not the same. He is a stubborn man...any advice? | HelloThanks for query. You have not specified about which kidney is functioning and which side stent was placed in 13 years ago. The pain in flank is mostly due to HY Chat Doctor. 1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) DTPA scan of the kidneys .4) Intravenous Paleography to assess the kidney function on both sides. Further treatment will depend upon result of these tests and final diagnosis | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my husband is 43 yrs old, and was born with one fully functioning kidney and a non functioning kidney. He had a stint put in 13 years ago, due to the ureter closing off. The stint was removed a few weeks later. He has had no problems since. Now, he is having a lot of pain in the right flank area. It is painful to the touch. He keeps insisting it isn t his kidney because the pain is not the same. He is a stubborn man...any advice?"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. You have not specified about which kidney is functioning and which side stent was placed in 13 years ago. The pain in flank is mostly due to HY Chat Doctor. 1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) DTPA scan of the kidneys .4) Intravenous Paleography to assess the kidney function on both sides. Further treatment will depend upon result of these tests and final diagnosis"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I was playing tennis and severely pulled my hamstring. 2 days later my whole thy was purple. My concern is the bruising has moved down to my calf then it was sore and now to my ankle and Achilles and now they are sore. Is it normal for the blood to travel down like that? | Hello there, Strenious activities like tennis, involves activities of sudden acceleration and deceleration, making an individual more prone to have soft tissue injuries of thighs, knee and ankle. In your case it appears that you might have hamstring sprain along with injury to Achilles tendon and other tedious structure. I suggest you, kindly consult an orthopaedician for examination and investigative evaluation. 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 playing tennis and severely pulled my hamstring. 2 days later my whole thy was purple. My concern is the bruising has moved down to my calf then it was sore and now to my ankle and Achilles and now they are sore. Is it normal for the blood to travel down like that?"
},
{
"from": "gpt",
"value": "Output: Hello there, Strenious activities like tennis, involves activities of sudden acceleration and deceleration, making an individual more prone to have soft tissue injuries of thighs, knee and ankle. In your case it appears that you might have hamstring sprain along with injury to Achilles tendon and other tedious structure. I suggest you, kindly consult an orthopaedician for examination and investigative evaluation. Thank you."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | We have a soon to be one year old who cries when she makes a bowel movement...it is obvious that she is in a lot of pain....after the bm, she is fine....it is usually solid with a little blood....we have asked the pediatrician and he said just give her more water, and veggies...that we do, but now trying to find a specialist for gastro.. | Thank yo for the query. By the description it seems your child is suffering from anal fissure which usually results from hard motion. Passing hard motion is very common i child Chat Doctor. This indeed is a very painful condition. You can apply Vaseline at the anal canal and push a bit inside. This will act as lubricant and smooth passage of stools. Apply this for three to four times a day even if not passing motion for a few days. You can also administer pediatric glycerin pessary half an hour before his usual time of passing motion. Apply An ovate ointment at anal passage - once after passage of motion (after cleaning the child) and once at night. Continue to try adding fluids, vegetables and fruits to the diet and increase its amount regularly, as advised by your current doctor. This is the only remedy in long term. If he has started walking, let him walk and run continuously, this will add up to the exercise and improve bowel movements. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: We have a soon to be one year old who cries when she makes a bowel movement...it is obvious that she is in a lot of pain....after the bm, she is fine....it is usually solid with a little blood....we have asked the pediatrician and he said just give her more water, and veggies...that we do, but now trying to find a specialist for gastro.."
},
{
"from": "gpt",
"value": "Output: Thank yo for the query. By the description it seems your child is suffering from anal fissure which usually results from hard motion. Passing hard motion is very common i child Chat Doctor. This indeed is a very painful condition. You can apply Vaseline at the anal canal and push a bit inside. This will act as lubricant and smooth passage of stools. Apply this for three to four times a day even if not passing motion for a few days. You can also administer pediatric glycerin pessary half an hour before his usual time of passing motion. Apply An ovate ointment at anal passage - once after passage of motion (after cleaning the child) and once at night. Continue to try adding fluids, vegetables and fruits to the diet and increase its amount regularly, as advised by your current doctor. This is the only remedy in long term. If he has started walking, let him walk and run continuously, this will add up to the exercise and improve bowel movements."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My boyfriend has been having some serious problem recently! He was in a car accident on June 27th. He was sitting at a red light and watched as the car behind him quickly approached! He braced himself on the steering wheel and watched the car slam into him without breaking! He went to ER for lower back and shoulder pain! Late that same night he literally fell to floor in pain from him lower abdomen! After a few weeks his lower left back started hurting really bad! It would come in spasms but now he has frequent urination but when he goes he pees a few drop! A fee times after sex his back flared up and even though he wants sex or to continue his penis wont stay erected! Plz help us figure out whats possibly going on! | elloThanks for query, Your boyfriend is facing problem of erectile Dysfunction since he met with a spine injury due to car accident In view of the pain in lower back and associated ED the neurological cause (Possible Nerve injury)for his ED has to be ruled out. Consult qualified Neurologist for detail neurological examination to rule out any nerve injury.In the meanwhile taking Erosion or Methyl Cyanocobalamine along with Diclofenac twice daily can be tried. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My boyfriend has been having some serious problem recently! He was in a car accident on June 27th. He was sitting at a red light and watched as the car behind him quickly approached! He braced himself on the steering wheel and watched the car slam into him without breaking! He went to ER for lower back and shoulder pain! Late that same night he literally fell to floor in pain from him lower abdomen! After a few weeks his lower left back started hurting really bad! It would come in spasms but now he has frequent urination but when he goes he pees a few drop! A fee times after sex his back flared up and even though he wants sex or to continue his penis wont stay erected! Plz help us figure out whats possibly going on!"
},
{
"from": "gpt",
"value": "Output: elloThanks for query, Your boyfriend is facing problem of erectile Dysfunction since he met with a spine injury due to car accident In view of the pain in lower back and associated ED the neurological cause (Possible Nerve injury)for his ED has to be ruled out. Consult qualified Neurologist for detail neurological examination to rule out any nerve injury.In the meanwhile taking Erosion or Methyl Cyanocobalamine along with Diclofenac twice daily can be tried. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Doctor,I ve been taking tuberculosis medicine for over 8 months now and my medication was extended as a precaution although my tuberculosis is now clear and as of recently my acne has increased a lot. Whenever I skip my medicine,it reduces tremendously. So should I just wait till I finish my medication or take treatment for the acne? | Hi, In all probability your acne is Chat Doctor. So once the antitubercular therapy is stopped either it will clear on its own or you might require few anti acne medicines to have a clean face. Tuberculosis being more serious condition than acne, it is imperative that you take your anti-tubercular medicines regularly even at the cost of having temporary skin flaws. There is no harm in starting an anti acne medication along with antitubercular | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Doctor,I ve been taking tuberculosis medicine for over 8 months now and my medication was extended as a precaution although my tuberculosis is now clear and as of recently my acne has increased a lot. Whenever I skip my medicine,it reduces tremendously. So should I just wait till I finish my medication or take treatment for the acne?"
},
{
"from": "gpt",
"value": "Output: Hi, In all probability your acne is Chat Doctor. So once the antitubercular therapy is stopped either it will clear on its own or you might require few anti acne medicines to have a clean face. Tuberculosis being more serious condition than acne, it is imperative that you take your anti-tubercular medicines regularly even at the cost of having temporary skin flaws. There is no harm in starting an anti acne medication along with antitubercular"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I woke u[p in the middle of the night and found my neck hurts as does my left side. I thought I might have pulled a \"wing\" muscle but as the day went on I found it increasingly painful to inhale and my side (from lower to middle back) hurt as well. Help! | Hi thanks for asking question. First you could have simple musculoskeletal pain as you are suspecting. It might be by heavy exercise or weight lifting. Rest and analgesic with hot compression useful for it. Second rule out respiratory problem if suspicious symptoms present like cold or sore throat with fever.X-ray and pulmonary function test seems to be useful for it...PFT useful for diagnosing and differentiating restrictive and obstructive pulmonary disease. If still no benefit then we will do further work up according to more history and physical examination. Take care...... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I woke u[p in the middle of the night and found my neck hurts as does my left side. I thought I might have pulled a \\\"wing\\\" muscle but as the day went on I found it increasingly painful to inhale and my side (from lower to middle back) hurt as well. Help!"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. First you could have simple musculoskeletal pain as you are suspecting. It might be by heavy exercise or weight lifting. Rest and analgesic with hot compression useful for it. Second rule out respiratory problem if suspicious symptoms present like cold or sore throat with fever.X-ray and pulmonary function test seems to be useful for it...PFT useful for diagnosing and differentiating restrictive and obstructive pulmonary disease. If still no benefit then we will do further work up according to more history and physical examination. Take care......"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I recently in december had my appendix removed since than im still having stomach pain with some back pain as well as yellow burning stool. I had an ultra sound of my gallbladder and they said there were no stones. I also expirience alot of head aches...i cant eat anything without having this problem...some say its my gall bladder or pancreas...help please... | H thanks for asking question. Noted you have USG report normal. So chances of chronic pancreatitis or chronic cholecystitis is seeming to be very less. Measure your blood pressure. It might be related to headache. Get your stool examination to rule out chronic parasitic infection. CBC also be useful. Rule out chronic gastritis or ulcer by H.pylori. Urea breath test like investigation could be useful. If confirmatory diagnosis can't reach do endoscopy and biopsy to rule out other stomach pathology. Meanwhile....-Avoid smoke-more water-avoid alcohol-stay away from loud noises-maintain HY Chat Doctor. -avoid excess spicy food. 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: I recently in december had my appendix removed since than im still having stomach pain with some back pain as well as yellow burning stool. I had an ultra sound of my gallbladder and they said there were no stones. I also expirience alot of head aches...i cant eat anything without having this problem...some say its my gall bladder or pancreas...help please..."
},
{
"from": "gpt",
"value": "Output: H thanks for asking question. Noted you have USG report normal. So chances of chronic pancreatitis or chronic cholecystitis is seeming to be very less. Measure your blood pressure. It might be related to headache. Get your stool examination to rule out chronic parasitic infection. CBC also be useful. Rule out chronic gastritis or ulcer by H.pylori. Urea breath test like investigation could be useful. If confirmatory diagnosis can't reach do endoscopy and biopsy to rule out other stomach pathology. Meanwhile....-Avoid smoke-more water-avoid alcohol-stay away from loud noises-maintain HY Chat Doctor. -avoid excess spicy food. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i sometimes get random dizzy or passing out sensation throughout my body sort of a shaky feeling afterwards i get a bowel movement sensation , I went to the hospital after a drug overdose that gave me a very bad panic ever sense I haven t felt the same I don t smoke drink or anything has been about 2 months , am I suffering anxiety | DearWelcome to ChatDoctorWe understand your concerns went through your details. The symptom you gave here are also corresponding to anxiety disorder and panic disorder symptoms. Dizziness, passing out sensation and shaky feelings could be triggered by too much negative thinking about your health (obsession) and being anxious about a particular symptom. In your case, the particular symptom turns out to be dizziness, shaky feeling and passing out sensation. When you be obsessive and be anxious about a particular symptom, that symptom worsens. Your stomach problems also point towards anxiety disorder. Your previous history of panic attack must have triggered the obsession and anxiety disorder. Don't worry. These symptoms should be cleared in a span of two or three years. You should not be obsessive or be anxious about these symptoms. You may do a good body check up and just forget about these symptoms. Furthermore, you should consult a psychologist for counseling and psychotherapy treatment. If you still need my assistance in this regard, please use this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i sometimes get random dizzy or passing out sensation throughout my body sort of a shaky feeling afterwards i get a bowel movement sensation , I went to the hospital after a drug overdose that gave me a very bad panic ever sense I haven t felt the same I don t smoke drink or anything has been about 2 months , am I suffering anxiety"
},
{
"from": "gpt",
"value": "Output: DearWelcome to ChatDoctorWe understand your concerns went through your details. The symptom you gave here are also corresponding to anxiety disorder and panic disorder symptoms. Dizziness, passing out sensation and shaky feelings could be triggered by too much negative thinking about your health (obsession) and being anxious about a particular symptom. In your case, the particular symptom turns out to be dizziness, shaky feeling and passing out sensation. When you be obsessive and be anxious about a particular symptom, that symptom worsens. Your stomach problems also point towards anxiety disorder. Your previous history of panic attack must have triggered the obsession and anxiety disorder. Don't worry. These symptoms should be cleared in a span of two or three years. You should not be obsessive or be anxious about these symptoms. You may do a good body check up and just forget about these symptoms. Furthermore, you should consult a psychologist for counseling and psychotherapy treatment. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am just getting over pneumonia and coughing a lot. Last night I felt something pop in my back left, upper rib. Very sharp pain. I can breathe okay and taking ibuprofen every 4 hours. I m afraid to cough again because it hurts. I m also doing hot and cold packs. How long will this take to feel okay? | Thanks for your question on Chat Doctor. In my opinion you are having muscular pain only due to excessive coughing. Since you had pneumonia, better to rule out recurrence of pneumonia as this can also cause similar pain. So get done chest x-ray and compare this with previous one. If improving than no need to worry much, this is muscular only. Due to excessive coughing ribs and intercostal muscles are contracting very forcefully. When coughing is repeated, it becomes painful. So try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Along with ibuprofen take muscle relaxant also.4. Continue warm water pad application. 5. Wear chest belt to avoid mobilization of affected area. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am just getting over pneumonia and coughing a lot. Last night I felt something pop in my back left, upper rib. Very sharp pain. I can breathe okay and taking ibuprofen every 4 hours. I m afraid to cough again because it hurts. I m also doing hot and cold packs. How long will this take to feel okay?"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. In my opinion you are having muscular pain only due to excessive coughing. Since you had pneumonia, better to rule out recurrence of pneumonia as this can also cause similar pain. So get done chest x-ray and compare this with previous one. If improving than no need to worry much, this is muscular only. Due to excessive coughing ribs and intercostal muscles are contracting very forcefully. When coughing is repeated, it becomes painful. So try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Along with ibuprofen take muscle relaxant also.4. Continue warm water pad application. 5. Wear chest belt to avoid mobilization of affected area."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doctor....i am a female 44y ..my question is this....I have been on Ixempra chemotherapy. Now I was fine he first cycle, then the oncologist made the chemo a bit more stronger. This was like the 4th treatment. I have also been given blood 2 transfusions because this chemo lowers the blood hemoglobin. Now after this treatment loke a week ago I was having blood in the stool but it was with mucous and what it looked like a lining. I had no abdominal pain, no fever or chills. 3 days ago it came back the blood in the stool but today I felt gassy and I went to the bathroom and I had pooped but this time it was bloody..when I cleaned myself the paper was with blood like when you wipe during a menstrual period. This has never happened before I have been on different chemos for 7 years and this is the first time I have seen this happen. Is it irritating the lining of the intestine. I started a low fiber diet. I am worried about this. What should I do? | Hi, Thanks for writing in. Chemotherapy is treatment with strong medicine and this has potential side effects. Many times a medicine will cause intense side effects when given alone, and it is likely that your bleeding from bowel is from this cause. You are having low hemoglobin and more decrease might become serious. Therefore, please take precautions in diet and medicines to raise your hemoglobin slowly. Please inform your doctor and this might help to decide if your chemotherapy requires change. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doctor....i am a female 44y ..my question is this....I have been on Ixempra chemotherapy. Now I was fine he first cycle, then the oncologist made the chemo a bit more stronger. This was like the 4th treatment. I have also been given blood 2 transfusions because this chemo lowers the blood hemoglobin. Now after this treatment loke a week ago I was having blood in the stool but it was with mucous and what it looked like a lining. I had no abdominal pain, no fever or chills. 3 days ago it came back the blood in the stool but today I felt gassy and I went to the bathroom and I had pooped but this time it was bloody..when I cleaned myself the paper was with blood like when you wipe during a menstrual period. This has never happened before I have been on different chemos for 7 years and this is the first time I have seen this happen. Is it irritating the lining of the intestine. I started a low fiber diet. I am worried about this. What should I do?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Chemotherapy is treatment with strong medicine and this has potential side effects. Many times a medicine will cause intense side effects when given alone, and it is likely that your bleeding from bowel is from this cause. You are having low hemoglobin and more decrease might become serious. Therefore, please take precautions in diet and medicines to raise your hemoglobin slowly. Please inform your doctor and this might help to decide if your chemotherapy requires change. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hey im 14 and i have this sharp pain in my chest everytime i breath to a certain point. i think that its precordial catch syndrome although i dont think its meant to last 2 days. Is there any possible way that i could get rid of this without any pain? and yes i have been to the doctor and she said im perfectly healthy so i dont know what the hell is wrong with me.. pleasee helppp !! | Thanks for your question on Chat Doctor. I can understand your concern. Since your doctor is denying any serious illness for your chest pain, no need to worry about major heart or lung related diseases. Possibility of musculoskeletal pain is more. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 - 7 days. If not improving in 1 week then get done chest x-ray to rule out internal lung pathology. 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: hey im 14 and i have this sharp pain in my chest everytime i breath to a certain point. i think that its precordial catch syndrome although i dont think its meant to last 2 days. Is there any possible way that i could get rid of this without any pain? and yes i have been to the doctor and she said im perfectly healthy so i dont know what the hell is wrong with me.. pleasee helppp !!"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Since your doctor is denying any serious illness for your chest pain, no need to worry about major heart or lung related diseases. Possibility of musculoskeletal pain is more. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 - 7 days. If not improving in 1 week then get done chest x-ray to rule out internal lung pathology. 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. | hi, i had blood test results back last week and its came about i have a low platelet count, i have had two tests now and low on both. i am tired and very dizzy almost all of the time, could you tell me a little more please... my doctor has asked me to go back for more tests in two months time, im worried and dont really understand why i have to wai so long. i am a 22 yr old female. i have suffered with panic attack for years too amd feel they are just getting worse, please help. thanking you. | Hi, dairy have gone through your question. I can understand your concern. You have low platelet count. There are many causes of low platelet count. Simple viral fever, malaria, dengue, immune thrombocytopenic purpura, most of the leukemia all can lead to low platelet count. You should go for complete blood count, peripheral smear examination. If needed go for bone marrow examination. First find the cause of your low platelet count and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi, i had blood test results back last week and its came about i have a low platelet count, i have had two tests now and low on both. i am tired and very dizzy almost all of the time, could you tell me a little more please... my doctor has asked me to go back for more tests in two months time, im worried and dont really understand why i have to wai so long. i am a 22 yr old female. i have suffered with panic attack for years too amd feel they are just getting worse, please help. thanking you."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. You have low platelet count. There are many causes of low platelet count. Simple viral fever, malaria, dengue, immune thrombocytopenic purpura, most of the leukemia all can lead to low platelet count. You should go for complete blood count, peripheral smear examination. If needed go for bone marrow examination. First find the cause of your low platelet count and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I never had my molars removed. About a week ago my lower right started hurting a little and has slowly gotten progressively worse. Today the gummed seemed pretty enflamed and sore. Then after my shower I noticed the whole cheek area below the jaw and gum were really hurting. I looked with a flash light and saw some puss and bleeding. Im not sure what is making it infected and what to do next. | Thanks for your query, I have gone through your query. The pain in the cheek and jaw could be because of the gum or tooth infection. The pus discharge could be secondary to abscess formation. Consult an oral physician and get a radiograph done like RVG and OPG to rule out infections. You can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). After completing the course of antibiotics treat the cause of infection, that is treated the infected tooth with root canal treatment or by extracting the tooth. If it is gum infection then get your teeth cleaned once and maintain the oral hygiene. I hope my answer will help you, take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I never had my molars removed. About a week ago my lower right started hurting a little and has slowly gotten progressively worse. Today the gummed seemed pretty enflamed and sore. Then after my shower I noticed the whole cheek area below the jaw and gum were really hurting. I looked with a flash light and saw some puss and bleeding. Im not sure what is making it infected and what to do next."
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your query. The pain in the cheek and jaw could be because of the gum or tooth infection. The pus discharge could be secondary to abscess formation. Consult an oral physician and get a radiograph done like RVG and OPG to rule out infections. You can take a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic). After completing the course of antibiotics treat the cause of infection, that is treated the infected tooth with root canal treatment or by extracting the tooth. If it is gum infection then get your teeth cleaned once and maintain the oral hygiene. I hope my answer will help you, take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | DEAR SIR 1. SOME INVESTIGATIONS IN MY RESPECT ARE MENTIONED BELOW | Brief Answer | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: DEAR SIR 1. SOME INVESTIGATIONS IN MY RESPECT ARE MENTIONED BELOW"
},
{
"from": "gpt",
"value": "Output: Brief Answer"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | We have a 39 year old son who has some physical handicaps which seem to be moving to mental illness. He does not think he needs help. He cannot connect the dots anymore. We are older and cannot help anymore. He is getting evicted and will be homeless. He is in total denial on this and it is making us ill. He cannot be homeless with his health issues. We have been to countless agencies for help and not making progress. He has a housing voucher which he may lose and is on SSI. Any suggestions? | 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. Physical handicap will not lead to a major psychiatric illness except developing a depressive episode. And depressive episode can impair the judgement. Instead of visiting various agencies, I would advise you to take him to a psychiatrist. Even though he feels he is not ill to let him discuss all issues with a psychiatrist who can evaluate him in detail and assess regarding the diagnosis. Further his psychiatric disability may also get added up to his physical handicap which can give him an added benefit. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: We have a 39 year old son who has some physical handicaps which seem to be moving to mental illness. He does not think he needs help. He cannot connect the dots anymore. We are older and cannot help anymore. He is getting evicted and will be homeless. He is in total denial on this and it is making us ill. He cannot be homeless with his health issues. We have been to countless agencies for help and not making progress. He has a housing voucher which he may lose and is on SSI. Any suggestions?"
},
{
"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. Physical handicap will not lead to a major psychiatric illness except developing a depressive episode. And depressive episode can impair the judgement. Instead of visiting various agencies, I would advise you to take him to a psychiatrist. Even though he feels he is not ill to let him discuss all issues with a psychiatrist who can evaluate him in detail and assess regarding the diagnosis. Further his psychiatric disability may also get added up to his physical handicap which can give him an added benefit. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | lump on armpit that is really after days of getting loads of pus out its really painful my girlfriend tried getting out what we perceived 2 be a ingrown hair due 2 the fact of black dots tried with a tweezers but its still sore she reckons there is something under the skin it really smells when the pus is squeezed out any ideas | Hi, Dear,thanks for your query to Chat Doctor. I studied your query in depth. In my opinion the recurring lump after loads of pus for many days, is a Chronic Fur uncle- i.e.abscess in hair-follicle in armpit, with surrounding cellulitis due to-chronic infection. Something underneath-is the feel due to the indicated hair-follicle and the thick abscess wall of the chronic fur uncle in the armpits. Hope this answers your query and solves your causative-query for the armpit lump. Hope this would clarify the worry you had. Would love to Welcome your queries to Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: lump on armpit that is really after days of getting loads of pus out its really painful my girlfriend tried getting out what we perceived 2 be a ingrown hair due 2 the fact of black dots tried with a tweezers but its still sore she reckons there is something under the skin it really smells when the pus is squeezed out any ideas"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,thanks for your query to Chat Doctor. I studied your query in depth. In my opinion the recurring lump after loads of pus for many days, is a Chronic Fur uncle- i.e.abscess in hair-follicle in armpit, with surrounding cellulitis due to-chronic infection. Something underneath-is the feel due to the indicated hair-follicle and the thick abscess wall of the chronic fur uncle in the armpits. Hope this answers your query and solves your causative-query for the armpit lump. Hope this would clarify the worry you had. Would love to Welcome your queries to Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | 14 month old baby and i slipped down the stairs, i kept her along the wall and landed on the stairs, but she hit her head. cried alot but seemed fine. 3 days later (in the am) she has a very slight nose bleed (dried blood around base of nose). should we be concerned? | Hi...there is no need to panic if she's acting normally. But as there has been a spontaneous nasal bleed after a head injury, this carries significance. I suggest you consult your kids pediatrician and get her evaluated. The usual danger signs include, seizures, loss of consciousness, irritable behavior or altered behavior, ear and nose bleeds or watery discharge. That's why I am suggesting that you seek medical attention. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: 14 month old baby and i slipped down the stairs, i kept her along the wall and landed on the stairs, but she hit her head. cried alot but seemed fine. 3 days later (in the am) she has a very slight nose bleed (dried blood around base of nose). should we be concerned?"
},
{
"from": "gpt",
"value": "Output: Hi...there is no need to panic if she's acting normally. But as there has been a spontaneous nasal bleed after a head injury, this carries significance. I suggest you consult your kids pediatrician and get her evaluated. The usual danger signs include, seizures, loss of consciousness, irritable behavior or altered behavior, ear and nose bleeds or watery discharge. That's why I am suggesting that you seek medical attention. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I have had ear pain and a sore throat for 2 weeks. My ears and clear and my throat is only mildly red. Yesterday I had a really bad headache along the base of my skull that moved into my neck and was the worst pain I have every had. Could all of these be related? I have seen my Dr. 4 times in the past 2 weeks. | HI, thanks for using Chat Doctor It is likely that your symptoms are all related. Infections involving the respiratory tract can result in headache. It can occur with viral or bacterial infections. If the pain in the ears and throat have been persisting for 2 weeks then antibiotics may be needed. Viral sore throats do not normally continue for that length of time.Anti-inflammatory pain medications such as aspirin, naproxen or ibuprofen would help with pain relief. 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: I have had ear pain and a sore throat for 2 weeks. My ears and clear and my throat is only mildly red. Yesterday I had a really bad headache along the base of my skull that moved into my neck and was the worst pain I have every had. Could all of these be related? I have seen my Dr. 4 times in the past 2 weeks."
},
{
"from": "gpt",
"value": "Output: HI, thanks for using Chat Doctor It is likely that your symptoms are all related. Infections involving the respiratory tract can result in headache. It can occur with viral or bacterial infections. If the pain in the ears and throat have been persisting for 2 weeks then antibiotics may be needed. Viral sore throats do not normally continue for that length of time.Anti-inflammatory pain medications such as aspirin, naproxen or ibuprofen would help with pain relief. I hope this helps"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | heloo,doctor day before yesterday i have done a hair colour allergic test behind my ears.yesterday rashes appeared on that area and nearby areas and has itching too.i am really scared.will it spread?i have appiled coconut oil.it helps me from itching.but still that redness and hives are there.pls help me | Hello After dye you develop rash, redness and itching. This is clear indication that dye is sensitive for you. Coconut oil provided some relief, this is good. When such case visit I advise them to take fexofenadine 180 mg one tablet + tablet deflazacort 12 mg together, and you will get relief. It may happen that you may need 2nd dose. Also apply clotrimazole lotion locally, and you will get relief at once. But be alert next when using dye. Since this is a prescription Chat Doctor. Good luck. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: heloo,doctor day before yesterday i have done a hair colour allergic test behind my ears.yesterday rashes appeared on that area and nearby areas and has itching too.i am really scared.will it spread?i have appiled coconut oil.it helps me from itching.but still that redness and hives are there.pls help me"
},
{
"from": "gpt",
"value": "Output: Hello After dye you develop rash, redness and itching. This is clear indication that dye is sensitive for you. Coconut oil provided some relief, this is good. When such case visit I advise them to take fexofenadine 180 mg one tablet + tablet deflazacort 12 mg together, and you will get relief. It may happen that you may need 2nd dose. Also apply clotrimazole lotion locally, and you will get relief at once. But be alert next when using dye. Since this is a prescription Chat Doctor. Good luck."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | dark red spot on foreskin hi. I had in protected sex last night and this morning I noticed a dark red spot when I pull back my foreskin. I was wondering if this could be anything serious... any information would be grateful. I am going to book and appointment at the gu clinic but I am really worried about this.thanks for your help | HelloThanks for query. You have developed red spot on foreskin after having protected sex. This could be mostly due to allergic reaction to chemicals used as a lubricant in condom .However, even using condom is not considered to be 100 % safe and protected as there are chances of getting it broken which can be noticed during intercourse. Please get your basic screening tests for STD done to be rest assured about acquiring STD. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: dark red spot on foreskin hi. I had in protected sex last night and this morning I noticed a dark red spot when I pull back my foreskin. I was wondering if this could be anything serious... any information would be grateful. I am going to book and appointment at the gu clinic but I am really worried about this.thanks for your help"
},
{
"from": "gpt",
"value": "Output: HelloThanks for query. You have developed red spot on foreskin after having protected sex. This could be mostly due to allergic reaction to chemicals used as a lubricant in condom .However, even using condom is not considered to be 100 % safe and protected as there are chances of getting it broken which can be noticed during intercourse. Please get your basic screening tests for STD done to be rest assured about acquiring STD. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I have PUJ obstruction in my right kidney, I am 32yrs old, I have had 2 operion on was six years back and another 3 years back, my right kidney function 37% when i had x-ray, can you please tell me how long can my right kidney will last with this PUJ obstruction. my left kidney is normal | helloThanks for query. Based on the facts that you have posted You had congenital PUB obstruction on Rt side with was operated 6 years back for Pyeloplasty was done and second time 2 years back for revision of failed pyeloplasty. Now the kidney function estimated by DTPA scan is 37 %. Normally we preserve the kidney if it shows function above 20 %. It As regards your query about the expectancy of this kidney to survive in terms of years, I would state that it is very difficult to predict the time frame in years regarding the survival of this kidney . It can survive whole life if you take proper care of not getting UTI and monitoring function of the kidney by doing DMS scan at frequent intervals once in a year. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I have PUJ obstruction in my right kidney, I am 32yrs old, I have had 2 operion on was six years back and another 3 years back, my right kidney function 37% when i had x-ray, can you please tell me how long can my right kidney will last with this PUJ obstruction. my left kidney is normal"
},
{
"from": "gpt",
"value": "Output: helloThanks for query. Based on the facts that you have posted You had congenital PUB obstruction on Rt side with was operated 6 years back for Pyeloplasty was done and second time 2 years back for revision of failed pyeloplasty. Now the kidney function estimated by DTPA scan is 37 %. Normally we preserve the kidney if it shows function above 20 %. It As regards your query about the expectancy of this kidney to survive in terms of years, I would state that it is very difficult to predict the time frame in years regarding the survival of this kidney . It can survive whole life if you take proper care of not getting UTI and monitoring function of the kidney by doing DMS scan at frequent intervals once in a year. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi Doc I had unprotected sex during my fertile period, the guy didnt have sex for 4 days prior to our session. He was only inside me for a short amount of time and didnt cum or orgasm at all inside of me. Is it possilbe that his pre cum could have sperm in it | Thanks for contacting ChatDoctorYou are concerned that you may become pregnant from a man though he did not ejaculate inside you. The semen prior to ejaculation can contain sperm though not in huge numbers. But the chance is there, and I would recommend that you do Plan B to help reduce your chances of getting pregnant. Hope this answers your medical question. Please contact us again with your health care concerns and questions | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi Doc I had unprotected sex during my fertile period, the guy didnt have sex for 4 days prior to our session. He was only inside me for a short amount of time and didnt cum or orgasm at all inside of me. Is it possilbe that his pre cum could have sperm in it"
},
{
"from": "gpt",
"value": "Output: Thanks for contacting ChatDoctorYou are concerned that you may become pregnant from a man though he did not ejaculate inside you. The semen prior to ejaculation can contain sperm though not in huge numbers. But the chance is there, and I would recommend that you do Plan B to help reduce your chances of getting pregnant. Hope this answers your medical question. Please contact us again with your health care concerns and questions"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hii docs.i never had sex but i am very much curious to know that what are the effect on penis after first sex..like bleeding from penis...or during sex the foreskin which covers our penis which is attach from the middle of our penis or upper cap of our penis breaks during sex...i hope u understand my question..?? | Degree understand your concerns went through your details. During first sex, for boys, there should not be any complications like you are mentioning here. Vagina is supposed to be lubricated before insertion of the penis. That lubricant causes smooth up and down movement of penis without any rashes. Secondly, if the foreskin is easily retractable, it will not cause any pain or bleeding. Practice retracting the foreskin. Do not worry much about these aspects because such worries could boomerang into anxiety disorders. If you still need my assistance in this regard, please use this link. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hii docs.i never had sex but i am very much curious to know that what are the effect on penis after first sex..like bleeding from penis...or during sex the foreskin which covers our penis which is attach from the middle of our penis or upper cap of our penis breaks during sex...i hope u understand my question..??"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. During first sex, for boys, there should not be any complications like you are mentioning here. Vagina is supposed to be lubricated before insertion of the penis. That lubricant causes smooth up and down movement of penis without any rashes. Secondly, if the foreskin is easily retractable, it will not cause any pain or bleeding. Practice retracting the foreskin. Do not worry much about these aspects because such worries could boomerang into anxiety disorders. If you still need my assistance in this regard, please use this link. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am looking for information about myasthenia gravis and pneumonia. My mother had a tymectomy with thymoma, she was find for 3 weeks and then she started having respiratory problems, pleural effusion, and is on a ventilator today. I was looking for information | Hi, Welcome to Chat Doctor, Coming back to your query, regarding her present condition things you have mention is not sufficient to come any conclusion and guide in the following case. Now with information if we try to look you have mention regarding Myasthenia Graves(MG), Thomas, Pneumonia and Pleural effusion and patient on ventilator now. So it seems she had developed MG due to Thomas which is treated, and now she developed Pneumonia and Pleural effusion, and now she is on ventilator so its basically Health care associated Pneumonia for which it would be worthwhile to collect secretion from oral tube and send it for Culture to look for cause of pneumonia and treat the same and also continue symptomatic treatment if required for maintaining Blood pressure and Heart rate and Urine output for now. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am looking for information about myasthenia gravis and pneumonia. My mother had a tymectomy with thymoma, she was find for 3 weeks and then she started having respiratory problems, pleural effusion, and is on a ventilator today. I was looking for information"
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor, Coming back to your query, regarding her present condition things you have mention is not sufficient to come any conclusion and guide in the following case. Now with information if we try to look you have mention regarding Myasthenia Graves(MG), Thomas, Pneumonia and Pleural effusion and patient on ventilator now. So it seems she had developed MG due to Thomas which is treated, and now she developed Pneumonia and Pleural effusion, and now she is on ventilator so its basically Health care associated Pneumonia for which it would be worthwhile to collect secretion from oral tube and send it for Culture to look for cause of pneumonia and treat the same and also continue symptomatic treatment if required for maintaining Blood pressure and Heart rate and Urine output for now."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I am a 50 years old woman. My blood pressure usually gets high from anxiety and menopause realted symptoms. But this week it is low... 100/60.......105/ 65..... one morning it was even 88/58 all on my right arm. Left is always a bit higher. The weather is gloomy. I am taking 25mg pills against high blood pressure. Is this normal? | Hi. Welcome to Chat Doctor. I have read your question and understand your concerns. Usually blood pressure less than 90/6)MMH is considered as significant hypotension /low blood pressure. So, yes you have problem of hypertension sometimes. So my advice to you is - ask your doctor about 24 hrs ambulatory blood pressure monitoring. This test will measure your blood pressure automatically at home. The results of this will guide your doctor about readjustment of your BP medication. Meanwhile, if you have any further episode of low blood pressure, you can reduce the dosage to half at that point of time. So, my advice to you is gone for ambulatory blood pressure monitoring recording and readjust your blood pressure medications dosage and frequency. Thank you. Have a nice day. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hello. I am a 50 years old woman. My blood pressure usually gets high from anxiety and menopause realted symptoms. But this week it is low... 100/60.......105/ 65..... one morning it was even 88/58 all on my right arm. Left is always a bit higher. The weather is gloomy. I am taking 25mg pills against high blood pressure. Is this normal?"
},
{
"from": "gpt",
"value": "Output: Hi. Welcome to Chat Doctor. I have read your question and understand your concerns. Usually blood pressure less than 90/6)MMH is considered as significant hypotension /low blood pressure. So, yes you have problem of hypertension sometimes. So my advice to you is - ask your doctor about 24 hrs ambulatory blood pressure monitoring. This test will measure your blood pressure automatically at home. The results of this will guide your doctor about readjustment of your BP medication. Meanwhile, if you have any further episode of low blood pressure, you can reduce the dosage to half at that point of time. So, my advice to you is gone for ambulatory blood pressure monitoring recording and readjust your blood pressure medications dosage and frequency. Thank you. Have a nice day."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell on going up stone steps and landed on my right knee. It bruised it pretty badly and then as the bruising went away I noticed a knot or bump on my knee. It is painful if I press on it, otherwise it is just uncomfortable when I walk. What could this lump be? I fell about 2 1/2 weeks ago. | Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lumps on your right knee after the recent fall. To rule out other causes, I would advise you to consult ER surgeon, who would examine it and treat it accordingly. Still with my expertise and experience, I would suggest you to rule out following causes with your ER OrthoSurgeon. Cause in your case-As the lump is of 2 1/2 weeks duration after review of your query data, it seems to be due to either of the following reasons--Post-traumatic Hematoma with traumatic swelling-which is in process of recovery and may take another 2-3 weeks.-If it doesn't settle after 4-6 weeks, Pre-Patellar Bursitis(Housemaids Knee)-post-traumatic needs to be ruled out. Both above possibilities needs to be ruled as only discomfort is felt by you while walking. In the absence of more information, I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. So I would advise you to consult ER OrthoSurgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. Do take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell on going up stone steps and landed on my right knee. It bruised it pretty badly and then as the bruising went away I noticed a knot or bump on my knee. It is painful if I press on it, otherwise it is just uncomfortable when I walk. What could this lump be? I fell about 2 1/2 weeks ago."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lumps on your right knee after the recent fall. To rule out other causes, I would advise you to consult ER surgeon, who would examine it and treat it accordingly. Still with my expertise and experience, I would suggest you to rule out following causes with your ER OrthoSurgeon. Cause in your case-As the lump is of 2 1/2 weeks duration after review of your query data, it seems to be due to either of the following reasons--Post-traumatic Hematoma with traumatic swelling-which is in process of recovery and may take another 2-3 weeks.-If it doesn't settle after 4-6 weeks, Pre-Patellar Bursitis(Housemaids Knee)-post-traumatic needs to be ruled out. Both above possibilities needs to be ruled as only discomfort is felt by you while walking. In the absence of more information, I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. So I would advise you to consult ER OrthoSurgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. Do take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hI, I have no question for you. Just an attitude as to how pain management is being, or should I say not being done. Because of a handful of people who CHOOSE TO Abuse drugs, who really gets punished? Spinal Stenosis and 2 back surgeries, the last the titanium rods, plates, and screws were inserted from L2 thru L5. Stopped the pain for about 2 years, or at least at a tolerable level. Then Lortabs helped. Sent to pain clinic for epidurals. Epidurals on me were extremely painful. Scale of 1-10 they were a 20. (Not Kidding) Quality of life was going fast. couldn t do or go because the pain had grown to the point that I couldn t eat or sleep. Pain was 24 hours a day. Told by the pain Dr. to stay on the Lortab and come to the pain clinic every 4 or 5 weeks for epidurals. Epidurals were not only painful but I got very little relief if any from them. Finally PCP started me on oxycontin and Fentynal patch. I was much better for awile. I was taught that in so called pain management you would gradually increase dose until you knew the patient was experiencing some quality of life. I reached rock bottom after telling PCP my quality of life was slipping away. Finally I asked for an increase in pain med as pain was now 24 hours a day. I could not function. I was told no, and referred to pain clinic for more epidurals and Narcotics. The day I went in to office for routine followup and new perscriptions I was ask for a urine specimen. After all I d been thru over the last 8 to 10 years, all the operations and all the pain. The loss of any quality of life. I am in my 70 s and lost all those Golden years, 10 of them. Asking for a urine specimen. I felt made ME the criminal. I decided right then I asked to be titrated off the narcotic meds. I will die with all the pain before I will let anyone treat me like a criminal. So you go on breaking your solom oath by hurting patients . Doctors swore to do no harm. A large % of those being hurt and are suffuring are the geriatric population. I feel Obama has been behind a lot of this but you know I believe a lot of the fault falls on every Doctor, Nurse, and everyone working in health care. STAND UP FOR YOUR PATIENTS. yOU ALL ARE JUST LIKE THE POLITICIANS. tO SAVE THEIR OWN HIDES THEY JUST CLOSE THEIR EYES TO WHAT IS HAPPINING TO MEDICINE IN THIS COUNTRY AND SAY NOTHING. tHE PUBLIC CAN T EVEN GET TOGETHER AND STAND UP FOR WHAT IS RIGHT. The old time Doctor s predicted It would be like this. They said if the HMO went through it would be the death of our wonderful medical care in this country. Many have passed but they were right on. They realized that there would not be anymore decent medical care. The patient is really obsolete. No more real check ups. no more time to explain your problem. No more real examinations Oh, there is on paper or in the computer so health care workers, even Doctors just make sure they cover their butts, to the point of out right lying!!! Make it look like things were done just to collect the fees. The lawyers are partially to blame also with their ambulance chasing and advertising for frivolous malpractice suits. Rep. and Dems. just sit on their hands. Political correctness has run amuck. I thoroughly loved working in the medical world at one time. Now I want nothing to do with it Extreme pain is killing me literally but I will die with it. Think back of all the pain meds that really did relieve pain. Where are they now. Listed as a narcotic, now even lortab now and it is only hurting those who really need it. The really sick. But their pain med prescription has to be picked up at dr s. office no matter if they can hardly get out of bed. No husband or designated relative or person can pick it up. Can t even be called into the pharmacy anymore. What do they think they are doing. I am done with a medical world that has turned into nothing but a money making machine. Worst of all the money flows to the very few at the top while staffs are cut to the bone. Doctors are told what they can and can t do, how many patients they have to see in a day. no wonder there is no examining going on, No time to get to know their patients. On top of that not enougChatDoctorpensation for what they are trying to do. Trying to do the impossible. The patient is only needed for a name and insurance number. The old days were Heaven when working in the medical field if your heart was in it. Today s medical world is Hell in my eyes after all my personal experiences. A lot of us feel like we are on our own and no matter what doctor you go to we are not being treated, just pushed thru the system as fast as possible. Many, many mistakes are being made. No one, including doctors and nurses seem to know what they are doing. It is not their fault. They are not being properly taught and trained, just shoved thru school and paying exorbitant rates to do it. Something I use to love so very much has become something very ugly and I hate it. I have been on both ends. Suffering terribly and hanging out here on my own but so grateful to God for giving me the privilege of working in the world of medicine during the years before it fell. | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hI, I have no question for you. Just an attitude as to how pain management is being, or should I say not being done. Because of a handful of people who CHOOSE TO Abuse drugs, who really gets punished? Spinal Stenosis and 2 back surgeries, the last the titanium rods, plates, and screws were inserted from L2 thru L5. Stopped the pain for about 2 years, or at least at a tolerable level. Then Lortabs helped. Sent to pain clinic for epidurals. Epidurals on me were extremely painful. Scale of 1-10 they were a 20. (Not Kidding) Quality of life was going fast. couldn t do or go because the pain had grown to the point that I couldn t eat or sleep. Pain was 24 hours a day. Told by the pain Dr. to stay on the Lortab and come to the pain clinic every 4 or 5 weeks for epidurals. Epidurals were not only painful but I got very little relief if any from them. Finally PCP started me on oxycontin and Fentynal patch. I was much better for awile. I was taught that in so called pain management you would gradually increase dose until you knew the patient was experiencing some quality of life. I reached rock bottom after telling PCP my quality of life was slipping away. Finally I asked for an increase in pain med as pain was now 24 hours a day. I could not function. I was told no, and referred to pain clinic for more epidurals and Narcotics. The day I went in to office for routine followup and new perscriptions I was ask for a urine specimen. After all I d been thru over the last 8 to 10 years, all the operations and all the pain. The loss of any quality of life. I am in my 70 s and lost all those Golden years, 10 of them. Asking for a urine specimen. I felt made ME the criminal. I decided right then I asked to be titrated off the narcotic meds. I will die with all the pain before I will let anyone treat me like a criminal. So you go on breaking your solom oath by hurting patients . Doctors swore to do no harm. A large % of those being hurt and are suffuring are the geriatric population. I feel Obama has been behind a lot of this but you know I believe a lot of the fault falls on every Doctor, Nurse, and everyone working in health care. STAND UP FOR YOUR PATIENTS. yOU ALL ARE JUST LIKE THE POLITICIANS. tO SAVE THEIR OWN HIDES THEY JUST CLOSE THEIR EYES TO WHAT IS HAPPINING TO MEDICINE IN THIS COUNTRY AND SAY NOTHING. tHE PUBLIC CAN T EVEN GET TOGETHER AND STAND UP FOR WHAT IS RIGHT. The old time Doctor s predicted It would be like this. They said if the HMO went through it would be the death of our wonderful medical care in this country. Many have passed but they were right on. They realized that there would not be anymore decent medical care. The patient is really obsolete. No more real check ups. no more time to explain your problem. No more real examinations Oh, there is on paper or in the computer so health care workers, even Doctors just make sure they cover their butts, to the point of out right lying!!! Make it look like things were done just to collect the fees. The lawyers are partially to blame also with their ambulance chasing and advertising for frivolous malpractice suits. Rep. and Dems. just sit on their hands. Political correctness has run amuck. I thoroughly loved working in the medical world at one time. Now I want nothing to do with it Extreme pain is killing me literally but I will die with it. Think back of all the pain meds that really did relieve pain. Where are they now. Listed as a narcotic, now even lortab now and it is only hurting those who really need it. The really sick. But their pain med prescription has to be picked up at dr s. office no matter if they can hardly get out of bed. No husband or designated relative or person can pick it up. Can t even be called into the pharmacy anymore. What do they think they are doing. I am done with a medical world that has turned into nothing but a money making machine. Worst of all the money flows to the very few at the top while staffs are cut to the bone. Doctors are told what they can and can t do, how many patients they have to see in a day. no wonder there is no examining going on, No time to get to know their patients. On top of that not enougChatDoctorpensation for what they are trying to do. Trying to do the impossible. The patient is only needed for a name and insurance number. The old days were Heaven when working in the medical field if your heart was in it. Today s medical world is Hell in my eyes after all my personal experiences. A lot of us feel like we are on our own and no matter what doctor you go to we are not being treated, just pushed thru the system as fast as possible. Many, many mistakes are being made. No one, including doctors and nurses seem to know what they are doing. It is not their fault. They are not being properly taught and trained, just shoved thru school and paying exorbitant rates to do it. Something I use to love so very much has become something very ugly and I hate it. I have been on both ends. Suffering terribly and hanging out here on my own but so grateful to God for giving me the privilege of working in the world of medicine during the years before it fell."
},
{
"from": "gpt",
"value": "Output: Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi im experiencing serious stomach pains and my breasts are leakng a large amount of milk and my twin boys are now four years old and quite sure im not pregnant as i have had a period recently and have just done a negative pregnancy test. im really starting to worry. i have a cyst on my ovaries which i was diagnosed with in september last year, please help. | HIT hanks for posting your query to Chat Doctor. Two issues | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi im experiencing serious stomach pains and my breasts are leakng a large amount of milk and my twin boys are now four years old and quite sure im not pregnant as i have had a period recently and have just done a negative pregnancy test. im really starting to worry. i have a cyst on my ovaries which i was diagnosed with in september last year, please help."
},
{
"from": "gpt",
"value": "Output: HIT hanks for posting your query to Chat Doctor. Two issues"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello, Dr. I am 26 year old, i have a kidney infection for the past 1year i did scanning and x-ray thy said its pyelonephritis, but last week i did CT SCAN d result is both kidneys are normal in size and shape but a mild prominent extrarenal pelvis seen on the right. Pls Dr. What does it mean? It s curable with antibiotics does it affect d kidney?. I have abdominal, fever pain pls wht is d solution and also wht r d antibiotics? May god bless u. | Hi, Thanks for writing in. You might be having chronic pyelonephritis. Since this has been happening for the last one year therefore there is scarring in the kidneys' collection. This scarring can cause a prominent collecting system which can be the reason for appearance on CT. Usually this can happen even after the infection is treated. Since you have an abdominal pain and fever, therefore it is essential to get urine culture is important. Sometimes, with fever a blood culture can also be helpful in the diagnosis of an infection causing organism in blood. Doing antibiotic sensitivity at the same time will give an indication on which antibiotics are to be taken for treatment. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello, Dr. I am 26 year old, i have a kidney infection for the past 1year i did scanning and x-ray thy said its pyelonephritis, but last week i did CT SCAN d result is both kidneys are normal in size and shape but a mild prominent extrarenal pelvis seen on the right. Pls Dr. What does it mean? It s curable with antibiotics does it affect d kidney?. I have abdominal, fever pain pls wht is d solution and also wht r d antibiotics? May god bless u."
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. You might be having chronic pyelonephritis. Since this has been happening for the last one year therefore there is scarring in the kidneys' collection. This scarring can cause a prominent collecting system which can be the reason for appearance on CT. Usually this can happen even after the infection is treated. Since you have an abdominal pain and fever, therefore it is essential to get urine culture is important. Sometimes, with fever a blood culture can also be helpful in the diagnosis of an infection causing organism in blood. Doing antibiotic sensitivity at the same time will give an indication on which antibiotics are to be taken for treatment."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello doctor i have had a low risk relation that is masturbation but maybe during masturbation kind of genital secretion of my partner contacted my penis. after 6 days i felt malaise and backache. and after 10 days i had a persistent mouth ulcer that made me to use antibiotics. i lost my appetite for 2 days and itchy skin for 1 day and then i felt better after 4 days but still anxious. so after 4 weeks the symptoms came back and i felt neck stiffness and cough dry and something like fatigue but i could participate in my daily routines. i refer to a std specialist and he told me my risk is very low and near zero and this symptoms would be because of anxiety but now after 5 weeks i dont feel most of them. i want to know what do you think? | Hi, It is very simple - you do a panel of sexually transmitted disease test and you yourself see the report, if your problem is anxiety after seeing the normal report you will be fine. The brain always expects some scientific evidence to accept it. Even if there is any issue with the report, since you made an early diagnosis, treatment will be easy. Hope I have answered your query. Let me know if I can assist you further. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello doctor i have had a low risk relation that is masturbation but maybe during masturbation kind of genital secretion of my partner contacted my penis. after 6 days i felt malaise and backache. and after 10 days i had a persistent mouth ulcer that made me to use antibiotics. i lost my appetite for 2 days and itchy skin for 1 day and then i felt better after 4 days but still anxious. so after 4 weeks the symptoms came back and i felt neck stiffness and cough dry and something like fatigue but i could participate in my daily routines. i refer to a std specialist and he told me my risk is very low and near zero and this symptoms would be because of anxiety but now after 5 weeks i dont feel most of them. i want to know what do you think?"
},
{
"from": "gpt",
"value": "Output: Hi, It is very simple - you do a panel of sexually transmitted disease test and you yourself see the report, if your problem is anxiety after seeing the normal report you will be fine. The brain always expects some scientific evidence to accept it. Even if there is any issue with the report, since you made an early diagnosis, treatment will be easy. 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 daughter has been coughing for a week now, her sleep is disturbed because she coughs 3 -5 times at night while sleeping.. her cough sounds tight and with phlegm.. is it ok to nebulize her with duavent even she doesnt have asthma? and is it normal that her body temperature is at 37.3 | Thanks for your question on Chat Doctor. I can understand your concern. Constant coughing is commonly seen in bronchitis and pneumonia. So better first rule out pneumonia. So get done chest x-ray. If chest x-ray is normal then no need to worry about pneumonia. Possibility of bronchitis is more in her case. And bronchitis needs Inhaled bronchodilators and inhaled corticosteroid (ICS). Duvet is having perfect combination of inhaled bronchodilators and ICS. So no harm in giving Duvet. And yes, temperature of 37.3 is normal. No need to worry about this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my daughter has been coughing for a week now, her sleep is disturbed because she coughs 3 -5 times at night while sleeping.. her cough sounds tight and with phlegm.. is it ok to nebulize her with duavent even she doesnt have asthma? and is it normal that her body temperature is at 37.3"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your concern. Constant coughing is commonly seen in bronchitis and pneumonia. So better first rule out pneumonia. So get done chest x-ray. If chest x-ray is normal then no need to worry about pneumonia. Possibility of bronchitis is more in her case. And bronchitis needs Inhaled bronchodilators and inhaled corticosteroid (ICS). Duvet is having perfect combination of inhaled bronchodilators and ICS. So no harm in giving Duvet. And yes, temperature of 37.3 is normal. No need to worry about this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, i just went to go do something. I was standing for a little while and i started to get very hot all of a sudden. Slowly i my vison started going black and it was moving? why does this happen? i had to go sit down because i felt as though i was going to fall or faint | Hi, There are several possibilities, but the more likely one based on the symptom of a feeling of heat and sensation of faintness (with vision dimming) which all occurred after standing for a moment highly suggests that your blood pressure had Chat Doctor. Sitting down was the right thing to do to abort what we refer to as a vasovagal reaction. Causes include new medication (especially for blood pressure) recently added which is either too strong or interacting with other | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, i just went to go do something. I was standing for a little while and i started to get very hot all of a sudden. Slowly i my vison started going black and it was moving? why does this happen? i had to go sit down because i felt as though i was going to fall or faint"
},
{
"from": "gpt",
"value": "Output: Hi, There are several possibilities, but the more likely one based on the symptom of a feeling of heat and sensation of faintness (with vision dimming) which all occurred after standing for a moment highly suggests that your blood pressure had Chat Doctor. Sitting down was the right thing to do to abort what we refer to as a vasovagal reaction. Causes include new medication (especially for blood pressure) recently added which is either too strong or interacting with other"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I m a 29 year old women in general good health I m a mother of 3 , but lately I ve been feeling a burning sensation on my left side mainly on my chest , when I sleep it wakes me up pain comes and goes and runs into my arm have been feeling tired more than usual & can t bare to Hold my young one in my arms to raise my arms to brush my hair it hurts have been feeling this for now 2 days my dad suffered from congestive heart failure he past away from this 3yrs ago and my mom suffers from mass (some kind of fattening that forms under the breast tissue and if not taken care of can form to ditching serious). Please help what can be wrong | Thanks for your question on Chat Doctor. I can understand your problem. In my opinion, you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause for your chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. GERD appears more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Avoid large meals, instead take frequent small meals. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I m a 29 year old women in general good health I m a mother of 3 , but lately I ve been feeling a burning sensation on my left side mainly on my chest , when I sleep it wakes me up pain comes and goes and runs into my arm have been feeling tired more than usual & can t bare to Hold my young one in my arms to raise my arms to brush my hair it hurts have been feeling this for now 2 days my dad suffered from congestive heart failure he past away from this 3yrs ago and my mom suffers from mass (some kind of fattening that forms under the breast tissue and if not taken care of can form to ditching serious). Please help what can be wrong"
},
{
"from": "gpt",
"value": "Output: Thanks for your question on Chat Doctor. I can understand your problem. In my opinion, you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause for your chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. GERD appears more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Avoid large meals, instead take frequent small meals."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My father has beginning stages of Parkinsons and when he took the meds he began having suicidal thoughts and thoughts of harming others so he stopped. Can you please suggest some natural herbal supplements that would help in in any way possible. He also has diabetes and neuropthy. | Hi, First, your father can eat one tablespoonful of flax seed oil with his meal, or he could eat grilled fish three time per week. He could also take iron supplement tablet twice per week after meals, for example after lunch on Monday and Friday. Moreover, vitamin B complex once per day after meals, Folic acid 500 micrograms once per day before meal, Coenzyme Q 10 three hours after meals once per day and Benfotiamine 40 twice per day after meals every day can help him. But, these natural methods cannot replace the medical treatment. Your father should take antidepressant, but you should ask your doctor about the suitable Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father has beginning stages of Parkinsons and when he took the meds he began having suicidal thoughts and thoughts of harming others so he stopped. Can you please suggest some natural herbal supplements that would help in in any way possible. He also has diabetes and neuropthy."
},
{
"from": "gpt",
"value": "Output: Hi, First, your father can eat one tablespoonful of flax seed oil with his meal, or he could eat grilled fish three time per week. He could also take iron supplement tablet twice per week after meals, for example after lunch on Monday and Friday. Moreover, vitamin B complex once per day after meals, Folic acid 500 micrograms once per day before meal, Coenzyme Q 10 three hours after meals once per day and Benfotiamine 40 twice per day after meals every day can help him. But, these natural methods cannot replace the medical treatment. Your father should take antidepressant, but you should ask your doctor about the suitable Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Had sinus infection weeks ago and severe allergies as well that is being controlled with prescription nasal spray and allegra. Yesterday started feeling numbness and tingling in upper lip and base of nose, feeling of fullness in the right eye, occasional blurriness, with some jaw numbness. Took decongestant thinking it might relieve pressure but has not worked. Any ideas? | Welcome to Chat Doctor I have gone through your query and understand your concern. It may be due to nasolacrymal duct blockade and congestion. You should continue to take decongestant. Analgesic such as ibuprofen can be taken for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Had sinus infection weeks ago and severe allergies as well that is being controlled with prescription nasal spray and allegra. Yesterday started feeling numbness and tingling in upper lip and base of nose, feeling of fullness in the right eye, occasional blurriness, with some jaw numbness. Took decongestant thinking it might relieve pressure but has not worked. Any ideas?"
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor I have gone through your query and understand your concern. It may be due to nasolacrymal duct blockade and congestion. You should continue to take decongestant. Analgesic such as ibuprofen can be taken for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am 29 yrs & married since 15 months my husband is 32 years, my husband had gone through semen analaysis & 90% non-mobility was found so we consulted a gynacolegist she recommened Lyco -Q- 100 & Kinfol for my husband & Myotol -F 100 & CCq for me for 1month. So , my query is my husband works in UAE & he would be leaving in another 1month. So, what should we do now & how much it will take me to conceive. | HelloThanks for your query. As per your statement your husband has what is termed as Asthenospermia. Normal;y active motility of the sperm to result a pregnancy should be more than 50 %. And unfortunately whatever medicines are prescribed by the specialist or Doctors in different faculties of medicines have not been proved to improve the motility of sperms.Instead, it will be better if you consult some Infertility specialist who can help you and guide you about IVF or CSI .to conceive | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, I am 29 yrs & married since 15 months my husband is 32 years, my husband had gone through semen analaysis & 90% non-mobility was found so we consulted a gynacolegist she recommened Lyco -Q- 100 & Kinfol for my husband & Myotol -F 100 & CCq for me for 1month. So , my query is my husband works in UAE & he would be leaving in another 1month. So, what should we do now & how much it will take me to conceive."
},
{
"from": "gpt",
"value": "Output: HelloThanks for your query. As per your statement your husband has what is termed as Asthenospermia. Normal;y active motility of the sperm to result a pregnancy should be more than 50 %. And unfortunately whatever medicines are prescribed by the specialist or Doctors in different faculties of medicines have not been proved to improve the motility of sperms.Instead, it will be better if you consult some Infertility specialist who can help you and guide you about IVF or CSI .to conceive"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I have an oval shape lump in upper thighs.. When I run them it feels brused but no colour.. I have had this over 2 months, they have got smaller but still there.. This started when I started my new job which is sitting all day 12 to 14 hrs shift.. I am quite active but since I started this job have no time to excersize like I used to. I am a bit worried about theses lumps. | Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Ring worm bumps is the possibility. Without Much information from your query I would suggest taking Second opinion from Surgeon, who would examine n decide on its cause and would treat it accordingly as per the cause of it. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I have an oval shape lump in upper thighs.. When I run them it feels brused but no colour.. I have had this over 2 months, they have got smaller but still there.. This started when I started my new job which is sitting all day 12 to 14 hrs shift.. I am quite active but since I started this job have no time to excersize like I used to. I am a bit worried about theses lumps."
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Ring worm bumps is the possibility. Without Much information from your query I would suggest taking Second opinion from Surgeon, who would examine n decide on its cause and would treat it accordingly as per the cause of it. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi im a 16 year old boy. Sometimes i experience sharp pricking pain in my chest. Nothing too serious just a slight discomfort. I am a mild asthmatic and use an inhaler sparingly. The pain is occurs suddenly and usually at night before bed. It is not a regular thing though | Hi thanks for asking question. Noted you have asthma ... So periodic chest pain might be from bronchospasm induce by allergen... So at that time of chest pain auscultation done for rhonchi..... If pain severe enough nebulization by levosalbutamol and budesonide res pule may need...SOS when needed albuterol inhaler pump taken. Avoid contact with allergens.... Wear mask if you Chat Doctor. If still repeated chest pain occurs after consulting doc and LFT done, regular long acting forecourt like MDI inhaler may be started..... Take care. Hope your concern solved.... | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi im a 16 year old boy. Sometimes i experience sharp pricking pain in my chest. Nothing too serious just a slight discomfort. I am a mild asthmatic and use an inhaler sparingly. The pain is occurs suddenly and usually at night before bed. It is not a regular thing though"
},
{
"from": "gpt",
"value": "Output: Hi thanks for asking question. Noted you have asthma ... So periodic chest pain might be from bronchospasm induce by allergen... So at that time of chest pain auscultation done for rhonchi..... If pain severe enough nebulization by levosalbutamol and budesonide res pule may need...SOS when needed albuterol inhaler pump taken. Avoid contact with allergens.... Wear mask if you Chat Doctor. If still repeated chest pain occurs after consulting doc and LFT done, regular long acting forecourt like MDI inhaler may be started..... Take care. Hope your concern solved...."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | What does it mean when your very congested wheezing and is having a hard time breathing. And while hes breathing it s intense like he s having a hard time breathing. And he s also very hot on the outside but he s cold. He says his stomach hurts while trying to breathe. | Hello dear, Wheezing and difficulty in breathing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: What does it mean when your very congested wheezing and is having a hard time breathing. And while hes breathing it s intense like he s having a hard time breathing. And he s also very hot on the outside but he s cold. He says his stomach hurts while trying to breathe."
},
{
"from": "gpt",
"value": "Output: Hello dear, Wheezing and difficulty in breathing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am a female age 42 height 5ft I weigh 142 lbs my blood pressure reading here at home is 190 over 120 I have been getting very bad headache and 2 mornings in a row I woke up with a very bad headache and very sick to my stomach could the blood pressure have anything to do with it? | Hello, Blood pressure can certainly cause the headache. So it should be controlled. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Visit the doctor and get BP medicine prescribed like telmisartan and HY Chat Doctor. Stomach problem mostly a gastritis and acidity problem. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks. | [
{
"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 female age 42 height 5ft I weigh 142 lbs my blood pressure reading here at home is 190 over 120 I have been getting very bad headache and 2 mornings in a row I woke up with a very bad headache and very sick to my stomach could the blood pressure have anything to do with it?"
},
{
"from": "gpt",
"value": "Output: Hello, Blood pressure can certainly cause the headache. So it should be controlled. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Visit the doctor and get BP medicine prescribed like telmisartan and HY Chat Doctor. Stomach problem mostly a gastritis and acidity problem. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i am 40 yrs old female wt=65 kg ht= 5ft 2in. i have two daughters. my husband is also a teacher. i teach in high school. my problem is knee pain and some times pain in middle fingers quite often and pain in my leg below the knees. i feel that i am lossing my memory power or forgetfulness. | Hello, As most teachers are having similar complains about the back pain, knee pain, legs pain and radiating pain in the upper limb. These symptoms are related to the job profile. As teachers have to stand longer, teachers have no proper physical health care, always tensions and troubles etc. The reason for the pain in knees are due to early OA changes in the knee joint, and the leg pain is added to the standing for the long run. Pain in the middle finger is the reason due to cervical spine disc nerve root entrapment due to postural changes. I will advise for doing regular exercise which includes the strengthening of the neck muscles, upper limb muscles, inter-scapular muscle, knee muscles, leg muscles, hip muscles, core muscles etc. As these muscles are used in a wrong posture and repetitive stress injury is occurred to the tissues, joints and ligaments. Taking utmost care is important from now as most people ignore these symptoms and when the symptoms boom up it may lead to pain and aches to the maximum. None of the students is having a sense of respecting the teachers. But it's sad that most of our teachers s are suffering from the same issues and there is not much help from any student. I will request you to take care of your health and get selfish for it because we need teachers like you who have shaped the world of today. I salute you for being a great mentor to the community through its unheard and ignored by others. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: i am 40 yrs old female wt=65 kg ht= 5ft 2in. i have two daughters. my husband is also a teacher. i teach in high school. my problem is knee pain and some times pain in middle fingers quite often and pain in my leg below the knees. i feel that i am lossing my memory power or forgetfulness."
},
{
"from": "gpt",
"value": "Output: Hello, As most teachers are having similar complains about the back pain, knee pain, legs pain and radiating pain in the upper limb. These symptoms are related to the job profile. As teachers have to stand longer, teachers have no proper physical health care, always tensions and troubles etc. The reason for the pain in knees are due to early OA changes in the knee joint, and the leg pain is added to the standing for the long run. Pain in the middle finger is the reason due to cervical spine disc nerve root entrapment due to postural changes. I will advise for doing regular exercise which includes the strengthening of the neck muscles, upper limb muscles, inter-scapular muscle, knee muscles, leg muscles, hip muscles, core muscles etc. As these muscles are used in a wrong posture and repetitive stress injury is occurred to the tissues, joints and ligaments. Taking utmost care is important from now as most people ignore these symptoms and when the symptoms boom up it may lead to pain and aches to the maximum. None of the students is having a sense of respecting the teachers. But it's sad that most of our teachers s are suffering from the same issues and there is not much help from any student. I will request you to take care of your health and get selfish for it because we need teachers like you who have shaped the world of today. I salute you for being a great mentor to the community through its unheard and ignored by others. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I woke up this morning with a big lump in my right breast. The lump is as big as a golf ball. It is painful. I had this happened before about a year ago, the lump was in my left breast then and it was way bigger. I figured it was exposure to mold. You see, we rented a home in Missouri and they did not have a good air circulation. As a matter of fact no windows in the bathroom and the exhaust fan was not working. After each shower, the carpet will feel damp. Few days later, a smell of mold (spores) became very strong. That s when the lump appeared. After we vacated the house, few days later the lump subsided and never returned. Will this be the same phenomenon? I am 49 years old, all my mammograms have been normal.mary Or should I see the doctor now? | Hello hope the answer helps you. As far as my understanding madam all your screening mammograms are normal but recurrently having painful breast lump I don't know whether associated with nipple discharge or any wearing ulcer there, and you found that after leaving that non-ventilated house it settled, but usually such infections are more common in diabetics and immunocompromised people if you are smoking it can cause inflammation of breast ducts and stasis of secretions as PERIRECTAL MASTITIS.you TRY A COURSE OF ANTIBIOTIC AS amaryllis plus clavulanic acid 1gm BD for 7 days with some analgesic and hot fomentation and soft bra wear take it out at night. If not settled madam than consult breast surgeon kindly | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I woke up this morning with a big lump in my right breast. The lump is as big as a golf ball. It is painful. I had this happened before about a year ago, the lump was in my left breast then and it was way bigger. I figured it was exposure to mold. You see, we rented a home in Missouri and they did not have a good air circulation. As a matter of fact no windows in the bathroom and the exhaust fan was not working. After each shower, the carpet will feel damp. Few days later, a smell of mold (spores) became very strong. That s when the lump appeared. After we vacated the house, few days later the lump subsided and never returned. Will this be the same phenomenon? I am 49 years old, all my mammograms have been normal.mary Or should I see the doctor now?"
},
{
"from": "gpt",
"value": "Output: Hello hope the answer helps you. As far as my understanding madam all your screening mammograms are normal but recurrently having painful breast lump I don't know whether associated with nipple discharge or any wearing ulcer there, and you found that after leaving that non-ventilated house it settled, but usually such infections are more common in diabetics and immunocompromised people if you are smoking it can cause inflammation of breast ducts and stasis of secretions as PERIRECTAL MASTITIS.you TRY A COURSE OF ANTIBIOTIC AS amaryllis plus clavulanic acid 1gm BD for 7 days with some analgesic and hot fomentation and soft bra wear take it out at night. If not settled madam than consult breast surgeon kindly"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I slipped on some wet cement tiles today and landed on my left butt cheek, not my tailbone, and now I am in a lot of pain. I know you can t break your butt cheek, but what would cause so much pain. It is not bruised, it just hurts a lot. It is hard for me to walk and I can t sit on that side of my butt. My question is what could be causing so much pain? | Hi, Thank you for providing the brief history of you. As you mentioned the mechanism of injury we should understand that when ever there is a fall, there might be two things, either muscular injury or either a bony injury. Undergoing an MRI of the Lumbar spine will help provide some input. Sometimes due to fall there are chances that you may damage the soft tissue of the lumbar spine and also the bony alignments are disturbed. The reason for this is the whole load is borne by the lumbar spine as there is a tremendous thrust on the hip region due to fall. Most cases landing on the hip region during the fall, land into the injury of the lumbar spine and get misdiagnosed due to improper assessment plan. I will recommend undergoing an MRI of the lumbar spine to get assess further into the depth of the issue. 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: I slipped on some wet cement tiles today and landed on my left butt cheek, not my tailbone, and now I am in a lot of pain. I know you can t break your butt cheek, but what would cause so much pain. It is not bruised, it just hurts a lot. It is hard for me to walk and I can t sit on that side of my butt. My question is what could be causing so much pain?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for providing the brief history of you. As you mentioned the mechanism of injury we should understand that when ever there is a fall, there might be two things, either muscular injury or either a bony injury. Undergoing an MRI of the Lumbar spine will help provide some input. Sometimes due to fall there are chances that you may damage the soft tissue of the lumbar spine and also the bony alignments are disturbed. The reason for this is the whole load is borne by the lumbar spine as there is a tremendous thrust on the hip region due to fall. Most cases landing on the hip region during the fall, land into the injury of the lumbar spine and get misdiagnosed due to improper assessment plan. I will recommend undergoing an MRI of the lumbar spine to get assess further into the depth of the issue. RegardsJay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Im 25 years old and have had cancer twice. I want to use propecia to help prevent more hair loss but the sight of seeing prostate cancer and breat cancer as two of the side effects that scare me. What, in your mind, is a ballpark percentage of me being diagnosed with prostate cance and/or breast cancer if I start taking procecia? | Hi, Thanks for writing in. Propecia is a 5-alpha reductase inhibitors group of medicine and contains finasteride which helps in hair growth. Treatment with finasteride reduces the risk of being diagnosed with low-grade prostate cancer. But there is an increased risk of a later diagnosis of high-grade prostate cancer. Please discuss with your doctor on the probabilities of alopecia intake causing a higher incidence of high grade prostate cancer in later life. At 25 years age you might not have any side effect but with continued intake the risk rises. Instead of taking alopecia you can apply lotion containing a combination of minoxidil and finasteride which works for hair growth. Please do not worry. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, Im 25 years old and have had cancer twice. I want to use propecia to help prevent more hair loss but the sight of seeing prostate cancer and breat cancer as two of the side effects that scare me. What, in your mind, is a ballpark percentage of me being diagnosed with prostate cance and/or breast cancer if I start taking procecia?"
},
{
"from": "gpt",
"value": "Output: Hi, Thanks for writing in. Propecia is a 5-alpha reductase inhibitors group of medicine and contains finasteride which helps in hair growth. Treatment with finasteride reduces the risk of being diagnosed with low-grade prostate cancer. But there is an increased risk of a later diagnosis of high-grade prostate cancer. Please discuss with your doctor on the probabilities of alopecia intake causing a higher incidence of high grade prostate cancer in later life. At 25 years age you might not have any side effect but with continued intake the risk rises. Instead of taking alopecia you can apply lotion containing a combination of minoxidil and finasteride which works for hair growth. Please do not worry."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am starting to get worried about my mom, she is 82 and have been noticing certain things with her, her memory has been terrible for awhile now, she is shaky, forgets where she puts things, she just had a server bladder infection this week, and was very confused which I found out it is very common in the elderly, she use to be organized and is not the best anymore with it, her older brother had alzimers and has passed away, I am going down to see her tomorrow and have a doctors appointment on wednesday to talk wiath her doctor, | Hello, welcome to Chat Doctor. She appears to have dementia considering old age, memory loss, disorganized behavior and history of Alzheimer in brother. Early cases of Dementia respond well to treatment by neurologist. If symptoms are recent in onset and associated with bladder infection, then there is need to rule out delirium due to poor medical condition in her case. Wish you good health and all the best. Chat Doctor. 99doctor.com | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi I am starting to get worried about my mom, she is 82 and have been noticing certain things with her, her memory has been terrible for awhile now, she is shaky, forgets where she puts things, she just had a server bladder infection this week, and was very confused which I found out it is very common in the elderly, she use to be organized and is not the best anymore with it, her older brother had alzimers and has passed away, I am going down to see her tomorrow and have a doctors appointment on wednesday to talk wiath her doctor,"
},
{
"from": "gpt",
"value": "Output: Hello, welcome to Chat Doctor. She appears to have dementia considering old age, memory loss, disorganized behavior and history of Alzheimer in brother. Early cases of Dementia respond well to treatment by neurologist. If symptoms are recent in onset and associated with bladder infection, then there is need to rule out delirium due to poor medical condition in her case. Wish you good health and all the best. Chat Doctor. 99doctor.com"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Thank you so much. I had blood work done and they say my white cell count is high/normal AND I have had blood in the urine....an ongoing thing for a few years. (Had a series of urology tests, 3 years ago and all they said is traces of sar tissue ....But, the white blood cell count being high, is new. I see a urologist and a hematologist next Tuesday, June 24. Thank you for your reply. Glenda | Hi, dairy have gone through your question. I can understand your concern. There are many causes of high white blood cell count. Most common cause is infection. You have blood in urine, so you may have infection in your kidney or bladder or urinary tract. Please send me report of your complete blood count and urine examination so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. 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: Thank you so much. I had blood work done and they say my white cell count is high/normal AND I have had blood in the urine....an ongoing thing for a few years. (Had a series of urology tests, 3 years ago and all they said is traces of sar tissue ....But, the white blood cell count being high, is new. I see a urologist and a hematologist next Tuesday, June 24. Thank you for your reply. Glenda"
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. There are many causes of high white blood cell count. Most common cause is infection. You have blood in urine, so you may have infection in your kidney or bladder or urinary tract. Please send me report of your complete blood count and urine examination so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. 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. | Im wondering why my lips keep cracking in the two corners over and over. I get them to heal and then they crack again. I recently (8weeks ago) had my fifth surgery due to cancer... a Latissimus Dorsi Muscle reconstruction surgery. My doctor (LOVE him) used Exparel this time although Im NOT sure that has anything to do with it?... I need to get some relief that is permanent! | Hello, The most common causes for cracking of lips at mouth corners are collection of fluid and resulting fungal infection. This can also happen if a person has braces or has ill-fitting dentures. Nutritional deficiencies like iron, zinc and B complex vitamins can also cause this, but this is found in some occasions only. Treatment involves... Keeping your corners of mouth Chat Doctor. Applying an antifungal cream followed two hours later with 1%hy | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im wondering why my lips keep cracking in the two corners over and over. I get them to heal and then they crack again. I recently (8weeks ago) had my fifth surgery due to cancer... a Latissimus Dorsi Muscle reconstruction surgery. My doctor (LOVE him) used Exparel this time although Im NOT sure that has anything to do with it?... I need to get some relief that is permanent!"
},
{
"from": "gpt",
"value": "Output: Hello, The most common causes for cracking of lips at mouth corners are collection of fluid and resulting fungal infection. This can also happen if a person has braces or has ill-fitting dentures. Nutritional deficiencies like iron, zinc and B complex vitamins can also cause this, but this is found in some occasions only. Treatment involves... Keeping your corners of mouth Chat Doctor. Applying an antifungal cream followed two hours later with 1%hy"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My father is 81 years and haven diagnosed for seizures.. He has. Been taking levipill 500 since feb 2011 . Morning 2 tab and night 2 tabs..will he have any side effects. He has reduced tab as morning two tab and evening one and half since three months.again he had seizures.is is because of reduction in medicine.now he is on IV with levipill. How will he stabilise? | Hi, Thank you for posting your query. Level (levetiracetam) is a safe medicine for treating epilepsy. His current dose of 500 mg two tablets- 1000 mg twice daily is safe. There is no need to reduce the dose, as dose reduction may cause seizures to recur. Epilepsy is a chronic disease, and needs long-term medications. There is no need to worry about his current condition, as he would recover soon. Best wishes, Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My father is 81 years and haven diagnosed for seizures.. He has. Been taking levipill 500 since feb 2011 . Morning 2 tab and night 2 tabs..will he have any side effects. He has reduced tab as morning two tab and evening one and half since three months.again he had seizures.is is because of reduction in medicine.now he is on IV with levipill. How will he stabilise?"
},
{
"from": "gpt",
"value": "Output: Hi, Thank you for posting your query. Level (levetiracetam) is a safe medicine for treating epilepsy. His current dose of 500 mg two tablets- 1000 mg twice daily is safe. There is no need to reduce the dose, as dose reduction may cause seizures to recur. Epilepsy is a chronic disease, and needs long-term medications. There is no need to worry about his current condition, as he would recover soon. Best wishes, Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | i took an answer pregnancy test and 1 bold purple line showed up on the right side. Can I be pregnant?And also my atomic feels tight. Im dizzy all the time.I feel tired I get head aches all the time. Ive been using the bathroom alot. What dose this mean | Hi, You should read the test as positive if you get two positive lines. Please repeat the test after a couple of days with a fresh early morning sample if you are 3-7 days post your missed period. Else, you can go for the serum beta-ChatDoctor title estimation if you wish for an earlier and better confirmation as it is more specific as well as sensitive. Your symptoms are suggestive of a very early pregnancy, but need to be documented by an evidence. Hope your query has been answered. 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: i took an answer pregnancy test and 1 bold purple line showed up on the right side. Can I be pregnant?And also my atomic feels tight. Im dizzy all the time.I feel tired I get head aches all the time. Ive been using the bathroom alot. What dose this mean"
},
{
"from": "gpt",
"value": "Output: Hi, You should read the test as positive if you get two positive lines. Please repeat the test after a couple of days with a fresh early morning sample if you are 3-7 days post your missed period. Else, you can go for the serum beta-ChatDoctor title estimation if you wish for an earlier and better confirmation as it is more specific as well as sensitive. Your symptoms are suggestive of a very early pregnancy, but need to be documented by an evidence. Hope your query has been answered. Wish you good health."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My Ct scan showed that I have some component of fatty infiltration of the liver. Mild hepatomegaly. My liver measures 22 cm. No space-occupying mass in the liver or the spleen. No abnormality in the pancreatic bed. The gallbladder appears normal. Adrenal glands appear normal. There is no renal mass. No hydronephrosis of the kidneys. There is no aneurysm of the abdoninal aorta. No enlarged adenopathy. No free fluid within the abdomen. There is no indujration in the nesentery. Mild Hepatomegaly. Dinfiltration of the liver. Otherwise, negative comuterized tomography of the abdomen. I used to drink whiskey when I got upset or depressed about something, but quit just recently, and I dont want to drink any kind of alcohol ever again. What does this medical report that is written about my Ct scan mean? Also my blood work came back that I have good liver function, kidneys, and etc. Does this mean I have some kind of liver damage in areas of my liver? Since I dont drink anymore will my liver get better? What can I do or take to help my liver and entire body get back in shape and back to being healthier again? Thank-you for your medical advise, please write me back soon. YYYY@YYYY | Hi, many thanks for the query! Well, your report is not that bad to be worried so much, but the decision not to Chat Doctor. You should start some medicines for reducing fatty infiltration of your Liver with your doctors' opinion. Rest all findings in your report are normal, also it's good that your Liver function tests are normal. Do regular exercise, also yoga & meditation if possible. 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: My Ct scan showed that I have some component of fatty infiltration of the liver. Mild hepatomegaly. My liver measures 22 cm. No space-occupying mass in the liver or the spleen. No abnormality in the pancreatic bed. The gallbladder appears normal. Adrenal glands appear normal. There is no renal mass. No hydronephrosis of the kidneys. There is no aneurysm of the abdoninal aorta. No enlarged adenopathy. No free fluid within the abdomen. There is no indujration in the nesentery. Mild Hepatomegaly. Dinfiltration of the liver. Otherwise, negative comuterized tomography of the abdomen. I used to drink whiskey when I got upset or depressed about something, but quit just recently, and I dont want to drink any kind of alcohol ever again. What does this medical report that is written about my Ct scan mean? Also my blood work came back that I have good liver function, kidneys, and etc. Does this mean I have some kind of liver damage in areas of my liver? Since I dont drink anymore will my liver get better? What can I do or take to help my liver and entire body get back in shape and back to being healthier again? Thank-you for your medical advise, please write me back soon. YYYY@YYYY"
},
{
"from": "gpt",
"value": "Output: Hi, many thanks for the query! Well, your report is not that bad to be worried so much, but the decision not to Chat Doctor. You should start some medicines for reducing fatty infiltration of your Liver with your doctors' opinion. Rest all findings in your report are normal, also it's good that your Liver function tests are normal. Do regular exercise, also yoga & meditation if possible. Wish you a good health. Take care. Regards."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hi doc! good day! i have a little problem but iam shy to go to doctor. i have a warts , a big one in my butt. color red. i notice i just had this when i gave birth. i dont know what causes it but im wondering if theres any home remedy that i can do to remove this/ i want to cut it but im scared cause it might worsen it. what can i do? thank you. | HELLO & FORUM AS MENTIONED BY YOU, THERE MAY BE SOME DIAGNOSTIC DILEMMA BETWEEN WARTS AND PILES. MASS FELT IN BETWEEN BUTTS ARE NOT VISIBLE TO CANDIDATE AND MAY BE PILES AND REMOVAL AT HOME WITHOUT EXPERT CONSULTATION MAY BE DANGEROUS. YOU SHOULD CONSULT TO DERMATOLOGIST/ SURGEON WARTS ARE CAUSED BY PAPILLOMA VIRUS AND ARE TREATED BY ACID BURNING BY DERMATOLOGIST/ SURGEON. TAKE CARE AND GET WELL SOON. Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hi doc! good day! i have a little problem but iam shy to go to doctor. i have a warts , a big one in my butt. color red. i notice i just had this when i gave birth. i dont know what causes it but im wondering if theres any home remedy that i can do to remove this/ i want to cut it but im scared cause it might worsen it. what can i do? thank you."
},
{
"from": "gpt",
"value": "Output: HELLO & FORUM AS MENTIONED BY YOU, THERE MAY BE SOME DIAGNOSTIC DILEMMA BETWEEN WARTS AND PILES. MASS FELT IN BETWEEN BUTTS ARE NOT VISIBLE TO CANDIDATE AND MAY BE PILES AND REMOVAL AT HOME WITHOUT EXPERT CONSULTATION MAY BE DANGEROUS. YOU SHOULD CONSULT TO DERMATOLOGIST/ SURGEON WARTS ARE CAUSED BY PAPILLOMA VIRUS AND ARE TREATED BY ACID BURNING BY DERMATOLOGIST/ SURGEON. TAKE CARE AND GET WELL SOON. Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | hello dr, i would like to know whts the reason behind the flickering of lips as it happens to my husband and it continues for few seconds so plz would like to know what are the remedies n reason behind that thank u if u help me out to solve the query n would also like to know is it related with some heart problem or something serious. | Welcome to Chat Doctor! On reading your question I feel that you should meet a doctor in person and get your husband examined. Had I been treating him I would check his blood pressure, may need an ECG, routine blood tests. You have not mentioned if your husband is aware of these symptoms himself while having it or not? But still I think it will be wise to get a CAT scan head done to check if everything is right in brain. The symptom you have described can be in case of high blood pressure or may be due to some kind of minor seizure like activity in brain.... One can be sure of anything only after examining him and getting some investigations. I will suggest you that you should not ignore it. It doesn't appear to be dangerous at present, so please do. It panics but certainly warrants investigation. Hope you find the reply helpful feel free to ask more queries | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: hello dr, i would like to know whts the reason behind the flickering of lips as it happens to my husband and it continues for few seconds so plz would like to know what are the remedies n reason behind that thank u if u help me out to solve the query n would also like to know is it related with some heart problem or something serious."
},
{
"from": "gpt",
"value": "Output: Welcome to Chat Doctor! On reading your question I feel that you should meet a doctor in person and get your husband examined. Had I been treating him I would check his blood pressure, may need an ECG, routine blood tests. You have not mentioned if your husband is aware of these symptoms himself while having it or not? But still I think it will be wise to get a CAT scan head done to check if everything is right in brain. The symptom you have described can be in case of high blood pressure or may be due to some kind of minor seizure like activity in brain.... One can be sure of anything only after examining him and getting some investigations. I will suggest you that you should not ignore it. It doesn't appear to be dangerous at present, so please do. It panics but certainly warrants investigation. Hope you find the reply helpful feel free to ask more queries"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My son (3 and half years) had febrile seizure due to high fever on 27.11.2014 was in hospital for 2 days. Since 30.11.2014, temperature above 100 F has not occured. But now he is vomiting whatever he eats. Has little bit cough also. We took him again to doctor and he said its due to gastric problem because of antibiotics (cefdinir) and asked to stop it. He prescribed Emeset (thrice daily) and Nexpro junior sachet (twice daily) for two days. But even at the end of two days vomiting is still happening. He had rice yesterday night and did not vomit. But today he had oats and vomited. Otherwise he looks okay. Better active than before. Earlier he used to turn away face from food. Now he eats but vomits after some time. The vomit is mainly watery and occasionally undigested food goes. He has loose motion at the time of giving antibiotics but has now decreased and seems to be okay. Should I continue Emeset and Nexpro till he vomits no more ? | Hi...looks like your son is on the recovery path from a viral illness. It is very common for kids to vomit during recovery period and in convalescence. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My son (3 and half years) had febrile seizure due to high fever on 27.11.2014 was in hospital for 2 days. Since 30.11.2014, temperature above 100 F has not occured. But now he is vomiting whatever he eats. Has little bit cough also. We took him again to doctor and he said its due to gastric problem because of antibiotics (cefdinir) and asked to stop it. He prescribed Emeset (thrice daily) and Nexpro junior sachet (twice daily) for two days. But even at the end of two days vomiting is still happening. He had rice yesterday night and did not vomit. But today he had oats and vomited. Otherwise he looks okay. Better active than before. Earlier he used to turn away face from food. Now he eats but vomits after some time. The vomit is mainly watery and occasionally undigested food goes. He has loose motion at the time of giving antibiotics but has now decreased and seems to be okay. Should I continue Emeset and Nexpro till he vomits no more ?"
},
{
"from": "gpt",
"value": "Output: Hi...looks like your son is on the recovery path from a viral illness. It is very common for kids to vomit during recovery period and in convalescence. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, my names aj im a 19 year old male. For about a year now ive been feeling really weak and different like the begining of the year it wasent so bad it was just me feeling a little weak not really tired but over the months it has progressed my body feels like im 50 or something like an old man i feel worse when i drink water i get pain under my heart very bad stomach pains my neck cramps up i get weird feelings in my head i have like little dots when i look at the sky or in a dark room and when i look up at the sky it looks like there swimming around and looks of like a bacteria under the microscope on my eyes both of them theyve been there for 4 months my body does though freak out when i drink water my stomach keeps growling like its hungry and im not but then when i eat lots of food i feel better ive been to multipul hospitals doctors had blood tests done everything come back normal i have light colored stool everynow and then | Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Over and above, you are imagining things which are common to all people. The \"bacteria\" in your vision area is a common sight for everyone. Regarding your stomach gurgling - We broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi, my names aj im a 19 year old male. For about a year now ive been feeling really weak and different like the begining of the year it wasent so bad it was just me feeling a little weak not really tired but over the months it has progressed my body feels like im 50 or something like an old man i feel worse when i drink water i get pain under my heart very bad stomach pains my neck cramps up i get weird feelings in my head i have like little dots when i look at the sky or in a dark room and when i look up at the sky it looks like there swimming around and looks of like a bacteria under the microscope on my eyes both of them theyve been there for 4 months my body does though freak out when i drink water my stomach keeps growling like its hungry and im not but then when i eat lots of food i feel better ive been to multipul hospitals doctors had blood tests done everything come back normal i have light colored stool everynow and then"
},
{
"from": "gpt",
"value": "Output: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Over and above, you are imagining things which are common to all people. The \\\"bacteria\\\" in your vision area is a common sight for everyone. Regarding your stomach gurgling - We broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I get stomach pains in the bottom of my Stomach, it isnt period pains because it doesnt feel like them, I get them every so often, mabye once or twice a month, they are really painful and they last for about an hour sometimes. Is there anything I can do to stop them ? | Dear friend you have recurrent this type of pain, so I suggest for sonography of abdomen to know the underlying cause if any. For the pain you can take simple analgesic like paracetamol+dicyclomine or for severe pain take diclofenac + Chat Doctor. If severe once got examined by your family doctor. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I get stomach pains in the bottom of my Stomach, it isnt period pains because it doesnt feel like them, I get them every so often, mabye once or twice a month, they are really painful and they last for about an hour sometimes. Is there anything I can do to stop them ?"
},
{
"from": "gpt",
"value": "Output: Dear friend you have recurrent this type of pain, so I suggest for sonography of abdomen to know the underlying cause if any. For the pain you can take simple analgesic like paracetamol+dicyclomine or for severe pain take diclofenac + Chat Doctor. If severe once got examined by your family doctor. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Dear Doctor , Good morning to u! My wife aged 49 yrs was having teeth problem due to gum disorders and had to remove 4-5 teeths. She was also transplanted with artificial teeth before 2 yrs. Since then she has been suffering from mouth ulcer . Now, her doctor advised her to use Candid v6 in her mouth for 6 days and to take centum tablets once a day for 30 days. If the ulcer persists after a week, the Doctor advises her to apply caziq oitment in her mouth. Can u suggest any other treatment for this ? Or is it advisable to use candid v6 in the mouth? Kindly give me ur expert advise in the matter. | Hi TMK KuttyWelcome to Chat Doctor. If she has an ulcer persisting for so long time, she should consider getting evaluated for the same. The treatment being given is appropriate. She can use Candid oral preparation for mouth fungal infection. I advise her to take vitamin B supplements to relieve from the symptoms. She should also use a mouthwash which is non-alcoholic like Hora. Hope I answered your question. If you need more information feel free to mail me. Take care | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Dear Doctor , Good morning to u! My wife aged 49 yrs was having teeth problem due to gum disorders and had to remove 4-5 teeths. She was also transplanted with artificial teeth before 2 yrs. Since then she has been suffering from mouth ulcer . Now, her doctor advised her to use Candid v6 in her mouth for 6 days and to take centum tablets once a day for 30 days. If the ulcer persists after a week, the Doctor advises her to apply caziq oitment in her mouth. Can u suggest any other treatment for this ? Or is it advisable to use candid v6 in the mouth? Kindly give me ur expert advise in the matter."
},
{
"from": "gpt",
"value": "Output: Hi TMK KuttyWelcome to Chat Doctor. If she has an ulcer persisting for so long time, she should consider getting evaluated for the same. The treatment being given is appropriate. She can use Candid oral preparation for mouth fungal infection. I advise her to take vitamin B supplements to relieve from the symptoms. She should also use a mouthwash which is non-alcoholic like Hora. Hope I answered your question. If you need more information feel free to mail me. Take care"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | My sons symptoms are (he is 30 Yrs old)... constant tingling, peeling, burning, swollen lips, he said, it feels like his lips are raw and have been cut constantly. Other symptoms right eye becomes blurry, feels pressure behing eye. throat is always swollen, and red... headaches often, not all the time.. upset stomach occasionally.. he is constantly tired.... never feels rested , just wants to sleep all the time.... (not like him normally).. he has much anxiety, dread, worry , fear, anxious, tightness in chest... Any thoughts? His insurance kicks in in a few weeks... he has been suffering since May of 2013... | Hello! Welcome and thank you for asking on Chat Doctor ! Your son symptoms could be related to an allergic reaction. A chronic infection or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with his doctor for a careful physical check up and some tests | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: My sons symptoms are (he is 30 Yrs old)... constant tingling, peeling, burning, swollen lips, he said, it feels like his lips are raw and have been cut constantly. Other symptoms right eye becomes blurry, feels pressure behing eye. throat is always swollen, and red... headaches often, not all the time.. upset stomach occasionally.. he is constantly tired.... never feels rested , just wants to sleep all the time.... (not like him normally).. he has much anxiety, dread, worry , fear, anxious, tightness in chest... Any thoughts? His insurance kicks in in a few weeks... he has been suffering since May of 2013..."
},
{
"from": "gpt",
"value": "Output: Hello! Welcome and thank you for asking on Chat Doctor ! Your son symptoms could be related to an allergic reaction. A chronic infection or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with his doctor for a careful physical check up and some tests"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Im female; almost 18 years of age, about 115 lbs, and about 510.\"b\"My symptoms began with a very sore throat and my gums felt strange. Eventually, I developed a minor earache, my gums became extremely swollen, red, and seem to be receding quickly away from my teeth, (because of the pain that goes along with the gum swelling, I havent been able to eat much- and only yogurt and jello when I do) and lastly, Ive had severe dizziness when I stand up, and soon after I began growing sick to my stomach and was unable to stand up for any period of time. After all the symptoms had hit their worst, I had a fever of 101 which weve been able to get back down to 99 twice. The person we consulted with said this was viral and I could only rinse with salt water and drink lots to wash it out. Is there ANYTHING else I can do to make the gums stop receding??? That is the worst part... | IIN regard to your query, as your doctor said it is viral infection, and please follow the instructions what ever he said. You can use mouth wash or warm saline gargling for temporary relief and inflammation also will come down.2. Coming to your receding gums it is very much clear that they are extremely inflamed once the infection the has come down only then exact status of your gums will be seen.3. Treatment for the receding gums you can visit your periodontist for the best diagnosis and the treatment as well. So finally nothing much to worry please visit your specialist dentist as mentioned. Hope I have answered your query. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Im female; almost 18 years of age, about 115 lbs, and about 510.\\\"b\\\"My symptoms began with a very sore throat and my gums felt strange. Eventually, I developed a minor earache, my gums became extremely swollen, red, and seem to be receding quickly away from my teeth, (because of the pain that goes along with the gum swelling, I havent been able to eat much- and only yogurt and jello when I do) and lastly, Ive had severe dizziness when I stand up, and soon after I began growing sick to my stomach and was unable to stand up for any period of time. After all the symptoms had hit their worst, I had a fever of 101 which weve been able to get back down to 99 twice. The person we consulted with said this was viral and I could only rinse with salt water and drink lots to wash it out. Is there ANYTHING else I can do to make the gums stop receding??? That is the worst part..."
},
{
"from": "gpt",
"value": "Output: IIN regard to your query, as your doctor said it is viral infection, and please follow the instructions what ever he said. You can use mouth wash or warm saline gargling for temporary relief and inflammation also will come down.2. Coming to your receding gums it is very much clear that they are extremely inflamed once the infection the has come down only then exact status of your gums will be seen.3. Treatment for the receding gums you can visit your periodontist for the best diagnosis and the treatment as well. So finally nothing much to worry please visit your specialist dentist as mentioned. Hope I have answered your query."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am having diffuse infiltration of fatty liver found during the ultra sound for prostate. Urologist said it to be normal. I do take a drug natrilix for B P and Remylin for vit B. I do have problem of bloating of stomach. Does Liv 52 cure the problem. | Hi, dairy have gone through your question. I can understand your concern. Mild fatty changes is common in liver. You should check your liver enzymes level. It indicates the severity of damage. Then you should take treatment accordingly. You should continue your other treatment. Avoid alcohol and high fat diet. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I am having diffuse infiltration of fatty liver found during the ultra sound for prostate. Urologist said it to be normal. I do take a drug natrilix for B P and Remylin for vit B. I do have problem of bloating of stomach. Does Liv 52 cure the problem."
},
{
"from": "gpt",
"value": "Output: Hi, dairy have gone through your question. I can understand your concern. Mild fatty changes is common in liver. You should check your liver enzymes level. It indicates the severity of damage. Then you should take treatment accordingly. You should continue your other treatment. Avoid alcohol and high fat diet. 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. | The pads of my finger tips are tender. They feel like they were slghtly burned. I thought it was from typing as it was just the two index fingers that I se to tpye that were sensitive. Now two more are somewhat sensitive. Not sure if this is a symptom for soething else and whether I need to go see my Dr. | Hello, What I understand from history is, this should be related to the job profile. If you are kind of person who uses the computer more than you need to get assessed with an orthopedic for any nerve compression in the carpal tunnel. Due to carpal tunnel compression which happens mostly due to long hours and years of typing, and it needs attention. Once you confirm what the cause is then a physiotherapist will be of great help to you for the same. Also in carpal tunnel compression, these symptoms are common and need medical attention. Please feel free to contact me if you have any other queries. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: The pads of my finger tips are tender. They feel like they were slghtly burned. I thought it was from typing as it was just the two index fingers that I se to tpye that were sensitive. Now two more are somewhat sensitive. Not sure if this is a symptom for soething else and whether I need to go see my Dr."
},
{
"from": "gpt",
"value": "Output: Hello, What I understand from history is, this should be related to the job profile. If you are kind of person who uses the computer more than you need to get assessed with an orthopedic for any nerve compression in the carpal tunnel. Due to carpal tunnel compression which happens mostly due to long hours and years of typing, and it needs attention. Once you confirm what the cause is then a physiotherapist will be of great help to you for the same. Also in carpal tunnel compression, these symptoms are common and need medical attention. Please feel free to contact me if you have any other queries. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Daughter who is 29, has 2 lumps in her left breast...a large one on the center top of her breast and a small hard one to the left of the areola. She got an ultrasound....the doctor told her it could just be hard breast tissue or could be a cystic fibroid. They told her to make another appointment in 6 months for follow up or come in sooner if there is any changes or pain. They did not suggest a biopsy. Is this sound advise? Or should she demand a biopsy? | Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the lumps in your breast-left-In my opinion both these 2 lumps are part of the-Fibroadenosis and does not appear to be Fibroadenomas even, for which your doctor rightly advised you to re-examine after 6 myths time. I would advise you to have a Second Surgeon opinion, as you are worried much. You are quite young to have cancerous tumor and so you should be watchful for any increase in size of the lump-which are not malignant / or benign type, as they are caused due to hormonal imbalance and breast tissue responses to the imbalance of the cyclical hormonal changes. And Hence for further treatment I would advise you to Consult second ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Daughter who is 29, has 2 lumps in her left breast...a large one on the center top of her breast and a small hard one to the left of the areola. She got an ultrasound....the doctor told her it could just be hard breast tissue or could be a cystic fibroid. They told her to make another appointment in 6 months for follow up or come in sooner if there is any changes or pain. They did not suggest a biopsy. Is this sound advise? Or should she demand a biopsy?"
},
{
"from": "gpt",
"value": "Output: Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the lumps in your breast-left-In my opinion both these 2 lumps are part of the-Fibroadenosis and does not appear to be Fibroadenomas even, for which your doctor rightly advised you to re-examine after 6 myths time. I would advise you to have a Second Surgeon opinion, as you are worried much. You are quite young to have cancerous tumor and so you should be watchful for any increase in size of the lump-which are not malignant / or benign type, as they are caused due to hormonal imbalance and breast tissue responses to the imbalance of the cyclical hormonal changes. And Hence for further treatment I would advise you to Consult second ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I fell on stairs a little over a week ago with my lower back on the right side hitting the edge of the step. I had severe pain which is lessening but I sometimes get a sharp pain when sitting down or standing up. It was diagnosed as a contusion but there is no bruise mark. X-rays did not show any breaks. I try to walk around a little bit and take 600 mg ibuprofen every 4 hours. Why no bruise mark if it is a contusion, how much longer until pain goes completely away and should I use any other type of treatment? I use an ice pack every few hours. Thanks. | Hi there, Thanks for writing in. Initial 24-48 hours after any injury, it is best to use an ice pack intermittently. However, now the injury is almost a week old, in which case hot fomentation would be ideal. Apply a small quantity of pain relief gel like voting(diclofenac gel) to the affected region of the back. Do not massage or rub the gel too much. Just apply it lightly. After half an hour or so apply a hot water bag/ hot fomentation to the affected area. Do the above at least 3 times a day. Reduce the oral intake of ibuprofen gradually. Too much of this pain relief medication can cause gastritis. Hopefully you should be completely okay in another week or so. If the pain persists or increases in intensity, please visit your physician at the earliest... Hope this helps. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: I fell on stairs a little over a week ago with my lower back on the right side hitting the edge of the step. I had severe pain which is lessening but I sometimes get a sharp pain when sitting down or standing up. It was diagnosed as a contusion but there is no bruise mark. X-rays did not show any breaks. I try to walk around a little bit and take 600 mg ibuprofen every 4 hours. Why no bruise mark if it is a contusion, how much longer until pain goes completely away and should I use any other type of treatment? I use an ice pack every few hours. Thanks."
},
{
"from": "gpt",
"value": "Output: Hi there, Thanks for writing in. Initial 24-48 hours after any injury, it is best to use an ice pack intermittently. However, now the injury is almost a week old, in which case hot fomentation would be ideal. Apply a small quantity of pain relief gel like voting(diclofenac gel) to the affected region of the back. Do not massage or rub the gel too much. Just apply it lightly. After half an hour or so apply a hot water bag/ hot fomentation to the affected area. Do the above at least 3 times a day. Reduce the oral intake of ibuprofen gradually. Too much of this pain relief medication can cause gastritis. Hopefully you should be completely okay in another week or so. If the pain persists or increases in intensity, please visit your physician at the earliest... Hope this helps."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I had an ultrasound and the report stares that presentation is cephalic and lie logitudinal, efw 2579.0g, ega 34 weeks 4 days, fhr 141bpm, placenta location is anterior, body (grade III), internal os of the cervix closed, no foetal anomaly seen. Pls, what are the negatives and positives here and issue I need to look forward to | Hello, In this case, your baby position in womb, weight, heart rate is absolutely normal. Internal OS of cervix is also closed and no anomaly seen, it is good. One thing I want to notice you that generally placenta location is posterior, which help for easy pregnancy. I will suggest you to consult with Gynecologist with report and take her opinion. As a physician, I think you should require regular follow up with 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 had an ultrasound and the report stares that presentation is cephalic and lie logitudinal, efw 2579.0g, ega 34 weeks 4 days, fhr 141bpm, placenta location is anterior, body (grade III), internal os of the cervix closed, no foetal anomaly seen. Pls, what are the negatives and positives here and issue I need to look forward to"
},
{
"from": "gpt",
"value": "Output: Hello, In this case, your baby position in womb, weight, heart rate is absolutely normal. Internal OS of cervix is also closed and no anomaly seen, it is good. One thing I want to notice you that generally placenta location is posterior, which help for easy pregnancy. I will suggest you to consult with Gynecologist with report and take her opinion. As a physician, I think you should require regular follow up with 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. | my 10yr son had slight fever, vomiting and diarrhea. was admitted for two days. relief from fever and vomiting. doctors say not to worry. now at home. no relief from loose motions even after 3 days. stools -watery. child exhausted. upper abdominal pain. can i give him lopamide. what dosage. any other advice please. thanks. | Hi.... Please do not use Operative. It is contraindicated in kids. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: my 10yr son had slight fever, vomiting and diarrhea. was admitted for two days. relief from fever and vomiting. doctors say not to worry. now at home. no relief from loose motions even after 3 days. stools -watery. child exhausted. upper abdominal pain. can i give him lopamide. what dosage. any other advice please. thanks."
},
{
"from": "gpt",
"value": "Output: Hi.... Please do not use Operative. It is contraindicated in kids. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | Hi ! my son was diagnose with Lyme Disease after going to many MD and Hospitals just sending him to psychiatrist and psychologist Finally a MD from the Amen clinic send for some test to be done and the final answer LYME DISEASE He was on antibiotic for some time.Now I think he is having some Herx reaction. Any advice? Also why most MD even infectious disease do not understand this disease when so many people are suffering,and there so few LLMD in the USA and people have to travel to other countries to be treated.See when there is no answer we play psychology right? | HI, I understand your concern. Her reaction is bodies response to death of bacteria due to antibiotics9 Because of endorphins released by bacterial death. ) the signs & symptoms vary from chills/ fever/ hypotension to more sever symptoms like shock. So management has to be done with close observation of patient (in hospital if needful) ranging from simple anti-inflammatory Chat Doctor. IV infusions. Psychology plays 50% role in all symptoms. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: Hi ! my son was diagnose with Lyme Disease after going to many MD and Hospitals just sending him to psychiatrist and psychologist Finally a MD from the Amen clinic send for some test to be done and the final answer LYME DISEASE He was on antibiotic for some time.Now I think he is having some Herx reaction. Any advice? Also why most MD even infectious disease do not understand this disease when so many people are suffering,and there so few LLMD in the USA and people have to travel to other countries to be treated.See when there is no answer we play psychology right?"
},
{
"from": "gpt",
"value": "Output: HI, I understand your concern. Her reaction is bodies response to death of bacteria due to antibiotics9 Because of endorphins released by bacterial death. ) the signs & symptoms vary from chills/ fever/ hypotension to more sever symptoms like shock. So management has to be done with close observation of patient (in hospital if needful) ranging from simple anti-inflammatory Chat Doctor. IV infusions. Psychology plays 50% role in all symptoms."
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | I am on birth control and took one more active pill than I was suppose to last month, hoping to delay my period by a day. But my period never came. My next period is expected next week. I ve been really nauseated, exhausted, cramping, spotted yesterday a little, been running a fever, and can only eat things that I am craving. Is this due to messing up my schedule or could I be pregnant? | Hi, Chat Doctor. I Think I have understood your concern. If you had regularly consumed the birth control pills and added only one more pill, you were totally protected in that. Cycle. If you have not started your periods within ten days of stopping the pills and your most of the symptoms ate that of early pregnancy. I will suggest you to get mornings first sample of urine tested for pregnancy. If it is negative then you can wait for menses to come. But Please observe another contraceptive method like Condom. Even if it is positive, you can opt for termination of pregnancy with medicine safely till 9 weeks of pregnancy. I hope this answer helps 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 on birth control and took one more active pill than I was suppose to last month, hoping to delay my period by a day. But my period never came. My next period is expected next week. I ve been really nauseated, exhausted, cramping, spotted yesterday a little, been running a fever, and can only eat things that I am craving. Is this due to messing up my schedule or could I be pregnant?"
},
{
"from": "gpt",
"value": "Output: Hi, Chat Doctor. I Think I have understood your concern. If you had regularly consumed the birth control pills and added only one more pill, you were totally protected in that. Cycle. If you have not started your periods within ten days of stopping the pills and your most of the symptoms ate that of early pregnancy. I will suggest you to get mornings first sample of urine tested for pregnancy. If it is negative then you can wait for menses to come. But Please observe another contraceptive method like Condom. Even if it is positive, you can opt for termination of pregnancy with medicine safely till 9 weeks of pregnancy. I hope this answer helps you. Thanks"
}
]
|
If you are a doctor, please answer the medical questions based on the patient's description. | HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie | Thanks for your query, I have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. This will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... I hope my answer will help you...take care. | [
{
"from": "human",
"value": "Instruction: If you are a doctor, please answer the medical questions based on the patient's description.\nInput: HiI recently had root canal treatment for an abscessed upper front tooth. Have one more treatment to go.Since trouble with my tooth I am experiencing ear ache/pressure in both ears, facial and general discomfort in my gums. I am experiencing nausea intermittently, also an unpleasant bile type taste in my mouth. I also have a blocked left nostril which I think is sinus related Have you any idea what may be occurring.? Cheers Jennie"
},
{
"from": "gpt",
"value": "Output: Thanks for your query, I have gone through your question, the discomfort in the face and gums could be because of the infection in the tooth. This will be reduced once you complete the course of antibiotics and treatment.....the nausea could be because of the antibiotics and analgesics due to gastric irritation, you can take antacid with antiemetic.....the pain in the ear could not be related to the front tooth infection...consult ENT specialist for that... I hope my answer will help you...take care."
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.